HomeMy WebLinkAbout2935 ELLESMERE AVE - Building Permits�
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•ELEVATION • D•D
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FOR
NO. 2I38
AIRFLC
' ALUMINUM
AWNING C0.
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MGNUF�CNYEPS Of OY.LLl�Y
VPT 105 pM0 MMNG) SMfi IN)
C. FRANKLIN KNOWLTON
$TRUCTUR/�L ENGINEER
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6985 2/04/85 3025 iL
AOP���ant to IIII In all s0aees axcepl t�ose wit�in heavy eorOer lines ana si9n all appropriate aeclarations.
CITY OF COSTA MESA
CONSTRUCTION PERMIT
Project Address — �
Applicant's Mailing Address ,
Owner's NamYg � F)/'� N ALL.. �� Phonc�L�z
Address �%�-3-� ���'V��E
Arch/Eng. License No.
Address
Contractor's Nam�/ �� G•�1/iQP</}� Phone �€�5.��> kl
Address ImailingY � �zO �5.�6(�J70L'hC� L%/? S�7V �a/�
Ciry License No. 3���"s7
LICENSED CONTRFCTOR DECIARATION
I her¢by affitm that 1 am IicenSetl untler prOvisions ot Charter 9(commendn9
witn section 7000) of Divislon 3 of the Business antl Professlons Cotle, an0
my license is in fuil for e antl ef cL ^ �� O 6
License Cla s � � ense No. v�
Date Si9nature
�ORKERS'COMPENSNTION DECLARATION
�ereDy affirm.that I have a certiFlcate oi consent to selt-insure or a certiticate
�f Wo�ke�s' Comp¢nzation Insurance, or a cettltietl coOY the�eOt (Se<tion
3800, Lab. C.) ' ,
Policy No. Company
eCertifietl copY is hereby fumishetl.
Certifietl copy is filetl wit� the city Builtlin9 Divisian.
Date APplicant -
E%EMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section neetl not be comple[etl it [he permit Is tor one huntlretl (5300) or
le5s).
I certity that in tha oertormance of tne work for which this perm�t is issuetl I
shall not e plo any person ln dny mann r o as to become subject to t e
Wo�ke� C e LawS of Calitomia
Date Si9nature —
NOTICE: It,�afte� making thi5 Oecla�a[ion, y0u zhOultl be me bjec t h0
Workers' Compensation provisions ot the Ldbot Cotle, you must tort Itn
complY w��h such orovlsions or tnis oermit shi11 be tleemea rewkeC.
CONSTRUCTION LENDING AGENCV
I hereby attirm that tnere is a consVuction lentling agency for the pertormance
of Ihe wark far whic� t�is Dermit is issuetl (Section 3097 Civ. C.)
Lentler's Name -
LRntler's Aatlress
OWNER BUILDER DECLARFTION
I hereby aftirm thal I am exempt from the Contractor's Licenze Law for tne
following reason (Sectlon 7031.5 Businezs antl Professlonal CoOe: Any city or
countv wnich reauires a oermit to construct, al[er, imprave: demolisn or reoalr
'Y9erolwm antl t�e basls tor tha allegetl exemptlon. Any violaUon of Section
�`%031.5 by any appllcant to� a permlt subjects the appllcant to a tivil
�enalty ot not more than five huntlretl tlollars (E500).
I, as'-owne� of Ih¢ Property o� my emplOy¢¢5 wlth wagCs as thei� sole
compensation, will tlo tbe work, antl the structure is not intentletl or otteretl
f0/ sale ($ectlon ]094, Busineis antl Prof¢ssio0al COtle: The Cont�acto�'S
LicenSe Idw tlo¢5 nOt aD�ly t0 an owner of a p�ope�ty who builtls or Improves �
the�eon, antl who OoeS such wo�k Itlmself/h¢rs¢If or through his o� her own
employees, provitletl tM1at such improvements are not intentloa or otteretl for
sale. If, howeveq the bulltling or Improvement is soltl within one year ot com-
pletion, tho owner will hav¢ [he burtlen Ot Provin9 he/she ditl not bulltl Or Im-
�rove tor the purpose of sale).
I, as owner of tha proDertY. am exclusively contracting with IlcenSetl con-
tractors td construc[ the project (Sectlon ]044, Business antl Aofesiions CoOe:
The Contractor's License Law does not apply t0 an owne� of Property who
builtls o� Irttproves thereon, antl who cont�acts tor SUGh project5 wlt� a con-
t�act0�(5J Ilcense pu/suant to the Contracto�'S License Law).
