HomeMy WebLinkAbout2010 BALTRA PL - Building Permits 4>w CITY OF COSTA MESA
BUILDING DIVISION
t' DEVELOPMENT SERVICES DEPARTMENT
P98-00530
PERMIT PERMIT NUMBER
P
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 2010 BALTRA PL Status: ISSUED 0
6
Suite No Applied: 06/29/1998 9
Issued: 06/29/1998
Vicinity:
Parcel Nunmber: 13945214
Applicant: DAWSAN, DENNIS
Address:
Phone: 1-800-806-7374 ,
Zip:
Owner: KOVACS'LASZLO Z TR '
Address 2010 BALTRA PL - -_ - -
Phone:
' 'COSTA MESA,CA:�:." -., Zip: 92626 v -
Contractor:: ,MASTERSERV INC
Address:-i 3502 N VERDUGE RD - - -
,_ Phone:1,-2818-957-8985 "
. - GLENDALE,CA - • . ' Zip:- 91208- •, .
_ ' --License: .580017
-
,Arch/Eng-: i ' - .
• - Address: - -;
•
Phone:
/
Zip:
'License:
• •SCOPE OF PERMIT
' • COPPER REPIPE,TO INCLUDE TWO'OUTSIDE-HOSE-BIBBS,TWO BATHROOMS.
S. , . - --_ . _ - ,
' . FEE SUMMARY,' i .
.AMT QTY , AMT.,_ QTY • AMT QTY
ISSUE FEE . .-$22.00 Laundry Tub/Washer -$0.00 -0 Sump Pump- $0.00 0
Backflow irrigation '$0.00 0 Landscape Irrigation $0.00 0 Swimming Pool , . $0.00 0
Backflow Preventer $0.00. 0 P-Trap f $0.00 0 Trap Primer $0.00 0
Bathtub - $0.00, 0 Pressure Regulator $0.00 0 Urinal , . $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 1 0 Receptors , $0.00 0 Vacuum Brkr Bkflow(5+) .$0.00 0
Dental Units ' - $0.00 ` 0 ' '•' Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $0.00 0 . ' _ Sewer Cap for Demo • e, $0.00 0 Wash Basin Set $0.00 0
Drain, Floor $0.00 0 Sewer Connect • • $0.00 0 - - • Waste and Vent System $0.00 0
Drain, Rainwater $0.00 0 . '-Sewer Private Line . $0.00 0 Water Closet(Toilet)' $0.00 0
Drain, Roof $0.00 - 0 - Shower . . - -$0.00 0 Water Heater/vent $0.00 0
Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $8.75 1
Expansion Tank $0.00 0 - - Sink,commercial $0.00 0 Water Re-pipe $8.75 1
Gas Earthquake Valve $0.00 . 0 • Sink, Floor .$0.00 0 Water Service $0.00 0
Gas(1-4 outlets) $0.00 -0 Sink,kitchen $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink,service/mop . $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 Spa(private) - . $0.00 0 VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $39.50
COMMENTS I SPECIAL CONDITIONS
EXPIRED
DATE
EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days,or if work is suspended or abandoned
h, for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
\\ required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result in the expiration of this permit.
,r FOR INSPECTIONS CALL: (714)754-5626
DECLARATIONS fl
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit Is issued.
.fly
and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
Ca My workers' mp n•!ion Insur a carrier and policy number are: I' ��i��/_�,Q 5�
Cartier: Policy Number/We
(This section need not be completed If the milt is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of alifomla,and agre at if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
`At these pr Bions. GApplicaoSigaturea4//ne-0 Date:
oL 7
WARNING:FAILURE TO SEC RE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under isions of Cha ter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.If ( Class it C Co
yContractors Signature: ,g44.Gf ria Date: G' -)
(7 CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued.(Sec.3097,Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or Improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,wit be more then thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrtal Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,ore volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes L]No
(Section 65850.2 of the Calif omia Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management Distrtct or other air pollution control district or agency is required for the work which Is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials end Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
//4
�-nature Of Legal Owner(s) 7 I ,gate ��
. /. ii. A .// .. WA O'- y
And/Or Authorized Applicant Date
COOLL INSPECTION TYPE DATE Peal IasPECTIONTYPE RATE . It1BBALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place . 220 Final Planning Approval,
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
244646
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PERMIT NO. TRACT NO. LOT NO. UNIT NO.
