HomeMy WebLinkAbout1840 ORIOLE DR - Building Permits Oat% t ` CITY OF COSTA MESA
BUILDINGDIVISION DEVELOPMENT SERVICESDEPARTMENT PE IT NUMBER
PERMIT
01-00720
—400RaTio Ir
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.caLj�LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1840 ORIOLE DR Status: ISSUED
Suite: Applied: 05/18/2001
Vicinity: FRONT OF PROPERTY Issued: 05/18/2001
Parcel Number: 13952102 Zoning: R1 R1
Applicant: CASTELLON, RAMON ISSUED BY: r �
Address:
Phone: 714-815-4727
Zip:
Owner: WILLARD, ROBERT EDGAR
Address 1840 ORIOLE DR
Phone:
e
COSTA MESA,CA Zip: 92626
Contractor: CALIFORNIA ROOF LIFE
Address: 8941 MINT AVENUE
CA Phone: (714)847-7663
WESTMINSTER
Zip: 92683 . License: ` 509623 .
Arch : - Eng:
Address: Address:
Phone: • Phone:
Zip: License: License:
' — - SCOPE OF PERMIT- r
TEAR OFF SHAKES(2300 SQ. FE)INSTRALL SHEATHING WHERE-SHAKES ARE REMOVED. INSTALL FELT AND 30„_ ,.
YEAR FIBERGLASS SHINGLES. -
' _ • FEE SUMMARY
Plan Check: $0.00 , • Calc Valuation: .. l - 54.500.00
Permit: $111.25 Claim Valuation: ' ' 5,4,soo.0o
SMIP Res: $0.50 . _ -
SMIP Com: ' $0.00
Other $0.00
Inspection: $0.00 .,;:-.I, ,:,, j
DECLARATIONS ctr, C? .,
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
0' I hand 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
ork for which this permit is issued.
I have and will maintain workers'(•• nation insurance,as required by section 3700 of the Labor Code,for the performance of the work for whit';his rmit Is issued.
My workers'compensation Ins ranc: a 'er and policy number are:
Cartier: IA et —_ Policy Number: ter,_,_.
(This section need not be cramp et ' he pe ' is valued et one hundred dollars($100)or less.)
O I certify that in the perfornanc: • the work for which this permit is issued,I shall not employ any person in any manner so as to becomes •j: t to the workers'
compensation laws of Califo••'. :gree that if I should become subject to the workers'compensation provisions of Section 3700 of the ••r Code,I shall forthwith
comply with these provislwed /
-Applicant Signature: , -Aded:r/,./ S/(.,. Date: /O
\ mosennw,..-
-WARMNG:FAILURE TO SECURE W ri-r •5'•• ,'ENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DO LARE(5100,000),IN ADDITION T•THE COST Of COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under•rovislons of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full
force and effect.Lin.p /Mni Class N 5// Y/0/• Contractor's Signature: �r "� i•.. `J
,/ Date: ,/ Y/o/
' Farr
CONSTRUCTION LENDING AGENCY:
O 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).):
O I.as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
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, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 WIll the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the Califomia 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? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this gppRcation apermit for such construction or modification
from the South Coast Air Duality Management District or from any other air pollution control district or agency? 0 Yes 0 No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature • r�:r(s) // /�at,
i.yi. 0
And/Or •uth•nz:• ';r.• Date
;ODE I INSPECTION TYPF PATE (MAL$ CODEr INSPECTION TYPE tam milieLe
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final f 208 Final Plumbing
200 Final Re-Root S/ZSIoI t;S___ 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
iOWNER FORGRRTY, Virginia DATE 5-25-72
, JOB ADDRESS 1840 Oriole Drive BUILDING PERMIT NO. 34774
? GENERAL CONTRACTOR Custom Pools, Inc. DESCRIPTION of WORK Pvt. Swim Pool
.2 AP No.139-521-02 LOT TRACT FIRE ZONE - VALUE $ 3,300.00
INSPECTIONS Signature Date GROUP J TYPE III ZONE R-1
SOIL SUBCONTRACTOR PERMITS ISSUED
GAS �k-1.-"t
C) y/'' �Iy6lt . Date Number I Signature
WATER %�� S,�yy.n „ / Plumbin 4 /]
ROUGH PLUMBING il/^S L✓�%��� (1.11,Lc.Y�.G/-L,T/_/- G-Pzi;/�)t f2-45- ,1 &e.;t7
PROP. SWR. LINE Q HOUSE CON. f /
SPRINKLING SYSTEM fr nM
MISCELLANEOUS o --L./!ti'- -A Jj 4 J-t'hROUGH HEATING A O AIR CONDITIONING
TEMPORARY SERVICE OR POLE ',I
UNDERGROUND ry_ _ POWER H 'gnaw AD -./ -7t-
ROUGH WIRING rAte / -/'l Heating and Vent.
