HomeMy WebLinkAbout1606 PONDEROSA ST - Building Permits Applicant to fill In all spaces within heavy border lines ant sign all appropriate declarations.
CITY OF COSTA MESA
PERMIT NO. TRA NO. LOT NO. BLDG.NO. 6810 8/26/82 1 41 .55 TL'
CONSTRUCTION PERMIT ej YL - L14-4,25T sq en (p 0 T GB'
Project Address I1_ •-1 ION •'
rypl0 T t!`I�p�'iC�7A S� 1 TYPE OF CONSTRUCTION
Owner £.D Lew 1 S Phone4}41-1M4 0 NEW 0 ADD 0 ALTERATION
Address- , j .So'A.0-e- ,•fy�i, 0 REPAIR 0 CONVERSION ❑DEMOLISH
Arch/Eng.Q2+�wq k1Dc' tk License No?p•1L? 100 ❑ OTHER ����tp ZONING REGULATIONS
tir't —T- DESCRIPTION OF WORK s"C� 7'.r A.P.t I-271-- '' It-- o8
I Address -4S i ,..k..CaM(ACP I O i AZONE 1 '
PLNG. REF.
Contractor('+‘CiejtO A PhoneraC8-27TYPE OF PERMIT BUILDING TTqq gg�t111�p ING I
�r--� SETBACK C/L ST. PgOPEIiTY LINE
AddreSQ.- Sal.l QM1 VMS CAQit%PettM CI GRADIN 0 FOUNDATION (STRUCTURAL SIDE YARD 1) -
LICENSED CONTRACTOR DECLARATION ❑ TENANT) ELECTRICAL 0RLUMBING ❑MECHANICAL SIDE E YARD ��yT
I hereby affirm that I am licensed under provisions of Charter 9(corn- {{{{{{ . RIGHT (/l/ '
mencing with section -7000) of Division 3 of the Business and 0 OTHER • REAR YARD(TO P
Professions .
Code and my license is In full force and effect. /LI
ms.ss...��� PROJECT DESCRIPTION
Lioeo la ole o.Y'+174 PKG.SPACE REQ. PROVIDED - •
Date 40T Signature , '/�/C/�.1�/,or"�,''7'JJd� - SO' FT' - . - - - '
-
WORK �COMPENSATION'DECLA?2ATI ON - - - _. OCCUPANCY—CONSTRUCTION TYPE STREET WIDTH PARK FEE$
I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION ]S gen, ZONE ZONING APPROVED BV,��I 'y.-t L I DATE�'z/-1�Z/
certificate' of Workers' Compensation Insurance, or a certified copy / • SPECIAL CONDITIONS: I) �P" s�l�
thereof(Section 3800,Lab.C.). GRADING CU. YDS. ACRES •
Policy No. Company - - - - - -
�0/Certified copyis hereby furnished. - - REMARKS: . -
sg
Certifled copy is filed with the city Building Division. 1
M
EXEPTION FROM-WORKERS' COMPENSATION DECLARATION ' ' - - '
(This-section-need not be completed if the permit is for one hundretl ' •
($100) or less). - - - 'I - -- -
'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 PLUMBING PLAN CHECK - ELECTRICAL- PLAN CHECK -
subject to the Workers'Compensation Laws ot_California. - ,UWELLi rvt. bNE
MMG
Date Signature BATHTUBS SHOWERS 50 FT Sri FT
NOTICE: If after making this declaration, you should become subject -OILETS ,URINALS' ' - - ' ' -,GENERATOR- 0-1 KW__1-10 KW -
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER r
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE CAVS - APPLIANCE' 10-50 KW 50+ KW- '
revoked. _ . - . _ - •
CONSTRUCTION LENDING AGENCY KIT.SINKS - 'DISHWASHERS - - - MOTORS '0-1HP '1-10 HP
I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS , SUMPS - - ' (INC.SOLAR) 10.50 HP --HP - -
formance of the work for which this permit is issued (Section 3097
Cw.•C.). _ FLOOR SINKS • FLOOR DRAINS - FIXTURES` OUTLETS ' SWITCHES '
