HomeMy WebLinkAbout1661 OAHU PL - Building Permits ' Mac I. CITY OF COSTA MESA
ill' DIVISION
>t•j a, ,r DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
-4: / PERMIT B07-00167
+
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.La.ub lfd6-PCRM(T 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1661 OAHU PL Status: ISSUED
Suite: Applied: 02/13/2007
Vicinity: DETACHED GARAGE • Issued: 02/13/2007
Primary Occ: U Type of Construction: V-N ,=+
FParcel Number: 13928114 Zoning: R1 q ' "Y Z
Applicant: STEWART, W DOUGLAS r� , 9
Address: 1661 OAHU PL DA ,
_
Phone. 714-435-0913 '/
COSTA MESA,CA Zip: ,92626 ISSUED BY: `%/
Owner: STEWART,.W.DOUGLAS" --'
Address 1661 OAHU.PL'/i % - _
1,7
/n//�--- /k "V ,\ Phone' ,/
COSTA MESA,CAA Zip 92626; . " .-
Contractor: /OWNER-BUILDER- '. �
' 7e,S,,s/
/( /%i
:/ "7/707 Phone:
:) N1��0
/0. 7 Zp: � License: 000000 1-.\A
/Aich :; / �i%/ Eng: N' , �
Address: A 7���il ) Address. , - "V v.>
1 __ _ -
�;// /-- �J/��� � Phone - Phone:
/,;1//� / .License ' License. ' '
1 r- / r . - - .,
,i X1.,/11,1• �<"' -. SCOPE OF PERMIT - � : ,1i ;/ -.
• ;'STUCCO DETACHED.GARAGEV- �,,
,� 'L/ \' N
C ' ''r i hill ' = - - . FEE-SUMMARY,- .
. •
Plan Check f 01_--- $0.00 . C 711-77 i.;fr ' r 'rCalc Valuation: r $1,500.00,
Permit,; $54.00 `. \"--_-- -- _ . I.
Claim Valuation: , ',, , $1,500.00
SMIP Res /1' 'P Cm $0.50,
' •'t SMIo1'' i $0.006
"` Other `I) " $0.00
t1r y/r ,-ice/l
'.
` ,
1 i Inspection: R $0.00` — --� 5_ 1;
,` --Total. ,, \ $54.50 i J/ ,/, ' -
- -
•
`�,- 'yPLANNING & ZONING 'i
SETBACKS! V y� .- A •:;5,12
MAIN STRUCTURE 7Fron't 0 0 I Rearr ,-0-'0';'-ti .Left =0 0 "-_ Right 07A�/ /
v SO 1 -0_ �S. rr i /
ACCESSORY v Front 0-0�\. " - Rear 0 0" o '_Left 0 0 - Right 0;0
� , ` / /�:
PARKING.e. Exishnq/) 0 -Required 0' Proposed. 0 /, " /
�� _ Fi \\\I/j/ ,//,,
'l..
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: 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
'
244646 16/00)
Enzirjammminimisimm
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:
Carrier: Policy Number:
(This section need not be completed it 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 California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shell 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 DOLLARS(Si0Q000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37C6 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.LTG.# ' . - Class#
Contractor's 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).
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).):
rM'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 tor such project with a contractor(s)
license pursuant to the Contractors License Laws.).
Crsing Imam exam on et c.
ess and Professions Code for this reason:
`�Sgnatdre:�tl � r. -a:—/ -'ac' fl
-Owner ID ve lied by driver's licenst. 0 Yes 0 No (Drive?s @icense No. - (�xpta"- 3-300.7
Verification of Ownership by(type of document,i.e.-property tax bill or deed). `r ue
•
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 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 25506 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 It art RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 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 apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes LJ 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 Califomia 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:
CERTIFICATE OF COMPLIANCE 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 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 rertY for inspect' urposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
XS tore OfLegal.O ifs)„`T--"-z- ^Date r,`-
ti . , _.
