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Home My WebLink About510 TRAVERSE DR - Building PermitsJJ'_CT YO�BESS: S 1 O TRAVERS E DR uxir: OWNEN'SNFME: FORD, ROHERT A FLOOD; X 47 AUOPESS: l T �+ �OSTA�`�E�A��AP� 92626 AflCH/ENGMEEF: 5 9 6— 4 6 z 6 noox[ss: HEG.NO.: uxiT: PEPMITTEE: DIAL ONE ALL COUNTY ELEC. ( 714 ) 997-121 E nooa[ss: 171 S. LZNCOLN ORANGE CA 92666 UCENSEU CONTFACTOH UECLAPFTION: I hereby a�lirm Mat I am licensetl under D�ovisions o� Chapter 9(commencing wi�h Section 7000� oi �rvision 3 0� Ihe 6usines5 and Pmtessions Cotle. and my license is in �ull brce antl ellect. ciTruc.: 035 25 STPTELIC.:918(32'� cuss: �10 E Q: 00/00 � Oate:��9��'j- Signa�ure'. — �� WOflNEflS' COMPENSATION OEClA8pTI0N: I �ere�y a��irm ��at I Aave c ifica�e ol consent b sel4insure or a certilicaie ol WoMers' Compensalion Insurance. or a cenilietl copy Ihereol (Section 3800, Lab. roucvno.: 1339870-99 E%P.OATE: O4/OL/9S comrnxr: STATE FUNDR ❑ Cenifie0 copy is �ere�y WmisheQ y� Certifie0 copy is file0 with Ihe city Builaing Division. �Date: 7/�'�� Applicam: �!� e e � E%EMPTIONFAOMWOflNENS'COMPENSATIONOECIABATIUN: (Thissec�ionn¢e nl�ecomDle�etlil�hepermi�isloronehuntlretl�3lfq�orless�. I cerlity thal in the pedormance ol the work far which Ihis permi� is is5ued I 5 II not em0loy any person in any manner so as to �ecome su�lec� lo the Workers' Compensa�ion Laws ot Califomia. �a�e'. Signalure'. NOTICE: It. after making �nis aeclara�ioq you snoultl become subjetl to ine Workers' ComDensation Dmvisions ot �he Labor Cotle. you musl lotl�with comDty wilA such Omvisions or �his permi� 5hall 6e Oeemed revoked. CONSTflUCTION LENOING PGENCV: I nereby affirm ihat ihere is a consiNcOon lentling agency tor ihe De�ormance of Me work for whic� �his oermit is issuetl (Semion 3097. Civ. C�. LENDEX: R�DflESS: OWNEP BWLOEH OECU1flATI0N: I hereby aflirm t�at I am exempt irom t�e Contractors' State License Law for Ihe lollowing reason �Seclion 7031.5 Business an0 Professional Cotle: Nny ciry o� counly which reQuires a permi� Io constNd, al�er, impmve, demolish, or repair any stmcNre, prior �a i�s issuance, also requires t�e applican� tor such permit to file a signed sta�emen� ihat he/she is licensetl Oursuanl lo I�e pwvisions ol f�e Coniracmrs' Slate License Law (ChaD�e� 9lcommencing with Section 7000� oi Division 3 of ihe Business � � CITY OF COSTA MESA — B�ILDING PERMIT pSRh1IT N�?t E Ok��(}:jj{ PLAN IHE�Fi Dlt�: N CONSTRUCTZON TYPE; 5—N PEP.MIT TYPE: ELE JOH DESCRIPTION ; SERVICE UPGRADE CLAIM VALUE: CALC—VALUE: PERM NO: E 069038 GOVT: N SUPP; N PURPOSE: OTH SQ FT: GROUP OCC: R-3 / COMMENTS: NO "B" PERMIT FOR REFERENCE. **�+r�x-x-x*x-xx--x��-x*�-**�r�r-x�-x�*�r�r-�-�x�r�*�r**�x�rar-��r�r�**�r+��x-x-��-x-*�r�r�r-��r�r**x+r*-�t�-�x�*-��c�r***�#**�r�� Z O N I N GS ERTEBQAUCIyRSE M E N T S ------------ MAIN BIIILDING ---------- --------- ACCESSORY BOILDING --------- FRNT; FT IN REAR; FT IN FRNT; FT IN REAA; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGKT; FT IN PARKING REQ; PROV; PAACEL: 41803105 