HomeMy WebLinkAbout2872 REGIS LN - Building Permits J Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ' I
CITY OF COSTA'MESA ,CONSTRUCTION'PERMI'T PERMIT No. •
TRAfJ,N�o. • Lo n.., 'UNIT NO o��r _fir_7 .. .l ,
Project Address 2 5 9 8 7 y'ry. I I
za7z k?r �1$ , , N' F
Applicants Mailing Address . 5g1'a1-fz I TYPE DECONSTRUCTION KI NEW ADD L I AL AERATION ' REPAIR:,, r . - I - • - s �
,/ Ill CONVERSION ❑LDEMOLISH O OTHER /s
• OvJner's Name <T�'Y (n9Jlrt'C-7ghone 7N'tp�'�'i•t >^`DESCRI,PpTION OF WORK/USE OF BLDG. S/w.r sr.o. — '/Oc:P d S' � � A.P # �(�� — 5�Q3� a(,� 'I Zone �� _
Address z 72 lea 7 LS ' , ' V-fd.. J, Or S Main Building: f ✓`;•., • Accessory.Buildin9: ) •
Arch/Eng;2-0i17? le
11 �Ls. License No. QZ•3G1 TYPE OF-PERMIT , ❑ GRADING ❑'FOUNDATION 1/y STRUCTURAL tom. - T Front _ / / • } ;_� p
•
"'Address $. "1.73 KA - , • ❑ TENANT ELECTRICAL ® PLUMBING ❑ MECHANICAL ,-. r" _ •- N
IQVK+' �' lJo-l4LF,$ y r . B Rear � -.
• .0 C . I ` : Z(3_ n� rD OTHER (V •T Sp Lt V-i.A." \ 1r'•• . .p A f
Contractor's Name as,. • Phone (L f, C Right U - - '
/ g S p _ !'�.a {�LI PROJECT DESCRIPTION SQ.SFT. •ZI�n TIONS N�Y_�3 'K i • - G
Addresslmailin 1 / qL] 1 '; la�Sv .� / - 7 +c7S q ,
I/ 1 ;CONSTRUCTION TYPE I VALUATIONS /.5100\O•NV s Left U / R
go City'License No. I � I _ !ZONE ' •
GRADING CU.YDS:- ACRES Ping. Ref.# , . Parkin Re E
LICENSED CONTRACTOR DECLARATION �•' - 9 g Req./Provided
( 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 1( •
wi:h section 7000) of Division 3 'of the Business and Professions Code,and 1� •'��.(Ir�1��-• \` ` / J� Oi(S .Planning Notes: / 14{,Zr 'f]a - (�"-/J/ / 'o NI
I my license is in full farce and effect. /ec/Q Zi �r _,j •s (• • - • _ • 1 �D /}•� �' F n-C',_L-/`^A/' �"^':r •
- S
( License Cla s o: bet b/,P . �77t/fUj
Date - - Signature ✓ ? _ PLUMBING FEES • t .
WORKERS'COMPENSATION D C ARAT • . • Bar.Sink ,� - '-. i $hOweriI - ELECTRICAL FEES
I hereby affirm that,' have a certificate of •nsent to self-insure or a certificate -- - , 1
•
of Workers' Compensation Insurance, or a certified copy.thereof (Section
3800, Lab. CJ - /'477. di— T.V(w. 1idt Backflow Preventer - Service Sink - ' • • • Automatic Washer' Transformer.❑ 15-50 KW
Policy No. a11.-a Gla - Company eQ_ �•rv3+�,_ .. I . • `s
Backflow Irrigation I Sewer Cap ' I ❑ 50+ KW
R.Certified copy is'hereby furnished. • '' ' / /� - . - - • - Construction Pole Sub. -
Certifle copyis filed with,the city Buil L_ vis • . Bathtubs,; Sewer Connection Cooking Unit s Meter Dup to 100 amps"
•Date' N FROM Applicant -�/ 1 1 - -
EXEMPTION FROM WORKERS'Cc( NSAT • gCLARATION Clarifiers- 1 Solar Collectors- Dishwasher =. • Meter Dover 100 amps
- (This section need not be completed if the permit is for one hundred ($100) or -
less). Dishweshei" - Solar Piping Dryers ❑Gas ❑Electric �_ Sub Panel i
I certify that in the,performance of the work for as to become
permit is issued,to I - - - _'
shall not employ any person.in any manner so as to become subject to the t _ Drinking Fountains I Solar Tank ' Fan Motors❑0-1 HP�•1''/x`8
, Workers' Compensation Laws.Of California. i - _ - i
Date Signature Floor•Drains 1 Swimming Pool w/Spa ' S, 90 ' F.A.U.- - 1 ' ' Inc.Solar ❑9-15 HP 016-15+.
