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180 SANTA ISABEL AVE - Building Permits
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations- • -CITY-OF COSTA-MESA.• T - ' _" • • 1 - P•E MIT NO. TRACT NO: LOT NO. . BLDG NO. — '•CONS•TRUCTION PERMIT - ; ., ' - r i f • •/04210 .' -. I • 2081 I /09/184 ' 11.80 ', it • Project Address .�r��'/' - - _' TYPE OF CONSTRUCTION ' ' ❑ NEW-U ADD ❑'ALTERATION' L.REPAIR' - - - Applicant s Mallin Address.$ �4/ jt1 . ' u ❑ CONVERSION , ❑ DEMOLISH ❑ OTHER + -• A•i' #, , Zone , ' 1 I - - .DESCRIP • ICE WORK / eav s v 'b 7' - Owner•sl Name- •�' ' `Phone " _ /t� [:� ie'i�J/, j - _ S Main Budding' Accessory Building t - Z ! P .s- 2:�t- , , • 6. _�. s. E O • Address /- V ' TYPE OF PE-MI ' '❑.GRADING ta FO/�DATION VA STRUCTURAL T Front t. - • c I - I • N ` Arch/Eng. • - - ? f License No.��n'/�/ Com//` ❑ TENANT _� ELECTRICAL ❑ PL BINE ❑ ECHANICAL _ B Rear s - - ,- 4 Address! I • ' • '❑ OTHER ' - A • I - N ,\_ i'/s /(. /LJ 00 , - C Right , i G J Contractor's Name 1p1!4.ILC2A ' /1 ClC Phone /.' PROJECT DESCRIPTION SQ. FT. OCCUPANCY ` K' R. Address(mailing) • _✓.�'��/� I CON ST RUCTION TV PE ' -VALUATION$ t 9' �' s Left , 1 E ,I y " I 0� 7� j/i t: i ZONE - I GRADING CV.YDS. + ACRES +, Pin Ref. ' • Park Fees $ I. - - O \ Cit License No. T'' LJ/ _ t ! 9 • ; 1 -;. U LICENSED CONTRACTOR DECLARATION Remarks: - I • f Parking Req./Provided i I rt. G !• _ I. 1 l thereby,affirm that I am licensed under provisions ofiCharter.9 (commencing , - - - - _ R with Section 7000) of Division 3 of the Business and Professions Code,and 1 I I, 1 ,• - Use of Building: 1 ! ,-• t 't E /� my license.is in full ford and effect. �, a.0 - M ` ` License Class' - - - 1 e No/a0'I f / 'L"y^ I ' PLUMBING I FEES Planning'Notes: E Dates_9* /S',^�.i Signature - -A r Y __1 ! N WORK[RS' COMPENSATION DECLARATION i - Bar Sink : - Showers ' 1 T I hereby affirm that I have a certificate of consent to self-insure or a certificate - i i - -of-Workers' Com ensation-Insurance, or a certified-copy-thereof .. ._ Back , Service Sink , _ - _ i - l S P pY'thereot (Section- --a-- i `i 3800, Lab. C.) 7 ! Backflow Irrigation Sewer Cap t i ELECTRICAL ) . FEES ' ' Policy No. ' Company ! - - ` ACertified copy Is hereby furnished. Bathtubs i Sewer Connection ' • Automatic Washer Transformer 0 15-50 KW • ' •�j Certi '3tl opy is flied with the city B tling Di idj� /j/� Date / ,,r/A -L I Applicant f-/+�s•[�CY' Clarifiers I Solar Collectors I i Construction Pole S• ub. ❑ 50.+KW (T 'EXEMPTION FROM WOR mpleteCOMPE NSmit is for one hu dreg $100) or Dishi washer i , . - Solar Piping !' - Cooking Unit' - ♦Meter'Ou p To 100 amps' ' (This section need not be completed if the permit is for one hundred ( less): Drinkin Fountains I certif 't hat,in the performance of the for to thisepermits subject t et I 9 Solar Tank ! : Dishwasher. Meter Dover 100 amps- shall-not employ any person in any manner sous to become subject to the • Workers',Compensation. Laws of California.1 I - Floor Drains; - 1 Swimming Pool W/Spa, , Dryers ❑Gas' ❑Electric !Sub Panel . 