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Home My WebLink About941 PRESIDIO DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 941 PRESIDIO DR Suite No Vicinity: Parcel Nunmber: 14132510 Applicant: SMYLIE,JERRY"' Address: 1450 W SANTA ANA ST "� / � . �. ANAHEIM,.CA ' � , „ - / / :�' . - � ��; fi, �' ��' -��. - Ownec ' DEANDA, HOLLY'A'� Address � 941 PRESIDIO DR � � �- � ' ' �-� � COSTA'MESA, CA Contractor: ,�,H2OTECHNOLOGIES " , Address: ^ 1450 W SANTA ANA ST �� . �� /, � . �ANAHEIM, CA i / Arch/Eng:� � `_.._� , � Address: Status: ISSUED Applied: 06/26/2003 Issued: 06/26/2003 ISSUED BY: �\ Phone: 714-240,-9467�;" � - -. �� Zip: 92802 , _ � � ' � \� , ._ � Phone: Zip: 92626 Phone: 714-240-9467 Zip: 92802 License: 537930 � �� \ i �' - � ' `� <�� , � � �"' V � � ��•t Phone: . - �� Zip: . .. � � � License: ' � ' � " \ � � � ; ` � � � � i � /,�5 SCOPE OF PERMIT . , ', REFLACE OUTSIDE'AS"LINE FROM THE METER TO THE POOC�HEATER. �, . 1=GAS REPIPE (70 LF) _ ` � \� , FEE SUMMARY - � � ��. ' AMT �_ -. ,�7Y'",: ., : � ' .. � .. AMT %QTY ; �.:::- �- � � � - ISSUE FEE �.,�:, � $23.50 �- Laundry Tub / Washer $0.00 0 Sump Pump BackBow ivigation .. �$0.00 0� '- Landscape Irrigation � $0.00 0 Swimming Pool , Backflow Preventer- �$0.00 �, 0 � � P-Trap � $0.00 0 . � Trap Primer . Bathtub �� , . $0.00� -' 0 - PressureRegulator $0.00 0 - , Urinal, Clarifier System �' � . $0.00 "_ 0 _ � Process Piping (per 10 ft) $0:00 " _0� � Vacuurri Brkr BkFlow(1-4) Connect Qce,Soda,etc)�` ��$0.00 � �0 _ � � Receptors - $0.00 0 - , . Vacuum Brkr Bkflow(5+) Dental Units �$0.00� 0 - �� Septic Tank $0.00 0 Wash-Basini Dishwasher $0:00 �,�,0. ' SewecCap for Demo $0:00 :0 . Wasti Basin Set Drain, Floor $0.00 �� 0 �, " Sewer Connect � $0.00 � 0 �- Waste and Vent System Drain, Rainwater $0.00 0� � '� Sewer Private Line $0.00 0 �,-Waler Closet (Toilet) Drain, Roof $0.00 0 - � Shower . . $0.00„ -0-' ,_- � Water Heater / vent Drinking Fountain $0.00 0 Sink, bar �� $0.00, -- 0 Water Piping (Inst or Rep.) Expansion Tank $0.00 0 Sink, comme�cial" $0.00 0 Waler Re-pipe AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 So.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutas and related regulations. (Ord. No. 924Q, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetlons end finel approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2448�46 (&00) WORKERS' COMPENSATION DECLARATION: � I hereby affirm under penalty of perjury one of Ihe following declarations: ' ❑ I hava end will maintaln a cetllficate of consent to sell-Insure for warkers' compensation, es provitled tor Dy section 3700 of the Lebor Code, for lhe pertortnance of the work tor which this permit is issued. �Q I have entl will maintain workere' compensation insurence, as required by section 3700 of tha Labor Code, for ihe pertortnance of the work for which this pertnit is Issued. My workers' wm sat�° n Insurance carrier and poliry number are: Carrler. ��4'l � �lJ U1 ck PolicyNumber: I � �i �2 ��^.2�d '> (This section need not be comp/eteC il the pertni( is valuetl et one hundred dollars (5 f 00) or IessJ ❑ I certify lhat