HomeMy WebLinkAbout2797 VIREO CI - Building Permits -
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
,CITY'OF COSTA MESA-- -- PER T NO._ ._. . . TRACT NO. LOT NO: • -BLDG:NO.- -- - - -- _ _-
CONSTRUCTIONPERMIT � ;j�c?�•. :C'. ' I•
' u t;_' ..; - -.i' •- ,•- -
1 Project Address \ TYPE OF CONSTRUCTION I; ` ' �' '`:- ,1 88- 7/ 5/82 I /3.00 'TL
�--- 7v�r �,R CIR , as
rOwner -f72
ns Fts V.. 'Q-f9 F-m :•-..-v Phone'Sy�,:n73e, O-NEW 'O ADD - 0 ALTERATION' f--- ,in -
'.Address_.,1. dv O REPAIR 0_CONVERSION'L DEMOLISH_ _ • ff l 4"U I ''
791 V,'RFb• - `-(R - - • - -ZONING REGULATIONS j t
Arch/Eng. . .- • . . _. _ License No. _ - - 0 OTHER• ' - '_-�•A.P. — _ -
:.Addresx DESCRIPTIONOFWORK_�r'f0/- S6&A0.h&A1-c, .l ' t --. :
PLNTGp
.Contractor__ .0/ _.. 1_ - ._ .Phone- —_--r _ -- _- ._. _- BUILDING PROP RTV.LINE. -
Tj TVPE OF PERMIT - BuUt LDI NG x--
' - ' SETBACK C/l,SL -E -
r _ L GRADING O-FOVNDA 10 .0•ST RU CTU RgL-- 'L_ITE
LICENSED CONTRACTOR DECLARATION •Is''‘-' _ }'0 TENANT ie'ELECTRICAL�LUMBIB1•G_DMECHANICA pE1-YARD I
I hereby affirm that I am licensed under provisions of Charter 9(coin - RIGHT
mencing-with_section_7000). of [Division _3 -of the _Business and 0.OTHER $OOT A/L' _
Professions Code, and my license is In full force and effect. -- 1 'REAR YARD(TO P/L)' -
_1_,_..-.. ,a, r , PROJECT DESCRIPTION • - -- _ - - - "' t
Licenxe No: '- -^ 7 • •-" ; -------'^ 'TPKG:SPAC E'REO:"--' " - P,ROV,1DEDo i-
SQ
Date-'--- - - Signature - _ - -- _ _ _ _ _.. --_ . . . - __ _ � R
• WORKERS'COMPENSATION DECLARATION - 'OCCUPANCY__ CONSTRUCTION TYPE tSTREET WIDTH' '-"-'"- .`PARK_F,EE$.. ..�-'L.
'I hereby affirm that I have a certificate of consent to self-insure or a _ -"- -- -
•NALUATION ' ZONE - �+: + •
cerlificate_of_Workers' Compensation;Insurance,-or a certified'oopy, - __ __ __ _ __ _ _ -- - '-_ i
t"e.eof(Section 3800,Lab. C.).. 5GRADING-CU.•V DS� ACRES -SPECIAL-CONDITIONSi'- -' -- `'
•
No. - Company . ..__. -. _:- J - - _ __ _ - _ _
rtifietl copy is_hereby furnished.'..._. _..__.._ .__ _ + . REMARKS:+ r'T.•'r- __ •_ _f• _-'..- -•_•__ L_-_.._.._ „ •.. ",tl .i^ --.1
L. ..entified copy is filed with the City Building Division. - - l- - "-'-'^ ^- '-" -- - - -
EXEMPTION-FROM-WORKERS'-COMPENSATION DECLARATION ----t- - .- -- -- - - -. _- ___ I )O' I'�9 -
(This section need not be completed if the permit is.for one hundred .- • • • -• L. ., :_ ii - • ;1 :: pts-p - I
($100) or less). -- -- - _ _.__ _ ___-_'--______.-- - __ • _-__ _ ..--•'- \ - .. _- _ ._ - - _... -_ - - - .-
I certify that-in the!performan ce of the work for which this permit is +
issued,-i•shall-not employ any-person-in-any-manner-so-as to-become- •_PLUMBINGr _7-7,i----anPLAN CHECK" - t--- ----- „ELECTRICAL ' - -PLAN CHECK -
subject4o the Workers'Compensation of Calif i};i L•/+. '
-g_gy + "'— ""' '"_ "` - `� BATHTUBS "T-'"SHOWERS-" ---.7- " -• _ Uw tLLINb_ __.�--..•.GA HAbt - - _ t - -
Date Signature __,4 SO FT• Sfl FT _ -1
NOTICE: If after making this declaration, you should becom subject. .'TOILETS .-- •,.-c,,,, s_URINALS - -- -- -• - - -•- -GENERATOR- 0:1-KW-"' 1-10 KW --' - -.
to the Workers' Compensation provisions of the Labor Code,you mush TRANSFORMER - '., I
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLELAVS---- 'T J"- --- -APPLIANCE - 10-50•KW_-50+ KW--- - -4,----R-
5 - -•-1
revoked.
CONSTRUCTION'LENDINGAGENCY "-� "- '-KIT.SINKS - ----^-DISHWASHERS---^ -,- ---- -- -MOTORS--------0-1'HP_1-10'HP=`• ',Fi .c';
fformaan ceof the work for which this permit-is iued (Section 397 FLOOR SINK55 --T' TFLOOR DRAIN$- L--•'-'+- 'P XT�U RESv)-'-OUTLETS^--SWITCHES-^-- +^---'
I herebyaffirm that there is a construction lendingagency for the per- _ _ _ _ ''fi1` `l f
--_
Lender's Name - -
Lende?'Address "--`---'-' -'- `" `DRINKING•FOU NTAINS' - -- =-- v - - - -- --- TUBE SIGNS -- ------- - _ ;
OWNER BUILDER DECLARATION. -,------ - INTERCEPTORS" --- CLARIFIERS`--' •'F- -"•'" - 'POLELIGHTS - -----• '----- - - -- -- ---'
I hereby affirm that I am exempt from.the Contractor's License Law for , - -- ,
the following-reason-(Section_7.031.5..6usiness.antl-Professions Code:.. _SWIMMING POOL --- •--PTRAP--- ----- ' -- = a.urvbl Hul.11ury - _-I
Any city or county which requires a-permitto construct, alter, _r --.POLES" "- METERED SUB -"- " - - � "-� •1
-•
improve,.demolish.or„repair_anystructure,.prior.to.its-issuance,also re-. _WATER SERVICE -- -ALTERATION=-- -'PANELS'� ^ 'MAIN AIN -'SUB -^--•= -�.ry
-TT - ^-••- 1
quires the ap',licant for such permit to file a signed statement that he -. �'� "'� n
Is-licensed-pursuant to_the.provisions.of the-Contractorls_License_Law. -:GAS SERVICE”---' - "OUTLETS' '"-^ SERVICE
(Chapter 9 (commencing -with Section 7000) of Division 3 of the - - - -
Rusiness.and_Pro(essions Code) or that he is exempt therefrom-and.the. _.yyq TER HEATERS- -BTU+OUTPUT-- - -- -r-- - -- --- --• - - - -- -_ ---for the alleged exemption. Any violation of Section 7031.5 by "
ppliaant.-for.a permit.subjects_the_applicant.to.a.civil-penalty_. .-SEW ER20NN ECTIONS----!}- ----- - (---- - - - 4- -- '~ - - - --- ,-- -�
p t more than live hundred dollars ($500). Q.p ../..-&&�i s
40 Zhl;-as•owner-of-the-property; - -SOLAR TANK'-^------COLLECTORS-,9 - - - - --- •-• -- - -- ' ;.-)`!.......i,' -• --
r
� r-
ior;will do the work, and t e structure is not intended - 'S -
or'offered-forsale.-(Section-7044;-Business and Professions CoderThe- -'SOLAR'PI PING SVS' - ' - -•' '^ ' '• �- -� ISSUE FEE-- --^- • - - - fi
Contractor's License Law does not apply to an owner of a property -_ Jit..---3
. -•OATEN �ry
who-builds or-improves thereon,-and who-does such-work himself or '- - ISSUE'FEET"- - ___(-- ---- - '1_3 �gPPL-(CATION•APPROVED BV---
through his own employees, provided that such improvements are not -- -
intentletl or offered for salerlf,, however; the'building•orimpruvem<nt- -MECHANICAL —
PLAN CHECK' aj --
is sold within one year of completion,.the owner will have the burden s V- SUMMARY OF FEE$ -� -j
of-proving be-did not build-or improve-for-the-purpose'of.sale). - ------ --- - -BUILDING
0rnrn HEATING SYSTEM 0-100000 BTU I (PERMIT - $ - ^• ? 0;SMTP. �; '
I, as-.owner of_the_property, am.exct (Setio contracting_with _qND DUCTING--- ---- 'i--- --
licensed contractors to construct the project (Section 7044;Business - - -- --- BTU 1 PLAN CHECK $ fPERMIN..,., ',.t.,_` •
and Professions Code:The build ctor's.License Law,does not apply-to _ - __ „- _. ..... .�_.___.__._ _ .__, ISSUANCE-'$ ` '
an owner of property who builds or improves thereon,and who con- - .REFRIGERATION 0-1OQ000 BTU - ^' - ,PLUMBING $ �f - - 1
tracts-from such projects with_a contractor(s)_licesnetl-pursuant to _SYSTEM_ -__._ . _ I , - - _— —,'.'"GRADING_ -$' ' ' -
the Contract'or's License Law). '" 100• ,000 Jr BTU-'-""`-' t' _ -" -PLAN CHECK $- - - - - - it!'�. , • I
0-I am exempt-under•Section -• - •B.& P:-C.for this-- - J'' $
BOILERS BTU, 1 ELECTRICAL '$' -
reason .. - :it, ..•••., Ji-M F •
Date SYSTEM REPAI R,ALTERATION 1-• �PLANCHECK $- - - - --
- Owner � - - 3 TOTA L'FEE�$ _(:6
. _ _ica - - _ __ __... . _.MULYI
i•t' F+
II
MECHANICAL^$
ory certifyis car I have agree-read this application and state that the above ty EXHAUST SYSTEM MULTIPLE • I . n 1 •:,rp LESS.AD , i u
informationrdinasid starred srelating
to concityry authorize r F'
representatives
iv and state laws city-to toconstruction,ojectandhupon the above mentioned- - -- - ---- '
property for p:. Ion p •• }� c3 - , ! P ,
..-•.-. 0.a _ _ .' . FINAL FEE $ O
Signature !- • _�� Date ' _.
