HomeMy WebLinkAbout3357 FUCHSIA ST - Building PermitsPXOJECT AOOflE55: �
OWNEP'S NAME: MR ,
aooness: 3 3 5
COS
�,
FflCM/ENGINEEfl: � 7 1
' aonness:
FUCHSIA ST
YLE H, GORDON
FUCHSIA ST
MESA
626
751-7329
HEG.NO.:
UNIT:
UNIT:
`, PENMITTEE: CRANK BROTHERS ( 714 ) 548-5569
aooxess: 126 COMMERCIAL WAY
C�O�TA MESA CA 92627
ULENSEO CONiNNCTO OEC NaTION: I hereby aifirm inat m Iicense0 un0er O�ovisions o1 9(cammencing with Section
7000� of �rv;sion 3 of Ihe Business ana Pmfessions Cotle. an y license is in full force antl ec
c�.vuc.:805993 STRTELIC.:qO86-� ciass: C
Date: �— Signa�ure:
WOB COMPENSATION UECWflATI�N: I her af' m that I have a certificate of consent m seli-insure or a cenificate af Workers'
Compensalion Insurance, or a ceniliea copy �her I � Iion 3800. Lab. C�.
roucvNo.: 285-93UNIT00 4 E%P.OATE: OLIOLI94
comraxr: STATE FUND
❑ Ce "etl'coOY is hereby Wmished. �j Cetlilied caDY is IileU with the city Builtling Division.
ate: ' / �'� APPlicant: �c�� /'�j�0 S
E%EMPTIONFqOMWOBHEBS'COMPENSPTIONUECUflATION: (Thissectionnee0no�becomplete�ift�epermitis�oronehuntlretl�$1W�orle55�.
I cehify Iha� in �he Dedormance o� Ihe work �or which ��is permit is issued. I s�all not emptoy any person in any manner so as �o become
subjec� to Ihe Workers' Compensa�ion Laws oi Cali�ornia.
Oale: SignaWre:
NO710E: If. after making ihis tleclaration, yau shoultl become suhlect to ihe Workers' ComDensation pwvisions of Ihe Labor
Code. you musl fonhwilh comply wiN suc� provisions or this permii shall be OeemeO revoke�.
CONSTflUCTION LENOING RGENCY: I hereby attirm I�ai there is a cons�mc�ion lending agency �ar the pertormance o� [he work �or
which this permi�is i=suetl (Seciion 3097. Civ. C).
LENOEfl:
ADOflESS:
OWNEB BWLOEB DEClABR7lON: I herehy affirm ihat I am exempt tmm the Contractors' State License Law for the follawing reason
�Seclion 7091.5 Business antl Protessional Cotle: Any cily oi coun�y which requires a permit �o constmc6 alter, impmve, tlemolish, or
repair any simcture. prior to its issuance, alm requires �he applicant for such permii m lile a signed statement t�at helshe is Iicense0
pursuam m �he pwvisons o� ��e Comraclors' S�a�e License Law (Chap�er 9(commencing wilh Section 7000) of Oivision 3 ai ��e 9usiness
an0 Pmfessions Code) or Ihat helshe is exempt Iherefmm an0 ihe �asis for Ihe allegetl exemption. Any violatian o� Sec�ion 7031.5 6y
any applican� for a Oermit sublecis Ihe applican� to a civil penally of no1 more Ihan �ive hundred dollars (E500�.
I. as owner of tne Wopehy or my emptoyees witn wages as iheir sole comDensation, will tlo ihe work, anU the
❑ simcture is not inten0ed or olfere0 for sale (Section 70a4, Busmess and Pmfessional Code: TAe Cantracrors' State License Law
tloes nol appry m an owner o� a pmperty who builAs or improves �hereon, antl who does such work himself/hersel� or (hmugA
�is ar Oer own employees. pmvide0 thal suth impmvemenls are noi inientlea Or o�fere0 for Sale. I�, however IAe 6uilding or
impmvemen� is sold within one year at comple�ion, the owne� will �ave ��e �urden o� pmving he/she Oitl noi Duiltl or impmv¢
lorlhe purpose of sale).
I. as owner ol ihe pmpeny, am exclusivelq contrac�inp wi�� licensed conVac�ors �o constmct �he pmlect (Section 7044, Business
L� an0 Pmfessions CoOe: The Comracfors' Siate License Law does noI apply �o an owner of propeny who bw105 or improves thereon
and who con[rams �or SUch O�oletls wilh a conVacmr(s)licen5e Oursuan� to ihe ConlfaClors' S�a�e Litense Law),I,am aware
Ihal pmo� ol �heir Worker'S Compensa�ion insurance shoultl be pmvided lo me.