2NE; REF NO: FLANNING NOTES> > iE if it iE if iE i! if jE 1E i! iE !F if iE jE if if iE it if iE 1E jt iE iE �1E %k iE iE i6 if it iE i! iE fE iF if iE �)t %K iE iE if 3F jF 9E jF k iE iE if iE if 1F i: iE iE 1F 1E #�E iE jF 3F iE iE �f if ik if ik 3F iF * iE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVEL� HY DATE: bUILDING AFPROVED BY ; � DATE: APPLICATION ISSUED BY; � ' DATE: 2 �f� iEiElFiEiEMififiEitiEjEikihi(�ifitiliEiEifit�EltiF�F�iFit�i��fif�E�ieif��k$�E +f '1F�f1E�t;t3F;F�iEiEiEiEiEkiElfiEitiEfe # iE jE k iE iE if it iE 1E it if it iE iE iE 1E iE iE iE fE iE iE iE iF iE iF iE iF iE fE iE iF iE iE if if iE iE 1E iF iE it iE fE jE 3E it k i! ff 9E 9E iE ik iE it iE i! iE ft iE it if iF tF iE iE if iE !F iE if if iE iE iE iE iE iE LEGALIZATZON;N F E E S 0 M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING PERMIT 18,50 50& SMZP/NON—RES ana Pmtessions Catle� or that ne/sne is e�empt merefrom ana the tasis for the alleAee exemption. Any viola�ion oi Section 7IXi1.5 ey pLAN any appiicam ror a oermn subiects tne apoiicant to a civii penauy of not more than ii�e nuntlreo oonars �5500�. I S SUE F EE 1 5, 0 0 i. as owner ai me pmoeny or my empiayees with wages as their soie compensatian. win ao me wone, ane me BOILDING—DII.r—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ simaure is noi inten0e0 or ofieretl lor sale (Seaion �oaa, Business anA Pmtessionai Coae: The Comracmrs' State License �aw TOTALS----> 1 8, 5 0 1 S, 0 0 0, 0 0 3 3. 5� 3 3, 5 0 , 0 0 tlaes not apply m an owner of a pmDerty who builtls or improves thereon, antl wha does such work himsell/herself or Ihrough his or her own employees, Dmvided �hal such impmvemenls are not intendea or oflered for sale. I�, however the 6uilAing or impmvement is sold wi�hin one year ot compielion, the owner will �ave the Curtlen o� pmving he/ihe tlid nol huild or im0�ove RE V ENt)E L� I V I i It�N T�JYFIH. a--'+� Ct.1LL ECTED • 3 3. S O OVER / SHORT • � � �ormeourPoseo�satel. BL➢G PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRALIING PLAN—CHECK I, as owner ol Ihe pmDehY. am exclusively conVacting wi�h licensetl con�radors to consimct �Ae pmject (Section 7044, Business 3 3. 5 0 ❑ anA Pto�e55ions COAe: The CAntrati0r5' Sla�e License Law does no� apDly Io an owner oi pmperty who builtls or improves �hereon ' anOwhocomracisforsuchprole��swithaconiractor�s)Iicense0ursuan�totheConiractors'S�a�eLicenseLaw).lamaware .K.,�.,�..�..�*.�.�.,�.�,.�.X,***�.,�,�*.�,*,,�..�x,.�,*,�,*,*,******„�,�*,x,*,**„�,*,�***,**,�,�*************************** �hal pmo� ol Iheir Warker's Compensation insurance shoul0 be pmvi0e0 Io me. � I am e�emp� untler Setlion: B. 8 P. G I N D I C' I D U A L F E E B R E A K D O W N br Ihis reasore TYPE QTY Date: Owner: I I tlo h¢reby t¢N�y Ihal I am aware of and un0er5iand Ihe requiremenis o� Calitomia Heal�h anG Sa�ery Code SeC�ion525505, 25533, and EL E 25534 an0 ihat I or any luture builtlmg occupant willlwill not (circle one) need to comply with said state co0es and ihe repuiremenis for a