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Home My WebLink About3028 DONNYBROOK LN - Building Permits� Applicant to till in all spaees excepl tnosa within heavy Dortler Iines anO sign all apProDtiata 0ecla�alions. , TX OF COSTA MESA PERMIT NO. TRACT NO. �LOT NO. � BLD . .. � ' . � .. i STRUCTION PE.RMIT . � ProjeCtAddress ,/��,��y TYPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR ��' n '��^ '� - Applicant's MailingAddress , Z [� � ��'1.�N/��.��ak / A�' - ❑ CONVERSION ❑ DEMOLISH ❑ OTHER �r - A.P. # _ Zone . - OwnEr'S Neme G, • �'+ «l � PhonB q�p� � � DESCRIPTION OF WO K � -uF-=�.��-9 _ � ti 5 Main Buildin9: Accessory Building: Z Address� ' ^��"'� � ' ' . —S ' TVPE.OFPERMIT GRADING FOUNOATI N'�STRUCTURAL T Front ry AICh/Eng. � LiCanse NO. ��TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g � I A Rear N Addre55 - ' ,'�r ' - ' �❑ �OTHER . Contrector's Nem�A��L'�'�d ' Phone�71�%� PROJECT DESCRIP710N' Sa. F7. OCCUanrvCv C Right _ G K Lef[ R �'� i PLJ �,J/Qi��/�'/,�0, �/�}hQ' CONSTRUCTIONTVPE VALUATIONS $ Address (�meiling) 3 �� ( E ZONE - GRADING CU. VDS. ACRE$ .p�� R City License No. 2C"51=L - 9. eL # Park.Fees $ .,� . n LICENSED CONTRACTOR DECLARATION � Remarks: Parking Req./Provided � . . U 1 hereby affirm that I am Ilcansatl untler provislons of Charter 9(commencing � with settlon 7000) of Dlvislon 3 of the Business antl Profesilon5 Code, antl - U520f Building: • R my Ilcanse Is in full lorce �n effect. E Ucensa�Class LICen58 No. �D/ fi %%3 PLUMBING FEES Planning Notes: , - � M Date - ' Sl9nature E .rARKERS' COMP NSATION DECLA TI N' . BerSlnk ShoWen N +�* `'.t�reby aHlrm that I have a certlflcate wn nt to seHdnsure or a certlficate , . . .. , T -'=�� WOrke�s' CompanSdtlOn InSuranco� O /tllletl cOpy thereof (Sectlon BeckflowPreventer � ServiceSink ,,, . S �� eoo, Lao. CJ , , Beckflow Irrigation Sewer Cap � �c . ELECTRICAL � ,FEES Policy No. � 'Company �Certlflea coov Is hereby turnlsnedM ' Bathtubs Sewer Connection � i; Automatic Washer ' Transformer ❑ 75-50 KW Certifletl copy Is 111etl with Iha'tity Builtlinq DIvlSion. • ❑ 50+ KW Date APPlitant' ' Clefifiefs Solar CollectOrs � Construction Pole Sub, ' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION DIShv25h¢r . Solaf Pi �n (Tnis sectlon neatl not be completetl If the permlt is for ona huntlretl (5300) or . P 9 , � CAoking Unit Meter ❑up to 100 amps � � -..� less). . ' . � . I certlfy�that in tne performanca ot the work tor wnicn tnis perm�t is issued I� Drinking Fountains Solar Tank ,,� Dishwasher Meter ❑over 100 amps shall not employ any person In eny�manner so to becoma sub7ect to t{�e workers' Com an tlo Laws of Callfornla-- ; Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel ' Date % ��—Slgnature ' � NOTICE: If,iafter aking thls tlaclaration, you shoy becoma sub7act to e � Floof Sinks - Urinal Fan " Molors �47 HP �7'h'- B� �� Workers' Compensation provislons of the Labot @ tle, you must.forthwlth, . comply wlth such provisions or this perml[ SM1all be tleemetl revoketl: � Gas Service Outlets WatEt CIo52t F.A.U. . �nc.Solar �9-15 HP �16-15+; CONSTRUCTION LENDING AGENCV ' � I hereby affl�m tnat there IS a const�uctlon Iantling age�<y for the pBrfO/manCO Interceprors • . Water Heater � Fixtures � Microwave 01 the wark for which tnis Oermit is•issuetl (Sectlon 30B7 Clv. C.) Lenaer's Name Kitchen Sink Water Service Device Boxes Pole Light Lentler's AtltlreSz ' �� OWNER BUILDER DECLARATION . ' LavatOrieS Outlets Range I hareby a}firm that I am exampt lrom tha Contractor's Llcente Lnw for Ihe p_Tre following reason (Sectlon 7031.5 Business antl Professlonal Cotle: Any clty or P, � Switches . � Sign county whlch requlres a permlt [o construct, alter Improve, tlemolish or repalr , any structure�, prlor to Its Issuanca, also raquiros t�e applicaM tor sucn permlt Roof Drains Garbage Disposal Standing Sections t0 (ile a slgnetl Statem0nt thdt he/Sbe iz Iicensetl pursuant to the provi51on5 0/ . �h,�? Contractor'S Llcense Law (Chapter 9(commencing wlth Se<tlon 7000) of � � � GeneratOr �45 KW �5-15 KW ic�t;�:"ISIOn 3 01 the Buslness Lntl Pro(955I0�5 COtlO) Of that h8/Sh0 IS BxBTpt ' T�dSh COmpdCtOf ��ny�?,efrom antl tha basls for the allegetl exemptlon. Any�vlolatlon' of Sectlon . ' . �'�';ri81.5 by, any applicant tor a permlt subjects thu appllcant to a civil enalty o1 not more than live nuntlretl tlollars (5500). Reinspection Fee $25 laue Fee S 3 � I, as' owner of tno property or my employees wltn wa9es as lhalr sole MECHANICAL Reinspection Fee $25 Issue Fee $ 3 <ampensatlon wlll tlo ehe work, antl the structure Is not intenaetl or of/erea FEES for sale (Secflon 7044, euslness antl Professlonal Cotle: The Convactor's PUBLICSERVICESRE�UIREMENTS: ' LiconSe L2w tloes nOt apply lo an ownBf of a plo08fty wh0 bulltl5 0! Impfoves BOII¢I HOOd OI TypE 1 ❑ tha�eOn, anG who tloes sucn wo�k hlTself/hersalf or through hls or har own ' ZO�i�g App�Oved By DetO employ eas, provitletl that such improvamenti ara not IntenCeG or offeretl for Canopy Type II ❑ sale. I(, however, the Euiltlin or Im rovement is soltl wlthin one ear oi com- Dutt - Under GrOund 9 P v Building Approved By Data pletlon, the owner wlll have the burtlen o( proving ha/sha tlltl not builtl or Im- �rove �or the ourpose oi sale). Duct - Structurel Refrigeration System Appliwtion laued By � Dat ` LJ I, as owner o/ the property, am excluslvely contracting wlth Ilcensetl con- ❑p.700,0008TU ❑100,000 BTU tractorsto consbuct tna pro7ect (Se<tlon 7044, Business antl Protessions Code: Duct - Ventilating SUMMARY OF FEES Tha Contractor•s Llcanse Law doas nol apply to an owner of proparty who � BUILDING