HomeMy WebLinkAbout2362 FORDHAM DR - Building Permitsb :.
Job Address: 2$s2 FORDHAM DR
Suite:
Viciniry: RESIDENCE AND ATTACHED GARAGE
Primary Occ: R3 Dwellings/ Cong Res <10 Type of Conslruction: V-N
Parcel Number: 14148206 Zoning:
Applicant: HAMMARSTROM, HOGAN
Address: 18903 SAN CARLOS ST
Owner:
Address
Coniractor:
Address
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'lan Check: 3
Permit. ;
SM I P' Res: :'-
SMIP Com i
Other.
StaWs: ISSUED
Applied: 08/09/2005
Issued: 08/09/2005
Phone: 714-655-2231 ISSUED BY:
FOUNTAIN VALLEY, CA Zip: 92708
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HANSCOM, GORDON ; �' �� `� � � ° �
2362 FORDHAM DR � �'�` � ,". `� `-" " �""II` � '
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Phone Sy� ' ` � �
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COSTA MESA, CA �°i � . � j Zip 92626-6318 ry5 �'
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ABSOLUT:ROOFINGCO �=`, �,�- LL"` F ; "
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18903 SAN CARLOS ST ��" �� . ��;� �y �
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Phone: 714-655 2231 ,..�,., � �� e
FOUNTAIN VALLEY, CA� ` � � � �''
92708 � �" �-� Licenae: 761118 �� �� � �-_
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SETBACKS � �
MAINSTRUCTURE Fiont 0 0 ''q
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ACCESSORY ���" Front ��0. 0-
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R'30# FELT,�APPLY CLASS A
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or If work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2466�46(N00)
WORKERS'COMPENSATON DECLARAnON: —
I hereby efrirm unaer penelty of Derjury one of the following tledaratlans: �
❑ I heve end wlll maintain e cerllticate of consent to self-Insure lor workers' compensation, es provided for by seqion 3700 of the Labor Code, for �he pertormance of the
work for whith t�is pertnit i5 Issuetl.
�heva end will maintain workers' compensation insurflnce, es required by section 3700 of the LaDor Gotle, tor the pertortnance ot Ma work for which this permit is issuetl.
y workers' wmpensat�on Insurence carrier and Dolicy number are:
Gerrierv�T/97E. '�'Vi.17 P.olicyNum �S�'�SSD
(Thls sectlon need not be comp/etea 11 Me permlf is velued et one hundred dollars ($100) or less.)
❑ I certity ihat in tha pertortnence of Ihe work for which [N5 pertnit is issueQ I shell not employ any parson in flny mannar so as to bacome 5ubjeM to the workers'
compensation laws of Califomla, entl a ree ihat If I should ecome subject to ihe workero' compensatlon provisions of Sectlon 3700 oi the Lebor Code, I s�ell torthwith
�'.omvly�,�tn tnesgpf�vlsiAns. �/
Ap�Icent�Slgmature: ` lL.! �.l'il� pg� ;�'i/� 'L/ •O.T
�ARNINO: FNLURE TO SECURE WORI(ERS' COAIPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FWES UP TOONE HUNDRED
T110USAND DOLLARE ($100,000). IN AODIiION TO THE CQST OF CAMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECiIIXJ 3']O60F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLAHATION:
I hereby aflirm thatlam licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3
iorce ena ettect. L�a.tl� `� tn I 1 I R
conc;crss��P �.� i�,i..�iv.s-.=
Cotle, end my license is in full
CONSTRUCTON LENDING AGENCY:
❑ I hereby affirtn thet ihere is a wnsiruction lending agency for the performance ot the work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lentler's Neme: Lentlefs Atldress:
Signeture: Daie:
OWNER-BUILDER DECLARATIONS:
I hereby atfirtn that under penalty of perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW far the fallowing reasan (Sec. 7031.5, Busineu end Professlons
Code: Any ciry or counry whic� requires a pertnit to construct, alter, improve, damolish, or repair any struciure, prior to its issuanca, also requires the applicant for such permil
to file e signed stetement that he or she is licensed pursuant to the proNsions of the Contractore LJcense Lew (Chaptar 9(commencing wilh Sectlon 7000) 01 Division 3 of ihe
Business end Professions Coda) or thet he or sha is exempt thereFrom end the basis for the alleged exemption. Any violation of Section 7031.5 by eny applicant for e permit
su6�ects the epD�lcent to a civil penalry of not more Ihan five hundred dollars (5500).):
❑ I, es owner o1 t�e properry, or my employees wlth wages es thelr sole compensation, WILL DO THE WORK, en0 the siructure Is not Intendetl or oHered tor sale (Sec.
