HomeMy WebLinkAbout3295 IOWA ST - Building Permits�\
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1DDNESS OF BVILOPlO: 3 7. 9 5 I OW A S T
o,vr�As""�EiFaaw": ARMSTRONG, R.T.CHARD H TR
AD°"� 3295 iOWA ST
COSTA MESA,CA 97.67.6
935—t647
�vx. �wiea wox�ss:
IiPCXRKT OR FNOPI6A: � � �
MCX. OR ENO.'S AUURE53:
ca+m�crarsruxE: POPA ROOFING INC.
CONfPACi0R4YI1Nl0 1.�6%� ONKAYA
��q�g: I R V I N E
97.72
VNT:
YNT:
(714)651-9130
CA ucxo.: 675902
uxr:
LICENSED COHfP�CfOfl3 DECIAflATION: I hereby Aim uMx psn pe�jury Na I em IcemeE under pwub�e N Cheqm 9
(oommendrp xilh Seclbn )000� A Orvuon 3 M the Budmm enC Pm/eoai Gode, eM my liwnae u in lull lam vM aHsq.
cmuc.No: 60513 uc.cuss: C-3� 67 02 EXP: 10/95
Daia: CaNec�
OWNEN BUIL EP DE IANATION: I he�eby dfim� uMer penJy d Ihet 1 em e�emq Imn �M Canretlon Licams lew Ip tM
Idbw*i0 �maon (Sedion'l0315 &niw�� eM PManim� Co4: � Y muNY rAiiN n0wim e i�^4 to muvun. Mer. impow.
demdeh, v iepv erry �I�ucl�ve. Ma to Ya sa�ence, e6o iaV�� I la wch pennC Io fJe a epneE ptlameN tlW M a eM
n i�..a w�m m ins nw�w�. a� com�mo�. uo.�.. � Ic « e loo�.�a ..un sw:M �000> a oH:�, a a m.
Buaimu erd Prdeaa'nn Cade� n Ihe� ha «ehe ia e�emq �neroM1an tM beaie 1« Ma elbpeE exemqion. Nry vidatim d Setlion
]W 1.5Oy ury epplitenllor e prmu wbjxlf IM applicent to a dW penelly W nal mae ihen (rva huMred ddlar� �250011.
� I, a� ox+wr d tM qope�Y a mY �OM�e �h wpn ee �Mi ede oompenmtion. will Eo Ne work, eM tM ei�uclun u rat mlended
ar MereA tm aeb (Seetion )06C. Buvmv erd Vrolwebns Code: Ths Convedan Limfne Lew Eme not epplyto en ownerM qopeery
wM Wids n inpw'm IMram. ud x1q Eoes such wak IimeM a hene� a �Ivwqh hb a hm own emG�W�. 0�'b� IIW a�ch
impovamen�a ers nd inleMad u dimeE la aeb. M, however. tM buikirp a'vnpovemem is soM wiihin ms ymr W oompblian, ihe
owner-0uiMer xill heve �he EurGn d provin0 � or ehe tliE rwt build or impmve fw tM puryosa d eele).
� I. m owror d IM pvpem/. em utlusi.ely cmVr�'�q'xnh IioeneaE mnMclon b canaTM Uw pqw (`�� ]WI. &wi�a vd
PMauim� COCe: The Cmtredon Licenw law doae na epply lo en ovmer d popeny x1a buike or impwm Iherson uM vAa
conlrecle la eu� projedf wAM1 a mMredor(sl Ikanasd Wnuenl lo IM Conlretlwa Lioenae law).
� I em memp wder Section: B. 8 P.C.. lur Uw �eeam:
Dtla: ��
1 Eo haeby aniy tlW I am awve d erd uMenivd IM rayuiiam Wa d Cellanu Ibell� ud Sdey Gode Seebm 25505. PS.St�. end
t55N. vM tlw 1 a ury Mun buikvp amryenl will / wil rwi (wcb an) � to canply wih aeitl tlate codas W ilr �puinmaw lar
e V� Iwmmbudiana moEifiretionlramiM M�wpenwY D'atntl. RoridMW m�aewion �GP�'�iaroenezemq Irom tl�w
a�.
Dpe: Applicvu:
WOPKEN'S COYPENS�TION DKLAN�TON: I Mreby elfirm uMer psreXy d prjury me d Ms fdbvriip Eetloratbru:
� I hava W W meintan e cen£rs�e d mwru io �atlinan M v.a�kan' oompenWion, m pa+ded la try Sedion 9)W d �M lnEar
Code, la tM perlamarce d tM xwk la wlich i�o pxmA b iseuM.
� I Few vM wil meinlaii waken' compeneeton ineurerce. m iapuired by Soqion �)00 d tM lebar CaM. lw IM peAameiue d IM
work la xhidi this peimil n wsued. MY worken' canpensetian inwrence wrier eiM pdi.y number ue:
carder. RF.T�IANCF.. 6XPIRf•.S
Pdry Numbar: . �i 6� Q 1� 9 rJ
(1M1ia eaaion neeC rwf bs campbreC / IM paml'a /w ms hundred doHen R��l a le
� I u�M Ihet in IM peAormeze d �he work fur xhcA Ihn permn u ieaued. � d emplvy eiry pavan in vry menrier u n to
bacaro wbjea Io�w wakna' �utian Vw+ M �eltlanu. enA e et L I ehouk becons abjstl lo �M xoAm�e'
comuenaotion uiwi.dme d Seuion 3]00 d Iha leEor Code. I ehdl lonhxn xdh Noee p�wub�u.
