HomeMy WebLinkAbout2012 BALEARIC DR - Building Permits Applicant to fillin all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESACON TRUCTIONOrPERJIIT P T.NO TRACT NO. LOT NO. UNIT NO. 6O BP 10/27/86 5.00 Ti
Project Address 9011e.a. t& £4' • f I X ' .
A / s TYPE OF.CONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION lJ REPAIR •
Applicant's Mailing Address yd a .1 i.4 r
Owner's Name I:I / -/ Phone) min''Jk ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. # Zone ' -
iff •g' DESCRIPTION OF WORK/USE OF BLDG.
Address LI/FOUNDATION
I S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING����LII/FOUNDATION ❑ STRUCTURAL T Front - ZO
Address ❑ TENANT ❑ ELECTRICAL .rte PLUMBING ❑ MECHANICALg• Rear N
lib
Contractor's Nam- /I , f ami 7i• one fA i CO ❑BOTHER A
I( -
/� PROJECT DESCRIPTION SQ. FT. OCCUPANCY K Right, N
Address(mailing) ! / 47 WA �1//- K G
City License No. �7iV
n J1 $ CONSTRUCTION TYPE • VALUATION$ $ Left R
ZONE GRADING CU.YDS. ACRES •
LICENSED CONTRACTOR DECLARATION Ping. Ref.# I Parking`Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: 1 RECEIVtti y �`' Q
with section 7000) of Division 3 of the Business and Professions Code, and _ "i� �+ � NI
T
my license is int P :re and effect. / f ' S
r License a i� LI en re :o. _
Date A t AP1 Signature/MT/7a _JA,w,' • - PLUMBING FEES '
WORKE- ' OMPENSATION D CLARATION •
Bar Sink Showers ELECTRICAL FEES
I hereby affirm 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. Backflow Preventer Service Sink
Automatic Washer Transformer 0 15-50 KW
q
Policy No. j6-9 '/Z ) Company �1�.L.0 / Backflow Irrigation Sewer Cap - Construction Pole Sub.
„Certified0 50+ KW
copy is hereby furnished. �"`
ate tj$(e o{��y`I�filetl with the city uildin9ivis� pq�j g / Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date �P((ll /0 IG WORKERS'
OMPt%.�V/ �ECLARATI
EXEMPT O FROM WORKERS'COM NSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or
less). Dish washer Solar Piping Dryers ❑Gas ❑ElectricSub 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 Tank . Fan Motors❑0-1 HP ❑1''A-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 100.Solar 09-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith I Floor Sinks Urinal Fixtures .
comply with such provisions or this permit shall be deemed revoked. 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 •
'1 Outlets
Lender's Name / 2 Range
Lender's Address Kitchen Sink Water Service - Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from 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 Laundry Trays Generator ❑0-5 KW ❑5-15 KW '
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof 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
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 '
enalty of not more than five hundred dollars($500).
Li I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee • S- 3
•
compensation, will do the work, and the structure is not intended or offered - Reinspection
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL Fee FEES $15 Issue Fee $ 3
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 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ •
sale: If, however, the building or improvement is sold within one year of com- -- - - - Canopy Type II ❑ Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). Building Approved Byt Date [
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By ' \/.f'1 Date(,(f1 07/f )
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 - SUMMARY 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 $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ �� v� ISSUANCE $
Date Owner Heating System&Ducting Registers ' PLAN P.C.
PLAN CHECK 25% $ .C. $
i herebyacertify that I haverto thismapplication all and state that ordinances
above ❑0.100,000 BTU ❑100,000 BTI: ELECTRICAL GRADING $
information is correct. I agree to comply with all city and county ritrepre-
$
and state laws relating to building construction, and hereby authorize rPLAN CHECK 50% $ MICROFILM $
sentatives of this city to enter upon the above-mentioned propert for _
in gnatuon-pur}pses,.iA /J�j MECHANICAL $ _ TOTAL FEE . $ SCO -
Signature GCC//.?7`Ay��I�(!('' �(Q.,
' pe - $ 3 PLAN CHECK 25% $
CMF 0865-46,rev.10/84 - White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
•
CONSTRUCTION AND PLANNING POOL&SPA
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 Q
-.
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 U.ndrgrnd.
