HomeMy WebLinkAbout2124 STERLING AVE - Building Permits ., - 4=,
CITY OF COSTA MESA
r i�� ;` BUILDING DIVISION
ammiz
i- P IT NUMBER
DEVELOPMENT SERVICES DEPARTMENT
PERMIT 00-00892
t0„;,, 1.:: X44• '
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 2124 STERLING AV Status: ISSUED
Suite: Applied: 06/19/2000
Vicinity: SIDE PROPERTY LINE Issued: 06/19/2000
Parcel Number: 42246405 Zoning:
Applicant: GARY ANDERSON ISSUED BY:
Address: 164 E WILSON ST
Phone: -1ff1 ----
(949)689-3858
COSTA MESA.CA Zip: 92627
Owner BARNETT, JOSEPH E
Address 2124 STERLING AVE
Phone:
COSTA MESA, CA Zip: 92627
Contractor: ANDERSON MASONRY
Address: 164 E. WILSON ST
Phone: (949)689-3858
COSTA MESA, CA
Zip: 92626 License: 739159
Arch : Eng:
•
Address: Address:
Phone: Phone:
Zip: License: License: .
SCOPE OF PERMIT
CONSTRUCT 119 LINEAL FEET OF 6 FT. HIGH BLOCK WALL,LOCATED ALONG SIDE PROPERTY LINE AND TEN FT.
FROM FRONT P/L.
FEE SUMMARY
Plan Check: $54.11 Calc Valuation: . $2,380.00
Permit: ' $83.25 Claim Valuation: So.00
SMIP Res: $0.00
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $137.36
PLANNING &ZONING e`er_
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 \\
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No.92-28,§1, 12-21-92)
C
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days. -
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754.5626
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is Issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
• certify that in the p rmance of th ork r which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws alifomia,an ee at if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pr iso s. p / (.CAti
Applicant Signature: e a� / A L 4% Date: G ///%//
WARNING:FAILURE TO SECURE WO COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIL6 MMD CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN VC/MON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licen d under�✓e '•• ;01hapter 9(commencing with Section 7000)of Division 3 of the Busines and Bions Code,and my license is in full
force and effect.Lic.a � Class#
Contractors Signature: X K€4 ir l/ ai_i Date: Ci--7 7�y/J
CONSTRUCTION LENDING AG- CV:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or 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 compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). '
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: '
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 W III the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater then a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described• •perty for inspectio purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
�n• • it adzzr Ap li ant Date
SQP€L INSPECTION OM INTITIALS COQU INSPECTION TYPE DATE INTITIALS
1616 Fixed System Final Fire Prevention _ 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof �T 210 Final Electrical
/
201 Final Block/Retaining Wall ✓f"f c W 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval _
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
2446-46
•
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TYPICAL 611 CONCRETE BLOCK • FENCE .
w -- - ®I�
Cement Clock With
i H NISI GENERAL- NOTES
Channel Block With all Still ■,
Horizontal Top of all -
Fences eget MORTAR: One Part Plastic Cement, and
AHI 1_ �� �. Three Parts Sand
milGROUT: One Port Cement Three and
For Fences 5'or Less One Half Parts fond
Vert,Bars 3/B"¢at 4' o"O.C. $d , o �'� COPING: One Part Cement, Three
,,AA a i
For Fences Higher Than 5' Ili " o
VLePorts Sand
Vert. Ban 3/8"0 at 32" O.C. > u .- -. . — __ . . CONCRETE: Well Milted 1:2-I/2: 3-I/2 •
X1• 1 cr a z " ' Mat of 7- I/2 Gallons of
Fill Cells Solid With Grout $11 > 1 Water Per Sack of Cement
Where Steel Occurs I r
Rcminrcing Steel Shall
Ill rs
f
to
I GROUT MAY BE POURED FROM THE TOP
�_ _ ® OF THE FENCE IN CELLS WHERE STEEL
Conform to Sec./LIS-39w 0 — OCCURS.
A.S.T.M.
III • IIi ',-, �,� CELLS AND AREAS OF HORIZONTAL REIN
All Steel to be Lapped m ---- _
It
_ FORCEMENT SHALL BE CLEAR.CLEAN&
24" or to Code f�1 4 . FREE OF ALL MORTAR DEBRIS,ETC.
