HomeMy WebLinkAbout2804 BOA VISTA CIR - Building Permits.�
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PflOJECT RODFE55: Z$ O�I BOA VI STA �CI
OYlNEfl'SNAME: WILLAM CAOUETTE
aooeess: SAME
AflCH/ENGINEEN:
aooRcss:
HEG.NO.:
UNIT:
UNIT:
PEHMITTEE: WILLIAM CAOUETTE ' ( 714 ) 540-6237
aoosess: 2809 HOA VISTA
C,M. CA 92627
LICENSED CONTHACTOP OECUIBATION: I hereby aflirm thai I am Iicense0 untler provisions o� Chapter 9(commencing wiN Seciion
7000� ai fJiv�sion 3 ni �he 8usinesx antl Prnlessinns Cotle, anA my license is in full force antl eflec�.
CITV LIC.: STATE UC.: CIASS: •
�a�e'. Signaiure:
WOPREflS' COMPENSATION OECIANATI�N: I here0y a�firm �hat I have a cenificaie ol consent lo sell-insure ar a ceni�ica�e of Workers'
Compensa�ion Inwrance. or a cerUlied copy �hereol (Sec�ion 3800. �ab. C).
POLICY NO.: EXP. URTE:
COMPFNY:
❑ Cenilied copy is hereby lumished. ❑ Ce�i�ie0 copY is �iletl with �he ciry Buiiding Division.
�a�e: ApDlicanC
'%EMPTION FBOM WONNEflS' COMPENSATION OECIAflATION: Qhi55eC�i0n neetl nOt b¢ tompl¢�¢tl ii �he permil i5 for One �unOretl (5100) or 1e55�.
cerlity Ihat in the pedormance ol Ihe woB lor which ihis permil is issuea. I 5 II not employ an( person in any m er so as to become
,ubled Io the Workers' Compensation Laws ol Califomia�. J l ,�,(n�
Daie: !!/27/��'— SignalureY�( � ��/— L�-�W
� NOTICE: If. alrer making Ihis aeclaralion. yau should become subjett to the WOBers' Compensation provisions oi the Labor
Code. you must fonhwah complY wi�h such pmvisions or this permit s�all be tleemed revoke0.
. CONSTflUCTION LENOING AGENCY: I hereby a��irm �hal there is a constmction IenUing agency lor Ihe pedormance oi the work for
whiCh Ihis permit iSlssuee (Section 3097. Civ. C�.
LENOEfl:
ADONESS:
OWNEB BUILOEB DECLABRTION: I �erehy allirm Ihal I am exempt iwm the Contracbrs' Staie License Law br ��e following reason
(Section 7031.5 Business and Pmlessional Cotle: Any ciry ol counry which requires a Dermi� lo canstmtl, alter, impmve, Aemolish, or
repair any stmcWre. prior to its issuance, also requires Ihe applicant tor such permit to file a signe0 statemen� ihal he/she is licensetl
pursuani to �he pmvisions ai Ihe Coniractois' Slate License Law (Chap�er 9(commencing wi�h Seclion 7000� of �ivision 3 oi the Business
ane Pmlessions Code) or iha� �e/she is exempi IAerelmm antl �he �asis for �he aliegetl exemD�ion Any viola�ion o� Sec�ion 703L5 by
any applican� �ar a permi� su�lecls Ihe aODlicant lo a civil penalry o� no� more Ihan five hunOretl Oollars (5500�.
