HomeMy WebLinkAbout1943 PELICAN PL - Building PermitsCITY OF COSTA MESA
pA'Fq / BUILDING DIVISION
>� 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 - www.ci.costa-mesa.ca.us
� � FOR INSPECTIONS CALL: (714) 754.5626
�?Maamaefi PERMIT NUMBER: B10-00283
PERMIT TYPE B_R00F2 STATUS: ISSUED
APN: 13948110 DATE ISSUED: 09/28/2010
ISSUED BY: RMD
JOB ADDRESS: 1943 PELICAN PL CM Suite/Unit:
Vicinity: HOUSE AND GARAGE ROOF
Squares: 2900 Valuation: $12,690.00
SCOPE OF WORK: TEAR OFF EXISTING ROOF MATERIALS, INSTALL 1 LAYER OF 15# FELT ON A4:12 OR GREATER ROOF
PITCH, REROOF WITH 50 YEAR COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE, APPROX 29 SQUARES.
REPAIR AND REPLACE SHEATHING AS NEEDED. COMPLIANCE FORMS ATTACHED TO JOB CARD AND CITY PERMIT.
OWNER: WATTON, GERALD C TR Address: 1943 PELICAN PL Unit:
PHONE: 714-979-3232 City/State/Zip: COSTA MESA, CA
APPLICANT: SHULMAN, JOE
PHONE: 714-799-7157
CONTRACTOR: SHULMAN ROOFING
Address: 7721 ETNA CIUnit:
City/State/Zip: HUNTINGTON BEACH, CA
ARCHITECT:
ENGINEER:
Reroof Plan Check:
$0.00
Reroof Permit Fee:
$223.25
Reinspection Fee:
$0.00
Bldg Std Admin Fund
$1.00
Address:
City/State/Zip:
License No.
License No.
PHONE:
License No. 870331
714-799.7157
92647 CELL:
PHONE:
PHONE:
Unit: :
'OTAL FEES $224.25
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 311812010 - PER CMMC Sec. 13-279
Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitied all hours - Sundays and the following Federal holiday$
New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day
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, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE t. INSPECTION TYPE DATE INTITIALS CODE INSPECTION TWE DATE IN1mAL
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200
Final Re-Roof�1 V K I
210
Final Electrical
201
Final Block/Retaining Wall
212
Final Fire Prevention
202
Final Factory Fire Place
220
Final Planning Approval
203
Final Sign
222
Final Site
204
Final Demolition
250
Final Building/Occupancy
WORKERS' COMPENSATION DECLARATION:
1 hereby affirm under penalty or perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -Insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by
section 3700 of the Labor Code. for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy
number are:
Carrier,_ 4 y [M
�i5 SeUion need not De rgmplelM ✓ me Oemte a valued al are buntlmtl chars (f 1 WJ a less.)
Policy Number:
Com`
❑ 1 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, and agree that if I should
become subPct to the workers' compensation provisions of Section 3700 of
the Labor k1 e, I shall fo h 'th co ly with these provisions.
Appltran, signature Dale
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
(3700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is
infull force and effect.
e- /7 c�
•Cicr#� O 0-3 CC1ads p C_�3 I
Co.. actors Signature ciale
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions 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 or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or 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 (5500).):
❑ I, 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 (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. IL however, the building or improvement is sold within one year of
completion, the owner -builder will have the burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for such project with
a contractor(s) license pursuant to the Contractors License Laws.).
❑ lam exempt under sec.
Business and Professions Code for this reason:
Owner ID verified by driver's license. ❑ Yes ❑ No
Driver's License No.
Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a
person is required to descend, will be made in connection with work authorized
by this permit, and that no building structure, scaffolding, falsework, a demolition
or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp
2, Art 2, Sec. 341, Title 8, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would
require a permit from the Division of Industrial Safely, as noted above, unless
such person has a permit to do such work from the division.
