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HomeMy WebLinkAbout1089 VALLEJO CIR - Building Permits w ��Y CITY OF COSTA MESA 4 `" q BUILDING DIVISION .• ( DEVELOPMENT SERVICES DEPARTMENT PER NUMBER r` /✓; . PERMIT oP PO4-00087 (714)754--05273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1089 VALLEJO CI Status: ISSUED Suite No Applied: 02/05/2004 Issued: 02/05/2004 Vicinity: ytri Parcel Nunmber: 41205222 ISSUED BY: Applicant: SZABO, KEVIN Address: 2737 S CRODDY STE D Phone: (714)241-1414 SANTA ANA,CA Zip: 92704 Owner: YEH, JIN-SHEN Address 48 MASSIER LN Phone: 949-283-8186 FOOTHILLRANCH,CA Zip: 92610 Contractor: COAST ROOTER PLUMBING HEATING &AIR CONDITIONING Address: 2737 S CRODDY STE D Phone: (714)241-1414 SANTA ANA,CA Zip: 92704 License: 529127 Arch / Eng: Address: Phone: Zip: - License: • SCOPE OF PERMIT . WATER HEATER CHANGE OUT. FEE SUMMARY. AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 • 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 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 for a 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) w 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 self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the for which this permit is issued. I have and will maintain w ers'compens surance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. My workers'com et1 alio Insurvier an olicy numb are: ( CD!� Z3O'" /5 Carrier: L ���� Policy Number: `/-Q/~ Cep (This section need not bIt"comple ed if the permit is vat ed at one undred dollars($100)or less.) x` I certify that in the performance of the ork 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 ree that If I should become subject to the workers'compensation provisions of Section 3700,01 the Labor Cod I shall forthwith comply with these r isionS Applicant Signature: Date: t IV/vl WARNING:FAILURE TO SECU RKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE UP TO ONE HUNDRED THOUSAND Drx i ARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARAT1 N: I hereby affirm that I am licens r r io S OU"nolr 9(commencing with Section 7000)of Division 3 of the Business and r of: si. - d my license is in full force and effect.Lic.# Class# _ Contractor's Signature: Date: 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).): ❑ I,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 Law 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.). O 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.). O 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 8,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: • I 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 ❑No (Section 25533 of the California Health end 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 end Prevention Program for acutely hazardous materials)? Dyes ❑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 an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ 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? ❑Yes 0 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 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty 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 under 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-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Cure Of Legal Owner(s) And/Or Authorised Applicant Date CODE 1 INSPECTION TYPE. DATE JNTRIALS CODEC INSPECTION TYPE PAM INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing f© 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 204 Final Demolition 250 Final Building/Occupancy ,STp F 9 CITY OF COSTA MESA 4 BUILDING DIVISION • i F �) DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 4 ,I PERMIT / J+ ,4+ j B03-00116 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1089 VALLEJO CI Status: ISSUED Suite: Applied: 01/24/2003 Vicinity: ROOF Issued: 01/24/2003 Parcel Number: 41205222 Zoning: Applicant: TORRES, CUSTODIA ISSUED BY: Address: 103 