HomeMy WebLinkAbout1691 PALAU PL - Building Permits O� CITY OF COSTA MESA
4 rWr BUILDING DIVISION
>t DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
1 'a • PERMIT
J .oians.�`+ 'B03-00088
(714)754-5273 • Fax(714)754-4856 • vnvw.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1691 PALAU PL Status: ISSUED
Suite: Applied: 01/17/2003
Vicinity: FRONT AND LEFT P.L. Issued: 01/17/2003
Parcel Number: 13927110 Zoning: R1 R1
Applicant: RAMIREZ, JORGE ISSUED BY: /`e.
Address:
Phone: 909-285-7597
Zip:
Owner: WOTTA, GREGORY F
Address 1691 PALAU PL
Phone:
COSTA MESA,CA Zip: 92626
Contractor: JORGE RAMIREZ
Address: 11595 NIAGARA DR
Phone: 909-285-7597CELL
MIRA LOMA,CA
Zip: 91752 License: 815817
Arch : - Eng:
Address: Address:
Phone: Phone:
•
Zip: License: License:
SCOPE OF PERMIT
CONSTRUCT 96 LINEAL FEET OF BLOCK WALL 6 FEET IN HEIGHT AT THE LEFT SIDE(ADJACENT TO MESA VERDE DR.)AND FRONT PER
CITY STANDARDS.A 4 FT WIDE GATE WILL BE ATTACHED TO FRONT WALL.
FEE SUMMARY
Plan Check: $45.01 Calc Valuation: $1,920.00
Permit: $69.25 Claim Valuation: So.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $114.76
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28.§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and.become void If work Is not commenced within 180 days,or if work Is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections end final approval must be obtained.Failure to obtain Inspections and final approval will result In the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00)
DECLARATIONS ` s
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued.
My workers'compensation Insurance carrier and policy number are:
Carrier Policy Number: , 22 02 „Rd;r O 02 S6O2O
(This section need not be completed 11 the permit is valued at one hundred dollars($100)or less.)
❑ I 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,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.rr ,,pp
Applicant Signature: X�Y,vuR. Date: /—/7—0 3
WARNING:FAILURE TO SECURE WO RS' PENSA11 COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARS($100,000),INA MON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES,
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lie.0 rTp/ %•f /2 Class ft b /f IC
Contractors Signature: Dm"( lila n t/. Date: (—/7—033
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
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 or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of DivLsion 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ 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(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself 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 completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). •
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feel high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑Yes 0 No
(Section 25505 of the California Health and Safely Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure). _ _
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safely Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a$$ modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 It a permit from the South Coast Air(Duality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No
_._.... .._....._..li______..__.
8 (If"yes",attach certificate
ofof compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials end Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature Of Legal Owner(s) Date
3 _
And/ Ifdrized Apgl(cant Date
CODE! INSPECTION TYPE 2TE INTmALS gODET INSPECTIONTYPE CAIS INTITIAL5
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof F 210 Final Electrical
201 Final Block/Retaining Well (d?c,. 212 Final Fire Prevention
202 Final Factory Fire Placa 220 Final Planning Approval
203 Final Sign 222 Final Slte
204 Final Demolition - 250 Final Building/Occupancy
70 Fr. N
1 663 - 00(7 g
DIVISION OF BUILDING SAFETY
I CITY OF COSTA MESA
ROVED APPROVE,
I By 51FJ/�i �/y� Date CITY OF COSTA MES
' This set of plans and (K. MUST be kept on this job at all t' and a is unlawful to PLANNING DIVISION
make any changes ordemeans onsame Scutratan permission From the DWisianofMang SUBJECT TO BLDG. Dot ', t
and Safety,City of Costa Mesa. 503 Dao9.6(�
Thestampigofthsplanantspe fcatwnsSHALLNOTbeheldttoopamitortobeanapproval NOTE:ADDITIONS,DELETIO
of the violation of any pnwisions of any COof Costa Mesa Ordinance and/or State law. OR CORRECTIONS SHALL B
These plans and permit shalt expire by limitation and become null and void if the building or APPROVED BY THE PLANNING .r
work is not coosnsnced and mSta ted active per UBC§393(4)within 180 of issuance.
