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HomeMy WebLinkAbout1645 SAMAR PL - Building Permits 1645 SAMAR PL UNITS CITY OF COSTA MESA - BUILDING PERMIT WNEWStUYEIEgIOMkHELMUTH, RICHARD ALLEN TR PERM NO: B 072815 ADDRESS: 1645 SAMAR PL PADDRE55OFBUI COSTA MESA,CA 557-4152 .92626 PERMIT NO: B 072815 PLAN CHECK NO: N GOVT: N SUPP: N APPL.MMUNG ADORES& CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF & REROOF W/COMP SHINGLES SQ FT': 4 , 555 ARCH.OR ENG.'S ADDRESS: DHT: CLAIM VALUE: 4 , 555 . 00 CALC-VALUE: 4 , 555 . 00 GROUP OCC: R-3 / COMIRACTORSNAME SANDKAMP ROOFING ( 714 ) 557-3666 CQGRACTOWSMNUNG 3130 GRISET PLACE COMMENTS : SMOKE DETECTORS REQUIRED PER 91UBC, REROOF 3200SF RESIDENCE W/COM ADOEstSANTA ANA CA ucNo. 362896 ****d ***** E*******x*** tex � *� x*x � **+ i � * t� x*x.� .*ixE� * E. Vt5f� � 92704 UNIT: Z ONING REQUIREMENT Stv ....... LICENSED CONTRACTORS DECLARATION:I hereby aRvm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 d the Business and Professions Code,and my license S in tun face and effect. p�('� �p CITYLIC.NO.:041643 UC.CLASS: C 39 LIC.NO.: 36289 EXP: 02 /96 MAIN BUILDING ACCESSORY BUI114BYi0�LfaIEQ--- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dae: (o— / r �/� concocts: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under Penally of Perjury that I an exam the Contractors License Law for l e following reason(Section 7031.5 Business and Professions Code:Any city o county which a permit to construct,alter,improve, PARKING REQ: PROV: PARCEL : 13928129 ZNE: REF NO: demolish,or rapes any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she S licensed pursuant to the provisions d the Contractors License Law(Chapter 9(commencing with Section 7001)of Di&ision 3 of the PLANNING NOTES> Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >' 7031.5 by any applicant for a perms subjects the applicant to a coil penalty of not more than five hundred dollars 1S5001). ******************************************************************************* ❑ I.as owner of Ow property or my ampkryees with wages as their sole compensation,will do the work.and the SUUCtUre al not intended D E V E. L O P M E N T SERVICES R E Q U I R E M E N 'T S or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not each,to an owner of popery lit who builds or improves thereon,and who does such work himself or Morel or through he or her own employees,provided that such improvements are not intended o offered for sale.If,however,the building or improvement ie sok within one year of completion.the ZONING APPROVED BYDATE: ownebmker will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ I.as owner of the property,sin exclusively contracting with licensed contractors to construct the project(Section 7044.Business and BUILDING APPROVED BY : DATE: Professions Code:The Contractors License Law does not apply to an owner of propend who Milds or improves thereon and who - __ contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). ❑ lamexempt under Section: B.APG.,for this eason: APPLICATION ISSUED BY: vs DATE: Mita LRS' ********************** ********** * ******** Dale: DashLEGALIZATION:N F E E SUMMARY STRUCTURAL, SEGMENT:Y I do hereby certify that I am aware of and understand the requirements of California Health end Safely Code Sections 25505.25533.and 25534,and that I or any future bulking occupant will/will not(circle one)need to comply with said date codes and the requirements for e peri for construction or modification horn theAr d. m Duality Management Di°tolR°sidentialodnuction appicatonsweexempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 72 . 00 . 50 Dalt Applicant: PLAN PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following decorations: ISSUE FEE ❑ Ihave and will maintain acertificate omnanttosef.insumfor waken'compensaion•as provided fobySection 3700othe Labor BUILDING PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code.for lMpedorma eoNawakiorwvhthopemklelesund. TOTALS----> 72 . 50 0 . 00 0 . 00 72 . 50 72 . 50 . 00 ❑ I have and will mmntan waken'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit b ncarrier Sued.My wake 'compensation insurance caer end policy number are: - Canis: REVENUE DIVISION TOTALS--> COLLECTED : 72 . 50 OVER/SHORT: 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need nor be completed I the permit is for one hundred dollen/3101/or lea.) 72 . 00 . 50 ❑ I°enly that in the performance of the work/or which this permit is issued,I shall not employ any person in any manner ea as to become abject to the workers mnpanation taws of Cafibmie,and Wen adE rthat it l should become subject to the workers' *************************************************************************** *** compensation provisions of Section 3700 of the Labor Code,I shall forthwith o wren 'sions. INDIVIDUAL F E E BREAKDOWN Dale • to- / V - 9 s Applicant: Warning:Failure to secureworkers'compensation coverage Is unlawful and shell subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil lines w to one hundred thousand dollars 0100,0001 In addition to the cost of compensation, a eation,damages Provided for In Section 3706 of the Labor Code,Interest,and afrorneya fees. SFR 4555 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4 , 555. 00 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES performance of the work(or which this permit is Sued(Section 3097,Civ.C). LENDER'S NAME LENDER'S ADDRESS: I certify that I have read this application and date that the above information is correct.I agree to comply with all city end county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. I 0! `00184154-00184155 TOT 72.50 7 ��Ur9'c' Sa_Name ti``'� l«'1'ni DATE: 06/14/95 TIME: (W;00 Dae: 6 /y 9 rotund r/ ppfipantrDomlrada (5151d6.WP) While-Building&Safely;Green-Rte:Chary-APplcant:Pink-Revenue:Goldenrod-Assessor W CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date ..Inspector 1. Temporary Electrical Service or ?Ile 52. Pool & Equipment Location(' / 2. Soil Pipe-Undrgrnd. :_ 41',I, 53. Steel Reinforcement ..-- _ I 3. Electrical Conduit-Utility-Undrgrnd. 54. Forms .1 . ,:4'. Electrical ConduiYUndrgrnd. 55. Electrical Bonding r,, '-5. Steel Reinforcement 56. Rough Plumbing & Pressure Fest i • r -i> • - 6 r.Electrical UFER Gi'nd. 57. APPROVAL TO COVER-GUNITE J 7. Footings • 58. Electrical Conduit-Undrgrnd. • `8. Foundation -- "---, - • _ 59. Gas Pipe, 0 Undrgrnd.,Test ati 9. Water Pipe-Undigrnd.: 60. Backwash,Lines, P-Trap, 0 Undrgrnd. 1 10. Structural Floor System 61. APPROVAL TO DECK r 11. Property Sewer Line.