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Home My WebLink About2832 FRANCIS LN - Building Permits� . . . APpllcant to fiil in all ipatts.azee0t those within . CITY OF COSTA MESA'._ ' � CONSTRUCTION PERMIT Project Address �2 u S �-W ` ApplicanYs Mailing Address.; ��=Grn � d ��l�Jc� Ownei's Nama �`2� � ��' k-�T Phone Address � Z�i�✓Z �02f4wlLS �� ArchlEng. ti ��b� License No.� � � Address Contracmr's Name ��F �?� ��pe-s Phone L�`�'S�1 Addresslmailingl��b �� S�yT�� Ciry License No. � D�� eCr LICENSED CONTRACT00. DECLARATION j I M1ereby affirm that I am IlcenSetl untler provl51on5 Of Charter 9(commancin9 ' witn sactlon 7000) of �Ivision 3 of the Buslness antl Professlons Cotle, antl my Ilcense Is in f I torce and effect, l g LI<ense Class � pnsa No. Date 2 � �7'�� Si9nature WORKERS'COMPENSATION DECLARATIO �ereby attlrm that 1 have a certiflcate ot consent to self-insure or a certlfiwta Workers' Compensatlon Insuranca, or a certitietl copy tbereof (Sectlon ,.d00, Lab. C aoucvrvo. '�%5—OSSS-03 co a v/'U�, G U`TNECVCS] �I�..yI Certlfletl cOpy Is hereby turnishetl. q / p9 Casyfipqf,ppy�fyfetl with the city ul Jn��yls n. //� �,/� 7 EXEMPTION FROM WORKERS' COMPENSATION �EQSCAR`ATI�V (Thissectian neetl not be completetl if the permit 15 for ona huntlred (E100) or less). I certlfy that in the performance of the work tor whlch thls permit is Issuetl I shall noc employ any person In any manner so as to become subject to t�e Workers' Compen5dtlon LawS of Califomla. ' Oate Si9nature NOTICE: It,�atter making this tleclaraHon, you shoWC become subject to the Workers' Compensatlon provislons ot the Labor Cotle, you mu5t forthwi[h comply with such provizlons.or.this.permlt shall be.tleemetl revoketl. CONSTRUCTION LENDING AGENCV ' ' I heraby affirm that there 15 a construction lentling agency for the performance of tne work for w�lch thls permlt Is issuetl (Sectlon 3097 Civ. C.) Lentler'S Name Lentlar'S Atltlress OWNER BUILOER DECLARATION � I hereby affirm that I am axempt fram the Contractor's �Icensa Law for the following reason� (Sectlon 7031.5 Buslness antl Professlonal Cotle: Any city or county which requirez a permit to construct, alter, improve, tlemolish or repalr any strucWre, prlor to Its'issuance, also req Wres tha applicant tor such permit to file a signetl statement tbat he/she is Iltensetl pursuant to the provl51on5 0( the Contractor's Llcanse Law (Chapter 9(commencing.with Section ]000) of ;. 3;"{slon 3 ot the Buslness antl Pro/essions Cotle) or that he/she is�exempt g}y;�:;.afrom antl the basls for the allegetl exemption. Any vlolafion of Sectlon `t�1.5 by any appllcant for a permlt sub�eccs [he appllcant to a dvil alty of not more than tive huntlretl tlollars ($500). � I, as owner of the property or my employees with wages as thelr 5ole mmoenzaHnn_ will Ee the work. anG [he structure Is not Intentletl or o/teretl a or : If, nowevaq tbe bWltlin9 or improvemem is soia w¢mn ona year o* com- ❑on, the owner will hava the burtlen of provin9 ha/she GIO nol bulltl or Im- ve for the purposa of sale). � 1, as owner of the property, am excluslvely