NATURAL GRADE "%yr//af�� v v ��I�" 11
_ -__ 1
UM
r
•
TWO 3/8"45BARS -all • s •
CONTINUOUS TOP O
&BOTTOM I- WIDTH U TO 16. 0 C MAX
SEE CHART
Horat2.STEEL MUST BE TIED IN BELOW ' ' DE PTH Cf C ARTHTCOTH
PLACE AT TIME OF-TRENCH l/3 THE HEIGTH OF FENCE
•
INSPECTION. B1:LOW BOTTOM OF FOOTING
[.....jeLI ID" 2.. SCALE: 1/2" = 1' .
FOOTING REQUIREMENTS CHART
I WALL HEIGHT 1 6' 5r----417— 3'
-WIDTH • -- . . . 14 . . . :14" . . . . . 12". . 12"
,THICKNESS , f/ . .10" . . 10" '6 " 8 "
DEPTH OF EARTHTOOTH 24" 20" 16" - 12"
SPACING OF EARTHTOOTH. 12' . 14' . 16' 16'
•
BUILDING DIVISION
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Y
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I.
THIS SI�1'CH IS FOR INFORMATIONAL PURPOS: :13sor
LID WALLS/F1NC6 BETTNEEN 2'�'ds 6'IN HEIGHT SHAL
ONLY, APPLICANT IS RESPONSIBLE FOR PROVIDING ETBAIX A7 LEAST 10' FROM FROM PROPERTY LINE.
AN ACCURATE REPRESF,KFA7ION OF THER PROPERTY
IN CASE RA SHAPE AND SIZE DO NOT CORRFSFOND LID WAILS/FFNC6 SHALL NOT EI(C®2'6•IN HIIGHr
wma ETHET INFORMATION PROVIDED ON THIS SHEET'. Di4 la OF TETE FROM PROPFR'IY IaIE(Nor culla LQJE).
•YERIV41)1gg ¢I_.
�' -„-.r:�-ate .� . ANDD S1iQ{ttL�f av a•i�'a%TION FROM THE CITY'S
j ?-,�-• :`f 'a/ d I EN QJE i. i O ON =R�QUIRID. CALL(714)754S3t3
_ ..;.i: .s. A-1'?� y _ILL1._,Ey + FOR INFORMATION. / .
Ci;ST?, MESA fiiss tef V
plans andspeci!ica!icnsh1LS7bek tontns'nb a!'
:` i^'r= DI`:r. make ny changes or alteration on same vrio;rtVntten I ata96mth endilon&Build!!g
/.• . I:>;
J PT. R ( S ely,City ofCosta Mesa.
Pem satfrmtheD�ns iofEoiWmg
1 eat mpsnga!thisplan00 • 00
1 and specifications SHALL NOT be held to ermitortf
4
�!;'/ fJ,=,Tdp o otation of a y provisions of anyCit of Costa app,e 'vat
.._ rhe L,.. - . Y h Mesa Of _
f -r II ada t expire tate a:v.
by limitation and become nail and void j thedi din!
work is nc!Dommenc d
and mz;n!airar or ,
nm 80Gys of ssd^_ ce.e.
>R
i RESDENCElama
i�ry
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RESIDENCE RESIDENCE RC90ENCC RESDEMCE I
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t 4 E T
BLOCK WALL LAYOUT FOR BUILDING PERMIT
PLANNING DIVISION �(y� _���
•
OWNER KOLL, KENNETH W. DATE 3_9_56 - .
JOB ADDRESS 2124 Sterling Ave. BUILDING PERMIT NO. 2476
GENERAL CONTRACTOR Owner VALUE $ 10,320.00
LOT 36 BLOCK TRACT 23118 Residence & gar.
GROUP I & J TYPE V ZONE R4 FIRE DISTRICT 2502
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Footing Trench . - `5 --�
Foundation Forms and Grade to Garage
Rough Framing -4- • ) 4(.:A,.,
-- Plumbing,Rough to SI - -G•. -_ - '- �.` A �) nn !
