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HomeMy WebLinkAbout2791 VIREO CI - Building PermitsJ .. CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT 110.7� rJ DATE / LOT No. ADDRBSS_j:��_Z/ / �. The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The und.ersi.gned, by executing this agreement, acknowledges that (he -she -they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected, by surety bond. The undersigned agrees to indemnify ane hold the city harmless from any claim resulting in damage or personal .injury to the undersigned by reason of the aforementioned uncompleted condition. BY Purchaser /f BY � ' _i1C/�.� Developer and/or authorized representative BY Lender w Q-� ZsA 1wininq Laboratories 50 80> = _±.J A: P --F! t.. -p•:G SE4C: CPL11 ^.5. ?131 ^2S 1355 ..2 31 u36-21'56 .'7A) 628-6432 TESTING 5.,.... ..a,..... October 26,1971 Examination: SC71-5988 COMPRESSION TESTS ON GUN ITE CYLINDERS L. E. Sprague 1411 Windemere Lane Tustin, California 92680 PROJECT Swim pool for WM. HARTUNG Permit# 33723 ADDRESS 2791 Virco Circle, Costa Mesa SAMPLE FROM Job Okay, Rebar Okay, Bonding Okay, light b steps and love seat Okay. ARCHITECT CONTRACTOR Sir Pools ENOINEER SUBCONTRACTOR Grove Gun i to SPECIFIED Mix Gun ite STRENGTH DATE CAST lo. -18-71 SLUMP DATE TESTED 10-25-71 10-25-71 CYLINDER NO. 1 2 COMPRESSION 7 -Day 7 -Day TOTAL LOAD, LBS. 116,500 91 ,500 POUNDS PER SO. IN. 4,290 - 3,375 SIZE: 5-7/811 x 12-3/8" 5-7/8" x 12-1/4" COMPLIANCE 7 -day test complies with specifications. CYLINDERS L.E.Sprague DISTRIBUTION: to Mesa Bldg. Dept. Sir Pools Grove Gunite Co. L. E. Sprague - 2 DELIVERED BY LES 2 ,000 psi 51, to -25-71 4 "HOLD" 3 5 "HOLD" 6 "HOLD" 7 -Day 111,500 4,295 5-3/4" x 12-1/4" RECEIVED ON 10-19-71 BUILDIiNG SAFETY DEPT. OCT 2 8 1971 w . J _AESHEW OF BMLDN0: 2791 VIREO CI OWNERS NAME IF NIOwN: HARTUNG, LORETTA TR AODRE55: 2791 VIREO CIR COSTA MESA,CA 92626 714) 549-9899 APPL. MAIIIND AODREM UNIT. ' ARCNDECTORENONEER: - M. NO.: MICH. OR ENO.'3 ADDRESS: gym: I CONTNACTORSNAME: KAISER ROOFING (714)979-5314 CONTRACTORS MAILING 938 CHEYENNE ST ADDRESS: C.M. CA ug,�, 682897 92626 DMT: LICENSED CONTRACTORS DECLARATION: I hereby mlrm under penalty of perjury that I sat licensed under proNaions of Chapter g (commenang with Section 7000) ol Division 3 of the Bummers al Probasicns Code, and my license is in full lone and effan. IC.NNO.:064056 uc.cLAss: C-39 uC.NG: 68%2897 EXP: 01/96 /pall (- a - 9r ConI dor:. A (�,k-- OWNER BUILDER DECLARATION: I hereby affirm under penalty of perjury that I am exempt from the Cmtredors License Law for the following reeson (Section 7031.5 Business and Professions Code: Any city or ownry which features a perms to berms m, soar, imptove, demolish, or refer any struolur.. prior to its mamas. also requires the applicant for such perms to fib a signed statement that he w she in; licensed Wmawl to the provisions of the Contractors License Law (ChaPlw 8 (commencing with Section 7000) of Divehi 3 of the Business and Pnolersions Code) or that he or she is exempt therefrom end the bean for the alleged exemption. My violatom of Sermon 7031.5 by any applicant for a perms subjects the applicant to a dent penalty of not more than /we hundred dollers (5500)). ❑ 1. as ..or of the property or my employees with wages as Iger sob compwWian, will do he work, and the smuchme as not intarde i or offered for sal (Sm wn 7044, Business and Prafwslsns Code: The Cmtrectore license Law does nor sunny to an cower Property who buds or impowo