TRENCHES 0 FORMS fl STEEL REINF. GA 2 , 1-
FLOOR
FLOOR SYSTE
BOND BEAM 7 STEEL REINFORCE Cl
SHEATHING
FRAME AND FLASHING
LATHING - IN 7 OUT ^
PLASTER, BROWN COAT
STRUCTURAL, FINAL _ �/ y/. E_I�e CHHtrl��jic /.tr �/l•�y �} (y
HEATING, VENT., REFRIG. AND A,C^., FINAL t, It -7 Z f.".I.ld (rer 4i t(l") 5T�s�//2 ' 11"%••
PLUMBING, FINAL AND GAS TEST LJ /f 7t?•Jy / / j'/
ELECTRIC. FINAL /t-142� J. /9,7Z-
BUILDING,
ZBUILDING, FINAL 72.S'7z-
SPECIAI REOUIREMENTS ----
•
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITYCITY MESA CONSTRUCTION PERMIT
PERIAT NO. • TRACT NO. LOT NO. UNIT NO.
3a3o9
Project Address i$y n Ont,1)1 f e� per/ 54e2 ,9/I 7/87 5.00 TL
Applicant's Mailing Addrtes ems_-Oaa Mg. / ap - TYPE OF CONSTRUCTION ❑ NEW' U ADD LJ ALTERATION W REPAIR ' •
❑ CONVERSION ❑ DEMOLISH ❑ OTHER A,R.# •
_ - _ ,Zone _
Owner's Name Is4rAr - Phone a 'r DESCRIPTION OF WORK/USE OF BLDG.
Address '
• S Main Building: Accessory Building:
_ E Z
Arch/Eng. License No. TYPE OF PERMIT In GRADING FOUNDATION ❑ STRUCTURAL T Front - o
Address - ` ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear • N
Contractor's Name AA z is #1 .I ."hone �'cQQO0 ❑ OTHER C _ _ .
2 II - 'Y ' / •♦ PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G'
Address Imailing) �,I, F K G
City License No. (40t?�S CON ST RUCTION TYPE VALUATION$ $ Left
ZONE GRADING CU.YDS. ACRES - R
. LICENSED CONTRACTOR DECLARATION _ Ping. Ref.# Parking Req./Provided E
Q
hereby affirm that I am licensed under provisions of Charter 9 (commencing n9 Remarks: PlanningNotes:
With section 7000) of Division 3 of the Business and Professions Code, and •
(('' V (� SEP 1 5 1981,. M
my license is in full fo effect. I RE`jt' Gv T
•
4 Licens. =.s wig . -Lice. e N. .7L / . S
Date 1KM Signature Eng i, f A- 4 l� PLUMBING FEES
WORK Rs, ••MPENSATION DELLA'ATION /
I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES
of Workers' Compensation insurance, or a certified copy thereof (Se tion .
` 3800, Lap,,_C,) �j,�,� y� /��7 Backflow Preventer Service Sink Automatic Washer Transformer ❑ 15-50 KW
Folic No: [R�a��� 'g� Company,�IWrI �`r L•� Aj� Backflow Irrigation _ $ewer Cap Construction Pole Sub. ❑ 50+KW
ertified copy is hereby furnished. //
C i i d 1�)sli11, •
fes(led with the city B i I . L/l�t w ' Bathtubs Cooking Unit Meter Due to 100 amps r
Date Applicant `f/ ��
.. EXEM ION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Dishwasher Meter Dover 100 amps _
•
(This section need not be completed if the permit is for one hundred ($100) or .
