HomeMy WebLinkAbout1953 KILLDEER CIR - Building Permits /3 /C
ADDRESS OFBIBlORO 1953 KILLDEER CI MT: CITY OF COSTA MESA - BUILDING PERMIT
ONINERSt1111ENKNONN: GIDDENS, FLOYD W FLOOD : AE-46 1/PERM NO: B 079436
re .pans: 1953 KILLDEER CIR
COSTA MESA,CA 92626 PERMIT NO: B 079436 PLAN CHECK NO: N GOVT : N SUPP: N
546-7866
AP DL.BRUNO ADORES.: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: REP
ARCHITECT OR ENGINEER: LIG NO.: JOB DESCRIPTION : T/O ,RESHEATH & REROOF W/CLASS A DIM COM SQ FT: 6, 603
Aacx.OR ENa•s ADDRESS: °NT` CLAIM VALUE: 6, 603 .00 CALC-VALUE: 6, 603 . 00 GROUP OCC : R-3 /
CCNTNACTOWSNAl1E: CALIFORNIA ROOF LIFE CO I ( 714 ) 847-7663
CONTRACTORS MAURO 8941 MINT AV COMMENTS : SMOKE DETECTORS ARE REQUIRED PER 1994 UBC.
WESTMINSTER CA ` m" 509623 rt�E�E�E*** *i<**sE******************E �ESESE+E+E*+E+E*x�E*** * �r*sF�rtk�r**tet***********+E*�k*�E***
ADOREss: 92683 ZONING REQUIREMENTS
°ft SETBACKS
LICENSED CONTRACTORS DECLARATION:I hereby aiim under penalty or perjury the I am licensed under provisions of Chapter 9
(commencing with Section 7000)of Dineen 5 d the&mess and Profe•ane Code end my kerne is in lull pap .effect.
CrrYUC.No.:O 2245 uc.cuLss: A-39 uc.No.: t '623 EXV 1 /96 MAIN BUILDING ACCESSORY BUILDING
q FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
' Dee: / teh�/ ContracContracContractor: nmak /� FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penny• • I am tamp hen the • •..••. '_...c • for to
u
lollowahg reason(Seaton 7051.5Bihssa end Professions Cods: - - • moony which requires a permit toaantnd,atter.Bnprove. PARKING REQ: PROV: PARCEL: 13947401 ZNE: REF NO:
issmdnh•arepeaw.y th provisions
m theContractors
ontatosL -•ns .- touch prmatoth°°cin°detramrd that he ache PLANNING NOTES>
is sines ed pursuant to the ode]or is of the Contred axonal
(ipY. . a er 9(commend°D with Section 7000)d DNeion 3 of the >
Business end Professions Code)a that he or she a esampl the.. . and the bums lathe alleged Yrmtion.Any violation of Section
1051.5byany applicant for epermit eubpcth
aaapplicanito°diol penalty drwnM
not ehundred donate 1550011. *******************************************************************************
ElI.esInner of the Proronyaml amplofeaewh wages as theiwe canpmsaticn.wdl do the work.and the structure is notmended D E V E. L O P M E N T SERVICES REQUIREMENTS
or offered for sale(Secton 7044.Business and Professions Code:The Contractors License Law does not appyto an owner of property
who buida Of improves thereon.end**adore such work Finset a head a ivagh his or her own employees,Prodded the such
improvementsmiare intended the �a stool red for building
ag�rp emert S sold wal ithin year d completion.th. ZONING APPROVED BY DATE:
owo I,as owner dthe mcry.ars whin*mmcrtingwdh"feadproMa,ta cdnfilludttepmged(Sea'vh7d4'Busnua°nd BUILDING APPROVED BY : DATE:
Pcdeuions Code:The Contractors Licenses Law doss net apply to an owner of finnan/eft bull•a nptorss Monson and who
contracts for under Section:
pnneata)TMYdparwewwcaatermaupmne lay. APPLICATION ISSUED BY: � DATE: 2 —/O-94
❑ late uempl udr Scion: B.6 P.G..for this mason: ************************************************* *******i(.*** ******iE***
Dale: owmec LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: Y
I do hereby manly that I am aware of end understand the requirements of ceia°ie Health end Sdey Code Sections 25505.25533,and
25534,and lhal I or any hours budding occupant will/wil nol(circle one)need to comply veth said state codes and the requirements for BLDG PMT PLUMBING ELECTRIC ,MECHANIC FIRE SMIP/RES GRADING
a permit faaanmcten or modihWion from the A anagement l%aric.R°ddentbl construction eooks:lns are axonal horn these PERMIT 124 . 75 j . 66
provisions.