in the peRortnance of the work for whiCh this permit i5 issued, I 5hall not employ any person in eny menner so es to become subject to the worker5' compensetion laws alifornia, and agree tha ' I shou bacome subject to Ihe workers' compansation provislons of Section 3700 oi lhe Labor Code, I shall torihwlth comply with these pr sions. � Applicant Signature: Date: ��ZL�O �I WARNING: FAILURE TO GU � WORKE S' COMPENS�A�T�Ip COVERAC+E IS UNL4WFUL AND SHALL SU6IEGT AN EMPLOYER TO CRIMINPL PENALTIES AND GVIL FlNES UP TOONE HUN�RED T}IOUSANDDOLURE(51 . ),INADD ONTOTHEWYIOFCAMPENSaTIqJ,DAMAGESASPROVIDEDFORINSECTION3lp6pFiHEUBOFCOOE,ItJrEREST,ANOATTORNEV'SFEES. LICENSED CONTRACTORS OECLARATION: I hereby aHirm Ihat I em torce entl eHect. Lic. q Contrectofs Signature: of Chepter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, end my license is in tull � C�au a � C' — 53 � Date: �l ZG /D � CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirtn Ihat there is a construction lending agency for the pertormance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lentlers Name: Lender's Address: Signewre: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirtn that under penalry of perlury Ihat I am EXEMPT FROM TME CONTRAC70RS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business end Pwfesslons Cotle: Any city or counry which requires a pertnit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, elso requires the apDlicant for such pertnit to file a signed statement that he or she is licensetl pursuant to the pmvisions ol the Contractors License Lew (Chapter 9(commencing with Section 7000) of Divislon 3 oi the Business antl Professions Code) or ihat he or she is evempt thereirom entl the basis for the alleged exemptlon. Any violatlon of Section 7031.5 by eny epplicanl tor a pertnit subjecis the epplicant to a civil penelry ot not more than live hundred dollare ($500).): ❑ I, as owner of Ihe praperly, or my employeas with wages as their sole compensation, WILL DO T1E WORK, entl the structure is not intentletl or atteretl for sale (Sec. 7044, Business and Professions Cotla: The Contraciors License Law does not apply to an owner ot property who 6uilds or improves thereon, end who does such work himsetl or herselt or ihrough his or �er own employees, provided that such impmvements are not intended or ottered for sale. If, however, the Duiltling or improvement is sold within ane year of completion, tha owner-builtler will heve ihe �urden of proving ihat he or sha tlid not builtl or improve for puryose of saleJ. � ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTBACTORS to constmct the project (Sec. 7044, Business end Professions Code: The coniractors Lkense Law does not apply to an ov.