�
.- - - - - ----
CMF 0865-46 White-Building; Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
.. .
POOL. SPA '. ': b' I'' •'
CONSTRUCTION AND PLANNIN Date. " 'Inspector
4',3 . Date ,' Inspector APPROVALS'' "' -''• _ Permit _
APPROVALS Permit # '
1. Temporary Electrical Service or Pole : s - ! 43. Pool & Equipment Location _
y 2. __.Soil,Pipe-Undrgrn". -. .. - .-. 44. Steel-Reinforcement -- -• __ . : ___ -
• -- __ . -
3. Electrical Conduit Utility-Undrgrn_ -_ -' .. 4.• u 45. -Forms ..
: 4. _ Electrical,Conduit-Undrgrn_ . _ . __ _- _ _. .. 46. Electrical Bonding " " "' -_ ..
-. 5. -Steel Reinforce �_ , .• , , 47. Rough Plumbing& Pressure Test-- - -_
' 6.-.Electrical,UFERGrn__. •_ __ 48. APPROVAL TO COVER-GUN ITE - i-,---.1.-T. TY . 'r -„' - r.
- 49::. Electrical Conduit-Undrgrn.. '
--8. -Foundation -_ . .. _ _ _: - _i 50:.:-.Gas Pipe, ❑iUndrgrn,Test - ' - v
-9.-Water_Pipe=Undrgrn_. -. _ . . ....,•_ ..... ... .. -.I.; .. 51. Backwash Lines;P-Trap.-1:1Undrgrn _ - - 4 -
L. 10.._.Structural'F,ldor System_._ .. . . ... ' Iv.; v.: - - +-52. APPROVAL TO DECK
L.11. -.Property Sewer Line & House_Connection. . _. . - _ --_. _-- - - --53. Backwash & Receptor-Final . -
-.12... Street-Sewer Connection- .."- _. '•-- -,1 - - - - -- - r'- - -- 54. •Heater & Vent-Final. '
55. PlumbinaSvstem • Final - '• y
14. Rough Electric-Conduit " -'-- - -- - '-56- Electrical-Final '- _ -_ _. . !,"
15. Rough Electric-Wiring -- " - - - 57. . Solar System-Final- - ,._ - - r,
' - ..56. Fencing & Access Approval -
16. Rough Heating-&-Air Conditioning - - ' - .
17.'--Ducts;in Structure-r -- - - ';. .- - _ ! .. ". • - . _. . . . -_•59.. APPROVED.-FOR'PLASTERING.9 a . - • : - _ • ,"it. ' L. __••.L. s
-18+-Ducts; Ventilating - . - -. . -a:, ;. 1 -. ._ - :. _ . . . L - - - _ . . .1_--
19.' Gas Pipe=Rough rest - " • t-- -160. " POOL/SPA SYSTEMS FINAL ., r, .::i ,, . a
20:-Roof Framing - • - -- - • - - - - -- - - -- --
21. Roof Sheathing . -__ .. . I- - .__. _. - - _ -/ , ,• j� ,"i
22..• Frame and Flashing • - - - -- .-- -' 1 - _ -. _ NOTES 'a +►� s '4e - •a ? -- _-;.-- "-__;,-_=39�; ,,_,--=,•` i,
23. - Insulation - - -- • - - t- - : - !o'C--4:--w: r== '°� �u�-
/ A 13-� • {. sEle eti4^ • 1
24.•- Lathing & Siding - -- • I , �_ - •
. ^ .. . _ .-pc.f: I,
25:' Drywall Nailing - - ,�- . ;r . -_ -. ---� - _ -
26. --Plaster Brown Coat .. ... - . - .. - .. - . ....__ -". .. .. , ..
27. -- Electrical Power Meter-Final- - - - - . -t------ -- -- -- -" - - i . - ' '
-28.- Final Electric - - - - --- . -
29., --Final Heating & Air Conditioning- --.- I :-- - - - -' -- - - - -- •
30. - Final Gas-Pipe-Test - .- - -. -. . '_ .._� _ _,} .. _ - . . .
L
u ,
31: -Final Plumbing -
32. - Water Service-Final •. - ; _ _- -__-.. --. . - - '
, - . - .
• 34. Solar Domestic:Final 1L
---• -•, - -r1. _ :.39 :Az ..' . _ _ . . . , . • .y I _
`• 35. Landscape Sprinkling System. t - --" ' - • . .
36. Sound Attenuation _ . -•r. v - ___ _ ._ . _ - .
. 37. Handicap Regulations - '. , - -- '' •' " . ,
138. FINAL STRUCTURE & BUILDING '
39. Special Requirements Completed . - _ ___- -- .
' 40. .Electric Release,to Edison •
- _ - - - _ - __ - - _.
I 41. Gas Release.to:Southern California Gas Co. '•
42. CERTIFICATE OF OCCUPANCY -
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MANUFACTURERS OF SOLAR HEAT EXCHANGERS
FAFCO INC. o BOHANNON INDUSTRIAL PARK o 138 JEFFERSON DRIVE o MENLO PARK, CA 94025
- i/ � o%Y/ SOLAR Win" .
7-
,--/;;'
SENSOR ?�
w SOLAR
PANELS
77/7Z, •
• /rN+ �A
rel ``,,i AUTO-CONTROL
ME /44{44
I. --- � -
ins j A al
II
FILTER T PINCH
'—. ° VALVE HEATER
I
(EXISTING).
