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HomeMy WebLinkAbout1141 GLENEAGLES TERR - Building PermitsApplicant to fill in all CITY OF COSTA MESA COPASTRUCTION PE MIT Project Address Applicant's Mailing'Address 6 Owner's Name' Address Arch/Eng. License No. Address Contractor's NameL Phone``(IDO! Address (mailing) City License No LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full fog 1 effect, License las ens o. ,are r Signature WORKERS' COMPENSATION DE ARATION z- ,,,,reby affirm that I have a certificate of consent to self -insure or a certificate =Workers' Compensation Insurance, or a certified copy thereof (Section -',1), Lab. C. Policy No. -- Company Lif C: tl opy iS hereb furnished. L4 Ce "fie op i filed with the city B 9 Dale Yi, Applicant EXEMPTION FROM WORKERS' CO ENSAT ION DECLARATION (Thissection need not be completed if the permit is for one hundred ($100) or less). 1 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 subject to the Workers' Compensation Laws of California, , Date Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the pe fr ormance of the work 'for which this permit is issued (Section 3097,y Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisionsof the Contractor's License Law (Chapter 9 (commencing with Settiom7000) 0f Division 3 of the Business and Professions Code) or that he/she isexempt '+from and the basis for the alleged exemption. Any violation of Section .5 by any applicant for a permit subjects the applicant to a civil 'fly of not more than five hundred dollars ($500). LJ I, as owner of the property or my employees with wages as their sole compensation will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's . License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/hersel&or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- prove efor the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- tractorsto construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a con- tractor(51 license pursuant to the Contractor's License Law). I am aware that. proof ofi their Worker's Compensation insurance should be provided to me. ' ❑ I am exempt under SectionB. & P. C. for this reason except those within heavy border lines and sign all appropriate . _ TRACT NO. LOT NO. UNIT NO. _i23q TYPE OF CONSTRUCTION LJ NEWLJADD ALTERATION 6033 •3/02/88 I 5900 TL CONVERSION DEMOLISH OTHER A.R. # - ' - Zone _ DESCRIPTION OF WORK/USE OF BLDG. Reinspection Fee $15 Issue Fee =. $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Issued By S Main Building: Accessory Building: BUILDING PERMIT . PLAN. CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ $ $S,Ob $ $ $ - $ -, $ SMTP $ PERMIT - ISSUANCE $ - ENERGY P.C. $ GRADING - $ 1 .MICROFILM $ TOTAL FEE $ , TYPE OF PERMIT GRADING OUNDATION STRUCTURAL T Front $ 3 O ❑ TENANT 11 ELECTRICAL PLUMBING ❑ MECHANICAL B N ❑ OTHER ' ' A Rear I C Right-" - — - 'G PROJECT DESCRIPTION So. FT. OCCUPANCY K CONSTRUCTIONS,TV PE VALUATION$ I $ Left ' R ZONE GRADING CU. VOS. ACRES Ping. Ref. # Parking Req./Provided E Q Remarks: Planning Notes:RFrFIVF:n- M T S - PLUMBING FEES Bar Sink •- - Showers ELECTRICAL FEES Backflow Preventer Service Sink Automatic Washer' Transformer ❑ 15-50 KW Backflow irrigation Sewer Cap Construction Pole Sub.