HomeMy WebLinkAbout1657 UTAH CIR - Building Permits ADDRESS OF MALMO: 1657 UTAH ci WIT: CITY OF COSTA MESA — BUILDING PERMIT
cvm-n MIEI"m"i MC CORMICK RICHARD A PERM NO: M 080825
"DD" 1657 UTAH tIR
COSTA MESA,CA 92626 ^ , �1 PERMIT NO: M 080825 PLAN CHECK NO: N GOVT : N SUPP : N
549-0272 ZD 1/
"PPt.WILING ADDRESS CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: ALT
ARCHITECT OR ENGINEER: Lit NO: JOB DESCRIPTION : REPLACE FAU SQ FT:
ARCH.OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
CtNNTRACTORSNSIt BLOCK PLUMBING & HEATING ( 714 ) 848-3636
CONTRACTORSUMISNG 7676 SLATER COMMENTS: CHANGE OUT
AmiEss: HUNTINGTON BEACH CA ucND_ 499391 *********-Nx-rt**** (--*******it**** at**itie**"E+t**it+ESEatit*******ftLF>E*x- -*x->ETESEiEN-*+brit*aESr*et****
92647 um: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby Affirm under pendy of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Oimion 3 d the Business and Professions Cade,and my license is in NO force and effect.
CITY UC.NO.: LIC.CLASS: C-36 LIC.NO.: 499391 EX' : MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale: ca ALt' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under•. • of perjury that I am exempt from the Contractors '.. .._Law Ip the
following reason(Section 7031.5 Busies*and Professions Aryay or countywtkdr requires a permit lo.. .. .,alter. PARKING REQ: PROV: PARCEL : 13907340 ZNE: REF NO:
demolish.or repel any structure,prior to as issuance,also requires the applicant for such panne to file a signed statement that he or she
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing Pah Section lam)of Division 3 d the PLANNING NOTES>
Business and Pralessuns Code]or that he or she is exempt therefrom and the basis for the alleged exemgbn.Any iteration d Section j
7031.5by anyappk'anl for a Permit subiects theapPB'ar•to a civil penalty of not more than live hundred dots[swop. *********************************** *******************************************
❑ Lae owner of the property«myemployees with wipes as their sole compensation.will da the work.and the structure is not kmnded DEVELOPMENT S E R'V I C E S R E U I R E M E N T S
or Staredfor sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly Q
who buids or Morose thereon,and who doe auS work himeqtl or head r t rogh his or her own employees,provided that such •
improvements era ra intended or dleredforaale.tl,however,the building or knproaemed S sold'Shin payer d comp•lbn,the ZONING APPROVED BY "1 DATE:
owner builder wig have the burden d proving he or she did nor build or improve for the purpose d sale). .
o
I,.ownerCt de:The Contraexclusively
orrsiu cense tawddoes with
l�anmeowneors to r ci propertyotywho builds or improves thereon°t0aannd who
BUILDING APPROVED BY �) DATE:
contracts for such projects with a mgador(s)licensed pursuant to the Contractors License law). r-r /'^A/I�(�t, /
❑ Iamemrnqunder Section: B.bP.C..for this ree n: APPLICATION ISSUED BY: 1">9 hiV5 DATE: (Z4(-9k
***********************************1E*******************************************
Date: CrestLEGALIZATION; N F E E SUMMARY STRUCTURAL SEGMENT:N
I do hereby certify that I am aware d and understand the requirements of Callomia Health and Soley Code Sections 255C6,15533,and
25534,permiforlhmloranyM modification t Managem sit nerd locomplywAhaeceWsoodssand eexhe requirements exempt
kr BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
pend 1pconatmdienormndihWien horntha Aierupement District Residentielmnamctbn appAoatiam are exemglrom New PERMIT 13 . 25
provisions.
Dale: Applicant: 25% SM I P/NON—RES
PLAN .
WORKER'S COMPENSATION DECLARATION:I hereby alPom under penalty of perjury one d the following declanalins:
ISSUE FEE ( 22 . 00
❑ Ihave and wit=inter ac sttedmumltoeeaarweMwakenaampenmion,esprovidedipbySection37wdtheLabor BUILDING—DIV—> PERMIT ISSUE PLAN CHECK TOTAL PAID DUE
Code,for the pMorman ce of the work for which NO Penna is issued.
