HomeMy WebLinkAbout2259 FOUNTAIN WAY - Building PermitsIc
,
CITY OF COSTA MESA
' BI/ILD/NG pIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
.
� • • ►
ssa-o�z�o `�
PERMIT NUMBER
(714) 754-5273 • Fax (714) 754-4858 gUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite:
Viciniry:
Parcel Nunmber:
ApplicanC
Address:
2259 E FOUNTAIN WY
93074034
FONTAINE, JIM
Zoning:
Phone:
Zip:.
Status: ISSUED
Applied: 07I07/1998
Issued: O7I0711998
owner. SCHROEDER WICSON
Address ASSOCIATES," ��% - ' • � � �� �
; � i ,:
2411 E COAST.HWY STE' ' Phone: . _. ' � - �.�
�i �
°hSC ROEDER CO � � > j' ./ _ �Zip:_- 92625 -_ _ _ �i ` j `: ; , ,,\� �\ �
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i.. /� � - - - � � _ l � � i �� � � A
Contractor, �ONTAINEANDASSQCIATES� �_
,�� �-' ,��
Addresa: ;i/23015 DEL LAGO #D2��7 �� -� .� ,�� �' � � �����
�,��, A�� ' �`"�� � Phone: 714-598-8360 �� ;'� ,"�" / • ��
i ��i� � �///!%� �� �`" � � =
, LAGUNA'HICLS,CA Zip: 92653
,�i 7 \_s. �:�,,� `�,;.
,'i��/ ���� �,i��� License:i708917 . �.� , � - .
Arch�l Eng : � i 7/% ' � � � ;
, , � ;/j,; i , �
Address � . � , , - \ .I. , � � - .
F
' � � .,.; ;�� _ - i • Phone: � '� . � . .
- � ZiPp � ..-�. � -
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V
. . f. % /-/�s __License:- � _� '��;.�' � . . .. ,
�
� "'„ � ,r�'V � SCOPE OF PERMIT , � �
� � T/O AND REROOE2000SF FOURPLEX WI BUILT UP, 2259, 2261, 2263, 2265�� •
' �� / "i� � "� - , . _ _ . � \
, � / / : , ^ - �;.•�/.,��- �' - �\
' ' . . ; ` '� � ' FEE SUMMARY� ��'` � - , �
Plan Check: '$0.00 �� Calc Valuation: Ss,000.00
� Permit , $99.75 � , �'� _ .. _ i�� Claimed Valuation: $s,000.00
r. ` - _ . 1f�-� \ .'.I��. . . �
,SMIP Res: $0.50 � -
,�� ".
°SMIP Com: � � $0.00 -- _ _ - , : / '- � � � �
�, Otfier:- . �'$0.00 � ' � ' , _ �
Inspectiorr,., ',��$0.00 �� � �- � !�, ' ' �
�� � �"���. � ------ /,� , _ . „
��;Total: ; $100.25 � ; , �� ��
, �:�. '� , "
�
.� �
SETBACKS�
MAIN STRUCTURE Fronl -
ACCESSORY Front
PARKING existinq:
NOTES:
PLAN
�' . �_ , _ _
�
� . ,; „; _
0.0� ;Rear 0.0��=� "
i ' ' '_ _
0-0� , ' �` Rear - 0-0
v
, � 0 ' Reauired:� ; 0� .
NING & ZONING
� ��,,; . �_� �-; �
i ; ; ' � � i , '
i ,, . . 'i i,- � ,
-�� �
LeH �0.0 �� .Right �00.0 ��' '
. ,. � -. , - � , � . /��
- � Ceft �- 0 0. : � Right ' ,�0=0 ,
_ Proposadi ��.� . . . �.,/
. �. . � �,.. , ".�
EXPIRA710N: This permit shall automaticalty expire and becrome void if work is not commenced within 180 days, or If work is suspended or abandoned
for e period ol 180 days.
INSPECTIONS: In order tor the work aulhorized under this permit to be considered legal, such work must comply with all epplicable codes, end all
requlred Inepeetlo�e end flnel epproval must be obtelned. Failure to obteln Inspections and finel eppioval wlll result in the expiration of this permlt.
FOR INSPECTIONS CALL: (714) 7545828
WORKERS' COMPENSATON DECLAflATION: . �
I �ereby affirm under penelty ot pe�ury one o1 ihe follawing tledafstions: . �
❑ I have end will melntein a ceNflcate of consent to eelf-Insure for workers' campensetlon, es praWded tor Dy secllon 3700 af the Lebor Code, tor ihe peAormence o1 Ne
vrork far whlch Ihis pertnil Is Issued.
❑ I have arW will melnt&in vrorkers' oompensation insurence. as required by section 3700 oi Ne Le6or Cotle, for Ne peAormance at Ne work for which this pertnil Ls issued.
My workere' compensation Inwrflnce cerrier arM poliry number are:
Carrler. Policy NumDer.
(lh/s cuan neea no� ce canp�erea u Ne pe�a �s �ued er me nuneree ea�ars �s�oo) a iess.�
p 1 cetlify t�at In the peA iance of the work fo�which this permit is issued, I ehell not employ eny pereon In eny menner so es to becrome sub�ect ta the workers'
compensatlon lews o1 elllomle nd egree pe7 it I should become sub�ect to t�e workem' compensetlon proNsions ot Section 3700 oi the Lebor Code, I shell torthwlU
comply with those pr I81 --7 ^-� (�
Applicent Signewre: Dete: /'� /� r Q
WARNINO: FAI�URE T 9 ORKERS' OOMPENSATION ODVEMOE IS UNUWFUL AND SMALL SU9IECT Ml EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE HUNDRED
THOUSAN� DOLLARE 00,000), IN ADDRION TO THE WST OF COMPENSATION, �AMAGES AS PROVIDED f-0R IN SECTION 3700OF THE LABOR COOE. IMEREST, AND ATTORNEV'S FEE3.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirm ihat I em IIc�nsetl untler rovlslons epter 9(commendng with Section 7000) ot Dlvlslon 3 at Ihe Business entl Protesslons Code, antl my Iicense is In full
rorcs a�a anaa. u�. a 1I �.,G'S� aau a�;L`�
ConVectora SlgneNre:� Dete: '-7 — i—
1 G%LT%
CONSTRUC710N LENDING AGENCV:
❑ I hereby affirtn Nat there is a construction lending epency tor the peAortnance of the vrork for which t�ls permit is issued. (Sec. 3097, CMI Cotle).
Lendels Name: Lentlefs Atldress:
Sipneture:
OWNER-BUILDER DECLARATIONS:
Dete:
I hereby eHirm Uat untler penelry ot per�ury ihet I em EXEMPT FROM TME CONTHACTORS LICENSE LAW lar t�e following reason (Sec. 7031.5, Buslness end Protessions
Code: Any city or wunry whlch requires a pertnil ta construcl, elter, imprwe, demollsh, or repair eny sWcture, pdor to its issuance, also requires the eppllcent for such permi�
to flle e sipneE stetement that he or she Is I�ensed pursuant to Ne provisions of iha ConireMors License Lew (C�aptar 9(cammendng wlih Secllon 7000) of D'Msion 3 of ihe
Business end Professions Code) or t�at he or s�e is exempt theretrom and Ihe besls for the alleged exemption. Any violatlon of SecUon 7031.5 Dy eny applicent for e pertnit
subJects Ue epplicent to e civll penelry of not more than Me huntlretl aollars ($500)J: �
❑ I, as owner ot the pmperty, or my employaes wlt� wapes as ihelr sole compensetlan, WILL DO THE WORK, end ihe sWdure is not intentletl or oHered for sale (Sec.
7044, Business entl Professions CoOe: 7Te Conirectars LJcense Lew does not eppty lo en awner ol property who builds or improves t�ereon, end wha tloes such work
hlmself or herself or t�rough his or her own employees, provlded that such Improvements ere no� Intended or otteratl tor sale. It, howaver, the Duilding or Improvement Lv
solC within one yeer of completlon, Ne owner-builtler will �ave the burtlen oi proving that he or she ditl not bulltl or improve tor pufpwse of sele.).
❑ I, es owner of Ihe property, am EXCLUSIVELV CONTRACTING WRM LICENSED CONTBACTORS to construct the proled (Sec. 7044, Business entl Professions
Code: The contrectors IJcense Lew does nat epply to en owner ot property who bullds or Improves Ihereon, end who contreds tor such project wlth a conirector(s)
licensa pursuant to Ihe Contrectors IJcense Lews.).
❑ I em e:empt under sec. Business enO Professions Code for ihis reason:
Signeture: Date:
Owner ID veritied by drivefs Ilcense. ❑ Ves ❑ No Drivers License No. Expires:
Vedticetlon of Ownership Gy (type ot document, i.e. - properry tv� bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFlCATION:
❑ I hereby cenlly Ihet no excevetion five (5) or more feet in tlepN into which e peraon Is requlred to descentl, wlll De made in connectlon wIN work authoAzetl by NL5
perml6 enC thet no building structure, scattdding, telsework, or Cemolition or tlismentlinp thereoi, will be more then t�lrty-six (38) feet hiph. (C�ap. 3.2, Grp 2, M 2, Sec.
341, Tltle B, Celifomla AdminislreWe COOe).
❑ Aa owner-bullOer, I wlll not empby flnyone to tlo work which woultl requlre e permit trom Ne DNLslon of Industrial Se1ery, es notetl ebove, unless such persm lias e
permit ro do such work tmm Ne dhrision.
Signature: Date:
Divlsion of InOustrial Sefery Pertnit Number:
CERTIflCATE OF COMPLIANCE AND AVTHOfl¢A710N OF EMHY: I certify under penalry of perjury that I heve read this application end state that the intormetion given is
carrec�. I egree to comply wilh all steta leWs end cily ordinences relating �o building constructlon, end euthorize representatives at Ihe Cily of Coste Mese lo enter upon Ihe
abovp-dexdbed properry for Inspeclio�r6rposes. I egree not to occupy or ellow oceuDency oi any building authorized by this pertnit until final Inspection.
yOpE I. INSPECTIONME
1618 Flaed System Finel Flre Preventlon
1288
200
201
202
203
Poal Spe Flnel '
Flnel RB-Root
Finel BIocWReteining Wall
Flnel Fectory Flre Place
Finel Slpn
204 Final Demdltlon
244&48
Q� ��$
l---�-�- �
7, �' ( �'a
Date
CO�E I INSVECfION TYPE
208 Flnel Mechenicel
208 'Flnel Plumbinp
210 Flnel Elecidcal
212
220
222
FIneI Flre Preventlon
Flnel Plenninp Apprwel
Flnel Site
250 Flnal Bullding/Occupency
�B ��
BUII.DING SAFETY ' 'AR1'MENT N. 13 O O �
P, O. Boa No. 317 -
Costa Mesa, California / '
DatP "� – � ��+
CiTY OF WSTA 11SESA
CERTIFICATE OF OCCUPANCY
Building Permit No%� Electrical Permit No. Plumbing Permit No.
