HomeMy WebLinkAbout1944 FLAMINGO DR - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY of COSTA MESA- CONSTRUCTION PERMIT - F RMIT NO. TRACT NO. LOT NO. UNIT NO. 1 •
Project Address 141.41-4 geL<1�h- ttthitgr 7 Oaf*--76. /79 L'" •� - 1 975 1 1 /09/84 13o."cu
• Applicant's Mailing�7A//d��dre s ( //�1 J it✓!) �'Lifg . rn TYPE OF CONSTRUCTION lJ NEW ADD �" ALTERATION LI REPAIR 1 /
MO SC)&JPN Phone ❑ CONVERSION ❑ DEMOLISH ❑ 0TH R A,P.# - -3 / / Zone ✓ f
Owner's Name //,�''rr L DESCRIPTION OF WOR SE OF BLDG. Sr L. - L'7 1�f��. ' _
Address 17y(I / LA'm/VG 0 _ SAP a "1-. L _P'. A - - ..Ai S Main Building: Accessory Building:
-
TYPE OF PERMIT I GRADING I FOUNDATION I; STRUCTURAL E Front i Z
Arch/Eng. License No. Tj o
Address p� ❑ TENANT 0 ELECTRICAL ❑ PLUMBING M MECHANICAL B Rear (0 c�7 - N
Contractor's Name 00/V19p/ COAL67 Phone &30"'�G ED OTHER C Ri ht _,. N
Address(mailing) (/S L/' Sn� /-/'✓1�A /1� PROJECT DESCRIPTION SQ. FT. /S�+ - OCCUPANCY R-i K g �v l' 1st!
G
CONSTRUCTION TYPE 2 VALUATION$ 7,L d S Left R
City License No. 30 ZONE GRADING CU.YDS. ACRES (�//-��
LICENSED CONTRACTOR DECLARATION • _ Ping. Ref.# Parking Req./Provided • E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: {�1 ,/� --n�..` ' • O
with section 7000) of Division 3 of the Business and Professions Code, and / �� - l s «/�^ - M
my license is in full ce and effect. T
a97Ti''� • 736-e �L S' s
License Class ense No.
Date //-11-1st Signature ......... �.._ PLUMBING FEES
WORKERS'COMPENSATION D RATION Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - -
11 1800, Lab. C.) Automatic Washer Transformer ❑ 15-50 KW
'otic No.4CS2V0O0/07tCompany A 1. - ' or Backflow Irrigation • Sewer Cap0 50.+ KW
^s..1..s v •Construction Pole Sub.
Y icCertifie cop is hereby furnished. '• ••- ••
Cert' i letl with the cit -an9 Div .n Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps.
1 Date Applicant ' /— -
/� EXEMP 10 FROM WORKERS'COM'.'' SATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter ❑over_100 •amps .
�y (This section need not be completed if Pie permit is for one hundred ($100) or - .
less). Dishwasher . Solar Piping , . - , Dryers ❑Gas ❑Electric Sub Panel i '=9 ' •
i I certify that in the performance of the work for which this permit Is issued I - "` ,
Motors❑0
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan 1 HP 01'g-8
Workers' Compensation Laws of California.
.Date Signature - - Floor Drains Swimming Pool w/Spa
NOTICE: If,after making this declaration,you should become subject to the F.A.U. Inc.Solar ❑9-15 HP ❑16-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 3 Fixtures 060comply with such provisions or this permit shall be deemed revoked. __ - . Microwave - }
.CONSTRUCTION LENDING AGENCY Gas Service Outlets Water ClosetDevice Boxes Pole Light I hereby affirm that there Is a construction lending agency for the performance 9 '
of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors ' Water Heater, Outlets
Lender's Name - / r - Range j 60
Lender's Address /VQNG _ Kitchen Sink Water Service
OWNER BUILDER DECLARATION — _ . y Switches Sign Oa
I hereby affirm that I am exempt from the Contractor's License Law fbr the Lavatories
•
following reason (Section 7031.5 Business and Professional Code: Any city or •
Auto-Wash Garbage Disposal ;Standing Sections
county which requires a permit to construct,alter,Improve,demolish or repair p P-Trap • Laundry Trays Generator ❑05 KW ❑5-15 KW Trash Compactor
any lstructure,siprior tom itst that he/, also requires the tcto applicant for such permit P
to file a tactor 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 .