- 0•50+KW Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps _ Clarifiers Solar Collectors Dishwasher Meter ❑over 100 amps , Dishwasher- - Solar Piping Dryers ❑Gas ❑Electric - Sub Panel Drinking Fountains Solar Tank Fan Motors ❑0-1HP❑1'/x-8 Floor Drains Swimming Pool w/Spa-- F.A.U. Inc. Solar -09-15 HP E116 115+ Floor Sinks Urinal Fixtures Microwave Gas Service Outlets Water Closet Device Boxes Pole Light Interceptors Water Heater Outlets Range Kitchen Sink Water Service Switches - 'Sign " Lavatories Auto -Wash Garbage Disposal Standing Sections ' P—Trap Laundry Trays Generator 00-5 KW 05-15 KW Trash Compactor Roof Drains i I , Reinspection Fee $15 Boiler _ Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Bit. ICBO # Date owner 1 1 Heating System & Ducting I hereby certify that I have read this application and state that the above ❑0-100,000 BTU ❑100,000B - information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre- sentatives of. t cit t enter up n t above-mentioned property for , inspection cur s./� �� O - Signature Date__01 - (0 -Y Drivers' License or SS # Reinspection Fee $15 CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Issue Fee Hood or Type I ❑ Canopy Type I I ❑ Refrigeration System ❑o-100,000BTU ❑100,000 System Repair/Alteration Fire Dampers ' Registers Issue Fee S3 Reinspection Fee $15 Issue Fee =. $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Issued By -' Date ' Date BUILDING PERMIT . PLAN. CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ $ $S,Ob $ $ $ - $ -, $ SMTP $ PERMIT - ISSUANCE $ - ENERGY P.C. $ GRADING - $ 1 .MICROFILM $ TOTAL FEE $ , $ 3 CONSTRUCTION AND PLANNING APPROVALS Permit;,# Date Inspector POOL & SPA APPROVALS Permit# Date" Inspector 1. Temporary Electricall geFvice or Pole r•• 52. Pool & Equipment Location 2. Soil'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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit -Undrgrndvl 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test'".` 9. Water PipV-Undrgrnd. 60. Backwash Lines, P -Trap, E3�Uridrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK Ld 11 ' 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit - 66. Solar System -Final - 16. Rough Electric Wiring 67. Fencing &"Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING - 18. Rough Electrical -T Bar Ceiling - 69. POO USPA SYSTEMS FINAL -19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas El Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 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 30. Drywall Nailing HEALTH DEPT. REQUIREMENT .-C- 31. Plaster Brown Coat 79. FINAL INSPECTION;-� 32. Electrical Power,Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: - 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 3 -/DIM Loo ' 39. Water Service -Final _ 40. Gas Service -Final - -41. Solar Domestic -Final - - 42. Backflow Preventer 43. _Backflow Irrigation - .-44. Landscape Irrigation System - 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING - -48.,Special Requirements Completed 49: Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ' "' Applicant to fill In all spaces within heavy border lines andsign all appropriate declarations. CITY OF COSTAMESA PERMIT N s- TRACT NO. LOT NO. BLDG. NO. _ - _ 7252 10/21 /61 '' 15.0 CONSTRUCTION PERMIT / ,^IT^�YPE OF CONSTRUCTION 'tO NEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH OTHER . DESCRIPTION OF WORK - - - -" A.P.-f - -- ZONING ZONING REGULATIONS. - - . Project Address 1 Gleneagles TeTr Ce Owner ennic Phone � Address Same -As abOVe Arch/Eng. ' ` License No. Address - I ZONE - PLNrGp. RtE�F. # - Contractor PlumbingPhone he Earl' s- 772-34 YPE OF PERMIT - _ ❑ O SETBACK C L ST. PROPEIRTYNO - Address 2801 1 Anaheim GRADING ❑ FOUNDATION ❑ STRUCTURAL b DFT YARD -CONTRACTOR `- iLICENSED DECL-ARATIOrl ❑ TENANT, ❑ ELECTRICAL ❑PLUMBING ❑MECHANICA. SIDE VA RD 'I hereby affirm that I am licensed under provisions of Charter 9,(com- RIGHT- mending with section 7000) of Division 3 Of the Business and .. ❑ OTHER - . - Professions Code, and m license ense is 'm full force a d ect. - REAR YARD (TO P/L) - of Y11G� PROJECT DESCRIPTION, Llcensg�C�Sr..