HomeMy WebLinkAbout2527 LOYOLA RD - Building Permits 1
4� CITY OF COSTA MESA e ..
►v, , ik BUILDING DIVISION
Fr "'... ,
% I DEVELOPMENT SERVICES DEPARTMENT
TA. ilk
. - PERMIT PERMIT NUMBER,
(*.man r M99-00025
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
• MECHANICAL PERMIT Q� �j
Job Address: 2527 LOYOLA RD Status: ISSUED 1 /' ^'
Suite No Applied: 01/27/1999
Issued: 01/27/1999
Vicinity: '
Parcel Nunmber: 14141249
Applicant: BANGERT, RUSS
Address:
Phone:
Zip: - _
Owner WAKELEY, SAMUEL HENRY TR
Address: 2527 LOYOLA RD .
Phone:
COSTA MESA,CA Zip: 92626
Contractor A.B.C. HEATING &NC
Address: 2951 GRACE LN '
Phone: 714-540-0972 -
COSTA MESA,CA Zip: 92626
License: 133298
Arch l Eng:
Address:
Phone: -
Zip:
License:
SCOPE OF PERMIT
INSTALLATION OF A NEW FORCED AIR FURNANCE(REPLACEMENT).
FEE SUMMARY -
Quantity - Quantity
ISSUE FEE $22.00 Repair/Alt Absorbtion Unit $0.00 0
Inst FAU<100 k BTU $13.25 Repair/Alt Refrigeration Unit $0.00 0
Inst FAU>100 k BTU $0.00 Ventillation System $0.00 0
Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0
Inst/Rep.Recess Wall Htr $0.00 0 Commercial Incinerator $0.00 0
Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 . 0
Refrig Sys>100 k BTU $0.00 0 . Compressors/Absorption Systems '
Gas Piping $0.00 0 Up to 3 hp/100 k BTU • $0.00 0
Factory Fireplace $0.00 0 3 To 15 hp/-500 k BTU $0.00 0
Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0
VAV Box $0.00 0 30 To 50 hp/1,750 k BTU - • $0.00 0
Vent Fan/Single Duct $0.00 0 Over 50 hp/Over 1,750 BTU $0.00 0
Appliance $0.00 0 Boilers.
Fire Dampers $0.00 0 Up to 3 hp $0.00 0
Smoke Dampers $0.00 0 3 To 15 hp $0.00 0
Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0
Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0
Air Handlers> 10000cfm $0.00 , 0 Over 50 hp - $0.00 0
Floor Furnace $0.00 0 Other Mechanical Fee
Floor or Suspend Heater $0.00 0 Investigation Fee $0.00
Plan Check Fee $0.00
Reinspection Fee $0.00
TOTAL CALCULATED FEES $35.25
• COMMENTS/SPECIAL CONDITIONS
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•
OQ'K`
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days. .
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
WORKERS COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury One of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit Is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Cartier: Policy Number
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑ I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws California n gree that if I should beco subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
complywiththesep visa � 9`/�I�
Applicant Sigrl�ure: �: /� 2- f f
WARNING:FAILURE CURE WO KERS COMPEN COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(s100,0o0),IN ADDITION TO THE T OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am ken-edunder provisions of Chapter 9( • mencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.Ni Class#
Contractor's Sigritur= / r (�/J 0/,ljy1 0 DG: /X 47 ,5?"-
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to Its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty Of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement Is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person Is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Wit the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If en RMPP is presentty required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes u No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: _ Date:
CERTIFICATEOF.COMPUANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I ag'reeab comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-d scribed property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
p ` ie al Owner(s) /— N /7 _ ?