7044, Business and Professions Coda: The Contractors License Law tloes not apD�Y �o an owner ot property who builds or improves ihereon, antl who does such work
himselt or hersetl or through his or her own employees, provitletl Ihat such improvemeNs are not intended or oflered for sale. tl, howeveq the Duilding or improvement is
sold within one year of completion, the owner-builder will have ihe burden of proving ihat he or sha Aitl not build or improve for purpose ot sale.). '
❑ I, as owner of the pro0erty, em EICCLUSIVELV CONTRACTNG WITH UCENSED CONTRAC70RS to consiruct the projea (Sec. 70a4, Business and Professions
Code: The coniractors Licanse Law does not appty to an owner oi property who Dulltls or Improves ihereon, antl who coniracis for such pmlect with e contrecior(s)
license pursuant to Ihe Coniractors License Laws.).
❑ I em exempt under sec.
Signature:
Owner ID venfied by dnvers Ilcense. ❑ Ves ❑ No
Business and Professions Code for this reason:
Vedficatlon of Ownership by (type of documenL i.e. - property ta�c bill or tleed):
DIVISION OF INDUSTRIAL SAFETV PEHMR CERTIFICATION:
Drivefs License No.
Data:
Expires:
❑ I hereby certity that no excavetion five (5) or more feet in depth into whlch e person is required to descentl, will be made in connection with work euthorized Dy ihis
pertnit, and that no building structure, scaHolCing, felsework, or Cemolition or dismantling ihereoi, will De more than ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tltle 8, Califomla Adminisirative Code).
❑ As owner-builder, I will not em0loy anyone to do work which would raquire e pertnit from the Divislon of Indusirial Safery, as noted ebove, unless such person hes e
pertnit to do such wark irom the division.
Signature: Date:
Division ot Indusirial Safery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AIfiHORVA710N OF EMRY: I certity untler penalry of perlury that I have read Ihis applicetion and state that the infortnation given is
wrrect. I egree to comply wlt� flll state laws end ciry ordinances relating to building consiruction, end authorize representatives ot the Ciry ot Costa Mesa to enter upon ihe
ebove-tlescn6ed property for inspection purposes. I egree not to occupy or ellow occupancy ot any building euthorized 6y ihis permit until (inal inspection.
COOE �. INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 FIneI BIocWRetaining Well
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
PA� �4
rQs�
CO�E� INSPELTIONTYPE
9 o f 1e�a
( —oa�g
4Ag ltff��65
206 Final Mechanical
208 Final Plumbing
210 Final Electricel
212 Finel Fire Pravention
220 Finel Planning Approval
222 Final Slte
250 Final Building�Occupency
I ADUHESSOfBWLpNO: Z3�jz FORDHAM DR�
rxxexsruuEiv�v,vnr+: HENURICKS, ULRI}(E SCHWARZ
mo�ss HENDRICFt5, WILLIAM SCOTT
236"l FURDHAM DR
COSTA MESA,CA 92626
�av�. Yuuxc �oon�.ss: �
ARCNRECT OR FNtlNEEH:
AqCX.Oq QM.'S AODPE55:
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cartnurarsruxE: CRANK bROS RGOFZNG CO ( 714 ) 548-5569
cartn�croxsxuurx+ 12b COMMEkCIAL WAY
,�ooxess: LOSTA MESA CA uc.ra: 408677
� 916 2 7 uxr:
LICENSED COHfflACTOFS OECLAflRTION: I Mreby ell'rm uMm penely d parjury IMt I em Icenxd uMa pwieiwu d Chaqa 9
(mmme�x.irq hilh Saction )OOU) d Orv'xion 3 d Iha Busi�wes arM PMeaaona Code. eM mY �� n in hp twce vM ellep.
