HomeMy WebLinkAbout2095 VALLEY RD - Building Permits IIP
'.. CITY OF COSTA MESA
C401
BUILDING DIVISION
I-i iI 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
k /"� • FOR INSPECTIONS CALL: (714)754-5626
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PERMIT NUMBER: BX11-00073
PERMIT TYPE B_MISC STATUS: ISSUED
APN: 42233314 DATE ISSUED: 03/14/2011
Zoning: , ISSUED BY: RMD
JOB ADDRESS: 2095 VALLEY RD CM Suite/Unit:
Vicinity: SIDE AND FRONT OF PROPERTY • Primary Occ: 31 Const Type
.99
SQ. FT: 653 Valuation: $14,940.00
SCOPE OF WORK: •
INSTALLATION OF A 55' LONG 6' HIGH CONCRETE BLOCK WALL WITH STUCCO ON TOP OF A NEW 30" RETAINING WALL;
ADD 15'LONG 5'HIGH CONCRETE BLOCK WALL ON AN EXISTING 16"RETAINING WALL;ADD 15'LONG 4'HIGH
CONCRETE BLOCK WALL ON TOP OF EXISTING 16" RETAINING WALL; ADD 4' OF WROUGHT IRON FENCE WITH 3' SPACING
ON TOP OF EXISTING 16" RETAINING WALL AROUND CORNER AND FRONT OF PROPERTY; NEW 16" RETAINING WALL
WITH
4' HIGH WROUGHT IRON FENCE AT FRONT ENTRY'; ADD (2) NEW 8.5' HIGH BLOCK COLUMNS AT NORTH BLUFF SIDE OF
WALL AND (1) NEW 64" HIGH COLUMN AT FRONT ENTRY OF GATE.
REF:/1 MM-11-07 '
OWNER: PARKER CHAD B AND ANNE MARIE Address:: 2095 VALLEY RD Unit
City/State: COSTA MESA,CA Zip Code: 92627
Phone: 949-645-7430
APPLICANT: PARKER, CHAD ' Address: 2095 VALLEY RD Unit:
City/State: COSTA MESA, CA Zip Code: 92627
Phone: 949-64$-7430
CONTRACTOR: OWNER-BUILDER License No. 000000
Address: _ Unit:
City/State:
Zip Code: Phone, Cell:
ARCHITECT: License No.
Phone .
ENGINEER: JERRY TUCKER AND ASSOCIATES License No. 2187
Phone 949-645-2422 •
FEE SUMMARY
Building Plan Check: $163.31
Building Permit: $251.25
Electrical Permit: $0.00
SMIP Residential $1.49
SMIP Commercial $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES $417.05
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§ 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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. '
CODER. INSPECTION TYPE DATE INTmALS CODER INSPECTION TYPE DATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
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 1 222 Final Site
204 Final Demolition 250 Final Building/Occupancy G-47,11
' WORKERS'COMPENSATION DECLARATION Owner ID verified by
Lpires:.:��p'07 - I�I
•
O I have and will maintain a certificate of consent to self-Insure for workers' 1
Verification of Ownership by(type of document.i.e.-property tax bill or deed):
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 insurance,as required by
section 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance canter and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: 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
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Gm
(This section need not be completed dthe permrt is valued at one hundred dollars(MO)or less)
2,Art 2Sec.341,Title 8,Califomia Administrative Code).
Policy Number:
• 0 As owner-builder, I will not employ anyone to do work which would
( 1) I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
Iued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
X
to the workers' compensation laws of California, and agree that if I should
become subject to1 e workers' compensation provisions of Section 3700 of Applicant's Signature Date
the Lab ode, s o with comply with these provisi ns. ,�
3 I ri^-L71( Division of Industrial Safety Permit Number:
Applica�is Signature (_)a___J HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons. or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑ No
Lie.# Class# - (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
Contractor's Signature Date 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
O I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 10No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑ No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve. demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
O I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation. WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044. Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes ❑No
thereon,and who does such work himself or herself or through his or her own
8. (If"yes attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
�I� city ordinances regarding Hazardous Materials and Emissions.
cit as owner of the property, am EXCLUSIVELY CONTRACTING WITH
NSED CONTRACTORS to construct the project(Sec.7044.Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and stale that
0 am exempt under sec. the information given is correct. I agree to comply with all state laws and city
• ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection ur se agree not to occupy or allow occ ancy f any building
authoria y lh r i/until final inspection.