_ _NOTICE:.Ii,after making.this declaration,.you.should become.subject to the - _ •
_ _ _ __ _ _ -
Workers' Compensation provisions of the Labor'Code, you must forthwith ' Floor Sinks - Urinal i Fixtures '
comply with such' provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY 7 'ii j Water Closet t
Gas Service . . utiets i Device Boxes Pole-Light
I hereby affirm that there'is a construction lending agency for the performance .
of.the work for ,which this permit is issued (Section 3097 Civ. C.) - •
Lender's Name nterceptors Water Heater. C_ Outlets • ® 'Range '
Lender's Address_ - ' - ' Kitchen Sink _ ` Water Service - - g - - ,
' OWNER BUILDER DECLARATION - - [_ Switches - - - _I Sign • - -- -
I hereby affirm that I am exempt from the Contractor's License Law for the , Lavatories - • Auto-Wash Garbage Disposal : Standing Sections
foilowing•reason (Section 7031.5 Business and Professional Code: Any city'or _ .
- county which requires a permit to construct;alter,improve,demolish or repair • . '—Trap Laundry Trays Genelatof 00-5 KW 05-15 KW Trash Compactor
' any structure, prior to Its issuance, also requires the applicant for such permit - p
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - �'1
the Contractor's License Law(Chapter 9(commencing with Section 7000) of Q /ys
Division 3 'of the Business and Professions Code) or that he/she is exempt -.T -- • - - — - - - )z!//!v$/ 414,4°4. — , -y
•
' therefrom and the plica 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).
IJ I, as owner of the property or my employees with wages 'as their sole Reinspection Fee I $15 C Issue Fee $ 3 - 1
compensation, will do the work,and the structure is not intended or offered 1 -1 Reinspection Fee . I $15 Issue Fee $ 3
for sale (Section-7044,, Business and Professional Code: The Contractor's i - , MECHANICAL. FEES' ,
•
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 y7 ,
• employees, provided that such improvements are not intended or offered for ' Boiler Hood or Type I ❑ X-.•L� ( CA-J'�/ I�' �• ��7
sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II 0 2uning Approved By • Dat /
prove for the
owner wi1P nave the burden of proving he/she did not build or im- Duct-Under Ground - Building Approved By I �Q '$` Date
-.prove the purpose of sale). 1 , s - /I^�
II 1 0'1; as owner of,the property, am exclusively contracting with licensed con- Duct-Structural -
Refrigeration System Application Issued By Date
tractorsto 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 ' • ❑0-100,000 0100,000 BTU - SUMMARY OF FEES - • '
' builds or improves thereon,and who contracts for such projects with a con- __ ?7'.--
tractor(s) license pursuant to the Contractor's License Law). -am aware that - BUILDING PERMIT $ �3- S� • . SMIP , '3= ♦of their Worker's Compensation insurance'should be Exhaust System 0 Multiple 0 Syst °pair/Alteration •
proofp provided to me. - - • PLAN CHECK $ (oy•03 •PER MIT' - - _
❑ I am exempt under Section B.'& P.C.for this reason Firepl/Fact.Bit. ICBG* e Dampers PLUMBING ' $• �O. 00 - ISSUANCE -Sr- -
Date Owner - . - ' . Heating System& Ducting , Registers_ i - PLAN CHECK 25% $ , ,,,,......-•. / ENERGY P.C. $ - _
I hereby certify that I have read this application and state that the above - ' 00-100,000 BT , OBTL - GRADING $ .
