HomeMy WebLinkAbout2527 DUKE PL - Building Permits!
(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
2527 DUKE PL
HALLWAY CLOSET
Parcel Number: 14141237
Applicant:
Address:
Owner:
Address:
Contractor
Address:
PARSONS,GORDON
2282 ORCHARD AV
NEWPORT BEACH, CA
HUGHES, 5%�NDRA DAVIS
2527 DUKE PL
COSTA MESA�� CA
OWNER-BUILDER
MECHANICAL PERMIT
ISSUED BY:
Phone: 949-756-0064
Zip: 92660
Phone:
Zip: 92626
Phone:
Zip:
License: 0
SCOPE OF PERMIT
REPLACE A FAU IN AN EXISTING SFD.
NO OTHER WORK WITH THIS PERMIT. �
ISSUE FEE
Inst FAU <700 k BTU
Inst FAU >100 k BTU
Repair/Alt Cooling/Heat
Inst / Rep. Recess Wall Htr
Refrig Sys <700 k BTU
Refrig Sys >100 k BTU
Gas Piping
Factory Fireplace
Hood w/Mech Exhaust
VAV Boz
Vent Fan / Single Duct
Appliance
Fire Dampers
Smoke Dampers .
Inst or Relocate Appl Vent
Air Handlers < t0000cfm
AirHandlers> 10000cfm
Floor Furnace
Floor or Suspend Heater
$23.50
$14.80
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
FEESUMMARY
Repair / Alt Absorbtion Unit
Repair / Alt Refrigeretion Unit
Ventillation System
Evaporative Cooler
Commercia l I nci nerato r
Domestic Incinerator
Compressors / Absorption Systems
� Upto3hp/100kBTU
3To15hp/500kBTU
15 To 30 hp / 1,000 k BTU
30 To 50 hp / 1,750 k BTU -
Over 50 hp / Over 1,750 BTU
Boilers
Up to 3 hp
3To15hp
1510 30 hp
30 to 50 hp
Over 50 hp
Other Mechanical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Status: ISSUED
Applied: 12/05/2001
Issued: 12/05/2001
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
50.00 0
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES $38.30
COMMENTS / SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitornia statutes and related
regulations. (Ord. No. 92-28, § 1, 72-21-92)
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 penod of 180 days. .
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetlo�s and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
xaaws (a�oo�
WORKERS'COMPENSAnONOECLARAnON:
I hereby affirtn under penalry of perjury one oi the tollowing tleclarations:
❑ I heve end wlll mainteln e caNficete of consant m sel4lnsure for workers' compensatlon, es provided tor by section 3700 of Ihe Lebor Code, for the peAormence of tha
work for which this parmit Is Issuetl.
❑ I have antl wlll meinlaln workers' compensation insurence, as requiretl by sectlon 3700 of the Labor Cotle, for the pedortnance oi the work for which �his pertnit is Issued.
My workers' compensatlon Insurence cerrier end poliry num�er are:
Cartier. Polity NumCer:
(This section neetl not be comp/eted it the permit is veluetl et one hundred dollars ($100) or less.)
❑ I certiy thet in t�e performence ol the work for which Ihis pertnit is issuod, I shall not employ eny person in eny manner so as to become subjea to the workers'
compensetlon lews ot Calitornia, entl agree ihat If I should become subJect to the workers' compensatlon pmvislons ot Section 3700 of Ihe Lebor Coda, I shell torthwith
comply with t�ese provisions.
Applicant Signature: Date:
WARNING: FNLURE TO SEWRE WORKERS' OOMPENSAiION COVERAGE IS UMAWFUL AND SW1LL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED
TTqUSAN� DOILAHE (E100,000), IN ADDITION TO iHE �5T OF COMPENSATIIXJ, OAlAAGES AS PROVIDED FOR IN SECTION 3'1O60F TME IABOR COOE, ItJrEREST, AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aNirtn t�el I em Ilcensed under provisions of Chepter 9(commencing with Sectlon 7000) of Division 3 of ihe Business and Prolessions Code, and my Ilcense is in tull
lorce end ettect Lic. N Cless q
CantractaYs Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby eHirm that there is a conslruction lentlinq agency for ihe pedormence af the work for which ihis pertnit is issuetl. (Sec. 3097, Civil Code).