A wilt i
ts_ , PUMP l'"".••..... ......../---
COOL WATER1
-- -- TO HEATE\R - ,-'� , r.%
- - . --
HEATED WATER ---
TO POOL
PANEL REQUIREMENTS. A minimum of one-half to 2. For summer heating—inclination equal to latitude
three-quarters of the pool's surface area in solar panels is minus 10-150.
the recommended "rule of thumb" for sizing a swimming 3. For winter heating—inclination equal to latitude
pool solar heating system. (Example: 800 sq. ft. pool plus 10-15°.
needs 400 to 600 sq. ft. of panel area). Particularly in SITE SELECTION. For convenience and ease of installa-
Florida, the solar panel area frequently equals the surface tion, the ideal location for the solar panels is a SOUTH-
• area of the pool to provide adequate heating throughout FACING PITCHED ROOF, near the pool, with enough ,
the entire year. space for mounting the required number of panels. How-
y rever, an installation on a flat or West-facing roof is accept-
SYSTEM/ PERFORMANCE. The performance of the able if the panel area is increased. Northern exposures are
system is directly proportional to the number of panels not acceptable and eastern exposures tend to be about
installed. More than the minimum requirements will in- 50% effective and, therefore, marginally economical. For-
crease the ability of the system to heat a swimming pool tunately, the modular nature of the solar panel makes it
under marginal weather or orientation conditions. AL- easy to deal with these conditions and tailor the system to
WAYS CONSIDER INCREASES of panel area on a dimin- the specific site.
ishing percentage basis. For example, 4-panel system plus
one panel = 20% increase; 10-panel system plus one panel
=9%increase. ALL SOUTH FACING
Minimum of 50%of pool area
IDEAL ORIENTATION. The panels should be facing true ALL WEST-FACING
South, with the inclination adjusted as follows for the Minimum of 75%of pool area
northern hemisphere: FLAT ROOF
1. For year-round heating—inclination equal to lati- Minimum of 75%of pool area.
tude of installation;
.y Mi
IIIIIIIII.7\
c i ill 8.0f 10 51-3/8"
48"
I`, 3/16"
O � ,
IN
- ( �� 2-3/8"
4 t /cs�t....„________.,„'\
� ' gyp, The FAFCO solar panels come in 10'and 8' lengths. Both
�J
are 51-3/8 inches wide. When computing 'the actual
Q. vi? installed dimensions of the entire system, allow an extra
"/ 12" around the perimeter of the bank to accommodate
1 a; tnv j mounting apparatus, plumbing fittings, and system ac-
t�, \ "SS M / cessories. If the panels are to be mounted on a custom-
`,ms's til'' .f{ . made structure, send for FAFCO Applications Sheet,
�, '1-�\ r., (Simple Rack Designs)
9 ':arc-:N ri S^ r
rl e . tc. 9£1.R--S",` `y4 PANEL SPECIFICATIONS
§� 611
PRESSURE, FLOW & TEMPERATURE—The FAFCO panels are
I"1" t .q designed to take a very high flow for maximum efficiency.
.) ��^ se Pressures of 4.5 psi will result in a flow of approximately 8 gpm
4 tc `�y� per panel, which is maximum recommended flow. Minimum
k ° • ` `' recommended flow is 2 gpm/panel below which excessive losses
>\o� ,rµ\ �- +, occur due to overheating of the panel. Maximum design pressure
at 80°F is in excess of 30 psi and average working pressures for
I =:v 1 �- -_.. \' Z°41 ' f' pool heaters are approximately 8 psi. Dynamic testing of over
I fi,ic'y 100,000 cycles from 5 to 25 psi at temperatures of up to 220°F
ivl has been accomplished without failure. At temperatures above
—. - 100°F the pressure should be limited to that dynamic pressure
required to achieve the flow required.
The accessories and components necessary to complete The
or greater to 50 microns.
EMISSIVITY—Same.
the installation of the FAFCO solar swimming pool heater CORROSION RESISTANCE-Completely inert to virtually all
have been pre-packaged to faci4itate ordering and hand- materials.
ling. CAREFULLY CHECK YOt{R SITE PLAN BEFORE FREEZING RESISTANCE-Not affected.
ORDERING. .„ WEATHERABILITY—Extensive tests suggest minimum ten-year
life.
REQUIRED WEIGHT-10'panel = 16 lbs.;full of water= 58 lbs.
LOADING FACTOR-1.5 lb.per sq.ft.
PANEL PACK. Coupling and mounting accessories needed
for each panel (included with each panel). - .- ,
SYSTEM PACK. Special components and accessories SPLIT PACK ®f/ ;
needed for complete installation of entire sytem. - -��- .-
OPTIONAL 9 .7-1=-5-":4.-7-1----
, Ot _ __ }
SPLIT PACK. Special accessories needed each time panels BANK PACK —«`r-fi
split to accommodate obstructions on mounting surface. r /, ��� ...
1
BANK PACK. Special accessories needed for each bank of _— _
panels in multi-bank systems. ,o
AUTOMATIC CONTROL. Solar sensing unit that auto-
-_ matically causes water to be diverted through solar panels I For additional information: �
} when there is enough radiant energy to heat water.
,r
- (1Ys" valving standard, specify for 2". 240 VAC trans-
, - former standard,specify for 120 VAC.) %
TROPICANA SPECIAL. Automatic control with two
•UTDOO '1 LOVING
pinch valves used in systems mounted below level of pool (408) 659-3424
or whenever water has tendency to circulate through
_ panels when control valve is open. P.O. BOX 522
9 ®olfino PI., Carmel Valley, CA 93924
s
REPORT OF INVESTIGATION
Variances: Asslg to: Case No.: 3 /T
uilding Division `/
C.U.P.'s: ElPlanning Division �i Assigned to: alatrAgestr—
ElJoint Investigation A� '
Date: / re's-� . Z
Received by: "�('//�/�/�('�'J��� .7 7 9 'Vitt C
V plain ./ r_
Address Name of Property Owner Telephone
Telephone Numbe �J Owner's Residential Address
Nature of Complaint: -.''7 wC-eged7j
(17
6,6 \\
Investigation by: Time of Day (if applicable)
Inspector
Building Permit Files Reviewed: Zoning Files Reviewed:
Initial and Date Initial and Date
Assessor's Parcel No. Map No.
Violation of C.M.M.C. Section (s):
-� h�trrr
Findings: 276 ,,7-i,' eZ77JL✓ v.YC•d /t' c oo s' '7-2- et/ /bZ 1/ -- frRr
- —T3 a IOat7' 1719 -e—y)ref;gr, mitemy f oriel✓ rici'B c.J,(/f
715'77/C(Ti+-r—GLQ 3-7471 Si r . �'yc - / d
a%71 I:Vee..11/kil�'J� YI 7?;) r./
" rki� /C'
7 3i. v1 0et-77-e; Q
r/aZ :V/<,,.7i/77 4
nil
.-41
/2 d✓e r e2.01. ci/ri.• , )r/L( lr:Arms/ 4 r4%'r P�'r/em %d ItJn '—�
y aCaec,/7 7 - 7 - 82 //-a ��. 1
Cem,�r a �'KKl
NOTICES:
1st Given: Time Allotted for Correction
Date
2nd Notice: 5-day maximum time
Date
Certified letter advising that if violations are not corrected, the complaint and all supporting data will be forwarded
to the City Attorney's office with request for prosecution.
Date Mailed Date Received 7-day recheck of site
Files forwarded to City Attorney's office with request:
Initial and Date
CMF 0829-30
r,zA 1 , r FaK SoiA r0 Co µtI y p. E 7) 13
7(Ain i-tJ s - 30 - gz b7 Ci c6, c & b a e" -P.
li(os-e cC 7b CoA, /J//I c.,0
ADDRESS0FEUILga 2797 VIREO CI inn CITY OF COSTA MESA - BUILDING PERMIT
DAmERSNAMEIFIQC#1t BERGER, JOSEPH B TR
PERM NO: B 078534
ADDRESS 2797 VIREO CIRCLE
COSTA MESA, CA 92626 PERMIT NO: B 078534 PLAN CHECK NO: N GOVT: N SUPP: N
842-3622
' AppL.MAlldioADORESS: CONSTRUCTION TYPE: PERMIT TYPE : STR PURPOSE: 0TH
.'ARCHITECT OAENaNEER: UC.NO.: JOB DESCRIPTION : T/O SHEATH & REROOF 1925SF W/CEDARLITE SQ FT; 5, 775
Mgt OR ENG.'S ADDRESS: UNIT:
CLAIM VALUE: 5, 775 , 00 CALC-VALUE: 5,775 . 00 GROUP OCC: R-3 /
CDNMACTOfsNAME: ACTION FIRST ROOFING SERV ( 714 ) 842-9122
caxmp:ToRSMNIsio 7472 SLATER AV COMMENTS : REROOF W/CEDARLITE ICB0#2093 ( 5 . 6PSF MAX W1' T
ADDDESS c.xo.
