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HomeMy WebLinkAbout1739 NEW HAMPSHIRE DR - Building Permits Z z�`��A Ash. ��, Twining Laboratories ui Yuuti L! nfZioz,7&-, -Jac. 1'/ As !1. 3310 ' .npon YJI! ' Nailing :.,!mess P 0 B., 47 Long Be.,cr., CA 90801 12131426-3355 ' 121 31 636-2386 / 171-11 828.6432 TESTING ev.:ao+O«ICE 15::-01.p/I.- 5.,--:j o:2"03 53 -2045 June 25, 1979 Examination: SC79-3159 COMPRESSION TESTS ON GUNITE CYLINDERS �1 Mr. Robert C. Bennett 1� • 4109 W. Fifth St. , Unit G-21/)11)cl t Santa Ana, California 92703 �� PROJECT SWIMMING POOL ADDRESS 1739 New Hampshire, Costa Mesa // �� SAMPLE FROM . Deep end wall - ARCHIrIcr CONTRA:mR Aquatic Pools ENGINEER - SUBCC%JRACIOV. B. C. Adams McBee Gunite Co. SPECIFIED MIX 4.2 .— 1 STRENGTH 2,000 psi DATE CAST - 6-8-79 CYLINDER SIZE 6" x DATE TESTED 6-22-79 6-22-79 6=22-79 CYLINDER -NO. 1 2 3 COMPRESSION 14-Day 14-Day 14-Day TOTAL LOAD, IBS. 89.000 66,000 98,000 POUNDS PER SO. IN. 3,150 2,335 3,465 • COMPLIANCE 14-Day test complies with specifications. • MADE BY DELIVERED BY RECb1VYD OH CYLINDERS Morrell Bennett 6-11-79 DISTRIBUTION • R. C. Bennett - 3 _costa Mesa Bldg, Dept. • CITY OF COSTA MESA BUILDING SAFETY DEPARTMENT Registered Deputy Building Inspector — Certificate of Compliance Date of this Certificate June 8,1979 Building Address 1739 New Hampshire Owner Bernard Werner Contractor Aquatic Pools Address 1345 Anaheim Blvd. Anaheim Permit No. #48100 Date Issued May 25,1979 • To the Director of Building Safety: I hereby certify that the following portions of work on the buildings at the above address which required continuous inspection and which I was employed to inspect, were inspected by me and comply with the provi- sions of the Building Code applicable thereto. [ [Concrete [ ] Masonry [ ]Welding [ ] Reinforced Gypsum [ I Special Cases Swimming Pool Size 11x32 [X]Gunite [ ] Hand Pack Sacks of Cement 112 Tons of Sand 30 Approximate percent of water in aggregate 5% This report covers work completed during week ending June 8,1979 • REMARKSSteel and bonding securely in 'place. Ganite and workmanship satis—welo o , t factory pending test result 33egistered Deputy Building Inspector Name Robert C. Bennett • Address 4109 W. Fifth St Santa Ana Laboratory 7`wining— Santa Ana Telephone 554-7175 CMF 0406-46 (BU 6) CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. K:GI S DATE '7- S- 7 LOT NO. S ADDRESS ap G as..AGO The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. n /' BY P�/�nwtss.,G /7'�`�' Purchaser ^/ ✓l IIJJ //!! BY E Or. A / n �� -7� ��r1w Developer and/. orized (�///` a /vim representativ 77 QA . ,e7 /fry Lender Applicant to fill in all spaces within heavy border lines and:sign all appropriate declarations. • CIT-V OF COSTA MESA • PERMIT NO: TRACT NO. - LOT NO. ; -BLDG.NO. - - _ - CONSTRUCTION-PERMIT 48100 - Project Address . 1739 New Hampshire - • TYPE OF CONSTRUCTION ' - - .( Owner Bernard Werner Phone 546-0691 0 NEW 0 ADD ❑ ALTERATION 3706 B�.2DIB�. 