HomeMy WebLinkAbout3071 CLUB HOUSE CIR - Building PermitsOWNER CONRAD� Jack
JOB ADDRESS 3071 C1ub House Circle
GENERAL CONTRAC70R o an er 'orp. DESC
P:P No.930- 0-Ol LOT TRACT FIRE
INSPECTIONS Si notvre Dote GR
SOIL
GAS
W ATER
ROUGH PLUMBING
PROP. SWR. LINE � HOUSE CON� ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AN� AIR CONOIT��NING
TEMPORARV SERVICE OR POLE
UNOERGROUND � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL REINF. �
FLOOR SVSTEM
90N0 BEAM ❑ STEEL REINFORCE
SHEATHING
FRAME AND FLASHING �— �
LATHING — IN OI/T
PLASTER, BROWN COAT
STRIICTIIRGI FINGI
HEATING, VENT., PEFflIG. ANO A.
PLUMBING. FINAL AND GAS TEST
DATE 11-5-71
BUILDING PERMIT N0.
SUBCONTRACTOR
PFOJECT�aO�HESS: 3 O% 1 CLUH AOUSE RD .
� OWNEfl'S NAME: ROTHMAN S
nooecss: 3071 CLf7B HOUSE RD
COSTA MESA,CA 92626
PHCHIENGINEEfl:
nooness:
flEG.NO.:
UNIT:
uxir:
PEp""TTEE: ELECTRICAL SYSTEMS TEST. ( 714 ) 898-5113
aooRess: 15573 COMMERCE LANE
HUNTINGTON BEACH CA 92649
LICENSEU CONTHRCTOP OECLABATION: I hereDy a��irm thai I am licensetl untler pmvisions o� Chap�er 9(commencing with Section
7000) ol Drv��sian 3 ot Ihe Business antl Pmfessions Cotle. antl my license is in tull force antl e�fec�. '
ciTr uc.: z ( STRTE LIC.: 3 S I% O S SS' C Q ir2� l/�_ ���' _
ate � � Si natu � �� `r�� �•�a-
PREPS' COMPENSATION �ECIAHFTION: ereby affirm ihai I have a cehificate o� consen� �o sel4insure or a cetlitica�e o1 Worker5'
Compensation Insurance, or a ceniliea copy ihereof (Seclion 3800. LaO. C�.
voucvNo.: 1042904-90 EXP.OAiE: O%IOSI92
� comraNv: STATE FUND
� Cert/ifie0 copy is here�y f/umished. � Cehilietl copy is liled with ihe ciry Buildin�g �D/ivfision.
at :/U �0%7 �( plican : P�rn i!//LGL `�// . Ji�iYC!'/C/dud%i �!
EMPTIONFBOMWOflNEBS'COMPENSATIONO ATION: (This5xlionneeAnolbecompleteDi��hepermilisioronehunOre0�5100�or1e55�.'
I cerlity Ihai in Ne Oedormante o� the work far whic� �his Oermi� is issued, I shall not employ any De�son in any manner so as to become
su�jecl to Iha Workers' Compensation Laws ol Calilomia. �
�aie: Signature:
NOTItE: Ii, atier making �his Oeclaration, you 5hou10 become subjec� lo ihe Workers' Compensation pmvisions of ihe la0or
Code. you musl IORhwiih compty wiN such provi5lon5 or �his permit shall be Jeemea revoketl.
CONSTflUtTION LENOING AGENCY: I �ereby a��irm thai there is a cons�mclion lending agency �ar Ihe pertormance of �he work tor
w�ich Ihis permii Is Issued (Sectian 3097, Civ. C).
LFNOEH:
nooeess:
OWNEfl BUI�OEH DECNXBTION: , I hereby aflirm Iha� I am exemp� Irom Ihe Contracmrs' State License Law for Ihe followinp reason
(Seclion 7031.5 Business and Pmtessional CoOe. Any'ci�y ot counry which requires a permi� to cons�mct, alter, impmve, tlemolish, or
repair any simcture. prior to its issuance, also requires ihe aDDlicant for such permit to file a siAneO statement inat helshe is licensea
ursuam la Ihe mvisions of the Conlraclors' Siate license Law (Chapter 9(commencing wi�h Section 7000) of Oivision 3 of tlie Business
CITY OF COSTA ME:SA — HUILDING PERMIT PERM iV0': E 054178
PERMIT NO: E 054178 PLAN CHECK NO: N, GOVT; 13 SUPP; N.