contracting with Iicensetl con- :tor5to COnzf�uct the pro78Gt (Sectlon 7044, Business antl Prote55ions Cotle: • Contractor'S License Law do0s not apply to an ownar of Omperty who Itls or improvas thereon, antl who concractz tor such projects with a<on- :tor(s) Ilcense pursuant to the Contractor'S Llcense Law). I am exemp[ untler Settion B. & P. C. for thls reason Date thi5 Slgnature ^W/N.wA' 1 Drivers' Llcense or SS � repra- y for Ilnes anC sign all aDPropriate tleclarations. . T,YPEOFCONSTRUCTION LI NEW IJ ADD�LJ ALTERATION LJ REPAIR .� � 0 CONVERSION ❑ DEMOLISH ❑ OTHER � Ap # DESCRIPTION OF WORK 1 ��S77L /�. T\�T�J7_ - ' S Main Building: TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL T Front ❑ TENANT D�ELECTRICAI � PLUMBING ❑ MECHANICAL - B Rear ❑ -OTHER �Aii�J • A PROJECTDESCRIPTION� 5c1.FT. oCCUParvCV C Right CONSTRUCTION TYPE �^ VALUATION $��! _ g Left ZONE GRADINGCU.VDS, ACRES p�ng.Ref.# rxemarks: -g Parking Req.IProvided � Use of Building: PLUMBING FFFC Planning Notes: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks � Ges Service • Interceptors Kitchen Sink. Lavatories P-Trap Roof DrainS Reinspection Fee Outlets Under Ground Duct-Ventilating � ExhaustSystem ❑ Multipl Firepl(Fact. Blt. ICBO # Heating System & Ducting , ❑P700,000 BTU Ot00,001 Reinspection Fee CMF 0865-46 rev. 32/83 Whlte - Bulitlin9: Cana�y - AOPlicant; Plnk - Accounting; Goltlenrotl - Assessor $25 Showers Service Sink Sewer Cap Sewer Connection Solar Collec rs Solar Pipin -r Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater - Water Service Isue Fee Hood or Typel ❑ Canopy Type II ❑ Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Altaration Automatic Washer Construction Pole Sub. Cooking Unit ' Dishwasher Dryers ❑Gas ❑Eleccric Pan - � F.A.U!'i �,, •, Fixfures. . • � Switches• �� Garbage DiSposal � Generatoi 00-5 KW �5-15 i �i $ 3 Reinspection Fee F.EES - - PUBLICSERVICESREDUIRE� . Zonin9 APProved'BY � . ' i . i. I 8uilding Appmved,6y� �.� Iszue Fee .. $ 3 4736 2/23/84' I 2one Accessory Building: Park.Fees $ EIECTRICAL �., � Transformer ❑ 15-50 KW ❑ 50 + KW Meter ❑up to �700 amps Meter ❑over100amps Sub Panel Motors�0.1 HP 01 % - 8 � Inc.Solar �9-15 HP �16-15+ '� Microwave � Pole Light � Range � Si9n Standing $ections W Trash Compactor Fee FEES $ 3 � - � ' SUMMARY OF FEES � � � BUILDING�PERMIT.^'$ SMIP $ � !�`� PLAN CHECK �� J $ � PERMIT � - � PLUMBING� �� $ .00 ISSUANCE �$ . PLAN CHECK 25% �$ ��-� ENERGY P.C. ,$ ELECTRICAL $ d•3�+ GRADING �$ � PLAN CHECK 50% $ � MICROFILM $ ' � - . • MECHANICAL $ TOTAL FEE $ o2I,SO �_ PLAN CHECK 25% � $ . . . Z O N 1 N G R E � U I R E N E TL � • .�/. r. .CONSTRUCTION�AND PLANNING . POOL 'A .. �� . --� ;. -,,': �. 1- �AP.PROVALS Permit# Date �Inspector �p�ppROVALS Permft# - Date _= I'nspector _ i., � ' � :, " 1_Temporary Electrical Service or Pole - . 52: Pool & Equipment Location - "' -� ^�2� Soil Ripe-Undrgrnd. � ' . ' , 53.� Steel Reinforcement . ' - � Si,� - -?! Electrical Conduit Utility-Undrgmd. � �o� ' 54.. Forms • � - ' . • ' - � ' � 1 ��4: Electrical Conduit-Undrgmd. . , � 55. Electrical Bonding � - _ _ � �� '�5. Steel Reinforcement . 