HomeMy WebLinkAbout1856 ELBA CIR - Building Permits PREIECT ADDRESS: 1856 ELBA CI UNIT: CITY OF COS 4JMESA - BUILDING PERMIT PERM NO: B 063848
OWNER'S NAME: BRENNEMAN, THOMAS P �/
1— ADDRESS: 1856 ELBA CIR PERMIT NO: B 063848 PLAN CHECK NO: N GOVT• N SUPP: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ALT
979-1313 /"
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O RESHT REROOF W/ALCOA ALUM ROOF. FT: 6, 000
ADDRESS: UNIT:
CLAIM VALUE: 6,000 . 00 CALC-VALUE: 6, 000 . 00 GROUP OCC: R-3 /
PERMITTEE: ALUMINUM ROOFING SPEC. ( 714 ) 558-0678
ADDRESS: 1529 MCFADDEN AV COMMENTS: ICB0#3147
SANTA ANA CA 92705 ***************+E****+Ex**** *****************+E**********************xx*4********
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
70001 of Division a al the Business and Professions Code,and my license is in full force and effect. SETBACKS I
car tic.: 03372 3 STATE LIC.:523043 CLASS:�C-39
Date: ?/'7' j 9`, signature: tD_.\ CPP 4 D• MAIN BUILDING ACCESSORY BUILDING '
„..---" FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensation Ips r ce, r certified copythereg5(Section 3800,Lab. )
POLICY NO.: V 6-93UNIT311 / EXP.DATE: V 1 /01 /94 Q[�
COMPANY: STATE FUND PARKING REQ:
PROV: PARCEL: 13942105 ZNE: REF NO:), - 4;
'7 Certified copy is hereby furnished. (E Certified copy is tiled with the city Building Division. '
--____Date: 9—7 - Applicant .---i \ S r � ***************************************************************iP**R• _... • *********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($1170)or less). D E V E -L O P M E N T SERVICES R E Q U I R E M E'.N`.TIP S
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. ZONING APPROVED BY DATE 7y -'V
Date'. Signature' BUILDING APPROVED BY '
NOTICE'II.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor / DATE: .
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 APPLICATION ISSUED BY• <---!-- DATE-'�' '
which this permit is issued(Section 3097,Cry.C). ******************** x'__ *********iE' * ****
LENDER: *************BP*****************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE' SMIP/RES', GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 81 . 00 • 60-Y
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON 11 RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing With Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/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). ISSUE FEE ..1
as owner of the property or my employees with wages as their sole compensation, will do the work, and the
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL .1 PAID `,' DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 81 . 60 0 . 00 0. 00 81 . 60 81 . 60 1 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through y
his or her own employees,provided that such improvements are not intended or offered for sale.If, however the building or REVENUE DIVISION TOTALS--> COLLECTED: 81 . 60 OVER/SHORT• ' '-.`r 00
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING 'PLAN-CHECK
I,as owner at the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business
81 . 00 . 60 "
.,
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the ContractorsState License Law). I am aware *********************************************************************Bf*********
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL FEE BREAKDOWN tw'K
❑ I am exempt under Section: B.&P.C. ?• r
for this reason: TYPE QTY DESCRIPTIO N UNIT COST " N
'NOTAL COST
Date: Owner: SFR 6000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00)
,::) 6000 . 00
I do hereby certify that am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES I
25534 and that I or any future building occupant wit)/will not(circle one)need to comply with said state codes and the requirements for a •
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions. •
,
-`t
Date: Applicant: - ,
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county / ;I
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentionedjam
property for inspection purposes.
'Date: 9--7 /rp7 Signature: ----7--, 9- e- (2i 01 00146451-00146452 TOT 81.60
DATE: 05/07/93 TINE: 12:08
Driver's License or Social Security.:
1541,16 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
•
I ,, CONSTRUCTION AND PLANNING POOL SPA
I APPROVALS Permit# Date Inspector Date Inspector I
APPROVALS Permit #
• 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
•
•
2. Soil Plpe-Undrgrnd. t 53. Steel Reinforcement
a• Efactn;al Conduit Utility-Undrgrnd. . 54. Forms
14. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
I
l• S•.Steel Reinforcement 56. Rough Plumbing & Pressure Test
I 6. Electric& OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
i, 58. Electrical Conduit-Undrgrnd.