Lentler's Name: Lender's Atltlress:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I here6y eHlrm ihet under penalry of perjury thet I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions
Code: Any ciy or county which requires e permit to constmc6 alter, improve, domolish, or repair any strucNre, prior to its Issuance, elso requires the applicant tor such pertnit
to file a signetl atetemant Ihat he or she is Ilcensed pursuant to Ihe provisions af the Contrectors License Lew (Chapter 9(commencing with Section 7000) of Dlvislan 3 af the
Business tl Pmlessions Cotle) or that �e or she is e:empt therefmm and the basis for the allegeC exemption. Any vloletion of Section 7031.5 by flny epplicent for e perrt+t
subje he applicant to a civil penalry of not more than five huntlred dollars (§500).):
I, as owner of t�e property, or my employees with wa9es es iheir sole compensation, WILL DO THE WORK, antl the sWcture is not intended or otteratl for sale (Sec.
7044, Business enC Professions Code: The Contractors License Law does not epply to an owner of properry who builds or improves thereon, and who tloes such work
himself or herself or ihrough his or her own employees, provided that such improvements ere not Imentletl or oHeretl for sale. If, howaver, ihe building or Improvemem is
sold within one year of completioq the owner-builder will have ihe burden of proving thet he or she did not builtl or impmve for puryosa of sale.).
❑ I, as owner oi Ihe property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct t�e project (Sec. 7044, Business and Protessions
Code: The comrectors License Lew does not apply to en owner of propeny who builtls or impmves thereon, entl who comracts br such project with a coNrecior(s)
licen5e pursuent Io ihe Conirettor5 Litense LawS.).
❑ I am exemgtynder sec.
Ownar ID verilietl Dy tlriver's Ilcense.
�s ❑ No
Business antl Professions Code lor this reason:
oate: /2-5—G/
OnversLicensallo. Ezpires: p—Ii—Gf
Veritice�ion ol OwnerShip by (type ol tlocument, i.e. - property tan bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION:
❑ I hereby certily ihei no escavaiion five (5) or more leet in depth into which e person is requiretl lo descend, will Ge made in connection with work euthorizetl by Ihls
permit, entl ihat no Duiltling struciure, scattolding, falsework, or demolition or dismantling thereot, will ba more than thirry-six (36) feet high. (Ghap. 32, Grp 2, Art 2, Sec.
341, Ttle 8, Califomia Adminlsiretive Code).
❑ As awner-builder, I will not employ enyone to do work which would require e permit fwm tha Divislon of Indusirial Sefery, as noted above, unless such person hes e
permit to tlo such work trom the tlivislon.
Signeture: Date:
Division of Indusidal Safery Permit Numbar.
CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTFiV: I certity under penalry of perlury ihet I heve read this application and state ihat ihe inlortnation given is
correcl. I agree to comply with ell stete lews antl city ordinances relating ro Duiltling consfruction, end euthodze representatives of t�e Ciry of Costa Mesa to enter upon Ihe
ebove-descnbed properry for inspection purpwes. I agree not to occupy or allow occupancy of eny building eu�horized by this permi� until finel inspection.
��Signa r tLegal (s) `Da�e.
�Z — �y
AnNOr Aut�onzetl Appliwnt Date y
CO�E I, INSPECTONTYPE
1616 FixeC System Final Fire Preventian
1286 Pool Spe Final
200 Finel Re-Rool
201 Final BIocWRetaining Well
202
203
Final Feciory Fire Place
Finel Sign
204 Finel Demolition
PdIE Iimn�LS
yOUE 1 INSPECTION TYPE
206 Final Mechaniwl
20B Final Plumbing
270 Final Electncal
212 Flnal Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building�Occupancy
Q�1g �
l�-Ob•ol C� 1�
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� Y� Appliwn! !o fill in all spaees e:eaot t�ow wit�in �aary GorCer Iines anQzl9n all approo��ate tleclarationz.
� cr� � ' - � 4 ✓� ; _ ; . - - , OD94 6/09/B3 � ' f B 1.43: -TL
1' -Y OF CO,STA.Mi�fA• � . . ' E MIT NO. � � ACT NO. LOT�NO.,, ,- BL . .� . � ' . ! ' , . , _ . ' �:: > ,_
'f�TRUCTION�PERMIT • , ' ' , � 7 3 . ��i . . _ � ; . i . , , . .