Use oE Building �' P� � k R P T I�i � i L t� .�v • i
i
�
The building located
Lega1 Description
(See reverse side for Metes and Bouuds)
has been inspected and fouad to comply with the provisions of all City of Costa Mesa Ordin-
ances applicable thereto for a Group u'ti = Occupancy.
ISSUED T0: City Building Otticial/)
�91� F. I�oB 6 �C%.. ,t% I `
(Owner of Building) By �l �+y'TW''��% -
CC: ❑ Original—Owner ❑ lst copy—Gas Co. O 2nd copy—Edison Co. pf3rnd copy—File
Fotm 208 SB P 1M 1-8p 3
ADDFESSOFBUILdNG: zZS9 E FOUNTAIN WY °NTi
OYMERSNAYEIiR104Y11: SCHROEDER WILSON �
woncss: ASSOCIATES
tSCHROEDER CO
Z911 E COAST HWY STE 300 CORONA DEL MAR,CA 9262
�rv�. ruiuw �oo�ss:
�xcxrtccr ox aua+�n:
aCN.ON ENd'S AWRE55:
c�m�,cTarsru� SUNSET ROOTER 6 PLUMBIG
cormucrorcswuuxc 5 9 9 1 E. AV LA VIDA
uc xa:
uxr:
(800)994-9906
�nox�ss ANA CA ��= 656596
92807 u�:
LICp15ED COMPRCTORS OECIAflRT10N: I M�eby dlnn uMx penely M pmjay tlW I un IicweE uWs prwiriane d Cheqa B
(mmmeriti�p wilh SeMion ]000) d Oivieun 3 d IM BUM�wea vd Prdeevione Coda. aM mY licanu n in lull la[s eM e11eq.
cmuc.No.: uc.cuss: C-39 �0/� 656546 E7fiP:
, %— Z Y � S') cw�c«: �L%` /��C /�
�BUILDEfl �EttAH�TION: I hemby elfirm uMs perely d perjuy ihat I am oemq Imm IM CaMretlaa Liwnee Law la M
ieason (Senbn )OJ1S &uron end Pedmeiom COEe: AM ciY a mw�Y wfiiN n0w� e V�! lo m�muc�. eEr.'vnAvn.
I'ch, a repei eny ehuciure: prbr lo ne uaarioe, ebo reQuieea �he eppliraM fm wch pemin �o Rb e eqroE nmement iMl M a�he
��1cemed Wnuenl m �he pwidone W Me Corureewa l'xeve law jCheqr 9(aommanmq wnh Saaian'laW) d 0'veian � d iM
�hunreo eM Ndesauro COEeI a Ihtl M a ahe b eaemq Ihsehwn ud IM b� la Ihe e0e9� uemNion. MY vidtlion d Sapon
]031.5 b/ eny eppliranl la a parmil wbptU �M eppliram �o e tivil perolry d nd moro �Mn liva huMreE Odlen �S.AO�.
❑ i.mo.�,�,wmeawanramv�o�w�.,.,n�w.m�n.:.aeoomw�.m�..;nmms.�on�.d,au.ww�n:�aw.oe.e
or dlereC la seb �Senion'lOaa, Buane» enE PmleasioneCada: Tha Conlredon Licenee Lew droa m� epply ioen ownard popeily
wro buids « inwwes �hxeon. eM xho doea.uM wwk Ivmsetl «MnM a Waqh he «her own amWYa�. D�+bb �ha arA
impwainema are nol imeMed a aMaed ta eele. p.Iwwewr.IM bnkinp a inpv.ameK b rold wilhin onYw d wmpk�'vn, Ne
a..o«t��e.,.�n n� ma w,ea, a v��m n. «.na ad �a wua « �mc� �« me w�. a.w).
❑ �. ea own« a ina wowM. em e.di�elr comree�ro .vh rxenmd cmnmian �o mwuc ma wqa (seelon rou. asi,s. ene
Prolacvan Code: TM Cantredae Licensa Lew tloes m� apply w en ormer d popMy Mn builda a impova Ihereon enE who
cmum. ro, wa� p�en+,,;in e mu�aa«�.� icen.a w�.�,em m ine comrmm w.n. �.1.
� I em ezemq uMv Sec�bn:` B. 8 P.C., lor Mu �eason:
Dale: �
i ao na,y,. �onev n� i,m,..,,e a w ��a.�.+.�a m. �.m w cer�o�:. H.am, d,e sm�y coea saao�. usos. zws�. �a
255�a, eM thel 1 a eiry Mun Wikiip omrpv�t will / wT �M (acb ma) roW ro canyy w�A eeid mma md» eM tM npuirsme�N br
epamWlam�nhWionamodCkalianhamlMA'r�y enepement0etritl.RaNamNmmtivaionappinliwmenaxanplmntMea
a�.
ov.: �ow�:
W ONKEP'S COMPENS�TION DKWIATION: I hmeby elfi�m under penMy d ps'ryry an d tM Nbwliq MAuelnm:
❑ Iheroadwilmein�nneceni�rabdmventioaetli'mvebrwakasmmpxuetion.nwwidadlabgK���dtMleEv
Code. for �M D�wmenca ol Ne xak /w Wich Nu V�X o iasueE.
❑ in.V.a,e.a�ve.,.m�.•o�,o�m����.m�.ewsaa�,a�aodm.�.co,ca..m.m.c.n.�w�o.am.
ak la v.Tidi ihia permil o mued. MY wakers canpev+tion i�w�amw �ama ud pofxry number ere:
Carrier:
Pd'ry Number:
fa sea:m irse nor e. m,�pmed r rns o�+� o k. ms num�.e dwers Isicnl o, knJ
�,I � cenry inm In u�e v��^�^ce a ine w«k �« .mcn �h'o oe�mB ro�,ae, �.neu na emqw Nr v� n em menne. eo n �o
�1 becmn wbjerl to tM xarkus' mnWamatian 4wa d Caftlarria, erd qpw tM i I 4wk bsaro wbjotl b �M v.aM1r�'
I�,oemmian wwvioro a seaon slao a �n. lee« coee. �.Iqlfld�` n �/MC tl�p�w�apS.
o�:a: 7—ZY— ci 7 Mor�m: !Sl c_ �c..� ��
••�v T4p: FWun b acun roikwi rompau�tlOn rovsip� 11 unlawM. xW �IWI aW/�ef N�nploysr ro a1mIM pwultluW
uHi n�., w ro o�e n�e�.e mo�.w mr� lsiuuaooa M.m�w� ro m. ro.� or ro�.�..mn e+m.w .. ao�e ro. m
Sxtlm 3]OS ollhs LebarCOCe, Infena4 end ettomryi /w�.
CONSTflUCl10N LENDINO RGENCY: I hweby etfi�m uMer panMy d per�cy thm tAra u e mrWrWion bndnp qenq br Ne
p.d� a ub �.o�x ror .nw� �� o�� ��•�e �sm� aos�. c�. cl.
LENOEP'S N111E:
LQlOEF'S iNDXE54:
I cmity tlm I hew reeE I�e epd'cdian ud ae�e ihel ihe abwa iMwmetion c cfxren. I apias �o oomply wilh eA dry anE couMyad'vunw
uM atms kwa reWnB b bidd�q cmmud'an erd herebY e�nharce repeamiaYws d Iho tilf' b ema uW� �M eEwa�memurieA popMy
in im0�� W�O���
DAN KULICK
om.:
(S15�J6.WP) Wlwe-BWd�q85efey:Ore� ;Fie�C�ry-AppXani;Pink-Pmenue;OdEervod-Msasv
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: P 083862
PERMIT NO: P 083882 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N PERMZT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION : TO REPLACE EXOIRED P-75558 SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 /U-1
COMMENTS; GAS REPIPE FROM MAIN TO RESIDENCE S REPIPE FIXTURES
�e�e�****��*�e�r�**��rr��e��*�r*��e**�r��r**�r*:rx*******�r*****�r***�r*�r�r*�r�**��r�r*x�*��***�*
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FANT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: FT ZN LEFT: FT IN RGHT; FT ZN
PARKING AE • PROV: PARCEL: 93074034 ZNE: REF NO:
PLANNING N TES>
� " '
�titMMififihif3fifltififiFik3fifikitititMihMilifkMMifiFNlfMMMififMNitMMitltMltiFitiFMMifMKiFMMMMiFMMMMifMMMiEiFkiFiEififiFMit
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 M E N T S
20NING APPROVED BY .
HUILDING APPROVED BY :
LEGALI2ATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRZC MECHANIC
PERMIT 14,25
25t
DATE;
DATE: n
DATE: \l
ii"�F�FitiF4NMikMifitiF �kit �
STRUCTURAL EGMENT;N
FIRE SMIP/RES GRADING
SMIP/NON—RES
PLAN
ZSSUE FEE 22,00
BUILDING—DIV—> PERMIT ZSSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 14.25 22,00 0.00 36.25 36,25 .00
REVENUE DIVZSZON TOTALS--> COLLECTED; 36.25 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GAADING PLAN—CHECR
36.25
jE 141f if � i� �F 3F j: iF iF i4 %!F if 1F K M M iF M fh fFlk iF ik i! k if M!F!F!F iF 1f 1Flf 1f iF ik k if iF if M iF!! ih iF ik if if ik if iF f! fh k if M iF k ik if fF 1k fF 1f if ik if k 1t 1k!! iF if it if
I N D I V Z D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5.50 5.50
PLU 1 GAS RE—PIPE 8,75 8,75
END OF FEES
87-24-1997/83:31 Pt1/f36.25
RCPT�:01—C2096i0
PERMIT:083882
CONSTRUCTION AND PLANNING •� PC�PA .
APPROVALS Permit # -� Date Inspector AppROVALS Fermit # Date Inspector
7, Temporery Electrical Service or Pola 52. Pool & Equipment Location
2. S6iJ Pipe�Undrgrnd. 53. Steel Reinforcement
�� -.3j_6lectrical Condqji•U[ility-Undrgmd. 54. Porms
� =4���le�trical Condu'�=lJndrqrnd. 55. Electrical Bonding
. "
-�-�'.�. - -
, F-by-$teel Reintorcetnept 56. Rough Plumbing & Pressure Test
' c6?7:Flectrical UFEF��Gmd. 57. APPflOVAI TO COVER�GUNITE -
,iZ �'• . ,c•
_�7. ,F•,00tings _�" '� 58. Electrical Conduit�Undrgrnd. -
t-.8. FoUndation � 6 � 59. Gas Pipe, O Undrgrnd., Test
-�'9. Water Pipe�Undrgr,�d. � 60. Backwash Lines, P-TraP, O Undrgrnd.
10. 5tr"ucturat Floor SSstem 67. APPROVAL TO DECK
71.propertySewerline�&Hous�Connec[ion 62.Backwash&ReceptorFinal - '
�2. 5e'^'e� CaP a 63. Heater & Vent-Final
13. f�oof Drains 64. Plum6ing SYstem � Fina!