56. Rough Flumbing & Pressure Test �� ' 6. Electr,ical UFER Grnd.. _ , � 57. APPROVAL TO COVER-GUNITE - � � 7. Footingsj • ' . . 58.� ElectricalConduit-Undrgrnd.-�- � • - � 8. Foundation � ' � • 59. Gas Pipe, O-Undrgrnd., Test , • . 9. Water Fipe-Undrgrnd. . �� 60. Backwash�Lines, P-Trap, � UndrgYnd. 10. Structural Floor System . ' 61. APPROVAL TO DECK � �� - . ''� �_ ��11. Property�Sewer �Line•& House Connection . 62. Backwash�& Receptor-Final � �� 72. Sewer Cap . ' ' 63. Heater & Vent-Final _ ' . . , . 13. Roof Drains , � � 64. Plumbing System - Final � - �> � � �, , � 14. Rough Plumbing " ' 65. Electrical-Final� - ' � - . - 15. Rough Electrical-Conduit � • ' . 66. Solar System-Pinal � -, �""� - - � 16. Rough Electric Wiring � - 67. Fencing & Access Approval � .'- ,`--. 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING �� - ' - , 18.` Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL � �� ' -� . 19: Rough Heating &FAir Conditioning , � � FIRE DEPT. REQUIREMENT . � � � - - , � � "20' Rough Factory replace APPROVALS Permit # � . � ' 21. Ducts, in Structuie , � ' 70. Underground Hydra � I 22.Ducts,�Ventilating � 71.ProductPipingOGas OOiI ' � 23. Gas Pipe-Rough & Test , � , 72.. Underground Flush , � �24. RoofFraming 73. Undergrnd.StorageTankO�Gas ❑Oil � ; '25. Roof Sheathing ,. - � ' � 74. Overhead Hydro �. � � - - ' ' 26. T-Bar Ceiling (Structural) & Monocoat , 75. Dry Chemical - 27. Frame and Flashing � � � 76. � Dry Standpipe � � � _ � , 28. Lathing &�Siding � ' 77. FIXED SYSTEM FINAL � . =29. .Insulation � - � 78. FIRE P.REV. FINAL ' 30. Drywall Nailing � . HEALTH DEPT. REQUIREMENT . i � ' 31. Plaster�Brown Coat 79. FINAL INSPECTION � � 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED � � � � � 33. Final Electric � ' �j�� C.t7 • Notes:' � '�'�� 0 � �p � , . 34. Final,Heating & Air Conditioning �/�fj�" ./ A _� /il 35, Final'Gas�Pipe�Test , � , .�� , 36. Hood or Canopy � ' ' . �^ � � 37. Final Factory'Fireplace. � � ,QJ �`LB �SS ' P /%� - 38. Final Plumbing Y.,� j� �% � � . � . �1 '� 39. Water Service-Final . � _. � � ' ` �s : � 40. Gas Service-Final , ' � ' , � ' � � ' �� ' 41. Solar pomesticFinal (;Q . - - - � � � ' � ? 42. Backflow Preventer � . . _ ' '�i � � ' ; 43. Backflow Irrigation . � � � � . . '. � ' 'I : 44. ,Landscape Irrigation System � , � , . i, 45. Sound Attenuation . � i - � , : -_ � i - � .i 46. Handicap Regulations � � - � • -� - 47. FINAL�STRUCTURE&BUILDING ' ' � � �� - - � 48. Special'RequirementsCompleted . � � ` ' • ' , 49. Electric Release to Edison � � i - - � " . � � . 50. Gas Release to Southern California Gas Co : i �. � ' ' • i � , 51. CERTIFICATE OF OCCUPANCY • � ' , - � --,- , " - . � , � No. . - - . - Date � . - . � � - . . .. _ . ' a tt i �,..... ,. ,,,`,�. l��,-a,� � F �� L"'✓� �� .� tirce �-��ucs,G.IL_ — 2xto r8 nnp *I�ClT�. 1i�CUGGV<.. Q.t� LCn+.£J.JT ��r_. P�L �� o�P1\VGLII +-��--. lalLbO LA�L�S. � 2-�/n �r.ti• i_btes �I- �'arZ I -3�r_ d� rs' �a�. I ,cte ��oc �o,ic� ! w_._ n ,. �.� �@. �' �L. ' A��3��1�� i i CI�' �F C�S�� „�ESA � Mechanical L'ivision Buiiding Department i � Approved.