Loading...
HomeMy WebLinkAbout2779 ALBATROSS DR - Building Permits�I I f' RNA£SSOFBUILqNO: 2%%�J ALBATROSS DR �NT� �rr+Ex's'+u,eir�avr+: HESLINGTON EVA V FLOOD: AE-46 _- �ooxEss: 2779 ALBATROSS DR COSTA MESA,CA 92626 751-3486 �rv�. xuuna �oonEss: MCNRECT OP FNtlNEFR: JKR OF F!!!i.'S ADDPE53: uc No.: ca+m�ctars w�ue: cwm�crorts xu�wo �oo�ess: uu xo.: UNT: uxr: LICENSED COMflACTOflS pECLRPRTION: I Mreby eflim uMx periely d perjury Nel I em licmaed uMs prvmons W CMqa 9 (mmme�inp wilh Senion 1000� W Divieon 3 W Ihe Budnew eM Pmtmeions Code, eM my licenea ic in hll latt eM eMed. cm uc. no.: uc. cuss: uc. No.: EXP : �me: co���ao,: WNEF BUILDEN DECLAPRTION: I heieby elfirm uMm penely al perjury ihet 1 em ezmmq hom IM Contrepaa Licensa lew ta the .olbwmp reeeon (Section 1031.5 Buaimea enE Pro/easiane Coda: Any cey w coun�y wfiich repuiree a permn io oonahun. ellaq impraro, demd'ati, w repei eiry swciura, priar lo ik uwarce, abo repuiroe iha epplireM lor wch paimil to fib e spirod atetement Met M a sM a licenfed pursuenl lo IM qomionf M IM Gontretlore Licenae law ICheqer e(mmmxitlnp xilh Setlion ]OW) M Div6ion 9 d IM Bueinea end Prdeaure COEe� or �he� he ar Me c ezemq ihxehum anE ihe baw la Ne aAaped eaemqion. My viole�un d Sedin 1W1.5 M eny eDVlisnl for a oermn wMxts �he aoolicent to e dvil P�elry d rwt maa then live nunared Eollen �550op. ❑ �.a�ownerameaoronv«mv.mWoreeawen.vepe.,.me:.d.w�o�mion..;neom.wnx.enem..weunenaimmdee a oRe�eC M+eb (Sanion )010, Busima end PMeasiona Code: The ConlreGon licenne Law tloea rot Appty�oen owrerd pope�ry who Wlds a inprovee IMrean, vM w1w Coae auch xo�lc limeell or Mne� a thrau0h ho a har own em0loyeee, providetl ihet euch 'unpovanmu ere m� imeMed a atlemE fa sab. H. howavar. tM buiNi�q or inpiwameM b sdd vrilhin ane Y� d completion. the V owmrbuilder Mill Mw �M WNen d pai�q M or sha did iM buik a imprwe for �M pvpma d ab). � j I. ea ovmer d tM poparry. em eaduervaly cantred'vp xith IicenseE wntreclon ro conetrud iM piqad (Sepion �ON. Buaimas aM Pmleedone code: TM COMredac licens lew Eoee na eVPN lo en owiwr a pW�Y who Wide « imWw'x �he�eon vd Ma convecls far eud� prqede wuh e mM�eGa(s) Icenwd punuem io tha Conlreda+Lim e ew�. � I em�?^� p uMat S Mion: B. 8 P�.�C., b n reswn: I % ov.: X a� ^i,(v �r'/�iaLl/ . p'�, c o I tlo hereby cartity Ihet I em ewere W uW uMentend �M reQuiremew d Gdtania HeeXh ud SelatY Ja Saubm P5505. ?5533. eM 25536, eM Um I a any Mure Wikirp om�pem will / wil ml (tlreb a�e) meE ro eompy wIh eeid pela wdas eM ihs eayu'vameme M e peim�famnal�.Yim w modifxationhan�M A'e�enepamem Dinna. Raekemiel conn�utlion eppf�ianen exemq Imm IMsa wo�o�a. Deb: Appli�aM: W ONKEfl'S CONPENSRTION DEttM1TI0N: I hereEy elfi�m