HomeMy WebLinkAbout3487 FUCHSIA ST - Building Permits�uowess oc
OWk'N'SNWE
�vvi. xuuxc �oon[ss:
�xcxrtEc*oxExaxxvn:
Ntl
MCII OXFNG'S ADDIIE55:
wnrn�crons xu�
cartn�craas xuuxc
ADDRESS
N
3487 FUCHSIA ST
WEISS ELEONORA
3487 �'UCHSIA ST
COSTA'MESA,CA
uxr:
FLOOD: AH-38
92626
uc. No:
UNT:
IlG Iq.:
uxr:
LICENSED COMFRCTOflS �ECL�RATION: I hereby eRFm uMx penely d peejury �hel l em lieen»d uMm prwieiane d Chepla 9
(mmmanaeq wiih Seelbn ]000) d Diviaun 3 M the Buaiiren and PMeeaiona Cade. eM my lieeme b in IUA laee erd elletl.
cmuc.No.:0656+�2>7 c.cuss: C-39 uc.No.: 661526 EXP: OS/97
1Dme: � � t (•� 7 Comrepa:
OWNEN BUILDEN DECIRNATION: I hmeby elfirm urker panely a/ pmjury ihet I am axamp ham tM Camretlaa licenea lew lu Ne
folbxinp reawn (Sedion )031.5 Buainasa enE Proteaeions Coda: Any eily a eounry whi A rpuires a parmG b mneWet, eXx, imparo.
bmdah, a repei eny ei�ucluro, pior lo ila eawrm. e6o repuim tM applirem 1« aucM1 peimit to Rb e ag�wE aletement tlW M or sM
r�..a Wn��i �o m< poN� a ina comreao�. uo�» �w �cnep« s��me� wnn saa:� �000� w oNe� o a�ro
ueiewm eM Praleae'vre Cade� «thm he a ehe ia uemq therehom eM �M bmie la IM ellpeE exemqion. My violalbn d Sedion
)03t.5 by enY MdMa�1 fa a permn aubpqn the eppli sM Io e tivY penelly d m� moes then 1've huMred dd4n �550011.
� I. es owner o/iha pmpenY w mY �dw�a �� w'e9� %+ihei ede mmperim�ion. will do iM v.ork ad iM aVuclure e �wt inbMed
w oXared I« eela (Saction )o6e.8usi�waa e�M Prdeesiwu Code: The ConlreAae Lirome Lew Aoea na appy lo an amx of pruperty
who Wih n inpmves �hereon, vM xM dms auM xvA himaNl «Mne1 a Ihraph hb a her ovin ampbyeae. povideE thel euch
impmwmenls ere not inleMeE a oHered /ar aeb. H, howavar, �he buiMiip or imqovemeM b eak wilhin an ymr d oompblion, Ne
ow�rbuiNs will heve �M burden d provi�p M w she EN �wl Wib w imprwe la �M W�s d eele�.
� I. m owrier d Ihe prapaM. ��duervey mnbaeiq xnh licemed conlrecton lo mMrucllM poptl (`�� ]011. Buainess anE
PMeaeione Coda: The Coniredae Licanw Lew doea rpt epply to en owmr d piopMy who WiIEe a imqova iMroon eM who
convena 1« axA wd�. xiN e mmrmMs) IicenxE WrsueM to iM Comrmon limnae Lew�. '
$f ��exam�qJ� "e�s�ioo:EX$MPT B.BP.C.,bri�ieremn:SE INSURED
o�a7 ! � � 7 -�J'� � o.,b,: l _
�
I Eo Mreby ce�ily iM� I em ewere d ud uMenteM Na requiremeMe d Celdwnie HeaXh vM Selny Cade Seqbm 25505, 25533. ud
2Sve. end ihm �«env hnure wikina �Ne^� �;�� � wi� na (drek an) �wee ro mnW w�n eeia ame ooeo end iha reirydremeim tar
' epmnillormnewctunwmod'ifirationhanlheAi u3elitylrepamenlDislnd.Reaidemiloonn�uauneppiMiwmanaxemqlrantlme
D�ovieiona.