❑ 1 am exempt untler Sectlon B. & P. C. for thls reason
Date ' Owner
1 hereby certify that I�have reatl this aOP�icatton antl state that�the above
Information I5 correct. I agree to comply with dll tlty antl coun:Y ortlinanC¢5
antl-5[ate laws relatin9 to builtlin9 cons[ruc[lon, antl hereby authorize repre-
Sentativa5 of this'City enter upon the dbove-mentionetl Oropert fo�
inspectlon r , .9/� �'�'
Slqnahre Date O`
Drivers' Llcense or 55 �
TVPE OFCONSTRUCTION LJ NEW LJ ADD fZQALTE(3ATION U REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DE��TI�ONCuWOR / Cv/T %� O
// ��
TYPE OF PEflMIT�y GRADING FOUNDATION lJ STRUCTURAL
❑ TENANT yqELECTRICAL ❑ PLVMBING ❑ MECHANICAI
❑ OTHER
PROJECT DESCRIPTION 5a. F7. OCCVaANCv
CONSTRVCTION TVPE VALUATION S
ZONE ORADING CU. VpS. ACRE$
Remarks:
Sink
Preventer
Irrigation
Drinking Fountains
Floor Drains
Floor Sinks
GasService Outlets
Interceprors
Kitchen Sink '
Lavatories
P—Trap
Roof Drains
Reinspac[ion Fee � $25
Duct- UnderGiound
Duct - Strucmral
Ouct � Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Blt. IC80 �k
Heating System & Ducting
❑aioo,000eru Oioo,000
Reinspection Fee� �I $25
CMF 0865-46 �ev. 12/83 White - - Accounting; Goltlenrotl - Assezsor
Showers
Service Sink '
Sewer Cap
Sewer Connection
Solar Collecmrs
Solar Piping
Solar Tank
Swimmin9 Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
laue Fea
Hoodor Typel ❑
Canopy Type I I ❑
Refrigeration System
❑6100,OOOBTU ❑100,000
System Repair/Atteretion
luue Fee
FEES
S 3
$ 3
A.P. qW
S Main Building:
E
T Front
B Rear
A
C Fight
K Left
S
Ping. Ref. #
Parking Req./Provided
Use of euilding:
Planning Notes:
Zone
:sary Bui
Park.Fees $
ELECTRICAL
Automatic Washer Transformer ❑ 15�50 KW
Construction Pole Sub. ❑ 50 + KW
Cooking Unit Meter ❑up to 100amps
Dishwasher . Meter �over100amps
Dryers ❑Gas ❑Electric
Fan
F,A.U.
Fixtures
Device Boxes
Outlets 7fl �o� b
Switches
Garbage Disposal
Gene�ator 00.5 KW �5�15 KW
Sub Panel
Motors �61 HP 01 h- 8
Inc.Solar �9-75 HP �76-15+
Microwave
Pole Li9ht
Range
Sign
Standing Sections
Trash Compactor
Issue Fee
FEES
$ 3
Z
O
N
I
N
G
R
E
R
E
N
E
N
T
PUBLIC SERVICES REQUIREMENTS: . � . �
Zoning Approved By Data
Building Approvad By �y�� Date
Application Issued By --?���� Date Z �J�
• SUMMARV OF FEES •
BUILDING PEFMIT $ SMIP $
PLAN CHECK $ PERMIT � �
PLUMBING $ ISSUANCE '$
PLAN CHECK 25%.�.$p�.�o..�_ �FrNEFiGY P.C. $
ELECTRICAL � �� • �-� 3'��RADING $
PLANCHECK 50% $ - MICFOFILM $
MECHANICAL $ TOTALP E S ��
. PLAN CHECK 25% $ rn�.{��y� �. 2()
�r- i 3 •ot5'
-'CONSTRUCTION AND PLANNING � ' POO. SPA - a � - . - _
.Date Inspector � - � � �Date �Inspecto� `
APPROVALS Permit # �APPROVALS� ��Permit # .
�' . , -
1. Temporary Electrical Service or Pole - - i� 52. Pool & Equipment Location "�� ,
� 2. Soil Pipe-Undrgrnd. . , 53. Steel Reinforcement - "
_ _
3. ElyctriCal�Conduit.Utility-Undrgmd. 54. Forms� '
4. Electrical Conduit-Undrgmd. 55: Electrical Bonding - ' '�=
�, .t - - - - - � r. '
5. Steel Reinforcement , � 56. Rough Plumbing�& Pressure Test � ,
6. Electrical:lJFER Gr"nd. � 57. APPROVAL TO COVER-GUNITE � � �
7. Footings ": . . 58. Electrical 6onduit-Undrgmd.� = . . � "
8. Foundajion , �� . 59. Gas Pipe, O,Undrgrnd., Test - -�
9. Water Pipe�Undrgrnd. r - -60. Backwash Lines, P-Trap, O Undrgmd.
10. Scructural Floor System 61. APPROVAL TO DECK . _ �
11. PinpertY Sewer Line & House Connection '�x 62. Backwash & ReceptorFinal - �
12. Sewer Cap �,- ;' � 63. Heater & Vent-Final '
13. Roof DYains • - . �� �.," , 64. Plumbing System - Final . � � . _
14. Rough Plumbing : .. ; �. 65. Electrical-Final � � � � �
75. Rough Electrical-Conduit - • 66. Solar System�Final � � ` f - � � "� - -
16. Rough Electric Wiring 67.� Fencing & Access Approvah - " -- -- "
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' -� •'� '
i
18. Rough Etectrical-T Bar Ceiling � _ � � 69. POOUSPA SYSTEMS FINAL . � �
19. Rough Neating & Air Conditioning �, �FIRE DEPT. REQUIREMENT ', `-
20. RoughFactoryFireplace APPROVALS Permit# _ _ �,
21. DuCts, iM1.Structure 70.� Underground Hydro . - � , �
22. Ducts, Ventilating . 71. Product Piping O Gas ❑ Oil � '
23. Gas Pipe-Rough & Test 72. Underground Flush � �
24. Roof Framing � 73. Undergrnd. Storage Tank �� Gas ❑ Oil � �
25. Roof Sheathing � 74. Overhead HYdro '
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' � :- �
27. Frsme 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 80. FOOD CERTIFICATE ISSUED
33. Final Elearic a. � 5 CL! Notes: '
34. Final Heating & Air Conditioning / � , ' ' _ � �
35. Final Gas Pipe-Test . . - � ' _
36. Hood or Canopy , � - _ �
37. Final Factory Fireplace � ; � � � �
�
, ' '
