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Home My WebLink About415 OGLE CIR - Building Permits(714) 754-5273 • Fax (714) 754d856 • www.ci.costa-mese.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: Address Contractor. Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fi�As Recept Outlels Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motors lo thp Motors l0 10hp Motors to SOhp Motors to t00hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole 415 OGLE CI 42514316 KILMER, BRYAN E 415 OGLE CIR COSTA MESA, CA KILMER, BRYAN E 415 OGLE CIR COSTA MESA, CA OWNER-BUILDER Phone: 949•548•2529 2ip 92627-3226 Phone: Zip: 92627-3226 Phone: Zip: License: 000000 SCOPE OF PERMIT 1 SERVICE PANEL UPGRADE TO 200A FOR SFD. 523.50 50.00 30.00 $0.00 50.00 50.00 50.00 $0.00 50.00 $0.00 50.00 830.50 50.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 so.00 $0.00 50.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY Temp Dist System / Lighting Busway /700 k Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................uP to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring Syslem / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand , Fireworks Stand Other Electrical Fee Investigalion Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 12/08/2005 Issued: 72/082005 ISSUED BY: �� S � , ` $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E54.00 COMMENTS / SPECIAL CONDITIONS _� Quantiry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply wlth all appllcable hendicap access requirementa under Californla statutes and related regulations. (OM. No. 92-28, § 1, 12-21-92) EXPIRATION: Thls pertnit shall automaticalty expire end become void if work Is not commenced withln 1 BO days, or if work is suspended or abantloned fo� a pedod of 1 BO days. INSPEC710NS: In order for ihe xrork authorized under this pertnit to be consiCered legal, euch work must comply with eil epplicable codes. end all required Inapeetlons end final approval must be obtained. Failure to oblain InspeCtions and final approval will result in the expiratlon ol this parmlt. FOR INSPECTIONS CALL: (714) 754-5826 2M8-/B (8�00) WORKERS'COMPENSAnON DECLARAnON: ' . ' � I �ereDy ettirm under penalry of per�ury one ol ihe following dedarations: �. � ' ❑ I have antl wlll maintein a certificate ol consent lo selbinsure tor workers' compensetion, es provitletl tor by section 3700 oi the Lebor Catle, for Ihe peAortnence ol lhe work tor which Ihis permit is issue0. ❑ I have end wlll melntein workers' compen5albn Insurance, es required 6y secti�n 3700 at Ne Labor Code, for Ne performenca ot the wark tor whlch thLs pertnll is issueC. My workers' wmpensallon Insurance carder entl policy number are: 1 Cerrier: Policy Number: _ (TAis section neetl nof be comp/eted ll fhe permil ls valued et one huntlretl tlollers ($f 00) or less.) �� of Ihe work br whic tNs permit is issuetl, I shell not employ eny person in eny menner so as lo become suh�ect to lhe workers' �, antl egre�et i hould 6ecwne subject b t�e workers' compensetlon provislons ol Sectlon 3700 01 the Labo� Cade, I shell torthwith �IFN��CURE WpFKERS�/WMPENSATION COVERAGE IS UNLAW FUL AND SHALL SUBJECT AN EMPLOVEYi�T+R/ � E � ES �D CML FlNES W TO ONE HUNDRED THOUSW D Od1ARE (5100.000), IIdADDrt10N TO THE ODST OF COMPENSATION, DMUGES AS PROVIDED FOR IN SECfION 3]OB OF