}`aenalty of not more than five hundred dollars($500).
;""❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee ! $15 Issue Fee S 3
' compensation; will do the work; and the structure is not ed or offered _ -- Reinspection Fee $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code:: TheThe 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:
S: (�
employees, ever, ed that such improvements are not tended or offered for Boiler Hood or Type I 0 Zoning Approved 8y Chc- t) Date I �❑
sale. If, however, the 11 have
or Improvement Is sold within one year of com- Canopy Type I ❑ - d
pletion,
the owner se of have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date /1/9/elf
D I, fo rwer of
the property,oe). / 7L/
❑ I, rs owner tr ct t eroject am t 7 44, contracting with licensedioncon- Duct-Structural Refrigeration System Application Issued By • Date
hetors the project (Section 7044, to
Business and of property
Code: • '
The sContractor's License Law does not apply to an owner pro ithta who , Duct-Ventilating 00-100,000 BTU.0100,000 BTU /� SUMMARY OF FEES
builds or improves'ursuan't t and who contracts for such w) I projects with a con- 7S
tractor license orker's oo the anon Insurance
License be I ov aware that Exhaust System 0 Multiple D System Repair/Alteration BUILDING PERMIT $ ///��Tpp.�D SMIP $ O.S7
- proof of their Worker's compensation Insurance should be P.C.for dedthis to me. PLAN CHECK $ TQr$4� PERMIT
0 I am exempt under Section B.& .for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING . $ ISSUANCE $
Date • Owner _ ' Heating System& Ducting Registers
CHECK 25% $ ENERGY P.C. .$
I for at certify that have readtothismapplication all and state that the above ❑0100,000 BTU 0100,00013T
0 GRADING $
information s correct. I agree this
a plih all city and countythat the
ve ELECTRICAL $
and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ .� MICROFILM $
sentatives of icy to ter upon the above-mentioned property for
inspection s. /'/ 4�Y, MECHANICAL ' $ LA Le TOTAL FEE $ /.s Z
Signature �'-r� Date (` C q
Drivers' Licens or.SS# Reinspection Fee $15 Issue Fee PLAN CHECK 25% $ air •
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor i
CONSTRUCTION AND PLANNING POOL&SPA
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit 4
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. I /I1/3/31/ : CM 57. APPROVAL TO COVER-GUNITE
7. Footings g !fr/o.eien 58. Electrical Conduit-Undrgrnd.
r. 8. Foundation it k3154 C 59. Gas Pipe, 0 Undrgrnd.,Test '
9. Water Pipe-Undrgrnd. • r %. • - 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-Fi •
nal
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
18, Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 1zl' � 67. Fencing & Access Approval
17?' Rough Wiring Sign r 68. APPROVED FOR PLASTERING
r
18. Rough Eldctrical-T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditionirig - FIRE DEPT. REQUIREMENT
20:..Rough Factory Fireplace APPROVALS Permit 4
21. Ducts, in Structure - . 7Jl19Art 471 70. Underground Hydro
22: ,Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing ; ' /4_4qein 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25/RoofSheathing - r gv/9Y - -F 74. Overhead Hydro
26. T-Bar,Cefling (Structural) & Monocoat 75. Dry Chemical
27. Frame:ind Flashing 47411 &t7 76. Dry Standpipe
28. Lathirig.& Siding 111.jygi g4{ VC.-- 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing 'I . LtJ31 el Vv HEALTH DEPT. REQUIREMENT
31. Plaster'Brown Coat- .ii i/c gi �c„..- 79. FINAL INSPECTION
32. Electrical Power Meier-Final 80.,FOOD CERTIFICATE ISSUED -
33. Final Electric Notes:/1//3/Yr ../oT 7Y ite,
34. Final Heating & Air Conditioning • '
12/r.-) /6-`-/ /1 ("Ec.c�a) C. C.