uMx penelly d �wjury an M Us idlowiip dedertlbna: � I hew eM wJ meimen e cerlifcata d ooneent lo selNruu�e M wakan' compemelian, n pwNeE /a by Setlim 3]00 d IM LeEor Catle, la �he pa�lormenae A �he wak Iw which ihie peimit ie iaueA. �I heve eM xil meinien woMen' mnpemmion imueerce. ro rpu'vad by Sadim J]W d tM lebor COM. br IM pe'Mmenoe d iM work In wt�itli Ihis permil'v iaueE. MY �an' mmpanamian inwreMe �ris eM pdie,y wmber w: c.�.: va:.v rmmn.r /(T�Ns secfion need not he compbteC / fM pemid is la me hunCred ddlers /$�OJI w bn.) u I m�ty Ne� in Ne pM�yoimerca d tM wak la xfich ihia pem�il ia iaae�uded, I eNetlFl �mtl emNpbqyd keiry paeon in vry man�ror o p to becmia wbjea ta �wha ol Seti� J 0�� he Lebor Cade, I ahel�lpbwi�h�owndr wilh il�R�d�rowb�e. w� ro �M xwFen' COTOB119B�I�IIDION9 W�minp: �elluro b sxuro woikeri compxwtlon rovs�ep� Is unlawNl, entlWll �i.d/ecf en �mpl4y/ro cNMnsl peneltls1 �rM elMl flrw up ro aro hunOieC UwweM tlWNn ft100,P00A In mltlltlon ro M� eost ol romowuetbn, demspss u povltleC br In S�ctlon 91P6 aI1M laborCotls. /ntwl. �M artomsya hq. CONSTFUCTION 1EN01N0 AGENCY: I hereby �rm uMer penelry d per'ryry Ihet Ihere ia e conmrueion WMinp epmcy br IM pe�ipmarce W tM wwk far whitli Ihi pam�1 o'swed (Sedion 309). Ci✓. C�. LENUEH'S NMAE: LENDER'S �ODNES4: I cMity ihet I heve raeE tlie epplicelion eM mma tAe� IM ebwe iMarmation is c«req. I ep�se to camyy v.ilh ell ary eM couMy ad'vienua vM etete kwa reletm9 �o building connrutlbn eM hereby au�hor¢e reprasantelrvee M Ihe dly to en�er upan tM ebova�mentioneE properly la ireGeaan WeWses. ..... ............ C� Dme: � � �515i-Ia.WP) Wh�e-BuilEvq d Sefery; Oreen-Fle; Carury-Appfirant: Pink-Rewnua; Ookenma�seeuor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: H 079296 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PERM NO: B 079296 GOVT: N SUPP: N PURPOSE: REP JOH DESCRIPTION : T/OFF RESHEATH & REROOF W/ COMP SHINGLE SQ FT: 4,000 CLAIM VALUE: 4,000.00 CALC—VALUE: 4,000.00 GROUP OCC: R-3 /U-1 COMMENTS: REROOF AFTER AESHEATHING ��atieititatit****�it*itie�c**iriE*if �iEitit*ititit��t*�rat****�x ***ititititit*it�*at**�r*itrt*atit**it�**x itit**�** Z O N I 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 AEAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL: 13947702 ZNE: AEF NO: PLANNING N6TES> . ' iE 1E iI� if� if fF 1ElF 1I� iF �f 1F 1F iF ik 1F if iE 1f if iF 1E iE 1E IE 1F ik iE IE IE * 1(� �F 1(' iE iE iE iE iE'lE iE 1f'lf 1f dF If� iF i(� ik IE * 1E'lh 1E 1E 1E iE if if iI� iF i(� iE 1E iE'1E iE if,iE �If iF IE 1E 1E iE i! 1E 1E if D E V 6'L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY __ DATE: ' BUILDING APPROVED BY : APPLICATION ISSUED BY: i� it+tit**�t**�tit**x�*.