HomeMy WebLinkAbout2885 ALANZO LN - Building Permitsr . . '3 �� . . �i
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.glqLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2885 ALANZO LN
Suite:
Viciniry:
Primary Occ: R3
Parcel Number: 14156323
npplicant: ARMSTRONG, HARRY
Address: 2885 ALANZO LN
COSTA MESA, CA
Owner: ARMSTRONG, HARRY
Address 2885 ALANZO LN
COSTA MESA, CA
Co n t ra cro r: O W N E R-B U I L D E R
Address:
Zip:
Arch :
Address:
. Phone:
Zip:
License:
���BJ����1 `� Applied: OS 3E 006
Type of Construdion: Vy��j9J� Y1 Y7� Issued: 12/12/2006
Zoning:
PER
EXPIRES a �
Phone: 714315-7773 CELL ISSUED 8Y:
Zip: 92626
Phone: 714315-7773
Zip: 92626
Phone:
License: 000000
Eng: STEVE AHUNA
Address: 25101 VIA PORTOLA
Phone: 949-095-3214
LAGUNA NIGUEL, CA
92677 License: C34264
SCOPE OF PERMIT
ADD 301 SF BETWEEN THE GARAGE AND THE EXSITING SFD TO CREATE A FAMILY ROOM. NEW 66 SF SOLID ROOF PATIO COVER AT ENTRY
REF: MM-05-17 APPROVED FOR 16 FT. FRONT SETBACK FOR PORCH POSTS ONLY. PORCH HAS TO BE OPEN ON ALL SIDES.
PLANNING:
LOT SIZE = 6,479 SQ.FT.
RESIDENCE = 1,577 SQ.FT.
GARAGE = 448 SQ.FT.
DRIVEWAY = 209 SQ. FT.
LOT COVERAGE = 2,234 SQ. FT. (34%)
OPEN SPACE = 4,245 SQ. FT. (66%)
Plan Check: $280.90
Permit: $432.15
SMIP Res: $2.89
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $715.94
SETBACKS
MAIN STRUCTURE Front
ACCESSORY Front
16- 0 Rear 13- 0
0- 0 . Rear 0- 0
FEE SUMMARY
��,��RED
��� m�� // �
Calc Valuation: Sza,saz.sz
Claim Valuation: so.00
Left 1 - � h �� 10-
Left 0- 0 Righ �
INOTICE: The work authorized by this permit shall compty with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automa[ically ezpire and become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a penod 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 Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this pertnit.
FOR INSPECTIONS CALL: (714) 7545626
zaasas �aroo�
WORKERS' COMPENSATION DECLARATION:
I hereby aHirtn under penalry oi per�ury one ot Ihe following tleclarations:
❑ I have end will meintein a certificale of consent to selt-Insure for workers' compensation, es provided for by section 3700 oi tha Lebor Cotle, tor the paAormance of Ihe
work tor which this permit is issuad.
❑ I heve end will mflintain workers' compensation insurance, as requiretl by section 3700 ot the Labor Cotle, Por ihe pertortnance oi Ihe work for which this permit is issuetl.
My workers' compansation Insurence carrier and policy number are:
Cartier: Policy Number:
(Thisssection need not be complefed il fhe permit Is valued ef one hundred dollars ($100) or less.)
� I certity that in the pertortnance of ihe ork tor which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workere'
crompensetion laws of Celifomie, e gree ihat i Itl ubject to the workers' compensation provisions of Saction 3700 of the Lebor Code, I s�all forihwith
comply with these provisions. �, /��,��
Applicant Signature: Date: � ��/��/O�Ai
WARNING:FAILURETOSEC ORKERS' P TI ERAGEISUNIAWF DSHALLSUBIEC�ANEMPLOYERTOCRIMINAL ENALTI ANDCIVILFINESUPTOONEHUNDRED
TYIOUSANDDOLLARE(S10D, ),INADDITI O E OFCOMPENSATIIXJ,D ESASPROVIDEDFORINSECTION3'1O60FTHELABOFCOOE,INTEREST,ANDATTORNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aflirm that I am Ilcensed under provisions of Chapter 9(commencing with Section 7000) ol Division 3 of the Business and Proteuions Code, antl my license is in tull
force antl eHect. Lic. N Class #
Cont�adofs Slgnature:
Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirtn ihat there is a consiruction lending agency for �he peAormance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Cotle).