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbirig ,
39. Water Service-Final
40. Gas Service-Final
_ - _
41. Solar Domestic-Final
42. Backflow Preventer .
43. Backflow Irrigation • -
44. Landscape Irrigation System /
45. Sound Attenuation, ,�-� mt'/1 }
46. Handicap Regulations - Al-t 1
47. FINAL STRUCTURE & BUILDING 11/1i g CY#N
48. Special Requirements Completed')
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co , , -
51. CERTIFICATE OF OCCUPANCY ,•• ,
,.
No. Date
PROJECT ADDRESS: 1944FLAMINGO DR UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 060559
OWNER'S NAME: SUGDEN, BARRY K JR
ADDRESS: SUGDEN NOREEN M PERMIT NO: M 060559 PLAN CHECK NO: N GOVT; N SUPP: N
1944 FLAMINGO DR
COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: OTH
546-7008
4 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REPLACE FAU SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /
• PERMITTEE: ADEE PLUMBING & HEATING ( 213) 759-9101
ADDRESS: 5457 CRENSHAW BL COMMENTS: REPLACE FAU C. E.C. APPROVED
LOS ANGELES CA 90043 ***HESE*SP�P�E;r�E�E*�E�PSr�ESExSE;P�ERE�PRERERE4�ESERERPr+ESERE*RE*******RE*****+E***+E**CPRE***;ESE****RE*****+ESE**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONINGREQUIRE M E N T S
7000)of Division 3 al the Business and Professions Code.and my license is full force an((tltl��ef Xt. S ETBACKS
CITY LIC.:03020 3., STATE LIC.:240186 CLA c 3�j I/
Date: —I I ) Signature: 'L'e 'M4(1vAe/ly A_S MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation InsurgOc .yLrg c rI�lied copy thereof(Section 3800.Lab.C) LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY ND.:Win�VV .i EXP.DATE: 05/01 /93
COMPANY: CAL COMP , PARKING REQ: PROV: PARCEL: 13948166 ZNE; REF NO:
7 Certified copy is hereby furnished. Certi s tiled with t city Building £ . 1L 7 Y— PLANNING N TES>
( �/� >
Date: J — / 1 " / � Aopliiant: *************************************:******************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($1lM)or less). DEVELOPMENT SERVICES REQUIREMENTS
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. ZONING APPROVED BY DATE
Date: yout •
BUILDING APPROVED BY : 3
ode.NOTICE:II,altermaking thiscdeclaration,you should become subjectemithe deeempensation provisions at the LaborDATE:
Code.you must forthG I with such m provisions a this permit shall be deemed revoked.f • -a itrit k
CONSTRUCTION LENDING AGENCY: 17erCby C.
that there is a construction lending agency for the petlormance of the work for APPLICATION ISSUED BY: DATE: l+
which this permit is issued(Section 3097,Civ.G). *FE****************************************** ********************** ** *****.
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that lam 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 Cade: My city of county which requires a permit to construct.alter,improve,demolish.or PERMIT 9 00
repair any structure.prim w its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed - • 25% SMIP/NON—RES
pursuant to the provisions of the Contractors'Stale License law(Chapter 9(commencing with Section 7000)of Division 3 of the Business r-7
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 e 11
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE FEE q 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----> 9 .00 15. 00 0. 00 24 . 00 24 . 00 . 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 REVENUE DIVISION TOTALS--> COLLECTED• 24 . 00 OVER/SHORT: 00
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve
for the purposeol 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 f. 24 . 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the ContractorsState License Law).I am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C.
for this reason: TYPEF t 4aQTY DESCRIPTIO N UNIT COST TOTAL COST
•
Date: Owner: MEC 1 •
INST FORC—AIR/GRAV FURN <= 100 K BTU 9 . 00 9 . 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 FEES
25534 and that I or any future building occupant wilgwill not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Apblicant:
I hereby certify Nat I have read this application and st to that the above information is correct.I ree to comply with all city and county ,
ordinances and state laws relating to building construction authorize,r entalivesa t to enter upon the above'menfianed
properly lar inspe ion purposes, `p I
,'{' ':1 "'
Date / —1 m Signature: uuk i 4
Vv 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
S
2j Soil Pipe-Undrgrnd._ •1 - 53. Steel Reinforcement
-i. r.
0,4 ctittaI Condrritil}gility-bndrgrntif 54. Forms
.