P��% 3 I oilLL j _I� ail
'Signature of Legal Owner(s) �D to-1
Signature- D e,
3057-46(3/07)
1 likia4rsecant Date
. I
A ADDRESS OFBUILONG: 2095 VALLEY RD MT: CITY OF COSTA MESA — BUILDING PERMIT
OWNERS NAME IF KNONN: STANDEL, ANN MARIE s/PERM NO: B 076983
ADDRESS: 2095 VALLEY RD
COSTA MESA, CA 92627 PERMIT NO: B 076983 PLAN CHECK NO: N GOVT: N SUPP: N
APPL.MAIUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCHRECT OR ENE/NEER: UC.NO.: JOB DESCRIPTION : T/OFF & REROOF W/COMP SHINGLES SQ FT:, 3 ,200
ARCH.OR ENG.'S ADDRESS: UMT:
CLAIM VALUE: 3 , 200 . 00 CALC—VALUE: 3, 200 . 00 GROUP OCC : R-3 /
CONTRACTOR'S NAME
CONMACTORS MAILING COMMENTS : REROOF 1000SF RESIDENCE W/COMP
ADDRESS: UC.NO.: ********4**********************************************************************
u'T: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I em licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business end Professions Code,and my license a in lull force and effect.
CITY LIC.NO.: UC.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale: Contactor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I em exempt from the Contractors License Law for the
following reason(Section 7031.5 Business and Professions Code:Any city or county whim requires a permit to construct,alter,Improve, PARKING REQ• 1 P ROV: PARCEL : 42233314 Z N E: REF NO:,
demolish,or repair any saucture,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES :
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 applicanl fora permit subjects the applicant to a call penally of not more than the hundred dollen]55001). #4E*4E 9E 4E 4E 4E 4E 4E 4E 4E 4E 9E(41-.4f*4E#iE**9h 4E**4E 4E 4E dE 4E iE 4E#*4E 4h#9E iE 4E 4E dE 9E 4E 4E 4E 4E jE 4E 4E 4E 4E 4E 4h 4E 4E 4E 9E 4E dE 4F 4E 4E*4E 9E 4E 4E iE 4E 4E 4E 4E 4E 4E 4E
W I.as owner o the praled),or my emPloyeee with wages as their sole compensation.win do the work,and the structure is not intended DEVETLOPMENTSERVICES R E Q U I R E M E N T S
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of property F„
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 nt intended or offered for sale.If.however.the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE:
ownenbuilder wit have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I.as owner othe property.amexclusively contracigwith licensed contractors toconstruct the preject(Setion7044,Business and BUILDING APPROVED BY : DATE: j :,-
Professions C..,:The Contractors License Law does rot apply to an ovmer o property who builds or improves thereon and who
contracts far . . .'_.a with a mntrator(s)licensed pursuant to the Contrators License law).