hereon, and who does such work Nmeaff or hersea or through hls or her own employees. prmnded that such improvements are rot intended or offered for sale. N, however, the building w rnprwemeM at sold within one year of completion, the ownenbuilhe will have the burden of pmdng he or she dW has build w improve for the Poroses of sale). ❑ I, as owner of the property, sat exdteivey oontretlag with licensed contractors to cmelrud the Wja s (Section 7040. Business and Profession. Codi: The Contract. Liow. Law dost M apply to an owner d pmoody who builds w initiatives thereon and who contocb Iw such promote with a cwarador(s) licensed Pursuant to the Contractors Licemae Lew). ❑ 1 am exempt under Section: B. 8 P.C., for the reason: Date: Owner: I do mrsb✓ county that I are aware of shot understand the requifemena of Cations. Howth aM Sefaty Cade Sadism 25505. 25533, and 25534, and Mat I or any Mum building consonant will / will not (arch one) need to comply with mak awe codes and the requirements for aAnamwcomWdicnw modlfirationhom the Ab u3Tt anagemerd Didrict. Raeidentiel mrotmdion eppiratbmeroexemptfmm Nese plmMBleme. Date: Applicant WORKER'S COMPENSATION DECLARATION: I hereby affirm under penalty of pwjury one of to allowing datlaretom: ❑ I have and wit mountain a cewfcate of o.meml to saffinwre far wakens wmpeneation. A, wovided for by Settim 3700 of the labor Code, for the performance of the work for which the perms is issued. ❑ 1 lane and will mountain oro kers compo sato insurance, as tortured by Section 37M of he Labor Code. M the perfo matca d the work for whidi the permit ie wall My workers compensation insurance canner and polio, number are: Carver. Policy Number. 6�1=y n need no be cwmpbbd if the Pori is M one hundred doll. ISIM] or baa.) that nn the pedormence d Ila work for which this perms is issued, I shall w1 Malay any person nn any manner so m to me wbject I0 the wadam comPonsation laws d California, and agree that s 1 should become subject to the warders' ion pnovisona d Section 3700 d the Labor Code,I shall forthwith arot�rpy with those owyesom. 'I2 — � Applicant:g: Fall.. b swum workers' mmpsnNtlon oovaaga Is unle whnl, and aNll subject an employer to mirYlW perahbs and C101 fins to, t0 me hwdrad thousand dollars (S10a011 In eWltlon W Me east of asef,m uatbrt a1 ami a pravlood er In Swtlm 3706 0l Me Labor Cods, Intinal and adornay. leas. CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of Perjury that there is a conslructon lending agency ler the performance of the work for which this owed is Issued (Semon 3oe7. Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I canny Ihat I he. read this appldalion and date that the ahoy. information is cored. I epee to comply with d1 airy and county ordinances and slate laws relating to building construction and hereby bWgnas representatives d this coy to anter upon the sheve mentioned property for tnwemlon purwcee. MIKE KAISER (515146.WP) Whoa-Buikng b Sam, Date: 5-12- - 9s' Pink -Revenue; Goldenrod -Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 074161 PERMIT NO: B 074168 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE: OTB JOB DESCRIPTION :'T/OFF & REROOF W/COMP SHINGLES SQ FT: 61800 CLAIM VALUE: 6,800.00 CALC—VALUE: 6,800.00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM & HALLWAY Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- ---------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 13960115 ZNE: REF NO: PLANNING NOTES>, ff jE if jf iE iE lE iE iE RE iElERflf*******kRF