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
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ADDRESS
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/, DATE // Q
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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