Lenders Name: Lender's Adtlress:
Signature:
OWNER-BUILDER DECLARATIONS:
Date:
I here6y aNirm that untler penalry of perjury ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Protessions
Coda: Any ciry or county which requires a pertnR to consiruct, alter, improve, demolis�, or repair any structure, prior to its issuance, also requires the applicant for such permit
ro file e signed stetement Ihet he or she is licensetl pursuent to the proNslons of the Contractors License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 of the
Business and Pmfessions Code) ar that he or she is axempt iherefrom and the basls for the alleged ezemptian. Any violation oi Section 7031.5 by any applicant for e pertnit
ecis ihe apP�icant to e civil penalry c� not more than fve hundratl tlollers ($500).):
I, as owner of the properry, or my employees with waqes as their sole compensation, WILL UO THE WORK, and �he siructure is no� intanded or oHeretl tor sale (Sec.
� 7044, Business and Professions Code: The Con�rectors License Lew does not apply to an owner of properiy who builds or improves Ihereon, and who does such work
himself or herself or through his or her own empioyees, p�ovided ihat such improvemenis are not intentletl or oflered for sale. Ii, however, the 6uilding or improvement is
soltl within one year of completion, the owner-builtler will have ihe burden of proving ihat he or she did not build or improve for purpose of sale.).
❑ I, as owner of the D�o�erty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe prqect (Sec. 7044, Business and Professions
Code: The coniracbrs License Lew does not appty ro en owner ot propehy who builds or Improves Ihereon, antl who contracis for such project with a contractor(s)
license putsuant to Ihef,6ntractors License Lews.� .
❑ I am ezempt w
Signature: �
Owner ID v tl by
Veritication of Ownei
end Professions Code tor this reason:
7iCengi �s ❑ No � Driver's License No.
(rype of documenL i.e. - propetly tex bill or tleetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
'- f'l�/G� ��-
_ �•
❑ I hereby certify ihet no excavetion tive (5) or more feat in depih into which a person is required to descend, will be mede in connection with work authodzed by �his
permit, and Ihat no builtling siructure, sceHolding, falsework, or demolition or dismantling ihereof, will 6e more then �hirry-six (36) feet high. (Ghap. 32, Gry 2, Art 2, Sec.
341, 71t1e B, Califomla Administrative Cotle).
❑ As owner-huilder, I will not employ anyone to tlo work which would require e pertnif from the Division of Industriel Safery, as noted above, unless such person hes a
permit to da such work from Ihe division.
Signature: Date:
Division of Industrial Setety Permit Numbar:
CERTIFICATE OF COMPLIANCE AND AUTFI��TO�Y: I certify under penalty of perjury that I heve read ihis application and state �ha� lhe intormation given is
corred. I agree to compty wl�� state an i inan relating to building consiruction, and authotlze representatives of the Ciry of Casta Mesa to enter upon the
ebove-described pmp ispedi� pury gree t allow wcupancy af any building authoriz� y this pertnil until final inspectian.
�S/��ign. e Oi Le wner(s) �� Data '
And/Or Authonzed Applicant Date
COUE �. INSPECTIONTYPE
1616 Fizetl System Final Fire Prevention
1266 Paal Spa Final
200 Final Ra-Raof
201 Final BIocWReteining Wall
202
203
Finel Fecfory Fire Place
Finel Sign
204 Final Demolition
on�F, �MRIpLS
COOE 1 INSFECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approvel
222 Final Site
250 Final Building/Occupancy
4A7F 1�9LH
\. �
JobAddress: 2885 ALANZO LN Status: ISSUED
Suite No Applied: 72/082006
Vicinity: Issued: 12/15/2006
Parcel Nunmber: 14156323
npp�icant: ARMSTRONG, HARRY
Address: 2885 ALqNZO LN
COSTA MESA, CA ,
owner: ARMSTRONG, HARRY
Address 2885 ALqNZO LN
COSTA MESA, CA ,
Contracror: OW NER-BUI LDER
Address:
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fi�Rs
Recepl Outlets�
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to 1hp
Motors to 10hp
Motors to 50hp
Molors to 700hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign CirCuils
Temp Pwr Pole
Intermed Pole
��-g�
� r -�
Phone: 7143TSW W$��iR55UE�
Z�P 92626 PER
EXPIRES /n o
Phone:
Zip: 92626
Phone:
Zip:
License: 000000
�.wv�.�.. -
� ��.5.
