HomeMy WebLinkAbout3132 PIERCE AVE - Building PermitsMr. F. Palmer
3132 Pierce Avenue
Costa Mesa� California
Dear Sir:
�
July 3, 1975
y
92626 �
�
On April 30, 1975 a building permit was issued tu Anthony pools to
construce aprivate swimming pool'on your proper[y.
In order-that your 1 vill be a safe one and.for the purpose of
advising you of your punsibility regarding the requiremen[s uf
che Costa Mesa Municipal Code, we refer you Cu Sectiun tl107, a copy
uf which is attached.
This leccer is direcced co you in order that you will be aware of
our urdinances nnd can make a comple[e safety check of your pool
a rea•.
Sincerely youra.
RICHARD HANHART
Building Safety Direc wr
RHtcb
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, � �
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�?"�� q��o ��/��17i� d1�����6��1�� of cSotc�axrz ea�lfaenia, �i:c.
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P.O. BO% q. 3710 AIRPORT WAY . IONG BEACH, CALIF. 90801 .(2U� 426-3755 . I213� 636-7386 . �711) BI8�64J1
BR�NC� OFHCES:
' TESTING isi�.oNo,in��„c..5�,..� tj;:V,, r+�.�.n.��r..ion�o
� se.,en�.,c,nro,��,vno� e'. a.o.ea=a
' pN� 91-}WS �� ���� { Lonq Beed, C.LI.90B01 �}13� 614-}186
.��i''n,�
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May 29, 1975
Examination: 75-3919
COMPRESSION TESTS ON 6UNITE CYIINDERS
Jack Hubbard
3106 Ostrom Avenue
Long Beach, California 90808
PROdECT
ADDRESS ,
SAMPLE FROM
ARGNITFC7
ENOINEFR
R. J. Kolodziej
MIX
DATE CAST
DATE TESTED
CYLINDER NO.
COMPRESSION
TOTAL LOAD, LBS.
POUNDS PER SQ. IN.
COMPLIANCE
GYLINDERS
SWIMMIVG POOL - F. Palmer �9���P IFA1553
3132.Pierce Ave., Costa Mesa, California `
Shallow End, Dcep End, Bond Beam
CONTRACTOR
Anthony Pools
SUBCONTRACTON
4.0 to 1
5/22/75
5/29/75
1
7 Days
70,000
SPECIFIED
STRENGTH
SIZE
5/29/75
2
7 Days
69,000
2,475 2,440
7 Day Average: 2,498.
7Day tests comply with specifications
MADE �Y
D. McBee
onr�uunoN:
Jack Hubbard - 3
Costa Mesa Bldg. Dept.
DEIIVENED er
Sack Hubbard
2,000
6" x 12"
5/29/75
3
7 Days
73,000
2,580
RFCEIVED ON
5/23/75
�d��
1
♦LL 1�[VORT6 �RC 6UYMItT[O �8 TXE CONFIO[NTI�L �PO�EMTY OI CLIFNTf, �UTNONII�TION FOR rUOLIC/.TION OF OUR REPONTB. CONCWlION{. OR [a�
T��CT� 1110M OM RCGwRO1HG �M[M I6 MCf[HVCD �ENOING OVR WNITTFN ��IMOV�I AS � MUTU.�L �NOTCCTION TO CLIENTB. TME P�IOLIC �ND OVPlELVLl.
330�11
Apv���ant to fill in all sDaces except tnose witnin heavy Oortler lines anO sign all apvrovriate aeclarations.
CITY OF COSTA �N SA CON TRUCTION PERMIT ,
Project Address � � .
Applicant's Mailing dres (��
Owner'sName �� /}� Phone � TL
Address RSH'1. -�
Arch/Eng. License No.
Address C
Contractor's Nam ' P� yo�ne� _I
�r 1%C—Ti'.�11�(�
Address Im� �'��� ��
City Licenca Nn � � -1
LICENSEp CONTRACTOR DECLARATION
1 hereby affirm that I am licensetl untl¢r provi51on5 of Chdrte� 9(commencing
with section ]000) o( Oivision 3 of the Business antl Professionz Cotle, antl
my license is in ful t ntl etfect. 9�
License C a s i 1
Date nature �
WORKERS' GOMPENSATION DECLARHTION
hereby affirm that I nave a certificate ot consent to self-insure or a certificate
of Workers' Campensation Insurance, or a certlfietl COpy thereo( (Section
3800, lab. ,��� /�^ �(^ T Company
Policy No.00_� ���_,�?%
ertifietl copy is hereby lumishetl.
