HomeMy WebLinkAbout1895 SWAN CIR - Building Permits s H . V . LAWMASTER & CO. , INC .
<• ' 7940 MAIN STREET — STANTON, CALIFORNIA 68CM8-209J-002
828-8040
XXX
Field Data on Test Specimens Core Concrete Gunite Grout/Mortar
Project Noel Burks Permit No. c:39911-/
Project
Location 1895 Swan Circle, Costa Mesa, Calif.
Contractor Calif. Pools Architect
Location in Structure Deep walls & floor Engineer
Date Moulded 11/26/68 No of Specimens 6
Slump 4" Specimens Marked
Specified Strength at 2R days 21100 P.S.I. Mix Designation •
Age to be tested 7 days 2B days dais days
READY MIX PLANT AGGREGATE SOURCE Graham Livingston
Weather Condition Good 1 Yd. Yd. Batch
Cement in.l+cam Type I Cement, lbs.
Admix None Sand
Specimens made by L. E. Sprague #4
Data by I I
#3 G3 E C;� ll
aUILI i!WG SAFETY DEFT.
Delivered by #2
CEC 41968
Date Delivered ��`ff`� // _!� �/ # 2"4 PM
�,'4&f�/,2 / `�// ) Pdt^ot9t1�,11t;2,:tti:`S;41516
REMARKS: Water, Gals.
0
FOR LABORATORY USE ONLY
Lab. No. 6969 6970 6971 6572 6973 6974
7 Day Test 7 Day Test 7 Day Test Day Test
Date of_Test 12/1 12/3 12/3
Specimen Dimensions 6 taxi 2_375 6..13X12...125 6r13X12_375 No further theta—
.
Area 29.51 29.51 29.51 required
Ultimate Load 138,500 151 ,000 167,000
Lbs. per sq. in, 4,693 5,117 5,659
H/D Corrected
Jr
•
t5t% CITY OF COSTA MESA
ot,' .;
a CALIFORNIA P. O. BOX X1200
�a,.,m, i
FROM THE OFFICE OF THE PLANNING DEPARTMENT
a A
January 31, 1969
Noel Burks
1895 Swan Circle
Costa Dasa, California 92626
Dear Pool Owner:
The Costa Mesa Planning Department has been notified of the completion of
your swimming pool.
So that your pool will be a safe one and for the purpose of advising
you of your responsibility regarding the requirements of the Costa Mesa
Municipal Code, we quote Section 9298.9:
1. No swimming pool shall be constructed closer than five (5)
feet to any property lines, measured from water line of pool,
2. No swimming pool shall be constructed under any electric power
lines or on any electric power easement.
3. No swimming pool shall be constructed unless the yard surrounding
such pool is completely enclosed by a fence six (6) feet in height
and has a self-closing and locking type gate or gates.
This courtesy letter is directed to you so that you will be aware of
our ordinances and can make a complete safety check of your pool area.
Sincerely yours,
���/ ril-Lam..+, ../
h
William L. Dunn <!e/-'-'-v`'
Director of Planning
' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ C I _ fv�1 ,yi. -1
CITY OF COSTA MESA CONSTRUCTION PERMIT I PERMIT NO. TRACT NO. LOT NO. UNIT NO. 9969 6/I �� • .
•
Pjuject Address 1895 Swan Cr. . C.M. -. ' age 7S _ � ,/ _ . .