W ESCALONES SUITE A Phone: 949-498-2274 SAN CLEMENTE,CA Zip: 92672 Owner: YEH, JIN-SHEN Address 48 MASSIER LN Phone: FOOTHILLRANCH,CA Zip: 92610 Contractor: J.L. RAY COMPANY, INC Address: 103 W ESCALONES SUITE A Phone: 949-498-2274 SAN CLEMENTE,CA Zip: 92672 License: 567238 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF.INSTALL 30 YEAR,COMPOSITION SHINGLES, 1/2"OSB, 1 LAYER OF 30#FELT.26 SQUARES FOR RESIDENCE ONLY. FEE SUMMARY Plan Check: $0.00 - Calc Valuation: $6,100.00 Permit: $139.25 Claim Valuation: $6,100.00 SMIP Res: $0.61 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $139.86 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 for a 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) DECLARATIONS (I) WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: , ❑ Ih and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the rk 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 permit Is issued. My wo ars'com ensaliioo�frinsurance rrier and policy number are: 1 �) Carrier: c )4C1�-e_ CA IA LA Policy Number: f `7 64' ,3 I (This section need not be completed if the permit Is valued et one hundred dollars($100)or less.) ❑ 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 t0 the workers' compensation laws of Califar a ee th if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisi Gf Applicant Signature: 747./Err C -4i Date: 1 ENA !0 3 WARNING:FAILURE TO SECU WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI LTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S10Q000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licens;d under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Coand my license is in full force and effect.Lic.# e r Class# C 39 ,1q b G Contractors Signature: .+/r/j'�� 2.,-. . Date: '/,iz y703 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). Lenders 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).): ❑ I,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 Law 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 Drivers 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 8,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? ❑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. ...i. 4 If an n RMPP... P is presently i...r .. y 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 implication akgermil for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LI 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? El—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 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty 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 under penalty of perjury that I have read this application and state that the Information given is correct. I agree to comply with all slate laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. /J / Si ..Of I A Owner(s) s t° And/Or Aut prized Applicant Date , CODE I INSPECTION TYPE MIL INTITIAL$ CODE INSPECTIONTYPE PATE ILLS • 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final ,��7 208 Final Plumbing ' —1 200 Final Re-Roof x_03 CI= 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 204 Final Demolition ' ' ' 250 Final Building/Occupancy CITY OF —'TSTA MESA PROPERTY DETAIL ?EPORT , 1089 Vallejo Cir Costa Mesa, CA 92626-1624 Owner: Yeh Jin Shen Yeh Tsui Lien L Phone: Resident: Phone: Site Address: 1089 Vallejo Cir Tax Address: 48 Massier Ln City/Zip: Costa Mesa/92626-1624 City/Zip: Foothill Rnch/92610-2300 Parcel Id: 412-052-22 Own. Occ.: No Location: Costa Mesa City School District: Newport-Mesa Unified Neighborhood: Unknown Census Tract: 063907 Wealth Code: 8.0 Year Listed: Legal Desc.: N Tr 6637 Lot 65 Zoning: Unknown Subdivision: Unknown Usage: 001: Single Family Residential Style: Unknown Construction: Unknown Year Built: 1969 Ttl. Rooms: 8 Blktop Paving: Unk. Stories: 2 Bsmt. Type: Unknown Concrt Paving: Unk. Bdrms: 4 Bsmt. Fin.: Unknown Carport: No Baths: 2 Full and 1 Partial Gar.Type: Attached Garage Deck: Unk. Heating: Unknown Gar.