Data Applicant: PLAN , SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under peneby d prlay one of the lolbwing ddoratens: ISSUE FEE
❑ Ihaws and wiltmdn°neconfipwdaawmttosel4nude laworka�compea
compensation, kr by novidedSedlon3700of the Laba BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Cods.forthedapdth
pmr, eworkforwichthspenaisissued. TOTALS----> 125 . 41 0 .00 0 . 00 125 . 41 125 . 41 . 00
(l I have and wdl mainen waken'°anpensalion Leanne,Y d° d req. d by Section 3700 Ne Labor Code.ban
r the performance of the
workforwtid bepone eissued.My "
"a"' t baffle and°dyranter r°: EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 125 . 41 OVER/SHORT: . 00
Caner:
Policy 1021135-96 06/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
icy Number: -
(This semen ped not be completed i the perm*is to one hundred damn 151001 a ins) 124 . 75 . . 66
❑ icerSy that in the performance of
the work for which the permit is issued, Sat not eanPoem n ay manner son to
banana au*,dtohewakr' eion law°al camas.and tla i 1 nadd .,.. . Ibed to the maws.
*************************************l**************************
****************
• itil of Section 5700 d the Labor Code I ant I.• y comply Moss• INDIVIDUA ,L ' FEE BREAKDOWN
D at.: / �i Applicant: r-'Lr4 !r
. _t
'
Warning:FaIlunrosecunwortw•i comp.nsatoacaYellPefett,•1yrJ I/Idshall subject Y•IIIPl0yertOarIMNlP*t5Wnl/Id TYPE QTY D E S C R I P T I 'O N UNIT COST TOTAL COST
civil tinea up nom hundred thousand dogma 01040O0A Ah the coat of conpruaf of damages as provided for in
Section 5706ofMeLabor Code,Interest,and sibmw•afeet SFR 6603 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 603 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under • V' of perjury the then is e construction bhwng agency for the END OF FEES
performance of the work for which this prat is issued(Soden •' .CN.C).
LENDER'SNAME SMOKE DETECTOR LENDER'S'SADDDRESS:
I certify the Hews read this apple**and state that the abaft information b mama.I agree to comply with all ply and meaty"dnarag 0100214677-00214678 TrJT 125.41
e d aWbwnWtagbbuibi+p vaaaadim ea hereby authorize reassrdeiyesdthe arybemr upon the Move-mentioned PopsnY REQUIRED
' ' DATE: 09/10/95 4678: 14:19
for inspection purposes.JOEL ISFELD '
d
•
Pain 1, //,,aaZT ..•41(
��J����_ e Dee: 7/ -
Syrhatured• A.....—T. vasa
•
(5151-46."P) White-Building&Safely;Green-Flo;Canay-Appicent;Pink-Revenue:Goldenrod-Assessor
. CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
• 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location'' - 1
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement '
3. Electrical Conduit Utility-Undrgrnd. 54. Forms '
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. 1 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 1
12, Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing65. Electrical-Final
15. Rough Electrical-Conduit ' ' 66. Solar System-Final
16. Rough Electric Wiring 1 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 /3. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing � //� � 74.Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat I 75. Dry Chemical. - '