HUNTINGTING BEACH CA u : 688649 ************-*****+ +E**+('*+ *+E*+F+Eu-*'+F+l'�t***-+l*�trt*******�F�[-N* _it**
92647 uNR: Z ONING R EQU IR EMEN T r, lfp''��{�(''
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am tensed under provisions of Chapter 9 SETBACKS k EQU I RED
(commencing with Section 7000)of Dbisbn 3 d the Business and Professions Code,end my license o in lull force and effect. Lllbbb
crrrimmo,064302 uammm C-39 UC. a: 688649 EX : 05/97 MAIN BUILDING ACCESSORY BUILDING -`-
7- �/_ �� ter ��� ��� ! ( FRNT : FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
Dove: conchae: f�f� LEFT: FT IN RGHT: FT IN • LEFT: FT IN RGHT: FT IN
OWNERvMg BUIreason
Rdion70l5BuSS by and Professions
Code:Any
Poryry ccothat lymeeemg theimnCormitMonmma, liee w improve,
mprNe PARKING REQ: PROV: PARCEL: 13960116 ZNE: REF NO:
reason(Radion I DECLARATION:I her end P ren under Coralt Any erju or county which netsmen permit lo for ss Li e,alter;imor the
demolish,or repel any structure prior to its issuance,ales requires the applicant for such permit to file a signed statement that he or she
licensed pursuant to the provisions d 0)d the Contractors License Law[Chapter 9(commencing with Section 700Division 3 d Ib PLANNING NOTE S'> r',,-.
Buses and Professions Code]or that he or she is exempt therefrom and the basis for the eBeged exemption.My violation of Section ) j
7031.5byanyMarinelli for a permit subjects the applicant to advil penalty of not more than fire hundred dollen MS50OD. *************1E1E******************************************************.**********
0 I.as Darner of the property or my empkwees wth wages as their sole compensation.will do the work.end the structure is notintended DEVELOPMENT SERVICES REQUIREMENT S
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of property
who brads or improves thereon,and who does such work himself or herself or through he or her own employees,provided that such - <1
imprOvaments are not intended or offered for sale.If,however,the building or improvement S sold within one year of completion.the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
' ❑ I,as owner of the property,am exdusiveN CCitaeling with tensed contractors to construct the proieot(Section 7044.Bfainess and BUILDING APPROVED BY DATE: ,,-",-
Professions Code:The Contractors License Law does not apply to an owner Of pr peny wits builds or improves thereon and who ,,
contract,ler such pgects with a mMractor(s)tensed pursuant to the Contractors License Law).
❑ I am exempt under Section: B.&P.C..lorthis reason: APPLICATION ISSUED BY: DATE 7V ( 11c
************************************************ *************** *4; ***** ***
Date: Owner • LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements of Caliomia Health and Safety Code Sections 25505,25533,and
25534,end that I or any future building occupant will/will not(circle one)need to comply with mid state codes and the requirements for
e permit for construction or modificationhornthe Ak DuaMy Management District.Residential construction applicationsare exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE ./ SMIP/RES GRADING
Provisions. PERMIT 112 . 25 58
Dale: Applicant t' 'SMIP/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declaration: ISSUE FEE
❑ !have and will maintaina certificate of consent lo self-insuren,nsure for workers'compensation as provided for by Semon 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL it,-, A' PAID DUE
Code tor the pedmm
eaoemewwklorwihh.pem Siesuea. TOTALS----> 112 . 83 0 . 00 0 . 00 112 . 83 ET 112 , 83 . 00
❑ I have and coil maintain worker'compensation insurance,as required by Section 3700 of the Labor Code.for the performance of the
work for winch this penult o issued.My workers'corn sur Polity number ere:
Carder: GULDEN EA EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 112 . 83 OVER/SHORT: . 00
Policy Number: NYE_ 341o4G-vZ 09 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT^ GRADING PLAN-CHECK
(This rection need nor be completed t the pemit is for one hundred dollen($IxJ or less.) 112 . 25 . 5 8'' Ss
❑ I certify that in the performance of the work for which this permit S issued,I shallnot employ any person in any manner ao an to Ii -1'
become subject to the workers'compensation Laws of California and agree that if 1 Mould become subject to the workers' *******************************************************************************
compensation prow /s
nor o Section 3700 a the Labor Code,I s anhwith ply/wit)hoseprprww ✓isions.A.„___. INDIVIDUAL F E E B R E A K D 0 'W N
Date:a—(// 1
— fApplicant: �i(�g/ . / /S )
Warning:Failure me
ASCU!,workers'
compensationcwunlawful, to subject en employer criminal penalties and TYPE QTY DESCRIPTIO N UNITf',COS,T TOTAL COST
civil fine.W to one hundred thousand dollars(5104000),In addition to the cwt of compensation,damages as provided for In 9.7. '
Section 3706 of the Labor Cods,interest,,and attorney's lea SFR 5775 REROOF BY VALUE RESIDENTIAL NOZONE .1'.;0,0' 5, 775 , 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under Penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this permit a issued(Section 3097,Civ.C).
LENDER'S NAME: .
' LENDER'S ADDRESS:
I certify the I have read this application and state that the above informationanent.S anent.I agree to complywith all city and county ordinancesel`o
and slate laws relating to building construction and hereby authorize representatives of the city to enter upon the above-mentioned property
for inspection purposes.DORIS HADA C
AJ Date:Print Name _ _ �.�['; _ _ _
i , / 7-f(� 7 / t . . 1
Signature of OwnedAgenuApplcanUContnda
(5151'46.WP) White-Building&Safety:Green-File:Canary-Appicanq Pink-Revenue;Goldenrod-Assessor
- - POC BPA
CONSTRUCTION AND PLANNING - - - . .
Date Inspector- - • Date ' Inspector
APPROVALS Permit #' - APPROVALS Permit #
. 1. Temporary Electrical Service or Pole- . 52. Pool & Equipment Location -
2. Soil Pipe-Undrgrnd, 53. Steel Reinforcement n'
. 3. Electrical Conduit Utility-Undrgrnd. " 54. Forms 1
4. Electrical Conduit-Undrgrnd. • 55. Electrical Bonding ,
5. Steel Reinforcement . . 56. Rough Plumbing & Pressure Test
6. Electrical UFER 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 Unclrgrnd.
. I -
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, Ventilating . - 71. 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 Sheathing7_.7-16 G 74. Overhead Hydra
26. T-Bar Ceiling (Structural) & Monocoat t [ '__!� 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
32. Electrical Power Meter-Final '80. FOOD CERTIFICATE ISSUED 114
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 _ - '
39. Water Service-Final
40. Gas Service-Final _ , .,
41. Solar Domestic-Final i
42. Backflow Preventer , -
43. Backflow Irrigation _ 7-30-96` .1te-e4 5-4v- t Ack-
/'�
44. Landscape Irrigation System - - - G.
45.-Sound Attenuation - - - -
46. Handicap Regulations _ - `
47; FINAL STRUCTURE 8 /BUILDING
8 7-q6 awl t -
48. FINAL PLANNING -_ . -
49.•Electric Release to Edison
50. Gas Release to Southern California Gas Co - - ,
51. CERTIFICATE OF OCCUPANCY
No. Date
i .
n o
r;g of/Zr:,• i'.(:
-t,
TEST0H rch. 26 . ;,
X973S..„,..•,,,-;-_--4:1-,:', -
Mr: j COMPRESS7pry Examination: SC
SO41 Do Hoke q Sue TESrS ON GUN1 T CYUNDE 73-1781
1eying yehUe ,: RS
Ca1t•forhle 927p7
ADDRESS
4RcsrnECT' P
279
IRV tnrteg,g`
oPoeCoalml rcfoI er
dCoEs tBoFR%Gi
eEsRa
Perini tr7361
'SAMPF ROM lq BoB
y_ _ COHSRAcrpR ..
�3 3A End'
a .
Iry
MIX b - suacoN Ra P0oIs'
r Gunite ,-:75-;,:-.,,,,.,,
:. Groye .Gun
DATE CA5T SPECIFIED
3 I j`73 .`r STRENGTH
DkiE TESTED _ 2,000 psi
3 24-73
_rStUMP '
. ;,Y CYLINDER Np -
1-24":13-
COMPRESSION
torat 7 Dar `
LOgp l65 3 i
A 'Nip„
_)04 , ? Day �- q ,, p. , q ,,
,PER 'SQ IN . 1:12 7Day I1DLp 1
SIZE:- 3.680 ` .Soo
- 4 150 !?B,SOO . `~
COMPLIANCE .: _ r 12 .I.:/4„
y test c0 ` t „ x -12 1/2 , . ,
CYLI "�DFer + P11es wit ,?Peel f!cation s
NDERS DFLYFRFA ay '.