Le_nder's Name _ _ -
.Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS - - - '
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS _ " ' ' -
I hereby affirm that 1 am exempt from the Contractor's License Law for • ,
the following reason'(Section 7031.5 Business and Professions Code: SWIMMI NGPL. P TRAP ppLES Huu tuN METERED 'SUB
Any city or county which requires a permit to construct, alter,
Improve,demolish or repair any structure, priortoIts issuance,also re- WATER SERVICE ALTERATION' ' - PANELS MAIN - SUB `
quires the aplicant for such permit to file a signed statement that he _ - - ,
ISlicensed pursuanl'to'the'provisions of the Contractor's License Law GAS SERVICE OUTLETS SERRyy ICE" AMP
(Chapter 9n -Po 4ess ons with 7000)s of Divisionrer3 of the _ - /7� � / _ _ - �]O�,
Business oand'alnS Code)ptio or that heio ia exempt theioom and they WATER HEATERS BTU OUTPUT v/�j/ L 7
basis for the alleged exemption. Any violation of Section 7031.5 by /
any applicant for a-permit subjects the applicant to a civil penalty _ SEWER CONNECTIONS -
of not more than live hundred dollars ($500). - t
'0 I, as owner of the property,of my employees with wages as their SOLAR TANK ' - COLLECTORS - - ' ' ' - — '- - • '
sole compensation, will do the work,and the structure is not intended _ - ' -
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. , ISSUE FEE' "' -' •7 IIq
D '
Contractor's License Law does not apply.to an owner of a property 'APPLICATION'APPROV ED BY DATE
who builds or improves thereon, and who does such work himself or ISSUE FEE 3 Op
through his own employees, provided that such improvements are not - - - ,
intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK SUMARY OF FEES ' '
is sold within one year_of completion, the owner will have the burden -
of proving he did not build or Improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING PERMIT $ - S •SNIP $ 1. 3
❑ I, as owner -of the property; am exclusively contracting with AND DUCTING ._ - ' -
.licensed contractors to construct the project (Section 7044, Business 100,000+BTU .PLAN CHECK E ' PERMIT '
and Professions Code: The-Contractor's License Law does not apply to - - ;00 - ISSUANCE $ - • -
an owner of property who builds or improves thereon, and who con- 'REFRIGERATION 0-100,000 BTU PLUMBING S
tracts from such projects with a-contractor(s) licesned pursuant to SYSTEM - - - - - GRADING E
the Contractor's License La W). 100,000+BTU PLAN CHECK $1
0-.1 am exem t under Section • - ' B.& P.C.for this - - J/] S
p BOILERS BTU ELECTRICAL $ / -06
reason" . - • - - - - - - — - MICROFILM $ •
SYSTEM REPAIR,ALTERATION PLAN CHECK--5 -
Date - • Owner TOTAL FEES •
MECHANICAL -E - - T .
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM _ MULTIPLE LESS AD- SrInformation is correct. I agree to comply with all city and county - PLAN CHECK E- - VANCE PC _ '
