HomeMy WebLinkAbout325 20TH ST - Building Permits� PX0.1Etf RO�flESS: j z � g 2 0 TH S T uxR:
OWNEH'SN�ME: ASHLEY, LYNDA J
nooeess: ASHLEY, ROBL•RT
j P O BOX 10224
� COSTA h;ESA,CA 92627
696-4970
11ptNIENGINEEfl: HEO.NO.:
RODfIF33: UNR:
/
PEXMffTFE: MESA PACIFIC ROOFING ( 714 ) 645- 7552
nooeesa: 1127 BAKER ST
COSTA MESA CA 92626
UCENSFD CONTMCfOR OECIAMT10N: I here0y allUm Ua� I am Ikense0 uMer Drovtsions al Clupter 9(wmrtrencinp vnt� Sectlon
7000) ol Division 3 0l IM Business anE Protessims Code. an0 my I' 's in tull lorce an0 ettect.
cmuc.:030�29 sunuc 3p�4.` u� C39 J
Uato: 7"�J�s��j S�qnatum:
WOPNEP�ATPEN t0 OECUMTION: I hereEya�� t�a� I Iwve a rUfic�te ol mnunt to utl-insuro a a unifiwte oi Workers'
Compensation Insurance ar a certilie0 mpy tMreol tSec iai 9800, 1a0. C).
roucxxo.:653447-89 cxr.o►n: 07/O1/91
�oMr�xv: STATE FUND
; Cerilfied copy is here0y IurtushM. � ni�ieE GoOY b fYeE 'th NB aty BWAinp 0' ' i�I���"'��✓i� � /
,� v
Date: �J��s Applicant: ��� •
IXEMPftO--N FIIOM YlOH S' LOMPEXSI110X OECWNATION: (tlis sxtim raetlfiot h mnpkte il tAe pemil's fa me hunAaO (3100) a�1.
I certity that In the performance ol t�e work lor wNc� Nis De�� � issueE, I shall rot employ any person in any manner so az lo Cewme
su6lect to ihe Workers' Compensation Laws af Calilomie.
Oate: SlOnature:
NOTICE: II, atter makinp this EeGaratlan, yau shaulC bewme wOject to tM Warkers' ComDensatlon provislons ol the Lahor
COAe, yau must IotlhvntA comDN ��� suc� proNsions or t�is permi� s�all Ge deemed mvokeE.
CONSTNUCTION LFNOINC �CENCY: I �ereEy amrm IIW� Ihea is a miutructron Ien0in0 a0ency tor tha DeAormance of Ihe work for
wAich lhis permA is iuue0 1�� �7. Civ. CI.
LENOER:
10uNE58:
OWNEH BUIIDEfl OECUMTION: I liert6y alfirm tlut I am axempt Irom the Contactors' State liceree law for the IoOw.dnp reason
(Secibn 703t.5 Bu5lness and Pro:esslonal COEe: My d�Y ol counry whkh repulres a ce«� to construct, atter. Improve, dertwli5n, or
reDair any stmctum, prlar to iU luvanca, also repuirm lhe applicant lor suc� permit lo file a sipneC statement that Ae/she ¢ IlcenuA
pursuant to Iha proN5iqi5 0l tne Contnnors' SWte LicenSe �w (CIUV��r 9(comrtRnclnO ��� ��) ol Divi9on 3 of t�a Bu5lness
anE ProlesUans Ca0e) w WI IVJstro b exempt tlrcalrol� � Ne �asa Ior Ihe a7epe0 aempUon. My vioWtion al Section 7031.5 by
�Y aVDuwnt lor a DerMt w6�ecls ihe apd�t Io a cM� De�b ol mt more Ilun IMe IwnCretl Oollars (55W).
I. a� avmer ol IAe D�D�Y � m7 e w�ih w+pes u Udr sole campensallon. vAI Eo Ne work. anG me
❑ swcwm 6 not IntWeE or atteretl lor s�le ( ciW� 10C1, BiWness aM Pmfesvpal CoEe: The Contnctars' Sute Uuose Law
�Eoes not aDDN �o an owner ol a DropeM � �W�� or im0« �herean, aiM wAo Eoes suc� woB �imull/hersell ar thmupA
his or her own empbyees, proviEW Wt wN imWq'emmb are nat mtWeE ar ottereE lor sale. If, Mwever tAe Mul0in0 or
Im0«mmt Lc sok witNn one year al comdatla�. Ne owner will have Na EurEen ol Drwinp Aelsha EW not EuiW or Improve
lor Iha purpose al sale�.
