HomeMy WebLinkAbout1653 UTAH CIR - Building Permits I.-, ,
CITY OF COSTA MESA
�earn
rnis.4s, BUILDING DIVISION
40. � ' 77 FAIR DRIVE,COSTA MESA, CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
i FOR INSPECTIONS CALL: (714)754-5626
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PERMIT NUMBER: BX11-00273
PERMIT TYPE B_MISC STATUS: ISSUED
APN: 13907328 DATE ISSUED: 08/25/2011
Zoning: ISSUED BY: CAC
JOB ADDRESS: 1653 UTAH CI CM' Suite/Unit:
Vicinity: „L^j.��^-a4r Primary Occ: Const Type :??
SO. FT: 0 Valuation: $4,000.00
SCOPE OF WORK:
CONSTRUCT 6 FOOT HIGH BY 40 FOOT BLOCK WALL.
OWNER: ROCHE,THOMAS E Address:: 1653 UTAH CIR Unit -
City/State: COSTA MESA, CA Zip Code: 92626-2239
Phone:
APPLICANT: ROCHE,CINDY Address: 1653 UTAH CIR Unit:
City/State: COSTA MESA,CA Zip Code: 92626-2239
Phone: 714-241-0309
CONTRACTOR: License No. f 3
Address: Unit:
City/State:
Zip Code: Phone Cell:
ARCHITECT: License No.
Phone
ENGINEER: License No.
Phone
FEE SUMMARY
Building Plan Check: $63.21
Building Permit: $97.25 _
Electrical Permit: $0.00
SMIP Residential $0.00
SMIP Commercial $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES $161.46
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010-PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal Holidays:
New Years Day, Memorial Day, Independence Day,Labor Day,Thanksgiving Day and Christmas Day
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No. 92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE S. INSPECTION TYPE DATE INTITIALS CODED INSPECTION TYPE DATE ' ' IN1ITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing .
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval """""'" ..... """'
203 Final Sign 222 Final Site �/ . <: f„
204 Final Demolition 250 Final Building/Occupancy V 9. 9t_II-..
WORKERS'COMPENSATION DECLARATION: 0 - t. • • flied by drivers lliiccense. []ryes ❑N
I hereby affirm under penalty of perjury one of the following declarations: •river's Lic se No.( Expires: 7—
❑ I have and will maintain a certificate of consent to self-Insure for workers' •- ' ation of Ownership by(type of document,i.e.-properly tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance, as required by
section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gm
(This section need not be Completed if the permit is valued at one hundred dollars(5100)or less.)
2,Art 2,Sec.341,Title 8,Califomia Administrative Code).
Policy Number:
0 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
Applicant's Signature Date
the Labor Code. I shall forthwith comply with these provisions.
Division of Industrial Safety Permit Number:
Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No
Lic.# Class# (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
Contractors Signature Date hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work far which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors (Sectionrmt n bee0.2 of the Califomia Govemment Codd requiresbuilding thnt the requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information furnished on applications for non-residential permits).
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by Califomia
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No
thereon,and who does such work himself or herself or through his or her own
8. (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I. as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant t eContractors License Laws. . certify under penalty of perjury that I have read this application and state that
I am exempt under sec. grist l(/�1 eh(r let the information given is correct. I agree to comply with all state laws and city
�` �t ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not occupy or allow occupancy of any building
autho • ay this p- it until fi al n t' n.
CIL • Zak- Cr- Signatur. w e tel
- ate
305746(3/07) And/or Authorized Applicant Date
I
y, Block /Masonry Walls on Private Property
LO3�- Sp.
10(0
t. - 1i=/ Building Permit Application
� !a1
'o yy Submit to Development Services Department
77 Fair Drive, Costa Mesa CA 92626 (City Hall, 2nd Floor)
Step 1 Complete Section A, OR Section B Step 2 Complete Section C, OR Section D
Section A Section C
Indicate Length&Height of Wall
VL`
t, (L)x (H) m (11IHAVE Eobtained the following ParlyWallAgreement:
It is hereby agreed that a party wall will be constructed on the
— . — L — — — . — . — . 1 , property line between(provide addresses below).
E = I Proposed block walls I m
FL D- and
x House I . o
a in Costa Mesa.The party wall shall be permitted to straddle
S • o the property line.The following parties have entered into this
.a I I — m agreement.
z — . .
' • Property Owner
Properly Indicate Front
Line ,, Setback Signature:
r r __Feet
1 . T • 17 • 7 •I I• 7 • I Print Name:
Interior Lot Address:
Section B Adjacent Property Owner
Signature:
Indicate Length&Height of Wall Print Name:
k(I ILI x (H)
Address:
" i Proposed dock walls I
I I — Section D
rouse I x p< I HAVE NOT obtained a Party Wall Agreement:
• Attached are specifications for a masonry wall to be
- I 3 constructed entirely on my own property.
•
Landowner
Indicate Front !AU I
PropeM _ . n sM �l ,\-e
Line ya�c2 Setback Signature:
T _ (0 Feet t���,
ir .I . 7 • T 17 . T • 1 Print Name: l tJ�A eNt
y0/ L` C ornerreo) Address: \Li 52-) �''(^N ` C\`(C.`t -
• Note:See fences and/walls hand``outt for setback requirements.
3241-46 WMe-Cay.YClbw-ApptlCmt
• City of Costa Mesa APPROVAL
CITY OF COSTA MESA - [Created: 8/25/2011 10:36:40 AM] [Scale: 49.88] [Page: 8.5 x 11 /PortraJity of Costa Mesa Planning Div.
Subject to Building Division Begs.
-A_jj Revision must be approved.
e 1
Required for tong I n
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eaata 2/teaa eat" Dadathk
BLOCK WALL
Masonry Fence Detail & Footings
❑ PARTY WALL AGREEMENT SIGNED BY NEIGHBOR REQUIRED FOR FOOTING A or B.
Continuous (4`9
concrete cap
mu-
p' '--bond beam
1 00 * E
' s Hall Detail
lir Horizontal Bars /V�/ For reinforcement
*4 at 32" o.c. , I size and spacing
ii
Vertical Bars ii'
#4 at 32" o.c. y4,5 :FOOTING S
1, s Hii. eight Depth of
of Hall Footing
b 110
g
• 3' 4' 24"
' c / , 6' Block 5' 30"
rCs'm %I % ¶[ ,,
#4'5 6' 32"
Q %l r� Alternate bend
Na- Into footing 3' Gil
Il/, Of FOOTING A 12.
5 14e10t. Width of
X of Nall Footing
rn 3 44's 3-4' 18" ALTERNATE FOOTING B
5' 24'
1. Width of Footing .1b' 26'
MASONRY FENCE DETAIL & ALTERNATE FOOTING A
❑ PARTY WALL AGREEMENT NOT REQUIRED
FOR FOOTING C. GENERAL NOTES
1. Concrete blocks shall be Grade N units.
y / :e Wail Petal' 2. Use F'c = 2500 psi for concrete footing. Type V
For reinforcement oadspacintngFOOTING G 3. Reinforcingsteel shall be A615 Grade 40 or 60.
size and
IP
4. Fill all cells containing steel with grout, including
i PHell* Width of
of Wali Footing bond beam.
��
! 5. The wall shall be plumb and all block courses shall be
3'-4' 22"
level.
5' 30" 6. Reinforcing steel splices shall be a minimum of 24".
3 >14's b' 34" 7. The first course may be set in fresh concrete for
footing.
8. Planning regulates the height, location,and design of
I. Yddth of Footing the wall based on the zone, location on the property,
and design standards. Planning must approve the
FP_ ALTERNATE FOOTING C plans prior to any permit being issued.
3240-46 pgt
,
Inspections
All walls must have the following inspections. Do not proceed to the next step without approval from
your building inspector. Any deviation from the City standard will require an engineer's approval.
1. Footing - Excavation and rebar is complete. No concrete can be placed until the footing is
approved.
2. Pre-grout-Block is placed and rebar placement is complete. No grout until approved.
3. Final - Wall is grouted and all construction debris is cleaned from the site. Gates must be
installed for final if the wall is a pool barrier.
COSTA MESA BUILDING DIVISION MASONRY PILASTER
-_
~WV1
-____. Pilaster Cap
2'-0" Pilaster Cap
imp.. 3" Clearance
Ili
f
��p1 4-#4 vertical re-bar��110 w/6" hook in foundation
gal
Property Line :t;a + w
�4`i
2 ..www pyo
#3 re-bar baskets ; �� ? a o
�y @ 16" on center �� m v
zo
iiimig
ti
t':i A_i Q
tab, :; ;<e ®t ;III
_ Line of foundation of
cp/ mI =III pilaster below:
III 2'-0" x 4'-0"x 18"
w/2-#4 bottom long.
III ... ..
: - w/4-#4 bottom trans.
III = —
11 _
_ PLNVIEW
It IH - III (F)
4.
Notes:
1. All cells shall be filled with grout.
3240-46 pg2
__--�� City of Costa Mesa (Building Division
Costa77 Fair Drive, Costa Mesa, CA 92626
Mesa 714-754-5273 / Fax 714-754-4856
OWNER BUILDER VERIFICATION
Permit # -(3VkI,-O0Z-13
Disclosures & Forms for Owner- Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit hap eubmitted in your name listing yourself as the builder of the
property improvements specified at /3 (iJ / i .