30.00 .TI. • "Address Satre as above - -" 0 REPAIR 0 CONVERSION ❑DEMOLISH - - - - - ' Arch/Eng. - - License No. - ❑'OTHER - • - - -- - - ZONING REGULATIONS _ Address I -• - DESCRIPTION'OF WORK Capletlon Penrit ' A.P.=sr ' - •• 'i all 18100 Construction' of ZONE PLNG. REF. • - Contracto& j �_-•q, st, �.6.r !1�C,LPhone ' '•TYPE OF PERMIT �j[] Pool) BUILDING TpB IILDING. ! Address I,'1 1'l. 'S , 6 1 0 b •p{g - - -- -- SETBACK L ST. PROP _• ..� ' zYrN U= si•; ❑ GRADING ❑ FOUNDATION STRUCTURAL SIE,YARD LICENSED CONTRACTOR' DECLARATION - '•e2 ea 0 TENANT %ELECTRICALe LUMBING❑MECHANICA SIDE YARD • I hereby affirm that I am licensed'under provisions of Cha ter 9(corn-- • RIGHT • mencing with section 7000) of•Division 3 of the Business and ❑ OTHER - . '- "' '"' -' - -- Professions Code, •and my license is In full force and 'effect. - -REAR YARD (TO P/L) - PROJECT DESCRIPTION - - - License Class License No. - ' ' PKG.SPACE REQ. PROVIDED - . . , . Ca : CONSTRUCTION AND PLANNING POOL&SPA - . ° ' • • Date Inspector Date ' Inspector ' APPROVALS Permit# APPROVALS Permit# 1. Temporary Electrical Service or Pole - ' 43. Pool & Equipment Location (4--79 /PV . 11. "Soil'Pipe-Undrgrn . . „ - .- 44. Steel Reinforcement .7 3: Electrical Conduit Utility-Undrgrn - " - . - ' - • 45. Forms 4. Electrical Conduit-Undrgrn - . 46. Electrical Bonding - . _ . - - ) i 5. SteerReinforce: 47. Rough Plumbing & Pressure Test • / _/ • " 6. Electrical LIFER Grn - , , . t + • - 4 48: APPROVAL TO COVER-GUN ITE ' - 6-6-71 et- 7. Footings - - ' ,� 49. Electrical Conduit-Undrgin ‘ )11~ 74 406. . 8. ,Fouridation . " - " . . - - - - - - -- 50: Gas Pipe, ❑Undrgrn,Test .� �' - ' 9. Water Pipe-Undrgrn • z 51. Backwaili Lines. P-Trap. ❑Undrgrn• .. • - Gs- 6 78 .l'C' - ' - a 10. Structural Floor System' . - , 52. 'APPROVAL TO DECK 7 t�- 79 RV • , 11. Property Sewer Line &House Connection - , .. 53. Backwash & Receptor-Final.. - 7-!•''-79 c0 - 12. Street Sewer'Connection. ,. ..•r. 54. Heater & Vent-Final 13. Rough Plumbing - - -.. . .. . 55. a Plumbing System - Final • - - - • ' 14: Rough'Electric-Conduit - ,. _ _. - _ -56. Efectricaf-Final." . . .1 - "7 -:-Jl-7? �� - -15. • Rough Electric-Wiring - -- - --- -- - . -. . . __ - 57. Solar System-Final ' - - _ -' _16. _Rough Heating & Air Conditioning. - _ . _ . . . _ . . b8. Fencing & Access Approval - -7-.Z14-79 WK t , 17'. Ducts, in Structure-' - - ' - - • 59. APPROVED FOR PLASTERING - .7-Z11-11 43KK 18. Ducts, Ventilating ' ' , , - . - 19. Gas Pipe-Rough-&Test - 60. POOL/SPA SYSTEMS FINAL .. - . - - 20. Roof Framing - ' . - 7--45-V. Re 21'. Roof Sheathing ' - - - - • 22. Frame and Flashing - - NOTES: . - 23. Insulation - - 24. Lathing &Siding • ' . • 25. Drywall Nailing - --- . - - 26. Plaster Brown Coat - . ' . .. • - 27. Electrical Power Meter-Final• ' . 28. Final Electric- - - ' 29."'Final Heating& Air Conditioning • • - - • 30.,- Final Gas Pipe-Test, ' . ; 31'. Final Plumbing - ' 32. .-Water Service-Final i----- i \ •. h' . . - - 33. Gas Service-Final -• - I r- • ' - •- . 