HomeMy WebLinkAbout2871 ALANZO LN - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2871 ALANZO LN
Suite No
Vicinity: GARAGE
Parcel Nunmber: 14156326
Applicant: TIM MORRIS
Address: 20382 GRAYSTONE LN
HUNTINGTON BEACH, CA
Owner: ATKINSON, JAMES F
Address 2871 ALANZO LN
COSTA MESA, CA
Contractor: BENNETTS PLUMBING
Address: 20382 GRAYSTONE LN
Arch / Eng :
Address:
ISSUE FEE
BackFlow irrigation
BackFlow Preventer
Bathtub
Clarifier System
Connect Qce,Soda,etc)
Dental Uniis
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
HUNTINGTON BEACH, CA
PLUMBING PERMIT
Phone: 7149638630
Zip: 9266
Phone:
Zip: 92626
Phane: 7149638630
Zip: 9266
License: 406317
Phone:
Zip:
License:
SCOPE OF PERMIT
ADD WASHER AND DRYER TO EXISTING GARAGE.
Status: ISSUED
Applied: 11/10/2004
Issued: 11/10/ 0
ISSUED BY:
PIUMBING TO INCLUDE: 1 GAS (1-4 OUTLETS), 1 SEWER CONNECTION AND 1 LAUNDRY
TUB/WASHER. �� ' � -
AMT
$23.50
$0.00'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00'
$0.00
$0.00
$0.00
FEESUMMARY
QTY AMT
Laundry Tub / Washer $9.80
0 Landscape Irrigation $0.00
0 P-Trap $0.00
0 Pressure Regulator $0.00
0 Process Piping (per 10 ft) $0.00
0 Receptors $0.00
0 Septic Tank � $0.00
0 Sewer Cap for Demo $0.00
0 Sewer Connect � $24.65
0 Sewer Private Line $0.00
0 Shower - .. - $0.00
�TY
1
0
0
0
0
0
0
0
1
0
0
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr BkFlow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toilet)
Water Heater/ vent
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
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, § t, 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
tor a period of 180 days.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetions and flnal approval must be obtained. Failure to obtain inspectlons and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
r<•.��.�a�xr.m
WORKERS' COMPENSATION DECLARATION: � � �" ' ' �
I hereby eHirm under penalty of perjury one ot the toilowing declaretions' - � ''
❑ I have end will meintain a certificate of consent b self-Insure tor workers' compensation, as providetl tor 6y sedion 3700 of ihe Labor Code, tor the paAormence of Ihe
work for which this Oermit is issuetl.
� I have antl will maintain workers' compensation insurence, as required by section 3700 of the Lebor Code, tor the pertortnance ot the work for which this pertnit is issued.
`�fMy worke�s' cortwensalion In�surancq carnefand Dolicy num�er are:
Policy NumbB�� 0.2 Kuz, ^ OO'Z� ^�-rz
one hundred tlollers ($100) oNess.J , . „
❑ I certity that in Ihe perfortnance of the work for which this permit is issued, I shall not employ any person in any menner so as to 6ecome subjact ro the workers'
compensation laws oi Calif end agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Lebor Code, I shall torthwith
compl�these�provisio
' �
�nt Sig�nflture:,, ...s-�' � " �. . . . r�--'–'��' rDele:—���� ' � � � O �
WAFiNINGPFAILURE TO SECURE WORKEPS' COMPENSATION COVERAGE IS UNLAWFUL PNO SHALL SIIBIECT AN EMPLOVERTO CRIMINAL PENALTIES AND GVIL FlNES l/P TOONE HUNORED
THOUSAND DOLL4RE ($100,000�, IN ADDITION TO THE COST OF CQNPENSATIIXJ, �AMAGES AS PFOVI�E� FOR IN SECTIIXJ 3]O6 OF TME L4BOq CODE, INTEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
9(commencing with Section 7000) of
CONSTRUCTION LENOING AGENCV:
Code, end my license is in full
❑ I hereby aNirm ihat there is a consiruction lending agency for ihe pertormance of ihe work for which this permit is issuetl. (Sec. 3097, Civil Code).
Lentlefs Name: Lender's Address:
Signature: _
OWNER-BUILDER DECLARATIONS:
Da�e:
I hereby atFirm �hat under penalty ot perjury �hat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a pertnit to consWct, elter, improve, damolis�, or repair any sirucNre, pnor to its issuance, also requires the applicant tor such permit
to file a signed statement ihat he or she is licensetl pursuent to the provisions of the Contrectors License Law (Chapter 9(wmmencing with Sectlon 7000) of Division 3 of the
Business antl Protessions Code) or that he or she is exempt therefrom and Ihe basis tor the allegetl e:emption. Any violation ot Section 703L5 6y any applicant for e partnit
subjects the applicant to a civil penalry of not more ihan five hundred dollars ($500).):
� I, as owner of the properry, or my employees with wages es their sole compensetion, WILL DO THE WORK, and the siructure is not intended or otte�ed tor sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to en owner of property who 6uilds or improvas ihereon, and who does such work
himself or herself or �hmugh his or her own employees, provitled that such improvemeNs are not intendetl or oNered tor sele. If, however, the building or improvement is
soltl within one year of comDletion, iha owner-builder will have ihe burden of proving ihat he or she did nol builtl or imDrove for purpose of sala.). �
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Professions
Code: The conirectors Licanse Lew does not apply to an owner of propeny who builds or improves thereon, antl who conirac�s for such project with a contrector(s)
license pursuent to the Contractors License Laws.).
❑ I am exempt under sec.
Signature:
Owner ID verified by driver's license. ❑ Ves ❑ No
Business and Professions Coda for this reason:
Veniication oi Ownership by (rype of document, i.e. - properry tax bill or daed):
DIVISION OF INDUS7qIAL SAFETV PERMIT CERTIFICATION:
Driver's Licensa No.
