HomeMy WebLinkAbout1029 PARKHILL DR - Building PermitsSWAN POOLS
2140 S. RITCHEY • SANTA ANA, CALIFORNIA 92705 • (714) 957-8541
24512 BRIDGER ROAD • EL TORO, CALIFORNIA 92630 • (714) 859.8466
June 25, 1987
City of Costa Mesa
Building Division
77 Fair Drive
Costa Mesa, CA 92627
Attn: Mr. Dave Reider
Re: 1029 Parkhill Drive, Costa Mesa
Dear Dave:
Enclosed please find the engineering calculations
for the glass block dam wall, as per your request.
Please advise as to issuance of final inspection.
:ZK�t
Robert E. Shine
CC: file
CONTRACTOR LICENSE NO. 421014 SINCE 1954
M
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¢�8 vL/,'Si /$Zvc.i
APPROVED
Zost�a so Building Dept.
DATE �3019
MUST. BE ON JOB AT ALL TIMES MAKE
Vv'T'. !OL:T PRIOR APPROVAL OF DEPT.
r; Ic •^., • o rRA.^I•'C O° A PFRPMIT 07 APPROVAL OF
E*' r" %^4 ^dI 1: OT: E CONST RLIED TO BEA
„n i t; ' '•:ri. , c. VIO; ,DON OF ANY OF
„N ``I;MR PRF'iUMING TO GIVF
Ic NW,:VIG:ONS OF THIS
D•': 5 ru•U a::':..,L Edi'%.:'r, f'••5,..: ..R .�SJtr,: V/ORY.ORUSE
CH II
THE i,;S!:ANCE t,;- I F.=f.,tj;-".. 'ivON PLANS AND
ECIFICATIONS SHAi KGi "R=�pJ1 HE BUCDING OFFICIAI
ROM THEREAFTER REOUIRIItG TNt CUq.BC CON OF ERRORS IN
',AID 'PLANS AND SPECIFICATIONS. OR FROM PREVENTING
LHENG OPERATIONS BEING CARRIED ON Tr:EREUNDER WHEN
LATION OF THIS CODE OR OF ANY OTHER ORDINANCE OF
j.. .. j.. _... __`.... ..'
STAt�..iG�SS 2EiM� �.glJ�Jc� ST x7LF� y S 6Z'"Ii:'.
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No. 10183
Exp. 1231.1988
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I AP.PROUED
ty o Co o Mesa Building Dept.
�DATE-4 30 IgBl.
-?iESE PLAN�S MIDST BE ON JOB AT ALL TIMES MAKE
NO CIHANCIES WI NOUT PRIOR APPROVAL OF DEPT.
IF�;l1An.t#F ;:G Gf4"TI• OF 1. f'E�MIT OR APPROVAL OF
F 11; I{ ND zMCIFIi. AT•01*-; 5 -ALL N0f?E CONSTRUED TO BEA
Od, C s•' .•:.•-.v d i V1n;ATION OF ANY OF
MJPRF.iJM.INGTOGIVE
-
.THOF:` PROViS'.ONS OF THIS
Ir J 'H- YORK OR USE
11CH 11
j THE ISSUANCE CF A P'cRMIT•f:OBED CPON PLANS AND
SPECIFICATIONS SHALL NGT PREVEN! THE BUI:DING OFFICIAL
r .`ROM THEREAFTER REOUIRING TIL COQ+ECIION OF ERRORS IN
i SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING
yy WILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN
rt IN VIOLATION OF THIS CODE OR.OF.ANY. OTHER ORDINANCE OF
E THE CITY.
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,' No. 10183
Exp. 12.31-1988
'PT CIV1�
9TFOFF CALWF
A- 017
O!Z lhZ�CT = .o/7/,1 j/''r
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO,•'L%?�=�
LOT NO.
ADDRESS
DATE 4O ZI
The developer of the above entitled tract desires to sell the
above set forth lot prior to the time .that the tract has been
completed and its streets accepted by the City of Costa Mesa .
The undersigned, by executing this agreement, acknowledges
that (he--she-they) (was or were, - advised
that this tract has not been given final inspection nor has
it been accepted by the -City of Costa Mesa as having complied
with the conditions of approval which were imposed by the city
at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by
surety bond.
