HomeMy WebLinkAbout3128 MCKINLEY WAY - Building Permits. _,. .-..�,
C I T Y 0 F C 0 S T A M E S A
CALIFORNIA P.O. BOX 1200
FROM THE OFFICE OF TFi� PLANNING DEPARTMENT
Mr. Tha�as Jackaoa January 25, 1965
3i28 mcxsni.ey w�v
Coeta Meea� California
Dear Poo1 Owner:
The Costa Mesa Planning Department has been notified of the completion
of your swimming pool.
So that your pool will be a saYe 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:
l. 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 swirmning pool shall be constructed unless the yard
surrounding such pool is completely enclosed by a fence
six (6) feet in height and have 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 malce a complete safety check of your pool area.
Sincerely yours, �
;';/i,.>�<�, ..� ,�!d�l�.r.�..—
,
4lilliam L. Duiui
Director of Plenning
, t;
H. . LAWMASTER 8 CO., iNC.
7940 MAIN STREET — STANTON, CALIFORNIA
828-8040 64CM5-028A2A-002
XXXXX
Field Data on Test Specimens Core Concrete Gunite Groui/Mortar
Project Thomas Jacksort Saimpoo2 _ Permit No.
Project
L«ation 3128 McKinlev Wfly._C_ge�e M�se_, C�.�if.
Contractor Anthony Poole Architect
Location in Siructure Bond Beam Engineer Letsan
DatQ Moulded ���Z No of Specimens 3
Slump / Specimens Marked
v
Specrtied Strength at ZB days 2000 p.s,�, Mix Designation
Ag� to be tested.—�_days_Z$_days days days
1,2, S3
READY MIX PIANT AGGREGATE SOURCE Oeborne Materiels
Weather Condition Clear hot 1 Yd. �Yd. Batch
Cement Monolith Type Cement, Ibs. 122 sk
Admix Sand 32 tone
Specimens made by Coehran r'k4
Date by n 3
Delivered by #2
Date Delivered �� #
REMARKS:
Lab, No.
Date of Test
Specimen Dimensions
Area
Ultimate Load
Lbs, per sq. in.
H/p Corrxted
r �C '
��
Test
26.
49,
1B11
Water, Gals.
Day Test
it/30
5.89 X 12,5
27.26
62,C00
2,27D
�1 v 00.n,.. T�',�t ,,,
r
Test
�as�a
_. , Applicant to fill in all spaces except those within
CITYOF'COSTAMESA CQNSTJ%UCTIONPE�iMIT '' PER i�� ���� TRACT
Pioject Address �/dX ///C �/rilCt'��/ Yo(Ld!(i
A�plicanYs Mailin ddress � ��1 �-�L�S.��li n �%(4�J /
Owner'sName �ti%QerSUN Phon��!r%���`
Address � ` ��
Arch/Eng. License No.
Address '
' L
Convac[or's Name Phone
Address (m� �'�g� 533. � .� /I'L)(j�C.�
CityLicenseNo, t�9��
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensetl untler orovisioni oi Charter 9(commencing
with �section �000) of Division 3 of the Business antl P�o/essions Cotle, antl
my license is in full rc � effect. n/ ���
�JC¢fISECIp S IC f15 O�y
� oace �///�' s9 c .(%r.l� ��..m._c
WORKERS COMPENSNTION DECLARATION
.� � hereby aftirm that'I have a certificate o! consent to self-insure or a certificate
Wo�ke�s' Compensation Insurance, or d cer ' tl Copy ther2ot (Settion
� )0, lab. CJ G/, // n
� licy No. ��O �1D Company J �/'�v�
' Certifietl mpy is hereby fu�nishetl. �
ert'f etl/�o (� filetl with tM1e city Buily� �� ivisi(�n.
Date �� �Y�1 �* APPlicant /�'j L��/ ��
EXEMPTION FROM WORKERS' COMGENSATION DECLARATION
(Thissection neetl not be completetl if the permi[ is fo� One huntlretl ($300) or
less).
I certify tnat in the pe�fo�mance of Ihe work tor which [his perm�t is issuetl, I
shall not employ any person in any manner so as to become subject to tne
Worker5' Compensation Laws of Califomia.
