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HomeMy WebLinkAbout2990 GRACE LN - Building Permits • F 9 CITY OF COSTA MESA BUILDING DIVISION F • ,,a.eh..�( DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER PERMIT -"ww. .0 BOS-00590 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2990 GRACE LN Status: ISSUED Suite: Applied: 04/13/2005 Vicinity: ROOF Issued: 04/13/2005 Primary Occ: B Eat<50/Office/Bar<50 Type of Construction: V-N Parcel Number: 14122141 Zoning: Applicant: SOUZA, AL ISSUED BY: p_,`A j Address: 10657 STANFORD AV 1rr Phone: 714-636-5679 GARDEN GROVE,CA Zip: 92840 Owner: MILLER, HAROLD R Address 2990 GRACE LN Phone: COSTA MESA,CA Zip: 92626 Contractor: MR ROOFING SERVICES Address: 10657 STANFORD AV Phone: 714-636-5679 GARDEN GROVE,CA Zip: 92840 License: 765080 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROCK ROOF&INSTALL NEW 4-PLY BUILT-UP ROOF SYSTEM&CAPSHEET. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $30,830.00 Permit: $452.35 Claim Valuation: $30,830.00 SMIP Res: $0.00 SMIP Com: $6.47 Other: $0.00 Inspection: $0.00 Total: $458.82 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 NOTES: 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 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 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 permit is icared. My workers' .yenysatii Mapco carrie and policy number are: <C,ar�r&ice'• /O- / e / '4th O Perini mber x oe° 2 3 9 9 - z b S --(This sect/on need not be completed if the permit is valued at 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 to the workers' compensation laws of California,and a e that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall fdnhwIth comply with these provv)affins. -,Appiicanl.Slgnature: L ' t� "D -�.+"/' 3 d J `WARNING:FAIUIRE TO SECURE WORKERS'COMPEN ATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS(5100,000),IN ADDITION TO THE DOST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of.ihe.Bu esz and Professions Code,and my license is in full force and effect. dcsjii_ /7 O D 'Gass-0E-5 Contractor's SignatuTre axe Dee -D 3' /j 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.). ❑ 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 Coda for this reason: Signature: Date: Owner ID verified by drivers license. ❑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: In 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 Safely 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 an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑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 apermit tor such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes No (Section 65850.2 of the California Govemment 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 Califomia Health and Safety Code Section 42303 been made? ❑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: I CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I candy 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. Signature Of Legal Owner(s) Date d/Ot9ut-11 prize Applicant. . Date ROOF t INSPECTION TYPE DAIS INTmALB CODEC INSPECTION TYPE RAIL IIfI[Nl$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final / 208 Final Plumbing 11 200 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 601 vS CITY OF COSTA MESA a BUILDING DIVISION F •-i DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 4 � PERMIT ti P05-00274 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 2990 GRACE LN Status: ISSUED Suite No Applied: 04/19/2005 Issued: 04/19/2005 Vicinity: ROOF Parcel Nunmber: 14122141 ISSUED BY: Applicant: JERRY SOHL Address: 629 TERMINAL WY UNIT 13 Phone: 949-548-0230 COSTA MESA CA Zip: 92627 Owner: MILLER, HAROLD R Address 2990 GRACE LN Phone: COSTA MESA,CA Zip: 92626 Contractor: NORTH COUNTY PLUMBING CO Address: 629 TERMINAL WY UNIT 13 Phone: 949-548-0230 COSTA MESA CA Zip: 92627 License: 595156 SCOPE OF PERMIT ADD 8 ROOF DRAINS TO COMMERCIAL BLDG.REF.: B05-00590 • FEE SUMMARY AMT QTY AMTQTY 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) 50.00 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 $78.40 8 Shower $0.00 0 Water Heater/vent $0.00 0 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 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $101.90 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 2446-48(WOO) • DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have end 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 work for which this permit Is issued. r ve 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'compensation Insurance carrier and policy number are: /� 5 (�eme"r:ti•• 2-C'-" "''Y� �Po11Ic7Number; Z oc �n , V Oil 1 (moiiic'eection need nef be completed if the permit is valued at 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 to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. / Ca(It,Signature .mow �✓ -Date;_ `7' l9 0S AILURE O CURE WORKERS'COMPENSATION CO RAGE IS UNLAWFUL AND SHALL SUBJECT AN EtelbVER?O'CFIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE(SI03,000),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 licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full tic.4 t6rc ahafit,tic.• ��✓�/ .lass u .l'_76 tWe�-- �f /A) Y7 T d (Ptfb �/- /91 --- 8 S� J -..1. L 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(5500).): o I,as owner of me 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.Il,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: O 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, 1 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 ❑No (Section 25505 Of the California Health and Safety Code requires,with some exceptions,that a Business Plan bo 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? ❑Yes ❑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. Son25534 of 4 If an RMPP is presently required,has Section 25534 0l the California Health and Safety Code been fully complied with? 0 Yes 0 No _._..._.._ __.._ ._._...._.___ _ _ ..._ i.. .. 5 Does e will the o stcAir u present or n building o oat require for toe work;Ilion is the subject ge of this application ePermit for such construction or modification from the South Coast Air Oualiry Management District or from any other air pollution control district or agency? L!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 anyryp _.__......_.._._..__ _. part of the lacili to be constructed under this Permit be within 10001ee1 from the outer boundaries of a school? 0Yes 0 No (II 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? ❑Yes ❑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 at 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 S correct, I agree to comply with all state laws end 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. ignat//re Of Legal Ow er(s) Date ' t -- "— T .p/Oro ell- cent—. . - f'�°61s' �IE�.° t� 900E 6 INSPECRONTYP$ g8IE INTRIAL5 92951 INSPECTION TYPE PATE BMW 1616 Fixed tlSp Final incl Fire Prevention 206 Final 208 Final Plumbing Mechanical �-Z�ri Az.-I^M 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 • axAA1E 2990 GRACE LN 22L UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 044999 ADEPT MFG. .. SS: SAMEPERMIT NO: B 044999 PLAN CHECK NO: 01514-89 S GOVT: N SUPP: N CONSTRUCTION TYPE: • PERMIT TYPE: STR PURPOSE: NEW ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : STD , BLOCK WALL SQ FT: 37 ADDRESS: UNIT: ' • • - CLAIM VALUE: 1 , 400 . 00 CALC—VALUE: 740 .00 GROUP OCC :' M-r1 / ' PERMITTEE: BOB BATES ( 714 ) 893-3185 • ADDRESS: 14361 JOYCE AV COMM NTS: CITXx STD. BLOCK WALL WESTMINISTER CA 92682 **** ********f******************************************************************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 Q U I R E M E N T S 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. S j S E T B A C K S CmUc.::049 6,4 gSTATEUC.:47626 • CLASS .._ ; 4 • Date: // ' /5 4T Signature: 44 . 4 a• '- ' MAIN BUILDING ------------ --- ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: Iherehp af/f at .ve aGenii'.of consent to self.lnsu•or a certificate of Workers' FRNTT:' FT IN REAR: - FT IN FRNT: 150 FT IN REAR: 41 FT 6 IN_, ^-mpensation Insurance,or a certified copy thereof(S,.'in 38130,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: - FT IN EY NO.: EXP.DATE: ' • 1 dMPANY: PARKING REQ: 1 PROV: PARCEL: 14122141 ZNE: MG REF NO: ❑ Certified copy is hereby fumished. 0 Certified copy istifedMtn the city Building Division. PLITNING NOTES> 7 ' 9" LONG, 6 ' HIGH BLOCK WALL TO FILL EX GAP OF WALL ON LEFT > SIDE PL. WALL TO BE ATT TO THE LEFT SIDE OF EX BLDG Date: Applicant:- *********************************************************************9e********* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION(Ns secfi =pieta('need not be h Me remit is for one hundred($1001w 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 p"Ermil is issued.I shall not em.. any person in an I.. er so as to become , subject to the Workers'ComConsation Laws of Califonu� - ZONING. APPROVED BY DATE Oats: OT IC_ /S (1" Signature:!.!- , ,,drLL — •, — N TICE:IL after making this declaration,you should •'m_,obb ject.h.,l''rkers'Compensation provisions of the Labor BUILDING APPROVED BY DATE: • Code,you must forthwith comply with such provislo r this permit shall .e deemed revoked. " • CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: a. ,. ' L_-� DATE: - ' •• which this permit is Issued(Section 3097,Civ.C)., ********************** ��� --•+•+'+•- .