Wem/n0� F�llun ro un roilrai rompwu�tlon eov�rp� l� un1�wN . u we�e.�.��oy.. ro�nm�.r v�ro...�e
c/Hl Ilnu �q b om h fhouunE oadNn (SIOq000J, M Wltlon t ol rortpwwtbM1 dvnp+' u pmvhhO Nr In
Ssctlm �106 0l rh� LNor CoOs, lmre�S � ettomry's /w.
CONSTXUC110N LENDIN6 �GENCY: I heeaby tlfiem under pmalry d perjury Ihm �twe u e epw�uaion brd'uq epeny br tln
aename�m a ine rwk �or whrh me o�� m�•wd (saau� JOBI. civ. cl.
LENDEfl'S NAME:
IENDEH'S �DOPE55:
I ce�ity Ihel I heve reod �his mion eM mele Ihel tM1e ebove inlwmeiion is mrtetl. I eprea to canpy wnh ell My end counly adineM:m
end eima levn re4t'vq lo builE eansvupion eM hereW aNlror've mpawntelrvea ol ihu enyto emer upan tM ebwa�memuned qapeery
�ofinepetliofiw`0O°°'� � TT JOHNSON
�� �2) /� .�
ic�si.uw �
6 Sa1Mv: Gmen-Fb: Cwrv-Aooksnt: Rnk-Rweiun: GddenmJ-bwm
CITX oP COSTA MESA - Ao[[,DINr, pF.RMIT
PF..RMtT NO: R 072609 PI,AN CHBCK NO;
CONSTRUC:T70N TYPF; V-N pFRMIT TXP}.'.: S'CR
SOH DESCHIPTION ; T/OFF XF.ROOE W/COMP SH.T.NGI,F.,
�
pERM Nn; H 072609
GOVT: N Sf)PP: N
P(1RPqSE: pTH
SQ F'1'; 4,000
CI�AIM VAT.,UE; 4,000.00 CA1,C-VAT,qF.; 4,000,00 GROOP OC.C: R-3 /M-1
COMMF..NTS; SMPKE DE'CECTORS REQt1.T.HED PER 9t qHC, RF..ROOP 27QOSF. HF,SiD S GARAGF.
�t�t**�t�t�t*�tx�*���r�rx*�c��xx�tx�t�t�t��t�r**�r*�r*�t*��+tK��t�tx��t�-x�a�r�t�c��-xx���J�' �.i� *�t�*�t�t
7, Q N T. N G R E Q f l T H F M E N T S�+�'j �(�}�,� ;���4� �: ��"� ���
S F. T N A C K ti 'Jd1J
�- �'�:C;(Y�i: ��ri:.
----------- MAIN BUILDING ---------- --------- ACCESSORY;.-BUILbING.----------
FRNT: FT IN REAR: FT IN FRNT: FT IN RHAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN AGHT: FT IN
PARKING REO: PROV: PARCEL: 13904340 ZNE: REF NO:
PLANNING NOTES>
i
iF fE iE if fE 3f iE jf ih k 7f If itlE iF if'lE 3F X iE'lE fE iE'1E 1f if if 1f IE IP M i! If iE df 1f if iE ik if %iF If 3(� If iP i! i! if ff 1F iE 1! �%!E % 1@ 3E �lE iE'If' 1F IE 1k i( iF it iE-IE # k'IF iE'lE 1F'1E'1E �lE
q F. V F L� O P M B N T S F, R V.T. C E S R F, � U Z R F.. M F N T S
7.ONING APPROVF..D AY . DATF..;
ATJII,AING APPROVF.D AY : nATF,.;
APPT,ICAT.T.ON ISSUF,D AY; S I Cn_ DATF..; ��'� 1��1��
If�)EiF*iFiFifiFiElfif7EiElEikltihiliE#iE1Eif3ElE7E1ElEk%�If1E'%�iE-k1ElEjE�7EiE1E#lEaElE'16VVjP'N'%�ififiEK-#14iEih#1EiE3E11'ifK-1Ei(� IFiE�IE IE�E iE)Fif
LEGALI7,ATION;N F E F, S q M M A R V STRpCTURAt, >F..GMENT:Y
AI,T�G PMT P.T.�UMAING RI�ECTRIC ME(:HAN7C FTRF. SMTP/RES �RAn.T.NG
PFRMIT 63,00 .50
, SMT. P /N(�N-k2ES
PLAN
ISSUE FEE
9ilILDING-DIV-> PF..RM.T.T T.SSqE P.T,AN-CHECK TO'PAT, PA[n DpE
TOTAT.,S----> 63.50 0.00 0.00 63.50 63.50 .00
RFVENUE DSViS70N TQ'PAI�S--> COLT,F.C'C}sp; 63,Sq pVFR/SHORT• 00
HT,DG PMT PT,(JMAING SL�FCTRT,C MECHAN;CC FT.RF. SMT.P/'fOT GRADTNc, PL,AN-CHF..CK
53.00 • .50
1! iE 3E !E )E 7! �f if iE i! 1f if 1t-IE iE iI' �E 3E iE IE if �IE 7F'Jf � k k)F �f iE iE !f ik �% 3F 7t 1E �IF jk �F K�lE !f if 1f iE K 1E �If 4 iE 1E iFiE X% K�%�E �IE Ih iE 1F �lE iE if iF i4 K 1E lE if jE'lE iF iE 1E iE
I N D I V I A i I A T, F F. E H R F. A H D Q W N
TVPR
�����
QTX � F.. 5 C R i P T 7 O N
4000 RFROOF BY VAT,OF, RF..SLDFN'l'IAi, N07,ONR
F..ND np Ff:ES
�,xp RED
+ n�rs /� � � �'
9
ONiT CQST TOTAT., CO.ST
1.,00 4,000,00
OL 70I831`,'7-071E3l.5? 701T ,,3.>u
DATc: �5l1i/YS tI17E: 12:06
.,, , �
, .