��.....Date_,'�, Ol � Q�...�i�� l.�uu . , p, 1 � 7m � W tl U tltl � Y/ rL'.:� Gos�t� Y�F ��If�4 i�'�:.�,•i M?char.ical Civision 6uilding Department 8 —3�c�r- ��"1 f \\ � AOVlicant to till in all spaees eacept those witnin �eavy EorAer I�nes anE sign all a00�opriate tleclaralions. CITY OF COS7A MESA CONSTRUCTION PERMIT Project Address 1 Sf S"1 l`� Y'b�N C+ 5_ l.GiN e _ ApplicanYs Mailing Ad re5s.: '�' � t� , S' /�� ,p •�' Owner's Name p Nc,_� ~�� Phone �¢E-.GZ1 Q Addreu � O 3� r'�I11 Ct 5 �../� ' � �'t + Arch/Eng. License No. Address Contracmr'sNam �+/� �� 'L� P Phone Address (m '�' � � d V""� µF �� City LicenseNo. � ��a � 4�CENSED CONTRACTOR DECLARATION � hereby affirm [hat I am Iicensetl untler provisions of Charter 9(commencing With section 7000) of Divislon 3 of tne Business antl Grofes5�ons Cotle, antl mY ��cense is in full orc an ef�e�t. y 3 3 9� r �Jcense CI ss �- License N�] Date Si9ndture � /� �'�� '7RKER5'C MPENSATION DEGLARATION ereGy dfflrm [hd[ I have a certificata of cons¢nt to self�n5ure or a Certiflcate �� WorkerY Compensation Insuranca, or a certifietl copy tltereof (Section �800, Lab. C.) policy No. Company tifietl copy Is hereby furnishetl. Cert'l{'�e�, �co�py/�;,f) l�etl with thG tlty Bui 9 Oi 5 nL,., bate�/1/�a� APPlitant '��L�� t"�y �%EMPT�ON F`SiOM WORKERS' COMPENSATION DECLA0.ATION �This section neetl �ot be completetl if the permit is for one huntlretl (y100) or iess). I certi(y that in the perform5nce of the work tor wnlch thls Derm�t is Issuetl, I shall no[ employ any perso� in any manner so as to become subject to the Work¢rs' Compinsdtlon Laws o( Califomia. pate S9�ature NOTICE: H,iaite� making this tletlaraHon, you Shou10 b<Come SubfO<t to th¢ ' Workers' Compensation provislons of the Labor CoAe, you must forthwith comply with suc� provisions or 'this permit shall be aeemetl remketl. CON5T0.UCTION LENDING AGENCV � hareby afflrm t�at Ihere is a mnstructlon le�tling age�cy (o� ine p¢r/oYmancC o� the work for whlch thls permit IS issuetl (Sectlon �309] Clv. C.) �,entler's Name 4¢ntler's Aatlress OWNER BUILDER DECLARATION � I hareby affirm that I am exempt trom the Contractor's llcense Law tor ttie tollowino reason (Section 7031.5 Business antl Professlonal Cotle: Any dty or I, as d5 O W OCf rs tb con� / aPpucan[ *or a pe�mn suo�ec�s mo appucan� [o a avu nore than five huntlretl tlollars (5500). • � of the prooerty or my emp�oyees with wages�as tnalr sole will tlo the work, anU� the structure Is not intentletl or offeretl on 7044, Business antl Pro(essional Cotle: The Contractor's >es not applY to an owner of a �roper[y who builtls or imProves �ho tloes Such wo�k hlmSeH/herselt or throu9h his o� h0� own vlaee that such Improvemen[s are not IntenOea or oHerea tor :r, tne builtling or improvement is soltl withln one year of com- �ner will hava [he burtlen of pvoving ha/she tlltl no[ bulltl or im- urpo5e o! sale). • of the property, am exclusively toMracting with.licensatl Wn- truct t�e projact (Sectlon 704A, Business an� Professlons Cotle: �'s L��ense Law does not apply fo an