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1700 OAHU PL - Building Permits
a ° ' s —4'=�`2''Il�' �`�, Twini Laboratories o[sou�z.A ea4'o ;a, W11 �� / - - . — '— 3310 Aupon Way/Mailing Address P.O. Box 47 /Lnng Beach, CA 90801 / (213)426-3355 /(213) 636-2386 /(714)828-6432 TESTING BRANCH OFFICE: 1514.0 North Harper Sheet/Saila Ana.CA 92103 111141 531-2045 EXAMINATION NO, 81-8440 COMPRESSION TESTS ON GUNITE CYLINDERS Elmer G. Volden 14509 Dalwood Avenue Norwalk, California 90650 • PROJECT SWIMMING POOL ADDRESS 1700 Oahu Place ARCHITECT CONTRACTOR Madrid Pools ENGINEER SUBCONTRACTOR Reagan & Kramer Don McBee Gunite SAMPLE FROM Deep end floor and small end floor and beam SPECIFIED MIX 4:5 - 1 STRENGTH - 2,000 DATE CAST 7/14/81 SLUMP SPECIMEN SIZE 6" x 1211 DATE TESTED 7/21/81 7/28/81 SPECIMEN NO. 1 2 COMPRESSION 7-Days 14-Days TOTAL LOAD LBS 52,000 69,000 P'1UNfTS PER SO. IN. 1,840 2,440 12 AI•.EA. SO. IN. 28.27 .r~'•%� 1JMPLIANCE 14-Day tests comply with specifications. MADE'BY DELIVERED BY RECEIVED ON: '“'ECIMENS D. McBee Elmer C. Volden 7/15/81 DISTRIBUTION . . Elmer G. Volden - 3 CosTr Mt" • • fib ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS AUTHORIZATION FOR PUBLICATION OF OUR REPORTS CONCLUSIONS ON EXTRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS.THE PUBLIC ANO OURSELVES • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. •tTA MESA PERMIT O. TRACT NO. LOT NO. 'BLDG.NO. - - - . CO -ON PERMIT •B '}Z(o3 .5S .2`I a.Li, ` ProjectA dress 1700 °AHU PLACE -. TYPE OFCONSTRUCTION Owner uD 0L..}7H - RHeOeS -'Phone'751-Dy01 -❑ NEW ' •DD 0 ALTERATION •' (�J1Q . 2148 7/31 /131 I7eoa TL 'Adaetz -5,47n E• -. • 0 REPAIR ❑ CONVERSION ❑DEMOLISH c ZONING REGULATIONS Arch/Eng. . - • License No. - 0 OTHER �_. ess — • - .. • DESCRIPTION OF WORK PATIO CU11 •A.P.* I .��� �'1if! - _ - - IA'I+) t(_a work ZONE I g + PLNG. REF. •� 'Contractor Phone - _.ZONE B ILDING G - _ TYPE OF PERMIT yy�1 SETBACK C!L 5T. OpE•RTV LINE Address ' ! ❑ GRADING 0 FOUNDATION STRUCTURAL LIDE_VARD � ../ - • LICENSED-CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL ❑PLUMBING.❑MECHANICAL SIEEDE'YARD '�-n-�-► I hereby affirm that I am licensed under provisions of Charter 9 (coni- RIGHT !s.(� y'� mencing'with section 7000) or' Division 3 of the Business and 0 OTHER- Professions Code, and' my license is in full force and effect. REAR YARD(TO P/L) Qr PROJECT DESCRIPyION - _ License Class -- - License No. 24 'rTH - PKG.SPACE REQ. •� PROVIDED Sq. •� FT. Date Signature — ' ' . ..�' - - - WORKERS'COMPENSATION DECLARATION - • OCCUPANCY_CONSTRUCTION TYPE •STREET WIDTH - PARK FEE'S I I hereby affirm that I have a certificate of consent to self-insure or a C� ZONING APP RAVE B D E re Liflcate of Workers' Compensation Insurance, or a certified copy VALUATION y �� ZONE - /�e'cp/j/.N�y I ��i��c4� + eof(Section 3800, Lab.C.). , GRADING CU. YDS. ACRES SPECIAL CONDITIONS: _ - 1 «. . _ _ . . - .. .- .. Co mPanY x �� . __ . . ^.'`.entified copy is hereby furnished. - - • REMARKS: - .. _ . • _ . _ _ .. - - , ❑ Certified copy is filed with the city Building Division.. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION _ - - ' - " " ' - - -- - - - - (This section need not be completed if the permit.is.for one hundretl _ - ' ($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 PLUMBING, - PLAN CHECK I - 'ELECTRICAL - PLAN CHECK 1 subject to the Workers'Compensation Laws.of California. UW tLLI NIa - GABP E Date -. Signature - BATHTUBS SHOWERS - 50.FT SO FT NOTICE: If after making this declaration, you should become subject, TOILETS . -I' . URINALS ' ' - ' - . GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code,you musTRANSFORMER • forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS ' ' APPLIANCE 10-50 KW 50+KW- , revoked. - .. - .. ' CONSTRUCTION LENDING AGENCY KIT.SINKS ' -DISHWASHERS MOTORS 0-1 HP '1-10 HP - - I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS\\ ' -- ti \r (INC.SOLAR) 10-50 HP 50+HP - - formance of the work for which this permit is issued (Section 3097 1 ) . t r` ' .. FLOOR SINKS .. FLOOR DRAINS ` -' ' FIXTURES' OUTLETS - 'SWITCHES '• Lender's Name - -- - _ T - Lender's Address. ` - - - . • DRINKING FOUNTAINS - GAS TUBE SIGNS - '-' - - - OWNER BUILDER DECLARATION - - INTERCEPTORS , CLARIFIERS " ' POLE LIGHTS ' • -" ' ' - - - ... I hereby affirm that I am exempt from.the Contractor's License Law for •- the following reason (Section 7031.5 Business and ProfessionsiCode: -SWIMMING POOL .. ' ' P TRAP ' . .- COINS I HU(-I!UN - Any city or county which requires'a permit, to construct, alter, .. • POLES METERED - SUB improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION ' . PANELS MAIN - SUB quires the applicant for such permit to file a signed statement that he • • • is licensed pursuant-toi the.provisions of the Contractor's License Law GAS SERVICE \i - SERVICE - - - - AMP ,r^apter 9P(botmencing with'Section'7000),:of'Divisiom'3\of..thet o''-- ' ' OUTLET'S less and Professions Code) or-that he is exempttherefrom'and the- WATER:HEATERS- ' BTU OUTPUT ' ' '- . - - ' ' .fdc'.the'alleged exemption)`Any,-violation-of%Section 7031;5.17y( N - - applicant for-a permit subjects the,applicant to a civil'penalty, SEWER CONNECTIONS , -' - .- . oi .not`more^than,-five'.hundred`dollars'($500): j•� =.,1�\i\ ('), - •a I, as owner of the property,or my employees with.wages asstheir SOLAR,TANK.',t- COLLECTORS - ' - - sol' compensation, wilt do the work, and the structure isnot intended - ' -- - - or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE' ' Contractor's License Law does not apply to an owner of a property - - • APPLICATION-APPROVED BY - DATE who builds or improves thereon, and who does such work himself or ISSUE FEE - through his own employees, provided that such Improvements are not •intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK _ SUMMARY OF FEES, is sold within one year of completion, the owner will have the burden •BUILDING - Q-•.. of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU PERMIT $ AO __ SMTP $ '� ❑ I,'as owner of the'property, am exclusively contracting with AND DUCTING . licensed contractors to construct the project (Section 7044, Business 100,000+BTU PLAN CHECK $ b'SD PERMIT - and Professions Code: The Contractor's License Law does not apply to -. ISSUANCE $ an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU :PLUMBING $ tracts from such projects 'with a 'contractor(s) licesned pursuant to SYSTEM - \ - - GRADING $ ' the Contractor's License Law). 