1 } t • I Date 1 Signature ' - 1 • , NOTICE: if,'after making this declaration,you should become subject to the ' _,, Floor Sinks i Urinal J i • Fan ,Motors❑o-1 HP 01% I.3 I • Workers' Compensation provisions of the Labor'code, you must forthwith-," - — �" --- '- ' - - -- - —=• - - -- comply Workers,' such-.provisions,or,.•this,permit,shall -be'deemed revoked. Gas Service F Outlets 4• •'Water Closet - 1 . - c,. F.A'.U. Inc.Solar Q9-15 HP 016-15+ •CONSTRUCTION LENDING rAGENCY' 'h I C• i - I .. - - + I hereby affirm that there is a'construction lending agency for the performance Interceptors ', 1 i Water,Heater T t Fixtures ; ' ' 3 Microwave _ ._ 1 of the 'work 'for 'which* this- permittris' Issued+:(Section=3097 Civ CJ - - "- - Lentler's Name:• t i - ' - - Krtctien Sink t' I - ,Water Service + -- I •- I - " --- - - • I i Device Boxes I 1 Pole Light 1 I •: Lender's Address - - - OWNER BUILDER DECLARATION :: I ' I' - Lavatories ; t� 1,4 - ._ F : r ",' ' . I I i Outlets ; j i 1 • f Range 'c �� t ! , 'y I hereby areaso that I ani exempt from fhe'Co Profe sionalicense Law forlthe 1. r •• _ , following reason (Section .to conness t alte ofesslonal Code:Any city or I - B Trap; . ) iy7 I r ' '-- ( Switches 1 Sign,-.1 f-I ;1' �+ .,county which requires a permit to construct, rest the aprove,demolish or ir. , - - - •� ' - i ;any structure, prior to its issuance, also requires the.appltcant for such permit - • 'Roof Drains' ` I i -- t • r r. ' - 1 ;to file a'signed statementaha Lhe/she is licensedipursuant to'the provisions of - - - - I •'-- - Garbage Disposal �• Standing Sections I , -the Contractor's-License Law(Chapter 9'(commencing with Section'7000)of - ' • • , i . I I I - i•._ -' I - Generator ❑0-5 KW❑5-15 KW .Trash Compactor- - • "Division-rom f the Business and Professions exemption. or that he/shefis exempt ' 1 1 1 . - - • - therefrom and the basis for-the alleged exemption. Any.violicant:to Section ! ' ' ' - _ - l 7031L5 by any applicant for-a- permit subjects .the-applicant'to a, civil ' ' 7 - i ' I I - I • ' _ ' •A ('.T I ! I ioenalty of not more than five huntlretl dollars ($500)-' • i t , • ' I - Reinspection Fee j.+ r$25: t,. ' i Issue Fee- - i• • �i3 , f LLJJ Masi o'.vner of the`-property•or:my;employees•with wages as their sole _ Reinspection Fee $25 Issue_Fee: $'3 compensation, will do the work, and the-structure•is not intended or offered ' - I 7 •': I i 1. - ',MECHANICAL1. FEES for sale,(Section 7044, Business and Processional Code: The' Contractor's • t,- - - PUBLIC SERVICES REQUIREMENTS: i Or?, - ' ' License Law does not apply to an owner of a property who:builds or improves : - • i I .. f ( - b I ' Boilef -; Hood or Type I , ❑ r• ,. .;i 1 thereon, s, rwbdetloes such work ohimself/herselfesror'throughends his or'her own i - 1 Cano I • t^. • Zoning Approved By I Data employees, provided that such+improvements are not tor offered for - py. Type II' ❑ ; i t i - 1 sale. If, however, the building or improvement is'sold within one year of coin- i Ducts Under Ground r - - Application Approved By Date • pletion, the owner;wtll:ha le.the burden of proving he/she did not build or im- ' - t- • n , erove,for the purpose of sale). 