owner of property who Jv85 thereon� antl who contlact5 for SUCh pfOje<t5 with a COn- '�e oursuant to the Contractor's License Law). I am exempt untler Section B. d. P. C. for this r¢ason Date � Owner I �meby certify that �I'have rea� Iniormation is correct. I a9�ee to aP0 state laws relating to bulitlir sa�tatives of is ci to enter inspection Vu�� ies. � — , s�9�:t�,e , 'O��vers' L�cense o� 55 � _— Y TYP^E OF CONSTRUCTION LI NEW LJ ADD LJ ALTERATION L_ REP.qIR LJ CONVERSION ❑ DEMOLISH� y❑�_. �07HE� � DESCRIPTION OF WORK __�e!`c+1��,� O I GD TVPEOFPERMIT ' LJGRADING �LJ/�p UNDATION L15TRUCTURAL ❑ TENANT ❑ ELECTR�CAL ICPLUM8ING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION Sp.FT, OCCUPANCY— CONSTFUCTION TVPE VALUATION $ ZONE GRADING CU. VOS. ACRES_ Rema�ks: 3ar Sink 3ackflow Preventer 3ackflow trrigation 38thtu6s Clarifiers J ISh WdShBf 7rinking Fountains Floor Drains Floor Sinks uas5ervice Outlets Interceptors Kitchen Sink Lavatories P—Trap . Roof Drains Reinspection Fee . �$25 Duct - Under Ground Duct - Structural Duct - Ventilating .. ' . Exhaust System ❑ Multiple ❑ Firepl/Fxt. BIL IC80 � Heating System & Ducting �. ❑ 6100,000 BTU L� 100,000 BT Reinspec[ion Fee � $25 �F0865-46 rev.12/83 W�ite-Builtlin9 Canary Applicant;Pink-Accounting:Goltlenrotl-A55essor \ Showers . Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service . Issue Fee Hood or ' Type I ; ❑ Canopy Type I I � ❑ ' " Refrigeration Sys[em ' �0.10�,0008TU ❑100,WOBT System Repair/Alteration ' laue Fee $ 3' S 3 A.P. #'+ 5 Main Building: E T Front 8 R¢ar A C Ai9ht SLeft Ping. Ref. # Parking Req./Provided Use of Building: Planning Notes: Automatic Washer Construction Pale Sub. Cooking Unic • Dishwasher � Dryers ❑Gas ❑Etec Fan F.A.U. Fixtures Device Boxes Out�ets Switches Garbage Dispoul Generator �0.5 KW � F 7378 3/27/B4 Zone Accessory Building: Park.Fees $ EIECTRICAL Transformer ❑ 15�50 KW � ❑ SO+KW Me[er ❑up to 700 amps Meter ❑over 100 amp5 'ic Suh Panet MotorS �0.7 NP �1 h- 6 Inc.Solar �9-15 HP �16-75+ Microwave � Pole Light Range Si9n Standing Sections 5-15 KW Trash Compacmr , ' Reinspaction Fee I $', PUBLIC SERVICES REQUIREMEN7S: Zoning Approved By Building Approved By Apoliption luued Bv� Fae �j°��_ T�, F $ 3 Z O N I N G R E � U 1 R E N � SUMMAAY OF FEES BUILDING PERMIT $ � � SMIP $ PLAN CHECK $ PERMIT PLUMBING $ � ��UANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL ' $ ' GRADING $ PLAN CHECK 50% $ MICROFILM $ � MECHAN�CAL $ TOTAL FEE $ �_ PLAN CHECK 25% $ �� - - - c , CONSTRUCTION AND PLANNING *� POO SPA , ' APPROVALS Permit # Date Inspector AppROVALS Permit # Date " Inspector � 1. Temporary Electric9l Service or Pole � ,U " 52. Pool & Equipment Location .� 2. Soil Pipe-Undrgmd. ;�. 53. Steel Reinfarcement . •,, 3: Electrifa'I•Conduit Utility-Undrgrnd. � 54. Forms ,� �4 - 4: Electrical Conduit-Undrgrnd. � 55. Electrical Bonding - _� ,_ 5: Steel Reinforcement ' 56. Rough Plumbing & Pressure Test � - -�� r• 6. Electiical•UFER Gr`nil. 57. APPROVAL TO COVER-GUNITE . � , 7. Footings �� _, i 58. Electrical Conduit-Undrgrnd. �'� 8. Found'ati"on •• . 