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HomeMy WebLinkAbout1095 EL CAMINO DR - Building PermitsADDRESSOFBMLDNG: 1095 EL CAMINO DR a WSWEIFKNONN: STONE, ROGER M R MM STONE, SHIRLEEN 1095 EL CAMINO DR COSTA MESA,CA 92626 APPL. ILUIING ADDRESS: ARCNrtECT OR ENG III . RCN. OR ENG.'S ADDRESS: UNIT: uC NO.: UNIT: CONTIIACTOIYSNAME: CULLIGAN WATER (714)750-2233 CONTRACTOBsilim G 1911 S MANCHESTER ADDRESS:ANAHEIM CA uFNo: 663091 92802 UNIT: NIC ED CONTRACTORS DECLARATION: I hereby eflum under panely d Penury the I am licanaed under ptovisaru a Chapter S ( men no wth Section ]ODD) d On Tenn 3 d IM Buairwa and Prdeamona Cole, d'ry liomae am full Mrca and s0act. mUC. 10.:005950 U0 Cl s: C 55 �° ° 6 08 /97 Dane: , — 3 0 ' cowed . OW BUILDER DECUBATION: I hereby affirm under d perPry Ih xempt tram the Comrataore lioame Lew Io the I g reamn (Sedum ]W t.5 &niwas end Profecaon. Coda: p` cryry whirA requires a permt to oortseun, eller, improve. mdeh, or repel anY eWcmre, pMr to to 6euarwe, also requ'vea the appli fon each parmN to file a aprwd statement Gut ha or she licensed Wrauanl ro IM prwleione d IM Co.".. License Lew ICMpter If (ophorn dng vdth Basion ]O W) d DGm. 3 d IM ,.in. and Prdankoa Codel or Ihat he or ahe ni exampl thanahon and the bass for the allped exempticn. Arty viomion d Sedon 7031.5 by any applicant for a Moral subjege the applicant to a civil penalty d not more then We hundred ddlans 1550DI). ❑ I, as owner of the propend or my, emplvwea wlh wages as firm WIG compensation, will do the work. end are, structure is not mended or offerd for cola (Section 7044, Business and Professuna Code: The Contrepon license Lew does Iron apply to an owner of properly who buida or inprows thereon. and Grano dose each wwd, himself or herself or IMx,,h he or her own innocy es , provided Ihm such improvements are nm intended or offered for ase. 1. however, the MOdinp or inlaowernaM I. add within one year of conpbtion, the owrer-buiMer will have the burden of prowinp he or ahs dM not buiM or improve for the porpoee of sale). ❑ I. as owner of the propertyem exdusivety contracting with licensed contreclore to oonabua the project (Section ]044.9ueirwas and ona Prof.salCoda: The Commotore es mM Lomos Lew dol apply an ., of properly who builds a improves thereon and who contracts M sunt projects whh a cwmradon(s) licensed pursuant to the Commune License law). ❑ I am exempt under Section: B. & PC., ler this reason: Dme: Chmar: I do hereby oermy that I am aware of And understand the reauireme is of Callomie Health and Safety Code Sealoro 2%O5. Y%a3. and 25534. and Mm 1 o any Mum buildup occupant win / wan not (amle om) need to conpty mh said moue codes and the requirements ler e Mrmt to WneWClgnor mod6cmon ban IMAi re iy.erepamem Dimda. Reeidenliel conmrWian appkatiom are exempt prom tl,me p,omions. Dme: Applcanl: WORKER'S COMPENSATION DECLARATION: I hereby of o under permy d perjury, one of the fdbvdrq dederetom: ❑ I haw ant Grin meinteo of the e ri comam to selfimure is worker canpemation, n provkled lar by Sedco 3]00 d the labor Cale, la the W. d woA for wlich the panni is eeued. _ n I have and xi al internal, wokos' conpenaeton insurance, as nrwired by Section 37M d the Lobar Coda. for the prMmmanoe of the iii work to whits Ihie IbrmN b issued. MY warken' campemation ineurar,ce racier end policy number me: Carrier: ZURICH EXPIRES Policy Number W C — 08/31/97 this section need nut M comolaud i the perm, is ua one hundred dollen (5100] or len.) ❑ tM1at in the pdernwwa d the work her whu:h thts perms ie issued, Mall M ploy Grry in any mw w Go as to aubled to the workers' cOmpanaaton laws d CudNanie, agree d r wbjact to the wwrken' nom anion pronakme ofO;2 3]00 a the tabor Cada. I o1 "n � Apr W.wun