HomeMy WebLinkAbout2021 LEMNOS DR - Building Permits W TT
April 13, 1972
•
Mr. James Sutton
2021 Lemnos Drive
Costa Mesa, California
Dear Sir:
A building permit has been ssued to Jack E. Elms, Inc.
to construct a private swimming pool on your property.
In order that yo pool will be a safe one and for the
purpose of advising you of ur responsibility regarding the re-
quirements of the Costa Mesa unicipal Code, we refer you to
Section 8107, a copy of which is attached.
This lets directed to you in order that you will
be aware of our or ances and can make a complete safety check
of your pool area.
Sincerely yours,
•
RICHARD HANHART
Building Safety Director
RH:dh
T • .
•
��2�e11a2A% • Twininci Laboratories of...spb=t/izZ,= Ca /oZ,=«=• �,_a.
P.O. BOX 47 . 7310 AIRPORT WAY . LONG BEACH, CALIF. 90801 • 17!31 426-3355 . !217 6362386 . (71(714) 828-6431
BRANCH OilICES:
• TESTING 15N_D No.;,HA,R.. ,•701
47
Se+a 53 a.C.91Rmin ab0l 2755 RBe',cS A...,P.O.Bowl
PIO 53415.5 Lo.-g Beed CaM.90301 DU) 616.2306
May 3, 1972 . Examination: SC72-2570
COMPRESSION TESTS ON. 'UNITE CYLINDERS
•
' L. E. Sprague
1411 Windemere Lane
Tustin, California 92680 Permit# 34563
•
PROJECT Swim Pool for JAMES BUTTON
ADDRESS • 2021 Lemnos Drive, Costa Mesa -
N
- SAMPLE FROM . #1 & #4 - Bond Beam: #2 & #5 - Shallow End
• #3 & #6. - Deep End .
ARCHITECT CONTRACTOR
Jack Elms
ENGINEER SUBCONTRACTOR
,. Grove Grove
. -SPECIFIED
MIX Gunite . STRENGTH 2,000 psi
DATE CAST 4-26-72 SLUMP 511
DATE TESTED 5-3-72 5-3-72 5-3-72
.. • 4 "HOLD"
CYLINDER NO. I 2 3 5 "HOLD"
6 "HOLD"
COMPRESSION 7 Days 7 Days 7 Days ' ,
TOTAL LOAD, LBS. 141 ,000 .158,000 136;500
POUNDS PER SO. AN. 4,990 5,828 5,035
0SIZE: ' #1 : 6" x 12-5/8" , #2 : 5-7/8" x 12-3/8" #3:- 5-7/8" x 12-3/4"
COMPLIANCE 7-Day test complies with specifications.
• MADE BY DELIVERED BY RECEIVED ON
CYLINDERS L. E. Sprague ' LES . 4-27-72
DIBT.LpTIDN: BUILDING SAFETY DEPT.
L. E. Sprague - 2 MAY 8 1972
Jack Elms - '
Grove Gunite .
Costa Mesa Bldg. Dept.
