HomeMy WebLinkAbout1586 ELM AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.causNG PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 1586 ELM AV
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 13931215
Zoning: R1 R1
Applicant: JOHNSON, SCOTT ISSUED BY:
Status:
ISSUED
Applied:
05/28/2002
Issued:
05/28/2002
Address:
1824E CARNEGIE AV
Eng:
-
Address:
-Phone:
800-707-9420
Address:;-
SANTA ANA,,CA
Zip:
92705
_. Phone:-
Phone:.
,
. Zip:
-
,--License:
License.
Owner:
CHAMBERLIN CHARLOTTE B
\
Address
; 1586 ELM AVE
SCOPE OF PERMIT -
-
Phone:
SHAKES, ADD SHEATHING, APPLY COMPSHINGLES.
i COSTA MESA, CA
Zip:
92626
FEE SUMMARY
Plan Check:
$0.00
"'
: Calc Valuation: $5,000.00
Permit:
Contractor:
'A-1 ALL AMERICAN ROOFING
CO WEST LA INC
`i
Address:
1824 E CARNEGIE AVE
$0.50
-,
"
-
Phone:
(949) 250-1221 -
Other:
-
SANTA ANA, CA
"
Zip:..
92705"
License:
671922-
- Arch :
.-
Eng:
-
Address:
Address:;-
'
_. Phone:-
Phone:.
,
. Zip:
-
,--License:
License.
-
SCOPE OF PERMIT -
- i TEAR OFF
SHAKES, ADD SHEATHING, APPLY COMPSHINGLES.
FEE SUMMARY
Plan Check:
$0.00
"'
: Calc Valuation: $5,000.00
Permit:
$111.25
-'
- % ' `
' " Claim Valuation: ! ` _ S5,000.00
SMIP Res:
$0.50
-
SMIP Cam:
$0.00
Other:
$0.00
Inspection:
$0.00
Total:
- $111_:75
PLANNING & ZONING
SETBACKS'
MAIN STRUCTURE Front .0-0
Rear
0-0 Left 0-0
Right `.0-0
ACCESSORY
Front 0-0 ".
Rear
0-0 Left 0-0
Right 0-0,
PARKING
Existing: 0
Required:
0 Proposed: 0;
NOTES:
-
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections 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) 754-5626
2446-46(6100)
DECLARATIONS
WORKERS' COMPENSATION DECLARATION: '
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Cade, for the pertortnenca of the
work for which this permit is Issued.
Ck _!_have and will maintain workers' compensation insurance, as required by section x700 of the Labor Code, for the performance of the work for which this permit is issued.
y workers' compensation Insurance carrier and policy number are:
Carrier: r Policy Number:
(This section need not be completed it the permit is valued of one hundred dollars ($100) or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Califc nia, and a as that if I should become subject to the workers' compensation provisions of Secti 3700 of he Labor Code, I shall forthwith
comply with these provlsio ,�\\
Applicant Signature: Date: V (�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN TIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under pro vislo of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full
force and affect. Lic. D Class N
Contractors Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 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 (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himself or 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 completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ 1 am exempt under sec. Business and Professions Cade for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection With work authorized by this
permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, All 2, Sec.
341, Title 8, California Administrative Code).
❑ As owner-builder, 1 will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a
permit to do such work from the division.
Signature: - Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Cade requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons..
or 200 cubic feet of compressed gas at standard temperature and pressure).
...................................._...........__........_...................._........................_.............................................................................................................................................................................................................................................._.............................
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health and Safety Cade, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of.
compressed gas at standard temperature and pressure).
................................................................................... ............................ ....................................................................................................................................................................... _................ ..... _............ ...................... _....................................... -
3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?
❑ Yes ❑ No
(Section 25534 of the California Health and Safety Cade provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
............................................................................................................ _......................................-.............................................................................................................................................................................................. ........................................
4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑ No
...................................................................................................................................................................... . .... ...............................................................................................................................................................................................................