-. •******.)(.***;�}� ;F�:•; � • LENDER: T **************************iE******** •—** ************************************ ADDRESS: LEGALIZATION:N FEE SUMMARY STRUCTURAL SEGMENT: Y. OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from theContractors'State License Law for the following reason 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,atter.improve,demolish,or PERMIT' 2 1 . 0 0 . 50 repair any structure.prior to hs issuance,also requires the applicant for such permit to lila a signed statement that he/she is licensed . . SMIP/NON-RES pursuant to the provisions of the Contractors'Slate 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.My violation of Section 7031.5 by PLAN 13 . 65 r•• ($5 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 00). ._ ISSUE FEE - • ' I, as owner of the property or 'my employees with wages as their sole compensation, wit 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----> 21 . 50 0 . 00 13. 65 35 . 15 ? 35 . 15 . 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 wit have the burden of proving he/she did not build or improve REVENUE D'IVISION TOTALS-->. COLLECTED: 35 . 15 OVER/SHORT: 00 for the purpose of sale). • ' BLDG PMT PLUMBING ELECTRIC MECHANIC . FIRE SMIP/TOT GRADING PLAN-CHECK I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 21 . 00 . 50 13 . 65 ❑ and Professions Code: The Contractors'State License Law dots not apply to an owner of property who builds or improves thereon and who contractslorsuch projects with acontractor(s)Iicehse pursuant to the Contractors'State License Law),l am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A ,L' ' FEE BREAKDOWN 0 I am exempt under Section: B.&P.C. for this reason: TYPE QTY ..-- DE S C R I P T I�'O N UNIT COST TOTAL COST Date: Owner • SFR 37 .RES-CONCRETE BLOCK WALL ' 20. 00 • 740 . 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';F EES 25534 and that I or any future building occupant will/will not(circle ont)need to comply with said state codes and the requirements for a . • permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from ' these provisions. , . / ' Date: Applicant: - I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives is city tgrnter upon the above-mentioned property for inspection purposes. � Date: 1(1, -89 • Signature: L../ ',t24,4 -. Driver's License or Social Security 4: //• L t; • 1941.48 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod-Assessor , i1� 1i/ ,lir UCTION AND PLANNIN - '- & SPA - Piplippir ROVALS Permit# - Date .Inspector APPROVALS Permit # Date Inspector 1 Temporary Electrical Service or Pole 52. Pool &Equipment Location 2.-.Soil Pipe-Undrgrnd.: L 53. Steel Reinforcement • 3.7Electrical Conduit-Uiility-Undrgrnd. - 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5'. Steel Reinforcement• 56. Rough Plumbing & Pressure Test ' ' ! 6. Electrical UFER'Grrid. - 57. APPROVAL TO COVER-GUNITE -•7. Footings58. 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 - _- • 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_ 20r:rRough Factory Fireplace S.; ' '1 -1 -APPROVALS --t-Permit # - - 21.7-p ucts,in,Structuie' ;y ,t -70. UndergroundHydro , 22. Ducts, Ventilating -_A . :71. Product-Piping 0 Gas ❑Oil _ 23.-Gas-Pipe-Rough & Test I - i , : 72. Underground Flush :, ,. 24:Roof Framing _ - • •73.-73. Storage>Tank O Gas 0 Oil • 25.7Roof Sheathing - , 74. Overhead Hydro- 26.J-Bar Ceiling (Structural) & Mongcoat - : . -•c • 75:'Dry Chemical - - 27.-Frame and Flashing' - -• 76. Dry Standpipe _ , _28. Lathing & Siding _• ' - •a : 77.- FIXED SYSTEM FINAL. - ,29. Insulation - ' • ,t1. , 1 ;4./.. ' 78,t FIRE PREV. FINAL 30. Drywall Nailing - . a :'v, •- ' l ' ;_ f HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat; ' t ' I. -79. FINAL INSPECTION , - _ -. 32.-Electrical Power Meter-Final 1 • i 80 FOOD CERTIFICATE ISSUED - - _33.:Final Electric, Notes: '34._Final Heating`& Air;Coriditioning' ,. • ". ( - '35...Final Gas Pipe-Test _ li , '' -'o4 '� "(J" - -rue,: �� Z���/GZ� _36._Hooii or CanoPY ; ' , / ' -, -37. Final Factory Fireplace:' --t • ` - ♦ -J _ , , .Y. Y. _• _ :38. "Final Plumbing . . , •39.-Water Service-Final ._ -. I r ,r •,-- r. - - . Service-Final-,- • •_40. Gas Service-Final - - - ' '. t -".41.-Solar Domestic-Final r-! _ _ 42. Backflow Preventer ' r ' ` - 43. Backflow Irrigation - t : _ _44.,,,Landscape Irrigatidn System ..• r - - i y• _ - 45t Sound Attenuation _ _ -t: - - .46. Handicap Regulations 47^F!NAL STRUCTURE & BUIILDINC CA l/7 _ An-G C7 _� 48FINAL PLANNING - .. ' 49: Electric"Release to,Edison . . i - , 50. Gas`-Release to Southern California Gas Co : ' - • - 51. CERTIFICATE OF'OCCUPANCY - ' • • No. Date r APPROi` D. City of Costa Mesa !"IJildint� Dept: MQa�� at!T u:t-c1Sj c aj �- �U '7� if;osom:,, fP.UVAI Ot :V it. S �' R��� �' cosra ME Ate- 1 THEIISSUANCE OR GRANTING CS : "''PL:iT On ;'•:0,,M OF ., �/ NTNG DEPT P,LANS AND SPECIFIC 1 i!ONS SHAT!NOT Bt CONSTRUE) :ii g¢A w t<451.{...._ ro BLpys. per. . PERMIT FOR, OR .-o-0 '1;OVAL OF, AN; 'JiOIATION ..., ANT OF .I C,•C. (,` !' �. IT: THE PROVISION; C^ ".D CODE.NOTE,a`PRESUl.I'^!O TO CAVE +Tn�..��,..,..���` AUTHORITY TD `1101A'£ On CANOE, + TR:rISIONS OF THIS �-�.'y �J ��9 CODE SHALL BE VAMC, E%C: ?T Sp TAR AS INE WORK OF JSE WHICH IT AUTHORIZES IS IA'N;Ui. THE ISSUANCE OF A P°RM:I BASED UPON PLANS [ND SPECIFICATIONS SHALL NOT PREVENT THE BUILDING GFFITT4I FROM THEP! ?Ei; REQUIRING (HE SGRRECTION OF ERROR; ! SAID Pt N AND SFECIFICAT'C:NS OR FROM PREVENT BUILDIN.'G OPERATIONS rEi,G :,`PRIED ON THEREUNDER WgEsI IN VIOLATION OF THIS CCDE OR OF ANY OTHER ORDINANCEor ! ..� - IIC 47 T E CRYF ��:If14)111:_ P � ADDIttONS, QELE7t0NS, OR CORRECTIONS SHALL: BE APPROVEDBY THE P i:iili:6 QEPA T[,tENT ' 46 e: lota.S • . 13 lc 'W rnere •ntsfl�� s � g e q rt3 2�90 E a 9 t jy 111v 4--___ _ ________ 01/11.1.1_,Lai �__01/11.1.1_, 4 • \1 • TYPICAL 6" CONCRETE BLOCK FENCE Cement Coping Optional aGENERAL- NOTES Channel Block With 1.3/80 11 ' Horizontal Top of all N I I Fences MORTAR: One Part Plastic Cement, and • Three Parts Sand IC • GROUT: One port Cement TMee and For Fences 5'or Len c' One Half Parts Stand Vert.Bars 3/8"56 at 4'-B"O.C. d� o I COPING: One Port Cement, Three ii. . For Fences Higher Than 5' u I • Parts Sand CONCRETE: Well Mixed 1:2-1/2: 3-1/2 ' Vert.Ban 3/8" at 32"O.C. _ cc s- i Max. of 7-1/2 Gallons of Fill Calh Solid With Grout I` i z -" Water Per Sack of Cement Where Steel Occurs s- - Reinforcing Steel Shall 2 I�-EMI . GROUT MAY BE POURED FROM THE TOP OF THE FENCE IN CELLS WHERE STEEL ConfOlm to See.A•15-39 W O - OCCURS. A.S.T.M. !II i i CELLS AND AREAS OF HORIZONTAL REIN. All Steel t0 11e Lapped Wssi FORCEMENT SHALL BE CLEAR,CLEAN& 1N FREE OF ALL MORTAR DEBRIS,ETC. 24"or to Code NATURAL GRADE .e - TWO 31wOBARS �rue s r • • . •:. . . . CONTINUOUS TOP - &BOTTOM I- WIDTH • TO 16' 0 C. MAX. SEE CHART . . HORIB4TEEL MUST BE TIED IN - BELOW • OE PTH OF EARTHTCOTH PLACE AT TIME OF TRENCH I t t - I THE HEIGTH OF FENCE INSPECTION. •• i I�" 3 OW BOTTOM OF FOOTING. Imo-. lo" —{ 2,.-- SCALE: I/2" a I' FOOTING REOUIREMENTS CHART ' WALL HEIGHT 6' 5' ! 4' • 3' • WIDTH 14" 14" " 1 . 12 .... . . .. .. . 12" - THICKNESS . . . . . . . . . 10 . ,. . . .10" 8" 8 " DEPTH OF EARTHTOOTH . . . 24" . . . . .20" 16" 12" I SPACING OF EARTHTOOTH. .' 12' 14' . 16' • 16' Y- OWNERS NAME: City of Costa Mesa, California PERMIT ADDRESS _ _ _ irk Building Department SIGNATURE. _ PARTY WAIL AGREEMENT I. 1 a { THIS AGREEMENT, made and entered into this /(- (1? - 8l day of IFS, by and between 00 cs2t hereinafter referred to as 'LAND CRIER", and CJ fl'j to hJ (Ittewl,AorIS hereinafter referred to as 'ADJACENT PROPER .3 WNDt'. It is hereby agreed that a party uell will be constructed on the property line between /10r7-7 Ode 44Xelc pTh6n-r- (Address of Adjoining Properties) in thi., Cry of Ccsta Mesa, County of Orange, State of California, as per map recorded in Book , Page — of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WIrNFSs WiEREOF, the parties have entered into this Agreement the day and year first above written. LAND DINER ADJACENT PROPERTY WNER . peev; • (nature) ignature) eo 6er & S . Name (Typed or Printed) Kane (Typed or Printed) • z9 90 6t9 cc- CJn C /77 Vide, z. (Address) p /,, i / (Address) a • PROJECT ADDRESS: 2990 GRACE' LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E044645 OWNER'S NAME: ADEPT MFG. INC. • , - ADDRESS: SAKEPERMIT NO: E 044645 PLAN CHECK NO: ' N GOVT: N SUPP: N • CONSTRUCTION TYPE: PERMIT TYPE: ELE - • PURPOSE: ALT ARCH/ENGINEER: • REO.NO.: • JOB DESCRIPTION : SERVICE UPGRADE/1000 AMP ; SQ FT: ADDRESS: • ' UNIT: - - CLAIM VALUE: 14 , 000 . 00 ' CALC—VALUE: GROUP OCC : / PERMITTEE: MC FARLANE ELECTRIC ( 714 ) 543-9265 • ADDRESS: 2115 N MAIN COMMENTS : SANTA ANA CA 92706 ****** *+t***** or*** ****dr*drdrar************ aE** ***********>F********************* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z 0 N I . N G R E Q U I R E M E N T S • 70f10)of Division 3 of the Business and Professions Code,and my license is in full force and effect. .