•
•LL REPORTS .RE SUBMITTED AS THE CON.IDEATIAL PROPERTY OF CLIENTS. AUTHOrIZATION FOR PUBLICATION OF OUR REPORTS. CONCLUSIONS. OR EE-
TRACES FROM OR REUAROING THEM IS RESERVED PENOtpO OUR WRITTEN •PPROVAL. AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC ANO OURSELVES
101 PROJECT ADDRESS: 2021 LEMNOS DR UNIT: CITY OF COSTA MESA - BUILDING PERMIT i'E&r. riG; B TJJYLIC
OWNER'S ADDRESS:S: AUSTIN, STEPHEN M PERMIT NO: B 054218 PLAN CHECK NO: N GCV 4 : i' SZ ii iv
AUSTIN MARY ANN
2021 LEMNOS DR
COSTA MESA CA 92626 CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ALT
(714 ) 662-3`123 REG.NO.: SOB DESCRIPTION ; T/O EXIST, /RE-ROOF W/CLASS "C" MED SHAKE SQ FT; 5, 600
ARCM/ENGINEER:
ADDRESS: 0N1T` CLAIM VALUE; 5, 600 . 00 CALC-VALUE: 5, 600 . 00 GROUP OCC; R-3 /M-1
+ PERMMEE: ACTION FIRST ROOF CARE ( 714 ) 841-7663 0
M ADDflss: UT2 GOTHARD ST ***********+ME*************TS)F T6+RE*i�******ED **1�**********�6**** *********x�6******�F****TF
HUNTINGTON BEACH CA 92648
LICENSED CONTRACTOR DECLARATION: t hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of on•kTtop o f usiness and Proteu iga�C d my license is In 1uJ.forcq d effect. SETBACKS
CITY LIC.: V9 � J STATE LIG.: ]V CLASS: C.-'"
MAIN BUILDING ACCESSORY BUILDING
Date:........ 04-7-9./ Signature:_�l 1i pG'F")'— 1.7`1` •P FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
WORKERS'COMPENSATION ECLARATION: I hereby affirm that I have a cenilicate of consent to self.insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
Compensation lis04200011ie9 cloy thereof(Section 3800.Lab.0.9/01 /92
POLICY NO.: STATE FUND EXP.DATE: PARKING REQ: PROV: PARCEL; 13945204 ZNE: REF NO:
COMPANY: }( PLANNING NOTES>
❑ Certified copy is hereby furnished. d I Certified copy is filed with the city Building Division. >
Date:_e_07414* Applicant: iliaC4-1-7/..c.. — D .E V .E• L O P M E N T SERVICES R E Q U I R E M E N 'T S
EXEMPTION FROM WOROMPENSATION DECLARATION: (Thos section need not be completed if the permitfor one hundred(5100)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 ZONING APPROVED BY
subject to the Workers'Compensation Laws of California. • DATE;
Date: Signature: BUILDING APPROVED BY ;
DATE::
NOTICE:II.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor
Code.you must
DINGvAGNCY: Iwith
ersuch provisions
them
a construction
tddmearency o. APPLICATION ISSUED Y: '� -�,� ( � DATE: /�J/
CONSTRUCTION LENDING AGENCY: (hereby affirm that lhereaacomtruction lending agency for the performance of the work for *********************4** • it L x is�f�E *** *** ******************7c'i�if`i!?tiE £**
which this permit is issued(Section 3097.Civ.C). ******************************** . . *** *** ***********************,************_
LENDER:
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
• ,:-
BLDG
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors State License Law for the following reason PERMIT 81 . 00 . 56
(Section 7031.5 Business and Professional Code: Any city of 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/she is licensed _ SMIP/NON-RES
•
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business P LAN I
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE
any applicant lot a permit subjects the applicant to a civil penalty of not more than five hundred dollars(3500). BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 81 . 56 0 . 00 . 0. 00 81 . 56 81 . 56 . 00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a property who builds or improves thereon,and who does such work himselflherself or through REVENUE DIVISION TOTALS--> COLLECTED• 81 . 56 OVER/SHORT: ', 00
his or her own employees,provided that such improvements are not intended or offered for safe.It,however the building or
improvement is sold wuhin one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
for the purpose of sale). 81 . 00 . 56 1
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'Slate License Law does not applyto an Ownerol property who builds or improves thereon ***************************************'********IF***********************_**?h*****
and who contracts for such projects with a contractor(s) f
license pursuant to the Contractors'State License Law).I am aware j N D I V I D U A L^ F E E B R E A K D O W N
that proof of their Worker's Compensation insurance should be provided to me. . r
❑ I am exempt under Section: B.a P.C. TYPE QTY DESCRIPTION UNIT COST TOTAL COST
for this reason:
Date: Owner: SFR 5600 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 5, 600. 00
I do hereby cenny that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES
25534 and that I or any future building occupant wilMwi I not(circle one)need to comply with said state codes and the requirements for a •
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Dale: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above mentioned - --
property lar inspection purposes. . [ '" -
Date:_C.0447
1641-46 while-Building:Green-Code Enforcement:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor
3/
CONSTRUCTION AND PLANNING POOL & SPA
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. it 54. Forms •;i:
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 Undrgrnd. .