Applicant's Mailing Address 126 Commercial, C.M. 92627 TYPE OF CONSTRUCTION LI NEW LA ADD ❑ ALTERATION H REPAIR
Owner's Name Frank Zreb3 ec Phone 540-3480 ❑ CON VERSION CI DEMOLISH ❑ OTHER A.P.# Zone
DESCRIPTION OF WORK/USE OF BLDG.Re-roof
Address YBSXEffi 1895 Swan Cr. C.M. • - 410 . € ,t,r,aty.V S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STR(CTURAL T Front •
Z• O
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B - N
❑ OTHER A Rear I
Contractor's Name Crank Bros. Roofing Phone 548-5569 - -
PROJECT DESCRIPTION 5(]. FT. 4.000 OCCUP Y single
C Right
Address(mailing) 126 CO mer ial C M. 92627 CON STRUCTION TYPE residential VALUATION •800.00 K ' Left G
City License No. R
S
005993 ZONE GRADING CU. ACRES ping. Ref.# • Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION -
I hereby affirm that I am licensed der provisions of Charter 9 • mane g Remarks: - 0
with section 7000) of Division 3 the Business and Profess'• ode,/nd Planning Notes: M
my license is in full force•a ntl erfec T
License Clas — • Lice�•rt-No. L 0;• f - S
Date 6 1* . Signature ter.. s_ SAIL ����0- PLUMBING FEES ' •
WORKERS' COMPENSATION •--' L• RATION Bar Sink. Showers
lyQI hereby affirm that I have a c' I care of consent to self-insure or a certificate - ELECTRICAL FEES
of Workers' Compensation saance, or a certified copy thereof (Section _
3800, Lab. C.) Backflow Preventer Service Sink • •
28 774 87 Company State Fund Backflow Irrigation Automatic Washer Transformer 0 10-50 KW
•
\P�o1licy No. f P y g Sewer Ca _ 0 50+KW ,
IA Certified copy is hereby furnished. I'tll��,p p Construction Pole Sub,•
Date �p k�filed with APhe city raDK IbrOS. Roofing Co. Bathtubs - Sewer Connection
b/1 / Cooking Unit • Meter Dup to 100 amps
�' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers ' Solar Collectors Dishwasher 'Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or - - ' ,
less). Dishwasher Solar Piping Dryers ID •❑Electric - Sub Panel
I certify that in the performance of the work for which this permit is issued,I _
shall not employ any person in any manner so as to become subject to the : Drinking Fountains Solar Tank Fan Motors ❑0-1 HP ❑1%-B ' •
Workers' Compensation Laws of California. ' -. '
•
Date Signature Floor Drains - ' Swimming Pool w/Spa F.A.U. • •
NOTICE: If,after making this declaration, you should become subject to the _ _ Ind.Solar ❑9-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
' comply with such provisions or• this permit shall be deemed revoked. Fixtures Microwave '
CONSTRUCTION LENDING AGENCY ' Gas Service Outlets . Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance9
of the work for which this permit is issued (Section 3097 Civ. CJInterceptors Water Heater Outlets - '
Lender's Name Range
•
Lender's-Address Kitchen Sink Water Service -
OWNER BUILDER DECLARATION Switches' Sign -
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section-7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
county which req uires-a permit to construct,alter,improve,demolish or repair P—TrapLaundry Trays ❑0-5 KW ❑5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Generator Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains -
the Contractor's License Law(Chapter 9(commencing with Section 7000) of
Division 3 of the Business and Professions-Code) or-that he/she is exempt ,
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil ,
penalty of not more than five hundred dollars($500).
: I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 - '
compensation, will do the work,and the structure is not intended or.offered - Reinspection Fee $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:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of com- • Canopy Type II 0 . Zoning Approved By Date - • .
illation, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground • • Building Approved By / Date
prove for the purpose of sale). '' '
❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By : �a 1 / Date
tractors to construct the'project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF EES • i21/� r' j
builds or improves thereon, and who contracts for such projects with a con- IVY.as/"J
tractor(s) license pursuant to the Contractor's License Law). I am aware that - BUILDING PERMIT $ KO •aD SMTP • . $ �_
Exhaust System D Multiple 0 System Repair/Alteration _
proof oftheir Woder Compensation insurance should.& P.C.for dedthis to me. - PLAN CHECK $ 'PERMIT
❑ I am exempt under Section- - B.& . .for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ •
ISSUANCE $
Date Owner / Heating System&Ducting Registers . PLAN CHECK 25% $- ENERGY P.C. $
I hereby certify that I have read this applicat' . pfid s-..te that the above ❑0-100,000 BTU ❑100,000BT ELECTRICAL $ GRADING $
information is . ect. I agree to comp) with . I ity a a county ordinances e���
and state laws rel tingto building c• ti- •, d h• io authorizepr repre-yfor PLAN CHECK - 50% $ -MICROFILM i e
and state
of is city o enter4,. uc a•% m •tib ed property for •'r Va
inspection purp•s•.; / • MECHANICAL $ TOTAL FEE $ f
Signature ASA. _ — • Date 6/]9/87 Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
Drivers' License • SS#.