PERMIT $ SMIP $ bulltls or Improves thereon, antl who contracts tor such pro�e<ts with a con- Ezhaust SySt¢m ❑ Multiple ❑ System Repair/AIt¢rati0n tractor(s) Ilcanse Oursuant to ene Contractor's Licensa I�w). PLAN CHECK $ PERMIT ❑ I am exempt un0er Sectlon B. & P. C. tor thls reason Firepl/Fact.8lt. ICBO # PLUMBING $ IS$UANCE $ Date � owner Heating System & Ducting � ENERGV P.C. $ PLAN CHECK 25% $ i heraby certify that 1 hava read tnis appilc5tlon antl state Mat the above ❑4100,000 BTU 0100,0008T ELECTRICAL $ !�. �� GRADING $ Information Is correct. I agrea to comply with all clty antl county ortlinances � an0 state laws relati g to builtlin9 conslructlon, antl hareby authorize repra- PLAN CHECK 50% $ MICROFI LM $ sentatives of thii cl to enter upon the above-mentlonetl property for � Insoectlon�pn�— � MECHANICAL $ Q Signature �� '��— Date.Z�/^�i� $ TOTALFEE $ � Drlvers' Llcenu or � peinspection Fee $25 luue Fee $ 3 PLAN CHECK 25% CMF 0865-46 rav. 12/8 Whita - Bulltling; Canary • Applicant; Plnk - Accountlng; Goltlenrotl - Assessor ' � NSTRUCTION AND PL'ANNING ' , -. _POOI 'PA � . _ �' i.PPROVALS Permit # Date Inspector � � AppROVALS Permit # ' -Date Inspector 1�. Temporary Electrical Service or Pole �• 52. Pool &"Equipment Location . � . � .�: 2. Soil Pipe-Untlrgrnd: .53. Steel Reinforcement � . � - ` _ #• I 3. Electricaj 6enduit Utility-Undrgrnd.. � 54. Forms _' . 4. Electrical ConduiDUndYgrnd-. ' � � 55.� Electrical Bonding ' .�_ 5: Sfeel Reinforcement: �� . 56, Rough �Plumbing'& Pressure Test � - 6. Electrical UFER Grnd.� � 3�y . 57: APPROVAL TO COVER-GUNITE ��, � �, �: 7. Footings .�� ."� -- " 58. Electrical Conduit-Undrgrnd. - _ . 8. FounHation, � - -� 1 �. . 59. Gas'Pipe, � Undrgrnd., Test � � ' 9. Water: Pipe-Undrgrnd. �' � - 60. Backwash Lines, P-Trap, � Undrgrnd. L - 10. Structural Floor System � - 61. APPROVAL TO DECK 11. Prope�ty Sewer Line &;House Connection 62. Backwash & Receptor-Final 12. Sewer� Cap ,- 63. Heater & Vent-Final � . 13. Roof �Drains � - ' • � - 64. Plumbing System - Final ' 14. Rough Plumbing ' �65. Electrical-Final- � ' 15. Rough Electrical-Conduit "- - '- 66.� Solar System-Final � � , ' ' 16; (Rough Elecfric 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 Condit�oning - ' FIRE DEPT.:REQUIREMENT - � , 20. �Rough Factory Fireplace APPROVALS Permit # � . . 21. DuCts, irnStructure � � 70. Underground Hydro � 22. Ducts, Ventilating •� 77. Product Piping O Gas ❑ Oil 23. Gas Pipe-fiough & Test : C� 72. Underground Flush 24. Roof Framing .,� � ' 73. Undergrnd.StorageTank �Gas ❑Oil � 25. Roof Sheathing - 74. Oyerhead Hydro � , �� = � � � 26. T-Bar Ceiling (Structural) & Nlonocoat � , 75. Dry Chemical � , � 27. Frame and Flashing , ' ' ' 76. Dry Standpipe , . � � � � 28. Lathing & Siding _„ ' 77. FIXED SYSTEM FINAL - � � 29. Insulafion ' 78. FIRE PREV. FINAL � � �, "30. Drywall Nailing HEAL•TH DEPT. REQUIREMENT . 