HomeMy WebLinkAbout895 MAGELLAN ST - Building PermitsZ z 1�
ADPlicant to fill in a11 spatts excev� inose within heavr GorOer lines ana sign all aDDroo/iate tleclarations.
CIT �OF COSTA E$�A C STR CTION PERMIT PE IT N. TfiACT NO. LOT NO. UNIT NO
� : ��i.5' /�%s�%%,.,
�Fro�ect Address
Applicant'sMaili g es�7%Z� - ����'#� ��� �
Owner's N me �raJes /� Phone
Address �S� �S ��Cn [ �. ✓%%. G'%'i
Arch/Eng. License No.
Address
Contracto 's Na y� Phone �
O
Address (m� I'nal %/��� � f (�? � f..���
Ciry License No. r/ �� �,'��
LICENSED CONTRACTOR OECLARATION
I hereby af/irm that 1 am licensetl untler provisions ot Charter 9(commencing
with section 1000) oi Oivislon 3 of the siness antl Professions Cotle, antl
my license is in full f e an effecL ��� ,`�
Lice C ass 9 N (e J
Oa��� S9 l
WORKERS' COMPENSATION DECIARATION
ler¢by affirm that I nave a certiticate of consent to setlansure or a certiticate
Workers' Compensation Insurance, or a certifietl <opy thar¢of (SeCtiOn
�00, La�. C.)
Policy No. Company
BCertiiietl mpy is hereby lurnlshetl.
Certitietl copy is filetl with the clty Bulltling Division.
Date APPlicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section neetl not be completetl if the per ' is for one huntlreU (SI00) ot
less).
I tertity that In the-Oertormante of Ih¢ w f r �ie ni pe�m�t i5 issuetl, I
shall not employ any person in any ma er �! ome subject to the
WorkQ�� �peg5� n Laws ot Calilor ia.
Date��l—��(T [— —Si9nature
NOTICE: It, after making lhis tleclarati , you beco e subject to the
Workers' Compensation provi5ion5 of the Labor COtle, yG must fort�wilh
compry wilh zuch �provisions Or Ihis perml[ Shall De tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
I hereby affirm that there is a constructlon lentling agency for the periormance
of the work for whicb [hls permit is issuetl (SeCUOn 309] Civ. C.)
Lentler's Name
Lentler's AdOress �
OWNER BUILDER �ECLARATION
I hereby afiirm that 1 am exemo� irom the Contractor's Licens¢ Law for tne
following reason-(Section 7031.5 Bu5ine55 antl Profe55ional COtle: Any City or
munly which requi�es a p¢rmit t0 const�uct, alt¢r, improve, tlemoli5h or repalt
any structure, orior to�its issuance, also requires the applicant for such permlt
t0 file a signetl s[atement tnat ha/she i5 licPnsetl pur5uant to thB Provision5 of
the Contractor's License Law (Chapter 9(commencin9 witn Sectlon 7000) ot
?1�v,ision 3 Of the Busine55 antl PrOfessions Cotle) or [hat he/zlte is exempt
'•' �.Qefrom antl the ba5i5 fOr [he allegetl exemption. Any violaHon of Sectlon
u"'1.5 Dy any applicant to� a permi[ subjec[5 the applicant to a civil
��-5alty of not more than five nuntlretl tlollars (E500).
��rv� I, as owner ot the property o� my employe¢5 with wages as their sole
compensalion, will tlo the work, antl the s(ructu�e is nol intentletl o� otfe�etl
for sale �(Seciion ]044, Business and Professional Cotle: The Con(ractor's
License ldw tloes not appry lo an own¢r ot a prope�ty wh0 builtls o� Improves
lhe�eon, antl who tloes such work him5elf/herself Or IhrOu9h his o� her own
employees, 0/o��detl that su<h ImprOvemenis are nol In[endetl or otteretl fo�
sdle. I/, howeve�, tne builtling or ImOrovement Is soltl within One yea� of com-
plelion, l�e owner will have the burtlen oi proving ho/5M10 tlIC not builtl or im-
prOve fo� tM1e purpose of sale).
