HomeMy WebLinkAbout1866 Tahiti Dr - Building Permits PmE_ ago 14, Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA ,CONSTRUCTION PERMI�Tj 380/4, TRACT NO. LOT NO. UNIT NO. A P di`- Zone
Project Address /O 4 6 'TAW/77 �•��/G ) S Main Building: Accessory Building:
Applicant's Mailing.Address .—Zaire 2/2 ZS S. /eeVi�! TYPE OF CONSTRUCTION LI NEW Li ADD Ng ALTERATION U REPAIR E Front Z
Owner's Name Ct ec.,0 s sem• M% 5&IAICrS Phone e'' rorT ❑ CONVERSION ❑ DEMOLISH ❑ OT. R ' T O
7� 7 DES R PTION OF WORK/US OF BLDG. ) - B Rear N
Address /BGG 6}/T,/ bet STf�-N�/($ as . - / .� .� a near! , A 1
Arch/Eng. License No. —. . TYPE OF PERMIT 111 GRADING U FOUNDAT ON r STRUCTURAL I C Right G
Address �'! ❑ TENANT P`' ELECTRICAL A-PLUMBING g MECHANICAL $- Left R
Contractor's Name t�F �rBIZ e/Phone_ d a 12217 POTHER Ping. Ref.4 Parking Req./Provided __ E
Address(mailing) Zr; a> St /=vaviEZ✓1 �}✓r7 mys— PROJECT DESCRIPTION sqT OCCUPANCY —3 O
Planning Notes: M
Q CONSTRUCTION TYPE 1v VALUATION$ T
City License No. ( 1 O�-• ZONE GRADING CU.YDS. ACRES S.
LICENSEDCONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 1
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in full for and effect. ELECTRICAL FEES
License C ss 0• LIcense
LI`�Date Signature rs� PLUMBING FEES Automatic Washer Transformer 0 15-50 KW
WORK RS'COMPENSATION DECLARATION Construction Pole Sub. ❑ 50+ KW
•
I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink $hOWers
of Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter [pup to 100 amps
3800, Lab. C.)
Policy No. Company Backflow Irrigation Sewer Cap • Dishwasher Meter Dover 100 amps
8 Certified copy is hereby furnished. Dryers ❑Gas DElectric Sub Panel
Certified copy is flied with the city Building Division. Bathtubs Sewer Connection
Date ApplicantFan I Motors 00-1 HP X1'h-8 7
EXEMPTION F ROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
Sr
-(This section need not be completed if the permit Is for one hundred ($100) or
less). Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP 016-15+ 3 aro
I certify that in the performance of the work for which this per • 515s or Fixtures
shall not employ any person in any manner so to bec • subjs. t/ Drinking Fountains Solar Tank Microwave
Date 73/1
pe a on Laws Signaturef Calif ni _, P
Date n Floor Drains SwimmingPool w/S a Device Boxes Pole Light
NOTIC 1 a er making this declaration,you shoal be ome subject to the Outlets Range
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Water Closet Switches Sign
/ Gas Service Outlets '� rv� 9
I hereby affirm that there is a construction lending agency for the performance C
of the work for which this permit is issued (Section 3097 Civ. C.) Garbage Disposal Standing Sections
Lender's Name Interceptors Water Heater
Lender's Address Kitchen Sink Water Service Generator ❑0-5 KW 05.15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
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
any structure, prior to Its issuance, also requires the applicant for such permit
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9(commencing with Section 7000)of �s
Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee t�
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
enalty of not more than five hundred dollars ($500). DEVELOPMENT SERVICES REQUIREMENTS:
LI Reinspection Fee $ 3 Zoning Approved By Date—
1, as owner of the property or my employees ur eS with as their sole Pe $15 Issue Fee
compensation, will do the work,and the structure is not Theintended or offered -- -—
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL L FEES Building Approved By Date
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 hor own Application Issued By Dat- _ Off;:7-