7. Fpotirgs urnd.
8. Foundation , _ 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. • 60. Backwash Lines,P-Trap, ❑ Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer-Line & House Connection I 62. Backwash &'Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final •
i13. Roof Drains - ! 64. Plumbing System • Final
14. Rougn Plumbing • 65. Electrical-Final
I
15. Rough Electrical-Conduit 66. Solar System-Final
, 16. Rough Electric Wiring 67. Fencing & Access Approval
1 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning , FTE DEPT. REQUIREMENT
.J
20_ Rough' c yY fl place i 1 APPROVAL'S, ,' Pettit #
2L. Ducts, Ir'Structure- '• ^ - I i r' r
•r, :. . _ u•70. Underground Hydro
22. Ducts, Ventilating. - • , f,', ; „ .;71. Product P,ip,ng .1 Gas LJ Oil
23..Ga;
PROJECT ADDRESS: 1856 ELBA CI / es;
L---//� UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 065446
OWNER'sNAME: BRENNEMAN, THOMAS P
ADDREss: 1856AELBAACIRCA 92626 PERMIT NO: P 065446 PLAN CHECK NO: N GOVT: N SUPP: N
COCONSTRUCTION TYPE; 5—N PERMIT TYPE; PLU PURPOSE: ALT
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; DISHWASHER CHANGE—OUTSQ FT:
ADDRESS: UNIT: •
CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /
PERMITTEE: PACIFIC COAST APPLIANCE ( 310) 324-8476
ADDRESS: 139 W GARDENA VICTORIA ST CA 90248 +CF*+ME*****�E*****O *********�k************D ****+IE+Sr+E**+RE****arr****************+r+E******+E+E+E
LICENSED CONTRACTOR DECLARATION: I hereby attirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIR EMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in
full forced elfect. SETBACKS
L .: 060311 sTATEuc.: 362642 s0� rrrcc
_ MAIN BUILDING ACCESSORY BUILDING
Date /4/401. Signature:_
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
KERS'CDM;naP,uE�NSApTIOpNr DECLARATION: I hereby allirm that I have a certificate of consent to sell-insure or a certificate of Workers' LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
ompensation gain
l..1 1 4rBl4 tl e5 copy thereof(Section 3800,Lab.C1$101
01 /94
POLICY NO.: IV W 1. V V EXP.DATE: VV
COMPANY: PLANNING
EAGLE PARKING REQ• PROV: PARCEL: 13942105 ZNE: REF NO:
,,..y;( PLANNING NOTES>
hided copy is hereby furnished. (J Certified copy is filed wi Ih city BU i 'ion. >
(Dale: �-y cy Applicant: DEVELOPMENT SERVICES- REQUIREMENTS
EX PTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is tar one hundred($100)or less),
ally 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 ZONING APPROVED BY ,
subject to the Workers'Compensation Laws of California. DATE:
Date: Signature: BUILDING APPROVED BY ; Z' DATE:
•
NOTICE:It,alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor (7
Code,you must lorthynth
comply with such provisionsmtht or this permit shall be deemed revoked. APPLICATION ISSUED BY AU 7
CONSTRUCTION LENDING AGENCY: I hereby attirm that there is a construction lending agency tar the performance of the work for DATE
which this permit is issued(Section 3097.Civ.C). *********************4************* **************************** **
*********************************************************************** *** ***
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the fallowing reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 7,00
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 25% SMIP/NON—RES
pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business p LAN •
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by ISSUE FEE 20 . 00
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($503).
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the TOTALS----> 7 . 00 20 , 00 0 . 00 27. 00 27 . 00 . 00
❑ structure is not intended or offered for sale(Section 7044,Business and Processional Code: The Contractors'State License Law
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale. U,however the building or REVENUE DIVISION TOTALS--> COLLECTED : 27.00 OVER/SHORT: 00
improvement i5 sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve BLDGPMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING PLAN—
for the purpose of sale). CHECK
I,as owner pl the property,am exclusive)yy contracting with licensed contractors to construct the protect(Section 7044,Business 27. 00
❑ and Prmession>Code: The withtale License Law does not apply loanhe Conti properly who buildsor improves thereon *******************************************************************************
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). am aware
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL i- 'F E E B R E A K D O W N
Et
am exempt under Section: B.&P.C.
for reason: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
7 . 00
Date: Owner: PLU 1 DISHWASHER 7 .00
Ida hereby(unity that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and END OF FEES
25534 and that I or any future building occupant will/will not(Circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from theAir Air 0uality Management District.Residential construction applications are exempt from
mese provisions. • )
Date: Applicant: • }
I hereby certify that I have read this application and slate that the above information ist correct.I gree to comply with all city and county
01 00153172—00153172 Y03 27.00
ordinances and state taws rotating to building construction and hereby out rite presenlatrvs city to enter upon the abovementioned Y DATE: 01/04/94 TIME: 14:31
property for inspection purposes.
tt��mo
Oat
Q.
J7 Signature.��4'
river's License or Social Security a:
1
1641-46 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
I CONSTRUCTION AND PLANNING
POOL �a -T- - -
APPROVALS Permit a;`- - Date Inspector APPROVALS Permit Date Inspector
I 1_ Temporary Electrical Ser e or Pae.. 52. Pool & Equipment Location i
b;sn PIce-Undrgrnd, .' • -- - 53. Si ec: Re,nforceme.t
ai1n.4J=c'•10; Car*S..ir>Yt.!itv•Lndrgrrel.._ 54. ;ornt i
'ss-_]• )4---- ---r-^v--- -- ' .I .--------- - ---- -
li Elect,•cai CnnsflPt.'tndrgr nd. -
Or; I 155. nd
TiElectrical Bnmg '
•• n _ -• 1,4 _.
f
fi•X'S illy. N:•.n'„ .a:hent • SG P.c.:,, aI,n-u,ng Si Pre'.a.a r T'st _
4-1-1-1-.., 3i -- n 7 _ • --- --
t U
=. € n' . . ,.rat-G-;:d. -T 57. nPPP' Y n,L `0 C. -GU:.'T E I�
L _L____<-.3__- -__ :---- i - 1---
t{1ior ngs ,3 ,_ I 58 Electrical Condtnt•Urdrgrnd. I I C
ly-_ __ _ ____ -t-� _y
J. - ..c.
•S3. For -non -. : 59. Gas r.p., r und•y., u . 1St 1 I
' 7-. ‘...c....‘...c..‘...c......-'. . 7-pe.u;ry�+lr£.r.d. 60. Bac:::'ash Has, P-Trap, 1
U".G'r•rd.
