HomeMy WebLinkAbout1830 HUMMINGBIRD DR - Building Permits CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. 005/7" DATE /-075 - 2v
LOT N0,
ADDRESS I n 30 �
pl"_
�✓���zJ z�:�L yce) rgZ,/1c)
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-er-were) G 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. J�
BY f /
Purchaser de
BY 4OiC/ ,.Q )
Developer anduthorized
representative
BY
Lender
• .,
February 26, 1970 •
Mr. Andral F. Dugger
1830 Hummingbird Drive
Costa Mesa, California
Dear Sir:
On February 11, 1970, a builds permit was issued to Anthony
Pools to construct a private swimmin pool on your property.
In order that your pool will be a - a e one and for the purpose
of advising you of your re onsibility r garding the requirements
of the Costa Mesa Municipal ode, we refer you to Section 8107, a
copy of which is attached.
This letter i directed to you in order that you willte aware
of our ordinances d can make a complete safety check of your pool
area.
Sincerely yours,
RICHARD HANHART
Building Safety Director
RH:dh
I V . LAWMASTER & C1/4. , INC .
7940 MAIN STREET — STANTON, CALIFORNIA 70CM5-403J-002
828-8040
•
XXX
Field Data on Test Specimens Core Concrete Gunite Grout/Mortar
Project A. F.�trgger Pool Permit No. 31372
Project
Location : I H i •bi d Dr. Costa Mesa Calif.
ContractorAnthony Poole Architect
Location in Structure Engineer
Date Moulded 2/27/70 No of Specimens 6
Slump Specimens Marked
Specified Strength at Z8 days 2000 P.S.I. Mix Designation 44 to 1
Age to be tested 7 days 28 days day's days
READY MIX PLANT AGGREGATE SOURCE
Weather Condition Cloudy 1 Yd. _Yd. Batch
Cement Monolith Type I/I I Cement, lbs. 1E93 sks
Admix Sand 47 ton
Specimens made by #4
Data by #3
Delivered by #2
Date Delivered
REMARKS:onTifT '/�—�/ Water, Gals.
FOR LABORATORY USE ONLY
Lab. No. 70262 70263 70264 70265 70266 70267
7 Day Test 7 7 Day Test Day Test Day Test
Date of Test 3/6 3/6
Specimen Dimensions 6.09 6.15 6.13
X12'5 X12 75 Y12 79 Nn ft rthr•r teats reauijed
Area 29 13 211-..27 79s+ RECE : `;;';r=.®
Ultimate Load BUILDING SAFETY DEPT.
7-6,000 66,501_ 68,Sn0
Lbs. per sq. in. 2,606 2,352 2,321 MA'? 9 1970
PM
H/D Corrected ,._,3t10I"11121i12t3.14'u5 6
RCE#6207 Ul v!< a = T 1 A
DDBE'tbF BUILDING: 1830 HUMMINGBIRD DR DIT: CITY OF COSTA MESA — BUILDING PERMIT
ERSNAMEE IF MOWN: FERNANDEZ, EDGAR J PERM NO: B 075956
AODNEss: FERNANDEZ, YOLANDA
1830 HUMMINGBIRD DR PERMIT NO: B 075956 PLAN CHECK NO: 00148-96 L GOVT: N SUPP : N
COSTA MESA,CA 92626
APPL.MAIUNG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
ARCNNECT Oa ENGINEER: ROGER LAGGET INC 1-1 "0, 1654 JOB DESCRIPTION : T/OFF & LIFETILE 9 . 5PSF ICBO 2656 RESTH SQ FT: 9, 200
ARCH.OR ENG.'S ADDRESS: 20180 OTTAWA RD WIT:
APPLE VALLEY CA 92307 CLAIM VALUE: 9, 200 .00 CALC—VALUE: 9, 200 . 00 GROUP OCC: R-3 /U-1
CONTRACTOR'S NAME: A PLUS ROOFING (714 ) 754-1000
CCNTNACTORSMMUNG 11237 SLATER AV COMMENTS : SMOKE DETECTORS ARE REQUIRED PER 1994 UBC
ADDRESS: FOUNTAIN VALLEY CA uc.No.: 675241 **'IE**1f'if'fE*x'N'i('*If'#iffEf('dFif*******i(E****' ************'************************IE****1E**4F*