CMF 0865-46,rev 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS :Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel.Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough,Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd.: 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing &'Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating - 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro •
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical •
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall•Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning •
35. Final Gas'Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace •
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
Handicap Regulations
?FINAL STRUCTURE & BUILDING �
1(47 /r
48. Special Requirements Completed �!(/'J 111 ,___ B�/"
49. Electric Release to Edison
• 50. Gas Release to Southern California Gas Co •1
51. CERTIFICATE OF OCCUPANCY
No. Date
•
251 18 •CITY OF COS A MESA
•
COSTA MESA BUILDING-SAFETY DEPARTMENT 7 Q[[
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92026 . JAN 17 1966?
For Applicant to' Fill In ComplNoly AlrAT ERM1T
TYPE OR PRINT 1�
EUILOINa / //, —Fo►"Offla Uie Only
ADDRESS /795.�fni/V L�/.ee2f RECEIPT NO. h'�Ngp
COSTA MESA. CALIFORNIA "� r 1(�
RECEIVED EY DA/f[R/ECEIVVEED/ DATE ISSUED
OWNER 064 P 4 �„ If / !7b b ('/7(-E2
BUILDING
MAIL / r 1 V/�`�
ADDRESS
ADDRESS ! n / ////, /y
/,o_ Ail
TEL S-V - ZONE TYPI y GROUP `//Jyl
CITY CO-4711 r/�1" - NO. lln3/, ///"' /
ARCHITECT TEL UD APPROVEDYDATE / / /
OR ENGINEER <EG est - NO. 7(1 C wig(
ZONING g,gc.••`.) y
ADDRESS 7 Zoe NO.of (7,..�II wiz or ne
Lf— ( � PLANS BUILDINv tT��AIM./.". C____
CONTRACTOR
r ,�•�+��' I 1I"—� 1 G
LEGAL NO L 7 / rdZ S?
ADDRESS . DESCRIPTION /� 1T .T1 (�
CITY A.P.NO.001- RE(e%tcQEb
TEL. 30"
NO HAVE OVERHANG SHALL BE LESS THAN
STATE
SIC. TO. BO•TO SIDE&REAR P.L.
NEAVES
SIZE - 7-'*-- NO.OF 01.001. / ALLOWED (U.S.C.REQUIREMENT)
OF LOT /i/� ..---/- NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. 4'-+/a)f�'Il f _ (PROM C/L STREET) /J[1
SETBACK LINE PROs •�� V.- ?5 j'
CENTER OP STREET REAR YARD FRONT / (�Pf'! PT.
,L
SIDE YARD LEFT I RIGHT R.SIDE ID FT. PT.
DESCRIPTION OF WORK L.SIDE On. PT.
l
NEW _ ALTERATION I ADDITION IV REAR ( J IT' PT'
DISTANCE BET. BET.MAIN G
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.BLDGS.
BUILDING OF VAR.# DATE
SIZE /7 / ROOMS STORIES / C.4.P.# 1^�` ^ APPROVED / ,r
EXTERIOR W I ROOF ,I �/ APPROVE‘ Z �j''A^A _ / / / /
COVERING �¢ 4,,, -A'I COVERING y/ n/roe&G/ SY • l' ""YL"`�
DATE
/- V t�
USE 7FBUIr/LDIf1,S 4( j `GB p ''r [�//��yf p7/ a.
SM/wr w E 1
BQ.FT.
I HEREBY ACKNOWLEDGE THAT.! RAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE O+
AND STATE THAT TRE ABOVE.IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CITY ORDI AND STATE LAWS R ULATING VALUATION 7
BUILDING CONSTRUCTION. �,44----....--#7,
,,� �_ PI
SIGNATURE OF // '7� A/522
�
PERMIT FEB f --
PERMITTEP E
/ s PLAN CHECK S w°
AUTHORIZED And
TOTAL FEE $
JOB ADDRESS 1895 Swan Circle BUILDING PERMIT NO. 25118
GENERAL CONTRACTOR owner-Bpi 1 der DESCRIPTION OF WORK Retaining Wall
\
AP No. LOT 'Ti TRACT 5781 FIRE ZONE VALUE $2450.00
v
INSPECTIONS Signature Date GROUP J TYPE III ZONE R-1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR I Date I Number I Signature
Water Plumbing
Rough Plumbing _
Prop. Swr. Line 0 House Con.0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring Heating and Vent.