`41.tle�leal Conduit-JSdrgrnd. --- 55. Electrical Bonding
R A . r a
5r St.(2tf einforce 4rr•.[' a 56. Rough Plumbing & Pressure Test
+K. lectrical UFEST Sm-s1. 57. APPROVAL TO COVER-GUNI7E
L., ' bo jngs 4.
58. Electrical Conduit•Undrgrnd.
c_8:"kT
IC
undation 59. Gas Pipe, 0 Undrgrnd., Test
i
IT s-n- n •
$^ Water Pipe-Undq^yrnd. - 60. Backwash Lines,P-Trap,0 Undrgrnd.
10. Structural Flour System - 61. APPROVAL TO DECK
0
11.,Proparty Sewera.inee& Hottlse-Connettion 62. Backwash & Receptor-Final
12. Se'a& Cap -o
63. Heater & Vent-Final
9
13. Roof Drains .. 64. Plumbing System - Final
14. Rough PlumbirV 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough ElectricWWiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electric�t-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- - - - ... -:OF• X tF_
20.71h F3ctor TE
F3131ace I '1 - ' _3 ' APPRQVALS; "q3err6it# •> ;a
21..Ducts,IQ-Structure, -c rr - At X 70. UndergrocmctHydro 0
' =< w Y
22.,<Dut5, V, g-:ntilatini t)•S } _ ' `cam ' -Z71. ProductPrkisg CfY,s' D�Oii az
23.:Gas Pi oujh &•fest X:. 'e - Underground PE- r- . ,,y v. .•, -72. UndergrounCiFIusF,r; :, it
.
24.%Ro� Framing- ,J J r--- -m -• ; ? J v 573;`Undergrnd Stora$�e�7ank. 7Gas�0Oil
X •L '.1' •-
25. RoCa> Slisathing ,..11`. S , r _ -0
25. Hydro, .
re -
26.'cr-Bat Ceiling (Structural) &1G1S ocoat a ,•• - .'2 ' 75;bry Chemical b " 0
�27.,frame d{d Flashi' ' y " C * r n, `tr •r 'n CO
Tj9K Sts * - .r s a 76. Dry Stanch: e - ro ,-28. Lathingli Siding A ? y S_ •-1 * 77r:FIXED SYSENj f:9NAL
r
G29. InsulatiC 1 ' a ( v 78sFIRE PR EV. FINA-t. . ;?. x
SS
_30. Drywall Nailing I I k HEALTHvEPTiREQUIREMENT
-;31. Plaster ei3Owa1Coat;,` .� I :Th.!' ;� t r. .29. FINAL INSRECTIgN r " .-
432.'Electrical Power MetetFinall < .0 +80.=FOOD CERTIFICATE ISSUED{ •✓
_ 3.SF;nal Electric �,� ` ` I k YNoies:t falt3. No One.No hIE CLG
01/46 •t - a
r• •34.;.„14,-Fin Heating& Qjr..Conditiontsgt - ��D .. A "=• ' * s D.:.
-r - - r h. -•4,q• X C
35. ina1 Gas Pipe-Test y I " - =r .17 S� c .5,.7.,-
36. Hood or Cano - - r * - -
Py � r, - r
r r 1 1' r . - - .S J . rt .n
"P7,.Find Factory Fireplace r ; ...s,Cr i ,j ' Ir -.v
138. Fins?Plumbing . �• : r i I y • • * .r
r
X3T
9. Water Service-Final' I rt: % I I ' - 1 l•'X
(, I It' a r Y .0
"d40. Gas Service-Finalerr 41,r I e.
. 1 - -r r
--41. Solar Domestic-Final r. -s i ( F
_ O
42.�ackflow Preventery ttU Y..i I o- . _
43. Backflow Irrigation' 1 t t ; If °- U n;
a .^i
it - u;:, . n 3 v
444. Landscape Irrigation SysterrLorna s '• r: a Y n _ c,; -r: 01
-.:•(.r. r� v _ ter. : .- .
45_-Sound A_tteQuatiori' .