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 ❑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: 6-j 8.7)2, reset 21Bardrc
34. Final Heating & Air Conditioning V.1341 (,Aft,«, , Ars PER, 240.5 UPC. G..CDDte
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
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
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Date
ADDRESS OF BUILDING: 2012 BALEARIC DR DMT' CITY OF COSTA MESA - BUILDING PERMIT
OwNERSrmEIFQ wN: ROWE, KELLY EVERETT FLOOD: AE-46 PERM NO: B 084988
Q A;ORESS: ROWE, SUZANNE MARIE
1 2012 BALEARIC DR PERMIT NO: B 084988 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA,CA 92626
APPL.MAILING ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
ARCNRECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF & REROOF W/STEEL TILE 105PSF SQ FT: 5, 800
ARMOR ENG.'S ADDRESS: Wit:
CLAIM VALUE: 5, 800 . 00 CALC—VALUE: 5, 800 . 00 GROUP OCC: R-3 /
CONTRACTOWS NATE THREE D ROOFING ( 909 ) 528-1474
CONTRACTORS MMLDIG 19532 GREEN WILLOW LN COMMENTS : NER # 423
ADDRESS: ROWLAND HTS CA UC,NO.: 617467 *******************at*******+F** ****at****->F*****lE*********+E***x+F***** It**********
91748 ugT: ZONING REQUIREMENTS
CENSED ONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commendnpiwith Section 7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect
9ImLie.NO.: UC.CLASS: C-39 la 61 /4 te—EXP: MAIN BUILDING ACCESSORY BUILDING
/paw /iv' d—Ql Contractor:: �, .X FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWN BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contradore License Lew for the
r folio reason(Section 7031.5 Business end Professions Code:Any Cty o county which requires a perms to construct,eller,improve, PARKING REQ: P RO V: PARCEL: 13945315 Z NE: REF NO:
de dish,or repair any structure.prior to its'issuance,also requires the applicant for such permit to file a signed statement that he or she
icensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Di inion 3 of the PLANNING NOTES>
Business and Professions Codej or that he or she is exempt therefrom and the bathe for the alleged exemption.Are violation of Section >
7031.5 by any applicant for a permit subjects the applicant to a cat penalty of rat more than fee hundred dollars 1$5001). ************************************************,*******************************
❑ I.as Owner of the ProPerlY Of MY emthOYees wth wages as thee sole compensation.vAll do the work.and the structure is not intended D E V E L O P M E N T S E R V I C E S R E U I R E M E N T S
or offered for sale(Section 7044,Business end Professions Code: e Contractors License s Ldoes notapplyto an O wwd properly Q
who bolds or improves thereon,and who does such work himsef or herself or through his or her own employees,provided that such
improvements ere not intended or offered for asic.it.however,the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or she did not build Cr improve for the purpose of sale). •
o I.as owner d the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and
Professions Code:The Contradon License Lew does not appy to an owner d property with builds or improves thereon and who BUILDING APPROVED BY : DATE: ('�
contracts forssuch projects with a cohador(e)licensed pursuant to the Contractors License Law). �� ��
o I am exempt under Section: B.&P.C.,for Pt reason: APPLICATION ISSUED BY: DATE:
Date: Owner ****************************************** * *************** **** **
LEGALIZATION:N F E E SUM ARY STRUCTURAL S GMENT:Y
I do hereby certify that I am aware of and understand the requirements of Calloma Health and Safety Code Sections 25505,25533,end
25534.and that I or any future building occupant will/will not thirds one)need to comply with said state codes and the requirements for
a permit for construction or modifcationh«ntheAs Quality Management DistrictResidential construction applati«reareexempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 112 . 25 . 58
Date: Applicant: SM I P/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm d of
rm under pulty perury onethe following decimeter's:decimeter's: ISSN
o I have and wilmntaa certificate of ateccoesntlosefinsure for workers'oompeaatom
n,as provided for by Seon 3700 of the Labor BILE FEE
dn rl
Code,for the pudomianceoftework tor wlichthis permitsdesued. BUILDING-DIV-> PERMIT ISSUE PLAN CHECK TOTAL PAID DUE
