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HomeMy WebLinkAbout1194 BISMARK WAY - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MES _CONSTRUCTION PERMIT Puce 3 '. TRACT NO. LOT NO. UNIT NO. ' Project Address �f r" '�p'�Wy������,,� to , •- Applica+a's Mailing A dress ✓ j, Ai w'Y'%aC pp,� TYPE OF CONSTRUCTION H NEW U ADD LJ ALTERATION 2S REPAIR . Owner Name• 1ME[3 �s�LFE/Vl° Phone -5-444 r7•� r❑ CONVERSION El DEMOLISH ❑ OT ER , A y _ A.P. # Zone . ss DE$C}I 10��'''000F WOR K/ OF BLDy �L �(( If// AJdress �£'a`r �� 'll: /. ( �'ofT.<' ') YUC, Td(a(b4..S3'aniss (/(YE D/2071 S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF"PERM T ❑ GRADING ❑ FOUNDATIOryT U STRUCTURAL Front • O Address -� .p,, �q ✓ JII�jI TENANT ❑ E CT}}}I CAL ❑ PLUMBING ❑ MECHANICAL BA Rear N. Contractor's Name 1/47MOAA) �' CO Phone e 'x��7 �-'° OTHER .WI - - I p �..'1,,, p, PROJECT DESCRIPTIO O. FT. SSV OCCUPANCY C Right • G Address(mailing) 9zv n/' , '^x' . S ) . 7-7� _ - r----N. K SS-11(p CONSTRUCTION TYPE VALUATION$ Ztrar) $ Left City License No. ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking•Req./Provided E . Q I hereby affirm that I am licensed under pro 'sions of Charter 9 (commencing Remarks: Planning Notes: - M with section 7000) of Division 3 of the B iness and Professions Code, and - my license is in full •r • and effect. p� _ T Li cen s��7 i / *7C`/ _ _ S. ((���� Date Signature- ��. 'i - N / yam. PLUMBING FEES \\J WORK RS'COMPENSATION DECLAR' ION Bar Sink Showers - ELECTRICAL ' . FEES • - • ^_ I hereby affirm that I have a certificate of consent to self-insure or a certificate - \�{/1 of Workers' Compensation Insurance, or a certified copy thereof (Section • Backflow Preventer Service Sink 3800, Lab. C" Automatic Washer Transformer 0 15-50 KW PolicyNo. •/Oen�7 Company vfi"A Amu, Backflow Irrigation ' •Sewer Cap ❑'50+KW _ Construction Pole Sub. • Certifie copy is hereby furnished. - ' ei Certi is filed with the city Bui di riy;-ann Bathtubs Sewer Connection Cooking Unit • Meter ❑up to 100 amps _ r Date �� Applicant -.en .EXEMPTION0FROM WORKERS'COMPENSA ON DE ARATION • Clarifiers -- . :Solar Collectors Dishwasher .• ' Meter ❑bVer 100 amp9 ,. 0 (This section need not be completed if the permit is for one hundred ($100) or .. - - less). , Dishwasher; Solar Piping Dryers ❑Gas DElectric Sub Panel I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the • ■ 1.11 Motors 00-1 Workers' Compensation Laws of California. Date Signature , Drains• ' ■ Fixtures - D. • 0 NOTICE: If,after making this declaration,you should become subject to the . ■ I Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks comply with such provisions or this permit shall be deemed revoked. Microwave ' 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 (Section 3097 Civ. C.) Lender's Name Lender's Address Kitchen Sink - Water Service .. OWNER BUILDER DECLARATION I hereby affirm that'ram exempt from the Contractor's License Law for the Iik:iiiji .in;,. ..Disposal t I: following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair . Laundry Trays Generator 00-5Trash Compactor . ' .. anyontr structure,o 's License its issuance,walso requires thei applicant St for such permit �', , �I 