HomeMy WebLinkAbout2738 GANNET DR - Building Permits' � CITY OF COSTA MESA �
�
BUILDING DIYISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
(714)754-5273 • Fax(774)754-4856
JobAddress: 2738 GANNETDR
Suite No
Vicinity:
Parcel Nunmber: 13947306
Applicant: NOCK, RON
Address: 17612 KNOTT ST
GARDEN GROVE,CA
Owner: HILL, TEENA SUZANNE TR
Address 2738 GANNET DR
COSTA MESA,CA
Contractor: NOCK PLUMBING
Address: 11612 KNOTT ST
GARDEN GROVE,CA
ArchlEng:
Address:
DISHWASHER.
ISSUE FEE
Backflow irrigation
Backflow Preventer
Bathtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlels)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Aulo )
AMT
$22.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$8.75
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
QTV
PLUMBING PERMIT
Phone: 714 895-1246
Zip: 92841
Phone:
Zip: 92626
Phone: 714 895-1246
Zip: 92841
License: 707775
Phone:
Zip:
License:
SCOPE OF PERMIT
FEESUMMARY
AMT
Laundry Tub / Washer $0.00
Landscape Irrigation $0.00
P-Trep � $0.00
Pressure Regulator $0.00
Process Piping (per 10 ft) $0.00
Receptors $0.00
Septic Tank $0.00
SewerCapforDemo $0.00
Sewer Connect $0.00
Sewer Private Line $0.00
Shower $0.00
Sink, bar $0.00
Sink, commercial $0.00
Sink, Floor $0.00
Sink, kitchen $0.00
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) $0.00
Qrr
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
COMMENTS / SPECIAL CONDITIONS
�C
� PERMIT NUMBER
P99-00056
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 02/02/1999
Issued: 02/03/1999
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toilet)
Water Heafer / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTALCALCULATEDFEES: $30.75
, ��£�
�� (L� o0
�AZE �
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days. .
INSPECTIONS: In ortler for the work authorizetl under this permit to be considered legal, such work must comply with all applicable codes, and all
required inapections end final approval must ba obtained. Failure to obtain inspections and final approval will result in the expi�ation of this pe�mit.
FOR INSPECTIONS CALL: (774) 754•5626
WORKERS' COMPENSqTION DECLAHATION: � —
I hereby aifirm under penalty of perjury one of the following tleclarations:
❑ I heve and will maiqtain a certiticate of consent to seli-Insure br workers' campensation, as pmvidetl tor by section 3700 oi the Labor Code, for the pertormanca of the
work tor which Ihis permit is issued.
� I have entl will maimain workers' compensation insurance, as required by sec�ion 3700 of Ne Labor Code, for Ihe peAortnance W ihe work for which ihis pertnit is issuetl.
My woricers' compehsation Insurance carrier and policy number ere: ' `( �j �/��/-
Carrier GO LOLTi ��(�� Policy Number. /V (�C%�t' (� 3 T Y'��
(This section need nof 6e completetl il the permit is velued af one hundred dollars ($100) or less.)
❑ I certify Ihat in i�e peAortnance of the work for which Ihis permit is issued, I shall not employ any person in any manner so as to become subject to Ihe workers'
compensation laws of Calitomia, entl egree that it I should become subjact to the workers' compensation provisions ot Section 3700 of the Lebor Cotle, I shell torthwith
camply with �hese prov'isio(n�sy.� � y// �
APPIICeflt S1908NfB: __ . 1.I _�L\��PAn� �VERAGE IS UNLAWFUL AND SHA1L SU&IECT AN EMPLODEF TO CRIMINAL PE�NALTIES AND QVII FI S UP TOONE HUNDRED
WAFNING: FAILURE TO SECURE VJ�2R
THOUSAND DOLL4RE ($100,ppp�, IN ADDITION TO THE COST OF COAIPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 3lW OF THE IABOR CODE, INrEREST, AND ATTORNEY'S FEES.
LICENSEO CONTRACTORS DECLARATION:
I hereby aHirm ihat I am licensetl untler provisions of Chapter 9(commencing with Sectlon 7000) of Division 3 of Ihe Business and Professi r�s Code, and my license is in full
torce and efted. Lia u_ �%D %%�% ) Class k G��
Contrecmr'sSignature: Data: '�—�'—
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrtn ihat Ihere is a consiruction lending egency for ihe peAortnance of the work for which this permit is issuetl. (Sec. 3097, Civil Code).
Lentler's Name: Lendefs Address:
Signalure: � Date:
OWNER-BUILDER DECUIRATIONS:
I hereby ettirm that under penalry oi perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Protessions
Cotle: Any ciry or counry Wpich requires a pertnit b consimct, alter, improve, tlemolish, or repair eny strucNre, pnor to its issuance, also requires the ap0�icant for such permil
to file a signetl statement ihat he or she Is licensed pwsuen� to the provisions of the Coniracbrs License Law (Chaptar 9(commencing with Sec�ion 7000) of Division 3 of the
Businass and Professions Cotle) or thet he or she is exempf iherefrom end ihe basis for Ihe aliaged ezemption. Any violation of Seclion 7037.5 by any applicant for a permif
sublecls Ihe applicant to a civ�l penalry of not more than five hundred dollars ($500).):
❑ 1, es owner of the property, or my employees with wages as their sole compensa�ion, WILL DO TNE WORK, and ihe structure is not intentled or oMeretl for sale (Sec.
7044, Business anq protessions Code: The Contractors License Lew does not epply to an owner of pmperty who builtls or improves iheraon, and who does such work
himselt or herself or (hrough his or her own employees, providetl ihat such improvemenis are not intended or oHered for sele, H, however, the bulltling or Improvement is
sold within one year of completion, ihe owner-builder will have the 6urtlen of proving ihat he or she tlitl not builtl or improve tor purpose of sele.).
❑ 1, as owner ot Ihe property, am E%CLUSIVELV CONTRAC7ING WITH LICENSED CONTRAC70RS to consiruct ihe project (Sec. 7044, Business antl Professions
Code: The conirac�ors License Lew tloes not apply to an owner of propeny who builds or Improves ihereon, end who contracis for suc� project with a conirector(s)
license pursuant to ��e Contractors License Laws.).
❑ 1 am ezempt under sec.