A
Cf 7COSTA SA CONNR CTI N PERMIT cA s- A.P.# Zone
Project Address /� AG.geer `3 4,7
I0Qa� { - S Main Building: • Accessory Building:
Applicant's Mails g Address a TYPE OF CONSTRUCTION U NEW Li ADD Li ALTERATION >141EPAI R E Z
❑ CONVERSION ❑ DEMOLISH ❑ OTHE _ T Front O
Owner's Name/4.S 7L 0 r(! Phone ��__ 6 t t r f B N
�5 /1 G(J�'7 -tart"' a SCR 'TION a WORK/USE OF BLOG. A Rear I
Address 2P_-_ /p__, 4/ 77r4 LA. C' Ami - --- A —Ala _ - tv.AK -
Arch/Eng. License No. a TYPE OF PERMIT U GRADING . FOUNDATION FCRUCTURAL
C
Right G
Address - -+ El TENANT El ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S Left
/ t E1 OTHER R
Contractor's Na �� , �,c' �J-04.4 Phone?71/aeon E1 Ping. Ref.# Parking Req./Provided E
Address(mailing) /lit/2 C. L,n/[pG.✓ 11.a-i•%6. rj,.4..gP PROJECT DESCRIPTION SQ. FT. OCCUPANCv_��- a_ _Planning Notes: M
//''-� •] C ONSTRUCTION TYPE'''. J VALUATION $-Z2-OC•4 T
City License NO. ___A-15-2-,3sp ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION S.
1 hereby affirm that I am licensed under provisions of Charter 9 (commencing •
Remarks: �lr
with section 7000) of Division 3 of the Business and Profe. Ions Code, and Uoe /2 /A/ p/V FO /8 CiK/•'i' Cw
my license is In full .rce�pd • feet. / /,- 1f.P./7 ' 7%Anif,/ 5��A� ELECTRICAL FEES
DateLens�Cla s _ 4 Li cen, is
. J•) j 1 ?/T� /� / PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW
-• Signature
WORKE-S' o ' NSATION - C:=ATION Construction Pole Sub. • ,❑ 50+ KW
I hereby affirm tha--,I hdr a c �icate of consent to self-Insure or a certificate Bar Sink Showers ,
of Workers' Com•ensa on r urance, or a cer led copy thereof coon Cooking Unit Meter ❑up to 100 amps
3800, La- - � Backflow Preventer Service Sink
• - in n. -- - • Dishwasher Meter Cover 100 amps
Policy �����- ompa a rt flYt tr�_....•a, Backflow Irrigation Sewer Cap •
A
Certifietlr ereby furnished. � ��r -i•. ;
C-r - ie• filed with the city�,r „� Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel
Date ��qi�
._- EXE • I. F-OM WORKE-- OMP N A ION DELLA- •Ti./ Clarifiers Solar Collectors Fan Moto 0-1 HP 01%-8
(This s- tion coed not be co - ed if the per• it is for one :ndr:- ($100) or F.A.U.
less). , Dishwasher Solar Piping c.Solar 09-15 HP 016-15+
I certify that in th- performance of the w• fo which t. nit is i sued, I
shall not : -toy =ny person in any m. er - as o -- - t to the Drinking Fountains Solar Tank Fixtures Microwave
Wor - - oz..-, .t'•, Laws of C. • •ia. _ • • Device Boxes
Date Signature Floor Drains Swimming Pool w/Spa Pole Light
NOT : 1f, .' e making this de jt!ti•n, • should become subject to the e Outlets Rae
worke ' Co pensation provisio of the Labor Code, you must forthwith Floor Sinks rinal 9
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service OutletsWater Closet Switches Sign
I hereby affirmk that there is a permit
issue agency for the performanceCiv. C. Garbage Disposal of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater g p Standing Sections
Lender's Name
Lender's Address Kitchen Sink - Water Service Generator 00-5 KW 05-15 KW Trash Compactor
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
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays
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 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 Reinspection Fee $15 Issue Fee $ 3
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). DEVELOPMENT SERVICES REQUIREMENTS:
U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work, and the structure is not intended or offered Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By _/� I . i Date
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 ' Application Issued By �-��LGIrt/.'a.. - Dat
employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 -
sale. If, however, the building or improvement is sold within one year of cam- Canopy Type II 0 SUMMARY OF FEE'!