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]000) 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 penalty'of not more than five hundred dollars($500). • $ 3 ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15III Issue Fee • compensation,-will do the work, and the structure is not intended or offered Reinspection Fee I $15 Issue Fee - $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's • MECHANICAL - - FEES License Law does not apply to an owner of a property who builds or improves • DEVELOPMENT SERVICES REQUIREMENTS: ' thereon, and who does such work himself/herself or through his or her own employees, provided that such Improvements are not intended or offered for • Hood or Type I ❑ • sale. If, however, the building or improvement is sold within one year of com- Canopy Type I I D Zoning Approved By _ • Date • pletlon, the owner will have the burden of proving he/she did not build or imDuct-Under Ground ••- rove for the purpose of sale). • Building Approved By ('' - Date /' U I, as owner of the property, am exclusively contracting with licensed con- IIIILIvI Refrigeration System Application Issued By �/� - Date_ —• 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 ❑0-100,000BTU ❑100,000 BTU - SUMy OF FEESbuilds 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 - ■ System Repair/Alteration :I BUILDING PERMIT $ SMIP $proof of their Worker's Compensation insurance should be provided to me. It PLAN CHECK $- 1 PERMIT ❑ am exempt under Section B. & P.C.far this reason ■ Fire Dampers ,PLUMBING _ $- - ISSUANCE $ • Date — Owner Heating System&Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that have read this application and state that the above 00-100,000 BTU ❑100,000 BTLELECTRICAL $- GRAQING $ information is correct agree to comply with all city and county ordinances - and state laws relati-• to building •nstruction, and hereby authorize repre-• - - PLAN CHECK 50% $ MICROFILM $ sentatives of chi ant-/.o the above-mentioned pr�rty for inspection pu•poi', r �G MECHANICAL $ TOTAL FEE $ 4.1--- Signature L� -eat 'ICMF 0866-46,rev. 10/64 White - Building: Canary -Applicant; Pink -Accounting; Goldenrod - Assessor I. O1 00008526-00008527 TOT 4-eJ.j.� ,y _/ I CONSTRUCTION AND PLANNING POOL &SPA • APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector Ic i 1. Temporary Electrical Service or.Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd.-el 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 IC ''S 58. Electrical Conduit-Undrgrnd. . 8. Foundation (\j ,r , - 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Und grnd. • 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final . 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final , 16. Rough Electric Wiring • 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL ,-- 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' le 20. Rough Factory Fireplace APPROVALS Permit# ' ` i 21. Ducts, in Structure 70. Underground Hydro r' " 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil - • 23. Gas Pipe-Rough & Test 72. Underground Flush , 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil • ` 25. Roof Sheathing - 74. Overhead Hydro e • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - ;^, 