Dete:
Expires:
❑ I hereby certity Ihat no axcavation five (5) or more teet in depih into which e parson is required �o tlescen4 will be matle in connection with work authorized by Ihis
permit, and ihat no building siructure, scattolding, falsework, or demolition or dismantling ihereof, will be more ihan t�iriy-six (3fi) feet high. (Chap. 32, Grp 2, An 2, Sec.
341, Titla 8, Celifomia Adminis�re�ive Code).
❑ As owner-builder, I will not employ enyone to tlo work which would require a permit from the Division of Industnel Safary, as notetl above, unless such person has a
permit to tlo such work from the tlivision.
SignaNre: Date:
Division of Industrial Safety Permit Number.
CERTIFlCATE OF COMPLIANCE AND AUiHORVATON OF ENTRY: I certify under penalry of perjury ihat I have read this application and state Ihat ihe information given is
correct. I agree b comply with all state laws and ciry ordinances relating to builtling consimction, and authorize representatives ot the City oi Costa Mesa ro enter upon the
above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by Ihis permit until finel inspection.
Legal
COOE 1. INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
1266 Pooi Spa Final
200 Final Re-Roof
201 Final BIocWRetaining Wall
202
203
Final Factory Fira Place
Finel Sign
�
COOE� INSPECTIONTYFE
206
208
210
212
Final Mechanical
Final Plumbing
Final Electrical
Final Fire Prevention
220 Final Planning Approval
222 FinalSite .
204 Final Demolition ' 250 Final Buildirig/OCCupency
Date ,
➢�
fi.ra�he,. +D�ye� � �
EZ
� 02
4'Y � r. cl.'�. '� S ��
Cl�l l' lJl' t.O. 1'. �Il'.SA
PLANNING IVItiION
NOTE: ADDITIONS, DELETIONS,
OR CORRECTIONS SNALL BE
APPROVED BY THE PLANNING DIV.
13Y:��✓ DATE:
2�453 �� ���EE RECEIVEI�
��..,
�COSTA MESA BUILDING-SAFETY DEPARTMEPIT JAN 2 p �g�
�P.O.BO%917 COBTAMEBA.CALIFORNIA fINANCE UEPI.
For Applicanf fo Fill In Completaly APPLIC�,f�OI�FFI�R�PERNtfFSP
TYPE OR PRINT BUILDING
eu��oiNo �x+� 7 +� Q for Offica Use Only
ADDRE58 � "" • � A L� Z � ^� L'� `
fl6C61pT NO. PCRJAIJ �
COSTA MESp, CALIFORNIA _�`�{
p6Ci�V[ �Y DAT4q[ IV=q OA'EI¢9l
OWNER � `a' �� 1 � � • �, - 7 6 /7
MAIL ZY � I I � �� � � � „'y A�DRfiS9
ADOREBH V �.,,rp
CITY �� � ��' ��N NO.' ��7 ZONE \ /��TY�PE GROUP
APPROVED� �,Y ' �_/'
^'^�_ vn' a_'
�.,�-�- TEL.
NO.
1, 0 I9-t.
USE OF
EXISTING BLDO.
SEiBACK LfNE PROM
BUILDIN6
SIZE
EXTERIOR
NO. OF BLD09.
DESCRIPTION OF WORK
1 6fOR1E8 '
3 iC�Gtl(Jc't i
1 HEREBY ACKNOWLEOO6 TXAT 1 HAVB P TXIB APPLICATION
AN� BTATE THAT TXE ABOVE �g COR HC U RH8 TO COM-
PLY WITH ALL QTY �NANCEB.AN RQOULATINO
BIIILOINO CONBTHU
SIGNATUREOF � /�/t,l/J� ,
PERMITfE ' /
AUTHORIZED AGENT
ZONING
9 / no.ov, useonxe
/ PIAN9 � HY�LDINQ
�a���a� 1 c� f'7 � �� '�_ ao 4
>. No. i�L �- S"� 3-� 6
fE: NO EAVE OVERHAN6 SHALL BE LES8 THAN
' TO SIDE 8 ftEAR P. L.
�ES
.OWE� � (U.B.C.RE�UIREMENT7
YARDSAPPROVED YARDSAPPROVED
MAINBUILDIN6 ACCESSORYBUILDINO
20MC/LBTREET> _ � _/
YAR. �C
DATE
N
SQ. �. �
TH8 AMOUNT eHOWN IINOER VALUATION �9 FON THE F
Pl1RP05¢ OP ESTABLIBHINO A PEPMIT FEE ONLY. �
VALUATION m
PERMIT FEE $ � �
m
$ /O�J� PCAN CHECK $ a
A
`j0
�
JOB ADDRESS
DATE
BUILDING PERMIT N0.
VALUE S 10
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
ADDRESS 2871 ALANZO �WIW
OWNER JOHN LEYERETT
ADDFESS SAME
TEI.
CITV NO.
CAN5TRUCTION _ . .
ITEc e R. Kolodziej ����
CONTRACTOR Aninony- i�o].tl
ADORESS joil Firestone Blvd
c�r� �outh Gate NpL Sii,
LIC. No. 190179 LICVNO.
SI2E NO.OF BLDGS.
OF LOT I NOW ON LOT
USE OF
EXI5TING BLDG. j�Y'1V8�C.8 54717Il p00�.
SIZE OF NO. OF
NEW BLDG. ROOMS STORIE:
EXTERIOR WAL� ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFOFiMEO
private swim 000l in rear of dwelli:
I heraby acknowledge that I have reatl this application antl state
that the above information is corract antl agree to comply with
all laws reguleting building consttuction, antl I shall not employ
any person in violation of ffie workman's compensation laws of
the State of California.