Appnrant's Signature Date
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some
exceptions, that a Business Plan be fled with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds. or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code. with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds. or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the work which is the subject of this application a permit for such construction
or modification from the South Coast Air Quality Management District or from
any other air pollution control district or agency? ❑ Yes ❑ No
(Section 65850.2 of the California Government Code requires that the requested
information be fumished on applications for non-residential building permits).
6. Will any part of the facility to be constructed under this permit be within
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(If "yes", the facility must meet the requirement of Sections 25534 and 42303
of the California Health and Safety Code).
7. If a permit from the South Coast Air Quality Management District or other
air pollution control district or agency is required for the work which is the
subject of this application, have all of the disclosures prescribed by California
Health and Safely Code Section 42303 been made? ❑ Yes ❑ No
8. (If 'yes", attach certificate of compliance from the appropriate air pollution
control officer).
CERTIFICATE OF -COMPLIANCE: I certify that under penalty of perjury the
information given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: 1
certify under penalty of perjury that I have read this application and state that
the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
gnature of Le 10v I ) �� Date
S,nwN,e Date 9Lg0 16
(pip/p Au honied APPlinanl Dale
=General Information
Site Address:' (,12 !C6
Enforcement Agency'
Date: /'
Building Type in1gleJFami ly ❑ Multi Family
Circle the Front Oriental n: N, E, Nr or degrees
Conditioned Floor Area (CPA): %�...r°YS
Project Type: terations ❑ Envelope O Fenestration 2Root ❑ HVAC
Continuous JA4
Replacement or Change Out ❑ Duct Replacement O Water Heater
NOTE: This form isnot to be user) far Newh, Constructed Buildings to Additions �1
lasulatimn Values- For Opaque Srq fteces' (for Furring use the M0S.4 andwin-ring Strips' Conslruchoty sable below)
:_-Assembly Alteration
Q Opening of framed catdty alone- Alterations that involve the opening o(thefr-anred cavity, ofa wall, ceiling, onfloor must install the
mmidaron, rnininnan insulation value per ,§'/50 for the altered assembly. Fill in Columns A -C and enter mandator), insulation value in Column H.
❑ Replacement of entire assembly -Replacement ofan entire wall, ceiling, orfloor assembly requires the installation of Component
Package- D insulation values in Table 151-C Fill in Columns A - J.
O a ue Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below,
-A B CI D
E F I • I I J
Proposed "fO1
Standard Values From JA4 Table '
Proposed Properties of Masonry and Coact ere
Framing Thickness,
Framed
Continuous JA4
Proposed
Tag/
ID'
Assembly Name Material Spacing,
or Type and Size'- or Other'
U- JA4 Table Cavity
factor" Numbers R -value
Insulation Assembly
R -Value Cell Values
Assembly
U -factor
Assembly
-
o F
F
N c
- Nore: For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-I. For calculalingfared walls use the Mass and
i Furi ing Consnvction table below
1. For Tag/1D indicate the identification name Mal nvalches the building plans'.
2. Indicate the Assembly Name or type.' Rooj/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and eic._Indicate the Frame rype and Size.' Far
Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or eic... see JA4 for other possible frame type assemblies.
3. Einer the tlriclmess for mass in inches or Spacing berween framing members enter; )6"o) 24 "OC; or Other jar all other assembly description
s Concreie Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc....
on the Climate Zone; enter the Standard U facrorfi-om Table 151-B, C at D for each diffe -eni assembly Name or pye.
he Table number that closely resembles dm proposed aasembly.
the R -value Drat is being installed in the wall cavity m' between the framing; otherwise, enter
Lihe
the Continuous Insulation R -value for the proposed assembly, otherwise, enter "0".