information is correct..1 a - ply with all city and county ordinances .. - - - 'ELECTRICAL $ -- -and state,laws relatin' buildin nstruction, and hereby authorize repre- - - PLAN CHECK 50% $ MICROFILM: $
sentatives of this n upon the above-mentioned: pro ertyyy for ,
Inspection purpo -- • /' - - - : ' - ' MECHANICAL •.$ ' TOTAL FEE $ e
Signet ure Dalel7 fo 7 r �+r a
Drivers' License or SS ( ,---- - , °inspection Fee I $15 • Issue Fee L ' • .$ 3 PLAN CHECK -25% $ • ' ,
`0865-46,rev.10184 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor " "' '
"CONSTRUCTION AND PLANNING i POOL&SPA-
APPROVALS ..Permit# Date Inspector APPROVALS Permit# Date Inspector
1.-:Temporary Electrical Servide or Pole - 52. Pool & Equipment Location 7/23/`6! 6-N
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement •• 7/22/Sr7 G•✓
3. Electrical Conduit Utility-Undrgrnd. 54. Forms • 7/21/0 G-'' /
4. Electrical Conduit-Undrgrnd. - , 55. Electrical Bonding • -7/22A7 G•f
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test -7/1-3/,,., �q-✓
: ' (b v
6. Electrical UFER Grnd. :57. APPROVAL TO COVER-GyNITE Z
•
7. Footings I" _ 58: Electrical Conduit-Undrgrnd. Lp�
7!'Cl v
• 8. Foundation ..:.ndation • 1 - 59..Gas Pipe, ,ndrgrnd., Test 74 3/;„ ( '
9. Water Pipe-Undrgrnd. , - -- &i /'(']- 60. Backwash Lines,P-Trap, 0 Undrgrnd. B Pi"
10. Structural Floor System 61. APPROVAL TO DECK - ,4-
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 9 a 1 0pa•
12. Sewer Cap . . 63. Heater & Vent-Final
13. Roof Drains - I 64. Plumbing System - Final ,
14. Rough Plumbing . 65. Electrical-Final ,:s,i,
15. Rough Electrical-Conduit • 66. Solar System-Final
16. Rough Electric Wiring - - ' - 67. Fencing & Access Approval ^g`1/87 �' •
17. Rough Wiring Sign ii • 68. APPROVED FOR PLASTERING y�►,`// ) D-
18. Rough Electrical-T Bar Ceiling :l• '69. POOL/SPA SYSTEMS FINAL eg
19. Rough Heating & Air Conditioning - - FIRE DEPT. REQUIREMENT .
20. Rough Factory Fireplace ' APPROVALS Permit# - _
21. Ducts, in Structure 70. Underground Hydro .
•
22. Ducts, VentilatingI . 71. Product Piping 0 Gas 0 Oil . -
23. Gas Pipe-Rough & Test .I 72. Underground Flush •
•
' 24. Roof Framing . . - I 73.. Undergrnd.Storage-Tank 0 Gas 0 Oil
25. Roof Sheathing' .. 74. Overhead Hydro •
26. T-Bar Ceiling-)Structural) & Monocoat - - • 75. Dry Chemical, _ 1
27. Frame and Flashing ', 76. Dry Standpipe " '
28. Lathing & Siding77. FIXED SYSTEM'FINAL - -
29. Insulation 78. FIRE PREV. FINAL
30. Dryvvall Nailing HEALTH DEPT. REQUIREMENT . •
v
31. Plaster•Brown Coat r�• 79. FINAL INSPECTION N-
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33/Final Electric - Notes: , 'P/r`J
r
. 39. Final Heating & Air Conditioning - /1 gust?•/ - f _ _ y
rlr
35. Final Gas Pipe-Test ' 1 • .";'� ( ` &V-
36. Hood or Canopy
37. Final Factory Fireplace l"
38. Final Plumbing - - - i, • '
39. Water Service-Final - - - - ,
40. Gas Service-Final -
41. Solar Domestic-Final '%� - •:
42. Backflow Preventer - - • -
43. Backflow Irrigation . - •
,44. Landscape Irrigation System1"
45. Sound Attenuation
46. Handicap Regulations .-. 4 . -
47. FINAL STRUCTURE & BUILDING - - . .. - - -
• 48. Special Requirements Completed • - _
49. Electric Release to Edison - •' '
50. Gas Release to Southern California Gas Co • - _ . • - .< i•
_
• 51. CERTIFICATE OF:OCCUPANCY - ,'
No. Date t
r.