0 Iameve . uder fi B.&PC.,forthis APPLICATION ISSUED BY: DATE: 11--11 I l L'
for this
/f 4E**********4E BE*******ih*4E ih4h4E4E9E4E**9E 4F 9E 4E 4F**4E 4E 4E 9E 4E4E 1E 4E 4E 9Eif4E4E4F4E4E#4E#4f4E4E4f4E9E4h4E4E##9E4E4E it- iEit
Date: / Owner: / ../..44 AI LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT :Y
I do hereby cess' that I- aw re of end understand the requirements of California Health and Safety Code Sections 25505,25533,and
25534,and that lorany future building occupant will/will of(circle one)need tocomply whir said aatecodes and therequirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
e permit for construction or modification from the AirOua tyyanagement Dmdd.Readerial constructionappicetins are exempt from these
provisions. PERMIT 63 . 00 . 50
Date: Applicant: SM I P/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under warty of perjury one of the following dedarattons: ISSUE FEE
❑ Ihaveandwilmaintanacertificateoconsenttosea-insureforworkers'compensaton.asprSe:
lion BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code for the ped«mecewthe work for which this nem*isissued. TOTALS----> 63 . 50 0 . 00 0 . 00 63 . 50 63 . 50 . 00
❑ I have and coil maintain workers'compensation insurance.as required by Section 3700 of the Labor Code,for the performance of the
work for which workers'this permit oissued.Myr ru aampenaainsurance carrier and policy number are: REVENUE DIVISION TOTALS--> COLLECTED : 63 . 50 OVER/SHORT: . 00
Carrier:
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed I the permit is for one hundred dollars($1001 or less.) 63 . 00 . 50
❑ I certify that in the performance of the work for which this permit is issued.I shell not employ any person in any manner so as to
become subject to the workers'compensation lawn of Cardona,end agree that R I should become subject to the workers' 4ERE4ERE4E4h9E4F4EiE4E4E4E4E4E9E4EdE4E9hiE4E4E#iF4E4E#4E9E9EBE4E4E4E4E4E4ERE#4E4E4EiE4E4E4E4E4E3EfEiEiF4f4E4F4E3FiE4E4ElE)E4E4E4E4f4E4E4E4E4F4E4FiE 1F{(..*.*.
compensation provisions of Section 371)0 or the labor Code,I mall forthwith comply with those provisions. IND IVIDUAL FEE BREAKDOWN
/ Date: Applicant:
Warning:Rigors to secure workers'compensation coverage is unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil Ones up M one hundred thousand dollars($104000),In addition to the cost of compensation,damages as provided ler In
Section 3TU$olthe Labor Code,Interest,and attomey's lees. SFR 3200 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 200 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for whim this permit is issued(Section 3097,Co.Cr.
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and stale that the above information is coned.I agree to comply with all city end county ordinances Ti.1.„ __
end state laws relating to building conslrudion and hereby authorize representatives of this city to enter upon the abovementioned properly 01 0020)5." L0 �73L p-.r _
rorinspedianpurpoaes. MARIE STANDEL DATE: 04 '1:17{; 1P1F: 14:2'
e Print(4eeBe� At /�I
,� Dee / /y / •
Signature of Owoer/gganVAppliwnbCaMredm
(5151'4s.WP) White-Building d Safety;Green-File;Canary-Applicant: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 •
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 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, O 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 •• • ti-10-16 6C4 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat r 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding • 77. FIXED SYSTEM FINAL
' 29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . • 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
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
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System • • -
45. Sound Attenuation -
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING '1'-' -'ye Gwh
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
, 51. CERTIFICATE OF OCCUPANCY ,
No. Date
OWNER MACCO CORPORATION DATE 10-1 $_6p 1/
JOB ADDRESS 20• V. -_ ,. -• BUILDING PERMIT NO. 13062
GENERAL CONTRACTOR Carter Sign Co. VALUE $ 1 0.00
AP. No. LOT 61&65 TRACT 3/470 FIRE ZONE DESCRIPTION OF WORK Temp.NonElec.Sign
INSPECTIONS DATE I GROUP TYPE ZONE Rl
Underground Soil U.G. Water PERMITS ISSUED
Underground Gas —" — SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas l,/