F " y , Xkt
,r .. rb t
'§6.11-landicap•REgulations -
s47.-FINAL STRI.LICTURE & BUILDING .k j I ' I* t - •
48.-FINAL PLANNING • ( j•. r _ .t 1
. r
c49.t:Eleotric Release to Edison - + I ' It. I t. J
7 . . a • f •.
-
:$o:.pas-Release to Southern California Gas Co I V - - -
-51. CEB:TIFICATE OF:OCCUPANCY' 4 a i 7 _ c o
No. Date
•
c I 2`ra y� n /7 O Ake, win L oa arie o, csoutIian `aLclotnta, inc.J
___7(40
= P.O. BOX 47 . 3310 AIRFOR! WAY . LONG BEACH. CALIF. 90801 . (213) 476.3355 . (213) 636.2386 . ;714I 871.6432
Asm BRANCH OFrICES:
TESTING ISIED Neon H.,P.,m.... --� Ne.D..•,.c,,..I..r•.e
5.,,e A.. C..,c,.o 92101 EO.to.0
p7 15P40.5 long t..cl,,WI.n1101 11111 5752386
October 1, 1976 :
•
•
Examination: 76-5940
GUNITE
COMPRESSION TESTS ON /COFX0,43371 CYLINDERS
•
• Bob Henderson .
17817 San Rafael
Fountain Valley, California 90708
PROJECT SWIMMING POOL 174Z5,76
ADDRESS 1944 Flamingo Dr. , Costa Mesa, California
SAMPLE FROM 1-2 from bond beam shallow end, 3-4 center of pool floor,
5-6 from deep end bond beam
•
• ARCHITECT CONTRACTOR
Aquatic Pools
ENOINEER SUBCONTRACTOR
Baron Baron Grove Gunite Co.
SPECIFIED
MIX 3.8 STRENGTH 2,000
DATE CAST 9/24/76 SLUMP
DATE TESTED 10/1/76 10/1/76 10/1/76 •
CYLINDER NO. 1 3 ' 5
COMPRESSION 7 days 7 days 7 days
TOTAL LOAD, LBS, 66,000 69,000 61,000
POUNDS PER SQ. IN. 2,335 2,440 2, 160
•
• COMPLIANCE 7 day tests comply with specifications.
MADE BY DELIVERED BY RECEIVED ON
CYLINDERS Jack Henderson 9/27/76
•
DI$TR:BUTION:
Bob Henderson - 2 LILI YTiFh E-tnf, r Rr
Costa Mesa Bldg. Dept. F � h` J �I
Cc r L. 4 r`I,'
•
.... Nr✓o NTs .VC S(/p MIrT[D AS THE 'RoNrmEnTUL PHOPEHTV Or CLIENTS. ,.w HUMRAT,ON r0,1 •Uru CATION OF OC a REPORTS. CDNCwsw,n. OP EJ.
...CTS .VO.. ,l4 PEGAPOI..G THIO IS RLSEAVID PENO,NO OUR W/.ITILN APPNJ VAL AS A MUTDAL P'orLCIION IC CLIENTS, THE T'JOLIC. AND OUR5E{.VES.
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PER
I MIT PE IT NO. TRACT NO. LOT NO. UNIT N0. 19)/{ 11/09/94 G=061 TL
Project Address J9yy Farm/ " X6178 `n � I
Applicant's Mailing Address W//5 LA�1rr1At //17 TYPE OF CONSTRUCTION LJ NEW "ADD Li ALTERATION H REPAIR
�) / ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# 12/a if la..I - I Zone - '
Owner's Name ma SU6OT� Phone DESCRIPTION OF yyWORK/USE OF BL G. -` -- - `/ 1 TI "Tt� '
Address 19 N4 Any-71)l.p to i41.[/� (DAi.-}fpc a" S Main Building: Accessory Building: -
TYPE OF PERMIT ❑ GRADING LJ FOUNDATION STRUCTURAL E ,( .�7.�c, / 0
Arch/Eng. License No. - T Front A---r---r-pct� k 19.x(7 0
Address - ❑ TENANT LECTRICAL 0 PLUMBING ECH ANICAL B Rear t 4 I 9 "
/ N
( &1001-165-
❑ OTHER `///
Contractor's Name //pp(;;77 AwJ CD-+1.K� Phone G � C Right Z .5 ) N
V/5 kg--704(_,4r/711� PROJECT DESCRIPTION Sq. FT.-7F) OCCUP NpY S 2� l R
City Licensess e(mailing) CONSTRUCTION TYPE VALUATION 1l .`A ' Left ± G
City License NO. _ � ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION ECA
�s wry Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of garter 9 (commencing Remarks: 4 L y�1 LI Z/'1 l i�N Planning Notes: ?J�II -14 _� M
Q
with section 7000) of Division 3 of the Business and Professions Code,and
/ my license is In fu force and effect. (1�, - %? I• $
t1✓� T
License Class ull Lf�¢nzo No. Ol 'T7 ( J �s1
(1",
Date/l-g-$/ Signature y— "' PLUMBING FEES
WORKERS' COMPENSATION DECLARATION , Bar Sink Showers
'hereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL FEES
workers' Compensation insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
I ,800, Lab. C.) Automatic Washer Transformer ❑ 15-50 KW
gs W PplIcy No. `o�- 3�"c TSy B'j Companya certifi •
Irrigation Sewer Cap. Construction Pole Sub. •
0 50+KW
❑p•tertified copy is hereby furnished.
