HomeMy WebLinkAbout1323 STONEFIELD ST - Building Permits -- _ - Applicant to fill in all,spaces except those within heavy border lines and sign all appropriate declarations. - - . . -
CITY OFddress MESA C C,TION ERM T PER NO. / 3 0� I TRACT NO. LOT NO. • UNIT . • I •
,
A rola. i s ess /3a eJ • � 8 • I
•
•Applicant's Mailing Address / • �y TYPE OF CONSTRUCTION U NEW• U ADD U'ALTERATION REPAI R:
Owner's Name r J 51-7/W ❑ CONVERSION ❑ DEMOLISH fl OTHER A P # - - -' •
Zone -^a
�6�,'{�/p�y//�} ) Phone / DESCRIPTION OF WORK/USE OF BLDG. ,
Address (,1p-1// Lf/! 4 S Main Building: . Accessory Building: 1 Z
111---111��/ E
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING FOUNDATION ❑ STRUCTURAL T Front. - O
Address /rte/ ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name - ' 4 -- i/41 Phone ❑ OTHER C Right 1 N
//7 ' PROJECT DESCRIPTION SQ. FT. - OCCUPANCY K -
Address(mailing) '^ O• ' • CONSTRUCTION TYPE VALUATION$ s Left R
City License No. c D73S ZONE - GRADING CU.YDS. ACRES Ping. Ref.4 'Parking-Req./Provided E
• 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 the Business and Professions code, and , - ���� T
my license is in full - .nd effect.
License as �� / e No wi - RECEIVED JUN- 8 S
Date _ _.....• Ai • Signature ��� i - • PLUMBING I FEES • • - '
a? WORK RS'COMPENSATION DEC ARATION Bar Sink Showers ELECTRICAL FEES
cscpI 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 Preventer Service Sink
3800, Lab
•
• Automatic Washer Transformer D 15-50 KW
C
I Policy No,.2/Q34/IIJ p/�
Company ( �.L#Tef Backflow Irrigation . . Sewer Cap - Construction'Pole Sub. ❑ 50+KW.
�ertified copy is hereby furnished. ,
Cer ' �/,° `(�1 filed with the city 1 1 0 / Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date /�RO KE RS'ant ls�/
EXEMP ION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar CollectorsDishwasher - Meter (Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100)or
less). Dishwasher - Solar Piping _Dryers ❑Gas ❑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 FountainsSolar Tank Fan
Workers' Compensation Laws of California. Motors ❑0-1.HP ❑1%-8-
Date Signature Floor Drains Swimming Pool w/SpaF.A.U. -Inc.Solar 09-15 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 Fixtures
comply with such provisions or this permit shall be deemed'irevoked. Microwave ,
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • Device Boxes Polei ' -
I hereby affirm that there is a construction lending agency for the perLight
of the work for which this permit is issued (Section 3097/Civ. C.)
Lender's Name Interceptors f Water Heater c2.— Outlets Range .
- -
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 -
following reason (Section 7031.5 Business and Professional Code:.Any city or Garbage Disposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator 00-5 KW E 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 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
. 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 I $15 Issue Fee $ 3
•
. compensation, will do the work,and the structure is not Intended or offered - Reinspection Fee I $15 Issue Fee • $ 3
for sale (Secion 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 own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ -
sale, If, however, the building'or improvement is sold within one year of com- Canopy Type II ❑ 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). API .