'T I, az owner ol tM properry� am exGusivW mnvactinu �7m icnseE coninctors to mnswct ma project �Sectlw 70ea. eusiness
❑ an0 Prole�slms CaEe: The Cmtrutors' State LiR� Lzw Eaes not aPdY a��er oi properrywM 6mIAs w improves Nereon
anE who contracts for wcA Orqecis ��N a canRaqor�s) �ceme Wrsuant ro tM Contnctws' State License Law�. I am awara
Ilut Dro01 0l their Worker's fAmpeM7ilon utwMCe sla�b G! D�� a me.
� I am eremD� �er Sectlon; B. 8 P. C.
�or tnit reasan:
oate: Mmer:
I tlo �eaby certiry tAat I am aware al anU unEerstanOlM �eVuirzmenis of CalifamW Healt� aM Safery CaEe Secero� 25505, 25533, anA
2553a anE tnat I or am� hnuro dn10in0 o�cuDa�� ��n Mi (a� �) �� to mmply rriN saiE sute m0es antl Ne repuiremmis lor a
permit lor caaVuction or �ro0ilintion Irom Uro Nr ry Manapertrcnt 05vkt. Fle5i0ential con5iruction apD��� � exemDt Irom
Ihese Droviswns.
Oaie: Appli[ani:
I �ereW cenity Ihat I �ave reaA Ihis aDDliw on anE state ��� �� aGova inlormation's mrtect. I ee to camDN �� all ciry anE caunry
oNinancesaMstatalawsrelatinptoWlMi caswcliona��C oAxerepresenutires '�rywmt pant aCovo-mennoneE/
procem mr inscecn ou . .
Date: Sipnamre: "
Dnver'S Lit x o� '� saoary N:
1841d6 W�ite—BuilElnp; GrlBn—CoOe Eniwcament: Canary—Applicant: Pink—Pevenue: GOWenraE--h5sessor
CITY OF COSTA h1ESA - HUZLDING PERMIT PERM NO: b 04C9738
PERMIT NO: B 098988 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; PERMIT TYPE; STR PUAPOSE: OTH
JOB DESCRIPTION : REROOF 3200SF RESID 6 GARAGE W/COMP & SH SQ FT: 4,200
CLAIM VALUE: 4,200,00 CALC-VALUE: 4,200.00 GROUP OCC: R-3 /M-1
COMMENTS: X (�p�p]
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Z O N I N GS ERTE$�AUCIKASE M E N��pKE DET���
------------ MAIN bUILDING ---------- --------- ACCESSORY F�Q��ED _____
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKZNG REQ• PAOV; PARCEL: 42629505 ZNE: REF NO:
PLANNING N6TES>
>
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D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
. .�
ZONING APPROVE��BY DATE: �_
HUILDING APPROVED HY ; DATE: (� "
APPLICATION ISSUED HY; � DATE: l"�
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LEGALIZATION:N F E E S U M M A A Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/AES GRADING
PERMZT 72,OQ .50
PLAN SMIP/NON-RES
ZSSUE FEE
BUILDZNG-DIV-> PERMZT ISSUE PLAN-CHECK TOTAL PAID� DUE
TOTALS----> ) 72,50 0.00 0.00 72,50 72,50 ,00
REVENDE DIVISZON TOTALS--> COLLECTED: 72,50 OVER/SHORT: 00
HLDG PMT PLUMHZNG ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN-CHECK
72,00 ,50 •
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I N D I V I D U A L F E E B R E A K D O W N
TYPE
SFR
(dTY D E S C R I P T I O N
4200 REROOF bY VALUE RESIDENIAL NOZONE
END OF FEES
.
UNIT COST TOTAL COST
1.00 4,200.00
OL QD069517-OOOb�,`.t`_'��Yoa 3 '2.50 �
GATE: Q?/13;50 TIPi=: 1`:5° /
✓
CONSTflUCTION AND PLANNING ' P� PA
APPROVALS� Permit # Date Inspector AppROVALS Permit # Date Inspector
�.
1. Temporary Electrical Service.oi Pole " 52. Pool & Equipment Location
2, Soil Pipe-Undrgrnd. •• , 53. Steel Reinforcement .
3. Electriwl Conduit Utiliry�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. Footingz 58. Electrical Conduit-Undrgrnd. .
