HomeMy WebLinkAbout599 FAYETTE CIR - Building Permitsr
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
,lob Address: 599 FAYETTE CI
Suite:
Vicinity: FRONT AND RIGHT SIDE OF PROP
Parcel Number: 41804127
Applicane HOPOI, SULIANA
Address:
Owner: CARHEE, ISSAC
Address 599 FAYETTE CIR
COSTA MESA, CA
Contractor. LIANA CONTRACTORS
Atldress: 110 E 68 ST
LONG BEACH, CA
Zip: 90805
Arch :
Address:
Status: ISSUED
Applied: 07/02/2002
Issued: 07/02/2002
Zoning: R1 R1 -
ISSUED BY:
Phone: 562-230-3542
Zip:
Phone:
Zip: 92626-3103
Phone: 562-230-3542
License: 639249
Eng:
Address:
- Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
CONSTRUCT 55' LONG WALL, 6' HIGH IN SIDE YARD, 25' LONG BLOCK WALL, 6' HIGH IN THE FRONT YARD OF AN
EXISTING SFD PER CITY STANDARDS; 20' FRONT YARD SETBACK.
Plan Check: $37.08
Permit: $57.05
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
inspection: $0.00
Total: $94.63
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existinq: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING 8 ZONING
Left 0- 0
Left 0- 0
Praposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
5i,soo.00
so.00
NO710E: 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 Ihe work authorized under this permit to be considered legal, such work must comply with all applicable cotles, and all
required Inspectlone and tinal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626 .
�
WORKERS' COMPENSATION DECLARA710N:
I here�y aflirtn untler penalry of perjury one oi Ihe following tleclarations:
❑ I have end will maintain e certificale of ConSent to self-Insure for workers' compensation, as provitled for 6y saction 3700 0l tha Labor Cotle, for the pertormance oi the
work lor which this pertnit is issued. .
❑ I heve end wlll maintain workers' compensation insurance, as raquired by section 3700 of the Lebor Code, for the peAormance of the work for which this pertnit is Issued.
My workers' compe�isatlon Insurance carder and palicy num6er ere:
Garder. Policy Number.
(Tiils sectlon need not be complete0 P Ne permlNs veluetl et one hundretl tlallers ($100) or less.) �
�I certily thet in the performence of the work for which Ihis permit is issued, I shell not employ eny person in eny manner so es to become subject lo Ihe workers'
compensatlon laws of Califomle, ana egree thet If I should become sub�ect to Ihe workers' compensation provislons of Sec lon 3700 of Ihe Lebor Cade, I s�all lorihwith
comply with Ihese provisions. M . '/
Applicent Signewre� �R /' 1'� Dete: J� �Z
WARNING:FNLU TOSEWREWORICE0.5'OO�dPENSATI CO PA ISUMAWRILANDSHAL�SU&IECTPNEMPLOYERTOCRIMINALPENaLTIESANDCMLFlNESUPTOONEHUN�RED
T4qU5AND DOIURE (5100.000�, IN ADDRION TO TME COET OF CO� AT1IXJ, DAMAGES AS PROVIDED FOR IN SECTION 3)W OF THE IABOR COOE, INTEREST, AND ATTORNE`fS FEES.
DECLARATION:
I hereby ettirtn thet I am licensed undar provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the 8usiness and Protessions Code, end my license Is In tull
tace end eNect. lic. # Class #
Comrectofs SignaNre j�� ��— �'7 •�5� Y�! Date: "7 L 6? `
7'Z�
CONSTRUC710N LENDING AGENCV: � •
❑ I here0y aNirtn that thera is a construction lending egency for ihe peAormance oi t�e work for which ihis partni� is issueA. (Sec. 3097, Civil Cotle).
LenOers Name: . _. Lenders AtlOress:
Signature:
OWNER•BUILDER OECLARATIONS:
Dale:
I hereby eftirm Ihet undar penalry ot perJury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reasan (Sec. 7031.5, Business entl Protessions
Cotle: Any ciry or county which requires e permit to consirucL alter, improve, tlemolish, or repair any sWcture, prior to its issuance, also requires ihe epplicant for such pertnit
to file e signed stetement ihat he or she Is Ilcensetl pursuent to the pmvisions of the Cantrecrors License Law (Chepter 9(commencing with Sectlon 7000) ol Division 3 of ihe
Business end Professions Cotle) or thet he or she is exempt therefrom and Ihe basls for the alleged exemption. Any violetion oi Section 7031.5 Dy any eppllcenl for e permit
subjects the epplicant to a civil penalry ol not more than tive hundred dollars ($500).):
❑ I, as owne� oi the property, or my employees with wages es their sole compensetlon, WILL DO THE WORK, end the stmcWre is not intendetl or ottered for sele (Sec.
7044, eusiness and Prolessions Code: The Coniractors License Lew does not epply to an owner of property who builds or improves ihereon, antl who does such work
hlmself or �erself or through his or her own employees, O�ovideA I�et such improvements are not Intended or oMeretl for sale. If, however, �he builtling or improvemam is
sold within one year ot completion, the owner-builtler will hava the burtlen of proving that he or she did not build or improve for purpase ot sale.).
❑ I, as owner Of lhe properry, am EXCLUSIVELV CONTAACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Busineu and Professions
Gotle: The contrectors License Lew tloes not apply to an owner ol property who builds or improves thereon, and who contracis for such pwject wlth a comractor(s)
license pursuant to the Contractors Licensa Lews.).
❑ I em aaempt under sec. Business antl Protessions Code for this reeson:
Signe�ure: Da�e:
Owner ID verified by drivar's license. ❑ Ves ❑ No DriveYs License No. Ezpires:
VedNcation oi Ownership by (rype of tlocumem, i.e. - property tax bill or daed):
DIVISION OF INDUSTRIAL SAFE7V PERMIT CERTIFICATON:
❑ I here�y certify Iha� no excaveilon tive (5) or mora feet in depth into which e person is required to descend, will be made in cannection with work authonzetl by t�is
pertnit, end that no building structure, scaHWding, talsework, or demolition or dismantling thereof, will be mora than thirry-si: (36) teet high. (Chap. 32. Grp 2, Art 2, Sec.
341, Ttle 8, Calitomia Atlminisiretive Code).
❑ As ov.•ner-Duilder, I will not employ anyone to do work w�ich would require a pertnit from lhe Division of Industriel Satety, as noted above, unless such person hes a
pertnit ta do such work tram the division.