• S E T B A C K S . CITY uc.:0 0 6 2 4 6 STATE LIC.:1316 5 6 CLASS:C—1'0) Date: (U/'L4/&C) • Signature: 44/211.0c,s MAIN BUILDING ACCESSORY BUILDING ----------• WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to self-insure or 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: ' FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POuCYNO.:WP80358603 EXP.DATE:.10/O1 /90 COMPANY: FIREMENS FUND • PARKING REQUIRED: PARKING PROVIDED: PARCEL: 14122141 ZONE: • 0 Certified copy is hereby furnished. gl Certified copy is filed with the city Building Division. PLANNING NOTES> 44.4.12/014.- �� nn > yDate: /G/29 J! ' Applicant 44. ,�.. 2/01 .- *****************************************************4******4r****************** A EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT S ,.E R V . I C E S REQUIREMENTS I certify that in the performance at 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: • - - - .. s NOTICE:If,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. 7 CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: '.�_ • DATE: L 0 :7_4- which this permit is issued(Seition 3097.Civ.C), ' - *.**$****************** A..K.*.** .*.)E**-;e,�*-*.*.*,*,**. *. LENDER: ********************************* y** **************************************** ADDRESS: ' / G . LEGALIZATION:N F E . E U M M A R 'Y ` ' ' STRUCTURAL SEGMENT:N . 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 SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMITi ' 3750. repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0% SM I P/NON—RES ' pursuant to the provisions of the Contractors'State 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 PLAN • any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE • 15 . 00 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————> 37 . 50 15 . 00 0 . 00 52 . 50 52 . 50 . 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 : 52 . 50 OVER/SHORT: ' . 00 for the purpose of sale). 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 ' 52 , 50 . a , ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon r and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ***********************.*****************************.**************.*************. that• proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDO W• N • ❑ I am exempt under Section: B.S P.C. , for this reason: TYPE QTY D E S C R I 'P T I .O N UNIT COST - TOTAL COST Date: Owner ELE 1 SERVICES BELOW 600 V' & 200— 1000 AMP ' 37 . 50 37- 50 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ENDOF FEES 25534 and that I or any future building occupant wit/will not(circle one)need to comply with said state codes and the requirements for a - I , • permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from t these provisions. - • Date: Applicant: _. . _.. • ' I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county • - ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned ' ' property for inspecton/ s. r' : .i_LL•l7 : . _ - —� Date; n Signature: a4—oT ytuwiru4on—�----. DATE: .I • Driver's License or Social Security a: ' • 1641-46 White—Building;Green—Cade Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor - • - - - - • CONSTRUCTION AND PLANNING - POOL & SPA APPROVALS Permit# - Date Inspector APPROVALS Permit # Date Inspector . 1. Temporary Electrical Service or Pole - / 52. Pool & Equipment Location %� r 2.-Soil Pipe-Undrgrnd. - x 3. Steel Reinforcement / - 3.'plectrical Conduit"Utility-Undrgrnd. _ /SIT K7 . Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding - 5. Steel Reinforcement- - • 56. Rough Plumbing & Pressure Test r - . • ' 6. Electrical UFER Grnd. ill--57 / APPROVAL TO COVER-GUNITE ^•7. Footings -- 58. Electrical Conduit-Undrgrnd. y 8•. Foundation '` 59. Gas Pipe, 0 Undrgrnd.,Test - %�, • 9. Water Pi a-Undr rnd. ? 60. Backwash Lines, P-Trap, 0 Undrgrnd. it 10. Structural Floor System ..„ 61. APPROVAL TO DECK ' 11. Property Sewer Line-84House'Connection -n 62. Backwash & Receptor-Final - "2 9 12. Sewer Cap - 63. Heater & Vent-Final a 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 J I 67. Fencing & Access Approval 4 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, irc SVticture _ u - y ¢ 270. Underground Hydro , 22.:Ducts, Ventilating: • ' - r 71. Product'Piping O Gas O'Oil 23. Gas'Pipe-Rough & Test ' •. _72Underground Flush _ 24. Roof Framing - - - -2 - • - Undergrnd.Storage-Tank 0 Gas 0 Oil 25.-Roof Sheathing I I •-. - . - 74.'•Overhead Hydro.. 26� - 26._T-Bar Ceiling (Structural) &•Monocoat • - - 75.•Dry Chemical - 27. Frame and Flashing - 76. Dry Standpipe - _ ' 28. Lathing Siding - - - gi . _• 77. FIXED SYSTEM FINAL ' 29. Insulation _ - _ ,.=i'; 78. FIRE PREY. FINAL - 30. Drywall Nailing - i _ HEALTH DEPT. REQUIREMENT 31. Plaster Browoa Ct° - - ' - ' '79. FINAL INSPECTION ' - - • -32. Electrical Power Meter-Final « db.-FOOD • CERTIFICATE ISSUED •33: Final Electric a-251-0 >!� Notes: '- : - . 34..-Final Heating & Aire Conditioning ; j'; _ . - "t. •35.Final Gas Pipe-Test - - - •`" - - • - _36.-Hood or.Canopy :, -•-, i .. - - --i - :37. Final Factory Fireplace r -' •." - y - .-38. Final Plumbing . • - 39. Water Service-Finali ': . . , ''40. Gas Service-Final • _ - :"41. Solar Domestic-Final i - - t, >' -' -'c - 42. Backflow Preventer, - a 43. Backflow Irrigation` , -. . " • • • r _.44. Landscape lrrigationSystem-7•-. '', ' _ -i; T. - I 45. Sound Attenuation - - - " • 46. Handicap Regulations _ _ - 47: FINAL STRUCTURE & BUILDING y - '-' - 48:FINAL PLANNINGV '" z i-49.-Electric Release to Edison - -i ,50:-Gas-Release to Southern Califorriia Gas Go °'-' - . . n -51. CERTIFICATE OF OCCUPANCY - No. Date • 1 • .r _ � V �� • Ap v . 1 670 K e r Se, WI r WWSTA MESA FIRE DM. BUREAU OF FIRE r CAIS T10i1 COSTA MESA, • / DATE /,p. /� / BY Approval applies to Plena soli /\Y( NOT E' {os cooctrvction indicated Stilted, and to Stasi ibeteoa, installation aubjact �+ 1 - 4- t f 4 -. + a pcti�a0d a"essnca.. • ra Qanitl Class 4n4 + ' • Lit ce,�e -C it . �( , � cry � nC.. 4.4 Chau . 2990 Crraee L,aaC, • + 3 3 • C est4 iYles�, C1- , - A •+ . . . - . • •AN4. go, _�a- • APPROVED • CITY OFN COSTA MESA r ` / c- o PLANNING DEPT. S� re . prSu8JECT 13.2.1Z. G. DEPT. REO. - "F' o /aj 2679a!• Prot a.?e 7dn K . +� . ✓C BY. .---.DATE /i -1—C? 1�. .../.. Or D' 1 '.DIRECTOR OF PLANNING T �. + +0.14: 14 - G„�LIS PROPANE 131 COMMERCIAL WAY J e . •//SALE. Capc/e le/ JJ 9n,tile y YQ"� COSTA MESA; CALIF. 92627 '. Prot se d 2875 / LtJ, :'IEL. )714) 642-4528 Fri/an ( tah.{C i'nsYe)//oti"a1t- -to r Aonie/ Cxldss4nd mirror; tire, _ of x990 -IS vdeei.ar, e/ Qos.Td47esJ, a4, . cQ XnsYa//atirkEo 01/ yV 5-6411e tiee.l 'foyi � eye07e L� rralkYtr.ral `re/4 un it s. gni/red Press-Like Vesse/ 547rellyenders, Qead . 6 4 . 1s4.5tp " r.jtCITY OF COSTA MESA CALIRNIA 02626 P.O. SOX 1200 FROM THE OFFICE OF THE DIRECTOR OF BUILDING SAFETY over. Project Address O (9 5/ jr/ /c p Permit 1 17/78g9 Project Name 7/L9 u n -f'ol� 'Type � owners Name c. 6e"5P c/ho owners Address ,9f0-,.,,ny City Use Ctily Canners Telephone I ca.v .- t74 Gas fl.a er, Contractor, Agent (strike out all excepi7one) do hereby att sKthat employment of any person, or persons, is not anticipated at the time of seeking the above-referenced permit. In the event that any person, or persons, are employed under the provisions of this permit, I shall immdiately cause a valid Certificate of Workmen Compensation to be filed with the Costa Mesa Building Division. I agree to defend at my own post, and to indemnify and hold harmless, the City, its officers, agents and/or employees, frau and against, any and all liability, damage, costs, losses, claims and expenses, howsoever caused, resulting directly or indirectly frau, or connected with the improvement under this permit. I further state that I have read and fully understand the implications and re- sponsibilities of the above statements, and will cauply with all provisions of the Contractors State License Law found under the Business and Professions Code, Division 3, Chapter 9, of the State of California. rA Ay v77) ?V e eAt//G/,u6, Print Name �p �� /�j� /� ✓ 4p Ur X ��%e�iiLi I / a. / rt ature CMF 077746 • GrENEIRAL TESTING & INSPECTION AGENCY, IAC. • 2015 N. KILPATRICK • PORTLAND, OREGON 97217 Lumber & Pi oservative ?nspection — —Fieldwork— —Laboratory P. O. BOX • BUtler 5-3631 ' CERTIFICATE OF CONTINUOUS INSPECTION Page _L_of 2 CF GLUE LAMINATED MEMBERS ��-9?C Date OCT J _co; FOR: DANIELS GLASS COMPANY, O Grace Lane, No. 6-3466-RL Costa . :lesa, California J . W. REAGAN, i`r . , Fullerton, California, Engineer SOUTH COAST CONSTRUCTION CO. AT: RILCO ENGINEERED WOOD PRODS DIV. THEIR NO: 9612 C., c9-'-3S 7 P . 0. Box 585 Cottage Grove, Oregon SPECIFICATIONS MEMBERS AS BUILT r9I SLOPE 'LUMBER I N� K NO. LAMINATIONS GRADE PARA, INSPECTORS REMARKS COME° OF GRAIN BA P 2 Too & Bottorr L-1 Laminating 154a 1 : 14 Z-, {it! - as, L/ 2 Inner• T & B L-2 1546 : 2 2ex*,-2 f t 8 ei.y,y A 2 Inner L-3 if 154C c2/-4,,,.^.1/ A3 • ? lance A 3 Too & Bottom L-1 Laminatinc 154-a 1 : 14 ,3icip2,�OziA,.�-i„ Al ii 2 Inter T & B L-2 1546 1 : 12 . , . Tit? JJ' ,-,,) 4 ,- Inner ,- Inner L-3 I, . 154c ,. ✓4i -41->-,,y ,C 3 Slope of Grain Toa & Bottom 10% 1 : 14 as above r�, ,,,,j,4 ^ / >, /ay All lumber graded per: V•;CL IB Rules 15 As modified by: Standard Specs A.-- for Structural Glued Laminated DF ( Coast Req. ) Lbr 1962, Rev. 19631/ Moisture Range 7-16% Variation per Member 5% [-/2 c.