1 1 : , ' , : Duct-Structural i Refrigeration System i '' I I •Application Issued'By +� G ' l D`at0_� L I I,as-owner of the property, am exclusively contracting with licensed con- t I ❑0-100,O�pO BTU ❑100,000 BTU �,t� ' tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating ! 1 SY ('�A V�OIF FEES 7 -The•Contractor's License-Law-does-not apply to an owner-of property-who'' - ' ,. - -. I , /)-'t a'V i i builds or improves thereon,'and who contracts for such projects with a con- ) Exhaust System ❑ Multiple �[ System R pair/Alteration B.I DING PERMIT I $ SMIP 1 ( $ �I - tractor(s) license pursuant toIthe Contractor's License Law). t i PLAN CHECK $ PERMIT • ' I ❑Glam exempt under Sectio•n i ' ' ' e.& P.O,for this reason I , Firepl/Fact.:Bit. ICBOr# ' ) • I : Eix P 1 R.E L • PLUMBING $ I ISSUANCE : $ I ' Date/�S�/ V - owner' Heating System& Ducting i Incomplete 1n5peet1Un5 PLAN CHECK $ • ENERGY P.C. $ I here y c�t((rtify that I have read this application and state that the above ,F, 0o-100,000 BTU ❑100,000BTL ,GRADING f $ information-is correct. I agree to'comply with all-cityand'county ordinances i - '-1 " ' '- - - - / -^ ' ELECTRICAL $ _ • and state laws relatingito building'constructlon,;and hereby authorize repre- 1 I - • I MICROFILM $ • Y sentatives of.this:city. to-tante on the ab e-mentioned property for I ! Uatel - -- , -'�•�LAN CHECK $ Inspection purer( '/8/` ; MECHANICAL . $ TOTAL FEE ` $ /1c,S0' SS# / / ' ' Reinspection Fee $25:' Issue Fee $ 3 I PLCHECK $ - • 'CMF0865-46-rev,-7/83' -'White=Building;Canal' Pink-Accounting; ' Signature y-Applicant; Goltlenrotl-Assessor -- . .-_-.. _-_ . _ ._.! ._- __. _ ... .. _ ... -- • 4 I K'• CONSTRUCTION AND PLANNING' ,. -`4, i • POOL&SPA • Date - Inspector Date Inspector LAPPROVALS 'Permit# ' - APPROVALS Permit# - `1.;Temporary Electrical Service or Pole _ - 52: Pool & Equipment'Location •2.' Soil-PipetUndrgrnd. - '- -- 53. Steel.Reinforcement - .3. Electrical,Conduit Utility-Undrgrnd. ' 54. Forms • - ; 1.'Electrical Conduit-Undrgrnd. - - 55. Electrical Bonding . ' . 1=5. Steel Reinforcement I - ' 56.'Rough-Plumbing & Pressure Test • • 6. ,Electrical UFERGrnd. 57.,APPROVALT000VER-GUNITE , , 7. Footings -- 58. Electrical Conduit-Undrgrnd. ' 8., Foundation I 4 ' '59. 'Gas Pipe, 0 Undrgrnd.,Test _ 9.1 Water Pipe-Undrgrnd. ' 60. Backwash Lines,P-Trap, ❑-Undrgrnd. 10..Structural'Floor System - - 61. 'APPROVALTO DECK - 11. Property Sewer Line & House Connection T 62._Backwash & Receptor-Final- • - 12. Sewer Cap 63. Heater& Vent-Final - 13.. Roof Drains -64. Plumbing System - Final . - •• 14. Rough Plumbing • - 65.:Electrical-Final • • - • 15. Rough Electrical-Conduit _ . 66. Solar System-Final ` - 16. Rough Electric Wiring • ' ' ' • 67. Fencing & Access Approval • 17.. Rough Wiring Sign - 68.•APPROVED FOR PLASTERING 18. Rough:Electrical-T Bar Ceiling . r 69. POOL/SPA SYSTEMS FINAL 19. Rdugh Heating & Air Conditioning FIRE DEPT. REQUIREMENT - 20. Rough Factory Fireplace • 'APPROVALS Permit# 21. Ducts, in Structure . 