ApplicenYs Mailing. fA�ddress �� � . ` TVPE OF CONSTPUCTION• Ew ADD ALTERATION REPAI R � - � � � ' � � - � ' i
ProjectAddfess C�52-� �����a -1�_���L ` ❑ CONVERSION � DEMqLISH .�,OT�iE{j, � � � � ' ' ' � . � � ' ' � �
DESCRI7TION OF WORK �'� « �Y�� '
Owner's Name_� ��'" hone � Q � . . . . , . "/I - I G E ULATI
Addreu � �Q�� - � , _ ^ �7 'rypE OP PERMiT GRADING' � FOUNDATION . STRUCTU 0.AL A. P. � �y � � � ZONE � . - -
ArCh/En L'c_ �^ NO ����� a� 'O TENANT LECTRICAL LUMBING ECHANICAL - ' BUILDING �• �
9•. . -' � � � � PLNG. REF. # - � '
❑�OTHER . �7 t � REAR VqRD (T0 P/U S
Addr2ss, � � r o _ � �' • 7o BUILDING
COntfactOr'S Nam hon �- PRQIECT DESCRIPTION Sq: FT.'� �OCCUPANGV PROPERTV LINE . �
LEFTSIDE VARD � �� RIGHTSIDE VARD ��q [���� ,/�
1 , , CONSTRUCTIONTVPE • VALUATION$ ��I�CXJ^ — S �/�//'7CJ�/�`
Addless��melling) �' PKG.SPACE REQ. PROVIDED —�
�^Z(�.,1� p ZON$ � GRA�INGCU.VDS. �ACRE$ _ .
License No. % t Y � -
LICENSEO CONTRACTOR DECLARATION � ' �Remarks: . . ' � � STREET WIDTH � � � PARK FEE�$ �� �
I hereby alfirm thal 1 am Iicensetl untler provisloni oi Chartar 9(commencing � -
I wRh sacqon 7000) of Divlilon 3 af the BuSiness antl Profas5ion5 Cotle, antl ; - �. � � SPECIAL CONDITIONS: ' - ' � -
my Iicanse is i full orce andeffacL / N � .
LlcenseClais LlcenselNr�"�V�� ' � � PLUMBING• � . • � ' � �• • � .
. Da[e ��� �5 Sl9nature . . . - .
�,WORKERS` COMPENSATION DECLARATI � , Baf Sink Sewer Cap � �� ELECTRICAL . � �
_ =a._��reoy aiflrm Mat I hava a cerUflWte�oLtonTent to selNnsure ar a certlilcate - � - gackflow Preveoter" " � �� , " SBWer ConneCtion " "', ' -'� ' "� " ` - Automatic Washer- - � ' Mater over 10� amps .. : ^. _ ., ,
�'- WJorkars' Compensatlon Insuranca,�or a certlf copy thereof (Sec[ion -- ,
��- :�0, Lab. c ��,�i � Backflow Irrigation � • Solar Cullectors � • Construction Pole Sub Panel , �
PoIICY No. ���� C�mpa : � : - -�- ' - .
B Certli tl cov Is hereey fumishetl. � ' : Bathtubs ' � Solar Piping . , Cooking Unit , Sub Pole , ?
tl witn the cit Iltll Dlv n. . - Dishwasher Motors �0-1 HP ❑ 1 h-8
Date .applicant � • . Clarifieri Sotar Tank
EXEMPTI N, OMWORKERS'COMP NSATIOND CL TION � � DlShwdsher' . , SWimmingPoolw/Sp2. DryerS��GaS ❑EleCtfiC �InaSole�;�9-15HP �16-15+
(Thi55ection neetl not be comDleted if the permit I5 for. one h etl (5100) or � � ,
less) . : i � � . � � � � J � Fan � ' Microwave ' � .
I certify;thal in tha par(ormance o1 the work for which this perm�t is 155uetl I D�inking Fountains U�inal '
, shalb not amD�oy any person in any manner so as to become subject to t�e � - , � F.A.U. • � Pole Li ht ' � �
Workers' Compensauon�Laws ot California, , � � Floor Dreins; Water Closet� 9 '
1 � �
Oata � � Signature -� " - ' - � . ; � R � i
. �" _ '. i .. . -' ' " ' ._ Eixtures .
� -NOTIGE: If,'after making this tlaclaratlon, you shoultl become'SubjecYto the ' �' Floor Sinks - . ' Wate� Heat2r." • j � -' ' " "' " e^9e � ' -"' ' " �
' Workers' CompenSaUon provlslons,ot the Labor Cotle„you,must for[hwith� � . . '. � � - �� � DeviceBoxes ' ' � !