CONSTRUCTION AND PLANNING POOL & SPA
qPPROVALS Permit# Date Inspector qppROVALS Permit# Date i�spector
1. TemPorary Electrical Service or Pqle. 52. Pool & Equipment Location �
2, Soil Pipe-Undrqrnd. 53. Steel Reinforcement -
3. EleGtrical Conduit�Utility�Undrgrnd. 54. Fo�ms � .� -
4. Elecirical Conduit�Undrgmd. 55. Electrical Bonding
5. Steei Reinforcement 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Foocings 58. Electrical Conduit-Undrgmd.
8. Foundation . 59. Gas Pipe, O Und�grnd., Test
9. Water Pipe-Undrgrnd. ', `} 60. Backwash Lines, P�TraP, � Undrgrnd,
10. Structural Floor System -� 67. APPROVAL TO DECK • �
11. Property Sewer Line & Ho�se Connection 62. Backwash & Receptor-F�nal •
�2_ Sewe� CaP 63. Heater & Vent-Final
13. Roof Dreins 64. Plumbing System � Finai �
14. Ro�gh Plumbing 65. Etectrical-Fioal
75. Rough Electrical•Co�duft 66. Solar SYstem-Final �
16. Ro�gh Electric Win'ng 67. Fencing & Access Approval
77. Rough Wirinq Sign 66. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Hea[ing & Air Conditioning FIRE DEPT. REQUIREMENT
20. RoUgh Factory Fireplace . , APPROVALS � Permit #�
2t. Ducts, in Structure • 70. Underground Hydro
22. DuCts, Ventilatin9 . 71. Product Piping �Gas ❑Oil
23. Gas Pipe-flough & Test . � � 7Z. Underground Flush
24. Roof Framing - ' 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing � 6 " 74. Overhead Hydro a -
26. T�BBr Ceiling (Structurali & Monocoat 75. Dry Chemical -_
27. Frame and Flashing _-• 76. Dry Standpipe �
28. Lathing & Siding ' � 77. FIXED SYSTEM FINAL ��`
F•:'^!
29. Ins�lation •• 78. FIRE PREV. PINAL ``�
30. Drywall Nailing ; i HEAL7H OEPT. REQUIREMENT� �
31. Plasier Brown Coat �- 79. FINAL INSPECT.ION
32. EleCtrical Power MeterFinal 80. POOD CERTIFICATE ISSUED
33. Final Electric . Notes:6 1 f,f�'-Cal�r/� isr 3/%Y�, o-f"j�' .t/i/
34. FinBl Heating & Ai� Conditioning eoµ���� �.c C� L/
35. Fina� Gas Pipe-Test �� � �/ /`�P�
36. Hood or Canopy � �� 7_ .% �%%_ _,C- i„e ..�, L� Z_Q�
{�__,.._.� =f'
37. Findl Factory Fireplace ; f
38. Find� P�umbing -
39. Water Service-Final
40. Gas Service�Final � .
41. $olar pomestic-Fi�al �
42. Backflow Preventer
43. Backfiow Irrigation
44. Landscape Irripation System � � .
45. Sound Attenuation , i
46. Handicap Regulations � .
47. FINAL STRllCTURE & BUILDING
48. FINAL PLANNING �
49. EleCtric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OP OCCUPANCY
No Date
CITYOF �
�~UNSTR
�- Apolicmt to fill in all f
ISA PERMIT NO.
PERMIT R�v-�
Arch/Eng.- ' - License No.
wit�ln �eavy borGe� Iines anE sign all appro0rlate tleclarations.
TRACT NO. LOT NO. BLDG. NO.
�' � 4f� 2lD
Addreu 22',$-� �LLE,$�A�1ERE �'iV C�.
A
LICENSED CONTRACTOR DECLARATION
I hereby affirm tnat I am Ilcansetl untler provisionz of Charter 9(<om-
mencing wlth settion 7000) of Division 3 of the Business antl
Protesslons Cotla antl my Iiconse is In full torce antl effect.
Llcense Class � Llc No
DateJ'���� Sl9natvre.��==^�-�-�—
WORKERS'COMPENSATION DECLARATION �
I hereby af(irm lhat I have a certificata ot <onsent to selbinsure or a
certi(Ifate of Workerz' Compensation Insurance, or a certifleC copy
thereof (SeCtion 3800, Lab. C.).
Pollcy No. ComOany
❑ CerUfietl copy IS hereby (urni5hetl. . -
❑ Certifietl copy Is filetl with the city Builtling Divislon.