**�tet��tat* LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMHING ELECTRIC MECHANIC PERMIT 87.25 PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 87.75 0.00 0.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 87.25 _ DATE: DATE: �'�U'� iFiFiF*�*�r*x�+rit**�iF' �+� STRUCTUAAL SEGMENT:Y FIRE SMIP/RES GRADING 50 SMIP/NON—RES TOTAL PAID DUE 87.75 87.75 .00 87.75 OVER/SHORT: ,00 FIRE SMIP/TOT GRADING PLAN—CHECK .SO IE iE 1k IF iE II� iF iF 1E iE i(� IE 1E iE if iE IE iE iE iF * iE iE 1E if aE 1E 1E iE ii if� if �If iE iF if IE IF if� iF iF iF iE iE iE IE 1E 1E IE i41f 1F if iE iE jf 3E 1E if if i(� �f iE 1E IE 3E iE 1E 1E 1E if ik iF iE iE 3F �E IF iE 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 4000 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 4,000.00 END OF FEES � CONSTRUCTION AND PLANNIP. , L& SPA � K.-,.JAPPROVALS Permit # Daxe ''Inspector APPROVALS Permit # Date lnspector t. Temporary Electrica! Serviceor Pole 52. Pooi & EGuipment Location , � � 2. Soil Pipe�Undrgrnd. ' 53. Steel Reinforcement � �- 3. Electrical Conduit Utility-Undrgrnd. _ 54. Forms , ' 4. Elecisical Condvit�Undrgrnd. 55. Etectrical Sonding ` 5. Steei Rein.'orcement 56. Pough Piumbing & Pressure Test = 6. �Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. " ..8: Foundation 59. Gas Pipe, O Undrgrnd., Test 9: Water Pipe�Undrgmd. ' � 60. Backwash Lines, P�Trap, 0 Undrgmd. 10. Structurai Floor S4stem 67. APPROVA� TO DECK = ' i 5. Properry Sewer Line & House Cannection 62. Backwash & Receptor�Finai , 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbing System � Final '. 14. Rough Plumbing �� 65. Electrical-Finai �- . 15. Rough Electrical-Gonduit _ 66. Solar System-Final � � i6. Rough Electric Wiring 6]. Fencing & Access AnProvai ' 17. Rough Wirin9 5�9� 68. APPROVED FOR PLASTERING ' 78. Rougfi Electrica67 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & A�r Contlitioning PIRE DEPT. REQUIREMENT j - -C_ ' - _. I 20. i7ough Facmry Fireplace � • � � - - � - APPROV�ALS' �: Permit # - - .r 21. Ducts, in_Structury ; ' , _- , � . = 70.`.UnBer�ground Hydro ' 22. �Ducts, Ventilating , , - � = a r • 71, produLt:Pipinc�'�S�Gas OOii 23. �Gas�Pipe-Rou,gh &'Tes. - ' _ ,1 - 72. Underground F�lush K �' 24. -Roof: Framing �- � - .. .. 73�. Undergrnd. Stora'�2*Fank L Gas O'0�1 . 25. Roof Sheathing -' •- q-%jG�q.6 %�G'y �� 4.,.Dverbead Hydro`�" -. � �.. -� 26..T-Bar� Ceiling IStructurall & Monocoat . ' ,_ -�: �. 75. Dry Chemical � •- ' 27.�Frameand Flashing _ � � ..a, 76.� Dry Standpipe..,�. : • • ", �- r' yl 7r2. FIXED�SYSTEA9 FINAL V 28. ,tathing & Sidin9'� . �-; �., : �;,; . .. ., ' 29. Insulation '"" � � � 78, FIRE PflEV. FINAL " r 30. DrywalliNailing •. ` � - � -HEALTH DEP7. REDUIREMENT 37. Plaster Brown Coa"t' - ' '* , 79'. FINAL INSPECTION �" - ` . 