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural `�
Refrigeration System' Application Issued By - -Dat
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 OF FEES -'
builds or improves thereon,and who contracts for such projects with a con- _ •
tractor(s) license pursuant to the Contractor's License Law). I am aware that - . BUI LDING PERMIT $• SMIP • $
proof of their Worker's Compensation insurance should be provided to me. _ Exhaust System 0 Multiple❑ System Repair/Alteration ,
PLAN CHECK $ y ^ PERMIT
❑ I am exempt under Section B. & P. for this.reason Firepl/Fact.Blt. ICBG 4 Fire Dampers • PLUMBING $ l7Sli- 5,e(/ ISSUANCE $
Date - Owner - Heating System &Ducting Registers ' PLAN CHECK 25% $ .ENERGY P.C. $ -
I hereby certify that I have read this application and state that the above ❑0.100,000 BTU 0100,000 BTL - ELECTRICAL $ GRADING $
information is correct. I agree.to comply with all city and county ordinances ,
and state laws relating to building construction, and hereby authorize repre- MICROFI LM $ _
sentatives of this city to enter upon the above-mentioned property for .. PLAN CHECK 50% $ ,
'inspection purpo s. MECHANICAL $ TOTAL FEE ' $
• Signature ' •,' ..seriir/ -1 Date LJ s� '
Drivers'License • $ - RReinspection Fee • $15 Issue Fee $ 3' ' . PLAN CHECK 25% $ tt f]nn n en n
CMF 0865-46,rev, 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 01 100006986-00006986. TOT 5.CO -
! POOL &SPA . r _
CONSTRUCTION AND:PLANNING _ _ r
APPROVALS Permit# .Date Inspector - : - - ,Date • Inspector
APPROVALS Permit#
1: TemporaryElectrical'Service or Pole 52. Pool & Equipment Location ; '
2. Soil Pipe-Undrgrnd., 53. Steel Reinforcement' tit 1 ,
I
3. Electrical Conduit Utility-Undrgrnd. 54. Forms co ' r ti
4. Electrical Conduit•Undrgrnd. 55. Electrical.Bonding : . ' ,
1
5. Steel Reinforcement 56. Rough Plumbing & Pressurg Test c.
, 1
6. Electrical UFER Grnd. • - 57. APPROVAL TO COVER'GUNITE
7. Footings% 58. Electrical Conduit-Undryrrd. '
8. Foundat oi' / • - ' 59.- Gas Pipe, 0 Undrgrnd.,jest
9. Water Pip$;Undrgrpd. ) 60. Backwash Lines, P.-Trap,:0 Undrgrnd. '
_; s
Sy
10. Structural Floor sr •
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 - 64. Plumbing System - Final
14. Rough Plumbing - • 65. Electrical-Final •
15. Rough Electrical-Conduit 66. Solar System-Final •
r
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(&yes 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 -- •,.
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric • Notes: - ; ^
34. Final Heating & Air Conditioning i •
35. Final Gas Pipe-Test
36. Hood or Canopy -
37. Final Factory Fireplace •- - , •
38. Final Plumbing j(STSY t€12 _
39. Water Service-Final r� I _
40. Gas Service-Final - - ' - •
41. Solar Domestic-Final • _ .
- c
•
42. Backf low Preventer .. _ - - -
43. Backf low Irrigation - . . ,
44. Landscape Irrigation System - . . •- - '
-
• 45. Sound Attenuation
46. Handicap Regulations - - - • - .
47. FINAL STRUCTURE & BUILDING - ,a , •
48. Special Requirements Completed - - • •- - - . •
,
49. Electric Release to Edison
50. Gas-Release to Southern California Gas Co - _ t •-
51. CERTIFICATE OF OCCUPANCY T - - Y i
No. Date - . _
PROJ aADOREss:— .1323_ STONEFIELD 'ST _ uxlr: CITY OF COSTA MESA — BUILDING PERMIT - PERM NO: B 066513.