❑ Ihave and wimainsail works,'compensatoninsurance,asrqd'v
uiredbySeh3700oftheaborCode,frthpedpmancedthe TOTALS > 13 . 25 22 , 00 0 .00 35 . 25 35 . 25 00
work for Mich this permit is Sued.My workers'compensation insurance carrier and poky number me:
Canker: REVENUE DIVISION TOTALS--> COLLECTED: 35 . 25 OVER/SHORT: . 00
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed I the panne is for one hundred dollars(Sipes/or lass) ---0 35 . 25
To I certify that in the performance of the work for which this perms Is issued,I shell not employ any person in any manner.o es to
become subject to the workers'compensation tern d California.and agree that a I should become retied to the worken' *******************************************************************************
compensation movies d Sedion 3700 d the Lapp Cade,I shag faith oomph with those• • '•-•••. .
oats: A••.' 4.11114.....a --a/ I N D I V I D U A L: F E E B R E A K D O W N
l
Warning:Fours to secure waren'comyrwdun.. • . .and ' .I subject an employer to-0.req penalties and TYPE QTY DESCRIPTION UNIT COST TOTAL COST
doll Moo p te one hundred thousand dollars M.,... in addition to the cost of compraatlon,damages a wowed for In
Section 3706 of NS Labor Coda,Interest and atlom. 'a las MEC 1 INST FORC—AIR/GRAV 'FURN <= 100 K BTU 13 . 25 13 . 25
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perpry that there e a construction lending agency for the END OF FEES
performance d the work for which this panel is issued(Section 3097,Civ.C).
LENDER'S NAME: •
LENDER'S ADDRESS:
I candy that I have read this application and stele that the Above information is coned.l agree to comply with all ray and county ordinances
and nee laws relating to b tdrg owes-upon and hereby authorize representatives d the city to enter upon the above.men toned Properly
for inspection purposes.
LARRY HOLVEY ( 5)
Print N 4
^� Date: • 01 00220819-00220819 TOT 35.2'.
��^ LsionmreofOwner/ genpAppkant/co^trad DATE: 12/11/95 TIME: 14:51
\(5151-4eWP) White-Ouildig&Safely;Green-Rl Cawy-Appkcent:Pink-Revenue;Goldenrod-Assessor
1
CONSTRUCTION AND PLANNING POOL & 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
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO 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, ❑ 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 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:
G '2(- - 4' _
34. Final Heating& Air Conditioning= Crntfy. �G221
'
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing _
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation -
44. Landscape Irrigation System
45. Sound Attenuation -
46. Handicap Regulations •
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: 1657 UTAH CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 066862
OWNE%S NAME: MC CORMICK, RICHARD A
ADDRESS: 1657 UTAH CIR PERMIT NO: B 066862 PLAN CHECK NO: N GOVT: N SUPP ; N
rd."-- COSTA MESA,CA 92626
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: ALT
ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : T/OFF RESHEATH S W/CEMWOODSQ
REROOF FT: 8, 000
CLAIM VALUE: 8, 000 . 00 CALL—VALUE: 8, 000 .00 GROUP OCC: R-3 /M-1
PERMITTEE: WINEGARD ENTERPRISES (714 ) 673-2535
ADDRESS: 2033 SEVILLE COMMENTS: SMOKE DETECTORS REQUIRED PER THE 1931 EDITION OF THE UBC
BALBOA CA 92661 **********************************+E*yE*yE+P*****I6*********************+EyF****S6*****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU IR EMENTS
7000)of Division 3 of the Business and Protessions Code.and my license is in full force and effect.