And/Or Authorized Applicant Date
CODE I )NSPECTIONTYPE ars INTMALS CODE. 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 _ 222 Final Site / p
204 Final Demolition 250 Final Building/Occupancy h' -l')7 _
„moi =' ::■ &�yi 4j eadat V eel &Wagvaddieut
OWNER-BUILDER
VERIFICATION
Addresses
,}<,„G2), �q kU P lac Permit#r 5T fl(Q2
A city or county,which is required to give notice pursuant to Section 19830, shall attach to such notice,and,as
a condition precedent to issuing a building permit, require the completion and require the return of, an owner-
builder verification.
Attention Property Owner:
An `owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will be issued until this
verification is received.
e[:personally plan to provide the major labor and materials for construction of the proposed
property improvement. El Yes ❑ No
,2 1 (have/have not) ho!ue signed an application for a building permit for
the proposed work.
3. I have contracted with the following person(firm)to provide the proposed construction:
Name
Address City
Phone ( ) Contractor's Lic. No.
4. I plan to provide portions of the work,but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address City
Phone( ) Contractor's Lic. No.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
Name Address Phone Type of Work
1042-46 (Rev.11104)
1
H . LAWMASTER & CO. , VC.
> MAIN STREET — STANTON, CALIFORNIA 71 CMS-780-002
828-8040
XXX
Field Data on Test Specimens Core Concrete Gunite Grout/Mortar
Project Dale Walters Pool Permit No. 33812
Project
Location 1651 Oahu Place. Costa Mesa
Contractor Aquatic Pools Architect
Location in Structure Engineer
Date Moulded 12/6/71 No of Specimens 6
Slump Specimens Marked
Specified Strength at 25 days 2000 P.S.I. Mix Designation
Age to be tested 7 days 25 days days days
READY MIX PLANT AGGREGATE SOURCE
Weather Condition Clear 1 Yd. _Yd. Batch
Cement Monolith Type I/II Cement, lbs. 133 sks
Admix Sand 35 tons
Specimens made by #4
• Data by Jack Hubbard #3
Delivered by #2
Date Delivered
REMARKS•OX,geffi j/j 7/ Water, Gals.
#713227 sheared vertically at bottom with cone at top
#713228 broke diagonally
#7132'0 F.....t.,, J�a,cjaaal-L]
FOR LABORATORY USE ONLY
Lab. No. 713227 713228 713229 713230 713231 713232
7 Day Test 7 Day Test 7 Day Test Day Test
Date of Test
17/i i 1a/13 1 7/1 1
Specimen Dimensions 6.08 X 12 6.09 X 12.125 6.05 X 12.375
Area 29.13 29.13 28.75 N5( uil i-atBsAFs ETYqukT
Ultimate Load 82,500 99,000 80,500 DEC 1 5 1971
Lbs. per sq. in. 2,832 3,399 2,800
H/D Corrected
FORM M -015 RCE#6207 G�(. �-�.-L�-Gc�. I C--c`�-�-�-'--�—
•
November 9,j 1971 , s .
. ,
•
• r
-
,
•
Mr. Dale Waters
1661. Oahu Place
Costa Mesa,' California .
-
Dear Sir: `
A building permit has been issued to Aquatic Pools•-o- -
construct • a p•rivate. swimming pool on-your property.. . - -
In -order. that your of .will be• a:`safe one :and-for the • .
- ; purpose of advising you of or responsibility regarding`•the
requirements of -the-_Costa Mesa Municipal-Code, we refer; you • . -
to;Section'4'8107, a copy, of` which °is attached. - .
' This letter directed to you ,in,order :that. you will be . -
• aware of our ordina es and can -make a complete safety check of
your,_pool area.- .. . 4 - , - ._
Sincerely -yours, - .
" - RICHARD HANHART .
3,.