Signeture: Date:
Division of Intlustnal Safery Permit Number:
CERTFlLATE OF COMPLIANCE AND AUTMORIIA710N OF ENTRY: I cenity untler penalry ot perjury t�at I have read this application and stete ihat ihe information given is
correc�. I egree to comply with ell stete laws entl ciry ordinances relating lo builtling consWction, antl euthodze rapresentetives of the qry ot Cos�a Mesa to enter upon Ihe
above-descnbed property tor inspectfon puryoses. 1 agree not So actupy a allow occupancy ot any buiWing authorized by this permil until final inspection.
COOE I, INSPECTIONTYPE
1616 Fi:etl System Final Fira P�evention
1266 Pool Spa Finel
200 Final Re-Root
201 Flnal Block/Re�aining Wall
202 Final Factory Fire Place
203
204
Finel Sign
Final Demolitian
ner(s) - Date
� 7 2 Oz
ilicant Date
p�TE INTRIALS
� 2- �+"',�..
CODE� INSVECTIONTYYE
206 Final Mechanical
208 Final Plumbing
210 Finel Electrical
212 Final Fire Prevention
220
222
250
Final Planning Approval
Final Site
Final BuildingiOccupancy
PAIE Irmrl��s
' 7HIS SI�I'4-I LS FOR INFORMATfONAL PURP06F5 • SOLiD WALIS/FEN�S BEIIVEQJ 2'6' k 6' QJ tIDCtif SHALL
ONLY. APPUC�W'f LS RFSPONSIBI.E FOR PROViDWG BE SE78AIX AT IFASC 10' FROM FRONC PROPERTY LINE.
AN ACCURATE REPRF5FMA770N OF T}�Qt PROPERIY
IN G15E Ttff SHAPf AND SIZE DO NO'I CORR�SFOND • 90[ID WAIS.S/FFNQ�S SFIALL NOT S%�D 2' 6' IN Fff7Ctff
WTIN 7'HE INFORMAI70N PROVIDID ON 7'FiLS Sf�EI. WIII-�I10 OF IHE FROM PROPFR7Y IINE (NOf CURB LINE).
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• VERhY DSCAN� FROM CURH TO PROPER7Y LIIJE
AND StiOW ON PLAN. VFRI}7G1ION FROM iliE QlYS
PNCR9EERNIG DN610N 15 REQUIR�. GLL (714) 75�.S311
IOR INPORMATION. '
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STREET
BLOCK WALL LAYOUT FOR BUILDING PERMIT
PLANNING DIVISION
TYPICAL 6�� CONCRETE BLOCK FENCE
Cement Coping OpGonal �
Channel0bck With 1�3/B�
Hori:ontal Top ol all
Fences
For Fences 5' or Less
Ven. Bars 3/8" yS at 4' -0" O.C.
For Fences Higher TAan 5'
Vert. Ban 3/8"� at 32" O.C. �
Fill Cells Solid With Grout
Where Steel Occurs
Rcudorcing Steel $hall
Cunlorm to SecA�15-39
A.S.7.M.
All Steel to be Lapped
24" or to Code
NATUHALGRADE
TWO 3/8"4 BARS Li
CONTINUOUS iOP �
B BOTTOM
HOQ�3.STEEL MUST eE TIEO IN
VLnCE AT TIME OF TRENCH
INSFECTION.
4
I
J
�KIOTH
� SEE CMt
L OE��W
0
WIOTH
TNICKNESS
DEPTH OF EARTHTOOTM
SPACING OF EARTHTOOTH
I 4..
10"
24"
i2'
FOOTING REQUIREMENTSCHART
14"
10"
20"
14'
BUILDING DIVISION
12 .
8"
16"
16'
GENERAL- NOTES
MORTAR; p�e parl Plastic Cement, and
Three Parfs Sand
GROUT; One Port Cemenf Tlvee ana
OnB Holf Parts S�and
COPING: One Part Cement, Three
Ports Sand
CONCRETE: Weil M�red 1:2-t/2:3-I/2
Mm ot 7- I/2 Gol�ens of
Water Per Sock of Cemem
GNOUT MAY BE POUREO FPOM TNE TOP
OF 7ME FENCE IN CELLS WHERE STEEL
OCCURS.
CELlS ANO AREASOF HOH120NTAL REIN
FOHCEMENT SHALL BE L�EAR, CLEAN 6
FREE OF A�l MORTAP DE9NIS, ETC.
H C� C4PTHT(;DTH
V` T�iE HE�GTn Oi FENCE
B�IOW BOTTOM Oi FOGTiNG
SCALE: I/2��= I'
12"
8"
12"
16'
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(714) 754-5273 • Fax (714) 754-4856 • www.ci.cosla-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Add�ess: SJ9 FAYETTE CI
Suite:
Vicinity: ROOF
Parcel Number: 41804127
Applicant: NUYEN, CUONG
Address: 14357 EUCLID ST #E
GARDEN GROVE, CA
Owner. CARHEE, ISSAC
Address 599 FAYETTE CIR ,
2oning: R1 R1
Phone: (714) 5456994
� Zip: 92843
Phone:
COSTA MESA, CA Zip: 92626-3103
Contractor: VILLA ROOFING PROFESSIONALS INC
Address' 14351 EUCLID ST #E
Phone: (714) 5456994
GARDEN GROVE, CA
Zip: 92843 License: - 758361
Sta[us: ISSUED
Applied: OS/29/2002
Issued: OS/29/2002
0
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Arch : . � -- ' � Eng: - , ,
Address: . ' - � � � Address:� �
, � Phane: � � . , Phone: �
Zip: , License: License:
SCOPE OF PERMIT
TEAR OFF COMPOSITION. INSTALL 15# FELT, 30 YR COMPOSITION SHINGLES, GAF TIMBERLINE. 2300 S.F. WITH
ATTACHED GARAGE.
Plan Check: $0.00
Permit: $83.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $83.75 . __ ,
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existlnq: 0
NOTES:
Rear 0. 0
Rear 0- 0
Required: 0
FEE SUMMARY .
,
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Caic Valuation:
Claim Valuation:
Right 0-0
Right 0- 0
52,900.00
s2,soo.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-27-92)
EXPIRATION: This permlt shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days. .
INSPECTIONS: In order for Ihe work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapectiona end final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 754-5626
�
WORKERS' COMPENSATION DECLARATION: �
I hereby attirm under penalry of perjury one ol ihe tollowing tleclarations: �
❑ I have and will maintain a certificate of consent to selt-Insure for workers' compensation, as pwvitled tor by section 3700 of iha Lebor Code, tor the peAormence of the
work for which this permit is issuetl.