We are providing you with an Owner-Builder Acknowledgment and Information Verification Form to make you
aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner-Builder. We will not issue a building permit until you have read, initialed your understanding of
each provision, signed, and returned this form to us at our official address indicated. An agent of the
owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting
authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
Oki. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-
Builder" building permit that erroneously implies that the property owner is providing his or her own labor and
material personally. I, as an Owner-Builder, may be held liable and subject to serious financial risk for any
injuries sustained by an unlicensed person and his or her employees while working on my property. My
homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder
an am aware of the limits of my insurance coverage for injuries to workers on my property.
.—% 2 I understand building permits are not required to be signed by property owners unless they are
responsible for the construction and are not hiring a licensed Contractor to assume this responsibility.
3. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that
I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his
/orr yhh/errnname instead of my own.
•
/ r4. I understand Contractors are required by law to be licensed and bonded in California and to list their
( license numbers on permits and contracts.
understand if I employ or otherwise engage any persons, other than California licensed Contractors,
d the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may
be considered an "employer" under state and federal law.
•
CS6. I understand if I am considered an "employer" under state and federal law, I must register with the state
and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and
contribute to unemployment compensation for each "employee." I also understand my failure to abide by these
laws may subject me to serious financial risk.
/ 7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family
esidential structures cannot legally build them with the intent to offer them for sale, unless all work is performed
by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of
the work is performed under contract with a licensed general building Contractor.
3148-30 CALBO Jan 1, 2009 OB Packet template 1 of 2
( 8. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable
for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent
construction defects in the workmanship or materials.
7 041 understand I may obtain more information regarding my obligations as an "employer" from the Internal
Revenue Service, the United States Small Business Administration, the California Department of Benefit
Payments, and the California Division of Industrial Accidents. I also understand I may contact the California
Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information
about licensed contractors.
r . I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand
that I am the party legally and financially responsible for proposed construction activity at the following address:
. I agree that, as the party legally and financially responsible for this proposed construction activity, I will
abide by all applicable laws and requirements that govern Owner-Builders as well as employers.
CL.-1-2-7-1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the
finformation I have provided on this form. Licensed contractors are regulated by laws designed to protect the
public. If you contract with someone who does not have a license, the Contractors' State License Board may be
unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against
unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed
Contractor or employee of that individual or firm is injured while working on your property, you may be held
liable for damages. If you obtain a permit as Owner-Builder and wish to hire Contractors, you will be responsible
for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner
and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's
driver's license, form notarization, or other verification acceptable to the agency is required to be
presented when the permit is i ed to verify the property owner's signature.
/ Signature of property owner FCV< Date: t iN a c
/ . I
Note: The following Authorization Form is required to be completed by the property owner only when
designating an agent of the property owner to apply for a construction permit for the Owner-Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I
hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents
necessary to obtain an Owner-Builder Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent: Tel No
•
Address of Authorized Agent:
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled
out the above information and certify its accuracy. Note:A copy of the owner's driver's license, form
notarization, or other verification acceptable to the agency is required to be presented when the permit is issued
to verify the property owner's signature.
Property Owner's Signature: Date:
3148-30 CALBO Jan 1, 2009 OB Packet template 2 of 2
r
4` 9 CITY OF COSTA MESA -
BUILDING DIVISION
•
• ;.
> N 4, 4. , DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
4 PIMPERMIT
B05-00641
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1653 UTAH CI Status: ISSUED
Suite: Applied: 04/18/2005
Vicinity: ROOF Issued: 04/18/2005
Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N
Parcel Number 13907328 Zoning:
Applicant: ELIAS DAVILA ISSUED BY:
Address: 19651 EDUCATION LN.
Phone: (714)968-6135
HUNTINGTON BEACH,CA Zip: 92646
Owner: ROCHE, THOMAS E
Address 1653 UTAH CIR
Phone:
COSTA MESA,CA Zip: 92626-2239
Contractor: E D ROOFING SYSTEMS CO
Address: 19651 EDUCATION LN.
Phone: (714)968-6135
HUNTINGTON BEACH,CA
Zip: 92646 License: 672009
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 1 LAYER OF 30#FELT,40 YEAR ELK PRESTIQUE, FLAT AREA WITH 4-PLY ASSEMBLY HOTMOP,
WHITE CAP SHEET ON TOP AND REPAIR/REPLACE SHEATHING AS NEEDED.28 SQUARES INCLUDES ATTACHED GARAGE.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $7,000.00
Permit: $139.25 Claim Valuation: $7,000.00
SMIP Res: $0.70
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $139.95
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
fora period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00)
• 'k
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to sell-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ Ihave and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
—My workers'co�>Lpsatlon Insurance cardaLend policy(umber are: 2 _
-Carrer: C ( q% AJC{' CPolicy.Number: �J 4'- 3 9 7 C)p
-(.Thrs'section need not be completed it the prmif rs valued at a hundred dollars($f00)or less.)
❑ I certify that in the performance of the work for which this permit is Issued,I shell not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that If I should ome subject to the workers'compensation provisions of Section 3700 of the Labor Code.I shall forthwith
comply with these pro to s//.// 0e/—
Applicant.Signature: P
„ Dare:, / g-
-.- ^Qy
f WARNING;.FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMP(DYER'TO CRIMINAL PENALTIES AND OVIL FINES UP TO ONE HUNDRED
--T/IOISAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby af6nn'that tam licensed under provisi ns o Ch 1 9(commencing with Section 7000)of Division 3 of the Business aj3 Professions Code,and my license is in full
force.and.effect,Lic:a=
to-7 /'"Classa (�';�
-Contractor - is - Gl7/7 (j l Date: x O0— /X — a,(—
CONSTRUCTION LENDING AGENCY: /
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097.Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,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 of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or 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).):
❑ 1,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Lew does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion.the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title B,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation.certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a permit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes u No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No
(If yes”,the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes ❑No
8 (if'yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penally of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify undor penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above- ed property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
JO
Signature Of Legal Owner(s)• Date
CEP..4 , _ ‘7 / — r - os .
And/Or Authorized Applicant' (—Date—
ODE r IWSPECTIQNTYPF QdIE Q1lITIALS COOL INSPECTION TYPE DAIL RQQIALQ
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof —Z t e` 210 Final Electrical
201 Final Block/Retaining Well 212 Final Fire Prevention
202 Final Factory Fire Place _ 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
I
PROJECT ADDRESS: 1653 UTAH CI0NIT` CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 059896
OWNEWS NAME: TRAPP HAROLD L ` m
ADDRESS: 1653 UTAH CIRCLE PERMIT NO: B 059896 PLAN CHECK NO: N GOVT: N SUPP: N
I - COSTA MESA,CA 92626
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT
662-7344
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF REROOF W/HOT MOP & SHAKE SQ FT: 7, 800
ADDRESS: UNIT:
CLAIM VALUE: 7, 800.00 CALC—VALUE: 7,800.00 GROUP OCC: R-3 /
PERMITTEE: PETRONELLA ROOFING ( 714 )548-1645
ADDRESS: 2626 NEWPORT COMMENTS: REROOF 2800SF RESIDENCE +fit *y}��E+� +�e�r �gp
COSTA MESA CA 92627 �E+ESE+E�E�e�P�E+E�e�E.�E�f�r�E�E*�r�E�E�Er�r.�Ex�f�E�P�E�P+E+ESE+E�E�E�E.**�E�P�E�E*�f�rTE�E..�E�E�f*�ESaunC SJVrir VI-1
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G R E U I R E M E N T
7000)of Division 3 of the Business and Professions Code,and my license is in full torce and effect. SETBACKS
Din LIc.: 032605 STATE LIC.:00460707(�--�sJuss: C 39 ����
Date: 11— (o'cf^2— Signature: C J t '� MAIN BUILDING ACCESSORY B� QG
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to serf-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Section 3800,Lab.Cl.,,, LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
, POLICY NO.: WC115706 EXP.DATE: 1 /O1 /92
-. Comma"Y: GOLDEN EAGLE PARKING REQ. PROV: PARCEL: 13907328 ZNE: REF NO:
❑ Certified copy is hereby famished. IK Certified tom iS . '.th the cin Building Division. PLANNING NVTES>
o— 2 c *******IFIflFlflflflflflfltlfiF#iFiFiFifiFlflFltlfiklkifkk**MIFlFlflfitifkik******IklF******M******* flflflFkifififlfkiflf
C EX J3' Applicant'
FROM WORKERS'COMPENSATION DECLARATION: (flus section need n01 be completed it the permit B for one hundred($100)or Ie551. DEVELOPMENT SERVICES REQUIREMENTS
I certify that in the pedormance 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 Workers'Compensation Laws of California. ZONING APPROVED BY • DATE: .
