HomeMy WebLinkAbout447 ELMHURST LN - Building PermitsAVGlicant to till in all spaces encept ihose within neavv Coreer Iines ana sign all aoProoriate tleclarations.
CITY OF COSTA E NSTRU T ON PERMIT PERMI'I U� '. TRACT NO. LOT NO. UNIT NO. A P# '2ane
. Projec4 Address _ E Main Building: Accessory Building: Z
. ,Ap licant'SMai'n A r TYPEOFCONSTRUCTION 1. NEW ADD ALTERATION REPAIR
P - . ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' 7 Ffont Q
- �Owner's N e phone DESCRIPTION OF WORK/U�E OF BLDG. A Rear � N
Address
Arch/Eng. LicenseNo. TVPEOFPERMIT GRIaoWG �'-FOUNDATI�N S7RVCTuaAL . I K Right G
• Addre55 r ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING l;MECHANICAL ' g� Left
H
Contractor's Name ❑�o7HER , Ping. Ref. # Parking Req./Provided E
� P JECT DESCRIPTION 5Q. FT. � OCCUaANcv n
Address (mailing • � � Planning Notes: M
r1 pp CONSTRUCTION TYPE VALUATION $ ,� T
CityLicenseNo. `�'< < ZONE GRADINGCU.VDS. 'ACRES - �
LICENSED CONTRACTOR DECLARATION ' ' S'
'� �. c9
1 hereby affirm that I am licensetl untler provisions of Cnarter 9(commencinq Remarks:
with section ]000+ of Dlvision 3 ot the Business a tl Proiessions Cotle, a�tl
my license is in u 1�or n ttect. � L I ELECTRICAL FEES
7
�Licen Ci 'c s Automatic Washer Transformer ❑ 15-50 KW
Date � � 5lqnature PLUMBING - FEES .
WORKERS' COMPENSATION DECL RATION ConstlUCtion Pale Sub. � 50+ KW
^ereDy affi�m tha� I have a[ertiticat ot conse t t0 Selt-in5ure or a certiticate 88� Sink $hOw¢f5
\' Vorkers' pe s � nsurance, or a c¢rti ietl c
� y thereot (Section Cooking Unit Meter ❑up to 700amps
J, Lab. � BackflowPreventer ServireSink
� volicy No.� ComPanY Backflow Irrigation Sewer CaP �'- Dishwasher Meter ❑over 100amps
µf�',1 Cer iti d op reby furnisned . Dryers ❑Gas ❑Electric Sub Panel
�,I Cer i'� g' 41etl with the cit v' i Bathtubs Sewer COnn2ction .
bate Applicant ; Fan Motors�0-iHP01X-8
EXEMPTION FROM WORKERS' COMP SATION ECLARATION ClalifiEfs Solaf ColleCtors
(TM1is section nee0 not be completetl if th permit is f one huntlretl ($100) or � F.A.U. � Inc. Sola� �9-15 HP �16-15+ '
Iess). � - Dishwasher Solar Piping
I certity that in the periormance of the work tor which this permR is issuetl, I �( Fixtures Microwave
snall mt employ any person in any manner so as to bewme subject to the Drinking Fountains Solar Tank
Workers' Compensatlon Laws of California.
Date Si9nature FlOor Dreins . Swimming Pool w/Spa '�- Device Boxes Pole Light
NOTICE: H, after makinq [his tleclaration, you ShoWC become subject to tM1e � OutIEtS � Rd0 ¢ �
Workers' Compensation provisions ot the Labor Cotle, you must forthwitn FIoo�Sinks- Urinai - 9
cOmply wlth such p�ovisions o� thi5 permit Shall be tleemeC r¢voketl. $WitCh¢5
CONSTRUCTION LENDING AGENCV Ga5S2rviCC OUtlets WatefClOset Sign
I hereby affirm that th2re Is a mnst�uction lentling agency fo� the pe�fo�mance
a! Me wo�k fo� whicM1 this permit is'issuetl ($ection 309] Civ. C.) 10[EfC¢pt0�5 Water Heater � . Ga�bage Disposal SL3nding $2CtiOpS
L.entler's Name .
�ender's aadress Kitchen Sink Water Service Generator 00.5 KW �5-15 KW Trash Compactor
OWNER BUILDEft DECLARATION .