L.I.Sprague
-'�,' DISFR,bL710N LES ,_ RECEryED o, -
Costa-Mesa �?id
trvine. Ppbis 9 DePt': ', ( -
`,� 3 19 73
Grove Su„lte Co, � j
L E•Sprague - 2 vv
/ 47S
III
n C!I
• _ -s-_•, �,., -"UG z
t
,o z
D
_ c rsr3 .
t C"»ORtlnl.ON p ..
y S 74 ,t
',SE.Vt,
_ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 1 �^�., _
CITY OF COSTA.MES�A CONSTRUCTION PERMIT - PERMIT NO.
(' TRACT NO. LOT NO. UNIT NO. : r Cc's *' i I•i ti i; ;' '
Project Address �" / q 7 Y 1 at o �%l�/.... ' 2 3 /7J �y/ - •r
Applicant's Mailin Address 1`g47 Vff IC4-o Citi TYPE OF CONSTRUCTION , /NEW.
Li-ADD LI ALTERATION L REPAIR
IOwner's Name b 6J•CYL[v�y� Phone ❑ CONVERSION ❑ DEMOLISH ❑ OTHER • -
17
SS`'f06 - A.P.# RSR .... Zone
Arc?
`p .. DESCRIPTION OF WORK/USE OF BLDG. -
" Address s/�Q7 V L'ittt0 K-•In r • , r S Main Building: • . Al!c�cessso�ry.B'yuilding;
Arch/Eng. — - License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front •Vl COS1i� I.1CJH O
Address • ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
• Y 1
Contractor's Name ‘'W � "'Phone}-TLDD7Yl6 •""' LI OTHER o A _ N
PROJECT DESCRIPTION SQ. FT/ OCCUPANCY R -4 C Right G
Address(mailing) CONSTRUCTION TYPE t/ IV VALUATION $ �V � 'S Left ; - R
City License No. • ' - ZONE GRADING CU.YDS. ' ACRES , .. E
LICENSED CONTRACTOR DECLARATION V l Ping. Ref.# • I Parking Req,/Provided ,
I hereby affirm that 1 am licensed under provisions of Charter 9(commencing ) • Remarks: l 1µ/L '/ /. f Z.' f rt PlanningNotes: 0
with section 7000)'of Division 3 of the Business and Professions Code;:and
•••�T C- • I - - '��•�dinne T
my license is in full force and effect. i r - :•
vr.•,•/r/ ) _ _ $
License Class License No. - LGa�t%7LT .
Date Signature - '' . . PLUMBING -FEES -/ - •
WORKERS'COMPENSATION DECLARATION t .'.
—^Bar Sink' • ' Showers ELECTRICAL FEES
' hereby affirm that I have a certificate of consent to self-insure or a certificate ' - '�
•
Workers' Compensation Insurance, or a:certified copy thereof (Section. , gackflow Prevedter Service Sink •
J0, Lab. C.) - Automatic Washer . -
Transformer 0 15-50 KW
r'olicy No. Company . gackflow IrrigationCap; Sewer , 0 50+ KW
9 Certified copy is hereby furnished. 3Construction Pole Sub. -
Certified copy is filed with,the city Building Division. 1 Bathtubs ' SeWer Connectif/ Cooking Unit • - Meter Dup to 100 amps
Date Applicant - _ • �\'
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - Clarifiers Solar Cone. ors Dishwasher ' . Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or Solar '"•ing Dryers ❑Gas ❑Electric - Sub Panel
less). e Dishwasher
I certify that in the performance of work for which this permiths Issued, I - -
shall'not employ any person in any ner so as tq'qecome subject to the ' Drinking Fountains S• ar Tank Fan '
Workers' Compensajion_ Laws of Californ �A�JI/o�� �( - - Motors❑0-1 HP Phi%-8
Date ��I 5'— 1 Signatur8 Qs Floor Drains - • Swimming Pool vv/Spa F.A.U. Inc.Solar 0' 5 HP.016-15+'
NOTICE:If,after.makllt 9 this declare on ou ou1 becomes a to the - -
Workers' Compensation provisions of e Lab r Code, you m t forthwith Floor Sinks
comply with such provisions or this permit shall be deemed revoked. - Urinal Fixtures Micro :ve
CONSTRUCTION LENDING AGENCY Gas Service Outlets ' Water Closet i Device Boxes -
I hereby affirm that there is a construction lending agency for the performance •••I¢ Light
•
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range •
Lender's Name
Lender's Address • Kitchen Sink _• Water Service -- - — - ' Switches -" Sign
' OWNER BUILDER DECLARATION -
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections
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—Trap ' Laundry Trays Generator.Do. ❑5-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit P
to file a signed statement that he/she is licensed pursuant to the provisions ofRo. 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 - - • - - - .- - -
'refrom and the basis for the alleged exemption. Any violation of Section , - '
6t1.5 by any applicant for a permit subjects the applicant to: a civil
�Malty of not more than five hundred dollars($500). • F
pu I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 -
compensation will do the work,and the structure is not intended or offered Reinspection Fee $15 Issue Fee $ 3
• 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 SERVICE'S RE UREMENTS: •
employees, provided that such improvements are not intended or offered for Boiler 'Hood or Type I 0
rr)t /Qf � � / (yl, /,tL7
•sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 - Zoning Approved By I ` Date 1�7`l
pletion;the owner will have the burden of proving he/she did not build or im- ' Duct-Under Ground I / ' `/rir
prove for the purpose of sale). - - t Building Approved By / Date Q/
❑ I,as owner of the property, am exclusively contracting with licensed'con- ' duct-Structural -Refrigeration System ' - AApplicat •
ion Issued By • I Date /
tractors to construct the project (Section 7044,Business and Professions Code: - s..i
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,00 TU- ❑100,000 BTU - SUMMARY OF FEES - ' ' " '
builds or improves thereon, and who contracts for such projects with a con- .
tractor(s) license pursuant-to the Contractor's License Law). I am aware that BUILDING PERMIT' $ 10 •O 4 SMIP $ •5-5 -'
of Exhaust System ❑ Multiple ❑ Sys 'Repair/r�t2�a�� R E O
proof o their Worker's Compensation insurance should be provided to me. PLAN CHECK .$ �Q•� • PERMIT
0 I am exempt under Section & P.C.for this reason: Firepl/Fact.BIt.JCBO# ire Dam fnpJete II15pect10f1$ PLUMBING $ ISSUANCE - $
Date y-�r Owner �►1l..ell _ Heating System& Ducting Registers, - ENERGY P.C. $- t
�� PLAN CHECK 25% •$' _
I hereby certify that I have read'trappliiition and state hat t'e above , 00-100,000 BTU 0100,0 TL ' UatQ --- -- Sig - -"-- ELECTRICAL - ,$ 1 GRADING - $
information is correct.-I agree to co •ly wit all city and county ordinances - _
and state laws relating to Itling construction,and hereby authorize repre- - PLAN CHECK . 50% $ MICROFILM $ -
sentativ•�\ this city otter upon the above-mentioned property for _ - • - '
• inspection p•••oses. I MECHANICAL - .$� )7. 0D -
•Signature sr��...I1 ' -. Date CI- TOTAL FEE $
-Drivers' Lice or S. # �� • Reinspection Fee $15 t Issue Fee -$_ 3 PLAN CHECK -25% $• •
CMF 0865-46,rev. 10/84 White - Building: Canary -Applicant; Pink -Accounting; Goldenrod - Assessor -
• . .
POOL &SPA
/ ' CONSTRUCTION AND PLANNING '
APPROVALS Permit;# Date Inspector ' APPROVALS Permit# Date Inspector
1.Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. • ' 54. Forms .