•
27. Frame and Flashing _ +L 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL t
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 I
33. Final Electric - - - Notes/9/46 `'Z :.7j ifM�
34. Final Heating & Air Conditioning Cites/9/46
V A
• • Pi ea-7-GL y��/4- Ai le,(
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 • - r
42. Backflow Preventer _ - '`
43. Backflow Irrigation -
44. Landscape Irrigation System - -
45. Sound Attenuation - -
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 4 (7 Th 4, -
°fL
48. FINAL PLANNING .
49. Electric Release to Edison - • '
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY •
No Date
::i`': 1._t•:1 ' . • .. . -•. r:, �c_ov::n+ _his ,04.!.rf/!` 4A..p- ..
` ...rtr 1p a; .. , r i�...i. ,k: , i ;.�`�
} )., it at ...� F4j�y <+ 9• x ,t .? ^ •k
cY i. telt
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•
•• ,. � - CITY OF COSTA MESA.
4 1953 A[[DGE2 Building DEPARTMENT - ,p
'• ` Address OF
. BUILDING SAFETY
,i, " ' /1 Owner '
_et?e J 9j ..! Contractor Registered Deputy Building inspector 4
Certificate of Compliance `
ti'. (--1) P6e.-. gee✓e Address _ 9-d`' 79
Permit Date Date of this CertI icate µll : •, y
•
•
' •
' -• •9,1#7,/ Number Issued .,,AA
•
:-.1' - _ - -'- - - - ,
To the Director of Building Safety: 1. _ ,<ti;v
I 'hereby certify that the following portions of work on the buildings o '..1- - -
at the above address which required continuous inspection and which I was ' % : ,4;1
` employed to inspect, were inspected by me and comply with the provisions tia i . 'T`
t 'of the Building Code applicable thereto. _ q t
1) Concrete 3) Welding 5) Special Cases , •.
2) Masonry , 4) Reinforced Gypsum ` .. �; rl
Swimming Pool Size 3.2 X/(o Gun ite Hand Pack
,
i' Sacks Cement JS 572' Tons of Sand � •
. Approximate % of water in aggregate ,5'7d _ • '•f
This report covers work completed during week ending 9 x=79 °`' --'1
i._. ii .I
REMARKS: <
-- - _ - _ R} -... r.e TF: D .t UTA BU I!.n�i-) �:1• �F:CToR ,
•
! Name r 812-ad` I-- , •. hie • .11
. Address Ape-.a (222 EI
Laboratory GlJiitll i6 Telephone 97.' —3- 9.flo , r' , -'a,
Form BU 6 '• Cefrye/ i•'E O ) ; ; -,9
. • p
e
}
-
•
. . . a
•
•
•
i
20
a�
rF<l Twininq Laboratories f a-O =tfi5712 Cafiicnnia,
? 2
0,
,01►
93'0 1u D•,: 1Vn: M nitro Arl ss P 0 90• :7 I me 6.,du, CA 9080112131426-3355 a26-3355 iY 3. 5351385 . 1714}828-6432
TESTING r. .t'.G' n:uEE , .+ C No- .,i„ 5,• v.. .. s ,.' 53 lots ,
September 18, 1979 Examination: SC79-4992
COMPRESSION TESTS ON GUNITE CYLINDERS
Mr. Errol F. Heesch
12921 Aspenwood Lane
Garden Grove, California 92640
PROJECT Pool for Floyd Gidden
ADDRESS 1953 Killdeer, Costa Mesa
SAMPLE FROM Gunite Swimming Pool & Spa
A-CN-IEC- (0!:'vc" Ia
Blue Haven Pools
ENGI%EEL SLECC..LEAC'CI
Century Superior
SPECIFIED
MIX 4} - 1 STRENGTH 2,000 psi
DATE CAST 9-5-79 CYLINDER SIZE 1) 5-5/8" x 12"
2) 5-5/8" x 12"
DATE TESTED 9-15-79 9-15-79 9-15-79 3) 5i" x 12"
CYLINDER NO j 2 3 Cyl. 4,5,6 "HOLD"
IN FIELD
COMPRESSION 10-Day 10-Day 10-Day
TOTAL LOAD, LBS 97,000 99,000 98,000
. -- POUNDS PER SQ IN. 3,903 3,984 4,126
COMPLIANCE 10-day test complies with specifications.