Dete: Applkem:
WONKEF'S COYPDIS�TON DECIARATION: I hmeEy elfmi under parW�y d perjury me d IM fdbw'vp dedertliom:
�] I heve entl wiY meintein e ceMRCPoe d roneant to naM�inaure Iw workere' compenmtian, sv prwi�ed la by Sedion 3]00 d ihe LeGn
eoee, r« �na wdomw�ce a Ne wonc e«.w:en �ni. pama u ivuad.
� I Mva eM wil meimem xvMeri compen�elion ineuraMa. av rtquimE Ey SeUbn 3')00 d the Lebor COEa. br IM perlarmentt d IM
wwk Iw xfiidi thie peimA u iaued. MY wvkeri mmpenselion iruurenca umer erd pdky numbar ere: .
c�.:
PolicyNumber. �
m;a san� n.ed �or e. �Wxed i rne ro+�� s roI me nune�ee dwa�s /siooi w iss,.�
� I cerlLy Inel in iM1e pano�menca d IM1e woA lor whcM1 Ihie pa�mN ie inuatl. I Y�WI M employ vry perton in e�ry menntt eo n lo
become suMetl lo tM v.oMre' comDe�aetion lexa M Celil«nle. erM apree iM� il I e1wuH become w4b �o �M worken'
aomv���� v��. w smian a�oo a me �mor coee. �.w� �mnwnn oomaN wnn mm. pwieiu,:.
oae: now�u:
WaminO� FeNun ro�xuro woher�' eompxwHon eovsraps Is unlewlW, antl Mell auD/eet an employx ro erlMnsl pmeMp en0
clvil flnu �q ro ons huntlrM Hpuuntl tlo1Nn (S1pp,000), M erltl/tlon ro ths ewt o/ romveruefbR a� u provlCetl br In
Sxtlan 91P6 0l Me Le6or Cods, InMs�t, �nJ efrom�y's /wx
CONSTPUCTION LENDINO p6ENCY: I Mreby dfirm uMx penely d perj,iry Ihn iM�a b e canst�uUion bMinO Wa^�Y Im the
paAwmeMe W iM xwk br xhich tha V�Y is'swed (Sadion 30B). Civ. CI.
LENDEH'S NRME: �
LENOEN'S ADUNESS:
I ceniry ihe� 1 heve reeC Ihis epvl'ration vW 6ete �het Ihe ebaw inipmelion i� coneq. I ep�ee lo mmoN �h all dy eM caunry adiiunme
eM atme lexa MeinO �o WiMmO mnavuqm erM Mreby autMrize nP�imrvea d �ho tltY ro emm uP� tM ebvie�meeuiaied popery
�Ol1119pBCIWfI p11f�JHB9.
MIKE CARSON
y � 7"�'7�
(5151de.WP) Whne-Buildip 8 Selely; GreerFle; Canery-AppFcen�; Pink-Revenue; OdEen�oo-pnammr
_ " � L • _ _ _ .. . _ . � . _
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: H 08382
PERMIT NO: B 083827 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION : REAOOF W/30 YR COMPOSITION SHINGLES SQ FT: 4,800
CLAIM VALUE: 9,800.00 CALC—VALUE: 4,800.00 GROUP OCC; R-1 /U-1
COMMENTS: T/O EXISTING 6 REROOF W/30 YR. COMP. CLASS "A"
**��r*****rat+c*+�******+�+r��c********�**ieiaif+r�r�r**atie�rieierie�c�*+f***at*�c�***�rw**afar+t+r**it*+r*+�
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 HUILDING ---------
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: 41217203 ZNE: REF NO:
PLANNING NOTES> _
�,
1! if it ik ik!! if if ik ik M iflk %lFrif k iF kl1� IFlF i! iF iE it!! if it if �FM 1F iF 3F iF i! iE iF ff iF iF iF M if M ikiF 1f 1E �f iF IF if iE'k iE iklf k if 1lil� ik i! it 3t 1F dF�it'1E if iF'k it it i! iF iF
D E V E�L O P M E N T S E R V I C E S R E Q U I R E M E N'T S
/ , iJ�.