EXEMPTION FROM WORKERS' COMPENSATION OECLARATION
(This section neetl not be completetl if the permit Is far one huntlretl
($300) or less).
I C¢rtify thdt In the.perfo�mance of the wo�k to� which this pe�mit i5
Issuetl, I shall not emPloy any peROn in any mann¢r 50 a5 to beCom¢
subjetft to the Workers Compensatio� Law';i/ of GlitornlaD
Date/�I'�� Si9nature -N"���
NOTICE: If after making this tleclaration, you snoula become subject
[o th¢ Wo�ke�s' COmpenSation provi5lons of the Labo� Cotle, you must
torthwilh comply with such provisions or tnis permii shall be deemetl
revOk2tl.
CONSTRUCTION IENDING AGENCV
1 bereby aifirm that there is a constructlon lentling a9ency tor tbe per-
to�mdnce ot Ihe work fOr which tM1is pe�mil is i55uetl (Sectian 309]
Civ. C.)• `
Lender'S Name
Lentler's Atltlress
OWNE0. BUILDER DECLARATION
1 hereby af(irm lhat I am ex¢mpt from Ihe Conlracior's License Law for
tha following reason (Section 7031.5 Buslness antl Professions Cotle:
Any city o� county which �eqWres a Oe�mit lo conSVucl, al[¢r,
improve, tlemolish or fEpd11 dlly s[ructure, prior to I[s issuance, also IB-
qWres tho aDP����t for such pe�mit to flle a signetl statement lhat h¢
is Iit¢rlsetl pur5uan[ lo the provi51on5 ot [he Contractor's Licensa taw
(Chdpter 9(COmmencing with Setilan ]000) ot Divlsion 3 of th¢
Busin¢55'antl Ptde55iOns Cotle) or that h¢ is ¢xempt therelrOm antl the
basls for the alle9etl exemptlon. Any violatlon oi Sectlon 7031.5 by
any applicant for a permit sub)ects the appllcant ro a civil penal[y
of not more than fiva Ountlretl tlollars ($500).
❑ I, a5 owner OI tho proOGrty, Or my ¢TPIOy¢e5 with wd9e5 as thel�
Sol¢ COntPensalion, will tlo the wo�k, antl the s[�ucture is not In[entletl
Or Offlretl fOl Shc¢. (SettlOn 7044, BUSin¢55 dntl PrOfe5510n5 COtle: The
ContraCtor'S Licens¢ l.aw tloe5 no[ apply to an owner of a p�operty
who bulltls Or Improve5 thereon, antl wh0 tlOes Such work himself or
tNou9h his own employe¢5, prOvitletl lnat SUch Improvemen[5 a�e no[
InlCntletl or oHer¢tl fOr sale. If, however, the bulltling or Improvement
Is Soltl within Ona yea� ol completion, th0 Own¢r will havo the bu�tl¢n
of prOving he tlitl not builtl Or improve b� lhe purpo5e ol sale).
❑ I, a5 Own¢� 0f the O�operty, am ¢xUUSively contraGtirlg wi[h
licensetl contraciors to conitruct the prolec[ (Sectlon �044, Buslness
antl Professions Cotle: The Contractor's License Law tloes not appry to
an owner of property who builtls or improves thereon, antl who con-
t�acts f�om Such pro�¢cI5 wi[h d cont�actor(5) licesn¢tl pursuant to
the Contractor'S License Law).
❑ I am exempt unUer Section B. 3 P. C. ror this
reason
Date � Owner
I h¢r¢by certifythat I have reatl thiz application anC state thai the above
InfOrmation is correcL I a9ree to com0ly wi[n all city and county
ordinances antl state laws relatln9 to Cons[ruction, antl h¢reby authorize
repre5entalive5 0( thls ciry to ente� upon the above m<ntionetl
property fo� nsp tlQn purp ez. . �s'
Signature � �Q'�"��r�� _ Date L �—��
TYPE OF CON�STRUCTION
O NEw �ADD ❑ ALTERATION
❑REPAIR ❑CONVERSION ❑DEMOLISH
❑ OTHER
DESCRIPTION OF WORK
TVPE OF PERMIT
❑ GRADING ❑ FOVNDATION TRUCTVRAL
❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHAI
❑ OTHER
PROJECT DESCRI ION .
54. FT: � � . v-� �
OCCUPANCV CONSTRVCTIONTVPE �
VALUATION '-KONE
GRADING CV. VDS. ACRES
REMARKS:
PLUM61 NG
BATHTUBS
TOILETS
LAVATORIES
KIT. $INK$
SERVICESINKS
FLOOR SINKS
D R I NKLNG+POV"
ivICE
HEATE
SOLAR PIPING SYS.
ISSUE FEE
MECHANICAL
,PLANCHECK
SHOWERS
URINALS �
DOUBLE LAVS
DISHWASHERS
SUMPS
� AI
y�`�Cl�'.'ARtFI��
,t P'.T AP'.✓.:
ALTE�
OUTI_ETS ��
BTlp�p�_-y+�
._......+� �
COLLECTORS
PLANCHECK
HEATING SVSTEM 0-100,000 BTV.