d.h.Aa%OFXt an employer to anconal p.nelUa. end me hundred thpu.ami crouton /S/OaMA addltbn to the t qnce,hroul tlarnegeo , lwovkW ler In CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty d re is thud thee eorml union lendbp agency Io the 'do .. d Ina wank ler whits the perml n eauad (Section 3 , CN. C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have need this epplica ion end mate thud the above informeMn is coned. I egme to comply with all coy and roomy ordinances and state laws relm'vp to ImMi g construction and hereby authorize nepre7enlalivea of this city to enter upon the above-mentioned properly for inspection purposes. JOHN ,F:GUIRRE oma: !-3a —,� (515146.WP) WMeAuiMkp & Sdery; Or.,Fle: Canary-Applromt; Pink -Revenue: Goldenrod -An. CITY OF COSTA MESA — BUILDING PERMIT N PERMIT NO: P 081407 PLAN CHECK NO:, N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU JOB DESCRIPTION : INSTALL WATER SOFTNER CLAIM VALUE: CALC—VALUE: PERM NO: P 081407 GOVT: N SUPP: N PURPOSE: REP SQ FT: GROUP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx3fxx 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 RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42621308 ZNE: REF NO: PLANNING NOTES> > ✓ xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx 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 ZONING APPROVED BY 1, DATE: BUILDING APPROVED BY : APPLICATION ISSUED BY: xxxxxxxxxxxxxxxxxxxxxx LEGALIZATION:N F S M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 8.75 PLAN 25% ISSUE FEE 22.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS ---- > 8.75 22.000,00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 30.75 DATE: DATE: xxxxxxxxxx x STRUCTURAL EGMENT:N FIRE SMIP/RES GRADING SMIP/NON—RES TOTAL PAID DUE 30.75 30.75 .00 30.75 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CHECK xxxxxxxxxxxxxxxxxxxUkzxz-zxxxxxzzzaFxx;r*xxxxxxzxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx I N D I V I D U A L" F E E B R E A K D O W N TYPE QTY D E S C R I P T I OIN UNIT COST TOTAL COST PLU 1 WATER SOFTENER 8 5� 8.75 SEND OF FEES ® '� �J`----+�fTA" �x JAL 1997y CITY OF COSTA MRy* `y CONSTRUCTION AND PLANNING_ APPROVALS Permit - Date l- - nspeMor I POC 3PA APPROVALS Permit # - Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3., Electrical Conduit Utility-Undrgrnd. 54. Forms - 4: Electrical Conduit-U5[ rgrnd. 55. Electrical Bonding - 5. Steel Reinforcements 56. Rough Plumbing & Pressure Test - v i 6. Electrical UFER_Cgnd. - 57. APPROVAL-TO COVER-GUNITE - - -7.'Footings r-C` - ,. 58. Electrical Conjuit-Undrgmd. Foundation T - - ' '59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgmd. -' - 60. Backwash Lines, P-Trap, C Undrgrnd. I 10. Structural Floor System _ 61. APPROVAL TO DECK - 11. Property Sewer Line.& House7Connection - 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 1.7 66. Solar System-Final 16. Hough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical'.T Bar Ceiling -69. POOUSPA SYSTEMS FINAL 19. "Rough Heating & Air Conditioning_ - - .� _ �• FIRE DE_PT,REQUIREMENT r• APPROVALS.•,_, Permit 20. .Rough Factory Fireplace _ _ .. 21. Duct, iStrcture 70. 'Under-gHydro ' 22. Ducts, Ventilating- _ 71. Product Piping'OGas 0Dil 23. Gas Pipe-Rough & Test r- ' > _ - 72. Underground Fiush -_ 24. Roof Framing' 73: Undergrfid.StoiayeTank ❑Gas OOiI 25. Roof Sheathing 74; Overhead Hydro r.• 26. T-Bar Ceiling (Structural) & MahOcoat - 75- Dry Chemical 27. Frame and Flashing,- o::- 76. Dry Stanflplpe� tr Z' �W 28. Lathing & Siding 77:, FIXED:SYSTEMyFr(NAL.