& House Connection 62. Backwash & Receptor-Final, r , -12. Sewer Cap _ 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final �r •,I 16. Rough Electric Wiring c 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-DEPT1REQUIREMENT - .i.20.Rough Factory Fireplace : _ r l"..1: .'. - APPRO VA•LS '., Permit# '' 21.bDucts,in'5tructure •' - i- " '- l'' 70.`Underground Hydro . _ 22. Ducts, Ventilating.,' ' -r - - ,A _ 71. Product,Pipin• g ❑'Gas ❑Oil 23. Gas Pipe-Rough & Test _ r G il 72. Undergrbi nd Flush-. 24. Roof Frariring , ,r - v / t 73. Undergrnd.Stoiagejanl< 0 Gas 0 Oil 25. Roof Sheathing /�lf'S :fes/ 74.1-Overhead Hydro 26.,T-Bar Ceiling (Structural) & Monocoat i.777 L 1.71'!- 75.-Dry Chemical ' ' r, 27. Frame and Flashing; , _ s t-• ,t 76`Dry Standpipes- _ r . ' 28. Lathing & Siding„ 7 '- i -7 77. FIXED SYSTEM-FINAL - 29. Insulation - • __ •• 7$. FIRE PREY. FINAL '' 30. Drywall Nailing r'_ ,_ _ '-I ,. H_EALTH DEPT. REQUIREMENT 31. Plaster Brown,,Coat' " . - x r • 79. FINAL INSPECTION i 1 32.'Electrical?ower Meter-Final '" 80: FOOD CERTIFICATE ISSUED 1. -,r T ', : . ; 33.•Fina6Electric - Notes: - -'r- - ' • - 34..Final.Heating& Air Conditioning _ .F -35.:F,'nil Gal-Pi per:Test • _ .. „ - •- 36. Hood or Canopy * c -. y. - r _ s -, i 1 - : - ,Y, 37. Final.Factory Fireplace - c.---" - - • 38. Final Plurnbing ` - - ' - ic' '-' -' 39. Water Service-Final ` , ,. - ' ' . . 40. Gas Service-Final : - L ri i • 41. Solar Domestic-Final - ,. .. _ . r 42.'Backf low Preventer - - . - . _ . , r. rn Cr.: 4- 43. Backflow Irrigation' •• " ' ' 4, x 1 ' 44. Landscape Irrigation System - - - • '714 ' r; r' f ' - . r S . _ 45. Sound Attenuation •�.. 46. Handicap Regulations , -- 1 47. FINAL STRUCTURE:& BUILDING z9� / • ' - 0.4_,Q - 48..FINALPLANNING: _ + ! - .r 1 '49. Electiic Release to Edison. ' , ' - I `' ' 50. Gas;Release to Southern California Gas Co ,. 51. CERTIFICATE OF OCCUPANCY - No. Date $0 2 ����' sili�, �' Twining Laboratories of 4soulctn dA /0tu, c� �� $�► pr o . . . • -1 3310 Airport Way/Mailing Address P.O. Box 47 / Long Beach, CA 90801 /(213)4263355 /(213) 636-2386 /(714)8286432 TESTING BRANCH OFFICE: 1514.0 North Harper Sven/Santa Ana,CA 92703/1714)531.2045 August 23, 1982 Examination: SC82-4705 August 30, 1982 COMPRESSION TESTS ON GUNITE CYLINDERS Mr. Errol F. Heesch 12921 Aspenwood Lane Garden Grove, California 92640 PROJECT DICK HELMUTK RESIDENCE ADDRESS 1645 Samar Place, Costa Mesa • SAMPLE FROM Gunite Swimming Pool & Spa - small pool 3} to 4}' deep ARCHITECT CONTRACTOR Swan Pools ENGINEER, SUBCONTRACTOR Vern Anthony Gunite SPECIFIED MIX 4}-1 STRENGTH 2,000 psi DATE CAST 8/10/82 SLUMP - SIZE #I .& II: 5}" x 124" PIII: 54" x 12" DATE TESTED 8/20/82 8/20/82 8/24/82 SPECIMEN NO. I II III COMPRESSION 10-Day 10-Day 14-Day TOTAL LOAD, LBS. 51 ,000 40,000 57,000 POUNDS PER SO. IN. 2, 145 1,685 2,633- Cylinder #IV "HELD IN FIELD", COMPLIANCE 14-Day test complies with specifications. MIAMI By DELIVERED BY RECEIVED ON • • SPECIMENS Woody E. Heesch 8/12/82 DISTRIBUTION: ,i E. F. Heesch - 2 Vern Anthony Gunite Costa Mesa Bldg. Dept. • Neale Zuidema ALL REPORTS ARC susMITTCD As THE CONIIO(NTSAL PROPERTY OP CLIENTS. AUTHORIZATION 'Oe PUBLICATION OP OUR WORTS. CONCLUSIONS. OR El• TRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS • PROTECTION TO CLIENTS.THE PUSLIC AND OURSELVES. 33012 ) - . 7 Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. 1 -C14T ..OFSCOSTA MESA PERMIT N•. - TRACT NO. LOT NO. BLDG.NO. - _ ' ' - - ' - -• '- 6 :UCTION PERMIT - •� • �" 4049 7/26/82 {- 74.46 iTL Protect Address �� (� 5 Q� �'�i�" ,(PE OF CONSTRUCTION - - 1 Nth '1 . •--- - '•^ r OWne')C` I /// '• Phones( -( 0 NEW IXAOD 0 ALTERATION �i.A. - • - Address-•`, / c• a. 0 /A it I/ -0 REPAIR 0 CONVERSION ❑DEMOLISH `TJ 'Arch/Em� I� ,r:u1. • - 'License No. . ; - -. .(],OTHER . a , 'NING REGULATIONS... - DES_C RIPTION OF WORK L. - _ t•C• 'Address '� C ' C• !Lr `,;TYPE OF PERMIT�Ay .. - �-// _ _-. PLS- Addfess_ ffj • : . } � "41 d yC ❑.GRADING ' . FOUNDATION - LGSTRUCTURAL --" SLOE YARD'• ' - --- •- - ---- - •- LICENSED CONTRACTOR•DECLAR ATIO - -- - --- ' 1 tip ,l�� LIIDE • ' 1 - - ' • (]-TENANT ELECTRICAL KPLUMBING• r---i - SIDE YARD --- .4 I hereby affirm th,.t I am.11ce'-of-under pr.•islons of Charter 9•(com+ - 1 R _--..- t RIGHT - _ - r 1 mencing wlth'(sect ton'-7000)' of•,Division-3- of the, Business an ❑ OTHER ---- - • I _ - - Professions Coag, •ei my license is In full force ansI ec .. ,i REAR YARD(TO P/L) - -1 _ - ---- (�J PROJECT•Dt/g_ PTION _ _ __ License Class: ) License No. K-/� I• - - '- - - -- -(PKG.SPACE REQ-- „PROVIDED n. . Date - Sig nattier- .. . _.,1 rr_ SQ FT. YJ __ _ y• i -STREETWIDTH •, ,•PARK-SEE$ • - r,` 'WORKERS•COMPENSATION DECLARATION --. ._ .a -OCCUPANCY ? CONSTRUCTION TYPE _ I hereby affirm-that I have a certificate of consen o self-iifiedinsure.or,a VALUATION--. 1.1.x•4-�-ZONE ' I !ZONING APPROVED BY - - DATE n --' • - - i 'certlf icate•of•Workers'-Co mpensatlon•insurance, or-a-certlfled-copy 1_ _ - -_ - `SPECIAL CONDITIONS Policy (Sefsjo-i,f10r� 1.41�p,�,f )- _ GRADING CLMYDS. • - ACRES •• +n. - O. 1 PoIicY Nr�- %ll/Ll�? from PSnY y N "^ .--- __ _ _ _ _ _.. _ - n ❑ CerLNetllcopy.is.hereby.f urnished _ -._. / - REMARKSv• ^ .,,,-_ _ _ __ __ _ _ _ _ _ -_n.• tL . i i 1 Certifiedcopy is filed with the city Building Division. ' ' EXEMPTION FROM WORKERS-COMPENSATION DECLARATION '._. _ `- - - - - -- — -, ---- - -- - ---- - - - - This_section.need-not-be.campletedif_the.permit is.for.one hundred . _ f4... " ,ii ,' .•y I ($100) or less). • 1 __ _._- . .. _ I certify_that.in_the;performance of the work for which_this permit is _ __ Issued, I shall not employ-any person in any manner so as,to become' • PLUMBING_}±; .T' PLAN CHECK - . - (ELECTRICAL.— "`- r PLAN CHECK -.- ,"r' - I subject-to the-Workers'-Compensation.Laws,of,California, - _ - ( r 'BATHTUBS - SHOWERS j Date Signature • • - - - I NOTICE:•If'after making this.declaration, you should become'subject ;'T,OILETS.(> ,r)(-, ,•'URINALS-` ''GENERATORS'- 01 KW_110 to the Workers' Compensation provisions of the Labor Code,ymust TRANSFORMER ,_ ' forthwith comply with such provisions or this permit shah be deemed LAVATORIES DOUBLE LAYS'- '',APPLIANCE-- -30.50 KW50+KW- --- - revoked, _ TION _ -- '-- __ _ _ _ KIT.SINKS.: _-- '" DISHWASHERS"' •MOTOR$ - CONSTRUCTION LENDING AGENCY � 0-1"HP=1-S OHP�--'- I hereby affirm,that there.is a construction lending agency for the per-- :SERVICE SINKS-;•- r, 1•(SUMPS' ' - -` (INC.SOLAR)_.__..;0-50•HP_. -•50•+-HP. .� formance of the wor Ich-this-permit is issued (Section 3097 I - -• • FLOOR SINKS- -FLOOR DRAINS- -' TFI%TURES"" -OUTLETS--SWITCHES-- " 'Lender's Name tentler's Address 'DRINKING'FOUNTAINS-:- ' - - '-- GAS TUBE'SIGNS^--- --•-- --..:,-7,7;, - OWNER BUILDER"DECLARATION - "- -- -7 ---- -- -•-- " - INTERCEPTOR -SCAIF LRIERS ,POLE'LIGHTS �' I hereby affirm that I am exempt from.the Contractor's License Law for /,.