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Home My WebLink About1747 PITCAIRN DR - Building PermitsMAIN OFFICE 1535 WEST GAYLORD ST.. - P.O. BO[ 9065 LONG BEACH 10. CALIFORNIA HEMLOCK 5-7493 } SPRUCE 56526 JACKSON 7-3691 Twinina cc: Examination No. Project Sample from Architect Contractor AA Laboratories Mix Specified Strength, psi C Size Date cast Date tested BRANCH OFFICE 1514-D NORTH HARPER ST. SANTA ANA. CALIFORNIA JEFFERSON 1.2045 JEFFERSON 12046 Of = OUtliETt2 GUNITE REPORT OFE TEST CYLINDER SC65-4840 For - L. E. Sprague, 2129 Mirmar Dr., Balboa SUNSET OF ORANGE CO. 1744 Petcairn, Costa Mesa (L. G. McItinney) Floor - Wall & Beam Cylinder No. COMPRESSION TEST Total load to destruction, lbs. Pounds per square inch Cylinder made by Cylinder delivered by Cylinder received on L. E. Sprague Sunset Pools of Orange Co. Fouu tw Gunite cG6sta Mesa Bldg. Dept. Sunset Pools - 1237 So. Brookhurst, Anaheim Four Star Gunite - 11951 Vose, No. Hollywol 1-4� znia, One. 2,000 psi o 6" x 12" 6�" x 1211 6" x12" G �4/%� era 9�'r ti Oepf osa ��?� 10-15-65 / 10-22-65 10-22-65 10-22-65 11-12-65 11-1 - -12-65 1-W 1-B 1-F 2-W 2-B 2-F 7 -Day 7 -Day 7 -Day 28 -Day 28 -Day 28 -Day 97,000 82,000 85,000 3,430 2,672 3,006 11-0 L. E. Sprague ! `� L. E. Sprague 10-16-65 NOTE: 7 -day test complies with specifications. I ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AUTHORIZATION FOR PUBLICATION OF OUR REPORTS. CONCLUSIONS. OR EX- TRACTS FROM OR REGARDING THEM 10 RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES. . ;. CITY OF COSTA MESA CALIFORNIA P. O. BOX 317 FROM THE OFFICE OF THE DIRECTOR OF PLANNING December 8, 1965 L. G. Mc Kinney 1747 Pitcairn Drive 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, 4"X�Z� e L William L. Dann Director of Planning 1747 PITCAIRN DR WESTFALL FEE 1747 PITCAIRN DR COSTA MESA,CA 641-1867 ARCNIENGINEER: ADDRESS: UNIT: 92626 REG.NO.: UNIT: PERMITTEE: WILLIAM PRIEBE (310)433-3728 ADDRESS: 721 NEWPORT AVE C LONG BEACH CA 90804 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions o ha ter 9 (co m ging with Section 7000) of Drmsiun 3 of the Business and Professions Code, and my license is in lull force and ec CITY LIC.: Q 0 STATE LIC.: 652641 cuss: C39 Die' / �7� / 1 Signature: WORKERS' COMPENSATION DECLARATION: 1 hereby allirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance or a certified copy thereof (Section 3800. Lab. Q. POLICYNO.: 1337116-93 EXP. DATE: 01/01/94 COMPANY: STATE FUND ❑ Certified copy is hereby furnished. [X Certified copy is filed with the city `Building Division. -(?- 9i Applicant: v t IT'w'` h /V — EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is lot we hundred (SIOD) or less). I certify that in the performance at the work r which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws o Illornia. Date: Signature. .� NOTICE: It, alter 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 performance of the work for which this permit is issued (Section 3097. Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' Stale License Law for the fallowing reason (Section 7031.5 Business and Professional Code: Any City of 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 provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 70DO) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis lot the alleged exemption. Any violation of Section 7031.5 by any applicant Ior 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 lot sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himsedlhersed Or through his or her Own employees, provided that such improvements are not intended or offered for sale. II, however the building or improvement is sold within one year of completion, the owner will have the burden at proving he/she did not build or improve for the purpose of sale). I,as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business Eland Professions Code: The Contractors' Slate License Law does not apply to an owner of proph who builds or improves thereon and who contracts to; such projects with a contractors) license pursuant to the Contractors' Slate License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section. B. 8 P. C. for this reason: Date: Owner: I do hereby certify that I am aware of and understand the requirements of Calilornia Health and Safety Code Sections 25505. 25533, and 25534 and that Ior any future building occupant wilUwill not (circle one)need to comply with said stale Codes and the requirements lora permit for construction or modification from the Air Curably Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and stale that the above information is carr, I l a ee to C 4It, nh all city and county ordinances and slate laws relating to building construction and hereby authorize repr¢sentalivr o IN city to e t in the above-mentioned property for inspection purposes. Dale: -I `�7� (3 Signature: Driver's License or Social Security \ 164146 White—Building: Green—Code Enforcement; Canary—Applicant: Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 064041 PERMIT NO: B 064041 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION ; T/OFF RESHT, REROOF W/COMP SQ FT: 7,580 CLAIM VALUE: 7,580,00 CALL—VALUE: 7,580,00 GROUP OCC; R-3 / COMMENTS: SMOKE DETECTOR REQUIRED PRIOR TO FINAL MM M MMM M M M MMMM M MMM M M MM M M M M M M M MMMM M M MMM M M M M Mit M MM M MM M MMMM MM M M M M M M M M M M M M M M M M M MM M MMM Z O NI 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 BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: I FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 13933324 ZNE: REF NO: PLANNING N TES> > it it it it it it it it it it it it it it it it it it it it it it it it it it it it Mif iF itM Mif if iF Mit it itMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM D E V E L O P M E N T S E R lt__I C E S R E Q U I R E M E N.T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE:Alf _ APPLICATION ISSUED BY: o DATE: M MMMMMMMMMMMMMMMMMMMMM MMMMMMMMMM MM M MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM MMM iE itM it M itMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM LEGALIZATION:N F E E M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 99,00 ,76 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 99,76 0.00 0,00 99,76 99.76 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 99,76 OVER/SHORT;00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 99,00 ,76 it it it it it it it it it it it it it it it it it it it it it it it it M it it iFit iF it it itMMMit it fFiF iF it it M itMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM I N D I 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 7580 REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES 1,00 7,580,00 in. 00147153-00147154 T ELT 99.76 DATE: 09/17/93 TIME: 11:35 ON STRUCTION AND PLANNINGT- \Date PO. b SPA ,PPROVALS Permit 4,`- Inspector APPROVALS Permit # trate I Inspector I 1. Temporary Electrical Sorvice or Pole 52. Poni & Equlr-ment Location 2. Soil Pipe-Undrarnd. 