4. Electrical Conduit-Undrgrrid. • 55. Electrical Bonding ,
5. Steel_Reinforcement •56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd."• 57. APPROVAL TO.COVER-GUNITE
7. Footings • •• 58. Electrical Conduit-Undrgrnd. '
8. Foundation -• 1 • 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
1.1. 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 ConditioningFIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace . , APPROVALS Permit# . _
I21: Dud's, in Structure 70. Underground Hydro -
22. Ducts,Ventilating . . 71. Product Piping 0 Gas 0 Oil: -
23. GaPipe-Roug
sh & Test • 72. Underground Flush • - -
24: Roof Framing 73. Undefgrnd.Storage Tank 0 Gas D Oil •
25. Roof Sheathing . -• . 74. Overhead Hydro ,
26: T-Bar Ceiling (Structural) & Monocoat • _ •75: Dl'Chemical ,
:'27. Frame and Flashing .76. Dry Standpipe
28. Lathing & Siding ' 77. FIXED SYSTEM FINAL ' •• ,
29. Insulation • , , 78. FIRE PREV. FINAL -
30. Drywall Nailing . HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat _ 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
• 33. Final Electric • ' Notes:
34. Final Heating & Air.Conditioning' . r
35. Final Gas•Pipe-Test I •I `-'
36.•Hood or Canopy EXPIRED • ••
37. Final Factory Fireplace ' . " Incomplete Inspections
38. Final Plumbing • r- -
SIR
39. Water Service-Final
SS , •
40. Gas Service-Final 7
41. Solar Domestic-Final �!, a ..
-
42. Backflow Preventer• '
• ,,43. Backflow Irrigation - - - ..
44. Landscape Irrigation System - . . . -
,45. Sound Attenuation - ;
•
46. Handicap Regulations ' - .
47. FINAL STRUCTURE & BUILDING 48.'Special'Requirements Completed -
49. Electric Release to Edison' ,
50. GasRelease to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY '
No: Date
OWNER BRRGFR Joseph DATE 4-16-73
JOB ADDRESS 2797 Vireo Circle BUILDING PERMIT NO. 3(,4gp
GENERAL CONTRACTOR Irvine Pools DESCRIPTIONFIREZONE of WORK Block Wall
AP No. 14q-601-16 LOT 16 TRACT 6757 VALUE $ 360,00
'INSPECTIONS Signature Date GROUP J TYPER III ZONE Rl
5 SUBCONTRACTOPERMITS ISSUED
1G• Date Number Signature
WATER Plumbing
ING
PROP. SWR•L
LINE 0 HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING Heating/ Heating and Vent.
TRENCHES yr FORMS IYI STEEL REINF. AJC /6.23
FLOOR SYS EM T"s f l/`
BOND BEAM ❑ STEEL REINFORCE ❑
SHEATHING
FRAME AND FLASHING
LATHING - IN ❑ OUT ❑
PLASTER, BROWN COAT
STRUCTURAL, FINAL `/j J") �/ ^W3 Electric
HEARV`IG, VENT., REFRIG. AND A.C., FINAL_
Pl . IG, FINAL AND GAS TEST ❑
EC':';"?SIC, FINAL ��))
BUILDING, FINAL in
n4, 5^r//7y
- 364 in
PAIS
r *.
COSTA MESA BUILDING-SAFETY DEPARTMENT �I?It 7}tr�� �� 9-�?{"- Ic :r*.::
5 ,0
• P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant toFill i Completely AP LITIONFOR BUILDING PERMIT
RE I AT RECEIVED D TE SUED
BUILDING _
ADDRESS :A777 ` /jZEo �zc it -- i -7 2
yy�� �. l ERMIT NO.
OWN E R3 . �/o 3'Ep/'f aca A.P.NO .yys^7—..�.U7/- /D
MAIL ADILDING DRESS e�/ % / Q ccet
z
ADDRESS �i9/11� z.fe /
aU CITY cSTT /V�C=S�. NOv�0 '�734 TRACT6-7.57 LOT/rte BLOCK
M Z
Z < CONSTRUCTION - NEW ADD ALTER REPAIR MOVING DEMO'ISH
O M LENDER ✓/
a CO BRANCH
/l ®��
J 7 ADDRESS OWNER 4, u ,se-,w56E2C! x�
J N
<w •
CO J � C�j - - etc_J VALUE
J Q ARCHITECT TEL. "CC�J LrI jam(/ $
N OR ENGINEER NO.
U Q FIRE
WCC ADDRESS ZONE TYPE )ROUP Z
a Ly APPROV Lk
W Z CONTRACTOR / / L,� Ae, G/� c, • BV D/' DATE�-ii3
J O 1
CO Z
W W ADDRESSd/ .Cj�yGC'� TEL ZON NO.OF USE OF NEW
�� )� G
0= CITY � � /� NO. Qj _/ PLAN` BUILDING u./h'LL
Zr EN 0 ,F ., /
W O STATE CITY YARDS APPROVED YARDS APPROVED
(MCC LIC. NO. LIC. NO. MAIN BUILDING . ACCESSORY BUILDING
D O (FROM CA.STREET)
SIZE i NO.OF BLOTS.
OF LOT I NOW ON LOT FRONT FT. /PrFT.
•
USE OF
EXISTING BLDG. R SIDE FT. 0 FT.
F SIZE OF NO. OF. /_I-�L
Z NEW BLDG. ROOMS STORIES L.SIDE FT. . FT.
VEXTERIOR WALL ROOF
COVERING I COVERING REAR FT. 0 FT.
—I USE OF BUILDING AND WORK *gr.*
RFORM �r MAIN BLDGS.DISTANCE f ACCESS. BLOCS.
Q 37J ,, wy, 6/r y i/9 �j VAR.+ DATE
O Atho Zt 7 a '.�G(4L.hC_/t 7.04e // • C.U.P.# APPROVED
CO APPROVE. DATEV-/‘-7_3
OII hereby that I have read this application and state
D that the above information is correct and agree to comply with r
CC all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
CO the State of California. ro
Z b
I h •
ereby certify that I am properly licensed as a contractor under SO. FT. O
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
cc
am exempt from the p ovisions of the tate of California Business VALUATION
and Professions Cod ;•ivision 3,Cha•ter • , A co
,,,, PERMIT FEE $ co
Signal ,e.. ,. '. m
jelPermittee a "....al. �+�-,LLQ $ Q PLAN CHECK $ oE
Authorized Agent✓ / �/ LL
TOTAL FEE $
OWNER BERGER, Joe - .- - DATE 3-5-73
JOB ADDRESS 2797 Vireo Circle BUILDING PERMIT NO. 36164
GENERAL CONTRACTOR Irvine Pools DESCRIPTION of WORK Pvt. Swim Pool
eAP No.139-601-16 LOT 16 TRACT 6757 FIRE ZONE VALUE $ 3,400.00
'ECTIONS_ /��/lSignatureat� Date GROUP J TYPE IIT ZONE R1
.i Location /r�� J41;'75 SUBCONTRACTOR PERMITS ISSUED
•
Date Number Si.nature
Forms
Main Drain
Steel Reinforce
Elec. Bond Pt i I JRlectric
Approval to Cover "✓19 5 (t13 ri (�t I:R1k1i - 7'13 35
Underground Electric �/�� f ),z-R
Gas Piping TestPlumbing /J //
Filtering System Lines '�I 1 kik.-OriZ i /r�A�-/.� Ti•
6-73 42747/
Backwash Lines and Recep. '3-127_3
Electrical Final A 5136.15 •
Heater and Vent Final ` •
r System Final c \`
wash and Recep. Final
Vke y`3o-93
Fencing Final
J — a),-73— pc . a-=iLX20, /A 72/ /, •
FALBA',•
.,4,..„:,,..3,.•_50
rk_::3,.�0
, 3b . IZIU, .>-73F,x. LS-r.' f
C COSTA MESA BUILDING-SAFETY DEPARTMENT •
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant/to/Fill in Completely/ � /� RECEf.1JE Y DATE D DATE ISSUED
ADDRESS a BUILDING ') 7 ` 7 v [ G.t..C:-!'p,. Cil/4/L;^qq ✓if�G ca_-Lb,LO_
/1J Ii7 1—l,01—/ C, B a }-z,
MAIL �/ J(C�. jJ�i�J A.P.DOG
Vim/ BUILDING of p
MAIL ADDRESSpL Yee e
Z ADD S _,rte _
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LENDERCTION
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_i CO OWNER Z
et W ADDRESS �-(� ��
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O= �.,I ..,L 3 re�� PLANS BUILDING ,p
Z I— CITY OLC r.Jl TN �7aa2� I / 'O D L�
IL STATE �� CITY YARDS APPROVED YARDS APPROVED
j O LIC.N0. YSJj LIC.NO. MAIN BUILDING ACCESSORY BUILDING
I (FROM C/L STRE ETI 1
SIZE NO.OF BLDGS. (s/1 F�`�-+
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USE OF '
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I— SIZE OF NO.OF ff
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_ COVERING 1� COVERING REAR F FT.