//2-/4 Jp Slope of Scarf Finger Joint Separation well scattered in tension ar: ,alta �„, . q.o,t Type of Glue Cain Glue Spec. MMM—A-125 interior use L 4t J 47.30 Type of Glue • Glue Spec. Code or Specifications per Beven-Herron, Inc. print 64-357 Standard Specifications for Structural Glued Laminated DE ( Coast Regicn)4.-- _ Lumber 1962 Revised 1963 v Appearance Grade for AITC INDUSTRIAL Aooearance Lehl721-r.c/A-rze-4' Finish Coating End Sea I On I y v' Wrap Load Paper Covered ✓ E'er: 102 ./ Inspector's Remarks: t HIS IS TO CERTIFY THAT THE WORKMANSHIP. LUMBER AND GLUE IN THE GLUED LAMINATED STRUCTURAL MEMB ERS AS COV ERED BY THIS REPORT WERE CONTINUOUSLY INSPECTED BY THE UNDERSIGNED AND FOUND TO CONFORM� TO THE �SP"f�CCIIF IICATIONS AS NOTED ABOVE. ///'t ///) ///] n _ -' C—C C-7. -7.fy< % e /'tea LCC. CERTIFIED BY C/j �i/r�[i/'� %(.SY��C'fAv\ ri ECKcD EY . QQQ L.7 INSPECTOR HIS J ERT' A• THE a RE�-ERS ONLY TO THEO FORM AND' 0 r ION. rI ON ,F7):-7` 'fHE MATERIAL AT TIME OF INSPEC- 1°N. II IPIPI . `o �� U -, - o cr 12496.4 riV-H RRON C_,e - :_g N=RR'._ TESTING . &- (NSP{. ,ON AGENCY, INC. . 2019 N• KILyATRICK . PORTLAND 17, OREGON I UIICr,e INtIICTTON - I-0t.LDWORK . CONSULTATION - LABORATORY P. O. BOX 5622 BUtler 5-3631 • Continuation of report R..,e— ..r z Date 0(•'r 5 1964 ,.i the Cont,nuous L•speCtion d the - No. 6-8466-RL :)hued Laminated Stnicturni Members. ATTR I LCO ENC . WOOD PRODUNSS 9612 FOR: DAviELS r,LASS COMPANY . COSTA MESA CALIFORNIA . - MATERIAL TALL Y 10 BA 7'' x 24 3/8" - 49 ' 2 3/4" 1600RADIUS/2-5/16" 2 8B 7" x 3µ 1/8" - 491 6 1/4" • IT 1 00 ac " - 50' 0" 1000' RADiUS/2 5/16 " • •r I LUMBER TEMPERATURE GLUE ASSEMBLY CLAMP NAF:K PCS, GRADE M C DB - RH - LBR GLUE WT. ST-PULIN CLAMP OPEN-CLOSED CURE PRESS (REMARKS (y7_.Pi £-/L C.7 GZ N /2 L•S-7c' 7:/o- 7:90- 7:`,3 ,9C .3.t- j2-1"-i j21' 1/2y-oy a11_ (7 A- t- i red 2: 2s k._3a 3S Jo lilt 4) A U t- L y:.?.S-9:.so %c:Dei lIi,///!- 6U . A e- e. t- s . /41:0,57.11:35-70:111) .70 (3S J3Gi _ 6 A L-- I- L- I- L ; .S .2 c' .3a .3.i 12-6 !7 Cl 2S 71 h-71 /:ca -e YS-6:,5-0 yS f0 12% /25" 3/47.-tY /3 . 7(.9 -Fr:/5 (d 95• '- v • • • • Specifications per page one CERTIFIED BY/2474f • FOR GENERAL TESTING INSPECTOR . 4:44 4._,..r . L 11 4-. D ® �,, . k _�' � tOCT 121964 ,...,... •.„, '�/ FiF.vcrig���id INS t ENERflE TESTING ' & INSPECTION RGENCY1 1NC. 2015 N. KILPATRICK • PORTLAND, OREGON 97217 L",nber&Preservative Inspection — _Fieldwork'— ._Laboratory P. 0. BOX BUller •5.3631 , CERTIFICATE OF CONTINUOUS INSPECTION Page .l_of 2" CF GLUE LAMINATED MEMBERS ' ' Dote0CT '5 ,l) FOR; DANIELS GLASS COMPANY, 12 ,Grace Lane,' NO• 6-8466-RL' •\ -8466-RL' .l Costa Mesa, California ' J . W. F:EAGAN,• .,1:700 :Vista ' De-I: Mar Dr : , Fullerton, �Cal i fornio, Engineer' .' SOUTH: COAST CONSTRUC7tlOi�'CO.. .'i' " , • AT: R 1 LCO• ENGINEERED :iii0001 PRODS 0 IV • THEIR NO: 9612. • P . 0. Box 585 : : Cottage Grove, 0regon`. j ' SPECIFICATIONS MEMBERS AS BUILT M< no. LVMBI:R LAMINATIONS GRADE PARA. SLOPE INSPECTOR'S REMARKS COMEO OF GRAIN O _ A 2 Too a Botton• ' L-1 Laminetinc 154a x : 14 ,/fir , 06 ,4<.,•.-1/ ,(,/ 2 Inter T &.B L-2 . " 154b 7 : 12 Tearf [ jai/ A 2_ Inner , -L=3 II 154c � o, A3 LeJ 411 : 'A 3 Top & Bottom L-1 Laminat inc 154a 1 : 14 s '0 ' - 4 „ Al 2 Inter T &:B' L-2 ' 11 154b 1 : 12 t S• T 3 / L 2. __ 1 nn r L=3 II .. . 154 c A- 4/ -.vim A 3 Slope of Grain Top & Bottom 10-% 1 : i4 a:> above jc•,,.,,%/rr:irf•yo /4 /:/y All lumber graded per: WCL I3" Ru I es 15 'As modified by: Standard Specs r -C6r Structural Glued laminated DF (Coast Req. ) Lbr 1962, Rev . 1963 Moisture Range 7-16% . • Variation per Member ' 5% 1.--/-2 c•.","..//2-/4 99 Slope of Scarf Finger Joint • . Separation we l I scattered in tension a 416.6 �' �,�� Type of Glue Cain Glue Spec. MMM-A-125 interior use ,i ,r1/ „173' D _ j'pe of Glue Glue Spec. CpdeorSpecifications per Beven=Herron, Inc . print 64-357 Standardv _ .`u)ecifictions for Structural: Glued Laminated DF ( Coast Region);/ _1jinker 1 2 Rev i sed 1963 I— • A::pearance Grade for AItC INDUSTRIAL Apoearance ,�•�1ti4¢ykiezi // Finish Coating End Seal On19 ,V Wrap Load Paper Covered ✓ fr_ /c,„tr .�_ Inspectors Remarks: Ap�lt, , II yMMy����i THIS IS TO CERT.FY THAT THE WORKMANSHIP, LUMBER AND GLUE IN THE GLUED IN Ot&I\VCTUR MEMBERS AS COVERED BY THIS REPORT. WERE CONTINUOUSLY INSPECTED BY THE U ..••.RSW6eED REI( ,53U • TO CONFORM TO rHE SP CIFICATIONS AS NOTED: ., IABOVE. , Cd1° . Dept ,"r ...... r(�'� — y ` �"�•'h'�K.•••. CERTIFIED BY 6:1114(1 ', �� sr A CVV HECFED BY ( NSPECTOR, HIS CC*L1 %FICA.TE REFERS ONLY TO THE FORM AND ��y I 'ONDITION OF THE MATERIAL AT., TIME OF INSPEC , ION,• f r l l , .tGENERR!. TESTING .& INSP, . ION AGENCY, INC. 2019 N• KILPATRICK . PORTLAND 17, OREGON • • nil—WIZ NSF EC LIE:LDWORK . • -CONSULTATION I •. . LABORATORY' . P. O. BOX 5622 BUtle. 5-3631 — Continuation of report . Pin__ ,.r?' • . • Date OCT 5 1964• .of the Continuous Inspection of the No. 6-8466-RL . (Slued Laminated Structural Member's.• ATF I LCO ENG . WOOD PRODU93S . 9612 FOR: DAN 1ELS GLASS •COMPANY.:' 'COSTA MESA CALIFORNIA . • MATERIAL I TALLY . • - •;• ! • 1 o. BA • 74 • x 214'.3/8" . _ 49'1 2 3/411 1600 t RAD IUS/2-5/16tt .1 '$0 BC . D.. ,•. ,,:• . .,._ .• :_ .• 50 ' 0" . • 1000' RADIUS/2 5/16 " • I •' • LUMBER • • • TEMPERATURE ER T GLUE ASSEMBLY CLAMP MARK PCS. GRAOE M C OB - RH - LER GLUE WT. ST-PULIN CLAMP OPEN-CLOSED CURE PRESS REMARKS 814 (Z) 24- £-li 4.7 fl ..N 1' tc, s- - 7:i,:- 7:96- 7:°i5- ..3a- .3.5- 12-A 12 c- '%2y-'y .EA 61 A-. vi. :.- . — .,_- Tee -2:21-g:3a 3S 1° • d--- /3/1 /3/1 . (7? A •v • a '- 2:.2.5-"k3-0 /a;oo ,j.S .3S ,- v . 04- GP A e- •� . . ,- - z- /o:0s/c1J1-/o:L/o Jo as ,— 1511- (CSU • A. I, • .'. ,. 1.-- r %/'YS-l?:xr-i2:.2o 36 3,> �tT /1 J2-t 67 C.1 73 7/ ,..4)-7.5- /:na -G-YS-6:5 4/3- SO /till 2Y `l .f-C-Y C. /..'JO- 7:9 '-k:/5 (d 25 1 v I- . t • • • ell_ • • -- . ik \kk' ICL`. -ea -- • -• OOS ossa C - . • Toi. A \Y S r • • SF,eclflcatlans per page one '• •• CERTIFIED BY(/,,Aids. e , -34-.s,,• . FOR GENE AL TESTING INSPECTOR rit% �1 W [a 4- 3.5- 7 •• INSPECTION w CERTIFICATE No. 11 WESTERN WOOD PRODUCTS ASSOCIATION • PORTLAND, OREGON 97204 This is to certify that I have inspected/and tallied the I tuber herei ft described, to be shipped to DANIELS GLASS CO. , COSTA MESA, CALIFORNIA (a990 is Rail This certificate applies to the grade and tally of the lumber at time of inspection at the plant of WEYERHAEUSER COMPANY. COTTAGE GROVE, OREGON and is in accordance with WCLIB RULES #15 grading rules. PIECES SIZE DESCRIPTION XCOMNXXXXXX K. D. DOUGLAS FIR LAMINATED STOCK Lin. Ft. R/L Para 154-A MARK S Slope of Grain I" in 14" Dense Grain Stamped L-1 Dense Grain.Mill AA15 442 2x8 sized 1-1/2clean by 7-1/2 H or M 2,8881 Para 154-B MARK 1 Slope of grain 1" in 12" Med. Gr. Stamped 1-2 Med..Gr. Mill c 442 2x8 sized 1-1/2 clean by 7-1/2 H or M 2,5886 Para 154-C MARK 0 Slope of Gr. 1" in 10" Med. Gr. Stamped L-3 Med. 41111 .* x 442 2x8 sized 1-1/2 clean by 7-1/2 H Sr M 6,435' 10 itAlp KENtu co OCS 231964 ta P City of Cots tl gess ti a Butldin8 Order 9612 EACH PIECE MARKED: 3 It 41 DATED AT Cottage Grove, Oregon 411, 4w W Chief Inspector A P � p ON September 21 , 1964 ����i27.G17 e62.)14-44 Inspector,Western ood Products Association FORM Gab Fr77 A f . . - - I . - ,f Liu , . l'' :i Lf I c iu Sc. Jco1,. 1 :i� III .i.. a . _ �cc,i��_3� ., iL I: \ f-< vc: c_oIJ '\ I- f . �i2 .._ f iL •l- .. f LI ' f .1 -to .,cOia, -, • I f I.,I ..)O.; i-J .. ., is ' '\ f :.\ f-I .c-1a I\ • • roe-T-. Fi rr? i ? ( 19 1964 LTLG -SU U 111 BEVEN HERRON INC. 1cJGii, ,fl'Qi� ,..JPO.. • INSPECTION 8 TESTING ENGINEERS RESEARCH 8 ENVIRONMENTAL TESTING CHEM /CAL 8 PHYSICAL ANALYSIS ® CORROSION ENGINEERING : ANALYSIS P. O. Bon 16026 • 3310 Airport Way Twining Laboratories 1514-D N orth Harper Street Long Beach, Calif. 90806 Santa Ana, California 92103 (213) 426.3155 • (213) 636-2386 • (714) 828.6432 (214) 531-2045 Since 1898 Examination: SC67-3774 GUNITE COMPRESSION TESTS ON nosculaccruNDERs Jos. M. Henley 1973 Newport Blvd. Costa Mesa, California 92627 PROJECT FIRE DAMAGE REPAIR ON DANIELS GLASS BLDG.' ADDRESS 2990 Grace Lane, Costa Mesa (On Cols . A2, A3, A5, A6, Cl, C3, C5, C6.) SAMPLE FROM Columns A ARCHITECT CONTRACTOR Reagan & Shoemaker So. Coast Const. Co. . ENGINEER SUBCONTRACTOR Orange Co. Gunite SPECIFIED MIX 4 - 1 STRENGTH 2,000 psi DATE CAST 8-11-67 Alec Size 6" x 12" DATE TESTED 8-18-67 9-8-67 CYLINDER NO. 1 2 3 "HOLD" COMPRESSION 7-Day 28-Day TOTAL LOAD, LBS. 42,500 RECEIVED BUILDING SAFETY DEPT. POUNDS PER SQ. IN. 1,505 AUG 21 Viet AM rM� COMPLIANCE i I8I99f1111Nr1:(11vini2TIMPS,t MADE BY DELIVERED BY RECEIVED ON CYLINDERS • Jos. M. Henley Jose Mr Henley 8-14-67 DISTRIBUTION: South Coast Const. Co. , 1111 Baker St. , Costa Mesa 92626 Orange Co. Gunite I ( 1 Jos. M. Henley 0 • City ofCosta Mesa JP- 111j� ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL, rROPERTA OF CI TENTS n M01117ATION FOR PUBLICATION OF OUR,REI'OMIS CONCLUSIONS. OR ES TRACTS FROM OP REGARDING 1HEM IS RESERVED PING •. . I. A w'.l "f N API'IOVAL AS A MUTUAL PROTECTION TO CLIENTS THE. PUBLIC AND OURSELVES 330-12 • /(4& 1 INSPECTION 8 TESTING ENGINE ERS RESEr;C H 8 ENVIRONMENTAL TESTING CHEMICAL & PHYSICAL ANALYSIS ENGINEERING & ANALYSIS P. O. Box 1 B1 • 3Air pG rt Way TwininM Laboratories ISI 4-D N orth Harper Street Long Beach, Cach, Calif 90886 Santa Ana, California 92703 121-31.424.3355 • (213) 636-2386]• (714) 878-6432 ,.