I hereby certify that I am properly licensetl as a conbactor untler
the State of Calif ' Business antl Profession e, Divisicn 3,
Chapter 9, a thai su licanses are in full force ntl etfect, i I
am ezem from the provisions ot the St of litor 'a Bu ness
antl Pro ssions Cno�iv' ion 3, Chapt
Signature o
Permittee �.�1�/ .�_� /JD.. �
��7 �
Authorizetl AgentJ
PAIU � ��.��
4!AY ?8-75rH�u �� 1082<' *'• .. * '
APPLICATION FOR BUILDING PERMIT
R
BUILDING
ADDRESS
�
OWNER '
u5=
FIRE
P
SW1IIl p00�. VALU$ 4Coo�oo
J
O NO.OF USE OF NEWrp�Q�
PLANS 2 BUILDING ' f U
VAflDSAPPROVED VAROSAPPROVED
MAIN BUILDING ACCESSORV BUILDING
FROMC/LSTREET) _���� � �
DISTANCE BET
MAIN BLDGS.
VAR. �
/ A h
S �7 FT.
I�FT. ,.
BET. MAIN &
ACCE55. BLOGS.
DATE
APPROVEO
5 -'Z-B-
�
I
m
�
SQ. FT. o
THE AMOUNT SHOWN UNDER VA�UATION IS FOR �
THE PURP�E OF ESTABIISHING A PERMIT FEE ONLV: d
¢
VALVATION �. /� W
PERMIT FEE $ I �+"C/ �
�
$ �r m
JOO � OO PLAN CHECK $ ♦ � E
0
LL
TOTAL FEE $ Y
�
� OWNER �,F
� JOB ADDRESS
�''r-GENERAL C0�
� AP No.i41-5f
.�INSPECTIONS
Pool Location .
Forms
Main Drain �
Steel Reinforte
Elec. Bond �
2871 Alanzo
Approval to Cover
Underground Electric _
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep.
Electrical Fina�
Heater and Vent Final
Filter System Final
Backwash and Recep. Final
c_--`-- "--'
DATE 5_
BUILDING P
K Pvt
VALUE $as
SUBCONTRACTOR
Electric
Plumbing
: �� 'r ��ai�Fi
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. ��-����A
Fo� Applieanf fo Fill In Complefely
TYPE OR PRINT •
COSTA MESA CALIFORNIA
'ARCHITECT
OR ENGINEER MdCCO
� ��ZE,.,. a��� s F I �°W�
3LOG. nOne
I6 PIiOM
�e� 38' 1" '�' �YEAR YARD
' I LEFT S�- I RIGHT ��
DESCRIPTION OF WORK
I xx II ., r�e.r,�., I II e��,r,,.0
FF�� RECEI�ED
Lot 71� 7`�act (�� plan 2-AR
�RFP11�96'
fiNANCE DEPT.
APPLICATIONTFOR �MT T MESA
BUILDING
Fo� Office Use Only
REG61Pi NO. PgRM�T NO.
�R. a�°��R��
6C81 D BY OA IiCC81V6D �ATH IBBU6C
� I .� /�f_(r/I StP 5 t961
GOSTA MESA. CALIFORNIA
�
ZONING �
ZON NO.OF C OR N6W
PUNB BUIIDINO „
�a,e,�.,..� —i'd2 �a-0 �1 /m�n/
T (�ry{�p YN6 OT.)�
' — C'J
_ FRONT
R. SIDE �
L. SIOE �
— 29'
— REAR
Ap�PROVE� ����
48�X7�-� ROOMS b SiORIEb 1
WALL St.UCCOI ROOF comp•
garage
EVES
Living Area 131�9 S F
Gara�e Area Lt1�$ S F
Covered Porch Area 23 S F
1 XEREBV AGKNOWI.EOGE THAT 1 HAVE RHAD TH18 MPLIGTION TXE AMOUNT BHOWN IINDER VALUAiION 16 !OR TNH
AND BTATE TNAT TXE ABOV6 �S COHRECT ANO AGRE6 TO COM- pUPP09L OP HBiAlLIBNINa A PERMIT F88 ONLY.
PLY WITX ALL CIiY OPOINANC68 AN� BUT¢ LAW9 R8GUL1TIN6
BUILOINO .CONBT(1UCTION. VALUATION ?,/
SIGNATURE OF PERMIT FEE $ , ) }' �
PERMITTE p �}
y/p/� •$ �-� p 7 1 7�0� pLAN CHECK $ �/�
AUTHORIZED AGEN ���I� .
j..
� CIT�' OF C�STA MESA
` C011lSTAUCTION PERMIT
Applicent'sMailingAddre �� � �
Project Addreu- � g�� ' 1 a" N I
Ow�ier's Name �1 � ��
Address� ��� � ���NZb
. Arch/Eng.
Address. �
Contractor's Nam NS��
Addreu (mailing) 03 Sa
Licenu No.
LICENSED CONTRACTOR DECLARATION
I here�y�aHirm t�at 1 am Iicensetl untler prov
wlth saction 7000) of Dlvislon 3 of the Bus
my Ilcania ls In full force a�etfeay / �
LJCan58C1a55' -������
of
AVP���ant to fill tn all s0aces azcept those within heavy_EorEer Iines.anC sign all approoriate tlaclarations.
u`"''�"' TVPE OF CONSTRUCTION LJ NEW LI ADD LJ ALTERATION � LJ REPAI R �
❑ CONVERSION ❑ DEMOLIS ❑ OTHER
' 'O3 DESCRIPTION OF WORK
r. .