,s Certified cow.?filed with the cityfling Div n. _� Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
ko Date //-�-Jc"/ Applicant r` '�`// �•--�-•^•�
EXEMPTION FROM WORKERS'COMP 6NSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if t e permit is for one hundred ($100) or
less). Dishwasher Solar Piping 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 01'/h-8
Workers' Compensation Laws of California. _
Date Signature - Floor Drains Swimming Pool w/Spa F.A.U. •
'NOTICE:If,after making this declaration, you should become subject to the Inc.Solar 09-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks. Urinal - - Fixtures
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCYGas Service ' Outlets Water Closet •
Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range
Lender's Name t '`
Lender's Address o`v"'� Kitchen Sink Water Service i Switches Sign
OWNER BUILDER DECLARATION. • _
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal ;Standing Sections
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'Dralns -
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 - -
LIenalty of not more than five hundred dollars($500).
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 - Reinspection Fee I $15 Issue Fee - $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES - - - _
License Law does not apply to an owner of a property who builds or Improves __ __ — - _ _
thereon, and who does suchworkhimself/herself or through his or her own DEVELOPMENT SERVICES R UIR� E S: /
employees, provided that such improvements are not intended or offered for Hood or Type I ❑ ��Qy�� (M)�(N�7� /it
sale, If, however, the building or improvement is sold within one year of com- Canopy Type II ,❑ • Zoning Approved By •✓s i -ii M./^r Date /l Cl
60
pletlon, the owner will have the burden of proving he/she did not build or im- I• Building Approved By
Ove for the purpose of,sa le). Date
$ //B /�ef,
IJ I, as owner of the property, am exclusively contracting with licensed con- a Refrigeration System Application Issued By I!/ r
' tractors to construct the project (Section 7044,Business and Professions Code: : Date
, The Contractor's License Law does not apply to an owner of property who 0 a ❑0.100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con- YYrr Mt
tractor(s) license pursuant to the Contractor's License Law). I am aware that ■ ■ System Repair/Alteration VQ�• BUILDING PERMIT $ y7i6l`7 SMTP $ 0•S�
proof of their Worker's Compensation insurance should be provided to me. /
- PLAN CHECK $ (.37 PERMIT
❑ I am exempt under Section B.& P.C.for this reason :e # Fire Dampers ISSUANCE $
PLUMBING l $
Date Owner a Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I•hxve,read this application and state that the above- 00-100,000 BTU 010 ssl : ELECTRICAL i $ GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to b ilding construction,and hereby authorize repre-
sentatives • - city t/enter upon the above-mentioned property for L/6 .47 Q /
p.s
Drivers' Llc'as<or SS�
inspection - •• es. �'' MECHANICAL $ TOTAL FEE '$
Signature Date �/L!� �/ Reinspection Fee $15 . Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor
•
CONSTRUCTION AND PLANNING POOL&SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electric& Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 513. Steel Reinforcement i
• 3. Electrical Conduit'Utility-Undrgrnd. 54. Forms
4. Electrica6Conduit'-Undrgrnd. 55. Electrical Bonding '
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test '