c.: 059567 STATE Llc.: 669749 CUSS; C39 SETBACKS
M1fie y Signature 4-2/� MAIN BUILDING ACCESSORY BUILDING
MIXERS'COMPENSATION DECLARATION: I hereby affl hats have a ce mate of consent to self-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.C). LEFT 1' FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
POLICY ND.: 13 4 5 6 7 4—9 4 EXP.DATE: 04 /01 /9 5
COMPANY: STATE FUND PARKING REO• PROV: PARCEL: 13907340 ZNE: REF NO:
❑ Certified copy is hereby furnished. [X Certified copy is filed wi the city Building Division. PLANNING NOTES>
O M 4`/ >
+7 Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: section need not be dieted if the penal is for ne hundred($lip)dr less). D EV ELOP MENT SERVICES REQUIREMENTS
i I certify that in the performance of the work for which this pe s issued.I shall n employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY
DATE;
Date: Signature:
NOTICE:If.atter 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. n
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a constructirn(el,inno n for the performance of the work for APPLICATION ISSUED B Y: !- `
which this permit Is issued(Section 3097.Civ.C). O I iii��� DATE;
LENDER: r\E DETECTO�lt******************************************************************** **** ***
ADDRESS: LEGALIZATION GALIZATION:N REQ
I F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License LlawVfor te i anon BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish;'6'r
repair any structure.prior to its issuance.also requires the applicant for such perms to Me a signed statement that he/she is licensedkM I T 99 . 00 8 0
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)01 Division 3 0l the Business SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN
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 the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 99 . 80 0 , 00 0 . 00 99 , 80 99 . 80 , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or
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 TOTALS--> COLLECTED: 99 , 80 OVER/SHORT: , 00
forthepurlwseofsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 99 . 00 , 80
❑ and Professions Code: Te Contractors'State License Law does not apply to an owner of property wino builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *******{p*.*.x.***.*.*.**.{p**.*..N.*.*•*.*.**.*.*.)f*..x.**.*****.****.**********************************
that proof of their Worker's Compensation insurance should be provided to me.
❑ am exempt under Section: B.8 P.C. • I N D I V I D U A L F E E B R E A K D O W N
mr this reason: TYPE QTY DESCRIP T ION UNIT COST TOTAL COST
Date: OwnerSFR 8000 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 8, 000 . 00
I do hereby certify that I am aware of and understand the requirements of CahfomiaHeahh and Safety Code Sections 25505.25533,and END OF FEES
25534 and that I or any future building occupant vitt/Will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from theAil�ahly Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to budding construction and hereby authorize representatives of this coy to enter upon the above-mentioned
pr for inspection purposes.
p /' , ' " 01 00159176-00159177 TOT 99.80
Date: /l7 SignaWre: ._
DATE: 04/19/94 TIME: 14:54
Driver's License or Social Security 3Of r.
1641-46 White—Building:Green—Code Enforcement:Canary—Applicant: •ink—Revenue;Goldenrod—Assessor
r.
rCO 4POOL & SPA
STRUCTION AND PLANNING
APRROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
--4
1'. Temporary Electrical Service.or Pole 52. Pool & Equipment Location -
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. ' 54. Forms
.A:Electrical Conduit-Undrgrnd. . 55. Electrical Bonding
' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER 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, 0 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 . Plumbing System - Final
11-
14. Rough Plumbing ' ' tl Electrical-Final
15. Rough Electrical-Conduit `-4ID. Solar System-Final
16. Rough Electric Wiring --- a, Fencing & Access Approval ,
17. Wiring RoughSign
9 -,I..., ;ill 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 QGBs 0 Oil
23. Gas Pipe-Rough&Test • .72. Underground Flush -
24. Roof Framing •• • / 73. Undergrnd.Storage Tank ❑Gas ❑Oil
25. Roof Sheathing . 7c,7 i `fes 74. Overhead Hydro '
26. T-Bar Ceiling (Structural) & Monocoat ! 75. Dry Chemical
27. Fame and Flashing' 76. Dry Standpipe
.28. Lathing & Siding _ .. 77. FIXED SYSTEM FINAL •
r
29. Insulation '. ' 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final ' 80. FOOD CERTIFICATE ISSUED I}
33. Final.Electric Notes: <-1-2S-4 G,ry(gee T/�
t.
.34. Final Heating& Air Conditioning �1� rr_C
1 l - �
35. Final Gas Pipe-Test - ,
36. Hood or Canopy • l
37. Final Factory Fireplace '
__- ?9.- mai 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 U..Z�cc/ Cale- •
48. FINAL PLANNING _/
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY
No. Date
Cemwood- The roof of a lifetime.