TVPEOFPERMIT GRADING FOUNDATION STRVCTURAL
NO. ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL
� � � � ❑,�OTHER - �
—Phone�� '3�� ' PRaECT DESCRIPTION 5�. F7. oCCUPANCv—
'� ' CONSTRVCTION TVPE � VALUATION $
t� ZON� GRADING CU. VOS. ACRES—
� �� ' , Remarks: � '
(��I oate (n-�l ���S�gnatureH� i�-K-.Y�Sr6l'�' d�Cc+-��
V WO(iKERS'COMPENSATION DECLARATION
� ereby affl�m that I nave a certiticate of conzent to self-insure or a certiflcate
� Workers' Compan5ati�o/n Insurance, or a ce�,rt\l(f'(le'�tl^ cyo�p,,y� thereo�,f^`'(,S,ectlon
� ,00.lab�iCt��OCi�i� ComPanYIvC�TI �vY�V���%Y
\ Policy No��
Certlfletl copy li hereby furnishatl. 'a'3�-�3
CertHiBtlOcopy WUetl wAPPhc nity p L In �I5-Iqn. Dlk�
.Date f /'75 h �a-I h�l)•\
EXEMiT10N FROM WORKERS' COMPENSATION DECL ATIO
(Thisse<tion neetl not be completetl if the permit Is tor ona huntlratl (E100) or
less). �
I certify that in the periormanca af the work to� which this perm�t is Issuetl I
zhall not employ any person in any manner so as to Eecome zubject to t�e
Workers' ComDenSaUon Laws of Californla.' ;
Date Si9nature �
NOTICE: It, atter making this tleclafatlon. You shoultl be<oma subject to the
i Workerz' Compansation 0/���Slons of the Labor Cotl¢, y0U mUst fOrthwith
comply with suc� provisions -or this permit sh511 be �tleemeC revoketl.
'CONSTRVCTION IENDING AGENCV
� I hereby aHirm that thare I5 a construction lentlin9 agancy for tha pertormance
of the work tor� whicn this permit is Issuetl (Section 3097 Civ. C.;
l.entler's Name
Lentler'S 'AtlEress �
OWNEN BUILDER DECLARATION
, I hereby affirm that I am exempt from the.Contractor'i� Ucense L.aw for the
5 oy any apP����� ror.a permm�suo�e<[s me appuwm [o a avu
.Ity ot not more than iive huntlretl tlottars (E500�. ..
LJ I, as owner ot the Iproperty or my �employees with wages as thelr sole
. tompensation wlll�tlo Ihe work, antl the structure li not intentletl or otteretl
for wle (Sec{ion 7044, Bustness antl Professional Cotle: The Contractor's
(� License Law tloes not apply [o an owner oT a proparty who bulitls or improves
Ihe�eon„antl who tlo¢5 such work ttlmself/herself or Ihrough his or her own
i employ ees, proviCetl that such improvements are noS intentletl or offeretl for �
zale. If, �owever, Ihe bullAing or improvament is soltl within one year ot com-
pletlon, the owner will have the burEen of praving he/ihe tlitl not builtl or im- ;
���ove for the purpose of sale). �
I, as �owner o/ the praperty, am excluslvely contracting with licenzetl con-
tractors to construct the project (Sactlon.7044,.Bu5ine55 antl Professions Cotle:_..
The Contrattor'S License Law does not apply to an owner of property who
builtls or improves thereon, antl who contracts Tor such projects wlth a con- '
tractor(5) license pursuan[ to the Contractor'z Licenu Law):
❑ I-am exempt untler Se<tion 8. & P. C. for this reason
Date ' Owner �
_"I"�erebvi certlfv Yhat'I �ave reatl this dppliWtion'a�G Stdta that'[he above �
Bar Siak
Backflow Preventer
Backflow Irrigation
Bethtubs
Clerifiers '
Drinking FaunWins
, Floor Drains
,` FloorSinks -
. Gas Service
Interceptors
. ' Kitclien Sink
La'vatories '
. � P-T�ap • •
- Roof Droins.
- . c�,....,e.�
Seivice Sink . �
� i _. �
Boiler :
Duct - Under Ground '
Duct-Structural i
Duct-.Ventilating ' .
Exhaust System ❑ Multiple
Firepl/Fact. Blt. ICBO �
Heating'System & Ducting �
❑0.100,000 BTU �100,000
Haod or Typel ❑� ,
� I IRegisteis
Applicant; Pink - Atcountin9; Goltlenrotl - Assessor
���
Sewer Cap
Sewer Connection
Soiar Collectors
Solar Piping
Solar Tank
Swimming Pool w�
Urinal ,
Water Heater � -
Water Service . '
,
, � Reinspection Fee
' Isue Fee ' .
❑o-ioo,00asru ❑ioo,000eru
System Repair/Alteration
i
� - Reinspection Fee
Iswa Fee
. I
Itic:i s�1//,�
�Uol�� .�e•`Il�'
�j,Q,�� SD�a ,
PLNG. FEF. #
LEFT SIDE YARD
PKG.SPACE REQ.
STREET WIDTH
IILOTBLIC W25f1Cf - .
�nstruction Pole�
�oking Unit
ishwasher �
ryers �Gas ❑Electric
3n
A.U.
xtures
evice Boxes
Generamr 00-5 KW 05-15 KW
. Trensformer �15-50KW �
❑5U+KW
$15
Meter ❑up to 100amps
a 3 Zonin9 APProved By
Applimtion Approved By
' APPlifatiOn laued BV �, �
$15
S3
BUILDING '
coTgerr rn cr
REAR VAFD (TO P/L')�
RIGHTSIDE VARD .
PROVIDED
. � PARK FEE'$
BUILDING PERMIT $ �
PLAN CHECK $
PLUMBING $ ��'
�PLAN CHECK $
ELECTRICAL � $
�PLAN CHECK $
MECHANICAL $ '
IPLAN CHECK. ' $
Meter LJover700amps
Sub Panel
Sub Pole ,
Motors 0' 0-1 HP ❑ 1 Y.$ �
Inc.Solar �9-15 HP �16-15+
Microwave
Pole Light
Range _ , _ _ .