ZONING APPROVED BY . DATE: -.'
HUILDING APP
APPLZCATION
�r�r*�t�t�t�e*�t�t*�t
LEGALI2ATION;N
BLDG PMT
PERMIT 99.75
F E E S U M M A R Y
PLUMBING ELECTAIC MECHANIC FIRE
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 100.25 0.00 0,00
REVENUE DIVISZON TOTALS--> COLLECTED;
BLDG PMT PLUMBING ELECTRIC MECHANIC
99.75
DATE: �7
DATE: �/ �
�t�t�t*�t�t�t�t �t*
STRUCTURAL SEGMENT:Y
1
SMIP/RES GRADING
50
SMIP/NON—RES
TOTAL PAID DUE
1 � Q. 2 5 1 0 �. 2 5 . � 0
100.25 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
.S�
ik iF'!f if iF fk ik if iF iE it if ik it 1F it i! it �lf if'k iF')f M'lF iF ik M M M 1k �f ik �Fit iE if iF iF �f 11� �k 1F ik il� 9h iE M 11� 3t ik ik if iE iF ik if iF It iE iE if ik if �tt� if i! iF it ik iI' if 1F'M�'1f'!E 3t'14'16
I N D Z 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 4800 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 4,800,00
END OF FEES
S�IO�C�C�DU REDTOR
�G
PERMIT:
� CONSTRUCTION AND PLANNING., ==' "' %5 P��� 'PA
. APPROVAL5 Permit # � Date Inspector APPROVAIS Permit # Date inspector
- -1. Temporary Electrical SerJice or Pole 52. Pool & Equipment location �
_ _�
� 2. SoilPipe•Undrgrnd.� i- . � � 53: Steel Reinforcement . ' ' �
,,�'�.-,3.�Electricai COnduit Utility-Undrgrnd. ' ' 54. Forms , � - r� . , '
"�}4:�lectrical Co�doit-Undrgmd. - �'. 55: Electrical Bonding 'T% �
5,�Stee1 Reinforcement = �� 56; Rough Plumbing & Pressure Test ,�� �
_ �-' '.
'�� %��lectrical UFER Grnd. - 57. APPROUAL TO COVER-GUNiTE '�
;'T.�U 1
�i�ki�ootings `•' � 56: ElectricalConduit-Undrgrnd. - � � S �
� � s g! Fo�ndation -- � 59. Gas Pipe, O' Undrgrnd., Test �
i�
" ' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, Cl Undrgrnd. � �
. 10. Structural Floor Svstem - � - 61. APPROVAL TO DECK ' '
,-
17."��Property Sewer Line & Hou y�Connection � . "y � 62: Backwash &�Receptor�Firial �
72. Sewer Cap ' c,i - �' � 63. Heater & Vent�Final ' �
�_�3.'Roof Dreins ". � . - �� � 64. Plumbing System - Final . � .
�14. Rough Plumbing - �� � � � tJ,�, � 65. E�ectricsl�Final � � � � . - '
q5. Rough Electrical�Conduit - j ' ' �' 66i Solar System-Final ` � ' �- '
�i 6. Rough Elettric Wiring , _ � 67. Fencing�& Access Approvai � ' , . ' • ' �
- !77. Rough Wiring Sign � ` , � 68. APPROVED FOR PLASTERING .-
� .
z18. Ro�gh Elecc�+ca�-T Bar Ceili� - � � s '-69�. POOL/SPA SYSTEMS F1NAL '� '
�i .