/ n ' d Applicant / Date
CODES INSPECTIONTYPE DATE INTMALS CODE I INSPECTION TYPE DATE IID�ID,A_64
Ary 1616 Fixed System Final Fire Prevention 206 Final Mechanical /O-�-en n1 i_ 1_
1266 Pool Spa Final _ 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign _ 222 Final Site _ -
204 Final Demolition 250 Final Building/Occupancy
2446-46
i
4.,; CITY OF COSTA MESA
' � ;; \ BUILDING DIVISION
I.
k DEVELOPMENT SERVICES DEPARTMENT
PERMIT PERMIT NUMBER
698-01391
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT26
�{Q
Job Address: 2527 LOYOLA RD Status: ISSUED 3" '
Suite: Applied: 08/05/1998
Vicinity: ROOF Issued: 08/05/1998
Parcel Nunmber: 14141249 Zoning: •
Applicant: ROY CHAFEY ROOFING
Address: 09692 LUDERS AV
---2,Phone:" '
GARDEN GROVE-CA'.,;K. -- • Zip: ' 92644 - -
Owner: WAKELEY,'SAMUELHENRY.TR • A
m a OLA ' �) N\
Address 25227 LOYOLA RD', \ t.
/.f//7/(z(\V A \--_,—)_,,-:--„,..77---21:;_hone:=7/9 !03 A_`!L7 7179.7 /,'N;:, ,-
COSTA MESA,CA Zip: 92626 ti� J ' Av / -��,,,
7/*/ \ \\ / I\,
Contractor. .i:_ , ` Vic\,"
Address: N, / �- �
%�O /7 ;;/'Ti
',
r
DECLARATIONS ( ) r
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is Issued.
O I have and will maintain workers'compensation' surance,as required by section 3700 of the Labor Code,for the performance of the wo for which this permit is issued.
My workers' o�J ens ion In nce carrier e)•olicy number are: T`T- /y��]
Card (LNumber
Carrier: <_ , ' - Policy
(This section need not be complete if the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Califomia,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100.000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES,
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under rovisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Profession Code,and my license Is in full
force and effect.Lic.# S' 2- Class#
Contractors Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to Its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the properly,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or Improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). .
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business end Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet In depth Into which a person Is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework.or demolition or dismantling thereof,will De more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous _
material? 0 Yes 0 No
(Section 25505 of the Califomia Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? lYes u No
(Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 if a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this
application,have all of the disclosures prescribed by California Health end Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penally of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
) 4 .:// AO t
.4 � Of eget Owner(s)
Applicant it
fo
Date
CODEj, ittW TION TYPE DALE IN ALS CODE t INSPECTION TYPE DATE INIfALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1286 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final BlocidRetaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval .
203 Final Sign222 Final Site
204 Final Demolition 250 Final Building/Occupancy /
2446-46
a
4ioytp4' s9, CITY OF COSTA MESA
•a ,`c` CALIFORNIA P. O. BOX 317
\ i
' FROM THE OFFICE OF THE PLANNING DEPARTMENT
cS;f f.
August 30, 1966
Mr. Samuel H. Wakely
2527 Loyola Road
Costa Mesa, California
Dear Pool Owner:
The Costa Mesa Planning Department has been notified of the completion
of your swimming pool.
So that your pool will be a safe one and for the purpose of advising
you of your responsibility regarding the requirements of the Costa Mesa -
Municipal Code, we quote Section 9298.9:
1. No swimming pool shall be constructed closer than five (5)
feet to any property lines, measured from water line of pool.
2. No swimming pool shall be constructed under any electric power
lines or on any electric power easement.
3. No swimming pool shall be constructed unless the yard
surrounding such pool is completely enclosed by a fence
six (6) feet in height and has a self-closing and locking
type gate or gates.
This courtesy letter is directed to you so that you will be aware of
our ordinances and can make a complete safety check of pool area. •
Sincerely you
iddlitS4A-- Al-At--
William L. Dunn
Director of Planning
H . V . LAWMASTER & CO., INC.
7940 MAIN STREET — STANTON, CALIFORNIA 66CM5_208-003
828-8040
xxx
Field Data on Test Specimens Core Concrete Gunite Grout/Mortar—
Project Snmi ej t/akaly Pnnt Permit No. ab7 2
Project
Location 2597 Loyola Rd. Costa Mesa, Calif.