The undersigned agrees to indemnify and hold the city harmless
from any claim resulting in damage or personal injury to the
undersigned by reason of the.aforementioneedd uncomple
condition.
Developer and/or authorized
x esentative
BY ��
L � er
/ <.—T t -T Applicant
to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
1,
r
9025' j2/[9/66
I I I6o9� ��
6�Trb s t6sTA MES CO, TRUCTION,P RMIT
/ �
Project Address
PERMIT Nq.
/1
TRACT NO.
o,
LOT NO.
UNIT NO.
Applicants Mallin Address
Owner's Name Phone
AddressS
Arch/Eng. �r License N
Address u a �//
TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
El CONVERSION ❑ DEM LISH ❑OTHER
DESCRIPTION OF WORK/USE OF BLDG.
)
A.P. # A 3/ �'^ Zone
Main Building: Accessory Building:jyi4 Ji -rill /I
TYQE OF PERMIT GRADINGIEl � FpUNDATION STRUCTURAL a
TENANT LECTRICAL� PLYIIMBING ECHANICAL
PROJECT DESCRIPTION SO. FT. OCCUPA CY
CON ST RUCTION TYPE VALUATION,$ O
ZONE GRADING CU.YDS. ACRES
T
Front / ,�j�
O
B
A
RearN
I
Contractor's Nam Ph ne 7�❑'OTHER
I 1
CityAddLicense (mailing) US��. V(�
City INISEDe No. -
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing
with section 7000) Of Division 3 of the Business and Professions Cod , and
my license is in I I fyce and effect. /�/
i License No. �/
C
Right /
N
$
Le
G
R
E
r
Ping. Ref. # Parking Req./Provided I
Remarks:Planning
Notes:
Q
M
' - -
T
$
License I s
Date Signature
PLUMBING
FEES
W
WORKE S' COMPENSATION OE LARATIO
I hereby affirm that I have a certificate of cons t to set nsure or a certificate
Bar Sink $hOWers
ELECTRICAL FEES
I
of Workers' Compensation Insurance, or a copy er of (S tion
3800, Lab. /s/
Backflow Preventer Service Sink
Automatic Washer - Transformer ❑ 15-50 KW
Backflow Irrigation Sewer Ca P
I
Policy No. L.� Company
Certified copy's hereby furnished.
' ❑ 50+KW
Construction Pole Sub.
Bathtubs Sewer Connection
Cooking Unit Meter ❑up to 100 amps
e tii/e Is filed with the city Buil i Iv
ate l Applicant
EXEMPTION FR M WORKERS' COMPENSATION EC RATION
Clarifiers - Solar Collectors
.
Dishwasher Meter Dover 100 amps
(This section need not be completed if the permlt is f r On hundred ($100) or
less).
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws of California.
Dishwasher Solar Piping
Dryers ❑Gas ❑Electric Sub Panel
Drinking, Fountains Solar Tank
-
Fan Motors 00.1 HP❑1h-8
Floor Drains Swimming Pool w/Spa
F.A.U. Inc. Solar 09-15 HP El 16-15+
Date Signature
NOTICE: If, after making this declaration, you should become subject to the
Workers' Compensation provisions Of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
Floor Sinks Urinal
Fixtures Microwave
Gas Service Outlets Water Closet
Device Boxes Pole Light
CONSTRUCTION LENDING AGENCY,
1 hereby affirm tha Ih I a truction lending agency for the performance
of the work fo permit is issued (Section 3097 Civ. C.)
Lander's Name
Interceptors Water Heater
Outlets Range
Kitchen Sink - Water Service
Switches Sign
Lender's Address
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct, alter, Improve, demolish or repair
any structure, prior to its issuance, also requires the applicant for such permitTrash
to file a signed statement that he/she is licensed pursuant to the provisions of
the Contractor's License LaW (Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she is exempt
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars ($500).
L� 1, as owner of the property or my employees with wages as their sole
compensation, will do the Work, and the structure Is not intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own
employees, provided that such improvements are not Intended or offered for
sale. If, however, the building or improvement is sold within one Year of corn-
pletlon, the owner will have the burden Of proving he/she did not build or im.
prove for the purpose of sale).