`,•._ - :--'r-. -- _ -_ I- T-
•
10. S:•-uct,.ra' F pea System a 61. APPROVAL TO DECK
11. 014)p,-,y S' ..+7 Lr? & Putn2 Lon4ect•-sn
-?+- - ct �L - -• - -- --y
12 r,., .r C-c y -
`_' oa � If � _
R t 'Jralnr =a 64. Plumbing System ' Fowl I i
II, 1. Rc un . Plumdigg 65. ElccU ical-f--owl I
I
t5 Pn ,q I-. Ela ctr,caI.Condwt - ---- 66. Solar S;rst<m-n,�--------- i
• 16. Rough Electrig'Wiring 67. Fencing & Access Anproval I
'1. R0. ''.r'ng•Sign 68. APPI;OVED FOR PLASTERING
--I--
11, Ic. ^ r'ectrital.T Bar Ce,1 nq 69. POOL/SPA SYSTE'.'S FINAL I I
'i1:.r't Hearing & Air Cca"dittomng --� FIRE DEPT. REQUIREMENT I -- 1 --I-~ ---
- '-1r -H1� • ac'-t y ;a:ace 1 --1.. ` ,1 *-'1* * 71AP:a:•:JVI `o % -�P�mn -�r v
ism r' n S r-r < , --_7
�
n'--frra&cttrc I • .. em's -6 S pr1Y * .•II %0. rk;r ,rip!Strt MJ cet` _
?2_�1;•,denMcr,onFp+ '� Is ''.` t71. Produ4eLrngt.yia; .0 Oil I I
.S-F, : -`-in,,. @."Test -sy` r _ {I'.- FIT 4L-O.• ri��r - _� . 4___
- . . a b.. '. r -r, to ts�i O* x 77. U: derg•et.:1 i rush .r r..
----•-1.4 _-•3.__E'-=•:S<.-.--,-run0 r--a: -lr :i-1-Y' -i'-- -- 4 -l+ -I - -- �-- - -
'Tr "trn77�� tc r rJ rn• S h. ., ' r. '7
y >1i ^,fningv " p . * 4' 74' Qtr :.aa1H F_t --_L- -__-
- -- p 1 ;--. ---*---
2.
-
7:+G', Lt1 C r y SRuttu•al JL,r.:noccat v A hi+ 4 i •,C^ C t ,,-,,,w,.,,, rt 'r .. - :
_yr- - '_3->• •_,_ _ . < . L:27 2F_C r _
1 s . -.
.-.3 . L 2J r t, . 5 -I ..=•t v, _.:_- -, S * }h� . I ,F F I E-'`a$'-t 3,:_. 4 ti S
ty., Jn F-, •• •- 7 .1 t Y r - # :t:
•
~... a .„ �4 .� :-1-- 7E FIR FRS . F .�,A..--t' - - I --- -- ..
r . •.+.•.n1_ t?7DEFT.19E-1“4/RF-E-- :IT
y,T g , = 3 I t # . 7 L 3.
E� t. � , r .?� s I Er' �� tri 7g. ; t i. 1•S‘•,4,...• tkrf, ! : -{I
P,- - , C'-'T- • -1-i - ; - _I_ �r- -_. I ... -- -- - - -
t-' "3.17".: 14 F;-erv'MMttet.P!•al v f+ t n1 BCJ"FOOU CE 37 r Crl' '4a ED
is ti at__11 r-i* 'u ;- __ t- 'r 1-`1 D- # . _� ---- I- --J- -- ' --
s4. M # I t" t r1 7 ,.r . '}i Tl r- _�. a
}„ "r tic Z ':'.� .i rh C % I I 1 IT r N ti s- '7 '7:*t , '7 _ ,1
61- ----r-1: '1-L 1'e M •fi'1-^. '- I
` `4. 'j, -r7. --11-�-- u_ -
J,,=r .l ZI l e - :^a €> `.r Caimt,mstri c . a I �� - .7 9 J'..I) ' .".C77:2/1/4-17(7 -- -- --
13S'�Fu,AI CFys Pipe-t ( a .. * -f ._1 e 1 MI^ t�I4 ✓ r 1r
X. -F__ Hif ---_.__ +_ �__. T _-_ __�_ __��r.-.- _ _______ ..--_ _ _ _
-13u. 114ud sr G nnpXC* O • III.1 --. a r' II If . i .o 1 m
•1 .p t 0--.._: - N w q_ 1 I -_ 1. ' _ I_a__- ,i_-_ - -. - --
f ; CT' °' rib] • _ - ___ -- - _ _ f Dl
737; F:?i:i. Factory F Icer. •.•. a # i '• + * :•i
7T7 IF-
ri-
-438 Final Plumbing }'# iJ7. - I2 9.Ci' I� 4p '; ` to
. -_ ,- . o`t" tri 'If' _ __-. -_.._ _
r:33 V:attr Eel.:vI:,e-F int I ru t I I y r _ O. j '+
7- ^ ILt__�� +
72,40. Gas Serv'ce-Frnal r - Cr." S r tri 1 - r C or`
-- • -.-•r at t-6+._ _ 1 i- -�_ ____ r _ -t_ _-st.
Z41. Solar Comcst'c•Firtta •_ •s ! dt-' t _
k 6 !
-
•
•
'n
c':flot•, Irr)rgatica rS1r 7• --r-• t o•- ; : .
/dr -- -- - -.r.�r'- e -E- -'17'.4 -- -- - ---'- -t- t--T:O----- - - ---- -
46. Lar.c1secpe nrtgation Svaertt::TIC: -C * ,i 7 -t J 7..:� r
r-1r...eSc r-ei Mttanuatio* -- r to Ir f T ^i t ' . . e (X.`
r 01 Y 1 -` • E--"-1
•
-4 Hand-cap R2guiat'..4"s - O * I . t 7+ _. - r •
.. --5-___-_ 1.-c-_ ---i is, a t -_t-.__-_--- - -- - '- __.
47:FIr AL STRUCTURE & BU4'LDING * Ph k i ') a
r^ I a 4 L t I .. .y
14E., t-fa'_PLANNIN'� - ?;in E
( r'td r-- ' -it ; .r? ,.. .-� _ • --- - '- -- --
1-:6c_;•` iri.r:c Rc:ease to#Edison �'� I I^ • `�
I50_,Ga- Release to Southern Califor,ili Gas CO L _ , C.