34. Solar Domestic-Final - • 35. Landscape Sprinkling System'F - - - ' - ' - - - - ' 36. Sound Attenuation ' 37. Handicap Regulations ^- l� - - ' , 38. FINAL STRUCTURE & BUILDING , - 39. Special Requirements Completed - • - - - • 40. Electric Release to Edison - - - - - " , ," • , - - - - 41. Gas Release to Southern California Gas Co. - . . - 42. CERTIFICATE OF OCCUPANCY _ - No Date - - .. . - . L OWNER CARLTON, KENNETH E. DATE 9-15-71 4JOB ADDRESS 1739 New Hampshire Drive BUILDING PERMIT NO. 33623 GENERAL CONTRACTOR owner DESCRIPTION of WORK patio cover J AP No. 139-612-05 LOT TRACT FIRE ZONE VALUE $260.00 INSPECTIONS Signature Date GROUP V TYPE J ZONE Rl SOIL PERMITS ISSUED SUBCONTRACTOR GAS Date Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND fl POWER fl ROUGH WIRING Heating and Vent. TRENCHES ❑ FORMS fl STEEL REINF. FLOOR SYSTEM BOND BEAM [] STEEL REINFORCE Ii SHEATHING FRAME AND FLASHING LATHING — IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric' HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ^ ELECTRIC, FINAL /� l n'"' rnmr cruor J� 7111/23' I!1 f_7 in-I tr COSTA MEP'. -WILDING-SAFETY DF?'RTMENT -- _ - . .: - _ P. O. BOX 1200 • . Costa Mesa, California ;44LUMB1Nf PERMIT APP itATION� °t TRACT N. , - RECD. BY f% PERMIT. ' f ? tea. a 1 CONTRACTOR A�/.ad'.-� Too 45 LOT NO, S DATE ISSUED))) Address /y `uA' 231#4e. BUUILDINAG).�US�Et .. • r/- 3 /7, City JJ OS Zip Code'y�Q S Building ` I�J4 Aka) IM�LS' A /�•f{,/��, • Address State License No..aSa„Zr4rClass. e.3 owner BCf's nl Werner w 0 City License No.0 O//3 y( el. No. Mail Z' L//i<iL Address SE -,- .6-46204-7/o � Q NUMBER TYPE OF FIXTURE OR ITEM FEE n _ /� �p ,�, O Bathtub City 5 �G� Tel.No.3-i+� W� Laundry Tub or Tray I hereby acknowledge that I have read this application and Q state that the above is correct and agree to comply with all > Automatic Washing Machine City Ordinances and State Laws regulating plumbing. 7 Shower I certify that I possess the above valid State of California classi- J Sink, Bar fication or I am the legal owner of the residential property de- ' et Sink, Kitchen scribed above. • d 1 Wash Basin(Lavatory) I certify that I have obtained a permit from the State Division of Water Closet(Toilet) Industrial Safety for excavations,other than swimming pools,five feet deep or deeper d into which person is required to descend. CC Drinking Fountains a_ Signature Floor Drains • rmiltee Z C _Interceptors 1- W Receptors = tIrep Sinks,Commercial or Industrial INSPECTION R O R D t Sinks, [snot "s ti Sinks,Service r. - - - �r -_ Swimming Pool .. r . ��• wUrinals - t 0- Dishwasher i� ae CC Garage Disposal , 0, 7 Water Soften sic 0 . Water He en CP �It%r. Gas Syst: n. .Outl z. \ J APPROVALS hi) RoofMau 3. i CA Water Piping to ton 1 INSPECTOR DATE 1 _Backflow Preve Cr � U/G Soil I 1.- Lawn Sprinklers s or 1 . .) U/G Water I RC_ Property Sewer... -.60 r Services—Water 0 Gas 0 I House Sewer Connect' •• _Rough Plumbing Aire ij-L-- Cesspool,Septic Tank SpnnkleI System Sewer Cap . . • Gas Miscellaneous , Property Sewer Pool Receptor G_ - ;. 