� I am exempl untler Section'. B. & P. C.
Ior inis reason:
�ate: Ownec
I tlo hereby cenily Ihat I am aware o� an0 untlerstantl Ihe reQuirements o� Calilornia Health antl $a�ery Cotle Sec�ions 25505, 25533, and
25534 ana I�at I or any lulure 6uiltling occupant will/will not (circle one� need to comply with said state codes an� t�e requirements tor a
permit lor consimc�ion or motlilica�ion �mm I�e Hn Ouality Managemeni DiSVici. Residenlial conslmciian applications are exemp� Iwm
IheS¢ pfovl5ion5. '
Da�e'. Appl¢am:.
I�ereby cerli�V�hal I have read Ihis applica�ion anA stale
ordinances antl stale laws relaling la builtlmg cans�mction a
pmperi inspection purpose
Da1e: r �� Signatur/e:
�nver'S Licensa or Social °ecuriiy p: ��
inlormation is correcL I a mg�ym�Jlh all cily an0 counry
�rizerepre5enia�ive5 0 �a en}CFypQn�he above�mentioned
t641-afi WOne—Builtling; Green—Cotle EnforMnenl; Canary—AOP�icanL Pink—Revenue; GolEenro�—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO; B 063726 PLAN CHECK NO: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR
JOB DESCRIPTION ; REROOF W/FIBGLS SHINGLES O/EXISTCOMPO
CLAIM VALUE:
3,877.00 CALC—VALUE:
J
PERM NO; B 06372
GOVT; N SUPP: N
PURPOSE: ALT
SQ FT;
3,877,00 GROUP OCC: R-3
3,877
/M—i
COMMENTS• SMOKE DETECTORS RE�UIRED PER QHE 1991 EDITION OF � E�U��������i^��
�r*�r�r�r*�r*�r�r�t�r�ex�r**�r��t+r�t�t**�r�t�t �r�r�r�e*�t**+t+r�t�r�t�t�e�r�r�rx*****�r�rx�r�rx 3EJ
Z O N I N GS ERTEB AUCIKRSE M E N T S
�EQUIRED
------------ MAIN BUILDING ---------- ------ ACCESSORY BUI DING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGAT: FT IN LEFT; FT IN RGHT; FT IN
PARFtING REQ• PROV: PARCEL: 00000000 ZNE: REF NO:
PLANNING NZ3T'ES> .
i '� � _
*�t�r*�r�e*�r�e�t*x�r*****�r�e*�rr***�r�r�r*�r*x�r�r�r***�r�r��e�r�r*�r�r�r*�r�r�t�r�t�t�r*���r* �t**,r�r***+t�t*�t*�r��r
D E V E L O P M E N T S E R V I C E S R E Q U I R E E NFT S
Cl /`.
ZONING APPROVED BY DATE;
BUILDING APPROVED BY : DATE;� �-'
APPLICATION ISSUED BY: DATE;— �� 3 v ,�
iEififififiklF�flFlf�fifiFif�FiE�EifiFiE3Eif ifiFifiEiEiEiFiFiFiF iE1E
if�titikkiFififkiFiEififiFitiEiFif�EiE�E�f�EiliEiE�E�Ek�E�f�E�EltifiEifif�ElfikifiEitlF�Fif iF�FikiEif�EiEkiFkiE#ElEiFiF�EiE�tiEiE�ElEkiFiliF3EifiEit
LEGALZZATION;N F E E S U M M A R Y „STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE� SMIP/RES GAADING
PERMIT 63.00 • " '1. ":50
SMIP/NON—RES
ISSUE FEE �?-� /r rr
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL •�' � PAID DU
TOTALS----> 63.50 0,00 0.00 63.50 t'63.50
�
REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT;�' ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT-i'GRADING PLAN—CHECK
63.00 .50'- � •
�/ � `_
1E iF if ikif iEiE iE if dE iE if iF if if �f if if �f iF i! iFiE iE �f �EiE iE if iE �EiF iE ik IF �EiE �E �E if �E af iFif iF iF 3f iE k iE iE iE if iF if iE 1E iF iFiFlE iE�f �E iE iEiF iF�E �F�F iF iEiE �f �Fli iE iE
I N D I V I D U A L F E E B R E A K D O W N N
r .
TYPE QTY D E S C R I P T I O N UNIT'CO�- ; TOTAL COST
SFR 3877 REROOF BY VALUE RESIDENTIAL N020NE
END OF FEES
1,
!'�
3,8; 7,00
:� \
�r � �•
( . °'
' % , .�
D1 �01454`3=Q014595,, T
DATE: f13/30.�93 T317E: 11
63.50
"�-'�+ - - POOL,` .4 .