Lavatories Auto -Wash
Garbage Disposal
9 P Standing Sections
IP—Trap Laundry Trays
Generator ❑0-5 KW ❑5.15 KW Compactor
Roof Drains
C �� - -
' J
�%bc
J
Reinspection Fee $15 Issue Fee
-
$ 3
Reinspection Fee $15 Issue Fee $ 3
MECHANICAL
FEES
Boiler
Hood or Type I ❑
Canopy Type I I El
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By , Date /
Building Approved By / Date_1___ /
-
Duct - Under Ground
Duct'- Structural
Refrigeration System
6100,000 BTU 0100,000BTU
❑ I, as owner Of the PrOPert Y. am exclusively contracting with licensed con-
tractors to construct the project (Section 7044, Business and Professions Code:
The Contractor's License low does not apply to an owner of property whoI
builds or improves thereon, and who contracts for such projects with a con-
tractor(s1 license pursuant to the Contractor's License Law). I am aware that
proof o their Worker's Compensation insurance should be C.
f(
for this a on
❑ I am exempt under Section—B. & P. 0. for this reason
Application Issued By Dat
Duct -Ventilating
r
SUMMARY O FEES
BUILDING PERMIT $ S/Pi � SMIP $ !
PLAN CHECK $ `p �'-S3 PERMIT
PLUMBING $ �� ' �7 ISSUANCE $
Exhaust System ❑ Multiple ❑
System Repair/Alteration
Firepl/Fact. Bit. ICBG #
Fire Dampers
Date Owner
I hereby certify that I have read this application and state that the above
ritr ordinances
Information is correct. I agree to comply with all city and y authorize
and state laws rel ting to builtling construct) on, and hereby authorize repre-
sentatives iscity to enter upon the above-mentioned r perty fpr
inspection lir
Si9nat lire Date
Drivers' License or SS $ '
Heating System & Ducting
0- 100,000 BTU 0700,000 BT
Registers
PLAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL $ �Zr DO GRADING $
Z/ S.rJ MICROFILM $
PLAN CHECK 50°/, $
MECHANICAL $ TOTAL FEE $ 1/(�, 9s�
PLAN CHECK 25% $
-
00%
Reinspection Fee $15 Issue Fee $ 3
CMF
0865.46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting;
Goldenrod - Assessor
CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
Inspector
POOL & SPA
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
\
\ $
�-
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd.
54. Forms
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd.
57. APPROVALTO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
3
8. Foundation
59. Gas Pipe, O Undrgrnd., Test
'0�^
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, O Undrgrnd.
j it
10. Structural Floor System
61. APPROVAL TO DECK
11. Property Sewer Line & House Connection
62. Backwash & Receptor -Final
owl
12. 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 -Final
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
8
di
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping EJ Gas OOil
23, Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank OGas OOil
-:
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 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
-
39. Water Service -Final
40. Gas Service -Final
41. Solar Domestic -Final
7
42. Backflow Preventer
43. Backflow Irrigation
-
44. Landscape Irrigation System
'
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
-
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
'
r4VT
Fist Od D
'CAncav $cc
tion
Rm
. ...... . ....
Approvec"
ERRO3
mom
¢0140tNG GYEN400 E C, 1 C, ETHER ORDIONCE
W140CRYF
Itl ll',.% r� WSwa (;ALL 154.5273
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CO2 Twininq Laboratories of ZoutfiEt/= Ifacifouzia, -Y>c.
3310 Airport Way / Mailing Address P.O. Box 47 / Long Beech. CA 90801 / (213) 426.3355 / (213) 636-2386 / (7 14) 828-6432
TESTING BRANCH OFFICE: 1514-D North Susan S11Ce1 / Santa Ana. CA 92703 / (714) 554.2645
January 26, 1987 Examination: SC87-654
COMPRESSION TESTS ON GUNITE CYLINDERS
Max Sitter
P.0_ Box 3454
Fullerton, California
92637
PROJECT
SPA
ADDRESS
1029 Park
Hill, Costa Mesa
ARCHITECT
CONTRACTOR
Swan Pools
Swan Pools
ENGINEER
SUBCONTRACTOR
B.C. Adams
Gunite Unlimited
SAMPLE FROM
Spa
SPECIFIED
mix
4-1
STRENGTH
DATE CAST
1-16-87
SLUMP SIZE
DATE TESTED
1-26-87
SPECIMEN NO.