Signature:
Owner ID verified by dnv�r's license. ❑ Ves ❑ No
Business and Professions Code for ihis reason:
Venficalion of Ownership by (type of tlocument, i.e. - pmperty la+c bitl or daedj:
DIVISION OF INDUSTRIqL SAFETY PERMIT CERTIFICATION:
Driver's License No.
Dete:
Expires:
❑ I hereby certify that no excavation five (5) or more feet in depth Into which a person Is requlretl to tlescend, will be made In connection with work euthodzed by lhis
pertnit, and that no building slrucWra, scaHolding, falsework, or tlemolition or dismaniling thereof, will be more then thirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, TlOe 8, Califorqia Adminisiretive Cotle).
❑ As owner-builder, I will not employ enyone to do work which would require a permit from the Division of Industriel Sefety, as noted above, unless such pereon has a
permit to tlo such work irom the division.
Signature: Date:
Division of Indusirial Sai9ry Permit Number:
CERTiFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certity under penalry of perjury that I have read ihis appiiCation antl state that the intormation given is
correcL I egree to comply with all state laws end ciry ordinances relating to building construction, antl authonze representatives of the Ciry oi Costa Mesa to enter upon ihe
ebove-described property for inspection puryoses. I agree not to occupy or allow occupancy of any building authonzed by ihis permit until final inspection.
Signature OI Legal ) Date
o,���_� 2—y—S 9
` AntllOrAuthonzed Applicant Date
COUE Y. INSPECTIONTYPE
1676 Fixed System Finel Fire Prevention
1266 Pool Spa Final
200 Flnel Re-Roof
201
202
203
204
2446-bfi
Final BIocWRetaining Wall
Final Factory Fire Plece
Final Sign
Final Demolition
DAiE It�9L5
�QQ[j INSPECTIONTYPE
206 Final MeChanicel
208 Final Plumbing
210 Final Electncel
212 Final Fire Prevention
220 Finel Planning Approval
222 Final Site
250 Final Builtling/Occupancy
OAiE 1�9L5
.�.I � i .0
(�ia) �sa-sz�s • Fax (�ia) �sa-aess
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
CITY OF COSTA MESA
BUILDING D/VISION
DEVELOPMENT SERVICES DEPARTMENT,
PERMIT
2738 GANNET DR
ONSITE WORK ONLY
13947306
npp�icant: JASPER, JOHN S.
Address: 2738 GANNET DT
COSTA MESA, CA
Owner: JASPER, JOHN S.
Address 2738 GANNET DT
Contrector.
Address:
ISSUE FEE
Temp service test
Res. a/c package
New Res (7-2 units)
New Res (3+units)
Pool I Spa
Lighting Fixts
Recept Ouilets
swaone5
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over t000a
Motors to thp
Motors to tOhp
Motars l0 50hp
Molors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole �
Inteimed Pole
COSTA MESA, CA
ELECTRICAL PERMIT
Phone: 714-034-4718
Zip: 92626-0755
Phone:
Zip: 92626-4755
Phone:
Zip:
License:
PERMIT NUMBER
E00-00438
T7 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: OS/12/2000
Issued: 05/12/2000
ISSUED BY:
SCOPE OF PERMIT
ENCLOSE 102SF AREA UNDER EXIST. ROOF. REF B00-00676. 6 LIGHT5,2 OUTLETS, 2 SWTICHES.
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$6.60
$2.20
5z.zo
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
Quantity
FEE SUMMARY
Temp Dist System / Lighting
Busway /700 ft
Standing Section
Misc Electrical Equipment
Transformers up to 1 kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kva/kw
Low Voltage Equipment
Low Volt Wiring System I Ckt
Misc. Conduit
Misa Conductor
Circus ( gen or ride)
Circus (mech ride or lights)
Chrisfmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Quantity
$0.00 0
$0.00 0
50.00 0
50.00 0
$0.00 0
50.00 0
50.00 0
so.00 0
$0.00 0
$0.00 0
50.00 0
50.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES 534.50
COMMENTS / SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-27-92) ,
EXPIRATION: This permit shall automatically expire and become void if work is not�commenced within 180 days, or if work is suspended o� abandoned
for a penod of 180 days.
INSPECTIONS: in order for the work autharized under this permit to be considered lagal, such work must comply with all applicable codes, and all
requlred inspectlona and final approvel must be obtained. Failure to obtain inspections and final epproval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION: �
I hereby eMirm under penalty ol perjury o�e of the following declarations: -
❑ I heve antl wlll maintain e cetlifica�e of consent to selFlnsure lor workers' compensation, as provided for by section 3700 of the Labor Code, for the peAortnance of Ihe
work lor which Ihis permi� I5 issued.
❑ I have entl will maintain workers' componsation insurance, as requiretl by section 3700 of tha Labor Code, lor ihe performance of �he work for which ihis permit is issuad.
My warkers' compensation Insuran�e cerrier and policy numbar ere: ,
Cardar: Policy Numbec
(This sec(ion neetl not be comp/eted i! (he permit is velued et one hundred dollers ($100) oi /ess.)
❑ I certily thet In the pertormance 0� the work tor which this pertnit is issued, I shell not employ eny person in any manner so es to hecome subject to Ihe workars'
compensation laws of Celifomia, 9nd egree that if I should become su6ject to the workere' crompensation proNslons ol Section 3700 of the Lebor Code, I shall forthwith
comply with these pravisians.
Applicant Signature: Dete:
WARNING FAILURE TO SECUFE WORKERS' �MPENSATION WVERAOE IS UNLAWPUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENA�TIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSPNO �LLARE ($1 W,OW), IN AO�ITIDN TO THE COST OF CAMPENSATION, OPMAGES AS PR�Vl0E0 F�R IN SEGTION 3TOBOF THE 1A80R CADE, IMEREST, AND ATTOFNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aNirm Iha� I am licensed untler proNsions ot Chapter 9(commancing wilh Section 7000) of Division 3 of che Business and Professlons Code, antl my license is in full
torce entl ettect Lic. a Class #
Conirac�ofs Signature: Date:
iCONS7RUCTION LENDING AGENCY:
�❑ I hereby attirm ihat Ihere is a cons�Nction lending agency tor Ne peAormenca of the work tor which this permlt is issuad. (Sec. 3097, Civil Cotle).