' -
'' * t -------:..c.--_e ------ -
51. C TIFiCATEOYt.000UPANC1' >' c
No. Date ----
0
INTERNATIONAL TESTING CORPORATION
GEOLOGY . FOUNDATION AND STRUCTURAL ENGINEERING - TESTING • INSPECTION - QUALITY CONTROL/
6173 CHERRY AVENUE 1670 BABCOCK STREET
•
LONG BEACH, CALIFORNIA COSTA MESA, CALIFORNIA
T'. _ 422-7500 LONG BEACH CALIF 646.4626 COSTA MESA
6367821 t'. •-N3 ,'4 545-8888 - SANTA ANA
REPORT ON GUNITE SPECIMEN TESTS
Identification 14o. : P-464-114-167
Client : Cb E. 1-Coseley
Architect Or Engineer: Anthony Pools
Contractor: Anthony Pools
Structure : Swimming Pool - 1856 Elba Circle, Costa Mesa
Sample From: Bond Beam South Section
Mix: 1 - 42 P. S. I. : 2,000
Total Water:
Field Nos. : •
Age: 7 Days 28 Days 1Ji ,
Specimen Nos. : AP-G18 AP-G19 RE \IL ��
Date Made: 1-28-64 1-28-64 FEB 61964 ,�
Date Tested: 2-4-64 2-25-64 01 cos'a 1'z;a
Average Size: 5.875 x 10 5 .875 x 10
Area, Sq. In. 27 .11 27 . 11 \ �/
COMPRESSION ---
Total Load, Lbs. 42 ,000 66,500
Lbs. Per Sq. Inch: 1,460 2,400
Specimens Made By: Willie
Specimens Delivered By: International Testing Corporation
Specimens Received : 1-29-64
cc: C. E. Moseley (4)
City of Costa Mesa (1) INTERNATIONAL TESTING CORPORATION
(77
Jack B o Matson '
'1 Structural Engineer No. 921
r
CITY OF COSTA MESA
CALIFORNIA P.O. BOX 1200
FROM THE OFFICE OF THE PLANNING DEPARTMENT
W. Richard Carroll- August 6, 1964
1856 Elba Circle
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, (1
•i
William L. Dunn
Director of Planning
r ,
..--' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 5799 1 /16/85 �J'o UQ TL
PERMIT NO. TRACT NO. LOT NO. UNIT N6. i
CITY OF COSTA MESA CONSTRUCTION PERMIT pn . ,, /-� - ,
Project Address 1856 °' I 1 it'I "�I �v
I 8_6 Elhn Cr..
Applicant's Mailing Address l24K ComPmrcinit C.M. 92627 TYPE OF CONSTRUCTION U NEW U ADD-exi ALTERATION LI REPAIR
Owner's Name
CI CONVERSION ❑ DEMOLISH El OTHER - A.P. .# Zone
—NQS--BCegmap Phone DESCRIPTION OF WORK/USE OF BLDG.
Address 1856 F/ba Cr., C.M. Re r f flat r F S Main Building: Accessory Building:
(r)
'Arch/Eng. • License No. _ - TYPE OF PERMIT LJ GRADING L I FOUNDATION U STRUCTURAL E Front O
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL' B Rear N
CO Contractor's Name Crank Rr_ RP g- Cn. Phone 548-5569 ❑ OTHER -
C Right N
l Address(mailing) 126 Commercial Way, Costa Mesa 92627 PROJECT DESCRIPTION SO. FT. !3Q oCCUPANcv_,g{-pry/e K . • G
`--- , CONSTRUCTION TYPE req/dent la/VALUATION $ 1• lin nn S Left - _
City License No. - 002289 _ ZONE GRADING CU.YDS. ACRES R
r-`. LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided E
/ I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: QM
with section 7000) of Division 3 of the Business and Professions Code,and
my license is in full force and effect. ��677 \ S
'License Class =. Y if Licens. i o.
Date ICI
L . Signature �� i... _ i ...La. PLUMBING FEES
WORKERS'COMPENSATION DE L• -ATION Bar Sink Showers .
I hereby affirm that I have a cepti tate of consent to self-Insure or a certificate ,ELECTRICAL FEES
r workers' Compensation In .ranee, or .a certif led copy thereof (Section
Backflow Preventer Service Sink '
800, Lab. C.)
Automatic Washer Transformer 0 15-50KW
Policy N49W /1 RWtli7 Company Home /Ms. 0 50+ KW
Certified copy is hereby furnished. Construction Pole Sub.
Certified copy Is filed with the city ulltlln Division. ■ s s .,
Date Applicant �ran�C gyros. Rofoinq Co.,
•
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - - , , Solare'••" ■„ Dishwasher• ■• • I I
(This section need not be completed if the permit is for one hundred ($100)'or
less). Dishwasher • Soler Piping Dryers ❑Gas DElectric Sub Panel
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 Drinking Fountains Solar TankFan Motors 00-1 HP ❑1'h-8
Workers' Compensation Laws of California. .
Date Signature Floor Drains • Swimming Pool w/Spa F.A.U.
NOTICE: if,after making this declaration,you should become subject to the Inc.Solar 09-15 HP 016-15+, i
'Workers' Compensation provisions of the Labor,Code, you must forthwith Floor Sinks . - Urinal 4 '
'comply with such provisions or this permit shall be deemed revoked. Fi#Utes Microwave
.CONSTRUCTION LENDING AGENCY .