100,000+BTU- _ - -_\ > .-•\ -e.\( I PLAN.CHECK $ I . Elo�I am exempt under Secti B.& P.C. OILERS BTU _C.for this ELECTRICAL $ $ reason' - ' - ' - PLAN CHECK $ MICROFILM $ - - Date - Owner- • - - SYSTEM REPAIR,ALTERATION TOTAL FEE$ I (.hereby certify that I have read this application and state that the above ,EXHAUST SYSTEM MULTIPLE J .MECHANICAL $ - -'- PLANCHECK $ LESS EP information is correct. I agree to comply with all city and county +;y VANCE PC $ -- repres eta and st pI laws relating to pestru on t and hereby authorize - - orefo of his city to ter u on the above mentioned I 17 6.'2 property fo inspection purp --s - I / �- Signature Date /-3'- I FINAL FEE $ Drivers' License or ISSUE FEE - CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-ASSessor );; 1 .. CONSTRUCTION AND PLANNING - -. - ' • • (POOL&SPA Date Inspector .Date r:or APPROVALS Permit# APPROVALS . ., Permit# 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - ,_.2. Soil Pipe-Undrgrn 44. Steel Reinforcement_ 3.3. Electrical Conduit Utility-Undrgrn - , . 45. Forms - 4. . Eledtrical Conduit-Undrgrn 1 - 46. Electrical Bonding - 5. Steel Reinforce _ 47. Rough Plumbing & Pressure Test . ' - ', 6. . Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE _ 7. Footings _ , r i- 49. Electrical Conduit-Undrqrn 8. Foundation •`-t`• _ - 50. Gas Pipe, ❑Undrgrn,Test . 9. Water Pipe-Undrgrn 51:- Backwash Lines. P-Trap, ❑ Undrgrn • 10. Structural Floor System 52. APPROVAL TO DECK - ' 1.1? .:PropertySewer Line & House Connection _ • . . 53.'_ Backwash & Receptor-Final 12. Street Sewer Connection. 54. Heater & Vent-Final 13. Rough.Plumbing . . • . . 55 Plumbing System -Final • 14. Rough Electric-Conduit • • - - 56. Electrical-Final - - - 15. Rough Electric-Wiring - • . - 57: Solar System-Final _ • 16. Rough Heating & Air Conditioning - 58. Fencing &Access Approval 17.' Ducts, in Structure - . - _ 59. APPROVED FOR PLASTERING • 18. Ducts, Ventilating - . 19. Gas Pipe-Rough &Test 60. _POOL/SPA SYSTEMS FINAL - •• 20. Roof Framing . 21: Roof Sheathing - . . 22. Frame and Flashing - 171W, 1.2/24/5-51- (fa-st_c _ NOTES: • 23: Insulation //f7/ernw.0-1E.K mar/hhME. /_G�i �Fc-�-otJ C-4 C l /ifoein'AA? 24. Lathing & Siding - - 7-,4s is COMA. --T O =ycC neEGGJA2oi.vGa •444C-cavcc- • 25. -Drywall Nailing 'F'A /o Crv'El-. (7.7.,fit. 26. .Plaster Brown Coat //pi/tic- / -fr �yyQ /210-4E a--' • 27. -Electrical Power Meter-Final - _ . �jj 28: Final Electric ern$ ��a?3/{,� P O`IIv��V K / LLin e j 67 loB9J 29. Final Heating & Air Conditioning - .._ TN✓pvc t S� i.€koK 47a) CoAferb'uc ta.., 30. Final Gas Pipe-Test M.p "7�S ��-e C)p,7',py/hc(6e Ga Kg1,. 7' a42 • 7fAig/�f/ 31. Final Plumbing " 'c :1' - COP :( . ' 32.