less). 1 Dishwasher �� Dryers ❑Gas ❑Electric Sub Panel - •
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1%-8
Workers' Compensation Laws of California. - —
Date Signature Floor Drains' •• • Swim in Pool w/Spa
.NOTICE:if after making-this declaration, you should become subject to the g p F.A.U. Inc.Solar 09-15 HP• ❑i6-15+ •
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks 'Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked. ,
•
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • . Device Boxes Pole Light
I hereby affirm that there is a construction lending agency for the performance g
of the work for which this permit is issued; (Section 3097-.Civ. C.) InterceptorsWater Heater Outlets Range
Lender's Name g
Lender's Address . . - - Kitchen Sink Water Service , Switches - • "
OWNER BUILDER DECLARATION • Sign ,
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash • - Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or -
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator 00-5 KW 05-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for-such permit
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains -
- the Contractor's License Law(Chapter 9(commencing with Section.7000) of
"Division 3 of the Business and Professions Code) or that-he/she'is exempt -- '. -
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 .by any applicant for a permit subjects the applicant to a civil '
I penalty of not more than five hundred dollars ($500). ; I '
LJ I. as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue •Fee' $ 3
compensation, will do the work, and the structure is not intended or offered I - Reinspection Fee f $15 Issue Fee . $ 3
I
• for sale (Section.7044, Business and Professional Code: The Contractor's MECHANICAL FEES -
License Law does not apply to an owner,of a property who builds or improves ..- , .- _ _ _ _-�
thereon, and who does such work himself/herself or through his or her own - - DEVELOPMENT SERVICES REQUIREMENTS: .
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ -
sale. If, however, the building,or improvement is sold within one year of com- - • Canopy Type II ❑ • Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By /\ Date
prove for the purpose of sale). / fy 1
Date o/��j71
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 1��
tractors to construct the project (Section 7044,Business and Professions Code: _
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU . SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con- - •
tractor(s) license pursuant to the Contractor's License Law). I am aware that'• —Exhaust System ❑ Multiple 0 System Repair/Alteration •
I BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided,to me. • PLAN.CHECK $ • - PERMIT
❑ I am exempt untler Section B.& P:C.for this reason Firepl/Fact.BIL ICBG# Fire Dampers _ PLUMBING $ S.too ISSUANCE $
Date Owner _ Heating System& Ducting Registers - .1._
' PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that .1 have read this application and state that the above 0-100,000 BTU 0100,000B-ftELECTRICAL $ GRADING $ -
.. information is correct. I agree to comply with all city and county ordinances - - •
and state laws relating to building construction, and hereby authorize repre- - - - _PLAN CHECK 50% $ MICROFILM $ -
sentatives of. this city,to -nte upon th- above-mentioned property for . -
inspection •epos _,_ MECHANICAL $ TOTAL FEE $ SOU
Signature i w�_� .A/ . . Date _
Drivers' License or SS # Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
_CMF0865-46,rev.10/84 • White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL&SPA,