Gas Service Outlets ' Water Closet . Device Boxes
•
I hereby affirm that there is a construction lending agency for the performance Pole-Light '
of the work] for.which,this permit is issued (Section 3097, Civ. C.), Interceptors Water Heater . ' Outlets '
Lender's Name ' - Range
Lenders Address •
- • ' - ' Kitchen Sink • - - Water Service Switches Sign
OWNER BUILDER DECLARATION
-
• I hereby affirm that I am exemptfrom the Contractor's License Law for the Lavatories - Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or ' Garbage Disposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap . LaundryTrays
•
. any structure, prior to Its Issuance, also requires the applicant for such permit n Generator 00.5 KW 05-15 KW Trash Compactor '
to file a signed statement that he/she is licensed pursuant to the provisions ofRoof Drains . -
the Contractor's License,Law (Chapter 9(commencing with Section 7000) of ,
Division 3•of-the Business and Professions Code) or that he/she is exempt '
'erefrom and the basis for the alleged exemption. Any violation of Section
31.5 by any applicant for a permit subjects the applicant.to a civil '
.nalty of not more than five:hundred dollars($500):
II: I, as owner of•the property or my employees with wages as their sole 1 Reinspection Fee I $15 1 Issue Fee -,
compensation, will do the work,and the structure is not intended or offered . Reinspection Fee ' $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The•Contractor's -- MECHANICAL' I FEES
License Law does not apply to an owner of a property who builds or Improves _ __ ,
_ _ • _
thereon, and who does such work himself/herself or through his or her own i - DEVELOPMENT SERVICES REQUIREMENTS: •
employees, provided that such improvements are:not Intended or offered for Boiler .Hood or Type I ':O , ,
'sale, If however, the building or Improvement is sold within one'year of tom- Canopy Type I ❑
prrove for the purpose of sale). Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duet-Under Ground • BUilding;Approved By Date
: /^ ,
O I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System ;Application Issued By /i/'J Date Pico
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU _ SU ARV OF FEES
builds or improves thereon,and who contracts for such projects with a con- •
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ System Repair/Alteration ' BUILDING PERMIT $ -3� SMIP $ ' . 50
proof of-their Worker's Compensation. Insurance should be provided to me. • PLAN CHECK $ PERMIT I i
❑ am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# ' Fire-Dampers I ISSUANCE $
• PLUMBING ' $
Data Owner - 1 Heating System&Ducting ' Registers, 4 PLAN CHECK 25% $ ENERGY P.C. $ '
I hereby certify ttiat 'I have read this application and tate that the above" , 00.100,000 BTU ❑100,000BT GRADING $ '
information is correct. I agree to comply with all)city nd county ordinances 1 ELECTRICAL $
and state laws ' .ting to building constructi•.-, and •ereby authorize repre- ' , I
sentatives of hi city to enter upo t �•ove- .ntloned property for PLAN CHECK 50% $ MICROFILM $ i
/� � - MECHANICAL •$ • TOTAL FEE $ . i • �
inspection pure•-5 / i , '
Signature .ri(. Amish Patel- ' '
Reinspection Fee $15 i i Issue Fee $ 3 PLAN CHECK 25% '$ i !
Drivers' Lid,e or SS , '
CMF 1865-4,ev. 10/84 White - Building; Canary - Applicant; Plnk -Accounting; Goldenrod - Assessor
14. CONSTRUCTION AND PLANNING POOL ,PA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 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 UF ER Grnd. • 57. APPROVAL TO COVER-GUNITE •
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test .
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
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. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough&Test ' 72. Underground Flush
•
24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 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
31. Plaster Brown Coat • 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric - - - Notes: 7/�_ /¢s_4r ,2p� _ __ _•/ _
34. Final Heating & Air Conditioning 1 �_^l_ / �et / r_ _ /`�`�
35. Final Gas Pipe-Test 44444,O..<�4Y' '� �lil9(t/Jl�
36. Hood or-Canopy
1�'3 0/S S" ADI
37. Final Factory Fireplace .-,C £ _Arir. ! �.
38. Final Plumbing
/
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System •
L.
45. Sound Attenuation .
46. Handicap Regulations i
47. FINAL STRUCTURE & BUILDING // "%�/I!f
-s-'^�lo.Jr4 ./3i<9c- oto all JssT 3
48. Special Requirements Completed
i,1 49. Electric Release to Edison '
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No.. Date
ROOF COVERING CERTIFICATION •
q
Permit No. a t 1 I 9 l
Property address 1856 Elba Cr..
Owner Thomas Brenman
Contractor Crank Bros.. Roofing Co..
State Contractor License Number 406677 Classification C-99
I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the
above address in conformance with Chapter 32, and Section 1704 of the 1979 Uniform Building Code, as
amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the
manufacturer.
E I further certify that I am the owner of the property. (Owner-Builder permittee only).
0 I further certify that I am:
❑ Owner of sole proprietorship company
a Full partner of the company
❑ Limited partner of the company
D Officer of the corporation
I certify that as an authorized officer or agent of the company or corporation, I am empowered to
make this certification, which shall be binding on all successors or assigns of the company or corporation.
I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the
Building Division for acceptance.
• Crank Bros.. Roofing Co..
Company or Corporate Name
126 Commercial Way
Address
Costa Mesa, CA 92627
-'i ii /— /
ssEr
Received by Building Division by: si••.. ure Date
Itc /James H., Crank
Initial Date Printed or Typed Name
ti
space for Notarial Statement for authorized officer or agent
‘Ni1.