MADE BV DELIVERED BY RECt.VEi ON
CYLINDERS Larry EFH 9-6-79
a'
/1
Dis*RiBu,ioN
E. F. Heesch - 2 1k/Century Superior
r^-ti Mesa Bldg. Dept.
rLUTu Uiuut.N3
JOB ADDRESS 1953 Killdeer BUILDING PERE_F�fT N�
N . 48472
GENERAL CONTRACTOR Bltae Haven Pools DESCRIPTION of WORK Pvt. Pool W/ Spa_
AP No. 139-474-01 LOT 12 TRACT 52RQ FIRE ZONE VALUES 8500.00
INSPECTIONS - Signature Date GROUP TYPE ZONE
—Pool Location C. • C. . 8'3(- . SUBCONTRACTOR PERMITS ISSUED
Date I Number—I-Signature
Forms
Main Drain Eat
Steel Reinforce
Elec. Bond � � )� p
Approval to Cover t //T_�J�, Z��ir'( •
Underground Electric ragirn igal
C • . 4 i Plumbing
Gas Piping Test / /,--rr,, jjj�����►►11
Filtering System Lines •21111111 (/ .�WA!_�71 II3��1-
Backwash Lines and Recep. Ignir
Electrical Final
Heater and Vent Final
Filter System Final --
IMIIIIIIIII
Backwash and Recep. Final IliffilleMSENINEJ
Fencing Final ._
illill
n t 11-4.1°r I
7.01 72.60 TL'
' " -21-1-; •COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION F��i7�TRdetertX,PERMIT 72.60 Tb
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 - . ' ' _..
RECEIVED BY (PERMIT /TU, E447v
For Applicant to Fill in Completely - Use Ink Only
BUILDING /95 ki//T�yf� A.P. NO. /'y q 7_ 01
ADDRESS / "� �-• y Irk J BUILDING /9 3
AW
TENANT RJR
J ()tic
t L/ ./„/^,,`— rC ADDRESS "J v�
TENANT r 1/ L/ Y/ C.JVL.a'�U
UNIT OR
MAILING /��.-s .� SPACE NO.
ADDRESS /Y I5_3 /,
TR. NO- LOT ALK.
CIT 7N NOLS j /�
NEW JADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION
LENDER •z�R�
BRANCH OWNER / ' /�{706/7~
ADDRESS n US y�/ rn� VALUE$ (J -/[i}�
ARCHITECT / (// NOIt_'�L' -17/p\����� uM1/ ll�s/�+
ARCHkei '}�^�� /l J��J.X�NL/ Q
ADDRES/( �' 7 ���/L}//% uJ ZONE /" ITV PE GROUP
CONTRACTOCO 4,
APROVEDPDATE
ADDRESS /Z1zV / &az
CITJSS/2n bQdc & TNOL90Z4
tSTATE CITY APPROVED SETBACKS
g LIC. NO. /�Za7 LIC.NO.
(-$1
SIZE OF G (FROM C/L STREET) �J /�
6• OF LOT I NOW
NO. ONBLDLOTS.
FRONT .24-11 FT. 0 (..a.�L A-633
y • USE OF
EXISTING BLDG. R.SIDE /1 FT. d_
Si)
HSeparate permits are required for L.SIDE 7 FT. O
electric,plumbing and heating work: -
( REAR 4 FT. 0
W., USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
al /� ilia---� � ��/f�//
,z, ko/76 4t /•�/ APPROVED /
ROVED I isit DATE 7LLO A"?
Q..