Ordinances and state laws relating to construction,and hereby doth rite
representatives of this ity to enter upon the aboveen nen - -
property for o�rest,ms. •
/.J,�.. FINAL FEE S
at-
Signature Date ISSUE—FEE - • -
Drivers'License or 55 e
IC
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING ppCC ��//!!� POOL&SPA •
APPROVALS Permit# t?../64(/)-s-
(L'IV Date Inspector - . r-: .. Date Inspector
APPROVALS Permit# _
1. Temporary Electrical Service or Pole _ _ 43. Pool & Equipment Location 9-/Q- '�'"
- 2. Soil Pipe-Undrgrn 44. Steel Reinforcement +
3. Electrical Conduit Utility.Undrgrn _ 45. Forms
4. Electrical Conduit-Undrgrn - _ - 46. Electrical Bonding .
5. Steel Reinforce _
47. Rough Plumbing & Pressure Test -
6. Electrical UFER Grn - • __ _ - _ 48. APPROVAL TO COVER-GUNITE - - 9-10-s, ;Fe"' -
•7. Footings 49. Electrical Conduit-Undrgrn - 7-/4-1 /PCJ
8. -Foundation -- _ - _ - 50. , Gas Pipe, ❑ Undrgrn,Test - •
-
-
9. Water Pipe:Undrgrn _ _ _ 51. Backwash Lines,P-Trap. ❑Undrgrn - -1:1.--Cs. ' - q.... )3-1/42.--
10. Structural Floor System \ 52. APPROVAL TO DECK .- " - r9-/B-n-
11.. • Property Sewer Line & HouseConnection �' -'53.. Backwash & Receptor-Final • 5-22-a- /et
12. - Street Sewer Connection 54. Heater & Vent-Final .,
13. Rough Plumbing 55 Plumbine System -Final - - 7--14.•72- ?C
14. Rough Electric-Conduit - - - •56. Electrical-Final 7-t;-yl. T C • -
15. Rough Electric-Wiring - - 57. Solar System-Final - r--
16. Rough Heating & Air Conditioning _ _ - 513. Fencing &Access Approval 9--2-L'aa, f t.
17. Ducts, in Structure. - .. _ 5!. APPROVED FOR PLASTERING • 9--L1--in. /QV
18. Ducts, Ventilating - . . _ _ _ -
; 19. Gas Pipe-Rough &Test I _ _ 60. POOL/SPA SYSTEMS FINAL cno-gLfe.
20: Roof Framing _ - . _ . _ - �'G
21. Roof Sheathing - - - .
22. Frame and Flashing - - - , NOTES: ,
23. Insulation - ' . _ _ - - .
24. Lathing & Siding -' _ . •
25. Drywall Nailing _ - - '
26. Plaster Brown Coat - - -. " "" -
27. Electrical Power Meter-Final - - . - - - -_ . . ,t
28.- Final Electric - . - _ _ . - -
-29. 'Final Heating & Air Conditioning _ • _ - . -
30. Final,Gas Pipe-Test . .. _ . , -
31. final Plumbing _ _ •_ -
32.. • Water Service-Final _ _ - '
33. Gas Service-Final - - - -
34. Solar Domestic-Final • . -' • , • -.
35. Landscape Sprinkling System . • • - - '
, 36. Sound Attenuation 0, • - - ' •
37. Handicap Regulations . - ,
38. FINAL STRUCTURE& BUILDING - :,
-
' 39. Special Requirements Completed' - ' - -
40. Electric Release to Edison . • - -
• 41. Gas Release to Southern California Gas Co. - • '
42. CERTIFICATE OF OCCUPANCY _ - .
' • Nd - - Date .
2(85,--
CITY OF COSTA MESA 5/
BUILDING SAFETY DEPARTMENT
SPEC/AL INSPECTOR / ��y/AI l
INSI'EC'FOR:S NAME &-g-777.11-4,-) ! 12efriL�C,K�J
LABORATORY NAME Z. CJ / ��fd
ADDRESS •
TELEPIIONE /
JOB ADDRESS /� D b � I.
OWNER'S NAME /�// PA�f9
WORK PERFORMED - DATE 6175"'/
BUILDING PERMIT NO. •
NOTE: All special inspectors are to be registered with inspector's registrar at.the
office of the Building Safety Department.
• Inspectors shall furnish proof of affiliation with an approved testing agency;
or,a state-licensed architect or engineer:or he shall be in the direct hire,under state
and federal payroll regulations,of the owner/developer of the proposed project. This
proof shall be in the form of a signed letter from any one of the above three.
REMARKS:
CMF Ot)L06
Gunite
REPORT OF INSPECTION ON' Masonry
Concrete fir
To: D-e-&- e r 4c,� f z1 — LossP i7e6p
if
Address: 77 /T4 , Dr a37; Af2s,Q:
OWNER: oCrb gee'al1-5-
PROJECT: ScOI4/S/,C/G 7 'o L_ Report No. 2
Address: A0 4 c 4Affi cata7.¢ M6-7, Permit No. 73 Z5 ..44,1,5-
Architect: • Contractor: hif SJ/o4 ( /ooL,-S
Address: /� Address: roG°n,J
Engineer: g/Ic2,) phi[ 1gt'et- Subcontractor, `/--)6•A-)`/--)6•A-) (!'. ee /�Z<)t.