•ner oi pmperty who 6uilds or impmves thereon, and who coniracts br such prolect with e contractor(s) license pursuant to the Contractors Licensa Laws.). ❑ I am exempi under 5a[. Signature: Owner ID varified by dnver5liten58. ❑ Yes ❑ No Busineu antl Professions Cotle for this reason: Vedflwtion of Ownership by (rype ol tlocument, i.e. - pmperty taz bill or tleetl): Driver's License No. Date: Expir85: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION: ❑ I hereby cenify Ihat no excavetion five (5) or more teei in depth into which e person is required to descend, will be mede in connection with work au�honzetl Dy Ihis pertnit, and thet no building siruciure, scattoltling, talsework, or Oemolition or dismantling thereot, will be more than ihirty-six (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec. 341, Title 8, Califomle Administrative Code). ❑ As owner-builder, I will not employ enyone to tlo work which would require a pertnit irom the Division ot Intlus�rial Satery, as notetl above, unleu such person has e permit Io da such work from the tlivision. Signature: Date: Division ot Industriel Satery Pertnit NumDer: CEHTIFlCATE OF COMPLIANCE AND AUfHORIZATON OF ENTRY: I cenify under penalry of perjury ihat I have read this application and state �hat �he intortnation given is correcL I agrae to comply with all stete laws entl ciry ordinances relating ro builtling construction, end authonze representetives of tha Clry of Casta Mesa to enter upon the ebove-describetl property for inspection purposes. I a9ree not to occupy or allow wcupancy of any �uiltling authorized by t�is permit until final insDection. Legel CQOE I. INSPECTIONTYPE 1818 Fixetl System Final Fire Preven�ion 7266 Pool Spa Final 200 Final Re-Roof 201 Finel BIocWRetaining Wall 202 203 204 Final Factory Fire Place Final Sign Final Demolition �L7L�L'till/1F� Date ��2G,G3 _ Date GO�E� INSVECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fira Pravention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency L\I�1111F. �-I-(p--03 � I 1 i� PHOJECTAUOFESS: 9<]1 PRESIDIO DR OWNEfl'SNRME: LOWE BURTON J JR nooeEss: 941 �RESIDIO 4 COSTA MESA,CA 92626 (714)545-9906 PflCN/ENGINEEP: ROUHESS: HEG.NO.: UNIT: UNIT: PEXMITfEE: QUALITY HOME IMPROVEMENT ( 213 ) 463-5135 aooeess: 235 N GRAMERCY PL LOS ANGELES CA 90009 LICENSEO CONTBACTOP UECIANATION: I hereby ailirm thai I am licensetl untler provisions ot Chapter 9(commencing wi�h $ection 7000� ol �ivision 3 ol t�e Business antl Pmfessions Cotle. antl my license is in full torce an0 efiect. cirru/c.: �053558 STPTELIC.:SBS%SZF, cuss: B-1 / Oate�. �r+— �' Q� SignaWre � �� ,/� �� WOXREN$' COMPENSATION OECIAflATION: I hereby aflir�� I have a cehificate of consen� to self-ins e or a cehificate of Workers' Compenulion Ip5yyu�g,� ilie rqpy thereof (Section 3800. LaU POLICY NO.: V 7 L L��—� L EXP. URTE: 3 I 1 O I9 3 cornraxr: STATE FUND,�/ ❑ Cerii�ietl copy is hereby furnished. L? Ce�ifie0 copy is �ile^d wrth ��),fciry Building Division. � �a�e: _�/\ ^ � �' � C___ ADPlicant: ��,/�\ �-/��— E%EMPfION FBOM WOPREBS' COMPfN5ATI0N OECIAPpTION: (This seclion neetl noi be completetl il �he Dermii is far one n4rtN ($100) or less). I cetlify Ihat in �he perlormance o� Ihe woB �ar which this permi� is i55ue0, I shall no� employ any person in any manner so as �o hecome sublea� �o Ihe Workers' Compensation Laws ot Calilomia. Oate: Signamre: NOTICE: If. al�er making this declara�ion, you should hecome subject lo �he Workers' Compensa[ion pmvisions