Trenches 0 Forms 0 Steel Reinf. 0
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing—In 0 Out 0
Plaster, Brown Coat
Structural, Final Electric
Heating, Vent., Refrig. and A.C., Final _
Plumbing, Final and Gas Test 0 _
Electric, Final J-�f A
Building, Final( bit t.tat',z4u. iietZieleA' - 7-b 67
I
IF
29384NOV 19-68c�sr00 894* ****?t5C
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.OOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For
]Applicant to Fill in Completely gECEI//V��( fig// DATE RECE(J/�VEp D(AT/I SU jJ (�
LDING ,
ADIDRESSy I�QS �/��V�N C1'L !tel N7 ,////�yQ ///q�M/ [��(/�C,j JJ
OWNER IVnet. /Jf//eX S A.P. NO. /3f 3W I O 21ni 7�/
BUILDING ,
MAIL ADDRESS I 1 SU/AAA.' C1 2
ADDRESS - sa. — f
o- U CITY NOL TE
TRACTS7tP/ LOT 7/ BLOCK
Z Z C CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
d- m LENDER C .d -. H- /
,J BRANCH (/ \t /I 0
-1(0 OWNER i,Q�/ -U/1.4i}7
m W ADDRESS VALUE
J
m ARCHITECT TEL. USE $
Q OR ENGINEER NO.
O Q FIRE 3 / A
w cc ADDRESS ZONE TYPE GROUP
APPROVED BY de •ATE///I� I
J O CONTRACTOR GALIF �C3 i—S �^/'C -
m Zlir
J CC ADDRESS 2/1,3 3 So
w W /� TEL.�-y/ 2 E NO.OF USE OF NEW
. . CITY �-ps fyf. /es/� NO.5`r7-giaj �i- / PLANS BUILDING
Z F
LL- O STATE CITY YARDS APPROVED YARDS APPRO D
co O LIC. NO. ISSI O Z LIC. NO. MAIN BUILDING ACCESSORY BUILDING
DSIZE 143! O"( -a) NO.OF BLDGS. (FROM C/L STREET)
OF LOT 93 •
ci 4 ',-v-s, j, II INOW ON LOT FRONT FT. FT.4' /
USE OF o nn
EXISTING BLDG. R.SIDE FT. a L FT,
F SIZE OF / $ NO.OF
NEW BLDG. 63o ROOMS STORIES L.SIDE FT. I FT.
< EXTERIOR WALL ROOF
_ COVERING COVERING REAR FT. 'h FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1
a MAIN BLDGS. ACCESS. BLDGS.
QVAR.# DATE
0 ''.25 7 'S W/A^ PO cot_ C.U.P.# APPROVED /
F APPROVEDI/ y�f
/ /r //, //1
02 Olean
VI hereby acknowledge that I have read this application and state wnl.n MR SPECIAL REQUIREMENTS
7 that the above information is correct and agree to comply with
tc all laws regulating building construction, and I shall not employ /r/ s- f7 51
F any person in violation of the workman's compensation laws of !i flit (i( ✓/IJ-�' (�. I
N the State of California. m
c
2 I hereby certify that I am properly licensed as a contractor under SO. FT. o
the State of California Business and Professions Code, Division 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:
cC
am exempt from the provisions of the State of California Business VALUATION
aa
and Professions Code, Division 3,Chapter 9. f PERMIT FEE $ 2� bi
Signature of / �!, /, m
Permittee / 1 41110_, ,�r�iw $ 35 V!/ PLAN CHECK $ 7s 0E
Authorized Agent / u.