THE LABOF COOE, INfEREST, M1D ATTORNEY u FEES. LICENSED CONTRACTORS DECLARA710N: I hereDy eflirm Ihet 1 am Iicensed under pmNsions ol C�apter 9(commendng with SecHon 7000) of DlWsion 3 0l Ihe Buslneu and Prolessions Cotle, and my Iicense is in full , brce end eMect. Lic. M .sw Class M Conlrectofs SigneWre: 1`� � Data: � �e- CONSTRUCTION LENDING'vAGENCY: ❑ � hereby eHirtn that there is e constructlon IenGinp epency lor the peAortnance ot the work br which this pertnl� Is issued. (Sec. 3097, Civll Code). LentleYs Neme: LentleYs Atldress: Signaiure: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirm Ihet untler penalry of perJury Ihet I em EJ(EMPT FROM 7HE CONTRACTORS LICENSE LAW tor Ihe Iollawing reeson (Sec. 7031.5, Buslness entl Professlons Code: Any ciry or counry which requires e permit to conSWct, alter, impmve, tlemolis�, or repair eny sWCWra, prior to Its luuence, also requlres Ne epplicaN tor such pe�mlt to file a signed stetement thet he or she Is Iicensad pursuant to the provislons of Ihe Contrectors License Lew (Chepter 9(wmmenGng with Secllon 7000) of DlvLsion 3 oi Ihe Busineu enC Professions Cotle) or thet he or she Is exempt therefmm antl Ihe basis for t�e alleged exemptlon. Any vloletlon ol SecUon 7031.5 by eny applicent Iw e pertnit subjecis Ihe applicant Io e civil penelry of not more t�an tive hunAred dWlars ($500)J: ❑ I, as owner ol the properry, or my amployees with weges as their sole compensation, WILL DO TME WORK, and Ihe structure is not intentlatl or oflered tor sale (Sec. 7044, Business antl Prolessions Code: The Contractors License Law does not apply to an owner of property who builas or improves Iherean, entl who does such work himsalt ar hersetl or through his or her own ert�oyees, pmWded lhat such Impmvemenis ere not intended ar oHeretl for sale. If, howeveq Ihe bullding or ImD�ovement is �,�PId within one year ol completian, the owner�Duilder will heve the burden ot proving that he or she tlitl no� build or improve for purpose of sale.). �'� I, es owner oi lhe properry, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe pmject (Sec. 7044, Business end Pmfessions Cotle: The cantractars License Lew tloes no appry to en owner oi pmperty who huilds or Improves thereon, antl who contracts tor such pro�ect with e wntrector(s) liCenSe pur5uan� �o �he ConiraClor�,iice�9�9w5.). sec. ID verillatl Dy QdGer's license. m Yes ❑ No Businass and Professions Code tor this rea5on: Venfication ol Ownership by (rype af tlwument, i.e. � property tax hlll or deed): DIVISION OF INDUSTRIAL SAFETV No. ❑ I hereby cenNy that no excavatlon fWe (5) or more feel In depih Into which e person is requiretl to tlescend, wlll be mede In wnnectlon wlih work euihodzetl by t�is permit, end Ihet no builtling siruciure, scaHdtling, tfllsework, or demWition or dismantling Ihereol, will be more ihan thlrry-six (38) leet high. (C�ap. 32, Grp 2, An 2, Sec. 341, T1tle B, Celifamla Atlminlstrative Cade). ❑ As ownar�builder, I will not employ enyone to do work which would reQuire e pertnit Iran the Divislon ol Indus�riel Sefery, es notetl ebove, unleu such person �as e permit to tlo such work trom the division. Signature: Date: Division ot Intlustriel Safery Pertnil Number: CERTIFlCATE OF CO IANCE AND AUTHOFiQATON O�F fMRY: I cenity under penalry oi perjury that I �ave read this epplication and state that the Infortnation given is cortecL I agr compl with ell stete laws e ciry o�r irtances relating to builtling constructlon, end euthodze representetives of t�e Ciry at Costa Mesa ro enter upon Ne ebove-d ribed pro � tor inspection ury es. I gFee no� to occupy or ellow occupanry ol eny building eu�horizetl by thls permil until Ilnal inspectlon. � % � /2 -�-D.r Sgnature OI Legal Owner{s) _�,..