Certi tl ls f .n01fh the tlty ' I I'sio .
Date Applicant
EXEMP ION FROM WORKERS' COMPENSATION DECLARATION
(Thissection neetl noi be completetl if the permit is far one huntlretl ($300) o�
Iess)
I certify tM1at in the performance of th¢ work tOr�,which thls pe�m�t ISlssued, I
snall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws o( Galitomia. •
. Date Signature
�NOTICE: If, atter makinq Ihis tlecla�ation, you Shoultl become subject to the
Workers' Compensation provisions of the Labor Cotle, you must forthwith
comply with SucM1 p�ovision5 or this pe�mit shall be tleemetl rewketl.
CONSTRUCTION LEN�ING AGENCV
I hereby affirm tnat there is a ronstruction lentling agency tor the performance
of the work for which this permit i5 issuetl (Section 3097 Civ. CJ
Lender's Name
Lentler's ACtlress
OWNER BUILDER DECLARATION '
I M1e�eby affirm that I am exempt from the Cont�actor's Lic¢nse Law (or [he
following reason (Section 7031.5 Business antl Pro(essional GOAe: Any city or
county which �equires a pe�mil [O const�uct, alter, imp/ove, tlemolish o� repair
any structure, prior to its issuance, also requires the applicant for such permit
to fiie a siqnetl statement that he/she is licensetl pursuant to [he provisiOns of
the Contractor'S License law (Chapter 9(commencing with Section 7000) of
]ivi5ion 3 0( the Business antl Profesnons Cotle) or [nat he/she is exempt
.herefrom antl the basis tor Ihe allegetl exemp[ion. Any violdtion of Section
]03L5 by any applicant fo� a permit Subjects Ihe applicant to a civil
�enalty of not more than five huntlretl tlollars (5500).
1, as owner o( the p�o0erty o� my employees with wages as their Sole
com0ensation, will tlo the work, antl the structure is no[ in[entled or oftereG
for Sale (Section ]044, Busine55 antl Professional Cotle: The Contractor'S
License Law tloes not appiy to an owner ot a property wno builds or improves
thereon, antl wM10 tloe5 Such work himself/herself o� tnwugh his or ner own
employees, provitletl that such improvements are not infentletl or offeretl fo�
sale. If, however, IM1c builtling or improvement iz soltl 'thin one year of com-
pletion, tne owner will have the burtlen ot provin9 he/she tlitl not Duiltl or im-
p�ovaforthe pu�pose of sale).
❑ I, as owner of the property, am exNusively contractinq with licensetl con-
tracto�s to construct the Oroject (Sec[ion 7044, Business antl Professions Cotle:
Tne Contractor's License law tloes not apply to an owner of property who
builtls o� improves thereon, antl who contrac[5 fo� such projects wlth a con-
trattor(5 license pursuant to the Contracto�'s Llcense Law). I am aware that
proof o� thei� Wotker's Compensatlon insuranGe shoultl be provitletl to me.
❑ I am exempt untler Seclion B. & P. C. for this reason
Date Owner
�I hereby certify that I have reatl tnis application antl
information is mrrect. I agree to comply with all city z
antl state laws relatin9 to builtlin9 construction, antl h�
sentatives oi (� is `,ty to n r upon the above-mei
insp¢Ction puyp�ses(//1 �� /
Signature b b�!�� i�L
Drivers' License or 55 �
TYPE OF CONSTRUCTION LJ NEW U ADD LJ ALTERATION CJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER q.p. #
DESCRIPTION OF WORK/USE OF BLDG.
S Main Building:
E
TVPE OF PERMIT ❑ GRADING FOUNDATION STRUCTURAL T Front
❑ TENANT ❑ ELEGTRICAL PLUMBING ❑ MECHANICAL A Rear .
❑ �OTHER C Right
PROJECTDESCRIPTION SQ.FT. OCCVPANCV K
CONSTRUCTIONTVPE VALUATION$ S Left
ZONE GRADING CU. VDS. ACRES p�ng. Ref. #
Remarks: Planning Notes:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher
Drinking Fountains
Fioor Drains
Floor Sinks
Gas Service Outlets
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspec[ion Fee � $75
Boiler
Duct-UnderGraund
Duct - Structural
Duct - Ventilating.