OWNER'S NAME: LEWYN, LANNY L '
•hADORESS: LEw1505N�iEGATTAARD M PERMIT NO: B 066513 PLAN CHECK NO: N GOVT: N 3UPP: N
LAGUNA BEACH CA 92651 CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR PURPOSE: ALT
213) 662-1805
ARCH/ENGINEER: REG.No.: JOB _DESCRIPTION : T/O,RESHEATH 1 /2"CDX, APPLY 30YR COMP SH SQ FT: 8, 500
ADDRESS: UNIT: CLAIM VALUE: 8, 500 . 00 CALC-VALUE: 8, 500 . 00 GROUP OCC: B-2 /
PERMITTEE: COUNTRYMAN'S CONSTRUCTION (714 )768-2952
aOOREss: 24581 VIA SAN FERNANDO COMMENTS : SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF THE UBC
MISSION VIEJO CA 92692 *****************+E****srx****+r*******+E+r+E***+r****+Fx•+E+r+E**+6**+E+E*+RSR************+r****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
70001 of Birds 46Inusiness and Prof C s d my license is in Ie/g d erect. - SETBACKS
een�f21
CITY—c.: STATE LIC.: MAIN BUILDING ACCESSORY BUILDING
`IRS 13 —7r signamr — vim— FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
PERS'CONIPEN$q])aN pEfrLARgTQN: I hereby affirm thallhavea Oi�teOoic�se4 seN-insure oracertificate of workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensation Is (Gedlilidyl py thereof(Section 3800.Lab. 1
POLICYNO.: STATE FUND EXP.DATE: PARKING REQ: PROV: PARCEL: 14102402 ZNE: REF NO:
'COMPANY: PLANNING NOTES>
PT❑ Certified copy is hereby furnished. IJ Certified copy is filer.the"`: r``- AP' > ...1,-,"j 2 3 -9Y gppgca0 �—/ moi '/, ._ DEVELOPMENT SERVICES R E Q U I R E M E N 'T S
ION FROM WORKERS'COMPENSATION DECLARATION: (This section need - •e completed if the pens for one hundred(5100)or less).
I certify that in the performance of the work for which this permit is issued, all not employ any pers.,in any manner so as to become ZONING APPROVED BY DATE:
subject to the Workers'Compensation Laws of California.
. „v.-
Dale.
Dale. Signature: BUILDING APPROVED BY : DATE:
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor ^ �c
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICATION ISSUED BY: DATE; -i -C/�
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for ********************************* * *,***************************, . ." . **
which this permit is (Section 3097.Crv.C1 *********************************************************************'** *******
LENDER: SMOKE DETECTOR
LENE
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:Y
RRFF(►//��JJ11` J1 Rrr'^J
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt fromFh�lernr2e UtI LP iL�sTLICIeW for the followj00gg reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit Co construct.alter,improve,deMblish,or PERMIT 1 08 . 00 $5
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business P LAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 108 . 85 0 .00 0 . 00 108 . 85 108 . 85 . 00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
hor happly toeap owner. pfaproperty who builds improvessarthereon. who does suchalerk.(,however thorthroughor REVENUE DIVISION TOTALS--> COLLECTED: 108 . 85 OVER/SHORT
his or herfown an ene. of provided that such tincts improvements are her Ion. and or offeredesfor sale.If however the buildinghrogh . 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING PLAN-CHECK
for the purpose of sale). 108 . 00 _ . 85
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds orimproves thereon ***************************************************************************.****
and who contracts for such projects with a contractorfs)license pursuant to the Contractors'State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
o I am exempt under settlor: B.A P.C.
for this reason'. TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: owner: SFR 8500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 8, 500 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and That I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and slate that the abo--IE,.rmation is correct.I a.,,,aarr(imply with all city and county
ordinances and stale laws relating to building construction and hereby t se - of thi- 'r upon the above-mentioned
pr.: for inspection purposes.