� comply �with; such provislons�•oi Ihis-�parmit �shall be'tleemetl� revoketl:� � r. � GasService � �;Outlets� - � � WsterService � � . � 'Si9n:
CONSTRUCTION�LENDING AGENCV' • ' � ' ' � ' Outlet5 ' � '
I hereby afflrm that there I5 a',construttlomlenGing a9ency.far the�performance Int2rcEpto�S � . . ' ' Standing Secti0n5 � '
� of tfie ��wovk for w�ich- this� permlc "I5 �I55uetl (Secilon 3097 Civ. G'; � -
. �eneer•s Name � � � � • ' • - / � � - : Kitchen�Sink • - • ` � - , Switches . , Trash Compactor • �
' t�ntler's Atltlros�` -, " � � - ., , � - . � Gar6ageDispoul � '
', OWNER BUILDER DECI.ARATION; • � ' � .S - c CevatOrieS � , � � �
I herebyaffirm that I am exempt trom the�Contractoi's Ucense l.aw fo} the � - -� • . �-- - - . � Genereto� �0-5 KW �5-15 KW � ' �
� following reason (Sectlon�7031'.5 Buslnesiantl.ProTe551onal�Cotle: Any aty oc P Trap� ' ' _ � ' � � -
'�county which requlres a permit to constru<t, alter improve; Uemolish or repalr ,.- �- . . TranSfOrrtier ❑ 75-50 KW �
! any structure; prlor t0 its,issuance, also reqUlres t�e applicanbfor such parmitl ROOf DfdinS � ' • � � �'.- ! ' • . - '
' tb fila a Di9netl statemenCthat he/sha is II<ensetl pursuant [o tha�provisions of � ❑5U+ KW • '
the Contractor'S Licenze Law-(Cnapter 9 (commencing�with Sectlon.7000) of � ' � � � � � ' � � , RainSpection Fea $15�
-`dslon 3 ot the Business anG� Protesslons' Catla)' or that' he/she �Is exempt ; Showe�s � _ �' �' - Reinspection Fee � $15 . - ,
efrom antl tnel basis for the allegetl exempUon. Any.violation ofl5ection i . ' - ' . - ' - Meter ❑up to 100amps � Issue Fee� � � �$ 3 `
1:5 by_any apP���ant for.a'permlt suDjects tne applicant to a c(vil ' __ _
. nalty of not more than five huntlrea Gollars (y500)'. � • .� � i Service Sink � ' � � laue Fee �. $ 3 zp�j�9 q'pp�oved By pate '
�� I, as owner oP the �property or my amployees witb wa9e5 as their sole . . . . � 7 , 1 � .p�7 �
compensatlon wlllttlo the work, antl the structuve is not intentletl or offeretl -_ ' i 1 MECHANICAL ' qpp��mtion Approved By ' �Date ��
� for wla (Secfion 7044', BuSiness� antl; Professional Cotle:7 Tha Contra<tor'S : _ � , , , - � .
� License Law tloes not aDPly to an owner of a property who builtls or improves Boiler- � . ' �` � Refrigeration System p �imtion Issued B �
� thereon,.antl who Coes;su<�.work nlmself/herself or tnrough his or �er own � � � ' PP Y '� � ' -, �'Date
� emD�oyees, provi0etl tnat such'improvements are;not intentletl or oHeretl for 1 Duct- UnderGround ' , ❑0.100,OOOBTU ❑100,OOO8TU � . � �
' sale. If, however, the builtlin9 or Improvement is sol0 wlthin one year of com- , ' , , � � i � . SUMMAR�' OF FEES ' ;�
� pletion, the owner will bave tna burtlan of proving ne/she tliU not builtl or Im- � � - - � , i � :
rova for the Ourpose of�sale). • � ' � ; � ; � Duct - Structural . System Repair/Alteration $ � SM�P � $ ; -:9/ �
BUILDING PERMIT
1� i, as owner of the properry, am exclu5ively contractlng'with�licensetl con- ' . y , O�. � ' � � �
�_Sractorsto.construct the'project SecUon 7044, Huslneu antl Profeszions Cotla: -� - Duct- Ventilating._? _ ' . _ . ._. _ . _, ..._ � . � PLAN CHECK; $ . PERMIT
Th¢ COn[�dEtO�'s Llcenfe Law �oes'noYSpDly"(o an owner of1:prooertY �+ho - Y,; -'•, ' . . - ' ^p ' ISSUANCE �� '$
� bulltls or Improves, thereon, antl who contractsrfor such pr,ojectz with a con- � Exhaust Sy�stem'�� MWtiple �� . ; � PLUMBING , � $� � . , � • � !