53. Steel Reinforcement I�� Rn.`,i c!n`i,;' Condyit, tdt.4lyUnd•gm""' I -J---- 54. coir "el.k ctrloal Condult,Undrgrntl. 1 ;� 55. Electrical Bci 7 T'Eel AmnforcL;rtynit' •`'� _ 56. Rough Plumb rcc & Pressure Test '1 6',;H;:cirical UFEP,aa� �d --�� 57. APPROVAL TO COVER-GUNITE c ,t=•r+ootings '^o: •"D 58. Electrical ConuuitUndrgrntl. r� y 8.-,f-oundat,on - 59. Gas Pi pe, C Urdr orno., Te;t 9. Water Pipe Undrg,ind. 60. Backwash Lines, P -Trap, O Undrg'nd. 10. Structural Floor System J - 61. APPROVAL TO DECK -, �- 11. Property Sewer Lina,& Huse Connection62. Backe ash & Recep!o• Finn' I 12. SE ver Cap ..• c I 63. Heatcr & V'ent-F. ca 13. Roof Dra ns - w - 64. Plumbing Svntem F -al - _I 14. Rougi, Rumb-,'n� 65. Electrleai-F,re' � 15 Rough Eiectrle`y-Cond'm't - 66. Sola- System -Fina' 67 Fencing & Access Approval 16 ugh Electnow•V,ring '. Rough l7. rmg!�,gn 68. APPROVtD FOR PLASTERING 69. POOVSPA S`/STEMS FINAL � 18. Rough Elcctrict1-T Bar Ceiling FIRE DEPT. REQUIREN:L-NT 19. Rough Heating & Art Cordal on,r'g --- •« 3- ;+ . Or 7-;11:-1 .: « ,; 20_-RoCAh Dctdty 110oplace I a; ; q r J :D '_•:r r APPRMVAT,%! -7 ;Per Sit # s � [ -11 21,�Dup, In-,Str4c[ Et. rU 70. ! l t .. ,. �.•;• .:r lov4 rgr^ui.tcH o 22. •. DuEr ts., :i4nti4ahrf,�•st .. -.71. PrcG LCL�, g S 1hO',; I - 23.; a�-P1 flouyh &' est P'-•_, _ IT! t7 A' 4 r V.. X72. Under rc ' g Lmu VS`J CL• - 24rflo[5 F•3frnne Fe � ,-•<. ..�, f '. is . f _ _ '73� Ural �r^rne Stn•-;'�-�•�k � Gas �• :: a ¢J 25. Roo? SFtrathing S r m l .J L13 t k � C7 -74r�Cyerh,ad ��+vdrer t a .rya J -• .,•r .t ` _ • : + _ -• 26 cT-S.n CL, ;me fStr1Wu -" &SIt,.' ocoat z "I f e 27.4ratPe and Flashcr 76` `(5, Stanc - i- S. Latrig,&Siding"t -]:r,:- ir, � •max. t o ' " 77FIhED'h+F.TE�,:�`r-T• 1�NAL 29. Insulation Y _ I I 76 FIR= PREY. FiN1 , , 530. Drywal;[fSlalli7og T+ H:EALTHmDEPTt•REOUIR6MENT ,70' FINAL II4y"PCTIGI - 1. Plastrr (Y;ocvey Cclgq I- 77 r^�-- :-,32L-Electricel Power Hcae>Fnal1 vier M * r•r .) t 0,InFOOD CE T7IFICK'E ISSUED^-- 'NOt4s: '"+; GI I µat o.. :rI ; o• fi -. fr7 F ai 4tm_�` P ' F'Co'4,t'gn 3p.: t n}74.; .g;& epi I j I I is •?,• S Jl- s t- j., 35.-rFicrdf Gad Pi pJ-T&5e �_ �• , ly -t x� `., _-RI •: � �r.C; _ T - _ •�b. HOty O•" -Ca- r.�py 0'' Jry •� i :'lam i �' T. ..) E97.-)e,nW Fyrtory F,19c... .I 1 .-•c- _ x I I ' s '+: .,, _-_-_-__--4__- _ •-- - _ _ �,.. _ ' r,18. Finpm Plumbing .4. ;u c T. # � - --`, - -- ---- --- F�89. Wat?f Service -final m a •y I y'�, : ,� 0. Gas Service -K'" I •' 1'- rte-- �+t ci1 dna t ,•1 ¢,.-, x rt I 0 !-o; y er Titt. Solar DomesticFinli.,s c, n •� ix st. -7! T, `I3ackflow Preventec, ' • , I r i I G' � i- =' a 43. Backflow Irr,T�-ationh �. : r _,-�'-•moi -- _ 7 r7fi y [:.t; - : A4. Landsc,'ipe Iti.;gatiop System, 'F r. r-1 Vl;J iu5..Scunci Attef;;atiori .y �. ,n •:I -146.`,14andlca R e91, latians ,,,I ;-, �t ; -+'Me '� o; .•:- �.p 3 ice - +-:: -t_ £ -.•-- -11� -- - - '-tri S�c'�{/'-- _-//4- 47. -T 47.-TItmCdL STRM,CTURE&BUI7_DING Lv�l 48. I;EY�L PLANK -IN% -49xElew c1 Release to Edison - , : i• > _. I ATO: Gas jielease to Southern Calif ors a Gas Co -D 7.. 