I. as owner of �he pmDehY or my employees wi�h wages as Iheir sole compensation, will tlo Ihe work, anA �he
�, sUuqure is noi imen0e0 or ofleretl for sale (Section 7004. Busmess and Pmfessional Code: The ConVac�ors' Sia�e License Law
does not apPly �o an owner ol a pmperiy who builtls or impmves �hereon, and who Ooes such work �imself/hersel� or thmugh
.�is or her own employees; pmvided �ha� such improvements are not intentletl or a��ereJ �o� sale. Ii, howeverthe builtling or
impmvemen� is soltl wilhin one Year ol complelion, Ihe owner will have �he burtlen al pmving he/she Oitl no� bui10 or improve
� for ��e purpose o� sale) , - - ,
I. as awner o� Ihe pmperty. am exclusively contrac�ing wi�h licensed conVac�ars �o cans�mct ��e projec� (Section 7044, Business
❑' antl Pratessions Cotle'. The Contraclors' State License Law tloes not apply to an owner of pmperty who builOs or improves ihereon
and who conVacls lor suc� projecls wilh a coniractor�s)license Oursuant to ihe Conlractors' State License Law),I am aware
Ihat pmol of their Worker's Compensation insurance should 6e Dmvi0e0 to me.
� I am exempi untler $eclion: B. 8 P. C.
s� ��
lor Ihls reason-
Da�e: �I /C3/q�T� Owner. � �
I Oo nereby cenify Ihat I am awa�e ol ane unaerstand ihe reQuiremenis of Calitomia Healih anA Salety CoOe Seciions 255Q5, 25533, antl
25534 antl Iha� I or any INure �uilding oca0ani will/will no� (circle one) need �o compiy wilh saitl stale coJes antl ��e reQuirements �or a
permn br canstmction or motlificaiion Imm I�e Nir Ouali�y Managemen� Oistricl. Fesitlenlial consiruc�ion apDlications are exempt fmm
Ihese pmvisions .
Oale'. Ppplicani:
I Aereby cetlAy tha� I have reatl Ihis applica�ion antl s�ale that �he a�ave intormation is correcL I agree to comD�Y with all ciiy and coun�y
ordinancesTn�w�elatinglobuildingconsimclionanAhe�byauthorize ep�aiivesof,hisci�ytoen�erup �heabove�menlione0
piopeny lor insnec�ion purposes. // /j
�aic: � �—�' Signaiure'.gQ �[4 s. (��r
oriver's �icense or Sociai Securi�y a:
i64La6 W�ite—Builtlmg; Green—Coae EnlorcemenL Canary—Applicant: Pink—Revenue; oltlenwtl—Nuessor
. �
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 0 0
PERMIT NO; B 060055 PLAN CHECK NO; N GOVT; N ;
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE; OTH
JOB DESCRIPTION ; T/OFF REROOF 2200SF W/CLASS "B" SHAKES SQ FT: 5,000
CLAIM VALUE: 5,000.00 CALC—VALUE: 5;000,00 GROUP OCC: R-3 /M-1
COMMENTS: REROOF RESIDENCE & GARAGE W/HARDISHAICE MAX WEIGHT'���� f1���^T��
*+��e�t+�******��r***�r�**�r*�t�r****�**�r�r�r�*�r�r**�r**�*�r**�r�r****�*�r*'� iF.i/ F1�'t
Z O N I N GS ERTEB�AUCIKRSE M E N T 5 R EQ UIR E D �
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- '
FRNT; /FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REO• PROV; PARCEL; 00000000 ZNE; AEF NO:
PLANNING Nd1'ES>
i
*�t+���t**�e�e*�e�r***���t�*�rx�r�r�t*�r�t�t*�t*�r*�r�r�r�r�r**�r,r***�r�t*�e*�+t��t*�*�t�t�t*�r�t�r�r�r*�r*�t�r�rx*�**�
D E V E 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 HY ; DATE:
APPLICATION ISSUED BY: DATE; �l 2� �
. �FiFiFifiFiFiflt�f�FiFltiFi(�ik�fiEiEiFikiklf�fTfiFif3F�iF�F3F3F�FiF'iFiF'ifTFif7F'i�iFif 7FiFifif7F7F'iFff�FiFiEiFiEiFiEiFiEiEiEif 3EiE
iF i! iE if k iE if �f Ik iE ik iElf it iF ik iE iElEiF ik iF iE 1F iE ik iE ik iE �f ik iE IE if iE �E iE iE iE iElE 1k ik it ik iE ik �f 1F �t it If iF iE i! iE iF �E iE iE ik ik iE iF ik if iE 1f iF 1F 1k iF 1E if if iF iE )E iF '
LEGALIZATION;N F E E 5 U M M A R Y STRUCTURAL SEGMENT:Y'
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 72.00 .50
SMIP/NON—RES
PLAN ..