Standing Sections
Tresh Compactor
, Reinspection Fee
0
OF FEES
SMIP
PERMIT
; ISSUANCE
GRADING
MICPOFILM
TOTALFEE
LESS
ADVANCEDPC
i
FINAL FEE
.�e �
:`.t
5a0G Tl�
,�..
�
R
� CONSTRUCTION,ANDPLANNING. ��' �� - -- ..._. '; ' -. .POOC q --- . � . ,: =
• '� � .` � », � Date Inspector ' � -� � -' ' Date �Inspector
' :�.' APPROVALS P.ermit # - - : °APPROVALS _ - Permit # �� .
r. � . - . - . ' - • -
. � 'dt Temporary Electrical SerJice oi Pole - - � 52.� Pooi & �Equipment Locatiod ,. � � .
i
r: 2. Soil Pipe-Undrgrnd.: r ; . 1. ` - 53.�- Steel Reinforcement ` � � � . • . � ' -
� � 3. Electrical Conduit Utilitv-Undrgrnd. - � � c -54� Forms � - - - � ' � ' ,
_�
• 4: Electrical Conduit-Undrgrnd; =; ; � : - � - , . 55. Electrical�Bonding �_ � - - � .
�
5. Steel Reinforcement � ' - . , -, , " ` � 56. Rough Rlumbing;& Pressure Test - �
6. Electrical UFER Grnd.� � c � � - , � , � 57.-' APPROVAL TO COVER-GUNITE _ - �
7. Footings ' I � - , .� - � .58: Electrical Conduit-Undramrl. ' -
8. Foundation _ ' ! . � � � 59. Gas Pipe,�0_Undrgmd., Test � ' .
9. Water Pipe-UnHrgrnd. � � . � � . ' " ",60. Backwash,Lines, P-Trap, � U�ndrgrnd. '
10. Structural F,loor System - _�� _ ' , � 61. APPROVALTO�DECK � � -
11. Property Sewer Line & House Connection , 62. BacRwash &-Receptor-Final ��- - '
12. Sewer Cap , ! . � - 63. Heater & Vent-Final � ' � ' -
13. Roof Drsins , - . -64. Plumbing System�-.Final :. ' _ �
� 14. Rough Plumbing ' � � � - - - 65. Electrical-Final - �� ' ' � - �
15.� Rough Electricaf=Conduit- � � -' . �; �-, ' j '� -- -�}- -'r � � 66. �Sola� System-Final � - --" -
16.'RoughEleciricWiring,.�;. :� �,�;' a?c�.;A���',-� '� 67.�Fencing&'AccessApproval -. -' - .. - - �
17. Rough`Wiring Sign .. . � � ' ' � ' 68. APPROVED FOR PLASTERING '
18. ��Rough Electrical�-T BaF Ceiling: � '^� 69.' POOUSPA SYSTEMS:FINAL - �
19. Rough.Heating & Air Conditioning , � ' ' FIRE DEPT. REQUIR�EMENT � � '
20. Rough Factory Fireplace' , � '' � � , ' APPROVALS Permit # � � � .
21. Duc[s, in Structure ' ' � . ! � ' ' 70.; Underground Hydro � �
,
22. Ducts, Ventilating . � , . ' 71. Product Piping O Gas ❑ Oil ,
23. Gas Pipe-Rough & Test _ � �; �, , � � i � � .-7z.� Underground Flush . � �
24. Roof Framing ,','-. '�� � 73. Undeigrnd. Storage Tank O Gas ❑ Oil
�
25. Roof Sheathing � , � ' � , ' - � 1 : . � - 74, pJerhead Hydro .. ' .
26. T-Bar Ceiling (StrOctura�)'�& Monocoat , _ 75.' D'ry Chemical � . - • � - �
i �.
� 27. Frame and Flashing - � ' � ' �• � �, � . � � �7f>.i Dr,Y Standpipe � '- � , � � .
�
28. Lathing & Siding � � ; � , � -. 77. FIXED SYSTE�M FINAL . '
i
29. Insulation � � � • i ; � � 78. FIRE PREV. FINAL � � �
30. Drywall Nailing ' `• , � � � � �Notes:�p OPl�.N01v{1L- (.BPTCAeO�'�/S8 �a4
31. Plaster Brown Co9t � . � � � , � - � . - -
32. Electrical Power Meter-Final ' � � j � ' ' . � � � - . ' � � .
I
33. Final Electric � � � � . '
i
� 34. Final Heating & �Air Conditioning ' I ' ' �' ' � '
35. Final Gas Pipe-Tes4 - � ' � , � � , ' ' � - � ' � � � � '
�� ,�
� ,., , !, -. ; �i. �. _ - .
36. Hood or Canopy_ ,� . , � � _ � , , � - _ .
37. Final Factory Fireplace= � �, � • j i i i ' , - � - . ' .
�n
38. Final Plumbing � ' �� �� q ��/� �� � � � - '
39. Water Service-Final, � ! . � � � � � .
i i � i I - � �
40. Gas Service-F.inal 1 � � � � � ` � '
� I
- 41. Solar pomesticFinal � , • ; � ;_ _ � _ _ , � _ __ _ _ - ,
42. Backflow Preventer ' � . � � � � � � , � �
43. Backflow Irrigation j � �' ' .' � � � ' �� � � � , ' ! � � , � " �
i
44. Landscape Irrigation System � � � _ . ' � � '
_�
i
45. Sound Attenuation ; f. , I I � , ' � � ; � � � ' . ' . � - -
' � - : �� . . . .
46. Handicap�Regulations ; � . � � - � , . � ' .
47. FINALSTRUCiURE&BUILDING � • � ' �
„ .
