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Home My WebLink About2527 VASSAR PL - Building Permits IIw CITY OF COSTA MESA ,-vill „11 BUILDING BUILDING DIVISION r """1 DEVELOPMENT SERVICES DEPARTMENT J• io PERMIT PERMIT NU ER `�aM P98-00734 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 2527 VASSAR PL Status: ISSUED Suite No Applied: 09/24/1998 • Issued: 09/24/1998 Vicinity:• ' Parcel Nunmber: 14141201 Applicant: NOCK, RON • Address: , - Phone: - - Zip: - - L - ,'t, A= . Owner: .CHAMBERLAIN,'GREGORY.- - • . 7N✓� �� Address /2527"VAS9AR PL - _ • ‘' /":"'`� .y, ( .` - . - - �V 'Phone: , , - / i �-' COSTA MESA,CA- Zip: 92626 Confractor:''•.NOCK:PLUMBING Address: ' 116/12'KNOTT ST • 4S.`,Phone:- 714'895-1246 [� ' GARDEN GROVE,,CA- r - - 'Zip: .92841 - ,, License: 707775 _ :�' h ' Arch /Eng: ' Address: r - ' • Phone: - ' •- . ., - Zip: . .. ' License: ,, , • , • v • = ':SCOPE OF-PERMIT ' { ___ INST DISHWASHER. _ ,u - FEE SUMMARY _ , - AMT QTY AMT QTY AMT on' • ISSUE FEE , $22.00 Laundry Tub/Washer _ • $0.00 0 Sump Purnp.' ,$0.00 0 Backflow irrigation $0.00 0 Landscape.Irrigation - $0.00 0 Swimming Pool - ' $0.00 0 Backflow Preventer $0.00 . 0 P-Trap - $0.00 0 Trap Primer . ' ' $0.00 0 Bathtub - '$0.00 ' ' 0 Pressure Regulator . .- $0.00 0 Urinal / f. $0.00 0 Clarifier Systeme $0.00 - 0' r Prodess Piping(per 10 ft) $0.00 0 . - _ Vacuum Brkr Bkflow(1-4) , ' $0.00 0 Connect(Ice,Soda;etc) $0.00 , '0 - . Receptors / . $0.00 . 0" - Vacuum Brkr Bkflow(5}),' $0.00 0 Dental Units ` ' •$0.00 - 0 Septic-Tank . •, $0.00 0 - ' 'Wash'Basin $0.00 0 Dishwasher _ $8.75 1 _ Sewer Cap for Demo .$0.00 -0 ' : - Wash-Basin Set"�, / $0.00 0 Drain, Floor _$0.00. 0 Sewer Connect-, $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0 Drinking Fountain $0.00 - 0 Sink,bar $0.00 0 , Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0- ' Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor - $0.00 0 ' Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0, Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink, service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 .0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $30.75 COMMENTS/SPECIAL CONDITIONS NCH-- OAS 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 DECLARATIONScm,, '-� WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the folio- g 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 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 Insure rrier and licy num r are: �j�nen,. / 1 lam/ C Cartier: Policy Number: ' 71,v`� ' / 4403 (This section need not be completed if the perms valued at on hundred dollars($100)or less.) ❑ 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 workers' . compensation laws of California,and a.ree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisi. Applicant Signature: Date: -t ''74' cJ' WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S100,000),IN ADDITION 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 em licensed under provisions o Ch rr5t.ePcIng with Section 7000)of Division 3 of the Business and Profes�ionS,Co9e,and my license is in full force and effect.Lic.# / Class# C� S Contractor's Signature: Date: —2-Y --5," CONSTRUCTION LENDING AGENCY: ❑ 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). Lender's Name: Lender's 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 end Processions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, end 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 driver's license. 