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Y/y
prove for the purpose of sale). • BUILDING PERMIT $ 00 SMTP $ era
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System
tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00- 00,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $
builds or improves thereon.and who contracts for such oroiects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 ystem Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me. •
ELECTRICAL $ GRADING $
❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO dk Fire Dampers MICROFILM $
PLAN CHECK 50% $
Date Owner Heating System& Ducting Registers $ Oar-if
I hereby certify tha it a reed is .pplication and state that the above ❑0-100,000 BTU ❑100,0008ffL MECHANICAL TOTAL FEE $
Information is carr t. gree o ,A�77ssss.��.- ith all city and county o diva . es PLAN CHECK 25% $
and state laws r in to b d ruction, and hereby auth•-I : f••r¢-
sentatives of s ci t pan the above-mentioned_ • o•'rt for 1
inspects n os s
Signatur Da �iA Reinspection Fee $15 Issue Fee $ 3
Oriv icense or SS _- _ _ 01 00009884-00009885 TOT 99.50
0865-46,rev.5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
I
CONSTRUCTION AND PLANNING II
POOL &SPA
' Date Inspector Date Inspector
APPROVALS Permit# I-- APPROVALS Permit #
~1. Temporary Electrical Service or.Pole- i 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. i ii. • 53. Steel Reinforcement
3i• Electrical Conduit Utility-Undrgrnd. ' • 54. Forms '
4'.' Electrical Conduit-Undrgrnd. . . •• • 55. Electrical Bonding
a
5.1 Steel: Reinforcenientr`i - 1: 56. Rough Plumbing & Pressure Test .,�
6,. Electrical UFER:Grnd� t; C 57. APPROVAL TO COVER-GUNITE
N .�'SFootings ;(^,� -..h 58. Electrical Conduit-Undrgrnd. '
d•
8))'Foundation ' ) • , �.I 59. Gas Pipe, O Undrgrnd.,Test
‘9!',4-Water Pipe-Undrgrnd.
.+ 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System ;./ 61. APPROVAL TO DECK
11: Property Sewer Line & House Connection ' _ 62. Backwash & Receptor-Final
12., Sewer Cap - j 63. Heater & Vent-Final
131 Roof Drains : •
64. Plumbing System - Final
14. Rough Plumbing' -, • . '.' 65. Electrical-Final
15{{. Rough Electtical-Conduit 66. Solar System-Final
.19 Rough Electric Wiring 67. Fencing & Access Approval
;17. Rough V/iring Sign 68. APPROVED FOR PLASTERING
'18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
1'9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
120. Rough'Factory Fireplace . ' APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 1 - ) 71..Product Piping O Gas 0 Oil
23. Gas Pipe-Rough & Tdst i • 72. Underground Flush
24. Roof Framing 1 , r 73. Undergrnd.Storage Tank 0 Gas 0 Oil '
25. Roof:Sheathing 7 Va `-'"r 74. Overhead Hydro
26. T-Bac 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 l'fitHEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat, 79. FINAL INSPECTION
.
32. Electrical Power•Mdter-Final• 80. FOOD CERTIFICATE ISSUED
33. Final Electric `• Notes:
34. Final Heating & Air'Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
.,;-1
40. Gas Service-Final j
41. Solar Domestic-Final '
42. Backflow Preventer diISI
43. Backflow Irrigation - `1
44. Landscape Irrigation System /
45. Sound Attenuation -
7 .
46. Handicap Regulations l
s
47. FINAL STRUCTURE & BUILDING `/{p/, % 1.
48. Soecial Requirements Completed l �
49. Electric Release to Edison
i `
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY I,t
No. _ Date e' 't
21154 y
COSTA MESA BUILDING-SAFETY DEPARTMENT
la"I BAF E E RECEIVED
P.O.BOX 917 COSTA MESA.CALIFORNIA DEC 1 2 1063 OW}
/
For Applicant to Fill In Completely APPLICATION FOR PERI♦NANCE DEP].