permi� for wnstmciian or motlifica�ion Irom the Air �ualiry Managemen� �islric�. ResiUential consVuction applica�ions are exempt lrom ihese pmvisions. �ate: Applicant: I hereby certily ihal I have reatl �his applicaiian an0 stale Iha� �he a�ove inlormalion is correct. I agree �o comply wilA all ciry and counry arainances antl siate laws relatmg to buil0ing constmciion and hereby authonze representatives of I�is ciry �o enter upon ��e aDove�men�ioneA propetly( f'or inspeclion purposes. �Oa�e: z /� L /�y Signaiure: Driver's License or Social Securiiy N: 16<La6 WOite—Builtling: Green—Cotle EnlorcemenP, Canary—ApplicanC P�nk—Revenue; Goltlenrotl—Assassor 1 D E S C R I P T I O N SERVICES BELOW 600 V 6 BELOW 201 AMP � END OF FEES UNIT COST TOTAL COST 18,50 18,50 V O1 OQi686?7—pQ76Sbi7 i C�T 33.`0 DAiE: 09i29/44 TI19E: 20:3d CONSTRUCTION AND PLANNWG µ POOL & SPA ..� APPROVALS Permit # Date Inspector APPROVA�S Pe�mit # Oate Inspector � i. 7emporary Elecvical Service or Po�e 52. Pool & Equipment Location 2, S�il Pipe-Undrgrnd. � 53. Steel Re(nforcement f 3. Electrica( Conduit Utiiity-Undrgrnci. � 54. Forms 4. Electricai Conduit-Undrgrnd. - 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plum6ing & Pressure Tesi 6. Electric:;l UFER Gind, 57. APPROVAL T6 COVER•GUNIT[ 7. Footings 58. Electricai Conduii�Undrgmd. 6. Poundauon 59. Gas Pipe, i7 Undrgrnd., Teet � 9. Prater Pipe�Undrgrnd. � 80. Backwash Lines, P-Trap, Cl Undrymd. 10. STrucWral Floor SYstem , fil. APPROVAL TO DECK i i, Property Sewer �ine & House Cor,naction 62. Backwash & Receptor�fina! 12. Sewer Cap 63. Neater & VenDFinai 73. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical�Finai 15. Rough Eiecvica!-Conduit . 6fi. Solar System-Final 16. Rough Electric Wiring 67. Fencin9 & Access ApProval 17. Rough VJiring Siyn 68. APPROVED FOR PLAS7ERING 18. Rough E3ectrical-T Bar Ceiling 69, POOUSPA SYSTEh;iS FINAL 19. ftough Heati�g & Air Conditioning - FIRE DEPT. REQUIRENiENT 20. Rough Factory �ireplace APPROVALS Permit # 21. Qucts, ir. Structure 70. Under9round Hydro 22. Ducts, Ventilating 77. Product Piping rl Gas ❑ O�i 23. Gas Pipe�Rough & Tes 72. Underground Flush • � 24. Roof Framing 73. Undergmd. Storaye Tank O Gas ❑ Oil ; 25. Rooi Sheathino 74. Overhead Hydro 26. T-Bar Celling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. lathing & S'iding 77. PIXED SYSTEM FIt�:AL 29. Insulaticn 78. FIRE PREV. FINAL 30. Dryavail Nailino HEALTH DEPT. REQUIREMENT 37. Piasrer Brown Ccat 79. FINAL INSPECTION 32. Elzctrical Pow2r MeterFina� �,��[ / 80. FOOD CERTIFICATE ISSUED 33. Final Electric _ �D �•��' Notes ' 34. Final Heating & A�r Conditioning 35_ Final Gas Pipe-Test - 36. Hood or Canopv 37. Final Factory Pirepiace � , 38. Final Piumbing 39. Water Service�Final ; 40. Gas Serv�ce-Final 41. Solar pomestic-i-inal 42. Backfiow Preventer 43. Backflow �rrigation 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Regulations 47. PINAL STRUC7URE & BUILDING " 46. FINAL PLANNING " 49. Electric Release xo Ed+son 50. Gas Release to Southern Cal(fornia Gas Co 5L CERTIFICATE pF QCCUPANCY No. Date �� 2 � ��"� �`�� Twiniaq Laboratories ��f ��u��=,� ��fO212«�, ��u —z�� . 