SCOPE OF PERMIT
ADD 301 SF BETWEEN THE GARAGE AND THE EXSITING SFD TO CREATE A FAMILY ROOM. NEW 66
SF SOLID ROOF PATIO COVER AT ENTRY. REF: 806-01794
E�ECTRICAL TO INCLUDE: 8�IGHT FIXTURES, 90UTLETS, AND 71 SWITCHES.
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$8.80
$9.90
$12.10
50.00
$0.00
50.00
50.00
� $0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
Quantiry
0
0,
0-
8
9
11
0
0
0
0
0
0,
0
0,
0
0
0
0,
0
0
0
0
FEE SUMMARY
Temp Dist System / Lighting
Busway /100 ft
Slanding Section
Misc Electrical Equipinent
Transformers up to 1 kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kva/kw
Low Voltage Equipment
Low Volt Wiring System / Ckt
Misa Conduit
Misc Conductor
Circus ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Sland
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
50.00
$0.00
$0.00
50.00
$0.00
$0.00
50.00
50.00
$0.00
$0.00
$0.00
50.00
30.00
$0.00
$0.00
$0.00
50.00
50.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES $54.30
COMMENTS I SPECIAL CONDITIONS
Quantity
0
0
0
0
0
0
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, § 7, 12-27-92)
EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a period of 180 days.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inepeetlons 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) 7545626
2d46-08 (N00)
WORKERS' COMPENSATION DECLARA710N:
I hereby aRirm under penalty of perjury one of the tollowing declarations:
❑ I have entl wiil maintain a certificate ot consent to selbinsure for workars' compensation, as providea tor by section 3700 of Ihe Labor Cotle, for lhe pedormance of Ihe
work for which ihis Dermit is issuea.
❑ I �ave and will m?�ntein workers' compensation insurance, as required by section 3700 of Ihe Labor Cotle, for ihe pertormance of Ihe work lor which Ihis permit is issued.
My workars' compensation Insurance carrier and policy number are:
Cartier:
Policy Number:
(Th"s�section need not be crompletetl il the pe�mif is valuetl af one huntlretl dollars ($100) or less.)
%
I cenity that in tha pedormance ot work for is pe ued, I shall not employ any person in eny manner so as m hecome subject to the workars'
compensetion IaWs of Califor ' nd egree at ii l ecom ject to tha workars' compensation provisions of Section 3700 of iha Labor Cotle, I sha0 forthwith
comply with ihese Pmvisio ��/����/
A�,PP�i�:Sl9nat"ur� . ate� �iYi�-i/��
WARNING FAILURE TO RE WOR ' CA SAT VERAGE IS UNLAW ND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE HUN�RED
THOUSANDDOLLARE( ���),INAD IONT ECOSTOFCAMPENSATION,DA ESASPfiOVIDEDFORINSECTION3]O60FTHELABORCOpE,INTEREST,ANDATTORNEV'SFEES.
LICENSED CONTRAGTORS DECLARATON:
I hereby attirm ihat I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business antl Professions Code, and my license is in full
torce antl ettecL Lic. N ' Class k
Gontractofs Signeture: Date:
CONSTRUCTION LENDING AGENCY: � �
❑ I hereby aHirm tha� there is a consiruction lending agency for ihe peAormance of ihe work for which this permit is issued. (Sec. 3097, Civil Code).
