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Home My WebLink About2719 GANNET DR - Building Permits. ADP��cant to /tll In all CITY OF COSTA MESA � CONSTRUCTION PERMIT Applicant's Mailing Address +�� Project Addrese (N'Z ! 1 C' �' Owner i Nem N L/� hone Address ' � � I q �iA�/�i�Z� l. � ✓✓� • . Arch/Eng. _ License No. ' Addreu }� 0� /y COnt/Bctoi • Nmm� � F �/ • phnn Addrezs (mailing) 6 2� N• �f N(�D� ,' S. Li. License No. � �� 2' � _ LICENSEO CONTRACT00. DECUIRATION � I nareGy affirm that 1 am Ilcensetl un0ar provisions of Chnrtar 9(commanGng my Iicanseo'S i^00y0y) at DI �ialo�ff q3�t / tI�'e Businass antl Rofessions Cotle, antl . IJcensa Clau (� '-�� ^ C� �Y � �t•�� p 'L� , Ddte.�_� ' $I9 � I WORKERS' COMPENSATION OECLARATION � � �reDy afflrm.that 1 tlave a certifiwte of con5ent.to.SelNnsure or a.tertitlrate_� Norkers• Compensatlon Inturance, or a certifleG topy therao/ (Sec[ion _.JO. LaD. CJ I . ' ' , Policy No. � Company � � - eCerU/bE copy Is hereby furnlihatl. ' � � , Cartl/iatl copy is /Iietl with the city Bulltlin9 Olvlsion. Date APPliunt � _ EXEMVTION FROM WORKERS' GOMPENSATION DECLARATION (Thls seclion neetl not be tomplatetl If tha permit Is tor one huntlratl (5300) or � less�, i 1 . ' ' I c¢rtl/y tnat In the OBrtOrmanCe 01 thB wOrk fOr whlth th15 perm�l Is iisuatl 1 snall� not employ any person In any manner so as ta become s� jn<{/t�� ti�e , WOfkBr CO n IOn 12w3 of CdllfO�/�f'a�.y'1�C //// /�// �! Date ' SlOnature �� •� �ri t -r�r�� NOTICEi 11, aiter-mak ng thls Eeclaratlon, you�snoul0�betome SUDjett to ihe � Workars' Compansatian provislons of the Labor Cotle, yau muzL/orthwith comply wlt� suc� provislons'or this..permll ihall be tleame0 revokaE., CONSTRUCTION LENDING AGENCV ' �� 1 hereby attirm tnat ttwra Is a,constructian lantling agency tor t�e pertormance of iha wOrk lor wh1U this; parmit'Is •Iisuatl (Sactlon 3087 Civ. C:) LenEer'i. Name � l.an0or•s Atldress OWNER BUILDER OECLA0.ATION � � - I hereby,a//irm that I am ezempt trom tna Contractor's Ucanse Lnw foi lba � foilowin9 reason (Sattlon 7031.5 Buslnasi antl Pro/ezsional�COEe: Any city or ,county wbich reqWms a Oormil to construcl, alter Improva, Gamolish or rapair any strutture, prlor to Its Issuanca, also reqWres l�e aDP��anl br suc0 permit ; � oy any aOP��an[ �or �a permi[ suo�acti ma appuwnt to a avu ty o/ not more tnan fiva hunOrotl Ooliars �E500). • �as•owner of, the Droperty on my amployees witn wages�az their sole onsation will Co tho woik, antl the structuro Is not Inlnntletl or offeretl �Ie-(SocElon 7044�, Businuss antl Prolesslonal Cotla� TM10 Contractor'S se Law Goet not aOP�Y to an owner of a Droparty who Eulltls or Improves in,!and who Uoes suc� work bimsolf/�arzelf or throu9h hls or her own iyoas, provltletl that such improvemants aro not IntentloE or offeretl for 1, �owever, the bulltlin8 a� �mDrovoment Is solA wlt�in ane year of tom- n, the owner wlll hava the burtlen of proving he/ihe tlitl not bulltl or im- }orthe purposo ot,sale�. • � . � 9s ownar o/ the pwperty, am exclusively contracting�with Iimnmd con- as to coMlruct the orolect (Sectlon 7044. Businast antl Aofeislons Cotle: . L1 I'am exampt unCer 5ectlon— Date � Owner I hereby cerlify t�at�l�hare�reai informatlon Is corract. 1 a9roe to antl State IawS relating t0 EuilUln sentatives of'thls clty'to an InSpection 50 Slgnature � Oriv`ers' Licanse or�55 # CMF 0865-46 rev. 12/82 Wnite = an owner o( property who r SUth pro�ect5 wlt� a con• �se Lawl. • t — 8. 6 V. C. for this reason i ipacas axeept tnose / /' T � sign all aooroodata aecbratlom. TVPE OP CONSTHUC7ION LJ NEW LJ ADD I�TALTERATION LJ REVAI R , ❑ CONVERSION _❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK � TVPE OF PERMIT . GRA�ING[� FOUNDATION STRVCTURAL ❑ TENANT ❑ ELECTRICAL ISIPLVMBINO ❑ MECHANICAL , O OTHER PR0.IECT DESCRIPTION' Sq. FT. � � OccUVANCv CONSTRVCTIONTVPF � � VALUATION$ , 20N� � GRADINGCU.VDS. ACRFc Ramarkr. ' , � � � � • Ba� Si�k ' : . Backflow Preventer — --- --- Backflow Irrigation � Bathtubs � Clarifiers ' � � � ' Dizhwa5her i � Drinkin9 Fountein5 � � Floor Drains • ' FltiorSinks -- ' Gas Service _Outlets •- Intnrcwnmrc �- � - Kitthen Sink . � ' Levataries ��. � ' P—Trap � Roaf Drains � Sh'owers - _ Service Sink � � .