14. Rough Plumbing� 65. Electricai-Final ,
15. RoLgh Electrical-Conduit 7' 66. Solar SYstem-Final
16. Rough Electric Wirin� � 67. Fencing & Access Approval �
17, pnugh Wiring Sign � 68. APPROVED FOR PLASTERING
18. flough ElectricaGT Bar Ceiling 69. POOUSPA SYSTEMS FINAL -
19, Ro�ugh Heating & Air Conditioning l � r pIRE DEPT. REQUIREMENT
�•,..T:-. Q .t F' TC^
20. �iougk� Factory Fi��,lace ' �''� ��' { '` � ��' ��APPRO�/R'L�� Pe{mit # x � �' y
,`c,_� i: � .,fi{i �F
'_ r i •• . _ ... .,
21 . (lucfs, in,StruCture. x i •� ^ �-+S � �7 +-+.X 70. �Ondergrounii }-�dro '�
c � 1 n r;
�. , Y. i CJ = : C .� ��. : ~ �+ �' I. ,.t,
22, puct� Ventilapng;�� � � b `�- �x 77, Produ&FXijpm9�ClCas y�0il
�
23. Gas 2ipe;Boug� & TQs[ �-� F c*t � �; Ox. =� 7z. Underground Fiv£h Y -
- '..
24. Roof=Fr�ming" S A! '�"' ` - r� � M �, �'. 73; Undergrnd, Sto ac�'e Tank � Gas ❑��il
�. �
25. Roo�he�thing � � � v � � � � �7 > iff � 74� Overhead HYdr� �
26. �`Ba'+�Ceilin (StructGral) & "� � _ ?.r `' ���" � ��^'
9 �„��, �TQCoat 4 n � 751 Dry Che�ical :, � yC
27. �rars� and Flashing x � x y .g ; >: T i 76. Dry Starttlpipe E-m n c r ,. :� ��:
= 28. LathFng & Siding �T' � " "=�= ? i. �'- "x 7�. FIXED' T�'GI-F.�NA� � { � `�'
.Y C.. p, r. I U: 2�. .l :.
+29. Insulatioir ��.� ` S .... � x � � I 7�`FIRE9REV. FIf�tAL "^ � ="
"30. D�YWaII N'ailing �� y �y �, }, �•� I J�EALTF�DEP'�'.'RE�UIR,Ert�ENT
-;37. Plaster B owr{-Coa;t�a S ,:rz- r I � 79.''FINA� I�i3PECT�ON r� .
� 32. Electrical`Powgr M1rjpt�r'Fi�al ��" ! •� 8Q� POOD CEflTIFl.�ATE i$S�JED �
-33. FinaCElepirio�. � . ''' x � b :7 ;. _ .: r. _ .
:' t C�: �: Y j N4tes: -+-j r. �]
�34, f�nalJ-le�ng'&AiNConditionirtgS ' +� � v� " 'S :''+, °' S L'
... -� .-� .� -n a: � r . � -. i �� Q Y. '-
, 35. FinaiGasTPipe TesC; �; r ' •• �� ,.1 ' � . , � � � � 7 r, A' F t��^
. r • - . . ' �„ c
:+36. Hoodor CenoaY :'�# � ' �-! �.� ♦ �� ' !+: -i !�o r: ,r
� c n rv t'� r b� rT: xo rm m
-� y --:�: _ a, vt � t i .�.
y37. W.inal�acjpryFirepldce�o� _,r, � �: � ':: � t .ti
,/_ � • � �---
�38. FinaLPlumbin �•+ - q� ;, ''= ;"
_,. .�, , l ', . ~ �' ` �
9 ,L '. /e�gg 9 S .
�39. Water Service�Finay� � � �� x � "�`' r ' '
i
�. c..
r40. Gas Service-Final r;* .T. Q:�'^ � t:*� j -� C��o viN +'��
+. N: ^� � i: C
�-41. Solar pomestioPina�; s '�� " '� �` ' � r
�+ J � I m -] v < x 7
�42. 8ackflow Prevente�; � �� � � a S >=• } J �'
� i- f. � 's7 H
43. Batkflow Irri tion.' ' _;`' �' �' ''~ '� � � .z
9? � f y i: cc 7 � t:
d9. 4andscape IrrtpationiSystem 2?'T �.' a� �*7 =' �7 b�: , N "� 5!� k' tu a v
-, .d... .r �- � i t: S
..... - c. � t �`„ _ _ �.., < . � � �--c .�,...) � r. .
45. 5ound F�tSene�tion ;. ='';•.. ,� '.n -;�+: : c 4 . ';�, t:
¢6. F.iandicaP.ReguJations -• + . �.: � C�^' � i
47. �1NAl. STRUCTUR� & BUILa1NG ' ' '� � ., s �
y Y H I 7' T
48. FINR'L PLANNING i. � c� � �,� � _ � i:
49. ��ectFic ReleasE to Edison . • � �� ^ '' ' �
� .� y �: �i: . �1 " a�
50. �,.as Release toSouthem CafiforAia-GasCo , %� � ' �:' � v J .
59. GER7IFICATE OF OCCUPANCY
� ! : . '�= :- -� �'
No. Date
nnoxEssoFem�anc: Zz59 E FOUNTAIN WY uxr:
avxEasNa�Ei`a�x: SCHROEDER WILSON
• �oonEss: ASSOCIATES
iSCHROEDER CO
2��1��'�os'�AST HWY STE 300 CORONA DEL MAR,CA 9262`.
AIICNRECT OP EHtlNEEX:
�NCX.OP EN0:5 AOOflE55:
uc. ra.:
UNT:
ca+m�crarsxu�: SUNSET ROOTER S PLUMBIG ( 800 ) 994-9906
CONfP�Ci0A9YYIlNG 5991 E. AV LA VIDA
A°°"�` ANA CA ��"��� 656546
92807 °N1
.LICENSEO COMF�CTONS DECLAflATION: I MreGy eflim uMm penely d pe�ury Mel I em IkeneeE uMer prorieione d Chepter B
(commeMin9 wn� Seclion ]000) W Oivu'vn 3 d Ns Buare eM Prdweiom CoEe. end mY lioen�e is in Iu0loru eM elled.
C LIC. NO.: LIQ C�A54 11C. N0:
C C-39 656546 EXP:
fDete�� Z'��Z� / � Canreum
OWMEN BUILDEN OECLARRiION: I Mnby e1Nm under penely d perjury thm 1 em exemq fmm tM Convanon Licence Lew Iw ihe
�follow'vi0 ��� (�� ��� �5 Buaimaa eM Prdeavme Code: Any e1y a oounty whiM rt�uirae e permil lo mnaleun, eller, improw,
roleh, or repei eny ewcwn, priar lo ils eauerce, ebo reyuiiee �he epplimnt iw euch parmil b fila e eignetl ebtemem ihm he or aha
�o.ae wn��� m ins w�� a me com,mo„ �mo �. �CMNm 9(mmmendiq xith Setlion J000) M OM6bn 3 d IM
roa erd Prdeaeiona Cade� «thn he u ehe o memq �herelmm anE IM We'v �n ihs dbped ezemqion. My vidmion d Sedian
1031.5 Cy enY aVV��I fn e Porm4 wbjWs �M epplcen� �o a cvJ peneiy d nol mm Ihen frvs huMreE Edlen �5500�).
� I.uowrerNtAepopenyamyempbyenwYAwepeam�Mi�demmpevation.WlEOIMMwk.eMtMatrunuroo�inteMW
aollmed Iw sele (Saciian )OIa. Busirorard Profosvu LoOe: The CoNredon lioen�e lew dma rot ePC�Y�o an uwner d MOWM
who buYda w impovea IMraon, ard wfio Eoee auM xork Nmroll ar Mnetl n Mrpqh hi p her own amWy�ex, prwideC Ihet euch
impmremenis ere not inleMed a dl«ed la eab. tl. Mwaver, �M buiki�p ar'vnprawnem u eald xilhm aw yw d complMcn, Na
ow�rsuiux �n n�. ine nu�em a o�o+�w ns m.he ad �a buud «imww* i« me wm� a aeiel.
� I, ea owner d Ihe properry, em utlu�ively oonind'np wiN ImneE canuec�ae w wnmw iM pmjeq (Sepion ]OM, Bueinws vM
Prolmione Cade: TM Conirerian licams lew Eom np apply b en owner W popeny who builda a Impovw tMreon aM who
wntrac4 fa+urh prqatle wiN a wNrx�a(e) liceneed W nuem to tM CanVapon Lican�a lew).
� I em exemp uMer Section: B. d P.C.. M Ihu �uaon: .
Dete: �u:
I tlo Mraby canih �� I em ewere d ud uMenieM iM iequ'vemems d CdiwNe MWIh ud 9dery Cods Ssdiom ?5505, 2553�, ud
25SW, arM NN 1 a eiry Mun WiWiip ocapw will / wil mt �dreb oro) rweE b oomply wl� �eid ptle mde� uM IM myuimmmb la
e parmn farmmWclion w mod'ifiutbnhom�heA'r3-Gt1%rupemem DiNna. ReYEarv W mmt�bn epplutiauero ezemq/romtMae
prwisione.
od.: �wr�wa:
WOflKEN'8 COMPEN9ATION UECL�fl�T10N: I MroW effiim unda panMy d parjury me d Ih� bllowirp Eetivetbn�: '
'� I heva eM wJl mdnten e dnAepa d oonwnl lo ��Camun br xaken' compsiunbn, n pavkM tor by 9ralon 3)00 M the lebor
Cade, la iM pe�wmerce M ��a waM la Wdch thie Po�� �� �uueE.
� I havs end wll mdNen xoM1an' mmpemdion Imurenn, n rayu'ved by 8sribn J]00 d Us labar Cods. br iM parlormenm d tM
woh lor which ihi� pertnM1 i� ioueE. My waMs� mmpenwion inwranu mrnar erd policy num Wr ue:
Cerri�r.
. PolicyNumEer:
,a eMlm nesd mt W eanpNfe! /!hs pmrt b fw aa hundisd Odbn (SiOV) a 1w.J
I%�lf I centy Nu in �h� p��lorm w d IM wak M�Mkh Ihh partnn b WueE, I dall np empby ury pn�on in ury mennu n u to
�' becoma wbl� lo �ha xorke�e' mnp�nWim 4xx d Ce4fanie, erN piee Ne1 A I Mwk bswms wb�atl to Ihs vroMeri
/ery)npenuiion D�vion��Sman 3i00 0l ihs Lebm Cotle. I�hell /at�wnh adnpfy xn� ilrom proNeiom.
� //2.�2�5
Dde: Applium:
WIII�IpQ: f/IIYAM IK'UII WOIkII� COIIp1/WHOO COYIIIp� IIYObWNI� IOGWII �YpJltt III MIf1I0YN t0 MMIII/OM/MM 1I10
nvn nMa w ro on. nu�er.a �nou..nd edrn Ri�,aooA xr .eartron ro m. co.� or mnw.�w�ron e.m.w .. woHd.d ror in
J.ctlon 9105 o/!h� LNor Cob, InMut, �nd �ttomry'� M1u.