TYPE OR PRINT BUILDING . CITY OF COSTA MESA
For Office Use Only
BUILDING ^ /D , egny- 1
ADDRESS '/ CIO` /�`_ RECEIPT NO. PERMIT NO:
COSTA MESA. CALIFORNIA ' r>Z//•J—�
�, / P Y DATE RECEIVED DATE ISSUED
OWNER �1. .... 7etecly , •' /2 It-63 /Z /Z-G
ADDRESS d , �� 2 BUILDING a e 4) fit
MAIL 6.4„2".1,1-h
yo pe
ADDRESS l 6
"-� fin' 1 FIRE 1
TEL..
CITY ..�j 777���- NO.4/D���F APPROVED %ZONE PE / Y GROUP �.
ARCHITECT TEL. BY •
OR ENGINEER NO. DATE /42
'n ijaei
ZONING ,
ADDRESS tl
,{SNE I NO.OF.' _I USE OF NEW // a
/� ' II/K/ // PLANS (/ BUILDING
CONTRACTOR ,( //�'�Cj9.._a 4t / f/
ADDRESS R//J" 4el-79-
9' LEGAL
DESCRIRION 7
CITY ...--,07.---1". 'Cines-- A.P.NO. 1 - 107 - / Y
{{''// pp NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC.NO. a Q‘ 9 '7'4- TEL. %jC1/ 7 .ce 30'TO SIDE&REAR P.L.
EAVES
SIZE I NO.OP SLOGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET)
SETBACK LINE FROM FRONT7 FT. FT.
�
CENTER OF STREET REAR YARD J "
SIDE YARD I LEFT I RIGHT - R.SIDE (//,�JET. FT.
DESCRIPTION OF WORK L.SIDE / FT. FT.
NEW v ALTERATION ADDITION REAR (/ FT. FT.
DISTANCE BET. BET.MAIN S
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGB.
BUILDING NO.OP YAR. DATE
SIZE ROOMS STORIES C.U.P.* /] APPROVED
EXTERIOR WALL I ROOFCOVERING BYPROVk�], ./ I/�� DATE I -/1-6 2
COVERING I(/'"L(` I
USE OF pUILDING AND WOa TO BE PERFORMED •
/at Yat 6 ,[ext •
PERFORMED
_
ai ,Z ;YC • ✓ � ce
N
SQ.FT. G
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE Y
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION O'O m
BUILDING CONSTRUCTION. /� PERMIT FEE $ H
SIGNATURE OF •��J1/ - r� 0-_ ..ado �O m
PERMITTEE / i�i_.�r r `TJT3-1 LSO Q
4�C-,/ $� �•J PLAN CHECK $ ..o
AUTHORIZED AGENT .Z E
A, TOTAL FEE 5 yJ
OWNER NOLAN: John DATE 12-12-63
JOB ADDRESS 2010 Baltra P1. BUILDING PERMIT NO. 211511
GENERAL CONTRACTOR Modern Confit. Co. VALUE $ 283.00 Wall
AP No.139-1+51-12 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Com.& Pvt.Bllc.
INSPECTIONS Signature DATE GROUP J TYPE IV ZONE R-1
Soil PERMITS ISSUED
Gas -- SUBCONTRACTOR DATE NUMBER
Water
Rough Com. Refrig. 0 Air Cond, ❑
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line ❑ House Con.❑ St. Swr. ❑ _
Sprinkling System
Construction Pole
Underground ❑ Power ,C _
Rough Wiring
Trenches" Forms Steel Reiff.j-
Floor System
Bond Beam ❑ Steel Reinforce ❑
Sheathing
Frame and Flashing
Lathing— In ❑ Out C
Plaster, brown coat
Refrig. ,❑ Air Con. .0 Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final f9-ii- -
•
OCCUPANCY
Form BU4-5M-3-63--S-B P tv211 ch.
1si � i FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT
` MAR 2 2 1963
P.O.BOX SI7 COSTA MESA,CALIFORNIA FINANCE DEPT.
OF COSTA MESA
For Applicant to Fill In Completely APPLICATIR FOR PERMIT
TYPE OR PRINT J0'r hi BUILDING
BUILDING For Office Use Only
ADDRESS eZ D/0 ysca -.✓ /a•
RECEIPT NO. PERMIT7NO.