Building Safety Director, - .,
RH:dh . '
k
•
. • ' •
_ - %•
f - _
1. +I '_
- . . l 1 1 t'
10948 ftE IlLtum:u CU
cat) it---17.try
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
ADDRESS 1661 Oahu Place
COSTA MESA, CALIFORNIA FOR OF USE ONLY
OWNER Glenverde Homes, Inc. RECEIPT NO. I141164
MAIL BOX 65 � RECE'IVE�D/BY DATE RECEIVEDp DATE ISSUED
ADDRESS BOX _.. //`-! it--9751 NOV 9 s 1959
CITY Balboa- Island,Calif. TEL.0r3-L1220 BUILDING
ADDRESS
ARCHITECT LIC.
OR ENGINEER NO. COSTA MESA. CALIFORNIA
ADDRESS FIRE 11l !- (�
ZONE TYPE / GROUP '`/-�
CONTRACTOR Macco Corp. L C,.NO. 98808 APPROVED y
BY DATE �nA
ADDRESS Box '65, bBalboa Island,Calif. ZONING C ��GU�
LEGAL I LOT 117 - I I a1,D7 IONF. NO.OF USE OF NW! ��
DESCRIPTION NO. BLOCK TRACYLLI{Lv1 (A� �' PLANS .,C I BUILDIN� �1 // ` /
A.P.NO. BYPROVE ll L11 �� ^ DATE /I" IV-�-J/
.SVT
I NO.OF BLOBS. YARDS (/" /I E�E9' 1
OF LOT 7000 Now ory Loi O REQUIRED VVV ALLOWED
USE OF - - (CENTER LINE ST.) �T'
EXISTING BLDG. FRONT �j V FT. IN.
SETBACK LINE FROM
CENTER of STREET 70 REAR YARD 16 R.SIDE /cFT. IN.
SIDE YARD I LEFT 5 RIGHT 15 L.SIDE C FT. IN.
DESCRIPTION OF WORK
REAR f 6 FT. IN.
NEW - I x II ALTERATION I II ADDITION I
REPAIR 1 II MOVING DEMOLISH I
BUILDING '41� N .OF 8 SIZE 1525/440 ROOOMS 8 STORIES 1
EXTERIOR WALL ROOF
COVERING ctnrro COVERING rock ;,)4,/,(,
USE OF BUILDING AND WORK TO BE PERFORMED L.,--. .�
residence ------ fa'
,-,. .800
`I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATIONIS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTION. VALUATION
SIGNATU:" t .� _ PERMIT FEE $ a�—'
PERMS •1 •��� i71 ul__
�1 loir �. $ �`-� ��/— PLAN CHECK $ / 7f,So
�AUT($.- •• AGENT „..1;2.,Jo
� . - . TOTAL FEE $
icpt RECEIVED
' 18488 DEC 1 3 198p
T FINANCE DEPT. .
COSTA MESA BUILDING-SAFETY DEPARTMENT CITY OF COSTA MESA
P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
t •
TYPE OR PRINT
BUILDING /46„/ 04HU PLHCG BUILDING
ADDRESS
COSTA MESA. CALIFORNIA For Office Use Only
OWNER -P
//e /
L` E. WT ie/es 1/ATE
NO. 11848F I 1��8A 48&
ADDRESS 76 6/ ORNa ' 4¢' j/L�� REE V D BY/ Il RECEIVED_4 /:"AT; ISSUED,jl
CIVCoSnot �E•S,i NO. 7t*, BUILDING / ,
g� !///
ADDRESS
ARCHITECT TEL. FOSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE )JA/' V
ADDRESS ZONE a @. 1 /��.TTYPE ROUP I
CONTRACTOR Ow..vaq /3C//1pBeg - BYIIROUVA-i /7' /3/3
U DATE
ADDRESS .M\7 ZONING „"
•
CITY I...--------- _ ZONE'_ PLANE z I BUILDING EW A Avy,`
STATE _-- TEL. D•
ATE./3 y£97
// � 7/7
O
LIC.NO. NO. DESCRIPTION �
SIZEFLOT J X 134- (NOWOON LOTS '
A.P.NO. •/`"&a' 9- 2 8/ — /
USE OFYARDS EVES
EXISTING BLDG. If 0 M 6 APPROVED ALLOWED
SETBACK LINE FROM / / ..y /J^�j,��� (CENTER LINE ST.) 1
CENTER OF STREET (/7 O / REAR YARD 'T FRONT CO 1 FT. - IN.