CONSTRUCTION LENDINO AOENCY: I hareEy eMi�m uMer prWry W perkNrY �� ��n i� a miutrutlbn bikin0 e0ency lor ihs
peAarmence of the xok lu wfiich tho peimi u uwW (Seaion �04I. CH. C). .
IEN�ER'8 NAME:
LENOEX'S ADDPESS:
I ce�ity the� I hew reeC Nia eppl'cetion uk aaa ihel Ns ebv.e Wartxtion u cwna. l qne lo oomply wn� M ay uM oounry aMiranda
enE elete leMe reWnp ia dNd'vp eoenvutlion end heeeby eWioriza repreae�vmnas d ihie vry io eeun upon �he ebwe-maMioned properry
rot inapeabn ourpoxa.
(SIS1Jb.WP) WNIe-Buikipd5etaty;
Dme:
Rnk-Ne�ronue: (bNenio�A+»aaa
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: P 07555F
PERMIT NO: P 075558 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCAIPTION : LEGALIZE PLUMHING WORK " GAS LINES " SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 /M-1
COMMENTS: GAS REPIPE FROM MAIN TO AESIDENCE 5 REPIPE FIXTURES
ititit#*ititirx *+��ft *ie***+rit*atit�tititif+t****itie*�taF+riE+t**ititirat* �t+tx��r *at*�rit *it�E+titx�**at�rieat**�t*ir�ritk #*it
Z O N I N G A E Q U I R E M E N T S
S E T B A C K S �
------------ MAIN HUILDING ---------- ---------•ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGAT: FT IN LEFT: FT IN RGAT: FT IN
PARRING REQ: PROV: PARCEL: 93074034 2NE: REF NO:
PLANNING NOTES>
�
1f # i%if if 1f'lf if if iE if iEif if if i%K' if ih iF 1E if 1E iF iEii if'IF ii' if if ihif if ii'if'li if'if if if if ihiFif if iF # il'iE ii' 1f if 1f if' ii' if if ii' if' 1EiF if i(' ih if if if ik iE if if if 1E 1F 1i"1F iE'K'
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 M E N T S
ZONING APPAOVED BY DATE;
HUILDING APPROVED BY ; � DATE:
APPLICATION ISSUED BY: DATE: �����'�
iElFifiE1E1E1E1Eif1E1E1F1EiE1f1F1ElE1EiFlF7F iElfitlElfiEiFKifIF ik
LEGALIZATION:Y F E E S U M M A A Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 24.00
252 SMIP/NON—RES
PLAN
ISSUE FEE 20.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 24.00 20,00 0.00 44.00 44.00 .00
REVENUE DIVISION TOTALS--> COLLECTED; 44.00 OVER/SHORT: ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK
44.00
1F 14 iE 1E 1l' 1E fh 1k 1E if if 1E 1E 1E 1F 1f 1f if fE'lf iF iE 1E 1E �F 1F 1f'!f 1k 1E # 1E 1F1E if 1f 1f if 1E 1F 1f 1flE 1F If 1E fllf iE 1(�ik�iF 1f if 1E1f'�E 1E 1F 1Fik 1E 1E 1F 1E 1E 1{' if ikif ih 1F'IF 1FiF 1f 1t if if
� I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY� D E S C R I g T I O N UNIT COST TOTAL COST
PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5.00 5.00
PLU 1 GAS RE—PIPFI 7.00 7.00
END OF FEES
01 00196331-00196331 T O'P
t�ATE: 12/12/95 TIt1E: 13:34
44.00 V
t �oCssaew�on+c: z259 E FOUNTASN WY u"T
R. °""E"s"wE�`a+a"": SCHROEDER WILSON
• �ooncss: ASSOCIATES
iSCHROEDER CO
2���t�,,,,,���AST HWY STE 300 CORONA DEL MAR,CA' 9262`.
..
ARCNRECTORflNYNFER:
JICH.OP FNO.'S AUOXE54:
uc ra.:
UNT:
cartn�cransr�un: SUNSET ROOTER S PLUMBIG (800)994-9906
ca+rx�croaswuw+a 5991 E. AV LA VIDA
"°o"Ess ANA CA �GNO' 656546
92807 uxr:
LICENSEO COMFAGTONS DECLARATION: I Mreby ellim uMx Po�Y d per'ryry Uut I em licemetl uMm poNsione of CMqar e
�commendn0 �A Seclbn ]000) d Oiviaun � d Na Bueimee eM Proleaabna Cods. W mY licenee e in lull lace eM eliecl.
c uc.r,o.: uc.cuss: C_39 uc.no.: 656546 EXP:
�sl,-�a�: / z-� z.J-j'S ����
O X BUILUEX OECLANATION: I Mnby elfum uMm peiuty d pajury ilw I am szemq from Ihe GonUWae lkerma Law �w IM
o bwip reeaan 1�� ]W t.5 &u'viea� end Prolamians Cotls: Airy fAy a caunry wfiiM mpuirea a pe�mu lo oonelrucl. eller. improva.
�ndeh. a repv eny avucwro. pnar lo ia baenu. LL+o iryuuw �M applirail ta wch pemiC lo fib e sgiwE ale�emant Net M a ehe
ceneeE WBuenl �o the povivions d Ne Conlredwe Licenw lew jChaqm B(camme�ip xilh Setlion'l000) ol Divebn 3 d ihe
.ainesa vd Rdattioro COEaI a Ihm hs a eha u uemq therahan W the buu la Ne aAeped aaemqion. My videtion W Sepion
)031.5 by eny epplirsnl Iw a parmn eubpas IM epplcent to e dv�l penelly al nd maa �hen INe hueMreE Eollen �SSOOj).
� I.moMnarWlMpope�yamyempb)ee�v.vhwapeamlM1eisdecamperoeum.�xTEotMMOA.eMtMavununendinteMed
or oRered lor We (`�ion ]Oa4.9uarren eM Pm/evaiana Code: The Caruraqps Lirones law doea rot e�+pF��o en owmr W prope�ly
who Wids or inyowa iM�eon. W Mn doa+�ud v.ak h'unaM a Misetl aWaqh hu a Mr ovm employas�, pewkeOlhet euch
impwemenb ere iwl interdad a aflerad �or aeb. X, howawr, �M buiNi'p a vnprwemam ie eok wiihin one yeer d comDletbn, ihe
owrerbuitlx xill heve �M burEen d G�'uq M a Ms dii nol bwM or "vnpm+ la Na G�Pae tl eebl.
� I. av ownm W �ha papany. em artlu�rvely wmrau'uq wnh lifenrd convxlon b conm�tl Ihs pivjetl (�� ��. �sinwe aM
vwmim. cce.:.n. cwreeu, Licaa. la. m« na moN b.� �« a c�wenv �+,o wiN, a Impw.. �n.n«, .�a who
comren� iw wch prajade wuh a mmredor(s) IcemM punuenl lo IM COMrertas Limnse law�.
� I em examp uMar Seclion: B. 8 P.C„ br Ne rmaon:
Dme: �+�
i eo n.�eM �r uw i.m ..... a.m �,e«.ww ub �.w�«w a c.uo�w r�.een w sa�w coe. swion, zssos. zssv. ene
2553a, end ihet I n eny Mun Wiki�q ompent xiA / wil na (tllck ar) naed to cpnply wYh said qme wdx uk iM �puiramanb la
•peemNlwmnel�uclionamodifmbnhamiMAi i�uryl.rv�epsmwDiarid.RuideKielmnp�utlionappfutiamennaemqimmlhwe
qovieions.
DYa: AopceN:
WOFNEP'9 CONVENSATION DKL�NATON: I Mnby dlum wMr pxuly W pwjury aw d tM tdbwirp Muuuro:
❑ I haw and wll mdnian e cenHiceta d con�ent io eatl��uun br wvka�i canpamalbn. n provldW Iv by 8wbn J]00 d ihs lebor
cod.. �a in. vMam.nc. a N. xak I« wlvrli mu ommn u u.u.e.
� I luw uM wll meimen waksn' odnproelon Imuruaa. n nVu4sd by Srlim 9I00 d Na Lebor Code, br tM prlormenu W Ihs
work la which i�i� Oermil u busd. MY wnken' oomWmelion mweuice wror eM O�Y number ua:
� crtrl.,:
' Pdicry NumEar.
Ja ianm�dridMcant��d/N�P�'mRubauAVMnEdtllui�S�WJwNn.)
I canily Net In Ih� pMwmux� d �M wM far whkAi t�b prtM b MUM. I JWI nal amploy enY W� � NY mennx w m to
Wmna aWep lo IM v.vrksn' comoanwla+ 4x+ d Cefdan4. uM pn� pW E I�MuN berom� aE�w m IM xwkan'
peneetbn P�iaon� d SWbn a)W W Iha leEor CoE�. I 4WI lorl�wnh mmpty wiN Nwe qmAuon�.
ete: / �- �Z � � AppliceM:
W�m/n0: F�Nun ro��cun woilrx�'romp'nutlon row� l� unhwlul, �rM �lull �uUJ�ct �n �mplayw fo cNMnl P�naltlw �ntl
elvll Hnu up ro an� hundrW fhou�ud JOINr� (JIOO,OOOA M bdltlon ro M� rost ol rompmutlor5 d�rr�p� u pov/tlM br In
9�ctlon 9/G8 0l M� LMor CacY, Inhns4 �ne �ttom�y'� /ww
CONSTNUCTION �ENUINO 10ENCY: I MrW/ eHrm urdr prWry W pvjury Ihtl Ihon w� emnruabn Wdiip poricy M IM
perlormenm W Ihe woM lor v.TiM Ihe parmY i� eaueE (Sedion J091. CH. CI.
LENDEP'8 NANE:
LEN�EN'S �DOPES4:
Ica�ifythetlheveraeClhe epplcmimend petellWlM ebo+einformNion b cortsrl.lepieaio comply wllh didlyend wuntyordironoee
aM eWa lewe eelmiq lo Wikiq conftrucau� vd MratrJ eN�Qa tepameNNiva� M Ne tlly lo aMa upon iM ebo.e�memonld pioparry
lorinepedion Ourpasee.