rr /adit� _ 01 00157626-00157627 TOT 108.55
y e �j'9r
1641-46 White—Building:Green—Code Enlorcemenll Canary—ApplicanC Pink—Revenue:Goldenrod—Assessor
•
CONSTRUCTION AND PLANNING "' POOL & SPA'
hibaAPPROVALS Permit# ' Daate Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical 5ep,ice or Poly 52. Pool& Equipment Location
•
2. Soil Pipe-Undrgrnd. a �'S ;; 53. Steel Reinforcement
4
,,,�4`E�eclrical Covdu�5./tilitY:Undrgrnd':' 54. Forms
c..5t•E�trical Coider Undrgrnd.- r .• 55. Electrical Bonding
a
:?,�5t',$teePReinfor t4eht ''_,c 56. Rough Plumbing & Pressure Test •-
I! m �`fik,etrical UFn •` rnd. . 57. APPROVAL TO COVER-GUNITE
t
_
F'>'9;`F3ovngs NSQ a 58. Electrical Conduit-Undrgrnd. a
t !`1~ s` CC 59. Gas Pipe, 0 Undr rnd.,Test •
�J
.t, :Foundation �M <= P 9 in
r• =i'7 (�1 _
,i
9. Water Pipe-U,Aif grnd. . 2 60. Backwash Lines, P-Trap, 0 Undrgrnd. ••t rc•
10. Structural FIgpc- '• „
System ` ~a _ -F.,.• 6t.APPROVAL TO DECK
11. Property Sever j.ine & House Coanection• n P2-.1 Backwash & Receptor-Final
t.. c-, G' :'1 " -
12. SEoker Cap0.
i
_•, ,J/ 631 Heater & Vent-Final
13. Roof Drains t. -/ 6 pr Plumbing System - Final - •
14. Rough Plum jtg l'' 1' 11+ COElectrical-Final - ! / ;• •
15. Rough Electra cal-Conduit j• 66. Solar System-Final /
16. Rough Electric. Wiring ( ) 67. 'Fencing &Access Approval ---
17. Rough Wiring:Sign LA 68. APPROVED FOR PLASTERING
a-
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
.- --' v
2D: RLtugtiFFactoryc5i replace i stn k. C. '> 't APPROVRtS:O Permit#
,- 1 Srr tr 1 Si T1: 3 : tr.Mrt(-. _ 0.
I i--- s r i-, :_? -3-4
x '4' 22� S_l'74" m :� rt;
21 D ptse S{suc IS r to -t+- t - 70.�{.lnuetg,gugd Hydro
7 r ;: 't . - .5:
22. DIoctst�erttilattnr g .g 1 O ' < 71. Produuct2ibing-ITGas f]Oil
21,, 04 Pi •Riigh'&4`.Testm - ` 0•
t t: F .1; ;;r >i r- 72. Under r�oujld r ;� v
243 R,gpf Framing g: I -' '•F X ' 0 t' > S 7'a Undergr]td.Start"'e tank OGas Oil
7• t _
25. RShf $beathing�K tI v !: ij U °" y S 7, .- v y W•`'" 7 .
verhead H d
21( T,far Ceiling (Structural) •I,pqonocoat r Ci i; -• r, a 75'. Dry Chemical h t I-1 a t.
ra r _ r ?.. r._k x r'1 c.� * -(•
27 Frame and FlashfAg _ ' _ r I lc ` 7`6:Jry Sta {, ipee5 : s "I
• i e. n \.• .>1
kJ
28. 'thi, & di = 77' FiXED-SYSTE - NAaL
k
S '-
=' 29. InsulaIloncL 0 " " y ;71 • c -2I 7 . FIRE PREV. FINAL z > rg !J
O cs Tt;: 'T 73. r.
Et • w Y 3
m 30. Drywaii Nailingr-t I I i* y - S r-t •HEALDEHT,-REQUISEMENT
1 r -- r '• 5 '1a._. -n * en
S, 31. PlastetfBrown Go3't, i ,_p, t I ,* : _ 7F'. FINAL,1MPECtON : �• i J
_ _
i., aa, Electrical Powe;;tile er-Final'-E' .. ,-u ` I ILe . - 8,8; FOOD ttRTIPICATE ISCUED 'r
_, 3% FMal HectrIic `-•
• rrl N v r i". • eI 1 t :x x. f tes: 1-] '7 tr, t I'7 0 tU D?