�`� �D"ete, l� � � AnNOr Au;horized ApPlkant Date CQOE�, INSPECfIONTYPE . i618 Fixed System Final Flre Prevention 1268 Paol Spa Finel 200 Final Ra•Rool 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 an Final Sign Final Domolltlon QS¢, � �E,( INSGECTIONTYPE 206 Finel Mec�anical 208 Finel Plumbing 210 Finel ElectdCal 212 Final Flre PrevenHon 220 Final Plenning Approvel 222 Final Slte ' ` 250 ' Final Building/OCCupenCy ii ress: C� °� C'aa.ta yZeQa �'uiE'du� Diuidiu� OWI�EI�-BUILDER VERIFIC�ATION C� � Permit #: 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 retum 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 re[um this information in the envelope provided at your earliest opportuniry to avoid unnecessary delay in processing and issuing your building permit. No buildingpermit will be issued until this verification is received. �t�I personally plan to prov� the major labor and materials for wnstruction of the proposed property improvement.�es ❑ No �I (have/have not) �V� signed an application for a buitding pertnit for the proposed work. � 3. 1 have contracted with the following person (fimi) to provide the proposed construction: Name Address Phone ( City — Contractor's Lic. No. 4. I plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work: Name Address _ Phone ( ) City — Contractor's Lic. No. 5. I will provide some of the work bu[ I have contracted (hired) the following persons ro provide the work indicated: Name t042<6 (Rev.il/Oa) Address Phone Type of Work � AOOHESSOFBNtqtq: 41S OGLE CI � a,vr,easNu�e�•paxn: BAKER, PAUL D � '��noness: BAKER, SHARON R �"''• 925 HELENA CIR COSTA MESA,CA AYPL. YIJIlNO/�DOqE44: . APCNRECT OP ENtlNEEN: AACN.OA FNO.'9 /�DONE55: c«+m�crarsruuE `79049FCALMADAFAVG CONfPACTOP'SMNIWG WHITTIER ADDNE55: 90605 LICENSEO COMNRCTONS DECIAN�TION: I Meeby Mim uMv pmely (canme�ana �Ih Sec�wn ]000) d Gveion � al ��a Bumma vd Pml cmuc.No.: uc.cuss: C-39 uc. o� 1�—� 9 6 �«�.��: r a: UNi: 92626 uc. ra.: UNT: (310)693-3375 CA ��, 533627 UNT: y thel 1 em licsved uMx prwiebne W Cheqer B ud my lioema ie In IuA lace eM eXec1. afy27/ � EXP: OW �R 6UILOER OEClAP1TI0N: I IweEy effirm under penoly o4�6rjury �Mi l em uemq tmm 1fidContreaon Licanae Lew la IM o p reeaon (�� )�1.5 6uaneaa erd Proleauen Cab: AnY W a�tY �� AOui� �paimA lo muWet. el�x. impave. demol"s�, a repei eny st�ucWra, prior m n'ewerca, ako repuire� iM eppliani la such pem�il lo fib e sipiwd eletemenl ihet M or eM m ik.re.e w�� o m. vo�vrn. d� coNrmm: um�ue isw icnea. s(mmmenaro .nn secon �aaol d o�.eon a d ine Buainese eM Prdeasone Code� a thet la a eM e uemq iherehpn eM Ihe beaia lor Ne elleped exemqun. My violetion d Secton )031.5 b� e'ry appliceni Iw e parmimm wbpm �he epplirau io e tivY parely d m� more ihen frvs huM�eE tldbn R�I). � 1. m owrer d tha poperry a my snpb�ms xVh wapm m Ihei mla mmpenea�on. wdl do tlre xwk. aM �hs ehuclu�e b nd imaiMeJ w aXmed ln seb (Seelion )Oaa. B�ren eed Prdesvom Code: Tha C«ureqon Limnve