31. Plaster Brown Coat ' 79. FINAL INSPECTION 32. Electrical Power Meter-Final � � 80. FOOD CERTIFICATE ISSUED ' � 33. Final Electric � Notes: � 34. Final Heating & Air Conditioning ' � � � 35. Final Gas Pipe-Test � • � � � � ' �� 36. Hood or Canopy � ; - �� . i 37. Final Factory Fireplace. . . ' 38. Final Plumbing , , ' 39. Water Service-Final� � � � � 40. Gas Service-Final � ' ' � � 41. Solarpomestic-Final � - � - �� 42. Backflow Preventer ' � � . ' - � - 43. Backflow Irrigation . � ' ��+ ' �. 44. ,Landscape Irrigation'SYstem � , � �� ', � 45. Sound Attenuation � ' . � � � ' � �� 46. Handicap Regulations - ' ' � , _ � � � • � - 47. FINAL STRUCTURE & BUILDING � �. i � 48. Special Requirements Completed i � � � �� . ' ' - � - - - - - -- -� . . 49. Electric Release 4o Edison , ' . ' ' • . 50. Gas Release to Southern California Gas Co r� , � ,, 51. CERTIFICATE OF OCCUPANCY •�- -- '-' . � � . No. ' � Date� � . r �. . . - - . .- � - APpllcant to flll In all fpaces ezcept those OF COSTA MESA o TRUCTION PERMIT , � ' Prolect Address �8 DOw INS�[�1rW4/ G�l. - Applicant's Mailing Address : -��.�x1v��C1�Li � �� ' Owner's Name .�..� �// '�� PhoneCl%r1_;,7ln��i' Address �� 17r�."i..(�/'2 l_A/. ' Arch/Eng. �E,fj�.f{t1/'� �°'a'� .P License No. y--4� . Address � % � cA.ti %,..c� .��YlL TUS� .,J Contractor's Name.(�%��'�'"�'�'C�'�� Phone �%-2 2�K Address,lmailingl Y i� Z i�i ,21¢C /�/,OC� �/.f� RtJff/Y Ciry License No. Z�'.% � LICENSED CONTRACTOR DECLARATION 1 hereby affirm [hat I am Ilcensetl untler provislons of Chartor 9(commencing wit� sectlon �000) of Divislon 3 of tha Business antl Professioni Cotle, an❑ my Ilcense is in full force antl efte<t. �D/� �� Llcense CIaSz � � Lican . No. ^ate � Si9nature )RKERS'COM ENSATION DECLARATIO RfeOy affirm Ihal I hdve a CeftlflCdtB Ot COnS¢ t t SBIf-InSurB O� a CeftlflCdte of Workers' Compenzation Insurance, or a ce etl topy thereof (Sectlon 3800, Lab. C.) Policy No. Company 8 Certlfietl copy I5 hereby fumishetl. ' CerNfletl copy 6 flled wit� tne tlty Bulltlin9 Dlvlsion. pate Appli<ant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section nee0 not be completetl It the permit is for ono huntlre0 (5100) or less). I certl(y that in tlte performance of the work fOr ich Nis perm�t Is ISsuetl I Shall nOt employ dny pGrSon In any. manne! a to bacOma Sub�B<t to I�1G Workers/�QGn�Orl Laws of Call - - _ Date �_ T�' Slgnatura ' � NOTICE: It,iai[e� makin9 thi5 tlecla�atlon. You oul bacoma SubfeGt t0 [he Workers' Comp¢nSdtiOn provislons ot'the Lnb r Cotl , y0u must fOrthwitb comply with such p�ovl51on5 or thl5 pe�mi sn be tleemetl r9voketl. CONSTRUCTION LENDING AGENCV 1 hereby aftirm that there Is a constructlon lentling a9ancy for the performance ot the