32. Electncai Power R4eter-Final ' �, -i ir . 80. FOOD CE�iTiFiCATE 4SSUE0 33. Final Electric •- = ^ -� i � � Nbtes. �' "�� y _ •`�_ 34. Fi�al-HeaIing`:& Air Condjtioningr: ,- � " � '' � ` - - I c: - 35.'finalGas'Pipe�Test' -' •. � - ` � 36. Hood or CanoPY � , . +* " -..= �� � , � , �i � . 37. �Final'Factory Firaplace . �� = _ " ~'- � 38. Flnai, Piumbing � . . .. , - , : � �# � _ � _ � - , 39. N+ater Service-Final. _ - s � : - - _ - , � 40. Gas Service-Finai _ _ - �y : � �Y � ,; - � 41. 5olar pomestic-Final :. � � .� � � , � �� � :, ; _ 42. Backfiow Preventer` � * � i t� "' : �, , �. -' 43. Backflow Irrigation � � _ _i * 'T -'" ' � " # i• 44. Landscape Ircigatioq System � -- - - - .,� - ' _ 45. Sound Attenuation - � • -� - - - - ,, 46. �Handicap Regulations � _ �, �" .� � „ "' � • 47.FINALSTRUC7URE&BUfCDING q'1,3����p 6(,�/' � __ � • 4$. FINAL PLANNING , _ �,� ;, - � _ 49. Electrie Release ta Edison . - - _ � 50. Gas Release to Southem California Gas Co '. , -, - 51. CERTIFICATE OP OCCUPANCY , . . Nv. Date N/�IN OFi10E ILJ! WEBT 6AY�OPD ST.. — P.O, BOx BOGS LONG 9EACN �O, CALIFORNIA HEMLOCK S�1493 bPpUCE p�0328 �ACKSON )�l6BI Twsni�a Laboratories �i " BF/�NCH OFFICE 1lI��D NORTN NANYE0. 6T. �� 8/�NTA ANA, C�LIFORNIA JEiiEN50N 1-2019 JEFiER50N �.10<0 cSouE�ZEzn C�a�iFoznia. �Inc. September 2, 1965 GUNITE REPORT OF TEST CYLINDER Examination No. SC65-3829 For - Jos. M. Henley, 1973 Newport Blvd., Costa Mesa Project SWIM POOL FOR JOHN STILLETTO 2779 Albatross, Costa Pfesa Sample from ��1-Bottom Deep End. �k2-Side Tdalls Opp. House. �k3-Bond Beam House Side. Architect Gunite Contractor cc: Mix Specificd Strength, psi �k�c Si2e Date cast Date tested Cylinder No. COM?RESSION TEST Total load ro destruction, ]bs Pounds per square inch Tibor Gyimes Blue Haven Pools 4 2-1 2,000 psi 6 X 12 8-24-65 8-31-65 1 7-Day 79,000 2,795 8-31-65 �a �f��vEO SEP 3 iS65 City of Costa Mesa Building Dept. 8-31-65 3 7-Day 7-Day 78,000 71,000 2,759 2,512 / Cylinder made by Jos. M. Heciey n(�� � �I Cylinder delivered by 'Jos, M. Henley � Cylinder received on g-25-65 � $lue Haven Pools 12222 f{arbot, Garden Grove Jos. M. Henley NOTE: 7-day test complies with specifications. � of Costa Mesa ALL 11[�QRTB Mf BUGMITTED AB TXC CONIIDCNTI�L PqOPERTY OF CLIFNTB. wUTMOHIZATION FOR PUlLIC�� UR N[PO T�. CONCLU610N� TI1AR� ��OM ON REG�POINO TXEM IO RCBCRVE� F[NOINO OUR WPITTW ApPXOVA� 68 A MUTU�L ppOTCCTl01� TO CLICNTt. TNi PUlLIC ANO OU0.Y[LVU. �l` ti C I T Y 0 F C 0 S T A M E S A CALIFORNIA P.O. BOX 1200 FRON THE OFFICE OF TFi� PLANNING DEPAR'PMENT Nh�. John Silletto 2779 Albatrose Drive