otthe Labor Cotle, you must brlAwith comply with such pmvisions or �his permi� shall Ue tleematl rauoketl. �\ CONSTPUCTION LENDING AGENCY: I hereby allirm that �here is a constmc�ion IenOing agency for Ihe Oeriormance of Ihe work �or whic� Ihis permit is issuetl �Sec�ion 3097. Civ. C). LENDEfl: aooness: OWNEP BUILOEB OECLAHRTION: I h¢reby aitirm ��at I am ex¢mpt Imm �he Conlrac�orY S�a�e License Law for �he following reason �Seciion 7031.5 Business and Pm�essional Code: Any ciiy oi county whic� requires a permit Io consimct, alier, impmve, Oemolis�, or repair any stmcNre. prior ta its issuance, also requires the apPlican� for such permit �o �ile a signetl s�a�emenl that he/she is licensed pursuanl Io �he pmvisions oi �he Comractors' S�a�e License Law (Chap�er 9(commencing with Seclion 7000) o� �ivision 3 01 �he Business antl Prolessions Cotle) or that he/sne is eKemD� �nerefmm anU the basis for ihe allegetl exemption. Any violation oi Section 7031.5 by any applican� tor a permit subjecls lhe apPlican�lo a civil penal�y oi no� more Ihan �ive AundreA Dollars (ES(p�. I, aY owner Oi t�e prope�y or my empl0yees with wages as Ihei! 501e tOmpensa�ion, wili 00 Ihe wOrk, an0 ��e ❑ slrucWre is no� in�enaetl or offered for sale (Sec�ion 7044; Business and Pmlessional Code: The Contractors' Staie License Law Ooes no� apDly lo an owner o� a Dmpetly who builtls or impmves �hereon, and who Ooes such wofk himself/hersell or thmugh Ais or her own employees. provided tha� such improvements are no� intended or o��ere0 fo� sale. I( �owever �he buil0ing or impmvement is so10 vAihin one year af completion, �he owner vnll have ihe Eurtlen o� pmving he/sAe tlitl not bui10 or impmve lor t�e purpose o� sale�. � I, as awner of Iha property, am eHclusively contmcting with Iicense0 conirac�ors �o consimcl the pmlect (Section 7044, Business ❑ antl Pm�essions Cade: The ConUaclors' Slate License Law Ooes no� aDPty �o an owner o� D�opeM who 6uilUs or impmves Ihereon antl who comracis br such pmlects wi�� a contracmr(s) license pursuam lo the Contracmrs' Sta�e License Law�. I am aware ihat pmo� o� ��eir Worker'S Compensa�ion insurance shoWA be pmvitled lo me. � I am eKemp� untler Seciion: B. 8 P. C. for Ihis reason: , Da�e: Ownec I eo hereUy cenily tna� I am aware ol antl unders�anU the requiremenis of Cahfomia Heatth and Salety Coee Sections 255Q5, 25533, an0 25534 anA Iha� I or any fulure 6uil0ing occupan� will/will not (circle one) need �o comply with saitl Sla�e co0es ana the requiremen�s �or a permil for cons�mction or modtlica�ion Imm �he Air Oualily Management DisVicl. Residen�ial cons�mciion applica�ions are exemp� fmm these provisions. Ua�e: Npplicant: I hereby cetlily Iha� I have reatl Ihis applica�ion and s�ale �hal �he ahove in�ormation is correcl l agree �o comply wi�� all ci�y and coun�y ordmancesandstatelawsrelatinglobuildingconstmctionandhereb aWhorizerepresenta�ivesolthiscirytoenierupon�heabove�men�ionetl propetly lorinspec�ion purposes. �ale: � I I—__ Q�-__ Signaiure. oriver's license or Social Securiry a.' tbab<6 Whne—BuilOinq; Green—Cotle Enfarcemenl Canary—qoolican�: Pink—Revenue: GoltlenraE—Asses�nr � CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO: B 057735 PLAN CHECK NO; N > , . CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION ; RESHEATA & REROOF/1/2"CDX S COMP SHINGLE SQ FT; 5,000_ CLAIM VALUE; 5,000.00 CALC—VALUE: 5,U00,00 GROUP OCC: R-3 /M-1 COMMENTS; SMOKE DETECTPR(S) RE�UIRED IN HOME. �e********�r�r*��e�r�**�t�r�r*�t*�e�*�r�r�r ***+t�t***�r�t�t�r***�t�*�*�x**�t�r*+t��t�r�r�****�**��r�t***** 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 PARKING REQ� PROV: PARCEL; 14132510 ZNE; REF NO: PLANNING NiSTES> i �,��*****�r«��«**�**�*��e��e�e�e�r**��,��e*�e*��«��+r��***,�,��r��,��r�*�*�r�*��r*****,��e�,r,��e 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 .�, ZONZNG APPROVED BY DATE; -�;:?"' i ,7 BUILDING APPROVED BY ; DATE; V APPLICATION ISSUED HY; � ��a�� DATE: .1/ -2 3E3FiF1kiFlfififlflfiEiEiFiEkiElFkiflfifiE ifMlfifiFiEiFififik 3EiF iEiEifiFiFlE�1E�EiF�F1EiEiE1E1FiEiEjE3EiEiFiEiE�EiEiFif3FifiEifiFlFiEiEifiFififiF Ekki 3EiEifiF�E�FiFiEifif�iFif�kif�lkiEiFil�E�lfiFiFikiEiF�EiFififaF3E�fiE�E LEGALIZATION;N F E E S U M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRApING PERMIT 72.00 50 SMIP/NON—RES PLAN ISSOE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 72.50 0.00 � 0.00 72,50 72,50 00 REVENUE DIVISION TOTALS--> COL�LECTED; 72,50 OVER/SHORT: ,00 \ BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/TOT GRADZNG PLAN—CHECK %2,0� ' .:'� .5� � k iF iE iF IE if It iE iE if if �F iF k aE �E jE jf af �t iE i! i! �E iF �f IE if if iF �E if iF iE iE if iF aE iE if 1f iF ik �)f iF if �f if iE ibiF M iE iE aE jE ik k if 3F iE if IF if if �lE iE �f if iF if if if jF iE k ik 3F iE I N D I V I D U A%1� F E E B R E A K D O W N f,�. TYPE QTY " D E S C R I P T I�O J9 UNIT COST TOTAL COST SFR 5000 REROOF BY VALUE RESIDENTZAL N020NE 1,00 5,000,00 END OF FEES =l+ /,� . 1 �7? Opii71cS'n"' ?lui '�:= 3' ,�_jr Y°RT'c- fJb/it/Si Tf;iF� 5�:.5 C4 i RUCTION AND PLANNMG.'� . _ POOI a SPA -- Date � Inspector APPROVALS Permit # ' - � APPROVALS Permit # . i. Temporary Electrical Serviee or Pole ' S2. Pooi & Equ�pment Locacion 2. Soll Pipe-Undrgrnd. .. ' '� 53. Steel Reinfoccertient ' � �;3:'�Ejectiica� Conduit Utility`-U�drgrniY. h - � 54. Forms . • . � 4.-.�EI¢ctrical Conduit�Undrgrnd. �� ' 55. Electrical Bonding �_5_`$�eel �Reintarce`mer�4 - ''�" 56. Rough Plumbing & Pressure Test �,•6._•�lectrical UFE_R�Grnd. = 57. APPROVAL TO COVER�GUNITE , - �7..Footings T�� 1 - 58. EtectricatCondoibUndrgrnd. �`8. Foundation ,= '� . 59. Gas Pipe, O Undrgrnd., Test . '��9. Water Pipe�UniiiQrnd. • � 60. Backwash Lines, P-Trap, O� Undrgrnd. 10. Structural Floor System .. � 67. APPROVAL TO DECK 11. Property Sewer.�Liqe & Hause Connection ' 62. Backwash & Receptor-Final r � � t2. Sewer Cap - 1 " ''` , 63. Heater�_& Vent-Pinat _ . 13. Roof Drains . _ 64. �Plumbing SYstem - Final 14. Rough Plumbing '1 � -, 65. Electrical�Fina� -. � 15. Rough Electrical-Conduit �` 66. Solar System-Final 16. Rough EIeG[ri�Wiring , � 67. Fencing & Access ApProval � 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrica�-T Bar Ceiling 69. PQOL/SPA SYSTEMS FINAL 19. Rough Heacing & Air Conditioning FIRE DEPT. REQUIREMENT � � y ... 