HomeMy WebLinkAbout1783 KINGLET CT - Building Permits �WdTwining Laboratories �f !�ouA
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3310 Airport way / Mailing Address P.O.Box 47 / Long Boson.CA 90801 / 12131 4263355 / (2131636-2386 / (7141828-6432
TESTING BRANCH OFFICE: 1514.0 Nortn Susan Street Santa Ana CA 92703 / 1714)554-2645
July 9, 1985 Examination: SC85-5366
COMPRESSION TESTS ON GUNITE CYLINDERS
Mr. Errol F. Heesch
20692 Elizabeth Lane
Huntington Beach, California 92647
PROJECT JERRY MYCINSKI RESIDENCE
ADDRESS 1783 Kinglet Court, Costa Mesa
ARCHITECT CONTRACTOR
20th Century
ENGINEER SUBCONTRACTOR
Vern Anthony Gunite
SAMPLE FROM Pool & Spa
SPECIFIED
MIX 3.8 to 1 STRENGTH 2,000 psi
DATE CAST 6-24-85 SLUMP SIZE 5.25" x 11.50"
DATE TESTED 7-8-85
SPECIMEN NO. 1 2 & 3 "HELD IN FIELD"
COMPRESSION 14—Day
TOTAL LOAD, LBS. 48,000
POUNDS PERSO. IN. 2,220
28-DAY AVERAGE, PSI
COMPLIANCE 14-Day test complies with specified strength.
MADE BY DELIVERED BY RECEIVED ON
SPECIMENS Woody E.F. Heesch 7-7-85
DISTRIBUTION: •
E. F. Heesch - 2
Vern Anthony Gunite, Inc.
fiesta Mesa Bldg. Dept.
4Rick Hyde
SCEVITTES 4 ° ::4IDE51'1F FROFERTV Or CLEATS AL'rrOFC>ICON FOR OL'ELI;,RTIO.OF C.0 F REF�Fp5 CONCLUSIONS,OF EXTRACTS FROM
Da _ _ .. _. _ _`GING CU ‘VRI—ENFR:-«C„ AS- .UTSF ^0 =CION T3 CLIENTS RU2 1 crSELvES
ft tie_
U7 I 1 i3c7LE n CITY OF COSTA MESA( (fit' Building DEPARiTtF.AT
Address OF
—` �� BUILDING SAFETY
`
C 1'rS`G I /A � W) Omer _ Al
ltib
get- Can) reTtractor Registered Dept Bo ling Inspector
'''"'1111YY��777777 """"" Certificate of Compliance
1\--131 K Address C --,-74--Zs-
„permit
in Date Date of this Certificate
WCIQ
l umber Leic Issued
• To the Director of Building Safety: •
I hereby certify that the following portions of work on the buildings
1 at the above address which required continuous inspection and which I was
employed to inspect, were inspected by me and comply with the provisions
•of the Building Code applicable thereto.
1) Concrete 3) Welding 5) Special Cases
2) Masonry \10 )(32 4) Reinforced Gypsum .
Swimming Pool SizeGunite '� Hand Pack
Sacks Cement ,Joe Tons of Sand 4---
•
Approximate % of water in aggregate 2k e/ _ /' /
This report covers work completed during week ending '/ -79 ---PC_
REMARKS— __— --- fff—
REGISTERED D'P Y ' %DING INSPECTOR
Nave92_ E----.LA -5A - {
Address , -a . �rzGy-E,
I •
h
Laboratory `)01/\)II.,ty+CnJ-48 Telephone 9e)-A O
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Form BU 6 ' ' ' ' 1 " f11(�V66.
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. 66 (3 DATE Z6 c,c,08S2
LOT NO. 4e
ADDRESS /78.S fre•AC or abcw,
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that (he-she- 415 or 420 advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
RECEIVED BY / /
11
Cin OF cGSTr, P1eSN ` u . _
pLZN P<� �.cf Purchaser
�� 2 1972N BY ,ffc -o C �V �,� �!
PM Developer and,. authorized
`Si9�]�o1�ilia";r,; representative /���//
BY L. Q. ff.Dt/r.D glia
Lender
.� Applicant to fill in all spaces except within heavy border lines and sign all appropriate declarations.
.0 CITY OF COSTA MESA CONSTRUCTION/�P/ERMIT //P�E)R/M�IT NO. j� f ��ACT NO. LOT/NO. UNIT NO. �T>//7
Project Address /713 %L. e-, .( A" • J PE: / Ci�SO I e 6413 ' /Y' •
. __ 22 �iY' I v,e a 13 .I L
~ ;' - TYPE OF CONSTRUCTION ❑.NEW LJ ADD H ALTERATION H REPAIR - - - - - ,
Applicant's Mailing +.dress 4.5-
d /� re-,/
J�C�•'-R-I!• _
• Owner's Name; C •_ ❑ CONVERSION ❑ DEMOLISH 0 OTHER - A,p-# )9 / '� - ' 'Zane
_ ' , �Gr'f--�^L-Phone7/4 10723' IIs I -fid - �•I _g---(_ .