❑ I, as owner of [he prOperty, am exclusivety <ontracting wilh Iicen5e0 con-
tractorsto construct (he proje<[ (Section ]044, Business antl Protessions Cotle:
The ConVactor'S License Law does m[ apply to an owner oi pro0erty who
builtls or improves thereon, antl who contracts for such projects with a con-
IldCIOf(Si IIC2l152 pUlSpoll[ LO IhC COfIIldCIO(�5 LICBlISB �.dW). I dfil dWdIC IhdL
praof of tM1ei� Wo�ke�'S Compensation insurance shoultl be provitletl to me.
❑ I am exemp[ untler Section B. & P. C. for this r¢ason
Date Owner
certify th�t I have reaC tnis aoP�icaF
�n is mp�Ecj. I a9ree to cpmply with a
Si9nature �"
Drivers' Licen ar SS
CMF 0865-46, rev. 10/84
,�a 1 ��
TYPE OF CONSTRUCTION NEW DD T Rn � n
❑ GONVERSION ❑ DEMOLISH OTH p� p#
DESCRIPTIONOFWORK/USEOFBLOG. NG'L�
. S Main Building:
TVPEOFPEHMIT GRADING FOVNDATION ❑STRUCTVRAL T FrOnt
❑ TEpIANT ❑ E iFCT�R10C ❑ PLUMBING ❑ MECHANICAI B Rear
� OTHER L V %�
PROJECT DESCRIP710N SQ.FT. � oCCUvnrv v C Right
K Left
CONST.RUCTIONTVPE VALUATION$ $
ZONE GRAOING CU. VDS. ACRES p�ng. ReL #
Remarks: Planning No[es:
Sink
Preventer
Irrigation
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Interceptors
Ki[chen Sink
Lavatories
P—Trap
Roof Drains
Rainspaction Fee � $15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. BIL ICBO #
Heating System & Ducting
❑0.100,000 BTU 0100,000BT
Reinspection Fee � $15
WM1ite -�iiltling; Canary - Applicanh Pink � Accounting; Goltlenrotl - Assesso�
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Issue Fee
Hoodor Typel ❑
Canopy Type I I ❑
Re(rigeration System
❑o-�oo,000eru ❑iao,000
Sys[em Repair/Alteration
Fire Dampers
Registers
luue Fee
FEES
$ 3
$ 3
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switch¢S
Garbage Disposal
Generator 065 KW
5062 2/16/88
Zone
Accessory Building:
Parking Req./Provided
ELECTRICAL
Transformer � 15�50 KW
❑ 50+ KW
Meter ❑up m 100 amps
Meter ❑over100amps
Sub Panel
Motors �0.1 HP �1'h-8
Inc.Solar 09�15 HP �16�15+
Microwave
Pole Light
Range
Standing Sections
5-15 KW Trash Compactor
72e50 TL
FEES
Z
O
N
I
N
G
R
E
�
M
T
S
I Reinspection Fee �$15 I I Issue Fae ' $ 3 I
DEVELOPMENT SERVICES RE�UIREMENTS:
Zaning Approved By Date
Building Approved By Data�
Appliration Issuad 6y Date ot �/!O ��Q
SU V OF FEES
BUILDING PERMIT $ �� — SMIP $ . SD
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL _ $ GRADING $
PLANCHECK 50% $ MICROFILM 5 �p,��
MECHANICAL $ TOTAL FEE $ ^�
PLAN CHECK 25% $ �'J,�. ,S�
!'J +CONSTRUCTION AND PLANNING POOL & SPA � �
'� APPROVALS "�'ermit# Date Inspector p�ppROVALS Permit# Date Inspector
,.,1. Temporary Electrical Service or pole 52. Pool & Equipment Location '
r�
2. Soil Pipe-Undrgrnd. �53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel ReinforcemenV' 56. Rough Plumbing & Pressure Test
�
6. Electrical UFER Grnd: 57. APPROVAL TO COVER-GUNITE
7. Footings j 58. Electrical Conduit-Undrgmd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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
73. 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 Strucwre 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush �
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro ,
26. T-Bar Ceiling �Structural) & Monocoal 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 '�
e-
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 :y '
35. Final Gas Pipe-Test ,
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing ' I :i � '
39. Water Service-Final � • .
, 40. Gas Service-Final � �
�� 41 . Solar pomesticFinal - � �
42. Backflow Preventer , _ � ,
' 43, Backflow Irrigation i ! ' � , .