38. Final Plumbing , ' • ' ' � � �
39. Water Service-Final � .
40. Gas Service-Fina� "� . � f �
41. Solar pomestioFinal � � ' , - � -- � � � �,
4
42. BackflowPreventer � __�,� _ �� - •
43. Backflow Irri9ation � � . �
44. ,Landscape Irrigation System , � � • ' . � �•
r =
45. Sound Attenuation � ' � _ � � � - - '
46. Handicap Fegulations � � ' ' � ' -
47. FINAL STRUCTURE & BUILDING - , � � „ -
48. Special Requirements Completed � - � � . ' . �
49. Electric Release to Edison � � � � � -- ' � ' � �
� :�';
50. Gas Release to Southern California Gas Co � , � � I .
51. CERTIFICATE OF OCCUPANCY . - , - - - , ;- - - � � • j�''
No. Date ' _ ,__
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a
PATIO COVER DETAIL 6/1/67
�STATE--j---.�._�
SPA�� SPA1
S,�E . C
OVERHANG /�
qpFTERS: �x
__...- � cur.rH .._.�-SLOPED FOR DRAIN _
Y
ca �'
/ � � I
C9 �� U _
Block�ng
�.--4� % MAXIM
� BEAM
�
STATE SIZE
3/�g X 2��-T-STR
POST-BEAM
CONNECTION
3/g x S��ags 32°/a —�
Predrill ledqer �
Predrill Exiefin9 '/y'3 Deep
J01S7 HANGER
Or other approved methods
of suppurt � tie.
ALL LUMBER OOUGLAS F/R
�CONS7RUCT/ON' GRADE
�^ (,i. /.
POST
'0 �"�
SHOW SIZE SHOW SPACING
SHOW IOCATION ON REVERSE SIDE.
�— SIOPE TO DRAITJ—
fi �
OROP PATIO FLOOR
ne �
-��- ��� � `: �� PUDDLED SAND FILL .
=rfr_
� �� a Remove G.ass And Weeds Dor+n To Notural Grode �
12� •
� CONCRETE MIX 1:3:4 MAXIMUM WATER CONTENT
POST ANCHOR �I'.��a'.�� 7� GALIONS PER SACK CEMENT.
For Pipe Post. Embed r12—"� Vrovide 26 Ga G.I. Floshinq At Wood Floor Con
Pipe In FOotinq.
Provide Flonge Or Weld Ptote ScreweA O. Balted To Frame.
CMF 00012�46 (BU 40)
CONTINUOU
IEDGER
TYPICAL JOIST ANCHOR
NOTE � USE REVERSE SIDE FOR PLOT PLAN.
No i Ar t—�H r No 2
FOR �PEN EGG CRATE FOR SOLID SHEATHING.
A�UMINUM OR PLASTIC SMINGLE$ OR BUILT UP
ROOF COVERING ROOFING.
MAXiMUM SPAN SIZE SPnCiNG MAXiMUM SPAN
17� O�� 2x6 12'/� 15� I
I 6� 0" 2'x 6' Ifi% 13' 3"
I 5' O" 2'x 6' 24 % I O� I I
I 2' O' 2"x 4"' I 2% 9' 1 I•,
i i' o� rx a- i s�� s' s'
io' o' rx a• za�i� �' i�•
NOTE: FOR PROPOSED OR FUTURE ROOM,OR WHERE PATIO
WALLS ARE TO BE BUILT. USE N0.2 CHART ONI.Y.
WIDER RAFTER SIZE MAY 8E INTERPOLATED FOR
SPACING ON�Y.
FOR PROPOSED OR FUTURE ROOM OR WMERE PAT10
WALLS ARE TO BE BUILT SUBMIT COMPI FT HOUSE
_AND ADDITION PLANS
� * : ' T� , -
, �
_ �i- . . � . � .
�- i ' ,l�' '
- - - ' -- - - �--
f � I � —'-__ T I �'� �!
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� /
�G �C'}�C
7 � � - - , _, !rf(,.�q.-r��. ,- --1— � :17 - �� �f -� -
� PUNS .MUS `.BE., ON�JOB_A'f J ALL� TIMES ; _ _ � . � .- .
1 CHAN6E5 WITHOUT PRIQR� APPROYAL ! I � I �
t � i � { � > , � �� � '
7CE OR-GNA � �R � " � � � � , - 1
..� �uPfGFICA ONS SHAII rtb�r e6 sTRu o STR CT,URAL APPRO.UAL ONLY. �
MIT fOR; OR- N� FPPR81'AC�OF; ANY- IOLATiON t' �� r , i � ,�
HE �ROVISION OF �iHIS CODE! NO,PE MIT PRF � '� 1 ! � - � � � q
I 1
i c�vE nUt�+oR 1T TD-VIOtA7E ORtCA�10El THE �- -SEPARATE!-PERMITS ARE REQ�IIRED y
i0F THIS ,COD SHALL BE YALI6, EXC T IN S� ; � � � ' °i�
!h'ORfi OR USE NICH ITAUTHORIZES I inwFu�.-,..,. _FQR.ELECLRJC&L, R1�UMBif�(&;--- ---
� ; � � HEA[fNG, VEPlTfIATING AI�D ; z
ySSUANCE�OF PERMIi B%ISEO�l1POtV P NS AND � t: �[���� R�(�( E('��T'FONi VVORK '. , I �
�VS SNALIjNOT PREVE_NT 7HE_BUIIDiNG OFFICIAL �. _ �� , _.� i__ , , . .. �' , . ?
