HomeMy WebLinkAbout2872 STROMBOLI RD - Building Permits ' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. .
MESA ,CONSTRUCTION PERMIT PE ITN TRACT NO. LOT NO. UNIT NO. • I •
ddress 25:72 STrombo'li; C.M. 92626 - � g37) ��� • f �
Applicant's Mailing Address 126 CnmmarrI al , C.M. 92627 TYPE OF CONSTRUCTION ❑ NEW I.J ADD LJ ALTERATION LJ REPAIR ' . —
❑ CONVERSION ❑ DEMOLISH El Owner's Name George • SL.eWart, Jr . Phone 549-9210 A.P.# . . '1— .L.-Z°" . - ._
DESCRIPTION OF WORK/USE OF BLDG.Remove rear flat roof, ' •
Address• 2872 Stromboli , C.M. 92626 _ •aiiel-_Me Main Building: ' Accessory Building:
ape - - . . • Z
Arch/Eng.! License No. T 'E •F PERMIT NI GRADING N FOUNDATION N STRUCTURAL T Front I 0
El TENANT ELECTRICAL CI PLUMBING ElMECHANICAL g , - N
Address Rear •
Contractor's Nam' C •' _ Phone 4R-SOS '❑ OTHER ' A r - N
PROJECT DESCRIPTION SQ. FT. 54D. • •
OCCUPANCY SliTgle C Right " G
Address(mailing) • err-r. D • 'CONSTRUCTION TYPE residential VALUATION$2 r 545 . 00 3 Left R
• City License No. 005993 ZONE GRADING CU.YDS. ACRES' Ping. Ref.# •Parking-Req./Provided • Q
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: _ Planning Notes: ' M
with section 7000) of Division 3 of th Business and Professions Code,and T
my license is in full false nppl effect. S
License lass -.5l / License No. 41867,,- • - -•
Date .• 'moi. _ g . re , ir— • PLUMBING • FEES _ ' - '
w0-KERS'COMPENtA-•N D 10 / '
\ lereby affirm that I have a ter to of consent to self-insure or a certificate Bar Sink Showers 'ELECTRICAL FEES
workers' Compensation ance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW
\ ,00, Lab. C,J • -
Policy No. 285-224-88 Company S ate Fund Backflow Irrigation - • Sewer Ca . 0 50+ KW
PConstruction Pole Sub. _ •
❑ Certified copy is hereby furnished.
I Cert copy 2 filed h it 41-14,•ing DASf o / Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date '-� p cant _ 4.CA a1LL�. • '
EXEMPTION FROM WO KERS'C• PENSATION DECLARATION • Clarifiers • Solar Collectors Dishwasher Meter Clover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or - .---
less). Dishwasher - , Solar Piping - Dryers ❑Gas DElectric 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 D0-1 HP 1:11V,-8
Workers' Compensation Laws of California. - - - -- -
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. ' - Inc.Solar ❑9=15 HP 016-15+
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 . Microwave
comply with such provisions or this. permit shall be deemed revoked. _
CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet • Device Boxes •
Pole Light
I hereby affirm that there is a construction lending agency for the performance _
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range •'
Lender's Name
-
Lenders Address '-- Kitchen,Sink Water Service Switches - '-
OWNER BUILDER.DECLARATION Sign -• - ��
I hereby affirm that-Lam exempt from the Contractor's License Law for the Lavatories 1 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 KW ❑5-15 KW Trash Compactor
any structure, prior to its issuance, also'requires the applicant for such permit -' !--
• to file a signed statement that he/she is'IiCensed pursuant to the provisions of Roof Drains •
'
the Contractor's License Law(Chapter 9(commencing with Section 7000)of ----------
,
, -livision 3 of-the Business and Professions Code) or that he/she is exempt - - _ - — -
•
,refrom and the basis for the alleged exemption. Any violation of Section
31.5 by any applicant for a permit subjects the applicant to a civil _
•natty of not more than five hundred dollars($500). $ 3 - '
0 I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee - • • •
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee $15 Issue Fee . $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's • MECHANICAL ['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 •