92708 INT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license is in full force and effect.
Cm LIC.NO.: 0 08 7 LIC.CLASS: C 39 LIC. 752 XP: 12/95 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
,//fl-/7
I DER DE LARATION:I hereby affirm under penalty of pe ury that I am exempt f the Contractors License Lew for the
ii owing reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct alter,improve, PARKING RE PROV: PARCEL: 13960111 Z NE: REF NO: ,—
'emoleh,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she
.licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Di inion 3 of the PLANNING N VVV T ES> l I
Business end Professions Code)or that he or she is exempt therefrom end the basis for the alleged exemption.Any violation of Section •. - >
7031.5 by any applicant for a permit subjects the applicant to a civil penaly of not more than fire hundred dollars 155001) ****.*.**.****.*df******************************************************************
❑ I,as owner of the progeny or my employees with wages as their sole compensation,will do the work,and the simcture a not intended D E V/E L O P M E N T SERVICES R E Q U I R E M E NIT- S
• or offered far sale(Section 7044.Business and Professions Code:The Contractors License Law does not appyto en owner of properly
who builds or improves thereon,and who does such work himself or herself or through hi or her own employees,provided that such
improvements are not intended or offered for sale.B,however,the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). .. /
❑ I.es owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED B Y �� DATE: % '� 6
Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon end who
contracts for such projects with a contractors)licensed W rsuant to the Contractors License Law). '
❑ I am exempt under Section: B.&P.C..for this mason: APPLICATION ,"I§SUED BY: DATE: .
******************************************************************* **
Date: Omer: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,end
25534,aortontlorany W ori ficatinfomtheA willicor nrn(geent Dineed eiential construction
with said stmecodesns areeremptfrom these
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
for
2perms for thatIor construction buildinhomuhaAir 11 I itywi Management to comply cohstad elle codes and thexemptemethe°°
provisions. PERMIT 117 . 00 . 92
Date: Applicant: SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION;I hereby affirm under penalty of perjury one of the following declarations: PLAN 76 . 0 5
IUILE FEE
o I have and wit maintain a certificate of consent to seninsure for workers'compensation.as provided for by Section 3700 of the Labor
BUILDING—DIV
Code,for the performance oftrework for which this permit isissued.kJ I
> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
have and wit maintain workers'compensation insurance.as required by Section 3700 of the Labor Code,for the performance of the TOTALS----> 117. 92 0 .00 76 .05 193 . 97 193 . 97 .00
work for which this permit is issued.My workers'compensation insurance canier and policy number are:
Caner: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 193. 97 OVER/SHORT: . 00
Policy Number: 285-96UN1T1080 01 /01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed K the permit is for one hundred dollars(3100)or less.) 117.00 . 92 76 . 05
o I certify that in the performance ol 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 ag hat if I should ome subject to the workers' *******************************************************************************
ampen/ala provisior��e of Section 3700 of the Labor Code. shall tan ropy INDIVIDUAL F E E BREAKDOWN
no:Fel ng to s ore workers'compensation coveragela unla L and shall sub/ fenemployer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines to one hundred thousand dollars(S100,000),In addition to the cost of compensation,damages as provided for In
Section 3706 of the Lobar code,Interest,and attorney's lees. SFR 9200 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 9, 200 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction landing agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have reed this application and state that the above information is correct.I agree to comply with all oily and county ordinances
and state laws relating to building construction and hereby authorize representatives ofthis city to enter upon the above.mentoned property
for inspection purposes.
KEVIN KIR:
f/z SA St Dale: / /0, _ _ . .-.
6A bOa' .."t CC-L'„l`>l•,Qa. 78-411
Signature lois i' 7:Appll.. VCantreaor I'r1 '.;' - lC ' ,, f
(5151-46 WP) White-Building A Safety:Green-Ale;Canary-Applicant:Pink-Revenue;Golden -Assessor
CONSTRUCTION AND PLANNINGPO,,OL SPA
Date Inspector -
APPROVALS Permit# r APPROVALS Permit # Date Inspector
•
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 0 53. Steel Reinforcement
..3..Electrical Cont#uh Ua1rtity-Undrgrnd. 54. Forms
- =4SElectrical CSnnd Yn' rgrnd. 55. Electrical Bonding
- 6 yi�g Rein£o cetnertt 56. Rough Plumbing & Pressure Test
2.4'.61,E1eetr ica IrUPER: Lid. - 57. APPROVAL TO COVE R-GUNITE e
;J. .F'ootings r, "
'' • c' 58. Electrical Condt;l)
tiindrgrnd. "
.8 'Foundations. F3e.7ia. a 59. Gas Pipe, ❑ UntIrg•rnd., Test
_=9.-`�-Water PipPUndrgrnd. 5 • 60. Backwash Lines,„ •-frap, O g
� Undr rnd.