Exhaust System ❑ Multiple ❑
Firepl/Fact Blt. IC60 #
Heating System & Ducting
❑ 0.100,000 BTU O 100,000 eTi
Reinspection Fee � $75
CMF 0865-46, rev. 30/84 WM1ite - Builtling; Canary - Appllcant; Pink - Accounting; Goldenrod - Assessor
FEES
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 � $ 3
Hoodor Typel ❑
Canopy Type 11 ❑
Refrigeration System
❑o-iao,000eru ❑iao,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
91P5 2/10/86
2one
Parking Req./Provided
ELECTRICAL
Automatic Washer Transformer ❑ 15�50 KW
Construction Pole Sub. � 50+ KW
Cooking Unit � Merer ❑up to 100 amps
Dishwasher Meter ❑over100amps
Dryers ❑Gas ❑Electric Sub Panel .
Fan � . Motors �0-1 HP �1 X- 8
F.A.U. Inc.Solar �9-15 HP 016-15+
F iztures M icrowave
Device Boxes Pole Light
Outlets
Switches
Garba9e Dispoul
Generator �0.5 KW �5-15 KW
Sign
; Standing Sections
Trash Compacmr
500� TL
FEES
Z
O
N
I
N
G
R
E
Q
M
T
S
� Reinspection Fee '$15 Issue Fee $ 3
FEES
DEVELOPMEN7 SERVICES FEQUIREMENTS:
Zoning Approved By Date
Buildin9 Appraved By Date
Applintion Issued By Dat�
SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ � PERMIT
PLUMBING $ �2SL�� ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
PLANCHECK 50% $ MICFiOFILM $ ��/'�/�
MECHANICAL $ TOTAL FEE $ SLS�
$ 3 PLAN CHECK 25% $ .
CONSTRUCTION AND PLANNING PO� & SPA �
'APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
' 1. Temporary Electric8l Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - . ' 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. .54. Forms
4. Electrical Conduit-Undrgrrid. 55. Electrical Bonding
5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test
6. Electrlcal UFER Grnd. ,- 57. APPflOVALTO COVER-GUNITE
� 7. Footings . � 58. Electrical Conduit-Undrgrnd.
8. Foundation � 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. . � 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System . � 61. APPROVAL TO DECK
it. Property Sewer Line & HouseConnection 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 �Electrlcal-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
20.� Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT, REQUIREMENT
37.,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 y/-q,.�G L�,�
39. Water Service-Final �
40. Gas Service-Final .
41. Solar pomestic-Final s'?
�
42. Backflow Preventer � .
43. Backflow Irrigation ,t'a �
44. ,Landscape Irrigation System, ;�,
45. Sound Attenuation � ' , -
46. Handicap Regulations �,,y , �
47. FINAL STRUCTURE & BU�I:_DING
48. Special Requirements Compfeted �
49. Electric Release to Edison - -
50. Gas Release to Southern California Gas Co ' � � �
51. CERTIFICATE OF OCCUPANCY `
No. Date
•ooA�ssaew�wrxa: 3132 PIERCE AV uMT:
armERsxwEif�xT+:GORDON, MICHAEL SOHN FLOOD: X 47
r �— ��+� GORDON, PATRICIA E
3132 PIERCE AVE
COSTA MESA,CA 92626
�1PVL. WUIBM I�WNE55:
�xcxrtEcran�mvn:
PCN.OH EHC.'S AUOPE54:
uc. ra.:
UNT:
wxmncrarsxu�:NOCK PLUMHING (714)895-1246
CWIPACTORSYYIWG 11610 SEAHOARD CIR
moxcss STANTON CA ucra.: 707775
90680 urar:
LICENSED COMFACTOPS DECLANRTION: I hereby eflim uMer penelly d perjury Ihet I em licansetl unEer prwiaiona W ChaWer 9
(mmmeeuriq vriih Section )OW) d Divison 3 M ihe Buairiea anC Pmfaeiona Coda, enE my license ia in IUA tam.e aM elled.