he row and column of the U -factor value based mo Column FTable Number and enter' the AssemblJ� U -fact i in Colunvr J
oposed Assennbh, U factor, Column.), must be equal to or less than the Standard U -/actor in Column E to comply
Furring Strips Construction Table for Mass Walls Only
A Ii C _L_P_L E
F G H I ,1 K
L
M
Proposed Properties of Masonry and Coact ere
Added Interim' or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint A > eudiz Table 4.3.5, 9.3.6. 43.7
Joinl A endix Table 43.13
Assembly
-
o F
F
N c
�,,,"v L o
` ...,
Final
Mass
Name or
3A4 Table
.z _
�;
°:
R
a °o
U
t v p
u
ASsembl
Thickness'
l'y c'
Number
e_ ."-
c ry
w c
U-factm'Z'
Comment
Regisu'ation Number: Registrmion Dare/Tint: HERS Provider:
200b' Residential Compliance Formas August 2009
of Ctimplio .: Residential
Alterations
CF -IR -ALT
ROOFING PRODUCTS (COOL ROOFS) §151(1)12
When the area of exlerior roofsurface to be replaced exceeds umre than 50% of the existing roof area, or more than 1,0007r, ,vhichever is
less, the nen, roofing area ouust meet lite roofing praducl "Cool Roof'requiretnents of§I52(b)1Hi, 152(b)IHii, or 152(b)IHiii.
Check applicable altenmtive w acception below if the roof alteration is exempt fi-om the roofing product "Cool Roof'. requirements. Note: If any
one of the alternatives or ezceptia» below is checked, the Aged Solar Reflectance and Thermal Eminance r'equiremenls for roofing products in
'§718(1) a not applicable. Do noifill table below.
❑ C Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch.
ool Roofs Not Required in Climate Zones I through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less
than 51ble.
Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch > 2:12)
'ElInsulation with a thermal resistance of at least 0.85 hrft°F/Btu or at least a 3/4 inch air -space is added to the roof deck
over an attic; or
❑ Existing ducts in the attic are insulated and sealed according to § 151(0) 0; or
❑ in climate zones 10, 12 and 13, with 1.112. of free ventilation area of attic ventilation for every 150 ft of attic floor area, and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or
❑ Building has at least R-30 ceiling insulation; or
❑ Building has radiant barrier in the attic meeting the requirements of §151(f)2; or
❑ Building has no ducts in the attic; or
❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic.
Exception to §152(b)1Hiii, Low -slope roof (pitch 52:12)
❑ Building has no ducts in the attic.
Other Exceptions
❑ Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria.
❑ Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ftc is exempt from the below Cool Roof criteria.
- Note: If no CRRC-I label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise,
Check the applicable box below if Exem t from the Roofing Products "Cool Roof" Re uiremenC
Roof Slope
Product Weight
Product
Aged Solar
Thermal
CRI(C Product ID Number
<— 2:12 > 2:12
< 511ifft' > 5ib/ft'
Type'
Reflectance?"
Emittance
SRI
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑4
1. 7'tre CRRC Product ID Number carr be abamed fr mn Nle Cool Roof Rating Council's Rated Product Directory at wrvw.coob'oofr.ore/produce'/.search pito
2. Indicate Ilre bgrc ofproduct is being user! for the roof top, i.c. single -ply roof asphalt roof, mmol roof, lite.
. If ilia Aged Refleclance is lot available a, Me Cool RoofRaring Council's Rated Product Direclory then use the Initial Reflectance value f me Nle same
directory and use fire equation (0.1+0.7(pp,tujut— 0.2) to obtain a calculated aged value. Where p is the initial Solar Reflectance,
4. Check bor if-thc Aged Reflectance is a calculated value using the equation above.
i. Calculate rite SRI value by using the SRI- Worksheet at hill //wanv. enermv.cc.gov/tide24/and enter the resulting value at the SR/ Cohnnn above and attach atopy of
the SRI- Wnrksheel to the CF -IR.
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating:
❑ Aluminum -Pigmented Asphalt Roof Coating
❑ Cement -Based Roof Coating
❑ Other
Registration Number: Registration Dam/Time:
2008 Residential Compliance Forms
HERS Provider.