` TOTAL FEE $ \J 5o
Vnl\Ln bUttLb, NULL. vn,L 11 17 w
a JOB ADDRESS 18.5 Swan Circle BUILDING PERMIT NO. 29384
GENERAL CONTRACTOR California Pools, Inc. DESCRIPTION of WORK Pvt. Swim Pool
1 AP No. �39_524_�8 LOT71 TRACT 5787 FIRE ZONE VALUE $ 3,500.00
`INSPECTION$ Signature Dote GROUP J TYPE III ZONE R-1
sou. p� ��y �-^�/ PERMITS ISSUED
GAS "!-1//• JI 'y� ,l>t. l , 4SUBCONTRACTORI
WATER !- iI�s' !� � '{��p,`l''u�`m'bi�p) Dote Number Signature
ROUGH PLUMBING .C9, 617fr)(//Ll.]h/C/' n—'c-by r € 77/
PROP. SWR. LINE ID HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
UNDERGROUND P4 V POWER • - /2-/ . C
ROUGH WIRING //may !2-/o-4O Heating and Vent.
TRENCHES U FORMS Er STEEL REINF. ///� rgirt-2
FLOOR SYSTEM •v//
BOND BEAM 14.-""--STEEL REINFORCE Il (1. 1 Liter IB0
SHEATHING Y W ovmer ern n{V,,,
FRAME AND FLASHING OIdlamea Pa flf3,/(/
LATHING — IN n OUT n /ff''''
PLASTER. BROWN COAT
STRUCTURAL, FINAL Eleo rjc
HEATING. VENT., REFRIG. AND A.C., FIN eaLZ1/ / (� ��-pirp� �,C�/�:�
PLUMBING, FINAL AND GAS TEST tI ,/�� /
ELECTRIC, FINAL -yr
BUILDING, FINAL �,/ 1+�Y L
SPECIAL REQUIREMENTS �/Zlr�e '� Jy �J-7�9
• *-• 29502 DEC 19-68zj��OO 825 cJl*****3.C1
•
'COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RECEI s DATKRECEIVED
BUILDING /
/- • �ofj
ADDRESS / / CW ) 4 / C /� ,//9,- ♦ • (��J .a:
OWNER Al ogL- g (J Ip/(S . A.P.NO. /J9 s�� `/_/S P 02
MAIL `' BUILDING
ADDRESS 54 / � f ADDRESS /i 96 J 11 ♦
Z .
z- TEL.I��.t / TRACTS? LOT BLOCK
I-Z CITY C057R M ,511' ND./7 /(Q i �j 7
Z Q CONSTRUCTION ,/ NEW ADD ALTER REPAIR MOVING OEMnI ISH
O N LENDER
J D BRANCH
J N OWNER �y"o ee/
_} ,
mADDRESS
J
VALUE
J
m ARCHITECT TEL. USE $ 1f bG —
Q OR ENGINEER NO
V Q FIRE n//
Z ZONE TYPE ///tel GROUP
U.1
W ADDRESS JyyJ�
.p APPROVED
JO CONTRACTOR A/0 FL 6 /I lr.s BY DATE
CO l VVV
J K ADDRESS J A. An
W WTELZONA) NO.OF USE OF NEW �j
Z CITY l '`�^ is�, NO. / PLANS p� BUILDING u'Z
W-O STATE CITY YARDS APPROVED YARDS APPROVED
to X LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW ON LOT FRONT FT. --Fr
USE OF / //
EXISTING BLDG. R SIDE ET. FT.
I— SIZE OF NO.OF //
Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. / ,
UEXTERIOR WALL ROOF /t
_ COVERING COVERING REAR FT. FT. / •
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
CL I� r} �/ - OD MAIN BLDGS. ACCESS BLOCS.
Q / ,l ft- FT �jL/� /i(�(�jG(. G ,l C.U.P.yy+ ���y�J / , APPROVED
/J /�J
O PIS/• APPROVED/d/__O/- f ii--/9- OG
2
0
UI hereby acknowledge that I have read this application and state
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
H the State of California. b
ZI hereby certify that I am properly licensed as a contractor under SQ. FT. 6
the State of California Business and Professions Code, Division 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: 2
am exempt from the provisions of the State of California Business VALUATION
and Professions Code, Divisio. 3,Chapter 9.