CONSTRUCTION AND PLANNING - �
Date I�spector � Date Inspector
APPROVALS Permit #' '� - __ APPROVALS Permit # _y
� v .. ` '
1.� Temporary Electrical Service or P.ole :_+ �v 52. Pooi & Equipmeni Location � - '�
2. Soil Pipe�Undrgrnd. � ..,�:� � �,,;, ' _ � r
- �.. � 53. Steel Reinforcement'
3.'E'lectii�af Condu�t UtiViiy-Uncjrgrnd:� � . 54. Forms j �
r �
:` ..
�� 4. Electoical Conduit•Undrgmd � • • _ • 55. Electrical Bonding ' -
• 5� Ste�rl,�einforcemElat'' u - .,;' � 56. Rough Plumbing & Pressure Test �
�- 6._,�lectrical UFEFi�Grnd. �� /c 57. APPROVALTOCOVER�GUNITE � �
�-7.�Rootirtgi '"'; - •'' 58. ElectricalConduit•Undrgmd. ��=
� � c � � '�
. f���oundation '-'i '.���. , 59. Gas Pipe, O Undrgrnd., Test �'� V' `
� 9'� Wate� Pipe-Uadrgmd. ' ��,. 60. Backwash lines, P-Trap, G U�drgrnd. !
10.� Structural Floor System ! ." ` 61. APPROVAL TO DECK
1 t. Property Sewer LinG$ Hoyrse Conn�ction �., -� 62. -Backwash & fleceptor-Final �f
72. Sewer Cap �..y � �• 63. Heeter & Vg�rFinat i.��
13. floof Dreins �� �% "� �< 64. Plumbing System � Final �
74. Rough Plumbing" '- �� 65. E�ectrica6Final. � � "
15. Rough Electrica���Conduii, `J 66. Solar System-Finat � �
76. Rough Electric W�ring 67. Fencing & Access Approval �
17. Rough Wiring Sign 68. APPROVED POR PLASTERING
18. Rough Electricaf-7 Bar Ceiling 69. POOL/SPA'SYSTEMS FINAI
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
.'�J 'Y b�� t���[.� q a. -. iJ
20. �Rough F�ctory Fi�'ePlace � �_ �, a, > > b �� �.� �, �AYPROh/AL'Sut i%PerrMt # R '->' :�
�n ' a i 1' r t r i�a ��•A � t� 0. cf�Jt-li. i: !J` '.K
�� �-i '�.'T � t�c� T.�. .� t`i � ��X � .y �'•."lq" �� '�. �;�
21.'Ducis,,inyStructur'e�� i,,.. .��_ , t+ ��.. ::�,0. tniierg'round-NY�o x
22. Ducts�, Ventiiatinq �Y � C?.5 � 4•�� x�77, product Pipirfg OCsa ❑Oil
23.'Gas�P'pe� oug &T,`Est 1 • � `''".:., Y'�'' •-�� � �' "
� J � . }� .�;�, �' ,K :ty i.Z2. UndergrOund,Flu$�i:� � � . �,
�� .�. � �i u - Y .
24.�Roo,f�Framing• � +��ta �i= *� 1 �3' 4 ��}'73.�Undergmd�rorage�T�nk�Gas ❑O(f
25. Roof Sheathing '` � ry :'-' ' ' k �74. tOHerhead i-fydro .-� � �
26.,7-Bai,Ceiling (Scructurall & Ivjonocoat x � � � 75.',Drq Chemical : � ' • ^
� P\ rY . �1
27.�FrameandFlasNin�q� " ' � `,i.R; 76.f�yStandqip� L�� {' " "
r� � � � �.:, �r
{` 1 7 •`' (..l �F rL.l :T . . • �.'.1 • . .! J
�28.�ath{ng&,Sidi�9?•*�^ +s,�. - . �..s 77,7FIXEDSYST•EMFNVAL' t*'
,�
'29. Insulation ' "" �� :S '� " ' :� � 78.jFIRE PREV. FINAk. � v
_> . _. �, � .� ...