� (714) 531-2645 Since 1898 September 8, 1967 Examination: SC67-3774 GUNITE COMPRESSION TESTS ON = CYLINDERS Jos. M. Henley 1973 Newport Blvd. Costa Mesa, California 92627 PROJECT FIRE DAMAGE REPAIR ON DANIELS GLASS BLDG: ADDRESS 2990 Grace Lane, Costa Mesa (On,.Cols. A2, A3, A5, A6, Cl, C3, C5, C6.) SAMPLE FROM Columns A ARCHITECT CONTRACTOR Reagan & Shoemaker So. Coast Const. Co. ENGINEER SUBCONTRACTOR Orange Co. Gunite SPECIFIED MIX 4% - I STRENGTH 2,000 psi DATE CAST 8-11-67 swift Size 6" x 12" DATE TESTED 8-18-67 9-8-67 CYLINDER NO. 1 2 • 3 "HOLD" COMPRESSION 7-Day 28-Day TOTAL LOAD, LBS. 42,500 81,500 POUNDS PER SQ. IN. 1,505 3,430 COMPLIANCE 28-day test complies with specifications. MADE BY DELIVERED BY RECEIVED ON CYLINDERS Jos. M. Henley Jos. M. Henley 8-14-67 DISTRIBUTION: South Coast Const. Co. , 1111 Baker St. , Costa Mesa 92626 RECEIVED Orange Co. Gunite BUILDING SAFETY DEPT. Jos. M. Henley City afCosta Mesa I �� SEP 11 9967 t e{fr L � � AM PM a$49 Willie: 13143:5.05 ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AUTHORIZATION FOR PUBLICATION OF OUR gEPORTS, CLUSIONS. OR EX- TRACTS FROM OR REGARDING THEM 15 RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS.THE PUBLIC AND OURSELVES. 330-12 4_a \. GENERAL TESTING & INSPEu l ION AGENCY, INC. 2015 N. KILPA._. :K • PORTLAND, OREGON 97217 Lumber & Preservative Inspection —Fieldwork— —laboratory P. O. BOX • BUiler 5-3631 L1 c2. CERTIFICATE OF CONTINUOUS INSPECTION Page _L of_Z__. ��j OF GLUE LAMINATED MEMBERS°297d OCT 5 1964 / I //// Date FOR: DANIELS GLASS COMPANY;-1400-Grace La ,a---No, 6-8466-RL Costa Mesa, California J . W. REAGAN, 1700 Vista Del Mar Dr ., Fullerton, California, Engineer SOUTH COAST CONSTRUCTION CO. RILCO ENGINEERED WOOD PRODS DIV. THEIR NO: 961 'x ' AL p P . 0. Box 585 //fO Cottage Grove, Oregon :::::"Cuo:OCT I1964 itCitta Mesa Buildi• ng DePt. SPECIFICATIONS it"( B[EERRS IAS MK NO. I-UMBER LAMINATIONS GRADE PARA. SLOPE INSP-' .1:� V'EMARKS COMBO OF GRAIN BA A 2 Top & Bottom L-1 Laminating 154a 1 : 14 k.„-„ ,& cbryn ie,,...t., 41 2 Inter T & B L-2 ” 154b 1 : 12 np4- ,a 7 t 0 in„/ 4 2.- Inner Inner L-3 n 154c j t,,..o,� "-en.. A/ L. 3 Balance A 3 Top & Bottom L-1 Laminating 154a 1 : 14 ,3 '!rrtj,, , l�,,, �,� LI 2 Inter T & B L-2 11 154b 1 : 12 ' Le-p " d .,rT / i3 Pe,,,,. G2. Inner L-3 11 154c „11--„r.l. Ls? ,.1s- I, S Slope of Grain Top & Bottom 10% 1 : 14 as above 29/6,,,,6AAA;,a., to f'.fy All lumber graded per: WCL IB Ru I es 15 As modified by: Standard Specs for Structural Glued Laminated DF (Coast Reg. ) Lbr 1962, Rev. 1963 Moisture Range 7-16% Variation per Member 5% 1-12 6r111•1t %p Slope of Scarf Finger Joint Separation we I I scattered in tension areg,Jc� -1 r�u. a.ce.,l Type of Glue Cowin Glue Spec. MMM-A-125 interior use an/16,4) cj731) 9� Type of Glue Glue Spec. . Code or Specifications per Beven-Herron, Inc. print 64-357 Stand ardv Specifications for Structural Glued Laminated DF (Coast Region)✓ Lumber 1962 Revised 1963 v Appearance Grade for AITC INDUSTRIAL Appearance r..)„,-heUbt...ia �rut% Finish Coating End Seal Only ✓ Wrap Load Paper Covered ✓ ,,/'�(e,( / Inspector's Remarks: THIS IS TO CERTIFY THAT THE WORKMANSHIP, LUMBER AND GLUE IN THE GLUED LAMINATED STRUCTURAL MEMBERS AS COVERED BY THIS REPORT WERE CONTINUOUSLY INSPECTED BY THE UNDERSIGNED AND FOUND TOOCCONFORM TO THE CIFICATIONS AS NOTED ABOVE. 62,4_44,-,.. . a.eafr CHEC� KED B � CERTIFIED BY ��Ze.4� 4 INSPECTOR COTS TION OF THEREFERS ONLY TO THE FOR AND' \91, U TONDITION OF THE MATERIAL AT TIME OF INSPEC- TION. ______ _`L_ • k"C-E?NERRL IESTING & INSPECTION AGENCY, INC. 2019 N• Y TRICK . PORTLAND 17, OREGON LUMSER INS2ECIION • 19[LDWORl . CL...,ULTATION - LABORATORY P. v. BOX 5622 BU!ler 5-3631 Continuation of report P40.2 „C ? _ Date OCT ^ 1°54 of the Continuous Inspection of the - • No. 6-8466-RL Glued Laminated Structural Members. ATTR I LC0_ENC1 _ WOOD PRODLIS13S 961 ? FOR: DANIELS r,LASS COMPANY . COSTA MESA CALIFORNIA . MATERIAL TALLY 10 BA 7" X 24 3/8" - 49 ' 2 3/4" 1600' RADIUS/2-5/16" 2 BB 7" x 34 1/8" - 49 ' 6 1/4" un 1 $0 BC - 5o 0" 1000' RADIUS/2 5/16 " • • • • LUMBER TEMPERATURE GLUE ASSEMBLY CLAMP NIAFK PCS. GRP DE M C DB - RH - LBR GLUE WT. ST-PUL IN CLAMP OPEN-CLOSED CURE PRESS REMARKS :?/4 __C _ 1} i-a. C 7 62 )`f 12 t-S-7t' 2:/o - 2:96- 7:'13- ,.)Q" .3.$' l z�ai /L t" `22r-w Liv_ a? A a- E_.co '!. ZS k:3e )5 .3o 7- y y:3 --9:-5°/a; De ,7.5 35 � L✓_" (P A �- :. �. ,c :o5/n:.3s--ic':L/c' 3c' 3s t- � JiGF- <t A- c- c- c- v L i/tV -i?:/S-/2:,2O 36 .3.j (� /.Z-/G G7 61 7s 7/ Go-75" .:co -/-;XS-6:SL 21S s- /z��, /25' `f/,1.)=ty !'i c, (i r, — i,sn-7;.5r -k /s • • • • • • Specifications per page one CERTIFIED BYP�-24:14,• FOR GENE AL TESTING INSPECTOR 't..BAULT & LIAD111IOND • &z9ineezta9 R. E. TEUGULT. REvtsTEREO CIVIL ENDINEER ///C•/ 2 2 S 3 ✓FOUNDATION INVESTIGATION Proposed industrial building for Mr. Roy Dani Grace Lane, on the south side and adjacent to e Adohr Plant Costa Mesa , California Legal description : Lot 12 and the northerly 17 feet of Lot 11, Tract 3878, Costa Mesa, California �"� KR Engineering and building design by �� Reagan and Shoemaker 'Ate 141k SEP ft 1964 Job No, F64-105 "` August 10, 1964 4 ` i Mesa rNUN E tie 01 6 'EIUBAULT & HAMMOND • 629°' t"n9 R. E. TEDAOLT. R«,..E.ED Civil ENOiNEE. Job No. F64-105 August 10, 1964 FOUNDATION INVESTIGATION Proposed industrial building for Mr. Roy Daniels Grace Lane, on the south side and adjacent to the Adohr Plant Costa Mesa, California Introduction This report presents the results of a foundation investigation for the proposed industrial building loacted as described above. Based on information provided by Mr. Reagan , the building will have a concrete floor slab with pre-cast tilt-up concrete walls which will be supported by either continuous footings or isolated square pads at each end of the wall sections. Maximum column loads will be on the order of 50 kips D plus L. The object of this investigation was to determine the char- acter and distribution of earth materials at the site as well as the condition of a small amount of existing fill, and to provide for a safe and structurally adequate foundation design. Exploration The scope of the field investigation was limited to hand excavations and power auger borings and extreme difficulty was encountered in penetrating beyond 5 feet due to the cemented condition of the natural ground and the amount of lime con- cretions present. Satisfactory sub-soil information was obtained however, by virtue of the fact that our firm has conducted a number of soils studies in the immediate vicinity and the type of pertinent soil formation present was identified as a portion i..i3AULT & IIAMMOND • &Z.91ILEtting • . • . R. E. TESAULT. REGISTERED CIVIL ENGINEER Job No. F64-105 -2- August 10, 1964 of the uplifted Pleistocene ore-consolidated soil formation which comprises the Costa Mesa bluff. Top soil was limited to a thin layer of alluvium which increases in depth moving northward. Representative samples were obtained from the pertinent foundation soils by means of a 2.5 inch I.D. thin wall sampler. • Testing Field and laboratory testing consisted of the following: A. Classification Tests Moisture content and density were determined on all undis- turbed samples. Classification of the material as to size was made by careful visual examination of the excavations made on the site. B. Strength' Tests Soil strength was determined from laboratory direct shear tests performed on saturated 2 .5 inch diameter samples . The direct shear machine has a constant rate of strain of 0.05 inches per minute and is so designed that the tests may be performed without removing the specimens from the rings in which they were obtained, insuring a minimum of disturbance from the field con- ditions , The results of these tests are as follows : Water Content Normal Peak Shear Ultimate Shear Boring Natural Test Stress Stress Strain Stress Strain Sample No. (% ) (% ) (t. s .f. ) (t.s .L) ( inches ) ( t. s .f . ) ( inches ) A-1 12.9 19.6 0.5 .63 . 135 .44 .250 8-1 12.9 17. 4 1.5 1.50 . 102 1. 14 .250 C. Consolidation Tests A consolidation test was performed on a saturated specimen of the typical bearing soil most directly affected by the proposed • �rBAU7_'I' & HAMMOND • E:9c,itzz[u9 R. E.TESAULT. REOISTt RLD CIVIL ENGINEER Job No. F64-105 -3- August 10, 1964 building foundation. Porous stones placed at the top and bottom of each undisturbed soil specimen, permit the free flow of water into or from the soil during the test. Successive load increments were applied to the top of the specimen and progressive and final settlement under each increment was measured to an accuracy of .0001 inch. The final settlement so obtained is plotted to deter- mine the curve shown on Figure I. Earth Materials The subject site is situated on a high plateau of uplifted pre-consolidated sediments of Pleistocene age. A very thin soil mantle of clay was present•- which had been mostly scraped from the site during some current light grading operations. The typical native soil below a depth of 6 inches consists of a light brown tan colored mixture of very sandy silt, clayey silt, and sandy clay interbedded with thin lime seams and lime concretions. These soils ' are well consolidated due to heavy surcharge loads from overburdened soils which were formerly on top of them. Moisture content increased somewhat with depth, however no water table was encountered to a depth of 10 feet in an adjacent boring and is not expected for some depth below this . Foundation Recommendations Spread Footings Rased on the results of direct shear tests an angle of internal friction of 35° with 100 p. s .f. available cohesion was determined for the pertinent foundation soils. For continuous • 1L,SAULT & HAMMOND • azsiaening Ft. E. TEBAULT. B.Gi.yc.Eo Civ.L E.QINEow Job No. F64-105 -4- August 10, 1964 footings embedded at least 16 inches and not less than 12 inches wide, based on the Terzaghi bearing capacity equation, the following bearing value was determined : q : CNc + wDfNq + wBNw 100 (30 ) 4 100(1. 