-Cars: Patio: Unk. Cooling: Unknown Gar. Sqft: Pole Barn: Unk. Irr. Lot: Unknown Roof Mater.: Unknown Pool: Yes Terrain: Unknown Roof Style: Unknown Fireplace: 1 Water: Unknown Attic Type: Unknown Gas: Unk. Sewer: Unknown Condition: Unknown Electric: Unk. Sqft 1st: Lot Dim: Units: Sqft 2nd: Lot Size: .172 acres Sqft Bsmt: Lot Sqft: 7492.32 sq. feet Sqft Total: 2186 Market Value: $268,205 Gross Tax Semi Ann.: $1,522.06 Assessed Land: $144,695 HB920 Credit Semi.: Assessed Bldg: $123,510 RB Credit Semi Ann.: Assessed Total: $268,205 RBA Credit Semi.: Percent Improved: 46% Homestead Exemption: Delinquent Taxes: Spec.Assmt. Semi.: Tax Semi Ann.: $1,522.06 Sale Date: Sep-24-1987 Mortgage Date: Sale Amt.: $207,000 Mortgage Amt.: Deed Type: Unknown Mortgage Type: Volume& Page: Volume& Page: Seller: Lender: Title Company: Unknown Mortgage Term: Multi-Parcel: No Mortgage Rate: The information is deemed reliable but is not guaranteed. 2002-2003 Tax Year Copyright 2003 Haines Printed Aug-08-03 SOUTH ORANGE CA H . . LAWMASTER & CO. , -INC . 7940 MAIN STREET — STANTON, CALIFORNIA 71CM5-628AAD-002 828-8040 XXXX Field Data on Test Specimens Core Concrete Gunife —Grout/Mortar Project Swim Pool, Wm. T. Conal Permit No. 32983 Project Project #60633 Location 1089 Vallejo Circle, Costa Mesa, Calif. _ Contractor Anthony Pools Architect Location in Structure Engineer Date Moulded August 13, 1971 No of Specimens 6 Slump Specimens Marked 1-29, 3-4D, 5-6B.B. Specified Strength at 25 days ?Orin P.S.I. Mix Designation Spec. Age to be tested days_ days _days 2F days READY MIX PLANT AGGREGATE SOURCE Total Used Weather Condition U'Cast - Cool 1 Yd. --Yd. batch Cement Colton Type Cement, lbs. 280 bags Admix Sand 70 tons Specimens made by Anthony Pools #4 . Data by Melvin Fagot "3 Delivered by #2 Date Delivered # REMARKS: 1-2 Shallow end Water, Gals. 3-4 Deep end ( 5-6 Bond Beam Deep end ��!� I ,t] C�t t-"�ti _JIE: . Specimens 1931 & 1933 appear dry H. dirty. C J 1971 a7K&/ 9J9-7/ CSEP I „ FOR LABORATORY USE ONLY Lab. No, 711931_. .. 11932 711933 11.34 711435 711936 _ Day Test Day Test 7Day Test 8 Day Test 28 Date of lest i- I 8-20____9_ 10 •40 9-10 5.89X12.5 5.65X12.25 Specimen Dimensions 5.89 X 12,62 .,05 X 12 1/.5_ 5 89X12. _ 5.81X12.125 Area 27.25 x@.75 _— 27.-25 2Z.25 26.52 25.07 Ultimate Load 34.D00 • .000 ' _,400_57,500— 55,500-_75.000 Lbs. per sq. in. 1,248 _ 2,191 1,541 2.110-_-2.09.3_ __ 2.992 H/D Corrected __ FORM M - 015 RCE#6207 �Tt-fes'-�--.`'t""" r L-r3. - 9g590 COSTA MESA BUILDING-SAFETY DEPARTMENT PAID P.O. BOX 1200 COSTA MESA, CALIFORNIA 0262E JAI -7-69DNS,OO 222* **9128.e_ For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING For Office Use Only ADDRESS 1089 Valleio Circle REcnFr NO. 2959INc COSTA MESA. CALIFORNIA ��77L�l1��77�UU' D DATE IVED OWNER Seltzer Enterprises-Costa Mesa R vFeiii - [Y p./aI_-2-- 0[-67� //y//y-�[,,?D�'6„/ ADDRESS /OO 9 L/a_M 1L�.C'-�l" 4_,-6 _, ADDRESS 144 South La Brea Avenue � ��)) //////������ CITY Los Angeles 90036 No.9367-1104 ZONE L� TYPE l� GROUP a(/-,9 ARCHITECT TEL- �1J78 APPROVED OR ENGINEER Frank Gonzales ND. 000000 BY DATE J 1336 E. Chapman Avenue ZONING ADDRESS OrangeCalifornia 92668. ZONE NO.OF USE OFNEW Res. w/ CONTRA • - . •P ;- . - • 1 �• R1 I .1-'1" 2 I BwLDmaAtrarh "- rage - ADDRESS 144 South La Brea Aven(e LEGAL Lot 65, Tract 6637 CITY LOS_Angeles . California 90036 A.P.No. None NOTE: NO KAYE OVERHANG SHALL BE LESS THAN STATE LIC. 201098 TEL 936-1104 80•TO SIDE&REAR P.L. SIZE I NO.OF SLOGS. A/LLOEWEED . (U.B.C.REQUIREMENT) OF LCT NOW qn LOT 0 YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. .(PROM C/LSTREET). I SETBACK LINE FROM VO IIJ)J) l CENTER OF STREET REAR YARD 12 I FRONT ' FT. Fr. SIDE YARD LEFT 12 ' I RIGHT 13 ' R.SID[ 13 PT. FT. DESCRIPTION OF WORK L.SIDE /- /Tr. . F NEW X ALTERATION ADDITION REAR -PT. FT. DISTANCE HIT. BET.MAIN& .0 REPAIR Li1QYINQ .DEMOLISH MAIN BLDQS. ACCESS.BLDGH. BUILDING NO.OF VAR.