33�O.iup�,:t'd..., .,�..d,nc�:.c,,..PO �o..�I Ln,:3..�rr, Ca�080� .'3 �t>5?J55 .?!3 u36'3AG i]t.:�A2E-6-'.' 7ESTIn!G -;�.:�.,-.�o:�,�� .s ::,. ....... . , -.. s� ...,, �.. . � , .. � ...- JUne 2S, 1979 EYamina�ion: SC�9-3162 COMPRESSION TESTS ON GUNITi3 CYLINDERS hir, Errol P. Heesch ' �� 12927 Aspenwood Lane �/� Garden Grove, California 926U0 PROJECT Pool� for ROHERT FORD �V AQURE55 510 Traverse, Costa t9esa SAM?LE FROM Gunite 3wimming Pool - small pool - on.ly 34 ton 6' deen - no spa .c�wi,Ect corn�cL�.,: ' Sw8:1 i Oo1S (NCi^�Fk% 565C0•+iRaCIJv Century Superior Co. � � SPECIFIED M�X 1�� _ 1 STRENGTH Z 000 pS7. DATE CnST DATE TES7E0 CYLINDER NO. COMPRESSION TOTAI LOAD, 185. POUNDS VER SO IN � 6-14-79 6-2ti-79 1 10-Day 59,000 2,485 r CYLINDER SIZE /�1: S�° X 12-3/��t' �12: 5k'� x 11-3/4�� 6-21�-79 2 10-Day 70,000 2,945 CO MPtIANCE 10-Day test comp�ies with speci!'i^aitons. MADE E� OCt!vFvtO B� PtCf.�"fi vN CYLINDERS Larry itee�ch 6-15-79 o�s�cieunor+ E, F. Heesch - 2 Century Superior Gunite Co. �'^�*^ Mesa Eildg. Dept. �:`i)'�!� i:y -,�'_. .—��-y]-�� -.---�� 1- `� 1�• CTRODPESS: SLO TRAVERSE DR uxrt: �bWNEH'$NRME: FORD, ROBERT A FLOOD: X 47 aooeess: 510 TRAVERSE DR COSTA MESA,CA 92626 546-9626 AflLN/ENGINEEfl: RODPESS: NEG.NO.: UNR: rcRrninee: PETERSON ROOFING (714)444-4499 noneEss: 3006 ENTERPRISE COSTA MESA CA 92628 IICENSED LONTBALTOP DECNBRiION: I h¢reby aflirm Iha� I am Iicen5e0 un0er pmvision5 0� C�aDrer 9 �wmmencinp wit� Sec�ion 7000� ol Oivision 3 0l �he Business ane Pmiessions Caae. ana my lic¢nse is in lull fo¢e anG Clleci. ciTruc.: 095445 STATELIC.:EO%H�IZ c ss: C 39 E^P; 07/95 �aie �,� � Sipnalure: _� _ _ _ W RE � CO ENSPTI N DECIANATION: I hereby alfirm �hal I haue a certi�icate ot cons�o selbinsure or a certi�icate ol Wofkers' ompensation I�n,{u a �,o a c ti ie�,copy ��ereoi (Section 3800, Lab. C. POLICY NO.: 1"� �-� � 1�� E%P. OATE: � 3� 2 O I 9 S ❑ etlih¢tl [opy is IlereUy lumishea. lJ Cerli�ie0 tOpY �5 'll�tl wi�� th iry Buil ' g Divisio . q N/1 Oa�e: ` �� AVPlicanc �f�� E P710NFNOMWHREflS'COMPENSATIONOECLAPpTION: (This5etlionneedno�betompleltlil�hepermili5larane�untlrea�5lW�arles5). certily �AaI in �he petlormance oi the work lor which t�is permi� is issued I s�all not employ any person in any manner so as Io 6ecome sublect Io I�e Workers' Compensa�ion LawS ol Califomia. Daie: SignaWre: NOTICE: If, al�er making Ihis Geclaration, yrou shaultl become SUGject Ia the Workers' CAmp¢n5ali0n provisian5 0l Ihe labor CoOe. you mus� lannvnih comDly with sutn pmvisians or this permil shall be tleeme0 revokea. CONSTNUL710N LENOING RGENCY: I Aere�y allirm ihat there is a constmction IenAinB agency for t�e pedormance oi ihe work far wnicn Ihis Oermn is issuetl (Setlion 3097. Civ. C�. LENOEfl: ADDHESS: OWNEH BUILOEN UECIAXpT10N: I �ertDy a��irm I�al I am erempl IrOm t�e CantrattOrs' State License Law for tAe lollowinp reason �SeCiion 