(Gonne, (66// 49(4571 ---
r
Address : Lam!/� Masonry or S%Y/( X571 --
• Concrete)
Address:
Mix Used: -04:"-g--/ Rebar:
Slump, inches: •
Admixture: Brick:
Designed Strength, PSI : o2oo 0
Inspector: o.</�tPr (/oc-.6e,✓ (Q/47I63 47oe/y Block:
a on 4-09 L, 8,
The following Inspection was performed In accordance with the approved drawings.
Cu.Yds . No. of _
DATES Placed
(74/ P_
Cyl . Remarks
5// 7 __ 4 ,f P tea> S7-4,PL 9.4 c43),D.4./2/.C) 6of e
,457 5Tor— GCi cl/ /F. (7/evil-at) 0 cl7Xoa c 9 /1272S;
fZ1L1 !Q /1? nip. Al L (:Gore e_edin APJ7
/Al 4 a.47)rs f-,¢gT&-y M/9,e-14i-et st 44.07gr ..
J Of- A1<SS/nrci oL hie r.
Copies of Reports to: (INDICATE WHICH BLDG. DEPT. b FURNISH ADDRESS OF ANY NOT LISTED)
•
•
SEP 2 0 RECD
330-2
C1'
\4.-
eAlk � Twining Laboratories 0, a cabs 2 e44 nn...
;e", i'.di' a11/1
—- - • 3310 Airport Way/Meiling Address P.O. Bo• 47/Long Beach, CA 90801 /(213)426-3355/(213)636-2386/(714)828-6432
TESTING BRANCH OFFICE! 1514.0 North Harpy SOW/Sent. Ana,CA 92703/17141531-204S
Sept. 22, 1982 EXAMINATION NO. 82-10363
COMPRESSION TESTS ON GUNITE CYLINDERS
Elmer G. Volden
14509 Dalwood Avenue
Norwalk, California 90650
PROJECT SWIMMING POOL
ADDRESS 1606 Ponderosa Street; Costa Mesa, CA
ARCHITECT CONTRACTOR
Mission Pools
ENGINEER SUBCONTRACTOR
Reagan E. Dramer Don McBee Gunite
SAMPLE FROM East section of pool floor, walls, & beam. Set Cl
SPECIFIED
MIX 4:5-1 STRENGTH 2,000
DATE CAST 9/14/82 Stump SPECIMEN SIZE 6 x 12
DATE TESTED 9/21/82
SPECIMEN NO. 1
COMPRESSION 7 days
TOTAL LOAD LBS. 75,000
POUNDS PER SO. IN. 2,650
AREA. SO. IN. 28.27
COMPLIANCE 7 Day test complies with specifications
MADE BY DELIVERED BY RECEIVED ON:
SPECIMENS M.M. E.V. 9/20/82
DISTRIBUTION n /r_ 7��'v 0 %�a
Elmer G. Volden - 3 /v/�_ -oV [�J�Yys
Costa Mesa Bldg. Dept. O
Sc.? 23 REC
ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPER rY OF COEN-S 4UT-0i.I2=TPON FOP PUBLICATION OF OUR REPORTS CONCLUSIONS OR EXTRACTS FROM OF
REGARDING THEM IS RESERVED PENDING OUP WRITTEN APPROVAL AS A MUTUA- 043 TEC TION -0 CLIDu S THE PUBLIC AND OURSELVES
/diIiii\ Twining Laboratories of you vz entnffotnla, IL
3310 Airpon Way/Mailing Address P.O. Box 47 /Long Etna. CA 90801 /1213)426.3355/(2131636-2386/17141 828-6432
TESTING BRANCH OFFICE' 1514-0 North Harper Sitter/Sun An CA 92103/11141 531.2045
Sept. 22, 1982 EXAMINATION NO. 82-10364
COMPRESSION TESTS ON GUNITE CYLINDERS
Elmer G. Volden
14509 Dalwood Avenue
Norwalk, California 90650
PROJECT SWIMMING POOL
ADDRESS 1606 Ponderosa Street; Costa Mesa, CA
ARCHITECT CONTRACTOR
Mission Pools
ENGINEER SUBCONTRACTOR
Reagan & Kramer Don McBee Gunite
SAMPLE FROM Set 02 - West section floor walls & beams
SPECIFIED
MIX 4:5-1 STRENGTH 2,000
DATE CAST 9/14/82 6 x 12
SLUMP SPECIMEN SIZE
DATE TESTED 9/21/82
SPECIMEN NO. 2
COMPRESSION 7 days SEP 2 3 RECD
TOTAL LOAD LBS. 77 ,000
POUNDS PER SO. IN. 2,720
AREA. SQ. IN. 28. 27
COMPLIANCE 7 day test complies with specifications
MADE BY DELIVERED BY RECEIVED ON:
SPECIMENS M.M. E.F. 9/20/82
DISTRIBUTION
ElmerG.