DaK xvLicx
(5151dBWP) Whna-BuilEvp85dely;
Dma:
Pink-Revanue: OOldan�aHAewwr
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 075558 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU
JOB DESCRIPTION ; LEGALIZE PLUMHING WORK " GAS LINES "
CLAIM VALUE: CALC—VALUE:
PERM NO: P 07555
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-1 /M-1
COMMENTS: GAS REPIPE FROM MAIN TO RESIDENCE & REPIPE FIXTURES
*x�x�atit�r*it*�t*it�itit�atit*ititititx�atitatit�*�t**�r*itit��t**ft�rit�t**it�*�**�**�t***�t**�ritit******at���+t*�r
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT ZN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 93074039 2NE: REF NO:
PLANNING NOTES>
i
�IE iE iE iE iE iE iE iE IE iE iE iF iE if If 1E fE if If 1E 1f if 1f iE 1f if if if iE K if K if if iE if If iF if if iF iE iF iF iF IE iE 1E If iEiE iE If iE �f' IE 1E IE 1E iE 1E K if 1E 1F 1E iF iF jE iE if iE iE iF iE If 3f 1f iE
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 M E N T S
ZONING APPROVED BY DATE:
HUILDING APPROVED BY : DATE: i_�
APPLICATION ISSUED BY: �/1_
it�tiEitiEiEfFitiE�tiF*ft�tf�itx�i[�x�itx�ftiFiFiF3FifTF7FifiFiFiF7F3FiFif7f �'iF'iFiFiF7f
LEGALIZATION:Y F E E ,S U-M M:A A Y
� . i
BLDG PMT PLUMBING ELECTR3C�"MECHANIC
PERMIT 24.00 �- . •�
252 . , �
PLAN ' , i ,-, --
ISSUE FEE 20 .00 —� -r' ' - <—
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 24.00 20,00 ' 0;00 ,
i
REVENUE DIVISION TOTALS--> COLLECTED: `� "' 44
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE
44.�� -
ur�in: v �
7F'iF{E"{Fif7F'{F"{FiF1ElEffifi4ik1I�lFihlf ffiE
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
TOTAL PAID DUE
44.00 44.00 .00
.00 OVER/SHORT: .00
SMIP/TOT GRADING PLAN—CHECK
i
1F 1k fE 1f IF 1F iF iF 1F 1E 1E iE 1E 1f if fE if 1E ik K 1E ii if iE if iE if if if 1E iE iF if k 1E iF if iE 1f 1k M iF i! 1E iF iF ik 1E IE If IE if 1k iE 1E M IE IE K iF IE 1E if 1k 1E 1f 1i iE iE Ib iF 1F 1E 1E iF If 1k iE IE
I N D I V I D U A li ,F E E B R E A K D O W N
TYPE QTY D E S C R I P T I Q N� '� -' UNIT COST TOTAL COST
T
PLU 1 GAS PIPING SYS OF '. L TO 4 OUTLETS 5.00 5.00
PLU 1 GAS RE—PIPE � 7.00 7.00
END �OF�.FEES
r
�I �/�. .1
,„ t
/.�
�� , ^ / (r� i ✓ �� I JL.. . ' . . [ ._� 1� '-
DATS� � �" � _ _ ',' L� _ _. . :. _ _-:;..
', ,:
` � .
": V
__,.,
• CONSTRUCTION A(VD PLANNWG POOI ;PA
�' APPROVAI.S Permit # Date Inspector APPROVA�S Permit # Date inspector
1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location
2. Soii-Pipe-Undr9rnd. 53. Steel Reinforcement ,
,r,EieC-irical ConduintJttl�tY-Undrgrnd. 54. Forms
;y�.�.E�arical Condui�;�,ndrgrnd. � 55: Electrica� Bonding
� r. �, � •-.
-„i�,SFeel Re�nforcemeRt� 56. Rough Plumbing & Pressure Test
��'6•� �e�rical UPER��r d. 57. APPROVAL TO COVER�GUNITE
�� Foq�nqs �;� ' 58. Electrical Conduit�Undrgrnd.
a78. Fouifdation ~" '1• - 59. Gas Pipe, O Undrgmd., Test
r n 'v
'' 9. Water P�pe-Undrgufti,. ; 60. Backwash Lines, P-Trap, O Undrgrnd.
:70. Stru2tural fbor �y4tem 61. APPROVAL TO DECK
71. Property Sewer L�ne & HouseC�nnection 62. Backwash & Receptor,Einal
12. Sev�er Cap �� ' 63. Heater & Ve�[-Final
73. Roof.Drains 64. Plumbing System � Final
74. Rough PWmbingp 65. Electrical-Final
15. Rou�qh Electrical=£on�l�it �' 66. Solar SVstem�Final
.�
i6. Rough EleCeric�ring; 67. Fencing & Access ApProval
77. Roagh Wiring Sign 68. APPflOVED FOR PLASTERING
18. Rou§h EleGtrical�s Bar Ceiling 69. POOLlSPA SVSTEMS FINAL
19. Rough Heating & Air Conditioning r Q, J FIjj�Ey[�PT. �,EQUIRF�MENF c�m
20. F�S�g�Fac�ry�ir��face 5�:., � i C ��� � PPf�V/}yL�Fy�Per�it # ? yy
21. Ductsc-inSt�uCt4r�*;7 ..'.. �. * � r� �,f y^`' � ..
c - e c�. � a; �..� w 70. dergF'o�� fi'{�)ro k
22. 4�cts�,..Veniilat�ngNr �'C' �.;- �j rx '77. Produ -P'i i�
�. P_ 9 ��Ds Oil
23. G5s Pipe-Rougti& Test n � tr, � � G� �7z. Undergroantl Fibsfi' y' t' -'-' �
� ^ .t_, _
24. Roof�FrartY�ng" �r - � *' _ � `� '73�.-�jUndergrnd.Storag7Tank,uGas ❑Oil � �
25. Roof �heA�i�g � �• v�F C > N a 7qC�Overhead HydroY *
r.
26. T-BarrGeiling (Stru�t�ral) & M'o dFnat � y '- U �'� F ' *�'� - 'i
� , .� _ �,� 75gDry Cher�ical �..,= n C,T
27. F,iame and-Flashinp,�,`- �q�K �- .- ti� 76' Dry Stantl�' ipe ^-^'a �+ � , T-
-28. Lathiiig &� iding ��° � �Q� x # £ . .. ..,� 77� FIXED �TE�1jl�NALy „ � ��j�" .
�
'29. Insulation-+ Y..'� � • /' � ' � `'� 78�FiRE RREV. FIN;4� � = 'r
� -
�`30. Drywall N���ng E� H � F � � So'; o�lEALTFt��EPTr �EQ�OIREJ4�ENT
`^31. Plaster Br�n,Eoa�i S -^r x � 'x: 79. FINAL INSEECTI�.N * � ��
`32. Eiectrical ✓ w M� �i-Fiqal �*. `•1i � � �SO,r.'�FOOD CERTIF �ATE IS��JED � `
;33. F�al�lect+r c � ,S* `-r Q t � � � ' �r �Notes: C,_ C�.i9� ,�L.p��.r� _ _ _ _
. ' 'C_s-uzi� �
n34. F.imal iieat ng SdAir Cbnditioning�� ,� ^ * � . '�' / Q/' �� r� ns
^ .� . _ � ti: � # : . hK C-�Z=�'.`t���� ��
> � � � �.� . ,�
35. Final �as P� e'Xes .. .
r�a �x. C,� s� N Z=�S �b�f��ziJ�l3t�c._I.rr:�SSt�-�'-Pc�Zy*
a36. Hood:or C�nopY f�=. � !^^ v +!. � ;.� `� '�o/� m
�- r r r . '4 .^n [ i .., �t . -K-� •�'<� 1�� �,����A p _� ��
.'_-37. Final Factory FirePlace�-. � t-r � i� � ' � � ,�- '1 , �� �( �l � �C�� f
�--38. Finai Piurribing �:i "� • c •� 1 ; li� S r7 # 1� F ��
T � � 1 .M , s �
r38. WaterServi�te-Fina�, ; * � � � � . �. , . `J
. L . � i% ' i T 6' '�' 4
� �
;r40. Gas Servica Pinal rx ;*� 6 ^[^ � * m ( � � .:�< ��� "
r � r-. c_. .n »- I Fk F C, � w' G.
�7. Solar porr1.estic�Fin'3�� �' � :� � � �* „- :j� ' * z
^ .�
`�'42. BeckflOw Preveotec-: ,T Y � � I � TF � � �
43. Batkflow Irrigart,iori,^.y T �'^ � .r * ,� �' �: - � � . .
' ,�
i� � .. ,. :.; - . . � ., � . .-,
44; Landscape'�Irriqation System �'*�A � " - �= '�w � {' ?�=- * � eo
.-, �.. m a: r' �� r g e ��'F �: �' F-
4�. S6�nd Attenuation ; �",`,'; M ; � � �' �* .; ; � ,� . F+� x
� 4S. Handicap i7egulations �y a�� � �=: S O� _ A
- i - r -r ^� - x
47. F4NA�,STRUCYURF�& BUIL�DING * F , �� ? r" � a. � �,
:r
48. Fj�IAL.P�.4NNING � � F�-- + n� � � � �' r �, � � �
49. Electri�C Releasg.to Ed'ison r � � - i �r �
5U. Gas Reiease to-Southem California�6as Cn + � ' �� -+ C• or * y ••
- - - ❑c i * , • - -
5i. CERY:tFICATE OF OCCUPANCY k � �� � - � ' ' -�
No.-... Date . .
�-!1
W
M
N
^l
1
ADP���ant to fill 111 dll SpdUS !%C!O< <n05G WIO1110 bldVY EOIdlI IlfllS iOO SI9O dll ipp�OpfldOE ElCldldllOfli.
CiTY oF COS7A MESa CONSTRUCTION PERMIT
ProjectAddress � -Z/z�a 2ZiJ 2�/ .��Cr/!�%f/N (%.
Applicant's Mailino Adtlress PQ � �%{C�Y ��� Cid"5 �
Owner's Name hr% �Q�S Phone
�
Address .
Arch/Eng. License No.
Addreu
ConVactor'sNameL/� I ^.�, � ' 6 n Phone �6�7�
Addresslma'I' g) (�...Q����% it �n
J 7
City Licen� Nn [`�1 � Y R�J
LICENSED CONTRACTOR DECLARATION
I bereby affirm [ha[ I am.licensetl untle� provisions o1�Charter_9 (commencing
witn seccion ]000) ol Division 3 ot the Business antl Protessfons COUe, antl
my license is in full jorce��a e�iect. �{,,� 5 j�S f �
LJcensECl ' � �� 9 Y_ I%'cj�� .!� �/`
Date y .� s � ��c-f t �
WORKERS' COMPENSATION DECLARATION .
� nereby atiirm that I have a certiticate of consent to selLinsure or a certiflcate
• Workers' Compensation Insurance, or a certlfietl copy thereot (Section
800, Lab. ' //� /' �
PolicY No. �D��l ' ComPanY � �a "�Y��r
�CerJ[�!t'letl copY 1S f 1¢tlbwithr[hehcity B� Ing v '
Date `� - U' �' APPlicant ��' /G//��
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION '
(Thissection neetl not b¢ coTpletetl if the pG�mil i5 tor'one huntlr¢tl (E300) or
less).
I certify thal in [he perform5nce oi Ne work for which this p¢rmk is �issuetl, I
sM1a1P noi employ any Oerson in any manner so as to become subject to the
Workers' Compensation l.aws Of CalNomla.
. Date � Siqnature
�NOTICE: If, afte� makinq this tlecla�atlon, you ShoWtll beCome subject to the
Workers' Compensation Orovisions ot lhe Labor Cotle, you must forthwith
compty witb sucn provi5iOn5 oi tnis permit snall be tleemetl revoketl.
CONSTRUCTION ILENDING AGENCV .
I hereby afflrm that there 13'a,mnstruGtion Iending agency fo� the pertormance
of [he work tor which this permit is .issuetl (Section 3097 Civ. C.)