Date: Signature:
NOTICE:II,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. CZ. . (
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY. DATE• Lk#J O ( I(��'
-1-
which this permit is issued(Section 3097,Civ.C). if if lEit iE it Mil iE iE***If*iEif*iE if if if*If ff**it if***It**■IF**itif*If** If IE*It**If if if iFM*k1E if MIF*ilk***al1E *IE of*kIf
LENDER: iFltkkMiEMIFlf1E1ElEIFlflf****if9flflflElPifllkkikklEiflElElfkBFMiFiFMlf3f#9ESflElflfif****klfkiFlElf9FMifiFlf9flEiFik3fiE#Rf1EiE#iflf
ADDRESS: LEGALIZATION:N F E E S U M MAR Y STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 99 . 00 78
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed
SM I P/NON—RES
pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 al the Business PLAN
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(S500). ISSUE FEE '
I. as owner of me property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT' ISSUE PLAN—CHECK TOTAL PAID DUE
'7 structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 99 . 78 0 . 00 0. 00 99 . 78 99 . 78 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himsell/herself or through .
his or her own employees,provided that such improvements are not intended or altered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 99. 78 OVER/SHORT: 00
imforptheepurpo a ofsale).sale)hn one year of wmpleUon.the owner will have the burden of proving he/she did not build or improve BLDG99 PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOTE GRADING PLAN—CHECK
I,as owner of the progeny.am exdusivelv contracting with liLened contractors to construct the project(section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Slate License Law).I am aware ****** f♦Ekk*k**k******MM*IF**kMkkkMCf*M♦E****♦Eklf*♦fMlf*M*k♦Ek Rf#♦E*****#tt******* flfiflf*ktt*
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL . FEE BREAKDOWN
❑ I am exempt under Section: B.5 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: owner: SFR 7800 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 7, 800. 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 wilUwill not(cirde 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:
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
ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes. Cl—a---- ` — L
Date:_�— L V 9-2— Signature: .r. ,
Driver's License ar Socias Security.: - . .
1641 46 White—Budding:Green—Code Enforcement Canary—Applicant:Pink—Revenuo:Goldenrod—Assessor
4r.7--'.--••
CONSTRUCTION AND PLANNING' I & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole _ 52. Pool & Equipment Location
..1“..
?. Soil Pipe-Undrgrnd.. rt ^,'f 53. Steel Reinforcement
c r - •
rrp TE(@ctriRal Conc'PYSility-bndrgrnr s 54. Forms
Ju
-t El ctrleel CondCitu:kgdrgrnd. Orr• 55. Electrical Bonding
Hyy.. ITrel RPinforce'>Th t t)'>c
56. Rough Plumbing & Pressure Test 5
C.�'.t�G lBctr . o -G
4nical UFE$ dtr! 57. APPROVAL TO COVERUNITE ,L
-
•_'`Lostings 0 58. Electrical Conduit•Undrgrnd. ^
8,=Foundation m o 59 . Gas Pipe, 0 Undrgrnd., Test `o
•Water Pipe-Uncrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. .
10. Structural Floor System :n 61. APPROVAL TO DECK
--rr
11. Property Sewer Lint& Htttlse Connection 62. Backwash & Receptor-Final
'a •S -,
12. Scruilver Cap t`
y Q 63. Heater & Vent-Final
13. Roof Drains rt. 64. Plumbing System - Final
-. ca
14. Rough Plumbiy t'• - . 65. Electrical-Final
' 15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electri Wiring 67. Fencing & Access Approval
17. Rough Wiring thgn 68. APPROVED FOR PLASTERING
18. Rough Electrh 1-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
c- - . .r"- c: - S., ., 7 S:=tmF u; a F N
20trRo , h F�ctouy Replace trtrl <`" * 0 Cr* * 'APPROVALS CZOPetrhit# r >' fr
C>3- , W ,rt F� Z< a: S e-, 72 * f gx Q i2,..1;-;t- :> * 7
21,)u{ s, itStrycttf et ,. HS *: S a r7+* * 70. Under tc t Hy;ro 7. tr1
tc to S,.. .ie a - .n , .T. . I .CJ ,D
22. Ducts, 4�Antttatiri2q,:s CJS * S ‘4* ..* Z71, ProducITT p}hg tl�E,�i s 0011
23 -Gas`Pip to'S h &• est * g.: F'* '` _72. Under r lf' Fl`us a
`5
r, tr15 *to % •. O x *x 9 . * F 5
24tcRoaf Felrnirng n* , FE- ••F * r> 0 cr * * i73CUndergrn�.Stor runk'OGas• OQMI
^r m . •a 2 ._. : a nt*tso
25. Ro�•f Scathing C.* cc ., /* lT. C 5 Vx z S74�(3yerheadCI-lydro:t°
26n...1( -Qsr Ceiling (Structural) &51Aocecoat ' to O ma ' 757 Dry Chemical -1.43 * •• =
.. -. V n -„ 0* * r^, t tr
27 Frame and Flash" * oo * ., Ot a< S N tC
a a ._,txtK . 7 > �:t * 76 Derry StanSje F e 0
;r28� Lathin
t . • 0r. -tT1 ;..r, �. ' a. r* * z - I41-, X .^
g- t $ inguar v.' v.4= T_ tt S ••k 777 FIXED S'fSTEMt1NALy cr
>29. Insulati8'n o tr. O S •• • > 7 tr1 I * z 782FIRE PREY. FIt'JAL t> ix y
tr30. Drywalttlailtng cut * 4 * -I NEALTI;ITOEPTi; REOUIR5MENT
p. _ k r S 030 t` - K
C131. Plaster fovycp.`:af, S i tr., *w. y ,, r,79.FINAL IMECTQN r o = J
.32eflectrical PoyerIettt*Finall * Cr) .. x r1801gFOOD CERTIFIlialTE ISSUED
1...3311AE#tric s �, i $tri
K �Nti£Ps: iliv , 2 -yi __ r•(/_-6-`G`i .. v_int....... )fre
(.03'13 c :t n�i Heatingf& F,i�,Copditigne�t� n * ,c * ry = S x -� / sow
.is .t .-. . .-� ., s ;� .� . (`r F.. r__ -.
35 PF mal Gang Pil)P-Tesfr nix '1 *. * c' n tiS * r SO
6Ho `�'. :t trf • ••r, -5 ill
D 0d o(Cano py + D I tr.,. -. - n c * z 7z no :e. 4 tr
,3 7CFir1,0 Factory Fire a 1 Str' a, .. CO * * >' n * to
` a * cc 1 .- .. L CO -r ' 3 eL rr w a
x.38. Firtej Plgmbing N t c_ * • *r *4 S e-% * rtr O
'539. WatEr Seevice•Finalc .1 m * I I a
* n ,in T.e 0
?a0. Gas Service- nal "` v. * 5 t•-•al • st [r7 en
' 7' " [n cc
> rn i * ow L.-ill t
`E - ,r, W • S7' '�
FR1. Solar Domestic-Finals C -- * O: * * rte -
n K rn * k * tr „7S * :.'t D
t-'42ackf low Prevente, K r N r 0 a s:7t •y ;-t S
b
1. .-, .: .D.01,-
43. Backflow Irtratiorr ZCSS •* * .t U I-CO 'f. O '-"
* D. .t S . . V ,- t t1 •
.4 'Y:n
mm *. s ,FN * 3 ..) 0
t 44. Landscape I atiy-Systerpttr,CJ Q . tr 0 0 G* * ,v N 0) ::� .. ill 0
u, t., .. �-t .a ._ .y ;C... .:: D S F_ a "'a7 : S :
A5CSound Atteijuatiorr .--+t>;- '* Y Z F I- r* * ^ 1-. -i tr a' a`;.4
.r .-r .. .. -' to ,n in:. r. - 7 .T < • '.••
*
O 6-Handica` Re ulati hs '' 4: CI •• '• •-*' *. 5-•:.-- •••'�
P. 9 .-1a *: :R * C tC -s am S *.
•47,c�I1yAL STRtiCTUHE & BUILDING y`/� I !' T. :1 -r:
48g1f L PLANNING ' . 'I t*•R• `ri tK R `,
U FF 7 N * ... rt lr7 ^t t
�- w . -� 1 ry ,. .� S r •L •
0490Eleetric Release to,Edison 1 s , * * ± iF I t t-f m
Z, * * t TI . •CI * 0
1.r
050as�Re ase to Southern Cal�fo-q)ia Gas Co I k y ill.,� e • ply .. S o•
y ^ ,. 5 :JC .. ..
,t51. CERTIFICATE OF. OCCUPANCY v , , „
1r10 F. - 0
No. Date
• Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA M SA CS NST• UCTION PERMIT PR T O TRACT NO. LOT NO. UNIT NO. ,
�00 0 •
6056 10/27/86 FaM TL
Project Address _ /'� .ter/
�/d �1 • TYPE OF CONSTRUCTION U NEW: JADE) LJ ALTERATION yylfEPAIR
Applicant's Mallin Add/// Ir���e5,,,5�s ' KJ` ? ❑ CONVERSION CI DEMOLISH CI OTHER
fA,p•# Zone
Owner's Name _Tr_ Phone � t�p7 y DESCRIPTION OF WORK/USE OF BLDG.
Address r '' S Main Building: . Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT LJ GRADING FOUNDATION ❑ STRUCTURAL E Front O
Address • CI TENANT CI ELECTRICAL PLUMBING ❑ MECHANICAL B N
ts-Qgms — Rear
Contractor's Nam• /L�� / /:/ / 'hone ❑ OTHER • A I
,p / / PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
Address(mailing) f7 ! , ���7 ]/V • K -
CONSTRUCTION TYPE VALUATION$ s Left R
City License No. A ` A' ZONE . GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION - - Ping. Ref.# •Parking Req./Provided • E
Z...; I hereby affirm that I am licensed under provisions of Charter 9 (commencing RemSrkf: �, I ��� / ----- ' Planning Notes: Q
with section 7000) of Division 3 of the Business and Professions code, and - .L'z.c+�.-.—s�� ./.1►+� g R]�(•rt�C�t• `-�y M
I my license is in full • e and effect. , ��{►G� `{.7 bT
!icons- I..s _ Ad '.e = N-. • it • - S
iDate _ _ — Signature � ���._ ,r sr" PLUMBING FEES
WORK -5' OMPENSATION DECLARATION Bar Sink Showers
I hereby aff rm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section I
3800, Lab. + Backflow Preventer Service Sink ' Automatic Washer Transformer 0 15.50 KW
X1/4.1 9/a.. . i. •
Policy No. �— Co ._/s iaew.> Backflow Irrigation Sewer Cap , 0 50+KW
[.-Certifled copy is hereby furnish•-. ' Construction Pole Sub.