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 • Zoning Approved By Date
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). ��I�e
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System -- Application Issued By 'Dat= I UG'SI�1
tractors to construct the project (Section 7044,Business and Professions Code: --
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU 0100,000 BTU -•
SUMMARY FEES
builds or improves thereon,and who contracts for such projects with a con- • D� ,Sr-��. -
tractor(s) license pursuant to the Contractor's License Law). 1 am aware thatBUILDING PERMIT $ S SMIP $
proof of their Worker's Compensation insurance'should be Exhaust System 0 Multiple 0 System Repair/Alteration Iteration
p provided to me. PLAN CHECK $ • PERMIT
•
• ❑ I am exempt under Section • B.& P.C.for this'reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C.- $
. I hereby certi that I have read this application - sta e that the above ❑0-100,000 BTU 0100,000 BT GRADING $ - �
information is � rect. I agree to comply with • an. .unty ordinances ELECTRICAL $
'and state lawLY'i- lacing to building cons recti- clh-.N authorize repre-
sentatives of •r is c' to enter t e- y:- boned property f - PLAN CHECK 50% • C -SD
inspection our,- / /� �J
Signature s ��j� S " t s.� Dat4 " O `� MECHANICAL $ TOTAL FEE $ -
' Driver se or SS# - Reinspection Fee . I $15 Issue Fee $ 3- , PLAN CHECK 25% $ _ . -- -
ICMF 08r.'46,rev.10/84 While - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor - -.j_D1jLLt-r^""
CONSTRUCTION AND-PLANNING ' POOL &SPA -
APPROVALS Perrfif# Date InspectorDate Inspector
APPROVALS Permit# '
. Temporary Elec`trical•S•ervice or Pole 52. Pool & Equipment Location'
-
Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
;4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding •
5. Steel Reinforcement 56. Rough-Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
•
8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd
60. Backwash Lines, P-Trap, O Undrgrnd.
'10. Structural Floor System 61. APPROVAL TO DECK
•
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
I ' 13. Roof Drains 64. Plumbing System - Final '
I 14. Rough Plumbing - - 65. Electrical-Final •
15. Rough Electrical-Conduit 66. Solar System-Final •
16. Rough Electric Wiring 671 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 ❑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 PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning ^•.t
35. Final Gas Pipe-Test
36. Hood or Canopy '
37. Final Factory Fireplace •
38: Final Plumbing •
39. Water Service-Final -
40. Gas Service-Final • •
41. Solar Domestic-Final - -
42. Backf low Preventer -
43. Backflow Irrigation
44. Landscape Irrigation System -
45. Sound Attenuation' -
46. Handicap Regulations . _
47. FINAL STRUCTURE & BUILDING `/kilt /�
48. Special Requirements Completed v
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co - - -
51. CERTIFICATE OF OCCUPANCY - -No. Date -
1 • 1 •
- e Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA •NSTR UCTI ON •� BIZ PERMIT NO. TRACT NO. LOT NO. UNIT NO. A P # Zone -
Protect Address 171-
l . t- - 13 3 cog 33 .
H /< Main Building: Accessory Building:
ji TYPE OF CONSTRUCTION �..� NEW U ADD LI ALTERATION LIREPAIRE Z
Applicant's Mai ' ! Address i 'm -...._&-2.......-e - Front
e-r�/� ❑ CONVERSION ❑ DEMOL SH1❑ p•' HER • ' T . o
Owners`Na^mef / !:a� -�- Phonn 7Y'f Qa 7(j ^ DE&CRIPTION OF fj1C/USE F4�De � t` n' "itin • A Rear - N
Address \441 i1, D I • - • jl�1{,r,AIIQ (n't LTJ 1 tP so 9-' t
Arch/Eng. i License No. TYPE OF PERMIT GRAD! G FO DATION -�-RUCT RA P. C Right - G
Address. i / ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ; . Left
R
Contractor's N.TiP a.a aid A.� •';� ❑ OTHER G p .S x ng. Ref.�k Parking Req./Provided • E