cmuc.No.:005993 uc.cuss: C39 uc.No/.J: 4086/77 EXP: 06/9$
��� Y .. %i Cl r � % /^ �1 C �i/�/Jl %i -�Ai�s
OWNEN BUILOEN DECIAflATION: 1 M�aby alA�m uMx panely d perjury thm I em e�emp Irom �M WMreqaa lkeroe Law la ihe
•olbxiq reawn (Seaion )0�1.5 &uiness eM Prdeasona Cade: Any cAy a muny whitli rpuiree e pe�mu �o mreWn, Mx, improva,
emd'oh, a rapei any st�uctun, pria b Ya'vaueMe, etvo requiias iM applimnt fa mch peimillo fib e egmE etelemaN ihal M a aM
n liceneed pursuent lo iM provisiare d ihe Comrenan Licenae Lew IChepter 9(cammeniip xith Setlion 10W) W ONebn 9 d tle
Buznees aM Adea'v�+ Code� « �het he n ehe b a�emq �heraimm erd tM bevi� la IM dbped azemqbn. Nry volmion d Seaion
]031.5 by eny epplicenl for e permil eubjec�a iha eppl'rant �o e avil perully d �wt more Ihen IMe �uMred ddlen �SSW��.
� 1,69oMIBfO��hBp1OpBl1y0lTyBT�'/BB9WYhW9UBH991h6f89�BCq11�10119BI1p1,WIAdONlMq�l,B1141�MlINC1UlBGlMINBIIdBd
«arterea �ar w.lsxiion �oa. ausiiwss end aiaeaeiomcoae: rnacomreaas Limeue Ler doe. nw wdrm an uwrie.d wow�r
who buAda or impmvee Ihereon. end who daes euch woM limaall «MnM a IMaqh hu a her own mmplv�me. prwitled ihet ach
impwemema ere nd inleMeE a Wared lor aele. tl, hawever, �he buiWi�p a'unqwemeM u eold wilhin aa yeer d complMion. ihe
owiwr-0uilder vnll have the WMan d pwiip M w ehe d'd iwl buik a impaa lor �M qvpoae W eeb).
❑ 1. ss awrrer M the poperry. em exdw+dy mnvm�q xnh limnead wnvecbn lo mMrW ihe pojea (Setlion ]O/l. Businma end
Proleasiom COEe: TM COMredae Licensa Lew doee m� epply to en ownar d pmperly who WiWe w imqwee Iherean eM wlw
contrens la suM pqeaa xiN e mnvetla(a) licenud Wnuent to tM Cantredae Liunaa Law).
❑ I am ezmmq uMu Sectian: B. 8 P.C.. br Me imsm:
Dma: O+mer:
i m n.re�r �enM iw i em e.de a.�e waa.�a,e me rea��mm�v d creomu Haedn ena sdery coa, sea�. zssos. zss�, ena
25594. end ihm I rn enY Mure Wiki�p ampen� will / wil nd (a�cb aro) need to canpy wY� aek pela mEea W IM'xryiremaMs M
epermnloromst�uclionamodihmionhaniMAiaueT�y anepememDimria.Reeidaniielwnq�uqioneppYCY'vwareezemqtrpn�hme
provisions. .
Deie� ApplceM:
WONKER'S COMPENSATION DECLAH�TION: 1 MreEy etfi�m uMer qrehy d perjury aw d ths b4owirp Mdeietiom:
❑ � nev..�a m� meimao a�aerrm. d omxni �o sen:raure ror.on�d: wm�mamdion. m nw�dee t« M seeion a�oo a m. �mc.
c�. i« ina rono�� m ub woa m� ww�n m�a va�n �. ��aa.