5 Does or will the applicant or present or future building occupant require for the work which is the subject of thisa plication agermit for such construction or modification
from the South Coast Air Quality Management Distinct or from any other air pollution control district or agency? 8 Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
.............................. ............... -............................ ................. ................. ......................................... ............ -.................................................................. 1111........................ 11...11................. .................... .................... ............................................_..........
6 Will any pert of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Ves ❑ No
(If `yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
...... . ......................-._..........._......................._........................-...................-....................................._............................................................................................................._....................._..........._........................._....
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application, have all of the disclosures .
prescribed by California Health and Safety Code Section 42303 been made? [I Yes [I No
...8.......jll yes". allach certificate of compliance from the appropriate air pollution control officer)...............................................................................................................................................
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that 1 have read this application and state that the information given Is
Correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signa Ot al
—AncMr Aut5llftcl Applicant d Date
CODE E. INSPECTION TYPE PAff INITIALS COPES INSPECTION TYPE BdIE IIS
1616 - Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final/.� 208 Final Plumbing -.
200 Final Re-Roof �—[— '� - 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Oocupancy
Applicant.[, fill in all spaces except those within heavy border lines and sign all appropriate declarations.
EK$ CONSTRU ION PERMIT
Project Address + PERMIT NO. TRACT NO. LOT, NO. UNIT NO.
CITY OF COSTA M $0 Elm MJl'- L
Applicant'sMaili Address
Owner's Name e(p A � Phone6G1_i p45
Address 15,5b rMlJC l[tt �4 f r Cyt 0.SCt--
Arch/Eng. License No.
Address
Contractor's Name Q rSI , Ant P 'T Phone 3 p a
Address (mailing) Sere i0. .a .
City License No Vq__,At 1 D
LICENSED CONTRACTOR DECLARATION
I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of the usiness and Professions Code, and
my license is in f I r and effect. f�
Li cen ass Li s Oo. —h
Date Signature
WORKERS' COMPENSATION DEC ARATIO
' `ereby affirm that I have a certificate of consent to self -insure or a certificate
Vorkers' Compensation Insurance, or a certified copy thereof (Section
0, Lab. ) g (����
Policy No. 1017— Company
Certified copy Is hereby furnished.
Certfti �d�or�fjtlSfiletl with the city Bui in
ivision-
ate / Applicant
EXEMPTION FROM WORKERS' COMP SATION O C` A ' ION
(Thissection need not be completed if the permit is for one hundred ($100 r
less).
certify that in the performance of the work for which this permit is i ed I
shall not employ any person in any manner so as to become subj to cite
Workers' Compensation Laws of California.
Date Signature
NOTICE: If, after making'this declaration, you should becom subject to the
Workers' Compensation provisions of the Labor Code, yo must forthwith
comply with such provisions or this permit shall b deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending age y for the performance
of the work for which this per 't is issued ection 3097 Civ. C.)
Lender's Name
Lender's Address
OWNER BUILDER DECLARATIOiT
1 hereby affirm that I am exempt from th W
Contractor's License Law for the
fol/bbuilding
ing reason (Section 7031.5 Busines antlkencing
sional Code. Any city or
coty which requires a permit to cons ct, aprove, demolish or repair
antructure, prior to its issuance, al requippylicant for such permit
to e a signed. statement that he/sh is It,Qant to the provisions of
thontractor's License Law (Cha er 9 (com with Section 7000) of
Diion 3 of the Business and pfessions Code) or that he/she is exempt
from and the basis for (h allegetl'e xemption. Any violation of Section
.5 by any applicant fo a permit subjects the' applicant to a civil
[y;of not more than fiv unfired tlollars ($500).as owner of the'pr erty or my employees with wages as their sole
coensation will do th work, and the structure is not intended or offered
forale (Section 7044 Business antl Professional Code: The Contractor's
Lise .Law does not ply to an owner of a property who builds or improves
thon, antl who d s such work himself/herself or through his or her own
emoyees, provide that such improvements are not intended or offered for
salIf, however, a building or improvement is sold within one year of com-
plen, the own will' have the burden of proving he/she did not build or im-
prfor the p pose of sale).❑ as owne of the property, am exclusively contracting with licensed con-
traors to c struct the project (Section 7044, Business and Profession$ Cotle:
ThContr tor's License Law does not apply to an owner of property who
bus or proves thereon, antl who contracts for such projects with a con.