j Date Inspector Date Inspector
APPROVALS Permit, APPROVALS Permit#
_
1. Temporary Electricat Service or Pole52. Pool & Equipment Lbcatioq. j ,
+
2. Soil Pipe-Undrgrnd. "' . 53. Steel Reinforcement ' • •
3. Electrical Conduit Utility-Undrgrnd. 54. Forms -
_
„„
ea.,
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding t':: i
s
5. Steel Reinforcement 56. Rough Plumbing & Pressu{e;Test
•
6. Electrical UF ER Grnd. I 57. APPROVAL TO COVER-GUNITE
- 'Lr
7. Footings 58. Electrical Conduit-Undrg'ra?l. . r
r+
8. Foundation ! '' ' . - 59. Gas Pipe, 0 Undrgrnd.,Ti' t -
' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
it
10. Structural Floor System 61. APPROVAL TO DECK
,
11. Property Sewer Line & House Connection 62. Backwash & R •
nal
eceptor-Final
12. Sewer Cap - • 63. Heater & Vent-Final• , ,
•
13. Roof Drains - 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final '
15. Rough Electrical-Conduit 66. Solar System-Final •
16. Rough Electric Wiring - • ' 67. Fencing & Access Approval , - - -
•
17. Rough Wiring Sign - 68. APPROVED FOR'PLASTERING '
•
•
18. Rough Electrical-T Bar Ceiling' 69. POOL/SPA SYSTEMS FINAL .
19. Rough Heating & Air Conditioning -'FIRE DEPT. REQUIREMENT
-
20. Rough Factory Fireplace - - APPROVALS + Permit#
21. Ducts, in Structure 70. Underground Hydro I - -
22. Ducts, Ventilating- 71. Product Piping O Gas D Oil
23. Gas Pipe-Rough & Test •
- 72. Underground Flush -
24. Roof Framing - .73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro -
, e
1 26. T-Bar Ceiling (Structural) & Monocoat • 75. Dry Chemical
27. Frame and Flashing - ,- 76. Dry'Standpipe ,
28. Lathing & Siding 77. FIXED SYSTEM FINAL .
29. Insulation - 78. FIRE PREV. FINAL .
30. Drywall Nailing HEALTH DEPT. REQUIREMENT .
31. Plaster Brown Coat • 79. FINAL:INSPECTION - . I
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric - Notes: - -
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
-
37. Final Factory Fireplace '
I :
38. Final Plumbing ILE Q i .
39. Water Service-Final - - + . •
40. Gas Service-Final . 1 •' 1
.41. Solar Domestic-Final - - - I
1:42. Backflow Prevenier
;•43. Backflow Irrigation - - +
'I4'4. Landscape Irrigation System •• '
.d5. Sound Attenuation _ • • .
I
46. Handicap Regulations • ' - - - •' , I , ' 1 ' ; ,
47. EINAL STRUCTURE & BUILDING ' . IIIINIIIMIIIIIIIIIIIIIIIIIMIIIIIIMI
.48.-Special Requirements Completed . - ' 4 - . -
49.:Electric Release to Edison _ . . ,• ,
50. Gas Release to Southern California Gas-Co . ., .. '-•• ' • - -. -
51. .CERTIFICATE OF OCCUPANCY - - - -• .
No. Date - - .. - -
•
Lit �5247 24 45 CITY OFCOSTA A MESA ��
`. . STA MESA BUILDING-SAFETY DEPARTMENT MAY 11 1965
P.O.BOX 317 COSTA MESA.CALIFORNIA
.
For Applicant to Fill In Completely APV5A .+• i I9•ERMR
TYPE OR PRINT I -j Llr •
For Office Use Only
BUILDING 1840 Oriole Drive . '
ADDRESS
RECEIPT NO.
COSTA MESA. CALIFORNIA . n `-
RECE Eq BY RBCEWED J DATE ISSUED
OWNER Pemba Subdividers , • Inc . R/ (' /01(4" M/A-Y. 1 33 19765
MAIL •
ADDRESS I i5 'lf)/2 OIC" /�
ADDRESS 2850 Mesa Verde Drive e,
FIRE , I r-4 l
CITY Costa Mesa 725490395 ZONE t3 TYPE�'VL. GROr
APPROVED
EN'GIN
OREERE.G. Kaltenbach745478046 BY DATE
ADDRESS 1823 E . 17th St,. Santa Ana NO OF
(ZONINGOP i,,•,/ ��L�
✓ I PLAN-. - I BUILDI& 0/A I . u
CONTRACTOR Pemba Subdividers , Inc. ' • [[ /.�lilt
LEGAL 1,07 �� TR L/I a /
ADDREsa2850 Mesa Verde Drive ° `"'P"°"
CITY Costa Mesa • A.P.NO. C>
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
STATE
LIC.No. 187318 TEL.
NO. 549-0395 90"TO SIDE 8 REAR P.L. •
EAVES
SIZE I NNO.OF BLIDGS.OW ON LOT O ALLOWED (U.B.C.REQUIREMENT)
OF LOT 64 X 110
YARDS APPROVED YARDS APPROVED
•
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L((9/7 REE )
SETBACK LINE FROM FRONT C7'FT. FT.
CENTER OF STREET - 23 REAR YARD27 _ 111LLL������
SIDE YARD I LEFT 7 "I RIGHT 7 - R.SIDE 7 FT. FT.
DESCRIPTION OF WORK L.SIDE Z /7 FT. ' Fr:
NEW X ALTERATION _ ADDITION REAR J b
DISTANCE BET. BET.MAIN Q
MAIN SLOGS. ACCESS.BLDGS.
REPAIR MOVING • ' DEMOLISH -
BUILDING NO.OR VAR'# DATE .
SIZE 50 X 52 ROOMS 11 STORIES 2 C:U.P.* Y, APPROVED J
EXTERIOR WALK ROOF G wood • 'APPROVF�J.aJt� /{/
COVERING StLLC coI COVERING shingles BY 6LLL���I(( $�iwVVl/I DATE /� 0
USE OF BUILDING AND WORK TO BE PERFORMED QL
•
Single family attached garage A , 7(o 2340 SQ.FT. 600 - i
-► 21D NZTD
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE Y
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. 0
PLY WITH ALL CITY ORDINA CES AND STATE LAWS REGULATING VALUATION
BUILDING CONSTRUCTION. oe 95--5-° r
PERMIT FEE $ i
SIGNATURE OF
PERMITTEE ,"•'%47 Vit.n. �'7 /� 7 7.7 B
$ G, ( / g13 PLAN CHECK $ -i ,...a
AUTHORIZED AGENT .. •J / / 3 25
4
TOTAL FEE S
Fc
r� ���-
,,, /
_
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 - COSTA MESA,CALIFORNIA 92626
•
APPLICATION FOR BUILDING PERMIT •
For Applicant to Fill in Completely
RECEIVEDBY. f�T /EC
EIVED •.