, tractor(s) Iicense ourtuant to the Contractor's License Law){, .,�, � ' , � ' � • . GRADING � $ '
r. • . � � .PLAN CHECK i $� ' . : I
- � 1 am exempt untler Section B. 6;P Crfor tFiis reason^ 1 F�r2pl/FaCt. BIt. ICBO # ; - . $�
.• p . � . �„ . . - . . � � � � . ,
� '� � � � '�ELECTRICAL $ .�._ �
� Date t . � Owner� ' n; . ." ..�• .'. , t � � - Heat�g!SYstem&<Ducting , � � � � ; � $ � � i
' I-hereby ceiiifythat I, ava�reaA thls'appiicatlon'antl state that t�e'above ' - ❑O�t00,000�8TU`�100,0006T � - -- -' . t � (P�NCHECK' � . � I MICROFILM � $
: Intormadon is co rect. 1 rae to c mply with all city antl munty orelnances ' . ; . 1 1 � . . t { � � ' � � TOTAL'FEE ( $� �
MECHANICAL $�
; antl.stata lawt re ating to Ili constructlon, antl harebytauthorize repre- i � � i � � I 1 �
Hood'oc>T e V ❑ t
� sentaHves of •thi ,diy � t �anter p n tne above-mentloneG i roperry for - � � i YP .�� Reinspec[ion Fee � $15 •pLAN CHECK � { �ESS ' I � � j
i Cano �. �T e It .❑� ' $ j ADVANCED'PC �
�InSpeCUo� puip05� — , 1 %\i � ' , f ' $ L
' Signature : � � � � D'ate��� • Re9isters '�i ; ' � laue Fee ! $ 3 i � � � � � ' �
j Drivers' Llcense or 55 # ! � � � � � ' I � FINAL FEE 1 �$
CMF 0865'-46 rev. 12/82 White - Bulltling; Canary - Applicant Pink - Accounting; Goltlenrotl - Assessor ' � / /, � �
, �.
�ONSTRUCTIONAND!PLANNI G � ' - - - a `-'6c� : -� � ���-���' ''�` � � - �' - '�
• ^I ' � ' - z ' ` ' �� . � ,�j ± -. Date I nspf ctor � `� `-' " : ' - . s ' - . : Date � I nspector T
,,- �•APPROVALS ,, Permif�#� � �� `,APPROVALS " Permit# � - �, �;
�v i s ,., � � ,, � � - - • - -
, r•
�`" i1�� Temporsry.Electrical Service or Pole . � � ,�. 2�? �`52� Pool &�EquipmentLocatiou'' -� � � �
� i. � t - r ' -- i .-c�. _ ,�Jlig� .°CI•�C�
'V : .� � �'�� � �. _c :,' J _ .�:.. • - , '
0�2: $oil Pi e:Undr rnd.`= �. i - � -
P 9 "_, i f� � �,, �- 53. Steel Reinforcement _ _ .. ,
`-� _ . • . `:.. ` � . _ r .. ... � ,_ .. _
- 3: Electrical Co'nduii Utilitv=Undrgmd. � i �, , - - �� 54:� Forms' ; . •� • � � � �
_ ,
``�4: Electrical Conduit-Undr�grnd?.'-_ � . �' � � . 55JElectncal�Bonding': - � � , -
'5:� Steel Reinforcement - ,j'� , � , .' - ;_:. ''56.� Rough Plumbing��& Pressure Tesf '
i. � � - -
6r Elect�ical UFER Gi-rid:� �r �' � -� R_� `- , :�57:=APPROVAL:TO'COVER-GUNITE ;� (�.jlj.�} ����-;
�� 7. Footings` � � ' � � _ ; ._ _. : '",�� '�.- ''.'5S" Electricai`Conduit-Undramdr..
=' ir 1� -�j C.
; J _ , . ,. . . . ,
8. Fountlation� ! ' . ��� ; ; _ - � ��59. GasPipe,���Undrgrnd.,Test- - i � 1 �-
4�b-t� -CC.