�I have and will maintain workers' compensa�ion insurance, as requiretl 6y section 3700 ot ihe Labor Code, br the pedormance of the work tor which this pertni� is issued.
My workers' compensation Insurance cartier antl policy number are: / /
�Certler: �7� FLC/i�� Policy�NumCei:> �/� �7i?�(� � ��
(Tbis secfion need nat be completed il fhe permif is valued at one huntlretl tlollars ($100J or less.)
❑ I cenily Ihat in tha peAormance of the work br which this pertnit is issued, I shall not employ any person in any menner so as to become suDject to the workers'
wmpensation laws ol Calitomia, and egree that If I should become sublect to t�e workars' compensation provislons of Seciion 3700 of the Labor Code, I shall forthwith
comply with these provisions. �/�
'APPIiwn45igneture:-- ��>�/'/p.M�a D��e:? ��� �% /�.Z
WNRNING: FAILURE TO SECUPE WO � la'COtl�AGE IS UNLAWFUI PND SHALL SU&IECT AN EMPLOYER TO CRIMINAL P ALTIES AN GVIL FlNES UP TOONE HUNDRED
THOUSAND DOLIARE (5100,000), IN ADD�COST OF CAMPENSATIIXJ, DAAUGES AS PROVIDED FOR IN SECTION 3]060F THE LABOR CADE, IMEPEST, AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLAHA710N:
I hereby affirm ihat I am licansed
�face��an0'ettect-Llc'& _Z
9(commencing with Section 7000) of Dlvision 3 of iha Business end Prolessions Cotle, entl my license is in full
CONSTRUCTION LENDING AGENCY:
❑ I hereby ettirm that ihere is a constmction lentling agency for the pedormence of Ihe work for which this permi� is issued. (Sec. 3097, Civii Code).
Lender's Name: Lender's Adaress:
SiqnaWre:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby aflirtn that under penalry ot perjury t�et 1 am EXEMP7 FROM TME CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Pmfessions
Coda: Any ciry or county which requires e permit lo construc6 elter, impmve, tlemolish, or repair eny siructure, prior to its issuance, also requires t�e applicant for such pertnit
to Ille e siqned statement thet he or she is licensed pursuant to the provisions of the Contrectors License Law (Chapter 9(commencing wii� Section 7000) ol Division 3 of t�e
Business entl Professions Cotla) or that he or she is ezempt therefrom and the basis for Ihe alleged azemption. Any violation ot Section 7031.5 by any applicant for e pertnit
subjects the ap0licant to a civil penalry of not more ihan five hundred dollars (5500).):
❑ I, es owner ot the property, or my employees with wages as their sole compensa�lon, WIIL �O THE WORK, and the structure is not intentled or oflered for sale (Sec.
7044, Business and Professions Code: Tha Contractors License Law dces not appty m an owner ot property who builds or impmves thereon, end who does such work
himseN or herseif or thwugh his or her own employees, provided Ihat such improvements are not intended or oHered for sale. If, however, the building or improvement is
sold within one yea� ot completion, the owner-builder will hava the burtlen ot pmv�ng that he or she did not build or improve tor purpose of sale.).
❑ I, as owner of the pmperty, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to con5imct the projec� (Sec. 7046, Business and Pmfessions
Code: The contracrors Licensa Law tloes not apply to an ownar of property who builds or improves thereon, end who coniracts for such pmject with a coNractor(s)
license pursuant to the Coniractors license Wws.).
❑ I em exempt under sec. Business and Professions Code for t�is reason:
Signature: Data:
Owner ID verified by drivers licen5e. ❑ Ves ❑ No Driver's License No.
Verification of Ownership by (rype of daumenL i.e. - pmperty taz blll or deed):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify Ihal no ezwvation five (5) or more feet in dep�h into which e person is required to descend, will ba made in connection with work euthorized by this
permit, and that no Duiltling structure,�scattolding, talsework, or tlemolition or tlismantling ihereof, will be more Ihen thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle e, Califomia Administrative Code).
❑ A5 owner-builtler, I will not employ anyone ro do work which would require e permit from the Division ot Industriel Sefety, es noted ebove, unleu such person hes e
pertnit ta do such work from the division.
Signature: Date:
Division of Indu5tn81 Se�ety Permi� Num6er:
CER7IFICATE OF COMPLJANCE AND AUTHORIZA710N OF ENTTiV: I cenify under penalty of perjury �ha� I have read this application and state that the information given is
correcL I agree to comply with all state laws flntl ciry ordinances relating Io building consiruction, antl authorize representalives of t�e Ciry of Casia Mesa Io enter upon the
above-described Dropertyjor inspectio9purposes. I agree not to occupy or ellow occupancy of any building amhonzed by lhis permil until final inspection.
Legal%�% ((/.G1 � ��1 % /O
COUE 1. INSPECTIONTYPE
7616 Fixetl System Final Fire Prevention
1266 Pool Spe Final
200 Finel Re-Rooi
201 Finel BIocWRetaining Well
202 Final factory Fire Place
203 Final Sign
204 Final Demolition
reiF u�S
-L'1 .�:�
COUE I INSPECTION TYGE
206
20B
210
212
220
222
250
Final Mechanical .
Finel Plumbing
Finel Elec�ricel
Finel Fire Prevention
Final Planning Approval
Final Site
Finel Building/Occupency
0
PflOJECT AOOflE55: S 9 9 FAYETTE C I
awr+ensxame: EYMERT, PETER K
aooness: EYMERT NELVA R
599 FAi'ETTE CIR
COSTA MESA,CA
599-7824
AflCMIENGINEEFl:
AOOflESS:
UNIT:
92626
flEG.NO.:
UNIT:
PEHMITTEF: NOCK PLUMBING f 714 ) 895-1246
nnoeess: 11610 SEABOARD CIR
STANTON CA 90680
UCENSEU LONTflACTOP OECIAHRTION: I hereby allirm �hat I am licensed nnder pmvisions of Chap�er 9(commencing wilA Seclion
7000) oi Orvision 3 0l I�e Business antl Pmfessions CoOe, antl my license is in lull �orce and effect.
cirr u: 050386 ' aTn,e uc.:511971 us 36
..
1ie: Signamre: _ � /
JFNEBS' COMPENSPTION OECtAflATION: I hereby allirm �hal �ave a cetli�ical¢ a� conSenl �o selbinsure or a certilica�e 0� Workers'
,ompensation Inwranc or c lilie copy �hereof (Seciion 3800. Lab. ).
roucrxo.: 116�9�295 E%P.ORTE: 3IOSI9S
comraxr: STATE ro
❑ Certilied copy is here6y furnishetl. Ln Cenilied coDY �5'�il^etl ^vm� t�e ciry Builaring Oivision.