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House.Connection -. 62. Backwash & Receptor-Final _
12. Sewer Cap • 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing - 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT •
20. Rough Factory Fireplace APPROVALS- - Permit# - •
21. Ducts, in Structure ,• - 70. Underground Hydro
22. Ducts, 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 Sheathing PM( at 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL •
i
29. InsulatSon , , 78. FIRE PREV. FINAL
i
•
30. Drywall Nailing � li,:_ HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final - •j". 80. FOOD CERTIFICATE ISSUED
33. Final Electric - r . Nbtes: to i l�I � • - prnyits1/4
34. Final Heating& P:ir'Conditioning . . ) 11 •.•• 1 c- ..o
at
35. Final Gas Pipe-Test I
36. Hood or Canopy -
37. Final Factory Fireplace
38. Final Plumbing .
i
39. Water Service-Final , • : x
40. Gas Service>Final •
- .
41. Solar Domestic-Final •�, -
42. Backflow Preventer I l •
43. Backflow Irrigation "
44. Landscape Irrigation System .` ,
45. Sound Attenuation -
46. Handicap Regulations - , '
47. FINAL STRUCTURE & BUILDING
zs
48. FINAL PLANNING //: SG grit-
.
49. Electric Release to Edison 7: t - a i �^
50. Gas Release to Southern California Gas Co 7 /�/,J�
51. CERTIFICATE OF OCCUPANCY -
No. Date
OWNER SUTTON; James DATE 4_32-72
JOB ADDRESS 2021 Lemnos Drive BUILDING PERMIT NO. 34563
GENERAL CONTRACTOR Jack E. Elms, Inc. DESCRIPTION of WORK Pvt. Swim Pool
\Z' APNo139-452-04r. LOT TRACT FIRE ZONE VALUE $ 5,000.00
INSPECTIONS Signature Date ,GROUP J TYPE III ZONE R-1
N. SOIL / ISSUED
GAS / SUBCONTRACTOR
%r}-a�� /(� 53. 7Z Date Number Signature
-WwiLHt CJ ./:�'7'L— 1/'�1,. �, PI bin ///���� �y ry /�.
ROUGH PLUMBING 4rl.r1z- �3'.eii�/C/ �!///I/�!/ S`-4Oi 746O�e.G
PROP. SWR. LINE In HOUSE CON. nLi
)
SPRINKLING SYSTEM f y''ilyiCu- l 4/iy1Y7y
MISCELLANEOUS / r
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE el1/44yt'^ /7 416Y5-72—
UNDERGROUND ja POWER H S S-'2D
ROUGH WIRING r� ve S� 2 Heating and Vent.
TRENCHES % FORMS RI STEEL REINF. CJ` s1� G'I'Y 11-
FLOOR SYSTEM
BOND BEAM L STEEL REINFORCE n[
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT [l
PLASTER, BROWN COAT
STRUCTURAL, FINAL [� a _
HEATING, VENT., REFRIG. AND A.C., FINAL Y r 7� - 44?, .
PLUMBING, FINAL AND GAS TEST n 579.7 / I, /,r` �' , �O /
ELECTRIC, FINAL �� S.7Q. 7�I
AI
79-72 `.'OO 505* ****43-85
34563
•
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely ///
r� + REC GBY D 7'70.22-- DAT ISSUED
ADBUILDING 5)DRESS A L7 A 1 h {-•+1 rL10S aitadLAI /vL "- 4/
ati
OWNER rJ/}'wVi ,e-6 S U i'l7� A.P. NO./�/ -L ccOP PEVim/ (GLS
MAIL BUILDING /
Z ADDRESS et 0 �I 1-. -s. N0.5 ADDRESS 2Q gt eat Ai 0-S
W W
TEL _ 1:-/-7y Yr
0_(3CITY Coo iA -7/4,$.4 NO.SYO.7r36T TRACT LOT BLOCK
FZ
Z Q CONSTRUCTION /.1NEW ADD ALTER REPAIR MOVING DFMOLISH
O- N LENDER t.. 14-5 t4 ley OWa`/tc{L !/
a m /
J D BRANCH
J CO OWNER T wl,j -- Sri A:/
4 W ADDRESS
m•m ARCHITECT �t c TEL. USES`, s•-r-r /00/ VALU$ rj/° Ao.