9. Water'Pipe-Undrgrnd,. t � " . - � : ' ;,60. Backwash Lines, P-Trap, O'Undrgrnd. � (�.�,/•�� e`+
i
10. Strucfural Floor System � � a S � :�' _ ; ;�61. AFPROVA'L TO DECK -� ` � -. � (�,�'•� ,'e:� -
11. Property'Sewei Line'&�HouseConnection �' � s�62. Backwash,&`Receptor-FinaL•' "' _ '
: �'� "�1
12. Sewer, Cap , � r� , � • ' � " „'- ` � ''63. Heaten&�Vent=F.inal ' "
i, •
13. Roof �Drain; � � - � ^'� � - � •i � >�64. Flumbing:System - Final � � � . .�' ;'
14. Rough�Plumbing . � - ' � [' ° - � � '-65. Electrical'Final � � - • � - ' - � i ' "�
u
- %-153Rough-Electrical-Conduit i--;� � '''^����'--- -"- - -- �• �
� I; ' � i � � �66.;Solar�Sysiem-Final - � . '"-
1
` •�:16. �Rough.Elect�ic Wiring� . I i � ' �' - : f� . i; _i' - - � - � ' . 'i. - � � � -
; . , � � :r- i _ . ., . � „ „ ' � r: � I - _ � " , � : 6Z"Fencing. & Access�Approval , : ,
c � 17. Rough�Wiring Sign (• �, � � r. , � I�'` I : i : � - i �; '' i .. ' � I � 68.�APPROVED FOR'PLASTERING�' � � . . � . . ��
� , � � . ���
- 9 16. Rough�EleciricaluT Bar':Ceilingi ��� i'. �; j j} ~(_�`�- 69.: POOL/SPA SYSTEMS FINAL '
;� 19 Rough Heafing,& Air Gonditioning I_' ; i � �� w �( I i FIRE DEPT. REQUIREMENT' '�, � � , j_' '�
> q 20. Roj�gh�Factory Fveplacej � � '� � I ' , � � � ; APPROVALS � � Pe'rmitl# � ,�S �� i��
� i � 2' . Diicts,�in Structure � ''i � � , , � , � � I 70. � Underground Hydro , � � � ,
' R�. `Ducts, Ventilating ��:� � ��� . � � � � i � 71, j Product Piping �O Gas ❑ Oil � � �- i �
'� A� ^,t , i .. � . T � . � -a {- �� .. ' - .
' 2j23: Gas P.ipe-Roiigh & Test � i i ^ f� � � � ' ��'' ; 7z.' Underground Flush � ` � ' ` ! �
; �i'24: Roof'F�aming' � , • ' � � ��r �':� � • � ^;- � �. � - �: 73.�Uridergmd.StorageTank OGas� OOiI� �
, �
� '� 25. Roof"Sheathing � � � �+,� . � - � V ` _ 74. i pverhead�. Hydro � � � � �
-,_ � � ' ���E'�� .m '
: �-26. T�Bai Ceiling (Structurall; & Mono�coat � ; �: � � _ � - j ^ �' j5.; Dry Chemical , ' � � - ' � .-
`s - 27. Frame and Fla;hing � : : � �� �� � ' � , � ` � 76., Dry Standpipe • - � � �
,
' '28. �Lathing & Siding � , � ,{ , ' � i ��' � � 77.� FIXED SYSTEM�FINAL . , � � '
[
_ �; 29._Insulation� ' �_ , `� fd ' � � , � ' � � ; � i 78.� FIRE PREV'. FINAL i •
� �.`30. Drywall Neiling " , . �� �' � � � � � i � �Notexl � ' ' ' � �
, ,^ -. . , � � .. - c-4--- - ----� T-�:-�---� - -�- - . ... _, . . -- -
; a 31. Plaster Brown Coat i�, � � � i i � a � � � -
= �'32. Electrical Power MeteryFinal ' ;. � � � � j �,'r� ' � i �, � , ' ' � . � , � - .
"33. Final Electric � � � � i i^ �' � � � 1 �; ,y � j � � ' , - ' .
34. Final�Heating & Air Conditioning q� � I � � � i I � � �, i �; �
1 � '� i i � i ' I
35. Final Gas��Pipe-Test' �, j.�,. ' , .:� � � ` i � � �'� � � ~ ' � � ' � ' � �� '- � �. -'
r �
36. HOOd Or CanOP.Yi'' � i r� � ,- � � � � �• ' � ' . � � � 5 � � i -' - . . .
�� �n i I "r ' i -`
37. Final F,actory Fireplace;; i `', . � � - � � ' f ; I � i • • � .. : " ' � . T
t. � I x
38. Final Plumbing i - �' � � � '� , i , � ' i , . � � ., . � � . . . .
�
39. Water SeFvice-Final �� � � � �� � � ' I � ; � � �' - ' ' '
� � � � i . i �� ..