19. Rough Heating & Air Conditioning �� �' � " ` ' �'- �'� � '» p�RE�EPT�2EQUIREMENT �
. � r, � . m m rr. ..� -� �n f-. . !-� -� .�: H N
20.�Rougfi F,acto�li F`�e�ilace 5� c� -k �. � �, r� APP�OV�.tiS�� Pimit �F � �' r'
�:
2L. ucts,irtStrQCtu[e.� .�• ^ �S x S O �-+* 70.C'Undergr`eli�d I�dro -�
Y� �[� C C Y !l �y i.' t-1 � '1
22.' U�. V2�21� ifl�%" : t:.s �Y S'�I: � T�.I. � �
�� • , 1 � TU t i :? x.^. 'y q 71. ProdueL�iping as Oii
23.�'�as:AiPe-Zio48h & Test i ;S �t: [*; c d O+ � 72. Undergrauhd F�"sli=� .F' F ^
24.�Roo�Fr�fiin9' �{ �`'"�" 1:� T=' � x;�;`. ` 73 Undergr'n�d.StqS��e;�an�OGas O'Oil
25. Ro `�Sh"thin �" � �
_ qL e� 9 m'r. t: �r�s_p�� _a � 7�il�Overhead Hyd�fo,� v:
26.�-B�Ceiling(St,�" ural) &+`���4.oat ` `� � M* ^h `y �"'' � ^
w �:O-s ..a�" � O N G# �¢•y�Y ChemiLal �,� � �,.�
27.:Frarqearyd F{d5hipg� ''-� � > t�r 76. Dry Stat7ZiRiPeF'� .r �� O
- r, -i
28.�Lat�ng� S��ng`�'� � .=:�¢"� �^ � � "�� 7� FIXED�XST64.'�INA� �
z _ Q�. C � ..� ..I �k � r+ ; i
♦ N.t' H .. ., , i. . . ,
29. Insulaticm __.+: S ^ s� � � �� 78. FIRE PREV. F11PAL t'= x�`
�' 30. Drywall•IVailing �z r,. � �• �. ' � S �}�EAIT;H OEP�.`"aEQ'UI�MENT
; i 31. Plaster 8�w(nCo�� S i;��^ s I � �t- r• 7. FINAL tD13PECl`.tDN .r �� o
- � ._.
' 32.-'„�Electric$ P0�"� �er-�i�al � , } ^� + � .: 84� FOOD CERTIFvEATE [�SUEQ,
t
r i i x i -- �' : �
33.�ina�Ele�tricy �;,r �.y � � . � � I µ, ` �tes: ,, �;m i -! C :t;;n
� , � . _.
�.' 34.Cf.in�i:He3rin�& Air� onoitioni6gS H �' ' ' *: � S :�T- -� S�-.r:
� o :-, i r v'. » m
35.rFin�i'Gac':PiPe•Tes'?* �� •• �; � � f �� ' � �p n;..� x' F,_��,.
� . .- ,. . . . .
36. Hoci�or�FanoPv`�� � � '� -- * :"' t :: ? E :�G ' ^ �R'
. { # '1 t .�'•� T t ��" C*7 :�G � ?j j T ..
1 a r r'7 �j h+ � r ..[Ti I F �, . .