Date Si9nature
NOTICE:'If, after making this.decla�ation, you shoultl bewme Subject to th¢
' Workers' Compensation provision5 of the Labo� Cotle, you must fmthwl[h
. comply wiN such provisions or this permit shall be tleemetl ravokea.
CONSTRUCTION LENDING AGENCV �
I hereby atfl�m lhat tM1ere.is a const�uction lentling agency to� the pe�fo�mance
of the work fo� ,which thi5 permit is issuetl (Section 309]y Civ. CJ
LRntler's Name
Lentle�'S Atldress �
OWNER BUIL�ER bECLARATION
I hereby affirm Ihat I am ezempt from the Contractor's License `Law for the
tollowing reason (Section 7031.5 Business antl Professional Cotle:rAdy city or
county which requi�es a pe�mit to construct, alter, improve, tlemolish or repai�
any structure, prlor to its issuance, also requires the applicant for Sucn permrt
to tile a signed statement lhat he/she is lictnsetl pu�suant t0 the D/ovi5ion5 of
" the Contractor;5 License Law (Chapter 9(commencing with Section']000) of
Division 3 of the Bu5ine55 antl Professions Cotle) or'that he/she is exempt
'-^retrom antl� the basis for the alle9etl exemption. Any violation of Section
'1.5 by any applicant for a pe�mit subjects tM1e aOP�icani to a civil
alty of not more than five huntlretl tlollars ($500).
� I, as owner ot the Property or my employees with wages as Iheir sole
compensa[ion, will tlo the work, antl [he Structu�e is not intentled or offeretl
tor salc (Section ]044, 6usiness antl Professional Cotle: The Gontractor'S
Lirense Law tloes not apply to an ownet ot a property who builtls or improves
tbe�eon, antl who tloes such work M1imself/herself o� through his or h¢r own
employees, providetl that such improvements are not intentled or offeretl tor
sale. If, however, the builtling or improvement is soltl within one year of com-
pletion, tM1e owne� will have the bu�tlen ot provin9 he/she ditl not builtl or im-
prove for Ihe purpose of sale). ,
❑ I, as owner Of the properiy, am exclusively mntracting with licensetl con-
tractorst6 construct the project (Section �044, Business antl Proiessions Cotle:
The ConVactoYs License law does not apply to an owner of proper[y who
builtls or impwves thereon, antl who con[racts fot such projecl5 with a con-
Iractor(51 license pursuant to [h¢ Contracto�'S License Law). I am aware [hat
� O�oof of their Worker'S Compensation insuranCe shoultl be provitletl to me.
❑ 1 am exempt untler Settion B. & P. C. to� thi5 reason
Date
certify
n is cc
, ISiqnature /� Tl�
Drivers' License or 55 q/
CMF 0065-46, rev. 10/84
owner
have reatl tnis application antl state that the above
agree to comply wrth all city antl wunty ortlinances
o builtlin9 construction, antl hereby authorize te0re-
to ent � upOn the above-mentionetl pjr er y fo�
Date /
�' '
b�ortler lines anE si9n all aDVropriate tleclarations.
TVPE OF CONSTRUCTION NEw aDD
���.� UNIT NU.
ALTERATION REPAIR
�\
❑ CONVERSION ❑ DEMOLISH ❑ OTHER p� p, #
DESCRIPTION OF WORK/USE OF BLDG.
' !� S Main Building:
TVPEOF.�PERMIT GRADING �❑y�p UNDATION STRUCTURAL T Front
❑ TENANT ❑ ELECTRICAL L7 PLUMBING ❑ MECHANICAL - B RCa�
❑ OTHER- A ,.
C Right
PROJECT DESCRIPTION 5cd. FT. oCcuvnNCv K
GON�STRUCTION TYPE VALUATION $ S Left
ZONE" GRADWG CU. VDS. ACRES ping. Ref. #
Remarkso��A i S�'TQ/ / L�I �i ) d.'TG. /% iO:.l 7�C ✓% Planning Notes:
Preventer
Irrigation
Drinking Fountains
Floor Drains
Floor Sinks
GasService Outlets
IntefCeptor5
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fee
$15
Duct-UnderGround
Duct - Structural
Ouct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ducting�
❑4100,000 BTU 0100,000 BT
Reinspection Fee � $15
White - Builtling; Canary - Applicant; Pink � Accounting; Goltlenrotl - Assesso�
Showers
Service Sink �
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank �
Swimmin9 Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash .
Issue Fee
Hood ar ' Type I ❑
Canopy Type I I ❑
Refrigeration Sys[em
❑0-t00,000BTU ❑100,000
System Repair/AI[eratiOn
Fire Dampers .
Registers
Issue Fee
Parking�Req./Provided
ELECTRICAL
Automatic Washen - °' Trensformer ❑ 15-50 KW '
Construction Pole Sub. � 50 + KW '
Cooking Unit Meter ❑up to 100 amps
Dishwasher ' Meter ❑over100amps
Dryers ❑Gas ❑Elecvic ' Suh Panel
Fan Motors �0-1 HP 01'/: - 8
F.A.U. � Inc.Solar 09-75 HP 016-15+
Fixtures Microwave
Device Boxes � Pole Light
Outlets
Switches- , � � �
Garbage Disposal �
Generator �0.5 KW �5-15 KW
Sign
Standing Sections
Trash Compactor y:
$ 3
Reinspection Fee - $15 luue Fee
FEES
�DEVELOPMENT SERVICES REQUIREMEN7S:
.Zoning Approved By
Building Approved By
Aoolication luued Bv
$ 3
2
O
N
I
N
G
R
E
Q
M
T
S
FEES
$ 3
SUMMARV OF FEES
BUILDING PERMIT $ � SMIP � $
PLAN CHECK $ PERMIT -'
P�UMBING $ .00� �SSUANCE $
PLAN CHECK � 25% $ .. ENERGV P.C. $� �
ELECTRICAL $ GRADING $ '
PLAN CHECK 50% $ MICROFILM $
MECHANICAL $ TOTAL FEE $�r ir �._�
PLAN CHECK 25% $
�1 t70Q21S55�-QOi721555 TC�T F,,�(�
li[!TG• :�)lOC/00 TTtfG• i[�44
0
CONSTRUCTION AND�PLANNING . POOL & SPA
APPROVALS PermiY# Date � Inspector qppROVALS Permit# Date" Inspector
�:. ..
1�. Temporary Electric8l Service or Pole � 52. Pool & Equipment Location
r
2. Soil Pipe-Unc�rgrnd. '� . 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgmd. 54. Forms ' � ' �
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �
5. Steel-Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. . � 57. APPROVALTO COVER-GUNITE "
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
%::.
�� 9. Water Pipe-Undrgmd� � .. 60. Backwash.Lines, P-Trap, O� Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK ,;'�
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final'
12. Sewer Cap 63. Heater & Vent-Final L)
13. Roof Drains � 64. Plumbing System - Final:�:� -
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Cohduit 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 � 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 (Structural) & Monocoat 75. Dry Chemical � .
27. Frame and Flashing . 76. Dry Standpipe i.
28. Lathing & Siqing 77. FIXED SYSTEM FINAL
29. Insulation 78. fIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT �
ts•
31. Plaster Brown Coat ��. 79. FINAL INSPECTION . '
32. Elecfrical PoWer MeterFinal 80. FOOD CERTIFICATE ISSUED �,Y
33. Final Electric Notes: /� ff Q (�' �p� , L�� �',�
34. Final Heating & Air Conditioning � ,;1�
35. Final Gas Pipe-Test.
36. Hood or Canopy � . '
37.'Final Factory Fireplace , � - �
38. Final Plumbing � �( �/� (�d � � , �
39. Water Service-Final � � �� ' -
� -
40. Gas Service-Final � ._ , . � _ �
��,�41. Solar pomestic-Final � , ' . .
�42. Backflow Preventer - • • - , -
� 43. Backflow Irrigation , .� "
..
•44. Landscape Irriqation System � • " , � .
' 45. Sound Attenuation .
46. Handicap Regulations . �
� ,.
47. FINALSTRUCTURE&BUILDING � �., . • �+
48: Special Requirements Completed . , , , ' �
49. Electric Release to Edison � .
50. Gas Release to Southern California GasCo ; '
51.- CERTIFICATE OF OCCUPANCY . . ., .
No. Date - - - _ -�`F.. \ .
