HomeMy WebLinkAbout1787 WESTMINSTER AVE - Building Permits CITY OF COSTA MESA
4�'Rp4Fsq BUILDING DIVISION
O yA
i•I I 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
4. FOR INSPECTIONS CALL: (714)754-5626
st4;-; ° � PERMIT NUMBER: B11-00136
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PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 42539223 DATE ISSUED: 04/25/2011
ISSUED BY: KJB
JOB ADDRESS: X1787 WESTMINSTER-AVtCM _; } Suite/Unit:
Vicinity: RESIDENCE AND ATTACHED GARAGE -
Squares: 3000 Valuation: $12,000.00
SCOPE OF WORK: TEAR OFF EXISTING ROOF.COVER WITH CLASS A-25 YEAR COMP SHINGLES. ROOF PITCH IS 4:12.
APPROX 3000 SQ FT. INCLUDES RESIDENCE AND ATTACHED GARAGE.
NOTE:RESIDENTIAL RE-ROOF: Final approval of permit shall not be granted until access to dwelling unit(s) is provided for
verification of the installation of smoke and carbon monoxide alarms by the City Inspector. See Attachment w/Inspection Card
OWNER: SQUAR,RICHARD M Address: 338 PEACH TREE LN . Unit:
PHONE: City/State/Zip: NEWPORT BEACH,CA
APPLICANT: LEONARD PETERSON INC Address: 40430 DUTTON Unit: :
PHONE: 951-769-6990 City/State/Zip: CHERRY VALLEY,CA
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CONTRACTOR: LEONARD PETERSON INC License No. 931072
Address: 40430 DUTTONUnit: PHONE: 951-769-6990
City/State/Zip: CHERRY VALLEY,CA 92223 CELL:
ARCHITECT: License No. PHONE:
ENGINEER: License No. - PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00 " . •
Reroof Permit Fee: $209.25 - -
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES $210.25
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010-PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibitied all hours-Sundays and the following Federal holidays
New Years Day, Memorial Day, Independence Day, Labor Day,Thanksgiving Day and Christmas Day
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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)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODES. INSPECTION TYPE DATE INTITIALS CODE If INSPECTION TYPE DATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 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 St'?.-11 P2�,
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driv,_ :cense. ❑Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: •Driver's License No. Expires:
O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
erformance of the work for which this permit is issued.
ye and will maintain workers'compensation insurance,as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
s ion 3700 of the Labor Code,for the performance of the work for which this
permit is issued. My rkers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: M I a person is required to descend,will be made in connection with work authorized
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by this permit,and that no building structure,scaffolding,falsework,or demolition
Cartier: I U! /�" or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp
(This section need nor be MetediMe permit is valued at one nun dollars r5roa)or Tess./ 2,Art 2Sec.341,Tule B,California Administrative Code).
Policy Number: -0 J ICA 5S '(/
0 As owner-builder, I will not employ anyone to do work which would
O I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to workers' compensation provisio of Section 3700 of
Applicant's Signature Dale
the Labor ope, I a forthwith comply with these prow ions.
'1- '7 Division of Industrial Safety Permit Number:
Applicant's Signature C•Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑ No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license' 'n full 77ul777/orce and a ct. a registration form for acutely hazardous materials? 0 Yes 0 No
Lic.# /1 Class# (Section 25533 of the California Health and Safety Code, with some
ly( //—_`� a Mr ( exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
Contractors signature Date 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
O I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the Structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No
thereon,and who does such work himself or herself or through his or her own 8 (If'yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
control
sale. If, however, the building or improvement is sold within one year of officer).
completion, the owner-builder will have the burden of_proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
o I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractors)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
CII
exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
(/ }�o a Date
Signature Date 1 P
3057-46(3/07) And/or Authorized Applicantnt Dant /�
Prescriptive Certificate of Comphance: Residential CF-IR-ALT
I •
Residential Alterations (Page 1 of 5)
Project Name: a Climate Zone 4 #of Stories
General Information 'J I /i .t A I f 3c
Site Address:,7e...„ 0.2 0 /Enforcement Agency: Date:Lr 2fri y/`�
Building Type D Single Family IFatnily Circle the Front Orientation:N,E,S,W,or degrees _ ��
Conditioned Floor Area(CFA): Project Type: D Alterations 0 Envelope 0 Fenestration oIS�R of E HVAC
Replacement or Change Out 0 Duct Replacement 0 Water Heater
NOTE: This font;is not to he used jar Newly Constructed Buildings or Additions
- Insulation Values For Opaque Surfaces(for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration \
0 Opening of framed cavity alone—Alterations that involve the opening of the framed cavity ofa wall, ceiling, or_.floor must install the
mandatory minimum insulation value per§150 for the altered assembly.Fill in Columns A—C and enter mandatory insulation value in Column H.