27. Frame and Flashing . - 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL r. 29. Insulation - 78. FIRE PREV. FINAL • ; t, 30. Drywall Nailing HEALTH DEPT. REQUIREMENT r 31. Plaster Brown Coat 79. FINAL INSPECTION " ' 1'' r-t i 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED - -r 33. Final Electric Note Ir ( at i -NI 34: Final Heating & Air Conditioning �� r -21L 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38.;Final-Plumbing . -i; )- 39:1Water Service-Final1' ,ti . • • 40. Gas Service-Final ! `0 rf-, 41. Solar Domestic-Final . �� - ". ''st 42. Backflow Preventer - /,/i%s I , • 43. Backflow Irrigation C rp , -'- 4.7_l 4 'L }' 4andscape Irrigation System i.__ o , V r, . 454:-Sound Attenuation • , `1 •. 46..NHandicap Regulations \7 ` 471'FINAL STRUCTURE & BUILDING I i t ' J 7 �:. 71 alaeDt� 48,'Special Requirements CompletedV Cl 49. Electric Release to Edison - %, 50. Gas Release to Southern California Gas Co --'� f,= .....-t - 51. CERTIFICATE OF OCCUPANCY • - i No. Date _ 1 _ 1 ;,-,:5 . I OWNER MOSLEY, EUGENE - DATE 8/6/63 4JOB ADDRESS 1194 Bismark Way BUILDING PERMIT NO. 20360 -- Q GENERAL CONTRACTOR Blue Haven Pools VALUE $ 2 p 600.00 AP No. LOT 44 TRACT 4653 FIRE ZONE 3 DESCRIPTION OF WORK Pvt. Swim Pool INSPECTIONS Signature DATE GROUP .1 TYPE III ZONE Rl Soil PERMITS ISSUED Gas - SUBCONTRACTOR DATE NUMBER Water _ Rough Com. Refrig. ❑ Air Cond. 0 Rough Heating �7�y-- , .r' n v 2 Rough Plumbing ..17 /^, -- _ - ^C.ea-',.2-*-/ ! (-6 3 >9'/ L - Miscellaneous at? xi, 7 scre—fe-7.0el 9-/o7-G3 3 7.3 a 2 Prop. Swr. Line 0 House Con.-0 St. Swr. 0 . Sprinkling System Construction Pole Underground Mj Power 0 fr17,0 ff- .6 5 Rough Wiring _ 91 ,...�_ '22-c-n-l.! 4'-G --. - .z a Co.P .Trenches;l'�/ ,� YEW Forms 0 Steel Reinf. Y/i Floor System Bond Beam Z_„..-- Steel Reinforce Za--- 19.E 3 .� Sheathing ,,,,���L4ccqc�V���y�,,, Frame and Flashing Y.t 3 Lathing—In 0Out 0 Y/ Plaster, brown coat i J Refrig. p Air Con. 0 Final Heating, Final Plumbing Fixtures, Final 4 - , Final Gas Test 7,5- 4... _ ' BuildsElectric Fixtures, Final �— // � ' 'N� Building, Final EX1 OCCUPANCY I , Form BU4-5M-3-63-S-B P HOLD FOR SPECTAT. RFQITTRb7AF.NTR 20160 ,. - 20330 . r . . COSTA MESA BUILDING-SAFETY DEPARTMENT F c E[ R E r E I V L D P.O.BOX 317 COSTA MESA,CALIFORNIA r "[V U6 6 191111 For Applicant to Fill In Completely l�.jAATjQN,F( PERMIT TYPE OR PRINT lac= BUILDING //9p/ i•-l`/�,,, ./per GOA; CIT9a0Pl@@®TAiEME9Aly ADDRESS j` �"�A'�-'W/C/ RECEIPT ERNIE D COSTA MESA, CALIFORNIA - /J)� t fl[CQIY¢D BY ,DAT�E=HIVHD� yiA�Ir�� ALCM/�iBYly crT (/!w_ Cly OWNER l �,��/ // AMAILDDRESS !/ LI/J/YI-F / ADDRESS //24 do,),G€4,7 le TEL. FIRE CITY NO. ZONE J,/F�-��TYPEJTGROU�IP ARCHITECT TEL. APPROVED /) T (id CO _ OR ENGINEER NQ. - BY ���TTTKKK111 Y DATE (J I9.7 ZONING ADDRESSa NO.O USE OPNEW / �j� K I PLANS I BUILDING I/J'',',(/•'yµ�` CONTRACTO' /, fe® an W1 -\ /'" LEDAL 1 i / 2 �. LEGAL PION �G I!- % L.GL 1J� ADDRESS /�/� A.P.NO. CITY - /1/r-G�iG�--• �.,/1'01.--4--"'? / NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE � -!/aS( roL.