�ry'.c.No.:0503 6 a��SC-36 uc.No. 777 EXP: 02/97
�/ ,: comree«:
0 N BIIILDEX DECLAHATION: I hereby eifirm unEar paneXy d perjury IhPo I em acemq Irom the Conveewa Liceme lew lor tM
owin0 �a%+o� (�ion ]031.5 Buamess arM Pideeaime Cade: Any ciy a wunry whi h requires e pe�mM to omsVucl, eller, impove.
xndsh, or repei eny avuciuro. priar b 4s e�ueroe, ebo requim IM epplirent ta vuch pe�mil b file e ep�wd etelemem �hat hs a aM
, IicereaE W���� lo tM prowiona W iM Canveeon lirome lew �Chepar 9(oommantl�q wilh Setlion 1000) d D'vebn 3 af �he
Busi�wss eM Rdadiqu CaEel a 11� M a ehe b uemq Iharahdn eM Ihe ba�ia la �he elbpad a�emqion. My violeton d Setlon
)W 1 5 W e'ry eppFcen� fw e psrmn wbjMe tha eppl�ant to e evY parieliy d mt moro ihen 1'na huMreJ Adlen �5500j).
�I, es ow�r W ihe popeny w my empbyeea wih wepea m iha'x ede mmpenaetion, will do the wwk, end tha aWcturo e nd inleMeE
or Mered la eeb (SeMion 10aa, Buaieress enA Professiona Gode: The Conlrepon Liceme Lewdoee nM epptyta en ownerd propairy
who bu1Es w inprovee ihaiam, enE who doea auch wark IimaeM w hener w Mrouph ho a her own emDloyeea, pmvked ihel wch
ITWOYBIIIN119 BIBlId II1�IXV' Bj IX OflB1Bd �IX 9B�B. d. �IOWBVlf. ��1B bUl'ulfl9 O! �IIP��B�� b BOb Wllhlll OIN %BB! O/ CIXIIpB�1M. tlIB
ow�nrLutlder xill heve IM WNm N pwiiq M w sM did m� buiW or impova Ia IM pumone d We�.
� I. d owwr d Iln G�WdH. em utlirsn+�Y mntemiq wnh IittneeE conbenan io con��utl ihe V�M� (Setlion ]6w. Buair�ms vd
vrwmvmo coea: rne comreaoo U�.�u �a. aoes na e�,oM �o en owmr a wwe�r wno wia. « imv�+ea �ne�.on .�d w,o
convene lor euch projxie wi�h e oonlrada�e) Icenxd pursueni io Ihe Camreqora Lwenae lew�.
� I em asmmq uMer Section: B. 8 PC., fa ihie ieewn:
Dma: ��
I do hereby cenM ��� ewve d eM urdenleM IM1e �uiremenia d GelAomie HeMh ud Sdery Cads Sseioro 25505. E5521. end
25531, eM IMI I a eiry Mure Euikiip omupent will I w11 rrol (ercb aie) neeA lo camply wlh eeid alele wEm eM ihe reQuiremenb br
e pemin Iwmnewclionor modifirationhom IM An�egamam Oietrie. Rwkamid connruaion ep0imtioneart uemq /rom Nma
prwiaions.
Dma: MM�M
W OHKEN'S COYPENSATION DKL�fl�TON: I Mraby e/firm uMer pera�y d perjury ar W Ne blbw'up Eetluatiom:
� I heve eM wil meintein e cenHicele d coneem ta eeM-inaure lor r.arke�c' canpanution, u prwided lor by Se�im �)00 d Ihs Lebor
Code. la iM parfarmenca M Ihe wark Im which ihia peemn ie iwuad.
_ li I hevs erd wil meinlan xorkere rompensetion inaurence, m rpuired by Sepion �100 d �he lebor Code. lor tM pMamence d Ihe
k"' work fa whirh Nia permil ia baued. MY wvken' compansetian inwrariw weier enA pdiry number ere:
c�.: GOLDEN EAGLE EXPIRES
Pd'ryNumber 09 /O1 /97
�m�s �n�a, ��d nm be cw�Weree � rne nermn ia ro. w,a n��d�ad ed� Isiaol w�..)
� I cenlY Ihm in �ne peAormenca d Ihe woM br whch Ihn peimil is issueE. I ahell nd ampby anY oe�n in enY menmr w u �o
ma wWea Io I v.orkeis' V�b�ion lexn a celXomie. vM d 1 ehauk bxome wMee to iM workeis'
ael' W�S e d Sed' ]OU d IM labor Coae. I ehell f wilh �' e.mtlw�y
�
om.: / �L Mdiceni: lr�--��
W np: Fellun ro�xun woMen' conpeluatlon roverePo �i ��N��, enJ ahell �W/ecf an employsr ro cNMiul pxu
vll Hrns up ro ms huntlrs0 tho�and tlolbr� (5100.000), In etl0ltlon ro tlis eost ol eampmuetbM1 tlamspu u proHdetl br In
Sxtlon 9106 0l the Labor COW, Inlere�f, anJ ettomsy i/ses.