Y:--�I� l�t_� DATE: Ihl f
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ti Ja a
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I i 5 ft.
,t •
6' Gee 5' /00 Gr.
'P ` A,
lb r
10 PPO-PA.) PL
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TYPICAL 611
CONCRETE BLOCK FENCE
' Cement Coping Optional GENERAL- NOTES
Channel Block With 1.3/85 ill
■, _-- _n 1 I
Horizontal Top of all
Fences II 111.1 all
MORTAR; One Part Plastic Cement, and
Three Parts Sand
For Fences 5'or Less 01 MI� It 1 r GROUT: One Port Parts Sand and
9 a 11 c� One Half Parts ,and
Ven.Bars 3/8"0 al 4' -0"O.C. d O COPING:
One Port Cement, Three
��� 4 iz IP_ • .I
M I Parts Sand
For Fences Higher Than 5' f0 u
Ven. Ban 3/8"0 at 32" O.C. ,- u CONCRETE: Weil Mined 1:2-I/2: 3-I/2
�" > z „ Max of 7- 1/2 Gollens of
Fill Cells Solid With Grout I > z Wafer Per Sock of Cement
Where Steel Occurs r
R r.InlMcing Steel Shall �1 4
2 IGROUT MAY BE POURED FROM THE TOP
Conform to Sec.A-15-39 11' OF THE FENCE IN CELLS WHERE STEEL
•
A.S.T.M. '��1 W -, !� ELLS AND AREAS CORCEMENT SHALLOF BEHORIZONTAL CLEAR.CAN&"
All Steel to be Lapped 1LL
I
H
All or to Code FREE OF ALL MORTAR DEBRIS,ETC.
11.1
NATURAL GRADE I'Pt
v V III
I
o_
TWO
WAS -mil
CONTINUOUS TOP I O
&BOTTOM —81-1 101 r----WIDTHill TO 16. 0 C MAX a
SEE CHART s�"
HOR1LSTEEL MUST BE TIED IN BELOW
PLACE AT TIME OF TRENCH OC PTH CF C ARTHTCOTH
INSPECTION. t L I/3 THE HEIGTH Or FENCE
j+ - Br-LOW BOTTOM OF FOOTING
:.4i0" 1 2..—J0-_ SCALE: I/2r = I'
FOOTING REQUIREMENTS CHART
I WALL HEIGHT 6' 5"----71r 3'
WIDTH • 14" . 14" . 12". 12"
THICKNESS • • 10" "10" 8 " 8 "
DEPTH OF EARTHTOOTH 24" ,20" 16" 12"
r SPACING OF EARTHTOOTH 12' 14' 16 16'
1 ..
.•
. •
BUILDING DIVISION
(-Ir)
Lac)
1=
• . . .
•THIS SKETCH IS FOR INFORMATIONAL PURPOSES •SOLID WALLS/FENCES BETWEEN 2'6'&6'IN HEIGHT SHALL
ONLY. APPLICANT IS RESPONSIBLE FOR PROVIDING BE SETBACK AT LEAST 10' FROM FRONT PROPERTY LINE.
AN ACCURATE REPRESENTATION OF THOR PROPERTY
IN CASE THE SHAPE AND SITE DO NOT ODRRI?SP'OND •SOLID WAILS/FENCES SHALL NOT NDC®7 6'IN HEIGHT
WITH THE INFORMATION PROVIDED ON THIS SHEET. WIITIII10'OF THE FRONT PROPERTY LINE(NOT CURB LINE).
•VERIFY DISTANCE FROM CURB ID PROPERTY LINE
AND SHOW ON PLAN. VERIFICATION FROM THE ais
ENGINEERING DIVISION IS REQUIRED. CALL(714)7544347
FOR INFORMATION.