work for wM1lch lhis(�e�i�^�s��(Sectlon 3097 Civ. CJ Lentler's Name Lentler's Atltlress OWNERBUILDER OECLARATION I hereby affirm lhat I am exempt (rom the Contractor'i Llcense Law tor the following reason (Saction 7031.5 Buslness antl Profe55lonal�Cotle: Any clty or couniy w�ich requlras a permit to construct, alter, ImOrove, tlemollsh or rapalr any structure, prior to its issuance, also requires the applicant (or such permit ]03L5 by any applicant for a permlt suo)ects Na appilcanc co a Gvu �enalty o( not more than five �untlretl tlollars ($500). 1, as owner of the proper[y or my employees with wages az thair sole compensatlon, will tlo the work, antl the structure Is not IntenOetl or offeretl � for Shce (Section 7044, Bu51n¢55 antl Pro(e5sional Cotla: The COntrdGtor'S License Law tloes no[ apply to an owner of a property who builtls or Improves. thereon, antl wno tloes such work himself/herselt or through his or her own eTploy ees, provltletl tnat sucM1 Improvemants are not Intontlotl or o/faroC for ule. I/, however, [he bulltling or improvement I5 soltl wlthin one year of com- pletion, the ownar'will have the burtlen ot provin9 he/sne tlltl not Cuiltl or im-' �rove for the purpose of sale). I, as owner of the property, am axclusively cantracting with Ilcense0 con- Iractorstd constructtha pro�ect (Sectlon 7044, Business antl Professions Cotle: The Contractor's License Law does not apply to an ownor of,property who, bulltls or improves thereon, antl who contracts for�such Dro�ects wlth a con- tracior(s) Iicense pursuant to tne Con[rac[or'S Llcense Lawl. ❑ 1 am exempt untler Sec[lon �, B. & P. C. for this reason Data - 'Owner � - � 1 hereby certify that I have reatl this appli<ation antl itate that the above Information Is correct. I agree to complY %`��th all clty antl county ortlinances antl state laws rela[ing/ to�ouiltling constructlon; antl hereby authorize repre= sentatives-of- thls dtx to .enter� upon,,the ,above-menHonetl �property for inspe<tlon Ourpe�ef. � " Signatur¢' ^�i � Date_� %.� Drivers' License or 5_ yk �� - CMF 0865-46 rev. 1 �. heavY DorEer Ilnes ana slgn a11 aDo�oorlate tleclarations. _ TYPE OF CONSTRUCTION LlJ'rJEW LI A�O LJ ALTERATION LI REPAIR - � � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � � - q.p, �S ,� — DESCRIVTIONOFWORK St_)�� Ar?r�Y/ 4t-�/�A- S Main Building: TVPE OF PERMIT� �GRADING ' FOUNDATION STRUCTURAL T Front � ❑ TENANT L�VELECTRICAL UMBING HANICAL , B� RCar ❑ OTHER ' A PROJECT DESCRIPTION 54. Fr. OCCVPaNcv C Aight .� CONSTRUCTION�TVPE VALUATION$ �i�CS�Li_�� g Left ZONE ' GRADING CU.Y�S. �AC0.E5 Ping. Ref. # . Remarks: �-- g5/� S , Parkin9 Req./Provided � , ' , ' Useofeuilding: PLUMBING � FFFc Planning Notes: „�-t.tJ'1�t..