_ DESCRIPTION OF WORK/USE OF BLDG.
Address / - - $ Main Building: . ' Accessory Building:
• Z
•Arch/Eng 6 `-��%' - License No. 3 - TYPE OF PERMIT ❑.GRADING D FOUNDATION ❑ STRUCTURAL T Front' 513 /1 r I hi - • - O
' Address 20�.� L---- fi!-aC %' ,4,6_,-.2_,,,, ,,,e,( El TENANT ❑ ELECTRICAL -❑ PLUMBING El MECHANICAL B RearA. 51/ , 1' • - - - N
�." !.Z2L re-/-1412 Phone ��6-1 ❑ 'OTHER - - C" Right 9 I — - N
Contractor's Nam -
/z� PROJECT DESCRIPTION S . FT. 49) ' - OCCUPANCY • - - - G
Address(mailing/4-1-46Y 44.-('-A-/ s ` ;p - - K
•/� 'j� c. - CONSTRUCTION TYPE ( VALUATION /9� DO :$ Left a"I ` l •- R
City License No; ZONE GRADING• U,YDS. ACRES " E
LICENSED CONTRACTOR DECLARATION , la
PC--1
t� F _ Ping. Ref.# Parking Req./Provided
I'hereby affirm that I am licensed under provisions of charter 9 (commencing) Remarks: l 31 2/ Planning Notes: M
with section 7000) 'of Division 3 of the Business and Professions Code, and ✓ ") �///'-},-/,�- // /� /j /� j//�
mylicense is in full rce{antl-.r¢ffect. .c \ Li;%C�'pr�'�s(.fJl'V Com. /- .(�tt. iY1'C�eA4.{96i�4i.i. s
-LRens las - ✓`J License No.X�J.. ' - D O
•Date< Signature AP' - � PLUMBING FEES _ '
WORKERS',COMPENSATION DECLARATION - Bar Sink ShowersELECTRICAL FEES
6hereby affirm that I have a certificate of consent to self-insure or a certificate \ -
'
of/workers'.Compensation. Insurance,-or a certified copy,thereof (Section _ Backflow Preventer - Service S' - - - -
3800, Lab.0,64�p• / r .� �/ �'7 /% // Automatic Washer ' • Transformer 0 15-50 KW
• Policy No.'�f] '��P'..d.2.2t Company l/ ✓ f•-&h..C..' ✓✓'� - Backflow Irrigation Sewer,Ca ' 0 50+KW '
9 P Construction Pole Sub.'
® Certified copy is hereby furnished. l '
.Certified copy is filed with the.city Building Division. Bathtubs Sewer Conn@ction Cooking Unit Meter pup to 100 amps
Date Applicant - \
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION • Clarifiers l Solar,Collecttlrs• Dishwasher ' Meter Dover 100 amps
_
(This section need not be completed if the permit is for one hundred,($100)or - - - - - - ' '- --
less). . Dishwasher Solar Piping :I I i Dryers ❑Gas ❑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 I Solar Tank• Fan Motors❑0-1 HP L71%-B •
, Workers' Compensation Laws of California. ' s _
Date Signature Floor Drains Swimming Pool w/Spa ( 6 F.A.U. • Inc.Solar 09-15 HP 016-15+ '
' NOTICE:If,after making this declaration, you'should become subject to the -
, Workers' Compensation.provisions of the Labor Code, you must forthwith Floor Sinks - Urinal - - •- -- - Fixtures- - - - Microwave -- - - - - - '
comply with such provisions or this permit shall be deemed revoked., y
CONSTRUCTION'LENDING AGENCY , - - - - Gas Service Outlets , ' -• ' " !"u %'% - '
I hereby affirm that there•is a construction lending agency for the performance. - Water Closet Devic¢Boxes %. Pole Light
of the work for which this -permit is issued (Section 3097 civ: C.) Interceptors _ _ Water Heater -Ss-outlets -' , y f Range '
Lender's a Name - 'f'
Lender's Address " '�"4}->1-�/t`-� , • r . Kit• chen Sink' ' Water Service s, , 4 Switches-. . �: ": ' Sign '
OWNER BUILDER DECLARATION - - _ •
_ '
I hereby.affirm that I am exempt from the Contractor's License Law for the Lavatories 1 ' Auto-Wash , - 'Garbage Disposal •' • !Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city'or - -