J N OR ENGINEER PrrV/ 5/0,ed NO.E/34-z?e4 J�
Z Q FIRE
w CC ADDRESS ✓ !(.R dQ/ - 0 - , i. i r ZONE S.04.
7 TYPE GROUP
J O CONTRACTOR T?c•M1t- c. (,. / Lits r/l( �'f APPROVED /'/ /� DATE z'7,"
mz t/J�/
J Q ADDRESSJJfl .SI4, 00 di N'
W W TEL. p,{$ ZO NO.OF USE OF NEW
0= � � / i —f PLANS BUILDING /
ZI- CITY 7t/454,,,, NO. we;4 /_`�'��
W- O STATE 4 CITY YARDS APPROVED YARDS APPROVED
D
O 0 LIC. NO./ 0 7 2.0 -c- 53 LIC. NO. MAIN BUILDING _ ACCESSORY BUILDING
SIZE ''7 NO.OF BLDGS (FROM C/L STREET) Q• /,�/
OF LOT /O X /0 0 NOW ON LOT / FRONT FT. FT ./ /"
USE OF Jas
EXISTING BLDG. •/` e S • R.SIDE FL 36'FT.
I- SIZE OF 4/ 46
NO.OF �
Z NEW BLDG. / �� ROOMS STORIES L.SIDE FT. 6' FT.
UEXTERIOR WALL ROOF
_ COVERING COVERING REAR FT. 6 FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1 MAIN BLDGS. ACCESS.BLDGS.
a ,
Q / VAR.+ ��J/'I DATE
O N Lu r wr,/•-i C `�Jc9 C.U.P.•x.�7A���� /%/ APPROVED 7
H APPROVE ! I%r/(AS71// • //�_/�
Z �Y DATE
[�/J
O XV1
f~.1 I hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ + I
I- any person in violation of the workman's compensation laws of
CO the State of California. //VI' ea
Z I hereby certify that I am properly licensed as a contractor under SO. FT. o
the State of California Business and Professions Code, Division 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: e
am exempt from the provisions of the State of California Business R
VALUATION
and Professions Code, ision 3,Chap r�e% / iw 02 r .� m
Tr�/QI W PERMIT FEE $ N
Signature ofjef
i[a�0/// D
'�� ,/ L ///777111 n
Permittee r $ i DO PLAN CHECK $ /7 . J `�I E
////// 54 u.Autho ' ed Agent L{3 [� u
` TOTAL FEE $
sk OWNER SUTTON, JAMES A DATE 2-11-69
1/4,4 JOB ADDRESS 2021 Lemnos Drive BUILDING PERMIT NO. 29635
\GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Extend Bedroom and Add Sauna
AP No. 139-452-04 LOT TRACT FIRE ZONE VALUE $ 1,969.00 Bath
INSPECTIONS - Signature Date GROUP I TYPE V ZONE R-1
N.SOIL PERMITS ISSUED
GAS SUBCONTRACTOR
Date I Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE E HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 5 POWER E +� p.
ROUGH WIRING^ / -p •tom Heating and Vent.
InV
TRENCHES FORMS ® STEEL REINF. 0 f ' 6 /_69
FLOOR SYSTEM ,4/Py - 6-/4-66
BOND BEAM n STEEL REINFORCE n
SHEATHING ,��(,,.� •
FRAME AND FLASHING p - 1.e(.(?&
LATHING — IN n OUT pt+ 7i(p i6f Oink
PLASTER, BROWN COAT .iG'eJ 7,L'*C7
STRUCTURAL, FINAL I i /
HEATING, VENT., REFRIG. AND A.C., FINAL (! r t _, e! .9p
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL 4,-.-e dr i - .7
yJ,
BUILDING, FINAL //�e) r Cr 67.