CITY OF COSTA MESA •
ENGINEERING DIVISION • • i > 1
APPLICATION AND PERMIT FOR WORK DESCRIBED BELOW
•
THIS APPLICATION BECOMES A PERMIT
WHEN APPROVED AND,VALIDATECi,
nClass A Permit (Owner/Builder) 3 COPIES OF SKETCHES OR PLANS WILL BE /�1A-/M-Ii '
Class B Permit(Licensed Contractor) REQUIRED PRIOR TO PERMIT ISSUANCE l•y"flVMJ. 0,06z2 7
7� _ f l G i »
Address or Location of Work 2 br t _ I f �/ Dale l�' `l/""
Type of Work to be Done y% ...v,.r, . .. /�ci/ :.. [l+ ct„
Start Date c;/l att.- Permit Not Valid After (Expiration Date) Plan Ng
Contractor's Name /--�/, '.;r,., rAddress 7• 7,7 / /%,t r,r-t• n , b- Z ` ' /;,
Telephone No. (Day)'- (Night) City &State
State License No./Class C C ' I u,- - t City Business License No. -»- trzy-i--7--,--1. /t"/
. Applicant's Name --27r'U.1 r a....LT.-�' Address 2 k 74- 7" =a r s
Telephone No. /o - S; St _ =71 .'[ Developer's Name • _"1 - r U Telephone No.
Name of Insurance Co. /<,r•,-•. T T-----1, '.r r,. 7. Insurance Cert. No.(s)
24-Hour Emergency Contact Telephone No.
48 HOURS MINIMUM REQUIRED FOR PROCESSING PERMIT .
FEES • / ' " PERWi APPROVED F- R CITY ENGINEER
- ' ' /
Bond $ �'. . . LCNo. / ( /
Cash Deposit $ - • ! i Account # n' / • %; , ' r; G BY !"-✓ _
Issuance $ (1 Date " '7= `' r'J •
Inspection $ ( Account # •'
TOTAL $ .''%L • C 111 Underground Service Alert ID No. '�,2-
Permittee shall contact the City Inspector's office 1754.53231 at least 24 hours prior to commencing any work. Failure to obtain•proper inspections
prior to commencement of work may be cause for its rejection.THIS PERMIT WITH APPROVED PLANS MUST BE ON THE JOB AND AVAILABLE TO
CITY REPRESENTATIVES AT ALL TIMES. You are guided by Municipal Code Sections 1-33. 15-25, 15-39,and 15-48.
THE UNDERSIGNED PERMITTEE HEREBY CERTIFIES:
1. That all work shall be performed in accordance with the Standard Specifications for Public Works Construction llatest edition);Standard Drawings of
the Cay of Costa Mesa;special agency provisions;and all applicable laws and ordinances.
2. Control of traffic shall conform to the Work Area Traffic Control Handbook (W.A.T.C.H.) (Latest edition).The permittee shall furnish and/or install all
signs,lights,barricades,traffic control or warning devices,flagmen and flashing arrow board.The permittee shall obtain approval of the Transportation
Services Engineer for all street closures,detours,turn restrictions,parking prohibitions and methods of accommodating traffic.The-permittee shall
notify Emergency, Fire and Police services and residents or businesses twenty-four (24) hours in advance of any access limitation or traffic restrictions.
3. That a maximum of lane(s) may be closed if necessary to perform work within the public right of way during the hours of 8:30 a.m.- 3:30 p.m
Monday through Friday as long as traffic can be maintained in each direction with flagmen unless otherwise approved by the Transportation Services
Engineer.
4. That throughout all phases of construction the work site shall be kept clean and free of rubbish,debris and dust and drainage shall be maintained.
SUBJECT TO THE NOTES BELOW: (Inspector will initial in boxes)
1. City will provide inspection during normal working hours only (8:00 a.m.-4:00 p.m., Monday -Friday).
2, Prior to placing Portland Cement Concrete or Asphalt Concrete IA.C.),the following will have been inspected and approved;native Eland
imported 0 subgrades and forms O. Flyash is not allowed as a cement substitute.
