HomeMy WebLinkAbout587 TRAVERSE DR - Building PermitsINSVECiIDN 8 TESTING EN6INEERS
GHEMICAL b VHYSICnL ANnlYS15
0.ADIOGR�PHY X�R�Y GAMMq RAY
Y.O. Be. 1I • ]l10 ni.por� Wey
Lonq B�.ch, CJIi. VOB01
�:n� .zo-vss • Izul e�sz3ea • Pul eze-a�z
,)u 1 y 14, 1969
Since IB98
RESE�RGN 6 EN�IRONMENiAI iESTING
CORROSION ENGINEE0.ING 8 ANALY515
UlT0.�SOrvIG MAGNEiIC 8 PENEiRANT
ISI��D No�IA H�.pe� S�iae�
S�nf. �n.. C�li(a�ni. V1103
�nq vi.xas
Examination: SC69-3174
GUIVITE
COMPRESSION TE5T5 ON7QC�CYLINDERS
Jos. M. Henley
1973 Newpart Blvd.
Coeta Mesa� California 92627
PROJECT
ADDRESS
15 x 34 Staim Pool far ALAW GREE[.Y
587 Traverse Dr., Coata Mesa
SAMPLE FROM Z"ifl- Bottan Ikep End. 2-�2- Side Wall St Light.
2-�3- Bond Beam Deep $nd.
�RCXITECT CONT0.RCTOR
Lester Paley Sltnaet Yoole
ENOINEER SUeCONTR�C�OR
Century Gunite
SPECIFIED
MIX 4 saCk - 1 tOn STRENGTH Z�000 p8i
DA?E CAST
DAiE TESTED
Siae:
CYLINDER NO.
COMPRESSION
TOTAL LOAD, LBS.
POUNDS PER 50. �N.
COMPLIANCE
6-16-69
6-23-69
5-3/4"x12-i/4"
1• .
7-nay
ios.soo
4,062
6-23-69
S-5/8x22�
PB0.IECT ROOflE55: S 8% TRAVERSE UR uxir:
OWNEH'S NRME: GREELEY ALAN W
. ' � RODflE55: SB% TRAVERSE DR
COSTA MESA,CA 92626
RflCMIENCINEEfl: flEG.NO.:
p00PE$S: UNIT:
PEFMITTEE: AI.L—COAST ROOFING ( 714 ) 65U-2244
ROONE55: ZLO% WALLACE AV
COSTA MESA CA 92627
LICENSEo CONiflRCTOfl OELLAflATION: I nere�y allirm Ihat I am licensea unCer o�ovisions of Cha ter 9(commencing with Section
7000� ol Dbnsion 3 ul Ihe Business an0 Pmiessions Cotle, anG my Ik¢nse is in tullforce an�
ciTr uc.: 5 9 2 srnre uc.: 5 9 8 4 4 0 cuss: C /3� 9_�
Oaie'. � Signalure: _ _ _�/
WOBREBS' COv PENSnT N �ECIABRTION: I AereUy allirm t�al l have a certili ol cansent ro self-insure or a cenilicate of Workers'
Comcenution Insurance. or a cenifiea coDY �hereot �Section 3800. Lab. C�.
POLICY NO.: EXP. ORTE:
COMPANY:
❑ Ceniliea copy is hereby tumishetl. ❑ Cenilietl copy is �ileA with �he ciry Building Division.
Date: Applicant:
E%EMPTION FqOM WOBNEBS'COMDENSPTION OFLLPNATION: Qhissection neetl nol0e complete4illhe permiti5forone huntlre4�4100)orless).
I Cerlily Ihal in (he p¢ho mance o� Ihe work lor whiCtl Ihis permii i issued, I shall not emplo y sOn in any manner so as to become
5u01�� �o �e orkers Compensalion Laws ol Cahiamia.
Oate: SiA�aWrt:
NOTIL . I�. afler making this declaralion, yau SbOUIE �ecome SUGlect I t Woders' Campensa0on provisions o� lhe la0or
fAAe. you musi fonhwiln comply with such pmvisions or Ihis Dermit s be tleemetl revokee.
CONSTflI1LTI0N LENUING RGENCY: I �ereEy allirm Ihat Ihere is a constmt�i0n IenOing aAenty lof Ihe DetlOrmante 0� �he wark �or
wNc� I�is permn is issued (Section 3097. Gv. C�.