20. Fough Factory Flreplace i i;;r � C ' '' ,. �':. •.: �qppROVAL'S �' = Permit # � � "' �i� r _:r„ • ,f Y 1 =' # r � � - Zi � �UCiS. 1` $L�.UCLUfB � � -^ 'r • � 'a7. c j. . ' '.� 1 %� :�: - . -.�,' �� ,70. Unde�9roynd Hydro v 22. Ducis, Ventilatiog ' r � ti `x •*. .*71, produc[ Pjping O 6�as QOiI � 23rGas Pip��Rough &�Test ' � - ;, r - .t �y y, .,72. Underground Flusfi�J, t � - 24. Roof Fiaming Z,w • - - _ � � = ��Y � 73 �Undergmii.StorJ eTank OGas ❑Oil �,� r 25. Roof Sheathing f14 � 1�� (p '•� " Y' 7q,-'(Overhead�Hydro� "'_ 26.,T-Bar Ceiling (Structuraq &,1Nonocoat � _ •» � 75: Dry Chemical J - • = 'z � - �. 2T: Frame and Flashin� ; i,.} `_ ��:'" 76. Dry Stanapipe '� �" ' " x 28�. l.athing&Siding1x, -��y tr, �>; . .- � 77. FIXEDSYSTEM•^INAC " ' 29. Insulation '" : � " "� .; �` ; �� ' 7g= FIRE PREV. FINA� T - .�30. DrywallcNailing�-> ' � � � .-�i••� �-- HEALTHiDEPT:�.REQUIREMENT . , 31. Plasrer Brown CbaC ` !�. �� i � I!,Ct t �7g� FINAL IN$�,PECTION ,',, ' ' . i .:32.- Electrical Power Meter�Fina{ '' ,. I �..�. r �80. FOOD C RTIFtCR E 156UE0 - '��_ ..... _ �33.`Final Electric '- -� ' ' " " � "-:r ;..-:Notes: - - , s �. : i.: �-t r� �34: Final Heating & Air. Cond(tioning� - � i • . �,h : i- c ;' �r . _ � 35.� Final Gas PiPe-Tes x�_ F ' � � ;�. �_� � � s -� SC �' � .. � . I: 1� lf/1- ' Fi '�•• 36. Hood o"r,CanopY- _ �r y - ' � r - z ' ',;,; 37. Final FactOry fireplAce_ '�'e'. " "'r' �,' ;.f* _ -� � :'7 r, ;, .38. Final Plumbin9 �, "-- � . .. '.' * c ; � o��r � .., . i , P � .. ;39. Water Service=Fina1 _ . . •tr. � >^� :u: i .i�- < � 1 . ; .r. • ` . �r. ' - 40. Gas Service-Fina� , � " . f :C� �� .� 'rl �# :f `41. SolarpomesticFinah - .. ; -. - t: ,�. .- � • ! � _C ' a 42. Backflow Prevente� - - ` ` � � `` ' 'T - . '` 4 , ,r 43. Backflow Irrigation � "' . � . �` ! F . � �.�-� ` . C� � 44. Landscape Irrigati'on System �' � � r F , r - � ' _ ��`- - -i ' _ .`� �1:45.'�Sound �Attenuation -�i1�- �r r %� r' � ' t: ` �� '�: �J; � .v � � .,. �,. . �� 3 ,�. '�'46. Handica_p Regulations v �" �� _ � �:. � -, _ " ; , :R ' _ 47. FINAL STRUCTURE & BU�LDING � 14 `y�a; �� o.o;i-, I 48. FINA� PLANNING `� ° � !� �''� ; '' -`' ' , -_- � «: , , �. ,, � v -49'�•Electric Release to.Edison � ��. i� a�,ir � i r . :a - s : � �r •r ' 50. Gas Release'to Souihem Californ�a Gas Co � � !��+� R' `; � r � �•' 51.'CERTI FICATE OF OCCUPANCY w • ,,, n'•�; ,� ; .. No. Date 0 Date Inspector � u CMB # ��-� Y' COMPLIANCE OR OCCUPANCY INSPECTION REPORT y/� A PP1iL�at'on�/%�l'-# . . Number. D7�.�7� Subject �7 /�J ' ,` ' Date Address: �7`f/ �2-��J�Q Received: 3 - Mail Report or Correction Notice to: Applicant: /C�ffffL/L Gf�r7S �/ Telephone: ( %/yl �t 7 — 2�v / Address: � 7 3 7 1�2G'/�70 �' % � s�/g /��-Si'� Zip Code z�2 � Mail Copy To: � Property rl Owner. �� !/� C¢f��.�'/V � Telephone: (%�yj SS�' 2aJ � Owner's ! Address: �� 3� i� Oti % C�.S � f�' Y�Lc-f � Cfi�— Zip Code z6� � Occupancy: �G,Si�%�✓i/.�/. Group: Code orLOrdinance Violations Observed: �� '9 Date Inspected: Building Constructian Type: _ KR1�-[-c� n)oG �9�tA�l-�� . CMF 0835-46, rea 5/82 White - Bltlg.; Canary - Applicant; Pink - Owner By: . �/� _ . ' v '� . . y .