# DATE 2 SIZE ROOMS STORII* C.U.P.# APPROVED EXTERIOR WALL ROOF APPROVED COVERING stucco COVERING wood shingle Hr (VIA� ��D�rE �13D USE OF BUILOINS AND WORK TO BE PERFORMED 0/1/ a Dwelling and attached garage N Plan 404A - Lot 65 I c,oPSeQ.Fr 10-2 '' I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION THE AMOUNT BH UNDER VALUATION IS FOR THE j AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. ry'N PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION - /f��A O BUILDING CONSTRUCTION. VN SIGNATURE OF ,(�7 'if PERMIT FEE 5 PERMITTEE f -/ 7� (J f PLAN CHECK S 5:7175— 1''' AUTHORIZED AGE N O` C 7,;< /9 TOTAL FEE $ O� i OWNER CONEL, Wm. T. DATE 4-23-71 JOB ADDRESS 1089 Vallejo Circle BUILDING PERMIT NO. 32983 GENERAL CONTRACTOR Anthony Pools DESCRIPTION of WORK Pvt.Swim Pool _ SAP, No.412-052-22 LOT TRACT FIRE ZONE VALUE $4,300.00 INSPECTIONS4 �✓1 Signature Date GROUP J TYPE III ZONE R-1 GAS /J �i.n{-7 CY/ /✓JS �{-^7,--7/ SUBCONTRACTOR PERMITS ISSUED GAS "' _^/ Date Number Signature WATER_741�u [N/ 4 . _ _ M57 -�"—' Plumbin ROUGH PLUMBING - / e4i (2�{�J�,t i.0—At.. G_y.J 11-.7Q -7/�-��j'fr PROP. SWR. LINE Q HOUSt'CCO-N. ❑ LYS ,wll.�iX -27-7j Nll 7L SPRINKLING SYSTEM6 SLI t'Vu /� / ! `LCL/ MISCELLANEOUS.-72,2.-/A.Z-c? ' N J`/Sl J/ ROUGH HEATING AND AIRNI TEMPORARY SE �n,Ofj.e /'rvf9 Al c�7 - 7 7 UNDERGROUND POWER ❑ l .3a ROUGH WIRING / r7•71 Heating and Vent. TRENCHES ❑ FORMS fl STEEL REINF. ❑ FLOOR SYSTEM T BOND BEAM ILL/ STEEL REINFORCE Q/- /1i157-S-q.- SHEATHING FRAME AND FLASHING . LATHING — IN Il OUT — PLASTER, BROWN COAT STRUCTURAL, FINAL Ele ' HEATING,MBIN , FINAL REFRIG. AN�A.C.. FINAL / g-5-/ /��,�,( e7 ._. moi/ `J-�(�'J/ g6�L� PLUMBING, FINAL ANU,�C_-j.�•`ID'>c"{i�jGJ•`� 1i �//%/y'� '� - / ELECTRIC, FINAL TV,ride. C': i ...... ....... �..... ar/7 /.✓ Cr->/ • 32983 • PAIR APR 23-71�jjuO1086'r ****)43.53 COSTA MESA BUILDING-SAFETY DEPARTMENT P.0•BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BY DATA REC§1VEq DAT ISSU D BUILDING 1089 VALLEJO CIRCLE 4?b( "{/ae X 4/ 01 7/ ADDRESS WM T CO + z r -z PERMIT9Q.�_} OWNER A.P. NO. /a- ��- oC� ...�a_ J MAIL SAME BUILDING ADDRESS 1089 VALLEJO CIRCLE Z ADDRESS 0_ U CITY NO.TEL. TRACT 66';7 I LOT 65 BLOCK ZZ 4 CONSTRUCTION Cash NEW ADD ALTER1 REPAIR (MOVING DEMO,ISH -I- LENDER 0_ m xR- J 7 BRANCH ' JN OWNER WM T COWL a W ADDRESS VALUE QC.00 J m ARCHITECT TEL S swim pool s 3 U N OR ENGINEER C. Adams NO Bp-32111: Z a FIRE , • W K ADDRESS ZONE TYPE ROUP n WO. Z APPROVED d� ATE 3— /l _10 CONTRACTORAnthony Pools BY .Jcc ADDRESS 5871 Firestone Blvd. will TEL. ZON NO.OF USE OF NEyry erkta o= PLANS BUILDING Z I— CITY South Gate NO. Sp-32210 —"� e -0 STATE CITY YARDS APPROVED YARDS APPROVED tn cc LIC.NO, 190179 LIC.NO. MAIN BUILDING ACCESSORY BUILDING 70 SIZE ANO.OF BLDGS. (FROM CIL STREET) OF LOT NOW ON LOT FRONT FT. .Z/ FT.tt-- USE OF / / r{, > & EXISTING BLDG. residence garage R.SIDE FT. l� FT. G I— SIZE OF NO. OF ZZ NEW BLDG. 750 0 ROOMS STORIES L.SIDE FT. /07 Cr EXTERIOR WALL ROOF _ COVERING COVERING REAR FT. S FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 d MAIN BLDGS. ACCESS.BLOCS. < Private swim pool in rear V R.# DATE O APPROVED I— of single family d*ailing ROVED�p'✓`i DATE 1-/-423— 7/ z (/ 0 U 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 (egulating building construction, and I shell not employ F any person in violation of the workman's compensation laws of CG the State of California. . to Z I hereby certify that I am properly licensed as a contractor under SQ. FT. o 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 PURPC6E OF ESTABLISHING A PERMIT FEE ONLY: 0 am exemp • e provisions of the • of California1Business VALUATION f and Prof sions Code,Division 3, ../ CO 11 PERMIT FEE S rl` w Signa re 0 ` Y'��O.00 .3'a`. CO Perm ee —,—......1 , —�� $ PLAN CHECK S % E Authorized Agent At __( 721..[.(C.L TOTAL FEE $ --4J er