county which requires a permit to construct,alter,improve,demolish-or,repair P-Jrap - ' Laundry Tracts i r "
- any structure, prior to its issuance, also requires the applicant for such permit /' - y •'• Generator,❑0-5 KW '❑5-15 KW Trash Compactor:
.to file•a signed statement that he/she is licensed pursuant to the provisions of - • - Roof Drains • I - 1, Wr��-s' ,
the Contractor's License Law(Chapter 9 (commencing with Section 7000) of ' - I. - / PRc-Q,� / /I) —
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 - • - ' e
7031.5 by,any applicant for a-permit subjects the applicant to a' civil r •'
•penalty of not more than five hundred dollars($500). - - I .: I - S.3 C. 21 �_ / ,
0 I, as owner of the property-or'my employees with wages as their sole .Reinspection Fee. If $15 Issue Fee_ - .. _ - - , '
-
' compensation, will do the work,and the structure is not intended or offered - Reinspection Fee , I•$15 Issue Fee $13
for'sale (Section 7044, Business and'Professional, Code: The Contractor's . ' MECHANICAL FEES '-" - -
License Law does not apply to an owner of a property who builds or improves DEVELOPMENT SERVICES REQUI MENTS: 4 "
thereon, and who does such work himself/herself or through his or her own Boiler • sHOod or • Type I 0 - /RE /� l
employees,ho pre r, ed that such improvements imryeis sootld intended or of con-ffered for ''I 'Zoning Approved By • /�y ObLIGU 'plate; � /
sale. If, however,rthe'buildIng or improvement is sold within one year of cam- • Canopy Type 11 ❑ - C Pj
pletion, the owner will have the burden of proving he/she did not build or im- Duct'Under Ground s• 'Building,Approved By '•• Date 0
prove for the purpose:of sale). - _ " ,• �. D,� /,)Si
❑ 1, as owner of the property, am exclusively contracting with licensed con: Duct;Structural , Refrigeration System "1 :Application Issued By Date c)
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 0100,000 BTU ',% /' - SUM ARV OF FEES -
builds or improves thereon,and who contracts for such projects with a con- - 7 (/
tractor(sl'license pursuant to the Contractors License'Law)Sl am aware that " - s BUILDING PERMIT $ gooc- SMTP $ • ? /
proof iof•their Worker's Compensation insurance should•be provided.to-me. _Exhaust'$ystem ❑ Multiple ❑ System Repair/Alteration - PLAN CHECK $
(n ./3 PERMIT
❑ I a xemp^underSection % '•B. &P.C.for this reason Firepl/1=act Blt. ICBG# Fire Dampers (- s.- -' PLUMBING ' $ 9-co ' ISSUANCE- I $
• Date - • '- - Owner,: -- - Heatidg'Syatem& Ducting Registers • °i PLAN CHECK 25% $. ENERGY P.C. $'
-I hereby certify that I-have read this application and' tate that the above- ❑0-100,000 BTU 0100,000BT - - — ' ` �/, vQ GRADING $' -
information is correc . I agree to comply with all city and county ordinances l ELECTRICAL•' f 5, /
and state'laws.relay building construction;and hereby-authorize.repre- : MICROFILM, $'
•
sentatives' of , . ' -t , enter upon the' above-mentioned property for -_ '%' PLAN CHECK 50% $
inspection pu e / '' i•-,,. -
Signature • . . 4.23-4rNf-1.- - • 'Datesw.5
,.--t MECHANICAL $ TOTAL FEE ' $ /23'y?
Drivers' License or SS, • Reinspection Fee • $15 Issue Fee $ 3 PLAN CHECK- 25% $ • j '
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
f
II Y CONSTRUCTION AND PLpfJ I��g - - 'POOL &SPA - `
p Zsd Date Inspector - Date Inspector
APPROVALS Permit# APPROVALS Permit#
1. lbmporary Electrical Service or Pole - 52. Pool & Equipment Location
Zp-;