8. Foundation 59. Gas Pipe, � 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-Fina�
12. Sewer Cap , .� 63. Heater & Vent•Final .'
13. Roof Drains � � 64. Plum6ing System - Final .
14. Rough Plumbing ' � ; '
65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System�Final
76. Rough Electric Wiring � 67. Fencing & Access ApProval
77. 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 & Tesc 72, Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing � Q�✓] _ 7q, Overhead Hydro
N-�
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing �6. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 7$, 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 Eleciric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy •
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations �"�ZZ_ q_ � � Q `
47. FINALSTRUCTUflE&BUILDING S'�_ ( b ��rJ9
.��
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
� 1' V. LAWMASTER & C� ; INC. 73cMs-tazz-aoz
7940 MAIN STREET — STANTON, CALIFORNIA
826-8040
XXX
Field Data on Test Specimens Core Concrete Gunite Grout/Mortar
Project Pool Oxarat Permif No. 3h34p
Project
location 325 East 20ih St. , Costa hlesa
Coniractor Architect �
Location in Structure � Engineer
Date Mo�lded 4�27%73 No of Specimens 6
Slump Specimens MarkEd
Soecified Shr.ngth at ?P dsye ���� P.S.I. Mix Designation
Aga to be tested days days days days
READY MIX PLANT AGGREGATE SOURCE
Weather Condition 1 Yd. —Yd. 8atch
Cement Type Cement, Ibs.
Admix Sand
Specimens made by #4
Data by Stowell tt3
Delivered by Jim White #2
— �
Date Delivered 4/30/73 t3E.11LU�"•"� �''�I"C! Y A.s'
#
1,:R � G E I�l,�
REMARKS: Water, Gals.
1. cut
�
FOR LABORATORY SE ONLY
Lab. No. 73-843 73-844 73-855 73-846 73-847 73-�48
Day_Test 7 Day.Test 7 zg Dey Test zg Zg Day Test
Date of Test
Specimen Dimensions
Area
Ultimate load
Lbs. per sq. In,
H/D Corrected
Fonr+ M-013
1356
RCE�6207
6.13X 6.33X S.BSX 6.OSX
12 3 12.375 12.75
5 31.4 26.88 28.75
D 00 63 500 000 I
1389 2336 2,362 2,748
2298 28 day ave. . 2 41
� �•t.� < ._ , _ ... �
3,714
i_;.,..._,�
` � 1647
COSiA MESA BUILDING-SAFEN DEPARTMENT
`P. O. BOX 917 C08TA MEBA. CALIRORNIA
For Appiieanf fo Fill In Complefely
TYpE OR PRINT
ADD E'S6 3 Z s— �� ZO� 5�Ir�
COSTA MESA. CALIFORNIA
� SET6ACK LINE PROM
FE� REGEI��u
7 ts62
- FII��1�C� DEPT.
CITY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
aecetrr xo. reNa�' . �
BY
/ti I J �0�.7'(071%�',
BUILDING
ADDRE56
COSTA MESA. GALIFORNIA
ZON NO.OR �J 1166 OP N8W 3�v /a�+s/4
��-� PLANB L BUILDING /
W
iEL. LEGAL
NO. GESGRIpT10N � �� LOS' �/ /S�%1 %
INO. OR BLDOB. --• / Jq [J �
NOW ON LOT . p. P. N(] •/� �// / ��)�FZ i
DESCRIPTION OF WORK
FXTERIOR WALI,,, ROOF
COVERING J n COVE'.
� U&E OF BUILqING ANja WORK TO I
i1�
I HEREBY ACKNOWLEpGE TXAT i HAVE READ THIB APPLIWTION
ANO BTATE THAT THE A00VE 18 CORRECT AND AGREE TO LOM-
PLY WITH ALL CITY ORDINANCE9 FND 8T/�TE LAWB RH6UL�TINO
BUILUIN6 CONBTRUCy�i1y/ N. ///� � j�
SIGNATURE OF //�Aj�� �1(� (J//
PERMITTE Y� y
AUTNORIZED AGENT
(C6NT6R LIN6 9TJ,J
FRONT i p� %�"�
R.SIDE I`3 F
L. S�DE � F
REAR IQ� � S_F
APPROVED �_/,p _
�•
j-- �//�t ' �u;viW.