CONSTRUCTION TYPE; V—N PERMIT TYPE: ELE PURPOSE: OTH
JOH DESCRIPTION : INSTALL SWZTCH FOR AC RADIO CONTROL � SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR RE�UIRED IN THE HOME
*x*�***��*x*****�**«**�***� x�r****��*********����r**��*�*****�***x***x�*�*���x��
Z O N I N G R E Q U I R E M E N T 5
S E T H A C K S
------------ MAZN BUILDING ---------- --------- ACCESSORY BUZLDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHi: FT IN LEFT: FT IN RGHT: FT ZN
PARKING REQ• PROV; PARCEL: D0000000 ZNE: REF NO:
PLANNING Ni3TES>
�
1k iF iF 3E jF fF if iE if iF if iE 3E IE iE iE )E )f iF af iE ik ik iE 3ElF if iF 3f iF 3f iF 3E �F if if iE dF if iE 3E iF if M k 3E iElE if if �IE iE ik iF �Flf �f iE iF 3E �F �Y �lS� iE 1E-1E iE iF if iE iE R IF 3E Ih jf iE iF 3f
D E V E L O P M E N T S EiR V Z C E S R E Q U I R E M E N T S
��
20NING APPROVED BY �,+%' DATE;
HUILDING APFROVED BY : � DATE:
APPLICATION ISSUED BY; �
if �f fE IE iE 3F iE 1E 3t iF !t it it iE jF if iE if iE iF if iElFiFi'c
if iF iE if aF iF iF iEjE if fE if �k if 3F iE 3E 3f iE if iF 3E �F iF iF 3F 1E iF iF if iE if if
LEGALIZATION;N F E.
HLDG YMT PLUMBING EL
PERMIT
� -3/—
�r�rrsrx��* * � �D � * * � ���� � �
if.if iE if 1E iF iF iE iE iF iF 3E if if 1E 3f iE IF iE 3F iE iF IF IF iF 3E iF li� �f !F j(� �F �1E iF iF iF iF ie iE if If �f �F 1F 3F �
E`J' S U M M A R Y STRUCTURAL SEGMENT;N
ECTRIC MECAANIC ' FIRE SMIP/RES GRADING
11.00 .
50$ SMIP/NON—RES
P V
an0 Pm�essions Coae) or �ha� he/she is exempt Iherefmm and �he basis far ��e allegeA exemption. Any violalion o� Section 703L5 �y PliAN
any applicani �or a permil sublects Ihe applicant �o a civil penalry al not more Ihan live hun0�ed tlollars ($500). I$S[J$ FEE ' � 15 . 00
�. as owner o� �he pmpeny or my emp�oyees with wages as �heir so�e compensa�ion, wi�� tlo the work, and Ihe BUILDING—DIV—> PERMIT I$$VE PLAN-CHECK TOTAL PAID ' DI�r,
❑ slmcWre is nal imentled ar o�fered for sale �Sec�ion 7044. Business antl Prolessionat COAe: The ConVaciors' State �icense Law TOTALS----> 1 1. � 0 1 5, � � �. � 0 i 6. � � .�. 6. � � . � �
does nol ap01y lo an owner ol a pmperty who bui105 or improves thereon, antl w�o does such work himself/herseli or thmugh � �
his or her own employees. pmvidetl ihat such impmvemenis are nol intendetl or ofiered for sale. tl, however ihe �uilAing or
impmvemem is so�d wi�hin one year o� comp�e�ion, the owner wi�� �ave �he bumen o� proving ne�she eitl nm build or improue REVENI)E D IVI S ION TOTALS--> COLLECTED : '� 26 , 00 OVER /SHORT • � � 00
mrmeourPoseo�sa�el. BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN—CHECR
I, as owner of ihe propeny. am excrosively contracting with licensetl cantraclors m constmci �he D�olect (Section 7044, 9usiness , Z G, OO
❑ antl Pmte55i0n5 COOe: T�e ConVac�ors' S�ale License Law Uoes not apOty to an owner ol property who buila5 or imD�oves �Aereon
211tlWhOCO�IfdLIS�Of511ChD�01et�5W1Ih3COf1�fdCfOf�S�IICC�SCpIIfSlIdIlI�01hQC0��fdLI0f5 S�3�ELICCIIS¢LdW�.12ffldwdfC jtj(�jEi�j(�i�'j(�**i('*ii'{(�{(�j(-*j(�jfj�***{(�*�jfi(-if*{(�jf�]f{(�j(�ifi(��'1F3Ei(�i(�i('i(-iFifiFifi(i(�IfiFiEiFiFifififi(�ifif{('ififi(�i(�jEjfi�EiFifiFif{(�{(-i("Ik{(�ii�3(�
iha� pma� o� iheir worker's Compensa�ion insurance showa be pmvided m me. j N D 1 V I 1� U A L F$ E B R E A K D O W N .