Q I heva eM vril mein�ein workeie' wmpemeiion insureMe. a� raquired by Seqion 3]OD d Me labor Code. br IM peAormvw d IM
w«k fa wh'rh Nia permil is osued. My wakera' mmpaiue�ion imurerce urrbr ard poliry number era:
carri<r: STATE FUND EXPIRES
adKy N�mna.: — 4 '. L Q 1/ � 1/ 9$
�This mcYim meL raf 6e mnpble.f / fhe pwm't o/w an hundrsi dolbn /StpD/ a bn.) �
❑ I eenty Nat in Ne pe�iwmeriee W �M woek la whch Ihie pe�mn ia iaeuad. I ahdl ml mmpby enY Po� in em/ mennor m m to
become eubpd �o Ihe xoMn' compammion lewa d Celilomie. eiM1� Mep�ree th�elyGn I ahayMP��becams eubptl to ihe xvken'
c«nGammion povlaions of Seamn �)00 d �M Lebo� 1 f/ T!/ h,/ /L�C�l�(/
.�'7 A-2 `i- 'Z� „�
-Waminp: FeNun ro�zuro wolksr�' comperuetlon rovereps h unkwNl, entl �hell aub�ecl en employer ro eNMlul pen�Mu eM
elvll Ilros up ro ms huiJlstl thouserd Oo/Mn /SfOQ000A In Malfbn ro tln ewt ol ronperwtbn, dslmpos u provMM br In
Sxtlon �NS ol U�s Lebor CaW, /nMrost, siW ettomsy� lesw '
CONSTNUCTION LENUING ACENCY: I ha�eby alfirm unEer penaM1y d parjury �het �Mre ie e mnatrutlim brMi�p epenty br tM
�enwme�m d ma wA ror wniw me wmi� is �m�ee (seaon 30g). c'r.. cl.
IENDEN'S NIUIE:
LENDEP'S RODNE55:
I ceniy Ihet I heve reed thia epplcetim end a�me Ihm Ihe abova intarmetion is cwren. I egrae to compy vM� ell dly eM cauMy ordinentts
BIM 919�91GN91818�sp 10 WtIQTg ttMSV WI011 Blld hBlBby ONhpRB IBpuenl8�ivpd O� Ih6OOty�O MIH IIpM 1�18 9bOVG1MMOfIBd propelly
In� nwnvYm ninmena
�^ 15151 dB.W P) Whn�Buikiq 6 Sdery: Greert-Fle: Cerery-ADG+�: Rnk-Revenue: Goldenro�beeew
\
CITY OF COSTA MESA - BUILUING PERMIT
F�ERMIT NO: B 089967 yLAN CHECK NO: N
CONSTROCTION TYPE: V-N PERMIT TYPE: STR
JOB DESCRIPTION : kEROOF ADDITION W/CAPSHEET HOT N,OP
PERM NG: B 0844b��'
GOVT: N SUPP; N
PURPOSE: OTH
SQ FT: 1,185
c:LAIM VALUE: 1,185.00 CALC-VALUE: 1,155,00 GRUUf� OCC: R-3 /
COMMENTS: SMORE DETECTOkS ARE REQUIRED IN EVERY HELRGOM & HALLWAY" '
**�*�*��***�r*�r��**������**����****x�**���**�r***��*x�*�**�**�r��*�r*+�*�x**�r****,�**�r
Z U N I N G it E Q U I R E M E N T S
S E T B A C K 5
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ: PROV: PARCEL: 14148206 ZNE; REF T10 �r
PLANNING NOTESo
"� ,
1k 1E iF �1E'k �lE if �F 1f iE if ff 1E iE A 3t'14 iF ik ]k ik ik'k if� iF iE iE iE 1E 1E iF i(� fE jE �E �E iE')f iE if iE ik iF iE iE 3f 1f iE jE if 34 �E jE 3F �E �k iE iE �k?f iE �k 3E fF iE iF iE dE,i� 3E �E 3E iF jF iE 1f iElE �t
D E V EtL O P M E N T S E k V I C E S R E Q U I R E M E Nr,'T S
^L,._ /
ZONING AF�ROC�ED bY DATE: l
�L?.