ISSUE FEE � .
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ' DUE
TOTALS----> 72 . SO 0, 00 0, 00 72 , 50 72 . 50 ". '''.�' . 00
REVENUE DIVISION TOTALS--> COLLECTEDc' 72.50 OVER/SHORT:� f; .00
� BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PL'AN—CHECI(
%2,�0 ,5�
, �
_* IP iF fF iF 3F iE iP ik i! if iF if iF if iF iE iE iF iF iF if iF iE iF iF if 1E if 3E iF iE iE iE if iE iF if k iE �E iE iFi! iF it iF 1E IE iE if �! iE �i iF iE iF if iE iE jk iF 3F iE 1E iF iF iF ik iF.lF iF 1F k�)f iE iE iF iF
I N D I V I D U A L, F E E B R E A K.D O W N "
y. ,
TYPE QTY D E S C R I P T 2 O N. UNIT COST TOTAL COST
SFR 5000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 �5,000.00
END OF FEES
1.
�
a�
!'
�
EXPIRED
Incomplete ins�aections �
' �� , .
Date .� — / ---. Sig – -- -y -i.
a
0
�.w""-
CONeTFUCTION AND,PLANNING � � . . - � POOL�& SPA � ,
Date � Inspector �� Date Inspector'
rAPPROVALS Permit #, APPROVALS ' Permit # .
7. Temporary Electrical Ssrvice or Pole � ,- 52.:Pool & Equipment Location !�
�.. Soil Pipe-Undrg,nd� ' 53. Steel Reinforcement t'-
..�
�3�=Electrical Conduikl�tilitY•Undrgrnd. � � 54. Forms � � ., � --
= `5d,. �Electrical CondUif•Undrgrnd. 55. Electrical Bonding " � � � � + �
G5. Steel Reinforcement - � 56. Rough Plumbing & Pressure Test �: � �
vc6. Electrical UFER Grnd. 57. APPROVAI TO COVER�GUNITE � -.
,n �-� �
�-.�i�.. Footings �'� 58. Eiectrical Conduit-Undrgrnd.
4,-
�„8. Foundation � 59.�Gas Pipe, O Undrgrnd., Test �'���
r.
`i 9. Water Pipe-Undrgrnd. . 60.� 8ackwash Lines, P�Trap, O Undrgmd. �%
10. Structural Floor System � i 61. APPROVAL TO DECK . �
11. Property Sewer Lin`e�& House Connection a 62. Backwash & Receptor-Final . � t
12. Sewer Cap _ 63. Heater & Vent-Final � '
13. fioof Drains � 64. Plumbing System - Final � -
� �.�
14. Rough Plumbing ' 65. Electrical-Final f-,
15. Rough Electrical�Cond�it ��! 66. Solar SYstem=Final � "
16. Rough ElectriclNiring 67. Fencing & Access�Approval ` � :
� �.
17. Rcugh Wiring Qign . 68. APPROVED FOR PLASTERING
18. Rough ElectriG�l-T 8ar Ceiling - _ 69. �POOUSPA SYSTEMS FINAL
� 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT '
� - O� 7�-5: Y - .li
� r � . � I'i:r 'Qy .r �. �J J JC � � �C� ^ K T
20 Roisqh ,F�cto�y F�'e�place � S,� zG X S�� _. �'}�ppR.E�VFCj:;���Pe�fnit#�
v � .> � e- �- . . - _ J... z.. _� _ � 4. : , �• c ,
21:..�Ducts, i¢Str,�cturec �•� •• �-aS a S -�!�.x x_70. Underyvl3Yid HjSlro x
I3
22. D Ys, Venti tin :` : ��-? ` S G' x
�� . c� :%a: I .� :< �, , r. :x x i77. ProducY�.PipSnq C�fias Q,�OiI
23�"f�as.Pip�.}Ro " h & est � � �K � ; �` '� � � �
u,s x ;.,,� t�r y >� >� �72, Underground Flusn:'v x c- p .