SIDE YARD I LEFT Ithr 1 RIGHT S R.SIDES_ f fpFT. -�' IN.
DESCRIPTION OF WORK �' L.SIDE A &at) 7; E.ra,/--7 IN.
NEW I YV ALTERATION I II ADDITION I • REAR A'//a64 Edcntl FT. +. IN.
REPAIR 1 MOVING I II DEMOLISH I APPROVEDBY DATE /21//3/61 1
SIZE DING670/ 7 it, RNO. OF OOMS / STORIES / '�1 P'//Tp
EXTERIOR_W�siL'L O�l4/� ROOF PP // /�/'
COVERING �rfpvy7l'YY�J COVERING 1160 f\
USE OF Ui L'DI G ND WORK TO BE PERFORMED
t;LDIk -- 0- e%1R catty
atr-
7 ,1 vc"
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
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
BUILDING CONSTRUCT( / VALUATION ^� 60
SIGNATURE OF /J�//��/4/1/ PERMIT FEE $ (2/-
'PERMITTEE ('� 111 ���!!!!!!��/L!� �� L/� p
$h,7276 64) PLAN CHECK $ /T �'
Ln
AUTHORIZED AGENT ` TOTAL FEE $ /� L. ` 0
'- 26451 • DEC -9-66 00 454 !*****3.00
,COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1206 COSTA MESA, CALIFORNIA 92626 -
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
wILOESING For Office Use Only
ADDRS I(G- 1 (�AA,I t �V I n The, �ED RECEIPT NO. .rs{Ma61
'j�COS(TA MESA. CALIFORNIA��/ DATA now?,
LFL�J44�{l)
OWNER )ai e 1. . YV(rn�k yt R`) 41- /c< - 7-c �.?�9
ADDRESS I“3( (Oak I,J_. -Pt ADDRESir S /J /7 FIRE
//�� ��
1),I/J� . //,I// (� /� ZONE TYPE �' GROUP Y
CITY C� M C+I Cu.a.L, NO..�TO-�d 9/ a
APPROVED •
ARCHITECT TEL. BY DATE
OR ENGINEER - NO.
ZONING
ADDRESS - . - /
/' '� ZONE NO.OF US[O!NEW
I. I - / �/ I PLAN[ 'i I BUILDING 111 J�
CONTRACTOR _ . ././7- 9/17DECL
DESCRIPTION
ADDRESS
A.P.NO. /q /p
— 2Vj ---/'
CITY
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL. SO'TO SIDE a REAR P.L
LIC.NO. NO.
SIZE I NO.Or sun. ALLOWED (U.B.C.REQUIREMENT/
OF LOT NOW ON LOT
- YARDS APPROVED YARDS APPROVED
OWINGBLDG. hnvv. e_ MAIN BUILDING ACCESSORY BUILDING
E%/STIN
(FROM C/L BTRCRT)
,-------------
CENTERS LINE PROM FRONT
CENTER OF STREET REAR YARD
/
SIDE YARD LEFT I RIGHT _ R.SIDE FT. PT.
DESCRIPTION OF WORK L.SIDE PT. FT.
NEW ALTERATION ADDITION REAR PT. FT.
DISTANCE BET. BET.MAIN Q
REPAIR MOVING DEMOLISH MAIN BUDGE. ACCESS.BLDOS.