59. Gas Pipe, O Undrgrnd., Test �' '' ��4 " i. ..� 9. Water Pipe-Undrgrnd. "� 60. Backwash Lines, P-Trap, O Undrgrnd. .� 10. Str�ctural��Floor System ' 61. APPROVAL TO DECK -_ 11. P;operty Sewer Line &.House Connection 62. Backwash & Receptor-Final -� 12. Sewer'�ap_ i� : ` 63. Heater & Vent-Final �, 13. Roof'Drains _ _ 64. Plumbing System - Final �y 14. RoughiPlumbing . , 65. Electrical-Final � � 75. Rough�Electrical-Conduit 66. Solar System-Final � � 16! Rough Electric Wiring 67. Fencing & Access Approval � 17. Raugh Wiring Sign 68. APPROVED FOR PLASTERING ' � iS. 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 77. Product Piping O Gas �❑ Oil Y 23. Gas Pipe-Rough & Test 72. Underground Flush . � � 24. Roof F�aming � 73. Undergrnd.StorageTank OGas ❑Oil ' 25. Roof Sheathing 74. Overhead Hydro �� 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � 27. Framea�d Flashing 76. Dry?Standpipe � � , - 28. Lathing & Siding 77. FIXED SYSTEM FINAL � � � � ' 29. Insulation 78. FIRF�.PREV. FINAL ' � 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat 79. FINAL INSPECTION . 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy - 37. Final Factory Fireplace . , - 38. Final Plumbing� t� �81� �� 39. Water Service-Final � ' 40. Gas�Service-Final - ` 41. Solar pomestic-Final - � • 42. Backflow Preventer - � . � , � 43. Backflow Irrigation , 44. Landscape �rrigation System 45. Sound Attenua[ion . � 46. Handirap Regulations , _ 47. FINALSTRUCTURE&BUILDING � . 48. Special Requirements Completed ' ' '" � r . - 49. Electric Release to Edison � � , , ,, 50. Gas Release to Southern California Gas Co � • 51. CERTIFICATE OF OCCUPANCY - - � � No. Date � , . . - - . • � y �,=�``2 �A�'�o Twininq La�oratories �,f �L11t�tz��t c�t��f�,z,Z«t, �,Z�. �_ � 2 P.O. BOX <] . 3310 AIRPORT WAY . LONG BEFCH. CAUF. 90'n01 .;213� <7c�3355 . 1213� 63h23flb . �714� 828�6432 9>FMC'� OCFIGES: TESTING ISl..cwcr•sH,rverS�,ee. ,;;',�„�;,,� FanDer.,c'..n ar�nq s„r�n,,,.c,��ra.�aca�m t? .y xosse,��,:�n., v.o e-.•� `nr � -�-i ' �tl•) SJbio�s �gy� lj Le-q Beoc� Ca�� oob01 �zl)I olba)Be �la �i`�'_'C' LR' —�� • `.°'�•�✓�:. January 6, i976 Ezamination: $]6-3Q COMPRESSION TESTS ON GUNITE CYLINDERS Mr. ErroT F. fieesch 12921 Aspern+ood Lane Garden Grove, Californta 92640 PROJECT SIdIPiM117G POOL - JQHh! PRICfCFTT a.00REss 293z Francis Lane, Costa Mesa SAMPLE FROM POOI APCHRECL ENGINEFY MIX DATE CAST DATE TESTED CYLINDER NO. 4.5 to 1 12/27/75 1/5/76 1 �/O/a CONiRPC10N South Coast Pools SUBCONiR4Ci00. -Same- SPECIFIED STRENGTH CYLINDER SIZE COMPRESSION � Days � DayS Tora� LOAD, 185. 76,500 83,000 POUNDS FER SO.IN. 2�Q20 2�935 S17E: y-7/II"x12-1/2 6x12-1/2 CO MPLIANCE � D0Y te5Y5 comply with speciflcations. MADE 6T CYLINDERS �r� ois*iieunor+�. " E. Heesch - 2 South f,oast Poo1s Costa Mesa Bldg. Oept. OEINfNED BY E. Heesch 2,000 psi i/S/76 3 k.5,6 "NOLD" 9 Days 77,000 2,9b5 5-3/4"xi23/4" AECEIVED ON 12/29/75 c�� •.� o�w��e-y • a S 9" "f'J �S +! C�l'�.r�0f'+" �L � n[�.`.� O� tl ('+i5 ��r.�O�+il�i�Olu �Ow nuB'�iC�� O+ O� OVe oEPOuiS CONCLy510N5 Oe F'� .v. ♦ u��.� �� fC..nn 4�. ..tu S�+�SEoyfD eF`�' � n a hu'If^� ect.