48. Special. Requiremen,ts Completed, i' � � � ' � �
� �
49. Electric Release to Edison' . �, _ � ' : ' �. � ' ' _
50. Gas Release to Southem Celifomia Gas Co � � I - i' � '� � ' .,�
51. CERTIFICATE OF'OCCUPANCY ' ' '_ __ _. r . .:_ . _ _ _ . � '
,
No, ' Date , � � � ' I . � ' ' ' �
�
>
PflOJECT ADUPESS: z 8% S ALANZO LN
OWNEP'S NpME: ATKINSON, JAMES F
aooeess: ATKINSON, PHYLLIS E
2871 ALAN20 LN
COSTA MESA,CA 92626
979-5432
AHCHIENGINEEP:
nec.xo.:
UNIT:
AOUHESS: UNIT:
PEXMITTEE: J C WOLFE CONSTRUCTION ( 714 ) 735-8206
aooxess: 2183 FIRST ST
NORCO CA 91760
LICENSEO LUNTHACTOB UECLAPATION: I hereby aliirm Ihai 1 am licensetl under pmvisions ol Chap�er 9(cammencing with Section
7000� ol Oiv�son J at the Business antl Pro�essions Cotle, anU my license is in full lorce antl eHect.
cirr uc.: 0 6355 STATE LIc.�62384� ��ss: B��G �
�ale: � SignaWre: — � p !
�� WONNEBS' COMP NSFTION DECLABATION: I hereby a��i lhai I have a terti�icate o� cofisent Io 5eA-insure or a tetlilita�e of Workers'
Compensa�ion Insurance. or a cetlifietl coDY �hereo� (Seciion 3800. Lab. C).
POLICY NO.: E%P. DRTE:
COMPRNY:
� Certi�ied copy is here0y lumishetl. ❑ Cetli�ied capy is liletl wi�h ihe city Building Division.
oate�. AOG�i�a��:
E%EMPTION FHOM WONKEflS' COMPENSRTION OECIANATION: (This section neeA not be completetl il �he permi� is �or one hunOrea (3100) or less).
I cenify ihat in ihe oedormance of the work lor which ihis permity'� issuetl. I shall not employ any person in any manner sa as to become
sublecl to the orkers' Compensa�ion Laws alifomia. / 1 q , �/��
i �t i ;. �x--
�ale: SignaNre: Xf�- (f'✓`"'
NOTI : Ii, al er making �his 4eciaratmn, you shoultl me sublec� m Ihe Workers' Ca Oensa�ion pmvisians of Ihe Labor /
Cotle, you mu5i lorihwil� compry wit� suc� Dmvisions ar �his permii 5hall �e UeemeO revoketl.
CONSTXUCTION 1EN01NG FCENCY: I hereby allirm fia� �here is a cons�mc�ion lending aBency for ��e peAormance o� the work �or
whic� Ihis permil is issue0 ($ec�ion 3097. Civ. C�.
LEN�Efl:
AD�flE55:
IOWNEB
(Seclion
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CITY OF COSTA MESA — BUILDING PERMIT ,
PERMIT NO; B 057736 PLAN CHECK NO: N , ,
CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION ; TEAR—OFF RESHEATH 6 REROOF W/COMP SHINGL SQ FT; 3,500
CLAIM VALUE; 3,500,00 CALC—VALUE; 3,500,00 GROUP OCC: R-3 /
COMMENTS; REROOF 1800SF PART OF RESIDENCE ����d����*L���.
*��r***�r*�*�*���**��***�r��*�r*�*�****x��r***�*��+t***�*****�� � �r * �
Z O N I N G R E Q U I R E M E N T �"
5 E T B A C K S �{L,�C ly���
L, Q�
�------------ MAIN BUILDING ---------- --------- ACCESS'�"'BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ • PROV; PARCEL; 14156326 ZNE; REF NO:
PLANNING NO'1'ES>
%
!F iF if iF �1F if �F iF iF ik iE jf it �E'!f if 3t �f iE iF i! �f �F if k�! k 1klf k k fF iF kif iF IE if If fE jFiF if iF k 1F it �EiE �f if �f iF iE k if iE iF k IF iF iF i! �F iF iF iE iF iE 3F if if if if 3F if iFiF jf
D E V E L O P M E N T S E R V I C E S R E Q U I ft E M E-N .T, S
ZONING APPROVfiD BY DATE:
BUILDING APPROVED HY : DATE;
APPLICATION ISSUED BY: � DATE; �.I11 �
if3tiFltiFaF�FifikitiFiF3EiFififiFkiFiF9FitiFiFTf�FifiFififiFiFif3f�iFiFiF'ilfif�FiFi�'if�'�7F�ii'iF�iFiF1F�IfiFjFlklEitjEiFiF ikjf
kiE 1F if iF �F 1f ff IE Ik k�E iF�E k iF k!f iE iF if if if 1k 1t k!f ik i! �Flf!! iE �f iF�t if 3t iE iFiF it k iF iF if if i! 1E iF if 3f k iE 1f �E �f �f if if fE �F IF if if iF 3k �E 1F1f if k iE iF ik if k iF 3F
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
9111LOE80ELLRPFTION: Iherebyaflirmihallamexempttmmt�eContracrors'SlateLicenseLawforthefollowingreason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/F2$$ GRAI�ZN('i
whi h r ir a ermit to consimc� alier im mve demolish or
t e in antl Pmfe55ional Cotle: An cit ol coum c e u es PERM I T 6 3 � 0
703 .5 us ess Y Y q P P . 50
Y