7031.5 Busine5i anA Pmie55ionai Cotle: Any ciry ai taunty w�it� reqUires a permil Io ConSlmti, alfe�, impmve. Oem01i5h, Of reDair any siNclure, prio� to its issuance. aisa repuires Ihe apP�icant for such permit to lile a signe0 siatement thal he/s�e is litensetl pursuam to ine Omvisions ol Ihe CanVacmrs' SIa1¢ License Law (Chap�er 9(commencing wilh Seclian 7000) ol Division 3 0l �he Busineu anU Professions Coae� or Ihal helshe is exempt iherefmm antl Ihe basis for Ihe allege0 e�emo�ion. Any violation af Section 70.31.5 by any applitant lor a oermil suojecis �ne aoolicant ta a civil penalry of not more ihan live nuntlretl eoltars (E500�. I. as owner of t�e pmpeny or my employees with wapes as iheir sole compensaiion, will do tAe woA, an0 t�e ❑ slmclure is nol int¢nEed or allered lor ule (Section 70aa, Busmess and Pmfessional Code: ihe Cantracmrs' State License Law Uoes noi appty to an Owner o� a pmDeny who 6uiltls or imOroves ihereon, anJ wtlo tloes such wod himsell/hersell ar �AmupA his or Aer own employees. pmviAeO t�a� such improvements are not intenaea or oifere0 for sale. II, �owaver ihe �uilainA or impmvemeni i5 Soltl wiihin on¢ year o� comD�eiiOn, �he owner will �ave lhe bur0en ol pmvinA he/S�e tlitl nol build or imOmve far the purpose ot sale�. I, as awner o� Ihe pmpetly. am eKclusively contrac�ing wi�h licensed conlractars to cons�mcl lhe pmleci (Section 7044, Business ❑ antl Pm�¢SSions COtle'. The COnirat�Ofs' Slaie LicenSe Law Uoes noi aODly �o an owner o� D�opeRy who bWlds Or impmve5 ih¢reon and who conlracis lor SucA pmlec�s with a tontractor�s�license pursuanl�o ihe Canlrac�orS' Staie Licenie Law). I am aware Ihal O�ool ol I�eir Worker'S Compen5ation insurance should be Orovi4e0 �o me. � 1 am exempi unacr Seclion: B. a P. C. lor Ihis reason: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 069087 PERMIT NO: H 069081 PLAN CHECK NO; N GOVT; N SUPP: N CONSTRUCTION TYPE; V-5 PERMIT TYPE: STR PURPOSE; ALT JOB DESCRIPTION : T/OFF REROOF W/30PSF LITETILE SQ FT; 9,464 CLAIM L�AL[JE: 9,469,00 CALC—VALUE; 9,464,00 GROUP OCC; R-3 /M-1 COMMENTS; SMOKE DETECTORS REQUIRED PER 91 UHC , ZCB01t 4660 *x�#*x-��rx��r***�r�r�*�r�t**t��r**�r**tt+rir*ir+t��rx�*+t**+�+r*�rir��*�rfr�rir�+rxx�*�rtr�r**+rfr�*x�;r��r*�r�r��rx�r#w� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAZN EUILDING ---------- FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN --------- ACCESSORY BUILDING -------- FRNT: FT IN REAA: FT IN LEFT: FT IN RGHT: FT IN PARKING RE • PROV; PARCEL: 41803105 ZNE; REF NO: PLANNING N 'I'ES> > iE k iE iE iE # if if iE iE if iE if �i! it i! iE if iE 7tlF'k if it ik it iE i! it iE iE iE iE il' iE iF if iF iE iE iF 1E iE i! iE �lE iF it # iE 1f # it iE ik ## iF # iE it i5 �A iE k it iElE it ## if ?t i* iE iF # iE D E V E-L O P M E N T S E A V I C E S R E Q tI I R E M E N T S ZONIAdG APPROVEP HY , DATE; BUILDING APPROVED HY ; DATE; APPLICATION ISSUED BY: DATE: � *ir*�tt��riF�r*itit�rfrititititx�i�it�rfriF3FTe3FiF3FTr'iF��r3F +r� : :�T,FiFii3F�r�r3FiF3e'iFi��eTiF3FiF*i�**x�itk*�-�E -irir ihifiEiEiEitiEitiExitiliFiFiEitlFiEifiEiFiFifiFil�iEMifiEiEiEiEifiEkitiEi,'iEiEiklklEitiFiEiEiEkftiEitiElFifitifiFkiPitiEiEiEifiE#iEiEfE iE ititjfihitiF LEGALIZATION:N F E E S U M M A R Y STRUCTUAAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 117,00 ,g5 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ZSSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 117,95 0.00 0,00 117.9/5/' 117,95 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 117,95/ OVER/SHORT; ,�0 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 117,00 ,95 1E 1F iE # i! iE if iE i! 1E if 1E 1! if iE jf 1t iF iE 1! k k iFltlf if 1f %?k iE iF ie iF fE iE if iE ih iE # 1F iE if iE !E jE iF if ik fE i! 1E ik ih 1! iE iF i(� 1f iE if if i! iF jf 3E jE if iE i! i! iE jE iE iE jf iE k>k I N D I V I D U A L F E E B R E A K D O W N TYPE oate: owner: I SFR I tlo here�y cenity tna� I am aware ol and unCers�antl Ihe reQuiremen�s of Cahbmia Heal�h anU Salety COUe Sec�ions 25505, 25533, and 2553a and ihat I or any Iutme DuilEing accupant wilUwill not (ci¢te one) need to comply with uitl state cotles anG tlle repuiremenis for a permit lo� con5imciion or moEilicaiion imm t�e Air Ouatiiy Managemen� Oistncl Hesidentialconslrucfion appli[alion5 ar¢ exempi Imm mese o«sions. Oare: �p�icant: I hereby ceriityt�al I �averea0 Ihis apDlicalion ana s1a�e�halihe aboveinlormation is correct.lagreeto comply vn�� all city anA county ordinancesantlslalelawsrelalinqtoGuiltlinqconslroclionan4hereEyaWhonzereDresen vesoi��isci ioenterupont�ea6ove�mentionee pm0en i ins0e��ion Dur0ose5. /c �.l /� ''� a�e: l l Lf_ Signalure:!!/—. — / riv s �icense or Socia� Securi�y w: $ 1646a6 W�ne—Bmldmg�, Graen—Cotla Enlorcemenl'. Canary—ApplicanC Plnk—Revenue; Goltlenmd—Assessor QTY D E S C R I P T I O N 9464 REROOF BY VALUE RESIDENTIAL NOZON6 END OF FEES UNIT COST 1.00 TOTAL COST / 9,464,00 , / V S��E DET ��7-n��q 1 0016�773-�O1o3774 T E�T 117.9i RCry,�� r�✓�'�DAT"c. 10/03J44 TIME: 1Q:36 C �d6/ _2. �CONSTRUCTION AND PLANNING POOL & SPA qPpROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector 1. 7emporary Elecvicak Service or Poie • 52. Pool & Equipment Location ' 2. Spil Pipe�Undrgrnd. 53. Steel Reinforcement ( 3. Efectricaf Conduit Utitity-Undrgrnd. SA. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcemenc 59. Rough P�umbing & Pressure Test I 6. E4ectrical UFER Grnd. 57. APPRQVAL70 COVER�GUNI7E 7. Footings 56. Electrical Condwt•Undrgmd. 8. Foundation � 59. Gas Pipe, u UnUryrnd., 7est 9. Water Pipe•Undrgrnd. 60. Backwash ��nes, P-Trap, L Undr�rnd. ' 10. Structural Floor SYscem � 61. APPROVAL TO DECK t t. ProPerty Sewer �ine & House Connection 62. Backwash & Receptor-F�nat 72. Sewer Cap � 63. Heater & Vent�Final 73. Roof Drains 6�1. Plumbing System - Final 74. Rough Plumbing 65. Electricai�Finai 15. flough Electrical-Conduit 6G. Solar SYstem-Pinal 16. Rough Electric Wiring 67. Fencing & Access Apqroval 17. Rough Wirinq Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL 19, Rough Heating & A;r