DateGer 1/rer1c ,Js filed with the ity B :ant •/./f Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date ,/&l/d'�J,2 ApPlic. Zw X16, .
EXEMPT(O FROM WORKERS'COM-- , Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the perm . . . .... -100)or
less). Dishwasher Solar Piping Dryers ❑Gas DElectric . 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 '
Workers' Compensation Laws of California. Motors❑0-1 HP ❑1'h-6
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 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
comply with such provisions or this permit shall be deemed revoked. Urinal • Fixtures Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet
I hereby affirm that there is a construction lending agency for the performance Device Boxes Pole Light
of the work for which this permit is Issued (Section 3097 Civ. C.)
Interceptors ` Water Heater - Outlets Range
Lender's Name
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 Garbage Disposal
following.reason (Section 7031.5 Business and Professional Code:Any city or 9 P Standing Sections .
county which requires a permit to construct,alter,improve,demolish or repair P—Trap •
Laundry Trays Generator DO-5 KW ❑5-15 KW
any structure, prior to Its issuance, also requires the applicant for such permit 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 1
enalty of not more than five hundred dollars($500). rI`r
U 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 I $15 Issue Fee $ 3
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
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that sucn improvements are not intended or offered for Boiler Hood or Type I ❑
sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date
pletlon, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground !
rrove for the purpose of sale). Building Approved By •
cDDate b( �C`
U I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural ll
Refrigeration System Application Issued By cD bt ' Data / (Itl
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 FEES
builds or improves thereon,and who contracts for such projects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware thatExhaust System ❑ Multiple❑ System Repair/Alteration BUILDING PERMIT $ SMIP -$
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# MI Fire Dampers �C' ISSUANCE -$ • I
PLUMBING $ c�
Date Owner Heating System& Ducting Registers ENERGY P.C. $
PLAN CHECK 25% $
I hereby certify that I have read this application and state that the above ❑4100,000 BTU 0100,000 BTGRADING $
information is correct. I agree to comply with all city and county ordinances - - ELECTRICAL ' $
and state laws relating to building construction,and hereby authorize repre-• MICROFILM $
sentatives of his city to en er upon the above-mentioned property for • PLAN CHECK 50% $
inspection oAfes.j
Signature F / • i .i� // Date MECHANICAL $
'
CMF 0865-46,rev. 10/84 White - Building; Canary- Applicant; Pink - Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING. _ &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 -tier
ep
3. Electrical Conduit Utility-Undrgrnd. 54. Forms -0'
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressurk Test
a
•
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.1 r;
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Teff!
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, Olndrgrnd.
's,
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: 5-4-87 L_t'rOgee, Leo
34. Final Heating & Air Conditioning 4/2/47. C+4t €c, Aes pea. SCS$ UPC CAP
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. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
I/
"r = ulesarVerbe HOMEOWNERS ASSOCIATION, INC.
POST OFFICE BOX 1834. COSTA MESA, CALIFORNIA
July 6, 1972
Mr. and Mrs'. J. R. Matteson
3012 Country Club Drive
Costa Ltesa, California 92626
Dear Mr. and Mrs. Matteson:
The plans submitted to the Art Jury for Tract 3363
concerning the construction of a home on Lot 127 of said
Tract in Costa Mesa, have been examined and placed on file
with us.
This letter hereby authorizes your commencement in Conformity
with the recorded Restrictions and Covenantson this sub..
division.
Any deviation from these approved plans may necessitate
re—submittal of plans (revised) to this Art Jury for review
and approval.
Sincerely,.
•WILLTavt C. CLAPET
Chairman Art Jury
Mesa Verde Hameocnlers. Association
WCC:ns
H . V. L A W M A S T E R & CO. , INC . 72CM5-822D-002
7940 IN STREET — STANTON, CALIFORNIA
82B-8040
XX
Field Data on Test Specimens Core Concrete Gunite Grout/Mortar_
Project Robert Parenteau Pool Permit No. 3493?
Project
Location 1653 Utah Circle, Costa Mesa
Contractor Blue HavenPools Architect
Location in Structure Engineer
Date Moulded 8/4/72 No of Specimens 6
Slump Specimens Marked ,_ •,, „
Specified Strength at 28 days 2000P.5.1. Mix Designation
Age to be tested 7 days `8 days days days
READY MIX PLANT AGGREGATE SOURCE
Weather Condition Clear warm 1 Yd. —_Yd. Batch
Cement Monolith Type I/II Cement, lbs. 184 sks
Admix Sand 49 tons
Specimens made by Owen Cromwell #4
Data by #3
Delivered by #2
Date Delivered
REMARKS: Water, Gals.
FOR LABORATORY USE ONLY
Lab. No. 72-1588 72-1589 72-1590 72-1591 72-1592 72-1593
7 Day Test 7 ' Day Test 28 28 Day Test 28 Day Test
Date of Test 8/11 8/11 9-1 9-1 9-1
6.1X 6.1X 6.2X 6.21 X
Specimen Dimensions 12.6 12.3 12.? 17,.9 5.97 X 12.25 5.97 X 12.6
Area 2Q.20 29.20 _ 20.4 30.29 27.99 27.99
Ultimate Load 52,000 33,000 57.000 72,000 71,000 64,000
Lbs. per sq. in. 11,781 1,130 1,675 2,377 2,537 2,287
H/D Corrected
FORM 8 - 015 RCE 6207 ( (..L,C-C c e. . ..,_ f C-ct L - . •
Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. 1
COSTA M ... P R M I T NO.
CITY OF TRACT NO. . LOT NO. BLDG.NO. •
CONSTRUCTION PERMIT rE /3 9.3 6900_. 10/15/61 12.00 TL
Project Address '/ 1_ / PE OF CONSTRUCTION i
Owner .41142061 f7 if or Phone 0 NEW 0 ADD 0 ALTERATION
Address /4,s— +5 LTpii ..edit 0 REPAIR 0 CONVERSION ❑DEMOLISH —1
Arch/Eng. License No.l1/ ❑OTHERZONING REGULATIONS
Address �Q 9F I
DESC�.RI P/710�RF W(p��K.s�'7'�pT A.P.
y/0/SO V Oc—/'F/� �—ClL<-GCS/ -oe. ZONE PLNG. REF.90
Contractor CxiAi_j +-vclejy;ni✓ Phone 4,2Ta1'r✓'LYPE OF PERMIT -BUILDING T p El LA LDI NG
SETBACK C/L$T. PROPERTY LINE
Address
?/ /C �//l//jq /fjv1)i P. JAW. 0 GRADING 0 FOUNDATION 0 STRUCTURAL SI E YARD
LICENSED CONT ACTOR DECLARATION 0 TENANT IkELECTRICAL�QPLUMBING ❑MECHANICAV LSI DEE VAkU
I hereby affirm that I am licensed under provisions of Charter 9(com- RIGHT
mencing with section 7000) of Division 3 of the Business and 0 OTHER
Professions Code, _and m license is In full force and effect. REAR YARD(TO P/L)
1Q PROJECT 1 S�RIPTION
License Class e->/� U nse o. y/�/ is's S`� PKG.SPACE REQ. PROVIDED
Date "A-19-9/ Signature %.(' *2✓ SQ. FT.
WORKERS'COMPENSATION DECLAR ON OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEE$
I -eby affirm that I have a certificate of consent to self-insure or a VALUATION ZONE ZONING APPROVED BY DATE
'tate of Workers' Compensation Insurance, or a certified copy
if (Sectio�j38 Lab.C.). GRADING CU.YDS. ACRES SPECIAL CONDITIONS:
Fancy No. —+—(T 3`' Company 3747Ze FU/1-0e-,
❑ Certified copy Is hereby furnished. - REMARKS:
❑ Certified copy is filed with the city Building Division. '
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
This section need not be completed If the permit is for one hundred
$100) or less).
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 be me PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK
subject to the Workers Compensation (Cali Rat UWtLLING VHKAOE
�(�i BATHTUBS SHOWERS
Date /f%t-.�Y '-9` signature r* 50.FT SO FT
NOTICE: if after making this deciar ion, you:Auld become subject TOILETS URINALS GENERATOR 0.1 KW 1-10 KW
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW 50+ KW
revoked.
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1-10 HP
I hereby affirm that there Is a construction lending agency for the per- SERVICE-SINKS SUMPS (INC.SOLAR) 10-50 HP 50+HP
formance of the work for which this permit is issued (Section 3097
Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES
Lender's Name
Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS
OWNER BUILDER DECLARATION INTERCEPTORSCLARIFIERS POLE LIGHTS
I hereby affirm that 1 am exempt from the Contractor's License Law for _
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP LUNS I KUL I IUN
Any city or county which requires a permit to construct, alter, POLES METERED SUB
Improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB
•
Quires the applicant for such permit to file a signed statement that he
Is •nsed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS SERVICE � ) AMP
I ss 9 (commencing Section 7000)s of Divisionrer3 of the (3� /
L and alleged ns Code) or yt he iexempt oom and the WATER HEATERS BTU OUTPUT
bn - for the alleged a Anypermptisubiviolationpof Sectiontoa 7031.5 by �l-O
any applicant for a permit edbdolla the applicant to a civil penalty SEWER CONNECTIONS
of not more than five hundred dollars ($500). _
❑ I, as owner of the property,or my employees with wages as their SOLAR TANK OLLECTORS v/' of •
sole compensation, will do the work,and the structure isnot intended
or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS. Oo ISSUE FEE .? pm
Contractor's License Law does not apply to an owner of a property _ i�/
who builds or Improves thereon, and who does such Work-himself or ISSUE FEE DJ APPLICATION APPROVED BY DATFVo /S
through his own employees, provided that such improvements are not - '
intended or offered for sale. If, however, the building or improvement MECHANICAL - PLAN CHECK .