Plumbing, Rough Complete -a— '-J( x/72 Lam/-s<r 2n i 4/— .3-. 7, 4 5l jj0
Temporary Pole _
Wiring,Rough li(.//V/J (Piz ��L/Gt/'Yt:.27fiY; 47-aS--.57, , eg cz, •----
Heating, Rough
Heating,Final ( 'YyL /t A ?-•1iRA w ,./I, „ i„1 - 7t2 'PR 7 1' S 7♦ —
/Sewer, House WA/'sewer,St. 2-3-it _ • Mr . 6 -a9•s4 So 9/ '—
Septic Tank or Cesspool //
Lathing, In Out x,94 - p-'�-$
Plastering 4 -,1- e"•-'iG i6
Plumbing,Final,Fixtures Complete'/ ✓ fgiii.$1y�b
Plumbing,Final Gas Test/,S' 7we 5 g/1aSG > et e e a /�
T / C_.R {ta- �'NT
Wiring,Final ( ,'�" -. i
Occupancy 24,5
FORM 310 3M 10-55
1_Costa Mesa Building Department-' µ 2502 APPLICATION FOR PERMIT
!' 111 EM20th STREET *BUILDING 1
*-1-•*-1-• COSTA , CALIFORNIA
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
Receipt No. I Permit N_o
Building (o
Address 2124 Sterling Avenue ``t orTi
Costa Mesa, California Recei by Date_ e�c' DC 1%1
Nearest r
/ J �1AR J 1956
Cross St. Building
Address
Owner Kenneth W. Koll Costa Mesa, California
Mail
Address 2826 Newport Blvd. Nearest
Tel. „ Cross St.
City Newport Beach, No. r. 5201 zone/675/ 1
) I No.of I Type `V, JI
p �/
Architect or Lie. 7' Plans
(/�/
Engineer No. Approved
by Date
Address CORRECTIONS
City tic.
Contractor / No.
Address
Lel Lot I
De cr ption I No. 36 I Block I Tract 2348
(Attach Metes and Bounds)
piNo.ofBldgs. F ;DSize of Lot 60 X 100 I NowonLot
0
Use ofNo.of No.of DJ
Existing Bldg. I Families I Rooms � AR 9 - q ,�"y�� L1
Setback Line from Rear Yard 271 �
Center of Street 501 Side Yard c t y
DESCRIPTION OF WORK - � 0�ocTA MESA r
New I X I Alteration I I Addition (
Repair I I Moving I I Demolish I
Building No.of
Size 1,200 Rooms 6 Stories 1
Exterior Wall I Roof
Covering Stucco ICovering Compo APPROVALS
Use of New ,�J Foundation Location Inspector Date
Building Residence (,C.QL1/l.. Forms,Materials, p
Under-Pinning •
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath.Int
with all City Ordinances an 'State Laws r lating - - -
building construction. Lath.Ext.
, Signature of '19 _ /_ a,
Permittee / I Plaster,Int.
Authorized Agt. Plaster,Ext.
Valuation ' Permit Fee $ 26.00 Masonry Reinforced
Plan Check$ 13.00 Bond Beam
$ 10,320 Total 39.00
. :..�_: .. . . . ... . ... .,,? Fee $ FINAL
__FORM_204_S-BP 2M 6-55
OWNER STOCKERS DAVID • DATE 3-13-64
JOB ADDRESS 2124 Sterling Avenue BUILDING PERMIT NO. 21743
2 GENERAL CONTRACTOR South California Greenhouse Mfrs. VALUE $ 223.00
AP No.115-4�34-05 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Greenhouse
.J INSPECTIONS Signature DATE GROUP J TYPE V ZONE R 1
..Soil PERMITS ISSUED
_/..‘Gas SUBCONTRACTOR DATE NUMBER
U Water _
Ct Rough Corn. Refrig. ❑ Air Cond. ❑
r-Rough Heating
1- Rough Plumbing
Miscellaneous _
Prop. Swr. Line ❑ House Con.EJ St. Swr. ❑ _
Sprinkling System
Construction Pole _
Underground ❑ Power
Rough Wiring
Trenches10 Forms ❑ Steel Reinf. ❑
Floor System
Bond Beam ❑ Steel Reinforce ❑
Sheathing
Frame and Flashing
Lathing— In.0 Out D
Plaster, brown coat
Refrig. '❑ Air Con. -❑ Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final _ .A_ _
Building, Final ��4- 64,4'��,n0"1p 45;4,e. 77
OCCUPANCY
Form BU4-6M-3-63-5-B P 21 71n
Z1 �� . FES RECEIVED
/COSTA MESA BUILDI SAFETY DEPARTMENT MAR 1 3 1964
P.O.BOX 317 COSTA MESA,CALIFORNIA FINANCE DEPT. .
nnFF rr(�SSi�pp M(y�FF��pp
For Applicant to Fill In•Completely APICLVP(AT1ON'FOR'PMG &
TYPE OR PRINT BUILDING
BUILDING ) ,( `•�L �/ �d/� -For Office Use Only
ADDRESS 2 / Z. 4 _5"
J / aft / nl(,..