Rough Heating 'r
Rough Plumbing
Miscellaneous _
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final
Plumbing Fixtures
Final Gas Test
Construction Pole
Underground Power
Rough Wiring
Trenches Forms
Floor System
Steel Reinforce Chimney Re-Rod _
Bond Beam _
Sheathing
Frame and Flashing _
Lathing, In Out
Plaster, brown coat _
Plumbing Fixtures, Final _
Electric Fixtures, Final �/ I
Building, Final r M -- S y/ - C
OCCUPANCY
Form 210-5M-11.59 5-B P HOLD FOR SPECIAL REQUIREMENTS 13062
1
•
�V 13062 SEE RECEIVE4. D
COSTA MESA BUILDING-SAFETY DEPARTMENT OCT(i1 i 1[96p60y�
P. O. BOX 817 COSTA MESA. CALIFORNIA FINANCE -GR I-.
For Applicant to Fill In Completely APPLICATION FOR ERM T MESA
TYPE OR PRINT - BUILDING
BUILDING , .o 9c //a7/ey
ADDRESS !!! UL G
COSTA MESA. CALIFORNIA For Office Use Only
q/� _ I RECEIPT NO. 11 igYANO�
OWNER A//H(co �O �=URLI���OI�I ,/ [,� /pip � /T� 7 { A`y •(!g/•p
ADDRESS 3 O0 F. PAC, f I/44 r M(/1 Recelv//✓ D! 7/-4 �I f L�B/lI iJC
T�
'l TEIOC' BUILDING
CITY(O,PO/�//9 Dr-[ MA 2 NO. 3922_° , ADDRESS J
ARCHITECT TEL.
OR ENGINEER NO. • COSTA MESA. CALIFORNIA FIRE `
ADDRESS //� r^n /.' ZONE TYPE GROUP
CONTRACTOR ry��!_^ -,y, 1�/�i/tI ( n APPROVED Cii` -TE(44.e �n +y
ADDRESS 2712- Lei 4/ /�`.i'T \ZO IXNG I `J• I/ ° v
/I/V/A /4/0) ZONE I NO.OF USE OF NEWS-/ �1 .�`
CITY PLANS I BGILOING Aye J �-✓/ J ",
V
LTC.NO. j 033 NO. J/3 8 6_5-8 LEGAL
DESCRIPTION1—C 6/.4.-- 6S
SIZE NO. OF BLOOM. T./t I 3 Cie . -
OF LOT NOW ON LOT ` A.P.NO.
USE OF YARDS EVES p ' IQ
EXISTING BLDG. APPROVED ALLOWED ._./a _
/ ^ (CENTER LINE ST.)
SETBACK LINE FROM <J •
l/Q[
CENTER OP STREET 4 d REAR YARD FRONT ).52:7` FT. /// ..
SIDE YARD I LEFT /0 ' I RIGHT / ! R.SIDE ��/ C/ FT. t /`T"LtniI-tLIR-/L-
DESCRIPTION OF WORK i--0-FL/
SIDE - 7'/ 0 Fr. C- i�*•->jZI 1 .
NEW I 'I/II ALTERATION I II ADDITION I REAR FT. " OIN.
REPAIR I LOVING I II DEMOLISH I i PROSE/ / tL2 (A DATE IRP-718- c I I
BUILDING v / NO. OF c. t [[[M iri.A . 's.�ai 1.1.1_ _ 1.1.1SIZE 1 /1 (7 ROOMS STORIES —� - re
EXTERIOR WALL I ROOF - ' 4 ;T v 1 i' .��
COVERING C COVERINGt. -ice a. ;a /� 1�I QI
USE BUILDINGSAND.1 T(WORK
TO B jPERFci ' ,C—^ g i V wyp L'1
UE OF/) / ,,/ B �`/1_% O //"-c CU
L/U�v/U/SJ o/V ,57 A/ J . _ _ T Q
Alt N 1 AlD// - E/Y�. n u„I I,.1
I /L D do._ l1_, rPkvV[D /.a'l8_(p w
I HEREBY ACKNO 'LEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE to
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING Z
BUILDING CONSTRUCTION. �7I� VALUATION w
PERE RMITTEE E OF0-"4215t• t V✓V` �/ r
PERMIT FEE $ �y� - Q
$ / O PLAN CHECK $ -
11. 8
AUTHORIZED AGENT '+C - G _'
TOTAL FEE $ n
OWNER BAILEY, DEL DATE 10-3-61
JOB ADDRESS 2095 Valley Road BUILDING PERMIT NO. 15611
GENERAL CONTRACTOR Swan Pools, Inc. VALUE $ 3,_500.00
AP No.115-633-;4 LOT TRACT FIRE ZONE DESCRIPTION OF WORKPvt.swim pool
INSPECTIONS Signature DATE GROUP TYPE ZONE R-1
Soil SUBCONTRACTOR PERMITS ISSUED
Gas DATE NUMBER
Water
Rough Corn. Refrig. ❑ Air Cond. D
Rough Heating
Rough Plumbing i.}} or, f er a.-- Z r ----,7:1-:1,-34e—
Miscellaneous
_ . _p _�,4
Miscellaneouss.