Is sold within one year of completion, the owner win have the burden SUMMARY OF FEES
of proving he did not build or improve for the purpose of sale). BUILDING
❑ I; as 'owner of the property, am exclusively contracting with HEATING SYSTEM 0-100,000 BTU PERMIT $ SMIP $
ANO DUCTING '
licensed contractors to construct•the project (Section 7044, Business 100,000 + BTU
PLAN CHECK $ PERMIT
and of Code: The build contractor's Is piceese Law does not apply to od ISSUANCE $
an owner of chpropertyprwho builds Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $
tractshe from such projects with a contractor(s) licesned pursuant to - SYSTEM - GRADING $
the Contractor's License Law). 100,000 +BTU PLAN CHECK $
❑ 1 am exempt under Section_ B.& P.C.for this -
BOILERS _ BTU - ELECTRICAL $ 1•d0 $
reason PLAN CHECK $ MICROFILM $
Date Owner_ . SYSTEM REPAIR,ALTERATION TOTAL FEE$
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $
information is correct. I agree to comply with all city and county PLAN CHECK $ LESS
ordinances and state laws relating to construction,and hereby authorize VANCE P PC $
representatives this city to enter upon the above mentioned I^'DO
Property for s trio O1 K5a5�/ Al �t I/L
P Y �y.ff'�-J /4 -/$�7J r
Signature G ` Date FINAL FEE $ •
Drivers'License or 5F ISSUE FEE -
CMF 0865-46 White-Building; Canary-Applicant; Pink-Accounting:Goldenrod-Assessor
no i CONSTRUCTIONpAND PLANNING POOL& SPA f'
•
APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location • . .
,- 2. Soil Pipe-Undrgrn 44. Steel Reinforcement .
j 3. Electrical Conduit Utility-Undrgrn 45. Forms te.
4. Electrical Conduit-Undrgrn • 46. Electrical Bonding
5. Steel Reinforce 47. Rough Plumbing& Pressure Test • .
6. Electrical UFER Grn - 48. APPROVAL TO COVER-GUNITE
7. Footings 49. Electrical Conduit-Undrgrn
8. Foundation • 50. Gas Pipe, ❑Undrgrn,Test
9. Water Pipe-Undrgrn 51. Backwash Lines. P-Trap. 0 Undrgrn •
10. Structural Floor System 52. APPROVAL TO DECK
11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final '
12. Street Sewer Connection 54. Heater & Vent-Final.
13. Rough Plumbing • 55. Plumhina SvVpm -Final - - .
14. Rough Electric-Conduit _ .56. Electrical-Final . . .
•
15. • Rough Electric-Wiring 57. Solar System-Final - - -
t6. Rough Heating & Air Conditioning _ b8. Fencing &Access Approval -
17. Ducts, in Structure 59. APPROVED FOR PLASTERING •
18. Ducts, Ventilating _
19. Gas Pipe-Rough &Test 60. POOL/SPA-SYSTEMS FINAL - •
20. Roof Framing
21. Roof Sheathing - - . -
22. Frame and-Flashing NOTES: 627/tY LEFT GArtp , CFA . . ..
23. Insulation _ .
24. Lathing & Siding _ • _ •
25. Drywall Nailing -
26. Plaster Brown Coat - .
27. Electrical Power Meter-Final '
28'.• Final Electric
29: Final Heating & Air Conditioning - -
30. Final Gas Pipe-Test •
. 31. Final Plumbing - • - ,'
• .32. Water Service-Final ' ' /�,
33. , Gas Service-Final 1,y / ✓ / .1 .4_A ( :✓Lj� 4II144t.1 J .n i-//,ico* LO..f
34.i&dlar' omestic•Fit al , .44-//0,,/g1 l-"�"1 L Q v �� /'�
36.---Lo`uund t Sprinkling System • . 5C
-/ Y !" � /, ,e-•
36. Sound Attenuation4( ✓'�" -` as ��(t' !,/L//
37. Handicap Regulations
38. FINAL STRUCTURE & BUILDING .
39. Special Requirements Completed ,
40. Electric Release to Edison i -
-
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY
•
-No Date
. . Plot Plan
- - N
54 cor
W- -E
1'S Flicker, � a9 S
_ h! lar— ----r-------"H_ 301.§
4 0
r ,�
V 41
a t
- - II
S1 C•� -c n
$ �sr
r
s
a
?, 'R € A F.arks Z.. .0-
1
iv s. l
it- F4. c 9 a¢�gFc Nit 3/05f A4C _
• • 1
3� FE6r .
Indicate location of structure on this graph showing distance from lot lines. Scale: 1 square equals 4 feet
Indltate: Root Characteristics of Home: Homeowner
1. Lot Size Pitched ier 11 11
2. Position of House on Lot Flat j Number of Stories t Name tY Nia.oLt Va Tp
I
P Lot#
3. Aerial View of Layout of Houset , 1
4. Location of Panel Composition of Roof 4Is+x�nSN 1Ncf�Ujddress I }0.7 'S l>,Z %tl Cb•. c.M• Tract# 4le '3
5. Location of Hot Water Heater
Roof Faces Phone
} /��^/ 3 �� Customer Signature
Representative
:. .• ;GRACE M. MCCRACKEN • ,
` 329 W. Carlos
Alturas, Calif. 96101 ,
RECOMMENDED FLOW RATE
•
1 . Select area of collector according to your chosen criteria.
2. Using that number of square feet, call it 320 sq. ft. for a • 4 •
typical pool, work first with one sq. ft. to determine flow rate.
• One sq. ft. of absorber around noon in the Spring and Fall will
collect heat into the water stream at a rate of around 250 BTU's
to 300 BTU's per hour. Use the upper probable limit of 300 BTU's
(Some of Sunco's A.E.T.L. tests have run over 400 BTU's. )
•
3. The normal preferred range is to provide a flow rate such that
the water comes out of the collector 4'F - 8'F warmer than it
went in. 6'F rise would be an excellent design rate.
4. So you divide that 6'F rise into 300 BTU's
giving 50 pounds per hour as the right 50 lb./hr.
amount to pass through one sq. ft. ' 'F / 300 BTU
5. Multiply 50 lb./hr.
'n
times 320 ft. of absorber
16,000 lb. per hr. through whole collector.
Divide by 60 minutes
• Gives 267 lbs. per minute
Divided by 8.33 .Lb. /per gallon
Gives 32 gallons per minute recommended flow rate.
6. Now, what are the penalties for going less than - or more than that?
Less: For instance, your pump puts out only 24G.P.M. , is that OK?
Yes; you pile the same number of BTU 's into less water so it
heats up more, 2'F more. Those extra 2'F will cause you
to lose about 2% of your collected heat back to the air, but
you can live with that.
But, if you put more water through the collector, say 60 G.P.M. ,
your collection efficiency goes up a couple of percent, but your
pumping energy cost goes up a little. It is about a stand-off
until. you get up to flow rates that don' t apply to home pools.
So, in conclusion, the more water through the collector the better, '
up to the limits of ordinary home pool filter pumps.
•
3/9/81
Miscellaneous : :s Re: SUi4CO SOLAR PANELS & CO LENTS
•
1. The recommended low pressure check valve to be installed has an
automatic "bleed down" feature which allows the solar panel to slowly
drain down so as to protect it from freezing. . . .an optional and/or
additional line can be put into the 3/8ths inch pipe fitting in the • •
"blanked-end" lower manifold if faster bleed-down is advisable.
2. VOLUMETRIC:
Manifold: 37:7 cu. in. per lineal foot.
Tubing: 28.53 cu. in. per sq. ft. of panel.
3. WET WEIGHTS:
Manifold: 1 .89 lbs. per lineal foot •
Tubing: 1 .3 lbs. per sq. ft. of (tubing) panel.
4. DRY WEIGHTS:
Manifold: .53 lbs. per lineal foot ( .5 oz. per lineal foot)
Tubing: .28 lbs. per sq. ft. of panel (4.5 oz. per sq. ")
•
5. Water weighs approx: 8.33 lbs. per gallon.
62.4 lbs per cu. ft. ( 1728 cu. in. ) .
6. . Wet weight-Manifold: 1 .89 lbs. per lineal foot.
Dry weight-Manifold: .53 lbs. per lineal foot.
Weight of water: 1 .46 lbs. per lineal foot of Manifold •
7. Wet Weight-Tubing: 1 .30 lbs. per sq. ft. of (tubing) panel
Dry Weight- .28 " " '
Weight of water: 1 .02 lbs. per sq. ft. of " " ',
8. Example of 20 ft. x 30 ft. Solar Collector - 600 sq. ft. :
40 X 1 .46 : : : - 58.4 lbs. of water in 20' X. 30' (600 sq. ft. ) colle
marcftl oolr ds
600 X 1 .02 : : : - 612. " " " " " "' " " " " collectors
670.4 lbs. of water in 20 (manifold) X 30' (tubing?
collector
4'
670.4 divided by 600 sq. ft. of collector : . . - 1 .13 lbs. of water
per sq. ft. of total collector
9. Or--81 .2 gals of water in the 20' X 30' (600 sq. ft. ) collector
Or---approx. . 135 gals per sq. ft. of collector.