.BUILDING / 8 d OIQ � C7
9VIIG- DR_
ADDRESS
aERMIT N4.4.,
•OWNER Vi /(/iV/ J
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BUILDING
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' ADDRESS / i
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-L"ADDRESS /^/�m�
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• W W n / TEL.
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Z 'IO "I" • NEW ALTER REPAIR MOVING DFMOLISH
Z Q CONSTRUCTIONEDEf}A1&Unw
Om- LENDER d - __
J BRANCH - , . ` / G
JN - - OWNER U(2G fG' // ` %Ede!T( L
Q W ADDRESS
. • - VALUE z-S ea
m ARCHITECT TEL., S b 0 $ J
J Q OR ENGINEER ,_{ I. 1' i`• /l . N•. a 1-0 .A!
0 FIRE
W C ADDRESS 9G / FL �m1NO %/zi 7�h _ ZONE / 'TYPE II GROUP . ) '
J Q Co i Dm POOL IL MC) APP RyJ�,V D •-
CONTRACTOR By "- «S"� 0� DATE �".7.S.-7
CaZ• c .
J ADDRESS h rmM)AJ-5 1•
W W f • NO.OF USE. OF NEW SW Icq.4(,4. I JC
0= CITY��ITq) NOL�,�.2•.]�I�j� PLANS L BUILDING - da
ZI v
lyi O STATE /, CITY YARDS APPROVED -
•
NIC LIC.NO. ,',6 ( 201/ LID.NO./�y MAIN BUILDINGACCESSORY
D O SIZE - y - : Na OF BLDGS. . (FROM C/L STREETJ.
OF LOT G S^ x / LU I NOW ON LOT I FRONT LY FTf✓,JG^i^s"r_
USE OF
EXISTING BLDG. ./C/./P.k-Ar :lCflOC.'�, R.SIDE FT.
I ' "SIZE OF . ` _NO.OF �*
Z -NEW BLDG. ROOMS STORIES L.SIDE T. '
✓ EXTERIOR WALL I ROOF
_ COVERING COVERING - REAR .J FT.
J USE OF BUILDING AND WORK TO BE PERFORMED" DISTANCE BET.
d
a MAIN SLOGS. •
Q �/ 0 CU.P.# DATE
O _
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IIMINAPPROVED • ' OMNI_ ..22_2
O .
U , ,t1hhatertehbey sabcokvneowledge that I have read this application and state- .information is correct and agree to comply vvith
D all laws regulating building construction, and I shall not employ - .,
CC
the State of California.h Y�(r SO. F.T. - moensation laws ofz
certify that I am properly licensed as a contractor under'
- State Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR j
• Chapter 9, and that such licenses are in,full force and ef•fect,or I THE PURPOSE OF ESTABLISHING APERMIT FEE ONLY:
CC
am exempt from'the VALUATION �'`
provisionsand Professioni •• PERMIT FEE $ II �r�� co Code, - ..tea ]
Signature of
Permittee •
/ _ • Ma.," $ 3 �Jo --PLAN CHECK $ • ^ Q '
•
} 7 LL
..a..-MAI I TOTAL FEE $
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. May 26; 1972 .
K1
Mrs. Virginia'"Fogerty
18140• Oriole Drive ' •
Costa Meaa, "California "'
Dear Madam: ' - _., ;, , : •
-• A building permit has1beeepued to •Custom Pools,, Inc '
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to construct a private swimming pool .on your property.
' =In order that• yo • pool will be a -safe 'one and for the
purpose of advising you o our responsibility_ regarding the ' . ..
requirements of, the Costa •M Municipal;Code, we refer you. to . .
• • '- .Section 8107; a copy of•which,.ts attached. _ •
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• This- lett is directed to you in order that ,you will' be .,
aware of our ord a and' can .make /..complete safety check of ._ - "
your-pool area.‘ . .