- --�-*p - - .
24:T'Robf Fiaming ;n* �`"r- ^r' Y = � !� . ;s � �73='Undergmii'.Stor�"q'�.7ank�7Gas ❑(3il
[ .,x >' n� xin ..7 . �V.x.� � v --�rC: >.:
25. Rop� SR2athing �:k ,q v '� -0?: x 74�,Qyerhead Hydro.,, x
26 �T-Bar Ceiling (Strueiura�l &SMorrocoat ; `-� ?'t " 75= �PY Chem�jcal . "- -'� � -• s
' "'� � +- a: * S' ' K rr.
27�FrameandFlash:`".x x^ ' .;. x' v`-'•" "� t`' �F .
,1 �ii4 �ccx xc } s�-�:s 76'^�ryStan�pe r� ;; �^
-.28 Lathing=& S�inq= <� '��tx 'r >> ••:s x 77?' FIXED SYyC�TE INA" v:_ v.
r [' R /� � 1^' :� l^ ' K n C.. �-, � �l
y ' i.F l� •J •� •• '� -n [t� Y Y - � `! `Q .r
' 29. Insulation �". ��,x S •• .x � x 78; FIRE PREV. FINAcL < r x r '"•
�'"30. Drywal�iNaiC'�ng � - �� . i i _ HEALTFYDEPTX R-EQHIRC�MENT 'r �
�31. PlasterBro n C atX , � , ,. ;� '' >',r79�'FINAL I P.ECTI N ` ` � �
� `�' . 4. .. � � . �_ Q < .:,
.:... . �. _
�,32"Electrical Power7cAetE?-Finali � x::� <% agO:�iF00D CERTIFt�CZSTE 13$UED J�;:, .
;� ic I _' .X A < [ r z- _ -: "£ • •�- . _ ' i
.,-33`�Fi�,y I E'�Qctri 'Ndzzs: '
1 � Tj J S i'� Y� ;T� I Cy X l'< �'t' 'Y '�1 '�1j �' ,��
h � . i -- 4 .�y�
L'34y^.Firt71 Heating & �irCoeditiortinc� :l t � r'K '.�; � ;iw S �� " '' `-J.
�r - .�, .r. v •� i- , ....G rry ,-'t
35�Final G�5 Pipe�T�� �," r r " � _�� �?e -._ 5 �?� � _: r t
i-.
,n36. Ho`od qr,CanoPv� �> L ! - - � C' ? - > tic ` x � y r �� .
- � x� � n � " w .. . n � ^ r, . r. "-�'n
y37�FinSJ Farc[ory Fiie�ac � � T � �' �� '' �T `�
�C i ._- w , i: :� '
�, �
-38. Final Plumbing :<x ;'J c r � •.�� ' � ;.+ x �� ;;
�39. Water Servic@�Fin al* ` ' � ^` ' ` `�. �"rr. ':'-� J . �":•-'
5 K F i r: rt i<... :! z S .`7
;�40. Gas Ser,vjce�F,ina.��: �,y v�r�r ;,S : �q « �,.y ,�q� . ' ' Z
' vr
�41. Solar pome"sfioFarral-� ��� '" " �%5 k ' �z'= - �''�
.esx tr r: K. rr� - ' �:Z' 7
G �+ ~ x.- .i. :<U . .~ r- vi . .>
'y42`. Backfla.'v Preveniec; r�; a x< cc ��- .�K ��
43. Backflow k{��ati0n. � '^�'S ` :`. • K'�' '� � `.
(� a< <[ K . �} / r �1 .
h44. Landscepe liriga it on SYstertt_�,.��,j .� :_� '� ��x z S r� :� «- ?'' v
_ c
i45 �Sound Atte�uatiori �- `"a.-`' �� s : - - ._.. �j ,,, �� '., �,;, �; ,�; : ' �
'� C. [ . , x 'Y '�i �C '�� Y v �t • -
�46 ,Handicap R�gulatio,'+ s.`. �� ,= � `� �� -`x :c �_ [4 •� _ yy ..