�[1�s� e5 �..iV L oy0'f�'�O'�'O CLiEN'S iwF FIllLIC �n0 Ot�eSELvfS . � _ . ��c2�� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIFORNIA For Applieani fo Fill In Comple+ely ZT�'PE OR PRINT ' BUILDING ✓2 ADDRESS . R - COSTA MESA,, CALIFORNIA � MAIL �ARCHITECT t TEL. c�rr Corona del Har � �� No. yA4e�-sB—I No: SIZE rJ�j �.� Q? � I NO. OP BLDGB. FI zo LEGAL J' , DEC 9 1��0 � R �� 'r-� ; ,�;<�E Di�n�. Gbt' 8a� ftA�tl' �3�:��C•''•L[:7ESi APPLICATION FOR PERMIT BUILDING For Office Use Only �RECEIPT NO. ,g P MI: (N�O.1 .3�4� �S:I.D L1 PEC ED OY I OATE�RfiC�VE[)OI}�(!,'��E(�d�Vtli� / / ( t+t. U IILDING IDRESS Francis L8II0 COSTA MESA. CALIFORNIA RE ^`'/ �NE TYFE � GROUP � � X 'PROVED ' DATE ZONING He xo. oc uae or Ne R l PLANB q BUILDINO vsI nA-4 �..... USE OF YARDS EXISTING BLDG APPROVEO BHTBACK LINB FwOM � / I�NTCR YN[ 8TJ CeNTew on STf+EET REAR YARD FRONT SIDE YARD IL8F7 S/ IRIGHi �j / R.SIDE DESCRIPTION OF WORK . _.__ BU PLY WIiH ALL CITY OI BUILDINO CONBTRUQ� SIGNATURE OF ` PERMITTEF - � AUTHORIZED AGEN7 ROOF COVEI K TO 1 REAR ��,�/ FT. C •� APPROVED BY W. L. D. , ATE �- /UiSI S.F• B- -/ n t/ v S, �. THAT I HAVC H�AD THIB MPLIGTION TXG AMOIINT BXOWN UNO¢R VALIIATION IB FOR THH �VE 18 CORRER AND qEE TO COM- pypp09E OP ¢BTABLI9NING 0. vERMIT Fee ON�x. V GE9 AND BTATE RH3UlATINO VALUATION t, PERMIT FEE $ �7+ � $ % y� � � �i O"�J PLAN GHECK $ � �, (T� F W W L a y � "y' F G 'V .-1 a a > � a m a � a d z�y LS'i 3 . ... . 4 � o J.2 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 I�� For Applican[ to Fill in Completely — Use Ink Only BUILDING (� ADDRESS� :7 � � OWNER�.�.�1_ UJ'/h-( ('//�� MAIL `� i7 (' ADDRESS nC d . CIT CANSTRUCTION LENDER BRANCH AODRESS ARCHITECT � OR ENGINEER ADD�SS / �v��71 CONTRACTOR�J- ADDFESS 6 �� TEL. NO. TE LIC N0.�1 OD�p LICVNO.�� SIZE NO.OF BLDGS. OF LOT NOW ON LOT USE OF EXISTING BLDG. Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFOHMED PAIU � **�,� DEC ?_2-75�µz�,00 916 48.50 APPLICATION FOR STRUCTURAL PERMIT ECEIVED BV DATE RECEIYED neTc icciicr [� Z PERMIT NO. A.P.NO.I/�lJ��_Z� BUILDING _ �- _ _ � � � OWN FIRE ZONE APPROV I % � VALUE jE INO.OF USE OF 1 JPLAN$ � BUILDING�`rnl VARDSAPPROVED YAPDSAPPROVED DISTANCE BET. I BET. MAIN & MAIN BLDGS. ACCESS. BLd VAR.� DATE I �e�eby acknowlatlpe ihai I have read this epplicetion antl state that the above Informetion is eorrect entl aB�ea to eomply with all lews regulatinp bulltllnB �onrttuetlon, antl I shall not employ any person In violatlon of Me workman's compensation laws of t�e State of CalHomia. I hereby cenify that I am properly Iicansatl aa a conttactor untler SQ. FT. the Stata of Calltornia Business and Profeuions Code, Divfsion 3, THE AMOUNT SHOWN UNDER VALU Chapter 9, antl that such Iteensea ere in fuli torce and effeet, or 1 THE PURP06E OF ESTABLISHING A PERP am exempt from the O�ovlsionsof eheState of Celifornia Business VALUATION PERMIT FEE S antl Professions Cotle, Diviaton 3, Chapier 9. Sipnaiure of T PLAN CHECK S Permittee /� ti�J� Q�p�� $ �-(QO TAX $ Authofizad AOent TOTAL PAID $ N n m i 0 m N FOR m ILY: � J� ^ � m m / o LL ' O u