- •C-9 _//i/? ' 3O TO SIDE a REAR F.L. LIC.NO. JJ /7 V N L.1 �/ EAVES SIZE 1 OF LOT ^ - } 0D NO.OF BLDOH. ALLOWED (U.B.C.REQUIREMENT). ./ 8 T� t NOW ON LOT YARDS APPROVED YARDS APPROVED USE L l` MAIN BUILDING' ACCESSORY BUILDING EXISTING BLDG. /{l/' (FROM C/L STREET) SETBACK LINE PROM FRONT FT. - Fr. i CENTER OF STREET REAR YARD SIDE YARD LEFT I RIGHT - R.SIDE FT. Cr.. DESCRIPTION OF WORK L.SIDE FT. SFT. NEW ALTERATION ADDITION REAR FT. FT. DISTANCE BET. BET.MAIN a REPAIR MOVING . DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDINGS #3 I�NO.MF VAR.It DATE SIZE /C / ROOMS STORIES C.LI.P.# ( APPROVED EXTERIOR WALL ROOF APPROVED /VI,/,v/ 7/ COVERING • I COVERING _ BY DATE g'. A "e 3 USE OF BUILDING A I • WORK TO BEP ED / VVV __ HOLD FO• SPE e I E6UIREMEN'ld • - SQ.FT. 7. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP ION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AOR E TO C M- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY INANCES AND STATE WS [GU TI G VALUATION �p 1 BUILDING CONSTRU vTJ N /�/ PERMIT FEE S� SIGNATURE 0 ' / y.' a' O PERMITTEE -S/I (velar (/ (///���/__ m � � ae , � AUTHORIZED AGE r ' G� 4 TOTAL FEE $ (����ii (` OWNER NEWPORT HOMES INC. - - - - DATE 7-9-62 JOB ADDRESS 1194 Bismark Nay BUILDING PERMIT NO. _ 17Mj00j•V GENERAL CONTRACTOR S.-V. Hunsaker & Sons VALUE $ 711,471.00 AP No. LOT 44 TRACT 4653 FIRE ZONE DESCRIPTION OF WORKRes/Att.Gar. INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R-]- Soil /495' 7-/Q-O- . PERMITS ISSUEL Gas � 2Q 2La SUBCONTRACTOR DATE NUMBEL, _ Water /-A"- Rough Com. Refrig. ❑ Air Cond. ❑ _ ` _i X� ' Rough Heating Ar r G g _pp.?. lp- �- ,,g,� 7/ Rough Plumbing L(/ tr a i m:at -1'7 e- - ?-p-6a d lv f_d ✓ d`" Miscellaneous C9fr "O.-��etr r,.. __e, i _ 3 ffni_ Prop.Swr.Line R'IIouse Con. ❑,St.Swr. 0 C 7 Slh7(b?- rn Eowd""-- 9/(C4 4— 3Y CS7 ://° Sprinkling System !� Construction Pole 'll�'v Underground 0 Power 0 _ illi Rough Wiring e±±- e. i te4_i/ • .4(.'. .7.- '-i ; a 7 renc es ❑ orms ❑ -tee •ern . D Air%a- — - 6 yi Floor System Bond Beam 0 Steel Reinforce 0 - ,Sheathing 9Ym1L/ -?-3o-- - Frame and Flashing /09'X gtfrr-61 Lathing — In 6- Out 0- /r*f4 y'-.%R.-6) Plaster, brown coat iein /ro-30`61,- Being. ❑ Air Cond. 0 Final Heating, Final /1/}fS 1/—/N-i 2 Plumbing Fixtures, Final / Final Gas Test / Electric Fixtures, Final //, 7(_ . Building, Final rx r ii- 7!_J +- OCCUPANCY j-,r //-2 C ,i y I FORM BU4-5M — 7-61 17505 J _. �..-, 17505 . FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENTIC. JUL 101962 ' P. O. BOX 311 COSTA MESA. CALIFORNIA FINANCEDEPT. CITY OC9YESAil�For Applicant to Fill In Com APPLICATION F&R 4I TYPE OR PRINT BUILDING AD RES: it 79 /3/s/VA-k'4 G4--r4Y w / COSTA MESA.TCALIFORNIA For Office Use Only Ac �/ / RECEIPT NO. 1 1 OWNER %>549÷47C--4.././- A/0/1-/ -( --2;41" r VV MAIL /� (� RECEIVED BY DATE RECEIVED _RATE IB6//U,,ED ADDRESS/40 Z L.Lf. /7 L/ /d/`� l/�/ / -q-42 //'' TEL. BUILDING CITY /✓l7 - NO. ADDRESS ARCHITECT TEL ,/ COSTA MESA. CALIFORNIA OR EJJNGINEE )�i)M6G.C'C//labe ,, NO 1 /f^/�/ / A j&2 /Y(�/I',4/y SA,t>74 4/ A FIRE ZONE TYPE GROUP�� CONTRACTORS�^j- N[.