� I am exempi unaer Section: . B. 8 P. C. - ,
�, �or mis reason: � TYPE
oate: Ownec EL E
I do here0y wrtify Ihat I am aware ol and understand Ihe requiremems of Cal'domia Health and Salety Cotle Sectlons 25505, 25533, anA
2553C antl Ihat I or any future builtling occupanl will/will not (circle one) neetl to comply wi�h saitl sta�e codes antl �he requiremenis �or z
permil lor conSUucimn ar motlAica�ion �mm ihe Air Ouahry Management Uistrict. F¢5f0en�ial conSVuction applicaiions are exempt �mm
�h¢SE D�Dvi5i0n5.
�aie'. AppliCan�: '
I here�y certity I�al I have reatl ��is apPlica�mn and s�ale tha� Ihe above in�armation is correcL I agree to comply with all ciry antl counry
ortlinances and s�a�e laws relaiing lo �mltling consimclion an0 hereby au�horire represen�alives o� I�is ciiy lo enler upon �he a�ove-mentionea
pmDe��Y �or inspection purpases , � //�/y�� �/�7 —//�7/ �p� � /�,�,
Da r � /0-a� —9/ s� aWr . ���'�/!//�� .'��/' /l.GYM'/'�(�H/ ( /�
o�i�ers ��cense o� sociai secuniy x:
164La6 White—Bwltling: Green—Code EnlorcemenL Canary—Appllcant; Pink—Revenuel Galtlenmtl—Assessor
QTY
D E S C R I P T I O N
1 MISC CONDi7CTOR NOT LISTED REQ PERMIT
END OF FEES
UNIP COST TOTAL COST
11.00 ].1,OU
Q1 QOSQSI`S—DOICS]54 �'!uT •��,�)�
l7ATE: 10/?i/91 TICiE: C!"d:�_
�.r � - . .. - . .- �.
� CONSTRUCTION AND P4ANNING � � P��' 'PA 7
�
APPROVALS Permit# - 'Date. Inspector AppROVALS Permit# Date Inspector
i. Temporaiy Electrical Service or Pole , � . 52. Pool & Equipment Location " '
2. Soil Pipe�Undrgrnd. � � :. �' - 53. Steel Reinforcement �
-:3.'ElectricalConduiiUtility-Undrgmdc'�� . 54. Forms � ' � �
��4. Ele�trical ConduiGUndrgmd. ^ � 55. Electrical Bonding �
. .-
�-5: $teel Reinfarcement� '� 56. Rough Plumbing & Pressure Test
� ��. . .
. 6. �Electrical UFER=�jrid. ��'.}'� r„`;- 57. APPROVALTO COVER�GUNITE i-�� ��
�t
J.�.Footings ^• = . � " �- - 58..EiectriCal Conduit-Undrgrnd. �
r .,r"
�8.'Foundation �`" � `r ' � - 59. Gas Pipe, O Undrgrnd., Test - � 5
9..Water Pipe�Und�gr6d. . � '. 60. Backwash Lines,`P-Trap, � Undrgmd. �
'10. Structural Floor System : � 61. APPROVAL TO DECK
11. Property Sewer,,Line & House Connection 62. Backwash & Receptor�Final' �
72. Sewer Cap - - 63. Neater'& Vent-Final
1
13. Roof Drains . ��, 64. Plumbing SYstem - Final .
14. Rough Plumbing - � ��� 65. -Electrical-Final � �- �
15. Rough Electrical-Conduit . 66. Sotac SYstem-Final �
i 6. Rough Electric Wiring 67. Fencing & Access Approv2l
17. Rough Wiring Sign , 68. APPROVED FOR PLASTEflING
18. Rough Electrical-T Bar Ceiling � .� 69. POOUSPA SYSTEMS FINAL
' 19. Rough HeAting & Air Conditioning - ' FIRE DEPT. REQUIREMENT �
_ - C� . L� � . .