�FTER REQUIRI G THE CORRECTION 0 ERRORS b m
i5 A�`ID $f'.ECI ICATIONS;OR F80M.PR VENTING- . -- .ne���a � �. � � F
ERATIONS BEIN CARRIED,'ON THEREUN R WHEN r � ,_ a
OF TNLS fA0 --OR-:OF-l�NY-OTHER-O�DINANf,E � '� -� � -THIS 'At�Il�l�$ER'I�i�JT�;ACCOM�ANY � p
� � ! ' ) ' � � AL�L INSPECiION_�EQUEST� — y
` � -- � '_L . a
j�, r �- �� -9 -+ - r - �� - � � _._.; -- 4 _. O
' � � i F 3 B�iLOi};u31 � c P@RSONS A E TO_ , c�
i i - + - } - --r , . i B �tJ�pt� 7GUEST THAT� THE ?
i � � i �� � S TE j 0 l r0„NIA_I DI.VIS701�' OF,- -� '' �
�' -� US rt n �'FETY BE CONSULTEdrfOR � m
' � A DIT15�ALi REQUIREMENiS. , - - �f -+
� � - --- i -i- �— � -�---�- -
! � � � _ _ � � �� ___�-�____ - . .
t �T �O� �� � _� I u
.y.A �
I_--+._ _ $ A_ ES.i__.�--_.'. ' � -- -'
� � � i � PLANNtNG DBPT, � `r- '_�—;-- - -�— -
-+
I--`� � WllEGT�TO 6LD6�RER� RE,C-'-/'t ' i �'- ��
__�._" ___ _ ��f��,�-� -'F ( / 1__ I__4__��. _ -> -'_ -_ -1
� i J,�.�l.�i5_1L;d.DATE.��I-�-�-tl-. , '�� � ,
� � ( � ' _;
- -- - I rro--�--�--: -_ f- _, - - -i - j- - •
DQK±O�� O� �lLANNI
� '
� _ . �. 1 -_�_ _�-_ � - � � �. _.
� � ' ; Front� i � �
JOB ADDRESS � I�� r i t i�. ��� I�� ti.
COST � )�(J� �r�rl i, . C� _
RICHMONo 8-341f
Stiii�r�I-���n��z� Co���i��lv�
INSPECTING AND TESTING ENGINEERS
]BI EAST WASMINGTON BOULEVARD
LOS ANGELES 21, CALIFORNIA
/OYM p.10 SM P-60 LC
•990Ct�ieo wliN
PITTSBURGH,TESTING
LABOR�TORV
•ll FC/ORiS �Rf $I.BYIIICO �5 IN[ CIIIIII�IN�1�l avnv[o�Y 0� CtIfN15 �UIIIOPIt�iIOM (ON i1101IC�l10M 0( OV9 9CPOPiS. COM[1U510V5 OY [�. —_
IV�CI: fROV p/ ]I .�>t11'.'M�413 LlfIF'.[(� �IFp1:IL OUp NPIIiLti �IP90'i�l �S 1 MUIVAI �POf[<l1ON �O CII[XIt. illf IIIBIIC �Mp p11f511VE3
REPORT OF COMPRESSION TESTS
Fi�E No. � 88–�j�
.loe: MR. F'. YOUNG � S
Aoor+ess: 2�35 �LLESMERE A�E.� COSTA MEgp� CqLIP
OWNER:
AfiCHiTECT: L, H, Boro
9f0(Ut:7C�ALPKK0Iq7(qCl(�XGUNITE� FOUR JTqR
CONT"RACTOR: BLUE HqVEN POOlB
LABOliATORY NUMOER: I C-61- 2566
NARK
LOCATION IN STRUGTl1RE:
CEm[NT. BR�ND . . . . . . . . . . .
ADMI%TURE . . . . . . . . . . . . . .
SANO SOURCE . . . . . . � � . . . .
ROCK SOURCE . . . . . . . . . . . .
MIX NO.OR PROPOPTIONS . . . . . . .
TIl.tE IN M17�%ER, MIN. . . . . . . . . .
SLUMP.INCHES . . . . . . . . . . . .
Mnoe Br . . . . . . . . . . . . . . .
DATE MAOE . . . . . . . � .
D4T�RECEIVED . . . . . . � . . . . .
DATC CFUSHED . . . . . . . . . . . .
DIFMETEit. INCHES . . . . . . . . .
ARc4 SQUARE INCHES . . . . . . . .
Mn%IMUM LOhD.L9S. . . . . . . . . �
C1iU5HING STFENGTH. L95. PER 6O. IN. . i
AGE C4115HF.D, DAVS . . . . . . . ,
UNn WT.. P[R CU. FT. (/C6 YE6TED1 ..�
SrEf P.S.I. AT 28 D�YS . . . . . . ,
REPOaTED TO:
C-61- 2567
MAY Jr� �y(� �
DATE: APR I � � 7� 1961
PERMIT NO.:
Arr�. No.:
Fi�e No.:
uNir: $W 1I� MM I NG PUOL
MATERIAL: GUIY I T E
f C-61- 2567A � _ _--
E.T. #1 #2 #3
�1� FLOOR 9HA4IlOW END� �Z� &�3� WAIL DEEP ND.