1
2 & 3 "HELD IN FIELD"
COMPRESSION
10 -Day
TOTAL LOAD, LBS.
77,000
POUNDS PER SO. IN.
3,920
28 -DAY AVERAGE, PSI
COMPLIANCE 10 -Day test complies with specified strength.
MADE BY DELIVERED BY
SPECIMENS Lou Max
DISTRIBUTION:
Max Sitter - 3
,oCosta Mesa Bldg. Dept./Scott Priegel
2,000 psi
5" x 12}"
RECEIVED ON
1-19-87
Flick Hydeh
ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS AUTHORIZATION FOR PUBLICATION OF OUR REPORT, CONCLUSIONS, OR EXTRACTS FROM
OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL ASA MUTUAL oROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES.
330 12
90 ]] Gunite� ) Post -Tensioned Concrete ( )
tl2t,l0EPORT OF INSPECTION ON Masonry ( ) Fireproofing ( )
concrete ( ) Reinforcing Steel ( )
SM To:
Address
OWNER
PROJECT:
Report No.
Address: Permit No.t�P4
Architect: -S. Contractor:
Address:
Address:
Engineer: f� �. q r C Subcontractor
(Gunite)
Address: Masonry or
Concrete)
Inspector: (y�x fs,,,t Address:
Mix Used:.,(— I
Slump, inches:,
Admixture:_
Designed Strength, PSI:'��x,
6Un.�� CY.�.Lmi-}en
The following inspection was performed in accordance with the approved drawings:
Cu.Yds. No. of
DATES Placed Cyls. Remarks
iL- S Lne c ,� , 1io .Ti -i, Idezl 11 an. �c
f2o
A
Copies of Reports to: (Indicate which Bldg. Dept. G furnish address of any not listed)
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
UCTION PERMIT PERMLT NO. TRACT NO. LOT NO. UNI NO.
P)
Project Address l U Lt_ 1JPr- 0..051 /� /•/ll=f'
Applicant's Mailing Address SAm. a
Owner's Name M �C.44tJ9— __r rQ AAAS Phone S�{1�r� S
Address 10 2,q rAPU.. 4I LL, 1e. !'.`1S -r& (I o 14;1
Arch/Eng. License No.
Address
Contractor's Nam hone
Address (mailing)
City License N_o.
LICENSED CONTRACTOR DECLARATIO
I hereby affirm that I am licensed under provisions of Charter 9 (commencing
withsection 7000) of Division 3 of the Go ss no Professions Code, and
my license is in full force and effect.
License Class
Date Signature
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -Insure or a c¢rtificale
of Workers' Compensation Insurance, or a certified copy thereof (Section
3800, Lab. C.)
Policy No. Company
8 Certified copy is hereby furnished.
Certified copy is filed with the city Building Division.
OOn Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section need not be completed if the permit is for one hundred ($100) or
less).
I certify that in the performance of the work for which this p94m it is issued, I
Sha 11 note loy ny person in any pppl�lanner so as,,,fffppp be subject to the
Workers' C pe lo=ws of Cala y
Date• Signature ise
'NOTIC f, aft making this declaration, you Shaul ecome subject to the
Workers' ompensalion provisions of the Labor C e, you must forthwith
comply with Such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.)
Lender's Name
Lender's Address
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct, alter, Improve, demolish or repair
any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he/she Is licensed pursuant to the provisions of
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she is exempt
In Irom and the basis for the alleged exemption. Any violation of Section
70 5 by any applicant for a permit subjects the applicant to a civil
ally of not more than five hundred dollars ($500).
l as owner of the property or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's
License law does not apply to an owner of a property who builds or Improves
thereon, and who does Such work himself/herself or through his or her own
employees, provided that such Improvements are not intended or offered for
sale. If, however, the building or Improvement Is sold within one year of com.
pletion, the owner will have the burden of proving he/she did not build or im-
Mrove for the purpose of sale).
as owner of the property, am exclusively contracting with licensed Con.
tractors to construct the project(Section 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and _who contracts for such projects with a con-
tractor(s1 license pursuant to the Contractor's License Law). I am aware that
proof o// their Worker's Compensation insurance should be provided to me.