COSTA MESA• CALIFORNIA / // J/
RECEyED BY DATE RECEIVED DATE ISSUED
Pacesetter West Joint Venture /V-----
OWNER ,j-73-G3 11�A.?w i ,333
MAIL 1q C6BUILDING
ADDRESS 53 Minorca ADDRESS FYI /\'
CITY Costa Mesa TTio: KI 90395 ZONE TYPE 1/ GROUP Zr 7
ARCHITECT Kaltenbach TEL. APPROVED DATE (///
OR ENGINEER ND. 77 2-3361
ZONING n/V'` y P
ADDRESS 9772 Katella, Anaheim .,�Vj
20Ng�, / NO.OF ` Iy USEOF �V ` nl (�/ I
Andros Land Company A I PLANS — BUILDINIg�yl` I ts)(4/t`
CONTRACTOR 8� ? / K3 t( E.
r N LEGAL
ADDRESS 1673 Minorca Dr. DESCRIPTION /
CITY Costa Mesa A.P.NO.
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
SIC.STATE 187166 TE• KI 90395 30-TO SIDE&REAR P.L.
NSIZE •/ EAVES
OF LOT 'J;j )( / U O " I NO.OF BI- GS._ ALLOWED (U.B.C.REQUIREMENT)
NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET)
SETBACK LINE FROM / �f /� FRONT 5- FT.
CENTER OF STREET (-57.2 REAR YARD)4 i6
SIDE YARD I LEFT /3 / I RIGHT /a ' R.SIDE /7 PT. FT.
DESCRIPTION OF WORK L.SIDE /3 Fr. FT.
NEW � ALTERATION _ ADDITION REAR �CL FT.(p FT.
DISTANCE BET. BET.MAIN @
REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.BLDGS.
BUILDING 41 NO OF VAR.# n DATE
SIZE o2-Z-G U ROOMS G /�STORIES oZ C.U.P. • / 1 APPROVED J'
EXTERIOR WALL. I ROOF Y" �' ' APPROI /t ',1,A 3i7"–(C a
COVERING BUILDING
ANP
COVERING INO BY 1 /V VV' DATE
Vi
USE OF BUILDING AN WORK TO BE PfiRFORME
Residence Ionst> ction
34 ,k a3a �Q.�. ��0 =
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN CINDER VALUATION IS FOR THE F
AND STATE THAT THE OVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION m
BUILDING CONSTRU ON. 77f—
SIGNATURE OF // /�/' �j PERMIT FEE $
PERMITTEE .7.C�K/ �� . XPi( B
��/{ c'�/ 7— X
AUTHORIZED AGENT $ !�C re
J / /� L H CI 0
as TOTAL FEE $
�/7 4
OWNER PACESI•r2ER WEST JOINT VENTURE DATE 3-22-63
JOB ADDRESS 2010 Baltra Place BUILDING PERMIT NO. 19171
GENERAL CONTRACTOR Andros Land Company VALUE $ 24,41j.00
AP No. LOT 87 TRACT 148116 FIRE ZONE DESCRIPTION OF WORK res att, gar
INSPECTIONS Signature DATE GROUP TYPE ZONE R1
Son /=/V 73 3p-, PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Waterp/� 5.9-I3 /z/
Rough Com/Refrig.Refrig. ❑ Air Cond. 0
Rough Heating /'/f_ - --tic ' /sZ-!.� /‘// —
Rough Plumbing 4110 ^ 2M, '_., 6/�� 4'/G/./ 1/4 tfr
Miscellaneous � ,, i VIII'
Prop. Swr. Line 1}'I/louse Con. O St. Swr. O . O /-3t'l (�er,7A/.- ri/. 4-/„7_�t� _ ....
_I�.�
Sprinkling System '
Construction Pole lel(
Underground 0 Power p
Rough Wiring 7•L2ti S zoo .0 ,,,..., `ll1L -19a t3 -‘177-----
Trenches la" Forms Jr—Steel Reinf. l� r-7-6j
Floor System ni 6--,t-6,
Bond Beam 0 Steel Reinforce 0
Sheathing )rf 7-/)-e3
Frame and Fla ngf�f' i5-'Y.' , r ,7_Ay..6"
Lathing— In.,pt ,out.[L/r RN/C-9
Plaster, brown coat e-27-6
Refrig. (❑ Air Con. ❑ Final
Heating, Final jY_Of_ /a--2,--_47
Plumbing Fixtures, Final
Final Gas Test /s� - ft /6 31 '
Electric Fixtures, Final ((y •6.3 yoas
Building, Final /y- JI-Ll
OCCUPANCY �ll!- .
Form BU4-5M-3-53--S-B P