Lendefs Name: Lendefs Adtlress:
Signature: Date:
OWNER-BUILDER DECLARA710N5:
I hereby ettirtn Ihat under penairy of perjury ihat 1 am EXEMPT FROM THE CON7RACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business and Professions
Cade: Any ciry or counry wqich raquires a permit b consWct, altar, improve, dertwiish, w repair any swcNre, prior to its issuance, aiso requires tha applicam tor such permil
to tile a signed statem�nt that he or she is licensed pursuant to ihe provisions ot t�e Conlractars Licensa Law (Chapter 9(commencing with Section 7000) of Division 3 ot the
Business and Protessi0ns Code) or ihat he or she is eaempt therefrom and the 6asis br the alleged ezemption. Any violation of Section 7031.5 by any applicant tor a permit
subjecis ihe epplicant to a civil penalty o( not more ihan five hundred dollare ($500).):
I, as owner of the p�opehy, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and Ihe struc�ure is not intended or oHered for sale (Sec.
7044, Business a�d Professions Code: The Contrac�ors License Law tloes no� apply to an owner of property who builtls or improves thereon, antl who tices such work
himsetl or herself ar Ihrough his or her own employees, providetl Ihat such impwvements are not intendetl or oHered tor sale. If, however, ihe 6uilding or improvement is
sold within one yPar of compietion, the owner��uilder will hava the burden of proving that he or she did not builtl or improve for puryose of sale.).
❑ I, as owner oi the propetly, am EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to consimct ihe pmject (SecJ044, Business antl Pmfessions
Cotle: The contractors icense Law does not appyl to an owner of property who builds or improves thereon, and who contracts for such pmjec� with a coniractor(s)
license oursuant tO� Contradors License La�IS1
❑ I am exempt u sec.
�synewre?
Owner ID v ed by drl lice�'i/
Ven�ication of Ownership by (�ype of
and Professions Code for �his reason:
's ❑ No / Qlirec's:Licansa�.No,
i.e. - property tax bill or tlaetl):
DIVISION OF INDUSTflIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certity iha� no eacavation five (5) or more feet in depih into which a person is required to descend, will be made in connection with work authonzed by this
permit, and that na building sWcture, scattolding, fa�sework, or demolition or tlismantling thereof, will be more than thirry-six (36) fee� high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle 8, Califomia Adminisfrative Cotle).
❑ As owner-builder, I will not employ anyone to tlo work which would require a permit irom the Division ol Industrial Sefety, as noted above, unless such person has a
permit to do such work irom the division.
SignaWre: Date:
Division ot Industrial Sa�ety Permit Number.
CERTFlCA7E OF COMPLIANC D AUTHORIZATION OF ENTRY: I cehify under penalty of perjury ihat I have reatl this application and state tha� ihe information given is
correct I agree b comply � all state law city s rel ' builtling consiruction, and authonze represent�atiQves of Ihe City ol Costa Mesa to enter upon Ihe
ebove-descnbetl prope r inspectio s ree y or allow occupancy of any building authonzed by this ermi� fi al in� .
%�9 % 7
�,S,Igp e�ot. wner(s).-,�y ���6u�Date
�- .
And/Or Authonzed Applicant
CQOE t. INSPECTION TYVE
1616 Fized System Final Fire Prevention
7266 Pool Spa Pinal
200 Final Re-Roof
201 Fina181ocWRetaining Wall
202 Final Factory Fire Place
203 FinelSign
204 Finel Demolition
QeL INTITIALS
COOEN INSPECTIONTYPE
206 Final Machanical
208 Final Plum�ing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupancy
QR�i INTITIALS
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: ZHHS ALANZO LN
Suite No
Parcel Number: 14156323
Applicant: ARMSTRONG, HARRY
Address: 2885 ALANZO LN � . �.
COSTA MESA, CA
Owner: ARMSTRONG, HARRY
Address: 2885 ALANZO L:N
MECHANICAL PERMIT
�"q . Status: ISSUED
j � ��v -`�j. � �, APPlied: 12/08/2006
� �ssued: 12/15/2006
�� LS � ��
� ,�J11�IIJ1 �S� �ED BY: V
�,�,p E
Phone: 714315-77PER -��l�Z�
Zip: 92626
EXPIRES
Phone:
COSTA MESA, CA Zip: 92626
Contractor: O W N ER-B U I LDE R D y}�p
Address: �jXb I&�6�4� /�
Phone: ,� �,`(%��=
ziv DAiE� � - �
. License: 000000
� SCOPE OF PERMIT
ADD 301 SF BETWEEN THE GARAGE AND THE EXSITING SFD TO CREATE A FAMILY ROOM. NEW
66 SF SOLID ROOF PATIO COVER AT ENTRY. REF: BO6-01794
MECHANICALTO INCLUDE: 1 ALT/REPAIR COOLINGIHEATING
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair/Alt Cooling/Heat
Inst / Rep. Recess Wall Hir
Refrig Sys <700 k BTU
Refrig Sys >100 k BTU
Gas Piping
Factory Fireplace
Hood w/Mech Exhaust
VAV Box
Vent Fan / Single Duct
Appliance
Pire Dampers .