CONSTHUCiION LENOINO ROENCY: 1 MreEy elfirm uMar pa�ulry M perNrv �� ��e u e m�mivaion bM'uq q�ency lar �he
oanwmerice a ��» wax �« wnicn �ne verm� a ewee (seuon 9os]. cN. c).
LENUEP'S NAME
LENOEP'S AUDHE55:
I caniry �het I hera rmd mia evolicetim ene stme ihai iha ebove iMameiion is c«ree. I e0ree io mmoN wnn e�� dlv vM oouniy oNi�e
arM ateie levn Mmiq io Wildvp wnstriwtion erd hereby eutM¢e repeaemetivea d thu aty �o enter upan iM ebwe-mantiawd qopeery
����°�°��°�RON NOCK
Deta: __�
(5t51de.WP) VJhea-BuiM"rp 8� Fle: CA�ur�Appirant: Pink-Pevenue: GoldeniaFAsaeamr
CITY OF COSTA MESA — BUILDING PERMIT
PEAMIT NO: P 080960 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU
JOB DESCRIPTION : C/O DISHWASIiER
CLAIM VALUE: CALC-VALUE:
PERM NO: P 080y60
GOVT: N SOPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
iF IElE if �lh iE 1E iE 1E if 1E 1E 1E iE 1E 1E iE iE -0E �lE iE -0E 1E 1E iE 1E �E iE 1E if iE 1t IE if 1E 1E ik ik if iE if iE iElf iE iE iE 1E iE 1F �f iE iF 1E �E 1E 1E 9F 1E iE%# 1E if 1E 1f 1E iF 1f iE 1E'1(' 1E 1ElE iE iE iE 1E
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING -------- — --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
AP RKING RE(� • PROV; PARCEL: 14165209 ZNE: REF NO:
PLANNING NCSTES>
i
ff fE 1E 1E iF 1k ik if iF if if if if if iF iE iE iE 1E iE iE iE 1ElE 1ElE 1E if iE 1E IE 1E 1E if if if iE ik iE iE 1ElE iE iE iE iElf !F!E if iE ik IF 1E 1E iE 1E 1ElE 1E 1E iF 1E iE if !E if 3E fE if iE 1E iE �E �E iE fE 1E 1E
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED HY DATE:
HUILDING APPROVED HY :
APPLICATION ISSUED HY: ,�
itiEiEitiEiFiEiEiF*iEiEiEk*iE*iE*itiEiE3F'iF'iF'iF7F'iF7'F�FiF�F3'FiF�F 'i if' 'iF'iF'3FTEiFiF
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PEAMIT 8.75
25�
FIRE
DATE:
DAT E : �� `
iE iE'k'k!E 14
RUCTURAL SE MENT:N
SMIP/RES GRADING
SMIP/NON—RES
PLAN
ISSUE FEE 22,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 8.75 22.00 0,00 30.75 30.75 .00
REVENUE DIVISION TOTALS--> COLLECTED: 30.75 OVER/SHORT; .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
30.75
1E 3E iE fE 3E If iE iE �f 7E aE �f IF IE iE IE if iE if iE 1E ik 1E iE 1E iE iE iE iE jE iElElE if if 3f iE if 1E iE fk iE iE iF 1E iFlf iE IE 3E if 3E 1E iE 9ElE if If 1F jE IE dE fE iE �ElE fF �F �E 9E �)F iE iE fE fE IE iE 1F iE
I N D I V I D U A L F E E H R E A K D O W N
PLU
♦
4�
D E S C R I P T I O N
1 DISHWASHER
END OF FEES
EXPIRED� � � v J
DA �
UNIT COST TOTAL COST
8.75 8.75
�1 602214ib—D0221476 T C�T 3p,7�
OqTE: 12/24/95 TII1E: 09:47
CQNSTRUCTION AND PIANNING PO(" SPA �
JAPPROVALS Permit # Date Inspector APPROVALS . Permit # Date inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •
2. Soii Pipe-Undrgrnd. � 53; Stael Reinforcement i
3. Electrical Conduit UtilitY�Undrgrnd. 54. Porms '
4. Eigctrical Conduit�Undrgrnd. � � - 55. Electricai Bonding .
5. Steei qeinforcement ` ' � ' 56. Rough Plumbing & Pressure Test '
i
6. Elecvical UFER Gmd. � 57., APPROVAL TO COVEfi�GUIViTE -
7. Footings 58. Electrical Conduit-Urdrgrnd.
8. Poundation - 59. Gas Pipe, t� Undrgmd., Test
9. Water Pipe-Undrgrnd. , � 60. Backwash Lines, P-Trap, O Undrgmd. �
10. Structurai Fioor System � 61. APPROVAL TO DECK
1 t. PropertV Sewer Line & House Conoection 62. Backwash & Recepior�Pinal
12. Sewer Cap 63. Heater & Vent�Final
i
7 3. Roof Drains � S4. Plumbin9 System - Finai
74. Rough Plumbing - 65. Efecvicai-Final ,
15. Rough Electricai-Cooduit � � 66. Solar SVstem�Finai �
16. Rough Electric Wiring ' � 67. Fencing & Access Approval
' 17. Rough l'y'jnq Sign _ 68. APFROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL �
13. Rough Heating & Air Conditioning' , FIRE DEPT. REQUIREMENT
20. Rough Factory Firepiace - APPROVALS � Permit #
21. Ducts, in Structure � 70. Underground Hydro
22. Ducts, Ventilating : 7i. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test � 72. Underground Flush
24. Roof Framing � � . 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathi�g ' '� _ � 74. Overhead Hydro '
26. T-Bar Ceiling (Structursl� & Monocaat � 75. Dry Chemical �
27. Frame and Plashing � 76. Dry Standpipe �-., �
28. Lathing&Siding . 77. PIXED•SYSTEMFiNAL -'�
29. I�sulation 78: FIRE PREV. PINAI. � •'
30. Drywall Nailing � HEAITH DEPT. REQUIREMENT -
31. fiiaster Brom�n Coat ' ' � 79. PINAI INSPEC710N
32. Electrical Power Meter-Finai 80. FOOD CERTIFICATE ISSUEO
33. Finai Electric • - Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy � . .
37. Pinat Factory Fireplace
38. Final Plumbing . .
39. V�'ater Servica-Final •
40. Gas Service-Fi�al
47. Solar pomesticFinal
i
42. Backflow Preventer � "
43. Backfiow Irrigation
44. �andscape Irrigation System . .
45. Sound Atteouation . �
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �
48. FINAL PLANNING
A9. Elecirie Reiease to Edison . . �
50. Gas Release to Southern California Gas Cn .
51. CERTIFICATE OF OCCUPANCY
No Date �
OWNERPALMER� F. . � DATE 4-30-75
JOB ADDRESS erce ve. BUILDING PERMIT N0.
'ECTIONS
< ^,
i Pool Location _
�� Forms
SUBCONTRACTOR
Main Drain
Steel Reinforce
EIec.Bond - 4.� >�1n-75 lectric
Approval to Cover R��- 6-za-73 �
Underground Electric LG y-� 7 �
Gas Piping Test fL� -� Plumbing
Filtering System Lines �'ZL 5�'t -)S � /'30-7 /v73/
Backwash Lines and Recep. L. 5- ��� 5-/a� ,.L 7� ?
Electrical Final �I'%�
Heater and Vent Final _
' r System Final �
b..,,Kwash and Recep Final — �TT
.� 39916
COSTA MESA BUILDING-SAFETY DEPARTMENT
p.0. BOX 1200 COS7A MESA, CALIFORNIA 92626
r For Applicant to Fill in Completely
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TEL.
CITV NO.
ADDFESS
OFENGINE R R. Kolodziej Np�' SP�
ADDFE55
CONTRACTOR Anthon.y Pool9
ADORESS 5$'71 Firestone Blvd.
TEL.
c�rv South Gate N� SD;
L C No. 190179 IICYNO.D��
SIZE NO.OF BLDGS.