. L2. Soil Pipe-Undrgrnd. - . .53. Steel'Reinforcement l .kr:r
3. Electrical,Conduit Utility-Undrgrnd: - - 54. Forms - • ; %!"
4. Electrical Cdd
nuit-Undrgrnd. ! - 55. Electrical Bonding - 6k`rr -(/Z.. ,
5.•Steel Reinforcement it • - 56. Rough Plumbing & Pressure Test •
6.' Electrical UFER Grnd . ' . • 57: •APPROVAL TO COVER-GUNITE ��0/frCA, I
'.7. Footings - - . 58. Electrical Conduit-Undrgrnd.� �
8. Foundation . - 59. Gas Pipe, 6-l7ndrgrnd.,Test OLC L�tp (�[�
9.,Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap,81%-drgrnd. ]/� OS
10. Structural Floor System 61. APPROVAL TO DECK /Ai/v vL
11. Property Sewen Line & House Conndctiod 62. Backwash & Receptor-Final 4r•
12. Sewer Cap 63, .Heater & Vent-Final - f�'
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 O�
19."Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 7
' ' 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 i 72. Underground Flush. '
•
24. Roof Framing - 73.''Undergind.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. Insulation78. FIRE PREV. FINAL -
30. Drywall Nailing HEALTH DEPT. REQUIREMENT 1 ,
31. Plaster Brown Coat - '- •• 79.- FINAL INSPECTION - -
32.•Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED •
' 33. Final Electric - . - _ Ndtes: 7/E$" Aid e/r/s eaciy,(ca
3'f. Final Heating & Air Conditioning • • . ?9 j7 N s rims c), G'. Surto;
35. Final Gas Pipe-Test ' - /VC ri/grwete /ry/9�c4,r,Cie _
36. Hood or Canopy 6/4177-c, et aril r&r(,S scr
a
37. FigalFactory Fireplace - •
'711/Jy� �-L a Q -' !�
38. Final Plumbing I _ O /t/ tAhot.L�-"',,vs kenoY✓Cr7t(.ei
39. Waier'Ser vice-Final r /i cr /v ��J) Co�€Se77o X/?,t
40. Gas Service-Final _. /P/'/(J��•, t e
41. Sola,- Domestic-Final !/� -
.r .
42. Backflow Preventer • . - • v
43. Backflow Irrigation 2 ,, •.
44. •Landscape Irrigation System • . - ' ,
I
45. Sound Attenuation - . , -
46. Handicap Regulations - , . - i y
47. FINAL STRUCTURE& BUILDING . ••
48. Special Requirements Completed ' '
•
49. Electric Release to Edison '
5b. Gas Release to Southern California Gas Co ' ' , '
r . .
51. CERTIFICATE OF OCCUPANCY '
,J. ' __ _ . .
No. Date • i ! • '
PROJECTAODRESS: 1783 KINGLET CT UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 064093
OWNER'S NAME: JOHN TOLEN
ADDRESS: 1783 KINGLET CT PERMIT NO: B 064093 PLAN CHECK NO: N GOVT: N SUPP: N
,, COSTA MESA,CA 92626
• CONSTRUCTION TYPE: 5—N PERMIT TYPE; SIR PURPOSE: REP
• (714 ) 435-1602
G ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF & RERROOF W/COMP SHINGLES �6NEA1HIMcSQ FT: 6, 500
ADDRESS: UNIT:
CLAIM VALUE: 6, 500 . 00 CALC—VALUE: 6, 500. 00 GROUP OCC: R-3 /
PERMITTEE: G,G. ROOFING ( 714 ) 965-2387
ADDREss: 19792 POTOMAC COMMENTS: ONE BUILDING ENCOMPASSING ADDRESSES 608 THROUGH 620 TERMINAL WAY.
HUNTINGTON BEACH CA 92646 +c+ESE******************+6******************************scst**+ *+ErE*************+t*rk;'R**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACK S
CITYMC. 054j73 TATELIC.: 364151 a
D Date — zSgnaw MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: hereby aflir ave rtificate of workers' FRNT: FT I N REAR: FT I N FRNT: FT I N REAR: FT I N
Compensationllsuneyiti Icetihe§clpy thereof(Sec A00 Lab.G.7/01 /94 LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 1 77 J %P.DATE: V
COMPANY: STATE FUND PARKING REQ: PROV: PARCEL: 13963221 ZNE: REF NO:
CICertified copy is hereby furnished. Oc Certified copy is filed with the city Building t' 'Ston. PLANNING NOTES>
Dale • �`" 93 Applicant: V i- K ********************************************************************1E**********
—� ^ D E V ElL OPMENT SERVICES R E Q U I R E M E N:,T S
EXEMPTION FROM WORKERS'COMPENSATION OECLARA ON: (This •d not b.-• pleted if the permit is for one hundred($100)or less). ;1
I certify That in the performance of the work for which this perm' ed,I shall not employ any person in any manner so as to become ..._._..
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE;
Date. Signature:
NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE;
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. '7
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE: 714767
which this permit is issued(Section 3097.Civ.C). *********'*'**'k'*** 'M'************* **************************** **
LENDER: *************344**************************************************** * *****
ADDRESS: LEGALIZATION;N • FEE SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES ; GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 90 , 00 , 65,,
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
s
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). ISSUE FEE .
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID -4 DUE
❑ structure is not intended or oftered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
TOTALS----> 90 , 65 0 0 0 . 00 9 0 , 6 5 90 . 65 U O
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 employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED : 90 . 65 OVER/SHORT: A 00
improvemento is e sold of d within t. one year of completion,the owner will have the burden of proving he/she did not build or improve
ithe enBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRAD ING LPLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 90 .00
6 5
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon I
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ii
❑ I am exempt under Section: B.&P. C. if
for this reason: TYPE QTY DESCRIPTIO N UNIT COST .TOTAL COST
Date: Owner SFR 6500 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 6, 500 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant: ® ,,,,,,r,„,,,„.. .7 e
I hereby certify that I have read this application and slate that the above information is correct.I agree to comply with all city and county SMOKE DETECTOR
ordmances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned f•
properly for inspection purposes.. ` SEP ti li
�� Date:q`'� ' _7b Sig e: REQUIRED Ir
Driver's License or Social Security a: CITY OF G•, q MESA
164n46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
S.