J
'110. Structural Floor System 61. APPROVAL Tdi ECK
11. Prdperty SewenLine House'CC'onnection 62. Backwash & Receptor-Final ,
12. Sewer Cap 4" ct 63. Heater & Vent-Final
13. Roof Drains c/' • 64. Plumbing System - Final
i.,_,.-
14.
✓.14. Rough Plumbi{iiie. m 65. Electrical-Final
15. Rough Electrical-Conduit s 66. Solar System-Firpb
n; r
16. Rough Eltictric Wfrin'e ',4,4. '
9 9 67. Fencing & Accegs Approval
17. Rough Wiring Sign 68. APPROVED FO -PLASTERING
18. Rough Electrical:4 Bar Ceiling') 69, POOL/SPA SYatiVIS FINAL
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 1
_, , r, r-,.- . .•+H 'T Y "1 < t.. U'}-4W- w r' r
20. Ereug_Fv Fa's or�7Filila ce ' tem `C' •r, _^ ,riD c •. Lttt APPp`DV Ce-p
Peel-pit# " >" ,nn
t.
21. ucts„in $trugt•ure�* ti_ .t S c' 4 '170. Nhderdrt7rYd H`dro t
---t-' , ‘--1.- ,• r, ,-, ,1
22. Qucts;Veptila nng•-j' I a; •i " a4* '-171. Produr fiping Ch Ern Cj;0iI
23. 4tas P,i Pe-{3nug_ti& Test L; * c] a' is of --l72. Undergro'Lnd Flu a •- * A .1
7' r -,D1 .r. r., tit _ r
24. Roof rahnng^ ,? E ' ",^•!a%4 .z. //{,cr r •=7 Undergrnd.Sto TinkP Gas ❑Oil
25. Roaf:SheSFhin 7'' �a�� tlt (4 •rt• 'F.• 1G r...`.
9 m* < s. v* c.. •uti 74^,Overhead Hydr6 ;x
26. 1-BacCeiling (StrutttOral) & Moiro'ti, tat * W C T* 75TDiy ChepiicAl �,? 'y " C a•
ms, x. r e' "-.fl
27. Mama an Flashing"' A -_ * to -.n r. , L.;. .t• 5 m
u `� -r x c 'b:x 76. Dry•- r.
c.3 ;x a
X28. Lathing &'6- iding -» A 't<Z E •• •' "i 77�, FIXED Sl1` TE" INA
29. InsulationDr x cti 1 `k 78s FIRE PREY. FINAL * cc 'r
- vat _
30. Drywall NaiIi4 Gt f: H .H EALTIjDEP'F;.REOUIR'EMENT
:31. Plaster Brown coat'; S ,-,_T• t I .{ 12479. FINAL IaSPECT(6N p
H r (U k m8ojyFOOD CERTIF ATE IS,EDS ,.r.
32. Blectrical�Powet MEYer+FSnal - r
G33. F�ual�Elecxricr r1* e * ' ' "Noet s: -j .1t-j 1 rtily s - _ Jn
j34. Final•- r
'},seating 8c Aim,-onndtioninzg= C1 * V7. ; ix: S * S CO
i, .? ' I "1' n) F i i-•C. to
�-' ;•,r.