fl I have and veil maintain workers'compensation insurance.as required by Section 3700 of the Labor Code,for the perlormanoe of the TOTALS----> 112 . 83 0 . 00 0. 00 112 . 83 112 . 83 . 00
3� work for which this permit is issued.My workers'compensation insurance center and policy number are:
Carder $TATF, FUND EXPIRES REVENUE DIVISION TOTALS=-> COLLECTED: 112 . 83 OVER/SHORT: . 00
Policy Number 171;42S7 -97 09/01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed I the permit is for one hundred dollars 7$1001 or less.) 112 . 25 . 58
❑ -Ey that in the performance of the work for which this permit is issued,I shell not employ any person in any manner so es to
become subject to the workers'compensation laws of Calitanie,.Qnd agree f I should become subpd to the workers' *******************************************************************************
compensation provisions of Section 3700 of the Labor Code,I f hwrlh
ate:
_Cil Applicant: INDIVIDUAL F E E BREAKDOWN
wam/n/Failure to secure wodrers'compensation coverages unlawful,and ahallsublect en employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil up to one hundred thousand dollars($104000),In add/Non to the cost of compensation,damages as provided for In
Sec ons)oBoythe Labor Code,Interest,and a orae a.attorney's SFR 5800 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 5, 800 . 00
NSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES
performance of he work for which the permit is issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I codify that I have read this application and dale that the above information S correct.I agree to comply with all city and county ordinances
and state laws relating to building construction and hereby arnAoae representatives of the city to enter upon the above-mentioned properly
for inspection purposes.
DON PEDU,O
18-02-1997/18: � 12.8
Print . _ �83,B1/13
• 00i`
PERMIT:B84988
Signature of Owner/AgenVApplican contractor
(5151'46 WPI White-Building&Safety:Green- ., anary-Apptcant:Pink-Revenue:Goldenrod-Assessor
JCCONSTRUCTION AND PLANNING POOL & SPA
,sPROVALS 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
6t- Electrical UFER G`rnd. 57. APPROVAL TO COVER-GUNITE
7..1 Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
.4:9,.Water Pipe-Undrgrnd. _ 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10:Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line 84 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 - I
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 REPT. REQUIREMENT
i, i
20. Rough Factory. Fireplace _. _ + • ._ 'r+- •-APPROVALS" - Permit#
21. Ducts,in Structure ' - _ - 70. Underground Hydro
A
22. Ducts, Ventileiing. - - . , / 71. Product Piping Ll Gas OOil
23. Gas Pipe-Rough & Test , _ - " " .' i • 72. Underground Flush -
24. Roof'Framing ; - ' `r ? .. 73. Undergrnd.Storage Tank ❑Gas OOil
25. Roof Sheathing `l ii/ii71 -• 74, Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat , - _�� _ 75: try Chemical _ ,
0.
27. Frame and Flashing ; _ _ 7fi. Dry Statit]p4pe " - _
-,
28. Lathing& Siding i - : { i .; " ".; 77. FIXED SYSTE6'I=FINAL • . .
. • _ • • 78. FIRE PREV. FINAL
29. Insulation � �• - -
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
r.
31. Plaster Brown Coat : •. I „ , • 79. FINAL INSPECTION •
32. Electrical Powir Meter Final v ' -• 80,' FOOD CERTIFICATE ISSUED
33. Final Electric • Notes:
34. Final Heating & Air Conditioning. l i. '" - - I!
35. Final Gas.Pipe-Test : : - I_: . -
36. Hood or Canopy - • - f_
37. Final Factory Fireplace - - . _
38. Final Plumbing _ - - -' --�
39. Water Service-Final ' I -
40. Gas Service-Final i ' • , , •
41. Solar Domestic-Final 1 - '
42. Backflow Preventer - . c - • .
43. Backflow Irrigation ' ' ., + ' -
44. Landscape irrigation System - • - _ - - i •• -.:',,;• _ •
45, Sound Attenuation
on Cr
48. Handicap Regulations i r - - r
f/v r -
47. FINAL STRUCTURE & BUILDING �(y�/�I II7 ,r N
48. FINAL PLANNING .7:-le
0
49. Electric Release to Edison - ,z.-�,�'
50. Gas Release to Southern California Gas Co ' = °rA
51. CERTIFICATE OF OCCUPANCY 1"`•
rr
No. Date
oe
.�
•
August 9, 1974
•
•
•
Mr. John J. Farrell 1'
2012 Balearic Drive
Costa Mesa, California 92626
Dear Sir:
On July 16, 1974 a building permit was issued to Madrid Custom Pools
to construct. a private'swimming pool on your property.