0 Replacement of entire assembly—Replacement of an entire wall,ceiling,or floor assembly requires the installation of Component
Package-D insulation values in Table 151-C. Fill in Columns A—J.
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below.
D E • • F _
Proposed see Note Standard Values From JA4 Table
Framing Thickness, Framed Continuous JA4 Proposed
Tag/ Assembly Name Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembly
IDs or Type' and Size or Other3 factor" Number' _ R-value R-Value' Cell Values U-factor9
Note:For furred assemblies,accounting for Continuous Insulation R-value,see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and
Furring Cansouction table below.
1.For Tag/ID indicate the identification name that matches the building plans.
2.Indicate the Assembly Name or type:Roof/Ceiling, Walls,Floors, Slabs, Crawl Space,Doors and etc...Indicate the Frame type and Size:For
Wood, Metal, Metal Buildings,Mass, enter 2x4, 2x6, or etc...see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between framing members enter; I6"or 24"OC;or Other for all other assembly description
such as Concrete Sandwich Panel, Spandrel Panel,Logs,Straw Bale Panel and etc....
4. Based an the Climate Zone;enter the Standard U-factor from Table 151-B, C o'D for each different assembly Name or type.
5.Enter the Table number that closely resembles the proposed assembly.
6. Enter the 12-value that is being installed in the wall cavity or between the framing;otherwise, enter "0".
7. Enter the Continuous Insulation R-value for the proposed assembly; otherwise,enter "0".
8.Enter the row and column of the U-factor value based on Column F Table Number and enter the Assembly U-factor in Column J
9.The Proposed Assembly U factor, Column.1, must be equal to or less than the Standard U-factor in Column E to comply.
Furring Stri s Construction Table for Mass Walls Only
A B C D E F G H I J K L M
Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation
• Walls From Reference in Furring Space from Reference
Joint A r endix Table 4.3.5,4.3.6.4.3.7 joint A endix Table 4.3.13
" >,
a 3
L. ° N'
Assembly z- ° c ° F v c �,,,'� Final
Mass Name or JA4 Table - •
e, v _ F E t > V _ ` r Assembl
Thickness' T e' Number' < j < P LE ° r= 112, 3 L2 r= m r= U-factor' Comment
I
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms August 2009
Prescriptive Certificate of Compliance: Residential
CF-1R-ALT
Residential Alterations (Page 3 of 5)
Project Name: Climate Zone# ii of Stories
ROOFING PRODUCTS(COOL ROOFS)§151(1)12 •
When the area of exterior roof surface to be replaced exceeds more than 50%of the existing roof area,or more than 1,000 ft', whichever is
less,the new roofing area must meet the roofing product"Cool Roof'requirements of§152(b)1Hi,1520)1Hii,or 152(b)1Hiii.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof"requirements. Note:/f any
one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in
§118
i)are not applicable.Do not fill table below.
ool Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch.
of Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less
a-than 51b/ft2.
Alternatives to§152(b)lHi and§152(b)Hii,Steep-slope roof(pitch>2:12)
❑ Insulation with a thermal resistance of at least 0.85 hrfi2-°F/Bat or at least a 3/4 inch air-space is added to the roof deck
over an attic;or
❑ Existing ducts in the attic are insulated and sealed according to§151(1)10;or • •
.❑ In climate zones 10, 12 and 13,with I if:of free ventilation area of attic ventilation for every 150112 of attic floor area,and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or
❑ Building has at least R-30 ceiling insulation;or
❑ Building has radiant barrier in the attic meeting the requirements of§151(1)2;or
❑ Building has no ducts in the attic;or
❑ In climate zones 10, 11, 13 and 14,R-3 or greater roof deck insulation above vented attic.
Exception to§152(b)1Hiii,Low-slope roof(pitch S2:12) •
❑ Building has no ducts in the attic.