^ 29. Insulation 78: FIRE PREY. Flfff_AL 30. DrywallNailing '"_ ,_ �' _'_HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat = * r 79. FINAL INSPECTION 32. Electrical Power Merer-Final _ 8P.' FOOD CERTIFICATE ISSUED- 33. Final Electric 34. Final Heating-& Air Conditioning:_ Notes.3_ '-,OC'� AtliLIZ: �R.I�LtF 35. Final Gas-PipeJest 36. Hood•or Canopy 37. Final..Factory Fireplace - - _ a_ 3b Final Plumbing 39. Water Service-Final 40. Gas Service-Final z 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation , 44. Landscape Irrigation Systemc. _ C. _ T = '•• C' - _ - : -�'- _ 45. Sound Attenuation` 46. Handicap-Regulations�+. .7;1 47. FINAL STRUCTURE&BUI'LDING 4 - _ •_, i,; <: 48. FINAL PLANNING ` `' jj_ ` 49. Electric Release to Edison - - �•" J _ 50. Gas Release to Southern California-Gas Co - r -- p o -' 51. CERTIFICATE OF OCCUPANCY No Date o NOV. 19,1980 City of Costa Mesa Building Dept. PO Box 1200 Costa Mesa,Ca. Dear Mr. Young, This letter drill confirm our phone conversation of 11/19/80. The pool we are building for Mr. James Rogers is located at: 1095 El Camino Dr. Costa Mesa,Calif. Aquatic Pools and Mr. James Rogers will be responsible for the service and access to the equipment area that is enclosed by the equipment wall. The City of Costa Mesa is free of any responsibility in this matter. Thank you for your assistance in this matter, so that we may schedule the plaster as soon as possible. Aquatic Pools,Inc. Construction Office • 311 E. LIVE OAK AVE. - ARCADIA, CA. 91006 (213) 446-4661 • 1345 S. ANAHEIM BLVD. - ANAHEIM, CA. 92805 (714) 533-0680 • 70071 HIGHWAY 111 - CATHEDRAL CITY, CA. 92234 (714) 328-3135 • 1000 E. FOOTHILL BLVD. - CLAREMONT, CA. 91711 (714) 624.3413 • 1900 N. 101 - LEUCADIA, CA. 92024 (714) 753.9602 riouaTc POOLS • 31159 HIGHWAY 99 REDLANDS, CA. 92373 (714) 792-2243 rhe Oream-makers- 13412 VENTURA BLVD. - SHERMAN OAKS, CA. 91403 (213) 789-0121 P. 0. BOX 4162 TORRANCE, CA. 90501 (20) 379-3477 15460 7TH ST. - VICTORVILLE, CA. 92392 (714) 245-4912 NOV. 19,1980 City of Costa Mesa Building Dept. PO Box 1200 Costa Mesa,Ca. Dear Mr. Young, This letter drill confirm our phone conversation of 11/19/80. The pool we are building for Mr. James Rogers is located at: 1095 El Camino Dr. Costa Mesa,Calif. Aquatic Pools and Mr. James Rogers will be responsible for the service and access to the equipment area that is enclosed by the equipment wall. The City of Costa Mesa is free of any responsibility in this matter. Thank you for your assistance in this matter, so that we may schedule the plaster as soon as possible. Aquatic Pools,Inc. Construction Office t � iq Laboratories of ,=SoutGV2 C7aL'foT,2;a, _>w. 3310 Airport WaV / Mailing Address P.O. Boa 47 / Lmrg Beach. CA 90801 / (2131426-3355 / 12131 6362386 /17141828-6432 BRANCH OFFICE: 1514-D Noon Marpa Slrmn / Sanu Me. CA 02703 10141531-2045 Oct. 24, 1980 EXAMINATION NO. 80-10334 COMPRESSION TESTS ON GUNITE CYLINDERS Jack Hubbard 3106 Ostrom Avenue Long Beach, California 90808 PROJECT SWIM POOL - JIM ROGERS ADDRESS 1095 E1 Camino Dr., Costa Mesa, California ARCHITECT CONTRACTOR Aquatic Pools ENGINEER SUBCONTRACTOR B. C. Adams McBee Gunite SAMPLEFROM Shallow end, deep end, bond beam SPECIFIED MIX 4.2 to 1 STRENGTH 2,000 DATE CAST 10/14/80 SLUMP SPECIMEN SIZE 611 X 1211 DATE TESTED 10/24/80 10/24/80 10/24/80 SPECIMEN NO. 1 2 3 COMPRESSION 10 Days 10 Days 10 Days TOTAL LOAD LBS. 81,000 77,000 101,000 POUNDS PER SO. IN. 2,865 2,725 3,575 AREA. SO. IN. 28.27 10 -Day average: 3,055 COMPLIANCE 10 -Dap tests comply with specifications. r MADE BY: DELIVERED BY: RECEIVED ON: SPECIMENS Morrell J. Hubbard 10/15/80 DISTRIBUTION Jack Hubbard - 3 RECEIVED Costa Mesa Bldg. Dept. - ,_ 190 ( 2 Tracey Hart ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AUTHORIZATION FOR PUBLICATION OF OUR REPORTS, CONCLUSIONS. OR EXTRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES, L4 i0�i�4 C ig suc� ABuilding Address Owner Contractor ( JA-J�,,r 4641'' Address Permit Date So p Number / , 340`/ ,D Issued CITY OF COSTA MESA DEPARTMENT OF BUILDING SAFETY Registered Deputy Building Inspector Certificate of Compliance Date of this Certificate To the Director of Building Safety: I hereby certify that the following portions of work on the buildings at the above address which required continuous inspection and which I was employed to inspect, were inspected by me and comply with the provisions of the Building Code applicable thereto. 