�e. �`�D'-1 � applicam:�1, 1� IY" v .
E%EMPTION FBOM WOflNEflS' COMPENSATION OECIAflATION: (�hi5 5eciion n¢etl nol be campleteG d tAe permii is tor one hu�re� �5100) or less�.
�. I ce�ily Ihal in I�e pedo�mance ol �he work Por w�ic� this permit is issuetl. 1 shall not emDloy any person in any manner so a5 �o become
� su�lect Io Ihe Workers' CamOensalion Laws ol CaObmia.
�a�e: Signa�ure:
NOTILE: I( af�er making this Oeclaralion. you shoula oecome subiect to tne warkers' Compensation D�o�isions af the LaOar
Code. you musl �orlhwiih com0ly wit� such pmv6ion5 or tNs permii stull Ge deemeA revokeU.
CONSTXUCTION LENUING AGENCY: 1 �ereby a�hrm I�at Ihere is a cons�mc�ian lentlmg agency lor Ihe pedormance of Ihe work for
which Ihis permii is issued �Seclion 3097. Civ. C�.
LEN�EH:
PDUNE55:
OWNEfl BUILOEB OECIAflATION: I here0y allirm �hat I am erempl irom �he ConVaclars' Sia�e License Law lor Ihe followinp reason
(Seciion 7031.5 Business anA 7mlessionat Cotle: Any cily of county w�ich repuires a permit to constmci, alier, impmve, aemolish, or
repair any Slmctu�e, prior to its issuance. also repuires t�e applicanl lor such Oe�mit to lile a sipneA 5tatemen� lhal he/5Ae is licensed
pursuant Io Ihe p�ovisions al Ihe Contractors' Slate License Law �Chapter 9 �cammencing with Section 7000) ol Division 3 0l t�e Business
' Prole55ionS Catle) or Iha� �e/She is exempt therelmm and ��e Easis lar t0e allegeU evemD�ion. Any violation o� Section 7031.5 by
applicani lor a permit sublecls tite aDPlicant lo a civil p¢nally o� noi more than live �unaretl tlollars ($500�.
I, as owner ol ihe Dmperiy or my employees with waBes as t�eir Sole compensation, will do ihe work, and Ihe
❑ s�mmure is no1 imenCetl or ollereA lor sale (Section 70a4, Business and Pmlessional Coae: i�e Contractors' Slate License Law
aoes noi aD01y to an owner ol a propeny wtw �vil�s ar impwves ��ere0n, and wAo Aoes such wark himself/hersell or ��mugh
his or her own employees, pmvitletl I�at sucn impmvemenls are not intend¢4 or o��ereA �or sate. II. however ��e builtling or
impwvement is sola wi�hin one year af comp�etion, t�e owner vnll have t�e burGen ol pmvinp he/she Oid not builA or imD�oue
lor �he Ompose al sale). _
I. as awner of Ihe prooerly, am exclusively contradinp wiln licensetl contraclors lo consimcl Ihe Droiect ISection 704a, Business
❑ and Profession5 CoOe: T�e Contratlors' State Litense Law tloes no� aOVM Io an owner o� pmperty wha buitOs or improves Ihereon
an0 who contracB �or such Dmle��s wii� a conira[Ior�s) license Oursuant �o Ihe Conlractors' S�ale License Law�. I am aware
I�el O�ool ol @eir Worker's Compensatian insuran[¢ sflould Oe Orovid¢tl lo me.
� i am exemp� unUer Section: B. d P. C.
lor Ihis reason:
Date: Ownec
I do here�Y �erlify inat I am aware oi and understantl the repuirements ol Cabbmia Healih an0 Salety Cotle Sections 255Q5, 25533, antl
2553A antl thal I or any lutwe builtling acupani wilVwill no� �tlrcle one) nee0 la compty with saiA s�a�e w0es antl t�e re0uirements �or a
permil lor consimction or motliliwtion �mm Ihe Fu Quabry Management Disirict ReSiUen�ial con5imclion applicalions are e�emp� Imm
IlleSe pravi5ion5.
oa�e�. aoPrcam:
' I here0y cer�itythal I have readihis applica�ion ane 51aie Ihalthe a�ovein�orma�ion is correcl. I agreeto comply wilh all cily an0 county
ordinances an0 9a�e lavrs relaling io builtling constmciion a�b tlereUy au�lwr¢e reD�esen�atives o� this dry ro enter uDon Ihe above-men�ioned
pmpertY lor inspection putr�poses. � ////yyy���
Date:�� !_ Dl_Gi,__ SignaWre: � I �" �/' '
Driver's License or Socia� Securdy n:
t66i-a6 Whue—Builomg; Green—Cade En�orcement Canary—ApPlicanf. Pmk—Revenue; GoiOenroa—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 05107
PERMIT NO; P 051076 PLAN CHECK NO: ' N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
JOH DESCRIPTION : CHANGE OUT WATERHEATER SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /
COMMENTS: CHANGE OUT OF WATER HEATER
*�**�**�r***��r*x*+�*�r�r******��r*****�*+�**x*�*********�r*+r�e*�r**�*x�+e�r**+�*��r*�****�***
Z O N I N G R E Q U I R E M E N T S
sETHAcxs
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT ZN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 41804127 ZNE: REF NO:
PLANNING NtSTES>
i
*****�*****�e**�r*�r�r�r****�r�*****��**�r*+��r+r**��r**�+e*��+�x��r**�r�*�r*+r***�r*�r*�r*��*�*�r�r*�
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 DATE:
BUILDING APPROVED BY : DATE;
APPLICATION ISSUED HY: — � DATE• �ZwZ
iEMMifiFiFMMifiFiFiflFiEiFafKififiFKiF • f�£iF1FMiFKIEiFiEifiFiFfE ifif
ifiFMk3fiFiFMiE�fK3fMMKlFkifMififiFiflfitlFlFlfiflfMlFkiFklFMifMiFiFiFiflElfKifjfiElEkiElflFififkKiFikif�EklEkKif3fK�Fif3Fififif*if�EK
LEGALI2ATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