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l ak art N u ' .VI. 1 b�` ^ I .fiC emwood Shake TM { Y £ 1 Dlife ,•
CEMWOOD SHAKES are manufactured by American Cemwood Corporation.It is Installation - ___• .
a privately-held company with the corporate offices and manufacturing plants in, CEMWOOD SHAKES are considered lightweight products which can be used for !1 -
Albany,Oregon. reroofingas well as new construction. Each hasproven to bequite walkable with I +i
Rooting t
CEMWOOD SHAKES are ideally suited for residential areas and commercial excellent impact resistance.They can be easily sawn and nailed. It MattsrialsBY •.. uy
developments:The patented processes create a richly textured•product which When starting a Proof installation,as with any reroofing system,first remove the old, R r ' } PACIFIC SUPPLY C L-7f.
possesses all the architectural beauty and rustic charm of the traditional heavy rotten and decayed material.It is important for fire concerns and allows for evaluation d - .Nµ - - The-3`��`�� 'b 0 a'`Li a•1'me• 675 N.Batavia orange,CR 82668 ,x,
cedar wood shake,and provides the fire protection associated with cementitious - and repair of the sub-structure if there is damage due to water seepage. NOTE: 633 533
products.A CEMWOOD SHAKE roofscape will enhance and grace any architectural Contact your local fire marshal!about the importance of removing the old wood roof. ._. �71�1
structure while blending harmoniously with the natural surroundings. CEMWOOD SHAKES may be installed on a 3:12 to 4:12 roof pitch using solid `r-'•;. -
sheathing with a Type 30 felt complete underlayment and a minimum 18”wide Type
,1 •
'30 felt interlayment between courses with no felt being exposed to the weather. . _ s =-- ,` -� 4.
Strength and Durability NOTE This assembly may require the approval of the local building official.
CEMWOOD SHAKE has an assurance of permanence with its composite of portland CEMWOOD SHAKES may be installed on a 4:U to 12:12 roof pitch with spaced
cement and wood fiber.The portland cement is noncombustible and allows for Class or solid sheathing.A minimum 18"wide Type 30 felt must be interlayed between
courses with no felt beingexposed to the weather. � "°"� ° "'v' + -
"A"fire ratings when applied according to the Application Instructions. P° � -+. " :-~ • k � s ' t
The wood fibers enable CEMWOOD SHAKE to weigh significantly less than •
Each CEMWOOD SHAKE,including rip and ridge pieces,shall be fastened to the ' - './. . .- .pr, 1 _ ' :k,{ry �'r V -+� F :•,
roof by two staples or nails of not less than No. 13 gauge with corrosion-resistant f K +%- '--1,74.,„„,--r.,-4,-,,,,,, t' , h x _
standard concrete tiles,possibly create the image of traditional woodshakes'natural - ,y . , 1;.. �h ':.,
liftingandprovide excellent tensile strength.This is especially important when coating. NOTE Staples may require the approval of the local building official. n ,r4 .Tr rm 4 !r" ' s r r j°` �,'Y' ' r ? a P. I.!" ;
B P Y P° w• 1g -X. r. 4 ., ul,s.,... is , -x' p'-v"•'{ f", -'``4..a r 'i 4 F -.
walking on the roof to clean solar systems,skylights and chimneys as well as to The fasteners shall be installed between 'h to 1lh inches above the overlap point and t; t .. 41• S -, 0 - .. "-,, t r--- .., ` `
absorb the impact of such objects as baseballs,golf balls,tree limbs and hailstones. must be long enough to penetrate into the sheathing 34 inch or its full thickness, -1 ".gr v....,„4„,., r r 717 --;�. e4, C h.; n•., '4z' -4..
pp tits t l .q s w >f t :''. ' Ik ! t'r `i'�0, .eF
whichever is less. NOTE:Fastening"too high"will cause lifting of the CEMWOOD 1'' a'r 3 N'us 1�t ;; 3�;�tlf I C -+gtT��.Q v�t'r+,' ,
. SHAKE pieces. � Yi Sark jr,S .Lys ca 7-x ."F`ax9J-�yi'�AI llPr s.-I, o.-'",- z ; - •t,
P w „j,;i, "a t 7 AV-peg . Wer v S `s"`u° " .
Proper roof ventilation is most critical with anyinstallation.This is especiallyr h . r ` ' }� a4i - `
Coatings fi � „ !
important with CEMWOOD SHAKE because of its excellent insulation qualities. .1 e - : ,t l p' 2-t .,4,0, ,,,,+" r,, .'i-` IS y r� �, b " ,71'ilf�
CEMWOOD SHAKES have color within the individual pieces as well as an exterior "i ,•ka ,sad' ° '.�`r �°r"k / + g�+ql d Ipt ,
Each dayduringinstallation,the CEMWOOD SHAKE roof should be swept and c �` - .4-r.1';4?, y .,Fr-v.:1"-0.-41"•,,,,71P,1 " ''-`- v sr Fp J +.,^' ,. wd: ,k?a , £2
coating. The hue pigmentation within the CEMWOOD SHAKE is not as intense as Px f' w42 '� �, .Ch., 4.