August 2009
Prescriptive Ceriil3cuYe of Cumpliauct. Residential CF -IR -ALT
Residential Alterations (Pale S o1' S)
1°LQec1 Name: / r I Clinlaty Zone 4 P_uiSturies
HERS VERM CATJ ON SUMMARY The enforcemem agency should pm• special attention it, rhe HERS tdeasmrs spemlicel In this
checklist below / conrp/eled cold signed CF -4R Form for all the meamrea specified shall be subnriued it, rite building inspector beforefinal
MCI Sealing & Testing HERSI'enficarion is requiredfor lln.a toaasenc.
❑ YES ❑ NO YES: hl Climate Zones 2 and 9-16, if more than 40 linear feel of -new at replacenlenl ducts are installed in unconditioned
space, the ducts w'e to be sealed pet §152(6)IL)u and tilt newly installed ducts are to be iusulate(t pet §151(1110.
❑ EXCEPTION: Lxisting duct systems that are extended, which nre constructed, insulated or sealed Avid) asbestus.
❑ YES ❑ NO )'ES Ill Climate Zones 2 and 9-I6, i1 the existing space -conditioning system (HVAC equipment and ducting) is replaced, the
ducts are to bt sealed per §l52(b)I Di.
❑ YES ❑ NO YES: In Climate Zones 2 and 9-) 6, if the existing HVAC equipment is replaced (including tilt replacement o1 the aft handl et;
outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be
sealed pet §152(b)IE.
❑ EXCEPTION: Duct systems that are documented to hnve been previously sealed confirmed through HERS
verification fn accordance with procedures in the Reference Residential Appendix RA3.
❑ EXCEPTION: Duet systems with less thin 40 linear feet in unconditioned space. ._.
❑ EXCEPTION: Existing duet systems constructed, insulated or sealed with asbestos.
Ref'rioerant Charge - Split System HERS verification is required for this measure.
❑ YES ON 0 YEs: In Climate Zones 2 and 5-15, when the existing HVAC equipment is Teplaced (mchding the replacement of the air
handler, outdoor condensing unit of a split system A/C to heat pump, cooling or heating coil; or the furnace heat
I Central Fan Integrated (CFI) V entilation System and Fan Watt Draw
I The ventilation reounements of §150(o) do not apply to existine residential homes.
putted Split Systems - Air Conditioners and Heat Pumps: Airflow HELLS verification is required to?- this nreasurc.
Q 1m, S ❑ NO YEs: In Climate Zones 10 through 15, when the existing space -conditioning system (.HVAC equipment and ducting) is
reolaced. the airflow and fan watt draw shall be verified Der §l 52(b)I Ci to meet the requirements of 615) (MB.
Documentation Author's Declaration Statement
I certity that this Certificate of Compliance documentation is accurate and con-upiete.
Name: �1
/l�'I
Signature:
�, !sly Olin
Company:
I
Dater
M
Inn.O ✓I
(� HG
J
Address: r-
If Applicable O CEA m O CEPS
(Certification tl):
City/State/Zip:
Phone /l/
Respmtsible Building Designer's Declaration Statement
• 1 am eligible, under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• I certify that the energy featoms and performance specification:• for the building design identified oa this Certificate of Compliance conform
it, the mminculeou, of Title 24, Pants I and 6 of tilt Caliibrnis Code of llegudahOIl!,.
• The building design features Identified on tilt:: Cenificatc of Connphance arc consistent with tilt infonnmion provided to ducumem thin.
budding design 011 tilt oilier applicable Compliance form,., wmiksheets, Calculations, plant. and sl)eCrflCat101111 Submitted W the Callm CC•I11CIa
uuencv lot approval with this building permit application.
Name:
Signature:
Conlpanly:
Date:
Address.
License:
GIy!stattPip:
I Pholle:
Tor assistance or que,stiotc. Iegaiding the Energy Standards, confact the Energy Hotline• at: 1-800-i 72-331111.
keglstramm Idunabel I(egisuauou Lme/Tunc.