ANDDUCTING ' 100,000+gTU_
REFRIGERATION 0-100,000 BTU_
SYSTEM 100,000 + gTU _
BDILERS BTV
SVSTEM REPAI0., AITERATION
EXHAVSTSVSTEM MULTIPLE
ISSUE FEE
CMF 0865-46 Whit¢-Builtling; Gna�y-APPliwn[: Pink-Accounting; Goltlenrod-Assesso�
7959 7/01/81
A.P. �
ZONE
REAR VARD (TO P/L)
PKG. SPACE REQ. �
STREET WIDTH
ZONING APPROVED E
IAL CONDITIONS:
PING.REF.
PROVIDED
PARK FEE
ELECTRICAL � PLAN CHECic
GENERATOR 0�1 KW_ 1-30 KW
TRANSFORMER
�� APPLIHNCE 30-SOKW_SO+KW
MOTORS 0�3 HP_1-30 HP
1 (INC. SOLAR) 30-SO HP SO + HP
FIXTURES OUTLETS SWITCHES
GAS TUBE SIGNS
,POLE LIGHTS
PANELS MAIN SUB
SERVICE AMP
ISSUE FEE
APPUCATION
21095
SUMMARV OF FEES
BUILDING � SMIP �• � �
PERMIT §��__
PLANCHECK 5��.:��-� PERMIT
ISSUANCE 5
PLUMBING $
GRADING E
PLAN CHECK S
ELEGTRICAL S S
PLAN CHECK g MICROFILM $
MECHANICAL $ TOTAL FEE S _��,��
PLAN CHECK $ LE55 AD- '
VANCEPC $_
FINAL FEE E
CONSTRUCTION AND PLANNING _, , POOL & SPA �
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
1. Temporary �lectrical Service or Pole 43. Pool & Equipment Location
2. Soil ipe-Undrgrn 44. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn 45. Forms
4. Electrical Conduit-Undrgrn �.' 46. Electrical Bonding � /
. tee ein orce - 47. Rough Plumbin & Pressure Test �
6. Electrical UFER Grn � 46. APPROVALTO COVER-GUNITE � �
7. Footings � , 49. Electrical Conduit-Undr rn
8. Foundation � 50. Gas Pipe, ❑ Undr rn Test
9. Water Pipe-Undrgrn � 51. . Backwash Lines P-Tra ❑ ndr rn
� 10. Structural Floor System 52. APPROVAL TO DECK
'11. Prope�ty Sewer'Line & House Connection 53. .. Backwash & Rece tor-Final
12. Street Sewer �nnection 54. Heater & Vent-Final
13. Rough Poumbing
14. Rough Electric-Conduit • �56. Electrical-Final
15. Rough Electric-Wiring ' 57. Solar.System�Final
16. Rough Heating & Air Conditioning • encing & Access Approval
17. Ducts in Structure APPROVED FOR PLASTERING
18. Ducts, Ventilating �
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing
21. Roof Sheathin w.�
22. FrameandFlashin f �•-�_,__, NOTES:
23. Insulation i
24. Lathing & Siding ' � � -
25. DrywallNailing ; '� - ' r"
26. Plaster Brown Coat " �• �-. ;
27. Electrical Power Meter-Final '� + ,� f
28. Final Electric ' �
29. Final Heating & Air Conditioning � � � �-=. �. ' ' '
30. Final Gas Pipe-Test ' - " -
31. Final Plumbing -
32. Water Service-Final
33. Gas Service-Final�
34. Solar pomestic-Final �
35. Landsca e S rinklin S stem.
36. Sound Attenuation
37. Handicap Regulations
38. FINAL STRUCTURE & BUILDING
39. Speciat Requirements Compieted
�40. Eleciric Release to Edison
41 . Gas Release to Southern California Gas Co. �
42. CERTIFICATEOFOCCUPANCY
No Date
Appllcant to fill in all svatts ezceot enose witnln neavY Dorder lines antl sign all apvro0��ate eeelanlions.
PERMIT NO. TRACT NO. LOT NO. UNIT N0. 3583 7/06/B4 � �e`.',.. T�
CiTY OF COS7A nnESA . CONSTRUCTION PERMIT .
ProjectAddress �-29-$� �OLd/1
Applicant's MaiTling Addresz — E� TVPE OF CONSTRUCTION NEw ADD ALTEa.nTioN REVAIR
OwnC�'SNome rc.�_ PhonC7�� � CONVERSION ❑ DEMOUSH ❑ OTHER A.P.# ' Zone
_�Nm�_ DESCRIPTION OF WORK/USE OF BLDG.
Address S Main 8uildin9: Accessory Building:
E Z
Arch/Eng. LiCCnsC No. TVPE OF PERMIT GRADING FOUNDATION STRUCTV RAL T Front p
Addr255 ❑ TENANT ❑ ELEGTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear N
.y ��,{� ❑ OTHER
Contractor's Nam t � Phon�Z�f�2LU pROJECT DESCRIPTION Sp. FT. OCCUPANGV K Right G
Addre55�mailing) ���CY�! ���-��s� � CONSTRVCTIONTVPE VALUATIONS S Left R
City LiCense Na 0� /��� ZONE GRADING CLL VDS. ACRES -
LICENSED CONTRACTOR DEGLARATION Ping. R¢f. # Pdrking R¢q.�PrOvid¢d E
�
1 nereby aHirm ihat I am licenzetl untler provisloqs o1 C�arter 9(commencln9 Remarks: PlBnning Not¢5: ry�
wit� section 7000) oi �Ivision 3 Of tha BusinesR antl Pr01¢szions Cotle, antl T
my Iicense is In full force antl eftect.