Other Exceptions
❑ Roofing area covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria.
❑Roof constructions that have thermal mass over the roof membrane with at least 25 lb/112 is exempt from the below Cool Roof criteria.
- Note:If no CRRC-I label is available,this compliance method cannot be used,use the Performance Approach to show compliance,otherwise,
Check the applicable box below if Exempt from the Roofing Products"Cool Roof'Requirement:
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number' < 2:12 >2:12 < 51b/ft2 > 51b/ft2_ Type2 Reflectance3'4 Emittance SRIs
❑ 0 0 ❑ ❑4
❑ ❑ 0 ❑ ❑4
❑ 0 0 ❑ ❑4
O 0 0 ❑ 04
❑ ❑ 0 0 ❑4
1. The CRRC Product ID Number can be obtainedfrorn the Cool Roof Rating Council's Rated Product Directory at www.coolroo(s.org/products/search.mhn
2.Indicate the type of product is being used for the roof top,i.e.single-ply roof asphalt roof metal roof etc.
3. If the Aged Reflectance is not available lathe Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value front the same
directory and use the equation(0.2+0.7(pt,,r,iat—0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance,
4. Check box if the Aged Reflectance is a calculated value using the equation above.
5. Calculate the SRI value by using the SRI- Worksheet at Into://www.energyca.Rovitille24/and enter the resulting value in the SRI Column above and attach acopy of
the SRI-Worksheet to the CF-IR.
To apply Liquid Field Applied Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in§1180)4. Select the applicable coating:
❑ Aluminum-Pigmented Asphalt Roof Coating 0 Cement-Based Roof Coating ID Other
•
Registration Number: Registration Date/Time: HERS Provider:
• 2008 Residential Compliance Forms ' August 2009
J
Prescriptive Certificate of Compliance: Residential CF-IR-ALT
Residential Alterations •
(Page 5 of 5)
Project Name: I Climate Zone It I t of Stories .
•
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this
checklist below. A completed and signed CF-4J(Form for all the measures spec/lied shall be submitted to the building inspector before Jural
inspection.
Duct Sealing & Testing HERS verification is required for this measure.
0 YES 0 NO DCS:In Climate Zones 2 and 9-16,if more than 40 linear feet of new or replacement ducts are installed in unconditioned
space,the duets are to be sealed per§l52(b)1Dii and the newly installed ducts are to be insulated pet §l 51(f))0.
0 EXCEPTION: Existing duct systems that are extended,which are constructed,insulated or sealed with asbestos.
❑ YES 0 NO YES:In Climate Zones 2 and 9-16,if the existing space-conditioning system (HVAC equipment and ducting)is replaced,the
ducts are to be sealed per§I52(h)1Di.
❑YES 0 NO YES:In Climate Zones 2 and 9-16,if the existing HVAC equipment is replaced(including the replacement of the air handler:
outdoor condensing unil of a split system,cooling or heating coil,or the furnace heat exchanger)the ducts ale to be
sealed per§152(b)IE.
C EXCEPTION:Duct systems that are documented to have been previously sealed confirmed through HERS
• verification in accordance with procedures in the Reference Residential Appendix RA3.
0 EXCEPTION:Duct systems with less than 40 linear feet in unconditioned space.
❑ EXCEPTION: Existing duct systems constructed,insulated or sealed with asbestos.
Refrigerant Charge- Split System HERS verification is required for this measure.
❑YES 0 NO YES:In Climate Zones 2 and S-15,when the existing HVAC equipment is replaced(including the replacement of the air
handler,outdoor condensing unit of a split system A/C or heat pump,cooling or heating coil,or the furnace heat
exchanger)a refrigerant charge measurement shall be verified per§152(b)IF.
Central Fan Integrated (CFI)Ventilation System and Fan Watt Draw
The ventilation requirements of§I50(o)do not poly to existing residential homes.
Ducted Split Systems-Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
- 0 YES ❑ NO YES:In Climate Zones 10 through 15,when the existing space-conditioning system(HVAC equipment and ducting)is
replaced,the airflow and fan watt draw shall be verified ver§152(6)1 Ci to meet the renuirements of§151(f)7B.