10. Underground Hydro 22. Ducts;Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe,Rough &'Test72. Underground Flush _ - 24: Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil • 2u. Roof Sheathing • 74. Overhead Hydro - • ' 26. T-Bar Ceiling'IStructural) & Monocoat , 75. Dry Chemical • - 27. Frame and Flashing - 76. Dry Standpipe 28: Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation - I ' 78. FIRE PREY. FINAL ae 30. Drywall Nailing HEALTH DEPT. REQUIREMENT .< . . rt 31. Plaster Brown Coat 79. FINAL INSPECTION -' i 1Jz w 32. Electrical Power Meter-Final • , : 80. FOOD CERTIFICATE ISSUED `' <: 33. Final ElectricNotes: , 34. Final.Heating & Air Conditioning t 35. Final Gas Pipe-Test 7 36. Hood or Canopy - • • - ' ' - ''��"' •.. 37. Final Factory Fireplace . . - 38. Final Plumbing : I - ' . 39. Water Service-Final ' • - 40. Gas Service-Final 41. Solar Domestic-Final : . . •- - .. .• - . 42. Backflow Preventer , . • -- �• 43 - EXPIREf 44. ,Landscape Irrigation System 45. Sound, Attenuation • : - 46. Handicap Regulations' 0. - . I)�1g - Ig 47. FINAL STRUCTURE & BUILDING . 48. Special Requirements Completed • - i 49. Electric'Release to Edison •- - - -- - - - • - - - 50. Gas Release to Southern California Gas Co • . , ' ; 51. CERTIFICATE OF OCCUPANCY1 ' No. - - Date ' - , • . ' - - . C JApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PER N TRACT NO. , LOT NO: UNIT NO. q a (CITY OF COSTA fMEESA CONSTRUCTIO PEJR'M PERT I ProjectAcldress ��//COSTA �Sa�¢./ Y `-�O 5� f . _. .5— a - , • Applicant's Mailing Address TYPE OF CONSTRUCTION ❑ NEW ❑ ADo H ALTERATION r' € '� - •/ ❑ CONVERSION U REPAIR P 7� �I 6;/�_ -26k DESCRIPTION ❑ DEMOLISH DI q p # ser 4 J ' / Zone _ _ "Owned•s Name' ne • Y QQ DESCRIPTION OF WOR•K/USE OF BLDG. Address '� �b S'4d./T1 - 4fJ-� �• a--e. - I S Main Building:L. ..:._-_____-.1.--,-----Acte ory Building: Arch'/Eng: • _ License No. TYPE OF PERMIT ❑ ❑ STRUCTURAL E Front CITY OF COSTA MESA . ZO GRADING ❑ FOUNDATION Address ❑ TENANT ❑ ELECTRICAL, ❑ PLUMBING ❑ MECHANICAL B Rear _ • N Contractor's Name Csn al2,4-/ -h�i 74-l. Phone {� ❑ OTHER • C Right "' - f - . - G // / PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing) p•�S •f.U�S� .a��✓C�, K COCONSTRUCTION TYPE VALUATION$ S Left • - . R City License No. C[l 4� ZONE GRADING CO.YDS. • ACRES LICENSED CONTRACTOR DECLARATION - Ping. Ref.# Parking Req./Provided E . 87 Q I hereby affirm that am licensed under provisions of Charter 9 (commencing Remarks: ' - I .. Planning Notes: SEP _ 8i 19'"" M with'section 7000) of Division 3 of the Business and Professions Code,and _ RECEIVED my license is in full .rc -n. effect. i�Q License +ss _ i IyrNo.- -_ / 2 � $ p Date - j% Signature al II _ a PLUMBING i FEES I r/s C��FD SEP Itn WORKERS'COMPENSATION DECLARATION 1�1..0 W Bar Sink: Showers LEC ICAL FEES 1 I hereby affirm that I have a certificate of consent to self-insure or a certificate - $ - of Workers' Compensation Insurance, or a'certified copy thereof (Section - - � Backflow Prevedter Service Sink - 3800, Lab. C.) in / /� Automatic Washer Tran SformeY � 15-50 KW , ` Policy No. �d I •9! & Company �` ' Backflow Irrigation Sewer-Cap ; r Construction Pole Sub. • • ❑ 50+ KW' - 7 Certif ietl copy is hereby furnished. • I croft copy is II with the city Byy n /� I Bathtubs Sewer Connection ' Cooking Unit • Meter Duo to 100 amps ' Date 4(-_�- Applicant