employees,
)employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FE
pietion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). BUILDING PERMIT $ SMIP $
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural IRefrigeration System PLAN CHECK $ PERMIT
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 10.100,000 BTU 0100,000 BTU o0 PLUMBING $ S.00 ISSUANCE $
builds or Improves thereon.and who contracts for such oroiects with a con-
tractors license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of'their Worker's Compensation insurance should be provided to me. I ELECTRICAL $ 2sj Sd GRADING $
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG 4 Fire Dampers
�% PLAN CHECK 50% $ MICROFILM $
Date Owner. I11 Heating System& Ducting Registers �/ MECHANICAL 33 <00 / ?r 6 O
I hereby certify that I have read this application and state that the above / 00.100,000 BTU 100,000 BTL
t $ TOTAL FEE $ /�✓
PLAN CHECK 25%
Information is correct. I agree bui toicomply with all city and y county rite repre-
sentatives
$
and state laws relating to builder• c• tion, reby authorize repor
inspection pf th' kc- y tp enter ab. tipnetl pr p¢rt for
Inspection p t• e�i
Signature ' Date Reinspection Fee $15 Issue Fee $ O(]
Drivers' License or 55 ���� — __ O! 00029549-00029551 y0 T :LSO
DATE: ` 'J
0865-46,rev.5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 03/30/89 TItiE: ).3:rj2
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
U, !.'
1. Temporary Electrical Service or Pole ;;, 52. Pool & Equipment Location
.
it i„
2. Soil Pipe-Undrgrnd. l 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. . 54. Forms ii
4..Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Stee).Reinforcement " 56. Rough Plumbing & Pressure Test
6. Electrical UFER7Grndr 57. APPROVAL TO COVER-GUNITE - r•
•./ r .
'+= 7. Footings - I;;
�J 58. Electrical Conduit-Undrgrnd. ,
17 8::Foundation j- ' % • 59. Gas Pipe, 0 Undrgrnd.,Test
9;Wate-Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
,, 10. Structural Floor'System i 61. APPROVAL TO DECK
_
_ , 11.-Prbperty'Sewer Line & House Connection e''-' 62. Backwash & Receptor-Final
.I.
12. Sewer Cap /l'-f •', • ,J 63. Heater & Vent-Final +,a
13. Roof Drains ,ii`F • ,'2 64. Plumbing System - Final 4'
14. Rough Plumbing. 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
ti).s Rough Electric Wiring 67. Fencing & Access Approval
e. RoughhtWiring Sign 68. APPROVED FOR PLASTERING
R8'. 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 F,{aming 73. Undergrnd.Storage Tank 0 Gas 0 Oil;.•
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame'afdFlashing 76. Dry Standpipe
28. Lathing.& Siding 77. FIXED SYSTEM FINAL
29. Insulaf on 78. FIRE PREV. FINAL
30. Drywalltiailing HEALTH DEPT. REQUIREMENT
31. Plaster1B`rown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric S/E41 (OP Notes: - '
•
34. Final Heating& Air Conditioning Stitt _Lio
35. Final Gas Pipe-Test .5/l/64' ca.'
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing siyly'rj LTcD
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final - •
42. Backf low Preventer --- �•
43. Backflow Irrigation -
44. Landscape Irrigation System ,
45. Sound Attenuation -f'' '
46. Handicap Regulations ;
47. FINAL STRUCTURE & BUILDING -
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co - _
•
51. CERTIFICATE OF OCCUPANCY • . 1 - '
No. Date + • - ' •
1 Q
It
Hoot- rin..-478,6 ,�
JOB QFC/r ZP399' DATE 9�3-Gp
EN IMES & ASSOCIATES /�E(/(/Er/✓ e ff/MES �ES/oE(JCtr
401 N. BROOKHURST.RST. SUITE 200 / T'H/r•/ oar. /- /, 41 Ceti;
ANAHEIM, CALIF. 774.6201 / (036,e--; �� �rTis. fir/ /�
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10/1-1/ M2 . aogExrsod mr roche, pcn.zrMe'n- Jo c-/ z, 1969.