Prop.Swr.Line ❑ Huse n. ❑ St.Swr. [\ y
Sprinkling System
Construction Pole Y
Underground 0 Power ❑ //iy9j /0-3Q' / Pr
Q
Rough Wiring 7?, l(')&C/ fwe.... et.,vv c. /a-3-c I i)
Trenches 0 Forms 0 Steel Reinf., /j f- ..*::,-11.2-‘0,7 1- S e-&, 2. is Ala-2 --b)
Floor System .
Bond Beam ❑ Steel Reinforce 0
Sheathing _ /1 •A.,'"11\5
Frame and Flashing _71J:01 _
Lathing — In 0 Out 0 ii/ ; /
Plaster, brown coat \d / 2-
Refrig. 0 Atr Cond. 0 Final
Heating, Final
Plumbing Fixtures, Final j2_-9-�
Final Gas Test /4-' — //- , _ /
Electric Fixtures, Final
Building, Final 4i />i/7 \
OCCUPANCY w FOB SPFCTAT. RFQTITRFMENTS
FORM BU4-5M — 7-61 15611
FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING la 2095 Valley Road BUILDING .
ADDRESS
COSTA MESA.CALIFORNIA ' For Office Use Only
OWNER Del- Bailey . . I RECEIPT NO. PERMIT NO,
MAIL RECEIV D BY CITE RECEIVE DATE ISSUED
ADDRESS - 2095 Valley Rd w. 10--7.-U j 176 -.7-6O
TEL. ADDRESS 4 (" 1 ,Al I p I� a_ ..l
CITY COHtH MesH • NO. ADDRESS 2 Q L v / t�-- PWItt\
ARCHITECT TEI�, p { COSTA MESA. CALIFORNIA
OR ENGINEERG' Thomson rIth 5857E
ADDRESS 15261 Canada Glendale 8 FIRE
Pig'Jc+t��
ZONE TYPE GROUP !' DO
CONTRACTOR Swan Pools, Inc. APPO //��3_
BY DATE( e 6 /-
ADDRESS 13336 Ventura Blvd. • • ZONING
CITY Van Nuys a,--Calif. ZONE ^ 1 I PLANE �- I USE OF BUILDING
�TNo: 148509 TELT, 42331 LEGAL IN �� 6 T I 3(170
DESCRIPTIO
SIZE 70 �U NO. OF aLDOS. ) / c /' //
OF LOT/ house & gar NOW ON Loi 1 A.P,NO. // S ^ 6 — 17
USE OFL YARDS- EVES
EXISTING BLDG. house 8c Swi m PQOl )_ APPROVED ALLOWEDS
CENTER OFCK INE STREETM REAR YARD -- FRONT(CENTEET,
LINE ST.) TT. !_.1.Q/(//
` • IN.
SIDE YARD I LEFT I RIGHT R.SIDE 4. FT. IN.
DESCRIPTION OF WORK p �AFT. 4
L .SIDE N.
NEW X II ALTERATION I V ADDITION I REAR 6 FT. IN.