Lender's Name: Lentler's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eflirm ihat undar penalry of per�ury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for lhe following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or county which requires e pertnit to construd, alter, improve, demolish, or repair any sirucNre, prior to its issuance, also requires iha epplicant for such pertnit
to iiie a signetl slatement thal he or she �s licensed pursuant to the provisions ot Ihe Comractors License Lew (C�apter 9(wmmencing wil� SecGon 7000) of �ivision 3 oi the
Business antl Professions'Code) or Ihe1 he or she is e:empt therefrom entl ihe basis for iha allegeG exemption. Any violation of Section 7031.5 by any applicant for a pertnit
subjecis the applicent to s civil penelry o1 not more ihan live huntlretl tlollars ($500).):
❑ I, es owner of the piop rty, or my employees with wages as their sole compensation, WILL DO 7HE WORK, entl the structure is not intendetl or oHered for sale (Sac.
7044, Business antl Professlons Gade: The Contractors License Law tloes not apply to an owner of property who builds or improves ihereon, entl who tloes such work
himseif or herself or ihmugh his or �er own emptoyees, provitletl �hat such improvements are not intended or oNered for sale. If, however, ihe building or impmvement is
soltl within one year of completion, the owner-builder will have ihe burtlen of proving ihat he or she ditl not build or improve for purpose ot sele.).
I, es owner of the property, am`E%CLUSIVELY CON7RACTING WITH LICENSED CONTRACTORS to constmct the proied (Sec. 7044, eusiness and Professions
Cotle: The comractors License Lgw does not epply to an owner ot propeny who builtls or improves ihereon, and who contracis for such proJect with a coniractor(s)
licensa pursuant to the Contractor5 License Lews.).
pt under sec. '`� ` Business enC Pmtessions Code Por this reason:
' nawr : /
� :pires: �
Venfication ot Ownership by (rype of dwument, i.a. - pmperry tax bill or deetlJ:
DIVISION OF INDUSTRIAL SAFE7Y PffAMi7 CERTIFICATION:
❑ I hereby certlty Ihat no excava�ion Ilve (5) or more feet in tlepth in�o which a person is requiretl to descend, will ba mede in connection with work authorized by ihis
permii, antl Mai no 6uilding slmcNre, scaHolaing, falsework, or tlemolitlon or dlsmantling ihereot, will be more ihan ��ihy-siz (36) feet hlgh. (Chap. 3.2, Gry 2, Atl 2, Sec.
341, Title B, Celifornia Administrative Code).
❑ As owner-builtler, I will not employ anyona to do work which would require e permit from the Division ot IntlusMal SaFery, as noted ebove, unless such person has a
pertnit to do such work irom the tlivision.
Signewre: Date:
Division of Industnal Safery Pertnit Numtler:
CER7IFICATE OF COMPLIANCE AND A�MORVA710N OF ENTRY: I cenify untler penalry of perjury that I have reatl ihis application end stete thet tha information given is
correcl. I egree to comply wlih all state laws end ciry ordinances releting to building wnstmction, and authorize representafives ot the Ciry of Casta Mesa to enter upon ihe
above-tlescnbetl D�oPerry for inspection purposes. 1 a ree not to acupy or ellow occupancy of any Oullding aut�e/�his permit u' final inspection.
r �
Ignature Legal s) D e
And/Or Authorized Applicant Dete
CODE A. INSPECTIONTYGE
1616 Flxed System Final Fire Preven�ion
126fi Pool Spa Final
200 Final Re-Roof
201 Final BIocWRetaining Wall
202 Finel Fectory Fire Plece
203 Final Sign
204 Final Demolitian
2d68-68
P9IE INTRIRLS
COOEt INSPECTIONTYPE
206 Finel Mechenical
208 Finel Plumbing
210 Finel Electdcal
212 Finel Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
ueiE
INTRIRLS
(714) 754-5273 • Fvc (714) 754•4856
JobAddress: 2735 GANNETDR
Suite:
Vicinity: ONSITE WORK ONLY
Parcel Number: 13947306
App�icant: JASPER, JOHN S.
Address: 2738 GANNET DT
COSTA MESA, CA
owner: JASPER, JOHN S.
Address 2738 GANNET DT
Contrador.
Address:
Zip:
Arch :
Address:
COSTA MESA, CA
CITY OF COSTA MESA
BUILDING D/VIS10N
DEVELOPMENT SERVICES DEPARTMENT.
PERMIT
BUILDING PERMIT
Zoning: R1 R1
Phone: 77 4-434-471 B
Zip: 92626-4755
Phone:
Zip: 92626-4755
Phone:
License:
Eng:
Address:
Phone:
NUMBER
77 FAIR DRIVE, COSTA MESA, CA 92628
Status: ISSUED
Applied: 05/12/2000
Issued: 05/12/2000
ISSUED BY: �//�'"�
Phone:
Zip: License: License:
SCOPE OF PERMIT
ENCLOSE 102SF AREA UNDER EXIST. ROOF.
Plan Check: $90.51
Permit: $139.25
SMIP Res: $0.67
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $230.43
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Exlstinq: o
NOTES:
Rear 0-0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Pr000sed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
f'
86,721.00
£6,721.00
NOTICE: Tha work authorized by ihis permit shall compty with all applicable handicap access requirements under Caii(omia statutes and related
regulations. (Ord. No. 9248, § 7, 12-21-92)
i EXPIRATION: This permit shall automatically expire and become void if work is nobcommenced within 180 days, or if work is suspended or abandoned
' for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and ell
required inapeetlona end flnel epproval must be obtained. Failure to abtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
C�'ORKERS� GOMPENSAnON DECLARATION: -
I here6y eflirm untler penb�ry of perjury one of tho following declaretions. /
❑ I heve entl wlll maintain a cenificate ot consent to sell-Insure tor workers' compensation, as providetl for by sectlon 3700 0l the Lebor Cotle, For the pertormence of Ihe
work for which this petmi� I5 issuetl.
❑ I have antl wlll mainle�� workers' compensatlon Insurance, az required by section 3700 ot the Lebor Cotle, for ihe peAormance of tha work tor which thls pertnit is iuued.
My workers' compenselion Insurence carrier entl pollcy numDer are: .
Cerner: Policy Number.