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' RESIMNEE RESIDENCE RESIDENCE RE9ODNCE
WI I I I
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STREET _
BLOCK WALL LAYOUT FOR BUILDING PERMIT
PLANNING DIVISION
.
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CITY OF COSTA MESA
Asa l.Pt I CALIFORNIA P. O. BOX 317
t. -�_ i FROM THE OFFICE OF THE DIRECTOR OF PLANNING
October 5, 1967
Norm Mitchell
1691 Palau Place
Costa Mesa, California
Dear Pool Owner:
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.
2. 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 and have a self-closing and
locking type gate or gates.
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 area.
Sincerely yours,
Si/
William L. Dunn
Director of Planning
ri
INSPECTION 6 TESTING ENGINEERS //izi&L
RESEARCH d ENVIRONMENTAL TESTING
CHEMICAL 8 PHYSICAL ANALYSIS CORROSION ENGINEERING d ANALYSIS
P. O. BR. 1Bea • 3Ca Airport Way
TwininM Laboratories I514-D N orth Harper Street
Long Beach, Calif. 90806 Santa Ana, California 91101
(213) 426.3155 • (213) 636-2386 • (714) 8286632 (714) 511-2045
Since 1898
August 9, 1967 Examination: SC67-3605
GUNITE
COMPRESSION TESTS ON COMM CYLINDERS
Jos. M. Henley
1973 Newport Blvd.
Costa Mesa, California 92627
PROJECT 15 x 38 Swim Pool for NORMAN MITCHELL
ADDRESS 1691 Palau Place, Costa Masa
SAMPLE FROM 2 Cyls. Bottom Deep ends 2 cyls. side wall-house side
2 cyls. bond beam-deep ends
ARCHITECT CONTRACTOR
Tibor Ginter Sunset Pools
ENGINEER SUBCONTRACTOR
- - Century Gunite
SPECIFIED
MIX - - 1 STRENGTH 2,000 psi
DATE CAST ,8-2-67 SLUMP
DATE TESTED 8-9-67 8-9-67 8-9-67
CYLINDER NO. 10 11 6'ell 12e
SIZE: 6" x 1311 6". x -12-3/4" x 1211
COMPRESSION 7-Day 7-Day 77-Day
TOTAL LOAD, LBS. 81 ,500 107,000 88,500
POUNDS PER SO. IN. 2,880 3,785 2,667
13"HOLD" 14"HOLD" 15"HO 6-011
COMPLIANCE 7-day test complies with specifications .
MADE BY DELIVERED BY RECEIVED ON
CYLINDERS Jos. M. Henley J.M.Henley 8-3-67
RECEIVED
DISTRIBUTION:
BUILDING SAFETY DEPT.
Jos. M. Henley
Sunset Pools AUG 10 1967
Century Gunite
---,Cos-et-Mesa Bldg Dept. AM • PM
Gene Crosley 4c n 815)1 .11112441:18141318
ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AUTHORIZATION FOR PUBLICATION OF OUR" REPORTS, CONCLUSIONS. OR EX-
TRACTS FROM OR REGAPO.NG THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS.THE PUBLIC AND OURSELVES.
3r, 12
aft 1
_ 11320 EE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX SI? COSTA MESA. CALIFORNIA FINANCEDEPT.JAN 211960 u
FOR APPLICANT TO F/[C IN COMPLETELY APF�LT F�71&NSTPO '"PERMIT
TYPE OR PRINT BUILDING
BUILDING 1691 Palau Place
ADDRESS
COSTA MESA. CALIFORNIA FOR OFF/CE USE ONLY
OWNER Kenkol Development Co. , Inc, I RECEIPT NO. lir.�JL` `2i')
MAIL 1555 Placentia RECEIVED BY I DATE RECEIVED DATE ISSUED
ADDRESS N/-11-- r-a/-(�O JAN 2 T ,„
CITY Newport Beach T�o:6i3227 BUILDING - VVJ
ADDRESS
AR INT LIC.