W
0 I hereby acknowledge that I have read this application and state n
p$ that the above information is correct and agree to comply with
0-. all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of
„WW the State of California. -
SQ. FT.a/ m;
I hereby certify that I am properly licensed as a contractor under N
D
the State of California :usiness and Profe ions Code, "vision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 0
Chapter 9, and that licens-s are in I for a ec or THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: —
to
am exempt fro h: ovisio of theof all =•siness 1 $ O a
and Professions .Nisi, ,Cha• VALUATION PERMIT FEE v N
m
A PLAN CHECK $ ^I
Signature of •m/8 0
Permittee ��' / 4 $ gay TAX $ Go 2
or died . U
Authorized Agent Date TOTAL PAID $ 72, 60
UWNtrc F. W. GIDDENS • UAIt 3-5-SO
JOB ADDRESS 1953 Kildccr Circle BUILDING PERMIT NO. 49733
GENERAL CONTRACTOR Owner/Builder DESCRIPTION of WORK Garage Door
AP No. 139-474-01 LOT 12 TRACT 5289 FIRE ZONE VALUE $ 4,000.00
INSPECTIONS Signature Date TYPE VN GROUP R3 ZONE R1
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR
Date Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. LI
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE^ OR POLE
UNDERGROUND LJ POWER 0
ROUGH WIRING Heating and Vent.
TRENCHES 0 FORMS ❑ STEEL REINF. ❑
FLOOR SYSTEM f EXPIRED
BONO BEAM n STEEL REINFORCE n incomplete Inspections
SHEATHING y 1, ✓ �/ �e Cancel
FRAME AND FLASHING CAC as .fi.a • . <oQCi F,aJ DS '<. q. C Date l I._JF Sig kI
LATHING - IN Fi OUT I IK
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING. FINAL AND GAS TEST n
ELECTRIC. FINAL
BUILDING, FINAL
SPECIAL REQUIREMENTS
•.- -COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 OhRR o/nR/Rfl ill 50 TL
RECEIVE Y 'PERMITl q 7 3 3
For Applicant to Fill in Completely - Use Ink Only
BUILDING 9 4tcLeec
(^• q.P, NO. / ^^JJ(7''/ADDRESS / \ 'r 1 L ���-
BDDR SS /� /,terTTOWNER ENANTOR/ —nI5 ADDRESS 19s ? \ 1 War `1 Y
UNIT OR
MAILING / ss s '/ 1 Weer
e:
SPACE NO.
ADDRESS `, R •, `P l•
tt, 111 TR.N ^ LOTBLK.
TEL. `` 5"• 5g 1:tEiCa''
CITY 05�� M eSQNO. ;.� NEW A D ALTER PAIR MOVING DEMOLISH
CONSTRUCTION
LENDER
BRANCH F \
OWNER Ll/ . t eNIS
ADDRESS 1 USE R !•`./V T E$ OLLJ_
ARCHITECT TEL.
OR ENGINEER NO. W
ADDRESS ZONE / ^ITYPE,N GROUP k_ 3
q ',r APPR VE
D � � oyQ,l
CONTRACTOR L/ W� t-i- BY
fl�l� DATE '3 J �(�
ADDRESS
TEL.
CITY NO.
F
STATE CITY APP E ETBAC /�
LIC. NO. LIC.NO. P en / ./j%(�p ca. //
W SIZE NO.OF BLOCS. (F OM C/L, T^aE.T _��
A. OF LOT NOW ON LOT RONT T. �+L-4
Q USE OF ® t _1 1
cn EXISTING BLDG. YY Res 1 0,Qe1rtT\i Ll/` R.SIDE FT.