1) Concrete 3) Welding 5) Special Cases 2) Masonry 4) Reinforced Gypsum Swimming Pool Size ///4'1 3.3' Gunite >C Hand Pack Sacks Cement l 8 �, Tons of Sandgg Approximate Y of water in aggregate 671 This report covers work completed during week ending i REMARKS I'. REGISTERED DEPUTY BUILDING INSPECTOR Name Address Laboratory Telephone AiV"1.ZS-(ob'$A/ Form BU 6 41)s4 RECEIVED CVT-1 71980 Name (Typed or Printed) (This area for official notarial seal) STATE OF CALIFORNIA ORANGE ss. R COUNTY OF n NOVEMBER 19,1980 E On before me, the undersigned, a Notary Public in and for 0 - said State, personally appeared ANNE ROGERS= — — — — — — — — rE- - - - - - - - - - - - - - - - known to me to be the person whose name 1S r ' subscribed to the within instrument and acknowledged to me (�t She �{ k. OFFICIAL SEAL that— executed the same. i'=:. NORA L HURST o WITNESS my hand and official seal. 5;=p NOTAr1y f=UBLIC CALIFORNIA PRINCIPAL OFFICE IN �Z ... ORANGE COUNTY E- My. `Lo Signature >--� (�F r1 Commission p' Ex Tres May 31, 1981 NORA L. HURST , Name (Typed or Printed) (This area for official notarial seal) 11 11-19-80 To: City of Costa Mesa We, Jim and Anne Rogers absolve the City of Costa Mesa of any responsibililty regarding the access to the heater and piping and the Equipment wall. We accept the responsibility for all the accessibility around pool heater and related pool equipment at 1095 El Camino Dr., Costa Mesa, CA. OPLICATION FOR A BUILDING PES 'T TracL� Block Lot BUILDING PERMIT NO. I / ^/I Ee<triW1 Permit No. , Builtling Fr Address O S [... � h Plumbing Permit No. Cross • Mechan lcal Area M. Street �..� Permit No. OwnerV l O !• Type of Project: El Type El Alt., ❑ Addition Address O J L C 2 C1 Repair El Convert El Demo El Occupancy Pmt. City LO Zip Phones A.P. SUP• Dist nzp. Area Architect/ / ^ -�-5. Designer License No, GQL Zone Sol. Prof. No. n Setbacks P/L Front C/L St. Street Width Address ll • Vartls Let ght Rear city A Zlp :1 hon d G Engineer,BC'Alp License No. COCIO / 7 ave rot. e 9 Park ng Spaces equ re ov a ,vera Address � � S � CityG Zip Phon Slruct Haight f o ris Stoe No. of Family LICENSED CONTRAC'TOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 Park Fees Yes Required No C.T. Feceipte Re Zoning Approved BY: Date (commencing with Section 7000 of Division 3 of the Business and Professions Code and m license is in full force and eff I __ License Number License Claannss[[[[s�sss coccnnnn Date. C .tractol—a Address L Misc. Proposed Use of Structure AA 6 City and ZlP /4AIAI�GtVh Phon CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Occ. Class Type Const. Code Year USE/OCCUPANCY SIZE SQ. FT. Lender's Name Lender's Address 1 t OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their 2. sale compensation,will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with 3 licensed contractors to construct the project. ❑ I am exempt under Sec. , B&PC for this reason 4. Date Owner _ WORKERS' COMPENSATION DECLARATION Total Valuation Encroachment Permit Required ❑ Yes ❑ No I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof. Policy No Company Grading Pmt. Required ❑ Yes ❑No Gratling Pmt. No. ❑ Certified copy is hereby furnished. El Certified copy is filed with Orange County, EMA. Rough Grading Approved by: Date Data Applicant CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE (This section need not be completed if permit is for $100 or less). I certify that in the performance of the work for which this permit is PERMIT FEES issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of Structural $ Plan Check $ Exemption, you should become subject to the Workers' Compensation provisions of the Labor Coda, you must forthwith comply with suchSpecial provisions or this permit shall be deemed revoked. Electrical $ Invest. $ Plumbing $ 1 CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTH- ORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON Mechanical $ Pre -Grade Inspection $ THE ABOVE MENTIO ED PROPERTY FOR INSPECTION PUR. ES. ' 9 n_ EO ignature f Applicant or Agent Date Pre -Grade Rec. No. $ Permit Issue $ /1 {p ED 0ck c , C.'..LLL\JAN a - Print Appl khnl's/Agent's Name spaces within this box must he completed m process Ailsed: Pa P Plan Check By: Issuance Approv CMF 0335-46 (BU -28) rev. 6/80 M 3 2 C 3 a m Applicant to fill to all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CO ST UCTION PE MIST, Project Address lwv Applicant's Mailingdress! � � G Owner's Name - / �r one Address 1025 -'el -dill MfJ Arch/Eng. License No. Address Vcb Contractors Name pp-- S C y�'�'� h e� Address (mailing) /V DO� .{� �l.T ?asiaC4_ z1V_0V City License No. LICENSED CONTRACTOR CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is inull'rce antl of .ct. Livens lass Date Il signature WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section 00, Lab. C.) -olicy No. Company ®Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection need not be completed if the permit is for one hundred 100) or less). I certify hat the performance of rk for w ' t t pe mit is sued, I sM1all not em y person in an @r so to c m subjec to the Work tion Laws of Cali n' Date Signature NOTI E: I , after making this declaration, you should become subj't o the Workers' Compensation provisions .of the Labor Code, you must hwith comply with such. provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires•a permit to construct, alter, improve, demolish or repair any structure, prior tolits issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) -or that he/she is exempt `lerefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil salty of not more than five hundred dollars ($500). _J I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who tloes such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build orim- prove efor the purpose of sale). I. as the of the property, am exclusively contracting with licensed Can. tractors to construct the project (Section 7044, Business and Professions Code: The Cnntractor's License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Proof of their Worker's Compensation insurance should be provided to rhe,' ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner I hereby certify that I have rea information is correct. I agree to and state law relating to buddii sentatives o city to inspection p Signature Drivers' License or SS # I this application comply with all i 1construction, al uDon the dbom above �� 2703 1/07/88 45.25 TL PERMIT NO. 17 3 TRACT NO. LOT NO. UNIT NO. 2704 1/07/88 .50 TYPE OF CONSTRUCTION 11 NEW ❑ CONVERSION ❑ DEMOLISH �DESCRIPTION OF WORK US OF B �1 Ml`�—� I-��(qK— LJ ADD LJ ALTERATION REPAIR ❑ OTHER G. a /O {rW IYi.IrL�"1 A.P. # Zone S Main Building: Accessory Building: �F�C7N TYPE OFBERMIT LJ G777R___AJJJD INC LJ FOUNDATION STRUCTURAL ❑ TENANT ELECTRICAL ❑PLUMBING ❑MECHANICAL OTyI IER PROJECT DESCRIPTION SO F OCCUPANCY 'CON STRUCTION TYPE-- _ ._,____,!ONS ?��'-✓�YJa= yZONEi' GRADING CU.YDS. ^ ACRES E T Front Z O B A Rear N I C _ - - Right N $ L¢ft Q R Ping. Ref.