- Water Service-Final - 33. Gas Service-Final • - ' I 34. -Solar Domestic-Final ' 35. Landscape Sprinkling System . • • 36. Sound Attenuation 37. Handicap Regulations , . /�,�p • 38. FINALSTRUCTURE & BUILDING J.W, /3/40-1" CY�e- . i 39. Special Requirements Completed ' 40. Electric Release to Edison - _ 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No - - Date . PACIFIC INSTALLERS, INC. 7541 Anthony Avenue Garden Grove, California 92641 Date ;--9 Director Dept. of Building and Safety City of '019,44._. Permit No. 3 C/a/e,_ ,c el C-7 //c6) Type of Permit J�, Dated 2-'62 4.--.2.ad Dear Sir: 9 Please be advised that as of C "/ our work on above- named permit has been canceled, and as of that date we would like thee permit / canceled; so that our responsibility for any work accomplished at: -2L--d O�iu r for customer: s.4 will be ended. Very Truly yours, 97L-62-2A— For: Pacific Installers, Inc. 7541 Anthony Avenue Garden Grove, California State Lic. # otJ/rrf,,,F" City Lic. # P.I. 264 Tract 36-19lL //� BUILDING PERMIT NO. - vital m q Block 17ba Lot 2-6BUILDINGNo. E Building ` AAA Plumping G Address / ?Ob OA 14 � &Lµ eC L_)_ Permit No. to / //II 111 CCross `P/1--c-i1-61( ' 1 �� Mechanical C Area / T4 Mese Street / a L_ 1 /I Permit No. E- es Owner G 1 O.i cc Pti I 1 ' r /j'-'v� Type of Project: ❑ ew ❑ Alter ❑ Addition I� Address / )QO 0A_ }.S!I /�L4Cc ❑ Repair ❑ onvert ❑Demo ❑ Occupancy Pmt. j /lJl J ' 1�\ ` Sup. Dist./ City Zipets ra Phone 75/.{xr0/ A.P. Insp.Area Architect/ AA // //�q '�pp Designer /'17,(c(-o f oo(S License No. 2CJ9a-OS c SZ Zone SPI.Pmt. No. Address /(g0( C eW^,tel?C rfle• C r Sat Da cks P/L Front C/L St. Street Wmtn City I O c �`4°E"( /r l`" l- / yards Left Right Rear ,l r `�Tr4Ao C Zl��q; Phone53g...f (D " 14 (Kt ki� �/C Eave PrOl- Left Night P. Enginee License No. c / Parking Spaces equired Provide Covered p, Add fess cec(/ e2 (Nan A 6. re �----- '�I (yZL�n Strutt of No.of In City ' /0 4✓ Zip Phone$�s:- Height Sto Family u LICENSED CONTRACTOR'S DECLARATION VV Park Fees I yes Fee i CO m ( 'hereby affirm that I am licensed under provisions of Chapter 9 Required No C.T. Receipt t (commencing with Section 7000 of Division 3 of the Business and Zoning Approved By: Date Professions Code and my license is in full force and effect//. - License Class l': SM License�sNumber 2-6/ 2-'S- > Date t-2Z-' ( CAonnttractorl(''1a(o POOLS Misc. 1 E Address (((SO(e�L!^I'ti� //L)/41i C 4. ` - Proposed Use y City and Zip.6#' /`t7 6/«µm Phone r,3g--(6'ta of Structure r CONSTRUCTION LENDING AGENCY F± 1 hereby affirm that there is a con ron lending agency for the O¢. Type Coo L performance of the work for this permit is issued (Sec. 3097, C.v. C.I. Dass Cons.. yea y Lender's Name I USE/OCCUPANCY SIZE SO. FT. Lender's Address OWNER-BUILDER DECLARATION 1 I hereby affirm that I am exempt from the Co. . -cense Law S' - r. for the following reason: 1 ❑ I. as owner of the property my employees with wages as their 2. E sole compensation, wil .o the work, and the structure is not E intended or offered . sale. 3 LI I as owner • the property, am exclusively contracting with s. licensed co• actors to constr uct the project. e' ❑ 1 am exempt under-Sec. , B&PC for this reason 4. v I a Date Owner - E WORKERS'COMPENSATION DECLARATION Total Valuation 3 I hereby affirm that I have a certif ic. - . •nsent tb self-insure, or