�. Bar Sink Backtlow Preventer Backflow Irrigation Bathtubs rinking Fountains loor Drains loor Sinks as Service Outlets Kitchen Sink Lavatories P-Trap Roof Drains ReinspeMion Fee $25 Boiler Dutt-UntlerGround Duct - Structural Duct - Ventilating-- Exhsust SyStem ❑ Multiple Firepl/Fact-8lt. ICBO # Heating Sy'stem & Ducting O ai oo,000 eTu O i oo,000 Reinspec[ion Fee $25 Builtling; Canary - Appllwnt: Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping , Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater ppi —r Water Service laue Fee Hood or Type I ❑ Canopy Type I I ❑ Refrigeration System ❑0.100,OOOBTU ❑100,000 System Repair/Alteration Issua Fee s4ei .2�o��a�: �--+'-z�o�a. j7 /— lccessory Buifding: Park.Fees $ � ._.� . ELECTRICAL Automatic Washer Transformer � 15-50 KW CanstructionPoleSub. �50+KW � Cooking Unit Meter ❑up to 100 amps Dishwasher Meter ❑over100amps Dryers ❑Gas ❑Electric Sub Panel Fan� y Motors -1 HP X- 8 F.A,U. InaSolar �9�15 HP �16-15+ Fiztures ' Microwave Device Boxes Pole Light Outlets Fiange � Switches Sign Garbage Disposal Stantling Sections Generator �0.5 KW �5-15 KW Trash Compacror $ 3 ; Reinspection Fee FEES �.PUBLIC SERVICES R , 2oning APProved BY_ Building Approved By . ' APoliratian Issued Bv_ $ 3 luue Fea ' SUMMARV OF I BUILDING PERMIT $ � •+��. � ' PLAN CHECK $ `I�OZ . PLUMBI NG $ I I� OO PLAN CHECK 25% $ � ELECTRICAL�. $ SO � PLAN CHECK 50% $ � %S MECHANICAL $ � ;, PLAN CHECK 25% $ FEES $ 3 B O N I N G R E Q U I R E M E SMIP $ �' 9� PERMIT ISSUANCE $ � ENERGV P.C. $ GRADING $ MICROFILM �$ / G�/�/� TOTALFEE $ � CONSTRUCTION AND".PCANNING � APPROVALS Permit # - Date � 1. Temporary Electrical Service or Pole � �� 2 Soil Pipe-Undrgmd. ' ..' 3. E/�ctrical Gonduij�Utiliiy-Undrgrnd� � '�' 4: Electrical Cpnduit-Undr;grnd. ',� ,i� 5: Steel ReinfbrCement � � ..t . I : ..j .. 6: Electricel IIFER�Grnd.� . 7. Fqotings 'i �' . �� . � ,- � � rt 8. Fo,undation � '� "I _ - 9. W�te,r Pipe-Undrgrnd. : ' 10. Struc[ural Floor System . � 11. Propeity Sewer L�ne &�House Connection ' .h � � 12. Sewer Cap � ,j ' : � .� I 13. Roo,f�Drains •� � � . yj 14. Rough Plumbing � s' � r Inspecto �15. Rough Electrica�-Conduit � ' - � � , 16„�Rough Electric Wiring � � . - , 17: Rough Wiring Sign � _ r • 18.•'Rough Electrical-T Bar Ceiling , n� 19:, Rough Heating & Air Conditioning � i 20.�Rough Factory Fireplace � - 21. Ducts, in Structure � �. 22. Ducts, Ventilating � � � r - .23. Gas Pipe-Rough & Test � 24: �Roof Framing' . ' � 25. Roof Sheathing - � �• 26. T-Bar Ceiling (Structural) & Monocoat 27: Frame,snd Flashing � i 28. �Lathing & Siding 29. Insulation . ' 30. Drywall Nailing � . 31. PlasterBrown Coat ' 32. Electrical Power Meter-Final 33. Final Electric 34. Final Heating & Air Conditioning' . 