44. Landscape Irriqation System �
�
45. Sound Attenuation • - . � �
46. Handicap Regulations � � � , '
�47. FINALSTRUCTURE&BUILDING Z � ' , -
48. Special Requirements Completed ' • .
.
49. Electric Release to Edison
r
50. Gas Release to Southern California Gas Co I �,
51. CERTIFICATEOFOCCUPANCY ' d
4
No. Date � ,
.
I N S Y E C i I O N 8 t E 5 i I N G E N G I N E E R S
G H E M I G A L 8 � N V 5 1 G A L A N A t Y 5 I 5
P.O. Ba� 16016 •�)�0 nirpor� Wa�
lonq Bea<h, Calil. 90806
�]13� <16�I355 • (i13� 6Jb1306 • (Ila� B1B�6411
April 2, 1968
$ince 1898
. E A R C M 6 E N � I R O N M E N T A L T E S i I N G
R R O S I O N E N 6 I N E E R I N G 6 A N A L Y 5 I 5
1514-D N orfh HarOe• Sireel
Sanl� Ana, Galilornia 9t)03
(110) 571�I615
Examination: SC68-201+9
GUNITE
COMPRESSION TESTS ON q�qRR�( CYLINDERS
Jos. M. hienley
1973 Newport Blvd.
Costa �1esa, California 92627
PROIECT 15 x 30 Swim Pool f6r MR. DEEDRILKS
ADDRESS a95 hlageltan, Costa 1�1esa
SAMPLE FROM #1 - Botton Ce�ter Line: ,Y2 Sida wa11 house side;
#3 - Bond Beam Deep end at skimmer
�RCMRESi [ONTNACTON
Tibor Ginter Blue Haven
ENOIHEE0. SUlCONTRACTOR
_ _ _ Century Gunite
SPECIFIED
MIX �_ � STRENGTH 2,000 p5i
DATE CAST 3-z6-68
DATE TESTED 4-2-68
CYLINpER NO
SIZEx
COMPRESSION
TOTAI LOAD, 185.
POUNpS PER 50. IN
COMPIIANCE
CYLINDERS
DIf/RNUiION:
_—��L�-rf Costa Mesa
Blue Haven Pools
Century Gunite
Jos Henle
SLUMP
4-2-68 4-2-68
1 2
6-1/8" x 12k" 6" x 12'-Q�
7-Day 7-Day
72,000 98,000
2�445 3,466
IA "HOLD" 2A "HOID"
7-day test complies with specifications.
AUDF !T DEIIVENED Br
Jos. M. Henley ,be
��� �r������ ��
3
6'^a' x 12�'
7-Day
91,500
2,7(0
3A "HDLD"
NECEIVED OH
3-Z7-68
RECE➢V��
BUILDING SAFETY DEPY,
Gene Crosby APR 3 ��ti�
/1h1 ' PM
) / 9 h1;' «r; � �
/ /� � �IC�I 1 1 �nl-l�ir�::71'z�7�G
���L �- �- 1 % ��'�:
.