5) 20 + 100(0.5) 20 - 3000 } 3000 + 1000 7000 p. s .f. (ultimate ) • qa _ 2300 p.s .f. (recommended ) For square footings embedded at least518 inches below approved finished grade and not less than 2 feet widen allowable soil bearing pressure of 2800, p. s .f. may be used . For square footings at least 3 feet wide , an allowable soil bearing pressure of 3000 p. s .f. may be. used. A settlement analysis was performed using a 50 kip column load and 3000 p. s.f. soil bearing pressure which indicated 1.5 inches of total settlement. After a supervised grading operation where the natural ground will be compacted and subsequent fills placed and compacted under our supervision, post-construction differential settlement will be on the order of-1/2 inc or less which should be within design tolerances . Grading Recommendations A limited amount of fill has been placed on the subject site and it has a maximum depth of about 1 foot. At the time of our field investigation it appeared to be partially com- pacted with the upper 6 inches appearing dry and loose . It is 1,.d3AULT .c i[AM1IONv . aclinzvany R. @. TEDAULT. RCUISTERE. CIVIL ENGINEER Job No. F64-105 -5- August 10, 1964 recommended that a controlled grading operation be performed wherein the natural -r in the building area he scarified, watered, mixed , and compacted to a minimum of 90% in the upper 12 inches and all subsequen be approved for stability by the soils engineer and be similarly compacted to a minimum of 90% relative compaction, preferably by sheepsfoot rolling. These fill soils should be evenly bladed in approximately 6 inch lifts , and watered to near optimum moisture, then properly compacted . An expansion test performed on the native sediments indicated 1.0% expansion which is not sufficient to provide any problem to the proposed foundations , however it is important that fill soils be also of a reasonably non-expansive nature.and that positive drainageaway from the building be maintained so that seasonal volume change of the soils will be limited and not cause stress to the foundations , especially the floor slab . Some of the top fill material which is on the site is of an expansive nature and would serve better in the parking areas . If it is not possible to eliminate the majority of these expansive fill soils from the building area , it is recommended that 66/1010 wire mesh be employed in the floor slab which is also a wise precautionary measure if concentrated loads are to be placed on the slab. It is our understanding that heavy wheel loads will be involved on the paved area around the proposed building due to the use of fork-lift trucks as well as large transport-type trucks . In order to provide a satisfactory base for these paved areas the following recommendations are presented . Two inches of asphaltic concrete paving should be placed over 4 inches of 1.,$AULT & HAMMOND •• Sisit.Evans h. E. TEOAULT. OCGIOTCRL0 CIVIL ENGINEER Job No. F64-105 . -6- August 10, 1964 AB or URB. The sub-grade beneath this base material and paving rsho�prepared in the following manner; the natural ground Iand/or fill constituting the upper 12 inches of sub-grade should be compacted to a minimum of 90% relative compaction which will involve scarifying, watering, mixing , and sheepsfoot rolling or some other satisfactory means of mechanical compaction. All of these compaction tests should be based on the commonly accepted maximum density determination A. A. S. H. O. Standard test method T180-57 (25 blows on each of 3 layers with a 10 lb. hammer falling 18 inches in a mold of 1/30 cu. ft. volume ) . The controlling building authorities require that all grading and fill placement be performed under the supervision and control of a licensed soils testing agency. If any questions arise con- cerning this report or the project in general where we might he of assistance please feel free to contact us . This opportunity to be of continued service is sincerely appreciated. Respectfully submitted, TEBAULT & HAMMOND I By .iiC: ,ai . ,„,..9 Ross Hammond --� Yi Reviewed by , er (12,14v,7.07-- E. Tebault Registered Civil Engineer RH:mh Distribution: 4-Reagan and Shoemaker 'icBAULT & ICAMMOND • alsbie-Ezins A. E. TE04OLT. Bwioi[v[o Cwq Eumu[[n Job No. F64-105 LOG OF TEST BORINGS D pth in Feet Description BORING 1 0 - 0.8 (fill ) Mixture of dry to moist mottled tan and brown clay and silt with some lime . 0.8 - 3.0 Damp ten to light brown clayey silt with very fine sand ( thin lime seams and lime concretions ) 3.0 - 5.0 Damp to moist tan clayey fine to medium sand with thin clay seams 5.0 - 8.0 Damp tan slightly cla9ey fine to medium sand 8.0 - 10.0 Damp tan silt . • TEBAULT & HAMMOND Eng Bering . 1..00 99 5 ■mipm ,, ©0 added NflUUI . 8 i ill III �iiiiv ■11111 1 9 .97 : -Tebault & 'Hammond ,Engr. 108 N0. F 64- PAGE_—_OF i. 10B: 2EAGAN F{ skoernaker ,R.E.Tebault--Registered Civil Engr. 199 N.State College Blvd.,Orange,Calif. BY -TG • DATE A LIQ 10. 1964(.... 633.3610 A 3 NOP -TE/ PROPOSED PAVING -- • ►- I SCA\ L---C I '= 3 o ' L • C P20POS £o 13LIIL fel /VG 0 F � � v 0, B - / • i . � 1.4 n . Q -- -- mjM G Q A G E L A N C I G -C t\' n LOCATION Or POWER AUG-ELI 3OQING r� tr ot✓ scs , D At 'p N TEST It1 Ex PAntione TEST TYPICAL 611 CONCRETE BLOCK FENCE Cement Coping Optional -- �- �— GENERAL- NOTES Channel Block With 1-3/8 1 k—� 0 Horizontal Top of all Fences MORTAR: One Part Plastic Cement, and Three Parts Sand GROUT: One Port Cement Three and For Fences 5'or Less `� ' I-4 One Half Parts Stand Vert.Bars 3/8"Oat a' -o"O.C.. _ COPING: One Part Cement, Three u_ i- Parts Sand For Fences Higher Than 5' —`�I c9 ! CONCRETE: Well Mixed 1:2-1/2: 3-1/2 Vert. Bars 3/8" Oat 32" O.C. Y w >I _ Max. of 7- 1/2 Gallons et Fill Cells solid With Grout > Z II �11 Water Per Sack of Cement ,"--- Where Steel Occurs >l- rill y Reinforcing Steel Shall , f ID GROUT MAY BE POURED FROM THE TOP Conform to Sec.A-15-39 OF.THE FENCE IN CELLS WHERE STEEL I OCCURS. A.S.T.M. Z of " I CELLS AND AREAS OF HORIZONTAL REIN- w're 1 FORCEMENT SHALL BE CLEAR,CLEAN& All Steel to be Lapped u_ imm FREE OF ALL MORTAR DEBRIS,ETC. 24"or to Code I . PROVIDE CLEAN-OUT AND INSPECTION - �--�� HOLES AT THE BOTTOM OF CELLS CON- NATURALGRADE TAINING VERTICAL REINFORCEMENT. .-M' _• E BONDS SHALL BE PROVIDED BY LAYING - :t".7.#47.:4X4�� S'6' OW 9 ��1 c I I _I _ BLOCKS IN STRETCHER COURSES SO THAT /M1 • 0 VERTICAL JOINTS ALTERNATE IN EACH '�1-,;/ y(,`e o.' •o . =0 N s r w' a • COURSE. � ' TW03/8"OBARS _' :41 CONTINUOUS TOP 1 - &BOTTOM -0-.{ . ' Le—WIDTH • TO IS O.C. MAX. 1 p' • SEE CHART 'o- ALL STEEL MUST BE TIED IN 9 BELOW DE PTH -OF EARTHTOOTH PLACE AT TIME OF TRENCH I c . t I/3 THE HEIGTH OF FENCE INSPECTION. o'L LI. BELOW BOTTOM OF FOOTING, ' e. e o loo - 2" .J SCALE: I!2 Is FOOTING REQUIREMENTS CHART WALL HEIGHT 6 ' 5 4' 3' WIDTH 14" 14" 12" 12" THICKNESS 10" 10" 8 " 8 " DEPTH OF EARTHTOOTH . . . 24" 20" 16" . . 12" SPACING OF EARTHTOOTH. . 12' 14' 16' 16' OWNERS NAME:,,2P/vO net'-5, �7C4VL/o,/ 7'� _ City of Costa Mesa, California FJOB ERMATD DNUMBER 1���¢ •ere� 1 C9�s`�s� � � Building Department SIGNATURE: tot a ;. - JS PE/a� te _ _ , :onM PU]l_2•.l -0? APPROVED STRUCTURAL APPROVAL ONLY City of Cost. Mesa Building Dept./ SEPARATE PERMITS ARE REQUIRED I FOR ELECT^' ''.L, PLUMBING, THESE PLANS MUST BE ON JOB AT ALL TIMES HEA71:;G, VEi'TI_ATING AND MAKE NO CHANGES WITHOUT PRIOR APPROVAL RE RIFER„F;;N WORK OF DEPT. THE ISSUANCEANDSOR GRANTING HF LPNOMIT OR APPROVAL Permit _C�_-�/ OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION THIS NUMBER 1' '`;i .t::^OMPA Y OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE• ALL INSPECIID,J i cOJESTS SUMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL FOR BUILDINGS ,4'i;F,tL rL:SJilS ARE i0. THE ISSUANCE OF A PERMIT BASED UPON PLANS AND BE EMPLOYED, WE SGG�CST 111 THE SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL STATE OF CALIFORNIA DIVISION OF FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS INDUSTRIAL SAFETY BE CONSULTED FOR IN SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING ADDITIONAL REQUIREMENTS. BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE �"--------�_, OF THE CITY. K[ rliov� f3o' t CITY OF COSTA MESA •1111.1114 - 1 ,, 'WWI TO BLDG. DEr. REn. , ov rE-DATE.2 3 -- ,l I lit R pP PLANNING vitt_ ==ss. —"RESIDENCE AFSlSEbLQE RESIDENCE ara lNoLis?