40. Gas Service-F,ina�l ' ' , ' � ' ! ' � 4 � � �, : i � ' , ,
,.' .
' 41. Solar pomestio-Final � � - ` ' ' _
- � -� -- - -�. _.. _ ., �.:
42. Backflow�Preventer� : ' '� � ',;�' ' . � � . �' . `• ' .
. �4._ i _ ' _. _.. . � - . '�!
43. Backflow�lrrigation; ��� ' � � _ � - - . ' . -' � �
.�.
44. Landscape Iriigation �System � ' - ° � - � � � � �� . � .. - "
> t',
45. Sound' Attenuation� ', � � t �. • - �, � ' I _ � j • • ' � �
46. Handi�p,�Regutations�' , I � , � � _ � ; �' , . � . - ._ �
47.�FINALSTRUCTURE&BUI�LDING. , I ��. _' � � � � � �� _
48. Special,Requirements Completed; , i � "' I j ' . ' , , � ., , .. • ..
49. Elearic Release to Edison' � � � � ' _�_ �_ ' � � , � � �"
� � j _'_ ' _y"_� _)"" '� ' _�.._- ( 'fi
50. Gas Rewease to Southe�n California Gas Co � � ' � i � � � � , � - i%` � '
�
51. CERTIFICATEOF'OCCUPANCV ' � ' , � 1,, � ' ' ' _:' ' . !
No. � 1� � �� Date' i'� I i i i.__'_�1_i _;_'._'_. _.-_-r.-�I , ., �
,
"-.vM1�. ..el�.J.. � ' �.�.i . .l . .:� _ ..L_ � � 1
� �� w
. �-.. . - . ._�!� �_. ..---.�- �- ��.� . ... 2. . _.
� 02��? FJJKG �• Auil.din�,
-i Address
� /�
��L %"/(%(�%�� Qwncr
-�f�lA-nJ ._ �[�iiiCJ.�� Contractor
7C ! �' /
�=-�`f"� �� Address
Pennit / DaLe
�P� ��Plunber �� % Issued
—r--
CITY OF COSTA PIESA
D!•:PAF72fIi`:T
01'
��I � IC:C SMETY
Register uc tluildi.r.g inspeccor
Certificace o: Cocpliance
G-1�-8_3
I)a[e oE ttiis Certlllcace
To [tie Uirector oP Uuilding Satet}�:
I hereby cercify [har, [he followin� portloi;s oE work on the buildings
at Lhe above addcess which required contimio�s Snspec[l.on and w4�lch 1 was
empioyed [o Snspece, were inspected by me mid cor.:ply wi[h thr provisions
�of [he F3u11ding Code applicable thereto.
�1) Conccete 3). Welding 5) Special Cases
2) Cfasonry q j ��) Reinforced Gypsw^�
Swimmin{; Pool Size ��SX/ ��2—Gurite_�itand PacK
W- � ✓
Sacks Cemen[ �7 �� Tons of Sand 1�7i
Approximate % of water in aggregate , �D _
This repor[ covers work completed during week end
� N;une ��i� �K�%'�1C�L
Addiess a���1j.RUEla%�'
hlr/tiY:�.�G,�-o..� �.STE.r�
Lnbora[ory "%�%i✓^�• Telephone �'G,3— y5 b'�
Focm HU 6 ' �
�f � � �^ � �.% � '-
CITY Or COSTA MESA
BUILDING D1V,����
VU1J N (J �J'✓J I..�
., v .a
- . • ' ��y -,� .. i�C'� � 1� . .
.. '_._.___�.' �__ _ y IL � � ^f �F nVC
.�,,.�,..s.,,`., s� 1^ � � u --- �.
�
�
�� 2
���'�fA
�``�� T�rani�q Y�a�or��o�ie� �,f ��,«t��2,� cuc�f�z,�«�, �,��. �
, _ ....
�� � J:t10 N�P�tl WnY / MaJmy! ���Irubs V.U. (luw n! / Luni� llu:irh. Cn 900UI / I% I:II n2G�:1:1hG / 1'[I:t) fJG-%:IOG /(/ In� 1f:93�f.n':.•
TESTING LiPANGII OGIICC ISIn.D Nuilh tiusnu ti�n.rl i s:���m n�i:�. r.n �iviuv i ii in� s�,m: i�ns �
June 28, 1983
Examination: SC83-3%26
COMPRESSION TESTS ON GUNiTE CYLINDERS
Mr. Errol F. Heesch
20692 Elizabeth Lane
Huntington Beach, California 92647
PROJeC7 PHIL HUGHES RESIDENCE
ADDRESS 2527 Duke Place, Costa Mesa
ARCHITECT CONTBACTOR
Swan Pools
ENGINEER $UBCONTflACTOR
Vern Anthony Gunite, Inc.