1 hereby affirm t�at I am ¢zemp[ from the ContrdCtor'S License Law for the Lavamries AUtO-WeSh
foliowing reason (Seclion ]031.5 Business antl Professional Cotle: Any city or
county which �equires a pe�mit to cOnst�uct, alt¢r, Imp�ove, tlemOlisn o� �epai� P—Tfyp - �.yUndty T�eyS �
any structu�e, p�ior [o its issuance, al5o requires the aOPlicant f0� such pe�mit
to file a signed statement that he/she is Ilcensetl pursuant to the p�ovisions ot Roof Drains
[he Conlractor's License Law (Chapter 9(commencing witn Section ]000) of
� .r?yision 3 of the Business antl Professions Cotle) or that he/she is exempt _ Reinspection Fee $75 Issue Fee $ 3
''�w'�;�¢from antl tM1e ba5i5 for the allegeE exemption. Any violation ot SectiOn �
�,: t.5 by any applicant for a permit Subjec[s the applicant to a civll
''>:91ty of not more than five huntlretl tlollars (5500). 3 DEVELOPMENT SERVICES REQUIREMENTS:
���LJ I, as owner ot the o�ooerty or my employees with wa9es as their sole Reinspeetion Fee $75 Issue Fee $ Zening Approved By Date
compensation, will tlo the work, antl the structure is not intentletl or offeretl -
for sale (Section J044, Business antl Professional Gotle: The Contractor's _ MECHANICAL ' FEES Building Approved By Dat�
License'law tloe5 not aOP�Y [o an owner of a property who builtls or improves
theteon, an0 who tloes such work hlTself/he�selt or thrOuqh his o� h¢� own BOIIE� HOOd O� T ¢ I ❑ " %�PPIiWtion IssuBd By Dat
- employees, provitletl that such�improvements are not intentletl or ofteretl for ,. VP � r
� sale. If, however, the builtlin9 or improvement is soltl within one year of com- �ynopy Type I I ❑ SUMMARV OF FEES
pletioq the owner will have tne burtlen of provinq he/she tlitl not builtl or im- Duct - Unde� Ground
prove for the purpose of sale). BUILOING PERMIT $ SMIP � $ �\—
❑ I, as owner ot the property, am exUusively confracting wit� licensetl con- , Duct -Structufal Retrigeration System �
. tractorsto construct the project (Section 7044, Business antl Professions Cotle: � � PLAN CHECK . $ PERMIT
Tne Connactor's LicenSe lzw does not apply to an•owner of property who Duct- Ventilating ❑0.100,000 BTU ❑100,000 BTU PLUMBING $ �SSUANCE $
builtls or improve5 lhereon, antl who contracts for such oroiect5 with-d r.on- ' -
� tractor(sl license pursuam co me Convactors License �aw). i am aware that Exhaus[ System ❑ Multiple ❑ System Repair/Alteration ' PLAN CHECK 25% $ ENERGY P.C. $.
proof ol their WorkeYs Compensation insurance shoultl be provitletl to me. � GF�ADING $' �
1 ❑ I am exempt untler Section e. & P. C. for this reason Firepl/Fact. BIt. ICBO # Pire Dampers ELECTRICAL . $
� PLAN CHECK 50NO $ MICROFILM $ �/J.���.,—/��)-�(�--
Date owner e ngSystem&Ducting Registers MECHANICAL $� TOTALFEE $ ��
' I hereby certity that I have reatl this appliwtion antl state t�at�the above 100,OOOBTU �100,OOOBT -
information is correct. I a9ree to co oly wim all city antl munty ortlinances � PLAN CHECK 25% $
antl s[ate laws relatin9 to builtling nstruction, and hereby authorize repre-
s<n[ative5 of thi ity o ente� on the a ve-mentiOnetl p� �ty � . ,
inspection Ou . � .