# Parking Req./Provided I E Remarks:' S S tb - Planning Notes: M S PLUMBINGI FEES Bar Sink - Showers _ ELECTRICAL FEES Backflow Preventer Service Sink - Automatic Washer Construction Pole Sub. Transformer ❑ 15-50 KW IJ50 + KW Backfiow Irrigation Sewer Cap- Bathtubs Sewer Connection. - Cooking Unit Meter ❑up to 100 amps Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Fan Motors❑O-1 HP Ell X-8' Floor Drains innming Pool w/Spa F.A.U. Ina Solar 09-15 HP ❑16-15+ _ Floor Sinks Urinal Fixtures Microwave p0 Gas Service Outlets ..Water Closet Device Boxes Pole Light Interceptors ^ Water Heater Outlets Range Kitchen Sink Water Service Switches Sign Z Lavatories Auto -Wash Garbage Disposal Standing Sections P -Trap Laundry Trays Generator ❑0-5 KW 1:15-15 KW Trash Compactor Roof Drains Reinspection Fee $15 Issue Fee ES3 Reinspection Fee $15 1 Issue Fee $-3+ ' MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date Application Issued By ��-r"� Date 7 —> Boiler Hood or Type ❑ Canopy Type I El1 Duct -Under Ground Duct -Structural Refrigeration System ❑e-10 00 BTU ❑100,000 BTU • Duct - Ventilating BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK - 25% - ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY. F FEMS -$..5' ob SMIP $ $ ,PERMIT $. ISSUANCE $ $ ENERGY P.C. $ ' $ �,y •2- GRADING $ $ " MICROFILM $ $ TOTAL FEE - $ $ - Exhaust System ❑ Multiple ❑ stem Repair/Alteration Firepl/Fact Bit. ICBG# Fire Dampers _ Heating System & Ducting ❑0-100,000 BTU ❑100,00 T Registers ' - Reinspection Fee $15 Issue Fee $ 3 v CMF 0865-46, rev. 10/84 While -Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor TL CONSTRUCTION AND PLANNING APPROVALS Rermij# Date Inspector iI POOL &SPA APPROVALS Permit Date Inspector 1.: Temporary Electrical.Service or-PoiP 52. Pool & Equipment Location, 2. Soil Pipe-Undrgrnd. '' 53. Steel Reinforcement, 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4, Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd..- 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd'.--„' - 60. Backwash Lines, P -Trap, 0 Undrgrnd. . 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection i%I 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 Electric Wiring 67. Fencing & Access Approval 17. Wiring Rough 9 9 Si 9n - t %` 68. APPROVED FOR PLASTERING - .18. Rough Electrical -T Bar Ceiling' 69. POOL/SPA SYSTEMS FINAL Is - 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT r ; � r APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 00il 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank OGas 000 _ ! 25. Roof Sheathing i 74. Overhead Hydro ! i b - 26. T -Bar Ceiling:,(Structural) &•Monocoat 75. Dry Chemical " 27. Frame and flashing 76. Dry Standpipe 28. Lathing•& Siding 77. FIXED SYSTEM FINAL 29. Insulation - 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED ' 33. Final Electric Notes: dot- xas/ 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test - 36. Hood or Canopy. Ile, . 37. Final Factory Fireplace - 38'.Final Plumbing - 39. -Water Service -Final ' 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer .43. Backflow Irrigation ' �44: Landscape Irrigation System •45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. -Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date CITY OF COSTA MESA BUILDING DIVISION CERTIFICATION OF SKYLIGHT INSTALLATION. Property Address I " t..