(This section need not be �Weted i! (he perm/r /s ve/uetl et one hundretl tld/ers (5100) or /e55.J
❑ I certity that In Ihe pertarmance ol the work tor which Nis permit is Issueq 1 shall not ampby any pefson in aey menner so es to hecome subject io the woAcers'
compensation laws oi Calilamie, end egree thet If I should become subject to the workers' compensation pravisions of Section 3700 01 �he Lebor Cotle, I shall forihwilh
comply wl�h ihese plwisions.
Applicam Slgnature: Date:
WARNIN�: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL rWD SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDRED
THOUSAND DqlARE (5100,000). IN ADDRION TO THE COST OF CAMPENSATION, OAM1NGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, IMEREST, PND ATTORNEV'S FEES.
LICENSED CONiRACTOAS DECLARATION:
I hereby aNirm that I am IiCenseC under provisions of Chapter 9(commencing vnth Section 7000) of Division 3 of ihe Business antl Professions Coda, and my Iicensa is In tull
torce an0 eNect. Lia k Class a
Coniractafs SigneWre: Date:
CONSTRUCTON LENDING AGENCV:
❑ I here6y aNirm Ihat tdere is a consirudian londing agenty for the pedormence of the work tor which this Oertnil is issuetl. (Sec. 3097. Civil Cotle).
Lentlefs Name: Lentlels Address:
Signaturo: Dete:
OWNER•BUILDER DECLARATIONS:
I hereby ettlrm that untler penelty of perjury �het I em EXEMPT FROM THE CON7RACTORS LICENSE LAW for t�e following reason (Sec. 7031.5, Business anC Profession5
Code: Any city or counry Which requlres e permlt to consWct, alter, Improve, demdish, or repeir eny sWcture, pnar to its Issuance, also requires ihe applicflnt tor such permlt
to file e signetl statement thei he or she is licensed pursuent Io Ihe provisions ot Ihe Contrectors Licensa Lew (Chapter 9(commencing with Section 7000) of Division 3 of ihe
Business and Proleulons Code) or thet �e or she is exampt �herefrom end t�e Dasis lor Ihe allegeC exemption. Any violation ol Section 7031.5 by eny applicant for a pertni�
su6�ect5 the eppliwnt to e p�� Penalry ol not more then five huntlred dollars (3500j.):
❑ I, as ownar W ihe prpperty. or my employaes wMh wages es tfiei� sde compensa4on, WILL DO THE WORK, and ihe struclure is not intentletl or oBered tor sale (Sec.
7044, Business and Professions Cotle: The Contrectore License Lew does not appy to an owner of property who builtls or imprwes thereon, end who tloes such worK
himsell or herself or Ihrough his or her own employees, proWdetl thai suc� improvements are not imendeC or oHered tor sale. II, however, tha building or improvement is
/� soltl within one year o� completion, iha ownao-bullder wiil heve the burtlen of proving that he or she did not builtl or Improve tor purpose oi sale.).
Q'/ I, as owner ol the p�operty, am EXCLUSIVELV CONTRACTNG WI7H LICENSED CONTRACTOFS m consWct the pro�ect (Sec. 7044, Business antl Prolesslons
�� Cotle: The coniracto�s License Law does not epply to en owner ot pro0erry who 6ulltls or improves thereon, end who contracts tor such project with a coniractor(s)
V license pursuant to tpe Contractors License LawsJ.
0�1 am exempt under sec. � eusiness and Protesslons Cotle for this reason: �
Owner ID verllietl by tln� licanse. �e9� ❑ No Drjvels.License�No1 [� ���? �' ���Expires�. d$�
Veriticetlon of Ownersh y(type ol tlocumem, i.e. - pmperty tax till or deed): � y—�
DIY{SION OF INDUSTAIA� SAFETY PEAMIT CER7tFICA7tON:
❑ I hereby ceNty that no a:cavatlon five (5) or more feet In tlepih into which e person Is requlred to descen4 will be made in connection with work authodzed by thls
permlt, and that no building siructure, scattoltling, talsework, or demditian or tlismentling thereof. will Ge more ihan thirty-six (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec.
341, TiUe B, Celifomie Administreiive Cotle).
❑ As owner�builder, I Will not employ anyone to do work whiG� woultl requlre e permit irom the Divislon of Intlustnal Safety, es noteC eDove, unless such person hes a
permil to tlo such wo� tmm the division.
Signature: Date:
Division of Intlusidal Salery Pertnit NumDer.
CERTFICA7E OF COMPLIANCE AND AUTHORVJITON OF ENiAY: I cenify untler penalty ot perJury Ihet I heve read this flpplicetion end state that the intormation given is
correct. I agree to comply ��h all stete laws entl ciry ordinences relating to builtling constructlon, end authorize represematives af the Ciry of Costa Mesa ro enter upon 1ha
ebove�describetl property for inspeciion urposos. I eproe not to acupy or ellow occupancy ol eny bullding euthorized b � pertnit til final inspection.
_ -�-�. �" /Z , ;mij
Si9p -Ot Legei Owneqs) \Date
And/Or Authorized Applicant Date
400E �. INSPECTIONTYPE
1fi16 Fizetl System Find�'Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final Block/Retaining Wall
202 Final Feciory Fire Place
203 Final Sign
204 Finel Demolition
249&48
PAIE
�
LNfm�ts
COOE� INSVECTIONTYPE
20fi Final Mechenical
208 Final Piumbinq
210 Final ElecMcal
212 Final Fire Pravemion
220
222
250
Final Plenning Approvel
Final Siie
Finel BuildinglOccupancy
QEjE INTRIRLS
� /�
�
�� °� �� %yleda S�uiE� ��vidio�s
OWNER-BUILDER
VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and,
as a conditian precedent to issuing a building permit, require the completion and require Ihe rewrn o(, an
owner-builder verification. .
Attention Property Owner:
An 'ownervbuilder' building permit has been applied for in your namc and be•rring your signamre.
Please complete and rewrn this information in the envelope provided at your earlicst opportunity to avoid
unnecessary delay in processing and issuing your building permi[. No buildin¢ permit will be issued until this
verification is received.
I. I perSonally plan to provide the major labor and materials for conswction of the proposed
property improvement. ❑ Yes ❑ No
1L.� 1(have/have noQ �� _ signed an application for a building permit for
�� the proposed work.