1 Filter System a6_G-2' a Sub-Total '':-a Pool Heater ��}'/� Reinspection Fee Miscellaneous t'/ri Processing Fee ' T©t -i _ - G I O FinalGas l TOTAL FEE > . Plumbing Final Utility Co. Notified ' CMF 0450-46 BLDG. PERMIT NO.._Yteith OWNER WERNER, BERNARD DATE 5-24-79 JOB ADDRESS 1739 New.;Hamoshi re Drive BUILDING PERMIT NO. 48100 GENERAL CONTRACTOR Aquatic Pnnl� AP No. LOT TRACT • DESCRIPTION FIRE ZONE of WORK Pvt Pon) VALUE $ 11394M0 INSPECTIONS Signature Dore GROUP TYPE ZONE R-1 RC'- o L-", SUBCONTRACTOR PERMITS ISSUED S.Pool Location 5 Date Number Signature 4 Forms • Main Drain Steel Reinforce 4C /.-4.•77 Elec. Bond rec. 6-)-V Electric LJ Approval to Cover .e G-7-i9"G1 a 0 4 Qp S d,9 /S�-� Underground Electric !t 6-a-t `u • Gas Piping Test 'Plumbing 1 j� y, Filtering System Lines 'Dec Z9'le- i v.(..zte ,Th� a5- 7 26//i Backwash Lines and Recep. /QC j•L- 27 Electrical Final _ Heater and Vent Final tat/A1Q RC- 7.5.79 ^ Filter System Final Backwash and Recep. Final Fencina Final __ _ , i Oa n t p p WY Ofd COSI% MESA COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ' APP CATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely— Use Ink Only REC.• D BY DATE •ECE ED e. rre�� ADDRESS /` I. r it _� i t �Z. : �Y_'. OWNER Bee Atm hot,rne A.P.NO. t�� �{9 I �(/ • BUILDING / 7S N�� imA.s Air -r .. MAIL M� ADDRESS ADDRESS fi"��. /' �y/� CITY rislw Adesq NO• . rpC.p/( TRACT4(S9 LOTS BLOCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOI ISH LENDER BRANCH _ r OWNER crna,.r(t u.)ct AG/� .. ADDRESS 9>ool ARCHITECT /� TEL. 4 USE . $ MQQV . • . OR ENGINEER 9 4. Ad_2 /WS NO. 634'o� / !. 'Brook _ yI , FIRE i ADDRESS 1&l53 Brook hkrs-1, G.LJ • ZONE • TYPE GROUP J •CL Tows APPROVED — CONTRACTOR •t+ / BY DATE ADDRESS i5 7 S p4n 4 LA.M 4:41,-.• ZONE NO.OF USE OF NEW CITY AYl4 , • NO'ST4::We PLANS BUILDINGH . H STATE G �/ CITY YARDS APPROVED YARDS APPROVED LIC.NO. al tO3 1.S LI C.NO , 1347- MAIN BUILDING ACCESSORY BUI L DI NG SIZE Na BLDGS. (FROM C/ REST) OW., OF LOT IO.NOW ON LOT FRONT FT. FT. a USE OF ��//''�1 ��, EXISTING BLDG. R.SIDE AO FT. FT. ' Separate permits are required for L.SIDE g FT. FT. electric,plumbing and heating work. C REAR TFT. FT. L USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 0 MAIN BLDGS. ACCESS. BLDGS. VAR.# DATE Q7 O D 14- S p� C.U.P.# APPROVED > APPROV /h, R v' raj-- 2 2 . ✓ -KY /� Ix w Q I hereby acknowledge that I have read this application and state n yv that the above information is correct and agree to comply with m 64 all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of • F. the State of California. - SO. FT. `a I hereby certify that I am properly licensed as a contractor under w 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: e am exempt from the provisions of the State of California Business VALUATION fQ, �a v and Professions Code Division 3,Ch ter 9. PERMIT FEE $ O N en Signature oS� 4sT , $ /I 399 PLANACHECK $ O o Permittee ��/111 �LL( / 0 U Authorized Agent TOTAL PAID $ 041)7r1 • • 24 ! NOV —I1-70cnsa�106# ***120.