51. CERTIFICATE OF.000UPAKCY :, :+ G No. Date OWNER COLEMAN. J. GENERAL CONTRACTOR `AP No. 139-333-24 BUILDING PERMIT NO. LOT TRACT OCT 7 1963 FIRE ZONE_ 3 DESCRIPTION OF WORK Comm. Block Wal. I' �'CTIONS Signature DATE GROUP J TYPE III ZONE Rl S. SUBCONTRACTOR PERMITS ISSUED Gas DATE NUMBER Water Rough Com. Refrig. ❑ Air Cond. ❑ Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line ❑ House Con. ❑ St. Swr. ❑ S rinklin S stem Construction Pole Underground ❑ , Power ❑ Rou h Whin Trenches Forms Steel Reinf. ,r Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing Frame and Flashing Lathing — In ❑ Out ❑ Pl,- er brown coat Fs"'„.";;. ❑ Air Con. ❑ Final Healing, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, F' uildin Final - OCCUPANCY Form BU4-6M-3-63-S-B P nn,r A 20770 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA, CALIFORNIA For Applicant to'Fill In Completely TYPE OR PRINT BUILDING % ADDRESS COSTA MESA, CALIFORNIA Cc/erlp OWNER , MAIL ADDRE88 d • TEL. ■ AR—ITECT ADDRESS A V f , ti CITY STATE TEL. LIG. NO. � i NO. SIZE , I NO. OF ELOGE. / SETBACK LINE FROM CENTER OF STREETREAR YARD SIDE YARD LEFT ` Y I RIGHT v DESCRIPTION OF WORK FEE RECEIVED OCT 7 1963 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING 7 For Office Use Only 7L-�ll!/Z _ ZONING i 'H i I LEGAL A. P. NO. I -- 1 . S ✓ -� — NOTE: NO EAVE OVERHANG SHALL BE LESS THAN ( 90' TO SIDE 8 REAR P. L. w��✓1�^��y EAVES ,{� l LLI- ALLOWED - U C. REQUIREMENT YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING ( FROM Ct STREET FRONT FT. FT. /L,J R. SIDE V FT. FT. 2 I MOVING I I DEMOLISH I MA INSTANCE ACCE ING ---- NO. OFVAR.# DATE ROOMS STORIES C.U.P. APPR1 EXTERIORWALL ROOF �_ COVERING COVERING DATH USE OF BUILDING AND WORK TO SE PERFORMEDXz2GQ p " A�! Q.HEREBY ACKNOWLEO E THAT 1 HAVE READ THIS APPLICATIONUNT fA SHOWN UNDER VALUATION IS FOR THE AND STATETHAT THE ABOVE IB CORRER ANO AGREE TO COM OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING /litBUILDINGCONSTRUCTION. VVSIGNATUREOF PERMITFEE S PERMITTE PLAN CHECKAUTHORIZED AGENT Q TOTAL FEE $ r JOB ADDRESS 1"(4'( FYtCalrn Dr. BUILDING PERMIT NO. 1yU7U AP Ne139-334-24 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Add.Fat.tO B I'- "ECPIONS Signature DATE GROUP J TYPE p ZONE R-1 5_ SUBCONTRACTOR PEF MITS ISSUED Gas DATE NUMBER Water Rough Com. Refrig. ❑ Air Cond. ❑ Rough Heating Rough Plumbing Miscellaneous Prop. r. -Line ❑ House Con. ❑ St. S -r. Sprinkling System Construction o e Underground O Power ❑ Rough Wiring Trenches ❑ Forms ❑ Steel Reinf. Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathbtg IP rune and Flashing Lathing — In ❑ Out ❑ PI—ter, brown coat I g. ❑ Alt on . ❑ Fina Renting, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final Building, Final—%' OCCUPANCY MRM 11116 - SY - 7 Cl l 19050 • COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX SIT COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING ADDRESS 17L7 Pitcairn Drive COSTA MESA, CALIFORNIA Costa Mesa 'ECT None TEL. / NO. A �T HOW Home SETBACK LINE FROM DESCRIPTION OF WORK N USEOFBUILDI FEE RECEIVED MAO RECEIVED 1963 VANANCE rr�7yD�EPMT. APPLICATR FOR"PQRM1IIP"ESA BUILDING For Office Use Only RECtIPT NO. P6P6o_ BY OAT[ RECBIVHD DATE ISSUED � —/ _-�-/ Aii /Q-/7 FIRE ZONING ZONE 4_ NO.OP /J USEOFNHW Ih / PLANS % SUILDING/� r s NOTE: NO RAVE OVER SO' TO SIDE a REAR F EAVES ALLOWED YARDS APPROVED MAIN BUILDING (FROM C/ R T) FRONW PIC T r R. SIDE ✓ FT. L.SIDE X REAR O FT. DISTANCE BET. MAIN SLOGS. VAR.