�. , -, the-following reason'(Section-7031:5 Business-and-Professions-Code: SWIMMING-POOL" fig'P-TRAP-"' • • • ' - - --- Any city or county which requires a permit to construct, alter, !`�^"-i .. �� ',POLES METERED .SUB improve demolish or-repair-any structure,-prior to its issuance,also re-- -WATER-SERVICE ALTERATION" 'PANELS - - ' MAIN ' -•SUB ---- --- - - quires the apo licant for such permit to file a signed statement that he 1 _ .� ,z is"licensed-pursuantto the-provisions of the Contractor's License Law ' GAS SERV ICE— (Chapter 9 (commencing with Section 7000) of Division 3 of the - ,/�{, -���e �^ Business•antl-Pro/essions'Code)'or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT - '- i- - -lYI l fTOK - C✓Ai-- - , :2-:----- - 6b basis for the alleged exemption. Any violation of Section 7031.5 by any applicant' for a-permit subjects'the'applicant to•a-civil penalty SEWER CONNECTIONS - '`- -'-' -- • '- '- -of not more than five hundred dollars ($500). 7 . .,. ..-• I 0'I, as owner o(-the property,or•my employees`with'wages ai their: -SOLAR TANK -- ' COLLECTORS - ----- - -- -- - --- --- -- -- -- - - .-- sole.compensation,will do the_work,and the.structure is not intended _ _ or offered forsale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS.- II - 'ISSUE'FEE--- --'-� - - -• 00 , Contractor.Y_License Law does not_apply to an owner, of a property ...APPROV EDGY - ---- DATE - who builds or improves thereon, and who does such work himself or ISSUE FEE'- -' �t, - •♦ ,.. through his,own employees, provided that such improvements are not " ' '.- intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK 1 - SUMMA RV OF FEES. - is.sold-within.one year oLcompletion, the owner will have the burden 1 .1 ti i r of proving he did not build or improve, for the purpose of sale). HEATING SYSTEM 0-100,000 BTU ' BUILDING---$- -,SMIP, -$ - ,•.0 , a 1, as owner -of--the property;-am exclusively -contracting with- !PERMIT_v_ 5o„- - a;:� -AND DUCTING - • alindnsedPro ssionscontractors Coder-The constructtr cheto s-Licet a aw e0no, Buslness 100,000'+ BTU !PLAN CHECK $ ,PERMIT antl ProfessionsperrContractor's-License Law does not-apply to- _ __ ISSUANCE $ - an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ t� n - tracts from such-projects-with-a contractor(s) -Iicesned•pursuant-to -SYSTEM -- - - - - .( _ _ ,._.GRAING_,$- �r- the Contractor's License Law). 100,000+BTU ;PLAN-CHECK •$ ) - !'s. --,-� I a¢• - I '0 lam exempt under Section-- '--�' -- B.&'P:C.-for'this - v 47'C0 - - $ BOILERS • BTU ELECTRICAL'$ -_ _ - _ _ .. _ _ '(PLAN CHECK-'S-- •.L'Iie -_ _`MICROFILM'S” ' ;. 1 SYSTEM REPAIR,ALTERATION Date Ow er TOTAC`FEE$i_.!-I ,1 pEXHAUST SYSTEM MULTIPLE MECHANICAL '$ --- - - ' - hereby macent' ih. I have ratl this application and state that the above ; L f• i, ) rI�' i-VANCE = ,•) s' . 1 information is-co ea. :gree to comply with all city youth rite PLAN2HEC YC--$ - -- -- ---VANCE PC �$_ - - 1 ordinances .nd sta ; laws dating to construction,and hereby authorize repres¢nL ves oft icy• to enter upon the above mentioned "' -�•�� - `' •-'-�' • ' property.i• n •: 44•;r•• es, - _ �/-�^y� a. _ 'i - ' •:i'�!! i Signature ►.�� - - ISSUE FEE- - - - - ®e '- - ' •' - - - - - -7 I. CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor • / -- - t. r POOL&SPA• CONSTRUCTION AND PLANNING ,.�. _ ///�,p CC Aj Date Inspector . • • - • Date .4511104.' APPROVALS APPROVALS Permit# CJIG T��y APPROVALS ,Pertiit'#� - _ •1. Temporary Electrical Service or Pole •_ - . " 43. Pool & Equipment Location. " - -1� • • , •�7t7 •4"JL 2. Soil Pipe-Undrgrn - -• 44. Steel Reinforcement - ` - - • + - ------ -- - - 3. Electrical Conduit Utility-Undrgrn - - _ _ 45. Forms - -- - -_. - . . __ . 4. Electrical Conduit-Undrgrn _ , - 46. Electrical Bonding - -"--- " - - - . -- - ' _ 5. Steel Reinforce2. 2. _ _ _ _ - 47. Rough Plumbing & Pressure Test •- - - - - & - 6. _ Electrical UFER Grn_ _ 48. APPROVAL TO COVER-GUNITE - - . . P - -�.- Q PO - 7.. Footings _ _ -_ - 49. Electrical Conduit-Undrgrn• '- • -, • g-2.2'4L'_ /'\, 8._• Foundation - .., 50. Gas-Pipe,.0 Undrgrn;Test ' • • • _ 9. Water Pipe-Undrgrn _ , -. - _- 51. Backwash Lines; P-Trap. 0�Undrorn ' - ' . - .• • 10. Structural.Floor System _ 52. , APPROVAL-TO DECK �l w Lf1 yy] �e % `. 11. Property Sewer Line & House Connection ' - 53. _ Backwash &•Receptor-Final' " ' ' - - I '- " (.3•�`j,.•Sv• i 12.. Street Sewer Connection '__ . _ -- . " 54. Heater &Vent-Final i, 13. Rough Plumbing - ..-. . - -' '55. PlumbinaSvstem -Final -` 14. Rough Electric-Conduit --- •- -- - - • :56. Electrical-Final --: -. ' 15. Rough Electric-Wiring - -- - - ; ------ 57. - Solar System-FinalI' ---16.- Rough Heating &Air-Conditioning- .- - -- -> - - - b6• Fencing & Access-Approval 17. Ducts, in Structure , , , . . .-" ' .' _ ' _ _ 59. APPROVED FOR PLASTERING ' 'v3-4° - (? X15 4 , 18. Ducts, Ventilating • _ _ - : r - _ 19. Gas Pipe-Rough &Test - 60. - POOL/SPA SYSTEMS FINAL (1•0 I.(,�94iY . . ' 20i Roof'Framing .- - - - " .. - _ _ . ' 21. Roof Sheathing - - • - - - - - - _ • - - / p "- ' 22. Roof eand Flashing - _" _. _ _ .NOTES: � A/%l•J•p"�� ��c��r..t ,pa'` !'p "��"� -23. Insulation - - - -- .. '. • -.{. - ' - _ . _ - - - --. - . . • _ 24'. Lathing & Siding. - - ..... _• . _. . . ._ • - -- - . . _ , 25. DrywallNailing- -- . . . _.. .. _ - 26. Plaster Brown Coat - . . . . . ' - - - 27. Electrical Power Meter-Final •- _ , 28: Final Electric • • •- • - - - - - - - " - - - - - -• - , 29. - Final'Heating & Aironditioning.- . - _ . - _ . , 'C - , ! - 30. .Final Gas-Pipe-Test _ _ ._ ' 314 Final Plumbing - - - ? . _ _ _ . - . _ ' 32. Water Service-Final - _-- -- - - . . • . - _ . . .. - t 33: .Gas Service-Final_-_ _ " -. . _. _ - - I " - . . .. . . - - _ - - . . • . 34. Solar Domestic-Final ' ., • - •"' - ., . . - 35. ' Landscape Sprinkling System - - - - - - - + • - 36. Sound Attenuation . __ _ - e . - . : . , 37. Handicap.Regulations • ,. , .. i-•. - ,, . . _ .. , . . 38. FINAL STRUCTURE & BUILDING '•• I _ _ • -• - • S 39. Special.Requirements Completed ' - - ' - - - - 40. _ Electric Release to Edison - - • - • - • -- 41. Gas Release to Southern California Gas Co. - - - - • I _42. CERTIFICATE OF OCCUPANCY _._ It I - ; NO. Date - , .. . • AIMS CITY OF COSTA MESA / IMr .59,rW/ fZ Building DEPARTMENT Address OF • BUILDING SAFETY Dieic hit--4,724e / Owner 5Gu4A1 , tS Contractor Registered Deputy Building inspector n Certificate of Compliance • n._. 