PERMIT BLDG PMT PLUMZI00 ELECTRIC MECHANIC FIRE SMIP/RES GRADING
'15t SMIP/NON—RES
PLAN
ISSUE FEE 3.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 2.00 3.00 0.00 5.00 5.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 5.00 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
5,0�
if if if iFlf 1F aF if iF iE if IF iF if 1f M 1f if if if �f iE If af 1f 3f iflE iF 3f 1E if iF if if iF iF iF iFiF IE if iE k 1f ih iF iF IE M if af if k 1f iE If it if iF 1Fik M 1E iF iF if iF i! k IF fF iF if IE if iF If iE
I N D I V Z 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 O N UNIT COST TOTAL COST
PLU 1 WATER HEATER AND/OR VENT 2.00 2,00
END OF FEES
v
oi ooa8?r1i4-aao824ic ���- �.00
DATE: 03112/9i 7Il9E: 1b:34
CONSTRUCTION AND PLAf�ti..,.G 'OOL & SPA
APPROVALS Permit# 1 Date Inspector qppROVALS Permit# Date Inspector
� 1. Temporary Electrical Service or Poley�� 52. Pool & Equipment Location
2. Soil_Pipe-Undrgrnd. 'r•C 53. Steel Reinforcement
� . r.:
- �3�ectn_cal CondSit-�Uiility�Undrgmd�'`' 54. Forms
= �4:�El�ctiical Cond�it:Undrgrnd. 55. Electrical Bonding
;
`•�5. ""���ieinforcemeht' g g
Sit,e,g �_, �; 56. Rou h Plumbin & Pressure Test
i��,6�.[�IettricalUFER�Grnd. - 57. APPROVALTOCOVEfi�GUNITE ��;
��
:;';1,�.�Foo`ings ��� � 58. Electrical Conduit-Undrgmd. "
,^,B�.;F,opndation �" � 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe�Undrg�nd. 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO DECK
11. Prop�erty Sewer Line`& HaOse Connection � 62. Backwash & Receptor-Final
�
12. Sew€�r Cap `.t ; 63. Heater & Vent-Final
13. Roof Drains �r 64. Plumbing SYstem - Final
� c
14. Rough Plumbip'g �' 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System�Final
16. Rough Electric-lNiring 67. Fencing & Access ApP�oval
17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING
18. Rough Electric�]-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
' - _ ' �-pi-CJ� � . '
20.*Rough F.�ct6Ry Fireplace � �'� ¢ - � " � '* F �.1PPRQVA'L'6?"=�Per^iiit # " -
�:: s l;: �2 ��t,� �K� S -.r U. .�t�;-� ;�
i�i - ' •, 1'��l' i�.:: - " � � y ' �� y i �:
21 `DuCu, in�.Struaur;e�. i.. .. ;�S 5 c r�x a-J0. Undergfo�rd Hydro :x �
22.�,Ducts, Ventitating.� �JS �, �'S} y.71. produc����i�g �'C�as O'Oil
23.: as Pi e"Rou h &'�esc ' `� F � � ^t. -` - rn � � �. � .< r ,
� G P ,_9 �,;<; ; .,; r � ` �: , ��72. Undergrousd Flus� Y ��
24::Roof FCaming => � r. ^:r s> s ^ y� S73 �Undergmd] Stora��l"ank�O Gas ❑ 011
25. RO�ShEdthing '.t �• N:r �� t� C U.r:p. � ' r•,� ?
� �, ,� ;v. :. �74 ^Overhead Hydro_, :f
26 �T•Bar Ceiling (Structurell &;Monocoat y = A-�� ��' 75kDry Chemical *-' = 3
27`=Frameand Flashinq` 'r _ '' ��n ' 76'yDr `� ,' a S � '- �
� - ,..��., r a.> • YStandpiP.e '':cv ? [r
:-28.JLatbing Siding^:.v: _�L � �>'_ •� • �� 77CFIXEDSY$�TEf�/E51 AL
�29. Insulatibn -f: �' 'S �� �� :, p' � (� � 7g,Y�-FIRE PREV. PINAL a. � s, �.n
:+30. Drywall.:Nailing f-� � x� i ' -4 z -y•�• �HEALTH�DEPT>. REQUIREMENT
��
��31. Plaster 87owA Co3C;: S i l,.�r. � ' ' ��; '`u -,-79 �FINSqL'1fVSPECTIQN � '' ' �
.� -b � x i "- � . ' � � - -
�-32 �ElectricaiPower Meter,�Pinal; � !+. � `� :. .SOt�f00D CERTIFI.CATE ISSUED� �_
33.`Fin EIaciric " . �. :� � '� � • ';No�es: r =?�
S. :i �� �%. �r,x .T] V, : �" !. . �• • :.i S:0
;�;34; Final He ting;& Aic.Condition�� � � .ft ..��% r. `.�- � �'Ct; +. .,, G
., � �
^35 �`Final G2s Pipe-Test` ^"� ` `'�* r � •'�5 `' S•-
, � -y - ., ,� E: x zc c.-.
iz36' HogrJ or CanoPY � YL i t*'^ a. w : . �. � `r1� ' ' • ` :.-
t :r. �, u�
37r-Final Factory Fireplace,�, �:Sh' o *''' i ' �� r ' "
. .. c 1 t �.. .. .a. i • :� •.� t
��38. Final Plumbing . �- � e( q G� �� �. �' x u
::39. Water Service�Finalx � + I f;' • • �'� ` �
-- t � �� r. � r•� � r �� -
'_40. Gas Service-Final .� -, ,� ��,. � � � � �- - j. ci•; .
jY . v
>Ri. SolarpomesticFinals : � .. • 4 -� �.Cc. r »
`., � c ` � e- , c•^ -o �
� 42 `8ackflow Preventer� ` j ',�, �" � � �c x t�; 'ti�? - - .�
43. Backflow Irr�atioric � s� � _ * ' x�'" ^ -;
�. v �i C
�� -• . � c, v; �,� � r Y- w y� � v �
,,.A4. Landscape �r�%igation System,p,�; -� o; ,� r -.� z ca :u ;c^ N c
/' ~ � 't' I 5. ' �• • t-t • ' V 3. •3 .4 � "
3'45..Sound Attenuatiov -���- - ' -
- , i '��r .. - r
�d6:�Handicap Regulatiofs �" ; '`� � � ��: y z � j �_-',c 5 ...
�47.: FINAL STRhJCTURE & BUI'LDING � I �•� �- i�+ s 1
:z ,r r.
'48: -FINAL PLANN�NG � "_ i'_ A . � '� �� T .7 E�7 ;¢ �x (
�49._Electric Release to Edison � + i � t � 5; .t � • .
n .
�50.SGas•Release to Southem Califocnia Gas Cv „ � j. � ; �; � `� - . � [;� ' `� ".
;�51. CERTIFICATEOF;OCCUPANCY , Y . r [� ,_ ,^. � � O
No. Date
CITY OF COSTA MESA
� � , 24616 Building Safety Department
Application 4or permit for the fabrication ond erettion of clossi4ied signs.