37.'�in3l.Payo�YFir�tpce;� •r.,.., .t: � f�� 's ;J
� <
� 38. FinaI�PlS.mb��g '� ,r;L i c� � ' I �, y y,��, t G� y - --_
' ° 39. Watet Se'�icezFin��t � i y x � ! , � � '" �n �� S
� '�'
� 40. Gas Serrice-Einai;o�z ;� <t+��=- s r o� { �^ ;-�:� �t�
r .s�c. r.i e-y v:' K Q
- 41. Solar pome6t�-Ffpa+ � � * a j j � [T' -�n� 7^ +' ;c :�
42.�ackflow Preventer+ ;a ( �f- K �i-� • � O r-�
•. ✓ v: [T!•^:'� A: F�
r e, N^�`c, A. l: .�., . i � -y
- 43. Backflow Irr�ation f �,- x„ �: p � .R n ,
�
rA4. LandscapE Irripation System��!:� Q c:Tt _' ^�,y� ro � -• �^�; :: cv ��
" ] ll�: .R _S'
545.��aound F�(tenuationa. �'^;-' T' '� - �" `" F� : '�"� ""'� ^� �_. .:
r :i: �"1 � �Y �TJ R1 G^ C KC F'J i�
; _.
�16.�Handicap.Regulatious -� G -x �, � t:.. - •S Gn: S *
' a�f� r w
,�7.�FW'�Nq'LSTR`tJ�TUF�&BU�DING 7�� �= �, � t,
48.;�`INAL PLANNING+: ' :-,`- � �Q � � [� m ti �' [-� � _
I I Fe n: S x �y .
a9.'-Eleciiic R'ele�e to �dison i x I � kt ,�i. •,� Y � "'
=�50.�as�eleasetoaSoutdemCalifoFaia�GasCo * � � �i- � 7 • c��; > i7 � �
<o A' • C n;� ti N�
.5T. CEF4TIFICATEOF�QCCUPANCY •r w �' c=�� � � �- ..
Date '
w
f y �
� f. �� 2sq
. �2�\2�, ��2
�
TESTING
J une 7. _ 1974
Q
Laboratories �f =s�u�=�,� e«��f��zLa, �-�.
P.O. 80% <1 . 7310 413POni N'�V . LON6 BEACH, CA�IF 90801 . �213� <26�3355 . �213� 636�23E6 • ��14� BIB�6431
64,1vC� O�FCES:
ISI��DNonFl+erver5n�e• ` � M1onOav..arveieci�g
Senre nne, Cali(o�nle iD0) 0955 Reoondo Are . P.O Ba� N
}' Y'R^1 't
�)I�� 5)1.]C�5 b�� ��n,,; o .-g Oee:A, Celd. vCPM �pp� EJE�D80
. ' S� �':,�_+ -
Y
Examination: SC%4-304fi
COMPRESSION TESTS ON GUNITE CYIINDERS
Mr. James White
12050 lochlea lane /169
, , Huntington Beath, Caitfornia 92646
PROJECT Srli�ning Pool for CHESTER SFIITN
ADDRESS 34Q] FUC�l13� COSLB P105d .
SAMPLE FROM �-2 $h0110W �nd: 3-4 Deep End: 5-b Bond Beam
♦PCMItER CONiRACtOR
E31ue Haven Aoois
� eHei.+ee= suaconranerou
Enterpr{sa Gunite Co.
SPECIFIED
MIX . (�_��2 _ � � STRENGTH
DATE CAST 5-�j-�I� CY�INDER SIZE
DATE TESTED 6_7-�� �-7-74
CYLINDER NO. � Z .
COMPRESSION 7-Day ]-D8y
TOTAL IOAD, 1B5. 9��000 ��],5no
POUNDS PER so. iN. 3,905 ' 4.575
SIZE: 5-5/E" x l2-3/4" 5-3/4" x 12-3/4��
COMPLIANCE �_day test eomplies with specifieattons.
MnDE 6T DEIivERED 9v
CYLINDERS - - - J, Lfiite
DIST416U110N:
.—Eust� ttesa Glcg. Dept.
Enterprise Gunite Co.
Jim Whlte - 2
2,000 pSI
6-7-74
4 "HOLD"
3 5 "HOlO"
6 "HOLD"
7-Day
118,000
4,544
5-3/4" x 12-3/4"
NECEIVFD OH
6=3-74
i.