VAPPROVED ,Y/ y/-/1
REPAIR MOVING IDEMDLISH I BY ��yyY�)) hi . cl �2IIy}��/✓D��(A•TE /[J '—Gjl
SIBUILDING 20 39 ROOMS STORIES II�LD F•�K :Sf L` '•'ll+ REQ UIT.'F 'J`n•�•S'
EXTERIOR WALLL7 I ROOF /
r
COVERING COVERING > ]/�'����_ f
USE OF BUILDING AND WORK TO BE PERFORMED ti/ I / �� ¢� /l y 0• �/
p• er. , �tLOa. (/ VI /
swim pool _p/, . . y�
I HEREBY ACKNOWLEDGE AT I H READ THI- APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 7
AND STAT HAT T ' AB•IE IS II,
AND GREE TO,COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WIT L I ORD • NCE ID n E S REGULATING
BUILDIN O• //V 'CT •;.(/ VALUATION •/� •./�
SIGNATUR SOF /% j• 1. PERMIT FEE $ 1h.^
FERMI ., /� ��//�.!.i �j� .t. AQP n_
$ LJS PLAN CHECK $ `i'
Swan Ager l� -
AUTHORIZED/A NT . . I. OD
TOTAL FEE - 1 0
/ 12722
COSTA MESA BUILDING-SAFETY DEPARTMENT , c.,-.-=a. eI"� a �:::
P. O. BOX SIT COSTA MESA. CALIFORNIA %/r -D
For Applicant to Fill In Completely APPLICATIONt•FOR=• PERMIT
�j -g170 TYPE OR PRINT/ETA C&r BUILDING
BUILDING ADDRESS 2095 Valley Road 3/,2 g '
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. 1 PERA1iTell¢r a
OWNER Marro Corporations _/,�(-
MAIL RECEIVED BY 1 DA�*�RECRI ED DATE ISSUED
ADDRESS 3800 E. Coast Highway (.�-1= d /6,-G 4I 'WE 4 a MG i
CITY Corona,del Mar - No OR 3-422( BUILDING
ADDRESS
ARCHITOR ENGINEER George Wiseman TEL-OR 3-422( COSTA MESA. CALIFORNIA
"" '- -- FIRE 1/
ADDRESS A o
ZONE TYPE GROUW-�'l" 51yr
CONTRACTOR Macco Corporation APPROVED
BY DATE
ADDRESS 3800 E. Coast Highway ZONING
_SL7'of rn
ZONE NO.OF USE OF NE�1(� � L..
CITY Corona del Mar - I PLANS ,BUILDING Ci*--tr I
STATE TEL
LIC.NO. NO.OR 3-4220 LEGAL DESCRIPTIO( et s) f4L. 3 (1-761)
SIZE NO. OF 51.005.OF LOT 60 X 100 NOW ON LOT 0 A.P.NO. .r�--_
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM (CENTER LING ST.1
CENTER OP STREET REAR YARD FRONT < rt.
IN.
SIDE YARD I LEFT 51OI1 I RIGHT 51011 R.SIDE f tr,j]�T. IN.
DESCRIPTION OF WORK • L.HIDE J FT. IN.
NEW I X II ALTERATION I V ADDITION I REAR 3o r C-FT. IN./
REPAIR I II MOVING IV DEMOLISH APPROVEDRO /. I /O r DATE R..-i.�-(0 0
SIZE DING 29 x 49 NO.
STORIES 0 (/` / 0-7/7
EXTERIOR ROOF
COVERING WALLStuccoI COVERING Cedar Shakes
USE OF BUILDING AND WORK TO BE PERFORMED
Cnmp1Pte Construct ion
House Sq. Ft. 1450
Garage Sq. Ft. 420
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF PERMIT FEE S j et—
PERMITTEF MAC Corpora on J� 179_ +,
��j/JtJ,y�,w / S / PLAN CHECK S / / �`
AUTHORIZED AGENT�i1X / K/""^`^'v �� C
TOTAL FEE $ =9 ', - y