' - - - � 1=-== -�— ----_ ___—�-' —
KAISER – PERMpIfNENTE
NONE I
GUNITE SAND I
ASSOCIpTED MqT.ERIALS
1: 4.5
�
*
FOREIAAN
4/7/61
4/13/61
4/14/61 5/5/61
6.15 F,�p
29.�� 3o.i9
58,000 30,000
1950 2p6�p
7 ZV
2000 I
'I MR. P. YOUNG�B
� BLUE HAVEN POOLS
� GUNIiE� FOUR S7pR
� COSTA ti4ESA CITY BUILDING DEPARTMENT
1 EUGENE TIBOLD
RESPee1GGTFLLLLY SJBMITTED
"�S IT -% NY�RY�COMPANY
l ` y/
BY ! -.- ��C_��,
D. F. RoeeRrs
_ Aoolleant to flll In all spaces e:cept thosa within �eavy Ooreer Ilnas antl sign ail aoorooriate tleclarations.
`CITY OF COSTA MESA , _ , p MIT NO. ' TRACT NO. LOT NO. . BLD .. � .
i�CONSTRUCTION PERMIT ' - �'! ( ' '
P�p$licarit's Mai�ing Addreu _ - T,YPE OF CONSTRUCTION I NEW ADD �L�T=R�TION� ' REPAI R-
�' Projttt Addt25S ����I� � � ` � CONVERSION ❑ DEMOUSH OTHER' «� • . �
' Owner'sName hone - DESCRIPTiOrIOFWORK -
Addreu C'p�� . , TVPEOFPERMIT GRADING FOUNDATION �STRUCTURAL . A.P.y$ �
Arch/Eng. ' LicCnie Na. . ❑'TENANT ❑ ELECTRICAL ❑,PLUMBING• Q MECHANICAL . PLNG. REF. � � • ' �
Addf2s5' - ❑ �OTHER � TO BUILDING
Contractor's Nem ' hone y� PROJECT DESCRIPTION• 5�: F7.' ' OccuanNcv _ PERTV WE
� AddrE551mBiling) ' G CONSTRUCTIONTVPE ' VALUATION$ � LEFTSIDE VAFD
�� .. ' �fiQ��' �3 f ' ' , ZON$ ' GRADINGCU.VDS.� �AC 5 PKG.SPACE�REQ.
� License No. 6 ' � '
� UCENSED CONTRACTOR DECLARATION � ' � . - � ` _ '
Remarkt � . � , $TREET WIDTH �
i I hereEy af(Irm that I'am Ilcensetl untler provlslons of �Charter 9(commentlng - -
wlth sectlon 7000) of Dlviston 3 of [he Buslness anC Professions Cotle, antl ' � r I � + � . SFECIAL CONDITIONS:
� my II<ensa'is In full force n ffect. ��j��/J� �
� .L1cen�+r..a' C�� � ' LlcenseNo.7JL�L-� " 1 PLUMBING ' " ' ' ' '
�' Date� � � Si9na[ure ' � � - � � ,
"'ORKERS'COMPENSATIONDECLAHATION' BefSink . . $eWefCap !
c+u.� iI 17�a0 J:.b/ 1
BUI,LDING "� ' . '
FTB^^�'GL�T _ '
REAR VAfiD (TO P/U � , �
RIGHTSIDE VARD . - ' � �
PROVIDED ' _ , . '
- PARKFEE§ ' '
. z
eLECTRICAL r '
areby aHirm tnat 1 �ava a certifirate of consent.to selfansure or a.ceriiilcate Beckflow Preventer SBwerCAnnection '� �-� - -%�ulomatit Washer. .. �Meter ❑over 10b amps _-
Workers' Compensatlon Insur nce,' or A certifbC' <o0Y thereof (Sectlon � -
Construction Pole � Sub Panel��
3800, Lab. �^,� -� ,,p Backflow Irrigation Solar Collectors ' � �
, Policy No. r- o� a' 7 ' Company�L[ N � � � Cooking Unit � �Sub Pole , `��
�Certiqetl covY �s hereby fumisnea. Bathtubs Saler Piping ' � ' . � i . � ' e
ertlfictl Y IeE wtth Ihe tltY u ivisl � . . ' � ' - , - : .