Documentation Author's Declaration Statement •
• I certify that this Ce tit-mate of Compliance documentation is accurate and complete
IName: Signature
Pa y: ' Date:
Add e If Applicable 0 CEA or 0 CEPE
II 0 (Certification II):
City 'tate/Zip: / I Plicate:
1/ Ce-- Pel , fly GIan 5 / 70 X990
Responsible ilding Design"'s Declaration Statement
• I am eligi Ie under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• 1 certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Title 24,Parts 1 and 6 of the California Code of Regulations.
• The building design features identified on this Certificate of Compliance are consistent with the information provided to document this
building design on the other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement
agency for approval with this buiIding permit application.
Name: Signature:
Company: Date:
Address. License:
City/State/Zip: I Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-8(1(1-772-3300.
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms August 2009
..
OWNER TOWNE ESTATES, INC. DATE 10_3_56
• JOB ADDRESS 1787 (a) Westminster BUILDING PERMIT NO. #3.782 (a)
GENERAL CONTRACTOR K. W. Koil Const. Co. VALUE $ 15,265.00
L_ . F BLOCK TRACT 2251 Triplex x/ga .
GROUP H TYPE V ZONE Rh FIRE DISTRICT 3779
PERMITS ISSUED
INSPECTIONS DATE ' SUBCONTRACTOR
�
! ♦ DATE NUMBER
Footing Trench 1)W
ll V anti•
Foundation Forms and Grade to Garage- J ^'I '
Rough Framing ea,. /►'
Plumbing,Rough to Slab i ''' at ,' ('-{A APSg 7l , t• 0-9-.S4 70/p
Plumbing,Rough Co�p�letre �j`a� ' ,/ q
Temporary Pole �iLI!1�"�.� / /3
Wiring, Rough _ ,WG,-4 .)• v • ,u /0-3o -5G _3 Vo 6 —
Heating,Rough °i' t S_ .Z, C V �,_ /0-7--r‘ a
� 0 / 9
Heating, Final • j /•Y>
l�. atwer, House r: Sewer,St. IF /-$-S J(� P-4-t O:3'.r -.5-96V
SP-•ic Tank or esspool
l ng, In Out 7 'r0
Plastering err.° s-. a7-b1
Plumbing,Final,Fixtures Complet77.4 r _
Plumbing, Final Gas Test Will / .b y(Arri-, , / �2 -S7 _0 -•
Wiring,Final +N, , 'i /- 023-S 7_ ,....-...,.....-,1
Occupancy JAN 3 1957 VC:
,"„M 210 ,M ,OM. 17112 (a)
OWNER TOWNE ESTATES, INC. DATE 10-3-56
JOB ADDRESS 1787 (b) Westminster BUILDING PERMIT NO. #3782 (b)
GENERAL CONTRACTOR K. W. Koll Const. CO. VALUE $ 15,265,00
L_ _ F BLOCK TRACT 2251 Trjp],$x wJ r.
GROUP H TYPE V ZONE PI FIRE DISTRICT 3779
PERMITS ISSUED
INSPECTIONS DATE
� SUBCONTRACTOR DATE NUMBER
Footing Trench
T+
Foundation Forms and Grade to GVS;.-,,<; 'y !9 { e. .
Rough Framing ', /9,r/S'rbt
Plumbing,Rough to -. -,t,*r:_i3 #0_ss -C' J .-78--e /e)..40 -,r, 70,20
Plumbing, Rough Co •plete 00, 'i
Temporary Pole 6'' ' '7/J S _
Wiring, Rough i (J t$ /�,L//�/('�"/� nA.$, ,.lfnexO ,.{•�. �) /O - 30-Se 39 07
Heating,Rough `r "/'I/•Y N K. t=/-4M,�-c� Limn. . /0• - ( 70,2 0 -
Heating,Final Or /.194, el)el)/�
l ae!Vver, House • Sewer,St. l/f yy� l.{ , /0-3 •5'6 S'51 I / _
Se^•ic Tank or Cesspool
1 ng, In Out Cal7J,,9�.,'!
Plastering '�L /fC" -,('f t
Plumbing,Final,Fixtures Comple (J t,�t _
Plumbing,Final Gas Test �•r A,/Q�j„(j f --Ci/-a g- � �.�
JailWiring,Final J 3 TJJC yq .. a it /-073.3 7 -<-92-1Occupancy JAN a 3 195T VCR
CORM 210 3M 10.53 17RO (i.\
r.