10. Total dry weight (600 sq. ft. collector) 189.2 lbs + 600 = .315 lbs/sq. ft.
Total wet weight " " " " 855.6 lbs 4- 600 = 1 .43 lbs/sq. ft.
The above figures are approximations + or - 5%
k
3/9/81
✓ ':
' • AIR VENT _ LL.1 �,
CuPPORT CORDS OR WIRE RESTRAINTS(TOP & BOL.UM)
III NO-HUB COUPLING. USUALLY 2 FT. TO 4 FT. APARTn
In DEPENDING ON ROOF SLOPE
i"0"RING
MI
6/ AND/OR SEVERE WINDS EXPECTED. NO-HUB COUPLING �..
11111 it 'iA I� —
I _ c. MANIFOLD FLOW ---i 1' 1 j, � 'a
7,1 -lir :.Wf.♦-+:{ ilWi rt[ksin m�L7 ..V;7'V_ - .7_
STREET ELL NIPPLE ARRAY ._
SOLAR COLLECTOR TUBING SE**SOR ` '
IIIIIIIIIIIIIIIIIIIIII 1
• SPACER/SUPPORT FEET - 2 PER LINEAL FOOT ?�
• IIIIIIIIIIIIll will 1111111111 O ,
SOLAR TUBING SNAPS DOWN INTO SPACER/SUPPORTS -J
1 1 1 ( ( HILLER , 11 1 , 11 II II I� LL Q ' '
V" 20 x 'h" BOLTS, NUTS & WASHERS (CADMIUM PLATED A
SCREW HOOK • (III IIi�I( III I I HILI( (-L%'1&IIII LI 1I
TENSION SPRING -�u�I IJjI JII�II 1�Iu�'Iu� IuI Illi 1.041440�i� Ill(IuI� O
�' I I I I In n l"f "I 1'T 1'f C�
a '
SPACER SUPPORTS APPROX 1'TO 3'APART DEPENDING ON SLOPE OF.ROOF
IIIIIIIIIIIIIIIIIIII 111111 IIIIOHLES INr F°PACER//SU PENDS
ORTS
LENGTH OR WIDTH OF PANEL OPTIONAL 4 (FOR TYING OR BOLTING) I
TWIST-LOCK . p
COUPLING 1"
•
STREET ELL I _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
•IflCI; FLOW i ` =c--ANY LENGTH -o ri MANIFOLD O'
e y
R AUTOMATIC CONTROL Ip
dI ` NO-HUB COUPLING i 10
\ LOCK-RING SPACER��AQ
A & TUBE FLARING---FP •
.� y NORMALLY CLOSED TOOL ---.D
c VALVE
NORMALLY OPEN 1 e _ I p
�
• ■�1 VALVE '1 I „.�� .,
e�Y FLOW TO HEATER AND/OR SPA
. r ital ..._FLo_ _� _. r. _.- ...
•
n •• it
0. R
lb \ POOL SENSOR ,
a
O 4--CHECK VA•LVE I -
4
lc AUTOMATIC CONTROLS i HEATER I
• _>
. Ill ..
POOL with optionff SPA Ii
HEATED WATER
"II ■ TIMER [.1-
_
I'' PUMP
1 3 WAY DIVERTER VALVE _2.1.4
tr
I I 1SPA NS ' ,
POOL INSULATE SPA
I
• 4
@- TO HEATER OUT .C6.--"-INSULATE ALL LINES
1'
• . . • , .
. .
. . .
. . .
.
.r111 .... . -11 0 R ZL.4 TA L SOLAR ARRA\ _
. ;
174
- AH VENT
d
MANIFOLD NET LENGTH 12" .
MANIFOLD STANDARD DIAMETER 2" I ,D, SCHED, 40 PIPE :i:EVENT--
II
11111
•
, ni... TUBING 1580 I ,D. 1038 WALL THICKNESS
TlEil.-
et
/
STREET ELL I-1 -1TEE
L_ -J
. .
IMP M. '
STREET ...
"NO-PIUS"COUPLING . SCREW HOOK . "NO-HUB"COUPLING- If:. ELL ' . • i
....
,
SLIDING LOCK-RING i1
--- Agg - j I
FERRULES 11911/ _1 I I SOLAR COLLECTOR
P .•
--C-__C-Z:1===—
TUBING
a .
!I I
... _
4r a 11 SPACER/SUPPORTS -------
A --rms.' 22 This _
e p I APPROX.eto 3 APART
.. .1..a_4,...._
. 2 . . s igi. _ DEPENDINGoFR0oON SLOPE ' ilif
2
- o
I. .
5 ll
S 4,
..1....4;,..Lc.r__,L2H." GLIDE BOARD (OPTIONAL)
I 1
E 1
82 • -'•-•1--w - --ngt
hi IPACER/SUPPORT FEET
-PER UNEAL FOOT _
_ , I .
. ,
i 8 S
,..
14 14",BON V2"BOLTS,NUTS AND 10
. ..
m §tot . . _
. - II. II 1 _ ____n WASHERS(CADMIUM PLATED) 4
-es I.-".
..... al .. •
A. --- .
4,1
t 1 . —
CY 41 TUBING LENGTH AS REQUIRED----
11! .
.
\.... LIiIiI±it-
' --- 1 i
.s. -.,--,
I. •
•r; ; .TENSCH SPRING
Mt
-.....
':312 _
- HOLES IN BOTH ENDS OF SPACER/SUPPORTS _ ir i . .
. ,
(FOR TYING OR BOLTING)
• :::2,----_-_:===n-_ ,
2wm
• •
,0—, ,„.0c, 1 i•
.......___ ............ .____ .
. . ..,,
NIPPLE • 111—__ _ 01
It .
quasi . IC
. iposi..... -,NO-HUB COUPLING TENSION SPRINGS .
illiliffl . -c-_,-%rm.-
-- -to es 12"SLIDE -:in. Inom .s.ssmos2 ,-,.:r-t•--.. ' .,
BLOCKS OPT.- 1 111) SCREW HOOK
-e.....mr-..../mi"'""---- DRAM PLUG
AL(not supplied pi
LOCK RING and . . ,_
. . SLIDE BLOCK ., .
-----..- - ......_.—. FLA RING TOOL INTERLOCKING .
. . . DEPENDING ON POOF.',. ' •
GLOM
"c) RING ,
--:. Pt
__
. .
/ d
- . ir'.93
•rimy. _
----.% '
."•):,
0*--- BARBS . . !
es.. . MANIFOLD NIPPLE .., .
LOCI R100 .
' / .tts------NIPPLE ne RING •
. ,
. . •
•
• TUBING
. - . •
II
.....t Li
.
PATENT PENDING
- TYPOCAL IMANOFOLD
•
- N
. ti
. y
m
• c_ ,= w - $
all- _ c.) - )� ONIIdfOJ.8f1H-ON ` ',g'"
H. ] 71
T. O OIOiINVW = <- Hl'JN3l ANV-a <- H1DN3l ANV�_ VI
MOIi_ s
•o m - 11L111 1fL�p1 IrI�1i _ _.- - 4; C.'
q m 1 -
Wa II 1 1 11 1 1 11 11 I I I I I ISI =. ,---.4-#.-g.-:=. _ _- ._. . •' •>t0011SUN1 113 133H1S y
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TWIST-LOCK F, m NO-HUB COUPLING, N, r
COUPLING (D N
�' - - - - - - F. - - - - "Ir - - - _ - _ - "f - - e-- - - - - _ _ - .-77. g '< m 7-.
IN `3' .C,I j _FLOW -D.'� MANIFOLD a l: a-ANY LENGTH a• 5 MANIFOLD a■I OUT-D, Cm'
i -
Blanked-end Manifold
\ NO-HUB COUPLING w/ 3/8" pipe plug Drill 1/8" hole in plug for "drain-down" or use }" check valve.
This system is designed for operating under 10 to 20 p.s.i. The (cementable) Ferrules shown are to hold
the "No-Hub" couplings from blowing off. This system has been tested to over 130 p.s.i.
SUGGESTED "SPLIT" ARRAY. Actually an "in series" (higher temperature) panel for spas, hot-tubs and pre-heated
Domestic Hot water. This will also save on 2" pipe and connections. Locked together it will look like a single
panel. buthave an inside plugged-end manifold which directs flow from "inlet" to "outlet" at the same'end of panel.
By the similarly splitting into 3 panels the inlet and outlet positions will be in opposite corners of the array '
the same as for a standard panel. It will look like a single panel but will in effect be 3 inter-connected panels -
"in series".
Blanked End Manifolds, "BE"; insert 3/8" pipe plug and drill open blanked nipple hole so as to have flowthrough
• that tube.