�^� License No. SQ. FT. OCCUPANCY—CONSTRUCTION TYPE - PKG. SPACE REq. _- STREET WIDTH _ PROVIDED _ -PARK FEE $ ,Date N/,GM Signature WORKERS' COMPENSATION DECLARATION - I hereby affirm that I have a certificate of consent to self -Insure ora VALUATION ZONE ZONING APPROVED BY DATE certificate of Insurance, or a certified copy - j �Wo.�r�kQe9rs�,'L aCpompensation therYN(c5eftr+_127601`2A'�any United'StatesPi EGRADING CU. YDS. ACRES SPECIAL CONDIT .ertlfietl copy is hereby furnished. and Guarantee REMARKS: sr Certified copy is filed with the city. Buildingpivislon. - - `d ' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the -permit is-for'one hundred +- - -- _ - - -- - - - . ($1001 or lessl- 1 certify that n the performan ce•of tha work for -which this permit -is PLUMBING I =PLAN CHECK - -_ ELECTRICAL PLAN CHECK issuetl, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. - BATHTUBS SHOWERS Date Signature ' NOTICE: If after making this declaration, you should become's ubject TOILETS - - URINALS GENERATOR 0-1 KW 1-10 KW ' to the Workers' Compensation provisions of the Labor Code, you must TRANSFORMER - -- - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW -50 + KW . revoked. - KIT. SINKS DISHWASHERS MOTORS 0-1 HP -1-10 HP CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS (INC. SOLAR) 10-50 HP_50 + HP formance.of the work for which this .permit Is issued (Section 3097. Civ. C-). Lender's Name FLOOR SINKS FLOOR DRAINS 'FIXTURES OUTLETS SWITCHES Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the -Contractor's License Lew.for INTERCEPTORS CLARIFIERS 'POLE LIGHTS the following reason (Section 7031.5 Business and Professions Code; SWIMMING POOL PTRAP .POLES ' METERED SUB' Any city or county which requires a permit to construct,_ alter, 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 to the provisions of the Contractor's License Law OUTLETS SERVICE AMP (Chapter 9 (commencing with Section. 7000). -of Division 3 of the . B--sin¢ss and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT for the alleged exemption. Any .violation of Section 7031.5 by NNECTIONS u, - ppllcant for a permit subjects the applicant to a civil penalty .t more than. five hundred dollars ($500). SOLAR TANK COLLECTORS L I, as owner of the property, or my employees with wages as their sole compensation, will do the work; and the structure is not Intended - or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. ISSUE FEE - - Contractor's License Law does not apply to an owner of -a property' ISSUE FEE APPLICATION APPROVED BY DATE who builds or improves thereon, and who does such work himself or through his Own employees, provided that such improvements are not MECHANICAL_ PLAN CHECK SUMMARY OF FEES - intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner will have the burden of proving he did not build or improve for the purpose of sale). ,BUILDING ❑ as owner of the property, ec(Se 7044, g with HEATING. SYSTEM 0-100,000 BTU .PERMIT .$ SMIp '' $ licensed contractors to construct the project_ n tion Business AND DUCTING _ ".100,000,+,BTU PLAN CHECK. $ PERMIT sLiense Law es not and Professions Code: The Contractor's License Law tloes not apply to �' �" ISSUANCE$ - an owner property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ r such tracts tracts from such projects with a contractors) licesnetl pursuant to SYSTEM -G RADING $ the Contractor's License Law).._ 100,000,+ BTU PLAN CHECK $ ❑ I am exempt under Section B_ & P. C. for this _ _ BOILERS BTV_ ELECTRICAL $ $ reason SYSTEM REPAIR, ALTERATION - EXHAUST SYSTEM MULTIPLE_ ... -- PLAN CHECK $ - -- - MECHANICAL $ 'MICROFILM '$ - TOTAL FEE $ - - - VAN Date' -Owner- � I hereby certifythat I have read this application and state that the above information is correct. I agree to comply with all city and county PLAN CHECK $ E P VANCE PC $ ordinances and state laws relating t0 Construct ionpantl hereby authorize _ - representatives f this city to enter up n the above mentioned Property for pection cm1 rposes. r Signature t_ 4 !.