fil i n tal m nt tha� he/she is licensed
ny s�mclure, prior Io i�s issuance, also requires Ihe applicant �or such permi� �o e a 5A e0 5 e e SMIP /NON—RES
lo Ihe pm�sions o� Ihe Coniramors' S�ale License Law (Chapter 9(commencing wiih Section 7000) of Division 3 ot �he Business pLAN �
essians Code� or iha� he/she is exempl ihereimm and ��e basis �or Ihe altege0 exemption. Any viola�ion a� Section 7031.5 by
icam �or a oe�mit subieats tne apP�icam to a ci�ii penauy ot not more inan ii�e nundred aonars (55o0�. ISSUE FEE
�. as owner o� roe prooenv or my emp�oyees wnn wages as iheir so�e compensation, wio ao ihe work, ana the $UILDING—DIV—>
simcmre is not imen4eA or offeretl for sale (Seclian 7044. Business antl Pml¢isional COAe: The Coniractors' State License Law TOTALS---->
tlaes no� apply �o an owner of a pmpetly who bui105 or improves Ihereon, and who does such wo�k himseli/herselt or Ihmugh
his or her own emDloyees, pmvitletl thal such improvemen�s are not intentletl ar oftered �o� sale. If, �owever �he builtling or REVENUE D I V I S I
impmvement is so10 wi��in one year of completion, Ihe owner will have �he bur0en o� pmving he/she tlitl no� builtl or improve gLDG PMT
lor tne purpose oi salel. 6 3, � �
I, as awner o� the pmpetly, am exclusively contrac�ing wi�h licensed conVac�ors to can5imct the project (Section 704d. Business
antl Pmiessions Caae�. The Conlractors' Slate License Law aoes not apply to an owner oi property w�o bwltls or impmves thereon
an0 who conlrads br such Dmjetls with a contracioqs) license pursuan� �o �he ConVacbrs' S�ate License Law�. I am aware �"�'**'�'�'�'*'�'***'x'*
Iha� pmol oi Iheir Worker's Compensaiion insurance shoule be pmviAeO to me.
I am exempl untler Sec�ion: 8. 8 P. C.
�or this reason: TYPE QT'Y
oate: Owner SFR
I Oo hereby cenify I�al l am aware ol an0 waerslantl Ihe requiremenls of Caltlomia Heal�h an0 Sa�ery Code Sec�ions 25505. 25533. ana
2553A and ihal I or any future buii0ing occupanl will/will not (circle ane) neea �o com0ly wi�h saitl sta�e cotles antl Ihe requiremenis �or a
permil lor consimttion or motli�icaiion Imm Ihe Air Ouality Management OiSVict. flesi0ential conSVuclion apPiicatians are exempt fmm
IheS¢ plovi5i0n5.
�ate: Ap0licanL /
I hereby certify �hai I have reatl ihis application antl state �hai Ihe a6ove inlormation i5 correcl I agree b comply wi�h all ciry antl co�
ortlinancesanOS�alelawsrela�ing�obuildingconstr honandherebyaNhorizerepresen�ativesolthisciry�oen[erupan�heahove-men�i e0
O�operly br inspeciian Durposes. �////� � /
�ale'. G Signamre- x/ - � �
Driver's License ai ocia� Securi�y x:
t64t�46 Whne—Buildina: Green—CoOe Enlorcemem', Canary—rloolican�; Pink—Pevenue: Goltlenrod—Assessor
3500
PERMIT ISSUE PliAN—CHECK TOTAL PAID DUE
63.50 0,00 0,00 63.50 63,50 ,00
�
ON TOTALS--> COLLECTED: 63,50 OVER/SHORT; 00
PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT� GRADING PLAN—CHECK
iF 1E iF iE if iE iF 1E if iE iF 1f iF iF 3E if iF3F k if if�iE if if ik 3F �E if aE iE �F ik iF it k iF3F �F if k iE iF iF IE iE iF iF it if iFiFiFiE �1f� aE iF 1F jF jE iFiFjf iE iF aF
I N D I V I D U A L F E E B R E A R D O W N
D E S C R I P T I O N UNIT COST TOTAL COST
REROOF BY VALUE RESIDENTIAL NOZONE 1,00 3,500,00
END OF FEES
CONSTRUCTION AND PLANNING " SPA
APPROVAIS Permit#- Date inspector AppROVAIS Permit# Oate Inspector.
t. Temporary Elecxrical Servi2e or Pole � 52. Pool & Equipment Location ;
2. Soil Pipe�Undrgrnd. - 53. Steel fleinforcement
' �r�.,-E�eptycal Conduii tltility-Undrgrnd. 54. Forms
�- 4�lecirical Cond�u�t-Undrgrnd. 55. Electrical Bonding
'� �6;-5te2t �Reinforcetnent 56. Rough Plumbing & Pressure Test �
_ 6. Electrical UFER-Grnd. �� 57. APPROVAL TO COVER-GUNITE "
- 7 �Footings 58. Electrical Conduit�Undrgrnd.
_�,$. 'Foundation ' S9. Gas Pipe, O Undrgrnd., Test '
�9�k+later Pipe�Und?grnd. 60. Backwash Lines, P-Trap, � Undrgmd.