RECEIPT NO. PERMIT NO.
COSTA.MESA. CALIFORNIA •
5--
'"-y R[C81y[D BY p R[CR BED DATE ISSUED
OWNER Nie 7.Al// /, . ) / oOir/_ e BUILDING�4La� Q, / /• 'j
MAIL ////// /� // ) / ADDRESS G�0(^'>� .i's/ /' , �,f/�CQ -
ADDRESS 2./ Z icy SAE%2%1/n/ 4- FIRE '/
ICITY //� GG // TEL ZONE TYPE Y GRO
/ ..// f T 4.Al F��. TEL . 1 82 f7 I //)1
APPROVED ' `/ � />/
ARCHITECT - TEL. BY DATE U�/J
OR ENGINEER NO. ' -
ZONING
ADDRESS ,-
ZO NO,NO; USE OF NEW ,ce [ \
/ / /� 4_ / PLANE 7 BUILDING �`^'•^!t
CONTRACTOR Snel iffier/PI✓ G L4.C7 i 1 .,
G66.th/,,ON14. 44F/2t 'LEGAL' 4.4i 36 77f Z3/
ADDRESS 37/ b -Al- /�.0Cr .Pf 0'e:4/
DESCRIPTION d 4/..3L/
J 7U�` 8
CITY- p� cc An Ef19 .-..-4-7/:-A' A.P.NO. //S� % J / O�
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL. 30"TO SIDE B REAR P.L.'
LIC.NO. 179-/az d I NO. AT 6 ..s'd3
EAVES
SIZE 1 NO.OP SLOGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT /.,G )I'• 1 70 . NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF • MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET) '
SETBACK LINE FROM FRONT FT. �� FT. •
CENTER OF STREET - REAR YARD
SIDE YARDI LEFT .3 ' I RIGHT 41' R.SIDE FT. 3 FT.
DESCRIPTION OF WORK • L.SIDE Fr. Y� Fr.
NEW ALTERATION _ ADDITION REAR FT. FT.
DISTANCE BET. BET.MAIN& •
MAIN BLD?S. ACCESS.SLOGS.
REPAIR _MOVING DEMOLISH
BUILDING' NO.OF VAR.# DATE
SIZE ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALL ROOF APPROVES-/�(� /j/
COVERING COVERING _BY �'!Ji •♦ACP DATE 0 43/6-r
USE OF UILDING AND WORK TO BE PERFORMED 6� I .
//a$ 4,� CM..ee'/ Ane '9
f"-0 /le 'JIP l(a..ete ,Q',S
aJ e 7,` 0, 4i (/-)v .�/ t ' n
sQ.Fr.
I HEREBY ACKNOWLEDGE THAT I E READ THIS APPLE TION 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. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
BUILDING CONSTRUCTION. 414.04
PERMIT FEE $ 9—_
N
SIGNATURE OF SACC f�f Ca4.i1 4�6etire-je e ' o
PERM ITTEP `- c y
/I.'lt�C.-L+ciG,.V GCC AYE✓( s - A C 0
AUTHORIZED AGENT �7, r
MP3 �- TOTAL FEE $ ✓ ^--
3,iG ys s
OWNER STOCKER, DAVE DATE I JUL 1 6 1964
vJOB ADDRESS 2124 Sterling Av e. BUILDING PERMIT NO. 22617
s GENERAL CONTRACTOR C. M. Lumber Co. VALUE $ 388.00
aJ. AP No.115-434-5 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Detac hed Lath
Y INSPECTIONS Signature DATE GROUP J TYPE V ZONE Rl House
'Soil SUBCONTRACTOR PERMITS ISSUED
Gas DATE NUMBER
Water
Rough Com. Refrig. D Air Cond. ❑
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line 0 House Con. 0 St. Swr. 0 •
Sprinkling System
--- Construction Pole
Underground 0 Power ;p _
Rough Wiring
Trenches p' Forms ❑ Steel Reinf. 0 6,ow- 140 -Gy_
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing ,9 3/,6./ c
Lathing — In ❑ Out 0
Plaster, brown coat
Refrig. 0 Air Con. ❑ Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test _
Electric Fixtures, Final nA /�/
Building, Final M'%' 3X0 5-"
OCCUPANCY
Form BU4-5M-3-63—S-B P 22617
•
23 :7 . FL RECEIVED
.:
,toSTA MESA BUILDI "'SAFETY DEPARTMENT .JUL Z
P.O.BOX 817 - COQTA MESA:CALIFORNIA CC''pp��pUpL��+.� 6 1964pp .