Smoke Dampers '
Inst or Relocate Appl Vent
Air Handlers < 10000cfm
AirHandlers> 10000cfm
Floor Furnace
Floor or Suspend Heater
523.50
$0.00
$0.00
$13.70
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
50.00
$0.00
30.00
$0.00
$0.00
$0.00
Quantity
0
0
1
0
0
0
0
0
0
0
0
0
0
0 .
0
0
0
0 .
0 ,
FEE SUMMARY
Repair / Alt Absorbtion Unit
Repair / Alt Refrigeration Unit
Ventillation System
Evaporative Cooler
Com me rcial I nci n e ralor
Domestic Incinerator
Comoressors / Absorption Svstems
Upto3hp/100kBTU
3To15hp/SOOkBTU
15 To 30 hp / 1,000 k BTU
30 To 50 hp / 1,750 k BTU
Over 50 hp / Over 1,750 BTU
Boilers
Uplo3hp
3To15hp
15to30hp
30 to 50 hp
Over 50 hp
Other Mechanical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
TOTALCALCULATEDFEES
COMMENTS / SPECIAL CONDITIONS
�uantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
50.00 0
i0.00 0
50.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
50.00
$0.00
50.00
837.20
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 7 BO days, or if work is suspended or abandoned
for a period oi 180 days.
INSPECTIONS: In order for the work au�horized under this permit lo be considered legal, such work must comply with all applicable codes, and all
required inepeetlons and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2446d6 (fi/00)
WORKERS'COMPENSAnON DECLARAnON:
I hereby eHirtn untler penalty of perjury one of Ihe following declarations:
❑ I heve and will meintain a cenificate of consent to self-Insure for workers' compensation, as pmvided for 6y section 3700 0l the Lebor Cotle, for iha pertormance ot the
work for which this pertnit is issued.
❑ I have and will maintain workers' compensation insurance, as repuired by section 3700 ot tha Labor Gotle, for the peAormance of the work for which this pertnit is issuetl.
My workers' compensation Insurance carner antl policy number are:
Carrier: Policy Num�er:
`(Th�is !section need nof be crompleretl il the pe�d is veluetl et one hundretl dollars ($100J or /ess.)
� li I certify iha� in ihe pedormance �work for wh' his per ' ued, I shall not employ any person in any manner so as to become subject to the workers'
compensafion laws of Calitor ' id agree 1 oul co su 'ect b the workers' compensation pmvisions of Section 3700 of the Labor Code, I shall forthwith
comply with thg�se provisi � ��
ApplicanYSignaNre: �pate: /I��
��
WARNING FAILUAE T URE WOR COM SATI ERAGE IS UNIAW AND SHALL SUBJECT AN EMPLOYER TOCPIMIN PENAL�IES AND CIVIL FINES l/P TO ONE HUNDRED
THOUSAND DOLLARE ($100,000), IN A ION T E OF CAMPENSATION, 0 GES AS PROVIDED FOR IN SECTIQY 3]O60F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION: .
I hereby aHirm Ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) oi Division 3 of the Business and Professions Code, antl my license is in tull
force end ettect. Lic. # Cless k
Comractofs Signature: Date:
CONSTRUCTION LENDING AGENCY: .
❑ I hereby aH�� ihat ihere is a consiruction tending agency for ihe peAormance of ihe work for which Ihis permit is issuetl. (Sec. 3097, Civil Code).