�
? ,�'� r�._.�.:
---� .�
�...�...� : ,
- . � ��- , > ••r s rw � �„ .. i.� cc,.� n� �.. . ..o�.. o� �_, i v•s .,.:..o�i..r.on � � � � . �.. o� nu= nc=o�rs corvc�asio�s o4
�I! ..<.s.. ..o vrc.�,n�.,. ��.. �sE E-.�i.-... ....,- r ... .�... �e.c . ' r.
� _ . . ., . . .,o:., ,.,,, � o,.ree� .' . �o u�enrs ,.. vveue •.o o�nsa��rz
_ � _ _ � .
. . rt ' . . _ . , . - . , . . � .
. !
. _ . . . . .. . . .. ' , �
i , . " • . . . ' . ' ' s . . � , • . .
; _ , t9sy 16, 1'974 ' " . �
.- < 4 - , , . . -
, -_ : ,H . .' . . _ _ . . . _
I � Mr. Chester E. Smith � . '..�-. y
� '� 3487.Fuchsfa Street
. Costa-Heea� ,CaIifornia 92626.
Dear''Sirt ' _ . _ � . .
. ' \>
, ��' A buil'ding=permit has been:issued to Blue Haven'PooTs'to conatiuct - "
' - a private swio�ing pool.on your property. _
In order that�your�pool'vill 6e a safe one a for_�the putpose of - .
�. _. advising ,y,ou of��your .rasponsibility regardi�e• requirementsy of c
"•" the Coata Mesa'Municipal�Code� we refe;.-you to Sectiou 8107� a°"' - .
copy of which is attached. : _' � _ . . -
_ This•lettet as.directed to you•in er- that-you will ba aware of _
our ordinancea and can=make a.comp.let afety check'of your pool ' �
. --area. . . . . - -.
- � Sincerely youze�' .. _ -
. -- �� ' ' ` '?" - j ".
. - � . ..,,- ; - RICNARU HANHART , . �.
, Building Safety Mreetor , > • ;
, _ . RHicb : - = : , .
- . , _ , ` � , . _ . : ' . •
. . , - � - . - . �
- : ` -. - .. _ ,
: _- , �_ ,_r . � . _ „ '� � - .
Y _ ' '- _ . . • }
1 \. ..� ..,a..�.il• nw..r.n .4Y.... n.J�� lrvv i
� . . . . ... .. .. .. � ' . .
TRACT N0. rI rI I 8 j� - ... _ _'
IAT N0. 3 _
-� � � �-.:F,. ,_:_ ' ..
ADDRESS .� �%�� �'U f, S% C{ �S �
�" li � f�4 •�2C� S!/, C�c
4♦
DATE 3—a, q—'7�'
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 ita streets
accepted by the City of Costa Mesa. -
The undersigned, by executing this-agreement, acknowledges that
(he-_`_- _`__; ) 'l� (was ca�sere) ,GG�l� advised that this [ract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
ae 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.
Y4��`ii\.��. DC�A;',iicitiil�.
P.O. 60:: 1200
Costa Mesa, Ca. 92626 . �'
� -�q = ��/
g : o � a,-.��
::,., .
BY �
urchaser
. _._ -. � ' C '
ax � ��z - ca�a..t;c'� .J�/l��r , c �'.,
Developer and/or authorized
representative
BY :7`.��1'c� �/.c�.rn*�
'Lender
----.._.,._�_.__._.... .. . _. .
, . .. . . .. ..._.. _ ., ,
,,._
"_. ��--...,,..., �.r- .------------------.. _.
OWNER ��N
JOB ADDRESS 3!+$7
GENERAL CONTRACTOR
A'' LO'
I TIONS
sc..
GAS
WATER
ROUGH PLUMBING
PROP. SWft. �INE HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROIIGH HEATING ANO AIF CONOITI
UN�ERGROUND
ROUGH WIRING
TRENCHES
FLOOR SYSTEM
BONO 6EAM �
SHEATNING
POWER
FORMS � STEEL REINF.