LENOEfl:
aooeess:
OWNER BUILDEB OECUIBATION: I �ere�y a��irm I�al I am erempl �mm Ihe fAnitaClofs' Slate License Law lor ine follovnng reason
(Seclion 7N7.5 Business ana Pmiessional Cotle', Any [iry ol county w�ich requires a permii lo conSlmci, alier, impmve, demolish, or
repair any SimcNre, prior Io iis issuance. also �equires Ihe aDPlicani tor such permi� �o �ile a signetl s�atemen� Iha� he/she is lic¢nsetl
pursuan� to Ihe pmvisions a� Ihe Contractors' S1ate License Law (C�ap�er 9(commencing wi�h Sec�ion 7000) of Division 3 0l ��e 8usiness
antl Prolessions Coae) ar Iha� he/she is ecempt Iherelrom anU I�e Uasis for �he allegetl exemption. Any violalion ol Seciion 7031.5 6y
any applicant �or a permi� subjecls the aDPlicanl �o a civil penalty oi not mare t�an tive �unEreE EollaR (I500�.
I. as owner ol ��e D�oDeriy or my employees wi�� wages as I�¢ir sole wmp¢n5aiion, vnll GO [�e work, and �he
❑ slmclure is nol intended or oifere0 for sale (Section 7044. Business antl Pmlessional Code: The Contracbrs' State License Law
tloe5 nol apPW �o an owner 01 a DmDe�y w�0 �uilds ar imOmves lhere0n, antl who tloes SUth work himsell/hersetl Or I�mugh
hiz or �er own employees. DmviQed �hat such imD�ovemenis are not imende0 ar otlere0 lor sale. II, however ihe builCing ar
impmvement 4 Sold within one year ol cam01¢tion, IA¢ owner vnll have I�e �urden of O�ovinA ��s�e Oitl noi �uiltl or imprwe
lo� Ine ouroose ol salel.
I, as owner af Ihe pmDehK am eKclusively conVacling wii� licensed coniraciors m mnslmcl ihe Dmlecl (Seclion 70a4, Business
❑ anG Pmfe55i0n5 COAe: Th¢ fqnlratioR' S�a�e Lit¢nse Law Uoes not apply �o an owner 0� prOp¢M w�0 OuildS or improveSlA¢re0n
anU w�o conVaps �or such pwjens vnlA a coniracror�s) license pursuan� �o Ihe Conlraciors' Sta�e license Law). 1 am aware
��� D�aol ot iheir worker's Comoensation insurance should Oe o«tle0 to me.
� I am exempt un0er Section: 8. 8 P. C.
for �his reason:
Oale: Qr+nec
I tlo �ere�y [ertify Ihal I am aware o� antl untlers�antl Ihe reQuirements of Calilomia Health antl Safety Cotle Seciions 25505, 25533, and
2553< and IAat I or any �ulure building accupanl willlwill no� (circle one) neetl to comply with 5ai0 5ta�e cotles and Ihe reQuirements for a
permil loi conslmclion or moditication Imm Ihe Air Ouah�y Managemen� Oistric�. Pesiaenlial [onslmciion applications are exemp� fmm
meu omvisions.
Date: Applicanl:
I �¢reby cerlify iha� I have rea0 ��is aOVlicalion and slale Ihai Ihe a�ove in�ormation is correcL I aqree lo compty wi�� all city antl couniy
aidinances aib slatelawirelatingto OuilAing COnsiru[tion antl �ereGy aurtlor¢ere0�esenlatives ' to e-ter upont�e above�menti0netl
pmDeM lo� � 5 c�ion rposes.
\Date: _ I �.� Signalure:
Driver's Licen e or Social Security x:
1646a6 Whpe—Builtlim: Green—Coee Enlorcement: Canary—Aoollcant; Pink—Revenue; GOI4enro0—Assessor
CTTY OF COSTA MESA — HUILDING PERMIT Y'x NU; � v�ylbi
PERMIT NO; B 059167 PLAN CHECK NO: N �Uvi; N'urr; tv
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTZON : T/OFF RESHT. REROOF W/COMP. SQ FT: 4,000
CLAIM VALUE: 9,OOO.UO CALC—VALUE: 4,000,00 GROUP OCC: R-3 /
COMMENTS; SMOKE DETECTOR RE�UIRED IN THE HOME
�*�r�r*�r�r*��******�r�*�x��*�r�r�r *�r��*�r�*�r�x�r�r��*�*****x***�**�***�+�*�**��*��*�r***��
Z O N I N G R E� U I R E M B N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
I.EFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARHING REO• PROV; PARCEL; 41602204 ZNE: REF NO;
PLANNING NUTES>
i�• •
1FlE �F 1E ib if 1F 3E 1F iE iF iE iF iE� �1F iE iF iE iE # 3F lE IE 1f iE * iE if �f If fF 3( if iE iF 1E if ib K� iF i(� iF iE iE i4 iE 3ElE iE ii� iE iE �lE IE iE if If iE 3E 1E if iE iE !E �1F iF fF iEJF if iE iF if iF if iF iE 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,1T S