.L.tl 2t/U.ec/ f0/l. UTZL./r!/+ .etirt 630.4r pel C nee A.3,ode f-a.&
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is A/o L`ov.. p e70.4/e-1714,971.1>- eo icc. Se eo.tlrs 6'7-62" 7=02 /411,627-0-04)
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Ken Himes, Architect 1782 WEST LINCOLN. SUITE J • (714) 774-6201 • ANAHEIM. CALIF. 92801
July 19, 1968
CITY OF COSTA MESA n1 U •I\
Dept. of Bldg. 8 Safety V v
77 Fair Drive
Costa Mesa, California
Attention: Mr. Frank Hruza
Reference: Residence for Mr. 8 Mrs. Ken Himes
1866 Tahiti Drive, Costa Mesa
Dear Sir:
Please be informed that I am aware of the extreme expansive
soil problem in this area. After careful consideration of
your recommendation of reinforcing the slab with #3 @ 18"
o/c E.W. I have elected to do the following to counteract
this soil condition:
1. Install the perimeter footing at a depth
of 18" minimum below finish grade reinforced
with #4 cont. top 8 bottom.
2. Install 4" concrete slab over 4" minimum
sand base.
3. Reinforce slab with 6x6 #10/10 Welded
Wire Mesh.
It is my feeling that these measures will be more than
adequate to counteract the soil problem.
Yours truly,
KENNETH HIMES, ARCHITECT
Kenneth R. Himes
KRH/bes RECEIVED
BUILDING SAFETY DEPT.
JUL 23 Me
AM PM
7ig,g,W,U'11(1,213,4i5i6
P.AOJECT ADDRESS: 1866 TAHITI DR ' UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06611 :
DOWNER'S NAME: CURTIS BRESTOL
ADDRESS: 1866 TAHITI DR PERMIT NO: B 066113 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR PURPOSE: OTH
714 ) 642-1662 gEG.ND.:
ARCH/ENGINEER: JOB DESCRIPTION : T/O RESHEATH 6RER00F W/COMP , SHINGLES SQ FT: 4, 800
ADDRESS: •UNIT:
CLAIM VALUE: 4 , 800 . 00 CALC—VALUE: 4, 800 . 00 GROUP OCC: R-3 /
PERMITTEE: CURTIS BRESTOL ( 714 ) 642-1662
ADDRESS: 1866 TAHITI DR COMMENTS : INSTALL SMOKE DETECTORS IN BEDROOMS 6 HALLWAYS " U.B .C . 1991 "
C .M. CA 92626 yE*************** +r+6****+E*T6*** *yE********+r**************+6:***********x**********
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIC.: STATE LIC.: CLASS:
Date'. Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: thereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.Cl. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQi PROV: PARCEL : 13925225 ZNE: REF NO:
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING N TES>
>
Date' Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if r' •imut is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS
I certify that in the perform nce of the work for which this permit iI issued.I shall no n in any manner so as to become
subi ' the Wor ers' I.mpensation laws of Catitornia. 7 �i ZONING APPROVED BY DATE:
49 1. , 5 Signature: _ Ire, ,
NOTICE:II. :Her r eking this declaration.you should become subject o the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE:
Code.you must f.nhwith comply with such provisions or this permit shall be deemed revoked.
' CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY; T
DATE:
which this permit is issued(Section 3097,Civ.C). {p{e.*.7e.)f******.>E{(.****{(.{E*iE{p***.x.{p***.7F*.*.*{(.{F .x.*{I.*.{e*.{t..7t**{(..)E*..N.*****{p**{(.y. *..µ ** if*
UNDER: ********************************************************************** ********
ADDRESS: LEGALIZATION; N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from theContractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 72 . 00 . 50
repair any structure.prior to as issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV' > PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License law TOTALS————> 72 . 50 0 , 00 0 . 00 72 . 50 72 . 50 , 00
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 employees,provided that such improvements are not intended or offered for sale. II,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 7 2 , 50 OVER/SHORT
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 72 . 00 • 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *********************************************************.)E**.**.*.)f***.*.****.)F*****,*
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
0 I am exempt under Section:B P 7 0 4 4 "RC'
orIisreason: OWNER—BUILDER// 049/4/11/C--
/A' /I� TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
e. Z—(6-51 Owner: / W
/ i hereby cenny that l am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 4800 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 4 , 800 . 00
// END OF FEES
25534 and that I or any future building occupant wil0wilt not(circle one)need to comply with said slate codes and the requirements for a
permit lot construction or modification from the Air Duality Management District.Residential construction applications are exempt from SMOKE DETECTOR
mese provisions
•
IDate:rnApplicant: REQUIRED
hereby certify that vis tin this ingtion and state that the above informationrepesis correct. agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize represenlali es of this city to enter upon the above-mentioned a
or lot inspection purposes.
Date (2 94 signature: DATE0102 /18/ 941JTIME:5648 TC19 72,50
viers License or Social 3191 10%19
1641-46 White—Building:Green—Code Enforcement;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL & SPA
ti•
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-Undrgrncf. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER 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 ❑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 2 2J4y /cam „[i 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat " "1Y 75. Dry 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 I{ I{
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 iT
42. Backf low Preventer - •
43. Backf low Irrigation
44. Landscape Irrigation System -45. Sound Attenuation •
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING If fc_c�4 6w4._
48. FINAL PLANNING
49. Electric Release to Edison
50, Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY _
No. Date
I UnN" HTR
TS, KENNETH R. ~' 7-11-ad
JOB ADDRESS 1866 Tahiti Drive BUILDING PERMIT NO. 28399
GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Residence W/Att. Garage
'AP Na. 139-252-�5 LOT 39 TRACTS 80 FIRE ZONE VALUES 30,900.00
INSPECTIONS Signature Date/ GROUP I & 3 TYPE V ZONE B-1
SOIL 7/917' SUBCONTRACTOR PERMITS ISSUED
GAS p� / ^ -, Date Number Signature
WATER ✓ J27'j ',- ?2,1d-- Plumbig
ROUGH PLUMBING �Y. % l/�.yii7g¢,/�/(/�7 e- ) 'T/,(..,IK y�T�1'�/[�J,y�',I/-
PROP. SWR. LINE HOUSE C/p�N �I 4 fr70-y ` ' v'!'TT(lJ�A_ J f�4g 0g ` 1- " ,
e"---
SPRINKLING SYSTEM `:J/J/J,'l , /y/C L- 'JVD„ Ate-` [, .tea ••••-"-
-
MISCELLANEOUS f% - l .44' - ' , r zanveg/- � ✓�'1
ROUGH HEATING AND AIR CONDITIONING �'j/Q •Z�i� f •T
TEMPORARY SERVICE OR POLE ../g.
rr
UNDERGROUND El POWER ❑
ROUGH WIRING / %7 /o-zz-4c �7 Heating an Vent.