iE Rf iEfE9E 0E tE iE*iE dE*RE 1E iE jE �E 9E 9E1E fE fE 1E 43E*1E Rf iE iE iE*3E iE RE 3E �E 3E 3E iE RE 9E*RF 1E*no- iE iE iE-IF iE Rt'3E iE yf D E V E,;L 0 P M E N T S E R V I C E S R E Q U I R E M E N T S r, ZONING APPROVEU'BY DATE: r. r BUILDING APPROVED BY DATE:_ APPLICATION ISSUED BY:� DATE: *iE*Rf iE lE iE iE iE iE iE****361E iE 1E ie jE ib � 3F 3F tr 7�i�7FiF3f�F�if�F fE RE iE**iE fF 3E RE* � 3F "iF RE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL S SMENT:Y BLDG PMT PLUMBING ELECTRIC" MECHANIC FIRE SMIP/RES GRADING PERMIT 90.00 68 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 90.68 0.00 0.00 90.68 90.68 .00 REVENUE DIVISION TOTALS--> COLLECTED: 90.68 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 90.00 .68 fE iF 9E 1p RE iE 9E * iE iE IE RE fF fE RE )E!E dE iF 9(-Rf 0E dF ff iE 9E dE fE 3E 1E RE * RE iE tE RE * * iE 3F jE 3E tE RE 3(-1E 3E lE fF dE iE iE 9b iE jF iE if iE if ie * * * 1E 1E tF RE iF yE * iE )E iF aE * iE 3E if I N D I V I D U A L' F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 6800 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 6,800.00 END OF'FEES `ACV/OKE �J T ECTOR ll�E® 90002-00190003 TSD T 90,68 Tltl-. 09=15 CONSTRUCTION AND PLANNING- APPROVALS Permit # Date Inspector POOL SPA. I APPROVALS Permit # Date Inspector i 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location- - 2. Soil Pipe-Undrgrnd. 53, Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - r� 4. Electrical Conduit Undrgrnd, 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER 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 Cdnnection 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 Electtical-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 APPROVALS Permit # 20. Rough Factory Fireplace 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 OGas 0Oil 25. Roof Sheathing q �l'�S L✓ 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 30. Drywall Nailing 78. FIRE PREY. FINAL - HEALTH DEPT. REQUIREMENT^ 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter -Final ^ 80. FOOD CERTIFICATE ISSUED --^ 33. Final Electric - 34. Final Heating & Air.Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy Notes: 10 �' O 7 0 G .rte C'ff-WV• 37. Final Factory Fireplace - - 38. Final Plumbingt •- �- r 39. Water Service -Final 40. Gas Service -Final . 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System - - - 45. Sound Attenuation 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING - -.-- 49. Electric Release to Edison - I 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ti Z . aZZ ZQ F- d on J 7 J N Q W fD J J m _ Q Z N Z Q W Ly d W JO m Z J 2 W W O= Z_ f— WO (n M DO COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APR-6-71CPBSa00 170 0*****5.00 APPLICATION FOR BUILDING PERMIT " For Applicant to Fill in Completely RECEIVE DB taaE RECEIVED � 7 DAJE BUILDING1 ADDRESSZ191 ` OWNERA. (� A.P. D PER MAIL 0]� _ ADDRESS IT(koyp BUILDING ADDRESSCITY rr��(F:, ���� V� NOLfIG TRACT LOT CONSTRUCTION N WADD A RLENDERBRANCH OWNERADDRESS VALUE S $ ARCHITECT' TEL. OR ENGINEER N .FIRE ADDRESS ZONE TVP GROU CONTRACTOR - APPROVED l^ BY i DATE J ADDRESS TEL. CITY NO. ZONE NO. OF PLANS USE OF NE BUILDING STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE �r pp �j Z {/ NO.OF SLOGS. OF LOT yU` �' l ��^ NOW ON LOT (FROM C/L STREET) FRONT FT. a FT. USE OF pp EXISTING BLDG. R SI FT. FT. SIZE OF NO. OF NEW BLDG. ROOMS STORIES L. SIDE FT. EXTERIOR WALL ROOF COVERING COVERING REAR FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLOGS. ACCESS. BLDGS. VAR.