Sincerely::yours; , • "
- .RICHARD• HANHART- -
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Building Safety:-.Director -
RH:dh ,
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piOJECT A .IGRESS: 1840 ORIOLE bri ' ' ' - - - imit:
NONE : ' ' : ...- .
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... 1 -• CITY OF COSTA MESA- - 'BUILDING PERMIT PERM NO.1: B * 046042 ' I'
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OWNER'S NAME:A:Ellin! CO•t3G1:1 SO n. • •., . . - ..
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ADDRESS: ‘.? lei I LL-t1/4.EZ.0 • • t .
. . . PERMIT' NO B . 046042 • ' PLAN CHECK NO: ' • . N . : GOVT: N. SUPR: ' N . .
SAME . • . •
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- •. • , '. ,' : : - • •- CONSTRUCTION• TYPE: 4 • ' ' ., PERMIT• TYPE: STV-: .- (., ' ...PURPOSE:1 : ALT ' '
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ARCH/ENGINEER: % • .. '' REO.NO.: ' . - • ' ' .
UNITJOB 'DESCRIPTION • TEAR 'OEF RR W/GRAVEL , : : ' SQ FT:. 14, 250 ! ,•% • '
ADDRESS: • , ' . : -
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CLAIM VALUE:.• !. . . 1 , 250 . 00 ' CALC-VALUEi : 1 250 . 00 GROUP OCCi P-3 - / . • :1' .
PERMITTEE'
2 ' PETERSON ROOFING. ' ( 714 ) 720-'0812 , •' • . . •. , • . •
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ADDRESS: 2810- PCH - • . . ' ' .
- COMMENTS: T/O' REROOF FLAT PART OF ROOF: 14/DUILT UP : % - • - • .
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! CORONA DEL MAR . - . CA(92,625 • -
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LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed Under provisions of Chapter 9(commencing with Section 1 1. -2- 0-1st I• N G RE• QU: IR E M E N T • . •• '
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7000)of Division 3 of the Business and,Professions Code,and my license is in'ultimo . ' •and effect. ' ,, . .
. ' ' , S E T B A c' K S . . t ..•
CITYUC 045445 i. STATE UC.:468553 . ,, CLAss: C-, 9 -, 1
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r Date: 2- / 3 90 r Signatu : 741 efre-4A41.--‘, r r . . ' . - • .•
MAIN BUILDING - ---' 1:------ ' -------7 ACCESSORY BUILDING . -------cm- li
WORKERS'COMPENSATION DECLARATION: I her igr m t •ti have a certificate of consent to selt-insure or a certificate of Workers' FRNt: . FT IN REAR : , F1' IN . FRNT: : FT - IN REAR: : - • FT IN ' • I
Compensation Insurance,or a certified copy there° ection ,:I I;Lab.C). . : • LEFT: FT . IN RGHT: : FT IN' . •LEFT• FT- - IN RGRT: , FT IN
• PROV : ' :..._..------ ' : • :'-•
SMYK1: 1021355 ' , EXP.DATE: 04 /0,1 /90 - . .
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COMPANY: S TAT E , PARKING REQ: PARCEL: 42233205 ZNE; REF NO; • ' . ti
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El Certified copy is hereby furnished. RI Certified copy is file. ith the city'Building iffiZ. PLANNING NOTES> • • , .
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0 . > •• - - • '•- - 4' .- . . • : .. .. .• . . .i
......-e- Date: 2- '/3 ,dat • Applicant' -c..4-2......e • ************ *** *******-**4*************************************** *********
EXEMPTION FROM WORKERS'COMPENSMION DE ' •. is section need not tie completed if the permit is for one hundred($lOO)or less). D . EVEVOPMENT- •S ER VICES. ..R .EQUI: R EM .EN 1' S
I certify that in the performance of the work for whit s permit is issued,I shall not employ any person in any manner so as to become . ' • r .
subject to the Workers'Compensation Laws of California: , . .
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, ZONING APPROVED . .
• DATE: ' •
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Date: Signature' • . , - • - - ... - • . •
NOTICE:If,atter malting this declaration,you should become subject to the,Workers'Compensation provisions of the Labor BUILDING APPROVED BY 5 . • •
. . ;DATE: .
--- Air. - '
Code,you must forthwith comply with such provisions or this permit,shall be deemed revoked. . , — . s
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CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED: BY: tATE: 402.•/.5.4,42
which this permit is issued(Section 3097,Civ.C). , .....,....----: . .