� I .. . ' � . � Duct-StructuralV U ; � � . ! Duct-Ventilating � _,_ _ , i ' � , � Exheust System ❑ Mu�tiple ❑ ' Fiiepl/Fact.Blt.IC80# � � Heating System & Ducting � �- Oo-100.000'BTU �100.0008T v Date d �7'D � ' i Cana�y - ApP��nt; Pink - ACCounlin9; or Type I zsessor -aewer wnnecnon — - Solaf CollectOrS . Solar Piping • Solar Tank ' ..a.��...,�� i Water Heatei - � �- 'WateiService � . � Reinspection Fee • Isue Fea ❑0.100p008TU ❑700 System Repeir/Alteration I 0 Reinspection Fee i laue Fee � � A. P. 9p PING. REF. �IW ' TO BUILDING. PROPERTV LINE LEFTSIDE VARD PKG. SPACE REO. STREET WIDTH SPECIqL CONOITIONS: 1 � . Automatic.Washer_ � . r. Canstruttion Pole ' , Cooking Unit ' ' ran � F.A,U. � Fixtures Device Boxes 1 Gerbage Disposel ' ' Generetor DO-5 KW 05-15 KW Transformer �15�30KW ❑SU+ KW $15 Merer ❑up to 100 amps S 3 ZoninB APProwd By 53 �::.:i'! �/I��/': BUILD^NrG ec�rwe rn eT REAR VARO (TO P/L) . RIGHTSIDE VARD � PROVIDED � . PAflK FEE § Sub Panel , ' Sub Pole � ��Morors �0-1 HP 01R$ �Inc.Soler�09-151iP �76-16 �Mlcrowave � • ,Pole Light -Range � � � ' � Sign � Standing Sectionz . Tresh Compactnr , � Rainspection Fea � � • � Applimtion Approved By � t�7�� Date Applintion laued By _L/ �' ' Date � �S �� j � SUMMARV OF FEES . � ' � , �BUILDING PEFMIT $ � : SMIP � $ PLAN CHECK; � $; � PERMIT � ' � PLUMBING � $ � , ��UANCE � $ • ' I �PLAN CHECK ' $ � GRADING i $ , ELECTRICAL � $ ' ' ' $ � PLAN CHECK` $� MICROFILM , S . , MECHANICAL � $ ' TOTAL FEE� $ � 'PLAN CHECK' $� � ! � LESS • ' � . � � ; ' i ADVANCED PC ; $ � � . • � � FINAL FEE $ � '� i CONSTRUCTION AND PLA NG �' - .'-- �. - -. - �O�`�"'�`3p -- - -- - �. • , �- - ' - ' = .:Date -� :Inspeetoi� � � � ' � Date Inspector :�APRROVALS � Permii#�i� . . APPROVALS Permit# '` ,1, Temporary Electrical Service or Pole -� � e� :••� � 52.' Pool & Equipment Lowtion � � , -� c . - - � -i , .. -_- . . �� 2! ,Soil Pipe-Undrgrnd, .- � ; � , . _ �53; Steel Reinfoicement ; � � , i , i • ✓3: Electrical Condui[ Utilitv: Undrgmd. - � - �54. Forms � - � - � - • - . � , - . �: 4: ElectFical Conduit-Und�gmd. �_ _ . .�o ; �; -� 55:� Electrical.Bonding. � � ' . ; � � ' 5: Steel Reinforcemeni� .� ' - , � � �. .56. Rough Plumbing.& Preswre Test � � � y 6. iElectrical UFER Grnd: --�� .�. � r�. ' 57. APPROVALTO COVER•GUNITE • 7. Footingsl�. ' ' i u - ' - � 'i 58�'Electrical Cpnduit•Undrar�d. - . ,' , 8. Foundation � 59. Gas Pipe,-O Undrgmd., Test. - , 9. Water Pipe-Uridrgrnd., ' ' �� ; �. 60. Backwash Lines,�P-Trap, O Undrgrnd. � , • . 10. Structural Floor Sy,stem . E `� . 61. :APPROVAL TO DECK 11. Property Sewer Line &�House Connection ,� ��: ' '.62. Backwash &� ReceptorFinal 12. Sewer Cap � ! - _, p � . � - � � ' 63. Heater &�.Vent-Final ' � � � �� , .. 13. Roof Drains ' ` .' ' � � - - . . . '64. Plumbing System - Final � 14. Fiough Plumbing .' - � - - : 65. Electrical-Final � - � . - -15. �Rough Electriral�-Conduit` - " . -'� '-'� - ' i--'� ' '• ' �" -' 66. SolanSystem-Final� � � �- � -- � " � 16."Rough:ElecfricWiring . .� � � 1Z;'�-' j = ��-.-,�' 67. Fencing&AccesrApproval -� - - . � "'� �_ - ^ 17. jRough Wiring.Sign _ ` - � �� '?' t i : � � � _ � � gg; APPROVED FOR PLASTERING . _ � -' 18. RoughEleetrical-T,BarCeiling !! �, � ; =�":' `� '69.,POOL/$PASY$TEMSFINAL � . " 19. �Rough�Heating &�Air Conditioning �� 1 "� ' • . FIRE DEPT. REQUIREMENT �' ' � ' 20. Rou9h_Factory Fireplace j � , � i ' , � � ' AppROVALS ' Permit # ' ,- 21. Ducts,.in Structure, � ; , , , � ' 70.� Underground Hydro ; � 1 �� ti22. �Ducts, Ven4ilating �' � 71. Product Piping �Gas ❑Oil ' -, 23. Gas Pipe-Rough & Test _ � � �, 72. Underground Fiush - �� 24. Roof Framing � � �.� �! � � : 73. Undergrnd. Storage Tank O Gas ❑ Oil ' 25. Roof Sheathing � , � , ��,� �� ' '- � _ ' ` �.- � � 74.' Orerhead Hydro - � 26. T•Bar Ceiling (Structural�,& Monocoat' � � � ! � � � ''i 75. Dry Chemical . � . � - 4 27. 'Frame and Flashing . � � ,76. Dry Standpipe � - � - � � - .. 