35. Final Gas Pipe-Test , i 36. Hood or Canopy ' - 37. Final Factory Fireplace 38. Final,P.lumbing � 39. Wate�Service-Final � 40. Gas Service-Final � ' 41. Solar pomestic-Final ' 42. Backflow Preventer � 43. Backflow Irrigatibn 44. Landscape Irrigation System , � 45. Sound Attenuation, �� 46. Handicap,Regulations 47. FINAL' STRUCT,URE & BUILDING�� 48. Special� Requirements Completed . 49. Electric Release to Edison � � 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY � Jo. � Date � � _ PO� iSPA . .. � APPROVALS Permit # Date 52. Pool & Equipment Location � Z;7 �-� ' 53. Steel Reinforcement - � 54. �Forms . � 55. Electrical Bonding �_7�y Inspector � �, ' 57. APPROVAL TO COVER-GUNITE 7�.t� � � 58. �Electrical Conduit-Undrgrnd. 3-ZO $4 �� 59. Gas.Pipe, C9'FUndrgrnd., Test '1.,7.�j�/ i 60. Backwash Lines, P-Trap, O Undrgrnd. 3_ZO-$1� � 61. APPROVALTO_DECK - � � ZO-j(� �, 62. Backwash & Receptor-Final � ' '� 9'-20 �, 63. Heater & Vent-Final 3�ZD-�'�. �� 64. Plumbing System - Final 3,_Z6 �.�{ 65. Electrical-Final � -ZQ-�j' � 66. Solar System-Final - . 67. Fencing & Access Approval �� qe !��Z�B_ 68. APPROVED FOR PLASTERING �f-�-�y 69. POOL/SPASYSTEMSFINAL ! � . FIRE DEPT. REQUIREMENT APPROVALS Permit # � � 70. Underground Hydro 71. Product Piping O Gas ❑ Oil - 72. Underground Flush ' 73. Undergrnd. Storage Tank O Gas ❑ Oil I � 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe � 77.' FIXED SYSTEM FINAL � ' 78. FLIRE PREV. FINAL , HEALTH DEPT. REQUIREMENT � � � 79. FINAL INSPECTION �; 80: FOOD CERTIFICATE ISSUED . Notes: 2-3 -by NOT QF_A1')Y FO.K PRF. i. �.�. `. -, . . � , � � • � <� � 0 a lO 0 , Gunite �+) Post-Ten_ �ned Concrete O REPORT OF IPlSPECTION ON Masonry () Fireproofing () Concrete ( ) Reinforcing Steel ( ) ' � ro: �o_� fYleS,a Address CNNER PROJECT: �� ,,,,A., „-5. (�.�,1,� Spq Report NO. Address: `�,p�,Q �ONn1�/L'� i� �bs�a (11o�.n Permit No. �O�'-,�;'� _ Architect: (Zq� �r�y�n� Contractor: �Z�� Address: Address: Engineer: i2e�c�,,,��n Subcontractor: _(��i��_C�«, � (Gunite) A�dr^.ss: Masonry or Concre[e) Inspector: (�'��x �-{{��2 Address: 0? �. (�x?,45�, 2=ullei�tc,�'i Ptlx Used:C�•`,�_ � $lump, inches: �— /ldmixture: �� Designed Strength, P51:`�„�C�b The follow;ng inspection was performed in acc�rd3nce �iith the approved drawings: Lu,Vds. No. of DATES Placed CYIs• Remarks a�� z��, �-, ��.. ��-a, �t � ��..: J , m Copies of Reports to: (Indicate which Bidg. Dept. b furnisN address of any not listed) � Q� yf�0 2�`` �-� Tv�iniaq Laborat��ies �/ ��«t�e1,� e��c��2,�u�, �,t�. W2�� JSIO Anlwil W�Y / Maibny AJJ�vss PA. Uua A/ / Long Uuacli. CA y00U1 /(21J1 �JGJJ5$ / 1'1.191 GJG230G / OIA1 01U�GAJ2 TESTING nnnHciwrncr:: �su.oNams�wwsu��i i s;��u,n��:�,cnoz�os i ��inissmzcns February 17, 1984 Examination: SC84-1163 COMPRESSION 7ESTS ON GUNITG CYLINDERS � Max Sitter P.O. Box 3454 Cuilertcn, Cali:ornia 9253? PROJECT SWIhP7ING POOL & SPA aooaesS . 