1�47SFIMALSTRCICT�URE&BUiA.DING x � � _ 'y �-`<=��te-IR�D��
� . x ,.: � :x � r w
� _,. �
48�jFIroAL PI.RNNING i �-.. = �J � ic •.8te _... -�•- �' �,� r .0
..r
�49.-Electric Release iozEdison ' � s * _ cc r' - ^
!'1 C' ' �� <t >: (�
.. .. � ' I
'50.�GasRe�ease_to Southern California Gas Co x ;�- ` • ;L� x
j51. CE_FjTIFICATEOF:OCCUPAPiCY . ;, . �;� ;n� x i _ „�
No. Date
� z
�r �q
�2�� I FT�2
�
TEST(NG
�ii3'��i��ifl,�3�S ��f.�'�u�t¢n �'a�ifoznia, J/n..c.
P.O. 20X 47 . 3710 AIR?ORT V/AY . LO\G ?EACH. CALIF. 90'cGl . �213� 42h�3755 .(213) 63h-2386 .(714� 828-M3t
din\C!+ G:F�CES:
� ISIs.pNcc6Hnve•S�.ear :-� NaoOntm<eHeL�rf.g
SmfeA.e.CeI:S...le^]]Ol %d- 1G550.edo�doA.e..G.0.9e.n
� ���191�1'.�S Xf�y~ �1 � BaacF, CaLi. W901 �tq plbll36
� hp /b.R•.i`� :\ -^ 9 �
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Examination: 74-8594
COMPRESSION TESTS ONGUP�ITE CYLINOfRS
Jack Hubbard
3106 Ostrcm Avenue
Long Beach, California 90808
PR4IECT SWIM POOL, STAN KIRBY
ADpREss 2804 Boa Vista Drive, Costa Mesa, California
SAMPLE PROM Shaliow End, Deep End, 8ond Beam
ARCNITECT
EN6INFER
Gep. M. Taylor
MIX
DA7E CAST
pA78 TEST'sD
CYLINDER NO.
COMPRESSION
T07AL LOAD, LBS.
POUNDS PER S�. IN.
REMARKS:
COMPLIANCE
CYIINDERS
4.5 to t
9-i7-74
CONiPACTON
Tiffany Pools
SUeCONTRACTOR
Enterprise Gunite Co.
SPECIflED
STR'ENGiH 2�000
SIUMP
9-24-74 9-24-74 9-24-74 HOLD
1 2 3 4
7 Days 7 Days 7 Days
89,00o ilt,000 99,000
3,150 3,925 3,500
7 Day Average: 3,525
7 Day tests comply riith specifications.
MADE DY DEIIVEREO BY
Manny Jack Nubbard
HOLD
5
RECEIVED ON
G' � O—��#
HOLD
6
msrqieurroN:
Jack Hubbard - 3 BUILDING SAFETY DEPT.
Costa Mesa Building Departmertt
SEP 2, )9�'4
. o�+�
�
♦ll REPORTS /.qE SUBMITTE� A$ TME CONfIOENTIAL PROPEFTY OF CLIENTS. AVTNOPIZ�TION iOR PUBLIC�TION Oi OUM REPORTl. COMCIUSIONS. OR E.<-
T4AR5 iFOM 6q rtEWRDIXG TMEM i5 FESEFVEO PEN�ING OUR WRITTEN /.PPROV�L �5 .� MUTU�L GROTECTION TO CLIENT9, TME PUB4C ANO OUR9ElV[�.
33042 �
�. . .. . v.. �F�f_. . :. . _ ' . .. .. '1: ' [• -.
. ' .1. _ � 1 . . " � ' . . . ... ` - , . .. . .