Contractor Calif. Pool Co. Architect
Location in Structure Engineer
Date Moulded 6/5!66 No of Specimens 3
Slump Specimens Marked 1 2 3
Specified Strength at days P.S.I. Mix Designation
Age to be tested days days days days
READY MIX PLANT AGGREGATE SOURCE
Weather Condition 1 Yd. ___Yd. Batch
Cement Type Cement, lbs.
'Admix Sand
Specimens made by #4 •
Data by #3
Delivered by #2
Date Delivered
REMARKS: Water, Gals.
• FOR LABORATORY USE ONLY
Lab. No. 1254 1255 1256
10 Day Test Day Test Day Test Day Test
Date of Test 8/15 ‘1
Specimen Dimensions 5.85 X 13 #74/4FO
Area 26.88 4
Cl,
Ultimate Load 62,000 No further test required 1/4.404p
ittos
•
Lbs. per sq. in. 2,307
H/D Corrected
«3-ti9,r ,, A � �_B/ir t t r__ R.C.E. #6207
OWNER WAXELY, SAM DATE 9-26-66
JOB ADDRESS 2527 T, ynl a Road BUILDING PERMIT NO. 2045
GENERAL CONTRACTOR R.M. Wilson DESCRIPTION OF WORK Patio Colter
4- No. 141-412-49 LOT TRACT ' FIRE ZONE VALUE $ ?75.00
1. ECTIONS Signature Date GROUP ,7 TYPE TV ZONE p_1
Soil I PERMITS ISSUED
1 Gas SUBCONTRACTOR Date Number Signature
S Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con. .0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring Heating and Vent.
Trenches 0 Forms 0 Steel Reinf. 0
Floor System _
Bond Beam 0 Steel Reinforce 0
Sheathing _
Frame and Flashing `-411) /0/i3/6
Lathing— In O Out❑
Pi' ter, Brown Coat
ural, Final Electric
Heaung, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final _
Building, Final - -
C L3
•
26155 SEP 2666 00 630A3***.**3.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92625
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING /)� L //) ^ For Office Use Only
ADDRESS ZS2-7 y�7 uht /`0/TV
RECEIPT NO. PERMIT NO.
COSTA MESA, CALIFORNIA� REDID ��
OWNER ��
`, BUILDING
MAILADDRESS SGl44. ST gy ADDRESS
TEL `74 ZONE ROUP
CITY �/\ NO. /7
�^ APPROVED //�/` ////�
I INE A p TEL BY DATE .C�/CO
YGINEBR .L NO. /
/�jw. iji:
ZONING
ADDRESS S !D'� D
E I NO.OF USE OFNEVi /n
r�/T /�1 Also,-
` PLANS Z BUILDING �9y �/ - f3.V
CONTRACTOR �[7�`,'/'(// A ls,,/o,- // �\ .) to
ADDRESS/4' DW(S07 ,4 h.. VA"
LEGAL I-C 1 c�' E'�! 202C/
CITY 3' /('ryl C/44/& -19
/ A.P.NO. I�/ /•� % 2- /
LIC.TNO. ISV L/f NO TXI _O0 30NO'r TO SIDE a REAR P.L.
E: NO RAVE OVERHANG SHALL BE LESS THAN
VES
SIZE o ' ( //I 0 Vf III NO.OF BLDGB. ALLOWED (U..B.C.REQUIREMENT)
OF LOT /� VV NOW ON VDT
USE OF YARDS APPROVED YARDS APPROVED
EXISTING BLDG. / MAIN BUILDING ACCESSORY BUILDING
(PROM C/L STREET)
SETBACK LINE FROM FRONT 2V r t�f/TSI L'~
CENTER OF niter REAR YARD �y�'�-/��•��� •Il
SIDE YARD I LEFT I RIGHT R.SIDE /`F•� jl'. FT.
DESCRIPTION OF WORK L.SIDE h FT. Fr.
/f
ALTERATION ADDITION I REAR11.4.5 Pt PT.
-
DISTANCE BET. BET.MAIN&
REPAIR MOVING QEMOLISM MAIN BLDG'', ACCESS.BLD08.