GLNSTRUCTION AND PLANNING - POOL & SPA
APPROVALS Permit#
Date Inspector APPROVALS Permit# Date In;pector
1. Temporary Electrical SerGice or Pole 52. Pool & Equipment Location •
2. Soil Pipe-Undrgrnd. c 53. Steel Reinforcement '
_,rte - _r•, _ „
t 3s: EReckiical Cond'I�ft ltdity=Jndrgrnu/' 54. Forms
."4:"Eiect4cal Conduit:Undrgrnd. I i Ci 55. Electrical Bonding '
"r5:2$teel4Neinforeer6ent t 56. Rough Plumbing & Pressure Test
N<,&t.j clecirical UFleff nd. 57. APPROVAL TO COVER-GUNITE '-;
11 7:'FQofligs I� '.2F3 'i 58. Electrical Conduit-Undrgrnd.
•
- 8-;Found
1 ation ,- . ' ,7 'r • 59. Gas Pipe, 0 Undrgrnd.,Test f,
' I
9. Water Pipe-Undrgrnd. ,.J '/F 60. Backwash Lines,P-Trap, 0 Undrgrnd.
• ,
10. Structural Floor System 1 61. APPROVAL TO DECK '
11. Bsoperty Sewer Line & Ftouse.connection ',vii 62. Backwash & Receptor-Final
12. Sower Cap ,�`, ;I �. _ r, lt 63. Heater & Vent-Final - is. I
13. Roof Drains ' 64. Plumbing System - Final 's/
c,
14. Rough Plum - ,
99 65. Electrical-Final •i'
15. Rough Electrical-Conduit ' , - ,.-'+ 66. Solar System-Final • I i
16. Rough ElectrWiring 67. Fencing & Access Approval
17. Rough Wiring)ign • . 68. APPROVED FOR PLASTERING
18, Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
? . - _ � CP 7'-1:E. „ -' r' ..1
207!Rough Factory Fireplace i -1 •5-... v .0 :J c1 r 11APPR)VXL-$7O Peanit # ." m
.71
21;.iDL ts,ja StrUctdte i . . .3 ._.. a .. 70. ;Cndergii an I Hero i
22. Ddcts,.Ventliatinq� i - :? - .r a 31, 71.Produ Piping Masi Oil
t
23�Ga"s'Pi a-Rough&:�i'est `' c' "` 1 72. Under r', d Flus. i 'B vs,
24 Roof FiamrrgI =.t-' C C' 2 e :(: 7$ Undergrrtd.Stota,Tank't3Gas ❑Oil
25. Ro�df Seathing� •' ?u:q?.54 -44E1 74 -Qverhead HydrE+' .-
26aT-ger Ceiling (Structural) tMoeocoat * tr :% =t:- r 7,<' Cry Chemical _ -' of
27'Fra1r!e and Flas Ffi �'' x' ' r * 4 76.a Star{ o e `�< '-' ''• ~
,.f tsCfi tt.' + :.ri :U'Y ti, rY f�tP :i• • t
,28. L ingt& Siding.* :c ;�a.: Is: :-. •• •I! ••1 * 7fi' FIXED 6M@TE'J'SINAt, y -Th '
29. Insulation `" G r •' " y I. * ` I....
. S� 5 I It r 71 FIRE PREY. FI 1QL ; I, :.1
-r30. Drywall Naitingo. u J I Ix ' r-+ '-MEALTN OEPTi..REQ-UIR€MENT .• „D
41
I''31. Plastergrown CO-4 i r_,r, E jj ; p, 79:1 FINAL I SYECT,r,L1N r r'1 ` -; I „} �:_.
�] •:.,- 11i a. - - ,
4-4 I t.,.., tiff i hi i•i 1 it.. r'l
-,32;.Electrical PoiverMMr;uwr-Final - xzy. I 801 .
FOOD CERTIF.r TE --
1 '• , i• r rc I r .n.
331Fin-al Electric �' ' °' ' "'I t I '' 1 m l tr, :r tr; t
.i'. t9 r R; r ! �,. NOIeS: 7 im * s n3 in
t t r:'. r I t-
--, -4. .' T. ,y, . •)
341 Firt31 I-f atin"j. &:pv' gAditiorgrtg ci I I>. r _ ?;.., * S cc .
Final CtaS PIt,e-resf. - 1 ' 14 > , . .� tt a r
C.
rax 1 0 4-
t31
F'
J3 36,.Hood or Canop'ni . p ! ;'-1 4 :. I j-i a n o .-- rri
,'_ 37
; i1FiPMl Fmc4 'at@I_ `-t" + ,7 i 4 (1 ri;
-. �tory Fiii. I [-.c. =�t F I is k :r.