` t
CMF 099046 White-Building Div.;Can Contractor;'Pink-Owner
I It
. 'T 18259
&OSTA MESA BUILDING-SAFETY DEPARTMENT nnEOSTA -„,m �.y�7p-�
P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill in Completely APPLICATION FOR PERMIT
TYPE OR PRINT
it'galING/ g S0 t"�/JJ� da--(cz BUILDING
ADDR
COSTA MESA. CALIFORNIA For Office Use Only
OWNER ei J ar awn-fey
w/ y }IRECEIPTN . � LI P� ql
MAIL / /�j RECBIVEy BY ATE RECEIVED DATE ISSUED
ADDRESS//[: 5-3 /��/�*Ycre/7 C /v I // /4 aYI NnV 'L 3 �yD2
G
CITY C- 67-77,/' /2227c, NTV//03/-C ADDRESS
AGR„'Hz,}}1��>21NEERt(n, lrr,9'/' i TNQE irr`93Gi COSTA MESA./CAALIFORNIA� ,(Q /��,/I�/
ADCiYe$89///' Ai'�LLy¢ //"'i1/2/� FIRE
ZONE TYPE /' GROUP ^" Q-
/�/ ^(/
CONTRACTOS-- t z'2.0 £L7Ycr L- e 4- APPROVED DATE rl' /
ADDRESS � n /are,ee.l ZONING t^N / IV, /+
//JJ ,,yyam�, ZO�N'l¢� l I HOOF I ULE OP N 'G,/It
CITY as57fJ- Q'//F:5 C q / I01 .- PLANE BUILDING J,'f♦yj/�''
LIC.STATE NO. /�73 -1 TNO. / s/5 DESCRIPTIONLEGAL
A-*. �L' 14
////
OIZE X /� NO. OF BLDDS.
OF LOT �� �C Now ON LOT A.P.NO.
USE OFYARDS EVES
EXISTING BLDG, _- APPROVED ALLOWED
SETBACK LINE PROM / [,�/J / (CENTER LING ST.) slit
/
CENTER OP STREET REAR YARD// / L`T FRONT 7 FT. IN.
SIDE YARD I LEFT /�/ I RIGHT // , R.SIDE // FT. IN.
DESCRIPTION OF WORK L.SIDE ) / FT. N.
NEW Ik II ALTERATION III ADDITION I REAR J/1)1)
�
REPAIn I II MOVING I yII DEMOLISH 'I APPROVED A/14-1�DIAAT_E /'"-�9-�
SZEBUILDING // 793 NO. OF ROOMS / STORIES / T / AV _
EXTERIOR WWCALL? I ROOF �'�/�
COVERING jZteege COVERING✓'/�
USE OF BUILDING AND WORK TO BE PERFORMED
2 w6cz (/YG Pi--41/ Al 4/
(7774-- 4Q/-- .0 - 42393 ''/-s/2-
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IB FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY TON ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION( VALUATION
SIGNATURE OF e/„_,� ., Dr PERMIT FEE $ ere(5O N
PERMITTED '�z'��---` _ ���
. A - $026,575o2 - PLAN CHECK $ 5 w
AUTHORIZED AGENTS/� L�.�EtcL z
TOTAL FEE $ •7r rt
{ � i2s3 FEE RECEIVED
fCOSTA MESA BUILDING-SAFETY DEPARTMENT JAN. S 1964
P.O.BOX 317 COSTA MESA.CALIFORNIA ((��77FIIN((A��FFNCE DEPT. -
\ For Applicant to Fill In Completely APP�fCA'NION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING For Office Use Only
ADDRESS 1856 ELBA CIRCLE
RECEIPT NO. PlgpIT N$, ti
COSTA MESA. CALIFORNIA r p(/p�-'
REC[IVIC5 Y DATir fbJ' D TSE`/ Do
t.
OWNER RICHARD CARROLL /�� yI�J( / r L/�
MAIL ABUILDING
DDRESS 1856 ELBA CIRCLE
ADDRESS 1856 ELBA CIRCLE
FIRE //////jj�� 1
TEL. ZONE TYPE (J/ GROUP
CITY NO. G
ARCHITECT TH APPROVED DATE
OR ENGINEER T LARSON NOSP 0.-
5871 FIRESTONE BMWZONING /��
A. BS U
ANTHONY /f1R Z'I, ( I ;40.4,,B;2....
I BUILD Xo[w
CONTRACTOR ANTHON IHBOLS '-K\
5871 FIRESTONE BLVD. DESCRIPTION LOT 20 TRACT 4341
ADDRESS
CITY SO GATE A.P.NO. l J 11^ilia/ .- 0 5-
NOTE:
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL. BO'TO SIDES REAR P.L.
LIC.NO. 190179 NO.
EAVES
SIZENO.Or BLDGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT 2.. IU4 �( Ias.0d NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OING F BLDG.RES AND GALL� MAIN BUILDING ACCESSORY BUILDING
EXISTR
(FROM C/LSTREET)
SETBACK LINE FROM FRONT FT. FT.Gi {
CENTER OF STREET 2216" REAR YARD 15161 /
id
SIDE YARD I LEFT 17' I RIGHT 24' R.SIDE FT. a`{ FT.
DESCRIPTION OF WORK L.SIDE ` FT. 1 7 'FT.
NEV' ALTERATION ADDITION REAR FT. 10 Fr.
6
DISTANCE BET. BET./MAIN ft
REF....1 DD MOVING DEMOLISH MAIN BLDGS. ACCESS.ELDGS.
BUILDINS12 NO.OF VAR.# DATE
SIZE ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALL ROOF APPROVED Mit")/ //� /I/ / 4
COVERING I COVERING BY //V ✓ // TE �(r7 `�
USE OF BUILDING AND WORK TO BE PERFORMED HOLD FOR SPECT KEQUIREMENTS/
PRI VATE SWIM POOL _ •o— cd
/�-.
SQ.FT.
N
I HEREBY ACKNOWL.EOO[THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATI IS FOR THE
AND STATE T {TH ABCV[ IS CORRECT AN EE TO COM. PURPOSE OF ESTABLISHING A PERM FEE ONLY. O
PLY WITH CITY RDINANCES AND STATE WS EGULATIHG VALUATION iiBUILDING NBTR ION. v '.