-/L cA /Fc APPROVED DATE �� ADDRESS/�.0 5S-- g/,(//Y,ty RiAr,=- ZONING Q CITY [1-:r��y;/• ) 9-'G�/� ./j//J / ZONC'_' NPLANE I BUILDING E IV eL L"]J LC.NO./4 t/ (/ j / NO.1^// c 7 3,4/ LEGAL Lor- vy T6v v6 rs4 DESCRIPTION SIZE OF LOT 70 X ,,nnd NO. OF BLOCS./VNOW ON LOT-0 A.P.NO. _ USE OF • YARDS EVES EXISTING BLDG;` _ APPROVED ' ALLOWED SETBACK LINE FROM TAMP � (CENTER LINE ST.) CENTER OF STREET �O REAR YAR[yFRONT ' - _----.0'o FT. �- IN. SIDE YARD I LEFT/12 I RIGHT - /1./7 R.SIDE 10 FT. IN. DESCRIPTION OF WORK _— .L.SIDE /D FT. IN. NEW I VII ALTERATION I II ADDITION 1 REAR 2 / FT. i . IN. REPAIR .I LOVING 1 I DEMOLISH I APPROVED tem/ ( �/V�D�, DATE 7/S /6 2. IEZ LDIy5°X '4-2//f/ROOM66 STORIES / . EXTERIOR WALL ROOF COVERING /)1/) S COVERING GGCES USE,OF BUILDING AND WORK TO BE PERFORMED _S / j/y� Aver//,' 4Fi UsE ....tete-A, /,29 91 _A%--/9// ss--aCS �.v,-,/.t. ins' 0 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. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ��/(' ,^ _ o'_ VALUATION S/// '''777 / /T FEE S may P RMIITTEE O^� /�' -"�'�T�"'�' d Da $ /// / 7� PLAN ICHECK $,y-'`�Qj/--- 41' AUTHORIZED AGEN /de / !K rc . - �. 'TOTAL FEE .. �_ w OWNER GREENE, Robert W. DATE n 1 of - J JOB ADDRESS 11914Bismark Way BUILDING PERMIT NO. 27130 S GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION OF WORK Legalize room enclosure / AP No.1)41-601-06 LOT TRACT FIRE ZONE VALUE $ 200.00 INSPECTIONS I Signature Date GROUP I TYPE V ZONE R-1 Soil I PERMITS ISSUED Gas SUBCONTRACTOR Date I Number I Signa, Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con.0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring Heating and Vent. Trenches 0 Forms 0 Steel Reinf. 0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing -" 7-/9- > Lathing—In 0 Out 0 Plaster, Brown Coat Structural, Final Electri Heating, Vent., Refrig. and A.C., Final / �J _itedid . -/ i9735Z Plumbing, Final and Gas Test 0 / Electric, Final 4/e f-h .�69 Building, Final I'' o'' do-14-67 • ' 27130 PAI'J JUN -1-67a-1,750u 033 d1':*-*•'3.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 52626 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING C�,/ For Office Use Only Al ADDRESS //• T //�.si Ate �49� RECEIPT NO. MIS'NOQ COSTA MESA. CALIFORNIA " ��� •, /� RICE D Y RIC D �DATE ISSU¢D OWNER Aee�T W Gee-c-g _�67 1 /' 67 BUILDING MAIDLRESS //TT /�„'�/% ” B/s d y,. �fl y _ ADDRESS AD FIRE cirr /o , /4165, NOSit UYd/ ZONE TYP@GROUP..r 4ARCHAPPROVED /75 , DATE 1-47 BY ITECT TEL OR ENGINEER NO. _ ZONING ADDRESS /4124 SOS[ NO.OP USEOPHEW /7 J� ' I Pux[ I euaOlNO .t.) CONTRACTOR / �'G• ��) r LEGAL A . /1 I- di"7 7 ADDRESS DESCRIPTION ^��MCJJ J / 'Y CITY A.P.NO. i4i ` &'o / —O NOTE: NO RAVE OVERHANG SHALL BE LESS THAN STATE TEL 80"TO EIDE a REAR P.L LIC.NO. NO, J VES • SIZE I NO.OF SLOGS./ ALLOWED (U.B.C.REQUIREMENT) OF LOT 70 .r/0 o NOW QN LOT USE OP YARDS APPROVED YARDS APPROVED EXISTING BLDG. /7GL+G�GC{.uG MAIN BUILDING ACCESSORY BUILDING (FROM R) SETBACK LINE FROM FRONT PT FT CENTER OP STREET REAR YARD SIDE YARD I LEFT RIGHT R.SIDE Ff. F►. DESCRIPTION OF WORK �( L.SIDE / PT. NEW _ AL,T[RATIQN_ ADDITION ./ X REAR �i, PT' fl. DISTANCE BET. BET.MAIN& REPAIR OVING DEMOLISH MAIN SLOGS. ACCESS.BUDGE'. BUILDING // NO.OF VAR.* ' DATE SIZE t/67, 7/C ROOMS / STORIES / C.U.P.