•Ll PF�Oa15 �RC SVB�IiiEO �5 iwE CON/IOENTI�� ppppERTY O� ClIEN15, �Vir�0alr��lON �O> >VBIIC�TION O� O�r+ nEPOaiS. CONCL SIONS, OR Ea
iR�CiS f'ROM ON NEG�ROIIaL TM(N 15 R[SERVED P[ryO1NG OVN Ww1iTEN �>I'ROV�I �5 � �V1U�L P�i01lC��0Y TO CLIENLS iM� G�IBLIC �NO OUFSFLVE$
330 12
d
CITY OF
CALIFORNIA 92826
COSTA MESA
P.O. BOX 1200
FROM THE OFFICE OF THE PLANNING DEPARTMENT
JL7].j� 22� 1968
Mr. MeBricks
895 Msgellau Aveaue
Costa Mesa, Californis
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,
`/�i'�%�G�t3�^� //
William L. Dunn
Director of Planning
�WP�r%x- DIEDRICKS� MR. DATE 2-23-bt3
JOB ADDRESS 8q5 Maaellan Avenue BUILDING PERMIT NO. 25239
SUBCONTRACTOR
Pool Lattcr e¢M
and
. � 2823g
COSTA MESA BUIIDiNG-SAFETY DEPAKfMENT
p, p. BOX 1Z00 COSTA MESA. CALIFORNIA BZ62E
Fer App1ImM fo FIII In Complmly
TYPE OR PRINT
CO3TA MESA, CALIFORNIA
DESCRIPTION OF WORK
,
1 X6P6DV ACRMO TXAT.� MAV6 RfAD
AND 9TA� TMA AGOV[,11 CORR6R AI
PLY WRM wLL'C TY OROIIUHCti AqD RAT[
lUILOINtl�ONd}pYGZIpy. �/ '
F/U, i 1L �
BI6NITUR� O!/J�-`•`•` �� `—•�z
AO[NT
lAN[
.�'P °00 507* *¢**18.00
F� 23.
MPLICATION FOR PERMR
BUILDING
for Offtn Us� Only
�
zoNiNo
xo.or usao�
►LAN� .-% OU�LCII
BHALL 06 L688 THAN
YARDO MPROVlD I YARDB MPpOV6D
MAIN BUILDINO ACC6H80RY BUILCINO
VM. �
eer. i
ACCE.
DATH
U 0.
N
MpLD FOR SPECIAL REQUIREMENTS �
�'- � - �� � `�
�. �. �
n�s �wouxr �nowN uno¢n v��u�non �e von rNe �
�UR101i O� �f}AD4eNIN0 I� �611YIT I8[ OHLY. �
VALUATION 7
QQ PBRMIT FHB � �
s �7"�d � � w
TOT/tL F6H / �
, . ������
CaS7A MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIFORNIA
For Applicant fo Fill In Complefely
TYPE OR PRINT
BUILDING �
ADDR868 $� � e118II Street
COSTA MESA CALIFORNIA
i ARGH1TECf
3800 E. Coast
coaec
I:TA :E.. Ci P�OA O- C IQ � I uEn �
�' ;�,i� A�(���d ,
�0' DEC 9 1960 ��
�tsy, P�A; y�����c�T�,:
APPLICATION FOR PERMIT��lE$JI,
BUILDING
For Office Use Only
qBCHIPT NO. PCHMIT NO.
� ���An
RHC81�8D BY I %AT§ lGCHIVBP.e I��� ����G
% �1 '� (G
/ �
BUILDING
AODRE6b 896 Magallan Streat
34220 COSTA MESA. CALIFORNIA
1 FIRE � �
NO. OP BLGOB.
8HiB11GK L1N6 FROM % /
�g�q pp 9Tp�Ei REAR YARO
/ �
SIOE YARO I L � RIGHT
DESCRIPTION OF WORK
� BUILOING NO.
BE
I NEPBBV �CKNOWL6DOE TXAT 1 HAVE R¢AO TMIB APPLIWTION
AND 9TAT¢ THAY ��AB� 1� R A�REB TO COM-
PLY WITH ALL C�TV ORDI CE6 AND 9TAT8 R80ULATINO
BUILDINO CONBYMU 10
eIGNATURE OP i .r / n .
AUTHORIZED
ZONE TYPE GROUP�
APPROVED
BY DATE
ZONING ,,,�rt,
zor�_1 I�u�oe I uee o> new /
iS 2 aui�oiHa W 8t.t
teow� �_ ♦ ii/ .�7 1 -e
LINH BT.)
V
�
TXe AMOUM BHOWN UN�BR VALUATION 18 FOR THH
PUPPOBB OP 68TABlIeHING I, vBRMIT RHH ONIY.
S�6�0 S/•DO I PLAN CHECK
s