* �T ib. �2 V SHALL BE LESS THAN (U. B.C. REQUIREMENT YARDS APPROVED ACCESSORY BUILDING BET. MAIN B: ACCESS. BLOC DATE APPROVED DATE 3 I HEREBY ACKNOWLE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND BTATB THAT OVfi CORRECT AND A Ea�TO COM. PURPOSE OF ESTABLISHING A PERMIT PER ONLY. O PLY WITH ALL Y OR INA796 AND STATE ULATINO VALUATION BUILDING CO RUCTI N. PERMITFEE j SIGNATUR OF PERMITTE J -Q 5 /� SS,r PLAN CHECK $ / ' 0 Private Swim Ap Nn i T.OT TRACT WiRR 7.nNP VAL TIF. A 2. MOO. on F E'CTIONS Signature Date GROUP J TYPE III ZONE R-1 K SUBCONTRACTOR I PERMITS ISSUED Date Number I Signature Gas Water Plumbing Rough Plumbing Prop. Swr. Line ❑ House Con. !p Sprinkling System ' Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole /o c Underground ® Power ❑ Rougb Wiring Heating and Vent..i� Trenches ❑ Forms 0 Steel Reinf. ❑ Floor System' Bond Beam & Steel Reinfo ce C9rs G sheat&ing ,a /c Frame and Flashing N e Cf Plaster, Brown Coat S' •tural, Final Electric 1 ng, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test in-' Electric, Final Building, Final 24715 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92929 For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA. CALIFORNIA I r. f e TEL Fi NO. or[LOO[. [LT[ACN LINE FROM DESCRIPTION OF WORK BUILDING NO. EXTERIOR WALL 1 HEREBY ACXNOWL[DG[ T 1 I AND RTATB TXAT TH8 ARD it CORIORi PLY WITH ALL CITY ORDS NC[[ AND BUILDING CONSTRUCTI AUTHORIZED TO COM. CITY OF CLSfA MESA SEP 211965 LION FOR PERMIT B[enrt no. scNn7/-5 " Y U8DU8D �IC ADDRESS �'Y\ FIRE �— ZONE H GROUP APPROVED BY DATE Z64ING iON[ NO. OF U9[Of N[W Puns e.2. BulLolnG LEGAL. DE,EcRlmoN A. P. NO. NOTE: NO HAVE OVERHANG SHALL BE LEES THAN 80' TO BIDS a REAR P. L. HAVES ALLOWED ,(U. B. C. REQUIREMENT) YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (PROM C/LFT T FRONT �� IT. , r /J R. SIDA Fi. FT. .FID Fr. Fr. REAR to PT. FT. DISTANCE BST. BET. MAIN Q MAIN BLD ACCESS. SLOGS. VAR.* DATE C.U.P. APPROVED APPROVE BY t TS .1- n FOR SPFCTAL REOUTRFMFyr" /H^rn CJ I SQ. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF [BTABLISHING A PERMIT FEE ONLY. VALUATION PERMIT FEH $ PLAN CHECK 5 5 TOTAL FE! $ O COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA I For Applicant to Fill In Completely ' TYPE OR PRINT ," -- p17c/1igAl COSTA MESA. CALIFORNIA FEV RECEIVED T JUL 311961 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only Jt. Venture RECEIPT NO. P_ t''T: I OWNER Pacesetter 1eDN MAIL ADDRE6$ 16 Mln rCa Dr1Ye RCCE1V�O BY I D7 RECEIV7 A 188U K� DOCS Costa Mesa TEL.K BUILDING CITY NO. - ADDRESS AR( '.CT TEL. COSTA MESA. CALIFORNIA OR ,NEER NO. ADDRESS FIREZONE TYPE Y GROUP w..Y ICOOTRACTOR Mesa Verde Builders,,Inc. APPROVED BY DATE 1653 Minorca Drive ZONING ADDRESS (� �/ ZONE NO. OP u8E OF CITY Costa Mesa I PLANE Z BUILDING STATNO. 181269 No.' Ki 9-0395 LEOAL 96 7"K 9�0a9 O. DEBCRIPTIOry SIZE I NO. OF SUDGB. , OF LOT Now ON LOT 0 A P NO USE OF YARDS EVES EXISTING BLDG APPROVED ALLOWED SETBACK LINK FROM (� CENTER OF STieer 42 REAR YARD/ 30.6 ICENTER LINE BT.1 FRONT Z. FT. IN. C ILEFT 6 (RIGHT 6 SIDE YARD R.SIDE FT. IN. DESCRIPTION OF WORK L. SIDE FT. IN. NE\I a II ALTERATION( IIADDITION I REAR FT. IN. REPAIR II MO.VyING I II DEMOLISH I APPROVED ev es DATE 7 1550 Sq.1' B •ROOMS SIZE STORIES EXTERIOR WALL uCC4 I ROOF Shake Shingle COVERING WOO COVERING /5,:2,vd USE OF BUILDING AND WORK TO BE PERFORMED irnmily residence and a e. u' Standard No. 110M 550-A Attached garage 450 Sq.Ft. 1 HEREBY ACKN DGE HAT 1 NA READ THIS AND STATE THA T E AS VE IB COR ER ND AG PPL TION E COM. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL 1 "CEO AN A (AWB LA IN pURP08E OF ESTABLISHING A PERMIT FEE ONLY. VALUATION Bu1tnlNo coN 'rR SIGNATURE O PERMIT FEE 5,316 PERM ITTE /Op — 14r— IT - $ 4/FJ/A�� PLAN CHECK S �-- TOTAL FEE AUTHORIZED AGE T