9 l7 /7NA Address Permit Date Date of this Certificate AjPE'q.29Q/Number M— Issued 1/O 72 — 1 To the Director of Building Safety: I hereby certify that the following portions of work on the buildings at the above address which required continuous inspection and which I was employed to inspect, were inspected by me and comply with the provisions LL •of the Building Code applicable thereto. 1) Concrete 3). Welding 5) Special Cases 2) Masonry � / 4) Reinforced Gypsum Swimming Pool Size 70 X/9 Gunite j/ Hand Pack • Sacks Cement /5A Tons of Sand '`/ � Approximate % of water in aggregate tra j This report covers work completed during week ending f-151- • 1 • REMARKS: t REGISTERE DE IY BUILDING INSPECTOR • Name G2/zvt , Alea.ScN Address oni (IcC_CUE. Laboratory_ Atyni/tib Telephone 97t"34 Form BU 6 ' AUG 30._R =4,Q, 1iItI'O' Twining Laboratories ofccouLh2ean eagotnia, inc. di. a11P 'Ilk • 4 3310 Airport Way/Mailing Address P.O. Box 47 / Long Beach, CA 90801 / (213) 426-3355 /(213) 636-2386/(714) 132B-6432 TESTING BRANCH OFFICE: 1514.0 North Harper Surto/Santa Ana.CA 92703/(714)531.2045 ;Op c() 33E1 August 23, 1982 Examination: SC82-4705 COMPRESSION TESTS ON GUNITE CYLINDERS Mr. Errol F. Heesch 12921 Aspenwood Lane Garden Grove, California 92640 PROJECT DICK HELMUTK RESIDENCE ADDRESS 1645 Samar Place, Costa Mesa SAMPLE FROM Gunite Swimming Pool & Spa - small pool 3} to 4}' deep ARCHITECT CONTRACTOR Swan Pools ENGINEER. SUICONTEACTOS Vern Anthony Gunite SPECIFIED MIX 4i_1 STRENGTH 2,000 psi DATE CAST 8/10/82 SLUMP SIZE 5}" x 124" DATE TESTED 8/20/82 8/20/82 SPECIMEN NO. I II III & IV "HELD IN FIELD COMPRESSION 10-Day 10-Day TOTAL LOAD, LBS. 51 ,000 40,000 POUNDS PER SO. IN. 2, 145 1,685 COMPLIANCE ( OCES 4A0T— 0_/)/Lc `'' MADE ST DELIVERED ST RECEIVED ON SPECIMENS Woody E. Heesch 8/12/82 DISTRIWTIONI E. F. Heesch - 2 Vern Anthony Gunite �Gesta Mesa Bldg. Dept. 3 n`UO p,UG C. Neale Zuidema ALL REPORTS ARE SUSMITTEO AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AUTHORIZATION FOR PUBLICATION OF OUR REPORTS. CONCLUSIONS. OR ES. TRACTS IROM OR REGARDING THEM IS RESERVED FENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS.THE PUBLIC ANO OURSELVES. 330.12 �.' • Applicant to fill in all spaces within heavy border lines and.sign all appropriate declarations. CITY OF COSTA MESA PEf NO. TRACT NO. LOT NO,. ,BLDG.NO. '- - -- . - -- -- -' ' - ' - - -- - -- CONSTRUCTION PERMIT. t.- l p�� -, - Project Address//� S'A- AR_ TYPE OF CONSTRUCT ON ' ' ' �� 1',.; M1t> '• :�� 3� 9/0 /E32 8a(]. 1'L� • Owner%7A t" US M` Phone , _ 0 NEW 0 ADD _'9.QLTERATION •. f� - .-_. :- _ Address ` ��M�.O 0OT hI IR 0 CONVERSION ❑DEMOLISH •- -V � ZONING REGULATIO NSL .y ••. ` Arch/Eng,, -= License No. OTHER. - _i __ - _ DESCRIPTION-OF WORK 11)5.F. � L .nVrpi ('A'0.$ , _, • - •1 , . tAddress 5'�,n v�G._/a �nG. �f. -t-' 'ZONE- - .PLNG. REF. ( Contractor ^'-�I Phone /�+� i._. _ i_ i/G-./x•v-'SIG.. - -BUILDING - - - Tp BLIIt,DING TYPE' lib ' OF PERMIT SETBACK C/L ST. • 'Address .<, _ 1aGRADING ',O FOUNDATION - PROPERTVLINE - _ _Q.STRUC7URAL SIDE YARD � LICENSED CONTRACTOR DECLARATION FT •❑ TENANT ELECTRICAL CPLUMBING_❑MECHANICAL 5551 DE _ 1 hereby affirm that I am licensed•under-provisions-of Charter 9 (corn- - !RIGHTARD--- ( , mending with section 7000) of (Division 3 of the Business and !CZ OTHER ' - - _ , Professions Code, and- my-•-license is In- full- force-and effect. DESCRIPTION. 'REAR YARD(TO P/L) -. License Class I UPROJECT • cense.No. s - - - - r 'PKG.SPACE REQ. - -•eROV.IDED ' : 5Q-FT: ^� Date SATnature ' . . •, .r. _.. _ .. .. __ .__- L..--__ _ _ _ WORKERS'COMPENSATION DECLARATION 'OCCUPANCYICONSTRUCTION TYPE STREET WIDTH { PARK FEE$' • • I hereby-affirm that-I have-a•certificate of consent to-self-insure-or a " ' "'• "" ZONING APPROVED BY - . • . I DATE. certificate of Workers' Compensation Insurance, or a certified-copy- - VALUATION ZONE • - thereof(Section 3800, Lab.C:): - '- GRADING CU. 'YDS.' • ACRES SPECIAL CONDITIONS: ' Policy No. - _ Company ` - ' i _. . 0 Certified copy Is hereby furnished. - REMARKS:, _ - -_ - _ _ - ❑ Certified copy Is filedW with thS cityCBuildingNSTION • Ara-.' 4i2 i L . `EXEMPTION FROM WORKERS' COMPENSATION DECLARATION •• - - "� -- - • (This section need not be completed if the permit Is for •ne hundred • - _ - .' ($100) or.less). • certify that in the performanc of h¢ or forperms - _ - issued, 1 shall not employ any ry n ' a • ma�4-../,,,,,,,--,to be•+e a PLUMBING- - - PLAN CHECK - - •' ELECTRICAL PLAN CHECK. subjeyj�q,(heyiers•Compensa(i n Ca h'n}:�P • ' - Date'�Lf{kk Ej �- Signature ( r •BATHTUBS -SHOWERS - 50 FT LIVVLI_LING Sn FT GL . • - NOTICE: if after making this d cl atlon,you s ou d-•¢come subject ,TOILETS .- , • , URINALS- -• -_ '" "GENERATOR --0-1 KW_�;1 to the Workers' Compensation provisions of the Labor Code;you must- TRANSFORMER _. - - _ - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS -- ' APPLIANCE - 10-50 KW_50+ KW _ 3- - revoked. • - _ - CONSTRUCTION-LENDING AGENCY --' _ ' - ' --- ""-- -KIT.SINKS - DISHWASHERS'- ---- """ - MOTORS-'" -0-1 HP_^1-10 HP-_ I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS' - - -- - (INC.SOLAR) - '10-50 HP 50+ HP _- - ' - formance of the work for which this permit is issued (Section 3097 _ Civ. C.). .. .- - - " " -- - - . , ' --.-_ .. _ . _ FLOOR SINKS' FLOOR DRAINS ' FIXTURES OUTLETS -SWITCHES Lender's-Address - -- - "" ---' _"' " ' -- `" — -DRINKING-FOUNTAINS-'-- i. . . ' . -' . " —GAS-TUBE-SIGNS • ,_ • OWNER BUILDER DECLARATION •INTERCEPTORS -" CLARIFIERS -- - -PO CE'LIGHTS _ , ,1 -I I heret y affirm that ram exempt from the Contractor's License Law for + the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL- '"P TRAP ^- -' • -- LUNb I.RUL-IUN -- - • - Any-city or county which requires a-permit to construct, alter, _ _ POLES METERED �5UB _ , improve,demolish or repair any structure,-prior to its.issuance,also re- WATER SERVICE' - -ALTERATION is - •PANELS- MAIN - SUB , • quires the applicant for Such permit to file a signed statement that he - __ - - - _ is-licensed pursuant to the provisions of the_Contractor's License..Law_ - -' - SERV ICE '• AMP p o ' (Chapter 9 (commencing with Section 7000) of Division 3 of the GAS SERVICE -' OUTLETS - , ' .ev_ Business and Professions Cade) or that he is exempt therefrom and the WATER-HEATERS- any ATERHEATERS BTU OUTPUT - • '-_ _ basis'for the'alleged exemption. Any violation of Section 7031.5 by - any applicant for a_permit,subjects the applicant,to a civil .penalty •SEWER CONNECTIONS --' • -'T` • _ of not more than five hundred dollars ($500). t m _ - - _ _ - ,i, os owner.of the property,-44. - mnI Iwss-:=.