In order that your pool will e a safe one and for the purpose of
advising you of your responsib ty regarding .the requirements of
the Costa Mesa Municipal Code, we refer you to Section 8107, a
copy of which is attached.
This letter is dir d to you in ordeer that you will be aware of
our ordinances and ca make a complete safety check of your pool
area. -
Sincerely yours, .
• RICHARD HANHART
Building Safety Director
RHicb
2
� lh
�� esQF
_ Twining Laboratories of�U'uth=E ,2 (LL f07ni't,
N
$7frakt2 PO BOX < . )„ A OPO:- v.rAs . .O':G BE^:r C4 n. 9P5-_i . 2.1! 2e :355 . 2 3i 636-2366 . {714} 6286432
IY
TESTING s..�' •o
1., err r(• c,E 2i tat 23ec
August 7, 1974 Examination: SC74-4168
COMPRESSION TESTS OP GUNI TE CYLINDERS
Mr. L. E. Sprague
5041 Doanoke Avenue
Irvine, California 92705
PROJECT Swimming Pool for JOHN J. FARRELL Permit$ 38704
ADDRESS 2112 Balearic Avenue, Costa Mesa
SAMPLE FROM 1-3 Bond cream: 2-5 Shallow End: 3-6 Deep End
ARCHITECT CONTRACTOR
Madrid Pools
ENGINEER SUBCONTRACTOR
Coast Gunite Co.
SPECIFIED
MIXVerdugo Pre-mixed STRENGTH 2,000 psi
DATE CAST 7-30-74 CYLINDER SIZE
DATE TESTED 8-6-74 8-6-74 8-6-74
IV "HOLD"
CYLINDER NO. 1 11 111 V "HOLD"
VI "HOLD"
COMPRESSION 7-Day 7-Day 7-Day
TOTAL LOAD, LBS. 109,500 101 ,500 114,500
POUNDS PER So. IN. 3,570 2,835 3,450
SIZE: 11-1/2" x 6-1/4" 12-1/2" x 6-3/4" 12-1/4" x 6-1/2"
COMPLIANCE 7-day test complies with specifications.
MADE BY DELIVERED BY RECEIVED ON
CYLINDERS L.E.Sprague Dave 7-31-74
DISTRIBUTION
Costa Mesa bldg. Dept.
Madrid Pools
Coast Gunite Co.
L. E. Sprague - 2
i s .
P....
1 .)
3870+ I, .. ;C_7 .r—•. CCS521 = ,.. .:'. 1; C
f COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
P LI ATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RE I D V DATE RECEIVE
_ DATE//JUE6
D
BUILDING �l VI OR/earl L an •- / 7Y
ADDRESS el )) ✓) Y' A.P./ 1/.5-3nPERMIT NO..
OWNER v eA r ']QM til J BUILDIN izyz AI
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MAIL �,/�Il ,,/�11 ADDRESS AILM.
Z ADDRESS (�. Q � J_ I,'1 �7 /(�t7Yt� !✓T'
B.C CITY (ren � t-I ialec NO.al TEL.��^,dJ TRACT Yfigtr LOT BLOCK
Z
CONSTRUCTION t/�'� / NEW ADD ALTER REPAIR MOVING DEMOLISH
ON LENDER Ji(1AIeoci ,.✓
J D BRANCH ���III ��,
J in — OWNER l�K� FA-feet-7C
mJ ADDRESS /,/n ,y'
-CO ARCHITECT r '�If^ TEL. ._p USE / I''^r /154,Z._ VALUE
J OR ENGINEER.,•W' •Zy a lair - NN�O. f33P Ga>r I5 in 'b/
W Q YSI l tsc, itzi Ts_rlt N FIRE
Z ADDRESS ZONE TYPE GROUP
p-W /
W Z rid J /' AOC'
APPROVED �J /
JOCO CONTRACTOR !al rived C�1 I K�- BY `�.J DATE (O
WZrt Cat
K ADDRESS 1/80/ (dam fN
W TEL. ZONE NO.OF nn USE OF NE
2PLANS $_ BUILDING
Z 1- CITY ��,� carnet. NO. �7 3Y/Gtb / /M �00/
LI 0 STATECITY YARDS APPROVED YARDS APPROVED
V)K LIC. NO. a 9 a.8 S LIC. NO. MAIN BUILDING ACCESSORY BUILDING
D O (FROM C/L STREET)
SOIZE F LOT 70 . /cfc) I NOW
�ON LNO.OF OTT GS. / _FRONT •27 FT. A/]Ty)(l/�JA'se- FT.