>?NL W 8COG i. ce U) Lu y KI I 40 CRWCF sewer & Lg,L/F APPLICATION FOR A BUILDING PE"'9IT BU DING PERMIT NO. Elettr co Tract Block Lot Permit N No- C Building /�/'� ` �� Pl7 umbing G Address -_/N q/ ) GPACr_ L A ki IF 2 Permit No. 42 P 1 V CrossMechanical / 0. Area Street 2 A (�� Permitit No. 0. I ^ m Owner C A M t "TI RG S Li iU_,twi I t1 . D 7 Type of Project: ❑ New ❑ Alter ❑ dtlition tt Address ?4o Grace Lava. ❑ Repair H Convert ❑Demo ❑ O cupancy Pmt. City CoS �e3A ziP97(G Phone S 4,5("2 . A.P. Insp.Are./ ea Sup. re Architect/ Designer _ License No. rte-. Zone SPI.Pmt. o. Address ..—.— _. �- Setbacks P/L Front C/L St. Street Width City Zip Phone Yards Left Right Rear Eave Prol. • Lett Right F.P. }, Engineer License No. -- Parking Spaces Required Provide Covered NOD, Address m City F o Zip • - No.ri Height . e ..of Stories 'amity U LICENSED CONTRACTOR'S DECLARATION Park Fees H s ee m I hereby affirm that I am licensed under provisions of Chapter 9 Required N. C.T. Receipt t (commencing with Section 7000 of Division 3 of the Business and Zoning Approved By: Date Professions Codg,.and4nt license is in full force and of :ct) License lass C- A 9 icense Number P. Date/ /Q Contras&or d1' AC! - . • Misc. E Address p'297o C'!?Af' LA/. P roposed use C. City and Zip COT 171 /19 Cfl9 C4 Phone J ,&-cvv _ of Structure ✓ CONSTRUCTION LENDING AGENCY m I hereby affirm that there is a construction lending agency for the 1 Class Const. Year performance of the work for which this permit is issued (Sec. 3097, OccCone Code ' Civ.C.). ,(� Class g, Lender's Name / Une USE/OCCUPANCY SIZE SO. FT. E Lender's Address OWNER-BUILDER DECLARATION Y I hereby affirm that m exempt from the Contr. •is License Lawed 1 for the following re n: 0 I, as owner the property,or my .- • oyees with wages as eir 2. sole corn sation, will do t • ork, and the structur s not t intend or offered for sal. 3. ❑ I, a owner of property, am exclusive! ntracting with licensed con ors to construct the project N 0 I am e pt under Sec. , B&P or this reason 4• at a Date Owner E WORKERS'COMPENSATION DECLARATION Total Valuation 8 I hereby affirm that I have a certificate of consent to self-insure, Encroachment Permit Required J ❑ yes ❑ No or a certificate of Workers' Compensationnsurance, or a certified C copy thereof. ON rf Le. Grading Pmt. Grading R Policy No. Company Required ❑yes ❑No Pmt.No. O. ❑ Certified copy is hereby furn he Rough Grading 0. ❑ Certified copy is filed with O n e County, MA. m Approved by: Date Date Applicant 3 CERTIFICATE O EXE T O FROM WORKERS'COMPENSATI N NSURANCE Z (This section need not be completed if permit is for $100 or less). C I certify that in the performance of the work for which this permit is G issued, I shall not employ any person in any manner so as to become m subject to the Workers'Compensation Laws of California. PERMIT EES Data Applicant NOTICE TO APPLICANT: If, after making this Certificate of Structural $ PI. Check $ Exemption, you should become subject to the Workers'Compensation provisions of the Labor Code, you must forthwith comply with suchSPe•ial Electrical $ Invest. $ provisions or this permit shall be deemed revoked. I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO Plumbing $ •MP V WITH •LL COUNTY ORDINANCES AND STATE LAWS R LING TO B ILDI NG CONSTRUCTION,AND HEREBY RUTH- Mechanical $ 0-IZ:A REPRESE TATIVES OF THIS COUNTY TO ENTER UPON T E •BOVE ME TIONED PROPERTY FOR INSPECTION PUR- Pre-Grade P• $ IA , y \.` .�s1�I SSI InspectionPre- atur • Aji4 r (2U7P1 X Rec.No. Permit • 1•gem to Rec. $ Issue $ Print Applicant's/Agent's Name ce All spaces within this box must be completed to process Plan ApprIssuaoved: P Check By: CMF 0335-46(BU-28) rev.6/80 'Mg City of Costa Mesa 2144 C Building.Safety Department CERTIFICATE OF OCCUPANCY N? P. 0. Box 317 Costa Mesa, California The Building located at 2990 Grace Lane has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group ' Occupancy. Use of Building industrial building - glace chop Legal Description A. P. #141-220-23 and a portion of 141-220-22 (See reverse side for Metes and Bounds) • Building Permit No. 22834 Electrical Permit No. 23523 Plumbing Permit No. 44265 Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator hos been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments and/or guest rooms ISSUED TO: Building Official Robert Daniels, Sr. by.--k17 Date December 11, 1964 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed • except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Form BU54.-1M-11-83-6-13 P Unrvtrc DANIEL GLASS COMPANY UAIt 12-1-69 JOB ADDRESS 2990 Grace Lane BUILDING PERMIT NO. 31146 •-- JOB CONTRACTOR Callis Propane DESCRIPTION of WORK Above Ground Storage Tank An Vo. 141-221-41TOILOT 11 6, 12 TRACT 337g FIRE ZONE VALUE $ 300.00 I cCTIONS Signature Date GROUP F-2 TYPE L • j7 ZONE H-] k.GASL SUBCONTRACTOR PERMITS ISSUED Date � 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 0 ROUGH WIRING Heating and Vent. TRENCHES Ej FORMS ❑ STEEL REINF. ❑ FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN fl OUT 7 PLASTER, BROWN COAT S' 'TURAL, FINAL Flectric Ft NG, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL BUILDING, FINAL (4,41 i',.", c, January 23, 1974 Daniel Glass Company is no longer an occupant of this building and the above ground storage tank has been removed. E D HORROCKS Building Official .---r 31 ) 46 DEC -1-69PEp00 099 u*****500 •; COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely R ECEIV D BY DATE RECEIVED DATE ISSUED BUILDING y 9QD C / ' 'n /C2 -/-.�_ /� /-, 9 ADDRESS f's 7 via e e 4,p1 `L < /� �/ / /� P MIT O. OWNER�Ja taie ! /IJSS /Il l'f'/"0 ��ilc. A.P.NO.IH/- ZZ, - HI /y MAIL ^ BUILDING �qJ'� /� � " � Z ADDRESS Z� el e 'e LyL ADDRESS a 70 r7�t / ! .I/U�ci .! TRACT3 78 /-UST~ // BLOCK 0Z CITY � O SC. d. //1t 3 CEJ Ivo. CONSTRUCTION ' NEW ADD_ALTER REPAIR MOVING DFMOI LSH 01- LENDER /C,//B/l�E. 1,Y/\' n. _, 7 BRANCH 2Cs�•-1• C/NA�J/ // OWNER CA?C/ ADDRESS /�/,,�1,...'' M ,, �7y� t -CO ARCHITECT �_ TE L.� USq /(/ • �ut/� J Q OR ENGINEER NO. UN FIRE Q W cc ADDRESS ZONE--(3 TYPE GROUP 2 L31 APP OVA,Q�V. , ) t , Z CONTRACTOR C.3// /�fr OPQJ s-L C BY� I/ Mt,,p�n$ATE /�-/'-bp7 JQ �r r LU uj:lir ADDRESS / 3 / ` SLiyL, (1...)41- y ZONE NO.OF 7 USE OF NE��VV O= CITY l..-r1 S�W Al/te �.5 �, NOL M -/ PLANS ^ BUILDING , Z F (2` � �L S 2 C 'fit n/�� W O STATE CITY YARDS APPROVED YARDS A PROVED NEC LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING _0 SIZE NO.OF SLOGS. (FROM C/L STREET) // .0 �= OF LOT I NOW ON LOT FRONT FT. l O _ F7. USE OF EXISTING BLDG. R.SIRE FT. /0 FT. I- SIZE OF NO. OF H ZZ NEW BLDG. ROOMS STORIES L.SIDE FT. FTS EXTERIOR WALL ROOF V , _ COVERING COVERING REAR FT. /G FT. - 1 US55tF,BUILDING AND WORK TO BE 2-ERFORMED DISTANCE BET. BET.MAIN& a +�1 a U£/9 r 0 k 41 g/ {✓r' O/c /s C MAIN BLDGS. ACCESS. BLDGS. o / -+ 4! K. �4.-47?` EL //aY/ d k CU.P# APPROVED I- APPROVED / 2. 9 -r - C zRY DATE1 0 VI 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 F any person in violation of the workman's compensation laws of C/) the State of California. co 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 PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0 CC am exempt from the provisions of the State of California Business VALUATIONe) and Professions Code, Division 3,Chapter 9. PERMIT FEE $ ...--5-,o-0 N Signature of 1 O C� //� di. Permittee -5 r d /� E. $ `l 00, PLAN CHECK $ — E Jo LL 5 (/ U t) Authorized Agent TOTAL FEE $v - OWNER DANIFIS, ROBERT DATE NOV 4 1964 tiJOB ADDRESS 2990 Grace Lane BUILDING PERMIT NO. 23177 GENERAL CONTRACTOR G. W. Maint. VALUE $ 350.00 4� ! o.11+1-220-23,Po/JOT 22 TRACT FIRE ZONE 3 DESCRIPTION OF WORK U.G.GasStor.Tat IN ofECTIONS Signature DATE GROUP J TYPE IV ZONE M1 Soil PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER Water Rough Corn. Refrig. ❑ Air Cond. 0 Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line U❑ House Con. 0 St. Swr. ❑ Sprinkling System Construction Pole Underground 0 Power 0 Rough Wiring Trenches 0 Forms 0 Steel Reinf. ❑ Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing I 'ng — In ❑ Out ❑ I er, brown coat • Refrig. 0 Air Con. 0 Final Heating, Final Plumbing Fixtures, Final „:, 23177 :R FEE RECEIVED------. COSTA MESA BUILDING"SAPETY DEPARTMENT NOV 5 1964 �^Vn` A P.O.BOX 917 COSTA MESA.CALIFORNIA FINANCE DEPT. V 1 For Applicant to Fill In Completely AF-ICA 94037 PERMIT TYPE OR PR T BUILDING BUILDING C"l •i, �� ` � ' For Office Use Only ADDRESS �l'' AV ♦ RECEIPT NO. pE Tj{(j� COSTA MESA, CALIFORNIA fr] �/ // L A 7- l'� �7 •' REC6 D BY D/1 qEC R VIED64 ^ 84 OWNER Ho p Cl[ / V jT {♦ Jr iv [�� ,7/ /"�!�SJY�s 7/ /` , / MAIL /�7J ♦1 J ADDRESSIG T O <pIC/Y� C f-.i V ADDRESS Sl/ al TEL. FIRE C ZONE GROUP CITY NO. ,/,1/ - J / // APrHITECT TEL. rr APPROVED (/�/ DATE �/ Tp C .GINEER NO YY ZONING ADDRESSAi � �r ' ” / ♦F ,N � I NO.OP I VEE OFDI NEW "�' Ir- N �'� BUILDING CONTRACTOR / L / L �I [� ADDRESS / il �JQ/y �♦ � �I�� DEcc Rlmox {�(f t ��^ p V'Q^����/� ;'h7 CITY 3 /T /9♦17 ' A.P.N O. l 4 I y ° " 5-3 4 pr 1"--1 .�Q NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC. NO. 14/ •� 7 NO. f7 z£ 90"TO SIDE a REAR P.L. EAVES SIZE ,�� NO.or SLOGS. / ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF c ^ MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. lisovYi=s_ (FROM C/L STREET) SETBACK LINE FROM FRONT FT. CENTER OF STREET REAR YARD SIDE YARD LEFT I RIGHT R.SIDE FT. DESCRIPTION OF WORK L.SIDE FT. FT. ' ALTERATION ADDITION REAR FT. FT. DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. VAR.