BUILDING NO.OF VAR.* DATE
SIZE ROOMS STORIES C.U.P. APPROVED
EXTERIOR WALLROOF APPROVED ///�J
COVERING '✓ I COVERING q a
SY �!/ DATE 47—f___
✓�
DEPvOF u7 ILDI��ff/OG/C-ND WORK TO eln �PptroRM�/z)a- ��
1.1111=
- SO.FT. e dr
TH[ AMOUNT SHOWN UNDER VALUATION IS FOR THE Cti
I HEREBY STAT ACKNOWTHELEDGE ABOVE Is HAVE READ TRW APPLICATION . 1
AND STATE THAT DIIS ANDCORRECT AND AS IIE TO COM• PURPOSETIOOP ESTABLISHING A PERMIT PEE ONLY. e�A
PLY DWITHING ALL CITY ORDINANCES ANO STATE LAWS REGULATING VALUATION
BUILDING CONSTRUCT! ''7
SIGNATURE O 1 � / Od PERMIT FEE $ J
PERMITTBF �fitt4l �/ //774 A .1 sG��/ 0
PLAN CHECK $ w
AUTHORIZED AGENT $gainalailEERSIDEEMIS TOTAL FEE
OWNER WATERS Dale DATE 11_5_Il
4,fnR ADDRESS 1661 Oahu Place BUILDING PERMIT N0. 33812
ERAL CONTRACTOR Aquatic Pools DESCRIPTION of WORK Pvt. Swim Pool
Ar No.139-281-14 LOT TRACT FIRE ZONE VALUE $ 3,000.00
INSPECTIONS Signature Date GROUP J TYPE III ZONE R-1
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR
Date Number Signature
w ATE jgo, G a Plumbing
ROUGH PLUMBING araiSr . - .-...." /"--, -7/ 59 PEP
PROP. SWR. LINE ❑ HOUSE CON 'fl
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERV,yg' Y-,' C/2.
UNDERGROUND POWER g J/
ROUGH WIRING �'l Heating and Vent.
TRENCHES II FORMS n STEEL REINF. ❑
FLOOR SYSTEM
BOND BEAM STEEL REINFO- E fp----" ��
SHEATHING : ss/ c
FRAME AND PLASH G
I NG — IN in OUTn _
i- .ER, BROWN COAT
STRUCTURAL, FINAL ■ lectriC
HEATING, VENT., RUNIC. ANS A'errPiNFt. �/ 7'2 r--7/ �G� �e�er� //-s 7/ 330 3S
PLUMBING, FINAL AND GAS TEST n WA° 771/.71
ELECTRIC, FINAL - - Z- .td
BUILDING, FINAL Are nes.')/
SPECIAL REQUIREMENTS
- ,h
• \3 ?/
If
PA III
'IN -5-71-P3AD 280* ****311.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
. P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 •
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
�/ �J RECEIVED BY DDAT �7ECCEEIIVED DATE ISSUED
BUILDINADDRESS
n/�sc�i /1 0 9 n�
'J2i/E 2.9/4rc . f3 / - all-/y (-9, ,p/,,
OWNER A.P. NO. /
MAIL ADBUILDING RE S /��j el v9/Vo/ /J�•9L�-
Z ADDRESS S1r.9//r•P ��J ui• � - 1'�
Lu U CITY C. //E,cy • NO.TETRACT3�? I LOT MI BLOCK
.1Z 77 J
Z Q CONSTRUCTION I- / NEW IADD ALTER REPAIR (MOVING DEMOLISH
• OLENDER 6:-.5'.1// - ✓/
2 co
_JD BRANCH
J N
OWNER
03 J ADDRESS DSIC-.E Y✓/yYE�SVALUE
_j Q M !lir—
ARCHITECT �/ �, �LK TEL.