Address Imailin 1 S�� �_ mG i ✓ •
/� .. PROJECT DESCRIPTION SQ. FT. t7 fro OCCUPAN Y -If.�-- 1S - O
g �� CON ST RUCTION.TVPE NI N VALUATION$ )� V Planning Notes M
City License No. 33 7 3 ZONE GRADING CU.YDS. ACRES S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: _ - - ' '
with section 7000) of Division 3 of the Business and Professions Code and
my livens: is in full f. }1• ftect. ////e ^^cCam ELECTRICAL 'FEES "
Licen ass y la - :
CONSTRUCTION AND PLANNING POO ,PA •
' APPROVALS Permit# Date Inspector APPROVALS 'Permit# Dazes. Inspector
1. Temporary Electrical Service or Pole- 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement
3., Electrical Conduit Utility-Undrgrnd- r- 54. Forms
4.;Electrical Conduit-Undrgrnd. 55. Electrical Bonding -
•
5. Steel Reinforcement -0 - 56. Rough Plumbing & Pressure Test
6.• Electrical UFER'Grnd. - - 57. APPROVAL TO COVER-GUNITE
7.1 Footings • - + - on
58. Electrical Conduit-Undrgrnd. I i
8. Foundation ,-- ` 59. Gas Pipe, 0 Undrgrnd., Test
1
9. Water Pipe-Undrgrnd. , -` ' • 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10.-Structural Floor System 61. APPROVAL TO DECK .�
11..Property Sewer Line & House Connection • 62. Backwash & Receptor-Final
12.:Sewer Cap •
- 63.-Heater & Vent-Final • •
13. Roof,Drains • I . " 64. Plumbing System - Final
14. Rough Plumbing - - 65. Electrical-Final
-15. Rough Electrical-Conduit • 66. Solar System-Final - - • •
,1,6. 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& 1i t 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
,i1
28. Lathing &i Siding 77'. FIXED SYSTEM FINAL ,
29. Insulation 78. FIRE PREV. FINAL _
30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 'I. ' "y
31. Plaster-Brown Coat , . 79. FINAL INSPECTION .,5 •
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric , i _ Notes: irs-• ' k i `�-Rt�1 `t'O(Z
34. Final Heating.& Air Conditioning •
1�1 SSEC p..., \Z,V s-\8 el
35. Final Gas Pipe-Test. - pig
36. Hood or Canopy �G���/`
37. Final Factory Fireplace
_ i\\Q O_AJ� ‘46trts Mu‘-csb a
38. Final Plumbing •
SM nAt' .42Zs,o cc'\ R`r \\\°\ Oq
39. Water Service-Final
40. Gas Service-Final ' •
41. Solar Domestic-Final • '
42. Backflow Preventer
43. Backflow Irrigation . .i, '•y'
44. Landscape IrrigatiomSystem - • - • ci I!'
45. Sound Attenuation EXPIRE :I 3
_ L11rgmplete lncpertlolls
46. Handicap Regulations /7,:“.
47. FINAL STRUCTURE & BUILDING. Dake /Sig _Q -_ •
48. Special Requirements Completed ' ,
49. Electric Release to Edison . $ -
i_
50. Gas Release to Southern California Gas Co - . 1�
51. CERTIFICATE OF OCCUPANCY �{j •
No. - Date -
i
#I
.,, 18135 EE- RECEIVED
. COSTA MESA BUILDING-SAFETY DEPARTMENT NOV 8 1962
P. O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT,
For Applicant to Fill In Completely APPLICATIONTFORFPERMIT MESA
TYPE OR PRINT
BDDRESSUILDING 028702 S/l-om bo!; . V k BUILDING
A
COSTA MESA. CALIFORNIA For Office Use Only
OWNER FrA.rl( es Az
ddrle e• I RECEIPT NO. TRIP;
MAIL 287-] Sir 00 LO RECEI D BY I DAR ECP- f DAT�E118B,�°4_
ADDRESS Q(Q /OA [J fir at r IL 7 e
zt TEL. BUILDING
CITYco r nfes A NO. ADDRESS
AR' SGT C EL. COSTA MESA. CALIFORNIA
OF NEER _ _ NO.
FIRE
ADDRESS TYP ROUP
CONTRACTOR-"�L7ft/ Stn‘ APPROVED
9
A �
BY DATE
ADDRESS // o3a IL. 03 ` i ZONING
ales-4W
) `-4Winye
er Z NO.OF UBILDING J i 41
GITY Q /Y.] �� ( I PLANS )BUILDING
/y/ 77� �w- 334; 32. LEGAL 6 1 r / 2
LIC.NO. / NO_ - DESCRIPTION{�-I/ -1--R (-11-V //
SIZE7 ' A' (a - / I NOW ON LOT NO, OF 'q I - 3
OF LOT / / A.P.NO. ----
USE OF R t/ A // YARDS EVES
EXISTING BLDG. 4'la� 4 H APPROVED ALLOWED
SCENTERKOFLINE
NSTREETM O 0 REAR YARD J��, FRONT FT.
LINE ST.)`;�J� FT. IN.
SIDE YARD I LEFT I RIGHT R.R.SIDE fill FT. /�. IN.
DESCRIPTION OF WORK L.SIDE FT. N.
•
NE I II ALTERATION I II ADDITION I_ REAR III , FT. O IN.