28. Lathing & Siding �, � i '77., F.IXED SYSTEM FINAL ' 29.'Insulation � ' , ' � ', , 78. FIREPREV.FINAL � '30.,DrywallNailing i � � . � � 'Notes: , 31. Plaster Brown Coat � � ' ' �� 32. �Electrical Power MeterFinal � � - • � � , � � . � ' 33. Final Electric - � • � , . � � 34. Final Heating &�Air Conditioning � � , � , i � 35. Final Gas Pipe-Test - � , . � _ , -, _ ; 36. Hood or Canopy ' - � - � '� � , � � - q 37. Final Factory Fireplace, � ' . - , �.; � � � 38. FinalPlumbing, : �� ' � � . � 39. Water Service-Final . �`� ' ' ' , " � � 40. Gas Service-Final ' ' � � . � � ` � � . i i 41. Solar pomestic-Final ' • ' ' � � � • • � � - - ' - - - - -� i 42. Backflow Preventer � ! _i � '_ � _ _ � 43. Backflow Iriigaiion _ � ' �- � ' . 44. LandScape Irrigation System ` _ ' _ ' ^ � - • 45. Sound 'A[tenuation � �� , ,_ � � � ' � ' - - ' � 46. HandicapRegulation"s i ' ' ' � �' _'� � � � � � - � � � ' � . �- �• 47. FINAL STRUCTURE & BUILDING 1 ' � I �;- � j � . � �, i � . , � i � i 48. Special Requirements Completed �� ; � - , � � , ' ' , ' . „ _ i � ~� 49. Electric Release,to Edisom � ' � _ . _ _ _ _ � _ . . .� . i '. r . ��.. � � � `. . 50. Gas Release to Southern California Gas Co � � i � ' � ' � � i ' . , 51. CERTIFICATEOFOCCUPANCY '� ' .�. __ � ' ' _ _ . ' - - � No ' � Date � ; r ' " • Applicant lo /III in all t.GTY OF�COSTA MESA . aEannir Nc , CB�fSTRUCTION PERMIT ,�C� within LICENSED CONTRACTOR DECI.ARATION I hnraby atfbm that 1 am IlcenSetl untler provl5ioni Of ChdrtGr 9(COm- mencing with "section 7000� ol Dlvision 3 ot tha Businezi antl Profasslons Go e_ nU my Iicense is In tull /o �n �f t. License Clas t se N Date �� Signature � � _ WORKERS'-COMPENSATION DECLARATION I her¢by affirm that 1 hdvG a cerUfitate ot COn58nt t0 selHniur¢ Or a certifiwte of Workers' CompenuUon Iniurante, or..a ttrtifletl <opY th¢reoi (5p� llOn,3B Lap� C ''"Y N� V�.LY? �1� omPanY L�S IU+J :rtifietl copy Is hereby furnizhetl. ��l�r ._«ertlfie� mpy Is file0 with Ihe city BuilCin9 Divislon. EXEMFTION F0.0M WOHKERS' COMPENSATION DECLHRATION (ThiS 5¢Ctlon nG¢tl not De completetl i( th¢.pGrmit i5 tOr One hunEr¢0 �5100) or Iess). certity that in tha performance of the work for which this permit is Issuetl, I shall no[ emPloy any person (n any manner zo as to Decome Subj¢Ct t0 thG Wo/kGrs COTpenSation Ldwi Of Ullfofnia. Date r'Signature NOTICE: If alter mdking•this tlaclaration, you ihoultl betomo subj¢ct� to Ihe Wo�kets' CompBn5dtl0� p�Ovislons Of the Labo� COCe, you muit forthwith Comply wlt� sucn provl51on5 O� [hI5 p¢rmi[ Shdll:be tl�¢metl revoketl. � . CONST0.UCTION LENDING AGENCV I hereby atFlrm that thero ii a conztructlon Ientling agency ror [he per- formance o1 the work fOr whlch Inis permi[ is Is5ue0 ($ection 3097 Civ. CJ. ��. T`� . LanCer's Nama �-L'S LenCer'S AGUress OWNER BUILDER DECLARATION I hCr2by affl�m tha[ I am exempl from tne ConlraCtoYS Uc¢n5v I�w tor [hc following reason (Section 7031.5 Buslness antl Prolos5lons'Cotle: Any tlty or rounly whith requlre5 a pCrmit to ConStruct, aller, Irtlprove, tlemollsh Or rGpai! any struclWe, prior t0 it5 i55uanCC,alio r0• qulres the applicanl for suth permit to tilo a signed statemont t�at ho is Ilcensetl pursuant to the provislons of the Contractar'S Licenie Law (C�apt¢r 9(commencing with SeCliOn 7000) ot Divlsion 3 of the Business antl Professions Co�e) or that he Is ezumpt tboralrom antl the bx^"�for lh¢ allegetl exemption. Any WoldliOn Oi SettlOn 7031.5 by ;'�'�,6y,ppliWnt lo� a permit 5ubjeCts Ih¢ applicanl to a tivil ponally i�'r:��:. ; more than /ive nuntlretl tlollars (y500). L��'o, as own¢r ot �he property, or my ¢mploy¢es with wdges az IhGir Sole COmpBnsatlon, will tlo th0 wOrk, antl Lh0 slructure Is not Intentled or of/eretl tor sala ($e<tion 7044, Business antl Prolessions Cotlo: Tho Contractor's License Law tloes not app1Y to an owner o/ a property wh0 bWIdS or ImprOves �hereon, antl wh0 tlOes such work himsel� or Ihrouqh his Own omployee5, provitletl thdl such Improvemanls are nal In[entletl or oHerotl io� sale. If, M1owuvoq the builtling or Improvement Is soltl within ono year ol completlon, the owncr