$$ DATE BUILDING NO.OF SIZE ROOMS STORIES C.U.P.# / APPROVED EXTERIOR WALL I APPROVED COVERING COVERING /l/ /lI/AI// tee/( , /�/Y / USC-- E OFBUILD) AND WORK TO BE PERFORMED .....X/MAC< I:2 I. r ,17, r,e,r-L ,a,eNt,/ ty-0 p. SQ.Fr. 7. I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. �Y O PLY WITH ALL CITY INANCE°AND STATE LAWS REG On VALUATION Q� 1V p BUILDING CONSTRU P PERMIT FEE $ n SIGNATURE OF \ 1 l` \A) $ 3 .s^Tm 1 PERMITTEE Vi U S IAUTHORIZED AGENT �O4 ,' TOTAL $ f`' , OWNER SAND TIRES UKLIMTTED DATE 3/3/81 JOB ADDRESS 2990 Grace Lane BUILDING PERMIT NO. 51427 GENERAL CONTRACTOR Gary Jasper Ent. Inc. DESCRIPTION of WORK B1ockTa11 0 1. 141-221-41 LOT 12 TRACT 3878 FIRE ZONE VALUES 4,200.00 I1._. cCTIONS Signature Date TYPE GROUP J ZONE MG SOIL PE)1MITS ISSI(ED GAS SUBCONTRACTOR Dote Number umber I Sign WATER - Plumbing ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. Li SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER 0 04j ROUGH WIRING Heating and Vent. TRENCHES Li FORMS U STEEL REINF. ❑ bFLOOR SYSTEM h BONO BEAM n STEEL REINFORCE 0 SHEATHING ^-I FRAME AND FLASHING W❑ LATHING - IN n OUT rl .Itl PLASTER, BROWN COAT as TURAL, FINAL 92A, &?Ci JOS 346. Elertric .HG. VENT.. REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST I-1 ELECTRIC. FINAL /. BUILDING. FINAL p 5 ',/(0,6` •� COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT ` . P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 P flC alrta/q1 a 30 TL RECEIVE Y 'PERIdrT P10 51427 For Applicant to Fill in Completely — Use Ink Only 1 ABUDIDLRDEING Ai O QIVa V .' A.P. NO//t/�2Z/ _ J OWNER OR ADDRESS 21116 brace Ake- TENANT SA►mD 71 e, x U NLIw.I?GU UR ADDREG 2-1.10 Grate La SPACEC N ADDRESS U �G NO. /� //�� � LL �1/A��A ��//�� �/� TR.NO'''���((t���! LOT BLK. CITY 1� r,lam NO. 570 S/7 L `� N NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTIONEDE LENDER /y BRANCH OWNER S4aIJ/� p/(,gs awet/•>Is 'T ADDRESS --^ ARCHITECT TEL. la OR ENGINEER J NO 4 .3 ADDRESS /^/ ZONE N TYPE GROUP CONTRACTOR C,q.,Ly Jm - EA/ bic• APPROVED DATE ADDRESS a97d Gage'l-aMa, '/ CITY Ce rig, ?c NOLSt4S Z.. Hi ST/{TE �t CITY APPROVED SETBACKS LIC.NO. .2 / N1-7 C �� LIC. NO. SIZE' NO.OF SLOGS. (FROM WI_STRE ET) L OF LOT NOW ON LOT / FRONT :tee Q USEOF / / /� /I / 4' EXISTING BLDG. //✓Cl4 drAc/ /�J$ j' R.SAIF yot- 1 / �J t! ,,,,,,/// C/ FSeparate permits are required for L.SIDE FT. I 'cl� C electric,plumbing and heating work. REAR FT. �j \I , UU OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION -e. -/he S4/GD1Mf I f LoraDATE �7/C 4 fhf /h4flL4CLt .if, f�n Mt A APPROVED < - } &1/41/ /S '4 b V(! /ie1 AP ROVED j_ElY ,• \/t DATE S -8/ CC 263 G. %' • 6' /,/4-/,1 l.✓4W 0u oI hereby acknowledge that I have read this application and state n. y2 that the above information is correct and agree to comply with IL all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of 2 ythe State of California. m 3 I hereby certify that I am properly licensed as a contractor under SQ. FT. N D the State of Cal ornla Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and at uch licenses a : in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0.- am exempt fro the provisions oft State of Calif9rnie Business VALUATION PERMIT FEE $ �� Y and Professions d Division 3,Chia, er 9. .�n c Pe .n ONS �n Signature of l� • CI �V -^/p,y- PLAN CHECK $ '�/'>_w' PIo Permittee 1 (/ $ Q� V TAX $ "---r51� LL Or VV • 7 ♦ U Authorized Agent Date ! TOTAL PAID $ • 228341 rtttUtivtu OSFINANCE A MESA BUILDING-SAFETY DEPARTMENT ii 1. P.O.BOX 317 COSTA MESA.CALIFORNIA CITY OF COS 1 ESA For Applicant to Fill In Completely APPLICATION FOR PE IT TYPE OR PRINT BUILDING BUILDING�99O For Office Use Only ADDRESS rcC ��11C RECEIPT NO. PERMIT NO. COSTA MESA, CALIFORNIA 2 'Z 3 • y RECEI Y AT9REC/PACV-0D 9--e2TE ISSUE OWNER ruz. ' zo i3CIGT °Arie L.S '3{Z. !'I pry/ f?/lOA���� '. L.� BUILDING MAIL ADDRESS p�-( 7d 02.14ce h 'AA(a ADDRESS 1582 newroet QLvo TEL. FIRE , �O ZONE PE I GROUP �� CITY roc`7-�A rnE'/j NO. LI S2 z"[ /f� /' UJ' ^,CHITECT NGINEER �S t'/,GAYl rill?'&4lofb'3(o BYAPDATE /l, DATE V/f7 gf(p ]� SI-4O>Ct,-)nKeE ZONING ADDRESS .G,42. LA- ICI 311 sr. Cosrl mesa USE NO.of USE OF NEWyh�yrtri1I / 7�/ I PLANS Z I BUILDING ww//77 CONTRACTOR 1SoLITN COOS{ CCtflT CO / /Z %A-o it T'3878 �• �J LEGAL ION ADDRESS I I II 1311-WG-SZ S T. DESCRIPTION • A.P.NO. I9/ ,O^ 0ZO '— a3 i YeraZ CITY COSI A mesh`, /+ NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE V a Q C/o 2 NO -SAI � II a9 I 90" TO SIDE B REAR P.L. LIC.NO. (1 !J EAVES SIZE OF LOT I ISO( � `z3 41 I NO.OF BLOCS. ALLOWED (U.B.C.REQUIREMENT) NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET)) SETBACK LINE FROM Wrazed gni K FRONT 5b FT. IC! FT. CENTER OP STREETREAR YARDgV J -� /� SIDE YARD I LEFT I )1 I RIGHT 41-I- III) R.SIDE _/9Fr. // FT. DESCRIPTION OF WORK L.SIDE/ FT. / FT. VNY ALTERATION ADDITION REAR 'a"/ 3FT. FT. DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS. BUILDING NO.OF VAR.# DATE SIZE I SOOO ROOMS STORIES I C.U.P. APPROVED • L{- IS 1t FeLi EXTERIOR WALLI ROOF R APPROVED. �A R//7/ 6 conc.COeea= COVERING leo SLOG BY (GGfM DATE "'Pa USE OF BUILDING AND WORK TO BE PERFORMED HOLD FOR SPECIAL REQUIREMENTS mous ie'Ac_ 'BLDG — _ yy /� p -5 HOT" (f rt -MG/ S#Y7�O be L/as5 Z. s . if 1.1t-/fr I 774 3S'7H� a 60.PT. G I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE TOM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALLTHAT CITYTHE ORDIABO NCESEIB ANDCORRECT STATE AND LAWS AGREE RSGO CTING VALUATION Q.` _ m BUILDING CONSTRUCTIO //�/ a SIGNATURE OF /�/ � ^ PERMIT FEE $ Lb PERMITTED /�/� /, .L�/pm AUTHORIZE AGENT °' TOTAL FEE $ n 33 F P:.IJ p C 274 18 AUG 8-67 ns.;00 557 L ::i.: .II . 4'; COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 82620 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDINa Q o ///77 /J For OHics Use Only ADDREOs 2 / 0 l9) rat's' /'4 G!`J[^ RECEIPT NO. iTl 24r fO� COSTA MESA. CALIFORNIA 1 � ILJf / / -/ !-7 / RECEIV'EE RY DATE RECEIVED DATE ISO El OWNER CIO h.n tl `t /✓0vJ1' /' E,,/, .4-�eul ria (j Gam- �- 7 t-J -(7 MAIL �/ // -7 ADDRESS / /d r+1 Y G Ler y ADDRESS an.1 y 6 2 + TEL ZONE TYPETf-%UP FIRE f di-. mrs /LJi > nr P NO. APPROVED /�� 'rP�C7CHIT715 ? Y• DATE .ENGINEER Heal Uf( GP/7/en 1.6. 622 ZONING • L. sponges / i / ZON No.of s[ uOr x[W.--- � _" CONTRA •R- O / ,, i. ` i• / n �7� �p (��� 71 DESCRWTIO Ligon. r. t . /2 L t ' ?O 7 CITY f, . Mr - / Cid II A.P.NO. /171/— -n- .D-0 V/ STATE • - TEL, (_ NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.NO. I T4'.17 1/45- F 6 / 80.TO SIDE BREAR p.L. EAVES SIZE NO.OP 51.005. ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED it USE OF MAIN BUILDING ACCESSORY BUILDING 3 EXISTING BLDG. (FROM C/L STREET) SETBACK 41x6 PROM : FR•NT FT. -' CENTER OF STREET REAR YAR• , ■ RIGHT R. 'ID a 4N DESCRIPTION OF WORK L.sus• F PT. . .•EW ALTERATION ADDITION REAR PT. PT. DISTANCE BET. BET.MAIN Q REPAIR X MOVING DEMOLI:H =, MAIN BLDGS. ACCESS.BLDGS. BUILDING NO.OF VAR. DATE SIZE ROOMS STORI C. APPROVED DATE USE OF BUILDING AND .ORK TO BE PERFORMED 0. W ' � , i ea Gr to gr/11 27 356 SQ.PT. X I HEREBY ACKNOWLEDOE TNAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 9 AND STATE THAT THE ABOVE.IB CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE MWS RESULATINS VALUATIONdO W ' BUILDING CONS -UCTION. SIGNATURE O' j / PERMIT FEE / E - MI PERTTE + f/L • — c 33 5�J UO0 w AUTHORIZE AGENT -O OU .,..... '..r ..e l'..,...:o. �... TOTA.FEE O+ JUL--:-------jr 28-67"EiaO.,2013` ' '• ':7L -C X735& ': COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92020 • For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING For Office Use Only -i %oOA lea x97O GRA c F -CANE RECEIPT NO. PERMIT NO. COSTA MESA. CALIFORNIA • R[ , • Y DATE •w D D TCOA R ns � `I OWNERJ0141/VrJ. SW 'i 1S I(: •T. J s S - ADDRHINO r f _'1 / � i 4 •• s 0 • - C ' He`/ NOLdi 7-N as ZONE TYP /a/FIRE . 'ROUP , CITY a T TEL. BY PROVED DATE ENGINEER NQ. 4 ZONING ADDRESS ZON NO.OF Y[[OF NEW �'� I Pura-$-•� D°LD S --.;/. CONTRA •R 1 CO SVS 1 C // C.4 /gyp •I °:'. �peRInION _ /%J�l titria ADDRESS�//j(! �l wFs r�Rn Ave *E 3 irromm CITY CZARA EN am VE i c4</.c {pp/ (�`p p �y[� '1 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN fT T O./ 76 -�88d /•1', R 7-/,6 r • 80'TO SIDE a REAR p.L. I EAVES SIZE I NO.OF ELDOS. ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) A SETBACK LINE FROM .. R•NT FT CENTER OP nein' REAR YARD . MBIDg YARD I LEFT RIGHT R. -ID - AI DESCRIPTION OF WORK - L.SIDE - . PT./ N/ ALTERATION ADDITION ` REAR RT. FT. {• DISTANCE BET. BET.MAIN& REPAIR _MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS. BUILDING NO.OF i. VAR. DATE SIZE ROOMS STORIES C.V•P.# APPROVED EXTERIOR WALL I ROOF APPRVR /J "� �J COVERING COVERING PT I"' T• + , DATE //L� �� C`VTE\ USE OF BUILDING AND WORK TO BE PERFORMED 9. ,4.S /4 FSO v /R Off ic se i ' Wed 4R4rwovSE 1 I HEREBY ACKNOWLEDGE TNAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN NVALUATION FOR THE .. AND STATE THAT THE NANIS AND STT AND AGREE TO COIL • PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ' VALUATION BUILDING CONSTRUCTION. D`0 SIGNATURE OF ,� / / PERMIT FEE / E PERMITTE ....J...fe -a-1 - .. - e,/ a0 0 S; S 00 PLAN CHECK S �f// w AUTHORIZED AGENT /�J Y c . 7 a0 7 TOTAL PEE $ `