Signature ' �ate . '
Drivers' License o 55 � Reinspection Fee ,$75' � Issue Fee ts $.�
Dl DOC25739-40025?39. TCtT 2a.OQ
uaoo-wa, rev. oina wniie - ewioing; �anary - rpWucanr, rinH - saccouniing; uomenroa - v.ssessor vnic. �u uoroe � i1�L+ JT: y3
'_ ;Ni" - "`^-W`w...y+..^r6-?.•x�d.,•
��. ".., �
_ �CONSTRUCTION AND PLANNING � • � POOI 'PA ' _
• Date Inspector - Date J Ins{iector
,_ APPROVALS Permit # ._ APPROVALS Permit # �
1. Tempoiary Electrical Service or Pole �;-�- 52. Pool & Equipment L'ocation ' .
2. Soil P,ipe-Undrgrnd. .. �' .'' �_ � 53. Steel Reinforcement ,.�•
�
.3..Electrica� Conduit Ut,ility-Undrgrnd. �. _--�- 54. Forms '� ��
-.4. ,El�ctrical Conduii-U�drgrnd. �'�°'1 . � � 55. Electrical Bonding �
.� i•. •
5. �Steel Reinforcement; � �� 56. Rough Plumbing & Pressure Test �.� �
6. �Electcica;l UFER Grnd' ,,�� 57. APPROVAL TO COVER-GUNITE _
_ �
7. �Footings �'. �" ,- 58. Electrical ConduirUndrgmd. �„
�8. ;Foundation ' '�; -� j 59. Gas Pipe, � Undrgmd., Test j�.'��
• �.
. 9. Ws'ter Pipe-Undrgrnd. _�"� ' � ��'i 60. Backwash Lines, P-Trap, O Undrgmd.
. � >� � ' ' 61, � APPROVAL TO DECK
, ,,
10. Str�uctural Floor„Sysfem_ _,,,, _;;uy.�.. _ a.:.
11. Property Sewer Line,& House Co�nection � 62. �Backwash & Receptor-Final
12. Sewer;Cap , � '�� �� . � . 63; -Heater & Vent-Final �-� • -� � : _ " �
13. Roof Drains '�� � '� 64. Plumbing System - Final �'.
�
14. Rougll Plumbing.: - -- ' 65. Electrical-Final
^ 15. Rough Electrical!Conduit 66. Solar System-Final '-
16. Rough Electric Wi�ing 67. Fencing & Access Approval -
1.7�.� Rough Wiring Sign _ 68. APPROVED FOR PLASTERING � :� �
c_:
78�. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
,��
19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
�
20) Rough Factory Fireplace APPROVALS Permit #
21;r. DuCts, in Struc[ure 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.StorageTank OGas ❑Oil �
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural� & Monocoat ' 75. Dry Chemical . '
27. Frame and�FJa'shing . ' 76. Dry Standpipe
28. Lathing & Sidin9 77. FIXED SYSTEM FINAL �
29. Insulation 78. FIRE PREV. FINAL _Z
30. Drywall Nailing HEALTH DEPT. REQUIREMENT /1;
31. Plaster Brown Coat 79. FINAL INSPECTION "
32. Elecirical Power Meter-Final 80. FOOD CERTIFICATE ISSUED �
._, .
33. Final Electric Notes: ' : "i
34. Final Heating & Air Conditioning 2�
35. Final Gas Pipe-Test
36. Hood or Canopy - �
37. Final Faaory Fireplace
38. Final Plumbing �
' 39. Water Service-Final - . .- .. � - . _ .« __ , ... , i :. . . - .- � � . .
�
40. GasService-Final �M �
,'-r
41. Solar pomestic-Final J'1'f
42. Backflow Preventer � �_!!
�
i J -'"_
43.-Backflow Irrigation ��.,
44. .Landscape Irrigation System � (�'� �'�
45. Sound Attenuation + � �
46. Handicap Regulation�
47.. FINALSTRUCTURE,-&BUILDING
48. Special Requirements Completed �
49. Electric Release to Edison �
. iX � ��. � I
50. Gas Release to Southem California Gas Co ', �'1 ��lh%! ''
51. CERTIFICATE OF OCCUPANCY ,�a• ,_� J ,
No. Date � _ �-' �
*
CITY OF COSTA MESA
CALIFORNIA P. O. BOX�J1 "I2o0
FROM THE OFFICE OF THE PLANNING DEPARTMENT
NovemDer 2'li 196%
Delos F. Mehl
447 Elmhuret Lane
Coeta Mesa� California
Dear Poo1 Ownere
The Costa Mesa Planning Department has been notified of the completion of
your swimming pool,
So that your pool will be a safe one and for the purpose of advising
you of your responsibility regarding the requirements of the Costa Mesa
Municipal Code9 we quote Section 9298,9e
lo No swimming pool shall be co�tructed closer than five (5)
feet to any property lines, measured from water line of pool,
2, No swimming pool shall be constructed under any electric power
lines or on any electric pocrer easemento
3, No swimming pool shali be constructed unless the yard surrounding
such pool fs completely enclosed by a fence six (6) feet in height
and has a self-closing and locking type gate or gates.