traor( license pursuant to the Contractor's License Law). I"am aware that
prf f their Worker's Compensation insurance should be provided to me.
m exempt untler Section B. & P. C. dor this reason
I hereby certify that I
information is correct. I
t and state laws la ng t
sentatives of s ily
inspection our se
Signature
Drivers' Licenle or SS W
CMF 0865-46, rev. 10/84
Owner
have rea.
tate that the above
d county ordinances
:by authorize repre-
ionen. p\ropert�X�ff
Date 1
M 311330
TYPE OF CONSTRUCTI ON L1 NEW LJ ADD L—I ALTERATION LJ REPAIR
` ❑ CONVERSION ❑ DEMOLISH ❑ OTH�%
DESCx[iIPT,1QN OF WORK/USE OF BLDG. TJ C(VAC� ir. a
TYPE OF PERMIT LJ GRADING LJ FOUNDATIONI LJ STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING yam. MECHANICAL
❑ OTHER
PROJECT DESCRIPTION SQ. FT. OCCUPANCY_
CONSTRUCTION TYPE VALUATIONS
ZONE GRADINGCU.YDS. ACRES
Remarks:
.FEES
Bar Sink - Showers
S
3ackflow Preventer Service Sink
Cooking Unit
Backflow Irrigation Sewer Cap
Front
Bathtubs t Sewer Connection
B
A
Clarifiers Solar Collectors - -
N
I
Dishwasher Solar Piping
Right "" '- -
Drinking Fountains 'Solar Tank
S
Floor Drains Swimming Pool w/Spa
G
R
Floor Sinks Urinal
E
Gas Service Outlets Water Closet
Q
M
Interceptors Water Heater
T
S
Kitchen Sink - Water Service
Generator 1:10-5 KW 05-15 KW
Lavatories Auto -Wash
BUILDING PERMIT
P. Trap Laundry Trays
-SMTP -
Roof Drains
Reinspection fee �- $151, I Issue Fee I $ 3
J MECHANICAL FEE
Boiler Hood or Type I ❑
Duct - Under Ground Canopy Type 11 ❑
Duct - Structural Refrigeration System
Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU
Exhaust System ❑ Multiple ❑ System-Repair/Alteration
Firepl/Fact. Bit. ICBO # Fire Dampers
gH sting System & Ducting Registers
l 0-100,000 BTU 0100,000 BTL 6YJ
Reinspection Fee . I $15 I I Issue Fee
White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
1303 12/110/87 24.00 TL
A.P. # - - Zane
S
Main Building: Accessory Building:
Cooking Unit
E
T
Front
Z
O
B
A
Rear
N
I
C
Right "" '- -
N
S
Left
G
R
Ping. Ref. # 1 'Parking Req./Provided
E
Planning Notes:
Q
M
Sign
T
S
Standing Sections
Generator 1:10-5 KW 05-15 KW
ELECTRICAL FEES
Automatic Washer
Construction Pole Sub.
Transformer ❑ 15-50 KW
❑ 50 + KW
Cooking Unit
Meter ❑up to 100 amps ,
Dishwasher -
Meter El over 100 amps
Dryers ❑Gas ❑Electric -
Sub Panel
Fan
Motors ❑0-1,HP Ell ''A-8
F.A.U. -
Inc. Solar 09-15 HP 1:116-15+
Fixtures
Microwave '
Device Boxes
Pole Light
Outlets
Range
Switches
Sign
Garbage Disposal
Standing Sections
Generator 1:10-5 KW 05-15 KW
Trash Compactor
• Reinspection Fee
$15
Issue Fee
$ 3
DEVELOPMENT SERVICES REQUIREMENTS:,
-
Zoning Approved By
Date
Building Approved By
Date
Application Issued By -
-5Y2
DateB
'
SUMMARY OF FEES
BUILDING PERMIT
$
-SMTP -
PLAN -CHECK
$
PERMIT
• PLUMBING
$ -
ISSUANCE
$
PLAN CHECK 25%
$
ENERGVP.C. $
ELECTRICAL
$
GRADING .