* C.U.P,# DATE APPROVED APPROVED a� DATE I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating buildingconstruction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Olvismn 3, Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF FSTAeL\SrwG n PenNeT Fee oHw: VALUATION PERMIT FEE $ ' am exempt from the provisions of the State of California Business and Professions Code, Division 3, Ch pter 9. PLAN CHECK $ 1 � Signature of v. Permittee $ /J N, / r4- - Authorized Agent � TOTAL FEE $ 16 / ER HARTUNG, W. A., DATE 4-5-71 -JOB ADDRESS 2791 Vireo Circle BUILDING PERMIT NO. z001A APNo.139-601-15 LOT TRACT FIRE ZONE ion -nn a-JCTIONS Signature Date GROUP TYPE ZONE R-1 ".` SUBCONTRACTOR PERMITSISSUED GNo Date NumberI Signature _WATER Plumbin ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER L) ROUGH WIRING Heating and Vent. TRENCHES FORMS STEEL REINF.' FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN OUT PLASTER, BROWN COAT STRUCTURAL, FINAL Electric 1 IG, VENT., REFRIG. AND A.C., FINAL F ANG, FINAL AND GAS TEST ELECTRIC, FINAL RIIII n1mr, PINAI 33._3 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING ADDRESS 2791 Vireo Cir. OWNER Wm. Hartung MAII- ADDRESSkR2 2791 Vireo Cir. TE CITY Costa Mesa NOL546-642 CONSTRUCTION LENDER unknown BRANCH ADDRESSARCHITECT DD Tebault TEL ORENGINEEFFI• ADDRESS13031 Prospect, Santa Ana CONTRACTOR Sir Pools ADDRESS 1015 N. Parker CITYOrange NO`538-0068 CTY No. 1516 LIC.STA 230261 LI C. NO. SIZENO. OF BLDGS. OF LOT NOW ON LOT USE OF EXISTING BLDG. SIZE OF NO. OF NEW BLDG. ROOMS STORIES EXTERIOR WALL ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED Pr. Swimming Pool I hereby acknowledge that 1 have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Cod., Divisicn 3, Chapter 9, and that such licenses are in full force and effect, or I am exempt from the provisions of the State of California Business and Professions Code Divisio 3, Chapter 9 Signature of Permittee T Authorized Agent OCT 1 1-71 PC n iB *'-'- * c.Isr.00 16�'' 39 P 0 APPLICATION FOR BUILDING PERMIT BUILDING AD27911. Vireo Cir. / TRACT 6757 I LOT 15 1 BLOCK x io`i $ 3r767• LCRODUP / DATE ! O ! ZO E NO. OF USE OF NEW�f PLANS BUILDING YARDS APPROV ED YARDS APPRO' MAIN BUILDING ACCESSORY BUI (FROM C/L STREET) _ DISTANCE MAIN BLD VAR.+ BET. MAIN & ACCESS. BLDi DATE APPROVED W SO. FT. Itp THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 2 VALUATION PERMIT FEE $ /j n $ -? 7/)`/.�,_, PLAN CHECK $ X J E OWNER HARTUNG, William DATE JOB ADDRESS Vireo Circle BUILDING PERMIT NO. 33723 'AR No - 139-6( C ETIONS \ WATER ROUGH PLUMBING PROP. SWR. LINE LOT TR AIR CONDITIONING SUBCONTRACTOR TEMPORARY SERVII- UH PULE UNDERGROUND; - OWER �,-�7je ROUGH WIRING Heatina and Vent. TRENCHES - FORMS STEEL REIN F. :�41 FLOOR SYSTEM I STEEL REINFORCE SHEATHING FRAME AND FLAS LATHING — IN PLASTER, BROWN ! .ING, FINAL AND GAS TEST I " ELECTRIC, FINAL Z . w wj Z Z F am J � J N < J J m Z N Z ¢ W= aw W Z J o M Z J � W W Z_H w0 W X 70 I— Z a U J CIL a a 0 F- 0 0 F- U 0 cc r N Z 32346 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 OCT 19-74—,"00 8L13 0****10.00 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVEDBY DATERECEIVED — —7� DATE ISSUED a �9-/9--?a BUILDING�r ole1r Z VIQCO Cozza- ADDESS 191 . I y� /� l ( I,/� OWNER I/�/It—LWA A. `"-'ARTUNG `�-'IL- / A.P. NO. - '6O I� PER j" MAIL BUILDING z-191 VIREO GIczCL.E p `/ u ADDRESS �•� I I ADDRESS ,"1I��'�A CITY �Cj�j %, '�+�.