6. :Electrical OF ER Grnd. I4 57. APPROVAL TO COVER-GUNITE
7. Footings I 58. Electrical Conduit-Undrgrnd.
8. Foundation i 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd: - , 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Strgctural Floor System I 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
20. Rough'Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
•
22. Ducts, Ventilating + 71. Product Piping O Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
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
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating &Air Conditioning I '
35. Final Gas Pipe-Test
36. Hood or Canopy.
37. Final Factory Fireplace
38. Final Plumbing - I
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final •
42. Backflow Preventer
43. Backflow Irrigation '
44. Landscape Irrigation System
45. Sound Attenuation'
46. Handicap Regulations J G
47. FINAL STRUCTURE & BUILDING Zl�/� 4p
48. Special Requirements Completed,
49. Electric Release to Edison -
50-. Gas Release to Southern California Gas Co •
• 51, CERTIFICATE OF OCCUPANCY • • 1-
No_ Date
BRAEGER, Dick 8-31_76
JOB ADDRESS 1944 Flamingo Drive BUILDING PERMIT NO. 42696—
‘,., GENERAL CONTRACTOR Agttatic_Ennla DESCRIPTION of WORK pvt. Sw-fm Pnol_w/spa
'SAP No. 139-481-66 LOT TRACT FIRE ZONE VALUE $ 5 Ron on
ECTIONS Signature Dote
.yr !GROUP T TYPE v_ ZONE R }
Pool Location L 42.040SUBCONTRACTOR PERMITS ISSUED
Date I Number Signature
Forms
Main Drain
Steel Reinforce
Elec. Bond Electric e O / '
Approval to Cover QC. 9' ��7 G febeai p'3/•7L "/'I��igT
Underground Electric gi...... /� 1Plumbi,Gas Piping TestGr lV "ng�. ' reread
Filtering System Lines /&. 9'
C_ �?0-k, P ed ?31• /f�/
e 7coj4 .
Backwash Lines and Recep. RS. 1/ Y gibtl
Electrical Final R.e. //-i✓i/
Heater and Vent Final
F System Final
Backwash and Recep. Final
Fencing Final
I. • -4
sllr, 31.76-740
4259602258` ****54.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only
_ /�U RECEIVED BY pi�T fyECEyVED' DJC(§„..
BVILDING A:96,,
q 4, ft 4H/✓b0 3 - LYS 'Zljuy Iib lJ
ADDRESS }(j �r
OWNER Sc . ` / A.P. NOS J�1 q O I 1��11�I 'PAir 1 f� ti�J
MAILDC/],�,. ADDRE S I FI�"�' �'I+�'Y�11N1�(J '✓„-,
ADDRESS �7s 't' Ir
,/
TEL � TRACTS "`i LOT -�t BLOCK
CITY 61; C7L/I /L� Cr ,r
NO..(C'2'II!/
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI ISH
LENDER
''(
BRANCH OWNER/�L, ,^ _
1'"i/ ,sl>�• �,'c/
ADDRESS ^J_ VALVE /}/J�J
ARCHITECT ..- TEL. USE 1 CJO 1 $ SW//
OR ENGINEER NO ��-
FIRE I T
ADDRESS ZONE TYPE�j GROUP y
APPROIsis 4e
CONTRACTOR 4 t , Q BY� _ DATE as
ADDRESS /.3t,.I' -� 4,t,#4,....1- .� :Lc d'
TEL. E NO.OFs,s USE OF Dl£W,
CITY NO.
�• PLANS( . BUILDING ty',no\
F STATE CITY YARDS APPROVED YARDS APPROVED
LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLDGS. / (FROM C/L STREET) y/
W
L OF LOT NOW ON LOT FRONT FT. FT.
hUSE OF / 1
EXISTING BLDG. fel=rr J ' 'E.e-
I-
R-SIDE FT. I FT.
ch. '
/ I
Separate permits are required for L,SIDE FT. / FT.
electric,plumbing and heating work. q /
WREAR FT. FT.
[.., USE OF BUILDING AND WORK TO BE PE ijFORMED DISTANCE BET. BET.MAIN&
•
GS C'f .tq -in ♦ S p� (! MAIN BLDGS. ACCESS BLDGS.