(Zat¢ �% O - - - _- ISSUE FEE - .- ... - _ _ FINAL FEE $ Drivers' License or SS W CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor ,01 a CONSTRUCT,IONfAND-'PLANNING Date APPROVALS Permit # POOL & SPA Inspector - Date Inspector APPROVALS Permit 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location-_ --- Soil Fpe-Un rgrn 44. Steel Reinforcement - - - 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce 47. Rough Plumbing & Pressure Test . 6. Electrical UFER Grn - 48. APPROVAL TO COVER-GUNITE' 7. Footings - 49. Electrical Conduit-Undr rn ' B. Foundation - - 50. - Gas Pipe, El Undr rn, Test 9. - Water pipe-Undrgrn - - 51. Backwash Lines P-Tra ' 0 Undrarn 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final ' 12. Street Sewer Connection' i 54. Heater &Vent -Final... 13. Rough Plumbing 55, Plumbina System 1 Firiai- 14. Rough Electric -Conduit ." " "- "" _ _.56. Electrical, -Final - - - 7 15. - Rough -Electric -Wiring - -- - -• ^' •ti'J 57. _Solar System -Final 16. Rough Heating & Air Conditioning _ ^' _Fencing & Access Approval 17. Ducts in Structure - APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing 60. POOL/SPA SYSTEMS'FINAL, - - 21. 22. Roof Sheathing 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 - - 33. Gas Service -Final 34. Solar Domestic -Final - - 35. Landscape Sprinkling System - 36. Sound Attenuation 37. Handicap Regulations 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 H. 1. LXWMASTER & CO., INC 7940 MAIN STREET — STANTON, CALIFORNIA 828-8040 67CMS-186VV-002 Field Data on Test Specimens Core Concrete Gunite Grout/Mortar Project Vim. Rennic Pool Permit No. 27809 Project Location 1141 Gleneagles Costa Mesa, Calif. Contractor Anthony Pools Architect Anthony Pool E C E E V E D B I Q IS Location in Structure Deep end, shallow end g bond Engineer beam)"ik'i — Date Moulded 11/27/67 No of Specimens �a4f r 7 .0 '{ prt- r n Slump Specimens Marked'718t°Jtl�t;'r`i?,J.t'r`13t415)� Specified Strength at----2a—days 20 7 t P.S.I. Mix Designation Age to be tested —7 days _29_days days days READY MIX PLANT AGGREGATE SOURCE Weather Condition Clear warm 1 Yd. _Yd. Batch Cement Monolith Type Cement, lbs. 7 Day Test 28 95 sk Admix Sand 12L4—i2/25-1 26 tone Specimens made by C. J. Kastorff #4 b. 05X12 6.05X11. 6.01X12 6.05X12 Data by #3 29.27 28.75 28,27 28.75 Delivered by #2 61,500 120,001 48,000 105,00 Date Delivered # 2,139 4,244 1,670 3,714 REMARKS: Water, Gals. Lab. No. Date of Test Specimen Dimensions Area Ultimate Load Lbs. per sq. in. H/D Corrected TORY USE ONLY 4009 4012 4010 4013 4011 4014 7 Day Test :,8 7 Day Test 28 7 Day Test Day Test 12/4 5 12L4—i2/25-1 2/4 2/25 6.05XI2 6.07X12 b. 05X12 6.05X11. 6.01X12 6.05X12 28.94 29.27 28.75 28,27 28.75 110, 001 61,500 120,001 48,000 105,00 2,209 3,891 2,139 4,244 1,670 3,714 RCLd6207 A(m T C&� 1 CITY OF COSTA MESA CALIFORNIA P.O. BOX X1200 FROM THE OFFICE OF THE PLANNING DEPARTMENT William Rennick 3.141 Gleneagles Terrace Costa Mesa, California Dear Pool Owner: February 2, 1968 The Costa Mesa Planning Department has been notified of the completion of your swimming pool. So that your pool will be a safe one and for the purpose of advising you of your responsibility regarding the requirements of the Costa Mesa Municipal Code, we quote Section 9298.9: 1, No swimming pool shall be constructed closer than five (5) feet to any property lines, measured from water line of pool, 20 No swimming pool shall be constructed under any electric power lines or on any electric power easement. 