a certificate of Workers' Co • sation Insurance, or a certified Encroachment Permit Required �� Yes Li No CEE copy thereof. Grading Pont. Grading y Policy No ompartY Required ❑yes ❑No Pmt. No. • I ❑ Certified copy is h. -by furnished. Rough Grading 'V a ❑ Certified copy i fled with Orange County, EMA. Approved by: Date rt Date Applicant 3 CERTIFICATE OF EXEMPTION F'OM WORKERS'COMPENSATION INSURANCE Z (This s tion need not be completed if permit is for $100 or less). c . 3 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 PERMIT FEES subject to the Workers' Compensation Laws of California. Dat b-22-8( Applicant . NOTICE TO APPLICANT: If, after making this Certificate of Structural S Plan Check S Exemption, you should become subject to the Workers'Compensation I provisions of the Labor Code, you must forthwith comply with such ElectricalSpecial r provisions or this permit shall be deemed revoked. 3 Invest 3 I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO Plumbing S COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTH- Mechanical S ORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE M 10 D PROPERTY FOR INSPECTION PUR' Pre-Grade POSES p Inspection S 6-2 Z _d ( Pre-Grade Permit Signature of Appir nt or Agent Date Rec.No. S Issue 3 aa. 45 eOQOLP(-( Print Applicant's/Agent's Name - All spaces within this box must be completed to process _ CheckPlan BY Appr ved: CMF 0335-46(BU-28) rev.6/80 APPROVED City of Costa Mesa Building Dept. • BY r V=im ___ATF�/3) 1911 THESE PLANS MUST BE ON JOB AT ALL TIMES MAKE NO CHANGES WITHOUT PRIOR APPROYAC OF DEPT. THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL i p OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED i'/ I TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION _ ,y OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE. ' SUMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL THE ISSUANCE OF A PERMIT BASED UPON PIANS AND SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFAL FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS -- IN SAID PLANS AND SPECIFICATION"; OR FROM PREVENTING BUILDING OPERATIONS BEING CARRIED INI THEREUNDER WREN IN VIOLATION OF THIS CODE OR OF ANT OTHER ORDINANCE •• { I-- y� . OF THE CITY. ...___.._._.._._ �. •- .� D�Efv1C�: I ® DpooL 1-4-JA 1 i CITY OF COSTA MESA / y® STRUCTURAL APPROVAL ONLY PLANNING DEPT. SUBJECT TO BLDG. DEPT. REG \ 'post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL., PLUMBING, BY © �. DATE.-3 (4).._. _ / >/ ^ ! HEATING, VENTILATING AND DIRECT R OF PIANNIN6 y_ � REFRIGERATION WORK 1 1 TT??-U000 Permit # _ I— o all 4l° 3 ;n THIS NUMBER i',LIST ACCOMPANY I— ALL INSPECTION REQUESTS I_ -- - _ !b1 ,ger cJ FOR BUILD!NuSV;HERE PERSONS ARE TO BE EMPLO`(ED, WE SUGGEST THAT THE STATE OF CALIFORNIA DIVISION OF ! INDUSTRIAL SAFETY BE CONSULTED FOR ADDITIONAL REQUIREMENTS. . / 700 oAHu pcAcc 4- . PATIO COVER DETAIL 6/1 /67 � _`. • TYPICAL JOIST ANCHOR STATE--`i-h, .- ,k • SPAN ft,/ —' ;' SIZE SPACING • N1 OVERHANG �' Z O " RAFTERS:.® ( '�•� _ 3' 441'4 STATE LENGTH t-�SLOPED FOR DRAIN k I1. • MAXIMUM 1/3 SPAN .