Location
Building Site Address
Tag No. "� ��
Type of $ign , � �
� Elec. �Non-Elec.
Name of Leasee K��' ��� 1���5\ � � � �' �_�-( Phone �l � �'S.�'7"�,
Contracror__�d l.i� �1C!4st'�'IN �'�011�s State License No. I/�%o�—�iO-B�
Address !`)fi E%7� City�'US%<l /yl��i Phone L/ �—S3 $�8
Architeet ar ,/ //
Engineer � on nn� i� 9Y d�h rYJt� $tate License No. ID I�3
Address J��G���' City a.+�o� ��Phone 5 3`%—l00 ic�•
Description: �(Tract Sign
❑ Appurtenant and Incidental Advertising $ign
❑ Off-site Advertising Copy $ign
❑ Roof Sign
❑ Gas Tube, Elec. Sign
Sec. 1.37, 1.44
Two copies of plans and specifications shall be submitted with application for permit for each sign. Plot on plan
sheets proposed location of sign and locations of all other signs at site. Minimum size sheets SHALL be 18" x
24" and non-erasable.
� If between property line and established setback line, owner is to siqn written oqreement with the City.
Signature of Property �wner Date
' undersigned hereby agrees to fabricate and erect the advertising structure within the intent and meaning and
ii, ,trict accordance with the provisions of Ordinance 63-13, Ordinance 344, the Electrical Ordinance of the City
of Costa Mesa, ond all amendments thereto.
ALL APPLICATIONS MUST BE FILLED OU7 BY THE APPLICANT. ALL FOOTING, FRAMING, ELECTRICAL
AND FINAL INSPECTIONS SHALL BE CALLED.
$igna}ure of .� • �
Permittee G:. The amount shown under Valuation is for the purpose of
establishing a permif fee anly
Authorized Agen ���`' VALUATION Permit Fee b��
Recd. by
voRM euao-,M-�is3
Date'
Plan Check$
Totol Fee 5 �
FOR
Date Issued
CITY 0�' C�STA M�SA
Fice ��16rr�Q 1965
Fire Zone�Type� Group �
Approved by '' Dote ��"
1 PLANNING DEP TMENT
Zone �I A. P. No. � � � � � � �� / U
�� l n � A� .f • II
BIdg.Site Address
Legal Owner �t� � . Yl'J- �—i—r}-'i�L-i0.�%IiJ
Address � �O � � / �-�.(r �
C i ty ��/�J
Area of Sign: J�^jft. in. X,�Gft in. =�jc?—d�
Required Bldg. Sefback to
Center line of Street __ _ J� 0�
Location of Sign:
Behind Bldg. Setback Line ❑
Between Property Line and
Bldg. Setback Line �
Front 30 � Feet
Right 3v Feet
Lefr � y � Fee�
Projection /" �N� Feet
Ground Clearance �� Feet
C. U. P. C. Date Approved .
Clearance Chap. VIII, Art. 5. $ection 8504 (b)
�nature (Planning Staff)
lif.
Si a re (Dept. of Public Works)
oa re: �' —/ 9—�'
�' � '
George M. Holstein 8: Sonc
170 Fast 17th Stmet
� duly 2, 1968
Coata Mesu, Cslifornie 92627
Gentlenen: �
�e structures on the Pollowing lots of Tract 5698 have been
inspected and found to me the requirements of all the building
codes. Final epprwel hss en giveu on thec�e buildings.
Lots 1 thru 0
Lot 12
- � ts 18 thru 27
ts 54 thru 66
. n 117 thru 119
Very truly yours�
RICHARD D. HAHHART'
� Director of Building SaPety
RDH:eb
` 1 N S V E C i I O N 8 i E 5 T I N G E N G I N E E R S
C M E M I C A L 6 P H 7$ I C A L A N A l Y 5 I 5
i O Ba. I!D)6 � 131G AirOor! Way
lonq B.,.�n, Calil 90806
(213) 41bd155 • (211) e]bi3B6 • PIC� 910-6411
Merch 27, 1968
•
Sin<e 1898
A E 5 E n R G H 8 E N v I R O N M E N i A t i E 5 T I N G
C O R v p S I O N E N G I N E E R I N G 8 A N A L Y 5 1 S
ories�SIa.D N or!A MeroP� Street
� Senrn wna. Califo.nia 9]]Ol
�JI4� S11�IfA5
Exami�atio�: 568=1838
REGISTERED DEPUTY'S INSPECTION OF CONCRETE
Mesa Berger Company
e/o George M. Hnlstein & Sons
Attn: Mr. J. Todd
170 East 17th St.
Costa Mesa, Califoznia 92627
PROJEGi p1ESA BUBCF.R HOiJSIA� TRACT 5698
ADDRESS Pierpoint St., Costa tdesa
ARCMIiECT
ENqINEER
CEMENT, lNRND
��HE �OORFOAiES iNOM
CO�pSF �OORFOAtEf IPOM
AOMI%iUYE
CES�ONED STNFNOTN, �f�
INSPECTON
Permanente
Blue Diemond
Blue Diamond
None
2,000
J, Chambers
CONiRPCTON
Holatein Const. Co.
SUECONtM�ffOY
Arciero Bros.
REINFOPCINO STEEI
enicK
eiocK
P. 0. �k6791
RECEtVE&�
BUlLDIN6 SAFFTY DEPT,
;� 3�2:�-FP
r�tAa � :; �<<��a
Ara PM
�,Si9�l0�11��� i ���3;.��yg
� .
The followinq inspection was performed in accordance with the approved drawings
and requirements of the Department of Building and Safety Code.
0�`18-68 Inspection of placing of wire mesh in concrete slabs for
Houses Lot No. 1,2,3,4,5,6,7 aod Garages Lot No. - None.
3-19-68 Inspection of placing of wire mesh in concrete slabs for
Ftouses Lot PIo. 8,9,10,12,13,19,20 and Garages LOt Nos.
1,2,3,4,5,6 and 7.
3-20-68 Inspection of placing of wire mesh in concrete slabs for
Houses Lot Nu. 21,22,23,24,25,26,27 and Garages Lot P]os.
8�9,10,12,18,19 � 20.
3-21-68 Inapection of placing of wire mesh in concrete slabs for
Houses Lot No. 54, 55,56,57,58,59,60r 61 end Garages Lot
Nos. 21,22 and 23.
3-22-68 Inspection of placing of wire mesh in concret� slabs for
Houses Lot No. 62,63,64,65,66,117 and Garages Lot Nos.