lL� �-�/,/J _ - EXEMP{ION FROM WORKERS'COMPENSATION D LARATION Clarifiers • Solar Collectors • Dishwasher Meter Dover 100 amps ' (This section need not be completed if the permit is for one hundred ($100) or - ; less). Dishwasher ' ,. ; Solar Piping • - Dryers DGas ❑Electric ' Sub Panel ' I certify that in the performance of the work for which this permit is issued, I - • shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors.Do-1 HP 01%-B Workers' Compensation Laws of California. _ Date. Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc-Solar 09-15 HP ❑16-15+ NOTICE:If,after making this declaration,you should become subject to the . . . ' ' Workers' Compensation provisions of the Labor Code, you must forthwith • Floor Sinks - Urinal • comply with such provisions or this permit shall be deemed revoked. - • Fixtures Microwave • CONSTRUCTION LENDING AGENCY Gas Service - Outlets / ' Water Closet , Device Boxes • I hereby affirm that there'is a construction lending agency for the performance -al ]/s/ Pole Light, • of the work for which this permit is issued (Section 3097 Civ. C.) Interce tors Water Heater Lender's Name / p Outlets Range • I ' • Lender's Address Kitchen Sink . _ Water Service _- - - _. _ Switches- - - Sign - • - OWNER BUILDER DECLARATION - - - - - - _ - • I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections - following.reason (Section 7031.5 Business and Professional Code: Any city or - - county which requires a permit to construct;alter,improve,demolish or repair P-Trap Laundry Trays Generator�0-5 KW05.15 KW Trash Compactor • any structure, prior to its issuance, also requires the applicant for such permit - _ P . to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - the Contractor's License,Law (Chapter 9(commencing with Section 7000)of - - Division- 3-of the Business-and •Professions Code) or that he/she is exempt - • - •• - - therefrom and the'basis for the alleged exemption. Any violation of Section I • 7031.5 by any applicant for a permit subjects the applicant to a civil - penalty of not more than five hundred dollars($500). ' ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 ' ' Issue Fee $ 3 - ' compensation, will do the work, and the structure is not intended or offered ' - Reinspection Fee I $15 i Issue Fee $ 3 for sale (Section 7044, Business,and Professional Code: The Contractor's - MECHANICAL - i FEES License Law does not apply to an owner of a property who builds or improves - thereon, and who does such-work himself/herself or through his or her ownDEVELOPMENT SERVICES REQUIREMENTS: , employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 ZoningApproved B - Date sale:'If; however;the building or improvement is sold within one year of com- - pP y • pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date_-� prove for the purpose of sale). -_ e—'T/L1 Lrj!