0 Yes 0 No Driver's 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 e permit to do such work from the division. Signature: Date: • Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will 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 than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Dees 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 California 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 Dees 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 ❑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 Celifomia Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification LI from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 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? ❑Yes ❑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? ❑Yes ❑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 property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. r, nature Of Legal Owner(s) Date )J "-or And/Or rized Applicant " • Date GOOF I INSEECDONTYPE 44/ DEE t ALS CODES INSPECTION TYPE RATE IMUTAJS 1616 Fixed System Final Fire Prevention 206 Final Mechanical ,` a tel-., 1266 Pool Spa Final _ 208 Final Plumbing *rani-O?6y LA/ ) 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 2446-46 Applicant to fill in all spaces excepbthose within heavy border lines and.sign all appropriate declarations. CITY OF COSTAMESA CON RUCTION' IT PERMITy. /�• 1 'TRACT NO. LOT NO: UNIT'NO:- - r - - • I c 2- II 6Z Kas.SQ..( / J-` c'e . 3.V *a . _ 1 . - I _e t1(iQ bio/(2//�.� .` ��J.00 , fL .- Project Address - ' TYPE OF CONSTRUCTION ❑ NEW U ADD LI ALTERATION U'REPAIR - - • - Applicant's Mail��i n-g+Address �•�[p q• ❑ CONVERSION ❑ DEMOLISH' ❑ OTHER • Owner's Name(•,Re�] el4am/ PyQ 10/Lfthone' O /9-7(•2' DESCRIPTION OF WORK/USE OF BLDG. - • , A.P.# , s - IZane Address CO, sad J 11�_S•',Q-g p/n!' . '-- e I - • - S Main Building: Accessory Building:- - Z• .. ' Arch/Eng., • License Na - • • TYPE OF PERMIT 'U GRADING ❑_FOUNDATION ❑ STRUCTURAL T Front ' • 0, ' Address . - I • ❑ TENANT -❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL' .• B •Rear - - N V7-ii eR�' 2 4 '.4-//'r Phone - ❑ OTHER' - - .. r A - . • N Contractor's Name ',/ ')- T a�/ �`S•j"7`� PROJECT DESCRIPTION Sq. FT. OCCUPANCY C Right •_ _ G Address(mailing) . G' .S S� W E.S T .C1/ + •- - K I L CONSTRUCTION TYPE I • VALUATION$ - I S Left ' R City License No. CV(' �•�! I ZONE I GRADING CU.YDS. • ACRES ' - E' LICENSED CONTRACTOR'DECLARATION ' - Ping. Ref.# `/Pa[r 4��^Jg tH' r Id/pd ,�(�•ss O I hereby affirm that,I am licensed under provisions of Charter 9 (commencing Remarks: - p , - Planning Notes: ' RECE •b✓,ve — - i•_� M with section 7000) of Division 3 of the Business and Professions Code, and my license-is-in ful orce a•d effect. , ,• T' License,C14 a C se No. �.C5-7/1-39 _ 1 • S, Date ^.jw Signature Ararat-I��.��. PLUMBING FEES I ORKERS'CO 'PENSATION DECLARATIOZ • I Bar Sink Showers • :ereby affirm that I have a certificate of consent to self-insure Or certificate -Workerfirm that Compensation Insurance, or a certified copy thereof ce(Section Eate Backflow Preventer Service Sink I1Itlrii1$iPHJ ' 3800,lisLab. C.) __Sc 00 Policy No. r/C�/ 7/1 La. Company •-7-�=� B;ickflow Irrigation Sewer Cap I �I_ ��ll Certified copy is hereby furnished. rJ Certified c py d with the cityegltilq�n9, yAket' Sewer Connection Date Applicant v)Ji11 'L �.�574�� ■ I. Meter Pup to 100 amps ■ -EXEMPTION FROM WORKERS'COMPENSATION DECLARATION- - ®•athtubs • ® ®,■ ••• 'Meter'Dover 100 amps - IN. (This section need not be completed if the permit IS for one,hundred ($100 or less). • ,) •I certify that in the performance of the work for which this permit is issued, Ishall not employ any person in any manner so as to become subject to;the • •Workers' Compensation Laws of California. ; i ■• ■ ••Date - Signature ! Fountains iImr 'WorkIfC,mter making this ions of on,you shouldrC ,becomeusubject to ith ® ®� Workers-Compensation provisions of.the-'Labor Code, you must forthwith Floor Sinks ' ' Gas Service ' Outlets /- . comply with such. provisions or-this-,permit' shall be deemed revoked- CONSTRUCTIONt LENDING :AGENCY '- i" I hereby affirm that there Is a construction lending agency for the performance • ees • Pole Light • of the work :for which this permit is issued (Section'.3097 Civ. CL) • Water al ' Lender's Name P ' - - Lender's Address , - - ' - - • I ' • OWNER BUILDER DECLARATION ' I hereby affirm that I am exempt from the Contractor's License Law for the . 