STEEL ftEINFORCE n
FRAME AND FLASHING
LATNING - IN OUT
PLASTER,BROWN COAT
ST �URAL, FINAL
HL ., VENT., REFRIG. ANO A.C., FINAL
PLUMBING, FINAL ANO 6A5 TEST rQ/
ELECTRIC, FINAL
BUILDING, FINAL
DATE
SUBCONTRACTOR
':[HJ�
------ ___ _ _
_a �� 3b3k3I
OSTA MESA BUILDING-SAFETY DEPARTMENT
SO]. p.O..BOX1200 COSTAMESA,CALIFORNIA92626
For Applicant to Fill in Completely
BUILDING
ADORESS
z .
ww
a U
Z
Z Q
O�
am
J7
J N
Q W
n] J
j m
Q
U N
Za
W �
aw
J Q
m Z
J �
W W
�
z�
w�
y 2
70
r
z
Q
U
J
a
a
Q
�
F
�
z
O
H
U
7
�
N
z
P
Yf�10 �.._-f:��_
'PR 11-73�,.�s�GO 5E33;c �. ?.8S
ON FOR BUILDING PERMIT
DA E ECEIVED DATE ISSUI
� ' APR 10
owNEa Iarwin Southern California �+•P�NO. —
BUILDING �J
AODRESS 16255 Ventura $ZVd. ADDRESS J f�
CITV Encino, Cali�f, No.`�986-8890 TRACT771H
CON5TRVCTION . _ _ . _ . b�' �+DD
BRANCH 16255 Ventura B1
ADDRESS FriClilO_ i.'fl11foT'il
ARCHITECT TEL
ORENGINEER Larwin S. Calif. No.'273-4464
ADDRESS 9100 Wilshire Blvd „ Bev. Hills
CONTRACTOR Larwin Southern California -
�ADDRESS 16255 Ventura Blvd.
TEL.
cirv Encino, Calif. No. 986-8890
STATE pTV
LIC. NO. ].9],311. LIC. NO. B-1
OF LOT � (O X ZOO I NOW ON LOTS O
USE OF
EXISfING BLDG. '
SIZE OF NO. OF �
NEWBLDG. Z��FO FOOMS STOFIES 1
EXTERIOR WALL ROOF '
COVERING StLLCCO COVERING WOOCL shinQle
USE OF BUILDING AND WORK TO BE PERFOflMED �
Construction
� %ucy} /�
LOT 3
. P
�✓ Sv C'.� z-
�_ VAWE /
FIRE
ZONE Y
APPROVE�
BV L
ZON _ / NO.OF
PLAN$ �i
VARDS APPfiOVED
MAIN BUILDING
(FROM C/L STREET)
VAR. #
Residence c.u.e.�
DATE � "% �
F
VARDS APPROV ED
BET. BET. MAIN &
�. ACCE$$.BLDGS.
DATE
APPROVED
� '�" y 3
FOR S ECIA REOUIi�£M�NTS
' I hereby acknowledge ihat I have reatl this application and state ,
� that ffie above intormation is correct and agree to comply with .
all laws regulating builtlinq'constructlon, entl I shall not employ
any person in violation ot the workman's compensation laws of
the State of California. ,
1 hereby certify ffiat I em proAerly licensetl as a conbactor untler SQ. FT
the State of Calitornia Business antl P�ofessions Cotle, Division 3, HE AMOUNT S
Chapter 9,'end chat such licenus are in full force antl effecc, or I THE PURPOSE OF
am exempt from the provisions of the Staie ot California Business VALUATION
antl Profess�pns Cotle, Division 3, Chapter 9. �
Pe�rm tte�d'�'/�l/[al_ _� � D. Downs $ 26, 400
Authorizetl Agant
UN
TOTAL
i
TAX �
0
VA�UATION IS FOR �
A PERMIT FEE ONLV: ¢
E $ 94.00 �
:K $ 47.00 E
T$ .141.00 "
, __
�OWNER SMITH� CHESTER E.