REPAIR II MOVING I DEMOLISH I BBYPROVEO 1W� A .�n DATE 11 ^ q y
BUILDING NO. OF l ,/�/ ,JCriII l'
SIZE ROOMS STORIES
EXTERIOR WALL 1 ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
. ace u/A// (.O /4
/ QF&' j 6 ' 44j1
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
y AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- - PURPOSE OE ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF i�/1 / PERMIT FEE $
•
PERMITTEE,/ —_ o
$ ,q( [/,' J� PLAN CHECK $
AUTHORIZED GENT 3 s " . 49V 3 -----
TOTAL
iSITOTAL FEE - LL
OWNER KENDRICK, Frank E. DATE 11-8-62
JOB ADDRESS 2872 Stromboli Dr. BUILDING PERMIT NO. 18185
GENERAL CONTRACTOR Paeans Masonry VALUE $ 356.00
AP No. 139-393-14 LOT TRACT FIRE ZONE DESCRIPTION OF WORKCOg1.Blk.Wall
INSPECTIONS Signature DATE GROUPJ TYPE III ZONE R-1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Com. Refrig. ❑ Air Cond. ❑
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. ❑ St.Swr. ❑
Sprinkling System
Construction Pole
Underground ❑ Power C
Rough Wiring
Trenches ❑ Forms U Steel I{emf. U -p/t I IV q•--Le,
Floor System
Bond Beam ❑ Steel Reinforce ❑ _
Sheathing
Frame and Flashing
- -
Lathing — In ❑ Out ❑
Plaster, brown coat
Being. 9 Air Cond. ❑ Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final '1 /-2Lfn _
OCCUPANCY
FORM BU4-5M - 7-61 18185
1t' NOV.17-66 00 —!o
. 26377 \
.•C P.O. MESA BU COSTA MESA. DEPARTMENT
P. . BOX 1200 COSTA MESA. CALIFORNIA 9262E
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
For Office Use Only
2ooeesxe°o217- ST:e0t1Y9t/ .64D
COSTA MESA, CALIFORNIA
RECEIPT NO. PERMIT NO.
377
RECEIVED BY DATE RECEIVEDISSUE
DATE
�p f'� . //—/7—(06 12 /3w
'i OWNERI eot./7s.Sr ' eA�Daerc-IC
, MAIL �g7Z �p BUILDING .n7.2 kreomBac/eh
ADDRESS ST-/„OM SOL( tbFIRE ADDREsa
�I ,(�J TEL W (f / ZONE a TYPE /T/�" GROUP `-•/P.
CITY/ rlsj/f i/Es!� NO. ST7-IOSb yyy,,JyyJJJ -^ Z.
'ITECT `` f� � TEL ABY
PPROVED��7 DATE/2 /3-00
IGINEEROVC.Z. /c1L/ Bik IC NO.
` ADDRESS / _ a / r‘ £4Jo r4 %/04./04. ZONING
S3v
! I NO. I USE OF DINm�W
/j /) /C_ PUNS BUILDING �.�,
CONTRACTOR A- ve- aZn,e• �.,(� y .
ADDRESS 604 Al', /-7441570,0 "fv�
Limn.
L/IV-/- h79, ./R/1(° Ys��l
s 22 /
CITY FL/LL..cro-) A.P.NO. I\ - O) - y
`/p /p f/{� NOTE: NO SAVE OVERHANG SHALL BE LESS THAN b
STATE 30"2--1 x/ 3 TE I/7/-Oz'' u 80'TO SIDE a REAR P.L
SIZE
ID A• EAVES
OF LOT /(/ )b� I Now 4N LAT / ALLOwizo
YARDS APPROVED (U. REQUIREMENT)
M)
YARDS APPROVED
USE OF &moi/D� ( MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. GJ
1 (FROM C/L STREET)
SETBACK LINE FROM EET 5 1 REAR YARD 38 FRONT n FT.-1- FT.
CENTER OF FROM
L.
SIDE YARD I LEFT rI RIGHT /0 R.SIDE A. FT.' 0
DESCRIPTION OF WORK i r fl, FT.
ALTERATION ADDITI•N REAR 1,, - .la _ FT.
DISTANCE BET. BET.MAIN&
' REPAIR • INQ /•EMOLIBH . MAIN BLDr ACCESS.BLDGS.
SIZE
/3E_
V y/f/ ROOMS / STORIES CRU.P.# APPROVED / /
EXTERIORWJJALL,C\ rCCOI COVERING SAKES B PROVED • DATE 'I - P. (Oh
COVERING --J 110..411
USE OF BUILDING AND WORK TO BE PERFORMED -
_
et,
ry�� N
S-i- 3e..4 • 2 BG.Fr.
g.