PERMIT FEE j
PERMITTEE Y 1900.00 ' -LAk C.EC. b —� a
AUTHORIZED AGENT 2
TOTAL FEE $ /��
` 21477 FEE RECEIVED
•COSTA MESA BUILDING-SAFETY DEPARTMENT JAN 2 3 19
P.O.BOX 917 COSTA MESA,CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely APEA RF O ROS�TA PERMIT
TYPE OR PRINT BUILDING
For Office Use Only
ADDRESS 1856 ELBA CIRCLE
RECEIPT NO. PERMIT NO.
COSTA MESA, CALIFORNIA 7
�REG VE�D fB DAT�E��RggCEIVED /�SU
OWNER RICHApR�D�V CARROLL —CJS /� ,?-4, /- ' 3- `s<
MAIL SAME BUILDING
ADDRESS 1856 ELBA CIRC
ADDRESS
FIRE
TEL. ZONE ROUP
CITY NO.
APPROVE J
ARCHITECT TEL. BY DATE .i -z
OR ENGINEER _ NQ. --
ZONING
AL SS ZONE HO.OF USE OF NEW G�
CONTRACTOR
ANTHONY POOLS -t I PLANS Z. I BUILDING r
LEOCL
DESCRIPTION LOT 20 TRACT 4341
ADDRESS 5871 FT RF.STODTE RT.vn,
SO GATE A.P.NO. 133 ?— y z/ — Or
CITY
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC..NO. 190179 NO.
�1 ATE TEL
1`8P3221p 90'70 SIDES REAR P.L.
7oZ Jl /O��0 a NOW ON LOT / EAVES
SIZE NO.OF BLOBS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT YARDS APPROVED YARDS APPROVED
USE OF OC 9i- 6j� MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. Ll J Cl
_ (FROM C/L STREET)
SETBACK LINE FROM( ,7 �DC I / FRONT FT. FT.
CENTER OF STREET V �j Q REAR YARD
SIDE YARD I LEFT / I RIGHT / R.SIDE FT. FT.
DESCRIPTION OF WORK L.SIDE FT. 3 ' FT.
•
CAA
REV' X ALTERATION _ ADDITION REAR FT. FT.
DISTANCE BET. BET.MAIN Q
REPniR MOVING DEMOLISH MAIN SLOGS. ACCESS.BLDGS."
BUILDING 321 NO.OP • -
VAR.# DATE
SIZE ROOMS STORIES'` C.U.P.# APPROVED
EXTERIOR WALL � I ROOF APPROVED //./� 4rn c/
COVERING COVERING BY �f/A*,,((C DATE
(f /
USE OF BUILDING AND WORK TO BE PERFORMED HOLD FOR SPECIAL�LREQUIREMENTS
THERAPUTIC POOL
• N
SQ.Fr. •
I HEREBY ACKNOWLED AT 1 HAVE READ THIS APPLICATION THE AMOUNT SHO a NDER VALUATION IS FOR THE E
AND STATE j .EP4EATABO 18 CORRECT AND AGREE TO COM• PURPOSE OF ESTA' ISHINO A PERMIT FEE ONLY. O
PLY WITH AY ORDINANCES AND STATE LAW' TING VALUATION
BUILDING CTRUCTIO w
SIGNATURF �� PERMIT FEE $PERMITTE •"... 1--*I re ,.0
eek $ /lee' s� G
AUTHORIZED AGENT /
4
yam- TOTAL FEE J/
28128 1 17 ]
• COSTA MESA BUILDING-SAFETY DEPARTMENT 68�5�0� 587 v*****S,QQ
P.O. BOX 1200 COSTA MESA, CALIFORNIA 02620
•
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING /C 56 E`l�a, el�� For Office Use Only
ADDRESS
RECEIPT NO. P[RMI
COSTA MESA. CALIFORNIA .g K1 21
/j p� I RECEIVEDy� MY DATE RECCEIVE DATE I D ,
OWNER R 1/ C.GLi Y/V // /l 4'4) !n/`�/I(��` 1 /I� �'/ Q��
DDDR EMI /KS--6. e • 6&C,n` e ADDRESS LDING 115$ C. " u �.�O tt&
/7 7/--.._ /Ay, ,( a FIRE 3
/^
CITY C S /-s eSW N ts-04 .j i ZONE v TYPHE . GROUP �./
APPROVED //� � ./..-1
/ Y
TEL ARCHITECT TCBY ,tY DATE U
ENGINEER Oat elift NO.
73' /r ZONING
ADDRESS U 1 / ((JJ��,,
({�J� /J y� Zdlt�� NO.OF �1 USE OF NEW/]
C 1t,7( P r LAG( 4'-e/ 4f PLANS BUILDING 4
CONTRACTOR _ // L T1 u" /, I ,
DESCRIPTION`(} 1 1 l 3 Y /
ADDRESS n jj� 1
CITY A.P.NO. / 7 - Y-F�, -- 0f
NOTE: NO[AVE OVERHANG((SHALL BE L688 THAN
STATE TEL DO'TO SIDE&REAR P.L
LIC.NO. �r NO
OFLOT ,o6 A x•69 T J /oOF BLOC
VES
SIZE O7� ALLOWED . U.B.C.REQUIREMENT/
I
�� 1\ f 5 �oG NOWYARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. (FROM C/L GTR
SETBACK UNE FROM FRONT cot(
.._Q- FT.
CENTER OF STREET REAR YARD ^ 111AAA/// /
SIDE YARD I LEFT RIGHT R.SIDE aA)99T. FT.
DESCRIPTION OF WORK L.SIDE 9 Fr. FT.
chI; ' ALTERATION_ ADDITION REAR �FT. FT.
XDISTANCE BET. BET.MAIN&
MAIN BLDG', ACCESS.BLOCS.