G30. Drywall Nailiag a,T � +� � � '�� � �;, HEALTH�qEPT.�A�EQUIRES�IENT
`,37. Plasrer67Qwn.Coa�" ' � ' �` ,�7,9.�FINALINSPECTION ` =' " �*�
o- � �.r.� �i.ra• L• .. :�
F32. �Electrical Po er Nleter�;Final i t� •�.�, � � x r�80. �F,OOD CERTI�FIQXtiT•E ISSVJE�D �
33. �Fin�7'Electric'� !?��. �� i t�� x t�l ' ��Notes: � '7:. ' ` �'� -
v ,� > M • r, r e i '7t�! '� �U?t
:34. Finaf'He34in & tc�Coriditio � in - = ` � � i� `` ` �� � � � ''
f: 9'_ � R 9S � i a r S C'• � . t'�"i
�
35. .EinSI�Ga3�:?ipe�l"est . -i •. , I . X .i Cl i4� ..� ,: � . c n
ry�'
36.-Hr � �ano • 'Ls. � �:r. . - � r . �_ -, . " : ,
oo�.or PY � � i . -� . i I ' i• , ,. i-i:: ' , . ,
�37. Final Factory Fireplace ' � �� " '� � - -` = �' ^ -�
� r. � •,
.. .. . 1+: ~ � ,. .. � ~ -
38. Final Plu'mbing -.i � T - , < - . . j
�39. Water.Service�Final - .. . , i . - � ^ . � _: .t �J
i �
�90. Gas Servfce-�nzl �., . .r .� r - - ',� ,y -..� �,� �, • . .
41 . Solar pomestirFirjal: = i .�� .. � � : � 3 - -� �
+ ic -
��42.•BackflowPreventer,: `� -'� "� } I, � '�. , � -:
.•.7
_ 43. Backflow Irrigation>', �.S'i _R - � ; .�f ` /� !� � ` ;Q�. C� o_/' _
r44. LandscaPe Irj�jqatidr�5'ystem,,C�.i. .� � '� � :� _ x ` ` � "'3 �� r
, . .. . ' , ' S,-"i.I-�--.��I.�C�% � L`i,�
�45. $ound Attenuation� �-1:[� r N:5 � � ��r � -� �+ � : *.
� f_ r-r- t. �a r, �r, t�: � J S� �-� -' .
�r` �.W.�� � , ,� . , � -' _ - • �_
46. 1landicap,-Aegulations.. ; t-; � _ '�D��T..,47����1L .% /^`��_
� l i ,'. , -� : " ' �cQt«-v I'
47.�FINALSTRUCTURE_&BUCIDING !y� '=r 7 ^:ov , t ���
.„ _
48.f�NALPLANNINGtt.; ^„_^ t r. z '�, `a • •
i -r -
.y9�. �Elec'tric R'elease to �Edisdn'- .� � - c � - - -, r �
i' c .r
, V ,L ' ` .
50. Gas Rel2aseto Southem�C$IifPrnia,GasCo „ ���' ' - - / _,_�, . r_, `.
� t.
"51. CER_,IFICATEOFI?CCUPANCY' „ � i _ „ ,-� r;_, „ _. �.:, .
No. `--% Date
,
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
MECHANICAL PERMIT
Job Address: 3357 FUCHSIA ST
Suite No
Vicinity:
Parcel Number: 41218110
App�icant: GEORGE TEJIDA � _ _ .
Address: 202ESTEVENS,--�,,r�!%;�-� �- �
_ " . - ._ . Phone: 949-279-5575
SANTA ANA, CA Zlp: 92705
� �
i; " `
Owner: ; GORDON; LYCE H�TR.. �
Address: �,.3357 FUCHSIA ST < <. ��-'; . � � - �
/ ; � `� , • - � Phone: 714-751-7329
��i /-'`'-'�-.
\
- � � COSTA MESA,�CA''< ,i 2ip: 92626
;',�.;' � , / �ii;i/
.' � . // i!; i
contfactor. �COASLAIRE
1 �Addresa: � 202 E STEVENS
Status: ISSUED
Applied: 0 V24/2007
Issued: 01/24/2007
ISSUED BY:
. , � 1'�/ Phone: 949-279-5575 _ � � , .
�,' SANTA ANA, CA � Zip: _ 92705
: , � . 1. License:355425' �' � � � �
i,
� � � �;, ' . t= �'� , ' �-. SCOPE OF PERMIT '
, -� - ;- CHANGE OUT OF;FAU-SAME P6,46L-A�ND LOCATION UP TO t00K BTU �, ; �, �
� FEE SUMMARY
�� �; ' � �
�� � , ; � ' ' .- ' quandty .
�ISSUE�FEE -� :! �� � $23.50.,_... _ _ �
InstFAU<100kBTU �, $14.80' �1� � ��' � '�
Inst FAU >100 k BTU" $0.00 -' 0 ' � - -
�Repair/'Alt Cooling/Heat, $0.00 0 � � �
Inst / Rep. Recess Wall Htr . $0.00 0 .,��
Refrig Sys <100 k BTU ' $0.00 0
RefrigSys>100kBTU $0.00. _0___,_�'��;' � /
Gas�Piping � -� ,,' . $0.00�.- 0.- �_._ - ,_--
Fzdory Fireplace � � , $0.00 0
Hootl.w/Mech Exhaust��, �, $0.00 0
VAV Box , $0.00 0
Vent Fan / Single Dud '�' � $0.00 0
Appliance '� � $0.00 0
FireDampers� � $0.00 0 �
Smoke Dampers ' ��� - $0.00 0 --. i, . r �
Insl or Relocate Appl Vent � i� $0.00 0 , -
Air Handlers�l� 10000ctm. � � � �� $0.00 .. _ 0 ' �
Air Handlers > 10000cim , � � �'�: $0.00"'. 0 �'` �• • � .