PT ' �l✓ VAR. DATE
Q _ \ v 1 Lid/SPA- C.U.P. �/(/�� APPROVED 1 1 -
,7. _a . .)�.) Q,O' - DATE-31 7 W
.-1
W
p I hereby acknowledge that I have read this application and state w
N
a.
EL that the above Information Is correct and agree to comply with
L ell laws regulating building construction, and I shell not employ s
Z any person In violation of the workman's compensation laws of o
S the State of California. m
3 I hereby certify that I am properly licensed as a contractor under - 14110 SO. FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or I THE PURPCGE OF ESTABLISHING A PERMIT FEE ONLY: to
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE S p
and Professions Co ,Division 3,Chapter / Q 2
,r/L/ PLAN CHECK S / O��- 2
Signature of ( a �7 LL
Permittee �i�^l / $ TAX S Jw 2
/` ! 0
Authorized Ag t TOTAL PAID $ c
e ,
.,38 , 91857
um 3 1 1964
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.o,BOX 317r ( D COSTA MESA.CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING For Office Use Only
ADDRESS 191.4 Flamingo Drive �I
RECEIPT NO. 2PtLJVFN!d
7.
COSTA MESA. CALIFORNIA (�V
RECEIV !T DATE RECEIVED DATE ISSUED
OWNER Pemba Subdividers, Inc. 3—S/- / Af:: 1 A 1Q &
BUILDING
MAIL 2850 Mesa Verde Drive ADDRESS
ADDRESS //
CITY Costa. Mesa Na 549039 FIRE
ZONE TYPE / GROUPJ Set
ARCHITEOT Mot. APAPPROVED DATE
OR ENGINEER E. G.Kaltenbach . 5478046
ADDRESS 1833 E. 17th St. , Santa Ana ZONING
ZONE NO.OR I USE OR NEWSZII . ram.
(�� ..,��� F-1 I Pune
BUILDING/ att Un-
CONTRACTOR Y^.T�"A SO.[_ PR e-
LEGAL T.. o y 5289
ADDRESS DESCRIPTION Lot 38, Tract 5287
A.P.NO. none
CITY
p q p NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE
187318 TEL TEL 30"TO SIDE&REAR P.L.
O.
EAVES
SIZE r5 o NO.ORBLDGB. 0 ALLOWED (U.B.C.REQUIREMENT)
OF LOT rS ��/SO k I NOW ON LOT
USE OF /0 l O 7- 1 3C A )P YARDS APPROVED YARDS APPROVED
UOF BLDG. «4K /y0 .Y / MAIN BUILDING ACCESSORY BUILDING
XIIN (FROM C/L STREET)
SETBACK LINE FROM 50Ft. 37Ft. FRONT. LF
•) r. • FT.
CENTER OF STREETEYREAR YARD
GIDE YARDI anT 1OFt. I RIGHT 10Ft. R.SIDE /0 Pr. FT.
DESCRIPTION OF WORK L.SIDE I 0 FT. FT.
NEW X ALTERATION _ ADDITION REAR 3/FT. FT.
DISTANCE BET. BET.MAIN B
REPAIR MOVING DEMOLISH MAIN YBLDGS. ACCESS.BLDGS.
BUILDING NO.OF 8 VAR.# DATE
SIZE 2, 55�''l56 p ROOMS jORIF,$ 2 C.V.P.* /'` APPROVED
EXTERIOR WA II�Fj,+_a C0 I ROOF gli iii APPROJgµ� .� -$ ;l C- L
COVERING LLL CC COVERING ing a BY j DATE V
USE OF BUILDING AND ORKItBEP FO1YEd
Single Family with attached garag kt
House 2, 004 sq.ft. -
Garage 552 sq.ft. Plan 53-C j 99 ; Fr. di, -67°1"7/ N
Y
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
ypLUATION 7--- D
BUILDING CONSTRUCTION( N
SIGNATURE OF PERMIT FEE D
D
PERMITTEE {A!/z" $ s1/ 3 5
/J :310‘ — i
O E
4
AUTHORIZED A T $ /63,.. Se
- / TOTAL FEE
V