3, ' Curb and gutter shall not be removed on the day prior to a weekend or a city observed holiday. '
4, Fill in areas left by curb and gutter removal flush with the adjacent pavement on the same day that removal occurs.
5. Bore under all streets,curbs and gutters,sidewalks,cross-gutters and driveway approaches.Tunneling is not allowed.
e. Open excavations must be backfilled or plated with spikes and A.C.tacked around edges during non-working hours.
7. Sidewalk shall be constructed per City of Costa Mesa Standard Drawing No. .
B. Driveway approach shall be constructed per City of Costa Mesa Standard Drawing No. .
9. No traffic.allowed on concrete for minimum of five days for curing. See traffic control above.
10. Trench compaction and resurfacing shall conform to City of Costa Mesa Standard Drawing No.813.
11. Trenches exceeding five (5) feet'in depth require a permit from the Division of Industrial Safety,State of California.
12, Permittee shall pay for all S.E.,compaction and materials tests deemed necessary by the City.
13. All trenches shall be permanently patched within ten (10)days of completion of work below subgrade.
14. Permittee shall provide the City with record drawings of permitted work before final inspection by the City.
15. Other:
NOTICE: Contractor must notify the following Utility Companies two working days before starting work:
Costa Mesa Sanitary District Mesa Consolidated Water District UNDERGROUND SERVICE ALERT:
(7141 631-1731 (7141 631-1200 Toll Free .1-800422.4133;After Hours&Holidays-17141 7393031;(213) 621.3111
Inspection Record Inspector of Record: CERTIFICATE OF INSPECTION
Date Remarks I hereby certify that the street
work allowed by this permit has
been constructed according to the
plans and specifications and I here
by accept the work in this manner
By:
Inspector
• Date
I certify I have read and understand all f'the-above and that all statements made are
correct and complete:--
CMF 0183-62, rev.3/86 .. � /'. / _� —r
White-Inspectors;Canary -Engineering; / I�. • /<'))'.-
'
Pink-Finance;Goidenroo -Applicant
Applicant's Sig cure Date
Gunite ) Post-Tensioned Concrete ( )
REPORT OF INSPECTION ON Masonry ( ) Fireproofing ( )
Concrete ( ) Reinforcing Steel ( ) '
OD T O: CnSkc) fiNc_P%
Address :
OWNER: UL'4er1
PROJECT: cSW‘ryy6C0 jt' hSr Report No.
Address : 94,81r, lei b 1 Permit No..3&, accor,
Architect: c�h ip fl. Js Contractor: �a�r Nva (?,y b
Address : Address :
Engineer: w; IN:24;n I) , Fe•Lq.c// Subcontractor : cj loos+ 6ts... k
(Gunite)
Address : Masonry or
� Concrete)
y, Sjl ,h
Inspector: Lt Address :
(J%,• S'R {- z.'
Mix Used:y3- 1
Slump, inches :-Q-
Admixture :4a_
Designed Strength, PSI : ),JQ)>
The following inspection was performed in accordance with the approved drawings :
Cu .Yds. No. of
•
DATES Placed Cyls . Remarks
mit
k nlEmo 4,
Cit
L-A—PNvica De')u-HS �w(o.:m.3 LtLI
Copies of Reports to: ( Indicate which Bldg. Dept . L furnish address of any not listed)
•
. 2V n
2�� dl►
�� . F�'i Twinincj Laboratories of Sout�2etn ea/Joint, inc.
' ,10r Alli.°t,
- , - 3310 Airport Way / Mailing Address P.O.Bos 47 1 Long Beach,CA 90801 / 1213)426-3355 / (213)636-2386 / (714)828.6432
TESTING BRANCH OFFICE: 1514-0 North Susan Street / Santa Ant CA 92703 / 7141 554-2645
August 11, 1987 Examination: SC87-3321
COMPRESSION TESTS ON GUNITE CYLINDERS
Max Sitter
P.O. Box 3454 .