ate Applicant . � Clarifiers Sota/Tank Dishwasher �Motors DO-1 HP ❑1'h$
E%EMPTION'FROMWORKERS'C ENSATIONDECLARATION . ' • � Dryers qGaS-�EIeC[ric' InaSolef 09-�15HP 01645+ 7 �
,(This section neetl not be complete the permit is for one huntlretl (y300) or � Dishwa5he� ' . Swirtlming Pool w/Spa� . ,
Iesz):. • . , � s i. . - . Fan � �Microwave . . �
. 1 ceYtify'tnat In the performance ot the work for whlch tn perm� is issuetl I D�inking Pountains t ' Urinel � j i �
� shall�•not employ any person �� any ma er so as to c e 5 ject to t�a � . . - - . F.A.U. � i � Pole Light • ' � �
; Worker Com satl ;baws of Calitoi I : F � , Floor Drains. � • Water CIo52t � ' . � � �
I Date - �Si9nature ' � Fixtur25 f ' ..Ran 2
• NOTI Ee If, af[er making tnis tleclnr n, you•s1ioWC become sub ect to�the -. FIOot Sinks � � -- } -- + - Water H2ate� - � --� - - �- - - ' - 0 -
� Workers" Compensation. Drovisions tne l.abor Cotle, you must forthwilh . " � - . .- Device Boxes , ' ' '
' comply 'wltn• sucn provistoni+br � Is ,permlt shati be ,tleemeC, revokea:� � � Gas Service ' Outlets � � �WatecServica _ ' 5�9� . ' '
CONSTRUCTION'LENDING AGENCV i I , � � ' � � . . - �uLletS ; 7 ' � '
� I heraby 3lflrm that there la alconstructiondentling agoncy for the�performanca . Interc¢pto�S � = 1 � ' - ' ' Standing Sec[ions ' �
' ot ttie work for whith � this, per,mit is �issuetl (Sactlon �3097 Civ: C.;' •_ , , �
Switches
'� Lantler's' Name _ - -' � Kitchen'Sirik' � ^ + - � T.ash Compactor � �
LenEer'S' HCCress . • � '' • ' ' - • . , , � • , •
OWNER.BUILOER DECLARATION ' " ' ' ' �' � !' ��atOfies- � � � . ' � Gar6age DiSposal
1
I hereby atfirm tnat I a'm exempt`from t0e Contractor's �Literise Law for Ihe .. . � • GeneratOr DO-5 KW �5-15 KW i
� followinq reason'(Saction�7031.5 Buslnas; antl Protesslonal'Cotle: Any fiity or P-Tiap� .�, � _ • ' . 1 ' ' �
'�'countywhith;requimsapermiLtoconstrucqalter Improve;tlemolish�orrepalr , , � � i Transformer ❑75-50KW • ' ' �
� any SlruEtUre; p�lo� to Iti�lisuance, a156 �eqWreS tI10'dppli<anl for SUCh pe�Tit� Roof Dreins - � ' • �� ' : : � • � � � � �
�to file a siqnetl {tatement Ihat he/s�e is Iicensetl pursuant to the�provisions of � ❑5U t KW, '
' �the Cantiactor'S�IJcense Law (Chapter 9 (commenUng�with-Se<Uon•7000) of • ' f - - �' - - - � ' - � ' , ' IReinspection Fe0 f75
llvision 3 ot the .Busineis antl� Professions Cotle) on th2t he/she' is exempt � , Showe�s "'� �. � Reinspection Fee � $15 '
erefrom and thei ba51s (or the ailegetl exemption. Any.ylolatlon"ot�SecHon . , " _ - . - , - Meter ❑up to 100amp6 ' ,Issue Fee. � �' . � $ 3 '
031:5 by-any apP��cant for,.a�perml[-sub�ects the appllcant to a-civil ' � ' ' � , �. � • , . � _ , - _ ._ :
� enalty ot not more tnan five'�hunaretl tlollars (y50oI; � "• � ;,• `. : ' � Service Sink '% , �, 1 � laue Fee'�. � $ 3 ' Zoning Approved By �' � � Date � F � � �
� I,'azbwnar of the�property�or my employees with wa9as�,as their iole � - - MECHANICAL ' _ - ' ' � '
tompensatiom will tlo the work antl�t�e�structure it not intentletl orofferetl � i_ .� i� � ; I ' Appliration Approved By � �Date
for wle �(SecEion 7044'�, Buslness� antl� Protesslonal Cotle:. Tho Contractor's . , �
' �icenu Law tloes not aoP�Y to an owner ot a property'wno�bulias or improvez I Boiler� ' Refrigeration System q lication laued 6
� Mereon,'antl �who.tloes sucti work hlmself/herself or throu9h his or her own � '-: � � �� '� PP Y � , ' Date
emO�aYees, provitletl thzt such�improvements are not intentletl or offeretl for 1 . ❑0400,OOOBTU ❑100,OOOBTU• � . .. .
� saie. I�, however, the bulltling or improvement is soltl wlthin one year�of <om- � Dutt - UndeCGround ; ' � { �� SUMMARV OF FEES
pletlon, lha owner will Oave the burtleo ot proving ne/she tlitl not builtl or im- � - � ' ' � � � ,.� . .
� rove tor the puroosa of ulap. .. � - ' , ; � Duct -Struttural � 1 System Repair/Alteration BUILDING PERMIT $� � ( SMIP $ �
�� I as owner of the Droperty, am exclusively contractlnq with Ilcensetl <on- � - � - � � � ,
•Sractorsto tonstruct the�Oro7ect (Seclion7044, eusineis antl Protessions.Coae:_._ _ '. Duct- Ventileting " - _ _ . 'PLAN CHECK . $' PERMIT i ,
'. The�Coniractor's lJtense Law does nOt applY ta an owner o/ property who , � ISSUANCE � $
' bulltls or improves tnereon, antl who contracts for such projects witn a con- Exheust System ❑ Multiple ❑. . ' PLUMBING �I ' $' I
' iractor(s) II<ense pursuant to tne Conlractor'z License Law)., � - PLAN CHECK� . $, � ' GRADING � ,$� '
� � I am exempt unaer Sectlon B. & P. C. (or Ihis reason ' Fi�epl/FaCt. Blt. ICBO # ' ' ' � � . . . .� $� �
� ;ELECTRICAL. $ � { ,
! Date � � Owner' � ' ' ' ' � � Heatin9 System & Ducting , ' ' ' ' MICROFILM $
. 1 hereDy certify that'I�have reaA this application'antl'State thaYtne above �+ -'� 06100,OOOBTU��100,OOOB � � -- -- � � - — �PLAN CHECK $ .