This courtesy letter is directed to you so that yon will be aware of
our ordinances and can make a complete safety eheck of your pool area,
Sincerely yoursp
William Lo Dunn
Director of Planning
� .'
� N S P E G T I O N 8 T E 5 T I N G E N G I N E E R 5
C H E M I C A l 8 V H Y 5 I C A L A N A � Y S 1 5
P.O. Bon 160T6 • J310 Airoa�� `�'ay
Lonq Beach, Calil, 90806
1211� 426-3355 • �311� 63bI3B6 • p14) B}8-641t
September 25, 1967
Since 1898
IEARCH 8 EN`/ I RON M ENTAI iESTI NG
R R O 5 I O N E N G I N E E R I N G 8 A N A L Y 5 I 5
1514�� N orfh Harper Slreel
Santa /�a, California 92101
(11a� 91-tpCS
Examination: SC67-<<558
COMPRESSION TESTS ON Q�����( CYIINDERS
Jos. M. Henley � �j�d
1973 Newport Blvd. �
Costa Mesa, California 92627
PROJECT 16 x 3z Swim Poo1 for DELOS I. DIEHL
ADDRE55 �+7 Elmhurst Lane, Costa Mesa
SaMPLE FROM 2- ii1 Bottom center line; 2- y2 Side watt deap endt
2-#�3 - 8ond beam house sido.
•RCNIiFCi CONTRACTOR
Tibor Ginter Blue Haven Pools
FNOINEER SUBCONTRACTOR
_ _ _ Century Gunite
SPECIFIED
MIX �- 1 SiRENGiH 2,000 psi
DATE CAST
DATE TESTED
CYLINDER NO.
SIZE
COMPRESSION
TOTAL LOAD, LBS.
POUNDS PER SQ. IN.
COMPLIANCE
CYIIfVDERS
9-18-67 SLUMP
9-25-67 9-25-�7
t ?
6-1/S" x iz�y�� 6�� x 12��
7-Day 7-AaY
100,500 94,5`�0
3,4to 3.342
lA "HOLO" ZA '�HOID"
7-Day test complies with specifications
M4DE ET OEIIVERED BY
J.M.Heniey Joe
9-25-67
3
5'%�8�� X tj4��
7-Oay
113.500
4.180
3A "HOLD"
RFGEIVEO ON
9-19-67
o,,,.�.�T,oN: „_. �������� E C E! V E D
Jos. M. Nenley BUILDING SAFETY DEPT.
C�o ,I�..J:S�sa Bldg. Dept.
B.lue Haven Poots SEP �(j I'Svi
Century Gunite
Gene Crostey AM ('M
'7�8�9�N►�ll��, ��?�3,4,5,6
,
� �_ _ /'
(�� ;,�; � /�• ,�_"--- ,...
--- - � . .
�LL PEpOPTS �Pf $VBM�LiEO A$ TME CONfIOENTI�I CROPERT� OG CIILNiS, �ViMORI1�TION �OR pVBIIC�TION Oi'OUP REPONTS CONClU5iON5. OF EM I
TF�CT$ fPOM pR NEG�NpING TMEM IS N!5lFVFO CGNOING OUR WHITTEN APGFOVat a5 q MUTII>L PXOTECiION i0 CLIENTS iME CVBII� �ND 011PSELVlS.
330-12
,. Q C ista Mesa Bnilding Department PLICATION FOR PERMIT
171 EAST 20th STREET ���� B U . D N G
� � -���COSTA.MESA, CAUFORNIA �
` FOR OFFICE USE ONLY
`' P"OR APPLICANT TO FILL IN Receipt No. Permit No,
Building a �cL�
Add�esa 447 Elmhurst Lane . /
Costa Mesa, California Rece'vediby D te Rec' .� I �a issued
Nearest � S }� ,�
CrossSt. pT pR_� P, � Building �
Address
Owner Colle e Park Co. • CostaMesa,California
Mail
Address �2116 S. 1•1�&lh 5t. - Nearest
Tel. Cross St /
City c�„+� n,�,a ��i;Q No. KS 51139 Zone ,/ I No.of I Typ¢/ Grouq_,n
Address
�tractor 'ri9TbuT
Address same
Legal Lo4
Descriptlon No. 4
(Attach Metesand Bou
SizeafLM 60 X
�st.CWo.' �-� 3761
I
Block I Tract 2%
INo. of Bldgs
Nowon Lot
No.of No.of
Familles Rooms
RearYard 34
Stde Vard 5
J oF wo�g
n I I Addition I
Repair I I Moving I I Demolisf
Building No.of �
Size _ 1(3�9 Rooms Stories
^ior Wall I Roof
'in9 Covering
of New
Building Residence & Detached
I hereby aclmowledge that I have read this Application
and state that the above is correct and agree to comply
with all City Ordinances and State Laws regulating
building construction.