Elmer G. Volden - 3
Costa Mesa Bldg. Dept.
ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS AUTHOI- I=''O'. rOP PUEL'CAIICN OF OUR REPORTS CONCLUSIONS OP EXTRACTS FROM OR
REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PPOTEC-ION TO C-TENTS THE PUBLIC AND OURSELVES
_La /
I PgUEC%PDAESS: i1606 PONDEROSA ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 05650;
OWNER'S NAME: BANFER, DAVID C
ADDREss: BANFER DONNA G PERMIT NO: E 056507 PLAN CHECK NO: N GOVT: N SUPP: N
1606 PONDEROSA
•
COSTA MESA, CA 92626 CONSTRUCTION TYPE: V-N PERMIT TYPE; ELE PURPOSE: OTH
751-8251
ARCHIENGINEER: REG.NO.: JOB DESCRIPTION ADD 2 NEW CIRCUITS TO GARAGE UPGRADE SER SQ FT:
ADDRESS: UNIT:
: CLAIM VALUE: CALC-VALUE; GROUP UCC: R-3 /
PERMITTEEDAVID BANFER. ( 714 ) 751 -8251
ADDRESS:
1606 PONDEROSA COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME
*fl
COSTA MESA CA 92626 ***** **u *-**: ****kir****** *************************x-*** * mkmuk*** T6*l3$******
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIC.: STATE LIC.: CLASS:
Date: Signature: MAIN BUILDING ---- ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self.insure or a certificate of Workers' FRNT: FT IN REAR; FT IN FRNT; FT IN REAR : FT IN
Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGH T; FT IN LEFT; FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL: 13931108 ZNE,: REF NO;
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING N 1 ES>
>
•
Date: Applicant: - **************************************************k***************iE************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit a for one hundred(5100)or less). DEVELOPMENT S -E R V I C E S REQUIREMENTS
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. ZONING APPROVED BY DATE:
Date: Signature' •
NOTICE:If.atter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; — - DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. /Q /[,.,��
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY; DATE. ES
which this permit is issued(Section 3097.Civ.C). *************T*************, *** ***Te****** tx , >. '.*****}*****************'*** —t/,**
LENDER: *******k********************-*****,{F3S]i********•********If*Tf*****?E*****#****)i•iE***a;.**
ADDRESS: LEGALIZATION:N FEE ' SUMMARY STRUCTURAL SEGMENT;N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING -ELECTRIC _ McCHAN IC FIRE SM IP/RES GRADING(Section 7031.5 Business and Prolessional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 42 ,-25
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 Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 50% SM I P/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penally o)not mare than five hundred dollars(5500). ISSUE FEE 15,00
I. as owner of the property or my employees with wages as their sole compensation. will do the work, and the BUILDING-DIA, PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or altered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 42 . 25 1 5 . 0 0 0, 00 57. 25 57 . 25 . 00
does not apply to an owner of a properly 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 safe.If,however the building or •
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED; 5 7 , 2 5 OVER/SHORT: ,00
for thepurposeolsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the protect(Section 7044•Business 57 . 25 •
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with acontraclm(s)license pursuant to the Contractors'State License Law).I am aware *****+`E*TE***********iE*****************,*jf**N•******}:*********s;.{(.***_**Ih};•*********.R:.*
that proof of their Worker's Compensation insurance should be provided to me.