HUILDING APPROV�ED HY : DATE: �1� �j
APPLICATION ISSUEU bY: DHTE• �� � /
3E3E'1f3EififiEie�fifiEiGifiEifiE�FiFiEiFfF�F3Fir�F3FiFiF3F3FiFiFiFiF iF�FiFiriFiFiF�F�iiF'ir�F3E�tiFiFiefF%�F�iFif*i'tfefFlEiEiF�E * �e kii
LEGALIZATIUN:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECI-IANIC FIRE SMIP/RES GRADING
PERMIT q0.25 .50
SMIP/NON-RES
PLAN
ISSUE FEE
BUILDZNG-DIV-> PERMIT ISSUE YLAN-CHECR TOTAL PAID DUE
TOTALS----> 40.75 0.00 0,00 90.75 40.75 .pu
REVENUE DIVISION TOTALS--> COLLECTED: 40.75 VVER/SHGRT: ,00
BLDG F'MT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
90.25 ,50
dE ie iE if iE iElE 1E �E iE iE 1E 1F iE 7F iE fF iE fE if if iF iE ie iE iE if iE iF iE 1E iE iF iE iE iE if 1k 1E iElE iE i! jE i! iF jE 1E iE iE 3E iE if iF ik �E fk iE jE 3f fE if iE 1f if iF jF i4 iE jE iE ic if 1E iE if YE !E iE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E 5 C R I P T I O N UNIT COST TOTAL CUST
SFR 1185 REROOF BY VALUE kESIDENTIAL NOZONE 1.00 1,185.00
END OF FEES
08-29-1997/22:43 H�/f40.15
RCPTq;61 uG1154i
�'EF<h3 T T e 684461
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CONSTRUCTION AND PLANNING � � "
f Date Inspector � ,� Date Inspector
APPROVALS Permit # � J . APPROVAIS Permit #
J�
1. Temporary Electrical Service or Poie . � 52. Pool & Equipment Location� � - '
. f
� � t �
. 2. Soil Pipe�Undrgrnd. ' � � 53. Steei Reinforcement . . � -
3. Electrica� Conduii Utility-Undrgrnd: - � . � 54. Forms � � ' �
4. Electrical Conduit-Undrgr,nd. � � � � 55. Electrical Bonding ' ��� - /' �
i..
5. Steel Reinforcement �'/' ' 56. Rough Plumbing & Pressure'Test �;
6. Electrival UFER Gmd, .- 57. APPROVAL TO COVER�GIJfVITE �� .•
7. Footings i� �, 58: Electrical Conduit-Undrgmd. � ;�,
8. Foundztion , � � � . 59. Gas Pipe, O Undrgrnd., �Test � � � � � �
, 9. Water Pipe-Undrgrnd. � _ .60. Backwash Lines, P�Trap, �,�ndrgrnd..
10. Structural Floor System -- � �67. APPROVAL TO DECK . � _
17. Property Se.ver Line_& House Connection _ 62. Backwash & Receptor-Fiaal•�� �� _ �
�i.
12. Sewer Cap - . � � " - _63. Heater & Vent-Finai � ' � .�. !
13. Roof Drains ' � � .. � 64. Plumbing System - final '�� '• " . �
14. Rough P�umbing •� , ' . _ . 65. Electrical-Final � � y
n,
� 15. Rough Electrical-Conduit . . , . _ � 66. Solar SYstem-Final - �'� � • .'
16. Rough Elearic Wiring ' � �67. Fencing & Access Approval ' � ' � �
�
17. Rough Wiring Sign � ' - �68. APPROVED FOR PLASTERING �� .
18. Rough Electrical�T Bar Cei�ing • 69. POOLISPA SYSTEMS FINAL ��• �
- 79. Rou h Heatin��&'Air Conditionin � � � � � y � -
9 9� 9 ' - �� � FIRE DEP'i. REQUIREMENT` �� �
20. Rough Pacmry Fireplace APPROVAIS Permit # ,
21.'Ducts, in Struct�re . � + �� 70. Underground Hydro
22. DuMs, Ventilating �, 71. Product Pipin9 O Gas � Oil
23. Gas Pipe-Rough &�Tesc . . 72, Underground Flush
24. Roof Framing � , 73. Undergmd. Storage Tank C Gas � Oii
25. Roof Sheathing . �-��'q'j ��� � 74J Overhead Hydro
26. T-Ba� Cefling SScruauraq & Manocoac ' . 75. Dry Chemical ' �
27. Frame and Flashing . 76. Dry Standpipe � �
28. Lathing & Siding • 77, FIXED SYST=M FINAL
29. Insulat�on . . � � � 79. FIRE PREV. FINAL �
30. Drywall Nailing HEALTH DEPT. RE�UIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electrical Power t�leter-Final 80. FOOD CERTIFICATE ISSUED