� .0 r i CONTINUOUS 3/gx5"Lags 32% LEDGER .. -- - 4 Blocking • kJ,-4' % MAXIMUM Predrill Ledger //' Predrill JOIST n �[ q '/-3 Deep MAX: or HApGER or other approved methods NOTE USE REVERSE SIDE FOR PLOT PLAN. • BEAM of support • tie. STATE SIZE NO I RAFTER - CHART NO 2 ALL LUMBER DOUGLAS FIR FOR OPEN EGG CRATE FOR SOLID SHEATHING. 3/16X2"-T-STRAPALUMINUM OR PLASTIC SHINGLES OR BUILT UP ~��� CONSTRUCT/ON' GRADE — ROOF MAXIMUMVSPAN SIZE SPACING ROOFING. SPAN I I 17' 0" 2x6" 12% 15' I " o z 16' 0" 2-x 6' 16% 13' 3" Z POST-BEAM 15' ''0 - ' 2-x 6' 24% 10' II i NI:\> --1 CONNECTION 12' 0" 2"x 4"" 12% 9' II" POST 10' 0" 2-x 4- 24°c 7' 11" _1 1 "F x 2 � ' 0 ' NOTE :- FOR PROPOSED OR FUTURE ROOM,OR WHERE PATIO ....1 ' SHOW SIZE' SHOW SPACING - WALLS ARE TO BE BUILT. USE NO. 2 CHAR_T ON_LY. --1, SHOW LOCATION ON REVERSE SIDE, 1.• RAFTER SIZE MAY BE INTERPOLATED FOR I r- . DROP PAT FLOOR] SPACING ONLY. PLATS iii , �-- SLOPE TO DRAIN ` FOR PROPOSED OR FUTURE ROOM OR WHERE PATIO y o WALLS ARE TO BE BUILT SUBMIT COMPLETE HOUSE ° ° 3T THICK SLAB �'.:e AND ADDITION PLANS PUDDLED SAND FILL h I • �Z2 .. R sT.►v i Remove Grass And Weeds Down To Natural Grade 12' • CONCRETE MIX 1:3:4 MAXIMUM WATER CONTENT POST ANCHOR I + 7i GALLONS PER SACK CEMENT. ' I For Pipe Post. Embed 1 12---I Provide 26 Ga G.I. Flashing At Wood Floor Const. COSTA MESA BUILDING . DEPT. Pipe In Footing. Provide Flange Or Weld Plate Screwed Or Boiled To Frame. 77 FAIR DRIVE 754-5627 CMF 0012-46 (BU 40) B 11 1� EE RECEIVED • JANa11960 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. J P.O.BOX 317 COSTA MESA. CALIFORNIA' CITY OF COSTA MESA - FOR APPLICANT TO FILL IN COMPLETELY . APPLICATION FOR _PERMIT TYPE OR PRINT BUILDING • ADDRESN G S 1700 Oahu Place rr/�� ^c p COSTA MESA, CALIFORNIA , Inc. FOR OFFICE USE ONLY . OWNER Kenkol Development Co.C1 rbRECEIPT NO. -• I- i PIMIT NO. MAIL - 1555 Placentia RECEIVED DD—BY DATE CEIVE 'DATE ISSUED ADDRESS 6-9 I /-�/—b°I JAN 2 1,19Fn CP-- Newport Beach TNO.gr. 3227 ABDDRESSUILDING Al -T LIC. COSTA MESA, CALIFORNIA OI NEER NO. FIRE ADDRESS ZONE TYPE GROUP OF9 A CONTRACTOR K.W. Koll LIC.NO. 61195 BYPROVED DATE 1555 ADDRESS NewportaBeacha • ZONING LEGAL LOT 3 2 ZONE / NO.OF USE OF NEW��J/y e...2 .r DESCRIPTION I NO. 26 I BLOCK I TRACT dk ' 'PLANS /2-I BUILDING. < '� , / APPROVED t(//' LI DATE 7 /40 A.P.NO. BY i jr,Lti SIZE 75x100 NO.OF BLDGS. 0 YARDS E.�V/S{�'7 OF LOT NOW ON LOT REQUIRED ALLOWED USE OF none ' (CENTER LINE ST.) EXISTING BLDG. - FRONT -...5--OFT. ' IN. SETBACK LINE FROM 50, REAR YARD 21 t CENTER OF STREET R.SIDE /r) FT. IN. SIDE YARD I LEFT 6' �7 I RIGHT ! .51 r- L.SIDE 157 FT. IN. • DESCRIPTION OF WORK _ 47? Fr IN. REAR '_ NE. I XII ALTERATION I II.ADDITION I ' REPAIR I II iM� 1 MOVING I' II DEMOLISH - • SUILDINGI H40 SiS1 ROOMS NO.OF 7 STORIES 1 SIZE EXTERIOR WALLnyROOF COVERING IUCCOCOVERING Rock • USE OF BUILDING AND WORK TO BE PERFORMED Single-Family Residence and ' Attached Garage • I HEREBY ACKN•• LED• THAT I HAVE READ THIS APPLICATION AND STATE TH THE OVE IS ��ORREGY.AN @tE TO COM- ' THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY O'•INANCES C 0 rTATE-L nW6-REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CON TRUCTI• l N. VALUATION (/ SIGNATURE 0 4 '1 / a ^ /�� PERMIT FEE S 3 d PERMITTEE \ / I�/ "/1/�'Y( ,},'J /� p S /'�/ PLAN CHECK $ <17 . AUTHORIZED AGENT TOTAL FEE S 6 • — • - eg �'s COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR S''RUdTURAL PERMIT.I 33.52 TL' - P.O:BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVED BY - 'PERMIT �D� _ / For Applicant to Fill in Completely—Use Ink Only FMf !