LenGer's Name ' '
Lentler's Atltlress
OWNER BUILOEN DECLARATION �
I hereby affl�m-that 1 am exompt irom tlte ConVactor'S Ucense Law tor the
followin9 reason'(Section 7031.5 Business antl�Professlonal Code: Any clty or
county whith requires a permil to conslruct, alt¢q ImOrove, tlemOlish ot repair
any structure, prior to its issuance, also requires the appliwnt for such permit
♦n Iiin a unnwn af�famnnt ihat M1e/She Is II[ensetl oulSudllt LO fI1B �fOVi5i005 O}
.,pivieion 3 of the Business antl Professions Cotle) oi that he/she is exempt
,..%erefrom antl the basis for tbe allegetl ekempHon. Any violatlon of Section
r,'�131.5 by any appliCant lor a permi[. subjects the applicant to a civil
"ndlty of not more lhan hve huntlrCtl tlollars (E500). - _
��'L� I, as owner ot the proper[y o� my employees with wa9es as their Sole
compensation, will tlo the work, antl the structure is no[ intentletl or offeretl
for zale (Section 7044, Business antl Protessional Cotle: The Contractor's
�.icense ldw tloes not apply [o an owner oi a property who builtls or improves
thereon, antl who'�tloes sucM1 work hlmself/he�self o� througb nis or h¢r own
employees, provitletl lnat such improvoments are not in[end¢tl Or ofte�e0 for
Sale. It, however, the builtling or improvement Is soltl wlthin one year oi com-
pletioq [he owne� wlll bave the bu�tlen of proving hC/She tlitl n0[ builtl o� im-
prov! fot the purpOSe o( Salej.
❑ I, as owner o/ [he pioperiy, am ozclu5ively cont�acting wlth licensetl con-
t�actorsto constructthe p�olecf ($ection 7044, Bu5ine5s antl Professions Cotle:
The ConVactoYs License Law tlOes not apply to an owner of property wno
builtlz or imo�oves thereon, antl who contracts for such projects with a con-
Vactor(s� license pursuant to the ContractoYS License Law). 1 am aware tnat
prooi o tneir Worker's Compen5ation insurance shoultl be provitlea to me.
❑ 1 am exempt untler Seclion B. & P. C�or this reason
Da[e Owner _
I hereby cer[ity thal I have reatl thi5
information is correcL I a9ree to comp
antl state laws relating to builtling con
sentativez ol this city to e t�oi
inspection o ses.
' Signature � . ' � �1✓'�
�rivers' License or 55 � �
TYPE OF CONSTRUCTION LJ NEW . LJ ADD LI ALTERATION IJ'REPAI R �
- ❑ CONVERSION ❑ DEMOLISFI ❑ OTHER � q,p.#
�DESCRIPTION OF WORK/USE OF BLDG. � -
� . � �� � � - S Main Buildi
TVPE OF PERMIT GRADING FOUNDATIO� STRVCTURAL ' T Front �
�❑ TENANT ❑ ELECTRICAL �LUMBING MECHANICAL - B Rear
'O �OTFiER %�
PROJECT DESCRIPTION 5a. FT.- oCCUaarvCv ' C Fight
K Lett
CONSTRUCTION TVPE VA�UATION $ S
ZONE GRADING CU. VDS. . �ACRES Ping. Ref. #
aemarks: , ' Planning Notes:
nk
Preventer - -
Irrigation
Drinking Fountains
Floor Drains .
Floor Sinks . .
Gas Service ,
Intercepmrs -
KitcFien Sink '�
Lavatories .
P—Trap
Roof Drains
1^
Reinspec[ion Fee
Outlets
PLUMBING � '
Showers
Service Sink� - �
Sewer Cap
Sewer Connection
Solar Collecmrs
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
-, Water Heater
Water Service p
Aum�Wash
_ �aundrvTreVs
$15� . Issue Fee
Bailer
Duct - Under Ground �
Ouct-Svuctural �
Duct - Ventilating �
. Exhaust System ❑ Multiple ❑
Firepl/Facc BIt. ICBO #
Heatin9 System & Ducting
-. ❑0.700,OOOBTU�100,OOOBT
Reinspectian Fee � S15
GMF 0865-46, rev. 10/84 White - Builtling; Canary - Applicani: Pink - Accouniing; Goltlenrotl - Assessor
Hood or , Type I ❑
Canopy Typy I I ❑
Refrigerotion System
❑0-100,OOOBTU ❑100,
System Repair/Alteration
F ire Dampers�
Issue Fee
0
0
SI
FEES
�
FEES
$ 3
Automatic Washei ;"
Construction Pole Sub. '
Cooking Unit
Dishwasher
Dryers ❑Gas �Electric
�659 .4Yp4/85
Accessory Building:
Parking Req./Provided
Oo�� i �.
Zone
ELECTRICAL .
� � Transformer ❑ 15�50 KW
❑ 50+KW
Fan
F.A:U.
Fixtures - -� '
Oevice Boxes ; �
Outlets
Switches
Garbage Dispoul
.Generator �0.5 KW OS-15 KW
Meter ❑up to 100 amps
Meter ❑over 100 amps
Sub Panel
Motors 00.1 FIP �1'h - 8
Inc.Solar 09-15 HP �16�1
Pole Light
s�y�
', $tanding Section
Trash Compactor
�.Reinspection Fee '$15 � � luue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By
Building Approved By
Application Issued By --
F
$ 3
Z
O
N
I
N
G
R
E
Q
M
T
S
SUMMARV OF FEES �
BUILDINGPERMIT $ SMIP $ •
P�AN CHECK � $ PERMIT .
PLUMBING $ _��� ISSUANCE $ �
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL � $ GRADING $
PLAN CHECK 50% $ MICROFI�M $
MECHANICAL � $ TOTAL FEE $ -�.0%�
PLAN CHECK 25% $ � �
s0
- CONSTRUCTION ANDPLANNING �� P��� ,'�A �
' APPROVALS Permit# Date Inspector ppPROVALS Permit# Date Inspecror
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � ' 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms �
4. Electrical Conduit-Undrgrnd. � � 55. Electrical Bonding
5. Steel Reinforcement '' , 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. ' 57. APPROVAL TO COVER-GUNITE
,-7. Footings - 58. Electrical Conduit-Undrgrnd.
8. Foundaiion � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System . 61. A'PPROVAL 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
74. Rough Plumbing 65. Electrical-Final -
15. Rough Etectriral-Conduit 66. Solar System-Final �
d6.� 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 ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas. [7 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 FINA�
29. �Insulation 78, FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
,31. Plastei Brown Coat � 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' Notes: .
34. Final Heating & Air Conditioning .
35. Final Gas Pipe�Test �
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing . , y � (�n
39. Water Service-Final
40. Gas Service-Final ,
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation �
44. Landscape Irrigation SYstem � '
45. Sound Attenuatlon � �
46. HandiCap Regulations � �
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed� � �
49. Electric Release to Edison - .
50. Gas Release to Southern California Gas Cu �
51. CERTIFICATEOFOCCUPANCY . _ . ,
� Nn. � Date � ' ;
C I T Y 0 F C 0 S T A M E S A
CALIFORNIA P.Q. BOX 1200
FRON TiiE OFFICE OF Tii� PLAIVNING DEPARTMENT
,Tune 29, 1965
Mr. Alea Stoneman
2261 Fountain W�y East
Costa Mesa� CallPornia
Dear Pool Owner:
The Costa Mesa Plannin� De�artnent has been notiried of the completion
of your swi�ning pool.
So that your pool will be a safe one and for the purpose of advising
you of your responsibility regarding the requirements of the Costa Mesa
Municipal Code, we quote Section 9298.9:
1. No swimming pool shall be constructed closer than five (5)
feet to any property lines, measured from water line of pool.
2. No sr:imming pool shall be constructed under any electric power
lines or on any electric power easement.
3. No swiffiing 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-c].osing and
locking type gate or gates.
This �ourtesy letter is directed to you so that you will be aware of
our ordinances and can make a complete safety check of your pool area.
Sincerely yours, �I
. ,i
/�, i 7u'
�;i'`,d.l ";.<� s� ,(.' �f�u,,.�
4lillia� L. Dunn
Director oP Planning
r
DeCEmber 22� 1964
n
Ant2wny Poo16
5871 Firestarc� EouLevara
Fouth �te� Ca�liPoraig
SIJBJDLT: svi�ing pool coneLructed Por Al,�us 3tone�man at 2262 Anaheim Avcttve
aitLifn the City oi Costs l+lesa, Building Permit �23170
Centl�en:
The Pollowing action shall nat aet on acc ce etandarfl for the
city im m�rginal vork, such aa nccoptiag a forty-teo test in 11eu ot n
t�+�e�y-Qigkrt d�yy test ae apecifleQ in the Uaifoxa But29i Code for the very
minlmtms ot concrete t3Ez+en$Eh.
Lnborstory analyeie conducEed rte teraL cyLinder reports ia
all areos of locsLi� of anci LWeaty-e t day requirement; that ie,
praportiais of ffix eue not c^x+ect in csch e. ThereYore� be you a8vised
ti1B1'i ti21E fl.°d71*�v Oi t�8 Ofi1C �6 L�t� �ll BGID@ C36@8� tblT� BppCAPE LO b@
cruelesan�e�s in the qpplication P gtmite wurk oai asris�l.ng pool structures.
2n t caae of the above sub�ect pool, there ie an indicetim
that the t.renty- �' t dqy tott, as oubiol.tted, vould resch slightly over
tuo thou�ead pounde at tveaty-c3lght dayo; tharefor�, in thim psrticulsr
ca�e, thie �ob will accepted 4e meeting the very, very �inimum requYre-
me� ae eatabliehed 1n the Unifaxm &iilding Code.
MB:dh
Your� trtt�y�
l�CHAII. ffi19GHAM
Building OftYcial
H. .. LAWMASTER 8 CO., INC.
7940 MAIN STREET — STANTON, CALIFORNIA 6GCM5-02BA2C-002
828-8040
xxxxx
Field Data on Test Specimens Core Concrete Gunite Grout/Moriar
Project Alen Stoneman Swimpool Permii No.
Projeci
Location 2262 Anaheim, Costa Mesa, Calif,
Coniractor Anbhony Paols Architxt
Location in Structure Hond Beem Engineer Thomas Larson
Date Moulded 11/6/64 No of Specimens 3
Slump Specimens Marked � _z _ 3
SpeciFied Sirength at-2B_._days 2�D0_P.S.I. Mix Designation 1_ 4,5
Age to be tested days days days days
READY MIX PLANT Job Mix AGGREGATE SOURCE Bice
Weather Condition �� 1 Yd. _Yd. Batch
Cement p�onolith Type I Cement, Ibs. _z55_sks_cement.
Admix Sand
— �`5_ton_sand
Specimens made by We��J4hnsa 'r4 _—
Data by Camp r 3 _y� -S
Del ivered by TM 2 M1jY C��� - �—
- -R� ,�-
Date Delivered � �, �j,l _T
Q�i�i�l:7 {1�
Suggect 42 day test
Lab. No.