� Owner R_�Czkax Contractor ?S_C5(1'R Ll State Contractor License Number 1-71 C eiiw vy' Co 2 Permit No. 6 3 � I cZG Classification I her by certify that I have installed, or caused to be installed, an approved listed skylight I.C.B.O. # Z o on the roof of above subject address. That I have re4abricated-the-roof_to the standards of a industry grid -in accordance with Chapter 32,.34, 52 Appendix 32, and Section 1704 of the 1979 Uniform Building Code as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installa- tion instructions of the manufacturer. The integrity of the area worked on is as good or better than the rest of the existing roof. ❑ I further certify that I am the owner of the property. (Owner -Builder permittee only). Tfurther certify that I am: Owner of sole proprietorship company ❑ Full partner of the company ❑ Limited partner of the company ❑ Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division By: Initial Date CMF 1029-46 White -City; Canary -Owner; PInkContractor � s 6V Company dr tqorate Name— i Printed or typed name Corporate Seal (if corporation) A!VROVE City of C/os,u N'tesci. Building Dept. iw BY . J' I� l �?�-- DA. -1 THESE PLF!':° rcd' "E OtA 1,DA AT AL I. TI; AES ! AAKE P:OP CH AUG cS ?NI'IrO''`H^'!?,L OF DEPT. �l lN:i ANJ • o.�'..... _ - ,Ti?UD Pp rJF..4 U.11T FG: [>` . :0, cTl'; 4N CF rC - °':i q.C.•li 0- THIS ` S:,AU o< . � ' `r � '� � 4d 0.; T ,E WORI''; 06 ;ISE T piftiEAF-:i' ";C .-C`� G'r EF�i•i�S iN A.K0 :Tn:.., C' hx:M i'S?E'ICNIING .rr +�tiG PJRERATr,071'- c O'2 :nEY:Un%a n vA=- „JiTIQtl QF TMS CGJr [':,U' t.' r•' .. 1"4r L's G. .,TY. FOR INSPECTION CALL 754-5626 or 754-5627 71a /27 e& 5 L v vs fl-- Z-"4i� �- ,QauL sf 2lJL� A!VROVE City of C/os,u N'tesci. Building Dept. iw BY . J' I� l �?�-- DA. -1 THESE PLF!':° rcd' "E OtA 1,DA AT AL I. TI; AES ! AAKE P:OP CH AUG cS ?NI'IrO''`H^'!?,L OF DEPT. �l lN:i ANJ • o.�'..... _ - ,Ti?UD Pp rJF..4 U.11T FG: [>` . :0, cTl'; 4N CF rC - °':i q.C.•li 0- THIS ` S:,AU o< . � ' `r � '� � 4d 0.; T ,E WORI''; 06 ;ISE T piftiEAF-:i' ";C .-C`� G'r EF�i•i�S iN A.K0 :Tn:.., C' hx:M i'S?E'ICNIING .rr +�tiG PJRERATr,071'- c O'2 :nEY:Un%a n vA=- „JiTIQtl QF TMS CGJr [':,U' t.' r•' .. 1"4r L's G. .,TY. FOR INSPECTION CALL 754-5626 or 754-5627 71a /27 e& 5 L v vs fl-- Z-"4i� .COSTA MESA BUILDING -SAFETY DEPARTMENT P.O: BOX 317 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING COSTA MESA, CALIFORNIA . OWNER Mesa Del Mar Development Co. MAIL ADDRESS 3800 E. Coast Highway CITY Corona del Mar, Calif .No_OR3-422E AR HIT ECT NEER MaCCo Realty Co. no •0113-4220 A, ;s same as above uc NO. 207343-A-SB-1No'-•OR 3-4220 R DAT HCHIV Z DATEIHBUED JUL 2 4 1963 SIZE I I 65 X 97 APPROVED BY DATE I . O none OF LOT NO. OF PLANE 2 USE OF NEW HD ILDINO �i/ a't't gar. O NoNOw oFNBLDLOTGS USE OF none YARDS APPROVED • MAIN BUILDING EXISTING BLDG. (FROM C/L STREET), FRONT FT. SETBACK LINE FROM SO' .R.SIDE 5FT. -f� CENTER OF STREET REARYARD 261611 SIDEYARDI LEFT 516'1 RIGHT 56'1 DISTANCE BET. MAIN BLDGS. DESCRIPTION OF WORK 54'x50'611 V2_oR 8 _ 2 s TO Plan 600 -AR I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ASOVEAS CORRECT AND IS TO COM- PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATUREOF ..__ n___ -_ - FEE I� 2 R 9 3EIVED IF[PLICATION FOR PERMIT FINAMN IL�aT . fl'Fyor(#FfL,fi%-Ps' M %RR'9y RECEIPT NO. R DAT HCHIV Z DATEIHBUED JUL 2 4 1963 BUILDING ADDRESS FIRE ZONE TYPE GROUP APPROVED BY DATE ZONING ZON,�H lj-1 NO. OF PLANE 2 USE OF NEW HD ILDINO �i/ a't't gar. O LEGAL DH8CRIPTION Lot 61 Trarr 9071 A. P. NO. none NOTE: NO SAVE OVERHANG SHALL BE LESS THAN 90' TO SIDE 9 REAR P. L. EAVES ALLOWED W. B. C. REQUIREMENT) YARDS APPROVED • MAIN BUILDING YARDSAPPROVED ACCESSORY BUILDING (FROM C/L STREET), FRONT FT. FT. .R.SIDE 5FT. -f� FT. L. SIDE FT.