wlll havo tnc burtlen of prOving he tlitl not bWltl or ImprOva lot lhe purposc ol sale). ❑ I, az owner of the property, am Bxcluslvnty conlracting with licensetl contractors to consVuct lhe pro�e<t (Sectlon 7044, Business antl Profession5 Cotle: The Contractor's Llcen50 Law tloes not appry lo an owner of property who builtls or ImprOv¢5 thetaon, antl who con� lracts from such prq0cts wilp a contractor(s) IlceSnetl pursuant to tM1e Contractor's License law�. ❑ I am exem0� untler SecUon B. &'P. C. br tbls reason Date Owner I hereGy certifythdl I e reatl Ihis appliGation antl State that tha above information ' recc. agree to comply with all Uty antl county o�tlinanGes a tl sta laws ¢Iating to construcUon, dntl h¢reby au[horiie representativ s of ity [o en[er upon the a�ove mentioned property fd insp io Our o5es � � i Signa W re Oat¢ � Drivers' License or 55 qf � CMF 0865�46 White-Builtling; Canary-ADG�iwnq DorCar Iinas an0 sinn all BLDG.NO. T PE OF CONSTRUCTION NEW ❑ ADD ❑ ALTERATION REPAtR ❑ CONVERSION ❑DEMOLISH ❑ OTHER DESCRIPTION OF WORK TVPE OF PERMIT ❑,GRADING ❑ FOUNDATION- ❑ STRVCTURAL ❑ TENANT ❑ ELECTRICAL ❑PI.UMBING ❑MECHANI ❑ OTHER � PROJEC7 DqES�CRIPTION . S�. FT. r^�'Lii OCCUPANCq1{� CONSTRVCTION TVPE VALUATION��1�-�-� ZONE GRADING CU. VDS. ACRES PLUMBING � PLAN CHECK ' BATHTUBS $HOWER$ TOILETS , URINALS " LAVATORIES OOUBLELAVS KIT.SINKS DISHWHSHERS SERVICESINKS � SUMPS FLOOR SINKS FLOOR DRAINS ORINKING FOUNTAINS INTERCEPTORS CLARIFIERS � SWIMMINGPOOL (�P�TqAP WATER SERVICE ALTERATION GASSERVICE � � OUTLETS WATER HEATERS ' BTV OVTPUT SEWERCONNECTIONS' - SOLARTANK COLLECTORS SOLAR PIPING $VS. ISSUE FEE ' MECHANICAL PLANCHECK HEATING SVSTEM 0-300,000 BTV _ AND DUCTING �00,000 + BTV _ REFRIGERATION 0-300,000 BTU_ SVSTEM 100,000�+BTU__ BOILERS BTV SYSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTiPIE ISSUE FEE icn.� . '°' ZONI A.P. $ ZONE , SETBACK C 5T. `I�� VARD 5Ep R�IGHT REAR VARD (TO P/L) PKG.SPACE REp. � STREET WIDTH ZONING APPROVED BV, SPECIAL CONDITIONS: ELECTRICAL �; I I;/I7/,�,' I�q,:, NG REGULATIONS � � PLNTGp. Rg�E1F�. p� PROPERTV LINE 1 L%` . PROVIDED � � �� PARKFEES' . PLAN CHECI( . GENERATOR 0-1KW_1-lOKW-- TRANSFORMER APPLIANCE' 10-50 KW_50 + KW �_ MOTORS ' ' 0-1 HP_1-70 NP _ (INC. SOLAR) . 30-50 HP 50 i HP _ FIXTVRES ' ' OVTLEfS SWITCHES' ' GFS TUBE SIGNS "- - POLE LIGHTS ' "' ' ' . . PANELS " MAIN $VB SER V ICE' •F ISSVEFEE - ' ' 'LICATION APPROVED BY • ' ' SUMMARVOFFEES' BUILDING PERMIT S �:SO $MIP E—Y� PLAN CHECK E PERMIT � ISSUANCE S PLUMBING 5� GRAOING S PLAN CHECK S �� y� ' ELECTRICAL S J.cS_= s PLAN CHECK E MICROFILM $ MECHANICAL 5 TOTAL FEE E PLAN CHECK E LE55 AD- , VANCE PC E FINAL FEE _ .. , .• . . � CONSTRUCTIONANDPLANNING � POOL&SPA, . . .� � • __,,�,. ��p� � �y� Date Inspector �pppROVALS . Permit# � '. � ' Date• - - Inspector APPROVALS Permit # .1_lJ�i.2tiL1 - 1. Temporary Electrical Service or Pole ', � 43. Pool & Equipment Locatian -- -- -�� , - °L- � _ . i ipe-Un rgrm _ • Steel Reinforcement ' '•--� - - --- - .3. lectrical Conduit Utiiity-Undrgrn . 45. Forms � � - - - - � 4. Electrical Conduit-Undrgrn 46. Elec[rical Bonding , - -- - - tee em orce 47. Rou h Plumbiri & Pressure Tesf - - 6. Elearical UFER Grn, , 48. APPROVAL TO COVER-GUNITE --�- .Z . 7. ootings ,, 49. Electrical Conduit-Undr rn t'L• 8. Foundation 50. Gas Pi ❑ Undr rn, Test -� 9. Water Pipe•Undrgrn 51. Bac w sh Lines P-Tra ❑ r i ' � 10. Structurel Floor System 52. APPROVALTO DECK " ""' " 11. , Property Seweu Line & House Connection 53.' BarJcwash & Rece tor-Final !1-1i-$ z e� 12. Street Sewer Connection 54. Heater & Vent-Final .�_ � 13. Rough Plumbing ' 14. Rough Electric-Conduit �56. Electrical-Final 15. Rou h Electric•Wiring 57. Solar System-Finai 16. Rough Heating & Air Conditioning • encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 3_Z i� C C 20. Roof Fraining � 21. Roof Sheathin !