TRENCHES °"� FORMS a STEEL REINF. ® /�'(y'/{3/'1� - ' —.77- 4 7/1.010-4/-�nett .4,-/w $34i/----
FLOOR
SYSTEM / 3 T-Ss-64 U �w.��
BOND BEAM n STEEL REINFORCE [-] �,i
SHEATHING /( $ y_'? C,,2'
FRAME AND FLASHING^ y�r'I ic3G-&-,cs
LATHING - IN `l OUT N 4,.m a-7-6$'
PLASTER. BROWN COAT ff Vi_7n
STRUCTURAL, FINAL /IIIA/fir "-4' =���J//. � pp����jjyy��
HEATING, VENT., REF RI G, AND A.C., F AL c� `��/Pr lanniCC)Sryjr�<jry. -7
PLUMBING, FINAL AND GAS TEST ' Wir j pp�"/ 6p' '_ , - l JA _ /e- /.- 5 - '!a v.I
ELECTRIC, FINAL t 13-6-
BUILDING, FINAL n ii-/c3%Grt
..--... ... nvL ci_-. 1 G
CITY OF COSTA MESA
28399 • ,,.,
COSTA MESA BUILDING•SAFETY DEPARTMENT I`IOd
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
E 1,
For Applicant to FiU in Completely AP LICATI 1$' :.gin'
TYPE OR PRINT BUILDING
�` For Office Use Only
BUILDING I / 6, '-TSR J t Ph,ADDRE68 �O i lJ�'I�IiL�(_/ d/ RECEIPT NO, PERMIT NO.
COSTA MESA. CALIFORNIARte. ([yDJ�{( // /�//yam r
OWNER iI r:oct•/�T/, l #21/A etr C//y / /'1/.{�
MAIL c� BUILDIN
ADDRESS dt7/ a-A ter- r�.re ADORE888888PPPPYY////
/, FIRE (� `
CITY rro ,._7r,3 NO. 5114%7�4 ZONE TYPE GROU�
APPROVED ,f�, �/
ARCHITECT // �� TEL BY / DATE
OR ENGINEER Cc/ W,.:m. 5 NO. 77Vi4 I OI
''TTpp /I•{II OJA,4der., NING
ADDRESS /.7.g 2 ./ a, _/A/GO C SON[I NO.OF I USE OF NEW
PLAN[ y BUILDING/�,� / I
CONTRACTOR "L..I rt IFih • �/I� 81--C,a d-/p1
LEGAL {' 5q, T 1 - O d
ADDRESS /�or--/1 /Ir r�
CITY A.P.NO. /ay'_ c2 S?- - S
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL SO'TO SIDE a REAR P.L
LIC.NO. NO,
VES
SIZE p ( NO.OP BLDG[. ALLOWED (U.B.C.REQUIREMENT)
OFLOT y / $ (110 .- 95j ) I NOW ON FILOTS.��
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(PROM C/L STREET I
SETBACK LINE FROM r/ / r/ 1 PRONTWS..SPT. PT,
CENTER OP STREET /s'6 REAR YARD 33
t SIDE YARD I LEFT Seo/ / mow 6. i 0 !/ R. SIDE (p IT, FT.
0
DESCRIPTION OF WORK L.SIDE SPT. Fr.
NEW 4-ALTERATION _ ADDITION REAR PT. FT,
'-" A
DISTANCE SET. BIT.MAIN e
REPAIR _MOVING _ DEMOLISH -
MAIN BLDG;, ACCESS.SLOGS.
BUILDING NO.OP VAR.# DATE
SIZE 7_Z7S ROOMS // STORIES / C.U.P.# APPROVED
EXTERIOR WALL- ROOF APPRp,V[ �//� / 6
COVERING >ll/GLO COVERING Sse4o((_LCf ' SY 2f! 524 L>- ek_ r DATEY"/_ V a
USE OF DUILDINS AND WORK TO BE PERFORMED
E
e r.oE�rlcr`�idfr2/. r ,
/ ,TT 9SBQ.Fr. 6/6R _ 6 '.Frei l i
I HEREBY ACKNOWLEDGE THAT I HAVE READ RIS APPLICATION THE AMOUNT MI OWy UNDER VALUATION IS FOR THE j
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OP LISHING A PERMIT FEE ONLY. 1R
PLY WITH ALL CITY ORDINANCES AND TAR LAWS REGUI ATING VALUATION 93 .—.. W
BUILDING,CONSRU O
SIGNATURE OF PERMIT FEE $ `-//
PERMITTHF r� s PLAN CHECK S TLS '� 1"
AUTHORIZED AGENT `
34 ya " TOTAL FEE §l-59 i_S-Zi