-138. Finy71 P . ,^ iT t.., -.-
Iymbin9�,• ti I r I 1* r s etr
539. Wa72r Service-Firrai _ ii* x ( aim t_•
i f• I If t :, e
40. Gas Service-"Fn`af"; °p
Jib'. [.; C•'.*' - * : , C.C., rtt!G
41. Solar DnmeSttc-F inatn +" <2 I f: Cot. '-
-1 T I m '7`J S 4 SZ 7
i "rr + �' J ) •f .* .y 1,
"'42: Backflow Prever.�te} iv i I ! �• '. .,r, • • m '-i
• -a ..1 3. .. 4 -4-- -1 ' r" ' 1,. '
43. Backflow Irrigat++';ri •: ` ::::‘-i,..., V `O
.. • . t c , / 5 -' • -
.n44. Landscape 7Yripation Syeteen!tJ rx x cs a a? .' s_ ,o ZI -;'d 'r nl '
•
"45':Sound
C.-
ttenuation :a'f•-• T - -• (4 r + i 1 i-. triotr f ,.
-. r, ,« I t ..I _ , aix :r ��r+' iiv t+ -,r..
D46.Handicap Rtigula ions '- I i -r q� 4ri _ ;rt. _•
LI �U v{
47_FICSAL STRUC7G#iE & BOLDING `O:�y-qy 6!✓ $r✓ 1j� ,(. / , t ; -
'T4�F16ftLPLANNf 'iii ' C+':r, t ' O `"' !z 6-it
PI
i.
49,-Electric Release'twEdison I ` )+.. . - • Ai -
-t I 1 I , ;,
'50.-Ga{Release to Southern Cal fotpfaGasCos i I -r , t, M - . sr"
51. CERTIFICATE OF OCCUPANCY r n .
No. Date
ADDRESS OR nMLMNO: 1783 KINGLET CT UNT � CITY OF COSTA MESA — BUILDING PERMIT
OWNERS NAME IF KNOWN: RANDY CARR FLOOD: X 47 PERM NO: M 072036
ADDRESS: 1783 KINGLET CT
, COSTA ME5A,CA • 92626 PERMIT NO: M 072036 PLAN CHECK NO: N GOVT : N SUPP : N
434-3572
APPL.MAIUNOADDNESA 45775 RIO DEL ORO CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: OTH .
YORBA LINDA \
ARCNRECT ORENoNEER: DC.NO.: JOB DESCRIPTION : REPLACE F.A.U. & ADD ON A.C. UNIT SQ FT: '
ARCH.OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: CALC—VALUE: • GROUP OCC : R-3 /
CONTRACTOR'S HAILE: GRAHAM BRO HEATING AND AI ( 7 1 4 ) 596-1653
CONIBACTOR'SMARINO 2952 CENTURY PL COMMENTS : X '
AODRESs COSTA MESA CA UC.NO.: 248604 -+Tic+F* '***+t*-v-+t+t K-iris«***+r•******,:**.+t+Eitac*.-N*****.N.***********4-,F3s**K-* c+t*ac+cxx.:r•**.N*ac*ac**ac.x
92626 UNIT: Z ON INC REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SE TB ACK S
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force end effect
C C.NO.: 005963 UC.CLASS: C 20 a: 248604pEXP : 06 /95 MAIN BUILDING ACCESSORY BUILDING --- --
ate, y 2-(d/4r commas r.�91 NL(,wAky^ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
ER BUILDER DECLARATION:I hereby affirm under penally of perjury that I sin exempt from the Contractors License Law for the
following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit Io combust.after,improve, PARKING REQ: P RO V: PARCEL: 41822102 Z N E: REF NO;
demolish,or repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he or she
is licensed pursuant to the provisions or the Contractors License Law(Chapter 9(conmendng with Section TOW)of Division 3 of the PLANNING NOTES>
Business and Professions Coded or that he or she is exempt therefrom and the basis for the alleged esempton.Any'violation of Section > (`n
7031.5 by any applicant'orapermtsublects the applicant toecivil penallyofnot more than five hundred dellen(S500)). *******************************************************************************
❑ I.as owner of the property or my employees with wages as their sole compensation,will do the work,and the structure is INA intended D E V E L O P M E N T S E R' L7 ICES E S R E U I R E M E N T S
or offered for sale(Section 7044.Business and Professions Code: d The Contractors License Law does not apply loan Owner property Q
who bunds or improves thereon,and who does sorN work hmeef or herself or through his or her own employees,provided that such
improvements ere not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the ZONING APPROVED BYDATE:
owner•builder 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,am exdumively contracting with licensed contractors to construct the project(Section 7044,Business and
Proles°ill a Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY , DATE:
contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law),
❑ Iemexempt under Section: B.AP.c.,(or Na savors: APPLICATION ISSUED BY: =: DATE: NM \'f`
*************************************** **** ********************* * * ' 0*. **
Date: Owner LEGALIZATION:N F E E SUMMARY STRUCTURAL S GMEt• T:N
' I do hereby candy than I am aware of and understand the requirements of Catiomia Health and Safety Code Sections 25505,25533,and •