� 22. Frame and Flashin NOTES: 1 �� i� p�,��✓ I�-^� yE�-ii� 23. Insulation 24. Lathin & Siding 25. Orywall Nailing 26. Plaster Brown Coat � 27. Electrical Power Meter-Final � 28. Final Electric 29. - Final Heating &�Air Co�ditioning 30. Final Gas P'ipe-Te"st. - � - 31. _Final Plumbing 32' -Water $ervice-Final 33. Gas Service-Final � � 34. Sotar pomestic-Final 35. Landsca S rinklin S stem. - 36. Sound Attenuation • 37. Handicap Regulations � � � 38. FINAL STRUCTURE & BUILDING ' ' . 39. Special Requirements Completed ' � - 40. Electric Release to Edison _ 41. Gas Release to Southern California Gas Co. � 42. CERTIFICATEOFOCCUPANCY • 'No Date . . > BILL T0: Address: CWNER: PROJfCT: Address: Gun i te � G�� REPORT OF INSPELTION ON Masonry () Concrete ( ) a�. // �� Permi� No.BpE,s"S69' Architect: Contractor: .9'hva'—ac, �� Address: Address: �� Q,�t�pi. �/�> Engineer: � ,C. LL�piy�,r/� Subcontractor: ��y�B' '�y� �� np� (Gunite) Address: '�l.d�u '0"%1.��?i • Masonry or ��.8�� T(i� � �� Concre[e) Inspactor: Address: Mix Used: (,�,�• S•�Oe' • -�� _ f� X 30' AdmixWre: Designed Streng[h, P51: ,`�000 7he following inspection was performed in acc�rdance with ihe approved drawings: Lu.Yds. No. of DATES Placed Cyls• Remarks /, 3 ff � 6 ir�v�. �2�.��.�e, ��i.�fa- rcr, z`-m�-e . 0 0 � Copies of Reports to: (Indicate which Bldg. Dept. E furnish address of any not listed) __ _ .. (� c1'� R� — •— � Z r. �, , � �.�W"`� �'-� ii�aia� L�boa�torie: �f a'�� , ��. �� 3310 aipon Wsy / Meilin0 Pddrese P.O. 8az 67 / lnnB Bes�h, CA 90801 / �213� 428-3355 /(213� 638-2386 /(714� 828•6632 TE$nNG BpAN�H OFFICE. 1514D Nort� H�rpo Svw i Ssnu Ane. CA 92)03 / 01�1 56<46�5 December 10, I98Z EXAMWATION NO. 82-12720 COMPRESSION TESTS ON GUNTTE CYLINDExs Jack Hubbard 3106 Ostrom Avenue Long Beach, California PROJECT AODHESS ARCHITECT ENGINEER B.C. Adama SAMPLE FROM MI% DATE CAST DATETESTED SPECIMEN N0. COMPRESSION TOTAL LOAD L85. POUNDS PER 5�. IN. .'..PEA. S�. �N. ��:�: SWIM POOL - D.McDonald 2719 Garne[ Drive; Costa Mesa, CA CONTRACTOR Swam Pools (Santa Ana) SUBCONTRACTOR Chino Guni[e Co. Shallow end, deep end, bond beam 6.5 sk. 12/3/82 SLUMP 12/10/82 1 7 days 61,000 2,160 28.27 57ECIFlED STRENGTH SPECIMEN SiZE 12/10/82 2 7 days 131,000 4,630 7 day Average: 3,69(1 2,000 6 X 12 12/10/82 3 7 days 121,000 4,280 COMPLIANCE 7 day tes[s comply with specifications M4DE Bv. DELNERED B�: RECENED ON: SPEGIMEN$ Tom J. Hubbard 12/6/82 D�57RIBUTION Jack Hubbard - 3 Costa Mesa Bldg;; Dept. �� v � ,O O�,G � ��c 4lL REPOATS GFE $UBMiT1ED <5 iHE CONFiDENTm� opO�ENTV 0� CLiENiS iUTHOuip:iiON GOA PU9L�C>TICN pf OUA REVORTS CONCLUSIONS OR EYTPGCTS iPOM OF REG�RD�NG iNEM I$ RESEAVED �EN�ING OUA M'PITfEN <ovROVGI n5 o MUTUeI PROiECTiON TO CUE�+iS iNE vUBUC nND OUASELVES pbd 4 Ca►c� .C. Gaiu ELECTRICAL CONTRACTING Lic. x 420289 � � q �vv v��i� �.ti - ��"a� -� � e�.��e. - (714) 5�3-5684 5662 Monticello Ave. Buena Park, CA 90621 \v4Zw @ \ �-e�� - = ��.�`'�' � 1L_-w � �p�f� � -s�� `�. �s_ ti,� � �:�,., �, � � � 1 a5' �,��.,;.�� 1 � ��--�, t1.��.,� � I � , . . .. Applicant to till in all svaces within neavy boraer lines antl sign all apv�opriate tleclaraHons. CITY OF COSTq MESA P MIT NOM. TRACT NO. LOT NO., �BLDG. NO. CONSTRUCTION PERMIT �" J/S 2� Project ntldress � �' ,Uc / DKiVt � TYPE OF CONSTHUCTION OWnCI �N�,} - L PhOne � a� � NEW ❑�ADD ❑ ALTERATION Address � Y ,vNc`T ��✓� � � REPAIR ❑ CONVERSION ❑DEMOLISH Areh/Eng. �� S " License No.- ❑ oTHEa � Addre55 ��y7 URST C�r • DESCRIPTION OF WORK � � Contracto� SwpN PppGG Phone yrJ-d�'fj TYPE OF PERMIT t�/' Address " Q S- i ��He? ,V •� ❑ GRADIN� FOUNDAT� Idl STR' LICENSEO CONTRqCTOR DEGL RATION i � �\ ❑ TENANT ECTRICAL LUMBING I hereby aftirm tnat I am licensetl untler provi5ion5 Of Chdrt¢r 9(com- � mencing with sectip� ]000) of Division 3-of the Business antl C]OTHER - Professions Cotle,- antl my Ilcense is in fWl force antl etfect. pROJECTDESCRIPTION � License Class -�; Licensgry o `/� � � ' oa�e i� //6 q2. s�y � �� t,r,er /%!l/J� SQ. FT. �/.�'iJ 0 WORKEdS' COMPENSATION DECLARATION • - OCCUPqNCV_CONSTRUCTION,TYPE _ I hereby affirm that ��have a certificate ot consent to ult-Insure or a VALUATION�d 20NE certiticate of Worker5' Compensatlon Insurance, or a Certifietl copy Ihereof.