^� USE ego/ $ 3/ C'W
N OR ENGINEER //e/de iN Z/I
Z FIRE
Z IL ADDRESS�2/Q /�' �' adA/J • />//Lrlia0. ZONE TYPE GROUP
Q. . APPROVED
'JQ CONTRACTOR�/1;//�� ' .�/.f'. BY C. J/lr7 DATED 7)
m 2 /J ,p. l//// /
J¢ ADDRESS '3i/ i . /0�1z 6.9x-, � -�
LL.,w TEL. 'f J`E NO.OF a�USE OF NEW
O 2 / /V`( // / PLANS BUILDING
Z L.. CITY/7/ICA/l/i9 NO/j/9 -V66
W STATE CITY YARDS APPROVED YARDS APPROVED
(n K LIC. NO. /p 3 3 g 3 LIC. NO. MAIN BUILDING ACCESSORY BUILDING
0 SIZE rNO.OF BLOCS. (FROM C/L STREET)
OF LOT EXISTING BLDG. /000 J ^I�� ` 3
NOW ON LOT / _FRONT FT. FT!
USE OF J�J� t 2/,,e, . 6ae.;2,7 L, ee17. R.SIDE FT, FT.
F SIZE OF / NO.OF
ZNEW BLDG.../. 3Z /ROOMS STORIES L.SIDE FT. � FT.
Z
V EXTERIOR WALL ROOF
COVERING COVERING REAR - FT. Kj' FT.
1 USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
CL MAIN BLDGS. ACCESS. BLDGS.
•�7 _ VAR. DATE •
O f x
Jr J ,f✓;�(.J�+'r /oC.V.P.# APPROVED
F- C1./✓• FA-297i l.,2 v ELL/2'.3 APPROVED �
Co / TF / ) �7/
V/
Z
0
0- I hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
C ell laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of
(n the State of California. b
I hereby certify that I am properly licensed as a contractor under SO. FT. - 0.-
the
the State of California Business and Professions•Code, Divisicn 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; 0
em exempt from the provisions of the State of California Business CC
VALUATION
0-0 CO
• and Professions Code.,Division 3,Chapter 9. PERMIT FEE $05(J cs
Signature of /,/ _ /// `� m
Permittee ��ZtGG _ � ��� $ PLAN CHECK $ E
//��� /J /`/�•�/�a S
Authorized Agent ��� j3.9, 1,.,, , oh LL
,l ' \ Ja are • TOTAL FEE $' 34.r
.
OWNER WATERS, Dale E. DATE 12-9-bb
. " - ADDRESS 1661 Oahu Place BUILDING PERMIT NO. 26451
-t ERAL CONTRACTOR Owner-Bldr. DESCRIPTION OF WORK Pot•Blk•Wall
�nr No. 139-281-14 LOT TRACT FIRE ZONE VALUE $ 225.00
INSPECTIONS
Q Soil
' Signature Date GROUP J TYPE III ZONE R-1
PERMITS ISSUED
Gas SUBCONTRACTOR I Date Number i Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con. 0
Sprinkling System
Miscellaneous
Rough Heating and Mr Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring Heating and Vent.
Trenches Gq Forms 0 Steel Reinf. in 0?7.1L . I.,3 -67
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
r 'e and Flashing
ag— In 0 Out 0 •
Plaster, Brown Coat
Structural, Final • Electric
Heating, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final _
Building, Final lei- 1-1--Fl
I OWNER WATERS,_Dale E. DATE 12-13-62
JOB_ADDRESS 16 1_ p�]ity p1, BUILDING PERMIT NO. 181488
ERAL CONTRACTOR Owner-Bldr. VALUE $ 1220.00
^- No. 139-281-17 LOT TRACT FIRE ZONE DESCRIPTION OF WORKAdd Att.Gar.to
INSPECTIONS Signature DATE GROUP j TYPE v ZONE R-1 cs.
Soil { PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. ❑ —
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. 0 St.Swr. ❑ __
Sprinkling System
Construction Pole
Underground 0 Power
'ough Wiring . bv.. ! . ii- ' 1;11:
renc les ®' orms rr tee em . 0 re irle, II. vi
Floor System
Bond Beam 0 Steel Reinforce ❑ _
S'--^thing q
and Flashing fl-C )-✓V a _
In ❑ Out 0
Plaster, brown coat
Refrig. 0 Air Cond. ❑ Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final y1- 3i^lire 3