+ � (. . . .a'. • . . .. . ; . � ' . . . . . . � � . ..� . � : .- -.� v a. ._ � � . . ' • � � • . � . . ' S ...,. . .. • • . . � . ' ' . . . �! - .. , " . . •June 23s `1972 - • _ - " - ; `. . . ' •. • . . . . : ... � . •�Y . ,e ' ' ,. � � . ' . . . .. � .. S_ ' ' . . � a �. - — .. .. • - ~ ' .. . +' � � ' . _ `� . _ r . . ..L � s �. ' ... . . . . . . � . . " �T: _ . . � . . ' . . . . �. , ' . , . ' -' ' . . . . . . . . Y ._ • . , _. Mr. Harold Royeton . ` : �� ', I � ' -941 Presidio Drive � �' � _Costa Mesa, California ,- ,� � • _ Dear Sir: - . ... . .. - .� A building permit has bee�n ued to Keystorie�PooTs to ".` � construct a private awimming pool,on�'your�property. - _ '_ � ' In order that you pooTS.wiTl be a safe one and for the; '- ,pur.pos.e of advising you`o your reaponsibi�lity regarding the� , .• requireraents of the Costa- a.Municipal Code; we•refer you,to " - • Section 8107, a copy of whic is attached. ..; �. - . . - • This lette is.directedato you inyorder that.you wi11 be ,• aware�• oP our ord ces and can=make a`cmnplete safety cYieck .of .: Your pool area: . r-• ` - . - _- � " -, 'Sincerely.yours,� - � . � . � - ' . . , � RICHARD HAIVHART ' , . - - . . , . , ` ;Buildirig'Safety Director � � RH:dh ' . - : ' , _ v . • _ . . . i:•. . _. - 3 . . .. , . . , .. • '. � , � :. j =' . . _ 1 _ . . �1 - Ii __ ' , . . ' �' H. LAWMASTER 8 CO.,�(JC. � 7940 MAIN STREET — STANTON, CALIFORNIA 72CM5-835D-002 ' � 828-8040 field Data on Test Specimens Core Concrete Gunite Grout/Mortar—. Pro'ect Permit No. 34853 I Harold E. Royston Pool Project location 941 Presidio Ave., Coata Masa Confractor Keystone/Enterprise ArchiTect LocaTion in Siructure Engineer Date Moulded 7�� p�72 No of Specimens 6 Slump Specimens Marked Specified Strengih at ZB days ZODO P.S.I. Mix Designafion Aga to be tested 7 days 28 �ays days days REAbY MIX PLANT AGGREGATE SOURCE Weather Condition Mild sunny 1 Yd. —Yd. Batch Cement Monolith TYpe I/II Cement, Ibs. Admix Sand Specimens made by .Will/,Eoterp=3se.�Gunita #4 Data by Corum #3 Delivered by #2 Date Delivered _ # REMARKS: 72-1453 deformed cylinder lab. No. Date of Test Specimen Dimensions Aroe Ultimate Load lbs. per sq. fn, H/p Corrected FORM 9 - 015 . ...... 72-1451 7 Day Test 7/7l 6.25 X 72 30.68 92,500 3,015 Water. Gals. FOR LABORATORY USE ONLY 72-1452 72-1453 7 Day Test 7 7/17 .75X .27X t2 72.2 30.68 30.88 88,000 67,000 2,868 2,170 72-1454 Dav Test No further te 72-1455 72-1456 JUL RCE#6207 �'�' �L:(=c.c't .-,-� T !��•'�- � ��- OWNER ROYS' JOB ADDRESS GENERAL CONTF �, AP No. 141-325• �INSPECTIONS SOIL GAS WATER � j�2 ROUGM PLUMBING PftOP. SWR. LINE � SPRINKLING SVSTEM MISCELLANEOUS t ROUGH HEATING AN� ON, Harold 941 Presidi TEMPORARY SERVICE OR POLE ONDERGROON� POWER [ ROUGH WIRING TRENCMES � FORMS � FLOOR SYSTEM ING ISil:lil NO BEAM � STEEL ftEINFORCE � EATHING FRAME ANO FLr1SHING LATHING - IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. ANO A.C., FINAL PWMBING, FINAL AN� GAS TEST n ELERRIC, FINAL BUILDING, FINAL DATE 6_ BUILDING P SUBCONTRACTOR / . _��_ — M:;;;: . . r : �.