Date of Test
Specimen Dimensions
Area
Ultimate Load
Lbs, per sq. in.
H/D Corretied
2662
7 Day Test
11/13
1,66D
16ab
I p Q. ��. rn...
Water, Gals. I �
2ATORY USE ONLY
2663 2664
Day Test 4� Day Test
,z/a �.w.e_
S,BB X 11,75 S a� Y�
i.476
.
GQI.�r l � i .
2,448
a
— f. , —py'--
4
., � G%5� �Q�'
Test
m
� � ., "..._. ; . , �
U1ntlunY Poola
5871 Ftieetor,e Eoulevsra.
SouLh Cste, CaliPorrtta
3I�J�T: lw gunite tecE repcu�t4 on yaol beis�g eun�tructed tor Alaa 8tar�n aL
2262 A�heim Avanue� Costo Mep, Building Permit �23170
GeAtl.calen:
This oPt2ce is in recciq� of o test mpozt h. H. ,T. Lnwnarter b Co.,
Iac., vhich indicnua that mnteMi►le ac applisd on the a �ob slte Sdil to
ac�h the minimm reguiremanta foar guaite ert lbrth 3a Unitorm Bui].ninQ
Code� 1961 Fditi�. '14iis report ahow s day tQst 1,660 pai end a
tventy-ei,gk►t dsy test of 1,�76; also� it i auggestsd b;j the ]Abo2'itoTy tt�6'E
w fortq-tvo clsy test be ende.
You a:+e �ereDy odvi i that a�pplicstio� oY liaish msterial 8hn11 be
de],�y�ed uatil the reaulta o! t torty-tw &�y teat heve been received at this
ofPice. If thie f rty-Lw d�r te report doe� uaE prov�e satisinctory, it �hnii
be necessnry to cores of the 1 estructure, ia ahich caee, tk►io office
eha7.i be aliviaed o he tiac ead dafi.e tha cores eare to De taken in order to
arsatyae Lo have a y 8ui18ing 0?fiMal aL the job eite ahen t2ae coree sr�
tBi:eII.
�
Yours very tnily,
HLCRAY.[. EaAOHAi!
Building Otticial
' H. .. LAWMASTER & CO., INC.
7940 MAIN STREET — STANTON, CALIFORNIA 6dCM5-028A2C-002
828-8040
XXXXX
Field Data on Test Specimens Core Concrete Gunite Grout/Mortar
Project Alen Staneman Swimpool Permit No.
Project
Location 2262 Anaheim, Coeta Mese, Calif,
Contractor Anthony Pools Architect
Location in Struciure Band Beam Engineer Thomas Laraon
Date Moulded 11/6/64 No of Specimens 3
Slump Specimens Marked �_Z _ 3
Specified Strength at 79 . days 2C1�0_P.S.I. Mix Designation �_ q,5
Age to be tested days days day's days
READY MIX PLANT Job Mix AGGREGATE SOURCE Bice
Weather Condition 1 Yd. —Yd. Batch
CemenT Type Cement, Ibs.
i55 e4n ramnn4
Admix Sand _ 55
Specimens made by balter ��� m4
Data by #�`3
1
Delivered by #2 �O �.� j
Date Delivered # E ,ncd
REMARKS:
Suggeet 4� day test
Lab. No.
Date of Test
Specimen Dimensions
Area
Ultimate Load
Lbs, per sq. in.
H/D Corrxted
2662
7 Day Test
Water, Gals.
2663
av Test
12/G
S,BB X 11.75
1,660 1,47fi
t646
I.� 4� D �, ca �w.. T CL�-k_.t,u ,�.�
Tesi
ol Cos1a �Fn�sa
Test
% , ., i
� � .' � Os�.� .
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O"HaX 317 COSTA MESA. CALIFORNIA
FOR AAPL/CANT TO F/LL /N COMPLfTELY
TYP OR PRIN ' W '
BUILDIN � �
ADDRE55 _
COSTA MESA. CALIFORNIA
OWNER Paul E Rabertson Inc
�d_iy--s`� _
.�: ,- - v �,
Ji� -_. ..
t APPLICATION FOR PERMIT
r �/� BUILDING
„ l�\!�
5
FOR Off/CE USE ONI.Y_ � a
MAIL FECEIVED BY OATE RECEIVEO DATE
ADDRE55 771 West 19th 1E¢ ('j_�,,.�g /�
�i08tg �8$ TE���i�'�g� BUILDING
CITY ' NO. qDDRESS
ARC"-'TECT W Jorden NO.
OR INEER
nooRess 771 Weat 19th C�sta MesB FIRE
ZONE
CONTRAC9B}�1 B RO�Q='[$pjl �II(L�CT ry0 1$[FO6O ByPROVED
ADDRESS 771 Weat 19th Costa Mesa Ii6
oescAiPi�Orv I NO. y� I BLOCK I TRACT Zol6 �- � I
NO. OF BLDGS.
�SETBACK LINE FftOM
LENTER OF STREET
DESCRIP710N OF WORK
NE� I 4ALTERATION I II ADOITION
REPAIR I II MOVING I II DEMOLISH
5 ZIE DING3'L �( SS RO MS � STORIES �
EXTERIORyyq�� ROOF
• COVERING '�L�'C� COVERING B11�LC 11D
USE OF BUILDING AND WORK TO BE PERFORMED
COSTA MESA, CALIFORNIA
a— , .
ZONING
OF VSE OF NEW
VS '\ BUILDING
fCENTER LINE 6T.1
FRONT �CZ� FT.
LI
R.SIDE J FT.
/�
L.SIDE � FT.
REAR ��~..�� FT.
.�-� ru . �1
�
I HEREBY ACNNOWLEDGE TryqT � HAVE ftEAO THIS APPLIC.�TION 7HE AMOUNT $NOWN UNOER VALUATION IB FOR THE
RND STATE TXAT THE ABOyE 18 CONRECT RND�PGREE TO COM- pURPOBE OF E6T/�BlISHING A PERMIT FEE ONLY.
PLV WITH RLL CITY OflDINANCES AND ST TE L6W5 REGULATING
auunlNc corvsrRucrion. VALUATION
SIGNATURE OF ` PERMIT FEE S ����
PERMITTEE ,/�
��C / `/ �
$`� l/ PIAN CHECK S p,� 7�
AUTHORIZEO AGEN �� S
TOTAL FEE S
• O
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA. CALIFORNIA
fOR APPL/CANT TO F/lL /N COMPLETELY
TYPE OR PRINT
BUILDING �
ADDRE55 —
COSTA MESA, CALI�ORNIA
ARC"'TECT
OA INEER
LEGAL ILOT
DESCFIPTION NO.
A.P. NO.
SIZE
OF LOT 65
USE OF
EXISTING BLDG.
6ETBwGK LINE FFOM
IAC�JI
NO.OF 6LDG5.
DESCRIPTION OF WORK
I X II ALTERATION I II nooin�
BUILDING
size 22 x 40
EXTERIOR WALL
COVERING mnnd
1 HEFEBY ACKNOWI:EDGE TNAT 1
RNO 6TATE TH/�T THE ABOVE IS
PLY WITH ALL CITV OPOIN�NCES
BUILOING CONSTNUCTION.
SIGNATURE OF
PERMITTEE
AUTHORI2ED A NT
I�
.� Pza �� 1�. �V a..� �� �� b l�
I 0 � ' C � ���i
FINP,RCE DEPT. �' ��
CITY 0� rncTq nryESA
APPLICATION FOR PERMIT
BUILDING
fOR Off/CE USE ONLY
I neceivr Ho. I� V�ir� �
IVED BT O/�TE FE EIVfiD DATE ISSUEI
f � >o �fo —.55� /h__!G -_
COSTA MESA, CALIFORNIA
APPROVED
BY
ZON , INO.OF
` PLANS
APPROVED �
BY
YARDS �
REOUIREO
(CENTEP LINE ST.
FRONT
R. SIDE
L. SIDE
REAR �
-- �'�'v
ING
II18E OF NEW � �
BUILDING
DATE IO� I 1
=VES
aLLOWED
T. 1 N.
T. 1 N.
T. � C1 IN.
T. IN.
.O THIS APPLIC/�TION THE AMOUNT BHOWN UNDEH VALU�TION I6 FOR THE
/�ND /�GHEE TO COM� pUNPOBE OF ESTABLISNING A PERMIT FEE� ONLY.
E LAWS flEGULATING
VALUATION
�( PERMIT FEE S /Zi ^
g'�" �C� �— PLANCHECK S �S �
TOTAL FEE $ �S"
,
22980
'� OSTA MESA BUILDING-SAFEf'! DEPARTMENT
P.O. BO%9f] GOSTA M6HA. CALIPOANIA
For Applieanf fo Fill In Complefely
7')Y-rJ `Z TY@E_OR PRINT � �
� BUILDINO
COSTA MESA. CALIFORNIA
.S"ro.vr�.�..> A L
� ARCHITECT
e �.'
■ SETBACK LINE PROM
DESCRIPTION OF WORK
BUILDINO NO.OF
SIZE ROOMS
EXTERIOR WALL I ROOF
COVEpING COVER
IISE OF BUILDING ANO WORK TO BE
r/i -"' . �. .
OPBLDOB.
(N
�I HEREBY ACKNOWLEDOE THAT I HAVE RFu�O THIB APPLICATION
/NO 6TATC THAT THE ABOVE I8 CORRECT AND AOREE TO COM•
PLY WITX ALL CITY OqOINANC68 ANO 6TAT8 I.AW9 q60ULATINO
Bl11LO1N0 CONBTRUCSION.
;
� AUTHORIZED
F�E REC�IVEU
SEP 21 1964
FINANCE DEPI. �
n�r�a,QFo�'AS�R N�T
BUILDING
For Office Use Only
PBCt�PT NO. S6RAV'
/'� � Z I P{.6N8 L• I BUILD NO�
I�
LEOAL
�-�/3� �/y
�E OVERHANG SHALL BE LE85 THAN
YARDSAPPROVED I YARDSAPPROYED
MAIN BUILOING AGCESSORY BUILDING
VAR. #
aw.
DATE
4'
TX8 AMOUNT BXOWN UNDEfl VALUATION IB POR TME
PURP09H Op EBTABL�6XIN0 A PEflMIT FEE ONLY.
VALUATION [{1(""J '
PERMIT FEE $ � � �
s� g'L> rJ A � E� a
��
._� . 23 I 70
' COSTA MESA BUILpING-SAFETY DEPARTMENT
P.O. BOX 12W COSTA MESA. CALIFORNIA 92l2E
For Appllmnf ro Ffll In Complately
TYPE OR PRINT
oui�n�na 2262
AODREYB
/
COSTA M A, CA F RN A .
ALAN STONII1iAN
'�"n'o sR T I.�RSON '
—�571�"IIiEbI�'Pi E �
ADDRHYG
coNrn� n ANTHONY POOLS
ADDR6
�„�, SQ GATE
BI"Tu„ l90�9 �-
32210
�—
61ZF. NO. OP oLDO�.