Pala
29635 JAN -9-69----00 317* *•^**30.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant toFillin Completely RECEI ED BY 4AT RE EIYED DATE ISSUED
BUADILDINGDRESS L O L I LGM 006 DR. _ \ MI - �ff'_ -�/'C�(� �s� _1/- b7
OWNER .J AMES A. 5L --12JM A.P.NO. �q - 7�„t - Vim/ rP IT Nr1
ADDRESS .AMa AS ABOV ADE / 0 �L',
ADDRESS d(/(/
MAILwill
Z
a0 CITY C6c-TA. ME-S(1 NO. c4O-7?Q TRACT LOT BLOCK
Z
CONSTRUCTION Mane NEW REPAIR MOVING DEMOLISH
O co LENDER
am
-J D BRANCH /I
J N OWNER 4a
CO-I ADDRESS y�/J������qq 11 �y�/AA/L�UE
m ARCHITECT TEL. USE Lif'K'tti1� t7.�JJ/A.IIR
J Q OR ENGINEER NO.
N /� T
dw ADDRESS /^� ZONE< FIRE LJ _TYPE GROUP .L Q
Cl whey APPROVED /Y DATE `—//—�/
W Z CONTRACTOR BY
CO- Z /! ,^M
JCC ADDRESS Ilt' O�
LU w TEL. ZO NO.OF USE OF NEW spprfirei
0= CITY NO. ��/ IPLANS '1 BUILDING
Z H
- O STATE CITY YARDS APPROVED YARDS APPROVED
uJ
N K LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
_0
SIZE f'') �I T z NO.OF SLOGS. (FROM C/LSTREET)
OF LOT /e / n D NOW ON LOT FRONT Of tk / FT.
USE OF
EXISTING BLDG. R SIDE i 6 FT. FT.
......o ^ 1 /�
Z NIEW BLDG.ZE OF I47 SQ•It ROOMS STORIES I L,SIDE 3 FT. FT.
EXTERIOR WALLROOF �YY
V_ COVERING P1-AS • COVERING DIAD G REAR A 1--FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
0 'E'er-E.t.a D BEDROOM & ADP <AUUA- MAIN BLDGS. ACCESS.BLDGS.
Q VAR.* DATE
O C.U.P.# APPROVED
APPROVED Ili / / (,
O /
VI 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
In the State of California. /77 O. FT. m
ZI hereby certify that I am properly licensed as a contractor under 0
the State of California Business and Professions Code, Division 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: Eb
am exempt from the provisions of the State of California Business to
VALUATION
and Profeasio Code,Division 3,Chapter CO
s,CJ1� PERMIT FEE $ O. [rJ/ D
Signature of • /) /./) �I m
Permittee S L/q •
' v PLAN CHECK $ �0. E
/ f//' o
y� LL
Authorized Agent ` TOTAL FEE $.30 , L/(,/
•
OWNER PACESETTER WEST JOINT VENTURE DATE 3-22-63
JOB ADDRESS 2021 Lemnos Dr. BUILDING PERMIT NO. 19179.
"GENERAL CONTRACTOR Andros Land Co. VALUE $ 211,1115.00
AP No. LOT 95 TRACT 113118 FIRE ZONE DESCRIPTION OF WORK Res.w/att..gar.