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI/���D ' D E RECEIVED DATE ISSUED BUILDING [tea N /PC2-2-7 ADDRESS 17-R9 New Hampshire Dr. PERMIT NO. OWNER Modular Technology, Inc. A.P. NO. 77A I t: BUILDING • l-- ' v MAIL 1104 E. 17th St. ADDRESS 1739 New Hampshire Dr. Z ADDRESS 0.0 CITY Santa Ana NNO` 547-9673 TRACT 6695 I LOT 5 BLOCK CONSTRUCTION NEW I ADD ALTER_I_BEPAIR (MOVING DFMOLJSH LENDER U. S. National Bank Z I- X a m J D BRANCH Main Office J N GwNERModular Technology, Inc. ADDRESS 190 S. Broadway, San Diego on 0 J Q ARCHITECT Kermit Dorius TEL675_1164 USE Residence VALUE$ 13,300 OR ENGINEER NO. U FIRE (y�� w X ADDRESS 3111 2nd Ave. Corona Del Mar ZONE TYPE GROUa ir o_ w APPROVED W Z CONTRACTOR Owner BY DATE M ZSame • J K ADDRESS W w ZO NO.OF USE C pIEyO% GU /- = CITY "Same NO.TEL. ' PLANS 2----BUILDINGZ 1— APPRO WARDS CCLIC.TE NO. 252549 LIC. NO. APPROVEDi690 YMAIIN BUILDING ACCESSORY BUILDING D O (FROM C/L STREET) SIZE NO.OF BLOCS. OF LOT 51 x 96 NOW ON LOT -- FRONT3SFT. FT. USE OF EXISTING BLDG. -- _ R SIDE /OFT. FT. I— SIZE OF 2 NEW BLDG. 1440 sf NO. 7 STORIES 1 L.SIDE OFT. _ FT. EXTERIOR WALL ROOF V_ COVERING fer Plans COVERING Wood shingle REAR .. -UFT FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& 1 MAIN BLDGS. ACCESS.BLDGS. 0- < a 6/ O _ Construct new residence with attached c upP /— S-6 p APPROVED /� N &bra.g- HY ROVEq;' DATF Li—` —�() 2 '/, O aril^ F(lp cT'FrT AT R>:'fll linos.0-7•r't'C ~. C1 I hereby acknowledge that I have read this application and state M that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of the State of California. / �� /�p� co ZI hereby certify that am properly licensed as a contractor under SQ. FT. }�O a the State of California Business and Professions Code, Division 3, THE AMOUNT OWN UNDER VALUATION IS FOR Chapter 9, and that sue i enses are in fu force and effect,or I THE PURPOSE F ESTABLISHING A PERMIT FEE ONLY: a am mpt from the o cions of e t California Business VALUATION and Professions Cod D' islon ter . OD�_ co PERMIT FEE $• c Signature ofcin /� ��/t qtr /� m Permittee Gt�,c�,� $C/`, D PLAN CHECK $ ! E ✓/ o Authorized Agent /02 d. a TOTAL FEE $ so . 33623 SEP 15-71PAID uzz a Z.4*".dr-kle5 no COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely /El P qT� y __ / PsA'� )r RECEI}IJE D,�`/ DA�E/5E7/ DATE-/�E// BUILDING /7/2 Q I,ew `/ 1 1/[l`l/`r'# G G, D ADOfl ESS //// ,.JJ/ / /�J ��L[dn �t i L '�,�p.��y�-.s� OWNER J�enne4A t CAargon A.P. NO. i 39-74 12-05 P`,Vv23 Hri T ADDRESS I X39 Nero Hampshire z ADDRESS 739 New nlPsA,t-e yr / L_ C� 0-LI CITY Cos* Aye( NOin ui L$ -5376 TRACT l_c95 LOT ✓ BLOCK zC CONSTRUCTION NEW ADD1 ALTER L REPAIR (MOVING DEMOLISH OI- _ LENDER am J D BRANCH JCO 7 OWNER Konne • E. Chartian • m J _ADDRESS VALUE J CO ARCHITECT TEL. USE $ Q _OR ENGINEER NO. - /�/-f(� UN FIRE 3 TVPE.0 GROUP•Li Q W 2 _ADDRESS ZONE �j / aw �( APPROVED /7#.---- LU / /� DATE/s7/ J o _CONTRACTOR Owner- BY /L rC/ / D3 Z ZI W c ADDRESS — W - TEL. ZONE_) INO.OF �t USE OF NEW� Patio zF _ CITY NO. PLANS 0�C/ BUILDING` WO STATE CITY YARDS APPROVED YARDS APPROVED N IL LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING D O -SIZE ` / -I OF BLDGS. (FROM C//L 5,.3REET) OF LOT .52 x /0y NOW ON LOT / FRONT GPO FT. FT. USE OF �)/t EXISTING BLDG. S'Mj/e TQMr et res. Et.SIDE 3 FT. FT. F f / . I- ,SIZE OF / to r NO.OF �y.