OF LOT I NOW ON LOT
USE OF
EXISiING BLOG. pilV8S.2 SW].III 7J001
SIZE OF NO. OF
NEWBL�G. ROOMS STORIE:
EXTERIOR WALL ROOF
COVERING COVEFING
USE OF BVILDING AND WORK TO BE PERFORMED
I herebY acknowled6e thet I have reatl Nis aOP��cation antl state
that tha above informatio� �z corrett entl agree to comply with
all laws �egulatin8 builtlin8 �onstruttion, antl I shall not employ
eny perwn io alulation of the warkma� s compensation faws of
t�e Sta�e of Calitomia.
I herabY certify that I am properly Iicensetl as a contractor untler
tho Sta<e ot Calif ' u5��ess and Grotessions Cotle, Dlvisicn 3,
Chapler 9, a ac sue licensas ere In full force antl ettect, or I
am exemp ron [he provisions of the $tete a orNa Bosin ss
antl Prof Slons Cnda, Division 3, Chapter 1
Sipna[U of
Permitte
Authorizetl Agent
�
PAS'JO��O9J'3� �*��*�!8.50
dPR 30-75�,�_�
APPLICATION FOR BUILDING PERMIT
REC�I�O BV T RECEIVED DA E ISSUED
!/�C'J — �` � .3(%�7Jr
A.P. NO. P✓ �p
BUILDING ��a 3i32 P�ERCE
ADDRESS
TRACT LOY BLOCK
W AD P
7IX
OWNEF F PALMER
5 Tt � e VAW$ �,�LO •OO
FIRE
ZONE T PE GROU
APPROVE A / _ " . � 7�
NO.OF
PLAf�6
YARDS APPROVED
MAIN BUILDING
DISTANCE BET
MAIN BLDGS.
VAR. �
C.U.P. #
APPROVED
418 SQ. F
THEAMOUNT
THE PURVOSE O
VALUATION
$ 42�Q.Q0
USE OF NEW )
BUILDIN /
VARDS APPROVE
ACCESSORV BUILDING
BET. MAIN &
ACCESS. BLD
DATE
. w
,r�� m
0
IN UNDER VALUATION IS FOR �
ABLISHING .4 FERMIT FEE ONLV: m
¢
m
PERMIT FEE S • � j
m
PLAN CHECK 3 • � E
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TOTAL FEE S ♦ V�(/
•^ ! 8�39
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C06TA MEBA. CALIFORNIA
For Applieani fo Fill In Complefely
TYpE OR PRINT
BUILDING �/ 'f pt��.e �VenfLe
ADORESS ! L
COSTA MESA CALIFORNIA
CONTRACfOR71� Pl� n
ADDRESS � O% L7PJ�.�
c�rrBeve�,L fl.i.L-Le
BTATE �'
L1C. NO.
81ZE
OF LOT
USE OF
EXISTING BLDG
66TBACK LINB FROM (
�MER OP HiAEET
�,..� �.e� I , «. S _
FE`� REC�BU�D
FEB 1 9 1963
FINANCE OEPT.
APPLICATIONYppR ?ERMIT�I�SA
BUILDING
For Office Use Only
neceirr Ho. repMyr�yO� %
�h �
MECHIV� pY OATB n¢CEIVBUC D�TE IBBUED
`�.% `t� �� �9U3 I f 1 � 1 i� �G
BUILDING .�( i J� n _ � . _ _ �
COSTA MESA. CALIFORNIA
APPROVED
Eon Uai.ve ZONING
CO/L/LG� �ONET � I PLANBP Z I BU LDING
K
-68 �� oescn�rtioH �o� -36 TR
NO. OF OLDG9.
NOw oN LOT p, p, NO.
YARDS EVES
APPROVED
/ �O cceema uwe er.�
OF WORK
ISZEDING 'f2 X ?9ROOM5 O
J
1 H¢PEBY �CNNOWLBDOE TMAT 1 HAVE qGD THIB APPLIGTION
�ND eTATB THAT iHE AB�VQ I8 CORPECT AND AGRH6 TO COM-
PLY WITH ALL CIIY OPUIN�CEB AND 4TATH LAW9 R60UUTINO
6UILDINO CONBTRUCTION.
BIGNA7URE OF
� AUTHORIZED
0
S S FT.
s— FT. —
s FT. —
2 8 �r 3
36
� - �y��a �°�- � < r-'� -3�-� L
THC AMOUNT 9HOWN UNDBR VALU ION IB FOR THE
PUPP088 OP 88TABLIBXIN6 F PEqMIT P88 ONLY.
.UATION
PERMIT FFF A �j
$ ,� � nA� y