EXISTINGUSE OF BLDG. 2/24-4, YG'a ..o _R SIDE 32--FT. FT.
I- SIZE OF aJ/9 NO.OF /'
Z NEW BLDG. 7�7 ROOMS STORIES L.SIDE J FT. FT.
UEXTERIOR WALL ROOF /
_ COVERING [COVERING _REAR (J FT. FT. _
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
O.C MAIN BLDGS. ACCESS.BLDGS.
O Su/-tiers, Pl/t)'t
C.U.P. APPROVED /
N
By DAT
P•A DAT _ N!-•>K
Z WSJ
O STATE
U I hereby acknowledge that I have reed this application and state /n
D that the above information is correct and agree to comply with `J.J�
rr all laws regulating building construction, and I shall not employ
I- any person in violation of the workman's compensation laws of TN/
CO the State of California. /'J
? I hereby certify that I am properly licensed as a contractor under 7 SO. FT. O
the State of California Business and Professions Coda, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR •
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: di
an' exempt from the provisions of the State of California Business
and Professions Code,Division 3,Chapter •: VALUATION n/4
PERMIT FEE $ .s^'/ D
Signature
permittee of 1 ��/ .l ,_/ , �®(/ PLAN CHECK $ / / /) o
Authorized Agent //3 .9'•' u
. TOTAL FEE $y
OWNER FARRELL, JOHN J. DATE 7-16-74
JOB ADDRESS 2012 Balearic Dr. BUILDING PERMIT N038704
GENERAL CONTRACTOR Madrid Custom Pools DESCRIPTION of WORK Pvt.Swim Pool
AP No. 139-453-15 LOT TRACT FIRE ZONE •VALUE $ 5,000.00 _
INSPECTIONS Sig tare I Date GROUP J TYPE III ZONE 121
Pool Location --tin � SUBCONTRACTOR PERMITS ISSUED
-1-2019-9', Date Number Signature
Forms J/ /
Main Drain • 1
Steel Reinforce \
Elec. Bond ct,, Electric
Approval to Cover - %':t ,nc -1 .n/��J���/y - /
Underground Electric �a '7 /�,l��i -e, 1'7. �L %-�4 -r •37739
1 4 J.G.. Plumbing / _ 4✓-gi7
Gas PipingnTest ///� _ G;,�K /� 7--74-7z/
�G r`
Filtering System Lines _ (/ �/•"�u !i //
3,7
Backwash Lines and Recep. • 44 g-4-7
Electrical Final /1.4/4 _�,/j
Heater and Vent Final _ ✓/ _
Filter System Final _
Backwash and Recep. Final
Fpnrinn Final 7
19135 FEE RECEIVED
:COSTA MESA BUILDING-SAFETY DEPARTMENTMAH 2 2 1963
P.O.BOX 917 COSTA MESA.CALIFORNIA - FINANCE DEPT.
For Applicant to Fill In Comp etely APPLICATION 11 P6€MGOSTA MESA
7-?Sig TYPE OR PRINT �'/ BUILDING
/ For Office Use Only
/y L 239 —A_ a,ADDREBUILDINGSS rot C.
O r/
RECEIPT NO. PER�y� 01 �
COSTA MESA. CALIFORNIA / �l4>-5
,,{��) J dinner
/J RECEIVED BY DATERECEIVED/ DATE ISSUED
OWNER IJJZ-entiT.(e K./,T Ciardvne �1C� L,l�/�."L'1 MARS 2 1963
BUILDING
MAIL c-:? /�J ADDRESS
ADDRESS
'''��.., y /�//Nb.E'PiR P. FIRE �
CITY ` . NO /a7%S ZONE TYPE r GROUP /
ARCHITECT TEL. 71z APAPPROVED DATE
OR ENGINEER �4/T'/Q-/V.AAT',✓ NO. 9 C/
y772. /�/L-72EGL/g Jr9lVEC/Br ZONING
ADDRESS \
ZONr�1'/1 I NO.Ofl USE OF NE Y (�"V`
q� / '/[ PLANS// I BWLOIN I r.