25534.and that I or any future building¢apanl will/will not(circle one)need to oomph with said state codes and the requirements for
agent for construction or modificationhanthe Air Quality Management District,Residential oonmud'anappRcaticne are exempthom these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 18 . 00
Dale: Applicant:
25% SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of one r of the following declarations: PLAN
I have and wil maintain certificate d consent to self-insure for wekes'cmpensation,as provided for by Section 37000f the LaborISSUE FEE 15 . 00
Code,for the performance of the work for which Na permit is issued. BUILDING—DIV > PERMIT ISSUE PLAN—CHECK T
ElOTAL PAID DUE
ryrpYI have and will matntan workers compensation insurance,as required by Section 3700 d the Labor Code,In mrca the pedormof the TOTALS----> 18 . 00 15 , 00 0 , 00 33 . 00 33 . 00 00
'�` work for whits this permit is Sued.My workers insurance
compensation canier end policy number are:
\ ca e: LIBERTY MUTUAL EXPIRES REVENUE DIVISION TOTALS —> COLLECTED; 33 , 00 OVER/SHORT: 00
Policy Number: Wr11610T077 014 08/01 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need nor be completed y the paints for one hundred dollars($7007 or less.) " 3 3 . 0 0
o 1 candy that in the performance o the worn ler which this permit is issued,I shall rot employ WY person in any manner e0 e3 to
become subject to the workers'compensation laws of Cal . end agree that H I should become subject to IM workers' ******************if*************************************************orf**********
• compensation provisions d Section 3700 of the Labor Code.I .hwith comply with those provisions.
4/lb/ci Applicant: eNN`"C IND I V IDUAL F E E BR EAKD OWN
al '4
Failure to secure workers'compensation coverage Is unlawful,and shell subject an employer to criminal amass and TYPE QTY DESCRIPTION UNIT COST TOTAL COST
civil lines up to one hundred thousand dollars(Sf04000),In add/don to the coat of componential;damages as provided ler In
Section 3706 of the Labor Code.Interest,and atrornsya feet MEC 1 INST FORC—AIR/GRAV TURN <= 100 K BTU 9 . 00 9 , 00
CONSTRUCTION LENDING AGENCY: I hereb/affirm under Penally Of Perjury that there is a construction lending agency for the MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 00 9 . 00
performance of the work for which this permi is tosued(Section 3097.Civ,C). END OF FEES
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read Na application and dale that the above information is cared.I agree to comply with at dryad county ordinances
and state laws relating to building construction and hereby authorize representatives of this dry to enter upon the above-mentoned property1
for inspection purposes. ,:
�
ERIC MCCALEB
Print ame 0I 0013106733-00180623 TOT 33.00
•j+'-.0v`,--it 0\P Date: "/i4/cts. DATE: 04/26/95 TIME: 11:38
Signature of OwnerdAgenhApptcantConlractor
(5151-46.WP) White-Building&Safety:Green-Ale:Canary-Appicant:Pink-Revenue;Goldenrod-Assessor '
CONSTRUCTION AND PLANNIN • POOL & SPA
G •
APPROVALS Permit# Date Inspector APPROVALS• Permit Date Inspector
1. Temporary Electrical Service or tole 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 UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. •. 60. Backwash Lines;P-Trap; D 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 I'
18. Rough Electrical•T Bar Ceiling 69. POOUSPA 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 PREY. 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: p.-.j{-c
34. Final Heating & Air Conditioning 9 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
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING •- •
-
49. Electric Release to Edison •-
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER 1ST LOS Angeles Corporation DATE 3-13-72
JOB ADDRESS 1783 Kinglet Court BUILDING PERMIT NO. 34295
GENERAL CONTRACTOR The Buccola Co. DESCRIPTION of WORK Res.wjatt.gar.
AP No. LOT 46 TRACT 6663 FIRE ZONE VALUE $ 31,500.00
INSPECTIONS Si nature Date GROUP Da TYPE V ZONE R-1
SOIL
/f. 7_fl .?; SUBCONTRACTOR PERMITS ISSUED
GAS Dote Number 4 Signature
WATERj4 # 44 Plumbin.