3. 1 have contracred with the following person (firm) ro provide the proposed conswction:
Name
Address
Phone (
City _
Con[ractor's Lic. No.
4. I plan to provide portions of the work, but 1 have hired the fol(owing person to coordinate,
supervise and provide the major work:
Name
Address City _
Phone ( ) Contractor's Lic. No.
�S> I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
Namc Address Phonc Type of Work
10a2-46 (PEV.998�
� ! j
f
ot,.: • �
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J+y�•° 6'
vro.mau �
(714)754-5273 • Fax(714)754-4856
CITY OF COSTA MESA
BU/LDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
JobAddresg: 2738 GANNETDR
suite:
Viciniry:
Parcel Nunmber: 13947306
npplicant: CORMANY, BOB
AddresS:
Owner: HILL, TEENA SUZANNE TR
Address 2738 GANNET DR
COSTA MESA,CA
Contractor: PREMIUM CONSTRUCTION
Address; 2600 N CANAL
Arch / Eng :
Address:
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
I nspection:
Total:
ORANGE,CA
BUILDING PERMIT
Zoning: R1 R1
Phone:
Zip:
Phone:
Zip: 92626
Phone: 714 997-9669
Zip: 92865
License: 492049
. PERMIT NUMBER /
898-01936 V
77 FAIFi OfliVE, COSTA MESA, CA 92626
Status: ISSUED �
Applied: t0126/1998
Issued: 70126/1998
Phone:
Zip:
License:
SCOPE OF PERMIT .
T/O EXISTING AND REROOF THE HOUSE AND GAR4GE WITH 40 YR. COMP. SHINGLE, ROOF CERT
ATTACHED TO PERMIT.
$0.00
$137.25
$0.75
$0.00
$0.00
$0.00
$138.00
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existinq: o
NOTES:
Rear 0-0
Rear 0• 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Pro osed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0-0
s�,soo.00
57,500.00
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period ot 780 tlays. .
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, antl all
required Inapeetlona and final epproval must be obtained. Failure to obtain inspeclions and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION: .
I �ereby aHirm under penalry of per�ury one of Ihe tollowing tletlarations: �
❑ I heve end will mainlain e certlficaie ol consent to self-Insure far workers' compensation, as proviAad tor by section 3700 0l the Lebor Code, tar the pertortnence of Ihe
wOrk for whith Ihis pertnii is issuetl.
❑ 1 �ave entl wi0 maintain workers' compensatlon insurance, es required by section 3700 of the Lebor Code, tor ihe performance of the work br which ihis pertnit is issuetl.
My warkers' campensation Insurence cartier end policy number ere:
Cerner: Policy Num6er:
(71r15 section nesd nof be com fed,7.�he permi( is valued et one hundretl tlollers ($100) ar less.)
/
❑ I canity Ihet In the rtormertos of ihe]0wANorwhic� this permit Is issued, I shall not employ eny person in eny manner so es to bewma su6�ect to the workers'
compensation laws o elit rfile, tl% " eFil-4sdbuld b ubJect to tha workers' compensetlon provislans of Sectlon 3700 0l the Lebor Cotle, I shell lonhwlth
complY with ihese p h is. �j,, ��
AppllceNSigneWre: Dete: CC�-2�� � —"�C
WARNINO: FAILURE TO SECUR KERS' 001APENSATION COVEMGE IS UNLAWFUL M!D SHALL SU6IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES TO ONE HUNDRED
T/qUSAND DOLLARE (5100,000), IN ADDffION TO THE CGST OF �.1PENSATION, OAALIGES AS PflOVIDED FOR IN SELTION 9]OB OF THE LABOP CODE, INfEREST, M'D FTTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eHirm Ihat I em
force end etlecl Llc, a_
Connacmfs Signeture:
ol Chapter 9(commencing with Section 7000) oi Divlslon 3 0l the Business entl Proteuiuns Code, end my Ilcense Is in tull
CI953 M
�—" ' Date: ') ^ �� .
CONSTRUCTION LENOING AGENCY:
❑ I hereby aHirtn that Ihere is a construction lending egenry far the pertortnence of the work tor whic� ihls permit is issued. (Sec. 3097, CIWI Code).
Lendar's Name: Lenaefs Atltlress:
Signeture:
OWNER-BUILDER DECLARATIONS:
Dale:
I hereby eHirm thet under penelty ot per�ury lhat I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW lor ihe tollawing reason (Sec. 7031.5, Business end Prolessions
Code: Any ciry or county which requires e permit to construct, alter, improve, demolish, or re0alr any siructure, prior to its issuance, elso requlres the epplicant tor such permlt
to Ille a signeG statement thet he or she Is Iicensetl pursuem to t�e pmWslons ot t�e Contrectors Licensa Lew (Chepter 9(commencing wlt� Section 7000) oi Dlvlsion 3 at the
Busineu enC Protessions Code) or thet he or she is exempt therelrom end the basis tor the alleged exemption. Any violatlon ot SecOon 7037.5 by any applicant br e permit
subJeds the epplicant to a civd penalry oi not more Ihan fiva hundretl ddlare ($500).):
❑ I, as owner oi t�e property, or my employees with wages as their sole campensatian, WILL DO TME WORK, antl the structure is not Intended or oMeratl lor sale (Sec.
7044, Business and Protessions Cade: The Contrectors LJcense Lew does not eppty to en owner ot proper�y who 6uilds or improves thereon, and who tloes such work
himself or herself or lhrough hls or he� ov.•n employees, proNGetl lhat such Improvements ere not intentletl or o%ered tor sale. Ii, however, ihe bullGing or improvement is
sold within one year oi completlon, t�e owner-builtler will have the burtlen ot proving ihei he or she tlitl not bulld or improve for purpose of sale.).
❑ I, as owner of lhe pmperty, flm EXCLUSIVELY CONTRACTINC WITH LICENSED CONTRACTORS lo construct Ihe project (Sec. 7044, Business and Professions
Cotle: The contractors License Law tloes not appy to an owner of property who builtls or improves thereon, and who coNrecis br such projact vrith a contractoqs)
license pursuant to the Contrectors License Laws.). •
❑ I em exempt under sec. Business and Protessions Code tor this reason:
Signeture: Date:
Owner ID venfied by dnvers license. ❑ Yes ❑ No Drivers License No.