Fullerton, California 92637
PROJECT SIWMMING POOL & SPA
ADDRESS 2812 Regis, Costa Mesa
ARCHITECT CONTRACTOR
California Pools California Pools
ENGINEER SUBCONTRACTOR
William R. Ferrell Golden West Gunite
SAMPLE FROM Shallow end
SPECIFIED
MIX 4.2-1 STRENGTH 2,000 psi
DATE CAST 8-1-87 SLUMP SIZE 5" x 123:"
DATE TESTED 8-10-87
SPECIMEN NO. 1 2 & 3 "HELD IN FIELD"
COMPRESSION 9-Day
TOTAL LOAD, LEIS. 77,000
POUNDS PER SQ. IN. 3,920
28-DAY AVERAGE. PSI
COMPLIANCE 9-Day test complies with specified strength.
MADE BY DELIVERED BY RECEIVED ON
SPECIMENS Tony Max 8-6-87
DISTRIBUTION:
Max Sitter - 3
rasta Mesa 31dg. Dept./Scott Priegel
12
I Rick Hydeni
=n=TS ARE aiSMITT EC=5 THE CONFIDENTIAL=ROPE?T'/CF CLIENTS AUTHORIZATION FOR PUBLICATION OF CUP REooRTS.CONC'_USIONS O _xTRaC;S FROM
OPREOAPOING TNE.I IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION ro CLIEN TS THE F UBUC AND OURSELVES
VnFtCrt '-'4',N`-'`""I ..."- ik, - UATt -1 i i r
"� JOB ADDRESS 2g/[. Regis Lane BUILDING PERMIT NO. 4.)_,
yA GENERAL CONTRACTOR Oornnr—RI,t 1 Aer DESCRIPTION of WORK yega14 z® Patio Cower
�J AP No. 141-563-20 LOT 77 TRACT 4204 FIRE ZONE VALUES 720.00
4L INSPECTIONS Signature Date TYPE V GROUP J ZONE R-1
0.,sou_GAS SUBCONTRACTOR PERMITS ISSUrED
Date Number Signature
'y WATER _ Plumbing
,..ROUGH PLUMBING •
b t�PROP. SWR. LINE [] HOUSE CON. 0
`SPRINKLING SYSTEM
s,MISCELLANEOUS
AROUGH HEATING AND AIR CONDITIONING'
TEMPORARY SERVICE OR POLE
v UNDERGROUND 0 POWER 0
ROUGH WIRING Heating and Vent.
TRENCHES 0 FORMS 0 STEEL REINF. 0 1 i '-) 2 ?
FLOOR SYSTEM
BOND BEAM f" 'STEEL REINFORCE [l
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT [1
PLASTER. BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL^
PLUMBING, FINAL AND GAS TEST I l
ELECTRIC. FINAL �Ii
BUILDING. FINAL /"��'+ •-?- X•97
SPECIAL REQUIREMENTS
4359.1
PAID
%J —1-nl,-.QO oe9:i. t'4***i6.5C
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only
_ RE V BY D =�EC D DA E I SUED
BUILDING 447, 19E6IS LPA �z M. 7q
ADDRESS r� �/
Qti/—.�63 —Z0 PE MTNO.
OWNER fh1 II1 (To-ckc'ory A.P.APNO.
MAIL ("") BUILDING o 87z /PC IS 'iti -
ADDRESS �27,Q REG-1C LN• ADDRESS /J u ry
CITY CDST4 /11e5 xi_ NO.TE5q -/scb TRACT / Zo / LOT / I BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR (MOVING OFMOI ISH
LENDER
BRANCH OWNER pit r7// '-tTacCrcn
ADDRESS �/J �A UE 720`tARCHITECT TEL. USEtit)), / J� $ 20OR ENGINEER NO. FIRIT--GRP ��
ADDRESS �/1 ZONE TYPE
/�///' APPROVED
CONTRACTOR t-�.�(rWn) ^a . 1 BY DA-Lail II77
ADDRESS C-e 4-11 e
TEL. ZONt—( Iz
NO.OF USE OF NEW A*71,O
CITY • NO. PLANS — BUILDING Cc✓64
STATE - CITY YARDS APPROVED YARDS APPROVED
LIC.NO. • LIC.NO. MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLDGS.
(FROM C/L��ffSTREET/
L OF LOT I NOW ON LOT ._FRONT /T� FT FT.
atet USE OF 70 't
EXISTING BLDG. R.SIDE FT. FT.
rn •
9Separate permits are required for L.SIDE w0. FT. FT.Fs • _
electric,plumbing and heating work. REAR 7
FT. FT.