l:. r3' f '•Ys,i� 7 a• u-F f; 9 " 4
the exterior ultra-violet resistant industrial slurry. washed to remove cement dust and debris.Cement dust can discolor the product. , ��y,o-.,�,�,,; �p �. ,fy ,r" �, _ .�; �91 r! .i,1� = � t �� 6 �J'
FOR DETAILED INSTALLATION INFORMATION,PLEASE OBTAIN LL. , rA- :AV ! i'l .,b +,a /f' r r e ' /44u-e,
Special pigments are used to ensure that the original color will be retained for many - 41.:a4.,:>$,.5/5 t y^, , l jx t �r ,. • r, w ¥
CURRENT'APPLICATION INSTRUCTIONS FOR CEMWOOD SHAKE ' • 1 - rtt o ! .7 f { }. 'cry 'r" • y. -3`'
years.As in all cementitious products,there is the possibility that hue variances f( fiu 4r r,, t , y �,{•;.,...v/-
years.
and/or efflorescence m occur. r� ,],��,],, i : > ,rr - ''° • ,r -
l�ting Standards . _ '� r { �T� �y{ ! r Vie, y r r�� 1" t�y r '};". v� '+.r � .
fit •'s ! ' �! 4 r y hr: .e','74 ,r A ° -
CEMWOOD SHAKE meets and/or exceeds all the testing standards for composite ;- _ ,g yj „ -
Pae�a�Tlri• roofing products as established in the ICBG Evaluation Sere' ' "Acceptance It v -4 2.11..-„,yu^ . ." All r• i - jr .r
Criteria for Special Roofing Systems:' ICBOES Rep o 12 vms the , „ a Ar Ytia,' fet* k , e U f
•
CEMWOOD SHAKES are randomly packaged for shipment in widths of 12,7 and 5 successful completion of tests which are similarly idenne n t� M E-108, _._. t sr.,.- 4 f i^" a .5. -,V_ ", ,I ,� l /[*{, /1� j..,.. a T gi J .
inches and a length of 22 inches.Each piece is tapered with a simulated wood shake UL 790 and UBC Standards#32-7. C l f ',t?, x+!` ',:".:-/-071 :;f y "' )`�;' !i{ r i•e .F„ .
appearance on the lower II inches.The weight per square is 580 pounds when ! "w^fir,'^.4" r' r W {" ..� ' pityt a +
fully cured. Warranty ( I P , '1.4t,";71:4". sp. �, pr M -,1,1" Oat ,.
l EN `rr'K1�'I'1 " ^'r f "y�' y7 ,vt
1. � !k t c,, R ! I`' at d 1 Ht`
CEMWOOD SHAKE may be applied over open-spaced sheathing.The three different CEMWOOD SHAKES are warranted on a limited,non-prorata basis for 50 years t' .,,, `i ,;*r r F;�- '' i>" -,;g 2'a`zr'-- ' 'l '�/ i v : '•r �'" e
widths mayeven be installed in a"staggered butt"design in order to further replicate a ainst structural breakdown of the products. A valid registered can be Y I' . Sa ' '''j+arf 9 t °r 's`` "* , '°� (^ � --v L `F+
BB BB wwarranty r'a" -- , 5/ i 1* - - . ,I fl
the traditional wood shake look. transferred once from the original owner. ' !' ^ ��4"+5_ , ri k �i r�I � �j �f� s'I' P .R3 *��j
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• Colors: f e(,,,
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Cemwood Shake plant Driftwood Umber• ' , I x
L?Amer1canCemwood „ ' �, r+ mericanCemwood
f �;r
Post Office Box C Telefax: 503/928-8110 t e wood fiber eetientfpeople
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800/367-3471 Albany, Oregon 97321 USA Telephone: 503/928-6397 c '
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. 6613 DATE June 23, 1972
LOT NO. 3
ADDRESS 1657 Utah Circle, Costa Mesa, California
The developer of the above entitled tract desires to sell the above set
forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he-she-they) (was or were) advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the City
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless from
any claim resulting in damage or personal injury to the undersigned by reason
of the aforementioned uncompleted condition.