Vedficetion of Ownership by (rype oi tlaument, i.e. - proDerty tac blll or tleetl);
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
Expires:
❑ I hereby ceNry thet no eacavetion INe (5) or more feet In depth Into whic� e person is require0 to descend, will be mede In wnnedian with work authorized by this
permit, entl lhat no builtling structure, sceHolding, falsewark, or demolition or dismantling thereof, will ba more then Ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tltle B, Calilomia Administretive Code).
❑ As owner-builder, I wlll not employ enyone to do work which would requlre e pertnit from the Dlvislon ol Indusirlal Sefery, es nated above, unless such person hes e
pertnit to tlo such work Irom Ihe diNslon.
Slpneture: Dete:
DlWsion oi IndustAal Safery Permii Number:
CE B F COMPLIANCE AND AUTMORVATION OF ENTRV: I certily under penelty of perjury thet I heve reed this eppllcation entl slete Ihat �he inlortnaiion given is
cor ci. I egre to cpmply wlth ell stete laws end ciry ordlnences reletlng to building cons�mction, entl euthorize representatives of ihe Ciry ol Costa Mese to enter upon the
ab ve-desc iG�ed bperry tor I 9pectlon purposes. I egree not to occupy or ellow occupancy of any building authorized by ihis parmit until final inspeaion.
'( egel Owner(5) / / �, Y � 1 _�
( i U
AnNOr Authodzed Applicant � Date�
COOE I. IXSVECTIONTYPE
1676 Fixed System Finel Fire Preventlon
1266
200
201
202
203
204
7445.dfi
Pool Spe Finel
Finel Re-Rooi
Finel BIocWRetaining Well
Final Factory Fire Place
Fnel Sign
Final Demolition
QA� It1�El5
6'a--'�.�— Y "��
CO�E I INSPELTION TYPE
206 Final Mechenical
20B Flnel Plumbing
210 Finel Elecidcel
212
220
Flnel Fire Prevention
Flnel Plenning Approvel
222 Final Site
250 Finel Bullding/Occupency
� 1��
�N
0
,e
CITY
AVP���ant ta fill in all
C6ETA MESA
�UGTION PERMIT
Address 27,ajf�j. �'-�'/���'
Arch/Eng. �((p„� � License No.
Address iv/�
Contractor!/.,�G r? .i <�, ti,..., .1 Phor
:es within heavy bortler lines antl sign all app�oD�iate tleclarations.
�O� TRACT NO. LOT NO. BLOG. NO.
I hereby�affirm thot I am licen5etl untler provislons of Charter 9(com-
mencing with section .7000) ot Division 3 of the Business and
Professions Cotle, aitl.m Ilcense is In full forc antl e�fect.
License Class �' � icense o.'� 3
Date �' 2�� �- Signature
4\ �KER$' COMGENSATION, CLARATION�
I h.reby atfirm that I have a certiticate of consent to self-insure or a
tertlfiwtg of Workers' COmpensation Insuranre, or d Certifietl copy
tnereof (Section'3800, Lab. C.).
Policy No. � Company
� Certitietl copy is hereby furnishetl.
i�-,s�CertifieG copY is filetl with•the city Builtlinq �ivision.
�''��'."'EMPTION FROM.WORKERS' COMiENSATION DECLARATION
��"his section neetl not be completetl if the permit is for one huntlretl
($100) or less). '
b�certify'tfiat in the performance ot the work tor which tM1is permit is
issuetl, I shall not employ any person in any manner so as to become
Date �" <- - '� '� Si9nature
NOTICE: I! after making this clar ion, you shOultl become subject
to the Worker5' Compensation provisions of ihe Labor Code, you must
forthwith mmply with suCh provi5ions or this p¢rmit shall be tleemetl
revoketl.
CONSTRUCTION LENDING AGENCV
I hereby affirm that there is a construction lentling agenty (or the per-
formance of tlte work for which tM1is permit is issuetl (Sectlon 309]
Civ. CJ.
Lentler's Name
Lender's Atldress
)OWNER BUILDER DECLHRFTION "
1 hereby affirm [hat I am exempt from th¢ Contrac[or's LicenSe Law for
the following reason (�«ion 7031.5 Busine55 antl'Professions Cotle:
Any ci[y or county which requires a permit to construct, alter,
Improve, tlemollsh o� r¢pair any St�ucture, prior to i[s i55uance, also re-
quires the apFlicant for such perrnit to tile a siqnetl 5tatement LM1a[ he
is IiC¢nsetl pursuant to tne provislons of the ConVacto�'s License Law
(Chapter 9(commencing with Section 7000) of Division 3 of the
Business antl Professions Cotle) or Ihat he is exempt there(rom antl ihe
basis for the allegetl exemption. Any violation of Section 7031.5 by
any appiicant to� a pe�mit subjecis [he applicdnt to a civil penalty
-` not more lhan five huntlretl tlollars ($500).
I, as owner of the property, or my employees with waqes as their
; compensation, will Co the work, antl Ihe structure is not intentletl
r offeretl for sale. (Sec[ion ]044, Business antl Aofessions Cotle: The
Cont�atto�'s License lSw tloes noi apply to an owner of a property
wh0 builds or Improves thereon, antl who tloes such work himself or
throu9h his own employees, provitletl that sucM1 improvementz a�e not
intentletl or offeretl for sale. If, however, the building or improvemen[
is soltl within one year of mmpletion, the owner will have the burtlen
of proving M1e tlitl nol builtl or improve for the purpose o( sale).
❑ I, as owne� of lhe property, am exclusively cont�acting with
IicenSeG wntraclors to constru<t the p�oject (Section ]044, Business
antl PrOfessions Cotle: The Contractor's License Law tloes not appty to
an owner of property wM10 builds or improves thereon, antl who con-
t�acts f�om Such prqects with a tontractor(5) licesnetl pursuant to
the Contractor's Litense Law).