/�pL7 O.I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural •Application Issued By 11111- Dat tractors to construct the project (Section 7044,Business and Professions Code: O(J` The Contractor's License Law does not apply to an owner of property who Duct-Ventilating __Refrigeration raa 0100,000 = SUMMARY OF FEES builds or improves thereon, and who contracts for such protects with a con- - tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System D .Multiple 0 BUILDING PERMIT $ SMIP , $ . proof of their Worker's Compensation insurance should be provided to me. • PLAN CHECK $ PERMIT /+) ❑'I am exempt under Section B. & P.C.for this reason Firepl/Fact.BIL ICBO# I■ Fire e- PLUMBING $ -9•5740 O ISSUANCE _ $ Date Owner Heating System& Ducting. Registers ■ ELECTRICAL $'PLAN CHECK 25% $ ENERGY P.C. $ hereby certify that have read this application and state that the above ❑0-100,000 BTU 0100000 BT • GRADING - '$- • information is correct. I agree to comply with all city and county ordinances. - - _ and state laws relating to buil•ing c•• .ction, and hereby authorize repre- _ MICROFILM $• sentatives of this city to r • e•above- entioned pproperty for - PLAN CHECK 50% $ inspection purpo • •r .3147 / f 7 � : MECHANICAL $ TOTAL FEE $ x '00• Signature i /ir/..�/' 'Data / o • / _ . CMF 0865-46,rev. 10/84 White - Buil. ng; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL &SPA - APPROVALSIj Permit# Date Inspector APPROVALS Permit# - Date • Inspec 1:Temporary tElectrical Bei-vice or Pole 52. Pool & Equipment Loc4tn t 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement "' c: ,I 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4• 0' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding r,•.t. , , 5. Steel Reinforcement 56. Rough Plumbing & Prkssture Test- 1 6. Electrical UFER Grnd: • 57. APPROVAL TO COMER-Gt1NITE 7. Footings ,. - 58. Electrical Conduit-Uhdrgrnp;I �i 8. Foundatiod 59. Gas Pipe, D Undrgr th•, Tesr. 1 9. Water Pipe4ndrgrnd. - - 60. Backwash Lines, P:Trap, Ef•Ondrgrnd.. 1 10. Structural Floor System 61. APPROVAL TO DECK Z; I 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final .I 12. Sewer Cap63. Heater & Vent-Final • I 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit . 66. Solar System-Final • 16. Rough Electric Wiring • - 67. Fencing & Access Approval • ' 17. Rough Wiring Sign - -" 68. APPROVED FOR PLASTERING • 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure • 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil • 25. Roof Sheathing , - • ,. 74., Overhead;Hydro - - - - 26. T-Bar Ceiling (Structural) & •Monocoat - 75:Dry Chemical' 27..Frame and Flashing --- . 76. Dry Standpipe 28. Lathing & Siding . . 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION Of • • 32. Electrical Power Meter-Final 1 80. FOOD CERTIFICATE ISSUED :,' 33. Final Electric Notes: 34. Final Heating & Air Conditioning , 35. Final Gas Pipe-Test • . 36. Hood or Canopy 37. Final Factory Fireplace . 38. Final Plumbing f„f_tt /f `' 39. Water Service-Final- - .. . !/ - -- -- - - - ' 40. Gas Service-Final • 41. Solar Domestic-Final - . 42. Backflow Preventer - - - • • 43. Backflow Irrigation - • - '44. Landscape Irrigation System - ' • 45. Sound Attenuation - ' 46. Handicap Regulations 1 . I 47. FINAL STRUCTURE & BUILDING' • ;'.l I , 48. Special Requirements Completed • - - • • 49. Electric Release to Edison . 