❑ 1 am exempt under Section R. & Pit. for this reason
Date a Owner X r 1 Zt - r^'""
I hereby c rtify that 71 ave read this application #d state that the above
information is correct. I agree to comply with all Chry and county ordinances
and state laws relating to building const Ctlon, and hereby authorize repre.
SentaliveS of this city to eater upWbtth
ate above-mentioned prc)perty, for
` Nature f /�r.•c-1
Drivers' License or SS
CMF 0865-46, rev. 10/84
u1
TYPE OF CONSTRUCTION U NEW Lh ADD
LJ ALTERATION IJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
A.P. 46
DESCRIPTION OF WORK/USE OF BLDG.
$
SMIP
$
PLAN CHECK
S
Main Building:
TYPE OF PERMIT ❑ GRADINGFOUNDATION STRUCTURAL
E
T
Front
❑ TENANT F-1ELECTRICALPLUMBING
❑ MECHANICAL
B
PLAN CHECK
❑ OTHER
$
A
Rear
ELECTRICAL
I
$
Right
PROJECT DESCRIPTION SO. FT.
OCCUPANCY—C
K
$
CONSTRUCTION TYPE VALUATION$
S
Left
ZONE GRADING CU. YDS.
ACRE$
Ping. Ref. #
Remarks:
PLAN CHECK
Planning Notes:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher
Drinking Fountains
Floor Sinks
Gas Service
Interceptors
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fee 1 $15
Duct- Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Bit. ICBO #
Heating System & Ducting
E10-1 00,000 BTU ❑ 100,000
Rejnspection Fee 1 $15
White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
PLUMBING
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto -Wash
Laundry Trays
Issue Fee
Hood or Type ❑
Canopy Type II ❑
Refrigeration System
❑0-100,000 BTU 0100,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
FEES
Automatic Washer
Construction Pale Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Elec
Fan
F'.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generator ❑0.5 KW C
5j429 6/24/85
Zone
Accessory Building:
Parking Req./Provided
ELECTRICAL
Transformer ❑ 15.50 KW
❑ 50+KW
Meter El up to 100 amps
Meter ❑over 100 amps
Sub Panel
Motors 00.1 HP ❑ VA - 8
Inc. Solar 1:19-15 HP 016.15+
Microwave
Pole Light
Range
! Standing Sections
KW Trash Compactor
$ 3 -
FEES Reinspection Fee $15 Issue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By
Building Approved By —�
Applicatign Issued By
$ 3
5aQJ TL
Z
O
N
I
N
G
R
E
O
M
T
S
FEES
$ 3
SUMMARY OF FEES
BUILDING PERMIT
$
SMIP
$
PLAN CHECK
$
PERMIT
PLUMBING
$
ISSUANCE
$
PLAN CHECK
25%
$
ENERGY P.C.
$
ELECTRICAL
$
GRADING
$
PLAN CHECK
50%
$
MICROFILM
$
- MECHANICAL
$
TOTALFEE
$L
PLAN CHECK
25%
$
CONSTRUCTION AND PLANNING
' ,APPROVALS Permit
Date
Inspector
POOL&SPA
APPROVALS Permit#
Date
1
Inspector
1. Temporary Electrical Service or Pole
�"
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
-
3. ElectricalConduit Utility-Undrgrnd.
-,
54. Forms
4. Electrical Conduit-Undrgrnd.
Steel Reinforcement
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
: Electrical LIFER Grnd.
57. APPROVALTO COVER-GUNITE
'
7. Footings
58. Electrical Conduit-Undrgrnd.
-
8. Foundation
59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, 0 Undrgrnd.