Z001; kesatiemial Compiioncc Ftnvns
HElts Frnrlder:
Alugusr 2009
April 4,.1974
Mr. G. Watton
1943 Pelican Place
Coate Mesa, California 92626
Dear Sirs
A building permit was issued to December 13, 1973 to Aqua -
swim, Inc. to construct a private swimm l on your
property.
In order that your pool will be a safe one and for the purpose
of advising you of. your responsibility regarding the require-
ments of the Costa Mesa Municip4KCode, we refer you to Section
-8107, a copy of which is attache .
This letter is directed to you in order that you will be
aware of our ordinances and can make a complete safety
cheek of your pool are��
Sincerely yours,
RHscb
RICHARD HANHART
Building Safety Director
,
� Awininqlaboratories
/� L,fsL,6LEft:72 6gjgLJRC.
P.O. BOX 47 3310 AIRPORT wA.1" . LONG BEP.CF4 CALIF. 90801. '713) ate -3355. 12 13) 6362366. (7 14) 828 6432
BRANCH Of9CES.
TESTING 1S 14 D1:.-H.,,,S-. ra, o.v,,c-.T.I-,,9
Ea-,..I,e.�.
5;-'e S31 Ca !m- a 97 ;0 1 1155 v1—t d of P.O 1 1213
eA: e�ri 'p
nAI EBi 2G45 Ajr �, �a lo.n B.«L. CeL� aG601 I]U 636 2306
December 27, 1973 Examination: SC73-881I
COMPRESSION TESTS ON GUNITE CYLINDERS
Mr. James White
12050 Lochlea Lane #69
Huntington Beach, California 92646-
PROJECT Swimming Pool for GERALD WATTON 9/'j /7
P-z�)
ADDRESS 1943 Pelican Place, Costa Mesa
SAMPLE FROM
ARCHITECT
CONTRACTOR
Aqua Swim Pools
ENGINEER
-
SUBCONTRACTOR
Grove Gunite Co.
SPECIFIED
MIX
Gunite
STRENGTH
2,000 psi
DATE CAST
12-20-73
SLUMP
DATE TESTED
12-27-73
12-27-73
12-27-73
4 "HOLD"
CYLINDER NO.
1
2
3
5 "HOLD"
6 "HOLD"
COMPRESSION
7 -Day
7 -Day
7 -Day
TOTAL LOAD, LBS.
138,000
142,000
129,000
POUNDS PER SO. IN.
4,895
5,035
4,575
SIZE:
6-1/8" x 12-1/2"
6-1/2" x 12-1/2"
6-1/2" x
12-3/4"
COMPLIANCE
7 -Day test complies
with specifications.
MADF BY
CYLINDERS - - -
DISTRIBUTION:
Geste Mesa Bldg. Dept
Jim White - 2
Grove Gunite Co.
Aqua Swim Pools
DELIVERED BY RECEIVED ON
J. White 12-21-73
BUILDING SAFETY DEPT.
-JAN 2 1974
ALL REPORTS APE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AUTHORIZATION FOR PUBLICATION OF OUR REPORTS. CONCLUSIONS. OR Ex.
TRACTS EROAI OR REGARDING THEM 15 RESF RyEO PENDING OUR WRITTEN APPROVAL .5 A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES.
330.12
vwlla wwrcu1V ueraiu li. LA"1'.' V v Vv
JOB ADDRESS 1943 Pelican Place BUILDING PERMIT NO. 25766
GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Add Patio Cover
AP No 1i9-480-10 LOT TRACT FIRE ZONE VALUE $900.00
DT-nECTIONS Signature I Date
GROUP) TYPE V ZONE R-1
SUBCONTRACTOR
PERMITS ISSUED
Gan
I Date I Number I Signature
Water
Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con. 0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring
Heating and Vent.