Lender's Name: Lender's Adtlress:
Signature: Date:
OWNER-BUILDER OECLARATIONS:
I hereby aHirtn tnat under penalty of perjury that I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business antl Professions
Code: Any ciry o� counry which requires a permit to constmct, alter, impmve, demolish, or repair any structure, prior to its issuance, also requires ihe applicant tor such permil
to file a signad s�atement that ho or she is licensed pursuant to ihe provisions of the Coniractors License Lew (Chapter 9(commencing with Sectlon 7000) ol Division 3 of the
Business and Professions Cotle) or ihat he or she is exempt therelrom and ihe basis for the allegetl enemption. Any violation oi Section 7031.5 by any applicant for e pertnit
�su ects the appUcant to e civil penalry of not more ihan five hundred dollars ($500).):
� es owfref ot the property, or my employees with wages es their sole canpensation, W ILL DO TME WORK, and iha siruclme is noi intendatl or ottered tor sale (Sec.
r 7044, Business and Professions Code: The Contractors License Law dces not apply to en owner o� properry who builtls or improves ihereon, and who does 5uch work
himself a nerselt or Ihmugh his or �er own employees, provitled that such improvements are not intentled or oHered for sale. If, however, ihe building or improvement is
sold within one yea� of completioq the owner-builder will have ihe burden oi proving ihat he or she ditl not build or improve for purpose of sale.).
❑ I, as ownef of the prope� E%CLUSIVELV CONTRACTING WITM LICENSED CONTRACTOflS to conslmct tha project (Sec. 7044, Business antl Protessions
Code: The contractors Lice Lew does not appty m an owner of proparty who builds or improves thereon, antl who coniracts for such project wi�h a contractor(s)
license pursuant to th�'i ractors Licen�ws.). �) __
❑ I am exempt
Veriflcation of OWnarship by (typo of
Code tor this reason:
/ � No v iv9f5:4icense�No'.
i.e. � propany tax biA or tleatl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify ihat no excavation five (5) or more feet in depih into which a person is required to tlescend, wiil 6e made in connection wi�h work au�horizetl by ihis
permit, and ihat no 6uilding sWcture, scattolding, falsework, or tlemolition or tlismantling thereot, will be more than ihirty-sia (36) feet hiqh. (Chap. 3.2, Grp 2, An 2, Sec.
341, Title 8. California Atlministra�ive Coda).
❑ A5 owner-builtler, I will not employ anyone to tlo work which would require a permit trom the Division oi Industrial Safery, as noletl above, uNess such person has a
permit to do such work irom the division.
SignaNre�. Data�.
Division of Indusinal Safety Permit Number:
CERTIFICATE OF COMPLIANC D AUh10RIZA710N OF ENTRY: I certify untler penalty of perjury Ihat I have reatl �his application and sta�e ihat ihe information given is
wrrect I agree to comply w� II state laws city or � es relatip0i struciion, and authonze represeniatives of ihe City of Costa Mesa to entar upon ihe
ebove-described pro r inspedio os . I e n o occu ow occupancy of any building euthonzed by ��his /pgrmit until final inspection.
�,5_ign , LLe ner(s):�7 ��/ / „mm�
COOE� �{$pE�TQNTYPE
1616 Fi%etl System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final BIOck�Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
��TE IMRIA QQ1�E1 INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elecirical
212 Final Fire Prevention
220 Final Planning Approval
222 Finel Site
250 Final Builtling/Occupancy
gRg INRfIALS
�
Job Address: 2885 ALANZO LN
Suite:
Viciniry:
Primary Occ: R3 Dwellings/ Cong Res <10
Parcel Number: 14156323
,4pp�icant: ARMSTRONG, HARRY
Address: 2885 ALANZO LN
COSTA MESA, CA
owner: ARMSTRONG, HARRY
Address 2885 ALANZO LN
COSTA MESA, CA -
Contractor: O W N E R-B U I L D E R
Address:
Zip:
Arch :
Address:
. Phone:
Zip:
License:
����E� APPlied: 2S 2E 006
Issued: 12/12/2006
Type of Construction: V-N PER
Zoning:
EXPIRES i� i� �
Phone: 714-315-7773 CEL
Zip: 92626
�
Phone:
Zip: 92626
Phone:
License: 000000
Eng:
Address:
Phone:
License:
SCOPE OF PERMIT
REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING WOOD SHAKE/SHINGLE ROOF, t/2" CDX SHTG, APPLY 1 LAYER 30# FELT,