Floor Furnace, � ,A � ;, j $0.00 , 0 � -
Ploor or Suspend Heafer �� - ; $0 00 � 0 � �. �
` � - i' �. � �: � _ .
` ;� .1,�� . _
�
_ ,A a .. _�.., .
� .-Repair / Alt Absorbtion Unit
, � -�Repair/,AltRefrigerationUnit
- ` Ventillation System�_
� Evaporetive,Cooler
Commercia l I nci nerator
Domestic Incinerator
� Comoressors / Absorotion Svstems
. ,� Upto3hp/100kBTU . �
3 To 15 hp / 500 k BTU �
1&To 30 hp / 1,000 k BTU
30 To 50 hp / 1,750 k BTU
Over 50 hp I Over 1,750 BTU
Boilers
`Uplo3hp
3To15hp
i5to30hp�,.. -
301o50,hp„ �
�- � Over 50 hp �� � � " � � �
, Other Mechanical Fee ..
Investigation Fee -
. Plan Check Fee" ' • �
�� Reinspedion Fee- ' .
Quantlty
$0.00 0
$0.00 0
, $0.00 0
50.00 0
$0.00 0
$0.00 0
$OAO 0
$0.00 0
$0.00 0
,� ' $0.00 � 0�
$0.00, 0
$0.00 0
$0.00 0
��-" � $0.00 0
$0.00 0
$0.00 0
TOTAL CALCULATED FEES
: �: ;� r COMMENTS I SPECIAL�CONUITIONS " � �
$0.00
$0.00
50.00
$38.30
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 72-21-92)
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 780 days.
INSPECTIONS: In order for the work authorized under �his permit to be considered legal, such work mus� comply with all applicable codes, and all
requlred inspections and tinal approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2446-46(6/00)
WORKERS'COMPENSAnON OECLARAnON:
I hereby affirtn under penalry of perjury one oi Ihe tollowing tleGarations:
❑ I �ave and will maintain e certificata of wnsent to selbinsure for workers' compensation, as provided for by section 3700 of tha Labor Cotle, for ihe pedormence of the
rk tOr which Ihis pertnit is issued.
I �ave antl will maintain workers' crompensatio� ��surance, as raquiretl by section 3700 of the Labor Code, for the peAortnance of ihe work for which Ihis permit is issued.
�y workers' Wmpensa ion Insurance carrier antl policy number are:
;ca„+� �"G1"r� I"�., r✓v. r� � �: 6 LI (o OC� 1/�GL�(
(This section need �of be completed i/ the p if is valued ef one hundretl dollars (5100J or /ess.)
❑ 1 certity ihal iP the pedormance of the work for which this pertnit is issued, I shall not employ eny person in any manner so as to become subject to the workers'
compensation laws ol Califomia, enU agree t�at if I should become subject to Me workers' compansation pmvisions ot Section 3700 of the Labor Code, I shall forihwith
p Y these pmvision -f
Ap Ican i rB: ����� �-� �� �� `.�J �(� 7
WARNINO: FMWRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVEP TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
TIiOUSAND DOLLARE (5100,000�, IN ADDRION TO THE WST OF fAMPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 37060F THE LABOR CODE, IMEREST, AND AiiORNEY'S FEES.
LICENSED TRAC70R5 DECLARATION:
I hereb flirm I am licensed under, ppr �visions ol
torce an ect. Lit. +� �.3 S 5 S�%"S
Contr nawre: �
9(commencing wilh Section 7000) of Division 3 oi t s egtl Pr ss' s Code, antl my license is in full
Class # L
� �� � 4 - �'I
� CONSTRUCTION LENDING AGENCY:
❑ I hereby aflirtn that there is a consiruciion lentling agency for the pedormance of ihe work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lenders Name: Lentlefs Address:
Signature: Date:
OWNER-BUILDEF DECLARATIONS:
I hereby aNlrtn Ihat under penelry ot perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reeson (Sec. 7031.5, Business and Professions
Cotle: Any ciry or counry w�ic� requires e permit to construa, alter, improve, damolish, or repair any structure, prior to iis issuance, also requires Ihe applicant for such pertnit
to fila e signetl slatement that he or sha is Iicensa0 pursuant to the provisions ot the Contractors Licensa Law (Chapter 9(commencing with Section 7000) oi Division 3 ot tha
Business end ProfOssions Cotle) or ihat he or she is exempt Ihereirom and the besis for the alleged ezemption. Any violation of Section 7031.5 by any applicant for e permit
subjects the epplicent to a civil penalry W not more than five hundred dollare ($SWJ.):.