$
PLAN CHECK 50%
$
MICROFILM
$
MECHANICAL
$��
Y� TOTAL FEE
$ __2Af_(IQ
PLAN CHECK -25%
$
CONSTRUCTION -AND PLANNING
APPROVALS Permit#
Date
Inspector
POOL &SPA -
- APPROVALS Permit#
-
-Date
Inspector
1vTemporary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.
-
53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd.
:54. Forms
t -
4. Electrical Conduit-Undrgrnd.
i
55, Electrical Bonding
5. Steel Reinforcement
56. Rough Plumbing & Pressure.Test
-
6. Electrical LIFER Grnd.
57. APPROVAL TO COVER-GUNITE
t
7. Footings
58. Electrical Conduit-Undrgrnd.
8.' Foundation
59. Gas Pipe, 0 Undrgrnd., Test
y
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
62. Backwash & Receptor -Final
12. Sewer Cap
63. Heater & Vent -Final
13. Roof Drains -
64. Plumbing System - Final
14. Rough Plumbing
65. Electr'ical-Final
-
75. Rough Electrical -Conduit _
66. Solar System -Final
16. Rough Electric Wiring
67. Fencing &Access Approval
17. Rough Wiring Sign
-
68: APPROVED FOR PLASTERING
'
18. Rough Electrical -T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
t
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit # _
'
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping 0Gas 0Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank ❑Gas 0Oil
25. Roof Sheathing -
74. Overhead Hydro
-
f
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 PREY. 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:. -
34. Fina Heating & Air Conditioning
Zs'4g
4 CO
-
35. Final Gas Pipe -Test
i
36. Hood or Canopy
-
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
i 7' -
144. Landscape Irrigation System
{
1
:45. Sound Attenuation
_� , • - t'
I
46. Handicap Regulations
47. FINALSTRUCTURE & BUILDING
- ,,��. �: �- •;. _
t
48. Special Requirements Completed
K, vi
49. Electric Release to Edison
50.,Gas Release to Southern California Gas Co
,
51. CERTIFICATE OF OCCUPANCY
No. Date
-
X -
MAIN OFFICE
1535 WEST GAYLORD ST.. - P.O. BOX 906$
LONG BEACH 10, CALIFORNIA
HEMLOCK 3.7493
SPRUCE 62081
Twznina
Examination No.
Project
Sample from
Architect
Contractor
Mix
water, gal./sk. cement
Size
Date cast
ab®rat®riss
BRANCH OFFICE
1514-D NORTH HARPER ST.
SANTA ANA. CALIFORNIA
JEFFERSON 12043
JEFFERSON 12046
Of cSoutfip to Bali f oznia, Ynr.
November 29, 1960
GUNITE
REPORT OF XNEMM TEST CYLINDER
SC60-872
For - M. Anuszkiewicz
1586 Elm, Costa Mesa, Calif.
GUNITE SWIM POOL
South wall at deep end
Swan Pools
1-4
6 x 12
11-1-60
Date tested 11-8-60
Cylinder No. 8
COMPRESSION TEST 7 Days
Total load to destruction, lbs.. 23,000
Pounds per square inch 815
Cylinder made by Carl Moseley
Cylinder delivered by Carl Moseley
Cylinder received on 11-2-60
11-29-60
28 Days
17,000 #
655
DEC 1 18Cu
B uildlnOva Mesa
59'] of
* Note: Cylinders appeared to
be damaged in field
cc: M. Anusziewicz
City of Costa Mesa
Swan Pools - 12691 Harbor, Garden Grove
Carl Moseley - 3235 Nebraska P1„ Costa Mesa
SA Lab _
ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AUTHORIZATION FOR PUBLICATION OF OUR REPORTS, CONCLUSIONS. OR EX-
TRACTS FROM OR REGARDING THEM 15 RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTIOM TO CLIENTS. THE PUBLIC AND OURSELVES.