20: �Rough Factory F'tieGlace � -- ' � � ^�APPROVAL'8:,::CPeemit # �
r > - .,
21.'Ducts, inStNctuie , . , � = '� ' '� �'�' � �' `
, •�v ,, �JO. Undergroun�: Hydro •�
22. Ducts, Ventilating� � _ "� ^ �T � � ,71. Product'Piping O Gas O.OfI .
23: Gas Pipe'Rough &'Test � ,t _ _ `'. ' 72, Underground FlusFa� '
24..Roof Framing � - -� �� . � � >73:z�Undergrnd:Storage'iank��Gas OOiI
25. Roo� Sheathing '��' � � ' � � , -, , �74.' Overhead�-lydro-� ` �,,
26. T�Bar Ceiling (Structural) & Monocoat � • � - 75.. Dry Chemical �� � � .. :
27. FrameandFlashing` '- , 76. DryStandfijp,e -' �` ` �� `"
28. Lathing $� Siding , • . � � 77r FIXED SYSTEM FINAL� � �u
•'29. Insulati'on ' � ' ; �- ' ' 78':,�FIRE PREV. FINAL Y
�30.DrywallNailing i- �� � �. _ HEALTH�DEPTsREQUiREMENT
•,31. Plaster �rown Coat . , , ,. «.ti �79't'FINAL INSPECTION- � - ,�
.32.�ElectricalPowerMeterFinal - ~ -� � �='' x. ,80 �OODCERTIFIEAFEISSUEO� ��
, .33: �Final ElecVic ` . i �[.tid(I='7L- _ .,.�« �r . � o'[es:, - � �' " ` " �
• � �U •
�'34. �Final Heating:& Air Conditioning, ' � ^i, 'i;' �� ` , ,�� y `,
35..Final Ga"s Pipo-Test� � `i - � - " •4 - :' � �� "
.r., + .« . ' r.-. - �`
r' J '.: i
; 36.' Hood or, Canopy � : � - _ � � ( '�. �, ?^ ' . ' •.
37.�Final Factory Fiiep7ace � � ' � ' ' � ' ,"
`i �.�
.. . .r. - � . .. _. � . .• � '-
`38. Final Plumbing . n+ . �. _ _ ,� . � . �q ,.r
i
':39. Water�Service�Final = ' � �'�' '� a
,�40. Gas Service-Final . , �. . ' „ � ,_ ,r ti ��; � ' �
+�41. Solar pomesticFinal �. � • � � '� " ' +
�� ! - �� i `��
42.�Backflow Preventer; - .�. ' � } '! ' -
43. Backflow Irrlgation• � � � + U _
i
44. Landscape Irrigation SysTem� �� � . _ � t . ;� �� .s. ' `. r
� . -
s45:"Sound Attenuation � . " >: - � � � '�� ='' -
-t -
� 46.; Handicap Regulations ' -j ; - �� � � ' 4 - - .j "�� .;
47:.FINALSTRUCTURE&9UfLDING � i � y;, � � �. '
�
48.'FINALPI.ANNING • - �;; ,: ` �'� , " '
� �49.�-Electric fielease to Edison • . � � f,�' � '" '`r � i� .
'50.�Gis Release to Southem Califomia Gas Co . , , ,_� , . : . '
57. CERTIFICATE OF OCCUPANCY - ,,;;� . , ,
No. Daie
�
m
Engineering Geology, I � �-�-'
Soil and Rock Engineering, Geohydrology ; '�I%i
GEOTECHNICAL CONSULTANTS, INC.I __ _________�
Russell G. Hood
Klaus W. John. C.E.
C. William Schmidt
Glenn A. Brovm
Aprii 27, 1965
Meea Verde Development Company
2850 Mesa Verde Drive .
Coata Mesa, California _ Our Job 55�5-A
Attention: Mr. D'ave Frampton
SubJect: Tabulation of Pad Soaking Teat Resulta
Traot 4660, Lota 1 through 57
Coata Mesa, California
Qentlemen:
As noted in �ur letter of April 19, 1965, soaking
of the pad areas on the subJect tract has been completed in
acoordenoe with the recommendationa. As per your request
the following tabulation of theae test results ie provided
for your information.