Condit�oning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit � 21. Ducts, in Structure 70, Underground Hydro 22. Ducts, Ventilating 71. Product Piping C7Gas L70ii 23. Gas Pipe�Rough & Tzst 72. Under9round Fiush 24. Roof Framing � , 73. Undergrod.StorageTank OGas ❑Oil 25. Roof Sheathing 1�17� --�� 74. Overhead Hydro 26. T•9ar Celling (Structurall & Monocoat �� 75. Dry Chem�cal 27. Freme and Flashing 76. Dry Standpipe 28. Lathing & Siding • 77. FIXED SYSTEM FINAL 29. Insulation 76. FIRE PREV. FINAL 30. Drywall Nailing NEALTH DEPT. REQUIRENIENT 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power MecerFinal 80. POOD CERTIPICATE ISSUED 33. Final Electric rT /f / / D � Notes: �' f.�4 .�a �Ui C /"CG�tQ/�S ��/'3,7 q� _ � 34. Final Heating & Air Conditioning � ��L%%y/ � � 35. Finai Gas Pipe-Test . 36. Hood or Canopy � 37. Final Factory Fireptace . � � 38. Final Plumbing s 39. Water Service�Finai l� 40. Gai Service-Pinal " 41. Soiar pomestic-Final � 42. Batkflow Preventer 43. Batkflow Irrigation 44. Landscape Irripation System 45. Sound Atienuation 46. Handlcap Regulations 47. FINAI STRUCTURE & BUILDING //�p,/ � i1 48. FINAL PLAPjNING 49. Electric Retease to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE dF OCCUPANCY No. Date -5�a �,��.esc �_ll��iia�.,�� :\<lucesa —/C OB�•eT �R.r� _.0; m e r J�L!/f_1.V /Oc�LS _,__CunCTaCCuC cr.i�Y or cos<<� ru:sn DI�:P:\I2'Ptli`!T Oti ISUCLDLiG SAFE'CY ReglsCered Deputy Iiuilding Inspector CerCif±cace�uf Co�apliance _ J�•fivT.9_�jLq . Address _ 1'et7niC lln[c Date oE this Ce[Ci[1ca[e �i'�/U�l Niimber .�/�'7S Issued - . � G —l�' 75 'Lb [hc Uirec[or of 6ui7ding S:tCety: � ~� I hereUy certify tha[ the folloiaing porClor.s of work on�the buildings at CLe ahove address which required contitinous ir.spec[lun and i.hich I taas employed to inspect, wr.re in:;pecCe_d by me and con:ply iai[h [he provisi.ons �of [he I3ui1d1ng Code app'licaole thereto. . �, �1) �Concrete � 3) l2clding 5) � Special Cases 2)-. - 21.asottry_ � .�� 4) . yeinf�irced,.GYFsw� � �- . . Swimmin� ,'001 Slie 3d ��,Yi,S .� c�,:ie� - t� Hand Pack � � " Sarks Cemcnt �.3� Tons of Sand �y Appro:.imate % of w�ter .L� s�eccy,a�e,_,�"f0 _ 'i'h:ts rr,�or[ covers wnrk compl.ete<! dnr.ing t:eak ending �/(�'%J� ,va�,n,ino: �� qyl.A . ✓7 r� � .6 ��° , � �`' �M4tG D�% t / � ' .. TJan:c 11 ILDL - _ _ Acldieos`C79?P.f�_C2�✓� ._ �, " //�� n Lcoor�CorY_ �W/!{l/NG_le��ttaE_C.o,)Telephone._�^!�]/._=39_S_6� . Fo �;a 9t1 6 ' vni�ru1 I 70B ADDRESS GENERAL or in SUBCONTRACTOR v ZONE 246►2 =5A BUILDING-SAFETY DEPARTMENT ,91] � C09TA MEBA� CALIPORNIA .1 For Applicanf to Fill In Complefely t' � TYPE OR PRINY BUILDIN6 � ADDRE54 COSTA MESA, CALIFORNIA OWNER � AD RE93 �;4�1 A S� � ..• CITY OF COSTA MESA AUG 19 1965 APPROVED ar NO. s � `3 N S ��-t.v. ZONING _ zoH rvo. or ue¢ or rve " PLANB� eU1LDINp � �CTOR � � • / 'II � � ,�� neacn�rttoN b �� CA.P.NO.IT —V� —� ) NOTE: NO EAVE OVERHAN6 3HALL BE LE93 THAN q�/_� No .''