❑ I am exempt untler $e<tion � B. & P. C. for this
reason
Da[e pwner
nances
Signalure
Drivers' l
Ihat I have reatl this appliCa[ion antl state that the above
mrrect. I agree to comply wlth 511 city antl county
state laws relating to con5t�uction, antl her¢by authorize
of th'S�ter upon Ihe above Cnti)petl
�Ipe on ' ! ijJZ
Date
i or 55 �� �
TVPE OF CONSTRUCTION
NEW ❑ ADD ❑ A1.TERATION
REPAIR ❑CONVERSION ❑DEMOLISH
❑ OTHEft
.DESCRIPTION OF WORK '
TYPE OF PERMIT
❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL
❑ TENANT�ELECTRICAL�PLUM8ING ❑MECHAI
�OTHER
PROJECT DESCRIPTIO .
SQ. FT.
OCCUPANCV_CONSTRUCTION TYPE
VALUATION ZONE
GRADING CU. V�S. ACRES
PLUMBING
BATHTUBS
TOILETS
LAVATORIES
KIT. SINKS
SERVICE SINKS
FLOOR SINKS
DRINKING FOUNTAINS
INTERCEPTORS
SWIMMING ii0�
WATERSERVICE r
GASSERVICE
WATER HEATERS
SEWER CONNECTIONS
SOLARTANK
SOLAR PIPING SVS.
ISSUE FEE
MECHANICAL
PLAN CHECK
SHOWERS
URINALS
DOUBLE LAVS
DISHWASHERS
SUMPS
FLOOR DRAINS
CLARIFIERS
P�TRAP
ALTERATION'
OUTLETS �
BTU OVTPUT
COLLECTORS
PLAN CHECK
HEATING SVSTEM 0-300,000 BTU
ANDDUCTING 100,000+gTV
REFRIGERATION 0-100,000 BTU
SVSTEM 100,000+gTU
BOILERS BTU
SVSTEM REPAIR.ALTERATION
EXHAVSTSYSTEM MULTIPLE
ISSUE FEE
CMF 0865-46 White-Builtling; Canary-Applicanh, Pink-Accountinq; Goltlenrotl-Assessor
A.P. �
ZOfV E
REAR VARD (TO
PKG. SPACE REQ.
6782f 6/03/82 ' I8.00
ZONING REGULATIONS
PLNG. REF. �
ZONING APPROVED BV
SGECIAL CONDITIONS:
ELECTRICAL
PROVIDED
PARK FEE $
PLAN CHECK
GENERATOR 0-1 KW_1-10 KW _
TRANSFORMER
APPLIANCE 10-SOKW_SO+KW_
MOTORS 0-1 HP_1-30 HP _
�(INC.SOLAR) -10-50HP 50+HP�_
FIXTURES OUTLETS SWITCHES
GHS TUBE SIGNS
POLE LIGHTS '
POLES METEREO SVB
PANELS ' ` MAIN SUB
SE�'ICE AMP
�.—� . � � . . -
ISSUE FEE
APPLICATION APPROVED BV
SUMMARV OF FEES
BUILDING
PERMIT E
PLAN CHECK $��
PLUMBING $SO�—�
PIANCHECK $
ELECTRICA� $�
PLAN CHECK $
MECHANICHI $
PLAN CHECK $
DATE
SMIP E
PERMIT
ISSUANCE $ '
GRADING -$
_. . §
� MICROFILM $ �
TOTAL FEE S
LE55 AD�
VANCEPG $_ ' '
FINAL FEE $ / . OO
� . 1 � '
CONSTRUCT40N ANU PLANNI G POOL & SPA. ! � "'
APPROVALS Permit #��-3� Date Inspector qppROVALS � Permit # Date Insplctor
1. Temporary Electrical Service or Pole ' � 43. Pool & Equiprtient Location
2. Soil Pipe-Undrgrn - 44. Steel Reinforcement
3._ Electrical Conduit Utility-Undrgrn 45. Forms
4. Electrical Conduit-Undrgrn 46. Electrical Bonding �
. tee ein orce 47. Rough Plumbin & Pressure Test � � �
6. Electrical UFER Grn � 48. ARPROVALTO COVER-fiC�diTf' �
7. Footings 49. �Electrical Conduit-Undr m - i 3-$
- 8. Foundation � �50. Gas Pipe, ❑ Undr m, Test � C C $ 2
9. Water Pipe-Undrgm 51. Backwash Lines P-Tra ❑ ndr rn - �
10. Structural Floor System - 52. APPROVAL TO DECK - - ' -/ � 53L.
.. 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final ' �
12. Street Sewer Connection 54. � Heater & Vent-Final ,�
13. Rough plumbing ' I
14. Rough ElectrioConduit 56. Electrical-Final �_C_ -� �
15. Rough Electric-Wiring � 57. Solar System-Final
16. Rough Heating & Air Conditioning - � Fencing & Access Approval 7-� �
17. Ducts, in Structure ' 9. APPROVED FOR PLASTERING
18. Ducts, Ventilating � �� �
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL _�� .7 �v
20. Roof Framing
21. Roof Slieathin
22. Frame and Flashing NOTES: �
23. Insulation - - '
24. Lathin & Siding --
25. Drywall Nailing
26. Plaster grown Coat �� ' '� �
27. Electrical Power Meter-Final. " �
26. Final Electric
29. Final Neating & Air Conditionirig .
30. Final Gas Pipe-Test-. '
31.. Final Plumbing -
` 32. Water Service-Final � '
33.� Gas Service-Final - � �
34. Solar Qomestic-Final� �
35. Landsca e S rinklin S stem � - ' ,
' 36. Sound Attenuation �
� 37. Handicap Regulations " � - - � � �� �
38. FINALSTRUCTURE&BUILDING -
39. Special Requirements Completed
40. Electric Release to Edison --
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY .
� �No. Date -
�4
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BERNARD C. ADAMS' POOL PUWS INC� �}' `��+''t'r'o.� '� �'�"�iW K°"J a°"� r- .