December S, 1960
Costa Mesa Euilding Department
595 W. 19th Street
Costa Mesa, California
Attention: Mir. Eingham
Dear Sir;
In regards to the faulty cylinders on the guriting of our Swimming
Pool, we feel that the gunite job was adequate. Swan Pools, Inc. has
designated and given us a 10 year written guarantee on the structure of the
swimming pcol.
We are confident that. Swan Pools, Inc., will stand behind their
Guarantee. Therefore if Mr. Goldner of Swan Pools, Inc., feels that it is
not necessary to take a core check on the gunite, then we are satisfied.
Sincerly,
eike nuszkz
Marie Anu cz l/
9
RECEIVED
tN DEC1 195u o
City of Costa Mesa
Building Dept.
SWAN
December 8, 1960
Dear Yr. Bingham;
ORANGE COUNTY DIVISION
12691 HARBOR BOULEVARD . GARDEN GROVE, CALIFORNIA
Phone JE 4.2331 JE 4.2332
I am quite sorry that we have caused you any problems due to the
damage of the gunite cylinders on the job at 1586 Elm Street, Costa
Mesa.
I am quite sure that the reason for the low reading on these cylinders
was due to the damage caused to the cylinders.
Swan Pools, Ac., will definately stand 100% behind the gunite job
as will the sub_ccntractor, b?eptune Gunite Company.
Enclosed you will find a letter signed by Mr. and ;sirs. Anuszkiewcz
to the effect that they are satisfied to continue using the pool with
out a core check.
JG/ms
Sincerly,
J Goldner
n Fools, We.
T_
Dun
m' of
unci?
L:i�; a oep"6"S
'COMPLAINT INVESTIGATION
Received by
Made by:
DixeEiena:
Notate obt
Action taken:
� r
Complete: Yes Complainant Yes By:
Interviewed:
No ' / No Da
/'Date
• �� z'b. No
u
IPA-,z4l
L
<:�
W'' I
iwc'
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA. CALIFORNIA
T TO f/LL /N COMPLETELY
YPE OR PRINT
BUILD[AD7DRESS1/586Elm Street
A MESA, CALIFORNIA
FEE `RECEIVED
FINANCE �y DEPT.
APWff0TIfflTK IYICSHp
ERMIT
BUILDING
foR Off/CE 11SE ONLY
Knightwell Land Company
RECEIPT NO.
Iw
OWNER
I1LI ElJR
V �YD�O.
D
f� E. 17th Street
RECEIVfiD BY_
I DATE RECEIVED
I
DA;EIBSUED��C
AMAILDDRESS 419
JJ 619.
Costa Mesa, Calif. TNo 181159
BUILDING
CITY
ADDRESS
ar On
APLIC.
COSTA
MESA, CALIFORNIA
C GINEER n NO.
Garden Grove
FIRE
7L
A, -..ESS
ZONE TYPE
GROUPIJ
Dike & Colegrove, Inc. STATE2
1
167293
APPROVED
CONTRACTOR LIC. NO.
BY
DATE
419 E. 17th Street
ZONING
ADDRESS
LEGAL
LOT
89
Q p
J4O7
ION
NO. OF
I
I OSE OF NEW
DESCRIPTION
NO.
BLOCK TRACT
( /
PLANS
LBUILDING
APPROVED
A.P. NO.
BY
/ DATE
SIZE 1 1
100
I No. OF BLDcs. Non(
FO
YARDS
% £VEV
OF LOT 7 X
Now Loi
REQUIRED
ALLOWED
USE OF
None
(CENTER LINE ST.)
EXISTING BLDG.
FRONT
FT.