JUSE OF BUILDING A WORK T 'BE PE FORMED USE OF BUILGING, DISTA CE BET. BET.MAIN&
a
a i MAIN BLOCS. ACCESS. BLDGS.
Q • _ n VAR.#` DATE
0 c i7�( . , OD^g C.U.P.YR APPROVED
I- CRY ROVED 1U. /16 DATE 3 -_S'73 -
Z 4 �.-I .
a
1- I hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
cr .all laws regulating building construction, and I shall not employ vlgre l
1— any person in violation of the workman's compensation laws of 1
fn the State of California. m
Z •
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SO. FT. i
I hereby certify that I am properly licensed as a contractor undery:
the State of California Business and Professions.Code Division 3, THE AMOUNT SHOWN UNDER VALU IC�N,'(S FOR
Chapter 9, and pat such licenses are in full force d effect,or I THE PURPOSE OF ESTABLISHING A FERMI _ ONLY': 0
to
am exempt fro the provisions of the S e of alifornia Business VALUATION d; •
and Profession ode, 'vision 3,Cha er 9. m
s .� - PERMIT FEE $ N
D
Pignut eofd .----,Cr_ — /
1 L
LL
Authorized Agent ` TOTAL FEE $ �,t��
..T. .� . ..... ay.y vwu as a. UMIL 1• V-fY
JOB ADDRESS 2797 Vireo Cr. BUILDING PERMIT NO. 38252
GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Detached Activity Room •
AP No. 139-601-16 LOT TRACT FIRE ZONE ' VALUES 8,300.00
INSPECTIONS Signature Date 'TYPE V GROUP T ZONE WI
Sr SUBCONTRACTOR PERMITS ISSUED
G Date Number f Signature
W A,cR Plumbing
ROUGH PLUMBING
PROP. SWR. LINE [] HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS + .
i6
t1
ROUGH HEATING blir
TEMPORARY SE I POLE •
UNDERGROUND ❑ POWER ❑ l
ROUGH WIRING 3`i. ./.(4-- --57.5. Heating aAndnVent.
TRENCHES [. FORMS I� STEEL REINF. 1 D' to Iy ■29 — 11/ nr , 1o_i-iS tQ038 -----
FLOOR
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING !-•'/'/'L 4j I < /5
FRAME AND FLASHING Y t, in-(Z-7c'
LATHING — IN r[ our
lin
PLASTER. BROWN COAT
STRUCTURAL, FINAL 9."4:. �}/ ^ El of, ':
HEATING. VENT., REFRIG. AND A.C., FINAL ` 1 ye �/, r . pin „ . /o _/• 75 39 S73
PI NG, FINAL AND GAS TEST n
EL C, FINAL RlC,) I- -7G
BUILD INGBUILDING FINAL V1'�J�p,
SPECIAL REQUIREMENTS -
3$2
PAP COSTA MESA BUILDING-SAFETY DEPARTMENT npl _8-7''�`�`-'0� ?56" ":..y�c2.na
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 / �[
APPLICATION FOR BUILDING P�iMI7 �i
ForORGNIA 9262tto,Fill in Completely/� (• /�� /��/A/ RECEJVEp BV (D��/�T-EO9ECEIV D TE SS
t BUto Fi2.29 / vii gEd \ Jn- .- ul t �y-�/� , /// ,�.. •
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OWNER ^ Is V(.Cct leo P /
A.P. NO. L-.9:
•
•
Z . MAIL I I I ! !/�e1 l�( � . . ADDRE BUILDING
I -- ..•ADDRESS //�t��1 q
C. 0 CITY C • g"t , NO.TEL. TRACTG ( 57 11OT BLOCK
ZZ
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O-N LENDER
mm ' . .-r
.J 0BRANCH - / 1
JN _ - - OWNER •./ . .. ' y
< Lu ADDRESS T
mm ARCHITECT k p • � TEL.r ,/,lt// USE.��/� ' •/ ,• U$ ,�
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/r-t�n IF /
FIRE
W C'_ ADDRESS 4.44- �r. �I II eterril Asr ZONE /TYPE ,� GROUP J �'J
J OCONTRACTOR flLJ.tun. - rW BYPROVE• DATE 7-1 .--7i...
—I
CO Z r
J K ADDRESS • ,,..�/
tLLU TEL. ZO NO.OF USE OF NErW'�A�1Vt\/
Z= CITY NO. 1,j PLANS Z BUILDING ISM• (>'DD
F
w 0 STATE CITY YARDS APPROVED YARDS APPROVED
to cc LIC.NO. T� �_LIC. NO. MAIN BUILDING ACCESSORY BUILDING
7 0 OSIZE 'F LOT X70 ?(' �6)C I I NOW ON LNO.OF OS I FRONT C/L STREET)FT. 2. FT.6a v
USE OF '(K�
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SIZE OF .7 �"I•FOOMS I STORIES ' L.SIDE FT. J8 FT.
ZQ ' NEW BLDG. �(j� .1('
V ROOF
COVEEXTRING WALLRIOR �•'Y"T ••p• COVERING �',z
'E(t REAR FT. FT.
—I USE OF BUILDING AND WORK TO BE PERF MED
a DISTANCE BET. BET.MAIN&
1 MAIN BLDGS. ACCESS.BLDCS.
rAd-
Q• 'r r VAR.3j` DATE
O G�y l�U 1 4-^,9ID NV C.U.P.# APPROVED
F J APPROVED!L.17:14, ‘(4i 7>7
cn --ELY1+4's'•. _DATE /
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VI hereby acknowledge that I have read this application and state $Q(�f�
D that the above information is correct and agree to comply with ',f'Q(
CC all laws regulating building.construction, and I shall not employ
F any person in violation of the workman's compensation laws of /
H the State of California. //� m
Z 7o
I hereby certify that I am properly licensed as a contractor under SQ. FT.• O. o
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT'SHOWN UNDER VALUATIO IS FOR 5
Chapter 9, and [hat such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0
am exempt from the provisions of the State of California Business / /�. w
and Professions Cr,oe, Division 3,Chapter 9. VALUATION ({..'. B
i/) PERMIT FEE $ �.
Signature of �� j/�� U /�--
�7�n D
of
Permittee 1VV $ JL 000 PLAN CHECK $ ge7•-- E
V `o
Thi
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Authorized Agent TOTAL.FEE $ - / a V
OWNER BERGER, Dr. & Mrs. Joseph DATE 2-8-71
JOB ADDRESS 2797 Vireo Circle BUILDING PERMIT NO. 32706
' GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Patio slab & cover
jAP No.139-601-16 LOT TRACT FIRE ZONE VALUE $ ?V00.00
1. .CTIONS Signature Date GROUP J TYPE ZONE 11-1
SUBCONTRACTOR PERMITS ISSUED
Date Number Signature
WATER Plumbing
ROUGH PLUMBING s—. oaf -- ' -=-- ate
PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR ROLE
UNDERGROUND L POWER ❑
ROUGH WIRING �Ate5-9-(-1-1 �"D f,/ Heating and Vent.
TRENCHES fl FORMS I
.I'Y"EL REINF. C /Y /
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING e- 61114214
LATHING — IN ❑ OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL �Zla 6—/7••// 374111-
I VG, VENT., REFRIG. AND A.C., FINAL
V JING, FINAL AND GAS TEST n •
ELECTRIC, FINAL
BUILDING, FINAL /1?7
`- 3270E
•.1.� PAID J
- ) FEb -8-71cnIAOO 352 c*****9.QQ
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely �9V� RECEIVED
/VE
/ 1 / �,��� a12CIE RECel E E) /V A"4- I/ D� 'DAT�I4VE7
BUILDING
ADDRESS cr
OWNER- `. a Ha-s. 3oc9{/, e>ii c . A.P.NO. 131- Got - i G PER 114( h
-'I Q j t o c' A t BUILDING ^ 9 Y7 1,/,,,,J2.4)
A .. V
MAIL 1 17 V (,V'L l /If�IiL. ADDRESS d (_��L-c,
Z ADDRESS �[//� r/
aU CITY QASt MI—cIN NO.S',„,,,,ti-TS TRACT 1^ S LOT /v BLOCK
zZ
ct CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOLISH
O N LENDER
am
J D BRANCH ^
J to OWNER /22...4L�
Q w ADDRESS /�J�L�J�
CO-I y%[j�(y� VALUE ,, /y”, js/ '
J m ARCHITECT TEL. USE y $ -/ ` . f
Q OR ENGINEER NO. -
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wIr ADDRESS ZONE TYPE -GROUP
I � ��� /(3_ Url APPROVED q n
JZ CONTRACTOR ((1zmn,.z'V—Alb/ . BY ' IIDATE.C^ /
03 Z `J
J ix ADDRESS
I-0 w TEL. Z/.�P/�E / INO.OF USE OF NEWOa,
ZH CITY NO. ' Il / PLANS BUILDING
LU STATE CITY YARDS APPROVED YARDS APPROVED
to X LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
7 SIZE NO.OF BLDGS. (FROM C/L STR ET
OF LOT I NOW ON LOT FRONT T.LS FT.