REPAIR ..MOVING _DEMOLISH
VAR.S DATE
NO.OF
It SIZE ROOMS STORIES C.U.P.# APPROVED
a EXTERIOR WALLROOF APPROVED
'� COVERING I COVERING BY
�,A/pATE , -/7` ID
/
USE OF BUILDING AND WORK TO BE PERFORMED 1/I/O /
P.
y
is N
Ply. L5 /G 0 (..p['-Pr
.....-‘'-. SQ.FT. A-
C
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
P: AND STATE THAT THE ABOVE IS CORRECTANDAGREE TO COW PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. e,1
PLY WITH ALL CITY ORDINANCES AND STATE LAWS R[OY TING VALUATION Dw
I, BUILDING CONBTRU
PERMIT-ME O'er-� �j�' //// PLAN CHECK S 5:.CO
w
AUTHORIZED AGENT �cJ(/L/ 9
_ ,.... . ... • - .."CFS.: TOTAL FEE Ste-/ '
5
0757 8/ 13/79 18.50 TL
n
• - COSTA MESA BUILDING-SAFETY DEPARTMENT.- •- 'APPLICATION FOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
REC BY (PERMIT N - 48604
For Applicant to Fill in Completely — Use Ink Only 1�1
BUILDING s6' ` �Jp� w� A.P. NO. /3 ry — Vol/q�—O r
ADORES$ /�✓� ,. .01(.:Ire. crosT — BUILDING /8j�'G G[f��tG/(ie OWNER T//m'5 OQ ,4 (.j�� ADDRESS /AF VS DE
UNTENANT /y[/ F '�' /1!/>�✓>"����
T OR
MAILING 4:93-4, �[�64 CC. b' 4 SPACE NO.
ADDRESS
TR.N0.3 Y/ LOT �0 4BLK.
rr TEL '(NO
CITY emsr/f /463.1 NO. Tp-/3/3
NEW ADQ ALTER REPAIR (MOVING DEMOLISH
CONSTRUCTION
LENDER
BRANCH �jJ�� �j�/ /�/�/���/
OWNER 77.74�I¢5 Beige/it tL1R�
ADDRESS ,.,/ /J��/� VALUE
ARCHITECT D/�'FTs N'�j / •TEL. leg USE L�/r-«/Y SE
$
OR ENGINEER e Pi4UL/.4®IO.��7
ADDRESS v ZONE /-'�T• TYPE GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS
TEL.
CITY NO.
(-• STATECITY APPROVED SETBACKS
LIC.NO. LIC. NO.
Ly SIZE NO.OF BLOCS. (FROM C/L STR T) /J
Cl.. OF LOT NOW Q ON LOT / FRONT ((� �[Q.C�j� p{,
Q USE OF Q
y EXISTING BLDG. ci -5. R.SIDE FT.
X
F's
Separate permits are required for L.SIDE FT.
electric,plumbing and heating work. _REAR FT.
PIUSE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
DATE
APPROVED
Q
> fre--"--4"-- -444-44e---' APPROVED ache /
.}.7 _ay LWIC ' DATE /07/ F A7
cc
[LI _
QII hereby acknowledge that I have read this application and state n
X that the above information is correct and agree to comply with
0. all laws regulating building construction, and I shall not employ
Z any person In violation of the workman's compensation laws of Y 07
S the State of California. m
N
FT. �•
I hereby certify that I em properly licensed as a contractor under $O. �It
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE b
and Professions Code,Division 3,Chapter 9. o n
Signature of 2w ��� S �— PLAN CHECK S /� 00 o _
Permittee r� / O TAX u.S ( 2 \NL
Authorized Agent Date "'4Ge 7,7/ TOTAL PAID S ft \----0 U
6275 11 /08/79 36.00 T_L
COSTA MESA BUILDING-SAFETY DEPARTMENT .—•.. -APPLICATION FOR STRUCTURAL PERMIT
• ' P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ,���/////�/�/�/�sss���r
RECE PERMIT N
For Applicant to�Fill in Completely a... A.P.
Ink Only ,V
ADDRESS /erg
CrG/fl'a(� s+f A.P. NO. JJ''��// reit_ /�j��/�
OWNER OR r//�� � � � � � ADDRESS /r,�0 reit_ ` . •
TENANT �j,(�L(.t.(/i� �-/ y Q, aa.�,/
UNIT OR
AAI LIEG �a _ SPACE NO.
ADDRESS N. Kt.(L/ eV
TR.NO. LOT BLK.
TEL.
CITYen/AVCen. NO.
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER
•BRANCH /Cot/4
_ � ?� ,. w --
OWNER �LI� , s(/vs/..(J�^r-
ADDRESSVALUE �/
0 ARCHITECT TEL. USE $ �%
OR ENGINEER NO.
IT
ADDRESSiii
ZONE TYPE GROUP
APPROVED /� /D p
CONTRACTOR BY DATE L / O1
ADDRESS 111
TEL.
CITY NO.
i•-• STATECITY APPROVED SETBACKS
gLIC. NO. LIC.NO.
lai SIZE NO.OF BLDGS. (FROM C/L STREET)
B OF LOT I NOW ON LOT FRONT FT.
Q USE OF
ix) BLDG. 9 SIDE FT.
V)
i-•
Separate permits are required for L.SIDE FT.
a electric,plumbing and heating work. REAR FT.
(W. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
6 ?rats. ci(--b-u4e. DATE
APPROVED
APPROVED
> _BY DATE
.J
a
w
G • I hereby acknowledge that I have read this application and state0
that the above information is correct and agree to comply with
6, all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of
GU the State of California.
z I hereby certify that I am properly licensed as a contractor under SQ. FT. N
D
the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR a
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Businessa
and Professions Code, Division 3,Chapter 9. VALUATION PERMIT FEE $ �6. '00 6
m
Signature of PLAN CHECK $ m
�140,4A GS U $ — LL
Permittee ���orJJI p /� TAX $ 2
Authorized Agent Date U
���0 77
TOTAL PAID $ 36 oa