IN.
SETBACK LINE FROM
501 251
CENTER OF STREET REAR YARD
R. SIDE
FT.
N.
SIDE YARD
ILEFT 101
(RIGHT 1
L. SIDE
�]
FT.
IN.
DESCRIPTION OF WORK
REAR
FT:
IN.
N' X
I ALTERATION
I ADDITION
REPniR
I MOVING I
DEMOLISH
DING 1647 NO OF
7
SIZE ROOMS STORIES
EXTER 'OR ROOF
WALL
Shake
COVERING COVVERING
USE OFB UILDING AND WORK TO BE PERFORMED
USE O;Sin
e family residence with
A
attached garage
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
THE AMOUNT SHOWN
UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
PURPOSE OF ESTABLISHING
A PERMIT
FEE ONLY.
BUILDING CONETRUCTI N.
VALUATION
SIGNATURE OF
PERMIT FEE S
36.00
PERMITTEE
-
PLAN CHECK S
18.00
Dike & legrove, LnC.
L
$ 16,862
AUTHORIZED AGENT
�
TOTAL FEE S
5400
x_2901
lCrOSTASA BUILDING -SAFETY DEPARTMENT
X 317 COSTA MESA, CALIFORNIA
FOR APPL/Car TO flu /N COMPLETELY
TYPE OR PRINT
OBUILDING
ADDRESS 1586 Elm St. 1
I COSTA MESA. CALIFORNIA
IowNFR Mike Anvezkuwicz
-!� FEE RECEIVED
tyr SEP 261961
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
W WWI USE MY
HECK]" NO. PERMIT NO.
MAIL
1586 Elm St.
RECEIVED BY
GATE RECEIVED
I
DATE 189UED
ADDRESS
(-,�/-Hp
.;E
Costa Mesa TELK
�Roq
BUILDING
/
\�
CITY N05
ADDRESS O
L 114
ITENCT C.Thoms On Ic 6239
COSTA MESA, CALIFORNIA
OR^
EERG.
NO
15262 � Canada Glendale 8
FIRE type
group
AL.. .-SS
/
Swan P001S NTo148509
eYPROVED
CONTRACTOR LIC
ATE
13336 Ventura Van Nuys
NING
ADDR ESB
G
LEAL
LOT Q
�/
�
1-348,
ZONE
I NO. OF
I U5E OF NEW
DESCRIPTION
NO.
TRACT
PLANS
BUILDING
,
//BLOCK
A. P. NO. C(� _-
APPROVED
BY
✓ DATE
SI '7
X lOO I ND OF BLDGS. 1
YARDS
E
LOT f NOW ON LOT
REQUIRED
ALLOWED
USE OFh&ttach
agar
(CENTER LINE ST.)
EXISTING BLDG.ouse
FRONT
FT.
IN.
SETBACK LINE FROM
CENTER OF STREET REAR YARD
R. SIDE
FT,
IN.
71
I
SIDE YARD LEFT 21 RIGHT
L. SIDE �
FT.
IN.
DESCRIPTION OF WORK
REAR
1--IS7 FT.
IN.
Nf X ALTERATION I ADDITION
REP..IR I MOVING I I DEMOLISH
BUIL NO. OF
SIZE 36 ROOMS STORIES
EXTERIOR WALL
(ROOF
COVERING
COVERING
USE OF BUILDING AIJD WORK TO BEP FORMED
private swimming pooh
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP II CATION
THE AMOUNT SHOWN
UNDER VALUATION
15 FOR THE
AND STATE THAT HE AS VE IS CORRECT ANO AGRE TO COM
PURPOSE OF ESTABLISHING
A PERMIT
FEE ONLY.
PLY WITH ALL GT, ORD E. N0 STATE LAWS OULATING
BUILDING CON a
VALUATION
OF j / I /
PERMIT FEE $
E
J
�r
/1�
$. 700
PLAN CHECK $
S
1
AUTHORIZED AGENT
TOTAL FEE $
g�
/.c'