❑ I, es ov+ner of the proparry, or my employees wi�h wages as [heir sole compensation, WILL DO 7HE WORK, and ihe structure is not intendeC or otteratl for sale (Sec.
7044, Business and Professions Coae: The Contradors license Law tices not apply to an owner ot propeny who builds or impmves thereon, and who tloes such work
himsetl or he�self or Ihrough his or her own employees, providatl that such improvements are not intended or oHeretl for sale. It, however, Ihe building or improvement is
sold within one year oi completion, ihe owner-6uilder will have the burden of proving that he or she did not 6uild or improve for purpose of sale.).
❑ I, as owner o1 the property, am EXCLUSIVELV CONTRACTiNG WITM LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Pmfessions
Coda: Tha contraclors License Law does not epply to an owner o� pmpeny w�o builds or improves Nereon, entl who comracts for 5uch project with a comractor(s)
license pursuant to ihe Con�ractors License Laws.).
❑ I em axempt untler sec. Business and Professions Code lor this reason:
SiqnaWre: Date:
Owner ID veritietl by tlriver's license. ❑ Ves ❑ No Driver's License No.
Vedficatlon ol Ownership by (type ol Document, I.a. - pmperry tax bill or tleed):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby ceniN that no excavation five (5) or more feet in depth into which a person is required to descentl, will be made in connection with work authonzetl by this
permit, and that no building strucWre, scattoltling, talsework, or demolition or dismamling thereof, will be more ihan Ihirty-siz (36) feet high, (Chap, 32, Grp 2, Art 2, Sec.
341, Ttle B, Galifomia AdminisiraWe Code).
❑ As owner-builder, I will not employ anyone to do work w�ich would require a pertnit from Ihe Division of Industnal Satety, as noted above, unless such person has e
pertnit ta do such work tram the division.
Signature: Date:
Division ot Intlustnal Safery Permit Number.
CERTIFlCATE OF COMPLIANCE AND AIJT}IORIZATiON OF ENTAY: I cenity under penalry of perjury that I have �ead this appliwtion and state Ihat ihe information given is
correct I agree b Comply with all state laws and G�ry ordinances relating to building consiruction, and authonze representatives ot �he Ciry of Costa Mesa to enter upon the
above-described property for inspedion purposes. I agree no� to ocapy or allow occupancy of any building authorized by ihis pertnit until (inal inspection.
CODE �. 1NSPE�L4 �L�. � INfITIRLS
1616 Fi:ed System Final Fire Prevention
1266
200
201
202
203
Pool Spa Final
Final Re-Roof
Final BIocWRetaining Wall
Final FactOry Fire Place
Final Sign
204 Final Demolition
LODE I INSPECTION TYPE
206 Final Mechanical
20B Final Plumbing
210 Final Electncal
272 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 . Final Buildin Occupancy
�
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, � - . '. . : :. August 23,=1974 - .. .
-� .. ,. . . . - . .
.
__-.
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� � � � � . • ' v _ � �. � . , �� � . ' . r ` . . ..
Mr. John R: Picinni
- ', 3357 Fuchsia Street__- '. � .'
' . ,Costa Mesa,� Califomia 92626 � ' � � - •
Deat Sirs ' . , �\ . } : • ,.,.
' , A building permib has been, iasued to �ine,'pdols; to conatruct
- ' �a.priva'te swimming pool on yourrproperty. '. ` -
•In,order�that your pool wi be a-safe one.und for the�purpoae of
edvising'you of your responsi ity`regarding_the,reqoirements of
- the Costa Mesa Muriicipal, Code, �re' refer you to Section '8107, a _
- copy of whih is.attached.� - ' .
�. • Thia letter .is.di ted to you in order that`you will be'aware of
". our ordinances.an�make:'a eomplete.safety check of youz pool
- - area. � ,
: " " � Sincerely.youra�
. . _ . RICHARD HANHART .
= _' ' ' Building.Safety-Direcior .
. RHscb': _ ' - _
- . . . ;. :. ; ' , , :'.. - . - . .