50. Gas Release to Southern California Gas Co __,. �:. - 51. CERTIFICATE OF OCCUPANCY - No. Date _ , T F OWNER j n J4atchett I - I/ DATE 1/11/54 JOB ADDRESS 180 Santa Isabe11 BUILDING PERMIT NO. 52 • GENERAL CONTRACTOR Don A Husband VALUE $ 6,010.00 LOT 110 BLOCK TRACT 300 Dwelling At Garage GROUP I TVPE V ZONE R4 FIRE DISTRICT App.#48 1 INSPECTIONS DA E SUBCONTRACTOR Footing Trench 244 4L PERMITS ISSUED 7 / 4 4-41DATENUMBER Foundation Forms an rade to Garage Rough Framing ''1 /- 37 J Plumbing, ,O,s" dkGr/yy(,/ 1 11 5 Gillman & Sons 1/11/54 #39 Plumbing, Rough CompleteC•Atli rex /� 1� , Temporary Pole ��" y� . i Wiring, Rough ...�s.../ /- - . z /,DC7/C i. afro. /- -0�V .z 3 Heating,Rough / Heating, Final )/t-/J.4 ® 2/ Sewer Septic Tank or Cesspool -,'1 ///e1 S i� 7 y LaRiing rN�O i'tI et<-Yeti ��,y� 7. 1, e Plastering 7/ 3 3y Plumbing,Final,Fixtures Complete YpL/3 J Y ' Plumbing,Final Gas Test �//J 773 3/6( Wiring,Final > I i&ra-I- _ Occupancy 0 )21'711I23je'v Form 210 G-H 161 12-53 • Costa Mesa Building Department APPLICATION FOR PERMIT • 111 EAST 20th STREET 4W. _ _B_U_.I.L.D.I.N_G_._" LeBTA MESA, CALIFORNIA - •,---- ' �: FOR APPLICANT TO FILL IN FOR OFFICE USE_ONLY 'l I Receipt No. Permit:No. I Buildin v i Address ,w ww�✓Q� - I t !- Re e- d by, Date'Rec'd. Date Issued Costa Mesa,.California <_ { (� ; ;, Nearest ) ' / — , —" Y i f Cross St. / / . ; , g„fi'(, , Bu ildinsg ,//!/,t • Address ti4-VIC< � MaOwnor 721A-Y 4�?IJ7/ ./`QO,�L��'10J/ i. _irM.�1 1 I Costa Mesa, California Address /5)7. t T t Nearest ° 1 el. ' Cross St. Cit No. Zone�j No.of /1 T e I Group. •i Architect or Lie. - •j L. I Plans D4 yp� ` i Engineer • No. . Approved I - by 'r Date l I Address rII ; CORRECTIONS ty Lie. • 'Contracto • ¢.n, o. ` ,.� �i Address /5 p © Ca�1 . t i I LegalLa __- I Description I No. /f(' I Block ITract ate i i I (Attach Metes and Bounds) j , i No.of Bldgs. /� Size of Lot -SX / 73I Now on Lot f./ --- --- -- — ---- - -' -"—'" "' a Use of � I No.of I No.of I ,_-,10 z _ Existing Bldg. Families Rooms T Setback Line from ,.^ / Rear Yard 17-0 " ""'-" ' " -- �•- - — Center of Street �s Side Yard '*S� _ y �; -.. rf .1n...;e. r DESCRIPTION OF WORK New ' A . Alteration I 1 Addition I i • Repair I IMoving I I Demolish I —• Building // No.of Size f Q C Rooms Stories Exterior Wal I Roof d� Covering /t�'dIA ' t 0fovering ak<)_ ` APPROVALS • Use of New / a' Foundation Location Inspector Date Building /_ a , / - Forms,Materials, de I •i i! - - - 0 G Under-Pinning• / , - Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application ' Lath. Int. and state that the above is correct and agree to comply Lath. Ext with all City Ordinances and State Laws regulati -) • building constructs i Plaster, Int. Signature of Permittee Plaster,Ext. Authorized Agt. • Masonry Reinforced Valuation Permit Fee $ /6 0 C1 /r / Plan Check$ 3 A O Bond Beam $ (/J �! b o Total �g Fee $ /7 O e FINAL Form 204 U-H 1M 12-53 '12` _ .1. :. ! . .. . .F . • a. e a 7a•. 1 1 , : //0.�. +"- te . l 11 •‘. • -- , - - /_ j_/ ice- • • 51 to 1, 1.Z A t - \ IN ' Street . ] s - , . 1' PLOT PLAN Show location and distances,.from property line and between buildings. r • • /r- . • yr,. • • • , r , nl .... :` .. - . • . . -.- - . -- - - o ..