: Informatlon Is mrrecL 1 a9ree to.comply with all <Ity antl county ortlinances . • � � ' � � ' � 'MECHANICAL ' $ � ' TOTAL�FEE $ � ,
antl�5tate laws relating to builtlin9 cons uctlon,.antl �ereGy authorixe repre- � • i � � , 1 � ; '
'sentatives o/ t 1 U[y;to an_t,� upo he above-mentlonetl proparty for l HOOd Or TypO I ❑� '� Reinipectian Fae• $16 � . ( f �
• InspecUon purp z � � Ceno ' T � e II ❑� . ; i . , �PLAN CHECK $'� LESS � ( �
� • /�J//� I . � ; ADVANCED PC � $ '_���
Signature • �=!"'
- Accounting; GOltlenroU - Asse55or
� . POO L . .PA
_,COI`+ISTRUCTION AND PLANNING � � �� ",
APP�OVALS Permit# Date � Inspector APPROVALS Permit� Date � Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - ' . ,
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement '
r-
3. Electrical Conduit Utilitv-Undrgrnd. 54.- Forms � - �
4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding
5S Steel Reinforcement ' 56. Rough Plumbing & Pressure Test "'
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE �
7. Footings ' 58. Electrical Cqnduit-Undrar�rl. . -
6. Foundation � 59. Gas Pipe, O Undrgrnd., Test . �
9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, O 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 - Final � ,
74. Rough Plumbing . 65. Electrical-Final �
'15. Rough Electrical-Conduit- - 66. Solar System-Final �� --
i 6. Rough Elec[ric Wiring 67. Fencing & Access Approval - - - �;
77. ,Rough Wiring Sign 68. APPROVED FOR PLASTERING
16. RoughElectrical-T�BarCeiling 69. POOUSPASYSTEMSFINAL � �
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
��0. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping �Gas OOiI ' .
23. Gas Pipe-Rough & Test 72. Underground Flush I
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil �
25. Roof Sheathing 74. Overhead Hydro �
26. T-Bar Ceiling (Structural)i & 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 Notes: .
31. Plaster Brown Coat �
�32. Electrical Power MeterFinal ' ' .
33. Final Electric �
34. Final Heating & Air Conditioning .
35. Final Gas Pipe-Test _ �
36. Hood or Canopy . . � � '
37. Final Factory Fireplace � � �
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
' 41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation . •
44. Landscape Irrigation System '
45. Sound Attenuation � ` � -
46. Handicap Regulations - '
47.- FINAL STRUCTURE & BUILDING � � .
48. Special Requirements Completed � � . .. .
49. Elec[ric Release to Edison ' . �
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY .
No Date
�..
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILOING /j � �Q�J
ADORESS L
OWNER OR _.f%
TENANT G�[i
MAILING /) q� S'/f/J _��_
ADDRESS V �J (�YC{q
TEL �//
CITV N0�7o'7O�
CON5TRUCTION . 7 _ —
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BRANCH
ADORESS
CONTFACTOR � `��L ['�
(� �—��,,�.
ADDRESS L�O�� �C'J1171���
���—/�)� TEL.
CITV � NO��
STATE CITV
IIC. NO. �� LIQ NO.S��
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXISTING BLDG. ��� ��
Separa[e permits are required for
electric, p(umbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
I hereby acknowletlBe that I have reatl this application antl stata
that tha abova information is correct and agree to comply with
ell laws regulating builtlin8 �onstruction, and I shall not employ
eny person In violatian of the warkman's compensation lews af
the State of California.
I hereby certify that I am properly licensed as a convactor untlar
the Stata of Celifornia Business and P�ofessians Code, Division 3,
Chapter 9, antl that such licanses ere In full forca and effect, or
am ezempt from the provisions ot the Stete ot Cellfornia Busin ss
and Protessions ACode, Division 3, Chapter 9.
SlBnatura of �C` ` •,a�� 7
Permittae � ��a•
°� 24
Auffiorized Agent Date
7528 II/29/79 8.50 TL
APPLTCATION FOR S CRUCTURAL PERMIT
RECE V PERMIT *jp 49222
���
A.P. NO. ( S- 1 ` �
BUILDING /i� ^J f"
ADDRESS G ..7 J
UNIT OR
SPACE NO.
iR.NO.__ � LOT //]
ADD
OWNER (�ii
USE �
APPPOVED
APPftOVEDSETBACKS
(FROMGLS79EET) /
�
PLANNING ACTION
� LUE$ V OD �
r•
GROUP �
DATE �//Z9 79
�
m
�
i
m
m
SQ. FT. N
THE AMOUNTSHOWN UNDER VALUATION IS FOR m
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � /
VALUATION PERMIT FEE g � Q a
n
PLAN CHECK S m
0
S d�00 TAX $ , ,ra � !
TOTALPAID $ � _�[�
�
` CL.S,T.,�ESA BUILDING-SAFETY DEPARTMENT APPLICAT[ON FOR STRUCTURAL PERMbT
P.O.BO 1200 COSTA MESA,CALIFORNIA 92626
RECEI PE i � � I 7 - u r"JO
For Applicant to Fill in Completely — Use Ink Only N� 4 918 8�
BUI�OING � A.P. NO. "Z� �
ADDRESS �J
OWNER OR /-'� AD'DRE55 Z JS ���A
TENANT VI/
UNIT OR
MAILING /�� SPACENO.
ADD17E55 J
TR.NO�� LOT BLK.
TEL.!
CITV NO. J �`TO
NEW ADD ALTER REPAIR MOVING DEMOLISH
CANSTRUCTION
LENDER
BRANCH
OWNER
AODRESS VALUE
ARCHITECT TEL. USE E � �
OR ENGINEER 1 ��
ADDPESS ZONE � ` TVPE � GROUP
APPROVED
CONTFACTOR BY DATE I/ �S 7
ADDRESS
TEL.