10. Structural Floor System
61. APPROVAL TO DECK
11. Property Sewer Line & House Connection
-
62. Backwash & Receptor -Final
12. Sewer Cap
63. Heater & Vent -Final
13. Roof Drains
64. Plumbing System - Final
14. Rough Plumbing
65. Electrical -Final
15. Rough -Electrical -Conduit
66. Solar System -Final
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 & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
20. -Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping E) Gas El Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank ❑Gas 0Oil
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 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: (011"IYj- (-Er-7-can, (,Ed
34. Final Heating & Air Conditioning
35. Final Gas Pipe -Test
Z
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service -Final
-
40. Gas Service -Final i
41. Solar Domestic -Final
42. Backflow Preventer
43. Backflow Irrigation
,
44. ,Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
-
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No, Date
4
i CITY OF COSTA MESA
BUILDING DIVISION
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 condition precedent to issuing a building permit, require the completion and require
the return of, an owner -builder verification.
Attention Property Owner:
An 'owner -builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be
issued until this verification is received.
I personally plan to provide,16e major labor and materials for construction of the proposed
0property improvement. IJYes ❑ No
1 (have/h'svuz;M) signed an application for a building permit for the
proposed work.
3.
1 have contracted with the following person (firm) to provide the proposed construction:
Name 1'
Address
City
Phone ( ) Contractor's Lic. No.
4. 1 plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address
Phone
Contractor's Lic.
City
5 1 will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
Name Address Phone Type of Work
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the
State of California Health and Safety Code and have completed the above information to the best of my
personal knowle e, in compliance with s State law.
y/
Signed: (^�/n / 1 Date: � L
Name:
(Printed or Typed)
C.D.L. #or S.S. #
7545273
CMF 104246
0-1,
6UYU3/OWNER/S
� I
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MAP BOOK PAGE
Owt!u arxl Contractor acknowledge
thriv am resprin$Ible for fire !011oa lllg.
T morn Re lacement b (/
Lan_Removal b r/
T,- Hauling by (/
Dec:'r mG by —�
E•vayS,On Joint$ by
R��alnn_g �Vills_b �G
int, Hn{rets by r/
u�l': OrWrts by
Ga,es ly _1
SAIiiSMAN MUST INDICATE LOCATION
I)N IRIS SCALE DRAWING OF ALL ITEMS
11SILD BELOW AND THE FOLLOWING
MOS! BE ACKNOWLEDGED BY OWNER.
11 111FRE ARE ANY CHANGES FROM
LOGAPENS ON THIS DRAWING. THERE
•%i ll BE ADDITIONAL CHARGES.
sba:tef of Prior
::Ictrl - Vanlmum ✓
W-u'll Minimum
Length . Maximum --
1 ,i_ - Minimum
ierth Magnnlm
Ireo!'I Mlnlmam ✓
rdrol Lxzllnn
LdA,1nt I(x;ati n --- --
w
(L:vno Hnam1 La:ntlon __ _ -
Si,de O
fledl0r lfr'at101!
r`.nning l.ocalmn ✓
�l unmpr In_Catinn --- --
'pE Llr:aliml _
?'at-' of glops w
Art'es5 Dlmens;pm$
Inns R Try±S of Slows _- O
llnlaming Wills __ _✓_ o
•vsl. Luld Pent
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;',Ia,rgC BOY__—_— ✓
Gas Mnter__ - o
Hoc= Blb_ _ +
Dlslant Pool from
Hake A Proo. Lines o
OVe,n,;!d UUI_ily Lines J "
n
Puhhr. U!JIC casements
61$unq 5 v
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cUee or
(�� a
°'aingrd S tet on Plop _"/
'S I) DAMAGE OR UNUER
. ';D i'BSTFliIr-i;0ilc. �
tin tGlOn will not NNuma resnrt"S'
-' • Ipr .I X.11 ma TAOn "e;h NS do maoo to
•.•b•. "I,!ov:alkS arivnwayS .cineol blapi
.,.,. l;+u ns bees. shmba. lenses. I,*
.o
-,1 111", u111110lnes Or rerputingofney
^nO nit ode•plound fine" or com
. , !ti •,• d-amaoe C,an,reI , werrsnlA All Ipcs
•'+
on t'es drawing are within their property
.V,•" ge:'C5c is mA•)e !NpUOh a neigh.
rel+'•1y. `!'S Um)e"!'orj thi,l ".' lee
... I. lm neiphoni s Uer,,sS.a and
- rr t
! :,rc ncillil,tY No Noll. IVIS de
-tr e,11,,Il OI blOughl to NCCpt On
fI{L (10!;TRACT PRICE IS BASED ON
"`l•!: T.fIlJ L))fl MUTUAL ASSUMP-
^.ny FACTS.