OR _ JINEER NO. COSTA MESA. CALIFORNIA
FIRE /
(�p�
CONTRALTO
ADDRESS ZONE TYPE GROUP !)'
STATE
NO. APPROVED
15K.W. Kill LIG 61195 BY DATE
55 rlacentia
ADDRESS Newport Beach ZONING
13529 I ��
LEGAL LOT ZONE /� NO.OF ��qq '',USE OF NEW Qi Y�
DESCRIPTION NO. 35. I BLOCK TRACT I1K 1 1PLANS yl BUILDINOA /
BYPROVED Co f- . L"IN-707
O DATE``''�r7��•�TT��T�AAllll , (Oe
SIZE 96299 irreg NNow oN LOTS D YARDS
REQUIRED EV ALLOWED VVll--
OF LOT
USE OF None (CENTER LINE ST.)
EXISTING BLDG. 281 �•FRONT 13-1913-19Fr. IN.
U
SETBACK LINE FROM 60, • 0REAR YARD �
CENTER OF STREET R.SIDE lJ FT. IN.
SIDE YARD I LEFT 10' I RIGHT 5( - L.SIDE /0 FT. IN.
DESCRIPTION OF WORK • p� r` T. L L
REAR /T PIN.
I X II ALTERATION I II ADDITION I
REPAIR I II MOVING I ry II DEMOLISH I
S ZIT DING 1800 SiOMS (ROOMS nSTORIES 1
EXTERIOR WPijlt.ICCO COVERING Rock
COVERING Jli
USE OF B ILDING AND WORK TO BE PERFORMED
Single-Family Residence and
Attached Garage
I HEREBY ACK • EDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE AT E ABOV IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH L I ORDINA ES AND S ATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING ONS R•CTION. VALUATION
SIGNATURE OF , ///��, PERMIT FEE $ ?"�
PERMITTE: A r ISI -- .T - / 9 gs
$ l�� PLAN CHECK S Li f-^
' AUTHORIZED AGENT TOTAL FEE $ �/7'�
OWNER FLETCHER) ROGER DATE 8-25-77 •
JOB ADDRESS 1693. Palau Place BUILDING PERMIT NO. 44548
GENERAL CONTRACTOR Air Knn1 DESCRIPTION of WORK patio F ,c1ngnrP
Ars "01_19-271-10 LOT TRACT FIRE ZONE VALUE $ L 400.00
li SCTIONS Signature Date ,TYPE V GROUP j ZONE R-1
SOIL - PERMITS ISSI(ED
AS
Data Number Signature
ATER
GPlumbing
IG/
PLUMBING I I
PROP. SWR. LINE 0HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS SUBCONTRACTOR
•
OUCH HEATING AND AIR CONDITIONING'
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0
ROUGH WIRING Heating and Vent.
TRENCHES FORMS STEEL REINF.
FLOOR SYSTEM
BOND BEAM n 'STEEL REINFORCE
SHEATHING
FRAME ANO FLASHING
LATHING - IN n OUT n
PLASTER. BROWN COAT
S" TUBAL, FINAL Electric
H. AG, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL • .
BUILDING, FINAL _ _ _ _ q a
i` 44548HSA
AUG PAID
hUC 25 77002746;F ***x23.00
• t
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant
�'to Fill iIn\J Completely — Use Ink Only RECE V BV rI�{TE RECEIVED D(y�Tfc ISS�U^E''D
BUILDING .1A 1 /`' 7q IU kl < pt . V•--�./�•i71
ADDRESS i{'.' .It �^( �i E�gJ/'�{,r�r/��
OWNER i\ J�PIANL 1 el'C (— o A.P.NO. I ,J( '��I '.�� PST -!�/
MAIL /n4 I�,{ SU Aa� I • BUILDING I (pi ^.