By9, 2bc y-(/�
urchaser
BY 40 t&t
Developer and/o auto rized
representative
Bt
Lender
OWNER MODULAR Technology, Inc. DATE 7-15-71
JOB ADDRESS 1657 Utah Circle BUILDING PERMIT NO. 33316
GENERAL CONTRACTOR Same DESCRIPTION of WORK Res.w/att.gar.
AP No. LOT 3 TRACT 6613 FIRE ZONE VALUE $ 30,900.00
INSPECTIONS Sign ture Date GROUP I & rT TYPE V ZONE R-1
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR
Date I Number I Signature
WATER '/ r PI_bi •:
ROUGH PLUMBING rr'ay� / �i71"�SAMA�4P�r7 OM
PROP. SWR. LINE ❑ HOUSE CON. ❑ Ora W..�i � gil Ma 11 I
SPRINKLING SYSTEM
MISCELLANEOUS /'/
ROUGH HEATING AND AIR CONDITIONING -./� S /
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER ❑ •
ROUGH WIRING d�� . / /4' _��Hea�tin•)••�• V-• i ���j �{
TRENCHES Ve�FORMS "STEEL RE INF. %/��ain� '' iP/y/%I/i.ra..o��i '—r/i!l'v�l�
FLOOR SYSTEM / ijV r 42-1-71 7I'3
BOND BEAM n STEEL REINFORCE El /
SHEATHING ���
FRAME AND FLASHING
LATHING IN SHIN OUT y
Vr ( -
6„.‘
�1 L�
PLASTER, BROWN COAT Awa- 7-
STRUCTURAL, FINAL q
HEATING, VENT., REFRIG. AND A.C., FINAL t/N4 17,'y '7 , A. Jam(, - 41,7-/ - / - 321.
PLUMBING, FINAL AND GAS TEST n /i r7'1)i'ff._,
ELECTRIC, FINAL NNIS •pj77.,-
t" - 33316
UL 20-711R:001756' 6 ^C
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
�/f Q,, APPLICATION FOR BUILDING P777E{{{���RMIITT
For Applicant to FillCompletely
RECEIVED Bf- O TE RECEIVED �j l/!
BUILDING /a , /1V J/- 7 DA IS
ADDRESS Z
OWNER Modular Technology, Inc. A.P.NO. PERIJJ�JJJ.16
MAIL BUILDING (O// 7v
Z ADDRESS 1104 E. 17th Street ADDRESS / /
CITY Santa Ana Nod 547-8673 TRACT 6613 LOT 3 BLOCK
~ < CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
— I-
0', LENDER __
am X
J D BRANCH
J co OWNER Modular Technology, Inc.
m J ADDRESS meq/ rt.
-CO ARCHITECT TEL aLU$3o
UN OR ENGINEER Kermit Dorius, Ala NO 644-7111 USE Residence r.
FIRE I
oU ADDRESS X111 2nd Ave. . Corona Del Mar ZONE TYPE- - GROUP
W Z APPROVED
J O CONTRACTOR Owner BY DATE
CO z
J tr ADDRESS Same
W w TEL. ZONE^ 1 NO.OF USE OF NEW �.2`i/
Z I- CITY Same NO. ZONE/2\
PLANS /BUILDING
STATE CITY YARDS APPROVED YARDS A OVER
N 2 LIC.NO. 252549 LIC.NO. 1690 MAIN BUILDING ACCESSORY BUILDING
D SIZE NO.OF BLOCS. (FROM C/L STREET) /I
OF LOT 103 X 0 NOW ON LOT RONT /U FT. Or / FT.
USE OF L
EXISTING BLDG. -- SIDE 22-FT. J� FT.
I— SIZE OF NO.OF
2NEW BLDG. 2100 SF ROOMS 7 STORIES 2 L.SIDE T. FT. (---,
EXTERIOR WALL ROOF
U
_ COVERING rer Plains COVERING Wood Shingle _ REAR 4 MET. L FT.
_I USE OF BUILDING AND WORK TO BE PERFORMED
1 DISTANCE BET. BET. MAIN&
MAIN BLOCS. ACCESS.BLOCS.