10. Structural Floor System 67. APPROVAL TO DECK
1 t. Property Sewer Line & Hovse Connection 62. Backwash & Receptor�Final
12. Sev�er Cap 63. Heater & Vent•Final
13. Aoof Drains - 64. Plumbing System � Final
14. Rough Plumbing -' 65. Electrica6Final
15. Rough Electrical-Conduit 66. Solar Syttem-Fioal
16. Rough Electric-Wirinq 6Z Fencing & Access Approvai
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough ElectrioabT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. RoOgh Factory P-treplace � •�' �� �q . � « �- qpPROVALS '�� Permit # `
�, �r :r �. t :e
21.''DuCts, in Str.uctWE> " � � <; ; � 70. Undeigcognci Hydro � �
22. Ducts, Ventiiating � � � r�� ;`71. ProducT Pip;ng OGas C10i1
23.; Gas_Pipe-Rough & Test � _ . _ _ - y . 72. Undergiound FIusR . . , '
�� �
24: RoOf Framing �' . � � - - , 73-Undergmd.StorageTank���Gas ❑Oil
25. Roof Sheathing ' � ��� ,92, G,� ' 74; pverhead Hydro ' _
26. T-6ar Ceiling 1Structurall &;Monocoat - 75. Dry Chemical - '
27: Frame and Flashing '. . � y y 78, Dry Standpjpe '
28� �athing�& Siding �• r *� � 77- PIXED SYSTEM �INAL`
"'29. losulation - � - � ' ' ' ` 78, FIRE PREV. FINAL -
i
: 30. Drywall.Nailing � � n � � � HEALTH DEPT. REQUIR�EMENT
.37. Plaster �rown Coac� �_ 1z, � � t+ , 79�• FINAL INSPECTION � '
�; -_
� 32: Elecirical Power"�Meter-Final ' ,. - �. �80.. FOOD CERTIFICATE/ISSUED
� 33: Final Eleciric � :�. . - , ' y� '� Notes: <��.�a',� ----.�
i: ' � -i�
;�34: Final Heating & Air C'onditioning � � �� , r� . � _
35FFinal Gas Pipe-Test - • � ' `�
� ��
.36 Hoad oi CanoRY�' � > �
37: Final Factory Firepiace � �!�' " �
- . . .. , �;: .
� 38. Final Plumbing .. � _ , . .
'39. WaterService-Fina� i �_ , . . �
�.40. Gas Service�Pinal , r,, �_ _' .. '
t 41. Solar pomesticFinal- - -• ' , ' � � _
,
• 42:�BackflowPreventer ". ' � ' � �
�
43. Backfiow Irrigation � , _ � - _ _
�
. 44. Landscape Irriqation System �,' '' �- , - � � �� ` „ _
• 45.� Sound AtteRuation = = . '
, ; .
3�46[ Handica.p Regulations � ` ` '� ' ' "
� 47:. FINAL STRUC7URE & BUhLDING � �� •
46: FWALPLANNING ' _ � :,, "- ' �
_ 49.-Electric�Release to �Edison � � � - �
,50, Gas Retease to Southem California Gas Co ;. '. �, -
�51. CEEtTIFICATEOFOCCUPAtJCY .
No. Date
Mr. John Levereit
2871 Alanzu Lane
Costa Mesa, California 9262G �
Dear Sir:
Juiy 7, 1975
�
(hi May 28, 1975 a building permit was issued to Anthony Pouls to
cuns[ruc[ a private swimming pool on your property.
In order that your pool will a safe one und for the purpose of
advising you of,your responsib ity regarding the requiremen[s of
ihe Costx Mesa Municipal Code, we refer you to Section 8107, a
copy of which is attached.
This letter is dire d to you in order that-you wi11 be aware of
our ordinances and ca ake a complete safe[y check of your pool
area.
RH:cb
Sincerely yours,
RICHARD HANHART
Building Safety Director
� 2
' � sN
r: 2,��, F�:
�2�� i �2
TESTIN6 .
June 24,1975
88�J'Jo�°u������.� of cSouE�zeaix �a�Cfoania, �nc.
P.O. BO% u. 3310 nIRPORT WAY . IONG BE�CH, CALIF. 90801 . �P13� 426�3355 . �117� 676�D86 . �714� 828�6432
BNnNCN OFFICES:
i5u-0��onM1He,oer5i�.er f�'� No.D.��,un�..t.r�.a
Sem. A... Cel:lo���e 9})Ol � O.O. po• N
�11��5]L}MS j �i�� LongBucF.GIiLY0801�Ip�EJ63IDE
��V ��� o
EYemination: 75-4660
GOMPRESSION TESTS ON GUNITE CYLINDERS
Jack Hubbard
3106 Ostrom Avenue
Long Beach, Caltfornla 90808
PROJECT
A�DRESS
SA'MPLE fROM
ARCXITFCT
ENOINEER
R. F. Kolodziej
MIX
DATE CAST
DATE TESTED
CYCINDER NO.
CO/t(IPRESSION
TOiAL LOAD, LBS.
POUNDS PER SQ. IN.
REMARKS
COMPLIANCE
CYIINDERS
SWIMMING POOL - JOHN LEVERETT NA1582
2II?', ,^,la�<-c �ane, C-vsL-a i•iesa, Cai ifornia
Shallow end, deep end, bond beam
� CONTRACTOR '
Anthony Pools
� fU6CONTRRCTOR
Anthony Pools
SPECIFIED
4.0 to 1 STRENGTH
6/17/�5 SIZEs
6/24/75 6/24/75
1 2
7 Days ' 7 Days
86,000 93,000
3,040 3,290
7 day average: 3,218
7 Day tests comply with speciftcations.
NuoE er DEIiVERED er �
W. Shannon Jack Hubbard
,�U1L�1�9� �AFEiI' DE��.
oisr�iwrioN: � .
Jack Hubbard - 3 1t
'�6osta Mesa Building Dept. '�U�����TS
, ;'
2,000
6" x 12"
6/24/75
3
7 Days
94,000
3>325
RECEIVED ON
6/18/75
•LL R[�OXT6 �NE SVGMITTCO n] TM[ CONiIOCNTIwL PROI[I�TY OI CLICMT{. 1VTN01�1S/�TION IOM �UlLICATIOM 01 OUI� PEYOMTl. C NCLUIIION6. ON [�
TR�CTS iI�OM ON RCG�MOM4 TM[M IL flC6[RVEO I[NOING OUII WRITTCN A�PROV.�I �6 � MUTWI IPOT[CTION TO CLI(MTE, TME PVO�IC I.ND OUX6ELVC6.
/� )lO�1] •