Lot Number Moiature Content•
1 21.2
2 19.5
3 26.4
4 20.9
5 18.8
6 19.1
7 22.7
8 21.2
�905 East 17th Street, Suite•208, Santa Ana, California 9270� • Phone (7�14) 5-17-5473
;
Our Job 5505-A
Lot Number
9
lo
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
3�
31
32
33
Page 2
�GC�
�
T�
�
� --
Moiature Content ■
18.7
18.5
15.8
14.7 ""
20.4
24.8
22.2
19.5
17.6
17.2
18.7
18.4
18.2
20.3
18.3
18.4
18.3
20.4
17.2
17.3
17.9
15.9
15.6
19.6
19.5
Our Job 5505-A
Lot Number
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
Page 3
Moiature Content•
17.9
25.4
19.9
18,1
17.5
19.4
21,1
16.4
16,1
16,2
16.3
23.2
21.0
2k.5
21.6
20.1
21.6
20.5
18.7
15.1
19.3
17.5
;
Our Job 5505-p
Page 4
G C� `
���
�
Lot Number Moisture Content•
56 17.4
57 19.2
Note: �Peroent of Dry Weight
*�No reteat - additional water applied
Very truly youra,
6EOT8Ci�TZCAL CONSULTANT3, INC.
�� `� i��
Klaus W. John
Civil Engineer 11828
KWJ:JEU:om
oo: Z1vo copiea aubmitted
dennings-Halderman-Hood (1)
City oP Costa Mesa (1)
Attn: Ralph B. Herr
Deputy Building Offlcal
� � � -1 , ����� ��"" FEE RECEIVED
�COSTA MESA BUIIDING-SAFETY DEPARTMENT . FEB � 5 �9GJ
P.O.�BOX 917 QOSTA M66A. �A��FORN�. :�.FINANC(�E/�- TD�EP�T[. -' `'
-J'?_iil��Ji ,:11':A.��'..J;._:J'. :J".L -_ � , -,.r)')';_l 2;�•.. `"-�A�IV�VRfCRMIi�,'� .
For Applicanf fo Fill In Completely V APPLIC 1 F ... _.
'::iL'if..t_fTY,PE=,�OR��.:PRINT.. J-_ _�_.' :: J,�,..,=�ti;:..� ,:BUILDING•� ; . . ,
� For. Offue,Use Only �� �
BUILDIN6 r•l:.'�r•.• � � ��' ' a. .._ L ' :J� :L.i_ . _ . .� _ ._ . ._. .'
ADDRE$$ O 1 C�Ub HOUSe C�TC.�.E- ��, -�;�.�_ r��.� ' �RHC6IP.TNO._:.�� _. PERMITNO.('
. r[::.i.;,COSTA MESA�.�CALIFORNIA � .. _ o - _' ..� 3 ��J.]
� �� l R[C[NsO!Y OAT R6C61VHD j .DAT818
�v•�� �. _�i.:.... _ `:.0 ,.. ...Gr1 �� : :':{,y pR "4 � tb
: , . . . . , ...
.., ,
OWNER Mesa _Verde Dev.Co.� ��� _ . � .., , '
.,-..... .... _____..._ .... ,...- .ti ro1�::�....;;, .,, _. �
nooaess 2850_Mesa V�erde.Dr.,�• - , ,� woo`a�ess°� ,�;� . ,..�.,
.SEIi• �:y ., . � ..,-. „�,... .� . .�FIRE�. �� :�. ,'lf:� .' • ,_V .�..r.�-""_•I cQC J
cirv Costa`Mesa�Ca]:if:' ;,0�•549�395' zoNe rrPe - �' `oaouP'
-ii acuua.caaJ : , •/T�••••,T••
E �"NO.
I823'`E,.f:17tfi''St: `�: � :. �.:A: r..,...
�R.E.3:Same ,as.Owner :.. ^ ; - ... ---..
APPROVED' "e.. ._ i V_.,...1--�,�..ST,.t ' _
BY� ; � � DATE� . �
, :-,-� ::�.�_.[+ a' ZONIMG. ^.i'.::.r,;c ,
__;��':_:; ....0 �.�i-C. _. �'.',i11 �A.^P.NO.1.
� �,�•r,7J,•7.� ' �Li:'r'._ �.'J: � 'ii' ' �NOTE: NO'EI
81322' TEC. ' ��� �'� 80" TOSIOE
N � � SC�
, �, n .:. . ... +n EAVE9 � .