QI am exempt under Section:Bp-7044 B.&P.C. INDIVIDUAL FEE BREAKDOWN
lorthisreason: ALL WORK BY OWNER TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
1//0/5.2— Owner: 7P---m—y... ELE 7 FIXTURESLIGHTING 1 ST 20 EA. . 75
I do hereby ceruf
ly that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 6 REC PT/OUTLET 1 ST 20 EA, . 7 4 . 5 0
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements fora ELE 4 RECEP 1/SWITCH 1 $T 2 0 EA . '15 3 00
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions. ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 18 , 50 18 . 50
umey�
/O/9Z Applieant: ELE 1 MISC CONDUCTOR NOT LISTED REQ PERMIT
F'ND OF FEES 11 , 00 11 . 00
. _ "�5...
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes. /' 01 ,:C!I <=D i;': -
,� 7_. •
----541,A 7-. Signature: _. ..
Driver's License or Social Security
r641.46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
� CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utillty-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO 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 S Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit �--/ r Solar System-Final
16. Rough Electric Wiring �/jZ J
I r 67. Fencing & Access Approval
- 17. Rough Wiring Sign 7/�J 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 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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
_
31. Plaster Brown Coat . 79. FINAL INSPECTION
32. Electrical Power Meter-Final • Pr JOD CERTIFICATE ISSUED
33. Final Electric 3�_ze otes: Nide 3.449z
34. Final Heating & Air Conditioning
C5e,W,CL'e_it)",11, 4 atreV
35. Final Gas Pipe-Test I -�
36. Hood or Canopy � `re ��
•
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE &BUILDING 7 I
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
'''
10737FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT tecrJ /'- ./,,�7
P.O.BOX 317 COSTA MESA. CALIFORNIA r1TFII�NnANCE DEPT.
FOR APPLICANT TO Ha IN COMPLETELY API ll? L f IQQ TicERMIT
TYPE OR PRINT BUILDING
BUILDING 1606 Porlerosa Street
ADDRESS
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. ,.pip IT NO.
OWNER Maylene, Inc. 4 ! il`�i_AI7
AMAIL DDRESS 419 E. 17th Street RECEIV�O_§� I ,'/-vE1VED IE ,‘DATE ISSUED1'` j95
CITY Costa Mesa, Calif. TrEio:LI 81159 BUILDING/� Y JA,O V yJ
ARCHITECT Carlson & LIC.
OR ENGINEER Midr) A...,ntr NO. COSTA MESA, CALIFORNIA
ADDRESS Garden Grove FIRE fl„[
ZONE TYPE GROUP �L r_C/(/I�
Dike & Colegrove, Inc. STATE APPROVED
CONTRACTOR LID.NQ. 167293 BY DATE
ADDRESS 419 E. 17th St., Costa Mesa ,~ ZONING
LEGAL LOT /^ Q1 p Zync // I PUSE OFNEW ^)
DESCRIPTION NO. [X/ (BLOCK (THACT7 `V'Y 1// PLANS ��I'BUILDINO �II'�n/��J�
A.P.NO. ByPROVED `3/J-YA/ DATE ' l/ I-1-7
OF LOT 701 X IGGI NOW ON LOT lone YARDS " //lAU v
REQUIRED ALLOWED
USE OF (CENTER LINE ST.)
EXISTING BLDG. FRONT L
None 3 FT. IN
SETBACK LINE FROM 531 221
CENTER OF STREET REAR YARD 4C R.SIDE Cv FT. IN.
•
SIDE YARD I LEFT 51 I RIGHT 51 L.SIDE .! FT. IN.
DESCRIPTION OF WORK YVF'r. IN.