Lewtloea nd epplyto en ownerd propeM who Wias « inpeowa iheieon. eM Mw does aueh xwk Ivnwtt a M1ene[ n thraqh A6 u her oxn mmplo�eea. pwideE �hm eueh impm*maro ara nd'weMed n dlmeJ la aeb. tl. Mwewr. Ihe buitlin0 u inpovemam u eold wilhin ms Yeer G oomda�ion. Ne wnar-0uitler vAll heva iha buNen d proviip M a eM dk ria Wild p impwe lor IM WN�e d eele). ❑ I, ef awmr W iM qapeny. em utluaively canireGiq xilh IironuE conUecton to canNva Ne p�qed (Secion lU1a. Buairrose aM Pmleeeiaia Cade: TM Corurman lienae lew droa nal +GdY b en ovmx W pW�Y v.M buSL a impm'a �he�son ud Mn eonveeb lor wM proptiv xilh a mrurmar(e) liemed Wnueni io ihe C«ueaCws Lieenee Lew). ❑ 1 em examp uMar Seciion: B. 8 P.C., la thb reeean: Dme: Umr. I do MieEy ceNN � I em aware d vd uMartuM Ne �apu'vamwa M Caliamie Vbellh and Sefery Cotle Seuiom 25505. 2553�. ud 25511. end ihei I ar eny M1nuro Wikinp wwpeni xill / wil mi (a�cb an) neeE W camply wYh eeb uate oodea ud ihe rpuinmanb br e permM1 lammvuciiona modAwianhomtMAi�ebpemxu Oinnd. Reaidemil oonarW ion eppketiom en eaemq fram �hese wwbion.. Dme� RppicaM: WONKEN'S COMPENSATION DECLANATION: I Mnby efNm uMer pe1W�y d perjuy an d tM Idbxi�q deduNiwu: � I heve W vril meinlein e csnMi�ale d miwnl lo �spinuro b xvkan' compamelcn. o pwidsd la b/ Sad'pn 9)W W Ih� LeCw Coda, iw IM ps�lmrorcs d Rw Mak lor wlich Ihia pamu b iawA. � I hevs ud �til meinlen xwken' wmpenwion imurure. ro rpulrod by Sqion �)00 d iM Lebor CoM. br tM pertormann d Ihs work Ia whiM ihie pemin ie iaueE. My waMee' wmpmution inwraMe mmx enE poliey number ua: c�.� Pdiry NumMr: � ' esdmtMmmWe�edlNSOM�]bbarohundredCdlen(JIOJIaMn.) I ronM thet in Ns pMoim�nca d IM wak br whkh tAn psrmG b iwiwd. I tlWl nol empby ury perwn In enY menner n m to e�bjad io tM woM1an' campametbn lawe W CelAom eM ap�ss i il I�hwl becoms eubl� �o Ihs xwken' p/erualu{n �q�wi/�o�m d Satlbn Y!W d IM Lebtt Cotla. I n Nt� mm 1 vr IM1 oea e: b � J —"/ � AGdiuM: Waminp: F�llun b�xun woh1n'romp�nutlon cov�rp� l� wIW, �ntl �lull �ub/�cf �n yIr ro crlMrol p�nsltlw �ntl c/Nl flM� ,p ro an hinOiM lhouunC do/l�n (11%GWx M /tlon b lM ewf ol rompwwWM1 Eunpu u pvHtlM br In CONSTPUCTION LENDINO AOENCY: I MroEy elfum uMw priMy d per'Nry thai �Mn u a canp'uCian bMiiq apency tor iM parlarmence W Iha woM lor which Ihe pertni b evuetl (Sedion 908J, CM. C). LENOEF'4 N4AE: LENOEN'S ADUNE59: I cerlity �het I he�e read thia eppfKelion eM dtle iMl Ns ebave iMamNion ia m'ea. I epies �o comply wnh M my ud counry adinencea vM sule lewe rWt'vp Io butlEvp conaVUCion ud hsreby eWqrrte faproeeNeNas d �hu cly b apw �pon IM ebo.a�mentianad poperly i°`�°'°°"�°°o°`°°°". JOHN FATZ Ome: � 9 (� (5151�46 W P) Whils-Buldip 6 5dtly; OnemF1�,•C�nery-�ppiram; Pink-flewnue; Galden�od-baeeaor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 078015 PERMZT NO: B 078019 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PEAMIT TYPE: STR PURPOSE: uTH JOB DESCRIPTION : T/OFF SHAKES & REROOF W/SAME SQ FT; 4,100 CLAIM VALUE: 4,100.00 CALC—VALUE; 4,100.00 GROUP OCC: R-3 / COMMENTS: X **�****x�**��x«��*�**�r*�**��+�*+�+�**�**�*��x�*��x*****�+�+�x�*�**�**�*+�**�x**�***� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42514316 ZNE: REF NO: PLANNING NOTES> ij �E fElE ik if !E 1E iE �E iE 1E iE iElElf iF 1E iE iE 1f if iElE 1E fE iE iE iE iE fE 1E 1E iE 1F 1E iE if k 1E iE iFlf iE 1E iE 1E 1ElE ff iE iE �F f(- iE 1Elf iE 1E 1E if iE fF fE fF if 1E iE if ib #E 1E fE fE �E fE if iE fE 3E D E V E"L O P M E N T S E R V I C E S R E c,� O I R E M E N T S ZONING APPROVED'BY DATE: BUILDING APPROVED BY : DATE: � J APPLICATION ISSUED HY; DATE: 1EiE1E1E1E1E1EiE�f1f1E1f�E1EiE1PlE1llEiEiEf! 