OWNER TOWNE ESTATES, INC. DATE 10-3-56
JOB ADDRESS 1787 (D) Westminster BUILDING PERMIT NO. #3782 (C)
GENERAL CONTRACTOR K• W. Roll Const. CO. VALUE $ 151265.00
L. . F BLOCK TRACT 2251. Triplex w/gar.
GROUP H TYPE V ZONE Rh FIRE DISTRICT 3779
PERMITS ISSUED
INSPECTIONS we- haws,-
DATE SUBCONTRACTOR DATE NUMBER
Footing Trench un I
Foundation Forms and Grade to Garage (1- -/->
Rough Framing t iih S-1.0 A� n, �/ _
Plumbing,Rough Slab �. 7 ' ��y I ))rt . _ 7 yrir . �-9` 7Q . j
9 S. D , _, a' * A i S 6
Plumbing, Rough Co plet ,A.Ir (/ ry(
Temporary Pole . 'W- - e i t/ Y �_ �
Wiring, Rough M is / .4,5c _ - � � - � v /0-3c -51. :3 y U k
Heating,Rough 1 TnS� �, , -_� 1 a... /0'II- Clio _70 a`/ "'-
Heating,Final wilif ./e1. S
. Sewer, House Sewer, St. I.1.)o 4 'a. , ,p .2-,f6 _,S 9 r/ —
S, Lic Tank or Cesspool ! A1
t77.-nng, In Out (0-,Cj'v� '//�' .
Plastering Lir- 4-77-5L •
Plumbing,Final,Fixtures Complete A int_a //_'
Plumbing,Final Gas Test ���(��,Qf.�(/ 9�"'' /......2
�7 R-s7 r_fr�.L.2
Wiring,Final It 2; 1957 VCB n ., /-.2 3-1-7_ --In IQ1
Occupancy ICI 2 q 1957 VCR
4789 (n7
.Costa Mesa Building Department APPLICATION FOR PERMIT
8
111 EAST 20th STREET 99 BUILDING 1
,• .i COSTA MESA, CALIFORNIA
• FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. Permit No.
Building
Address Tract 2251 ( ' :4„ & Westminster .�/ 7,442_/
r
Costa Mesa, anion= `' Received by Date Rec' d
d. Date Issue _
Nearest 17 -oz/-lS� 76-3 "''
Cross St. Orange Building
Address
Owner Towne Estates, Inc. ? Costa Mesa, California
Mail
Address 2826 Newport Blvd § Nearest
Tel Cross St.
City Newport Beach, Calif No. Ha 5201 `. Zone No.of Type / Group
Arch itertt�ppr Lic. I Plans I U
Enginee�Jarlson & Niddlebroo1Nc C 1673 Approved
;' by Date
Address Garden Grove, Calif CORRECTIONS
tractor K.W,Koll Const CoN'o. L'c'61159
Address 2826 Newport Blvd ;
Lel Lot
Description I No. F I Block I Tract 2251 ' .
(Attach Metesand Bounds)
6 No.of Bldgs.
Size of Lot 6_60 r 150 I Now on Lot
Use of No.of No.of A
Existing Bldg. I Families) I Roomsl2
7
Setback Line from Rear Yard 18 Z
o
Center of Street 50 ft. side Yard 5 ; y
DESCRIPTION OF WORK r
New I X I Alteration I I Addition I
Repair I I Moving I I DemolishI J n
Building No.of
Size 23.5 x 86 Rooms 12 S
Stories'
•
•erioWaIIRoof
StUCCc,7 I Comrerin9overing
1 APPROVALS j
..0e of New �..--
Building Resident 21 I come Foundation Location Inspector Date
nd 3 car garage Forms,Materials,
Under-Pinning NA
. = Frame: Fire Stops, V
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above is.co '-ct and agree to comply ',, Lath. Int.
with all City Ordinan.. State Laws regul. •:ng LI
building constructio . dor • Lath. Ext.
Signature of
Permittee Alt ./...0 ' ` Plaster,Int.
•
Authorize• •gt. Plaster,Ext.
O..
Valuation // /,� Permit Fee $ 35 Masonry Reinforced i
/,LS y 026 .1 Plan Check $ /7 ,C22Bond Beam
$ 1( (❑u1_Si-0 Total S
Fee $ SA CO FINAL S
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PLOD PLAN •
Show location and distances from
r• property line and between buildings. .
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