ROUGH PL MBING 7y �LLfigdr �5 7,js tRani
PROP. 5WR. LINE ❑ HOUSE CON. ❑ Ai` r . 'y i. ,r, r--i - _ h/ '
SPRINKLING SYSTEM r
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING MS titan."
TEMPORARY SERVICE OR POLE
UNDERGROUND n POWER n nn �
ROUGH WIRING ,1,./-71.--- He•tinq and Vent.
TRENCHES FORMS 1- STEEL REINF. y r �Z/' !7 ,�n •,G,l.@r�J . 7-to.-7,.. fai_.../..-
FLOOR
SYSTEM c't'�/ / „/" 1L ///�' Z-/1-/7 ,�
BOND BEAM n STEEL REINFORCE n 4," v / 27_70
SHEATHING /fy%// l
FRAME AND INASHING / ��;7 �/
LATHING - IN OUT I„`-,/ C,� /
PLASTER, BROWN COAT � .
•
STRUCTURAL, FINAL a wr i ��.ey�/r:+ i
HEATING. VENT., REFRIG. AND A.C., FINAL t`Iw r (r )., .fra Z��'e _ri _u/.uV,�i�/11SAMMY.
PLUMBING, FINAL AND GAS TEST • .�/f/Walf
ELECTRIC, FINAL a C • --2e-
PLAN NO. 8A 34295 PAID
LOT NO. 464AR 22-72GnE OU 91 S* ***161.96
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 •
' APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEI D 7q(y� DATE R IVED D E ISSUED
BUILDING /T pC i 7� /
ADDRESS/7J3/�iNGC.c1r Knight Court - �3- 7
. PERMIT NO.
OWNER 1St Los Angeles Corporation - A.P.NO. 342 •5
MAIL BUILDING
ADDRESL1 Wilshire (a3_ Grand ADDRESS/��3�in16c.crCoU.e7^
Z. /// /
0 U CITY LOS Angeles NO. 625-7341 TRACT(P(>6.5 LOT-44 BLOCK .
Z C CONSTRUCTION 1st Los Angeles Corporation NEW ADD ALTER REPAIR (MOVING DEMOLISH
a- m LENDER
,J r BRANCH
J V) OWNER A-Y L /7 t,A let.
m
UJ J ADDRESS#1 Wilshire Q Grand �n' VALUE
m ARCHITECT ,Earl G. Kaltenbach TE`547-8046 USE/C $��i.�La��
J Q OR ENGINEER N
UQ - FIRE _ 4�yj
„WCL ADDRESS1823 E. 17th, Santa Ana ZONE T E GROUP V�- / Vd w APPROVED
W Z CONTRACTORThe Buccola Company BY DATE
J Q
m Z
Er AODREss4501 Birch Street
LL lLTEL. ZONE NO.OF USE OF NEW.CES.0 ./ Tr
Z F CITY Newport Bixa Beach NO.540-8833 X,/ PLANS az, BUILDING cye a.4,,,t,
STATE CITY YARDS APPROVED YARDS APPROVED
N CC LIC.NO. 146423 LIC. NO.2104 MAIN BUILDING ACCESSORY BUILDING
' 7O ' . (FROM C/L STREET)
SIZE NO.OF BLDGS.
OF LOT 78' X 97, IRR !NOW ON LOT 0
FRONT CO FT. • FT.
USE OF
EXISTING BLDG. ,• R SLOE FT. FT. -
F SIZE OF 2 16 S ft NO.OF 10 1 7 '
Z NEW BLDG. 5 - ROOMS STORIES L:SIDE -7 FT. FT.
EXTERIOR WALL ROOF •
V COVERING COVERING Shake REAR 4.2_7 FT. • FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
C' MAIN BLOCS. ACCESS. BLDCS.
CL
Q _ /1.1:41,0
// - /i/ C.�/� VAR.aF` DATE
O / I (�G� 1 C.U.P,# APPROVED
I—
- APPROVE
?,-)LO 6yo/n OATEJ- C7 7-2'
z HOLD FOR SPECIAL REQUIREMENTS
0 I hereby acknowledge that I have read this application and state '$TATE .2;‘,-5.--
D that the above information is correct and agree to comply with
CC all laws regulating building construction; and I shall not employ 07 f02/ Q / co-
1-
o
N any person in violation of the workman's compensation laws of rbc. (/ !/
V) the State of California. SO V 03
I hereby certify that I am properly licensed as a contractor under TA.` ' F . o
the State of California Business and Professions Code, Division 3, THE 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: a
am exempt from the provisions of the State of California Business'
•
and Professions Code, Divis' Chapter 9. _ VALUATION / ��
PERMIT FEE $ 6 f7 1N •
.
eSignature of r �^0
Permittee $ �W�-PLAN CHECK $ • ✓ 3 ..2 E
• J
Authorized.Agent - • �'`
+' TOTAL FEE .$ Ste,765—
LL