/�7 ('7 '''7 { VT. BUILDING Coo O ^ " neAce- A.P.NO.l3—1 �Z I L ^ ` ADDRESS /`I rt-(� /� OWNEFt OR / R J Q Q c Y/ / BUILDING ADDRESS / ,,at 0/94/L, /n 7 TENANT UNIT OR ADESA44 � SPACE NO. ADDRESS TR�.NsC). Z LOT�(J���' BLK. CITY Cosmo �ir`�.4 TEL.NO. 7-S�ayc� NEW ADO ALTER 1.1 LTER REPAIR MOVING DEMOLISH OON LENDD ER NOHRUCTION (Cr— X BRANCH • /� OWNER r v D o 1... p idJy ADDRESS p / VALUE oO0 f ARCHITECT ,t �� �/eyrs �fEEL. cm _i / USE r 0 0 (/SIA $ 101 OR ENGINEER fie74441 �1�0/s'� N Ly ADDRESS ((SI � cO�y/4(0 -,Qe C TthST;,J ZONE RA TYPE GROUP ka to fjC3 APPROVED CONTRACTOR Pp /- BY DATE ADD RESS NRo/ C (� Cl/4400//(4 ` , `4 ^ • TEL. / CITY 6.41As 7% G,&UC NO., Y'IG(O FI-I STATE G CITY APPROVED SETBACKS pg LIC.NO. fl 5 2_O C 53 LIC.NO. • — {,y SIZE ( NO.OF BLDGS (FROM C/L STREET) L OF LOT 7Q 1 X /0 I NOW ON LOT I __FRONT `--FT. '‘#) EXISTING BLDG. R_C--s 1.10��eF R SIDF FL fon • F Separate permits are required for L.SIDE t FT. • C electric,plumbing and heating work: REAR b 3 FT. k. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION Q 1/4/CI 0••t 6 e/40 aAPPROVED ›. a—: • DATE D DATFC ZVV t .-7 OC W 0 I hereby acknowledge that I have read this application and state n C„ that the above information is correct and agree to comply with 0. all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of 2 WT. the State of California. 3 I hereby certify that I am properly licensed as a contractor under SQ. FT. N 1 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: '- am exempt from the provisions of State of California Business a p VALUATION O PERMIT FEE B0SSD^ and Professions Code,Division 3, ter . 0 9 �+ 2.Signature of QO l PLAN CHECK $5-a. '3 m Permittee w '�' • $ '�)0 TAX 5 I 70 U Authorized Agent Date TOTAL PAID 5/33 • 5 2 Gun Ite REPORT OF INSPECTION ON Masonry Concrete To: 1e E7I:• 0 C o13L1�G / Address : /- 7 J 71 rc° 7 ,- ' Ue i p /)c{..3 OWNER: E�je.4/ t: 7nc _jei PROJECT: sir, 1j '' oot ., Report No. Address: /Yoo C1.,417y ?Llr Permit No. __54bru Architect, • Contractor: A4Prib 7ttc_ ' Address : Address : Gfp ore Engineer: J7eq c, A,J q "Fygrer-- Subcontractor; J /j, e Wap 1:15T7 � , /' Address: • /'151, '7 Masonry (Cuniteor L-scc,vr`re Concrete) Address: a(. S7j /-ellicac Mix Used: 1"-C— I - . Rebar: - Slump, Inches: • Admixture: Brick: - Designed Strength, PSI : do Inspector: t/he.- (/eLd7e cJ oXcki0 Block: The following Inspection was performed In accordance with the approved drawings. Cu.Yds. No. of • DATES Placed Cyl . Remarks (JD 1 JD ,f' for RhL UJ nrh Po-vc % -d fF c.-W T izA).), ,r a sez' /4.6 SKS --7,6.-z;r— .. *.f j oo..cJf: Copies of Reports to: (INDICATE WHICH BLDG. DEPT. & FURNISH ADDRESS OF ANY NOT LISTED) / l �o�1s i79c-5 73� c ,..57c/e7 T , I �� T 330-2