/1-�'b�'S !/'ANO e. «1111 I
CONTRACTOR - U
/ ////J() �I DESCR /_/ ( 3 V
ADDRESS /a5-3 41Atora4 Aar.
DESCRIPTION �7 Y-
CITY P(1'S i7-f- ! 4E-S A- A.P.NO.��
STATE TEL. ��/�} G r srr TO SIDE B REAR E: NO EAVE P.4NG SHALL BE LESS THAN
LIC.NO. /f/,/G9, N0L.3 03/V
EAVES
SIZE NO.OF BLOCS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT. /A X ( ° 0 NOW ON LOT
TAROS APPROVED YARDS APPROVED
USE OF ___.____ MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. -
(FROM C/L STREET)
SETBACK LINE FROM y / ///l FRONT .Sa-FT. FT.
CENTER OF STREET ,_ CZ-` REAR YAR CO q
SIDE YARD I LEFT 7 I RIGHT R.SIDE 1 FT. FT.
•
DESCRIPTION OF WORK L.SIDE ! FT. FT.
NEW 1.--- ALTERATION ADDITION REAR FT. FT.
DISTANCE BET. BET.MAIN d
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.SLOGS.
BUILDING yy __ NO.OF ,y/�y VAR.# DATE
SIZE pci �Q ROOMS r ' STORIES�/_ C.U.P. APPROVED
EXTERIOR WALL I ROOF T AFPRO� ' 7�j9
COVERING COVERING BY yy�7L��'��� DATE
USE OF BUILDING AND WORK TO BE�PERFORMED P/✓
f5 r,Oe rc .__-m. U -k/F-G2
3z — /7
SO.FT. 14
r.
I HEREBY ACKNOWLEDGE/THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION p
BUILDING CONSTRUCTIO
PERMIT FEE $
/ �D _.
SIGNATURE OF' / (I
PERMITTEE �-u ^/ QQ
$ cd/ 3 Yc7 - A CK
AUTHORIZED AGENT //, Il FEE � _
•
OWNER PACESETTER WEST.JOIET VENTURE DATE S-22-63
JOB ADDRESS 2012 Hal parie Drive BUILDING PERMIT NO. 19115
GENERAL CONTRACTOR Andros land C:omppa y VALUE $ 22,5Q2.00
AP No. LOT 5.7 TRACT 4.543__FIRE ZONE DESCRIPTION OF WORK res_att. gnr
INSPECTIONS Signature ��DA� z
DATE
GROUP T&T, TYPE V ZONE RI
Soil x/74 -i=�".U�/ PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water -2 -49
Rough om. Refrig. ❑ Air Cond. 0 -
hough Heating /'� -ei. �1-,2-(, ....lite57-4/-41., /5 -- -
Rough Plumbing 4. 7- 5-0 -*WAY iilt uW,�! 4/-02 -o 9 3."t 3;
Miscellaneous /
/ ll,
Prop. Swr. Line House Con.�J"St. Swr.lY] 1 9-/- e t / 6y- (10-76/72„ �.J 6-/a-49 .Coa" '._' ✓e
Sprinkling System
Construction Pole _ I41
Underground 0 Power 0 a `�_ Id
Rough Wiring -C? G-�asu�IO�c,� 6-Y�/3 o/,
Trenches If/— Forms ®Steel Rein . 4(-;ii-t;
Floor System 9-79-63
Bond Beam 0 Steel Reinforce 0
Sheathing TrV-A, f;- o -t3
Frame and Flashing ie 7 Z
Lathing— In:nom Out la-- -66.3
Plaster, brown coat pi' $'-?-6-/,A
Refrig. 0 Air Con. 0 Final
Heating, Final 47 / 4 -k-67
Plumbing Fixtures, Final /// /�, .1/4-,
Final Gas Test/$ se- VJ
Electric Fixtures, Final / /0 'tea/
Building, Final i //fi
OCCUPANCY
Form BU4-5M-3-63—S-B P