Trenches Forms 0 Steel Reinf. 0 - 2F 7777,-c
6c
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In 0 Out 0
Plaster, Brown Coat
Structural, Final
Electric
I ig, Vent., Refrig. and A.C., Final
F.._..bing, Final and Gas Test 0
Electric, Final
Building, Final iii q.2z_6,
5766
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620
For Applicant to Fill In Completely
TYPE OR PRINT
COSTA MESA, CALIFORNIA
TECT
ENIGINEER �� IF NO.
ri
OBTBACK LINK FROM
NO. or BLOGS.
tRr�/` �/ A! /
f< R10��3
DESCRIPTION OF WORK
ROOF
1 HERESY ACKNOWLROGN TKATA HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE.IB CORRECT AND AORKS TO COM.
PLY WITH ALL CITY ORPINAMCKS AND STATE LAWS RKOOLATINO
BUILDING CCNSTRUCTI
SIGNATURE JrrEL OP �� � 6v�
PERMITTEE
AUTHORIZED AGENT
CITY OF C!�SYA MESA
JUN g 1966
For Office Use Only
REcluff MO.
►ERM;'l; "166
R[cu D
DATE 1K KD
BUILDING
—ADDRESS
FIRE
ZONE TYP GROUP
APPROVED
BY DAT
ZONING
zo
NO. or
USK or Naw
PLANS Z
cul N
LEGAL _1
.,
A. P. NO. V /44
NOTE: NO SAVE OVERHANG SHALL B[ LEW THAN
SO• TO SIDE a REAR P. L.
EAVES
ALLOWED (U. B. C. REQUIREMENT)
YARDS APPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
FR NT
FT.
R. SIDE rr.
PT.
,FT
L. SID �
PT.
REAR rr.
FT.
DISTANCE BET.
BET. MAIN &
MAIN SLOGS.
ACCESS. BLOGS.
VAR. OI
DATE
C.U.P.APPROVED
AFPROV SLC
DATE y :O1O.
BQ. Fr.
THK AMOUNT KNOWN UNDKRVALUATION 15 MR THE
PURPOBt OF ESTABLISHING A PERMIT FSK ONLY.
VALUATION
SOD —
PERMITFEE 5
s
TOTAL FEE S
OWNER
JOB AC
e GENER
No.
SEC
Pool
For
Mai
WATTON. G.
ion. LAi_�rn LOT 11
DATE 12-13-73
BUILDING PERMIT NO.
DESCRIPTION of WORK Pvt. Swim Poo
FIRE ZONE VALUES .000.00
TIONS
Main
.
kwash
Si nature Date
GROUP TYPE
J
ZONE R1
Location
Z-Zo-
SUBCONTRACTOR
PERMITS
ISSUED
Date
Number Si nature
ms
Drain
Reinforce
Bond
Electric
royal to Cover
2 -?e
erground Electric
-2 - ?
Piping Test
- 2301/
Plumbing
ring System Lines
z•7•
l?-/ -73
Lines and Recep.
-
al Final"
< 3/- 7
and Vent Final
r System Final
.wash and Recep. Final
:ing Final
Steel
Elec
APP
Und
Gas
Filte
Bac
Electric
Heater
Bacl
Fent
37700
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O.BOX1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
F
LDING QRESS ] EC -/G r L•ER G-• L FCC IL/�� ///l-�Jl/T`n/ 1��•
PAID
7C 13-73FF4 00 46l ****39.50
ArL/CA.X1ON FOR BUILDING PERMIT
RECE V D I DATE flECEIVED DATE ISSUED
P. R I NO.
A. P. NO. yy�� � ��jj n
ADIDRE S JL?a, J
G i�i�✓r
CITY M NOL
TRACT,
LOT BLOCK
CONSTRUCTION
NEW
ADD ALTER
REPAIR
LENDER
BRANCH
/
OWNER G.
ADDRESS
VALUE
S SLJir✓I�-�'G...� $
ARCHITECT ✓ Nl j TEL.Ir'Z_G.t�'
)
OR ENGINEER N _S
FIRE
ZONE TYPE GROUP
ADDRESS o J. ��rso
CONTRACTOR � N C
AAq
ByPROV DATE ip
(w)
ADDRESS/ S yus
ZONNO.