(Se ti n 800, Lab. ). sN / GRADING CU. Y�S. ACftES _ �icy No. �- �ComPany //�� SS/OA,� Certitietl copy is hereby furnishetl. REMARKS: - �� d Certifietl cOpy is t��etl with the clty Builtlin9 Division. :XEMPTION FROM WORKERS' COMPENSATION DECLARATION , � This section neetl not b2 completetl if the pe�mit IS for one huntlretl . . . . ., EL00� OI IC55). . _ . . ' c¢rbfy that in the performance ot the work for which.thi5 permit is :suetl, I shall nOt'eh�ploy any person in any manner so as to become PLUMBING _ PLAN CHECK � ubjeGt to�the Workevs' Compensation laws of Calitornia. � � )ate Si9nature ' BATHTUBS SHOWERS JOTICE: I( afte� m8king this tleClaration, you shoultl become subject ��TOILET$ ' URINALS o the WorkE�S' Cort�p¢nsation,p�ovlsions of Ihe Labo� Cotle, you must � Orthwith mmply wi�h suGh provi5ions o� this pe�mit s�all be tl¢em¢tl LAVATORIES evoketl: - - � - � � :ONSTRUCTION LENDING AGENCV . KIT.SIIYKS hereby aftirm that there is a construction lenqjng agency for the per- SERV ICE SINKS ormance of the work for which this permi[ Is issuetl (Section 3097 '��' C'�' r FLOOR SINKS _entler's Name G,VL' _entler'S Atltlress DRINKING FOU IWNER BUILDER pECLARATION � � INTERCEPTOR' .he�eby,at/irm that I am exempt trom the Contracto�'s LicenSe Law for DOUBLE LAVS OISHWASHERS SUMPS � FLOOR DRAINS FI he following reason �5¢ction ]031.5 Business antl Professions Cotle: SWIMMING POOL .Any city o/ county which requires a permit to construct, alter, improve, tlemolish or re0air any structure, prior to its issuance, also re- yyqTER SERV ICE HLTER ION quires the appliwnt Yor such permit to file a signetl Statement that he is Iicensetl pursuant to the provisions bf Ihe Contractor's LicenSe Law GAS SERVICE OVTLETS .(Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Prdessions Cotle) or that lie is exempt iherefrom antl the yyqTER HEATERS BTU OUTPUT -is for the allegetl exemption. Any violatlon of Section ]031.5 by zppllcant fo/ a permit subjects the appliCant to a tivil penal[y SEWERCONNECTIONS � � aot.more lhan fi�e nuntlretl tlollars ($500). � �J I, as owner of the property, or my employees with wages as lheir � SOLAR TANK COLLECTOR< solC compensation, vyill tlo the work, antl the Siructure is not in[enaetl . or offeretl for sale. ($ection 7044, Business antl Professions Cotle: The SOLAR PIPING SVS. Coniractor'S ��icense �yy� tloes not apply to a0 owner ot a property . .. wh0 builtls or imprqyes thereon, antl who tloes such work himself or ISSUE FEE throu9h his o�+'n employees, provitletl that such improvements are not intentletl or otferetl For sale. If, howeve�, the bUiltling or improvement MECHANICAL PLAN CHECK is soltl wi[hin one yaar�of completion, the own¢t will. have the bu�Gen of proving M1e tlitl not builtl or imProve for the purpose of sale). NEATINGSVSTEM 0-100,000BTU_ ❑ I, as' owner of the property,—am-exclusively contracting'wittr qND DUCTING - licensetl ronVacmrs to ronsttut[ the prolect (Section �044, Business 100,000+gTU_ antl Professions Cotle:"The Contractor's Cicense Law tloes not apply to - a� owner of proper(y who builtls.or imp�oves thereon, and who con- REFRIGERATION Od00,000 BTU_ �bacts from�such projects'wi[h'a mntrattor(5) IIceSn¢tl pursuant to SYSTEM-� --- � ' the Contractor'S License Law). . 100,000 + gTV _ ❑ I am exemPt untler Settion B. & P. C. for Ihis BOILERS � BTU reason Date' Owner SVSTEMREPAIR,ALTERATION� I h¢reby certify that I have reatl this,applica[ion antl State that t�e aGove EXHAUST SVSTEM MUITIPLE Info�mation is corre�{, I agree to comply with all city antl county ortlinances antl state.laws relatin9 to consVuction, antl M1ereby authorize " ' �epre5entaNveS of Ihis city to ente� upon [he above mentionetl - property fo� c[�on_ r oseyj—' . . Signature _..,��'�� Date/� �rBZ DriverY License or 55 � / ISSUE FEE" -- CMF0865-46 Whit¢-Builtling;Canary-Applicant;Pink-Accounting:Goltlenrotl-Assessor ' 183tl 12/16/82 15oDJ ZONING REGULATIONs A.P.9F .. . - . ZONE PLNG. REF: $ - 0 REAR VARD (TO P/L) PKG.SPACEREQ. PROVIOED � STREET WIDTH PARK FEE $. , ZONING APPROVED BV SPECIAL CONDITIONS: ELECTRICAL � " � PLAN CHECK - $O.FT. GENERATOR 0-1 KW_ 1-30 V(W '-� TRANSFORMER ' APPLIHNCE - 30-SOKW_SO+KW MOTORS - p-I HP_I-IO HP ' - pNC.50LAR) -30-SOHP SO+HP FIXTVRES� -OUTLETS SWITCHES GAS TUBE SIGNS " - ' POLE LIGHTS -' � — -. "' � PANELS � MAIN �SUB "' , " �SERVICE ' " -"' ' -�" AMP ' ' ISSUE FEE ' � " ' ' - � ' � � � APPLICATION APPROV ED BY ' ' - ' DATE ' SUMMARV OF FEES � BUILDING ' "- - �- ' ' PERMIT $ �� SMIP. $- PLAN CHECK $ '-PERMIT O i55UANCE $� � - PLUMBING $ " � � . GRADING �$ � PLAN CHECK �$ ' ' ELECTRICAL $ � �� . $ . PLAN CHECK $` ' - - .MICROFILM $ MECHANICAL $ - TOTAVFEE$ ' ' � � \LE55 AD= ' P�CG E/�C.J�G�--J L�'VVANCEPC. $..." _... . � FINAL FEE $ S �� _ ' ' �� - . .. ..� . . , __ _ .. � . CONSTRUCTION AND PLANNING _ _. � POOL & SPA� '--; • - ' ,� � � APPROVALS Permit# r�X�) Date Inspector pppROVA�L-S • Permit# � �� Date � - Inspector. 1. Temporary Electrical Service or Pole ',' \-� 43. Pool & E ui rrient� --� -� � � - , q p Cocation 2.. Soil ipe-Undrgrn �� 44. Steel Reinforcement ..3. _Electrical Conduit Utility-Undrgrn 45. Forms ' 4. Electrical Conduit-Undrgrn • 46. Electrical�Bondin �' � ' . tee ein orce+' � �� 47. Rough,P,lupitiin & Pressure Test '- 6. Electriral UFER Gm � � 46. APPRO�`VAL3Ti_O:COVER-GUNITE -� � 7. Footings �• 49. Electiicaf�Contlui4-Undr rn - � 8.. Foundation � --- 50. Gas Pipe�, 0 Undr m Test 9. Water Pipe-Undrgrn � ' 51. Backwash Lines -P-Tra ❑ ndr rn 10.. Structural Floor System • 52. APPROVALTO DECK "'`"' "� '• . 11. Property Sewer Line & House Connection ' 53. .BackwasR�& Rece torvFinal � 12. Street Sewer Connection � � � 54. Heater & Vent-Final 13. Rough Plumbing, � ' ' • �--- - • 14. Rough ElectricConduit .-_ .-;'� -56. -Electrical-Final- 15. Rough Electric-Wiring � � � - � - �-- 5h�,-Solar System-Final '- - . �' � � � 16. " Rough Heating & Air Conditioning - - � � encing & Access Approval - 17. Ducts,-in Structure ' " � APPROVED FOR PLASTERING - � -18. Ducts, Ventilating • • � _ _ _ � . 19. Gas Pipe-Rough & Test " � � 60. P00 L/SPA SYSTEMS FINAL `� 20. -- Roof-.Framing .. ' ' � - ' � . `� a` �� - 21. RooYSheathin " ' � - �' ' . .'_. �� .. ' � 22. . Frame and �Flashin � - � NOTES: ' � � , . . � � 23.- Insulation � 24. lathing & Siding ' � . 25. Orywall Nailing __ _. ' ' ' ' � ' � � 26. Plaster Brown•Coat ' � '' -� ' �� ' " � - ' 27. Electrical Power-Meter-Final " ' � - � � ' � ' . 28. Final Electric ' �di 29. Final Heating & Air Conditioning ' -�- ' 30. Final Gas Pipe-Test � - � - '� 31. Final Plumbing _ - � ' � � 32.- Water Secvice-Final � ' � ' � ' � 33. Gas Service-Final � 34. Solar pomestic-Final ' ' ' ' ' . 35. Landsca e S rinklin S stem • ' � �� - 36. Sound Attenuation •� � � ' ` � ' 37. Handicap Regulations-' �� • � � • 38. FINAL STRUCTURE & BUILDING � - - 39. Special Requirements Completed � ' � - � - - ' 40. Electric Release to Edison - - ' - " � " � � 41. Gas Release to Southern W lifornia Gas Co. � �-� � 42. CERTIFICATEOFOCCUPANCY _. . . - �- , � _ , ' , � iJo ' � Date� � OWNER AY JOB ADDRES'. GENERAL CO �fiAP No. 139— ' � �;'.. iK;tC TI ON 5 3si �GAS � WATER � �ROUGH PLUMBIN PFOP. SWR. LIN SPRINKLING SVS MISCELLANEOII� LOT TRACT FIR ROUGH HEFTING ANO AIR CONOITIONING TEMPORARV SERVICE OR POLE UN�ERG(10UN� � POWER � ROUGH WIRING TRENCHES FORMS STEEL FEINF. FLOOft SVSTEM BONO BEAM � STEEL REINFORCE � SHEATMING FRAME FNO FLASNING � LATMING — IN �] OUT [] PLASTER, BROWN COAT STRUCTURAL, FINAI HF a, VENT., REFRIG. �N� A.C., FINAL PL. .iNG, FINAL ANO GAS TEST �J ' ELECTRIC, FINAL BWLOING, FINAL DATE . SUBCONTR4CTOR 13-76 RMIT N0. 41545 �� 4 I 545 ra!u �PR 1?-76�M� �0 608'- **'`'':*5.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APP IC TION FOR STRUCTURAL PERMIT For Applicant [o FiII in Completely — Use Ink Only q� Ry DATE RECEIVED DA E ISSUED BUILDING �. `� ADDRESS G G � ST � ' -� _ % ` � PE MIT NO. OWNER � A.P. NO. � Mq�l /�/� BUILDING ADORESS (i /I G9H.bLT ST ADDRESS � �p, �I ST n TEI. TRACT � LOT BLOCK CITV f ��7 NO.,s CONSTRUCTION ,� W A LENDER � BRANCH � n OWNER J /J ADDRESS �_ ��// VALUE f% � ARCHITECT ..