-; 34: Fr-nal Pleat4g Ar t111ditiaarr
i'ag , j I , ;* :•K x ..2. ::T t S ,,•"
35. Final Gas P.tpe-Test t^ `, t i^--=. 'c ^_ 0 0 tr;S * m SC)
o • tri._ •• - S • It r i:o f?H - Ft DI
.� 36�. libod pr Cano .r w _ 4 L ( 1 1f •1• 8-:. tri . '-Cl i r-i ..-.
• 3T-. Final h ctory Piteptace 1 =•" " ' "l I 1r 'r S CI *
nil:. :S 1 r- a < .t x * i:i
,_ 38. FI tal Plumbing_,, ';v 1 i `r x
M. -1 * to C;
39. Waier1 1 :� :. n oto ro; 0[) 'NJ etre-Final i
r• 40. Gas SEFvic�I tilt i I s f-C.-. • r. :+ p:
t 1 `CY C.A. tr T to _.. l tri t I ' k 0 s c.al
41. Solar QomesticEinat n t G ( I Ii 4 <c H
491 Backflow Prevernr-" r, f j j :-; } 1-8
�,.., r:
43. Backftaw Fmigation � cCS'': * '>. SE-ra .• -
• " 44. Landscape rrip Uon Systemo'o' -� i " a: 5 G c _
'' p.- tr1 C,1 tr, . -n, 0 r • - Cr N N ay ^.1 4 Ci. C. •
-s 4 • Sound Attgnuaiion r=a:i-• r^ r S• I- i -• 8 C r1 - r•23 t;6 i.
'
rt 41t Handicap fieguat�ns t. S ' '' • • ••# ;' .-- "' c .s
_ 4 % F •J C tr
k -
,3--r4}; F1NAL STgUCTURE& BHI LDING ‘/4 l ! WV , • iu:v>
r
A- F*
48 F AL PL'A'NNING ; F'r il 4, EtiN ._ .� t •
µ cc'
- . ,
t; 49: E r cRe.lease to Edison il r 1' £ x '- N
r. .r i ,1. . - S •13 '
. 3 59, Gat Reease to Southern Cdliforr�ia Gas Co I "-'1. � f' o x > n o
,. v. `. t rr I it tr 4 F H CI • Oi: a .1. .
i 51. C TIFICATE c* OCCUPANCY ` -� j ;yam 4;;
No. Date •
18473Lot 91, �D 4 C ED
COSTA MESA BUILDING-SAFETY DEPARTMENT gid
P. O. BOX 917 COSTA MESA. CALIFORNIA
FINANCE DEPT.
For Applicant to Fill In Completely APPuff4fr1d F FrStilOthit.R `
TYPE OR PRINT BUILDING
BUILDING
ADDRESS / .5 Z 3 S) '. 'C/d —v.
COSTA MESA. CALIFORNIA For Office Use Only
OWNER Harbor Hall of Fame Homes, Inc. RECEIPT NO. Pe9 C'f1( l)
MAIL RECEIVED BYDATE RECENT" DATE ISSUED
ADDRESS P.O.- Box 2066 �,,,..7C I/.zRECENT"/L)J- DEC 1 1 1962
CITY Santa Ana
TEL
9-2201, ADDRESS
ARCHITECT TEL ''..11.. 0^0^4,'0^ COSTA MESA. CALIFORNIA
OR ENGINEER JamisonFIRE
NO.5k4 Q0Yy pA y�/U'�—
ADDRESS 225 "D" St., Tustin ZONE TYPE lir GROUP (^ ' ,{/'
CONTRACTOR Lifetime Residential Bldg Cork BYPROVED DATE ���
ADDRESS 2131 So. Artesia ZONING
ZONE N .OF USE OF NEW J.., ?aAjQg.
CITY Santa Ana ('j I. R � I POLANS 2 BUILDING ca/c, 94,
L C.TNO. -208676 ND. KI 9-2204 • LEGAL DESCRIPTION Lot 7/ 7/? 43 s-S-
SIZE ' NO. OF BLOCS.