I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. - PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. .iJS
PLY WITH ALL CITY .-DINANCES AND STATE LAWS REGULATING
BUILDING COMM, ON. VALUATION 00 M
SIGNATURE OF/C - . s PERMIT FEE $ I E
PERMITTEE
leet--- --- $
/ o� W 02 2 75 PLAN CHECK s vii
AUTHORIZED AGENT . / CO -.
TOTAL FEE $ D
OWNER Kenderk, Dr. & Mrs. DATE 12-13-66
JOB ADDRESS 2872 Stromboli Road BUILDING PERMIT NO. 26377
GENERAL CONTRACTOR A-oneConatr.Co. DESCRIPTION OF WORK Add bdrm.to res.
AP No. .39-393-1k LOT TRACT FIRE ZONE VALUE $ 2,275.00
'INSPECTIONS 1 Signature Date GROUP J TYPE V ZONE R-1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR Date Number Signature
Water Plumbing/9
Rough Plumbing &e /.Z - a7Air
Prop. Swr. Line 0 House Con. �0 / zc ,r4 / .z,. / /,3 7 . y-7, tdc.-
Sprinkling System UU '
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiringfit-609 Heating and Vent.
Trenches del Forms O Steel Reinf.0 I'W5 /2 y3'-56
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing />9''-j /y,y7-4
Frame and Flashing (-„.G 7
Lathing—In ® Out a ilibeL i- t--e7
Plaster, Brown Coat
Structural, Final Electric
Heating, Vent., Refrig. and A.C., Final L i' _fie
n I ,ALi .
I-J�- 7 u 70.3
Plumbing, Final and Gas Test 0 4t- (/G'67 / 2/
Electric, Final tie 2-947
Building Final /PA 2.7•h.V ----
1 GOf
FEE RECE• IVED
JAN 3 1962
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 317 COSTA MESA. CALIFORNIA
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING Lot 69, 7r. 4)11 BUILDING
ADDRESS &&72 STKO mao L/ fa41'
COSTA MESA. CALIFORNIA For Office Use Only
OWNER Adams Street �Cyompany I RECEIPT NO. iPEpl�IT NOFA WI`.�
MAIL 1653 Minorca Dl ive RECEIn BY I DATTjREC 19/I DATE ISSUED
ADDRESS l/1/'•� �f1)-!�/]//�6 )AN q tQP^
CITY Costa Mesa TEL.vi9_0395 BUILDING
ADDRESS
OAR 'MT
R NEER Earl Kaltenbach No.Ke5-0533 COSTA MESA. CALIFORNIA
ADDRESS • " _ •14 FIRE v, / �//� �,/
- - Co. ZONE TYPE ! GROUP'S r- I /
CONTRACTOR Samar Construction C ,Inc. APPROVED J
1653 Minorca Drive BY DATE
ADDRESS - ZONING s
ZONE I NO.OF I USE OF NEW S nr a?aft d62.
CITY Costa Mesa - �{—/ PLANSa BUILDING /o/R.
STA.TNO. 197838 No. Ki 9-0395 . LEGAL 1-0y- 69 74 `/3//
DESCRIPTION
SIZE /70 x 100 - 1 NO. OF BLDGS°
OF LOT V NOW ON LOT A.P.NO.
USE OF YARDS EVES
EXISTING BLDG - - __ APPROVED ALLOWED
SETBACK LINE FROM
LINE ST.)
CENTER OF STREET 50 REAR YARD 37 FRONT .So FT. IN.
)
SIDE YARD I LEFT 5 ( RIGHT 10 R.SIDE / FT. IN.
DESCRIPTION OF WORK L.SIDE S --
FT. IN.
NE I g II ALTERATION I II ADDITION I REAR 37 FT. IN.
REPAIR I MOVING I II�E DEMOLISH D
B6"1149,190PROVE6"1149,190 DATE / ZI7-7/6/
BUILSIZE DING 2050 ROOMS STORIES 2
EXTERIOR WALLStUCCO-I ROOF Shake- p/
COVERING 7700d COVERING Hock ✓/
USE OF BUILDING AND WORK TO BE PE FORMED J. D12 2 /
Single family residenceRand d I 1/0V
attached garage ✓ C s /
Plait ay
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDI' NCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTIO VALUATION //��
SIGNATURE OF �L,., - REST CII I� I( PERMIT FEE $ /2
PERMITTEF _ N
7 m
/ so)), -2�/'�' PLAN CHECK $ /1/L/� `R
AUTHORIZED AGENT / 'J le
.. - . TOTAL FEE $ L" ..J '-- u