.. � 4.. .. � 1�. �' No. oF BLDoet �j_.,� • ALLOWED' `
r'. 'I.•nOwoHLOT' rYARDBA�
���f..�_c:�.:-.., ::le .i "r�'v.� ..
t.... . .... .. .. .. .. ... . . ,.... ___.•MAIN�BI
0 BETBACK L�NC FROM
EFT %�„i ,��iR16HT-s::�f�f1 `.'1Ls
DESCRIPTION"OF' WORK=% '-�-� ����`� '
X I"'_____"__I II'__"_'_'" I
BUILDIN6 �' 3'Z NO.OF 5 �
SIZE ROOM9 STORIBB
EXTERIOR WALL St.UCCO I ROOF builtup
COVERING COVERIN6
U9E OF BUIIDIIi6 AND WORK TO BE P6RFORMHD
Res.w/att.Gar. ���A�,
�I HEREBY ACKNOWL¢OOe THAT 1 HAVE READ TXI9 �PPLICATION
ANO STRTE TNAT TH8 ABOyS �g COflRECT AND A6REE TO COM�
PLV WITH ALL CITY ONOINANC68 ANO�6TAT6 LAWB RHOULAiINO
BUILOINO CONTFR�6TJON.
q AUTHORIZEO A6ENT . .
• ..' :: Lo£ i:�oTr. '4660
.;�._.,_�..: .,_.. ., ,,�, .. ..
' ,�none ,.
VB OV ERHAN6 3HALL BE CESS THAN
@ REAR P. L.'" " � f�T: L:..
. . i, L:: : I: . ..,. ' _ . ' ""
...1. �.. .1" ..G �. I.J .�.'.l S: . �_.
e.'81�'...,� Fr. � Fi`. �.
"L.SIO6.C�;'lJ:�.� C ( 2 :VLFT;�
REAR O FT. FT.
DISTANCE BET. BET. MAIN 8
MAIN BLDGB. AGCE55. BLDGB.
CAU. P. ��� � APPROVED 11-1'6-6�
MPROV6 �,. OATE �_���6 .S
eY I
HOLD FOR 5PECIF.L c.ilvi�c�mc�. � �
SEE REVERS SIDE
1250 SQ � J 4E>0
THE �MOUNT BXOWN "UNDHR VALUATION �8 FOR THE
PURPOSE OF 88TABL�BX�N6 A PEHMIT F&E ONLY.
VALUATION
PERMIT FEE $ ,��
s /�Dsi_ � � � ,
T��� .
m
i
N
m
_ ...
.�������� .���� - `
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` 1. A�s���'�ylp�lrants located,as per Fire Department'reqw.re-�
ments. . ' , _. _ ___ « ._
•. 2. Standpipe�system instAlled as,:per_Fire Department%requirements.
3• Fire Extixiguishers located as�per Pamphlet,#10 (N.F.P,.A..) ._
"�4: ' Al1 roof5 to be of noa-comtiustible materiel.°''�'- `--• --•=--�°�;-:� ,
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:-5• Tree plauting c�patible. `rith the _area as _indicated on plot plaxi.
� 6" Driveway5'subject to appr'oval„of Traffic Engineer _ �
� 7.`' Installation of�resideritial sidewalks-and concrete'driveWa.y-- '-
`'' .:..approehhes:.on Club. Hou'se.�Road• by the'applican�� at-his .=
=: . _..:._ .. .._ __...__.._.... -- ._ . . _ : .
..�. � rexpense, �per, standard specifications �of,the City of .Costa,Mesa.' ' �
�" "8: - Instal].ation of 'st'reet lights. ori�marbeli:te..poles :with:-under- �.
�;, _._ ground circuit on Mesa.Verde Drive"and,_Glub Hou'se�Road,-�by�,the '..
.. ,:.._
;, applican�, 'at his expense� per�`standard-speci%'ication o8 th'e
!-' F„ , �.�: Ci"ty":of..Costa Mesa: ..: . , . , - � � � -
, . .