OF LOT 6o00W ' . NOW ON LOT O p p NO
USE OF None YARDS EVES
EXISTING BLDG APPROVED ALLOWED
SETBACK LINE FROM G Z (CENTER LANE ST.) .
CENTER OP STREET 501 REAR YARD 23.50' FRONT '' O FT. IN.
T
SIDE YARD LEFT 81 I RIGHT I•JOI R.SIDE 7, 3 FT. --_ IN.
DESCRIPTION OF WORK L.SIDE FT. N.
NEW I X. II ALTERATION I II ADDITION 1 REAR Z 3 FT. C IN.
REPAIR I 1 MOVING 1 ll DEMOLISH 1 BYPROVED. 4FA j, DATE /c541//61.
BUILNO. OF
SIZE 1790'
1790 ROOMS 10 STORIES 1
COVERIINGWALL PlasterJCOVERING Shake
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence
Y��1a T ,.
IA
HEREBY ACKNOWLEDGE T TI I HAVE READ THIS APPLICATION THE AMOUNT SHOWAUCTION IS FOR THE
AND STATE THAT THE ABO IH CORRECT ANO AGREE TO OM- ���(((���(((
PURPOSE OP. ESTAB BRING A PERMIT FEE ONLY.
PLY WITH ALL CITY O IjPICES AND ST ECU IND
BUILDING CONSTRU N. VALUATION PERMIT FEE $ 43
SIGNATURE OF • 1
PERMITTEE " _ a
/ 75 R
WI
$ G/ �� PLAN CHECK $ 3/F'SL4
AUTHORIZED / / TOTAL FEE $ / L/ /L,
JOB ADDRESS 1323 Stpnefield St. BUILDING PERMIT NO. ?7 ' 11-7.3
GENERAL CONTRACTOR Lifetime Res.Bldg. Corp. VALUE $ 19,055.00 71.2..-/T-C.V
AP No. LOT 91 TRACT 4355 FIRE ZONE DESCRIPTION OF WORK Res.w/att.Gar.
INSPECTIONS Signature DATE GROUP I & J TYPE V ZONE RI
Soil (A/ �7 PE MITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Lt/ / G 3
Water ({, /_.,90C •9
Rough Corn. Refrig. ❑ Air Cond. ❑ //
Rough Heating '�'�' ./��S ii-e-63 _ 42-r?,-69 /S2God
Rough Plumbing /raj`i-CI'-603 /14424.5 N-3-G.3 " arnti -�` 4c�L, ,C_/-P,-(C a_:___77 v5-7/
Miscellaneous
Prop.Swr.Line ❑ House Con. !, St.Swr. ❑iln . - • 3/1-.�/ i 35
SprinklingSystem ra /',0-43 s' ' _ G•� _y �� r 'f r/�/e-i.L-13 . 3- L3
Construction Pole irre2 f /.-`7, C3 'v., r/ /"' r J-7-, __/%f-
Underground D Power 0 - _
Rough Wiring I -J '7=5'-!'� C"---jl" Go Lp1Gix fhc, av-?7-e /9,34
Trenches m• Forms (� Steel Reinf. ❑ r p„Aj l-ii.-C..-C.."l
Floor System -*4 /--.1--G 9
Bond Beam 0 Steel Reinforce 0
Sheathing 1060= $-/5-6,3"
Frame and Flashing tt/?42 ' 41,-9 -4
Lathing — In Er Out E e (I 29 -6
Plaster, brown coat feT- 6-3-6_
Refrig. 0 Air Cond. 0 Final
Heating, Final r 9A r'-G 3
Plumbing Fixtures, Final Ir. )-3/-c.3
Final Gas Test/5w.. 1 7-...5-1-c2
, Electric Fixtures, Final I�/J5 le CC'S
R„ii,;:nv ni.,,.l , _