WAECT AS7RES5: c UNIT:
•OER 'SNAME: 16571 :i'iAi+. C1 CITY OF COS-:A MESA - BUTTLDINC PERMIT ?ERM NO: B 0 .358
ADDRESS: -APP HAROLD ':R
6'13 J"AH C "RC.JE PERMIT NO: B 053558 PLAN CHECK NO: 03232-91 S GOVT: N SGPP: N
COS'_'A MESA„CA 92626
CONS"RUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: 0-H
ARCH/ENGINEER: ..,40-6314 REG.NO.:
ADDRESS: UNIT JOB DESCRIPTION : CITY STD BLOCK WALL 34 L .E. SQ FY: 344
PERMITTEE: CLAIM VAYJE: 900 . 00 CALC-VA,aUE: 680. 00 GROUP OCC: R-3 /
ADDRESS: ANaONY Y: 'ANI MASONRY ( 7:' ) X31 '-8355
4 ?RAN-:YW:NE TERRACE. COMMENT'S: SMOKE DETECTOR RE4y.
UIRED "N THE HOME
GARDE:,\ GROVE CA 92644 ***x*4)/4/.*** **1(********** *** *iE#*v***�r�E***********u***axe**r ***tiv-*** r:s4+K
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R E Q U R : M E N : S
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETH ACK S-
CITY LIC.: 05 q 9, STATE LIC.:6'.612 9 LASS: C 2 ) )F,
/te: CI.— CL-•••S 9\ Signature: i "^"v`^"v` ---. --- MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATtON: I hereby affirm that I have a certificate o consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT. IN FRNT: 10 FT IN REAR: Fi IN
Compensation Insurance.or a certified Copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT TN :aEFT: FT IN RGHT: IN
POLICY NO.: EAP.DATE:
COMPANY: PARKING REO: PROVE PARCEL: 13907328 ZNE: RI REF NO:
9 Candied copy is hereby furnished. 0 Certified copy is tiled with the city Building Division. PLANNING N 'i ES> 34 L . FT,, 6 F C. HIGH BLOCK WALL ALONG FRONT OF PROP.
> MUST MAINTAIN KIN, 10 ' ='RNT, STBK AND CLEAR CORNER SPITE LINE
.ate: Applicant: *********is3FiEic***m-****it-1E#*********iE*ii *iE#********IFitiFii****IEK?E****Inez:* E***1%#3Fi:*)*,*
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Ties section need rot be completed if the perm)is la one hundred(5101)or less). DEVELOPMENT SERVICES R E Q U I R E M E N" •T S
I certify That in the performance of the work for which this permit is issued.I shall not employ any p rson in an manner so as to become C�
sublecl to the Workers'CompensationpeLaws of California. ZONING APPROVED BY J Q- DATE: ti1-a.3-c2
ate: 5k^ 11 " 1 ` Signature:
NOTICE:II,after making this declaration,you should become subject to the Wo kers'Compensation provisions of the Labor BUILDING APPROVED BY • O DATE: "Th
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. a".7-2-311
:23 �
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the penormance of the work for APPLICATION ISSUED BY: -
DATE-
which this permit isissued(Section 3097,Civ.C)' **********************ter.****)•#*****#*Sy .xf 1F****fife****!f**********3F* (-ii.dprY*)9(He k is i'
LENDER: **************ifictf****} **iEIE*if-***********®'****1f*****St***K-**********#**Si)e-**Ss****
ADDREss: LEGALIZATION: Y F E E S U r: M A R Y 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 SMI P/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 3 8 . 00 . 50
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 24 .70
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500).
ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation. will do the work, and the BUI DING—Div—> PERMIT ISSUE PLAN—CHECK TOTAL PAID D--i•;
❑ structure is not intended or oftered for safe(Section 7044,Business and Professional Code: The Contractors'Slate License Law IOTA S----> 38 . 50 0 , 00 12 . 35 50 , 85 50 , 35 . 00
does not apply to an owner of a properly 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
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TO T A' S--> COLLECTED- 50 . 8 5 OVER/SHORT: 00
for the purpose of sale), P/TOT GRADING PLAN-CHECK
BLDG PICT PLUMBING ELECTRIC MECHANIC FIRE SA:I T
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 38 . 00 . 50 12. 35
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon 1
and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law). l am aware **.h*****Y.*it*****#ii***********************}!*******}P*i.K.******Xf***********?i*******
that proof of their Worker's Compensation insurance should be provided to me.
❑ am exempt under Section: B.8 P.C. e I N D V T D U A L F E E B R E A K D O W N
for mis reason TYPE QTY DESCRIPTION UNIT COS': TOTAL COST
Date: Owner:
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 34 RES-CONCRETE BLOCK WALL / FT. 20. 00 680 . 00
25534 and that I or anyluture building occupant wills ill not(Circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification trom the Air uakly Management District.Residential construction applications are exempt from
• these provisions.
Dale: Applicant:
I hereby certify that I hive read this application and state that the above information is correct.I agree to comply with all city and county —
ordinances and state lays relating to building construction and hereby ate: DaL�u(tthhorrizee representativestiives of
this 'ty to@enter upon the above-mentioned
properly toorr inspectiorrpurposs5\purposes (Jler
rD_,�- / I Signature: u'J`t.'_::__(•1570)77
_ ,
Driver's License or Stoat Security s: - ::::TE: 011)::.”. I TY:::; : .t;1:i
1641-46 Wlmo—Burling:Green—Code Enlorcoment:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
•
II- CONSTRUCTION AND PLANNING
/ POOL 'A '
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit #
I. 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, 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
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 OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas O 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 Ti Notes:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy i \
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 (fit 641
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
4 OWNER raREN'TEau, HUBERT DATE 7-7-72
'; JOB ADDRESS 1653 Utah Cr. BUILDING PERMIT NO.34932
GENERAL CONTRACTOR Blue Haven Fools DESCRIPTION of WORK pv-t.Swim Pool
+AP No. 39_n73-eft LOT TRACT FIRE ZONE VALUE $2,500.00 _
INSPECTIONS Signature Dote GROUP III TYPE J ZONE RI
soil- ,.,./44-C„‘ ,__, 3e _ o'. PERMITS ISSUED
_ SUBCONTRACTOR
✓
GAS .47-W T -"'7'Y Dote Number I Signature
WATER ...1.2444:.,‘, csez..y,.�, -Tai 2jam Plumbing /^
ROUGH PLUMBING 4,49_ Zi.-,,pl5a6-4..)-1--.--" `t' -'o 7-- 7-74 6/0/5/
PROP. SWR. LINE ❑ HOU
//$$''g�,� nCON. ❑,(` t 7-
SPRI NKLMG-SV ` ON
STEM ZLL t-t. o �� rJ 7
MISCELLANEOUS e.,-/e. -$44%- c /1-X"' '7 247-7y
ROUGH HEATING AND AIR CONDI IONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING
"TM ° 771— Heating end Vent.
TRENCHES ❑ FORMS TEEL REINF. ❑ 4�'t{
� �,- 7.77-
FLOOR SYSTEM14-:, X 7..to 7l-
BOND BEAM ❑ STEEL REINFORCE ❑
SHEATHING
FRAME AND FLASHING
LATHING — IN ❑ OUT ❑
PLASTER, BROWN COAT r
STRUCTURAL, FINAL e'Ih %11.4 - IeChit .4 _
HEATING, VENT., REFRIG. AND A.C., FINAL .n 71-
ELECTRIC.
j�`(;L,4+ «.>,�t/yaLA.._(� 7-, 7-707 ,3t/.0)/ ,...---
PLUMBING,
�
PLUMBING, FINAL AND GAS TEST 7 Pitj ri"tC71.-
ELECTRIC. FINAL 01.-0- .r-if:11.
BUILDING, FINAL /(/tom) ;
SPECIAL REQUIREMENTS
1-e- 77 - - a,,07 1 -
- Pl.::
,-
er 34932' ' e� 519Y * 34.68
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant
/t too Fill in Completelyle� ^7
BUILDING / 5. - Jam"/ li REC 61�'Ep�V DATE R/`I7? DATE ISSUED7-7
ADDRESS CC�gJ !//P/��- //-7 9 / / 7•
0 _ wise s �oa�..� /39 o73 PERMIT NO.
OWNER S// A.P. NO.
MAIL BUILDING //5?
Z ADDRESS
ADDRESS [y J
W W TEL. TRAC /3 I LOT 411
C O CITY NO.
Z
CONSTRUCTION NEW ADD ALTER RE1AOVINGb
IR OI- LENDERamJ 7 BRANCH lJ
J N OWNER
4 W ADDRESS -dna (/UVALUE Q
m m ARCHITECT ' TEL. USE �JO'J $ o4/OQ
J OR ENGINEE e a N
U Q FIRE
w ¢ ADDRESS ZONE TYPE GROUP
D-11 APPROVED
W Z CONTRALTO BY DATE
CO
Z /� � >
J ¢ ADDRESS
W W T // ZONEn/ PLANS BUILE DINF GNEW Q,
ZH
CITY /r+
W 0 STATE
CITY YARDS APPROVED YARDS APPROVED
to CC LIC.NO. /�j'Yi3 7 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
7 SIZE NO.OF BLOCS. (FROMjeL STREET)
OF LOT NOW ON LOT FRONT 3s FT. FT.
USE OF -1O
EXISTING BLDG. _R.SIDE 5 FT.izp[fE' FT.
I— SIZE OF NO.OF ^1
Z NEW BLDG. OO ROOMS STORIES L.SIDE tFT. FT.
Ct
V EXTERIOR WALL I ROOF ��'11 //
_ COVER COVE REAR OC(O FT. FT.
J USE F BUILDING A WORK T E PERF RMED DISTANCE BET. BET.MAIN&
D
a CSMAIN BLDGS. ACCESS. BLOC'S.