LJcense CI s LItGnS S�
Date Si9�ature PLUMBING FEES
WOHK R' C PENSATION OECLARHTION Be� Sink ShOw¢�5 ELECTRICAL FEES
1 he�eby altirm that 1 have a cerli�icate o� consent =o selttinsure or a certificate
of workers' Compensztion Insurance, or a certltietl cooY t�ereof (Section 8ackflow Preventer Service Sink
3800, ub. C.) �-y . Automatic Washer Transformer � 75�50 KW
Po)icy No. � l �'� Company � Backflow Irri ation Sewer Ca � ❑ 50+ KW
...ppp��� 7 �=I � 9 p ConstrucLon Pole Sub.
�¢rtifie� copY i5 h¢reby fu�nishetl. '
ertiti tl c py is tiletl with the city,�y1Iping �Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 700 amps
Date Applicantr:�r/ilvk'N/h � t �r eA77.s'I -
EX TI N FR M WORKERS' COMPENSATIpN OECLARATION Clerifier5 Solar Collectors Di5hwa5her MEtef ❑over 1008mp5
(Thisse[tion naetl not be <ompletetl if the permil is tor one �untlretl (5300) or
less�. Dishwasher Solar Piping Dryers �Gas ❑Electric Sub Panel
I certify tha[ in the per/ormance ot th¢ work fo� whlch thl5 Oerm�t is Issuetl, I
shall not employ any Pefson in any manner so a5 to becOme subject to lhe Dfinkin[J FOuntains $018f Tdflk Fdfl
Workers' Compensation Lnws of Galibrnia. Motors �0.1 HP �1R-8
Data � Signature Floor Drains Swimming Pool w/Spa F.A.U. InC. Solar 09�15 HP �16-15+
NOTICE: It, atte� making this tlecla�alion, y0u sqpultl Decame subj¢C[ t0 [he
Wofk¢r5' Compen5d[iOn plovisions 01 th0 ldbof Cotle, you mu5t fOrthwltll FI001 $iOkS Ulin91 FiXtUfCS MiCfOVJ3vE
comply wlih such provision5 or t�is permll shall b¢ tl¢<metl ravoketl.
CONSTRUCTION LENDING AGENCV ' Gn5S2rviCC OULIetS WeLefCl052t DeviceBOxei PoleLi ht
1 hOr¢by alll�m that there is a co05trpGtlon lending a9e�<Y �Or tlfe pe�formanGe 9
Ot tha work tor which thi5 permit Is 65uetl (Sactlon 309� Clv. 0.) Int¢rC¢ tOrS Wet¢f H¢etCf
Lentler's Namo P Outlets Range
Lentler's Atltlress � Kitchen Sink Water Servite Switches Sign
OWNER BUILDER DECI.ARATION
I her¢by aHl�m that 1 am exemo� �rom tha Con(racror's L7cen5e l.aw (or [he Lavamries ,
following reason (Sectlon 7031.5 Businois and Pra�oSsional Cotle: Any ciry or - Garbage Disposal $tanding $ectiOnz
Counry whiGtf requir¢5 a petmlt t0 conSlruct, altCr, ImOrove, tlemolizh o� �epalr P-Tf2p
any Structure, p�lor to Its is5uance, also requires Iho applitan[ fOr such permlt Generamr O0.5 KW 05-15 KW T�25h CORIp2Ct0�
to file a signutl slatament that hc/She IS Iicensotl pursuant lo the provisions ot ROOf D�dinS '
tho Contractor's License Law (Chapter 9(commantlng with Section �000) 01
plvislon 3 0l Iho Buslne55 antl Prolesilons Cotle) or lhat h0/she i5 ¢xompl
IM1arelrom and l�e ba5i5 lo� lh¢ allegetl oxomplipn. Any violatlon o1 Seclion
7031.5 by any aPPlicanf tor a pCrmlt SubjeG�s lhp applicant to a civil
�enalty o1 not more tM1an five huntlretl tlollars (§S00).
LI I, as ownar ot me property or my emoloy¢es with wages as their sole Reinspection Fee $15 laue Fee � 3
componsation, will do tne work, antl thn strutture is not IntenEetl or ofteretl Reinspectian Fee $15 Issue Fee $ 3
for sale (Section 7044, Business antl Prolessional Cotle: The Contracror's MECHANICAL FEES
Llcen50 l., w Coet not apply to an owner Of a prOperty wbo EUIItlS Or ImprOv¢5
thcreon, antl who tloez sucn work nimselt/h¢rzolf or through hiz or her own � goiler Hood or T e I ❑ DEVELOPMENT SERVICES RE�UIREMENTS:
Cmploy ea5, prOvitletl lhat such Improvam¢nts ar¢ noI Intentletl O/ oft¢retl tor YP
salo.� It, howover, l�e builtling cr improvoment ii soltl wit�in one year o( com- CanOpy Type II ❑ Zoning Approvad By Date
plation, tne owner wiii have the �uraen ot proving ne/sne dla not oulitl or im- Duct - Under Ground guildinB %�PProved By DatB
�Ov! io� lh¢ pu�poSB Ot sale). �,�p
LI I, as owner of the prooerty, am excluzively contrattin9 with Ilcensetl con- Duct - Structural Refrigeration System Applintion Issuad By `"'n'�-v Dat
tractol5 t0 Consbuct the Oroject ISetliOn 7044, BuSineiS anG ROteSsionS COtle:
The Contractor's License Law does not apply to an owner ol property who Duct - Ventilating ❑0.100,000 BTU ❑700,000 BTU SUMMARV OF FEES �
bui105 or ImO�oves Ihereon, antl who mnVactS lor SUGh project5 with a Con-
tractor(s1 Iicense pursuant to the Contra<tor's Licanse Lnw). I am aware that Exhaust System ❑ Multiple ❑ Sysiem Repair/Alteration BUILDING PERMIT $ SMIP $
proof Of Iheir Worker4 CompenutlOn InSUrance snoultl be OrOvitl¢tl [o ma.