'' ar "••• Nile pas AaaOaAM ppnrinp can
�,•renS ol" LII ground no nartl or rry
-z nn w Minders ron!mns nn cosxcne ,.
x•41^r;an..q on W, r9, oun[lutnry linos n, nln r
-Ptry u.-pnns. Inst rhe un,don .,Ili pr AunnC.
lnl9rl91n wnl, the wn,h 01
,•'rn bon of m' wrevialed sl ... Me, that no
'•1,...... n;,r l,,,, hemmer work A I n. l..ad.:hat
� Lc t, tin ,,- Ir orf Ullh All It re,' a nn" A
N.niln Nnit it'
l 991a .1,111, is Ali
Yu 1.v',!nAlanaAl Andlw.rrAnl that they
o •a1M�l•Ichlcnl and ..let suopry evah
n nnot Int cnnnhuclltm our
✓braclor ahAll nor be. liable for fIOtA-
" xn„ eftor plmltle, ..used by erlemal
m ••'l U^iess
Ulnq^.vpa inal.11l1.11 Wslo-
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ADDRESS
LEGAL DESCRIPTION - 1-01
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BLIYERAPPROVES PLAN *QSPEq-
In
"(�A1!ONS AS OUTLINED HERljtt4•_
A'x) "ASRECEIVEDACOPYOFT`G
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OWNER IMPERIAL SAVINGS & LOAN
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GE
NAP
No.
DATE 12-2-70
PERMIT NO.
LOT 19 TRACT 7043 FIRE ZONE VALUE $ 280.00
INSPECTIONS
Signature
Date
GROUP J TYPE III
ZONE '
solL
SUBCONTRACTOR
PERMITS ISSUED
GAS
i Date Number $i nature
WATER
Plambjn
ROUGH PLUMBING
PROP, SWR. LINE HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER ❑
ROUGH WIRING
He.tinq end Vent.
TRENCHES L:] FORMS [:] STEEL REINF. C
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE
SHEATHING
FRAME AND FLASHING
LATHING — IN OUT
PLASTER, BROWN COAT
STRUCTURAL, FINAL
Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST
ELECTRIC, FINAL
BUILDING, FINAL
49506
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
- For Applicant to Fill in Completely
BUILDING �(�G
ADDRESS
OWNER
MAIL / /
Z ADDRESS b(O'D O
LJ Wa U CITY W �R/ 8ZP _ NO; -j [
ZQ CONSTRUCTION
O to LENDER —
tl (n
J BRANCH
J N
m J ADDRESS
m ARCHITECT s- TEL. s
J OR ENGINEER -No."
U Q
W M ADDRESS {� f
aw
J O CONTRACTOR
m Z
J ¢ ADDRESS J/
W w
Z= TEL.
CITY
W O STA E CITY
N = LIC. NO. LIC. NO.
= U SIZE^ NO. OF BLDGS.
OF LOT L'1 JOO NOW ON LOT
USE OF
EXISTING BLDG.
F SIZE OF NO. OF
Z NEW BLDG. ROOMS STORIES
UEXTERIOR WALL ROOF
_ COVERING COVERING
J USE OF BUILDING AND WORK TO BE PERFORMED
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U1 hereby acknowledge that 1 have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
H any person In violation of the workmen's compensation laws of
N the State of California.
Z I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are In full force and effect, or I
am exempt fro pro isians of the State California Business
antl P. fes ns Coda, Di sion 3, Chop
Signator �7
Permittee ��� %� �i//Sr'^�
DEC—z-70PR1000 150 d*****
cnsn 5.00
APPLICATION FOR BUILDING PERMIT
Fty�VED JayDATE RECEI ED
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A.P. NO.