REAR
NEW Ix II ALTERATION I II ADDITION I
REPAIR I II MOVING I II DEMOLISH I
BUILDING
EDING 1647 ROOMS 7 STORIES 1
EXTERIOR WALL ROOF `-
COVERING StI1C00 (COVERING Rock (�/ '
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence with �""----. ktiI ¢
attached garage
Plan 760AR
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON. PURTHE E OF ESTABLISHINGUNDER A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
SI � PERMIT FEE $ 36.00
PERMITTGNATUEREE OF '.._...0� /4n
I
gOiE
$ 16,862. PLAN CHECK $ 18.00
AUTHORIZED AGENT Dike & CO1 roves Inc. TOTAL FEE $ 54.00
OWNER LEWIS. EDWARD DATE 1-70-76
JOB ADDRESS 1606 Ponderosa Street BUILDING PERMIT NO. 41 102
GENERAL CONTRACTOR Owner/BI dr. DESCRIPTION of WORK Jacu77i Pool
scAP No. 139-311-08 LOT TRACT FIRE ZONE VALUE $1 .200.00
INSPECTIONS Signature 'D`ote GROUP J TYPE IJ I ZONE R-I
Pool Location Rw i-74-74. SUBCONTRACTOR PERMITS ISSUED
Date Number Signature
Forms _
C Main Drain •
Steel Reinforce 221_, I-7&P0
Elec. Bond 9......1_,.., 4,.v.7(� Electric yy// �tp�
Approval to Cover dZ42itt.0'ladle/ i-ai - 4 3. /4O
Underground Electric - 11
Gas Piping Test S J //Pllumbing ��Ij/Q� // // ''//��,,qq
Filtering System Lines 'Q-�� 144, (.J' 'r`�" �'a�076 4�y'�/�
'
Backwash Lines and Recep.
Electrical Final /t ch -3 71
Heater and Vent Final Ole kS 3.15
Filter System Final Age- J---/ Jf .
Backwash and Recep. Final
c......:.,.. c:..�i ...4C., r--A-7(
w ------ ' '
PAID
41 102 IAN 2o-76cn;ron 687* ****18.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only
REUEIJ�ED BY DATE RECEIVE DATE ISSUED
BUILDING /p /✓//N�1 /...
' Rle i 0- 6
ADDRESS /fJd�� //D�JLJ/r j"Q C� � 79 q4V
OWN ER eal9/4'dr tr LEC///f A.P. NO./J/ �3//�/�OQ �,`PERMIT/ N,I.
MAIL BUILDING //�/ �e,`'`enC^W4 .•
ADDRESS /GOG Po.)q/1..-m Sc� q ADDRESS ((JQ (a�j
CITY C'a<-ia mg:25a! NOTEL�9J9?" TRACTJ5P LOT be BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER \/
BRANCH
•
OWN R4
ADDRESS �.
ARCHITECT TEL. , USE U'y�v LU$ /07�
OR ENGINEER N9,
FIR ////
ADDRESS ZO E T PE - 1/ GROUP -
�/JJi' APPROVED /J�
CONTRACTOR Sa.J �I- .. i" BY / , A DATE —L,(J--
' ,r - —
ADDRESS
TEZON NO.OF USE OF NE /
CITY NO
�/ PLANS BUILDING D
.F. STATE CITY YARDS APPROVED YARDS APPROVED
gLIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE NO.OF BLDGS. (FROM CO..STREET) /0
0. OF LOT NOW ON LOT r FRONT FT.
FT.
Q USE OF
.4. EXISTING BLDG. .)L(/P////2G' it SIDE FT. J FT.
CF) / /
HSeparate permits are required for L.SIDE FT. 6 FT.
welectric,plumbing and heating work. REAR FT. 3o FT.
i-. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
'etLa �/'�/11 K�/p, /� MAIN BLDGS. ACCESS.BLDGS.
Q jaPCV 2 y . / QQ / F/VIC. (�I/ ~ VACUP.qIk DATE
APPROVED /�zo 74
APPROVES/Jr/A
�A'L ''``ii//�� �•((,,ff DATE
lY
W
QI hereby acknowledge that I have read this application and state n
1g that the above information Is correct and agree to comply with m
0. all laws regulating building construction, arid I shall not employ
Z any person in violation of the workman's compensation laws of
17 the State of California. m
I hereby certify that I am properly licensed as a contractor under SQ. FT. ry
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
lif
am exempt from the provisions of the State o aortia Business VALUATION PERMIT FEE $ 1 � i e
and Professions Co Division 3,Chapter 9. 4 �n
r trUen
PLAN CHECK $ TYs c
Signature of rp
Permittee / / TAX $
[y� U
\ Authorized Agent TOTAL PAID $ / p,si)