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�a , �
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w2 � I .i�� _., Qo-: :. . >� - .- v-<��...;::c _.. _... c=_= �.t: . . _� �a.,.::,ss. .�,� o�e-.ae�. p�<� ezee<.z
.v �.n. �r,'
TESTWG , . - ,�,.s_,... - ..r.e,�..:�,. -
. �_i., . _'- .v.. -'.�.,�i . .�>._,, r ��_��oi I1i=_� _.,s�se
.;,,:_)�...�(;
August 26, 1974
EYaminarion: $C]l�-45j�
COMPRESSION TESTS ON CYLINDERS
Mr. Crrol F. }ieesch
12921 Aspen�,aood Lane
Garden Grove, Califr,rnia 926�:0
PROJECT Swimmina Pool for JONN R. PICINNI �' ���ip
ADDRE55 3357 f'uchsia, Costa Mesa
SAMPLE fROM Gunite Swimming Pool
♦�Cu�tER CONIRRCIOP
Irvine Pools
fNGIrvFE� - � SUBCONiN4CiOR
MIX
DA7E CRST
DATE TESiED
CYIINDER NO.
COMPRESSION
TOTAL IOAD, IBS.
POUNDS VER 50. IN
SIZE:
COMPLIANCE
CYIINDER:
Grove Gunite Co.
SPECIFIED
4—I/2 CO I STRENGTH
�j_,�_��y CYIINDER SIZE
8-24-7�F 8-24-74
1 2
7-Day 7-Day
E3,000 91,;00
z.7o5 2,9£�2
6-1/4" x 12-1/4''' G-1/4" x 12-1/2"
7-Aay test complies with specifieations..
MpDE er oeuveero er
Tom E, Ileesch
BUILDING SAFETY DEPT.
2,000 psi
8-24-74
4 "IiOLD"
3 5 "HOLD"
6 "HOLD"
7-nay
71,500
2,331
6-I/4" x 12-1/4"
aEc[ivEo or�
8-19-74
o�sruieuiiorv
co5ca Mesa Dldg. Dept. S�P 3:1974 •
Grove Guni te Go.
E. F, f:eescli - 2
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0
' CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. ' I D A
DATE i / L .
The deve2oper of the above entitled tract desires to sell the above set
forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
i�
fhe�3ff€ they) +ae-vr were)� advised that this tract has
not been given final nspectlon nor has it been accepted by the City of Costa Mesa
as having complied with the conditiona of approval which were imposed by the City
at the time the final tract map was approved.
The•City assumes no liability for the enforcement of the conditions
necessary £or approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless from
any claim resulting in damage or personal injury to the undersigned by reason
of the aforementioned uncompleted condition.
BY
rchaser
RECEIVED
CITY OF COST.4 MESA
JAN 2 6 1973
p�q PM
'7i8i9il0illil2i1i2i3�4i5i6
�
representative
BY - �.e�?�4� G�G��i^7.�� .
Ler�i' er
�., �
' 38�;6
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
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BUILOIN
OWNER �Q�:/N R. /v/C/NV/
MAIL
ADORESS 7pTi �clr.VS/A
TEL.
CITV ...�...Y nn� ��n NO. �
BRANCH
ADOFESS
ARCHITECT TE�.
OR ENGINEER NO.
ADDRE55
CONTRACTOP 1R/J/h/F �l1nC. C
ADDFESS G�;n� ��Rf /✓
TEL.
CITV /VEWAt]/�%/ �.E7VflJ NO.��-
STATE CITY
LIC. NO. nR�„�� LIC, NO.
SI2E I NO. OF BLOCS.
OF LOT NOW ON LOT
USE OF
EXISTINGBLDG. /Q�S'/L7F/VcF
512E OF NO. OF
NEW BLOG. ROOMS STOFIE:
EXTERIOP WALL ROOF
COVERING COVERING
/�E OF BUIIDING AND WORK 70 BE PERFORMED
PAIO
iUi: -5-74cMz�OO 3C�3# ***�35.C.%Q
APPLICATION FOR BUILDING PERMIT
REC�IVf-.� BY 'qAT£RE�7C�EO DATE ISSUED
%r 7 d /
PERMIT NO.
A.P.NO. I '� S �J
BUILDING
ADDRESS !� UC � �
TRACT Pj �ff LOT y, BLOCK
N W ADD P
OWNER 1nNn/ Y.n.w...ii
FIRE
20NE
APPROVE
—'.'l i
ZONE P�� .z gUILDING EWOO�
VAR�SAPPROVE� YAROSAPPROVED
MAIN BUILDING ACCESSORV BUILDI
(FROMC/LSTREET) �.
VAR.�
C.U.P. #
APPROVED
FT
BET.