�ag S 90' TO SIDE @ REAR . L. ,a EAVES '�/ ^/t NO.OP0L�09../i qLLOWED (U.B.C.REOUIREMENTI � /� �h`/ V I NOW ON T �� VARDB APPROVED YARO9APPROVED G BLo6. �' MAIN BUILDIN6 AGGESSORY BUILDING i ' fFROMGLSTREET) , L�NEFROM / PRONT JCJFT. �' F7. iF arrtee� � REAR YAR S b RDI LEFf S1 I RI�HT � ' R.SIDE � Ff. FT. DESCRIPTION OF WORK . s�ofi �Fr. Fr. BUILDIN6 SIZE EXTERIOR APID WORKTO B8 �� VAR.�}j I DATE C. U. P. �j _C� APPRO(V�ED � APPROC � w _ ��. ...�� V "I k �� o SQ.FT. � 1 HEREBV ACKNOWLEOOH TNAT 1 XAVB RPJ1D TXIB APPLI'WTION THE AMOUNT BHOWN UNDER VFLIIFTION IH POR TH8 �' hNO 8TAT6 THAT TX8 ABOVE 18 COqqECT ANO AOqEE TO COM. PURP08H Op EBTABL�9HIN0 • pEqM�T FEE ONLY. � PLT WITH ALL TY ORDINANCHB N� BTATB WB R60UUT�NO � aUILO1rvO coNS RION. VALUATION m0 f.�Q� N SIGNATUREO ' PERMITFEE $ �! j PERMITTE �� C m /J1 S AUTHORIZEDA6ENT S�� 1 A / ,� 4 TOTAL FEE OWNER DRESS �AP No.418-031-05 LOT INSPEGTIONS Pool Location �Forms Main Drain Steel Reinforce Elec. Bond � Approval to Cover Underg�ound Electric Gas Piping Test Filtering System Lines _ Backwash Lines and Recep. _ Electrical Final Heater and Vent Fi�al _ Filter SYstem Final Backwash and Recep. Final _ Fo�� Final TRACT Si natore Dafe C� C `A: � .C, 6-/$. C .C.. .L° 7•10= .0 i-10- DATE 5 BUILDING PERMIT DESCRIPTION of WORK Pvt FiRE ZONE VALUE $ 6 00' GROUP TYPE SUBCONTRACTOR Date Electric ° Plumbing >� ~ USTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ' Applicant to Fill in Completely — Use Ink Only BUI�DING Yn f� ADDRESS J //" V OWNER OR�, Cib /� TENANT / Lh v MAILING �/O ��fA(/G,C-UC� ADDRE55 �� .�_ .�. _ ._-rYJ TEic/i//d. f C a a � y F ci � F Q � ,.i ¢ > � .� a v� a � � 0. Z W ri 3 CONSiRUCTION LENDER BRANCH ADDPESS �6N, ADDRESS CITY'�,N-7q. t-\�(� NO.(Q��C STATE CIT V LIC. NO.��(d�(o LIC. NO. SIZE �,�/x ' ^ / NO.OF BLOGS. OF LOT � � �p�� NOW ON LOT USE OF EXISTNG BLDG. Separate permits are required for electric, plumbing and heating work: VSE OF BVIIDING AND WORK TO BE PERFORMED APPLICATION RECEIVEO BV ■.- �- -i v-i A.P.IVO. �'I D^O�1 �O� BUILDING ��\ �� ADDRE55 � UNIT OR SPACE NO. — 7��0.�� LOT/�� (O lLJ NEW ADD ALTER REPAIR MOVI OWNER use L 0 APPROVEDSETBACKS H. SIOE I / FT O ! L. SIDE I I FT.O / REAF R FT.Q PLANNING ACTION VALVE PERMIT 60. I hereby acknowledBe that I �ave raatl this applieetion and rtem that tha above informat(on is corraci antl agree to comply with all laws repulatlnB builtling conrtruction, an0 I shall not employ any pe�son In vlolation ot tha wo�kman's compansation laws ot Me $tat0 of California. p� I hereby certify t�at I em properly Iicensetl az a contractor untler SQ. FT. v Ma S[ata of Californie Busineu entl Protauions Cotle, Divtston 3, THE AMOUNT SHOWN UNDER VALUATION I: Chapmr 9, antl that such licenses ere in tull force antl atfact, or I THE PURPWE OF ESfABL6HING A PERMIT FEE C am exompt from the proviaions ot t�e Stata f Californie Businass VALUATION PERMIT FEE E 1— D entl Profess n Cotle, D'41 Ion 3, Chapter . Signetuw of i PLAN CMECK S D Parmlttee ' � � � 5 7qX S Authorizatl ABant Date � � / r � � �� ^' TOTALPAID E �/ /. ) TL' ICKTD �y- m � i m m 7 R m m �� v� � m m 0 � LL i u