USE OF
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I- SIZE OF NO.OF i
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APPROVED "�'{{l//��/*' {p y //1
(/1 R V' V / ATE t� 3 ./
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0
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CI hereby 'acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
I- any person in violation of the workman's compensation laws of
CO the State of California. to
z V)
I hereby certify that I am properly licensed as a contractor under SO. FT. _ o
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0
am exempt from the provisions of the State of California Business �///} I[
and Professions Code,Division 3,Chapter 9. PERMIT FEE $ / r �-- j
itt
Signature of \\��s s. J/,� (� ,�,�' ///}}} �. m
Permittee //11 �^'�'/ V, s-y` $ fat PLAN CHECK $ E
Authorized Agent UU / (f(Jf TOTAL FEE $ / " �_ LL 4
OWNER BERGER, JOSEPH DATE 4-5-71
_, JOB ADDRESS 2797 Vireo Circle BUILDING PERMIT NO. 32917
•� GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Blockwall
1. AP No.139-601-16 LOT TRACT FIRE ZONE VALUE $ 200.00
ECTIONS Signature Date GROUP ' J TYPE III ZONE R-1
SUBCONTRACTOR PERMITS ISSUED _
`�U^a Date Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. n
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0
ROUGH WIRING q Heating and Vent.
TRENCHES FORMS A..'STEEL REINF. e��,� /-,
FLOOR SYSTEM / i/
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
NG, VENT., REFRIG. AND A.C., FINAL
_ 3ING, FINAL AND GAS TEST In
ELECTRIC
,FFIINNGAI L i . fi/ 412 9 /7
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PR 6 71PA10OO 169 Zg****
COSTA MESA BUILDING-SAFETY DEPARTMENT cwsn S.00
-t. P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 .
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RECEIVED BY D TE RECEIVED
' BUILDING (��7 ,--5- 9 / '
ADDRESS d., / 1 �1J. /- . . _
PERMIT NO. '
OWNER Joccg� b e-arrC� , A.P.Ni. ' 0 ..
MAIL BUILDING , i
ADDRESS q l�l"R,eo a(•p.ci� ADDRESS •
(' ' / J
Z u.,,r7 ,7 LOT lU BLOCK
n. 0 CITY -'�tk ResA TNOal LLI L Ss'er9[,b TRACT
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•
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JN OWNER(1111111,ii I
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DRESS r0-m ARCHITECT TEL. USE ei \
OZJNQ• R ENGINEER NO. r
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CrIll ADDRESS ZONE TYPE Lf/ILGROUP
APPROVED
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BV l17DATE �/_ 2.,.:)
JO
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J ¢ ADDRESS
W W ZONE i NO.OF USE OF N ,�(�
Z 1_ CITY NO. •
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W O STATE CITY YARDS APPROVED YARDS APPROVED
N ([ LIC. NO. ' ' LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D O --��,, (FROM C/L STREET)
SIZE OF LOT NOW� I - l NOW ON LOT FRONT FT. /O FT., L�
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EXISTING BLDG. idn[.e R SIDE FT. FT,_
I- SIZE OF NO.OF '
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VEXTERIOR WALL I ROOF
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Q I ( ,�1 VAR.# DATE
Q a7 4 RI sc.'t_ C.U.P.# APPROVED �r
I-
3�' 3 -'' fV( APPROVED�Mb �zj �qy` •s Sr-it 7/
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VI 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
CC
F any person in violation of the workman's compensation laws of
(0 the State of California. m
b
ZI hereby certify that I am properly licensed as a contractor under SQ. FT. o
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF FSTABUSHING A PERMIT FEE ONLY: 0
CC
am exempt from the provisions of the State of California Business
VALUATION ..------ m
and Professions Code, Division 3,ChapterI^a9. PERMIT FEE $ ry
VcNt D
Signature of �� m
Permittee n. $� [AI PLAN CHECK $ E
�V 6 o
I.L.
Authorized Agen
TOTAL FEE $
.
t
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'' 2999: PAID 0. IArh 17-690 896; *** 189.75
r
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COSTA MESA BUILDING-SAFETY DEPARTMENT
CALIFORNIAi P.O.BOX 1200 COSTA MESA,C 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely gECEyyE ///gggV DATE RECEIVED
BUILDING ij/ A!>7c /�s DAM ISSUED
7
ADDRESS 2797 Vireo Circle (/� ry t0 7/f /Y C/J
• PERjI,1 UnO
OWNER Jamaica Const . CO• A.P. NO. —
MAIL — BUILDING //y+
Z .
ADDRESS 2850 Mesa Verde Drive ADDRESS 0,797 /,<t0 f
a U CITY Costa Mesa nNiot'5490395 TRACT 6757 I LOT 16 BLOCK
I-Z
CONSTRUCiIO4/ ,, �- �/Q NEW ADD ALTER REPAIR MOVING DEMI ISH
OI- LENDER /C--a-7�!•ta.C.(yy�./e/ n
am
J fn OWNER vr^"'uu-G(�G�/ 4/ren_/f�N_l/ ( ,
m J ADDRESS 4'ICI ,u,V✓ �[( 7O00s 4 y ' ��/ VALUE '
JQ ORENGINE ARCHITECT Kaltenbach nN . 5478046 USE Lll/ 1 �'gYj�r� $396f(0—
ZaZE IikV ��[n/
WCL ADDRESS 18`1.3 E . 17th St S A. ZONE 1 TV PE GROUP {/�"
a.Ly
W ZAPPROVED
J O CONTRACTOR Jamaica Const CO BY DATE
m Z
-Jr ADDRESS 2850 Mesa Verde Drive
W W - ZONE NO.OF USE OF NEW Sing" fam• ,
O i TEL. PLANS BUILDING
Zf- CITY Costa Mesa NO. 5490395 Rl 2 w/ att gar.
W STATE CITY YARDS APPROVED YARDS APPROVED
co cc LIC. NO. 193122 LIC. NO. MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLDGS. (FROM C/L STREET) nOF LOT 70 x 165 I NOW ON LOT (1 FRONT /,5 FT. /li FT.
USE OF
EXISTING BLDG. R.SIDE iF FT. FT,
I- SIZE OF NO.OF
Z NEW BLDG. 2690 Sq f tRooMS 9 STORIES 2 L.SIDE {{/�'X FT. FT.
CiEXTERIOR WALL ROOF wood REAR •j'� T. FT. _
_ COVERING wd/St UCCCROOERING
.J USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET. BET.MAIN&
as single family residence .MAIN BLDGS. ACCESS. BLDGS.
Q w/att garrage VAR.# DATE
O _C.U.P.# APPROVED
I- APPROVED
co Plan 269-B _$Y w t n ._ A-1[1-AR
o .. A '�
V I hereby acknowledge that I have read this application and state
•
D that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
CC
F any person in violation of,the workman's compensation laws of
Zw the State of California. 4 // ,}: 4 „/ o
I hereby certify that am properly licensed as a contractor under UW
.•671
„/
•
the State of California Business and Professions Code, Division 3, THE AMOUNT SHO N UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY] 4
am exempt from the provisions of the State of California Business VALUATION
and Professions Code, Division 3,Chapter 9.S j ��
�L l// PERMIT FEE $ �/ - �r-
permitoeoJfamaica Constr ction Com an ��7/,J d!a °-g'—a--5a-e. m
Permittee Y $ PLAN CHECK $ E
0
^1 vy' 75 ' LL
Authorized Agent �/ TOTAL FEE $ j i/ /