SAMPLE FROM
MIX
DATE CAST
DATE TESTED
SPECIMEN NO.
COMPRESSION
TOTAL LOAD, LBS.
POUNDS PER SO. IN.
28•DAY AVERAGE, PSI
COMPLIANCE
SPECIMENS
Swimming Pool � spa
u� to �
6-17-83 SLUMP
6-27-83
1
10-Day
60,000
2,526
6-27-83
2
10-Day
82,000
3,160
SPECIFIED
STRENGTH 2,000 psi
sizE �1; 5}" x 12"
�rz: S-3iu�� X iZ��
3 & 4 "HELD IN FIELD"
10-Day tests comply with specifications.
MADE BY
Ray
OELIVEHED BV
E. Heesch
RECEIVEC� ON
6-20-83
DISTRIBUTION: .
E. F. Heesch - 2
Vern Anthony Gunite, Inc.
-�6eefi„�Mesa Bldg. Dept. /Chuek Conner � � � �:" - -
CITY 0; r� ��� CJ
QU!LC7; �^ �'�a MESFl
�'�' D;yISlpfV
Q��� JUL Q � ��t?�
�l�1�i���ll�1��1 � ��� Neale R. Zuidema
�2���goS,G
nILl�1'I�pIU`1N�f ;UIiMIIIIUn:;111LC6NINl'.nllnl PI�r�199�IVUft.��lulL nUinten/M1lWulu��PUILiCnn�,iFlU� u111�I�IPuuI::�.�iMtq.Uf;luliE.ul��6nmOI:;IIwM
ON HI:G�IIpING IHLM 15 HLSLNVLp PGN�ING UUiI Wfi111EN AI'1'I�UVAL 4ll � IAuI W�L i'IIUII I:IION 10 CIJ! N I:: IIII: YUllt It. ANU UUI�SI_LVLS_
930 11
� . . ' �35�5
COSTA MESA BUILDING DEPARTMENT
P.O. BO% 31]
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
ADDRESS 252�/ LuttB PZ$CB
COSTA MESA. CA�IFORNIA
OWNER ?•tesa Hi hlands Inc
MAIL 1555 Placentia
Neti ort Beach Cal. �No:
CITY
ARCHITECT $$$B LIC.
OR ENGINEER NO.
K. W. Koll ConSt. CO urv uc.
CONTRACTOR NO.
LEGAL
DESCRIPTION
A.P. NO.
.ow�nrv �ncs. O
USE OF
E%ISTING BLDG.
SETBRCK LINE FROM
CENTER OF $TREET SO REAF
SIDE VARD RIGHT ZO LEFT
DESGRIPTION OF WORK
NEW p ALTERATION AODITION
__-
REPAIR 1 MOVING DEMOLISH
SZIEDING �Gn� �'�Ln ROOMS6 STORIES 1
J I a�7
EXTERIOR WALL 1 ROOF
t'nvvwima sbuCC� COVERING wood. shin
.�-, u��.e� ".: � '�:�
�I�����
Ci�\, "�'E DE?T.
��r� r �'�^T�\ 0.1:Ch
.e:�� ,
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
wECEIVTNO. pERM}L{�j_(
L( �
l3aJ
ECFJ.VE�9� �tTE RECEIVEDy DSTE t55UE
/l .� .�.. rr
BUI�pING II
ADORE55
COSTA MESA. CALIFORNIA -
APPROVED
fiY DATE
CORRECTIONS
The Amoun ,•
I HEliEBY aCNNOWLEOGE TNLT I MAVE FE1O TNIS 4PPL�CATION AND U� Qse � •
STRTE TXRT iME ABOVE IS COR�iECT PND iGqEE TO COMPLV WITH RLL P D o establishing a permit fee cnl .
CITY OflOINANCES /ND $TAiE L4W5 REGULSTING BVILOING C NSTRUC�
noN. VALUATION
SIGNATURE OF ��� C
PERMIT FEE S 35�00
PERMITTEE 15 747�0� l��J�
� PLAN CHECK 5
$ C �/�
AUTHORIZED GENT TOTAL FEE $ J2� Jy
�s�r