•bc =�r• -SOLAR TANK- - -- COLLECTORS ' -� .• -- - • .-' �mnn^'V4M, will do the work, and the structure is not intended _ ^, - - or,offered-for.sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. - - - - - _ '-� ISSUE FEE f3 (} Contractor's License Law does not apply to an owner of a property - _ _ (�j/�/J��/ -yl/ who builds or-improves thereon, and who does-such work himself or ISSUE FEE - - „-- "APPLICATION-APPROVED BY V �C'-� .DATE$ as through his own employees, provided that such improvements are not - _ - K - intended or offered for sale--If, however;the building•or Improvement MECHANICAL PLAN CHECK SUMMARY OF FEES.' ` ''_ is sold within one year of completion, the owner will have the burden ..- - - -- - - -. "- - - of proving_he-did not build or improve-for the-purpose of sale): "j "BUILDING exclusively contracting contracting with HEATING SYSTEM 0-100,000 BTU __ - PERMIT $ D I, as owner of the property, am_ Y .AND DUCTING - PERMIT'" ' licensed contractors to construct the project (Section 7044, Business 100,000+;BTU PLAN CHECK $ • • and Professions Code: The Contractor's License Law does not apply to - ' - - - _ ISSUANCE-S ' - an"owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ a tracts from such projects with a contractor(s) licesned„pursuant to SYSTEM - - - - - --"-- - GRADING"$” ' -- the-Contractor's License Law). 100,000 +BTU ' PLAN CHECK $ - ' '_ 1 ,' • ❑.1 am exempt.under Section • B.&-P:C.-for-this ' BOILERS BTU • ELECTRICAL $ e` $ reason �_�. - ._ __ _ MICROFILM . Date - .. - •_ i_ �i ICR P9 frisks L7J SYSTEM REPAIR,ALTERATION • PLAN CHECK •$' • Date Owner MECHANICAL.$ • - - - TOTAL FEE - • - - I Hereby certif hay ead is ...ii ation and state that the above EXHAUST SYSTEM - MULTIPLE - 4-• ' LESS AD- • - informatio s orr ct, agr-j t.. -o j•ly wi .II city and county • PLAN CHECK $ VANCE PC $_ ordinanc an sta la rela AX•7s tructig :nd hereby authorize , - . t. - . re resen civ t cit p^7 up a abo v¢¢ mentioned property fo / _ _ FINAL FEE $ �' 8 Signature Date _ - - Drivers'L ce se or-SS - . - - - ISSUE FEE - — ' - - CMF 0665-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor ..7" CONSTRUCTION AND PLANNING POOL& SPA A C q APPROVALS Permit# �y�8 1 Date Inspector - _ ; j_ ` ,_Dates'' • Inspector APPROVALS _•r Per,mmt_# 1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location -• `,. .^...-' ---v--; 2. Soil Pipe-Undrgrn - - _ _ 44. Steel Reinforcement r. 3. Electrical Conduit Utility-Undrgrn _ . , .. _ ,_ _45. Forms - 4. Electrical Conduit-Undrgrn . 46. Electrical Bonding - . , li 5. Steel Reinforce , • 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn _ 48.- APPROVAL TO COVER-GUNITE - 7. Footings • 49. Electrical Conduit-Undrgrn ' 8. Foundation - _ 50. Gas Pipe; ❑Undrgrn,Test 9. • Water Pipe-Undrgrn . •. - 51. • Backwash Lines, P-Trap, ❑ Undrnrn . . - . 10. Structural Floor System • 52. APPROVAL TO DECK 11. Property Sewer Line& House Connection -- - 53. • Backwash & Receptor-Final . - • 12. Street Sewer Connection _ - - - 54.. Heater & Vent-Final • - - 13. Rough Plumbing - - 55. Plumbing System- Final , 14. Rough Electric-Conduit ; -56.. 'Electrical-Final • 15. Rough Electric-Wiring 57. Solar System-Final . _ 16. Rough Heating & Air Conditioning . - - • 56. - Fencing & Access Approval ..,❑ r.:,_. . . k 17. Ducts,'in Structure _ . .. 59- APPROVED FOR PLASTERING' '.i . . , _ • 18. Ducts/Ventilating _ ... . . . .- - • • • _ - - • 19. Gas Pipe-Rough &Test- . -. 60. POOL/SPA-SYSTEMS FINAL - ' 20.. , Roof Framing . : . • _ . - _ - . - 21. Roof Sheathing _ - - • - - 22. Frame and Flashing . . . --• NOTES: 23. i Insulation _` . - '. . - -- . . - . - - - . 24. • Lathing & Siding _ ' ' . - - . . _, 25. Drywall Nailing -- . . . . . - .- - , . , • 26. Plaster Brown Coat _ • , _ .. _ . ' . . _ , - 27. Electrical Power Meter-Final 1_22-` - C-e • • : _.. - . .. . • 28. Final Electric: - _ _.; -.. .. - , 29. • Final Heating &Air Conditioning .- - - . - . ' .- - _ . • - 30. Final Gas Pipe-Test _ _ -, _, - _ _ '"' • - �" 31. Final Plumbing _ - ._... -_-__.. .-._.,.- 32. 2 -Water Service-Final - _ _ .. - - . • - . - .33. _Gas Service-Final _- _. i '. _ , .. , •34. Solar Domestic-Final ^ - • _ - ' _ 35. Landscape Sprinkling System . . _ _ • 36. Sound Attenuation • . , . . _ . • . ' 377 Handicap Regulations _ . • '- - . -. - . •38. FINAL STRUCTURE & BUILDING - •- _ 39. 'Special Requirements-Completed - - _ . 40. Electric Release to Edison - -- -, • . - _ _� 41. Gas Release to Southern California Gas Co. - . , . 42. CERTIFICATE OF OCCUPANCY No Date . . _ : . •,,, ,,•. 011:/I1II11244F9 Twining ini Labora cries Of csou. et0 `afi/ovtta, une. d ',dJ .d� .fl A ._ _ __ 2. 3310 Airport Way/Mailing Address P.O. Box 47 / Long Beach. CA 90801 / (2131 4263355 / (2131 636-2386 /(714}828.6432 TESTING BRANCH OFFICE: 1514-0 Noon Hamer Sheet/San., Ana.CA 92703/(714)531-2045 August 23, 1982 Examination: SC82-4705 August 30, 1982 COMPRESSION TESTS ON GUNITE CYLINDERS Mr. Errol F. Heesch 12921 Aspenwood Lane Garden Grove, California 92640 PROJECT DICK HELMUTK RESIDENCE ADDRESS 1645 Samar Place, Costa Mesa SAMPLE FROM Gunite Swimming Pool & Spa - small pool 31 to 4}' deep ARCHITECT CONTRACTOR Swan Pools ENGINEER. SUBCONTRACTOR Vern Anthony Gunite SPECIFIED MIX 41-1 STRENGTH 2,000 psi DATE CAST 8/10/82 SLUMP SIZE 1tI & II: 51" x 124" UIII: 54" x 12" DATE TESTED 8/20/82 8/20/82 8/24/82 SPECIMEN NO. I II III COMPRESSION 10-Day 10-Day 14-Day TOTAL LOAD, LBS. 51 ,000 40,000 57,000 POUNDS PER SO. IN. 2, 145 1 ,685 2,633 Cylinder #IV "HELD IN FIELD" COMPLIANCE 14-Day test complies with specifications. ELIDE BY DELIVERED BY RECEIVED ON SPECIMENS Woody E. Heesch 8/12/82 DISTRIBUTION: E. F. Heesch - 2 �co Vern Anthony Gunite e & Coat= Mesa Bldg. Dept. e Q 4 et Neale Zuidema •LL RLPORTS ARE SUOMITTLD AS THE CONFIDENTIAL PROPERTY Or CLIENTS. A LITNORIZATION FOR PUOLICATION OF OUR REPORTS, CONCLUSIONS. OR ER. TRACTS FROM OR RECAROIND TMEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC ANO OURSILVES. 330-,2 Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. . • CITY OF COSTA MESA ^ PE IT' •-- OO, -- - - TRACT NO. ' " LOT NO:j1' BLDG:NO. - -- - ' -- - - 6660.- 8/24/'82- _._ - - ' 1.0;00 --TL, CONSTRUCTION PERMIT f'(p BZW- 'r^ ' '774- .'.•'j"i.':✓": r Project Addresy'6 $ 9 p-1 �L : C.J-if1 - ' •• _ E.t,11 TYPE OF CONSTRUCTIONa� - - I nc-a i Owner NEI.hUTH • Phone 'O NEW- IHIADD -' 0 ALTERATION ' - - - - - ('Address' I (, 4s • SAri An. - pe_ _ Coir 4 q' ..❑ REPAIR/_� CONVERSIONL 0 DEMOLISH ZONING REGULATIONS•j i I Arch/Eng.