. .,.., ,,_ �._... ._... _. ,__�.... -
, ..9.:?=:=��Ad'equate'..lighting:=on inte'ri'or`.driveways subject ,to'approval
Ci� of Street Lighting Superintenderit.• -.-_.__ . ..,_.:. _ _ , . _._M. .. _. .
��10.'.'That the Conditioris,'Covenants.and.Restrictions=:b'e approved-, _-_ .
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r�_, bythe Office`o£ the ;City,:Attorney prior.to'final approval ,
%' of this � Conditional; Use� Permit bythe� Co�i"s's"ion�-or "Copncil:
i. 11. ..InstallaGiori of a block waL1 not less'than.5!6:';nor.more tfian ,- --
;.;,.,•;_� 6L.along�the northerly%'arid�feasterly.property,Tines,with -
�;�, 'reference north"being"C1ub House Road�=bythe"a`ppTicant,': . '.
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,-:q. ' at his,e�rpense� .per .standard �specifications.of�the,City_ of._ _.'.
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`,.` 13 .-.-; Per Precise Plan-date3 and Revised Octobe,r 20, 1964.�_, _ __ .
'. 14. '��" Sub ject �o 'the approval of the Ten�tive, Tract �Map
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. C057A MESA BUILOING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
� . For ApplicanY to Fill in Completely
ADDPESS _� (7 / {
� I
OWNER �' � �
,2 c ai � � >>
MAIL /n,
Z ADDRESS (l% . � S ' I�/Z'
a U TEL. �
CITV , NO. S ys •S(
ZQ CONSTRUCTION
ON LENDER
am
i 1 BRANCH � � '
PAiJ
irOV'S-��CM�fUD� ZSY�L° ',�.tit}.j;34.��
APPLICATION FOR BUILDING PERMIT
��EI ED BV ' DATE RECEIVED DATE ISSUED
�aL //_r-71 ii_s_7i
AODRESS'
OWNER
o-
B
J QARCHITECT ' ' TEL S T"�'�"'�� L S d
N OR ENGINEER NO.
V Q ' FIRE
W� ADDRESS ZONE TVPE GROUP
p_ W ,
I APPROVED
JO CONTFACTOR 3p L. �,/� � C�(j�C � BV DATE —�
m Z / �
J� ADDRESS � y I� LL ' �N � ZONE .NO.OF USE OF NEW
' ww TEL.
z= CITY � Z�.�� � NO. � P�� U BUILDING
f— /
� STATE y CITV VARDSAPPqOVE� VAROSAPPROVED
' �� LIC. NO. 2S J S 7 Z LIC. NO. �� � MAIN BUILDING ACCESSORV BUILDING
�� SI2E NO.OF BLDGS. (FROM C/L STREET) �
OF LOT NOW ON lOT ROM FT FT.
USE OF
EXISfING BLDG. FT
� SI2E OF NO. OF '
Z NEW BLDG. ROOMS STORIES Z L.SIDE FT.
U' EMERIOR WALL ROOF '
� COVERING _ COVERING REAR FT. . FT.
USE OF BUIIDING AND WOR TO BE PERFORMED �
� / � DI5TANCE BET. BET. MAIN &
%" / /0/ I�� S �t MAIN BLDGS. ACCESS. BIDGS.
Q � . • � VAR.# DATE .
- � " f�Tutiow �r � /U� ' c.u.P.# pPPROVED
N APPROVED ��
i
z .
� `
�
VI hereby acknpwledge that I have reatl ihis apPlication and state ,� / (
� that the ebove intormation is correct antl agree to comply with t' v
� all laws ragulating builtling consttuction, entl I shall not employ ,
r any person in violation of th¢ workman's compensation laws of
m
y the State of California. � �
ZI hereby certify that I am properly licensetl as a conttactor under SQ. FT. o
the State ot California Business and Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VAlUAT10N IS FOR �
Chapter 9, antl that such licenses ara in full torce antl effect, or I THE PURPp$E OF ESTABLISHING A PERMIT FEE ONLY; m
� am ezempt from ffie provisions of the Scere af Catifornia Business ¢
VALUATION .
m
and Professions Cotle, Division 3, Chapter . PERMIT FEE � S��i � �
8 �� (; ! o . '
si naw.a ot m
Parmittae / /..i $�/ „ �..V PI..qN CHECK $ �� `S ^ o
[/ O • ^j�/ S" LL
Authorizetl Agent .5(
TOTAL FEE $ t///