20NING APPROVEij' BY DA'PE: '
BUILDING APPROVED BY : r= DATE; .�
APPLICATION IS,SUED BY; DATE; �
IE1FitiE1l��1FiklEiEiEiEjflFifAFiElE1Ei(�iflkft x . x . lEifiE�%iElEiEiEftif 1EiE
iE if ik k M�lf iE iE if iE lE iE ii iElE if iF if 3E it i! iE 1f 3E 1E �! if �F i! i1� jE ik 1f if iF iE 1E iE iF k if 3E if iE iE it iE iEiElF iF iE �! iF iE 3f IE iE if iF k �! it if iF �E 3FlFif �1E iE iE iE 3f if iE iE iE iF
LEGALIZATION:N� F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE �SMIP/RES GRADING
PERMIT 63,00 f ,50
PLAN �SMIP/NON—RES
ISSUE FEE �
i
BUILDiNG—DIV—> PERMIT ZSSUE PLAN—CHECK TOTAL �" PAID DUE
TOTALS----> 63,50 0.00 0.00 63.50 '�63.50 ,00
REVENUE DIVISZON TOTALS--> COLLECTED; 6�±.50 OVER/SHORT: ,00
BLD63P00 PLUM.BING ELECTRIC MECHANIC FIRE SMIP/TO�T .GRADING PLAN—CHECK
IF iE 1E iE iE if iE iE IE If 1k iE 1F±E iE iE iE iE iE iE if iE �F i! iE iE iE iE iF 34 if iE iE it ik 1F jf iE iF if If !E iP k IE if IE iF iE iF iE iE if if iE iE iE k ik ik iE if,.k # 1E k jf if iE if k iE ik iE if fE!! k-1F
I N D I V I D U A L F E E B R E A K D O W,-i�]
/'
TYFE QTY D E S C R 7 P T I 0 N UNIT COS`T TOTAL COST
SFR 4000 REROOF BY VALUE RESIDENTIAL N020NE 1,00�� 4,000,00
END OF FEES '
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�CONSTNUCTION AND PLANNING POOL & SPA
AlPROVALS Permit # � Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electrical Servic.e,ar Pole 52. Pool & Equipment Location ' ����
2. Soil Pipe•Undrgrnd. ':� - 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. � � 54. Forms '
4. E�ectrical Conduit-Undrgrnd."' S5. Electrical Bonding
5. Steel Rei�forcement 56. Rough Piumbing & Pressure Test
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Elecirical Conduit-Undrgrnd.
8. foundation �� i. • 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. � 60. Backwash �ines, P-Trap, � Undrgmd. �
�
10. Structural Floor System � �� 61. APPROVAL TO DECK ��
11. PropertY Sewer line & House Connection 62. Backwash & fieceptor��inal =�
12. Sewer CaD � '� 63. Heater & Vent�Final ��
13. Roof Drains t� 64. Plumtring System - Final
14. Rough Plumbing , 65. Electricai-Final y I
15. flough Electrical�Conduit 66. Solar System-Final
i 6. Rough Electric Wiring 67. Fencing & Access ApP�oval
17. Rough Wiring Sign 68. APPftOVED FOR P�ASTERING
18. Rough Electrical�T 8ar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT
20. Rough Fectory Fireplace APPROVALS Permit #
21. DuCts.in Structure 7p. Undergrau�d Nydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Tesc 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing C%.,�3��4c�_ 7q, pverhead Hydro
�
26. T-Bar Geiling (Structural) & Monocoat 75. Dry Chemical
27. Freme end Flashing 76. Dry Standpipe
2S. Lathing & Siding � 77. FIXED SYSTEM FINAL
29. Insulation � j 78. FIRE PREV. FINAL
30. Drywall Nailing f � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � � 79. FINAL INSPECTION
32. Electrical Power Meter-Final ��. _�;- 80. FOOD CERTIFICATE ISSUED
33. Final Electric 1 4�` (. 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 pomestirFinal-
42. BackfloW Preventer , , ,
43. Backflow Irrigation
44. Landscape Irrigation System Q��,3�1,,,� ��y�� �
s _�._
45. Sound Attenuation ��(/
46. Handic2p Regu�ationt
47. FINAL STRUCTURE & BUILDING ,�c� � �(,�/K
48. FINAL PLANNING '
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co ,�
51. CERTIFICATE OF OCCUPANCY
No. Date
SUBCONTAACTOR
� r4
245�36
"COSTA MESA BUILDING-SAPETY DEPARTMEM'
P.0.90X9f9 C09YpMEHA.CALIFORNIA
For Applicanf fo Fill In Complefely
TYPE OR PRINT
■ MAIL
COSTA MESA, CqL1FORNIA
/
5
LIC.TNO. \\ � Y�Q `,� NO. "_� 1 n C
OFLOT �O � `d� I do�
USE OF ^.