Signatureof
CORRECTIONS
APPROVALS
Frame: Fire Stops,
Bracing, Bolts
Lath. Int.
Permittee r ' n r Plaster, Int.
Authorized Agt. ' Plaster, EnL
Valuatian Permit Fee $ -� Masonry Reinforced
Plan Check $ � eond Beam
$1�.��,�.��. Total
Fee $ � � FINAL
RM 204 5-BP 2M 8-55 �
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6how loeation and distances from , . . , . . �•
property Ilna and between buildinga, _ .
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COS'rA MESA BUiLDINCrSAFEfY DEPARTMENT
P. � BOX 7200 COSTA MESA� CALIFORNIA B2B2E -
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
�rv _a:,r� yy-:e t.�t�,r 1i
,. ,;-���F.�,on �� 1 .5C
APPLICAT ON FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only RECEI V OATE RECEIVED oa e i ue
BVILDING 'f/� // �] /�`/ [/ Y + /
AD�FESS�y.�H- / G" �T'u� � / /v A �j � �y
OWNER
�i-. ,GYJS ___//�%f� A.P:NO.I 1 'J�� � _" RMITNO. ^
MAIL // `, //J / �J% BUI�DING ��
ADDRESS�"7"'T �^�/ �v�JT `� / AODRES �
CITV �b—$TP ///Csn NOLS'�'y�C�� -TRACT �/�� . LOT� BLOCK
CONSTRUCTION -� �^1 ' ADD ALT P
LENDER �D� � ' \ . �
�
BRANCH ♦
_ OWN q L. L � L�l_.
ADDRESS V�J�
ARCHITECT , TEL. . ' SE Z�G �F� C/f�LOSt7j[JKt�;����
OR ENGINEER N .
' FIRE
ADDRESS � ZONE TVPE � GROUP �
CONTRACTOR (%ly ��� � !/ % L AC BVPp�VED � DATE' I" G- /�
ADDRESS
/�� � /R/SP�' ��
TEL. ZO NO.OF USE OF NEW
CITV NO.� . PLAN$ BUILDIN
STATE CITV �'AFDSAPPROVEO VARDSAPPROVED
LIC. NO. � UQ NO. MAIN BUIIDING ACCESSORV BUILDING
SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW ON LOT � FRONT FT. FT.
USE OF
EXISiING BLDG. SI E FT. ' FT
.$eparate permits_ are required for L SIDE J�T. � Fr.
electric, plumbing and heating work.
REAR � FT. FT.
USE OF UILDING AND WORK TO E P RFORMED `/ DISTANCE BEf. BET. MAIN &
/�" 5/✓�/ C.tS N� 7 MAIN BlDGS. ACCESS. BLDCaS.
J w� �� � ' Q VAR. # DATE
p iG/j �J C.U.P.� APPROVED
' APPROVE � ���
I hereby acknowledge tMet I have reatl this application antl state �^
�
that�the abova information is correc< antl aBree to comply with m
all laws ragulating builtli�9 construcNon, and I shall not employ �
i
eny person in violaUon pf the workman's compensation laws of �
the State of California. '
I hereby cartlfy that I arY� P�operly Ilcensad as a contrector untler SQ. FT. w
the State of Californla BWsinass and Profeuions Cotle, Division 3, T E MOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such Iicances sre in full forca and eftect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE_ON�Y: �
am exempt trom ffia provlsions of the Steta af California Businass VALUATION ' PERMIT FEE $/-�%L a
antl Professions Cotle, DiV�sion 3; Chapter 9. . in
�/J M
Signatura of��� � � // /�L� /' � /y������ PLAN CHECK $ � � o
Permittea �f� � / TAX �,5 r-� �
y U
Authorizad Agent � TOTAL PAID $ �(� /�. (%