33. Final E�ectric � � � Nores: �
34. Final Heating & Air Conditioning (/1 ._ '
35. FInaI Gas Pipe�Test ' , -
36. Hood or Canopy � �
37. Final Factory Firep�ace � ��
38. Final Plumbing �
39. Water 5ervice�final ' � -
40. Gas Service�Pinal - � �
41. Solar pomesticFinai � � �
42. BackflOW Preventer .
-43. Backfl0w Irrigation .
44. Landscape Irrigation SYstem � �
45. Sound Attenuation _ ,
46. Handicap Regulations . �
47. FINAL STRUCTURE & BUILDING q Y-�� ��
48� FINAL PLANNING � �> � �
49. Electric Release to Edison �
� . •
50. Gas Re�ease to Southern California Gas Co �"'
i
511. CERTIFICATE OF OCCUPANCY _�
No. Date '
��'��'"�^ / %� �
19 � 07 � � � ;(►�� � ,
.'�1, - '�� ` / _ _ _
G4'.:' ' • • _ _
/
Test made for
Job Identification
Location in Structure
COMPRESSION TEST REPORT
Fi. F. Sproul, �723 Thurber P1., Burbank
EDWARD JOi'i�iSOid � 2362 "ordham, Costa' h;esa
4-Star Gunite �
BOND BEANi ( DEEP END COVE (Blue Haven �'ools
u
_- — _, ._ _. _ � __�_ . _ i.ABORATORY DATA �
Laboratory Number 19760
Mark
Datemoulded 8/29'60
Date tested 9/5/60
Age, daya 7
Weight percu. ft., lba. '�
Dimensione, (inches) 6X12 .
Area� eq. in. 28 . 2%
Compressive 3trength
Total Load Ibs. 55�000
Lba. per sq. in. 1� 9�* 5
Ce�ment
Sand
No. 4
No. 3
No. 2
Water
1-II,F, SpToul
1-4-Star Gunite
�..--�-Costa t�iesa Bldg. Dept.
s3
235 WEST TWENTY-SEVEt
FIELD DATA
Specified Strength @XLS days 1000
Slump .
Admixture
Ready Mix Plant
Cyls. made by
Date cyls. delivered $/29f 60
STREET
�€�P 12 19G0
City'9f.�a PAesa
� Bulding Dept,
Reapectfully submitted,
RAYMOND G. OSBORNE LABORATORIES, Inc.
$y-----� • - -. ....• - --� -- -- ��--•------- �
. �
LOS ANGELES 7. _IFORNIA • RICMMONo 9•3111
OWNER Cnst.a MP.Sa ESt,3t@S � - DATE 4-12-56 -
JOBADDRESS 2362 Fordham Drive BUILDINGPERMITNO. 2636
/ �
F" -4RALCONTRACTOR Roven-Spiegel Co VAWE $ �.�.�ZOO•��
LO�Y 36 BLOCK TRACT 27SO Single Res W�Btt g8P
GROUP I P� J
INSPECTIONS
Footing Trench
Foundation Forms and G
Rough Framing
Plumbing, Rough to Slab
Plumbinq, Rough Compli
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final
Sewer, Hous Se�
� TankorCesspool
La__.na.ln O
DATE
PERMITSISSUED
SUBCONTRACTOR
DATE I NUMBER
�13�r�a � �e�0/ —
Plumbing, Final, Fixtures Complete/�fl� $ S',3 s7
Plumbing, Fin,al GasTest/S /VJfj,s S',j 'S J S —�` .
Wiring,Pinal ��Y 1 957 ��g _
Occupancy ���G S ,�/ ��—f )
�FORM 210 3M 10�•u5 -
� Costa Mesa Bnilding Department AI'PLICATION FOR PERMIT
N1 EAST 20th STREET ���� B� , D i N G �
� _ �j ^ COSTA ME$A� CALIFORNIA
FOR OI'FICE USE ONLY
-"'FOR APPLICANT TO FII.L IN Receipt No. Permit No.