fA
FSeparate permits are required for L.SIDE
electric,plumbing and heating work. _ REA FT. -
F
SE OF BUILDING ANy WORK TO BE PERFORMED PLANNING ACTION
`` DATE
.a INS�ci\k New 1c 't`L�s\C c�Oc..rl APPROVED
'). ``b9\C t t4 env at-AM cyt r�C.La C$ BY R(A A 9 ,J DATE I t�!'1 /
IX w\-VV, w OM • \ \ ill///
GM
0 •
I hereby acknowledge that I have read this application and state c'
Cd that the above information is correct and agree to comply with
C. all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of v
f+.1 the State of California. L
3 I hereby certify that I am properly licensed as a contractor under SO. FT. `d t9 • N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
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 t State of California Business VALUATION e
and Professions Code,Division 3,Ch er 9. PERMIT FEE $ 2�- m
Signature of \ \ PLAN CHECK $ / L.f, c
Permittee `� `�{' - �7 �4��LR� $ I/00 CD TAX $ / U.
J1. �Q f
orAuthorized Agent Date ��V cs O TOTAL PAID $ U
y2' sa
FCC ntUtjVtU
Lot 12 21831 •MAR 31 1984
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 517 COSTA MESA,CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
. For Office Use Only
BUILDING
ADDRESS 1953 Killdeer Circle RECEIPT NO Pf� ((.���IQI3 OB 1
COSTA MESA. CALIFORNIA GG
RECEI D•Y E R[C IV¢p DATE ISSUED
OWNER Pemba Subdividers, Inc. BUILDING
u'f G� APR i 4 1964
MAIL 2850 Mesa Verde Drive ADDRESS
ADDRESS + / n
CITY Costa Mesa TE 5490395 ZONE TYPE Pi ' GROUP oV 7
NO.
ARCHITECT E.G.Kaltenbach TEL.5478046 APPROVED
DATE
V
OR ENGINEER NO.
1833 E. 17th St. , Santa Ana ZONING
ADDRESS —
ZONE NO.OF I USE OF NEW•Slu
(1.. lien- R-1 I PLANS a BUILDING W/ atg gar.
CONTRACTOR V1Y'4I172� 5' ,� LEGAL G 1�
ADDRESS
CCIPTIO„ Lot 12, Tract 5289
CITY A.P.NO. none
NOSTATE 187318 TEL. SO'E, NO EAVE TO SIDE 9 REAR P.OVERHANG SHALL SE LESS THAN
L.
LIC.NO. NO.
SIZE I No.or BLDGB.O VES
ALLOWED (U.B.C.REQUIREMENT)
OF LOT �/ NOW ON LOT YARDS APPROVED YARDS APPROVED
' 9 �H
USE OF Sy- a}7�j U pn ri, DRS./f 8')Es/ MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET/
SETBACK LINE FROM 501 461 FRONT
CENTER OF STREET REAR YARD
SIDE YARD I LEFT 51 I RIGHT 51 R.SIDE SPT. FT.
DESCRIPTION OF WORK L.SIDE J.//FT. FT.
NEW X• ALTERATION i ADDITION REAR ( FT. FT.
DISTANCE BET. BET.MAIN 8
MAIN BLDGS. ACCESS.BUDGE.
REPAIR MOVING DEMOLISH
BUILDINt 481 NO.OF 9 2 VAR.* DATE
SIZE ) p�ROOMS ST RIH9 C.U.P.# APPROVED
EXTERIOR W b ROOF �Tle APPROV�j, J(\ 7
kii
COVERING LM LU I COVERING a BY {I,}�I L'( DATE .��J u
USE OF BUIL ING, D WOR O BE PERF D \\\Il \
Single family wi'm attacPT`ea garage. 91
House 2,030 sq.ft.
Garage 451 sq.ft. Plan 54-A -, ac3sg:F 4/402 a/ o
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SH WN UNDER VALUATION IS FOR THE _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH ALL CITY ORDINANC. AND STATE LAWS R-• LATINO VALUATION
N
BUILDING CONSTRUCTION.
9
SIGNATURE OF PERMIT FEE $ -� g
PERMITTE= ...s 4,.., A ..ti. of
/ B
$p( /(!/�/� PLAN CHECK S --95‘<5.0 E
AUTHORIZED AGE /00 L
3,5
TOTAL FEE $