IW..i USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
C y Q _ MAIN BLDGS. ACCESS.BLOCS.
� VAR.* DATE
� r ,/jf� � 1 C.UP# // APPROVED
X
/ V AP ROVED(.( �/� DATE 3 —1-7 7
A ///
a
w ® _
o I hereby acknowledge that I have read this application and state in
X that the above Information is correct and agree to comply with
m
Om all laws regulating building construction, and I shall not employ
Z
any person in violation of the workman's compensation laws of m
.T. the State of California. 53 /
— SQ. FT. gs
I hereby certify that I am properly licensed as a contractor under N
the Stare of California Business and Professions Code, Division 3, . THE AMOUNT SHOWDER VALUATION IS FOR D
9Pf'�iRtrn�l D
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF EST SIG A PERMIT F E QAJLY
am exempt from the provisions of the State of California Business t Imo+. tL7� 'p
VALUATION VT FEE v
and Professions Code, Division 3,Chapter 9. $ in
�y�..� ,(� ,, !}}yyy
of/ • PLAN CHECK $ o
Sigmlttee of riJP/�CLr y/�I4� 4hoz '/ $ 2 U.
TAX $
_ E
Authorized Agent TOTAL PAID $ /G � - J
FEE RECEIVED
15388 Lot 77, tract.i\2�-t, Plan 1-DR
COSTA MESA BUILDING-SAFETY DEPARTMENT i SE) FINANCE DEPT.
P. O. BOX 317 COSTA MESA. CALIFORNIA �/"
p f CHI OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRESS 2872 Regis Vane
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO, PERMITNO.. '
OWNER Mesa Del Mar Dpvelnrvant an I 1 1 0for
MAIL ReC81 D BY DA RECEIVED "DATEYdSUED&
ADDRESS 1800 'E. Coast Highway Ar_ I 7/t/-6/ ) 6 1961
TEL. BUILDING
CITY Corona dal Mar, Calif No.nR 31020 ADDRESS
ARCHITECT TEL- COSTA MESA. CALIFORNIA
OR ENGINEER Macco COI'pOratlOn NO.OR 34ZZO
ADDRESS 3800 E. Coast Highway ZONE TYPE I, GROUP
FIRE
‘I
CONTRACTOR Macco Corporation APPROVED
BY DATE .
ADDRESSZONING _1
3800 E. Coast Highway 1
ZONE I NO.OP U88 OP NHW;-',"� �
CITY Corona dpi Mar, Calif. VL' --/ PUNS 'vI BUILDING' ,cs ( D
LICTNO. 98808-5E-1 NO' OR 34220 �` �-
DESCRIPTION �(�L- �i 2-4�� 4 P r! 1
E NO. OF SLOGS. l
SIZE
OF LOT 9240 S F I NOW ON LOT none A.P.NO.
USE OF YARDS EVES
EXISTING BLDG. 10 ' _ APPROVED ALLOWED
SETBACK LING FROM 7L 'f- (CANTER LINE BT.) //
CENTER OF STREET 381111 REAR YARD 231 �- FRONT 6/2" FT. / IN.
61 - 51
SIDE YARD LEFT RIGHT R.SIDE `5 FT. IN.
DESCRIPTION OF WORK- L.SIDE 6 FT. IN.
NEW I XX II ALTERATION I H ADDITION I REAR -1-,3 1. IN.
REPAIR I - . II MOVING I II DEMOLISH I APPROVED Atr,e4 DATE /44
SIZE
BUILDING, NO. OF I9 I y5n I All ROOMS A STORIES 1
��
EXTERIOR WALL StllcCco/ROOF
COVERING WOOA I COVERING CORD. Living Area 1281 S F
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence Garage Area 448 S F
w/attached garage Covered Porch Etc. 25 S F
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 OP ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
GNAITUR OF Me 0,41 P1 Mar, pvel opment Cal PERMIT FEE $ 3 �—
SIBY $14)111.00 PLAN CHECK $ / 7-- w
AUTHORIZED AGENW. a ""'Lg te
F
TOTAL FEE $ 51.00 0