CC VAR.# DATE
0 C.U.P.# APPROVED
♦- • AV/E D 7/7/7:
7
In BY
PPRO!�� € -r) GATE / 7 7�
Z
O 4: es C
VI hereby acknowledge that I have read this application and state
( FT.
that the above Information is correct and agree to comply withall laws regulating building construction, and I shall not employany person in violation of the workman's compensation laws of
y he State of California, w.-Nl-I hereby certify that I am properly licensed as a contractor under {/„ Y /J� o
the State of California Business and Professions Code, Division 3, TRE-AMOUNT SHOWN UNDER VALUATION IS FOR 0Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: Cr
am exempt from the provisions of the State of Cal is Business VALUATION
and Protessions � ision 3 C apter 9. e n
PERMIT FEE $ es
Signature of // SD <D
Permittee a �.J $ PLAN CHECK S E
to
// 02.5 — 50
v..
Authorized Agent
TOTAL FEE e ,
OWNER MODULAR Technology, Inc. DATE 7_15_71
JOB ADDRESS 1653 Utah Circle BUILDING PERMIT NO. 3 317
GFNERAL CONTRACTOR Same DESCRIPTION of WORK Res.w/Rtt gar
_ ). LOT 4 TRACT 6613 FIRE ZONE . VALUE $30,300.00
I$...ECTIONS �S_iq7 atyre Date GROUP I & J TYPE V ZONE R-1
SOIL • 4° ' ir/A77 SUBCONTRACTOR PERMITS 155 ED
GAS Date Number Signature
WATER P .mb' q
ROUGH PLUMBING 4,717 /Zitz7 I .
) LC .6
��aa . .. S'
PROP. $WR. LINE HOUSE CON. IL •" _1972 i, ' /-4 -2/ ,-3-7-1.r-
SPRINKLING
S/�
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING 4%,�i21 //.7/272.,,------
TEMPORARY SERVICE OR POLE
UNDERGROUND O POWER ❑
ROUGH WIRINGr� / I Heating nd Ven
TRENCHES G FORMS STEEL RE INF. .V......41-7;77,7/ ` /� ---}}}7/e7-7/ .y r�
FLOOR SYSTEM In / 1/ / 36_
BOND BEAM n STEEL REINFORCE n ,� �$ -.-y I
SHEATHING fig)%%%///"""j" /k9-5-7/
/9 5_'7/ '
FRAME AND FLASHINGo� � 7 )91
LATHING - IN YI r OUT YYY�����sJJJ"!llppp /1)""''
P' 'ER. BROWN COAT A_.2- 9'''2.---
.r.
iURAL, FINAL ,/ E @C w •
,/
HEATING, VENT., REFRIG. AND A.C., FINAL rvj,�j r//-7l, _, m, /A/ Jq-�?-/ a, ��
PLUMBING, FINAL AND GAS TEST n ,-;,,,:o ./ -7'L _ _
ELECTRIC, FINAL 400 /j'2.. JL • /
r .5-../7-).i
333;170
PAICOSTA MESA BUILDING-SAFETY DEPARTMENT
JUL 20-71aMt°CC1757* *** 156.00
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely REC IVED Y DATE RECEIVED
/ DATE ISS
BUILDING / / D / � // �/ il'-.2 - 1 J /5-7
ADDRESS `6 SJO z 7.t-/ ��-L.L -4.-} / /
OWNER Modular Technology, Inc. A.P.NO. PERpy 3 1 7
MAIL
BUILDING /� i W
Z
ADDRESS 1104 E. 17th Street ADDRESS S-.3
0-U CITY Santa Ana TEL.. 547-967 TRACT 6613 LOT 4 BLOCK
ZZ
< CONSTRUCTION NEW AIDED ALTER REPAIR MOVING DEMOI ISH
-y LENDER
0- m X
J D BRANCH
J W OWNER Modular Technology,, ,IInc.
m m ADDRESS TEL
(if/� ` LU e�1 �•z
$
—i< OARCHITECT R ENGINEER Kermit Dorius, AIANo644 USE Residence-7111 ifFIJ
Z C FIRE v '''j''1�/
Z
CO ADDRESS 3111 2nd Ave. , Corona Del Max ZONE TYPE GROUP-L y 1i
a w APPROVED
W Z CONTRACTOR Owner BY DATE
JO
CO Z /�
J w ADDRESS Same '�0
W W TEL. ZON NO.OF VSE OF NE f
ZN CITY Same NO. I PLANS 2.-- BUILDING p /
tED
wn STATE . 252549 LIC. NO. 1690 Y YMAIN a BUILDIARDS NG ACCESOSORY BS APP UILDING
D 0 SIZE p iNO.OF SLOGS. (FROM C/L STREET) �/� 41`?OF LOT 70 x 10H NOW ON LOT FRONT .q�yii:,FT.
USE OF
EXISTING BLDG. -- R.SIDE 6. FT. FT.
1- SIZE OF p NO.OF / Hr��
ZZ NEW BLDG.1782 SF ROOMS 7 STORIES 1 L.SIDE 1{C/ FT. " Lt FT.
U EXTERIOR WAller Plans CROOF
VE Wood Shingles REAR FT. FT.
_ COVERING ii'' COVERING g �3
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
a MAIN BLDGS. ACCESS. BLDGS.
a
O Construct new residence with C U.P#V -(/
pg APPROVED -Pio-(
I— qV�p ,I//t • /
Z attached garage. PR �J(/ - , 0 PATE .7—/ —7/
O /
F tiuLD tOR SPECIAL REQUIREMENTS
(..1 I hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of /
y the State of California. Li ' / +7210
/nO /} m
(� N! /
z I hereby certify that I am properly licensed as a contractor under SO. FT. o
the State of California Business and Professions Code, DivIsicn 3, THE AMOUNT SHOWN UNDER VAILUATION IS FOR
Chapter 9,and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: o
am exempt from the pr• ions of the State of California Business
VALUATION ere m
and Professions Code a sio %� ,,r 4,,,:z....„ PERMIT FEE $�� D
Signature of �a/ 3
� Sol I s m
Permittee /�s/r rr !! $ rJ PLAN CHECK $ / E
Authorized Agent ' J �� )cf/ LL
TOTAL FEE $ / S to /
3493. 1 - 7'±OO 513* ****21.O9
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
Aosi LICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
y n /` /'+ ) RE E E BY DATE RECEIVED DATE ISSUED
ADDRESSG S--i012 coVh-f Cf0h 0r"ve. /af. ` - 7 -'72-17.-7 -7L.
OWNER.Zt, 1. To.. r'/ I�� i/ k I O. A.P.NO. /3 4 .C-c /-. - I I NO.
`1 BUILDINGDRS 5D 2 Cou .1tY/ LUC.1 R
MAIL ADDRESS \ .
Z ADDRESS SR-jas LLI La 2
dU CITY Cosi AlP�Q NO. S ais7 TRACT��„J LOT�7 BLOCK
Z C CONSTRUCTION '' // / NEW ADO ALTER REPAIR MOVINn DEMOI ISH
O-N LENDER z{/p-p?e• �/
tL 03 /�
J C BRANCH _
J N OWNER�fR Ma-rrt.so ►,l
< LU ADDRESS .11/�/�
CO J j F-. ' VALUE �'
J Q ARCHITECT h el
2 ca. TEL. 'SiOG3c:C $
OR ENGINEER it t I el--frohe NO
U Q ( FIRE / �'/ • �
2 W ADDRESS Cxtyt-rsvha br•- ./4o-- ZONE TYPE GROUP/.. -
---
0_
2 APPR• D /'� �I , . _-_ 7_
JU CONTRACTOR OC,v',te.l— BY / (.[�l/yiW 'E / - 7 -7
CD
J ir ADDRESS
W W TEL. ZONE NO.OF• USE OF NEW chub.J�f
Z = CITY NO. �/ Pl,ANS�� BUILDING 0oorn
_f
W U STATE CITY YARDS APPROVED CC ES YARDS APPROVED
to K LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
DO (FROMP/L STREET
SIZE I NO.OFLOTS. _
OF LOT NOW ON ON LOT FRONT /P((/ FT. rf
•
USE OF
EXISTING BLDG. t_cGK3C.�'
I R SIDE !-.✓5 FT. FT.
I- SIZE OF i ^ NO.OF /-
Z NEW BLDG. .2 X /I ROOMS STORI ES L.SIDE / FT. FT.
UEXTERIOR WALL ROOF
COVERING COVERING REAR "21 /7 FT. FT. -
1 USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& la
O. MAIN BLDGS. ACCESS BLDGS. \C
0VAR.# DATE
I ` a UT%Li , R C.U.P.# APPROVED ,
APPROV ED/-I l `},I
CO _B_Y r L01 e() DATE ^I
$TATE
0
~ I hereby acknowledge that I have read this application and state 9
Dthat the above information is correct and agree to comply with �+
cc all laws regulating building construction, and I shell not employ . ,rga
F any person in violation of the workman's compensation laws of
the State of California. to
ZI hereby certify that I am properly licensed as a contractor under 7----SQ. FT. 0
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:
am exempt from the provisions of the State of California Business VALUATION • :Y�"
cc
and Professions Code,Division 3,Chapter 9. m
PERMIT FEE $ N
Signature Of `_ �j rn V `� m
Permittee 4.��4YT✓C/ „ $/^�/ ) PLAN CHECK $ 7 E
Authorized Age ✓ VV �o
TOTAL FEE $ 2 LL