BUILDING NO.OF VAR.4C TE
SIZE ROOMS STORIES _ C.U.P. /) / APPROVED
EXTERIOR WALL ROOF APPROVE�a. `jr////t[/ / /�.�'
COVERING I COVERING BY DATE ti L6 V/!/
US F ILDINS AND WORK TO BE
6s4,
PERFORMED 0'
1•
I �I I hUnl SQ.Fr. o
I H REST ACKNOWLED TN I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE THAT TH ABOV IS CORRECT AN• AORE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY N AND Y 4 . OU TINS VALUATION D
BUILDING CONSTR v'•N. °V CO FJS,
PI
SIGNATURE PERMIT FEE $ p
PERMITTEE I GCB.
$ //77 PLAN CHECK S
AUTHORIZED AGENT TOTAL FEE 5
OS6a®e" � i�il6.
UWNtia WAKELY, SAMUEL H. DATE 7-'d5bb
JOB ADDRESS 2527 Loyola Road BUILDING PERMIT NO. 25942
GENERAL CONTRACTOR Owner-Builder DESCRIPTION OF WORK Private Swim Pool
F e. 141-412-49 LOT TRACT FIRE ZONE VALUE $ 3,250.00
tii .:CTIONS Signature Date GROUP 3 TYPE III ZONE R-1
Sou �y� �—. PERMITS ISSUED
✓' Mf 9�7 'ljr• SUBCONTRACTOR I Date I Number I Signature
Water Plumbing
Rough Plumbing .. 9--7 rt/flb -4i/JJ4i4) y-c2V766 a,
Prop. Swr. Line 0 House Con. 0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning r -�
.�i1- 'Y.,A3' o'-fi7.0
Underground 0 Power p
Rough Wiring Heating and Vent. �,,.�°yam
Trenches �. Forms 0 Steel Reintg W,7-57-f—/6 f,`\"•i „"°ay: c(,
Floor System Q.�+^` A
Bond Beam,g Steel Reinforced 4t�'j6 fad, °`_ __ '
Sheathing �r
Frame and Flashing
Lathing—In 0 Out 0
Plaster, Brown Coat
tural, Final Electric
h....•.ing, Vent., Refrig. and A.C., Final . toyum,- "that 1/,-25-/4?4,9/O
Plumbing, Final and Gas Test C9-'
Electric, Finalfea "SW
Builuildingg, Fin
25942 JUL 25-66 G01399A_3****22.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 0232E -
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
�T /J / For Office Use Only
BUILDING 2-S a7 Gc Q/Q /1 G<
ADDRESS /
RECEIPT NO. 213b41.2
COSTA MESA, CALIFORNIA
RECE1vEb EY DAsi RE EIIID / DATE ISSUED ,/
�.r .� A � e !� / S � %-.,?..')-�
OWNER 9 iii
M �i BUILDING
ADDAIL R[S$ asa 7 . t ADDRESS
- FIRE
CITY. '4fiA--ret ///•� µO1'• /a 7 G ZONE //TYPE GROUP/� r
YITECT yJ y TEL APPROVEDY /1 'X DATE 7-23-7-66
LINKERR•1 5- ././ NO.. oS7ts $9 /,' /
ADDRESS Ad. Berl! /,N�Iy/• 26-4-71-1-72--, ZONING
ZONE NO.OI US[OIN[W/ 7.1
/
,��/ PLANO ( EUILDINO /Q�(
CONTRACTOR LaoAL LoA 33 T/c a o Z 9
ADDRESS DESCRIPTION /
CITY A.P.NO. /H/ — 27//a — Y y
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL SO•TO SIDE a REAR p.L.
LIC.NO. / NO.
ES
SIZE / 73. X/00 I NO.Or ELDO[. ALLOWED (U.B.C.REQUIREMENT)
OF LOT ri NOW ON IAT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
- (FROM C/L STREET)
SETBACK LINE PROM FRONT FT.
�V��.�r
PT.