Costz, Meca, Cali£ornin Dear Pool Owner: October 11, 1965 The Costa Mesa Planniug Department has been notified of the com�letion oP your swimming pool. So that your pool will be a safe one and for the purpose of advising you of your reaponsibility 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 £rom water line of pool. 2. No swimming pooZ shall be constructed under a.ny electric power lines or on any electric power easercent. 3. No s�ri�ing pool shall be constructed unless the yard surrounding such pool is coSplete7y enclosed by a fence six (6) feet in height and have a self-c].osing and locking type �ate or gates. This courtesy letter is directed to you so that you will be aware of our ordinances and can make a complete saYety check o£ your pool area. Sincerely yours, �"� . + J I � J ���' 7 .;;//;�!y;:^,;.._. �i-1:'/�,��;,,.� 4/illian L. Dunn Director oP Planning . F � W 0. Q � y .T. F G W F 0 r.7 a > � � {ri 0 �i 6� Z W x 3 . 4189b COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only UILDING �� `�G', G�/4% ISS �`L ADDRESS OWNER ?( � M� MAIL TE L. FP� CITV NO.UJ CONSTRUCTION � BRANCH ADDRESS ARCHITECT � TEL. ADDRE55 � 9 CONTRACTOR ADDRESS TEL. CITV NO. STATE CITV LIC. NO. LIC. NO. S I Z E I NO. OF BLDGS. OF LOT NOW ON LOT USE OF Separate permits are required for electric, plumbing and heating work. USE OF BUI�DING AND WORK TO BE PEFFOFiMED I hereby ecknowleABe that I hava reatl this application and state that the abova information is correct and agree to comply with all laws reguleting puilding construction, antl I shall not employ any person in violat�on of the workman's compensstion laws of the State of Califor�ia. I hereby certify that I am properly licansetl as a contracto� untler the State of Calitornia Business and Professions Cotle, Division 3, Chapter 9, and that such licenses ere In full force antl effect, or I am exempt from the provisions ot the Stete of Calitornia Business antl Professions Code, Division 3, Chapter ppp9. I SlBnature'of � � l AI//iA.IJl�I�1 Pe�mittee � V ' �� ��' � Authorized ABent RE A.P. NO.I� BUILDING � ADDRESS L TRACT OWNE FIRE / ZONE APPROVED � .,�v_tl IE�a�'00 13aY �,�*;�1C.5C FORSTRUCTURALPERMIT D�+TE RECEIVED DATE ISSUE❑ � �' 1 J h...� �A PERMIT NO. NO.OF ^ � USE OF VARDS APPROVEO I VARDS APF MAIN BUILDING ACCESSORV BET VAR. � C.U.P.4 VALUATION $`� .% B � 7 r BET. MAIN & � ACCESS. BLDGS. DATE � APPROVED �p .� 3' �`'�J NV I n 1 m i : m N J UN ER VA�VATION IS FOR m 'A A PERMIT F ON V' e P EE $ a H � PLAN CHECK $ ^� 0 TAX $ LL f U TOTALPAID $ r�:�o: .