DATE ISSUED
--ab
PE MTD 9. .
ADDRESS !/ 1_]'�..Ci l.f-�C.(,/ ✓/
�J �(
TRACT/ .9'[ ,
LOT BLOCK
W JADDIALTIFRIFIEPAIR
r �t
OWNER
S ALUE
FIRE
ZONE YPE GROUP
APPROVED
BY / 6
ZON
NO.OF
PLANS
USE OF NEW W
BUILDING yr
YARDS APPROVED
MAIN BUILDING
YARDS APPROVED
ACC ESSORV BVILDI
(FROM C/L STREET)
FRONT _____PT.
FT.
R. SIDE OFT.
L. SIDE FT.
FT.
REAR ` FT.
FT.
DISTANCE BET.
MAIN BLDGS,
BET. MAIN &
ACCESS. BLDGS.
VAR.+
C.U.P.+
DATE
APPROVED
APP V Q t
DATE / v
SD. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
VALUATION
$� t's'
�\
PERMIT FEE $
PLAN CHECK $ "
TOTAL FEE $ 5----
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COSTA MESA BUILDING -SAFETY DEPARTMENT
-tPP..O. BOX 1200 COSTA MESA, CALIFORNIA 92626
r0AFor Applicant to Fill in Completely
BUILDING
n
DDRESS
WNERAIL 3366 /:a
ADDRESS / o -
DATE RECEIVED
- -F
TEL.
CITYX002
��/( NO.
CONSTRUCTION��'
BUILDINGADDRESSTRACT
LENOE��
p
BRANCH
LOT
ADDRESS
the State of California Business and Professions Code, Division 3,
ARCHITECT -
TEL �J
OR ENGINEER
NO
ADDRESS.7j;'_3�' /.Q
�J OA 2/!J •�f
CONTRACTOR�`/y.'//SSU/Ten/.
ADDRESS ,4Zs,4/
// 7
TECITY�Lf//7D�� �"/Q'd033
STATE
CITY
LIC. NO.
LIC. NO.
�t
SIZEOF X�p[[00 INOW D
LOT x'O
ONoOFN LOQ
USE OF
EXISTING BLDG.
SIZE OF b
NO. OF
NEW BLDG. ��
ROOMS STORIES
EXTERIOR Aire
ROOF ` V
COVERING Go-
COVERIN /�� 62 G _
USE OF ANDWORK TO BE PE FORMEer
-
- ✓lei a'"t'i'
DEC -2-70"A"'00 1694 ***144.75
cnsA
APPLICATION FOR BUILDING PERMIT
RECEIVED BV
DATE RECEIVED
- -F
,
DATJBLOCK
A.P. NO.
VAR. + — _ .
P E'R
�.
BUILDINGADDRESSTRACT
the State of California.
D
LOT
O SO. F
the State of California Business and Professions Code, Division 3,
W ADD A
POWNES
THE PURPOSE C
am axe rom the ovisions of the Stat f California Business
VALUATION
and P '---ions ode, vision 3, Cha 9.
Signature of �a ' ' z
,iI.L/Q
VALU$ Z
ED
ZO 1 NO.OF USE OF NEW
PLANS UILDING
YARDS APPROVED YARDS APPROVED
MAIN BUILDING I ACCESSORY BUILDING
(FROM C/L STRLEET)
REAR - T.
•���� ���
DISTANCE BET.
MAIN SLOGS.
BET. MAIN
ACCESS. Bt
VAR. + — _ .
DATE
I hereby acknowledge that I have read this application and state
•���� ���
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that 1 am properly licensed as a contractor under
O SO. F
the State of California Business and Professions Code, Division 3,
THE AMOUNT
Chapter 9, and that such licenses are in full force and affect, or I
THE PURPOSE C
am axe rom the ovisions of the Stat f California Business
VALUATION
and P '---ions ode, vision 3, Cha 9.
Signature of �a ' ' z
Au
C9
J
Y. m
y O
DE ALUATION IS FOR
gNG A PERMIT FEE ONLY: m
T FEE $
J M
CHECK $-^� E
fes'/) LL
FEE $ / 7 Z>