K . • T
35. nal'GasrrQipetiest » G•� r } x J� $re
2436. Hood.or $anopy ' , D ' rr`; ", + n K - 7 ii.:. * . n,
It ,1 r -ri g r- n xr 7r
_137. Final Factory Firepta4e`' ; `•t' " Y: nl �{ _ r a'
T. * + _
38. P.:Mali-Plumbing 4 s, r. i T 1 N ' s O
39. Water%Serirce-FInaP t .. I• 1 aim * Q C.
240. Gas Service-Final v r Cr'r - m I 0Li a.oi VL
i -•1Y --' ti. • i S k i
' 41. Soler Dorriestic-Final* S ' ' " - <°' `i
O,
r
int = r '7t- D
- 42. BSckflow.Preventer , H ri q_ ! 'a e: 7-, • " -
-
•
43. Backflow Irrig:eion " ^S_ x.. . - - -
+ x
m
44.Landscape;IrrigationSystem -.tic t C. t' el* I: M CU =,C *
45. c6und Attenuation .r '" r t f- A _•` , c"„ T a'u •"` t'
a
Y. .•
44. Ndndicap`llegufationt p x i S
47. PJNA.LSTRUCTURE•& BUILDING /r_l_,/q�C�6 ,‘"4"-_,.• r't=' = `
1r
_LV L
48. FINAL PLANNING . r•1 -"I . 'Y: n r. [-•
• .r - c *
49. Electric Release to Edison I r. I -) '+ ' w 'r - -
50. Gas Release to...Southtrn Califoinia.GasCo x :, r C -
's - -'.- - -
51. CERTIFICATE OF OCCUPANCY- r .- .- •. - , L.
No. Date
OWNER DUGGER, ANDRAL F. DATE 2-11-70
J JOB ADDRESS 1.830 Hummingbird Drive BUILDING PERMIT NO. 31372
GENERAL CONTRACTOR Anthony Pools DESCRIPTION of WORK Pvt. Swim Pool
AP No. -
4
MSPECTIONSLOT 11 TRACT 6757 FIRE ZONE VALUE $2,900.00
Signature Dote GROUP J TYPE III ZONE R-1
SOILLOT
I PERMITS ISSUED
GAS t Date Number I Signature
WATER rn7a...c-iT, �/V�,�( /��1_---2-.5--�7C ,Plumbing p
ROUGH PLUMBING 1 �J.& �-`-i L :� ,. ✓ tit," r.�"6 O1 /
PROP. SWR. LINE ❑ USE CON. AD_ _414,0/.. a . i, A a./ _ y
SPRINKLING SYSTEM. ,.„ O/<M 5 N"]tf i
MISCELLANEOUS _/”
ROUGH HEATING AND AIR CONDITIONING ,����nnnny/
Z
TEMPORARY SERVICE OR PO C rtC(y4� ✓p1 y7' S 2'C'
UNDERGROUND 'g� POWER ❑ Z
ROUGH WIRING „ /p ?f-2 -JG) Heating and Vent.
TRENCHES ❑ FORMS ❑ STEEL REINF. n
FLOOR SYSTEM
BOND BEAM [ k-4..--
STEEL REINFORCE r^-' 445)--2.6----7 o
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINALe
y ,(
HEATING, VENT., REFRIG. AND A.C., FINAL jt z 7a doS, v
a
PLUMBING, FINAL ':LT� ', afti ' •
ELECTRIC, FINAL ^7I!
BUILDING, FINAL -F 474(-7
, , • ZLE I 10374FEB 11-70-rs 00 323* ****34.50
cnsu
COSTA MESA BUILDING-SAFETY DEPARTMENT r
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RECEIV ��V DATE RECEIVED DATE ISSUED
BUILDING 1830 Hummingbird Drive R',t'itiU A i 70
ADDRESS g _/�� 7
OWNER Andral F. Dugger A.P.NO.
/z.57
MAIL BUILDING 1830 Hummingbird Drive
Z
ADDRESS Same ADDRESS
W W TEL. L
a U CITY NO. TRACT 6757 LOT �-1 BLOCK
ZQ CONSTRUCTION NEW I ADD ALTER I REPAIR I MOVING DEMOLISH
-m LENDER Cash
X
cc.jr BRANCH
-.1f0 OWNER Andral F. Dugger
a W ADDRESS
m -IVALUE DO
J CO ARCHITECT C. Adams TEL �.3'Z'� USE swim pool $ �,ADD•
a OR ENGINEER NO 111
LIN FIRE ����
wa ZONE TYPE / ROUP
cc ADDRESS
d w APPROVED A 2_4
I 7/]
J O CONTRACTOR Anthony Pools BY DATE Z— / t�
mZ /
n cc ADDRESS 5871 Firestone Blvd.