27,26�25, and 24.
3-25-68 Inspection of placing of wire mesh in concrete slabs for
Houses Lot No. 118,119 end Garages Lot No. 54,55,56,57,58,
59,60�61,62�63,64 and 65.
3-26-68 Inspection of placing of wire meah in concrete slabs for
Garages Lot No. 66,117,118 and 119.
cc: Mesa $erger Co. - 3 / ��
Costa Mese Blg. Dept. } �'�
�--�� B�j jrc� ct._�/� �._..�:_� �:..,,-
/ '_
.i� wr000.s .u� �.�n� rno .s i�r corv�m[vn.� ��orMt� o/ cutnrs �i o�r., nn r... � n i..ion nr �.�v uww+*s. concws�or+s. ov c..
�N�( l5 �A���f M1.� uf �.�4: '�4 I��tu 'S rt'ES(wVfO ^EFOIM1G OJA A�l�i[Y ao✓w� •• r�• � ���. � .� (N�1 irrt PVBIIC �ND OYFSECVES
i3.r-1
INSpECIION 8 �ES�ING ENGINEE0.5
C H E M I C e � g p H � S I G A L n N< L 9 5 I S
F o Bo. I602e • 1lIG A�•na�' w�y
LonG Bee�n Cn�l! VOF06
13i1) n16d)55 •(:I)) 636.I)25 • Plal B;B.543}
Fe6ruary 27, 1968
kESEARCH 6 EH�IRONMENiaL iESTING
COR ROSI ON ENG I!: EE R I N G b nN A�Y515
baboratories �514.p N o:t� HerPer $treel
Sanra nna, Caliiornia 92)03
(114� 5J1�1L-0S
Since 1898
Examination: $68-128$
REGIS7ERED DfPU7Y'S INSPECTION OF
Mesa Berger Company
c% George M. Holstein � Sons
Attn: J. Todd
170 E. 17th St., Costa Mesa 92627
PRpJECT
AODRE55
�RCMIiECT
ENOINFE0.
CFMENi, l0.4ND
fINE �OOREO�TES ipOM
COAqSE �06NEO�TFS iPOM
�OMI%iUNE
DESIONFD SiRENOfN, �fl
�Nsvtcrox
MESA BERGER HOUSING TRACT 5698
Pierpoiht St., Costa Mesa
Colton II
Blue Diamortd
Blue Diamond
None
2,000
.1. Chambers
CONiRACLON
Holstein Const. Ca.
SUBCONTR�CIOR
Arciero Bros.
REINFORCIN6 STEEI
BNICR
lIOCN
CONCRETE
P.o.# 63z5
The followinq inspection was performed in accordance with the approved drawinqs
and requirements of the Department of Building and Safety Code.
o�rE� 9-68
2-21-68
2-22-68
Z-23-68
2-26-68
o1siRleunoN.
Inspection of ptacing wire mesh in 85 cu.yds concrete for houses
No. 176, 177, 178, 179 and garages Nos. 5z, 53, 174, 175.
Inspection of ptacing of wire mesh in 92.5 cu.yds concrete for
stabs in Houses and garages, Houses Nos. 180, 181, 182, 183,
184 and 185.
Inspection of placi�g of wire mesh in 91.0 cu.yds concrete for
slabs in houses Nos. 186, 187, 188, 169 and garages Nos. 176,
177, 178, 179, 180 and 181.
Inspection of placing of wire mesh in 84.0 cu.yds concrete for
slabs in houses Nos. 190, 191. 192 and garages Nos. 182, 183, 184,
185, 186. 187, 188 and 169.
Inspection of placing of w{re mesh in 16.5 cu.yds concrete for
slabs in houses and garages: Garage Nos. 190, 191 and 192.
Mesa Berger Co. - 3
Costa M„ e__sa� dg. Dept
�i�
^/ 1
V �
�
RECEIVED
BUILDING SAFETY OEPT,
FEB 2 � ��'��
AM �'M
7�g�g�l0�t1�1„l�?i3,4�5i6
N �
�.r,'�:.�....-,�'''L-,�,__ .�-•�_:..
�u e�Po+.s �ai s�,e.�ireo .s nu �.o�. enru� rno�tetr or eue.n.s. +un�oNi: • .�nW . � •+ Nrvna.s cuncws�orvs ou c.
.w•crs oao� n.. w....A� .c .�� � s ce +to �eeo�,�.e ov+ wsirrcn +a�i+o.« .s - . . .e � .eue .Ho avAsc�r�s
\ I
I N 5 P E G T I O N 8 T E S L 1 N G E N G 1 N E E R 5
CHEMIC/• L 8?H VSICA L n N A L YS IS
P.O Be. 16D16 • 3310 AI•porf Wav
Long Bracn, Calil. 9Dd06
(1H� a26d755 • 12131 6361]Bb' • Pla) Bte�64)1
February 20, 1968
Since 1898
�
E n R G H 8 E N V I R O N M E N T A l � E S T I N G
k ROS �ON ENGl�u E EP 1 N6 8 ANAL Y515
15�4-❑ Y or�p Ha�Pe� $��ee�
San�a nna, Ga��lornia 9t103
(➢I1) 5]1�1pC5
Ezaminafion: $(8-11�+2
REGISTERfD DEPU7Y'S INSPECTION OF CONCRE7E
Mesa Berger Company
c/o George M. Holstein L Sons
Aitn: J. Todd
170 E. 17th St., Costa Mesa 92627
PROJECT
ADDRESS
ARCNI7FCi
ENOINEER
CEMENT, lRAN�
iINE �OOREOAiES f0.pM
MESA BERGER HOUSING TRACT
Pierpoint St., Gosta Mesa
COARTE AOORFOATES IROM
ADMIXIURE
DESIONED STRENOTN, �SI
INSiECTOq R. Beadles
J. Chambers
CONiRpCTON
Holstein Const. Co.
SUBCON�RRCTOR
RFINFORCINO STEEI
Welded wire mesh only
9PICK
ewcK
2-12-68
2-15-68 S 2-16-68
The following inspection was performed in accordance wi[h the approved drawinqs
and requirements of the Department of 8uilding and Safety Code.
04TE
2-12-68
Inspected placement of wire mesh in garage ftoors
nu�ers 33, 34, 35, 36, 37. 38, 39, 40, 41 & 42
and sla6 //47.