CENTER OP STREET REAR YARD .-�r( A "e
R.SIDE FT. FT.( r .
wog YARD I LEFT RIGHT /
DESCRIPTION OF WORK L.BIDE FT. FT.
i
/� ALTERATION_ ADDITION REAR FT. FT.
DISTANCE arr. BET.MAIN&
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLOCS.
BUILDING NO.OF VAR.SC DATE
SIZE 4ROOMS STORIES C.y.p.* APPROVED
COVERINGEXTERIOR
WALL I ROOF COVERING ,FROV[ 12,77,n . DATE 7-ZS "CC
USE OF BUILDING ANDWORKTO SS PERFORMED gOLD FORwS,,,/PECIA REQUIREMCN"lb o.
w
��f7 Jam/ s el.-75'2-Y--
/q , iC./ v SQ.FT.
THE AMOUNT SHOWN UNDER VALUATOR IS FOR THE G
I NRS THAT
THAT.) HAVE READ THIS APPLICATOR A
AND STATE THAT TH[ DIN N IS CORRECT AND WSREE UL COM• PURPOSE OP ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL ORDINANCES AND STATE LAWS REGULATING VALUATION
EUILDINS CONSTRUCTION.
PERMIT FEE $ /- D7
SIGNATURE OR l/� ��PERMITTEF 61 4-"" '` _ _ E
/�f' 7 al �✓� PMN CHECK $ ��.5 U W
AUTHORIZED AO[Nl'"
TOTAL FEE $ cPrT?i.S.U
•
•
-; • . . _ .
M� ni 'v•41� L:
853
• al°I IS`I et—
COSTA MESA BUILDING DEPARTMENT FINANCE DEPT.
P.O.BOX 317 •
COSTA MESA. CALIFORNIA CM. L.'• DICTA AlI4Cl;1
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING BUILDING
ADDRESS 2527 Loyola Rd.
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY •
RECEIPT NO. I(t( ^
OWNER Mesa Highlands, Inc. PER8Vr3
MAIL 1555 Placentia. . RECE VEO BY DATE RECEIVED ATE ISSU D'
ADDRESS EL. -�r L 6n� - t- fa. —",---,i7 6 1959
CITY Newport Beach. Cal. TMI NO. P -3221 ADDRESS
ARC' 'GTggm8 O.
IE N
OR ITER NO.
- COSTA MESA. CALIFORNIA
FIRE
ADDRESS�� �� 77(( same ZONE •
CO13YRACTO011 Const. Co. CITY NCC. 1217 TONE INC.OP I//IFE
cRpuP
PLAN$ / �(/�/
TEL. • APPROVED
ADDRESS se• NO. Same BY DATE
LEGAL LOT I ��//��29 CORRECTIONS
DESCRIPTION NO, 33 BLOCK TR!!�T
A.P.NO. .
SIZE 63 'NO.OF °LOGS. O
x 100
OF LOTNOW ON LOT
USE OF
EXISTING BLDG. tiI1LJ1'I
SETBACK LINE FROMM
CENTER OF STREET 50 REAR YARD .20
l
SIDE YARD RIGHT 10 - LEFT 5
DESCRIPTION OF WORK
NEN X ALTERATION ADDITION .
REPAIR MOVING DEMOLISH .
SUZIELDING 1574 — 469 ROOMS 6STORIES 1
EXTERIOR WALL ROOF '
COVERING stucco COVERING hot—mop
USE OF NEW
BUILDING Residence & att. garage
Plan 3—BR .
The Amount shown under valuation is for the
STATE
I HEREBYTHAT ACKTHENOWLEDGEABOVEIS THAT 1 HT AVEAND REAOAGREE THISTO APPLICATION AND
purpose of establishing a permit fee only.
TH
CITY ORDINANCES STATE LAWS REGULATING BUILDING ONSTRUC-
nOrv. VALUATION
SIGNATURE OFPERMIT FEE $ 35.00
PERMITTEE O • '
G $ 15,7
47.00 PLAN CHECK 5 17.50
AUTHORIZED' GENT TOTAL FEE $ yAAiI
52.50