•
For'Applicant to Fill In Completely ' APPLICSIN ekiiD QRTIT •
TYPE OR PRINT CITVBIOEDWATA MESA - •
L /7 .1 �,[jj For Office Use Only
ADDRESS 21 sip-244 3& /J vee
RECEIPT NO. PIIBMIT� l�0
COSTA MESA, CALIFORNIA y. /Lr /W/
Tbde C/ - - RECEIV LYY DA�.71 VEq �/ �71E1C by
OWNER Tbde JIOC. NG i ''' ////I7 GX /I!//_n .
BUILDING q /� 5���II/n, �u
MAIL /� +� ��{'F) ` / ADDRESS P� / y..
FIRE ADDRESS 24 ,{�4 5inu gi, - - _ l.
` TEL. ZONE TYPE GROUP r
CITY Q 1h ` J NO. ���
II:4:1
APPROVED �(/
ARCHITECT TEL. BY 1 ATE 7
OR ENGINEER NO. VV J
c ING ^N
ADDRESS - - 'Hr.�(�1 C
2 NO.OF }IBE OP NE V�"'�,�'
/'1 I PLANS 2 BUILDINGcQ 0
CONTRACTOR C. l�) V VtAr � l e'1 /, ll``LL`` l n/�
ADDRESS fl c,„, gu Feet a LEGAL / r 2 �Q
��•i y�� DESCRIPTION/ Ql4-1-3
3 1 C V
CITY ♦ i 1 1 T A.P.NO. I'J Cr-- ��7 -J• -
NOTE:.NO EAVE OVERHANG SHALL BE LESS THAN '
STATE e / . � TEL,/rp'_ la/ / - 8O"TO SIDE B REAR P.L. '
SIC.NO. L- -1 C;131/4J NO.JJ OO O
/_ Y EAVES
SIZE
OF LOT wO ( l C I 'NOW ONLOGST 1 ALLOWED - (U.B.C.REQUIREMENT)
�] �) / YARDS APPROVED YARDS APPROVED
XIS
ET NG BLDG. 1)y�lN(eUrL Pitt MAIN BUILDING ACCESSORY BUILDING
l FROM C/LS lair
SETBACK LINE FROMFRON .TFT. ''/DI�.}1�,.[.( - FT.
CENTER OF STREET / ' REAR YARD.--,‘ V
SIDE VAROI LEFT b 10 ' I RIGHT S/' R.SIDE 3FT. FT.
DESCRIPTION OP.WORK L.SIDE / Fr. FT.
NEW X ALTERATION _ ADDITION REAR FT. FT.
—
DISTANCE BET. BET.MAIN a
REPAIR _MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
VAR.# DATE
BUILDING - . NO.OF
SIZE ROOMS . STORIES) ' C..U.P.# APPROVED J
......--
EXTERIOR WALL I ROOF
&l a°(� BYPRO I}.{��7,(�iy(p DATE f /" �
COVERING �"
USE OF BUILDNa.4�ID W. ORk TO PERFORMED
j) CF .C/JL/eck
N/.o !/_t
r ll�/rte.l..-✓� N
SQ.FT, T
r.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE S',
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCEII AND STA- LAWS REGULATING VALUATION -
BUILDING CONST
1�jCTION.q ) �Y N
SIGNATURE Oy ' y)')' w '- _^ /„,- `v- " ` t PERMIT FEE S m
PERMITTEE lll......... ll+«`MMM////a--//i�� �7N/►' r1.V K. �-/` d
Y F
6:44.4 4
'` , u
AUTHORIZED AGENT3
S • TOTAL FEE -----