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-Trapenerator •I 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 • herefrom 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 `. 1 - enalty of not more than five or hundred dollars - U I, as owner of the property or my employees with wages as their'sole I Reinspection,Fee $15 '- Issue Fee' compensation, will do the work,land the structure is not intended or offered I ' 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 own • DEVELOPMENT 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 corn- : r Date pletion, the owner will have the burden of proving'he/she did not build or im- • Duct- Under Ground Canopy Type II 0 prove for the;purpo5e of sale). ' •' 0 Las-owner of„the property, am exclusively contracting with licensed con- ' Duct-Structural ' Refrigeration System , Dat' •� • �, tractorsto 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 -- - - ' 'R0-100,000'BTU-0100;000 BTU '- - ' •SUMMARY OF FEES builds or improves thereon,and'who'contracts for such projects with a con- proof (S license pursuant to the'Contractor's Li Cense Law). I am aware that p Exhaust System ❑ Multiple❑ System Re air/Alteration proof of their Worker's Compensation insurance should be provided tot me.' ❑ I am exempt under Section .B.& P.C.for this reason ' MI Firepl/Fact.Blt. ICBO;# ' IIII' Fire Dampers OV Date Owner, _ Heating System& Ducting . ; Registers ' _ ' _ I I hereby certify that I have read this application and state that the above ❑0-100,000 BTU ❑100,000BT information is correct. I agree to comply with all city andIcounty ordinances * I ( ' 1 ' and-state laws relating to b ildin9JpnstruCtion, and hereby authorize repre- 1 I ' PLAN CHECK •, sentatives of this/ci y: nter don the above-mentioned properly fo ' inspection ury5es/)� / %/y{7 I t Signature �//// C.l� l . . Date U aG z�/ I - • 1 Drivers' License or SS _ .$15 , Issue Fee- — $ 3 y • CMF 0865-46,rev:10/84 - Wh'e - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor Qy v. CONSTRUCTION AND PLANNING to POC .SPA - APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector '1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • - ,.2. Soil Pipe-Undrgmd. . 53. Steel Reinforcement I • t, 3. Electrical Conduit Utility-Undrgrnd. -• ' 54. Forms I 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • S_. ' 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical UF ER 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, 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 64. Plumbing System - Final 14. Rough'Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final ' - -- • 16. Rough Electric Wiring • 67. Fencing & Access Approval 17;-,.Rough Wiring Sign - 68. APPROVED FOR PLASTERING ' 18. ,Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL .19-Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20>Rough Factory Fireplace APPROVALS Permit# 21.;Ducts, in Structure 70. Underground Hydro - -22. Ducts, Ventilating71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush ' 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil • 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL . 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION • i 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric - Notes: • . 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test •. 36. Hood or Canopy 37. Final Factory Fireplace - 38. Final Plumbing ' p'#/-$'7 C.EO , 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final r cm - - -. a 42. Backflow Preventer C /' .-fl t 43. Backflow Irrigation - ;y. . • . 44. Landscape Irrigation Systeir 45. Sound Attenuation �i ' 46: Handicap Regulations ' . 47. FINAL STRUCTURE & BUILDING - - - 48. Special Requirements Completed - J- 49. Electric Release to Edison v - - r-i . 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY ...-- '.. No. - Date _. „ • 9029 EE RECEIVED COSTA MESA BUILDING DEPARTMENT tin^ APR 21 1958 P.O. BOX 317 FINANCE DEPT.A COSTA MESA, CALIFORNIA CITY QF CQ STMESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADDRESS 2527 Vassar Place BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. �ERMIT NO OWNER Crown Homes , Inc. j ;2 MAIL RECEIVED BY DAT O RECEIVED TE 155 ED ADDRESS 1555 Placentia i+^— -/5L-.1i 2Q rY CITY Newport Beach, Cal. TEL. MI 6-3227 ADDRESS ARC -CT - LIC- OR LEER same NO. COSTA MESA. CALIFORNIA FIRE ADDRESS{JT� TJ Const.Sane ZONE f] tl� K011 Co. - 1217 ZONE R I NO. TYPE/ GROUP /\ !i CITY LIC PLANS OF rV//\(J/(//�J. CONT PICT R NO. TEL. APPROVED ADDRESS same NO.s�e BY DATE LEGAL LOT CORRECTIONS DESCRIPTION NO. 14 BLOCK TRACT 2882 A.P.NO. SIZE 3 x 102 NO.OF SLOGS.OFNOW ON LOT O USE OF r EXISTING BLDG. SETBACK LINE FROM CENTER OF STREET 50 REAR YARD 22. _ SIDE YARD RIGHT 10 LEFT 5 DESCRIPTIONSOF WORK NE A ,ALTERATION ADDITION I IIIA - . REPAIR MOVING [ DEMOLISH SIZE DING 1574-469 NO.OF ROOMS STORIES 1 EXTERIOR WALL ROOF COVERING stucco COVERING hot—mopped • _ USE OF NEW BUILDING rpgj&]AMae and Att. garage . Plan 3-BR i • The Amulet oughtinder valuation is fol the I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL purpose of establishing a permit fee only. I CITY ORDINANCES A TATE LAWS REGULATING BUILDING CONSTRUC- i TION. / VALUATION SIGNATURE OF J� PERMIT FEE $ 35.00 PERMITTEE ((( 111 15,747.00 PLAN CHECK $ 17.50 $ AUTHORIZE GENT - TOTAL FEES 52.50 SMF OWNER SPRINGER) A. DATE 9-21-59 JOB ADDRESS 2527 Vassar Pl BUiLDING PERMIT NO. 10409 GENERAL CONTRACTOR Admiral - Hilt Const. VALUE $ 233.00 AP. No. None LOT 14 TRACT 2882 FIRE ZONE DESCRIPTION OF WORK Block wall INSPECTIONS DATE GROUP Wall TYPE ZONE R 1 • Underground Soil U.G. Water PERMITS ISSUED Underground Gas — SUBCONTRACTOR DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing Miscellaneous _ Prop. Swr. Line House Con. St. Swr, Sprinkling System - Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring Trenche ett Forms Steel R8'ld- tt -�4 Floor System _ Steel Reinforce Chimney Re-Rod Bond Beam Sheathing Frame and Flashing Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final Electric Fixtures, Final _ Building, Final p OCCUPANCY / to, (/�7,1 .z&/ Form 210-3M-4-5910409 10409 r . 10409 . GOSYA MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVED P.O.BOX 317 COSTA MESA. CALIFORNIA tt��7,��7qq.sTT_ , FOR APPLICANT TO FILL /N COMPLETELY APPLIC�jfl )*FBki PERMIT TYPE OR PRINT CITBWILI$f?'dtESA BUILD ADDREINSSG 25x-7 UA-ssgg PL- A- CO STA MESA, CALIFORNIA FOR OFFICE USE ONLY OWNER S p/I NG E R. RECEIPT NO. /PERM/T,C oy (J /TT// AMAILDDRESS ., �`7 R RECEIVED BV DATE RECEIVED DATE ISSUED lVASSa L Y-,x/57y�/_ 5/ TEL. BUILDING ^^/ (/,-.� ,. CITY CeSTA )1_4 F s NO. ADDRESS 02.5 -C.lti`-✓ "� A' 'ECT LIC. C ECT . COSTA MESA, CALIFORNIA ADDRESS FIRE �e e TEES ZONE TYPE GROUP MbM(RAL_1jI-T rein ein ne. STATE ,- APPROVED CONTRACTOR LIC.NO.17-1G/ BY DATE ADDRESS 111 Li W - 5 sr SA AI TA 14 Am ZONING LEGAL LOT / <p U ZDNE : / NO.OF I BUE OF NEW DESCRIPTION NO. BLOCK TRACT f//�\ PLANS /'- BUILOIND A.P.Na "- �.'�— BYPROV��Ji (PEWS- OF 9 _. C-- SIZE /' V NO.OF SLOGS. YARDS /S/ `- EVES- OF LOT 651 h I Oa-• I NOW ON LOT REQUIRED ALLOWED USE OF (CENTER LINE ST.) , EXISTING BLDG. FRONT SETBACK LINE FROM T CENTER OF STREET REAR YARD R.SIDE 0 FT. P • IN. SIDE YARD I LEFT I RIGHT L.SIDE / FT. /5 IN. DESCRIPTION OF WORK. -- y REAR ----. FT. IN. _ I r It ALTERATION I II ADDITION REPAIR 1 II MOVING 1 II DEMOLISH I BUILDING NO.OF . SIZE ROOMS STORIES EXTERIOR WALL IROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED Ekec< FEMCE S/" x S;- X tot to (aMYNA/aTy • . X51- K ]L$ comMuucry • I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP✓LICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONBTRV N. y VALUATION _ SIGNATURE OFAIL) 03, PERMIT FEE $ PERMITTEE �I3 $ .TG/ X PLAN CHECK $ AUTHORIZED AGENT TOTAL FEE $