W WZONE,p NO.OF USE OF NEW
Zi CITY South Gates No. Sp32210 X—/ IPLANS off- BUILDING -
YARDS APPROVED
N CC LTC.NO. 190179 ARDS LIC.NO.CITYYMAIIN BU DINGD ACCESSORY BUILDING
D 0 (FROM C/L STREET)
SIZENO.OF BLfr>C ��st
OF LOT 1 NOW ON LOT FRONT FT. / `� FTa
USE OF garage
residence and e _ifs-
EXISTING BLDG. g g R.SIDE FT. _6 FT,
I— SIZE OF ]C 691 NO.OF
2 NEW BLDG. ROOMS STORIES L.SIDE FT. / 2 FT.
VEXTERIOR WALL ROOF /
_ COVERING COVERING REAR FT. ICJ FT.
—1 USE OF BUILDING AND WORK T BE PERS Sfy D
an 1swim privateoo± I83i' DISTANCE BET. BET.MAIN&
d _MAIN BLDGS. ACCESS.BLOCS.
Q of single family dwelling VAR.# DATE
0
C.U.P.# APPROVED
APPROVED
I- _BY DATE ft- 7e
2
0
c~.1 I hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
N the State of California. re
ZI hereby certify that I am properly licensed as a contractor under SQ. FT. p to
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, end mat 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 cc
VALUATION
and Professions Code, Division 3,Chapter 9. �� .J co
PERMIT FEE S 0-0 D
Signature of ' / ,, �1 /y1 m
Permittee • -r--' �17/�T-rr�`� $ /OO' PLAN CHECK $ //• 6-.0 E
o LL
Authorized Agent ��Vv
`if TOTAL FEE $
OWNER DUGGER, A. F. DATE 4-6-70
JOB ADDRESS 1830 Hummingbird Drive BUILDING PERMIT NO. 31588
GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Private Block Wall
AP No. LOT 11 TRACT 6757 FIRE ZONE VALUE 8350.00
INSPECTIONS Signature Date GROUP J TYPE III ZONE R-1
501E SUBCONTRACTOR PERMITS ISSUED
GAS Date I Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. LI
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND fl POWER 9
ROUGH WIRING '9- Heating and Vent.
I
TRENCHES 9 FORMS 9 STEEL REINF. 9 NNo . L
FLOOR SYSTEM m_
BOND BEAM 9 STEEL REINFORCE 9
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL Elertric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST
ELECTRIC, FINAL
BUILDING, FINALart( • -14AgeeferNiN.Py/pq/4C
L
31588r.
APR 6 7A PAI�oo 155 d*****5.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
RECEIVED BY OMB RECE1VED TE ISSUED
BUILDING /D C �C� /m __/ D[ O'/O _ s-JOADDRESS �
P
OWNER �I MAIL �/ ,(i • �a �1 I A.P.NO. 'may/'{/f � � IC�\�
Z ADDRESS /Ise a �``.i/�/ ADDRES/ O ✓J✓ ��� 'yU-(iLLL
CL 0 CITY a� / /CLQ/ NOI.$6 7'G]/ en TRACT G-75-
/ 5- 7,, LOT /, BLOCK
Z
CONSTRUCTION /I NEW ADD ALTER REPAIR MOVING DAMN ISH
O En LENDER NONR
am
_ID BRANCH /' �7 4
-1N — OWNER tiad, ?. .�/
Q W ADDRESS ,7�y/� y�`.. �o, er
,,��/�
CO ARCHITECT TEL. USE 9 7/! zt./�/G V SQA t°
J Q OR ENGINEER ShS'J tt NO.
UQ FIRE°Ye --,---
Z J.2 ADDRESS ZONE✓ TYPE GROUP �d
0_ 41 7� �{ /
W Z � APP FjOV ED..� _ z Gc G/•6ATE f'. 4 70
JO CONTRACTOR � �a RUil1FK BY (//Y.Y/y r
_mZ
J CC ADDRESS
W W TEL. ZONE NO.OF n USE OF NEW
O= CITY NO. R/ PUNS Ol BUILDING
ZF
W_ O STATE CITY YARDS APPROVED YARDS APPROVED
cn CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D 0 (FROM C/L STREET)
SIZE INO.OF BLDGS.
OF LOT NOW ON LOT FRONT FT. d FT.
•
USE OF n.