ADDRESS t ADDRESS �/����J1 r�/r�
CITY (04, itlec_ NO.,5504� TRACT 2t J LOTr) BLOCK
CONSTRUCTION NEW TER REPAIR MOVING DPW-819H
LENDER
BRANCH i % v „ _/O
OWNER 140-`lam lyii l�lwtlC_.
ADDRESS I ,
AR ENGINEER !) W ^ TE L.(�' n �,.tS�� Gc c VALUg,/
s.Lur Pr NO. IR /-/1 V" d
N FIRE
ADDRESS iI 5,1 kP LOteS t ZONE / TYPE GROUP
Q �J'J
APPROVED/Z/ �f/e JDATEp�/t �//
CONTRACTOR A [r' K00 T BY L(/� //�ll�Sr
ADDRESS Ila (k h�re .11J"'Ur••
ZONE NO.OF 2 USE OF NEW �It. •j�,
X71 11 yy77 PLANS BUILDING
CITY C'.t� Q �, NO. J I S'-1S Y•�11D c""b-r_
F I' �LLS pr(/�//I
LIC. O=C oo„,,L3 1 5 `b 1 LIC.NO. YMAIIN BUILDING ACCESSORY�BUILDING
Uj IILL,DIII N�G�/J
9.1 (FROM Cl STREET)C 41//T,ITraeipLC
SIZE NO.OF BLDG& I
O. OF LOT NOW ON LOT FRONT
Q USE OFzzQ� a Z I/ ./.
N. EXISTING BLDG. R.SIDE Jam. /`-' ®T,
E—.
Separate permits are required for L.SIDE . T. f�%7i-/7G
electric,plumbing and heating work. �J i0'/I /
REAR / t1 FT. 3I FT.
ILI
i.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
et MAIN BLOCS. ACCESS.BLOCS.
• i VAR.# DATE
'1 31-)4;117.-. t— J1 r-1a Skr`P — reevt i C.U.P.# :. APPROVED
'C /��t
7 �L.t, APPROVED/ /' t's2,� 22
a 4.14
18 -
0+ N
I hereby acknowledge that I have road this application and state n
that the above Information Is correct and agree to comply with m
Ct• all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of 2
the State of California. Q� m
I hereby certify that I am properly licensed as a contractor under •
J 50. FT. N
the State of California Business and Professions C9tla�Dlvision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such lieens& re in full fore and fact,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exop t fro1T�he prov zio f t State of California uslnesz VALUATION, PERMIT FEE E e,
/� ��1 a
and Protessio�• Div! l0 3, he or 9. ATI I �.J f fru m
/5:01-..11-;fl
11-; rte_ PLAN CHECK E Iso rere
Signature o /,/r`y�/ �p //�•
Per ltt �, O �(j� �j _ $ (/(,/ TAX - E •NO V
Authorized Ageni \ •
TOTAL PAID. E 2.?s o-
AVWNER DIJ.:1\+nliLL, 1VV 'ln DATE 1 -1-"t v
3JOB ADDRESS 1691 Palau Place BUILDING PERMIT NO. 27280
.S GENERAL CONTRACTOR Blue Haven Pools DESCRIPTION OF WORK Pvt.Swim Pool
..'& AP No.1R9-271-10 LOT TRACT FIRE ZONE VALUE $ 2,300.00
I ECTIONS Signature Date GROUP J TYPE III ZONE 11-1
Si,_ I PERMITS ISSUED
Gas SUBCONTRACTOR Date I Number I Signature
Water Plumbing
Rough Plumbing get,ict.xV e 7_/c47eThz.o
Prop. Swr. Line 0 House Con /
Sprinkling Systenl,(LCat-4, ao-en /4.7-fi'7-2-6-le)
Miscellaneous CtA.1_,Lfrl-/.,.b,7
Rough Heating and Air Conditioning
ndergroundPower 0 (7
Rough Wiringfj9 y 9. y 7 Heating and Vent.