BET, MAIN &
STATE
I hereby acknowledge Mat I have reed this application antl state
that the above intormation is correct antl agree to comply with
all laws regulating building consvUction, and I shall not employ -
any perso� in violation ot the workman's compensation laws of
ffie State ot California. m
I bereby certity that I am properly licensetl as a contractor untler `3 9 n SQ. FT. O
the State of California Business and Protessions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Cnapter 9, antl thet such licenses are in full force and eftect, or I THE PURPp$E OF ESTABLISHING A PERMIT FEE ONLV: �
am exempt from the provisions of xhe State of California Business VALUATION �{.��
and Protessions Cotle, O��ision 3, Chapter 9. � N
PERMIT FEE $ �
Signatura of �_ //y��//{�y � m
Permittee /�--.r�� d�- /��c-v�. n g�' / 0)D � p�qN CHECK $ / E
� 6/ A o`
LL
Authorized Agent TOTAL FEE $ V
43
..�'-- -_
3507�
� SOI�OSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
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.'1UG �S'��PAIDOV I003'� �**142.85
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, APP ICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
� C V D BV DATE FECEIVED DA ISS ED
BUILDING �I � , �/� 7
ADDRESS � Fuchsia Street a
' � PERMIT falphn
OWNER Larwin .Cj U Yl A�P• NO. �}-� I i
MAIL BUILDING �� YUG S
ADDRESS 16255 Ventura B].VCZ /aDOFESS �
TEL. - TRACT LOT �j' BLOCK
c�Tv Encino, Calif. Nd�g6-8890
CANST'flUCTION � W ADD A P
LENDER Larwi �
BRANCH 16255 Ventura � �
OWNER NJ S•�• G
ADDRESS Encino,Calif. •� - �� eVALU� .�/��
ORENGIN ER LaYWin nTi�73-4464 use /'v
FIRE T
ADDRE55 9100 Wilshire Beverl Hl�.1S ZONE TVPE GFOUP �
� APPR�V -r�-7Z
CONTRACTOR Larwin Southern Calif. B� DATE
ADDRESS 16255 Ventura BI.VCl ZON NO.OF USE OF NEW S/
TEL. I p�p,ry$ � gUILDING (�(��(.�
c�rv Encino CaTif. No986- T7C <
STATE ' CITY �ARDSAPPROVED VARDSAPPROVED
��c. No. 191311 LIC. NO. B-1 MAIN BUILDING ACCESSORV BUILDING
SI2E ' NO.OFBLDGS. (FROMGLSTREET)
OF LOT C)O X LOO NOW ON LOT � R NT FT. FT.
USE OF ("'
EXISTING BLDG. 51 Y F. FT.
SIZE OF NO. OF . -
NEWBLDGI.7�FO� ROOMS STORIES 1� LSIDE S FT. FT.
EXTERIOR WAL ROOF / �/-
COVERING �tUCCO COVERINGWCl SYl Tl REAR�-b� 'F'T, FT.
USE OF BUILDING AND WOFK TO BE PERFOPMED � DISTANCE BET. BET. MAIN &
� MAIN BLDGS. ACCE55. BLDGS.
" ' VAR.qj'+ DATE �
6onstruct sin le famil dwellin c.u.P.# APPFOVED
� . APPROVED � Y Lfli"j_ .
7a r
I hereby acknowletlge that I have raad this application and state HOLD r
that the above info�mation is cor�ect antl agree to comply with
all laws regulating builqing construc[ion, and I shall not employ TAk
any.person in violation Of the workmads compensation laws ot
the State ot California. �
I hereby certify that I am properly IicenseE as a contracior untler SQ. FT. �
the State oi Galifornia'�usiness antl Professions Cotle, Divisicn 3, THE AMOUNTSH WN VNDER VALVATION IS FOR
Gnapter 9, antl that such licenses are in full force antl effect, or I THE GUFPOSE OF ESTABLISHING A PERMIT FEE ONLY: �
am eaemp2 trom the provisions ot the Staie of California Business VALUATION -
antl ProfessionsCode, D{�ision 3, Chapter 9. � '�i� �
. � PERMIT FEE $� 1
' Signamre of �./(/ �-{ / (rp �
Permittee �i� D. Downs $[TY / 0� PLAN CHECK S
Authorized Agent �
TOTAL FEE $ � � p9
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,/uj
� „
OWNER PZCINNI� JOHN R.
ERAL CONTRACTOR
10.412-182�10 LO
INSPECTIONS
Pool Location �
Forms
Main Drain
Steel Reinforce
Elec. Bond
Approval to Cover
Underground Electric _
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep. .
Electrical Final
er and Vent Final _
Filter System Final
Backwash and Recep. Final _
Fo..�i..� Fi..nl
TRACT FIR
DATE 8-5-74
SUBCONTRACTOR
Electric
Plumbing