'e�nai�s . � .. , ' 3 (�
Addre �1 .. Y �.Gd`rCYi"% !/��/
� 3�p�aiO3t9, 8S&� Cia�011ll& Received by /Date Rec'd. '/ Date Issued{'
wi—___� I ./L�-F�' 7 =/�G' �G `f /L -.1 G9
Owner �n%�jt- ���� �
ndare:g.�'�i� G��• -�' �' � -
citr �a •�/G��i 'i�
Arohitector��y�� ��
Engineer ' �
Address ��U��� ���`
ContraoYor���l-r� �
Address,/�'�b �'3 �c� , ,
Legal Lot
Description No. � Block
(Attach Metes and 6eundel i%'«-
Size of Lot (O�%Xi
Use of
irom 5 � / �_
Aiteration
ish
Costa Mesa, California
CORREC�'IONS
y �t � � '
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-�s �
=?1'�;��r„ z
�
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r D
+U�I ��i��� �
Building 2 / No. of
Size JX (R�V Rooms � Stories �
Exterior Wall Roof " / ,C
covering S�U�' � covering 5/�j� FL^� APPjiQV[]j�s
Use of Ne����� /J _,��. x��j�� poundation Location Inspector
Building �r�G ��l Farms, Materials,
p , l�� � �-G 4GZaj Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application
and state that the above is correM and agree to comply Lath. Int
with all City Ordinances and State Iaws regulating
building construction. Lath. Ext.
Signatureof �� ��_�, ^T
Permittee '� � �����/�� plaster, Int.
Authorized Agt. � _.�1��!!� p�as}e�, Ext
Valuailon P�mit Fee $ ��— Masonry Reinforced
as� Plan Check $ � � gond Beam
$ '�% Z���� Total
Fee $ � FINAL
RM 206 F-AP 2M fi-FS � ' � .
Date
JOfiNSON, E. -
JOB ADDRFSS 2362 Fc
GENERAL CONTAACTOR
'ECTIONS
OCCUPANCY
AUG 2 9 1961
DATE
SUBCONTRACTOR
DATE 8-15-60
BUILDING PERMIT N0.
PERMITS ISSUED
- 6c�
Form 210—SM-11-59 5-B P 12681�
i
� 12�i8�
CQSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9f7 C09TA MEBA. CALIFORNIA
For Applieanf io Fill In Completely
2
�
2
�e_»�7.�:a.ir�
STATE � TEL. � �/ D (
LIC. NO. — NO. O
SIZE F ' D I Na. Oq B�ooe.
OF LO J Now oN LOT
USE OF ^
EXISTING BLOG.-
SflTBACK LIN6 PROM
cexTew oF s'rtteer REAR YARD
SIDE YARD ILEFT IRIGHT
DESCRIPTION OF WORK
7. (p / � r� ROOMS
WALL� IROOF
1 HEReBY FCI(NOWLEDGE THAT I HAVE REA� TH19
AND 9TAiE TH�T TXE ABOVE I6 CORPECT ANO AG
PLY WITH ALL CITV OMINANCES AND ATE Lr1WE
BUILDING CONBTAY ON. +
SIGNATURE OF 1
PERMITTE � _
AUTHORIZED AGE[IT �jl.<L/G
FIRE
ZONE
APPROVEO
BY
ZON¢ n �
V�1
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��yU^1619�0
/; IR ��.�rC pD _: �'C.pp
1i�11 \�� LiQJtl1 �Y�L.Ji1
APPLICATION FOR PERMIT
suao�N�
For Office Use Only.
RECEIPT NO. ..PeRMIT NO.
OA � � � J
Y I O� I.��'�'L /J I O D� l S~�e�/� L
NO.OF U6E OF NEV{�
PLANB BUIIDINO ;
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fCCMCR LINQ BTJ
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7
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'L"OM_ THE RMOUNT BXOWN UNOER VALUATION IB FOR TME
.TING PUw'OSE OR_ E9TABL19HING A PERMIT FEE ONLY.
//, VALUATION /)
_ 1/ . PERMIT FEE $ ! OI �-
V•�\Q �
$��� �� PLAN CHECK S `� I �
J TAL FEE � �
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