JOB ADDRE55 3'+ 7 Fuc s
� r°NERAL CONTRACTOR gy, E
Jo. ].2-172-03 LOT
i�.>PECTIONS
Pool Location -
Forms
Main Drain
Steel Reinforce
Elec. Bond �
Approval to Cover
Underground Electric
Gas Piping Test
Filtering System Lines
Backwash Lines and Recep. _
Electrical Final
�r and Vent Final
. System Final
Backwash and Recep. Final _
Fnnrinn Final
DATE 5-15-7u
BUILDING PERMIT NO. 384
DESCRIPTION of WORK Pvt.Swim Pool
FIRE ZONE VALUE $ 3300.00
Date GROUP J TYPE III ZONE
i-�'� SUBCONTRACTOR PERMIT$
Date Num
Electric
,1�7y ,t� ��,� �� 5,.�-�v 3�y
/3 ��y
"�-' �Plumbing
� � �J'Qi�,.i��t,�n. �iQO.v, 5 =/5-74 � 55
.�
�.: .
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING2
ADDFESS/ �
OWNEP �
MAIL
Z ADDRESS
W W TEL.
dU CITV NO.
ZZ
Q CONSTRUCTION
O N LENDER
am
J � BRANCH
J �
m J ADDRESS
J m ARCHITECT TEL.
a OR ENGINEER N .
U �
Q
W.� ADDRESS
d w �J O CONTRAC
m Z
w � ADDRESS '��,�'a.-- ,�..��
p w TEL.
Z � CITV ..yw_ NO.
O STATE CITV
N� LIC. NO. I 9�/L,� 7 LIC. NO.
� � SIZE NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
� SIZE OF - NO. OF
Z NEWeLOG.��6 qOOMS STORIES
U EXTERIOR WALL ROOF
COVERING COVEqING
J E O BUI NG ND WORK TO BE PERFORMED
a
a
a - - - aFl.�
Nl,IL`
'�?�Y15-74�,;;.00 585�t :.=*�59.�0
APPLICATION FOR BUILDING PERMIT
rvv.
BUILDING �
ADDRESS
T R ACY �� �
EW ADD AL
NER `
5
. FIRE
ZONE 7
APPROVED
BV
ZON NO.OF
PLANS
VAROSAPPROVED
DISTANCE BET
VI hereby acknowletlge that I have reatl this application and stare
� that the above information is correct and aB�ee to comply with
� all laws regulating builtling consttuction, antl I shall not employ
� any person in violation of the workman's compensatiOn laws of
y [he State ot California.
? I hereby certity that I am proparly licensed as a conttacmr untler SQ. FT.
the State of Calitornia Business antl Protessions Cotle, Divisicn 3, THE AMOUNT SI
Chapter 9, and ffiar such licenses are in tull torce an fact, or I THE PURPOSE OF
am exempt tron tt:e O�o�isions of the State ot Ca' om' Business VAIUATION
and Protessions C , Division 3, apter 9.
Sipnature ot
Permitt $ �3Q�j
Auffiorizetl Ageni
VALU$ ���
/f/� GROUP �/
DAT��/S I
USE OF NEW
BU�LDING P�OG
VARDSAPPROVED
ACCESSORV BUILDING
�. ,bP i
/� �/ /�
,( J 1!/ FT.
9 �J ��
(A FT.
, FT.
BET. MAIN &
ACCESS. BLDGS.
DATE
APPROVED
neTG ����/
� m
�
�T�� �
JN UNDER VALUATION-1 R �
ABLISHING A PERMIT FEE ONLV: m
¢
ro
PERMIT FEE 5 � � �
�
a m
PLAN CHECK $ V � E
o`
��J LL
TOTAL FEE S / �-"v