EXISTING BLDG.
BETBACK LINB FROM
CENTER OF BTREEf O REAR �
SIDE YARDI LEFT S I RIGHT
DESCRIPTION OF. WORK
�`a 12
I HEREBY A<KNOWLEOi
ANO 6TATE THAT THE
PLY WITH ALL CIT Op
BUILCINO CONBTRU If
SIGNATURE OF
PERMITTE
AUTHORIZED AGEIJT
TO BE
CITY OF C�STA �flESA
AUG 19 1965
For Offica Use Only
I RHCHIM' NO. I .
ZONING
NO.
YAROS APPROVED
MAIN BUILDIN6
20M GL BTftEET/1
•r�r .�Jl� rr ¢:. S
VAR. $t
NO.
`/S— /Ji'�
S (o/-- �+
6NALL BE LESB THAN
YAROSAPPROVED
ACCESSORY BU ILDINO
DATE
j
► � � so. �. xo•� � � �
MAVB PEAO TMI6 APPLICATION TH8 AMOIINT BNOWN UNOER VqLUAT10N I6 POR THE F
^.O 0.ECT AN AOREE TO COM- PIIRPOSE OP EBTABLI8HIN0 p PEqMIT FEE ONLY. 0
� BTwTB 8 PEOOLATINO ypLUATION QQ ��04 m
PERMIT FEE $ j
m
8�3 3� � � �� o
1 TOTAL FEE $ � ' � �
OWNER
�� T
PROP.
FOUGH HEATING ANO AIR CONDITIONING
TEMPORARY SEfiVICE OFi POLE
UNOERGROUNO POWER �
ROUGM WIRING
TRENCHES � FORMS � STEEL REINF.
FLOOR SYSTEM
BOND 6EAM STEEL REINFORCE
SHEATHING Q'�'
FRAM�LASHING
LATHING - IN n OUT �]
PLASTER, BROWN COAT
HEATING, VENT.,
PLUMBING, FINAL
DATE
SUBCONTRACTOR
f �� 30288
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX1200 COSTAMESA,CALIFORNIA92626
For Applicant to Fill in Completety
BUIIDING �1
ADDRESS Q
OWNER �(.i
MAIL ��
CITV
BRANCH
ADDRESS
ARCHITECT
ADDRE55
CONTRA
ADDRE��3
CITV �
STATE —
UQ NO.
SIZE
OF LOT
USE OF
EXISTING BLDG.
SIZE OF
NEW BLDG.
EMERIOR WALL
TEL.
NO.
TEL.
GTV
�IC. NO.
�—
INO. OF BLDCaS.
NOW ON LOT
� NO.OF
ROOMS STOF
ROOF
COVERING
AND WORK TO BE PERFORMED
I ho�eby acknowletlge [he[ I have reetl this application antl state
thot the ebOva informotion is cOrreet and OBree to comply with
all lews repule[Inq builtllnB consvuctlon, antl I shatl noi employ
any purson in violatian of [he workmnn'e compansation lews of
tho Staro ot Calitomia.
I he�eby certity that 1 em properly licensatl as e canttacior untlar
Ne Stete ot Celifornia Busineu antl Professions Code, Oivizicn 3,
C�epter 9, antl Net m licenus are in �uli for etfect, ar I
em ex¢mpt from the r isions of the State alif nia 8usinecs
ontl Professions Cotle ivision 3, Chaptar
sipnatu a of
Permitte
Authorizetl ABent
SiAY 16-69Ppt�OO7077� *�**
cnsa 34.5C
APPLICATION FOR BUILDING PERMIT
PECEI D�) DA REy�IV�� pp�
�� �
P MITfy O.
A.P. NO. � � � � ��iJ'1
BUILDING
ADDRESS
TRACTSh76 LOT7� BLOCK
OWNER
FIRE ✓
ZONE
APPROVED
VA�UE �J
YC� S O�
DATE
NE NO.OF USE OF NEWJ
PLANS p� BUILDING
VARDSAPPROVED VAROSAPP
MAINBVILDING ACCESSORV
�ISTANCE BET. BEl', MAIN &
MAIN B�DGS. ACCESS. BLD
VAR.3W OATE
C.U.P.#�' APPROVED
_— m
b
SQ.FT. o
THE AMOUNT SHOWN UNDER VALUATION IS FOR �
THE PVRPO6E OF ES7ABLISMING A PERMIT FEE ONLV: Q
VALUATION 6b y
PERMIT FEE $ �'—' �
QO `� 7
/� // m
S _/�� PLAN CHECK 5// E
O" o
� ' /�f"O LL
TOTAL FEE 5 