��� o. GAS PROP. SWR. LINE � J HOUSE CON. SPRINKLING SYSTEM UNOERGROUNO U GOWER U ROUGN WIRING TRENCNES FORMS STEEL REINF. FLOOR SYSTEM SHEATNING FRAME ANO FLASMING LATHING - IN I-I 5-4-76 BUILDING PERMIT N0. SUBCONTRACTOR . �; 7dS� � COSTA MESA BUILDINGSAFEfY DEPARTMENT P.O. BOX 917 COSTA M6�p� CALIFORNIA For Appllcanf to Fill In Completaly TYPE OR PRINT BUILDINB ADDRE53 COSTA MESA, CALIFORNIA � STATE USEOF �' EXISTINQ BLDO. SETBACK LINE FROM NO. OF BLDOB. RIQHT• OF WORK BUII�INCi/ ./ � NO.OF SIZE l JL ROOMS EXTERIOR WALL I ROOI COVERING �COVE USE OF BU IL�DIlIG ANO WORK TO E 1' I HEREBY ACKNO ePNO STATE THAT PLY WITH ALL CI BUIL�INO CONSTf � I HAVE p�D THIe �PP IB CORflEQ} ANO AOpEE �68 AN[rB�TH LAWB H8� � AUTHORIZED AGENT v/ � .f � euu AD�I PIRE CITY a► � �5 T� ��SA �� AUG 10 1965 APPLICATION FOR PERMR �'�c"� � FOf C f 1 I RH<HIPT NO. I . P�,�IMII � ZONIN6 NO.OR U680FNlW PLAN9 BYILOINO .�07 <0 9 r� YARDSAPPROVED MAIN Bl11LDIN6 VAR. ii C. U. P. SC APPROV6D SHALL BE LE59 TMAN YAROSAPPROVEO ACGESSORV BUILDIN6 I.h\�� 1 I n SQ. Ff. � 1 TXE AMOUNT BXOWN UNOER VALUATION I6 FOH THF 5 PURPO6E OF 86TABLISHINO A PERMIT FEE ONLY. � VALUATION /� Q� m PERMITFEE $ � � Gm s �00 — � 6 l f�ir� 4 uwrvr:n_ �rr.r.FmrO, SOHN llATL�' R ��_FS JOB ADDRESS 2779 plbatross DT'1VE BUILDING PERMIT NO. �44�8 GENERAL CONTRACTOR Rlve HavPn Pnnl a DESCRT�PTTON OF WORK v..t...,+e c..:.,, n....i INSPECTIONS � Soil Gas �,,,(��.- Water „n.Lo�r Rough Plumbin Prap. Swr. Linc or Pole ` SUBCONTRACTOR ZONE R-1 SEP 14-77PaI�OO 685+� �*�* �MS, 10.50 COSTA MESA BUILDING-SAFETY DEPAHTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 AP LI AT N FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only REC V DATE RECEIVED DATE IS UED BUILOING �—� � ADDRESS ��%% /"`/<j'%l�SS /J ". 77_T� ER ITNO. OWNER . / �C��/M"'1O/Y A.P. NO. � V MAIL ADDRE 5�77q /T�/JATR�W AODRESS .G�%/�� A�ATROS� �ic�• �j � /� TEL. TRAC�ZB LOT BLOCK CITY _l357�iJ /�E�F�1 N0.7�./'-5�'id'la CANSTRUCTION � � W ADD A T P LENDER /YON� �/ BRANCH � �"� `f �_� OWNEF 1(/� / �'lE�J/I.L� T(�� ADDRESS VALUE ARCHITECT TEL. �' S $ OR ENGINEER �— N . FIRE ADDRESS �r— ZONE VPE . GROUP APPqOVED A CONTRACTOR �jjLp__ v 9V DATE f ADORESS /.y� � ,gorc TEL. Z�NE NO.OF USE O ! CITV �S" NO. _S"' � P�� VILD STATE CITV YARDSAPPROVED VAPDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUIIDING SIZE NO.OF BLOGS. (FROM C/LSTREET) OF LOT NOW ON LOT � qONT FT. FT. USE OF EXISTING BLOG. SF'/��� 51 FT. Separate permits are required for L. SIDE . FT � F-r. electric, plumbing and heating work. REA FT. FT. USE BUILDING ND WORK TO BE PERFORMED 9' DISTANCE BET. BET. MAIN & /_ l� UGif� O�✓ MAIN BLDGS. ACCESS. BLDGS. � / VAR. �I`- DATE . As-LiN6 /N F�'d/✓ C 0.U.P.�j'+ APPROVEO -� i.