1EfEfEifiEfk1E1F1EiE iEif LEGALIZATION:N F E E S U M M A R Y STRUCTURAL S GM NT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GAADING PERMIT 99.75 ,50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 100.25 0.00 0.00 100.25 100.25 .00 REVENUE DIVISION TOTALS--> COLLECTED; 100.25 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 99.75 .50 1E * IF jE iF �E iE fE 1E fE fE �E 3E fE 1E 1E 1E IE iE IE iE �F 1E 1E IE �F iE If 1E iE iF i! iE ff fE iE 1E if iE 3E iE 1E 3E iE 1E iE fE if IE if * 1f if if iE iE 1ElE 3E If IF jF if ib 1E if 1E if� iE iF iE 1E iF 1f �E if !E �f �E I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 4100 REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES EX IRED I DATE�- \ ✓_�� v� fr, .� 1.00 4,100.00 �JNSTRUCTION AND PLANNWG POOI & SPA �' ApPROVALS Permit # � Date Inspector qppROVALS Permit #�- Date Inspector /. Temporary Electrical ServiceorPole 52. Pooi & Equipment Location 2. Soii 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 UFER Grnd. 57. APPROVAL TO COVER•GUNITE � . 7. Footinqs 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas PiAe, O Undrgrnd., Tesx 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P•Trap, �1 U�drgrnd. 70. Structural Ploor 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. Plumbin� System � Final - , 14. Rough Plumbing 65. Electrical•Final ' 75. Rough Electrical-Conduit 66. Solar SVstem�Final , 16. Rough Electric �Niring - 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factor.y Fireplace APPROV.ALS Permit # 21.Dutts.in�Struciure � 70.UndergroundNydro I 22. Ducts, Ventilating . � 71, Product Piping OGas OOiI 23. Gas Pipe-Rough & Test 72. Underground Fiush 24. floof Framing 73. Undergrnd. Storage Tank O Gas � Oil 25. Foof Sheathing �j,•%b•�� 7q, Overhead Hydro �yu� � 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . - . 27. Frame and Flashing � 76. Dry Standpipe 28. Lathing & Siding � . 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL • �b� 30. Drywall Nailing HEAITH DEPT. REQUIREMEN 31. Plaster Brown Coat �' 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Finai �Electric. Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test • a- 36. Hood or CanoPY 37. Final Fattory Fireplace 38. Final Plumbin9 39. Water Service-Final . - 40. Gas Service-Final 41. Solar pomestic•Final 42. Backflow Preventer 43. Backflow Irrigation . 44. Landscape Irrigation System . 45. Sound AttenUation 46. Handicap Regulations - 47. FINAL STRUCTURE & Bl1iLDING 48. FINAL PLANNING 49. Electric Release to Edison � � 50. Gas Release to Southern Cali(ornia Gas Co . 51. CERTIFICATE OF OCCUPANCY No Date .. , ., INTERNATIONAL TES7ING CORPORATION GArficld 2d550 iEIEPHONES GArfield 2J500 - EV3 CMERRY AVENUE � G. O. BOX 81�8, LONG BEACH B, GLIFORNU NEveda 6-7871 Identification No: Architect or $ngineer: Contractor: 3tructure: $ample from: Mix= Total Water: Admixture: REYORT ON G(JNITE TBST CYLItIDER P-358-1151 - 1286 2�Intosh Anthony Sros. P.D..Bftker Swi�ing Pool. 415 Ogle f,i.rcls. Costa Mesn� Ca�.if.. Fioor 1:45 3000 P.S.I. @ 28 DayE� 3 Age: �� TS D�Ss PB-lA � Pn-�� Speeimen Nos: , ��' � Date Mede: 9-26�•58 `�f 4-26�58 � Date Teeted: 1.0-3-48 �I 10-24-58 CO�RESSTAN--- `\ I Total load, Lbs.: 78,750 � 125,000 '�o�= ��10 Lbs. per aq. inch: $,$80� 4,420�►* `� � I� Specimens made by: Antlhony �nos. � RECE►VEO ��, n t,ov ��; ;J�� , J., Sperimens delivered by: H. L. S�s�t �jtY o( Co�ta Mo �� c � Building pept sa Spec:finens reeeived: 9- �-SS s,� � 5.94 In. Average Diametar = 27.