__ 34853 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applican to dl in Completely BVI��ING CJ��% _ „ � /. OWNE MAIL CITV CONSiRUCTION LENOER BRANCH ADDRESS ARCHITECT � ADDRESS CONTRACTO ADDR � CITY STATE �± �IC. NO.,� � SIZE OF LOT ' '� USE OF EXISTING BLDG. SIZE OF � NO. OF ROOMS ROOF COVER WOFK T E P TEL. NO. TEL. NO. GTV LIC. NO. INO.O BF L� NOW ON LOT 0 ��,= •� ��,,�.002696'� *�*:•34.70 TION FOR BUILDING PERMIT DATE RECEIVED DATE ISSUI � 7 � �z - a.r. No./. `y r — BUILDING ADDRESS i TRACT 7 OWNER FIRE ZONE APPROVE ZONE NO.OF � 2� P�� VARDS APPROVED MAIN BUILDING (FROM GL STREET) VAR. � GU.P. # APPROVED I hereby acknowletlge that I have reatl this application antl state �. Q thax [he above information is correct and agree to comply with � all laws regulating building construction, antl I shall not employ any person in violation of the workman's compensation laws of the State of California. Q I hereby certity that I am properly licensed as a contractor untler - SQ' ihe State ot Calitornia eusiness antl Protessions Code, Oivisicn 3, THE AMOUN Chapter 9, and that such licanses are in full force and effect, or I THE PURPpSE am exempt trom the provisions of the Stat Calitornia Business VALUATION antl Protessians Cotl ; Di '�on 3, Chapte Signature of �_ . /% i �l��D / Permittee �� $ �% /�� ` Auihorized A t LOT USE OF NEW Pao eUILDING VARDS APPqOVED & DATE APPROVED � i m — o VALUATION IS FOR A PEfiMIT FEE ONLV: m ¢ - �� N E $ r ) _ _ /�tiLv m TOTAL FEE .fl�' _ �• �rJr�c+JS GE�STA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA, CALIFORNIA Fo� Applicanf io Fill In Completely TYPE OR PRINT � COSTA MESA. CALIFORNIA owNea Mesa De1.Ma.r Develo ment "'w"- 3g00 E. Coast Highway ADORE65 3` 3800 E. Coast cin Corona del' Mar ucTrEio. 98808-SB-1 Na:Oriole 3-4220 slze � Ho. on atnos. oF �or 6696 S F' I NOW ON LOT no use oF � none ' EXIBTING BLDG. BtTBl1CK LINQ fROM ' ceNTHR OF SiSteeT � REAR YARD � I 5 � I 5' _3�� SIDE VARD LEFf' RIGHT DESCRIPTION OF WORK ....... � I X II .. ��...�..... � II ......�...... I BUILDINGbl �-9��Xr)3 � NO. OF � 1 SIZE ROOMS STOIiIEb EXTERIOR WALLStllCCO IROOF W�O S ing es COVBRING GOVERING US6 OF BUILDING AND WORK TO BE PERFORMED Sinele familv residence w/attached 1 HBREBY ACKNOWLEDG! TNAT 1 HAVE RGD THIB APPLAGTION AND eTAT6 THAT TH8 AGOVE I8 CORRHCT ANO A6RE6 TO COM- PLY WITH.ALL GITY OROINANG48 AND H�AT¢ I.AWH RHODUITING BUILDING �CONBTRUCTION. 81GNATURE OF esa Del Mar Development Co PERMITTE By:� ��1�dC1iW� _ AIJTHORIZED N Lot 9 Tract 4285 Plan 400 B FEE RECEIVED �i' SEP 6 �g�f' fINANCE nEPT. APPLICATIO�jIjbBFPQ�(� M�l BUILDING For Office Use Only owre �esueo COSTA MESA, CALIFORNIA APPROVED BY ZONE �� NO.OP �, � ruxe �ece� [GENTER LIN! 0T.) �� FRONT R. SIDE J L. SIDE � REAR � � APPROVED �/� PV �I. Living Area IU8E OP NEW�� , BUIIDING � � � �' Z b S� l-�� ?` , EVES ALLOWE� 'T. IN. •T. j �N. 'i. IN. 1685 S F 440 S F TXE AMOUNT BHOWN IINDER VALUATION 18 POR THE PUFPOBH OF EBTqBLI6HIN6 A PERMIT FEE ONLY. VALUATION � ' PERMIT FEE $ � � $ 18 � Z�F% .00 PLAN CHECK $ �`� TOTAL FEE $ S % . OO F 0 4