PLAN CHECK $ PERMIT
� I am exempt unEer Seccion B. 6 P. C. tor this r¢ason Firepl/Fact.8lt. ICBO # PLUMBING $ ISSUANCE $
Date Owner Heatin9 System & Ducting �(f�t �1� PLAN CHECK 25% $ ENERGY P.C. $
i nereby certlry tnat i have read this appiication antl state that the above ❑0-700,000 BTU �t00,0006T ELECTRICA� $ GRADING $
information is correct. I agree to complY �+��h all tity antl county ortlinances
antl state laws relatin9 to builtling constru<(ion an hereby authorize revre- PLAN CHECK 50% $ MICROFI LM .$
sentatives of t�is tlty to e[ n t Ov - antionee property for
inspe<tlon pur o e -,��,� /�� ' MECHANICAL $ I O�I�O
Signature Oate �G/�L,�` TOTAL FEE $ � �,
Drivers' Ucense Or 55 � / Reinspection Fee $15 laue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46, �ev. 4/84 Wnite - Bulitling: Canary - qppliwnt; Pink - Accounting: Goltlanrotl - Assessor
CONSTRUCTION AND PLANNING . POOL & SPA
APPROVALS Permit#�-�39 �ate Inspector qppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location �
2. Soil Pipe�Undrgrnd. - 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding
5.- Steel Reinforcement . 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE
� 7.�Footings ' . 58. Electrical Conduit-Undrgrnd.
8. Foundation , 59. Gas Pipe, O Undrgrnd., Test
9.. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgmd.
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'
76., Rough Electric Wiring _ 67. Fencing & Access Approval
17.� Rough Wiring Sign - 68. APPROVED FOR PLASTERING
18: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure . 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (StructuraQ & Monocoat 75. Dry Chemical �
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIF�CATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning 7/,��y (��n
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing �
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation . . �
44. �andscape Irrigation System
45. Sound Attenuation '
46. Handicap Regulations � �
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Comp�eted
49. Elect�ic Release to Edison
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY
No. Date
H. V. LAWMASTER 8 CO., INC.
7940 MAIN STREET — STANTON, CALIFORNIA
828•8040
6BGM5-186AA-002
XXX
Field Data on Test Specimens Core Concrete Gunite Grout/Mortar__
Project R. E. Stickel Swimpoal Permii No.�gbyr�
Project
Location 3295 Iowa St. Costa Mesa
Coniratror Anthonv Pools Architect g
Location in STrudure Sce below Engineer
Date Moulded 6/21/68 No of Specimens 6
Slump Specimens Marked
Specified Strength at 28 days ZODO p,5.1. Mix Designation
Age to be tested � days_ ZB days day's days
Conrock Durbin
READY MIX PLANT AGGREGATE SOURCE Livirip��lf,r,.ham Caov�_
Weaiher Condition ldarm sunny 1 Yd. 24 Yd. Batch
Cement Type Cement, Ibs. '
— 6�gs_
Admix . Sand 31 tons
Specimens made by t,,,thnn�P_nnls "4 _—
Data by forum '' 3 -
Delivered by #2 ��. � � `y �' C%
Date Delivered �UiLDlNG FETY DEPT.
rr
REMARKS: � Water, Gals.
1– ShalloN end � 9 //f
Z–Deep end ������,1r G / Y
3–Bond Beam v fl �%' l�
Lab. No.
DaTe of Test
Specimen Dimensions
Area
Ultimate Load
Lbs. per sq. in.
H/D Carrected
fl3� __5_fl3
7 Day Test
6/28
6.13X12.25 _
29.51
RCE#6207
FOR LABORATORY USE ONLY
7 Day Tesi
6/28
6.21X12
JUL 1 1968
Nlnt —r�
7,8i9���ll�Y1,1�2�3,4i5,6
•
7 Day Test
6/28
5.97X12
37.99
94.500
i, �.n.. _ _ T r'.,s._.
Test
Wo further tests
reauired
.
CITY OF COSTA MESA
CALIFORNIA 92626 P.O. BOX 1200
FR�M THE OFFICE OF THE PLANNING�DEPARTMENT
J1L� ZG� 17a+�+
a. r. sts��ui
3295 im+a Avenue
Costa Mesa, California
Dear Pool Owner;
The Costa Mesa Planning Department has been notified of the completion of
your swimming pool.