Trenches 0 Forms 0 Steel Reinf. 0 ;co I tete WI
Floor System ,,,aw„u rat/
Bond Beam teel Reinforce 1:11--- /S 7—ZC--07 Ordh ma Kai. 0
Sheathing �a eti 44,1"-S. P---i --407 /O 06;
Frame a d Flashing
Lathing— In 0 Out 0
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S' aural, Final Electric
1. ng, Vent., Refrig. and A.C., Final / _L' I ' " -/ d '1%
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Electric, Final /14 �%7 G)
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COSTA MESA BUILDING-SAFETY DEPARTMENT
is.O. BOX 1200 COSTA MESA, CALIFORNIA 9262E
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING J / V AlA 4u AG For Office Use Only
ADDRESS (�
RECITE!NO. PERMIT NO.
COSTA MESA. CALIFORNIA 2,",)Qel
C77OWNER /�1 ,{�
MAIL BUILDING (29/ I412,f,. ,U i piet /
ADDRESS FIRE S ! �-C'C7.7��-- GROUP pieta.)
NO. ZONE :t. TYPE ,f/J •j
APPROVED �{—'/A/�/jJ Com/ '7
I .HITEGT 4,4_,&•,b
TEL BY // ®c/ DATE�// �/
ENG!NEE /J NO.
ADORES O
Cent. -----41-3 Q /� ZONING /
///���///fff IONHHd'''ttt MO.Or USEOr NEW if til+ (
� ,/ L49 L // /s (V�/ I PLANS •1 I BUILDINGALL
CONTRACTQ_ICIYST//fJ Q %!J/✓.!'///1////00 S' AL i. /� L /� (y
��� DECAL Lot ,'}l 77C 3 7 c �/
/I""�/y��ie)t i0/Z --
CITY
DCDCRImoN
ADDRESS Jay/ y/��� � � �,'l
CITY >"c/ .S26,-1t'' A.P.NO. / 3 -/ - H 7/ — / v
/y+�� .y '''f L� NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
LIC. EG /K►t J/ NO,V' e°// 4/Y d0'TO SIDS&REAR P.L.
SIZE a3•ii JI 4 it'll-TY No.or SLOGS. EAVES
ALLOWED -(U.B.C.REQUIREMENT)
OF LOT �/ui If` , /y'D ,,(JC NOW ON LOT YARDS APPROVED YARDS APPROVED
USE OF / /,(1•J� j GGq 't` MAIN BUILDING ACCESSORY BUILDING
EXISTING BL
(FROM C/LSTREET I /1-T/ // /,�
SETBACK LINE PROM FRONT - FT. t FT. In Ap
CENTER Or STREET REAR YARD / /
SIDE YARD I LEFT I RIGHT R.SIDE PT. 6 FT.
DESCRIPTION OF WORK L.SIDE Fr. a-J 6
—FT.
NEW /
ALTERATION ADDITION REAR PT. (�FT.
DISTANCE BET. BET.MAIN&
MAIN BLDGS, ACCESS.BLDGS.
REPAIR //// MO]/ING DEMOLISH
BUILDING*0 SA(/�L NO.OF VAR.* DATE
SIZE w/ ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALL ROOF APPROVED / /e / _ /
COVERING I COVERING BY bay
ADATE 77 llLL�� I�
USE OF BUILDING AND WORK TO BE PERFORMED HOLD FOR SPECIRt,/REQUIREMENTS a
I SO.FT. ✓ / X
t HEREBY ACKNO EDGE THAT I HAVE READ THIS CATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE THA E ABOVE IS CORRECT AND 0 COW PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. eJ�.
PLY WITH ALL_ • •-DINANCES AND STATE -•ULATINS
BUILDING CO Y• •N.
VALUATION /� DS 0
SIGNATU' r A •• 00 PERMIT FEE $ qq
tPERMITT' i / 6 o
/�j $ Edell) PLAN CHICK $ 1�'
AUTH9RIZED AGENT c / TOTAL FEE $ .471 -------