INSPECTIONS Signature DATE GROUP S&J TYPE V ZONE R-1
Soil ..417 ,h -� PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water j'p- } —
Rough Corn. Refrig. :0 Air Cond. 0
Rough Heating "7-,...",43-63 5=N-li3 /moi - i
Rough Plumbing G3 JL� / � 'S2/o.-G✓' �
Miscellaneous � �(� csAm
Prop. Swr. Line p'House Con.�&St. Swr. 21 d.C"A 930,4 (i J,, PA .d/.2=/.3 3 - - -
Sprinkling System ✓ Ili:Construction Pole , . - D n 1I
Underground 0 Power ;❑
Rough Wiring 4s J.15C3 `�r0 '` -c-c.- JUL 1 ' ,'3 R art er.. -
Trenches gr Forms R, Steel Reinf. lam �Pa, ,j ff-C1
Floor System � 1-.93 --e
Bond Beam ❑ Steel Reinforce 0
Sheathing -1
Frame and Fla ing �O
Lathing— In Out (� _94.74 -y3 G'
Plaster, brown coat /072244.3
Refrig. C Air Con. 0 Final
Heating, Final "-#7 ��-,r-
Plumbing Fixtures, Final /,,, 4 / -( )
Final Gas Test 13 �Sl /7" -' j ----
Electric Fixtures, Final f l //-S;GJ
Building, 1
OCCUPANCY Final
//-5---6} ,
Form BU4-5M-3-53-5-3 P 10170
19179 fL - iACL6%V10
COSTA MESA BUILDING-SAFETY DEPARTMENT MAR 2
2 1963
P.O.BOX 317 COSTA MESA,CALIFORNIA FINANCE DEPT.
ITvnc NISTA MESA
For Applicant to Fill In Completely APPLICATION IFOR PERMIT
TYPE OR PRINT .47- 91/4( BUILDING
For Office Use Only
BUILDING
ADDRESS o2O1I , -
RECEIPTNO. ••777.7,
COSTA MESA, CALIFORNIA
RECEIVED BY DATERECEIVED DATE ISSUED
OWNER Pacesetter West Joint Ventu' , lf% 3 —KJ 4.: MAp 9 9 .,--
AMAIL DDRESS 1653 Minorca Dr. BUILDING
ADDRESSFIREi
' / CJ o
CITY Costa Mesa NG KI 90395 ZONE TYPE // GROUP lam` +
APPROVED
ARCHITECT OR ENGINEER Kaltenbach NOL" 772-336 BY DATEc
ZONING /
ADDRESS 9772 Katella Anaheim :.DHy ( I NO.or ),I USEOPNE .Qy i (-
Andros Land Coma (I� PLANS BUILDI�NIu�//
CONTRACTOR Company � � I
LEGAL ��/J .7b....)
J 'i
ADDRESS
1653 Minorca Cr. DESCRIPTION�`�" / s`/ f ^/ .�'Y
CITY Costa Mesa A.P.NO. M J
187166 KI 90395 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATETEL. 90-TO SIDE&REAR P.L.
LIC.NO. NO.
EAVES
OF LOT �y / I NO.OF BLOGS� ALLOWED (U.B.C.REQUIREMENT)
/Q X /O O NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. --`—
(FROM C/L STREET)
SETBACK LINE FROM / V FRONT St FT. FT.
CENTER OF STREET S•0 REAR YARD ,2t 6 n
SIDE YARDI LEFT /0 I RIGHT /0 ' R.SIDE / 0FT. FT.
DESCRIPTION OF WORK L.SIDE it Dm FT. FT.
NEW �-_ALTERATION ADDITION REAR "I. FT.& // FT.
DISTANCE BET. BET.MAIN&
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
VAR.# DATE
BUZIILDING�26o L6' NO.OF /
ROOMS Co STORIES .. C.U.P.# APPROVED �7 /'
EXTERIOR WA){ ' I ROOF • c/ F' � I - 7-6.3/.�/- 2
COVERING Lµ COVERING 3 ,_ DATE li V 2
USE BUILDING AND WTO�BE -BR ORMED/
1
isx4-4//�f c..dnt�- /, __,. .
023o D' "
Arr. i T
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE Z
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. D
PLY WITH ALL CITY OR HOES AND STATE LAWS RBGULATINO VALUATION • y,/—
BUILDING CONSTRUCT N. JC
pERMiT FEE , !/ fl
j
SIGNATURE OF /? p B
PERMITTEF -4 7. �_//
$ 2yy/3� - - . - 2
AUTHORIZED AGENT l 7 .---.-
/
,�/ \ TOTAL FEE S