. � , i
I�}1 UWNER
I, �t JOB ADDR
Y� GENEAAL
�! o,l�#
� II_ _ECTI<
Com.
Swr
JACKSON. TFIOMAS
Rein£.
DATE
BUILDING 1
VALUE $
FIRE ZONE � DESCRIPTION
DATE IGROUP J TYPE ]
SUBCONTfLACTOR
OC7 2 0 l964
�.
2
� `
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA D2020
Foe, AppllcarH fo Fill In Comp/etoly
TYPE OR PRINT
i��Na 3128 MCKINLEY WAY
DRHD9
COSTA MESA, CALIFORNIA
SAMF.
T LARSON
SO GATE
NO.OIlLOO/.
v B6TBACK LIN6 RRO�
DESCRIPTION OF WORK
BUILD�
s¢e
EXTL'RIOR WALL
FEE RECEIVED
OCT 2 0 1���
FINANCE DEPT.
CITY OF COSTA MESA
A►PLICATION FOR PERMIT
BUILDIN6
For Offlc� Us� Only
R[C�IIT NO. �[I1MIT
�Y
zoNa� I �uxi �,.I lYILDINO�I
�¢a�t ��.� O' Tn L/ /
,,. P. No. I YI-- �, �'a-- ss
NOTE: NOEAV80VERHAN68NALLB6Ll88TXAN
80• TO HIDB ! REAR P. L.
EAVEH
ALlAWBD <U.B.C.RECUIFHM6NT1
YARODAPPROVED YAHDBAPPROVlD
MAIN BUILDIN6 ACC6880RY BUILDIN6
(FROM C/LDTRH6T1
rR NT ry PT.
� �Y�n� /� 4 �! Pr
VAR. JR
DAT6
Y W2
a
ea. rr. � �
1 N6RCBY ACKNOWLtD06 TXAT.1 XAV6 pGD 7HI� AP►LIWTON TH[ �MOYMI tHOV/1� UND6q VALUATON 18 ►Op TNQ �
ANO BTAT[ TXAT TM[ I180VS.19 COpR6CY AN0.11 YO CAY• ►URroe[ O� (ITApY8NIN0 A pHi{MIT PE6 ONLY.
PLY WITH ALL CITy OROINANCii AryD {TAT{�MN'� OYLATINY� yALUATION ��
BUILOINOCON NCICTIpN,� - / /
816NATUR! P �•'^.•�'�'/ P6RMIT FEE 3 / Z
m� c
P6RMITTH w
�y�_ , �/_ . A, s 2300.00 w
wurnoR�zec
.. ��
�s��� -
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. 60X 317 COBTA MEBA, CALIFORNIA
For Appliean+ fo Fill In Complefely
TYPE OR PRINT �
COSTA MESA. CALIFORNIA
USE OF
E%IBTING BLDG.
88TBAGK LINC PROM
■ BUILOING
OF BLD6B.
� I LEFT S I RIGH7^
DESCRIPTION OF WORK
f:C•a
� RC(;E��J�D
F E B 1, s rs63
FlNANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO. I �RF�AT����
0
�B]' � DATE ftECE1VEO I DATH IBSUE
BUILDING
ADDRE56
COSTA MESA,
FIRE
ZONE TYPE
APPROVED
�ece�
aoNiN�
NO. OF USE OF NEW S/pi
PlAN6 � BUILDING ��e�t
[�r 3��rR y�oa
� (CENTER LINE BTJ �
FRONT �
R. SIDE 3
L. SIDE '�
A�eA ,, yd
�1 HEREBV ACKNOWLEDGE TNAT 1 HAVE READ THI9 APPLIWTION
AND 9TATE THAT THE ABOVE I6 COR��' AND AGqEE TO COM-
PLY WITH ALL CITY O DINANCE6 ANP BTATE LA 8 R ULATIN6
BUILOINO CONBT@��N. /)
e AUTHORIZED AGENT
)�3�
'/7 /� --coi/-�.u.da
TXE AMOUNT BHOWN UNDER VA
PURP08E OF EBTqBLiBH�NG q
� �%/ Q �J`l� PLAN CHECK
/ otti-
_ ,,. �-,,,�
IB FOH THE
IIT F6E ONLY.
.� /I� N
Y
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