�F �= s��-s.o �i; ,�Ao�E .iy � G• 9 I hereby acknowletlge ihet I have read this apPlicetion antl stata chat the ebova information is eorrect antl agrea to comply wich atl laws reguleting builAing construction, and I shell not employ any person in violation of tha workman'a eompensation laws of the Stata of Californie. I hereby certify that I am properly Iicensed es a contrector untlar SQ. FT. the Sie<e of Cellfornia Businesa antl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOF Chepter 9, antl thei such licensas ere in tull toree antl affeci, or 1 THE PVRPOSE OF ESTABLISHING A PERMIT FEE O V: em exempt from tha provislons of the SteSe of California Businass VALUATION PERMIT FEE $ '— entl Professions Code, Division 3, Chaptar 9. Signature of � PLAN CHECK $ � � �� Permittee /`� � � —� � • o'T� $ TAX $ Auihorizetl Apent TOTAL PAID $ Q� OWNER HESLINGTON WII,LIAM T. DATE JOB ADDRE55 27 9 Albatross BUIL[ SUBCONTRACTOR ROUGM NEATING AND AIR CON�ITIONING EMPONARV SERVICE OR POLE .UNDERGROUN� � POWER � ROU6H WIRING TRENCHES FORMS STEEL REINF FLOOR SYSTEM BON� BEAM � STEEL HEINFORCE n SNEATNING FNFME FNO FLASMING LATNING - IN � OUT n PLASTER, BROWN COAT STRUCTUR�L, FIHAL HEATING, VENT., REFRIG. �NO A.C., FINAL PIUMBING. FINAL r1N� GAS TEST ❑ ELECTRIC, FINAL BUIl01NG, FINAI cpGflLl NF(IIIINFMFNTi E Lot 69 � I ��.�. 'CO5TA�MESA BUILDING-SAFETY DEPARTMENT P. O. BOX ]77 COSTA MeBA, CALIFORNIA � For Applican► to Fill In Complefely TYPE OR PRINT BUILDIN6 ADORE59 2 A batro�s Driv COSTA MESA. CALIFORNIA rtt RECEIVED fl�AA 31 1984 FINANCE DEPT. CITY Of COSTA MESA APPLICATION FOR PERMIT BUILDINCi For Office Use Only P[CHI VqA BY iv' 2850 Mesa Verde Drive ADDI FIRB Costa Mesa NE`.5490395 ZONF APPR R E. G. Kaltenbach No • 5478046 BY 1833 E. 17th St., Santa Ana ZONB SIZE �(O O� 3 �� no.oP e�oos. OF LOT /J NOW ON LAT USEOF 'IS���X�Ii�S�X%�If/ EXISTIN6 BLD6. serewcKuncpnow C � i C.GNTiR OF BTGFR JO weaR vawe 3G EFT ��� I RIGHT DESCRIPTION OF WORK X �� .� ,.�e.,.�,... � �� ...,, Ng 2�556 ROOMS � STORIHSp 2 OR WQI�yiSldlll9 I ROOF_ _ ��1(1k@� [k House 2 004 s. ft. Gara e 552 s.ft. Plan 53-A 1 XEREBY ACKNOWLEDOE TXAT 1 XAVE READ TXIB APPL�CATION AND STATE THAT THE ABOVB I6 COHRECT ANO �GREE TO COM- PLY WITM ALL CITY OR�I ANC68 AND BiAi6 LAW q80UL�TINY BUILOINO CONBTRUCTION SIGNATURE OF PERMITTE AUTHORIZED 6 NT ZONIN(3 p NO. OP U8Q OR NEW /. p• PLANB 2 BUILDINO � Stt r,ot 69, Tract 5289 none NOTE: NO EAVE OV 6RHAN0 SHALL BE LE9S THAN 30' TO 6ID6 B REAR P EAVES ALLOWED YAROSAPPROVED MAIN BUILDIN6 f FROM G/L STREET) � D18TANCE BET MAIN BLD65. VAR. iI YARDSAPPROVED ACCESSORY BUILDING BET. MAIN ACCESB. B DATE �3 0 �G � s 5` — eo. � — THE �MOIINT BHOWN UNDEP VALUATION 18 FOR TH5 PUFP08E OF HSTABL�BHINO A pEqMIT FE6 ONLY. VALUATION //�Q /// PERMITFEE § (�J/ '/ s O� � J O(/'�' A C EG �/ /�D r�T.� FEF s /Q3, S6