# APPROVED / 'J EXTERIOR WALL .,1 COVERING Alp P APPROVEDY / ". DATE Y /7�(/�/ COVERING /AJ llh�"IIII JJJ/ USE OF BUILDING AND WORK TO BE PERFORM P. N 174JL'zc /romn�J LCnoLsu/'z l SQ.PT. I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON. PURPOSE OP ESTABLISHING A PERMIT PEE ONLY. E15 PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION BUILDING CONSTRUCTIO . El SIGNATURE OF ,,y� r�-y1 / /' ` PERMIT FEE $ c / 5 PERMITTED 02°') o $ PLAN CHECK S 1r AUTHORIZED AGENT TOTAL FEE $ ©nk CO STRIICTION LABORATORIES, INC. QUOfay MATERIALS TESTING • JOB INSPECTION • ENGINEERING RESEARCH _tai vice_® _ :Since /946 4470 E. WASHINGTON BLVD. / LOS ANGELES 33, CALIFORNIA / ANgelus 9-3183 POST OFFICE BOX 517 / BUENA PARK, CALIFORNIA / LAwrence 1-6256 REPORT ON CONCRETE CYLINDER TESTS JOB: MOGLEY DATE: AUGUST 2?, 1963 LOCATION: 1194 BI WARN ,9AY Sept. 19, 1963 UNIT: • POOL ARCHITECT: PERMIT No.: • ENGINEER: Ti DOR YikiES I FILE No.: CONTRACTOR"f- —ESL-C117.-HA POOL) APPLICATION NO.: DATE OF POUR: :, -( DATE RECEIVED: -27-62 SOURCE OF AGGREGATE: CON ROOK BRAND OF CEMENT: RiVER3iDE- ADMIXTURE: NONE. - LOCATION IN STRUCTURE: CONCRETE MIX: 1 - (l2 SLUMP IN INCHES: TIME IN MIXER: i CYLINDERS MADE BY: P ACE DESIGN STRENGTH P.S.I.: 2000 LABORATORY No.: 5:3415 63/ i_6 AGE OF CYLINDERS. DAYS: ., 28 y MARK ON CYLINDERS: !L+ /!7 DATE CRUSHED: _?_29-63 9-19-63 DIAMETER, INCHES: 5.65 6.20 AREA. SQUARE INCHES: 6•;,7 90.19 MAXIMUM LOAD, LBS.: C2:,.,.-, (JGf'L�n CRUSHING STRENGTH, P.S.1.:2195 / q 60 , l C: cn. 13/ NUMBER OF SAMPLES: 3 \(•' ar � 1.[i2 i -.�LuE :IA'JEN POOLS REvE 3-4 STAR CiUI.l TE CO. n N SU �'t 19G3 i -DEPT, OF BLDG. PC SAFETY (COSTA MESA) Cf CpSta p H\CS /\/\/ �� Ctcy�ullding Dept. 1 �/ RESPECTFULLY SUBMITTED, O, 4 1 YYYiii • / i .� 6 fe- TESTING AND INSPECTION ENGINES 9 I CITY OF COSTA MESA CALIFORNIA, P.O. BOX 317 From the Office of the Planning, Department • Regarding Building Permit 89360 20360 • . Date: Oct. 15, 1963 Location: 1194 Bismark.WAY Dear Pool Owner: The.Costa Mesa Planning Department called at your property to inspect the Swimming Pool. Our interest in pools :is for the purpose of safety and to be sure all provisions of Section 9298.9 of the Municipal Code have been met. Section 9298.9: 1. No swimming pool shall be constructed closer than five (5) feet .. • to any property,:line, measured from water line of pool. 2. No swimming pool. shall be constructed under any electric power lines or on any electric power.easement. • 3. No swimming pool shall be constructed unless the yard surrounding such pool is completely enclosed by a six (6) foot fence or the pool itself is enclosed with a fence six (6) feet in height and hav- ing a self-locking type gate or gates. Note: (Gate should close and latch on a free swing). Your pool will not receive final approval until the requirements of the aforementioned Section of the Municipal Code have been completed. The following disposition is noted in reference to your pool: CD No one was at home. • Ox No springs on gate. Q Improper latch or defective hardware. U Wall surrounding pool not 6' high. [D Other. Inc Telephone 646-2411 and ask for the Planning Department so that an appointment may be arranged. Since you have incurred certain liabilities through the installation of a pool, it is requested that these matters be taken care of as soon as possible so that your pool will be a safe one. -GSincerely yours, L 1`-s 3 By \ / \ Planning Technician