�Cjry TEL. �— NO. TRACT, !OT BLOCK CONSTRUCTION "" W ADD A P LENDER GaSN v /` >/ /� BRANCH OWNERWILUAM AlRTUIkJCrJfZ ADDRESS ASSESSED VALUE I SE Alio Co $ E ARCHITECTTEL. thK A.� OR ENGINEERW ILL TV N i.I FIRE ZONE TYPE GR/OUP �j —sQ `I ��'( ADDRESS [� 1 1 1 v I� ClkCL`�- /� 'y` CONTRACTOR ILLIAIM lir. Al2TVW,20 APPROVED ATED ADDRESS 2-`1 q V IAZO CAPc-LE TEL. Z NO. USE OF NEW //••�� /A� CITY `y 4;TAt ke,5A NEO Z NS PLANS BUILDING STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO. '— MAIN BUILDING ACCESSORY BUILDING SIZE .y NO. OF SLOGS. I (FROM C/L STREET) �— OF LOT 1�_ ON LOT FRONT FT. USE OF , I .'NCOW Q W ►�lF-�-S �O N,E EX IS BLDG. R. S FT FT. SIZE OF NO. OF NEW BLDG. ROOMS STORIES I L. SIDE FT. FT. EXTERIOR WALL ROOF I s h ICJ X 41 COVERING COVERING REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & p MAIN SLOGS. ACCESS. SLOGS. VAR. 4-L DATE �✓OLL C.U.P.$ APPROVED APPROVED .) D (/ I hereby acknowledge that 1 have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALUATION am exempt from the provisions of the State of C ifornia Business and Professions Code. Division 3, Chapter 9. PERMIT FEE $ lO •V//��� 0 Signature of QO Permittee $ 1) QUO PLAN CHECK $ Authorized Agent TOTAL FEE $ 0 - 139-601-15 LOT 15 DATE 10-19-70 PtRMII 6757 FIRE ZONE VALUE$1 000.00 CTIONS Si nature Date IGROUP j TYPE ZONE— SUBCONTRACTOR PERMITS ISSUED GAS Date Nom ber $i nato re WATER Plombin ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. I SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING If TEMPORARY SERVICE OR POLE UNDERGROUND POWER_ ROUGH WIRING Heating and Vent. TRENCHES AJ FORMS E] STEEL REINF. L] FLOOR SYSTEM'fl I I Al BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN OUT PLASTER, BROWN COA7 ` ':TURAL, FINAL ric tG, VENT., REFRIG. AND A.C., FINAL .,,BING, FINAL AND GAS TEST ELECTRIC, FINAL BUILDING. FINAL Z dU Z ZQ ON am J0 J N m J 0] J Q U Q Z� w aW W J Q mZ J � W w Z0 W 0 N Q 70 29996PA=� APR 1 7-69A� 000 , 895, t*** 167.25 SA COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI D DA E RECEIVEp D i I S_µEg LDING ADDRESS 2791 Vireo Circle PE13MIIT,ty ER Jamaica Const. Co. A.P. NO. BUILDING y^w nk(a RESS 2850 Mesa Verde Drive ADDRESS C>( /ir� /.ed / NNN Costa Mesa TEL5490395 TRACT 6757 LOT 5 BLOCK NO. TRUCTIO �ZCJ[�d-%ww `n W ADD A P ER ,Y CH OWNER GC. S/Ot3f/ VALUE SE R ESS .!✓' ITECT TEL. FIRE '/(�/,, GINEER Kaltenbach N .547804 RESS 823 E. 17th St. S.A. ZONE TYPE [/ GROUP Y APPROVED RACTOR ,Jamaica Const. CO. BY DATE RESS 2850 Me a erde rive ZONE NO. OF USE OF NEW iTEL. CO to e a No. 5490395 R-1 PLANS 2 BUILDING yt dt.t. dTE CITY YARDS APPROVED YARDS APPROVED NO. 193122 LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO. OF BLDGS. ( FROM CIL STREET) OF LOT 70 X 135 NOW ON LOT 0 FRONT FT. FT. USE OF EXISTING BLDG. B. 21DEFT. SIZE OF NO OF NEW.LOG. 2200 sq•f tROOMS 9 STORIES 2 151 L. SIDE FT. FT. EXTERIOR WALL COVERING wd/stU ROOF WERING wood 4 REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & single family residence MAIN BLDGS. ACCESS. BLDGS. w/att. garage VAR.# DATE C.U.P.# APPROVED Plan 220-B APPROVED W. L.D. DATE 4-10-69 d -QM I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of �7 / ` o 3o5/SO. FT. 67 6' -- the State of California. I hereby certify that I am properly licensed as a contractor under THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business Chapter 9. VALUATION and Professions Code, Division 3, PERMIT FEE $ ///1:5-0 J S PLAN CHECK $ /✓ Signature 9`a maica Construction Com an at �i Permittee,la ,s/ . TOTAL FEE $ 46 7i P%S Authorized Agent h