. . t � � , . � � ' • , 1,. � - � ' � '
' . . .- _ . . .. ' . .. ... -':y. � . .. . ' -- . _
. . . , ,. ' �i, .? . . ' . - . . ' _ . - . . . . .
� . � � . � ` '� _ . � . , ' . . ' , ' . ' ,
- ' t ' - �Q : : . . ." ..
.. ' August 26�.1974 _ " , ,
,. " hj- - _ ' ' - , - ,,, - - : .
_ . ,. ... - �. - _ - - --
'' '4 v ;. '_ -w . .. . . , . _ _ .
. .� L_ _ � �"Y ` .F � .. . f � r � . .
' , t . � � - , . . _ .
... ' . . �� � . . ' ♦ .
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. , _ ' ' . . . _ . . . ' ., . - . -r
a � �. . ' 3 . . ... . � - '
- . . • � '. : � , . � - . _ •- . .� ,
. � . ' �. . � • - � `` � . � .. - ' � . � .
' ` ' � •�� '`\ y ' . . . .
_ 7�
=�' Mr. Stan.Kirby ',�: '� . • , � . .
1804 Boa, Vieta Dtive - .. . .
. , Costa Mess�> California �92626 �-¢ _ t `l � � � . .
�Dear Sir.- '� ` '
�
. _ , - �.� _ . . , .
', � A building permit has been i"ssued to Tiffany PooYs'to:construcC a�.:_ -_ '
,private`swimming•pool on y r pioperiy..' . '
In order thet:'your pool will b�e safe.one and for the'purpose.,of � �
' :adviaing'.you,of'your responsibility regarding the requirements of-_ - .
the Costa Mesa Municipal;Code, we refei you to Section-8107,�a'
I. copy.-of,'which 'is � tached . � . � . , M1
° � . : �� ' ' . . :`,,
_ This letter is direc � to you,in order:.thaE.you�will be aware of
, ' our�8rdinancea:and-ean ke'a complete.safety check of your p.00l
s � -area. : .- - •
. . • ' ' . � . .` �i . '-'-f . '. . .4 �: .. _ . .
'' ' _ Sincerely youra� _ ' . �
.- ` :,:.
. ._ • , � -
. � ., . .
. - -. -.. . :�: ,
_ ... _ �, . .
_ � - � ` ` - . RICN:IRU HANHABT . �' j-� _ . �
. � ` , . ' , - Building,"Safecy. Director' - '. .'
_ RH:eb. � ' ..-. . ' ' , .. . '
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uwrvtK nttttsx, a'1•wpn
JOB ADDRESS 2804 Hoe
GENERAL CONTRACTOR C
AP No. — — LOT
INSPECTIONS
sm�
G45
WATER
ROUGH PLUMBING
PROP. SWR. LINE � NOI15E CON.
SPRINKLING SVSTEM
ROUGH NEATING AN� AIR CON�ITIONING
UN�ERGfiOUN�
ROUGH WIRING
TRENCHES [�
FLOOF SYSTEM
BONO BEAM �
SMEATHING
POWER
FORMS �' STEEL REINF.
STEEL REINFORCE I-I
FFAME ANO FLFSHING
LATHING - IN n OOT
PLASTER. BFOWN COAT
INAI
MEATING, VENT., REFRIG. RNO A.C., FINAI
PLUMBING, FINAL ANO GAS TEST n
ELECTRIC, FINAL
BWLOING. F�NAL
unit 7
SUBCONTRACTOR
N0.
' :�a64�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Comp/etely
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CITV �l.�/�,� j�L(iQ,pl/
CANSfRUCTION
BFANCH
ADORESS
ADDRESS
CONTRACTOR
ADDRESS
CI7v
STATE
LIC. NO.
SIZE
OF LOT
USE OF
E%ISTING BLDG.