OF LOT NOW oN WT
v 9Eu��Pn�n e. nn . �/1t�rr� ��
OF WORK
BUILDINO NO.OP
SIZE ROOMB
EXTERIOR WALL ROOP
COVERINO COVBR
UYQ Or GU IIDINY AryD WORK M B[
1 X[R60Y ACRNOWL�DO� TMAT.I MI�V[ RII1O T11� IVtLIGTON
wND eTAT[ TNAT V[.19 CORR[CT ANO /��0 l[[ M CAY.
PLY WITH ALL'C OqDIlUIJ�V AND RAT[�OYlATNO
GUILDINO CON UCTON, ) / /
t � •��. ���_ _�
r ^:v. �v:,x•::_
FEE REGEIV�U
OCT 3 0 1964
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMR
BUILDIN6
For Offlco Ws Only
R[CI1RN0. �tRMI'
�r
���
uuc�imon
A. P. NO. ^�
N0T8: NOEAVEOVHRI
DO' TO HIOE R RPJ1H p
EAVEB
ALLOWED
� YARDBMPROYED
MAIN BUILDINO
( FROM GL DTRB[Tl
VAR. #
c�n ieeu¢o
ZONING
--� , ss sa
7ALL B L688 TNAN '
U. B. C, RECUIREM6M1
YARO9 MPROVHD
AGC8880RY BUILUIN3
DAT6
v � - i - a
m
�
sa. rr. �
n1v wYouHr �xowN uxo¢a vwwenoH �6 voa n�e '
�YRIOOi O/ �rrweueX�xo A �6RMIT !6[ ONLY. �
VALUATION /� 5
PERMITFHH S �
d0 _7 w
s � f"�DO, `
TOTAL PEE L �
: 233�3
iCOST74 MESA BUILDING-SAFEfY DEPARTMEt�IT
P.O.BO][]17 COHTA MHBA,CALIPORNIA
For Applicant ►o Fill In Complefely
TYPE OR PRINT
AODRE53 ���� �� /y-��
COSTA MESA. CALIFORNIA
■ MAIL
STATE /� «�f� iCf.) /`140 � �G �
LIC. NO. C.. � '�'F!
n�r Enr ' I w�W�n
■ 6ETBACK LIN6 PNOM
DESCRIPTION OF WORK
� USE
1 HEHEBY ACKNOWLeD08 TH�T 1 HAVH READ TX19 APPLICATIOH
AND 6TwTE THAT TNE A60V6 IB CORRHCT AND AapHi TO COM-
PLT WITH ALL CITY OpDI 6B�9TA�LATItiO
BUILO�NO CONeTRUCTIO
SIGNATURE OF
PERMITTEE
AUTHORIZHD AOHNT
FEE RECE VtU
DEC 2. � 1
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMR
BUILDING
FO� �f%IC@ {�S@ �llty
x�eyv�o er I/ Y=I e/ arlaC f:�:%�7 e�s�
��
ADORE59 ,z LbZ Al�iq�I� /Y
FIRH ��
ZONB TYPE� 6ROUP
BTPROVED .J OATE/ Z J�
Z ING � ,
20X6 NO. OI UB[ OF N6
PIAND O�IILDINO
LEOAL /• �� ` S f� �
OHBCRI'TION �� �
A. P. NO.
NOTE: NO EAVE OVERHAN6 SHALL �¢ LESS T,HAN /
YARDHAPPROVED
MAIN BUILOINO
!OM C/L STftEET)
VAR. #
YARDSAPPROVED
ACCESSORY BUILDINO
DATE
a
SO. Ff. �
THH AMOUNT 9HOWN UNDEP V�LUATION 19 FOP TX8 F
PURP08E OF fiBTA8L16HINO A PERMIT FE6 ONLY. 0
VALUATION pv C l ,� n
PERMIT FEE S 7 �
Sr' q
s � QC'�d ° o
� �
TOTAL FEE S � �
�� OWNER .p_S F�terprises � DATE 2_lk_72
`JOB ADDRESS 2258-2264 F t in�1�y� West BUILDING PERMIT N0. 3k210
� GFuERAL CONTRACTOR R. W. McC ellantl $�c �on,ingESCRIPTION of WORK Fill-in Swim Pool
A ,.1.15- 1-2 LOT TRACT . FIRE ZONE VALUE $ 72.00
INSPECTIONS Si nof�re Date GROUP J TYPE IIj ZONE R-1
, �,.�� i '__..._. .,_.._'
Gn5
W AT
PROP.
UN�ERGROUND [] POWER
ROUGH WIRING
FORMS n STEEL REINF.
Fl.00R SYSTEM
BOND BEqM ❑ STEEL REINFORCE �
SHEATHING
FRAME ANO FLqSHING
LATNING - IN n OUT �
P TER, BROWN COAT
:TURAL, FINAL
HEATING, VENT., REFRIG. AN� A.C., FINA�
PLUMBING. FINAL ANO GAS TESTl�.I% _
SUBCONTRACTOR
, .. _�^.n,rr�._,. . . -,r.,�,�,C•-,-..-,rR- :_.�'�,q4"�. =,s�,e'-y=`T"mf°"*:: �T�. : [ v �.-.�''' -"�. '� : .. . � ..: 'F." _" r - �. ?� t•„`_
. ." �"' , ; _ . , y '-., . . . � _ ,
COSTA MESA BUILDIqG-SAFETY.DEPAqTMEN�T `! �. ,,;. �/ 'j�'+ '„ , e -
P.O..BOX.1200 : . �� - .
,.,� ,�^ - . ' Caste Mesa,; Calitomia � . " - _
. . r=.
' , . � � , . � , � a - �I� )�� 1�
PERM '
� � ' TMR.NO. RECo. BY • 7 - - �
CONTRACTOB 1'�;�j�,,�� ��,• f�� ��1� LOT NO. DAT[E 166I16O
Address �!�! � ,/�C� lf�f t i'� � � BUILDING USE 7�i�`I��
. . . ' "� . / ! _
. Ci /% % - � Zi Codei�', � Building r- . -
• �Y . 17 •. �J P �� L• �7 Address !i <7uqL•frJ .+fd�rl . �.5?f. / .:cors c,., i<idJP > ,�
. Sedte licen`se No.'` ��;�.$% CI6u. L .�G`, Owner t?//i° � .�„'..� ' � ' �
w City License No." " Tel. No. '' Mai� r {,, ; � :.i., �, , 4
.. � . . , 4'��3 L:. . . � Addrest � :.t:i . r,u.�I'a..,r"9[� f -�.,
� Q • NUMBER , TYPE�OF FIXTURE OR ITEM .. � �FEE., � �y�q �/ ��
� ��" Bathtub:.'-.>. . CitynrS'%A fi'�%i�C4� ♦4'-l�Tel No �.%�f�
�.'.�J - - � t hereb acknow�ed e� �q ,� � ��
, Q � Laundry�Tub�or,Trayy;. Y g. that3l�have'read this applica6onsand� �
- Automatic Washing.Machine, �, state Ihat the above; 15 Coirect and' 8gree [o coMplYhwrth all ' �,�
. '� C�ty Otdinances and State'Laws regulating plumbing: ���. r
�. Shower � - '�� I cerfify,4that�ltpossess the above valid Sta[e of.Califocnia classi --
-�, Jt - � Smk, Bar �C '� �C fication or�l am �the legal owner of the iesidential propeity de _��
". � , , Sink, IUtchen � �_ -. - ;� scribed above. � , � .,
•�: W Wash� Basig(Lavatory)`-- ` � g,�� ����ettify that 1 have obtained a permi[ from the S[a[e Division oF � "�
". d - . �Industrial Safety foc excavations,othee than swimming pools, five �-
o:, � ��� Water Closet (To�tet) :��� -�- ��a���� �� '(Qe[ deep oi deepe� and into which a person is ieqwred to descend ,�
�r �� `� Drinking'Founta�ns - ,'� Y .�� Y" ,,. ,
r // /
"'a ' Floor'�Drains e s-.`�1.�ri�-,� SiBnaluieof �����/��'_ '
� Permi!!ee- (/a� - ;i
•z. . . . ,_ . ,
. ... . . - .. 1
z i -�� Interceptors . _; -�- �,i" �j ,
� W Recepto�s . -c-� 4 ��..,r '_9 ' . , 14 . .. . . . . . . , �. . �F
'= INSPECTION, RECORD
i � . Sinks,.Commerctalortl`ntlustrialj`� 9�.
�.-:�� . - � -. - � � - . ,
1�'� - Sinks, Floor.,.=."�,'x.=,�5. �%. , ry . . , .
' � � ' •'� Sinks, Service'- - ��*;"_'„ � .f _ . ' , - ' ��
� •• . �' Swimmin8 Pool�'" ` ' - ' . . . _ . :�
. ., W : " Uri'nalsi✓':'t' � �
d' . a . ' Uistiwesher. i ` - . , - . . . . . . �ri
. �. - � Garage Disposal - ' _ . ��
� . . � . Watei Sof[ener _ ;-.. ' .
. O , ^!y
..j - WatecHea[et aad Vent`[ , - _ '�, . '. ;
. } I ' Gas.Syste�n Outlets:..2 "L__. n�� � ' � � .'
. � �. . Roof Drains . -�, � ��, A.P P R 0 V A �' S-' '
_ Water Piping�Al[erdlion� ' �wsricioa.. Dwre . '�
- - BackFlow,PreJenrerr`� _ � ' - . U/G Soil � ' � -
_ � - Lax%n Sprinklers.(Res.or Non-Res - UJG Wetei � - j ' ' I .
- ' Roperty Sewer-.--.1 Feet ,' �rn�=�=We�er Q G89 [] � � � '
. House Sewer Connection � � � �uBb P�1�mbmg � ,�
- . , � " Cesspool; Septic Tank�-�, - - ' � Sp:in�[lea SyetCm - � _ � �
�' Sewex Cap G�' � ' � ��
' - ' Miscellaneous � � � - Propeity �Sewer . . � ' � ' � � ' �
�` �,�. - Pool RecepCor �� � - . .
. j_: � �- -�;r - - � Filter SYatem - � - - ' � - �,5
�, � , . : � Sub-Total �'�,.. , ..0'r': ; ' , � Pool "HeeteI . �. � . - .� �� �
- , Rems echon Cee� `- � S '.Miscelluneous � - P 'I
. ..Processin6 kee f .� ' " � . S � .`�'.1.. . , .. . . .
�' � .
; ,Y � ,: � F;aat,Ga9 . ' I I . :
� . .�� -�,� x ,�;�"'P()TAL�FEE � ' � ..�� ry'�- Plumbing.Fine1 `� � � - �
• .a.� 'r:_ I ' . I �1 . . . L3tility Co. NotiBed � i`. .
' ,. . r D . . . . . _ d �I -� � . � '
' CMF 0450-46 . �t•.` - . + ' . " . '1. . . � 'B�d. PERMIT NO �.
' .
� .
�
. .'. < F `t . :i . .'.
_ � � - 1 .. 4 . . - . . i '.1 ' .