So that your pool will be a safe one and for the purpose of advising
you of your responsibility regarding the requirements of the Costa Mesa
Municipal Code, we quote Section 9298.9:
1. No swimming pool shall be constructed closer than five (5)
feet to any property lines, measured from water line of pool.
2. No swimming pool shall be constructed under any electric power
lines or on any electric power easement.
3. No swimming pool shall be constructed unless the yard surrounding
such pool is completely enclosed by a fence six (6) feet in height
and has a self-closing and locking type gate or gates.
This courtesy letter is directed to you so that you will be aware of our
ordinances and can make a complete safety check of your pool area.
Sincerely yours,
L�i'�%'�G�-G+r� ��I��
William L. Dunn
Director of Planning
.. : A d9�t�
c ..'- .
C057A MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 977 COBTA MEBA. CALIFORNIA
For Applieant fo Fill In Complefely
TYPE OR PRINT
eui�o�Hc
AODRE88 iN S
COSTA MESA. CALIFORNIA
&
81ZE / 1 � NO. OP BLD09.
OF LOT OZ X ZOO NOW ON LOT T
USE OF
EXIBTING BLAG. �
aerewcK uHe vrtor
CeNTex oP eTREei O� REAR VARD C
SIOE YARD LEFT � IRIGHT �
DESCRIPTION OF WORK
NO. OF
OF BUILOING AND
� ��_; i� �: �;; - � „" . .
� �, ,. � . ., ,
.-t.�. `:�� 5" / G^-!ev
��I�i'r�,,�,_ ,�:5-�'
���i� n�� �'�1�,�i� ..��'.i'.
APPLICATION FOR PERMIT
�' BUILDING
For Office Use Only
RECE�vT NO. I PCHMIT7NOi
BUILDING
ADORE55
COSTA MESA. CALIFORNIA
APPROVE�
ZONING
ZONE I NO. OF I U9E OP
R�1 PLAN9 2 Bl11LDl!
L80AL � _ _ � _
ccewrew uNe ar.)
EVES
.•
i XCIi6BY ACKNOWLED6g �HAT I XAVE READ TXIB APPLIGTION }HQ AMOUM SHOWN UNDER VALUATION IB POR THE
AND BTATE THAT TXE ABOVE I6 COPRECi AND AGREe TO COM- pURPOBH OF E9T�BLI6HIN0 A PeRMIT FEE ONLY.
PLY WITH ALL CIT' OFDINANCEB AND HTATE LAWB IiEGULAi1N0
eU1LDINo CONeTRUCT1oN. VALUATION
BIGNATURE OF � PERMIT FEE S i6•
PERMITTE
� $ �.6�ZO�.• PLAN CHEGK $ ZS•
AUTHORIZBD A�ENT �ke & olegrove� Il]C• 54•
TOTAL FEE
OWNER �
JOB ADDRESS
, GENERAL CON
AP No.
�INSPECTIONS•
SOIL
\ GAS
WATER
ROUGH PLUMBING
PROP. SWN. LINE
SPRINKLING SVST
MISCELLANEOl15
ROUGH HEATING FND AIR CONOITIONING
T : jJjw
UNOERGROUND POWER �
ROUG�^
TftENCXES FpRMS � STEEI RE
FLOOR SYSTEM
BOND BEAM � 5TEEL ftE1NFORCE �
SHEATHING
FRqME ANO FLASHING
LATMING - IN n OUT n
PlASTER, BROWN COAT
STRUCTURpL, FINAL
HEATING, VENT., REFPIG. ANO A.C., FI
PLUMBING, FINAL AN� GAS TEST
ELECTRIC, FINAL
BUILOING, FINAL
DATE 6-5—�
BUILDING PERMIT N0.
SUBCONTRACTOR
r ��� �
i . �J
� COSTA MESA BUILDINCa�5AFE1Y DEPARTMEPR
P.O. BOX 1200 COSTA MESA� CALIFORNIA 92020
���
Far App11mM ro FUI In ComploNly
TYPE OR PRINT
tVIL�INO
ADORHIIG �Q1J2
COSTA MESA. CALIFORNIA
C. Aclams
t.8. \ial
� BE=�ACN YN[ FROtl ��
sP-3 �0
�. wo. o� stoo�.
Now on wr
�LP�6 O17.G� 8.0/L
CARYMD 7��
DESCRIP710N OP WORK -
WALL
�� xeaeeV
ANO 8TA1
PLY WITX
euao�no
AUTHORI2[D
e�:rsn
�—r?' �VOCMSAUY ���ifli R*#�t�g.��
11rPLiGATION FOR PERMR
BUILDING
for Offlc� Uie Onfy
etenrt No. r
ZONING
� / iuNs � su�
o. i -s i -
NO PJ1VE OVE
YARDlAPPROVEO
MAIN BUILDINO
vwre. �f
BHALL B6 LE88 THAN
YARDBAPPROVHD
ACC6SSORY BUILDINO
DATB
• DAT!
iOLD FOR SPE iAt, R�Ot9QREP�9ENT�6+ a
� �
336 �. �. �
TX[ AMOUNT �XOWry UHO6R VALUATION Ie POP TN6 �
■URPODi OI tBTAl46NIN0 l� PlpMIT P6f ONLY. �
vn�u�T�on � _ ]
PERMIT FE6 �
4 23�, � � � w
TOTA1 P66 /