3. No swimming pool shall be constructed unless the yard surrounding such pool is completely enclosed by 'a fence six (6) feet in height I and has a self-closing and locking type gate or gates. I This courtesy letter is directed to you so that you will be aware of our ordinances and can make a complete safety check of your pool areao Sincerely yours, William L. Dunn Director of Planning i 'OWNER RENNIC WTM DATE 11-8-67 JOB ADDRESS 7741 1.leneanles Terrace BUILDING PERMIT NO. 27809 i 1.115-631-05 LOT 32 TRACT 34 0 FIRE ZONE VALUE $2 400.00 CTIONS Si nature Dara IGROUP j TYPE ig ZONE —1 SUBCONTRACTOR PERMITS ISS ED Date NUmber Signature WATER \ Plumbil ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. ❑ SPRINKLING SYSTEM MISCEL LAN E OU G' - ROUGH HEATIN AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND M POWER 2.2a , V ROUGH WIRING (9 v? •�dJ Heatingand Vent. TRENCHES Q ; FORMS ❑ STEEL REINF. FLOOR SYSTEM BOND BEAM TEEL REINFORCE n SHEATHING FRAME AND FLASHING wezmaln°u", .i$ LATHING — IN OUT PLASTER, BROWN COAT ST-TURAL, FINAL I t' H G, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL BUILDING, FINAL �� 27809 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620, For Applicant to Fill In Completely TYPE OR PRINT ■UILDING /�,��N,�9GLL�J ADDRESS //L/ -/" ll....JJ COSTA MESA, CALIFORNIA LlMT[ �T18/9Y[BU 'LD'NGD ADDRESS FIRE MAIL MAILADDRESS (J —� BY']PROVQO /, DATE // Q 0/ ZPRK TEL CITY NO. HIT T,p X. OINEER C ADAMS � 5671 FIRESTONE BLVD. A REDO EAVES CONTRACTOR ANTHONY POOLSANTHONY POOLS YARDS APPROVED 5671 FIRESTONE BLVD. ADDR924 (FROM C/L STREET) CITY SOUTH GATE STATE 190179 O. R. SIDE Fr.RT. 6 I OF LOT a 1 0 NOW ON LOT" REAR FT. RES AND GAR TGBLDG. EXISOIN SETBACK LING PROM CENTER OF BTRGR REAR YAR SIDE YARD I LEFT RIGHT DATE DESCRIPTION OF WORK APPROVED I xa wDATlnw I I .—Z . HOLD FOR SPECIAr. I NGREBY AND BYAT AUTHORIZED NAV[ XfAD T ND AO AG►G►LD CTONYM AND ST'Ip[GYAT PAID R0V.-9-67LN-sA00 377=" APPLICATION FOR PERMIT BUILDING For Office UEe Only 70 RGC[IPT NO. P RNIT NO RGC[ [D • GC LlMT[ �T18/9Y[BU 'LD'NGD ADDRESS FIRE ZONE TYPE GROUP (J —� BY']PROVQO /, DATE // Q ZONING ZPRK NO. OF UBG OF NGW ►LAN/ BUILDING "DAL DGGCRIRION e.l A. P. NO. NOTE: NO EAVE OVERHANG SMALL BE LEW THAN SO' TO SIDE a REAR P. L. EAVES ALLOWED (U. B. C. REQUIREMENT) YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BU ILDI NO (FROM C/L STREET) FRONT FT. R. SIDE Fr.RT. L. BIDN FT. FT. REAR FT. .J PT. DISTANCE BET. BET. MAIN S MAIN BLDOB. ACCESS. BLDOS. VAR.# DATE C. APPROVED APPROVED 6 Y TE HOLD FOR SPECIAr. gFoIITDEA4gN4:q' 6` r TNG AMOUNT BNOWN UNDER VALUATION IB FOR TNG PURPOSE OF GGTABLIBNING A PERMIT FEZ ONLY. VALUATION 42 e1:9 PERMIT FEE 5 >f�{VB•PLAN CHECK TOTAL FEE 70 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA. CALIFORNIA TARTAN HOMES INC., 7844E Rosecrans Paramount, Calif. TEL ]T Cliff, Olsten & TEL Macco 98808 -SB -1 NEOL.OR 3-4220 or BEDOS. FEE RECEIVE® P'JUN28IV FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only BY BUILDING COSTA MESA. CALIFORNIA FIRE ZONINGOF USE OF NEWIV' t6l,� J ZOII/tjj00� It I PLAN. BUILDING I./I / S SETBACK LINE FROM M (CENTER LINE BT.) /U- 1'/ t DESCRIPTION OF WORK . I X II A, I II ADDITID EXTERIOR WALLROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED Res. W/Att. Gar. Plan #679B - R - 1 727 S.F. G - 552 S.F. I HEREBY ACKNOWIPDOE THAT 1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IB FOR THE AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COM - PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CON TRUCTION. VALUATION 37.00 SIGNATURE OFe� �`� PERMIT FEE $ PERMITTE 17,959.00 18.50 $ PLAN CHECK $ AUTHORIZED AGE 55.50 TOTAL FEE