- FT, REAR a FT. FT. DISTANCE BET. MAIN BLDGS. BET. MAIN R ACCESS. BLDGS. VAR. Si C.U.P.SF DATE APPROVED APPROVE Y DATE 0 arae 453 s.f. SQ. FT. THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION S .23,985.00 PERMIT FEE S PLAN CHECK _7;7- -b TOTAL FEES /I2,O COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 YI APPLICATIONF. R@eN6A((LPERMi' ,D9o05 TU' For Applicant to Fill in Completely — Use Ink Only CE V PERMIT N° 50770 .BUILDING ADDRESS 00 , A.P. NO- 14t O"� r WNER OR TENANT BUILDING, [c�k ADDRESS \ [--r �i •i�-� UNITOR SPACE NO. MAILING f� ADDRESS --%X, _,� LOT � 1 �Z�_33�L,, BILK. TEL CIT NO. NEW I ADD ALTER REPAIR IMOVING1 DEMOLISH CONSTRUCTION LENDER BRANCH Q OWNER _ ADDRESS VALUE USE �. $ s ARCHITECT TE4� OR ENGINEER ZONE FR A TYPE GROUP �)N ADDRESS y� J` �S CONTRACTOR Ls APPROVED BY DATE ADDRESS TEL[ CITYCL ,V}� NO. c-7, STATE ��,`J� CITY LIC. NO. �L. <9 �s LIC. NO. APPROVED SETBACKS SIZE P rs/�7 NO. OF SLOGS. OF LOT ^ ( NOW ON LOT t (FROM L� REET) RONT FT. USE OF EXISTING SLOG. , d R. SIDEl Separate permits are required for electric, plumbing and heating work. I L. SIDE `' 0{T: REAR FT. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION k�Y1t La T K DATE APPROVED APPROVED By C`U� I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person In violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I am exempt from the provisions of the State of California Business pter 9. and Professions Code, Div' nLQ Signature o s Permittee �r '� SQ. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALUATION ©%i $ /� I O �`ff ' ✓ PERMIT FEE $ / 2 PLAN CHECK $ TAX $ / in � Authorized Agent Date 9��y �� TOTAL PAID $ /-/Ik/T u c G I VIIAI . COSTA MESA BUILDING -SAFETY DEPARTMENT APPLICATION FOKSI'RtllRWA�PERMIT Ji Jd P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only MIT j RECEIVVP BVPERSvc� U —1 BUILDING/ ADDRESS 1 O A.P.'NO. A, rX'5 OWNER ORO TENANT BUILDING ADDRESS L. Iu UNIT OR SPACE NO. MAILING ADDRESS TR.NO. LOT BLK. CITY TE NO. NEW I ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTION LENDER BRANCH �r OWNER �/7R ADDRESS �_ ALUE USE __i% L $ ARCHITECT TEL. OR ENGINEER NO. ZONE ITYPE GROU ADDRESS/ CONTRACTOR APPROVED BV ATE 170 1-3 ADDRESS , T CITY N STATECITY LIC. NO. LIC. NO )X APPROVED SETBACKS SIZE NO. OF BLOCS. OF LOT NOW ON LOT (FROM C/L STREET) FRONT FT. USE OF EXISTING BLDG. T, Separate permits are required for electric, plumbing and heating work: L. SIDE FT. REAR FT. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION DATE APPROVED APPROVED DATE I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any parson in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I am exempt from the provisions of the State of Ionia Business and Professions Co e, Division Chapter Signature of Permittee nj , SO. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALUATION ®A S��— PERMIT FEE $ PLAN CHECK $ TAX $ or o Authorized Agent Date TOTAL PAID $ 1f COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only N° 5 5.50 TL .BUILDING p •� / /ten `' ADDRESS Q / S // ` ` >"r Y` l AI O A.P. NO. .� 2 •�'� BUILDING OR n ADDRESS TOENAN iD l.'rl-e L UNIT OR MAILING SPACE NO. ADDRESS TEL. TR.NO - Z LOT BLK. CITY NO. NEW I ADD JALTER REPAIR MOVING DEMOLISH CONSTRUCTION LENDER BRANCH OWNE ADDRESS VALUE ARCHITECT TEL. USE $ OR ENGINEER ADDRESS ZONE TYPE GROUP /I APPROVED AP DATE 0 CONTRACTOR nK Vj Sa /T fn�j0 (' - /r ADDRESS 3 o I c yff;C J'/F� /'T vr__ CITY y� TEL. ``,� STATE � // CITY LIC. NO. "'/ Q f0 LIC. NO. APPROVED SETBACKS (FROM C/L STREET) SIZE NO. OF BLDGS. OF LOT NOW ON LOT FRONT T USE OF EXISTING BLDG. 1 Separate permits are required for L. SIDE JQ electric, plumbing and heating work: I REAR FT. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION DATE APPROVED APPROVED (ST% •3O^ 10-30-66 Vi I hereby acknowledge that I have read this application and state / Ur that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business VALUATION and Professions Code, Division 3, Chapter 9. _ PERMIT FEE $ I©O Signature o� ,{j, , / y q/ l'1 ,n ///���''' V� LAN CHECK Permittee �� ylz $ �� TAX $ %i4 0 —30 Authorized Agent Date ` NOTAL PAID $