CL _ p
Construct new residence with c U.P#�g S-c0c APPROVED S—�&
~ attached garage. ROEy _° � /`/—7-7 `
ABY INV DATEcn f) i/t
HOLD FOR SPECAL REQuIrmlaEWT&
e) 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
1A the State of California. ( /y� (j hy(/ m
Z J� SO. FT. �/ /' o
I hereby certify that I am properly licensed as a contractor under
/L'UJ
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VA ATION IS FOR
Chapter 9, and that such li enses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 'm
am exempt from the pr i ons of the State o California Business 2
and Professions Code. •. on 3,C a ter 9. VALUATION ///. `y to
PERMIT FEE $/.0 �L N
� q D
Signature of / y S�C m
Permittee 1irt/1 Cr� $ \ PLAN CHECK $ E
A�/� o
Authorized Agent 3G / 6% /s1 03 u.
TOTAL FEE $
VRINLI SARVER, John J. UAIt 5-23-73
. JOB ADDRESS 1657 Utah Circle BUILDING PERMIT NO. 36690
GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Patio Cover
iAP No.139-073-40 LOT TRACT FIRE ZONE VALUE $ 500.00
INSPECTIONS Signature Date I GROUP 1 TYPE \ ZONE R-1
SOIL SUBCONTRACTORPE HITS ISS E
i GAS Dote I Number I Signature
-
WATER Plumbing
`� ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. ❑ `
SPRINKLING SYSTEM
MISCELLANEOUS
-
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES STEEL REINF. LI jr."? y-Zy7S
FLOOR SYST M
BOND BEAM fl STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT Ii
-
PLASTER, BROWN COAT
STRUCTURAL. FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST f1
ELECTRIC, FINAL (�
BUILDING_ FINAL 1J7b L-A-)S
. - 36690
PAIr0n.
COSTA MESA BUILDING-SAFETY DEPARTMENT 71-7---- f ' ?7 : /.-:•G•$0
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely gECEDATE ISSUED�j
BUADDRESS LDING )(on 07,4 E'1 C7 RC.&€ � EC�$Jv1/—/Z7 71
• 0
OWNER '70 E-1(V 1. S.A2+CR A.P. NO. 13 cf....
.— 073 P J r Te4 n
MAIL BUILDING / / /� ,I
ADDRESS S/3�M 4 ADDRESS l f(75 7 U T A N GI &
Z
o_(7 CITY C. Ell TNOL s tie?
.
TRACTW.I I LOT 9 BLOCK
ZZ
< CONSTRUCTION NEW ADD ALTER REPAIR (MOVING DEMOLISH
—I- LENDER
J N BRANCH _. (�(
—� OWNER Ds"T SMA—P-61 E
m J ADDRESS '/�• L VALUE
J m ARCHITECT G'.7/L9 C.I.Z. TEL. '-,� USE P4440 ed J` 2 $ So-o
NOR ENGINEER NO, �Z V
WU Q FIRE •K GROUP
< ADDRESS ZONE / /�/7,JTYPE
YY PPE /\���
JW W p APPROVED I` w cl 2 i
Z CONTRACTOR OW N L� BY DATE
m Z
J Q ADDRESS --IL isi
/
Z CITY NO ZONFy., 1 IPLAON$Z BUILDING EW p&p I,�J b J FA
W-O STATE �_ CITY �� YARDS APPROVED YARDS APPROVED
to CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D U SIZE G INO.OF BLDGS. (FROM C/LSTREET)
OF LOT O O k ( 0 O `NOW ON LOT I FRONT 1 (.o FT. ) FT.
USE OF Q
EXISTING BLDG. OM eS
R.SIDE d FT.
I— SIZE OF ,.-- NO.OF ...—
Z NEW BLDG. ROOMS STORIES L.SIDE FT. T.
Q EXTERIOR WALL W0?1..p i LG r///
/�
_V COVERING S7u C'�� COVERING G REAR b FTM/ FT.
—I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
C
Cl. CSMAIN BLOCS. ACCESS.BLOCS.
CC p^ VAR.* DATE
O PA-7t O �' •p V£0\ C.U.P.# APPROVED
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fn APPROVED().../to DATE 5-aj-73
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VI hereby acknowledge that I have read this application and state STATE
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ f_0
any person in violation of the workman's compensation laws of / ^�
the State of California. y0 m
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ZI hereby certify that I am properly licensed as a contractor under SO. FT. TA( o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATI -•R
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: mfL
am exempt from the pro isions of the tate of California Business VALUATION V
—
and Professions Code,Di i ion ha r 9. rter
PERMIT FEE $ D
Signature of •— 00 m
Permittee � $ S 0 0 PLAN CHECK $ 54
G, E
Authorized Agent
TOTAL FEE $