C141LENGIi:ECR � 10183 � �•`��'g �T�O�T "��MNIEP/S To IE! � ' � �Lw ^-��4 '
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INTERNATIONAL ASSOCIATION OF
PLUMBING AND MECHANICAL OFFICIALS
A NON�PROFIT CORPOFiAT10N
RECQMMENDATION OF SWIMMING POOL RESEARCH COMMITTEE
The product described herein has been reviewed. tested and recommended for acceptance by the Swimming Pool
f;esearch Committee ot the Intemational Association of Plumbing and Mechanical Ofticials as meeting the re�
quirements of thQ Uniform Swimming Pool Code. This recomme�dation is subject to the conditions set forth in the
characteristics below and is not to be construed as assurance or guarantee by the Aseociation of product accep-
tance by Iocal jurisdictions, or authorities using the Uniform Swimming Pool Code or otherwise affiliated with the
Association. -
Accepted March 1982 . void at�er November 1982
REVISED CERTff1CATE
PRODUCT: Acrylic Spas/Shells FILE NO. SP-1082
APPLICANT: Grecian Spas Additional Company Name
• 7200 Hazard Avenue American Acrylic Industries
Westrninster CA 92683
MODEL:
IDENTIFICATION
�
1011, 1999, 2000, 2002, 2004, 2006,�2008, 2010
Company name and model number is molded into unit.
CHARACTERISTICS: Hydro-therapy spas of cast Acrylic which is reinforced with
a polyester resin and fiberglass, which is bonded to the
exterior. Five various shapes are available. Air channels
sre provided in the bottom.
T�is recommentlation is lor ihe periotl indicated heiein antl
is void atler tlate s�own aDove. Any chanye in material,
marhinp or tlesiq�, w;thout navinp tirst oDtained tne ap�
proval of the Swimming Pool Research Committee, or
evitlence of iMenor workmanship, or tailure to follow
� �',�d'� /�W�-�'�/V
CM�IqNAN, WiNMING N701 RESEARCM GOMMITTEE
en equitaDle senice policy, may be dcemed
ceu5e tor r¢vocation Ot thi5 recomm¢n0ation
tional A55ociation o1 Plumbinp and Mec
prams permission fa reproduction of o
�orm Or USPC S�ieIG f8r 80vertisin
�r ���
�poetsers of UNIFORM lAECHANICAL CODES � UNIFORM &WIMMING P
s- � .
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APPR����'�
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BY..�-._.._......___'_'_'_".'.._DATE_�j,3.......i 9��
THESE PLqNS-MUST BE ON JOB A7 qLL TIMES
MAKE NO CHANGES W�THOUT PRIOR APpROVqL
OF DEPT.
OF Pl.qygSprypNSp�RFC TIONSG HALLPNOTIBE CO STRUED
TO BE A PERMIT FOR, OR AN APpROYAL OF, ANY VIOLAiION
OF qNY OF THE PROVISIONS OF �HIS CODE. NO PERMI7 PRE•
SUMING TO GIVE AUTHORIiY TO VIOIATE OR CANCEL THE
PROVISIONS OF THIS CODE SHALL BE VALID, ExCEPi IN SO
fAR AS THE WORK OR USE WHICH li AU7HORIZES IS LAWFUL,
'"`CIFIC�ITEONS SHALI NOL FR VEN78THE BUP DNNGLOFFlCIAL� I
��'��1 "IEREAFTfg REQUIRING THE CORRECi101't OF (RRORS �
�'� � �D F�ANS F.NO S?EpfICAT10D;; 0.? FRON PREVEN7ING
F;��� D��;S CfERF.TIC�vS BEING CARPoEO ON 7HEPEUNDEB WHEN
IN VICLf,T!C'•I OF 7�..: CODE OP C' Fv. O7H�? O:plf.;:���-
c� r��E cir �.
flZl� PRIMEDONMO. �OpOH�OCLlAIRNINTIA06�OUT
STRUCTURAL APPROVAL ONLY
SEPARATE PERMITS ARE REQUIRED
FOR �! ECTRICAI_, Pf_U:":? ;i�;G,
HEiiT:;�G, 'Jcr :,"iPiG Ai�D
REFRI;ERATIJN 'NORK
1 Pe��;� �_P� 3�
i TNiS "�li;'.+?'-R "tiST ACCOMPANY
� ALL I°:�?�CTION REQUESTS
FGn d�:..L �' = i� = PERSONS aRE TO
BE ENir����. _ S:�6cST THNT THE
STATE C; '. ., ,:iA DI'dISION OF
INDUSTF,_4_ ? _i :t: CONSUCfED FOR
ADDITlON�`-.� ;EQUI�:?�!ci`JTS.
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L•ot 25 � 2 � ��i4
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.60I]17 C08TAMEBA,CALIPONNIA
For Applicant to Fill In Completaly
TYPE OR PRINT
COSTA MESA. GALIFORNIA
Costa Mesa
IOF LOT L� /�X I ��'� NOW O
ee'rawcrc �ine vneM SO� REAR YARD 3��
CENTER OP BTRH[T
91D8VARDI LHPT 6�• 'I R,�„r . 6ft.
I DESCRIPTION OF WORK
BUILDIN6 NO.OP
SIZE 2, �3�% ROOMS 6 b70RIE8 �
EXTERIORWALL SI I(19 qppp ^ 4 e
Garaqe 425 sq.ft. Plan 41-AR
1 HBPEBY ACKNOWL8D08 THAT 1 HAVE RBAD TXIB APPLIWTION
ANO BTATB TXAT TMH ABOVH IB.CORPECT ANO AOHEB O COM.
PLY WITH �LL CITY OqDINANCB AND BTATfi LAW6 HH LATINO
BUILOINOCONBTHUCTION. -
SIGNATURE OF
PERMIiTE
AUTHORIZfiD AO[NT
rtt Ktt;tIVED
W1R 3 1 18G4
FiNANCE DEPT.
CITY OF COSTA MESA
APPL�CATION FOR PERMR
BUILDING
For Offica Use Only
PHCEIPT NO. I 2EQF
FIRE
ZONING
ZONB NO. OF YBC OI NHW
R'I PLANB 2 OU�LDINO W
Y
�::�:,..,.,., Lot 25, Tract 5
YqRO3APPROVED
MAIN BUILOING
VAR. �j
SHALL BE LE53 THAN
VARDSAPPROVED
ACCESSORY BUILDIN6
BET. MAIN R
ACCE55. BLI
DATH
Q/� o. �. ya.s- p- �•� y m
TX6 AMOUNT 8H0 N IINOEH VM1LIIATION IH POR TX8 t',
PUXPO86 OF 86TABLI6HIN0 h PEFMIT PE8 ONLY, p
VALUATION �� — m
PERMIT FEE $ �
i
m
$�D,3o�= � � 33— o
Q u
TOTAL FEE $ / �