SIZE OF O
NEW BLDG.I
EXTERIOF WALL
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�U: _F-71iC7., li\1 1�1��:} j:`k.:i:l.Sii
APPLICATION FOR BUILDING PERMIT
N.Y. NU. V - �
� BUILDING O
��y,e� ADDRESS
No`3'YD yo9i TRACT'%�
W AD A
X
OWNEF
TEL. S
NO
FIRE
20NE
A.A APPROVED ,
TEL.
NO.
CITY
LIC. NO.
INO. O LBF�PGS.
NOW ON LOT
NO. OF
ROOMS STOF
ROOF
COVERING
JG AND WORK TO BE�PEflFORMED
I heraby acknowledee that I have reatl this application and state
that the above intormation is correct antl e8�ee to comply with
all laws ragulating building construction, antl I shall not employ
any person in violation of the workmen's compensation laws af
Me State of CaliforNa.
I hereby certify that I em properly licensetl as a caniracio� untler
the State of Celitornle Business and Protessfons Code, Divisicn 3,
Chapter 9, antl that such licenxs are in tull force entl affact, or I
am exempt trom the provisions ot the Stete of Cellfornia Business
antl Professions Code Oivision 3, Chapter 9.
Signature of 1
Permittee u� ��
Auffiorizetl Agent '
ZON
VAR�S APPROV ED
MAIN BVILDING
(FROM C/L STREET)
DISiANCE BET
MAIN BLDGS.
VAR. �k
C.U.P. #
APPROVED /.
DATE I�J �
�
VAROSAPPROVED
BET. MAIN &
ACCESS.BLD
DATE
�00 ��/ �
,,. SQ. FT. ' o
THE AMOUNTSHOWN UNDER VAIUATION IS FOR j
THE PURPOSE OF ES'fABLISHING A PERMIT FEE ONLV: •
¢
VALUATION
PERMIT FEE $ � �� j
$ �Lr � m
JD PLAN CNECK $� E
� `o
LL
TOTAL FEE $ �
OWNER KIRBY� STAN
JOB ADDRE55 �Hn4 n
o.
Pool Location
Forms
Main Drain
Steel Reinforce
Elec. Bond
Approval to Cover
Underground Electric _
Gas Piping 7est
Filtering System Lines _
Backwash Lines and Recep.
Electrical Final
Heater and Vent Final _
Filter System Final
Backwash and Recep. Final
Fo..�f..� F�..�I
DATE 8-23-74
SUBCONTRACTOR
Electric
Plumbing
�
�j
�890I.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CA�IFORNIA 9262fi
For Applicant to Fill in Complete/y
B���o�N� �agoy a�. � ,�
ADDRESS U�b Ja-
OWNER I'{I�IQI.��I. V(�
-l- �''1 C c li NO�,
ciT� f',�.c ;d
BFANCM
ADDFESS
ARCHITECT r.. 1 TEL.
CONTRACTOR J f-f-FW(/) V N�'S
ADDRESS p��� � �Q q����Rf �
CITV �U(�P I rV✓\ � NOL g�•
LIC. NO, a3316 �Y LICYNO. o�Q
SIZE F rNO.OF BLDGS.
OF LOT I NOW ON LOY
USE OF
EXISTING BLDG.
SI2E OF NO.OF
NEW BLDG. ROOMS STORIE'
EXTERIOR WALL ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFOfiMED
I hereby acknowletlBB that I have reetl this applieetion antl state
thai the ebo�e information is correct antl aB�ee to comply with
ell lawz regulating buildin8 construction, antl I s�ell not employ
any parson in violati0� oS Ma workman's compensation laws oS
t�e Stata of CaliforniE. .
I hereby certify that I am properly licensetl as a contrector under
the Stata of Calitomia Business antl Professio�s Cotla, Dlvisicn 3,
Chaptar 9, entl thet such Iieensas ere In full force antl effact, or I
em exempt from the provisions of the State of California Business
antl Protessions Cotle, Division 3, Chepter 9. 4
Signature of � J�,1�/ �/,.j
Permittee �fCf6dJ
Auihorizatl Apant
aaiu � ,r �,r*trl
AUG 23-74c!isc�0167-r. l4.0
APPLICATION FOR BUILDING PERMIT
BUILDING
ADDRESS
FIRE
ZONE
APPROVED
20NE� +
VARDS
MAIN
IFROM C/
DISTANCE BET
MAIN BLDGS.