EXISTING BLDG. �`-9/aneet rR.SIDF FT. V FT.
I— SIZE OF NO.OF 0
Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT.
UEXTERIOR WALL ROOF ao, //
_ COVERING COVERING REAR FT. FT.
—J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
CL MAIN BLOCS. ACCESS.BLOGS.
0-
Q ! - / VAR.* DATE
O ///yp ( eZer 7A W/�L C.U.P.# � APPROVED�.�/. /�
ZAPPROVED ftATF ! 6- 7t/
0
o I hereby acknowledge that I have read this application and state
D that the above Information Is correct and agree to comply with _
CC all laws regulating building construction, and I shell not employ
any person In violation of tho workman's compensation laws of
—
(~n the State of California. a)
Z I herebycertifythat I am 70 b
properly licensed as a contractor under •
the State of California Business and Professions Code, Division 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: 2
am exempt from the provisions of the State of California Business VALUATION
and Professions Code.Division 3,Chap 9. ,A/s to
PERMIT FEE $ (Tt/ N
\Signature Of 90,44 /J /� ro
Permittee ��(/.�/�d/ C-j r L(�C / 50 — PLAN CHECK S ------ff° ' E
o
Authorized Agent
S-
LL
` TOTAL FEE 5\J-
i29986
PAID APR 1 7 1969
• ail. e e
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
RECE rY 0,7,TE R� EIV DAICS"ED
BUILDING4.4-1 -61 1830 Hummingbird Drive
PERNLTSO
OWNER SJamaica Const . Co A.P.NO. 85
MAIL BUILDING �iy3 /3
Z ADDRESS 2850 Mesa Verde Drive ADDRESS VVYY d d9lNl/,dy,(/�✓ + f
a.0 CITY Costa Mesa LII LU
No`5490395 TRACT B75IREPAIR
LOT 11 BLOCK
- CONSTRUCTION NEW ADD ALTER MOVING DEMOLISH
I— LENDER Great Western S.&L
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_ID BRANCH Los Angeles ..t /�, , `7
JN OWNER Ja102) cA. C�D � tSr
m J ADDRESS 4401 Crenshaw Los Angeles I VALUE
J ca ARCHITECT TEL USE - $ ,_9
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OR ENGINEER Kaltenbach NO.5478046 ��
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dw ADDRESS 1823 E. 17 th. St. S.A. ZONE TYPE GROUP jr4/�
W Z APPROVED (,�/
J O CONTRACTOR ., IIS • } • BY DATE
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_ gg ADDRESS 2850 Vesa Verde Drive
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ZONE INO.OF USE OF NEW 9lnc]I tam.
zF CITY Costa Mesa NO. 5490395 R-1 PLANSZ BUIL°'" wi att qar.
- o STATE CITY YARDS APPROVED YARDS APPROVED
(. CC LIC. NO. 193122 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D O (FROM C/L STREET)
SIZENO.OF BLOCS.
OF LOT 7Q x 105 INOW ON LOT FRONT SO FT. FT.
USE OF `/
EXISTING BLDG. R.SIDE / FT. FT.
I— SIZE OF NO.OF 4...5—F
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2 NEW SLOG. 2620 Sq fNO.OF 9 STORIES 2 L.SIDE `Y FT. 0.0'4../., T.
EXTERIOR WALL , ROOF L( S�
V COVERING WdStUCCOCOVERING WOOd REAR LO' FT. T. e
J USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET. BET.MAIN&
as single family residence MAIN BLDGS. ACCESS.BLDGS.
Qaft , garageVAR.# DATE
W
O C.U.P.# APPROVED
~ APPROVED
V) Plan 262-BR. _ay 6L. L�p, T 4-10;69
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UI hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
I— ony person in violation of the workman's compensation laws of
N the State of California. a9170.).
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I hereby certify that I am properly licensed as a contractor under {/
the State of California Business and Professions Code, Division 3, THE AMOUNT S1O/
WN 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: b
am exempt from the provisions of the State of California Business CC
VALUATION
and Professions Code, Division 3,Chapter 9. /: r J() 0
PERMIT FEE S DN
Signature of m
Permittee Jamaica Construc Compan, $3 J 0502 PLAN CHECK $ Ga, 0 0 E
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Authorized Agent/ [� /O /fO a ti-
TOTAL
TOTAL FEE $ (O