--B-L: $4.0 A�-s- - -License No: 0/-Q3 D OTHER_ - -_ _ ' - - _ -^ - c - 'Ii I7 /n��/�4 •' DESC R I PTI ON'OF WORK Q� C �,-C C PCP- F,;, i,; 7 -:i? "' ,Address-l27:S3"^34tlnd'NVR9r QC - -11-7---11 - - - __ - •,ZONE -PLNG-REF- �-� �' `Contractor'�• - ---- :SETBACK NG - Tp BUILDING , SGiAaJ MELS 9Sl PSV, TYPEOFPERMIT-` r PR OPERTY.LINET 7 1 rr r/� { - ) SETBACK C/L ST. Address'2/ lo) Sp, I�1'Tt'NQ.� •- SAT1T -A'N A- C� ' GRADING ❑-FOUNDATION -03T RU CTU RAL-- - -r SIDE-VARD -- - -- -- - -- - •I LICEherebNSED-CONTRACTOR affirmD- tJh R CTORam Dietl under ION__- of Charter 9.( - '0TENANT-D-ELECTRICALI-❑PLUMBING -❑MECHANICAt/-1 SIDE-YARD------- - _- _ - - r . _ { mencin9 with--section-7000)-of Division-3-of -the-Business:and• OOTIiER. '1 it RIGHT , Professions Code, f my license is in full fort �j e I REAR YARD(TO P/L)-- -' -- - - -_ l Llcens n ... __ J - • me 7' PROJECT•DE�CBIPTION- If_ _ _ - -__ - _ _ __ � •. l SQ FT� ,S�- ® •� - I 7 PKG.SPACE REO.'- • "PROVIDED Date ZSi9nature - - - - - -- -- - ... -._. _ _ 1 WORKERS'-COMPENSATION.DECLARATION- ___ _ OCCUPANCY'�. CONSTRUCTION TYPE !STREET'WIDTH-- - 'PARK'DATE 1 II hereby affirm that I have a certificate of consent to self-Insure or a .�2 OO - • ZONING APPROVED,BY,-'• -- "DATE - --- 4 f=VALUATION ZONE ;certificate-of Workers'-Compensation-Insurance,-Or a certified-copy. .--, _- -. _ _ __ I ;thereof(Section 3800, Lab. C.). I - ,GRADING CU-,YDS. ., ' ACRES ' - 'SPECIAL CONDITIONS"--�.-„..-"_-----' '-, ; -- "'"- - -- -/_�fCJSIo� Policv No. ;� _ Company i ❑ Certified copy-is hereby.furnished. -_ :,.__ . & f(C u Q �'� .. 3:1:i:. -REMARKS(¢-F S./C- ..��E �l`27_y..+..- _ Cert lfietl copy is tiled with thecity Building Division. , EXEMPTION FROM WORKERS'-COMPENSATION-DECLARATION ^ _ ---.---. - ^• - --- - ------•- _ - ' f If,' ; 1.111 ' (This sectlon,need_not be completed.if the permit_is for one hundred. _ - �. -5i:,• '74 ,' ,) -' , , I ($100) or less). 1 - 1 ($100) or �.-- - _ - _ _.. - ;,certify,that In the,performance of the work for which this permit is I - Issued, I shall not employ any person in any manner so`as to become PLUMBING':r,,14"•_PLAN'CHECK'- - 't- ^- -- 1ELECTRICAL"-- -PLAN CHECK -- - subjecLto.the-Workers_Compensation-laws of California-`' '-.2_;,-- - - I , ___._. . ._ .- . - SO FT. SO FT _ BATHTUBS SHOWERS""-`- - -'-. Dale { Signature ore SQ FT. 50 FT - NOTICE: If after making this declaration, you should become subject •TTOILETS4-„ 1, , r URINALS'- --- . - -' -- 'GENERATOR- -to the Workers' Compensation provisions of the Labor Cotle;you must ,TRANSFORMER ,:- r�, •• ; �;;:; Q( • forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE-LAYS-^- - --- , j/SP?�:IANCE- -10-50 KW=50+.KW - • ; _ revoked.'- __. -._S__ _.,-._.-� _...•_ __.,- , . .. CONSTRUCTION LENDING AGENCY -1 -•---- I hereby affirm that there is a construction lendingagency for the per- SERVICE SINKS �° rt-),)SUMPS ""'- --- -•- ,• 1 •.'yl� I.1�}-=-T f�' formance of the work for which this e y p - ;(INC..50 LA R)_., .1050.HP 50+ HP -^ Civ'C.):-'-^^ X� permit is issued (Section 3097 - Lender's Name / �d N�' --FCOOR;SI NKS'-`” FLOOR'DRAINS--'- - ' ";FIXTURES-- ----OUTLETS---SWITCHES- - - -�- - - '----- '-" "'DRINKING FOUNTAINS --�)' - -- 7GA5 TUBE SIGNS- - , Lender's Address OWNER BUILDER-DECLARATION'-' - --- - - - -- - �/I/ s - pOLE-LIGHTS`-`•-` -- - - - -I I hereby affirm that I am exempt from the Contractor's License Law for INTERCEPTORS' // ARIFI 7y - the•following•reason-(Section-7031:5-Business-and-Professions Code:- • SWIMMING POO L/�'p ' P • • -/ „ --- C.VN�1 Kull iury - - - I Any city or county which requires •a• permit to construct, alter, EE// y'-�tea- POLES- -METERED" SUB Improverdemolish or repair•any structure, prior to-its issuance;also-re- -WATER SERV IC A' E• •' ON - - - '--- JPANELS' -MAIN---- - - SUB•- - - - --- quires the api-licant for such permit to file a signed statement that he' • - Is lIcensedipursuant to the•provisions of the-Contractor's-License-Law- - GAS SERV ICE -- - - • T - S` --'- - '("-"-- " ',SERVICE - - -- AMP (Chapter 9 (commencing with Section 7000) of Division 3 of the ' • - - - Business and-Professions Code)-or that-he is'exempt therefrom antl•the- -WATER'H EATERS•' - ' B' OUTPVT ;^--- ---- '-- - -'•""- basis for the alleged-a exemption.-subjects Any violation of -to'Section 7l 1.5 by _any-applicant than fiveehredbthe-applicant-to civil penalty -SEW ER'CONNECTIONS"• 1 - •'^ -'^- •"- i-•----^ --...---7-7----- --- of not_ more than five hundred dollars ($500). •) ❑ I as owner of the property;or my'employees-with wages as'their• - SOLAR"TANK" -' COLLECTORS - ---, -^ • s, - -.- -- - ---"'- -' -- - _ sole.compensation, will-do.the work, and the structure is not Intended - 1 - or offered for sale. (Section 7044,"Busineis antl-Professions Cotler The- SOLAR PIPING'SYS:' ._--f` --- - --"' .1 `- - ' -1,-, ISSUE-FEE- - - - -- - --- •- -- - Contractor:s_License,Law does not apply to an owner-of a property • APPLICATION APPROVED•BV- ---bAT6-. '. - ___ . �_. _. _;-3 Who builds or improves thereon, and who does such '' Any city Cr •are not _ ___ _ V intended or offered for sale. If, however,the building or improvement' MECHANICAL -7- PLAN CHECK- - 71 ! - '-- -- -- --H, - is sold within one year of completion,the owner will have the burden SUMMARY OF FEES ,r "of proving he did not build or improve'for-the-purpose O( sale)` - -- - 0,0 -' - P -) -- M--, 1 I' e ❑-I,--as-owner--of_. p y,. y-contracting-with. HEATING SYSTEM 6-100,000 BTU': - -_ I. - - PERMIT( $ •-_ SMIP� �$ _ the-.property,--am exclusively-contracting _ I - - ,, licensed contractors to construct the -A ND'D VCTING' - ' - - $ - _-c project (Section e0not Business 100,000:+BTU 1 PLAN CHECK $ .PERMIT and own r of property The-Conlds orris LicenseoveLaw-does a not con- _ _ - _ __ {' -'ISSUANCE}'_$'"=� c" 1 tracts owner of property who.builds improves thereon, and who con- REFRIGERATION 0-1-- -ti BTU 1PLUMBING $ '+ �' .ds tracts-from-such-projects-with a-contractor(s)-licesned pursuant to_ -SYSTEM--------- -'s- - U -- -1 -BYO— 'PLAN CHECK ',..8•7•77‘. 71��'I 1" 1"A , •_—.___- ---_ IECECTRICAL-- ' u ❑l"am exempt"untler'Secfion'-"-"' B-'&'P:C'for this' -.----- --._._...-.- s$ u n _ ' I - BOILERS BTU I- - -- reason_._ _____ .. ._ _- .. {{ )y:a:,•;e1tl•1 ,:Yt'MICROFILM_$^cni,. Pf- 1 - M ..-_.__ ._..,O _,.;_ Owner SYSTEM REPAIR,ALTERATION 1 '; _ • f .� • r„ Datert ' _ 'NOTAL FEE$;^•' I herebycertify that'! have read this applicationEXHAUST SYSTEM MULTIPLE' MEC RANI CAb;$ . . , Yly- and stahat the above , r I n .p' r 1,cLE55 AD $t a.:i Information is-correct s sating to Comply-with-all, 'city an authority jPLAN -- ------ '(i ' ordinances and state laws relating to construction,and hereby authorize I - representatives'of`this 'cit -'to--enter'-upon- the-above -mentioned , ) 1" • -�J�' '1 J - ;Y�? 