+39 3e. �n. �Av�eraSe Cs'�oss-S�'tdo�in3 Area ]11TBitIdATIONAL '�L'ES'iTNG CORPOItA:f:[OZ +K+ 6.0 In, Average IIiem@ter / �� ,� � — -OWNER �„ P. D. � DATE 9-11-58 _ JOB ADDRESS Ia,K Ogle Circle BUILDING PERMIT NO. �57Q AP. No. ;l�i_' _ � U' P" �IIP TYPE ZONE PLAN NO. SUBCONTRACTOR DATE NUMBER � "\ Gas Tes[ . � r . '75"/2 �COSTA MESA BUILDING DEPARTMENT . a.o.eox3n COSTA MESA, CA�IFORNIA FOR APPLICANT TO FILL IN aui�oiNc /) . � �� nooRess �J` �� t�.-c�e� � COSTA MESA. CALIFORNIA MAIL �� ol. � ADDRE55 r c'i�� p, ^- TE CITY � �\C_�� N ARCHITEGT `^�� I LI OR ENGINEER 1 CITV LIC. ADORE55 S I CJ� � IEGRI LQj' � DESCaivTiON NO. � BLOCH TftACT A.P. NO. ' SRE I �% � MO.OF BLOGb. OF LOT i� MOw Ot� LOt USE OF E%ISTING BLDG. SETB>CK LINE GPOM 7 � � �- cervrew or srae[r REAR VARD � 1�.! rt �� SIDE VARD RIGHT 4-6 Lgp1 DESCRIPTION OF WORK NEW ALTERATION ApDIT10N REPniR MOVING �DEMOLISH BUILDING � � NO.OF SIZE �� ROOMS STORIES EXTERIOft WALL ROOF COVERING COVERING 115E OF NEW. � � i ST�TE TH�T CITY ORDI/ TION. � , .;� 1� U� iL �l.! f� 0 4 i.. lo' �I-l�-s� flil?,IVCE DEPT. r,� �- �� nsr4 MFsa APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY � - s � BUILDING ADDRESS COSTA MESA. GALIFORNIA FIRE ZONE 20� PD•NS TYPE GF( APPROV �%/ BY DATE CORRECTION L 1 lr � CITY OF STA MESA PL�N 1 • TO G. OEPT. REG. gy • DATE ' IS CORFECT �NO �GFEE T ONPLY WITN �LL 6TwTE 1�W5 NEGULwTING LDING CONSTNUC- VALUATION ^ � PERM�T FEE S �� PLAN CHECK S S' . g /�/N e d .� rJ�.JI.�..� TOTAL FEE $ �1 � �"� ;. � ` , r V I � �� . COSTA MESA BUILDING DEPARTMENT P. O. BO% 31� . COSTA MESA, CALIFORNIA BUILDING nooaess FOR APPLICAfYT TO FILL IN ;y� ugle c.zrcie COSTA MESA. CALIFORNIA OWNEft crown n� ADDRE55 2826 Ni CITV NeW�� ARCHITECT OR ENGINEER LEGA��ESCRIPiION ry( —A—.P. NO � SIZE lli� OF LOT ZOO� USE OF E%ISTING BLDG SETBFCK LINE FROM CErviER OG STREET NEW REPAIR BUIIDING�� SIZE E%TERIOR W, COVERING USE OF NEW BUILDING TEL. �,� NO.i L. i,Fild�r N . Blvd., Cos yO�QITV �IC. T NO. __ TEL. NO.OF BLOGS. rvOw ON LOT REAR YARD DESCRIPTION OF WORK �( ALTERATION � ADOITION MOVING I DEMOLISH NO. OF Z[ 2� ROOMS STORIES � ROOF H�4�_ & Stnec OVERING Shaka �Q l. 1 Z- '`'°' � ri�"�I�-F J I�L�L r�J�_V'i�Y J .. .s� i� ; a'8 Vw fl�lARCE DEPT. CI�Y OF CO3TA MtSA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. 9yjIbI,T.,,pQ� 7L`�f � l�V RECENEO B� [�4TE HECErvEO DniE ISSUEO Si J //�� Y }.� p.��_�/�Q�y� ADDRE'S5 Y/ �� /� �/TC/(' J '� COSTA MESA. CALIFORNIA FIRE � ZONE 20NE rvO.OF � TVPE / GR`OU � PL�NS / // l APPROV S � BY p>//�� DATE j CORRECTIONS a � N.i SUDJGCT TO Cs�l L'G. DEPT. REG. �' � i Heneav ncnrvow�eoce *nn� i �nvc �uu �ris ...�i.:.�i�n .r� STPTE THwT THE �BOVE IS COPRECT wND eGREE TO COMPLY WITN nLL �� S` �— CITY OflOINNNCES RN� $T�TE L�WS flEGUL>TING BUILOING CONSTFUC� noN. VALUATION / PERMIT FEE S � C�] � SIGNATURE OF 1,�,�� PERMITTEE \ § /� % � / � PLAN CHECK S l � � O� (G / v�� AUTHORIZED AGENT `�R' TOTAL FEE 5 �j —