VAR. �
C.U.P. *+
APPROVEDi �
31•-62 r u
� LOT < � BIOCK.
�
/'=C' �us Br%� '
T PE GROUP
DATE �
� ^ USE OF NEW $'WrJs)mj�yL�
L BUILDING L
2D VARDSAPPROVED
' ACCESSORV BUILDING
i S tio �Arro
FT. �I, S 7:1 �
6. 7 FT
C FT.
FT.
BET. MAIN &
ACCESS. BLDGS.
DATE
APPROVED
..c. �_a..s-7y
0
�
STATE �
I /n
VALUATION
$��D �
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b
O
VALUA FOR �
A PERMR FEE ONLV: Q
a .� m
c $ �
sm
K E E
`o
Q LL
$ 1
' I V�V��
COSTA MESA BUILDING•SAFETY DEPARTMEM
P. O. BOX 917 C09TA M6BA� CALIFORNIA'
For Applicant fo Fill In Comple�ely
'.'Ic. 4341 TYPE OR PRINT �ot 26
COSTA MESA, CALIFORNIA-'�
�f
` r EE RECEIVEf�
�31 N 1 o i?E�
��PlfiAY�M'�bk' PERMR
CITY OF §Q�,j�►�ESA
For Office Use Only
cirr Costa Mesa No'KI 9-039 =ONE rrne i� GROUP.
AftCHITECT E. G. Kaltenbach TE�772_3361 ByPROVEO DATE
ORENGINEER NO.
ADDRESS 9772 Katella Ave.,Anaheim ZONING• ��
O `I NO.Op. I U6EOP
Mesa Verde Develo ment Co. P�""a awiorn
CONTRACTOR P .
ADDRE58 1653 Minorca Drive osscairnon �l3`� / =���r
c�.�. Costa Mesa A. P. No. '�
NOTE: NO EAVE OVERHAN6 SHALL BE LESS THAN
LIC.TNO. IH I3Z2 N� ' KI 9-0395 ' 90' TO SIOE 8 REAR P. L.
EAVE3
S¢E �%5 X IOO I No.oPBLDoe. Q ALLOWED (U.B.C.RE4UIREMENT;
OF LOT NOW oN LOT
. YAROSAPPROVED YAROSAPPROVED
USE OF . MAIN BUILDING ACCESSORY BUILDING
EXISTIN6 BLD6. '
fFROMGL EET)
�_
SeTencK urve f'sOM ' SO� REAR YARO 2S FftONT � FT.
CENTEp OF BTREET 1n
SIOEVARDI LEFT IV R16NT '?O R.SIDE ✓``�FT- FT•
DESCRIPTION OF WORK �. s�oe� �� F
NEW X ALTERATION ADDITION REAR �� F
REPAIR MOVINO DEMOLISN � DISTANCE BET.
MAIN BLDGS.
VAR. �{C
S Z1E D1N6 2OSZ 5. ft . ROOM8 7 6TORIES � C. U: P..#
EXTERIOR WALL WOOd � ROOP $ P�� APPROV
COVERING GOVERIN6 S Ill e BY
USEOFBU LDI GANDjV RKTOBEP RFORME -
sinale fami�v resic�ence anc� attac�ied aaraq .
1 HEPEBY /�CKNOWL8O06 THAT 1 HAV
�NO eTATB TXAT THE ABOVE IB CORF
PLY WITH ALL C RDINANCE9 AND
6UILDINO CONH U ION. /
e AUTHORIZEO AGENT
TNIB APPLICATION
IU AGREB TO COM-
LAWB fleOUTATIN6
DATE
TXE AMOUNT BHOWN UNOER
PUPP098 OP EBTABLI6HIN0
VALUATION
PERN
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