PERMIT
�- CO
`
PERMIT FEE $
Signature of /` / 4.- D
� C'...// cO
D
Permittee S / DD PLAN CHECK S E
i- L.
3 o
Authorized/ —
en LL
TOTAL FEE $
OWNER
BUNKS, NOF 12-19-68
JOB ADDRESS 1895 Swan Circle BUILDING PERMIT NO. 295(2
GENERAL CONTRACTOR Owner-Ba der DESCRIPTION of WORK Pvt. Block Wall,
't AP No. 139-524-18 LOT 71 TRACT 5 81 FIRE ZONE VALUE $ LI-00.00
'INSPECTIONS Signature I Date GROUP ,T TYPE TIT ZONE R-1
SOILI PERMITS ISSUED
SUBCONTRACTOR ONTRACTOR
Date I Number I Signature
411WATER Plumbing
ROUGH PLUMBING
\PROP. SWR. LINE Q HOUSE CON. fl
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND D POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES FORMS ❑ STEEL REINF. IAJ ##
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING. FINAL AND GAS TEST n
ELECTRIC, FINAL �,'l
BUILDING, FINAL rffrAtt V-3-'f
Lot 71 74092
Tr. 57$1 1 CITY C` LISTA MESA
CiiSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.B03317 COSTA MESA.CALIFORNIA 1 1965
MAY 1
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
FB EIe
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ly
n.
BUILDING / y � �,/.�✓ _
ADDRESS JM • .( L
RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA 9dfa0
- RICE,/ V RECE VED ithTE j UUS6UED�CS
OWNER Pemba Subdividers, Inc. 5 /C/(^y JJ
MAIL BUILDRESNN9Q /XC � ��9I4N\
ADDRESS 2850 Mesa Verde Drive ti, FIRE ADD
TEL. ZONE �� TYPE—�GRO}1P{_ +.1
--
APPROVED Costa Mesa NO. 549039 '
ARCHITECT TEL APPROVED DATE
OR ENGINEER E.G.Kaltenbach ND.'S478046
1823 E. 17th St, Santa Ana ZONING %.
ADDRESS /�
Z
ONE/ C I NO.OP /I I UHE
/ PLANS HUILDINOPN8 E
CONTRACTOR Pemba Subdividers, Inc. L � �}• 7 /-� (% I
LEGAL k* 1 / / rot S` O
ADDRESS 2850 Mesa Verde Drive DESCRIPTION l/
CITY Costa Mesa A.P.NO. 0 .
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
SIA E 187138 TEL 5490395 SO'TO SIDE a REAR P.L.
NEAVES
SIZEOT 78X109 I NnOW OO.OFryBLDGS.LOT 0
ALLOWED (U.B.C.REQUIREMENT)
PVE01.
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
_ (FROM C/L STREET♦
SETBACK LINE PROM FRONT £2 FT. (V(C,, FT.
CENTER OF STREET 22 REAR YARDc 311
SIDE YARD LEFT 7' I RIGHT 6 t - R.SIDE v FT. V `/ FT.
•
DESCRIPTION OP WORK L.SIDE
J'7 FT. Fr.
NEW X ALTERATION _ ADDITION REAR ck7 IFT. FT.
DISTANCE BET. BET.MAIN a
MAIN SLOGS. ACCESS.BLDGS.
REPAIR MOVING DEMOLISH
BUILDING NO.OF VAR.# DATE
SIZE 58x52 ROOMS 9 STORIES 1 C.U.P. APPROVED _�
EXTERIOR WALS!,,, ROOF APPROV - - \/�(/�
COVERING 3LUCCO COVQRINGWOOd3hingle BY "lir DATE �� e ✓
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence with
trtik
attached tara'e •
immi _ 4/ (6 4a Biz.FT. "{3 7 S 117 74-to
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION ' 0
BUILDING CONSTRUCTION. PERMIT FEE $ 2
SIGNATURE OF � � 1). '// j i
PERMITTEE _' �jL7l�i,.• ^ ,./
$ �J /I ((6 PLAN CHECK $ ��7 E
AUTHORIZED AG N �,•[,OOO«< l� I O�T�s OQ 2
TOTAL FEE $ l 9