3028 Donnybrook Ln., Costa Mesa APCMITECT CONTRACTOR Ray Harkee Ray Harkee ENGINEEfl SUOCONTR4CTOH Reagan & Kramer Mike Seott SAMPLe FROM Shallow end tra�sition, and roain drain. MIX DATE CAST DATE TESTED SPECIMEN NO. COMPRESSION TOTAL LOAD, LBS. POUNDS PER SO. IN. 28•DAV AVERAGE, PSI COMPLIANCE SPECIMENS D157RIBU710N: ' Max Sitter - 3 �sta Mesa Bldg. Dept. SPECIFIED �,2_� STRENGTH 2-8—BU SLUMP SIZE a-��-eu 2-��-au 1 9-Day 36,000 7,390 MADE BY Chuck 2 9-Day 40,000 1,540 DELIVENE� OY Max 2,000 psi 5-3/4" x 12" 2-t7-84 3 9-Day 59,000 2,270 RECEIVED ON 2-74-84 �y� �___.',�.. Neale R. Zuidema ALl REPORTS ARE SUOMITTED AS THE GONFIOENTIAL PqOPERiY O� CLIEN75 Ap1110R1UJION I'OR i'UOUC�tION Of OUR fll I'UIIIS. CONCWSiON5.Of1 C%IfUCfS ffi0lA OR RC:G�fl01N4 fI1CM IS IICSERVBb VLNDING OUIi WHII IEN RPVHUVAL AS � MUIU4L PROICC IIUN IO GLILNIS. IIII: YWLIC ANII UUI15LLVL5. J90J2 OWNER College Mesa Co. DATE 9h1/55 JOBADDRES$ 3pp$ Donnybrook Lane BUILDINGPERMITNO. l8rjl GFNERALCONTRACTOR Halo Cn_ VAWE s 8,a1n.Cli) LOY 99 BLOCK TRACT Z�yl 0 GROUP I TVPE V ZONE RJi FIREDISTRICT iA7R PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER Footina Trench Foundation Forms and Grade to Gara e� /r�'� Rough Framfng -��.�!, Plumbing,RoughtoSlab -l�i✓ i"�%- Plumbing, Rough Complete {.1/ � � Temoorarv Pole _ . Heating, Fi Sewer, Hou � 'cTanl C� .ma.In Sewer, St. Final, Fixtures Final Losta Mesa Building Department ,. � , 111 EAST 20th STREET .. COSTA MESA, CALIFORNIA FOR APPLYCANT TO FILL IN ndaresa 3028 Donqybrook Lane Costa, Mesa,, California Nearest ' Crosa St. H8t50II APPLICA7`ION FOR YL+'KmiT lg�g BUILDiNG ' �I FOR Ok'FICE USE ONLY owner Colle e Mesa Com a Mail g002 Central Ave. Address � Nearest Tel. Cross St. c�ty Garden Grove No. Le.9-2158 zo�e Architect or Lic. Enginee� Davis 8[ Qtli Z8 No. r.-1'r9� Approvei b nddrew 43 Malaga Cove P1aza�Palos Verde Contractor The H81C COm City Llc. P�Y tvo. 3422 ndaress8002 Central Ave.�Garden Grove Legal I Lot I Descrfption No. 99 eiook i rr�e 234 Size of Lot Use of New Addition 3EP.1 3 1955 Costa Mesa, California Date• No, of 1270 Rooms 6 Stories 1 Wali Roof $ uC Coverfng Shake APPROVALS "� Si le fami dHellin xith ng ly g �Foundation Location I Inspecfor Date attached ara e. Forms, Materials, g g Under•Pinning � Frame: Fire Stops, Bracina. Bolts � I hereby acimowledge that I have read this Applicatlon and state that the abwe is rnrrect and agree to rnmply Lath. Int with all Clty Ordinances and State Laws regulating building rnnstruction. Lath. Ext Stgnatureot ryE NAL� COAR Permittee Plaster, Int Authorized Agt �w� pJ�,�, p��e�� gM, SILVIA LA&ANEB Valuation Permit Fea $ o� �—` Masonry Rei V/ �� Total heck $ ' Bond Beam $ ' S Fee $ d .3 ' FINAL RbI 204 S-BP 2M 8-55 u W n Z PLOT PLAN Show locatfon and distances from property line and between buildinga � a SEP 27 -55POcosra �7Z� ,—�ES.ry � � :r; Z3.r,o