1 pro Pert Y,^f-�_s=:IV�/n'r..h _. ._.___ ._ /e 2 .-�• 1 FINAL FEE $ 10 �_ Signature �__ - '- - - - - -• ----. ------ CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNINGfPOOL&SPA , • APPROVALS Permit# / 4/64° Date Inspector ';APPROVALS` - Permit#'- - Date - Inspector 1. Temporary Electrical Service or Pole ` �„_ 43. . Pool & Equipment Location - -- - - - - 2.. _Soil.Pipe-Undrgrn,_:.' _ , - _ _ 44. Steel Reinforcement - - - - - ---- - - - - . - -3. -Electrical Conduit Utility-Undrgrn. _ -. . ' .. _ L. 45. Forms • • - • i - - - - - - - 4...._Electrical-Conduit:Undrgrn.- .. _ ._ - - • . .. . 46. Electrical Bonding. - • - - 5. ,_Steel Reinforce __ . _. . _ _ __ _ _ _ _ 47. RougK Plumbing.& Pressure Test•• -- - - - •- --- -- ., _ 6. _Electrical_UFER Grn _ _ _ _ . - 48. APPROVAL TO COVER'-GUNITE- _7. __Footings _. -_ . -_ . -_ :i. _ . 49. Electrical Conduit-Undrgrn •-'••. ^' : A ! •8.- Foundation.._.. . .. . .--" -._ - ' 50:0 Gas Pie,r p E,Undrgrn;Test +•' 9.-,Water-Pipe-Undrgrn _ _. . _. ___ . " 51. Backwash Lines:P-Trap` l]Undr"arn " -• - 8 10. Structural'Eloor System. .--s i -, •i 52.-- APPROVAL TO DECK - - - ? " ` ' 11.• PropertY.Sewer Line.&.House Conriedtion w.� .. __ ,. ..i 53. Backwash•& Receptor-Final''' - - - .12. -Street Sewer.Connection_ _. _ - -- - - • - 54. Heater & Vent-Final. . , • - ' 13._..Rough.Plumbing _ .. _ _.. i '" ' 55`. Plumbinb Sy-steiri`- Final - � 14. Rough Electric-Conduit ._ .56. Electrical-Final - • 15. Rough Electric-Wiring -- _ -57. Solar System-Final {; , 1-, ;" ' ,-,' I- 16: Rough°Heating-&-Air-Cor ditioning --- r--_ _ • •58. Fencing&.Access Approval r ,, ' 171 -Ducts,-in Structure', - . , .- - - - ; ,. _ _! -. - , ' . . 59. APPROVED FOR PLASTERING . ' . • . • . ,. . . .. 18:- Ducts, Ventilating- - ._. 19. Gas Pipe=Rough &Test• " ' . • P. . • . n ; • -; -- .4 ^-- _ , _._ a 60. POOL/SPA SYSTEMS FINAL. ' - 20: Roof-Framing- --- - ' . , -•n.. -. i 21. Roof Sheathing �• - ' � -- ' -- - - -- _ NOTES: is -':yr:."`' 'i.� . • , 22:- Frame and Flashing - - - ' 23. Insulation - - . - . .. - - - -- -- - -- -- - . - - - - • .',., 24! Lathing &-Siding - - - - - -- • A _'. __._. .. _ _. -- - -- -• - - - --- - - , 25: Drywall Nailing r , c:. <. . _ ' 26! ..Plaster Brown Coat - • ' .. ,. .. _ .� __ _ .,ti - -- - - --.. ...: "..:',. ..., _ ,. - .. . 27{- -Electrical-Power Meter-Final'- -.- - •.-' 1-•-_- J _. .. ' _: i - , • - 28! -Final'Electric -- -- __ . -- _ - __ . _ -' n:,n; ; -29? - FinahHeating & Air Conditioning- - -. - ! 30 Final:Gas Pipe-Test -- - . - - .- - -i4-_�'a. -. _ - 31:. FinaliPlumbin9 --- -- ._ - 32:--Watet-Service-Final - - " - 33. - Gas Service-Final :' . . 34. Solar Domestic-'Final'•, - _- --.- . - - -- - •-- -- ,�` - -t;un A , .,d . • • I 35. Landscape Sprinkling System - - , --- • •. - ''^ ° .�. �. .. - i; 36. Sound Attenuation -- P4) - t " t:a 0 . _ ' . - 37. Handicap.Regulations s - ,.. i t --- - t•,<. , q i _ p . •,,, .,. . - .,,, 38. FINAL STRUCTURE & BUILDING " _ .! 1• - -`' ' _ _^ _ _ 1 *' • , 39. ..Special.Requirements Completed ..' . - , I, ., ___ _ _. . 40. Electric Release to Edison - - ; - : • - , •• - • 4 •.Ti• ' 1 - - - - . ' 41. Gas Release to.Southern California Gas Co. • 'r - • - - I -:- - - . . 42. CERTIFICATE OF OCCUPANCY • - 2 - No. • Date - - i -. . __ .. . . .- .. _ _ . _ . ._ --- 4OWNER HELMUTH, Richard A. DATE 12-16-75 JOB ADDRESS 1645 Samar Place BUILDING PERMIT NO. 40791 GENERAL CONTRACTOR Larry G. Warlaumont DESCRIPTION of WORK Add Fam11y-Room & Den SAP No.139-281-29 LOT TRACT FIRE ZONE VALUES 12,700.00 INSPECTIONS Signature Date TYPE V GROUP I ZONE R—I (j SOIL SUBCONTRACTOR PEf2MIT5 ISSUED GAS Date I Number I Signature 1 WATER - mbin•, • ROUGH PLUMBING �.``- <�a L1., , -./ PROP. SWR. LINE E HOUSE CON. O SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING i- TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER rt Ji 't ROUGH WIRING _ - citing a .bnt. d L TRENCHES U FORMS 0 STEEL REINF. ., -/a. 7-• N ��++ L FLOOR SYSTEM .' - '/y•2: t BOND BEAM n STEEL REINFORCE n SHEATHING /// 0 1-5-76 DATE /_2n--* St" 924-' FRAME AND FLASHING / � G -- ' LATHING - IN OUT ILEI/ iA c 'i ,f /-� L 1. -� {' }T�� PLASTER, BROWN COAT ALC.i z-t 76 Af{ fl in gftt/ :ill I,�I II+R%`1! 1A STRUCTURAL, FINAL t']4� IQ rio W St 114A ill!, A }�./1S3J} HEATING, VENT., REFRIG. AND A.C., FINAL PI*i W Les• /- ./X , gg PLUMBING, FINAL AND GAS TEST n I , .•v,[^;}y :'+,> ,e-,..T•7 ELECTRIC, FINAL Asanti """" YZ L.C. $-17-710 I b nI}7 t„'\ c; .,-,; it I) IJ S43 BUILDING, FINAL Asan4 f'9/M4- •�''�t� tt "is - O 9_- /4 Lam" "1'Jr� Di TE P4 J t - 'IV^77_(r-77 ,t 3R- tit* 3z_. 4n794 f; ` f1125 z f COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 A I�C TION.FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink/ Only �fj ADDRESS L €AMAX -p I / RE� E $V toDA1E 30-75RECEIVEDAJE IS ED =OWNER /�i //�1 pi('�t�a�J��]L U� 1"l A.P.NO. l � • lav =E-i 'O 4 ADDREESS�S !&,,,tt4�J' SAMAE r�l-1/4�c�Ierr/�- ADDRESSNG /t 46- 9 CITYCOST4 � GSI\ NOL 4' 72caTRACT 341.87 LOTIOZ BLOCK • CONSTRUCTION ......_....—... NEW ADD ALTER REPAIR MOVING DFMOI ISH LENDER ///jjj BRANCH air4/ �__ OWNER / �f {ilj� ADDRESS ,rL-�� /.e+- /� OR ENGINE R I\I&ftAY'D I t�" bvir"ItI /NCO.4 7 , -_ _ / ��_//��i`�LL ,r 7� e•L ADDRESS ✓l G AmAZ �!"� , FIRE ZONEVPE GROUP Z I7----- APPROVE APPROVE• / / /�7�/ �C. CONTRACTOR �p//?/ry G WA�r',Ci9 u.»�a�� BY C_ DATEA.777'' .J/ ADDRESS •1/42 /NO cgQ6 Ali: •TEL. 7rO�p(E _ CITY Cbrr'n.,J/q Oct n /P NO. s 35.4er\ t PLANS BUILDING 4 vis)Arik' ADD 1-1 STATE CITY YARDS APPROVED YARDS APPROVED 5 LIC.NO. 241/0 3o LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE `` .,[ NO.OF BLDGS. (FROM C/1_STREET) 0. OF LOTa�/���- rte♦ �/� NOW ON LOT I FRONT ��2-FT. FT. st USE OF „�„ EXISTING BLDG. VE.SI PEIV I[A-L R SIDE Al I__F_T. FT. tog I g? F Separate permits are required for L.SIDE 5' FT. / FT. C electric,plumbing and heating work. REAR 31 FT. FT. (W., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 'C MAIN BLOCS. ACCESS BLDGS. AQD FA-Ni 1 ur RUDI� (� VAR.0 DATE Q �( C.U.P.# APPROVED �/� �+ a ^ IT�w✓ LIOXI t� ROVED -R� DATF IOC 30*- /5 CC Ito 0 . I hereby acknowledge that I have read this application and state n g that the above Information Is correct and agree to comply with re 04 all laws regulating building construction, and I shall not employ Zany person In violation of the workman's compensation laws of '1 the State of California. ...;/ SQ. FT. I hereby certify that I am properly licensed as a contractor under `� a the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses ere fn full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: u am exempt from the pr Kiang of the Stet of California :u Inns VALUATION PERMIT FEE S g�C and Profe e, vision 3 Ch ter 9 '"ifrj- - vyi Signature of 0 � 1 is Permittee $/� Cot PLAN CHECK $ � al / TAX S . 