OF
USE OF NEW &I//
CITY f" NOL.S3?4� TE
IPLANS
BUILDING �5 UZ
STATE CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO. .2— "L LIC. NO.
MAIN BUILDING
ACCESSORY BUILDING
(FROM C/L STREET)
SIZE NO. OF SLOGS.
SF
OF LOT NOW ON LOT
FRONT FT.
USE OF
.L ,
EXISTING BLDG.
1 FT.
FT /_
SIZE OF NO. OF
NEW BLDG.�Co ROOMS STORIES
L. SIDE FT.
FT.
EXTERIOR WALL
ROOF
COVERING
COVERING
REAR FT.
FT.
OF BUILQIN 517NO WORK TO BE PERFORMED
DISTANCE BET.
BET. MAIN &
jigE
MAIN SLOGS.
ACCESS SLOGS.
VAR. #
DATE
C.U.P.#
APPROVED
APPROVED/.1)L
I hereby acknowledge that 1 have read this application and state
that the above inlormation 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 I am properly licensed as a contractor under
the State of California Business and Professions Code, Divisicn 3,_
Chapter 9, and that such licenses are in full force and effect, or I
am exempt fro a provisions of the State of California Business
and Professica, ision 3, Chapter 9. -
Signature o
Permittee
Authorized Agent
SO. FT. _o
THE AMOUNT SHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m
VALUATION N
...'1 PERMIT FEE S
O" m
$ PLAN CHECK $ E
a
TOTAL FEE $
1; COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 817 COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING
ADDRESS 1943 Pelican Place
COSTA MESA. CALIFORNIA
OWNER Pemba Subdividers Inc.
MAIL
ADDRESS 2850 Mesh. Verde Drive
cITY
Costa. Mesa No'5490395
Ae-HITECT
GINEERE. G. Kaltenbach NO.•5478046
V
ADDRESS 1833E.. . S'
K
17th St.�t, Santa Ana
.p.
....RA.T.. V Wma _ ` l' " i,.
STATE 187318 TEL.
LIC. NO. NO.
.�..--I�-�e� '%`
SIZE 1ryyTSyj�OX
NO. OF SLOGS.0
OF LOT "
ryow ON LOT
USE OF 10s'000 . y X–
EXISTING BLDG.
1 r
SETBACK LINE FROM 1 44
50
CENTER OF STREET REAR YARD
141
131
HIDEYARDI LEFT
RIGHT
DESCRIPTION OF WORK
ACCESSORY BUILDING
x II
A. 1
II
S ZIE DING 2, 556NO. OF
1.ROOMS 8, ♦R3TpOR{$S�2
EXTERIOR IG:....'iT.
► f' t VAR 3 1 1964
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO. I 'VeRIMINM
BY OATS RECEIVED DATE ISSUED
q— �/_ _ nDn T e 196
X
ZONING
ZONE NO. OF
USE OP NE
R-1 ! PLANS 2
BUILDI47 att gar
C
LEGAL
Lot Tract -
DESCRIPTION 31, 5289
A. P. No. none
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
90' TO SIDE 8 REAR P. L.
EAVES
ALLOWED (U. B. C. REQUIREMENT
YARDS APPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
(FROM C/L STREET).
'DISTANCE BET. MAN &
MAIN BLDGS.T I ACCESS, BLDGS.
VAR.# DATE
-3C)-G
House 2,004 sq, ft.
Garage 552 sq.ft. Plaj
ea �oyo�
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THE'
HE AMOUNT SHOWN UNDER VALUATION IB FOR THE
AND STATE THAT THE ABOVE IS CORRECT ANURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCE& AND STATE UATION1 11 BUILDING CONSTRUCTION PERMITFEE $SIGNATURE OF / ✓ O V— C 1 '56
PERMITTE