********************** - - fiVg ' " 1-1- N:**,1-************S***7-gfl**Y4-KR**
%.11COF• • . •
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LENDER: , . ' ****************,***************** -** -***************************************.*
ADDRESS: . -• . . . • •
LECAII7ATION• N - . . . ...,....
F E E tUMMAR' Y ' ' '' 'SIRUCTURAL .SEGMENT:Y
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OWNER BUILDER DECLARATION: I hereby affirm that tam exempt frdm the ContractorsState License Law for the following reason - BLDG PMT PLUMBING ELECT IC !MECHANIC FIRE •SMIP/RES GRADING
(Section.7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or p ERMIT - — ' 31 . 00 . .
,50
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed •
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pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business • • •SMI /NON-RES • '
and Professions Code)or that he/sheis exempt therefrom and the basis far the alleged exemption.Any violation of Section 7031.5 by 'PLAN •
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any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(ZOO). ISSUE FEE .
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I. as owner of the property or1my employees with wages as their sole compensation, will do the work, and the 13UILDING7DIV•--> PERMIT.: -ISSUE ' PLAN-CHECK • TOTAL . . ;P A D-:. . DUE 1
LI structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> .' . 31 . 50 • 0 00 0 , 00 ' . 31 . 50 .•4
' .3if'5.0' . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through . , • rr -,:!"
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- his or her own employees,provided that'such improvements are not intended or offered for sale.If,however the building or , • , L,. ....,
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. 'improvement is sold within one year of completion,the owner wit'have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALST-> • . COLLECTED: 31 . 50 OVER/SHORT:1'1
for.the purpose of sale), i ....
a ' • . BLDG 'PMT PLUMBING ELECTRIC' MECHANIC FIRE SNIP/TOT :1GRADIG PLAN-CHECK •
... • ' . ' 31 . 00 . , . 50 m c-: iiw,
— -,r_,--7I;as owner.of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business • • . ,
L-I 'and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon • . . ' . • • ' ,
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and•who contracts for such projects‘ffith a contractor(s)license pursuant to.the Contractors'State License Law).lam aware ***************.*:********.**44.k*****H.*****************:************:*******if****x***.
that proof of their Worker s Compensation insurance should be provided to me. • rs ..:-f,, i .
- . • ' I N D I : V I . D -U .A L F E E' B R E A. K D 0 w N --- • • ' . • • _ .
• 0 i am exempt under Section: . ...,
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, .. for this reason: , - UNIT. COST • ::: TOTAL COST
. • ' ' TYPE i QTY DESCRI. P TIC) N . ,
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Date: 1 Owner. . . .
SFR
1250: dIEROOF BY VALUE RESIDEICIIAL NOZONE 1 . 00
• 1 , 250 , 00
I do herebycertify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES • '
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25534 and that I or any future building occupant willhnll not(circle one)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 • Ir' . . .
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these provisions. ' ,
Date. i : , . ,
• Applicant: . .
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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 heret;jorrize representatives of this c' o enterApon the above-mentioned
broperty for inspection purposes. • •
digairp-
Driver's License or Social Security A .
...taxa" ..-2.1,--Lewl..._: .
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1641:46 WhiteLBUildin6;Green-Code Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor'
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plete Insp.ect.ion
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01 00053887-000538E8 TOT
DATE: 02/13/90 TIME: 11:35
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;31.50
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CONSTRUCTION AND PLANNING_ :. •- • POOL & SPA •
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Date • Inspector Date • Inspecto.
Ap,PROVALS Permit#' - . , APPROVALS Permit # /
Le
y 1:Temporary Electrical Service or Pole -r .. 52. Pool & Equipment Location
53. Steel Reinforcement
?'..•Soil Pipe-Undrgrnd.. _ Y,
3.-Electrical Conduit Utility-Undrgrnd; 54- Forms
-4. Electrical Conduit-Undrgrnd 55. Electrical Bonding 0
5. Steel Reinforcement - - 56. Rough Plumbing & Pressure Test
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.,6: Electrical UF ER Grnd. ,.- •
-. . 57. APPROVAL TO COVER-GUNITE "')
71 Footings r r - ii - 58. Electrical Conduit-Undrgrnd. - i // •
- 8) Foundationl Yi 59. Gas Pipe, 0 Undrgrnd.,Test .e�?
9:'Water Pipe-Undrgrnd.- +• - - 60.,Backwash Lines,,P-Trap, 0 Undrgrnd. --
10..Structural Floor System 1 7, <j 61. APPROVAL TO.DECK ?