CITV NO.
STATE CITV APPROVEDSETBACKS
�IC. NO. LIC. NO.
SIZE NO.OFB�D(35. (FROMC/L EET
OF LOT NOW ON LOT RONT
USE OF I
E%I5TING BLDG,
Separate permits are requ'ued for �. sioe I� FT.
electric, plumbing and heating work.
REAR FT.
USE OF BUILDING AND WOflK TO BE PERFORMED PL.4NNING ACTION
� DATE
� ,�// APPROVED
/1 i �� APPROVE�1 /"iY �I IS
it/r'1 YV y �
I hareby acknowletl8a that I have �eetl this eppllcatlon entl state �
that tha above Information Is corract antl aBree io comply wlih
all laws reguletinB builtling constructlon, entl I shall not employ �
any person in violation of the workman'S compensation lews of °
the Stata of Celifornie.
m
I heraby certity that I am p�opa�ly Iicensetl as a contrector untler SQ. FT. �`+
tha Stata of California Businesa antl Profeuions Code, Divlsion 3, THE AMOUNT SHOWN UNOER VALUATION IS FOR m
Chaptar 9, antl Ihat such licansas ere In t�ll forte end affett, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLV: "
em axempt from tha provisions of the ece of Cellfornle Business a
VALUATION PERMITFEE S
end Protassions C da, Divislon 3, Ch ier 9. AO �+
Sipneiure PLAN CHECK S � "�
0
< � LL
Permittee � S ,� TAX S � f
or 7 �� U
AuthorizatlAOent �a[e TOTALPAID 5 ZO� S`�
TI.
,.�-
• • '` �+���'�3
CCSTA MESA BUILDING-SAfETY DEPARTMENT
P. O• BO% 917 C08TA MEHA. CALIFORNIA
For Applieanf to Fill In Completely
T�'PE OR PRINT
ADDRESS 6C 3 �
COSTA MESh CALIFORNIA
OWNER
MAIL . _
� 6TATE
� BHTBACK
� BUILO
��.� �������_;',�:''.�
� �IAR 2 31361
�FIIVAI�CE DEPT. s .
CITY OF COSTA i41ESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO. I_ POPYIT_ NO.
TEL. BUILDING
NO. AD�RE6S
TE GOSTA
� � FIRE
zoxe INO.OF
PUHe
� TEL. ••" �
NO. 6 S/ LEOAL �
CRI TI /
J..., I NO. OP B1D09. �
DESCRIPTION OF WORK
/
WALL IROOF
COVE
IILDING AND WORK T
I H8NlBY ACKNOWL6O68 THAT 1 XAVB R8A iH19 API
ANO BTATB TMAT THe ABOVE 18 CORPECT ND �OPHB
PLY WITN ALL CI OftDINANC68 AN� 6 LAWB IiH
LUIIDINO GO U I
81GNATURE OF I _ i_ o i. A
vnRos
APPROVED
tceHrew une ar.�
REAR �'
APPROVED `� �
BT
ING '
use oF Hew
EVES
THE �MOUNT BXOWN UNOEP VALUATION IH FOP TH6
PUMOBH OP ¢STABLIONING A PEHMIT PfiH ONLY.
VAL1fATION /
�/ q 1�G PERMIT FEE S`�'
�� ���
� � PLAN CHECK S �
7QTAL FEE /�
C
..�: (=EE �EC�i�lEl�
• f
" ' •'��.��9 G�LL� el-��-Eo
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MES�1
fOR APPL/CANT TO f/LL /N COMPLETE[Y APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING 2935 Elleamere Avenue
ADDRE55 t 1/
COSTA MffSA, CALIFORNIA FOR OFFICE USG ONCJ
oW�ERKenprof Development Co.,
Inc� � AEGEIPI NO. � pERMIT
MAIL aaen a _ qECE1VE Y
ADDRESS
�iT� Newport Seach TNo6-3227 e�;,oD1��
I CONTRACTOR K� W�
69 I a�a�K
NO.OF BLOGB.
SETBpCR LINE FROM [ '
cENTER OF STREET /O! REAR YARD ��
SIDE YARD I LEFT J t I RIGHT 6� �
DESCRIPTION OF WORK�
NEW � I� II ALTERATION I II ADDITION I
BUILDING 180Q 6f NO.OF 6 1
SIZE ROOMS STORIES
EXTERIOR WA��y ROOF Wood Shakes
COVERING JI.UQCO ICOVERING
� 3C
1 HEREBY ACKNOWLEDGE TMRY � HAVE READ THI6 APPLICATION
RND 6TATE TH�T T BOVE IS COR CT AND AGREE TO COM-
PLY WITM ALL C fl INANCES AN T TE L�WS REGULATING
BUIlO1NG CONS HUL I . r'�
SIGNATURE OF � _
AGENT
0
APPROVED
BY
APPROVED
U
COSTA MESA, CALIFORNIA
DATE
ZONING
NO. OP " UBE OF 1
PLANB ^}/ BUILDM�
�
�
THE AMOUNT SHOWN UNOER VALUATION 19 FOR THE
PURPo6E OF ESTABLISHING A PENMIT FEE ONIY.
VALUATION
PERMIT FEE S ���
5 /� y3s�� PLAN CHECK $ �,_
TOTAL FEE $ .J %��