2-15-68 Inspected placement of wire mesh in garage ftoors
numbers 44, 45, 46, 47 and slabs 42 48, 49, 50 & 51•
109•5 cu.yds concrete placed. 5" s�ump
2-16-68 Inspected placement of wire mesh in garage floors
numbers 42, 48, 49. 50 b 51 and Slabs 52, 53, �74
and 175. 92.0 culyds concrete placed. 5�� slump
oisixieunor+�. 0 � � C � � � � �
Mesa Berger Co. - 3
osta Mesa Bidg. Dept.
�� �J
ti��
�
BUIIDIN� SAfETY DfPT.
FE�i u �. �QE�
nrya�Q�q '' �rrM2
{ �SI✓IIUIIiILL1�I��J���1,7�1f,
. W a a �- . o c.�--� !� !--�--�...�
L EPO iS � C SV9 ITIeO �5 tuE C(�4 [�l41 �� >']�[„� p� C\�FH15 �U.H041t�iiOM1 �OX VVBi�C�lIl1N (1/ OVF n[a/1415 CJNCLVS�ONS OR Fi
}H�CiS IapM OH HGf.4ROING iFf ��. S� �.�C ���+ `� ,..9 wo �!f`� acnpOva� �y 4 M1�Iu�L 1•wV'tCi 04'tl CLI!`�!S .r�k nJBLIC �NO OVA.SELVf1
I N 5 P E C i I O N 8 i E S 1 I N 6 E N G I N E E ft 5
CH EM ICA L 8 PHYS I Cq� /. N A 1Y515
P o. eo. ieozs • 3aio n;.po,� w.,�
L o n g B e n c M1, C a � i 1 G 0 B D 6
�11]) a}6d1:5 •(113) n3bllye • pIG� B>8�6432
PcUruary 13, 1968
$ince 189A
i E n 0. C H & E N V I R O N M E N i q L T E 5 T I N 6
5 R O 5 I O N E N G I N E E 0. I N G b A N A L Y 5 I 5
isia-n N o�rn Ha�oe� S��e�r
San�a Ana, Celi(ornia 91]O]
�)14) 53L1005
Examination: 568-945
REGISTERED DEPUTY'S INSPECTION OF CONCRETE
Ptesa gerger Company
c/o Geotge DL Holstein & Sons
Attn: .T, Todd
170 East 17tti Street
Costa M�sa, California 92627
PR0IECT p{gSA SERGER HOUSING TRACT
ADDRE55 Pierpoint St., Costa Mesa
•�CNITECt
ENOINFER
CEMENT, 6R�Nq
fIHE AOOREOATES FROM
CO�RSF AOOMEOATES fIIOM
ADMIXiU0.E
DESIONED fTRENOTX, �fl
INSPECTOA
R. IIeadles.
CONTRnCiOR
Holstein Const
SUlCONTR�CiON
NEINFORCIN6 StEFI
BPICK
lIOCK
P.O. ik 6307
Co.
Welded wire mesh only.
The followin� inspection was performed in accordance with the approved drawln�s
and requirements of the Department of Building and Safety Code.
o�re
Feb. 7, 1968
Feb. 8, 1968
Checking welded wire mesh in house sla6s,r`33, 34, 35,
36, 37, 38 and 39.
Checking welded wire mesh in house slabs �41; 42� 43�
45, and 46.
oisreinunoH.
Mesa Berger Co. - 3
Costa Mesa Bldg. Dept
� ,�(��
,
�� (
RECEIVED
BUILDING SAfETY DEP7,
FEB l� ���,�,
nM rn�
7�8i�3i10�11ii1�1� =i i�^i:i�G
� ,
�..L.�-..�'%' .
.., a�� ,v•s �n� sbnu�r.�o .5 n�[ corviiC.Ewn�l ��ort�T� Cr cutnis wonwrs�[�+oa �ov ��oai�Unorv or ouF FcvoArs. coHCWsiorvs, 09 rx.
N+ 11 �Hi+4 .•t �I(t.� � i� )r�(u �� H!5lRVfU ✓£YpIMG OVA M1Rl`)E+ ��'f`va>r�. • a,�. p� 4 r+ht +ON ifJ Cll(NiS, TNL PVBL�C �NO OUHSELVEY
i'u1
�j ~ 27939
COSTA MESA BUILDING-SAFEfY DEPARTMErIT
P.O. BOX 1R00 COSTA MESA� GALIFORNIA 92826
For Appllcant fo Ftll In Completely
TYPE OR PRINT
BUILDIN6 � ��\ ��t�
ADDRE88 L
COSTA MESA, CALIFORNIA
31'AT6
LIC. NO
6IZE �
OF LOT
USE OF
� UIIHOF
TEL.
�r ( \
TH4
No. o► n.not.
�
.[FI' � I RIOHT � �
DESCRIPYION OF WORK
G
1 HEpCBY ACKHO
AND BTI�TB THAT
PLY W�TH ALL CI
Bl11LDIN6 CONBTI
SIGNATURE OP
PERMITfECL_
AUTMORIZiD A��
�
TMiB APPLIGT�ON
ID waqEi TO COM•
LAW6 R�OUTATINi
oEC+2-7�--00� eg7* *t**90.00
APPLICATION POR PERMR
BUILDIN6
For OHlce Uae Only
R[C[IIT NO. PI
7
ZONING
ZO NO.OI Ui[O�N6W�
� ,� r PLANt v lYIlO1Ni (
� 1 y/? �-7 d ,p
ouce`�mon LD� � ! � .� �) t� �/ 0
�.P.NO. 141—Q41-97, .
NOT6: NO eAV6 OV[RHAN6 SHALL BE Ll88 TMAN
80' TO 81D6 ! RiAR P. l.
8AVE8
ALLOWiD (U..B.C.REQUIREMENTI
YARDBMPROVHD YARD9MPROVfiD
MAIN BUILDINO ACCEII80RY BUILDING
{PROM WLSTR6[T)
DIBTANC6lR. BHT. MAIN Q
MAIN BLD i ACCE84.BLD08.
vwR.7t owre
e. u. r. .+PPnoveo
MPROV6D��,'�J _.__ IL'Z%-G�
HOLD PC,: �'^� a-nrr•„>. �
� _ _'.._...._.. .o �
f Od �. �. �" � .
0
TXB AMOUNT lNOWN UNDER VALUI�TION 18 FOR TH8 j
1UHPo86 OP 60TI�BLIBXIN6 A PEqMIT F86 ONLY. 1�
VALUATION � �O— �
a/����/ PERMITFEE $ �Q— p
0
[y
TOTALFEE $ �
JOB
�v;�r:n
OF
)UP TYPE 'LONE
PERBSIT:
SUBCONTRACTOR I n.,.., i nr....