11:1 Property Sewer Line & House-Connection _�'. 62. Backwash & Receptor-Final
12^Sewer Cap -' •i'• 63. Heater & Vent-Final '}
13. Roof Drains - r_%. -y 64. Plumbing System - Final r
744VFiough Plumbing /- 65. Electrical-Final • JO;
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15. Rough Electrical-Conduit i'.' • 66. Solar System-Final - 1�
16. Rough Electric-Wiring . L, . q 67. Fencing & Access Approval . '. :..\
' 17. Rough Wiring Sign `t 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 ;• a APPROVALS Permit#
21.-Ducts, in Structure- - ' , 70. Underground Hydro •,
22. Ducts, Ventilating ' 71. Product Piping OGas OOil ')
23.•Gas-Pipe-Rough & Test - - -72. Underground Flush - - •''
24.'Roof Framing . _ " 73. Undergrnd.Storage Tank 0 Gas 0 Oil _ i
25. Roof Sheathing 74.- Overhead Hydro _
26.'T-Bar Ceiling (Structural) & Monocoat - : • - 75,-Dry Chemical - ~
27. .Frame and Flashing _ _ •' - j. 76. •Dry Standpipe .• - ; C.
28. Lathing & Siding. - ' ' ( 77. FIXED SYSTEM FINAL
. 29. Insulation - - I.};., 78: FIRE PREV. FINAL _ •
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' 30. Drywall Nailing : • _ t I! - HEALTH-DEPT. REQUIREMENT
31. Plaster Brown Coat- _ - _ '79. FINAL INSPECTION -. •
`32,-Electrical Power Meter-Final - ' ' : 80.:_FOOD CERTIFICATE ISSUED
'-33. Final Electric - •, i l• -• Notes: ' '
,34r-Final Heating & Air Conditioning- ' iii/;:r e,-.
35. Final Gas Pipe-Test r• - "r; - _ - -
36. Hood or Canopy - - ' - _
37.,Final Factory Fireplace- ,i! - - _ .---
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-38. Final Plumbing u . ' %7-,
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'39. Wafer Service-Final. •, - •
"40. Gas Service-Final -•` : --
41. Solar Domestic-Final -
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42. Backflow Preventer _ • • +t •,
43. Backflow Irrigation I- - -
44. Landscape Irrigation System _, ' '' -- '
- - - ' .1 tncrxtinllc
45.-Sound Attenuation • x ,, -
_46. Handicap Regulations •-I pate _ I
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47:FINAL STRUCTURE & BUILDING : • `'
48. FINAL PLANNING - 'ni r - ,`
49..Electric Release to Edison -
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- 50:Gas'Release to Southern California Gas Co ' -
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51. CERTIFICATE OF OCCUPANCY - -- -
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No. Date •
H . V. LAWMASTER O. , INC.
7940 MAIN STREET — STANTON, CALIFORNIA 72CMS-875-002
828-8040
XXX
Field Data on Test Specimens Core Concrete Gunite Grout/Mortar
Project Fogerty & Jenkins Pool Permit No 347/714
Project
Location 1840 Oriole Dr. , Costa Mesa
ContractocCuston Pools Architect
Location in Structure Engineer
Date Moulded 6/24/72 No of Specimens 6
Slump Specimens Marked
Specified Strength at 28 _days 2000 pS.1. Mix Designation
7
Age to be tested days 28 days day's days
READY MIX PLANT AGGREGATE SOURCE
Weather Condition Clear & warm 1 Yd. _Yd. Batch
Cement Monolith Type I/II Cement, lbs. 163 sks
Admix Sand 42 tons
Specimens made by #4
Data by Owen Cromwell #3
Delivered by #2
Date Delivered #
REMARKS: Water, Gals.
FOR LABORATORY USE ONLY
Lab. No. 72-1355 72-1356 72-1357 72-1358 72-1359 72-1360
9 Day Test 9 Day Test 9 Day Test Day Test
• Date of Test 7/3 7/3 7/3
Specimen Dimensions 5.97 X 12.25 6.01 X 12.3 6.09X12.5 No further tests
Area 27.99 28.37 29.13 required
Ultimate Load 100,000 119,000 107,500 BUILDING SAFFTY fFPT,
Lbs. per sq. In. 3,573 4,195 3,690 y a n77
rim Corrected
=orm m - 015 RCE#6207