�,.,, Z • ,_ NEW BLDG. 0 X 10 ROOMS — STORIES / L.SID 4O eKua 1 FT. Q EXTERIOR WALL ROOF V U _COVERING nen e__ COVERING A/. , . REAR FT. FT. i. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. ,—' BET.MAIN& Cl. MAIN BLDGS. ACCESS. BLOCS. - Q VAR.# DATE 0 _ Pert;0 Cover (open C.U.P.# APPROVED + N _ Mum. koOf _HPPROVEDY ( „ a DATE - I -1I Z HOLD FOn,: 'E. 1:t,L. OU: 'tfriL'NTR V I hereby acknowledge that I have read this application and state I Pce4's _u5+ b e 149969 v�9 , D that the above information is correct and agree to comply with • 1 1J 1 v (Iy� -11�U Ir all laws regulating building construction, and I shall not employ screwed Or boI.3ec . F,. any person in violation of the workman's compensation laws of JV 1�- �lA y the State of California. co Z I hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR i Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:- m am exempt from the provisions of the State of California Business VALUATION and Professions Code, ivviissiiioo nn 3, • VALUATION and 1 /� / (� n / '�L t_. N( /�� / /, . PERMIT FEE $ t� Signature of �C-(tYY D m 1 Permittee $ PLAN CHECK $ E o Authorized Agent ` TOTAL FEE $ S— LL COSTA MESA BUILDING—SAFETY DEPARTMENT - P. O. BOX 1200 Costa Mesa, California >4,ELECTRICAL P..ERMITrAPPLICATION; �� TRACT NCWPT Ii5 ` . 1 +RMaN.54 � - ADDRESS ELECTRICIAN � LOT NO S DAT ISSUED ' sMr_� "l' i BUILDING USE CITY ifL.„-; • TEL NO lit flAt' '.__._.-...- 2- s 19 STATE LICENSE NO....12110 CLASS. G .1 S 1 ,� CITY LICENSE NO.0 n6//;41.� ADDRRESSSS 1 9 3Q NLSE.) '�14M rvi br. NO. ITEM EACH Fill COSTA MESA, CALIFORNIA .c . Dwelling, Sq. Ft. S NEAREST - ••^ `." Q CROSS ST. •/ e. r+ ,�-. - ( _ , • W Garage, Sq. Ft. OWNERBA,A /ALC- IA)c r-, . F- i • O First 20 Outlet., each 0 MAIL ADDRESS 4, rf rt4i { Q,{t/ J Outlets, Additional1 F •�+v Q �O"1"EL CITV 14449.kTEL. NO. 49 I First 20 Fixturet each I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- } CATION AND -STATE THAT THE ABOVE IS CORRECT AND AGREE -IFixtures, Additional TO`COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REG- s.ULATING ELECTRICAL WIRING. W „'' .,Y. I CERTIFY THAT I POSSESS THE ABOVE VALID STATE OF O_ Dryer-. LIFORNIA CLASSIFICATION OR I AM THE LEGAL OWNER OF '� � '�/v. E SINGLE FAMILY RESIDENTIAL PROPERTY DESCRIBED ABOVE. o Orators of W _iMillatrllia ffPFFRMITTE _ _'....1.-- a .,_ei = I Oven, Domestic I FQS4 1 ?sem)v - fIB���r,1 I I—I- btredari'/ .', (' • NAC-- 1111151111 II cCei s5 Runge, Domestic, Transformers KW W C- Mlu- ,J • cc r (2 Generator. KW O Y Ca Motors IS.. Schedule) CO _ °If... HP I— HP c. l Sub-Total Fees HP \ APPROVALS ®' DATE Meters, w. TEMP. POLE UNDERGROUND CONDUIT (-- ers-75-)7 Permit Fee 3 00 ROUGH Sub-Total Fees , FIXTURES . -_ POWER Total Fees /2 G'� UTILITY CO. NOTIFIED V - FINAL p CMF 0313-46,rev. 7/75 BLDG. PERMIT NO. M-0 For items not listed refer to Fee Schedule