��` ; .,..,• . � 3
,v,� y / 7- ,��-�,;<.,.;"�._---�
�¢�MOUtIL ' " "�Dl1f'4AL'UATION IB FOR THE
1
OP E9TpBLIBH�NG A PEHMIT FEE ONLY.
VALUATION Q
�� PERMIT FEE $ �O�
i �/ p
$ / � �� ^ PLAN CHECK $ � / ^
/�
OWNER
JOB AD
��
�ool Location ,
�Forms
Main Drain _
Steel Reinforce
Elec. Bond _
Approval to Cover
Underground Electric _
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep.
Electrical Final
F'-•ter and Vent Final _
� :r System Final
Backwash and Rec p. Final
Fencing Final f�o�7
oam
�",
7-/e.
DATE
SUBCONTRACTOR
Electric
�'"�(�'�3_.�Xd� .u;ati ' d,,:�ro�,, �G, i7a� Y� � 1/•.�
/ '"
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� _ � ,� � 7 ��t�OD �a� • _::;.3;.5C
�r 3b348 � - �- ,-.. , : : �
' COSTA MESA BUILDING-SAFETY DEPARTMENT
� P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
ForApplicant to Fillin Completely qECEI eo D TE F CEIV�
AOIDRESS � 25 � /�. � � � � DATE ISS ED
.�L —
�^ PERMIT N .
OWNER JQ iY) .x +Q 1Q (� A•P• NO. � �
MAIL J 2J � . �� Y Tl �^( — BUILOING �� 5 � �T �,1 •
ADDRE$$ �) � ADDRESS J 1
Z . �+ �/� p� �RCf LOT 5 BIOCK
d U CITV �' �. � / � �'Ciy.V NOL �
Z
CONSTFUCTION W ADD A R P
O N LENOER N �O �Z \ ,
d m v
J � BRANCH ry
J� OWNER �y� �-MRA �M XAR
m J AODRESS �
ARCHITECT VALUE �
d� 6aO�+.�J TE�S�� WJ�N 6n $ �
— OR ENGINEE i N
V Q c ` FIRE
W� ADDRESS J I ( Kp ZONE T�'PE GROUP ��//
a w APPROVED �7
w Z CONTRACTOR �� ( Q /(. Q BV DATE �
J Q
m
J¢ ADDRESS I � G Q„
ww p�"� b` J' TEL. �ON NO.OF USEOFNEW�'��jr
Z F CITY -�„yv � . T1 NO. �� � PLAN$ BUILDING ��
w� STATE CITY YAROSAPPROVEO VARDSAPPROVED
(nQ LIC.NO. �Z0 2 LIC.NO. MAINBUI�DING ACCESSORVBUILDING
7� SIZE (� � p2 NO.OFBIDGS. (FROMC/LSTREET) !
OF LOT O V �C J NOW ON LOT ROM FT. FT o�
USE OF
E%I5TING BLDG. �� S S FT. FT.
Z NEWBLUC. /�,x � NO.OF 3� J( �� � O
ROOMS �S ORIES L.SIDE FT. FT
U EXTERIOR WALL ROOF �
COVERING COVERING REAR FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
a MAIN BLDGS. ACCESS, gLDGS.
a /
a �� S�h! v rn O� �/ �r p' C URP # APPROVED
Q /' �+ /
(n 1� VN I` S � l�N /'T1s�r K oCl �ROVED y' �%2
. i—
o s A- 3 ' sz
UI horaby acknowletlga that I have reatl fhis applicotion antl stata STATE
� thet ihe above info�mation is correct and aB�ee ro comply wI[h
� all lews �epulating Ouilding consvuction, antl I sha�� �ot empioy � O
F any person in violation ot tha workman's cOmpensation laws of
N [he StatB of California. m
z1 hereby certify that I am proPerly licensetl as a controcror untler SQ. PT. T/�C o
[he Sta[A of Calitornie Business and Protessions COCa, Divisicn 3, THE AMOUNT SHOWN UNDER VA�UATION IS FOR
Chap[er 9, antl that suc� licenses ara in tu11 torce antl a4fect, or 1 THE PURPC6E OF 6fAHL15HING A VERMIT PEE ONLY: m
am exemPt from ttie Orovisions of e State of Californ{a Business �
VALVATION
m
antl Profassions Cnd Divisi ter 9. PERMIT FEE $ l �� �
LC% '
Sip^ature of m
Permlttae $ PL,AN CHECK $ r�--'�l E
� `o
^ s, LL
Authorizatl Agent TOTAL FEE 5 � O"C/