87 2 • le , cA U Authorized Agent / TOTAL PAID $ 1 .r 0 / 7. . � 079/ DEC 16-75-77,-, 00 662 ****64.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APP'IC TI l FOR STRUCTURAL PERMIT For'Appli a to Fill i ompletely —1_,Ink Only ��V� M^ REC:� _DATE RECEIVED DATE E/i . BUILDING /T ��II////%%// !// ADDRESS,///� ' //I �I,r T/ey–MiCQ &L/s', U77" PERMIT NO. OWNER / 1 A.P. NO. yJ /J . MAIL . ADDRES- BUILDINGS//1`T,S . cvn i ADDRESS TEL. CITY NO. TRACT LOT BLOCK CONSTRUCTION • NEW AD ALTER REPAIR MOVING 'DFMOLISH LENDER BRANCH OWNER • H • �,IIIIYYJJ T`/� , 2,00 l_,/ ADDRESS /QM Ffrin VALUE T ARCHITECT TEL. USE $ OR ENGINEER - NO. FIRE - ADDRESS ZONE TYPE GROUP APPROVED CONTRACTOR BY DATE ADDRESS TEL. ZONE ' NO.OF USE OF NEW " PLANS BUILDING CITY NO. — STATE CITY . YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. MAIN-BUILDING ACCESSORY BUILDING La SIZE NO.OF BLDGS. (FROM C/1_STREET) ' Pr OF LOT NOW ON LOT . FRONT FT. • - FT. Q USE OF .� EXISTING BLDG. R.SIOF FT. FT. ' co) FSeparate permits are required for ' L.SIDE FT. FT. Ci electric,plumbing and heating work. REAR FT. FT. [-., USE OF BUILDING AND WORK TO BE PERFORMED • DISTANCE BET. -BET.MAIN& QI _MAIN BLD"c. ACCESS. BLDGS. ' VAR.+ DATE Q _C.U.P.# APPROVED APPROVED ›+ _ILY DATE ieJ CC • . C.. 00I hereby acknowledge that I have read this'application and state N. 6. that the above information is correct and agree to comply with m all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of W the State of California. - ro I hereby certify that I am properly,licensed as a contractor under SQ. FT. (:•1the State of California Business and Professions Code, Division 3,' THE AMOUNT SHOWN UNDER VALUATION IS FOR w Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FE ONLY: am exempt from the provisions of the State of California Business / v VALUATION PERMIT FEE $ /iJ end Professions Code, Division 3,Chapter 9. Ll� 0 CI PLAN CHECK $ (n Signature of , o Permittee - $ TAX $ 2 f u.U •Authorized Agent _ TOTAL PAID $ I- 10933 FEE RECEIVED COSTA MESA.BUILDING-SAFETY DEPARTMENT // r� P.O.BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT. • CITY OF COSTA MESA FOR APPLICANT TO fill /N COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING ADDRESS 16145 Samar Place COSTA MESA, CALIFORNIA FOR OFF/CE USE ONLY • OWNER Glenverde Homes, Inc. RECEIPT NO. 111,933 MAIL Box 65 RECEEIII O BY DAZE R§CEIVED DATE ISSUED ADDRESS N/" f/j9. NOV 2 2 iegq CITY Balboa 1sland,Calif• TIEspr3-)22G BUILDING ARCHITECT uOO..' COSTA MESA, CALIFORNIA OR ENGINEER NO. ADDRESS FIRE ZONE ZONE TYPE GROUP 1 11 CONTRACTOR MaCCO Corp• LCT NO.ATE 98808 APPROVEDBY DATE 'ADDRESS Box 65, Balboa Island,Calif. ZONING •! P�p� LEGAL LOT qjtj 7 ZON NO.OF USE OF NEW�V V�"_ DESCRIPTION I NO. 102 I BLOCK I TRAC?I8• / I PLANKS��. I BUILDING /d/ A.P.NO. APPROVED�./, // /, DATE j '�/L IF�1 SIZE 7000 I NO.OF BLOCS. 0 YARDS {,�/ j /Y/ A�. J� 1/ !!!///"'///��� OF LOT NOW ON LOT REQUIRED WLLOWED USE OF • (CENTER LINE ST.) EXISTING BLDG. FRONT .1TtFT. IN. SETBACK LINE FROM �/T _ CENTER OF STREET 0 REAR YARD 30 R.SIDE . , FT. IN. SIDE YARD LEFT 1)4 I RIGHT 5 L.SIDE 1! FT. IN. DESCRIPTION OF WORK REAR eau FT. IN. NEW I X I ALTERATION I II ADDITION - REPAIR' I II MOVING I fj II DEMOLISH I SIZE BUILDING 1C2C/I.I.G ROOMS `� STORIES 1 EXTERIOR WAJ JJALL C44C440 1ROOF rock COVERING 6.1 USE OF BUILDING AND WORK TO BE PERFORMED residence . . . { / . /,; / 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. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCTION. VALUATION HOMES VALUATION N� SI •TU RE'•F !io-N ERDE HONES, INC. p PERMIT FEE $�� P--MI TEE'S rr//LP $/:/N/ PLAN CHECK $ /7�L AUTAD AG IO i TOTAL FEE $ /p? OWNER SHERRILL, EVERETT DATE 4-13-70 JOB ADDRESS 1645 Laminar Place BUILDING PERMIT NO. 31615 GENERAL CONTRACTOR R. M. Wilcon •DESCRIPTION of WORK Patio Cover AP No. 139-781-29 LOT 102 TRACT 3487 FIRE ZONE VALUE $ 700.00 INSPECTIONS Signature Date GROUP I TYPE -V ZONE R-1 SOIL PERMITS ISSUED ',GAS SUBCONTRACTOR Date Number I Signature WATER _ Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER n ROUGH WIRING Heating and Vent. TRENCHES FORMS 0 STEEL REINF. ❑ FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n _ SHEATHING FRAME AND FLASHING LATHING - IN In OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL RIIILDING. FINAL QL ,'r/-70 1 R15 APR 13-70cnu 200 727 cl*****7.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely //'�/� // RECE , 'Di" DAT, RECEIVE BUILDING SS Vi y J ��/9/,/9,C / ` / � / rj� / 3is_ di r ' PERIIIAOI !"t OWNER j/; /C' V /2F/��C/Z/ A.P. NO. (f, d MAIL / BUILDING / !ADDRESS S/S- -57,cs,At.e /" / ee TEL Z Lo- CITY ri.s�//9 //.F-t%+ NOd-Y -'/4 z Lori _ BLOCK L OCK .ZCONSTRUCTID I _ • u oillil LENDER IDNXLA/// i /di V-SO/✓ ON m T!_- /52 J BRANCH H'w/h% if/✓' IMINIMAAMI1 J N m J ADDRESS /; © , , m ARCHITECT /7/..41/ / TEL. �` / J Q OR ENGINEER . /7 I II SC LEA' N . Pr2- s'/n', U 0) FIRE c W 2 ADDRESS 30/3 CJ. /�{4-,r/fp..yr-- -D ' W �t a L u W Z': CONTRACTOR rcrli/a/l/ lr,/LSD`cr r42=11111919,1811 J O ,mZ; yy : cc ADDRESS /e frgD S', /f�'ecM A2 -/. n y "" W is - TEL ZON, NO.OF USE OF NEW eet..4..41 O= — PLANS BUILDING Z I— CITY S /✓y NO. S-3,,•_2,6,,, ��� lllO STATE CITY - AllIrr SAPPROVED ; _ ' :i D to¢ LIC. NO. G 6-///S`S2/d LIC. NO. 2 Z MA4arL , D SIZE y NO.OF BL1 3S (FRO C/L ST" , TL • tC OF LOT 42 - ,3 S NOW ON LOT FRDit _iw!_ USE OF c-.-7-7,1-r. / r , EXISTING BLDG. R IOE ` 1,3 ,FT.. I— SIZE OF NO.OF !� ! r �< • ' Z NEW BLDG. ROOMS STORIES L.SIDE // FT. FT. ta.1 EXTERIOR WALL ROOF h _771- �. _ COVERING COVERING REAR 7y FT. /J FT. _l USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 0- Q. MAIN BLDGS. ACCESS. BLOCS. a b // �- "> / y/�j O r/ l�U/7i 7427‘)// L�,//C� II C...5 C URP. /,/ APPROVED /A fA ���/I �O 6— �� i� (Tido) APPROVECy,�/ %il DATE 44/3r 0 Z lll///(((��� 0 _ F �� D_ .. C.1 I hereby acknowledge that I have read this application and state ( V.+-- r that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ I— any person in violation of the workman's compensation laws of to the State of California. b zI hereby certify that I am properly licensed as a contractor under SO. FT. o the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: fc am exempt from the provisions of the State of California Busin is ,.y and Professions Code, Division 3,Chapter 9. VALUATION ��� m PERMIT FEE $ / el Signature ofm / ✓ -.- Permittee �-1� 9e7c-i .r $ PLAN CHECK $ ' E Authorized Agent ` `700/ rr_ LL TOTAL FEE $