� TEL. � S / �bU�/L 5 �� OR ENGINEER FIRE A�DFESS ' ZONE TYPE GROUP ./� APPROVED CONTRACTOR 6C(/ i�% BV DATE ADDFESS TEI. ZONE NO.OF USE OF NEW CITV NO. � P��` � BUILDING STATE CITY YARDSAPPROVED VAqDSAPPROVED LIC. NO. '� LIC. NO. MAIN BUI�DING ACCESSORY BUILDING SI2E NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT � qONT � FT. FT. USE OF EXISTING BLDG. �%% � "O FT Separate permits are required for L. SIDE /s FT. FT. electric, plumbing and heating work. '�^ REAR ,�/ FT. FT. USE OF BUILOING AND WORK TO BE PERFORMED DI5TANCE BET. BET. MAIN & MAIN BL�GS. ACCE55. BLDGS. � - �/� /� VAR. qW DATE � _C7U � `� X IO C.U.P.qW APPROVED APPROVE �, '% .-� I I hereby ecknowletlge thet 1 hava rea0 this application antl smte that the abovo Informet�an is correct antl apree to comply with oll laws reBulating builtlinp consttuction, entl I shall not employ ony person in vlolallon of Ma workman's compensetion lewz of the State ot Celitornle. � I hereby canify that I em properly Iicensetl as e eontrector untl¢r SQ. FT. Ne Suta of California Business and Profassfons Cotla, Dlvlsion 3, THE AMOUNT SHOWN UNDER VALUATION �5 FOR Chupter 9, ontl tha[ suCh Ilcensas are In full force antl effect, or I THE PUFPO6E OF ESTABLISHING A PERMR FEE ONLV: am oxempt from the plovislona oi theSteta oi Celltornie euslnosa VAIVATION � ontl Profeulons Cotle, ��b�on 3, Ch � ier 9. PERMIT FEE 5 �� PLAN CHECK E Slgnnture Of Parmltte0 � S TAX b � AuthorizetlAgent TOTALPAIO E � ' _ r� . �CbSTA MESA BUILDING—SAFETY DEPAHTMENT P.O: BOX 1200 t Costa Mesa, CaliMrnia CONTRACTOR � �. ��'j '' 4 Address Clfy �� /�DI�� Tel. No.0.77� Stafa icense No.a l% gq� Clau. �-� w City License No. �9�� F- Q NU�113GH TYPE• OF FIXTUR60R ITEV FGE � R'ater Closct (Toileq Hath Tub � Shower Lavarory (N'ash Basin) JKi[chen Sink � Laundq' Tub or Tray W Service Sink °' eioo� s��k � Floor Drain � �� d Dishwashcr _'�� i�1 Z Drinkin Fountain � +' 'di�� W Urinal ., F `.� � Garbage Disposnl �t�i �..�`' .Wmmatic Washin �Macli. � � N'amr So(tener, I'. `. ' � N'aror HeSt<i &�V<nC f WRecc mr' C. Slvim'Pool Filttr System � G5s Sys[em . . . Outleu 7 Lawn S rinklers � Ins[allation or Ntcration . N'ater Pi in � Back Flow Pmvcnter y Pm . Sewer_ ([. � Cess ool Se tic Tank To�rni. �E I y� I D� ronr eu-a+ �--�, � P"u00 965 �*��*�*5.00 6,Y 73-75�:;�: rrswcr No. neco. er �, F, �-i �,i r�f.�-4-- LOT NO. DATE IBBU6O �BUILDING USE �— w �j'�f R ✓ � BUILDING COSTA MESd, CALIFORNIA MAIL I hereby acicriowledge'that I have read this application and s[ate,that�the:above is correct and agree to rnmply with. allLCity Oidinances and State Laws regulating plumbing.. �� I eert�ty t6at I possess the above valid atate of Cali- 'fornia classificafion or I am the legal owner of tlie resi- '�dential property describe/�d above. .Sl$/t6FW¢ O� � r� ��n 1/ /1 Permittee �/ �Yr�'�� INSPECTION RECORD APPROV �ot�8 ?is�2 ,.. " COSTA MESA BUILDING-SAFEfY DEPARTMENT P. O. BOX 817 COBTA MCSA� CALIFORNIA For Applicanf to Fill In Complefely TYPE OR PRINT FEE RECEIVED �eax s i �sea fINAfVCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDIN6 For Office Usa Only xece�rr no. I xc COSTA MESA, CALIFORNIA R6C[IVfOBY O T6P8CHIV8 Pemba Subdividers, Inc. �z �- -3/-� ;82850 Mesa Verde Drive BIIILDINO ADDRE68 Costa, Mesa No �5490395 =oN� rPE G APPROVEO EryEgR E, G. Ka,ltenbach No �5478046 Br ,31833 E. 17th S� , Santa. Ana Z�NINCi ZON6 NO.OP U6! �CTO� S a `!� � R�1 PUNB 2 BYII L80AL � _ .. �(1 r.� STATE 18731H TEL. LI0. NO. NO SIZE 70x10o I NO.O�lLOO9. O OF LOT NOW Orv WT USE OF EXISTING BLD6. 6ETBACK L�N[ PROM GO! 2 CENTER OF BTRER �� REAR YARD 5' S' BID6 YqRD L6FT R16HT DESCRIPTION OF WORK 2.481 p°;,Mo9 �„e,ea 2 House 2 030 s ,ft, Gar e 451 s.ft, Plan 54-BR I HEPEBY ACIlNOWLHOaB THAT 1 XAVH qHAD THI9 APPL�CATION ANU 6TATE THAT TH8 ABOVB 19 CORRHCT AND AGREB TO COM- PLY WITH ALL CITY ORCINA iC[B AHD BT�TB 8 q[OULATIHY BU�LUINO CON9THUCTION. 61GNATURE OP � PERMITTE �' AVTHORIZHD AG I1iKE11s8uEy64 G SHALL BE LE89 THAN YARDSAPPROVED I YARDSAPPROVE� MAIN BUILDINO ACGESSORY BUILDIfJ6 VAR..JC �ATE � 8Q. FT. � TXB AMOUNT BXOWN UNDER VALUATION Ie FOq THH F PUNP09H OP 88TABLI6NIN0 q PEHMIT FEH ONLT. 0 VALIlAT10N PERMIT FEE $ �� j s �i (�5-� m i i a 0 . u