APPLY 30-YEAR COMP SHINGLES. PITCH 5:12 14 SQUARES
FEE SUMMARY
Plan Check: $0.00
Permit: $139.25
SMIP Res: $0.70
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $739.95
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0. 0
ACCESSORY Front 0- 0
PARKING Exislina: o
Rear 0- 0
Rear 0- 0
Left 0- 0
Left 0- 0
Reauired: 0 Pr000sed: 0
Calc Valuation: 5�,000.00
Ciaim Valuation: 3�,000.00
Right
Right
0- 0
���1���,
DA� I 'ZD -II �,
�� NOTICE: The work authoiized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 9248, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order (or the work authorized under this permit to be considered legal, such work must comply with all applicabla codes, and all
required inspectlona and tlnal approval must be obtained. Failure to obtain inspections and (inal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754562fi
2a46<6(&00)
WORKERS' COMPENSATION DECLARA710N:
I hereby ettirm under penalry ot parjury one of the tollowing declaretions:
❑ I heve and will maintaln e certificate of wnsent to self-Insure for workers' compensetlon, as provided for by section 3700 of the Labor Code, for Ihe pertortnance of the
work for which t�is permit is issued.
❑ I have and will maintain workers' compansation insurence, es required by section 3700 of the Labor Code, for the perfortnance ot ihe work for which Ihis permit is issued.
My workers' compensatlon Insurence carrier and policy number are:
Cerner: Policy Number:
(This section need not be completed il the peimit is veluetl a! one hundred dollers ($100) o� less.)
� I certify Ihet in the pertormance of iha work tor which ihis pertnit' 'ssued, 1 shall not employ any person in eny manner so as ro become subject to the workere'
wmpensation laws of Celifomie, d agree Ih ' ioul[ ub'ect to Ihe workers' compensation provisions of Section 3700 of ihe Lebor Code, I shall forthwith
comply with these provisio ��i� /�
Applicant Signature: Date: ���
WARNINO: FAILUPE TO URE WORKE OM AT�p OVERAGE IS UNL4WF A SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE D CIVIL FINES UP TO ONE HUN�RED
THWSANDDOLLARE($100,000),INADDI TOTHECOSTOFWMPENSATIQV,D ASPROVIDEOFORINSECTION3]OBOFTHELABORCODE,INTEREST,ANDATTORNEV'SFEES.
UCENSED CONTRACTORS DECLARATION:
I hereby aHirm iha� I am licensetl under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Protessions Coda, antl my license is in full
force antl ettecL Lic. N Class a
ContractoYs Signature: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby affirm ihat ihere is a construction lending egency for ihe peAormance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lendefs Address:
Signeture: Date:
OWNER-BUILDER DECLARA710N5:
I hereby aHirtn ihat under penalry of perjury that I am E%EMPT FROM THE CONTRAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Professions
Code: Any city or counry which requires e permit to constmct. alter, improve, demolish, or repair any simcture, prior to its issuance, also requires the applicant for such permit
to file a signed statement thet he or she is licensed pursuem to the provisions of the Cantrecmrs License Lew (Chepter 9(commencing wllh Sectlan 7000) of Division 3 of ihe
Business end Professions Cotle) or Ihat he or she is eaempt theretrom and the basls for the allegetl ezemption. Any vlolation ot Section 7031.5 by eny applicant tor e parmit
u'ects the applicant to a civil penalry e� not more ihan five hundred dollars ($500).):
s owner of the property, or my employees with weges as Iheir sola compensation, WILL DO 7HE WORK, and the s�rucNre is not intendetl or oHered for sale (Sac.
7044, eusiness and Professions Code: The Coniractors License Law does not apply to an owner of property who builtls or improves ihereon, end who does such work
himselt or herself or ihrough his or her own employees, p�ovidetl iha� such improvements are no� inientled or oHeretl for sale. It, however, ihe building or improvement is
sold within one year ol completion, the owner-builder will have ihe burden of proving tha� he or she did not builtl or improve tor purpose oi sale.).
❑ I, as owner ot the property, am EXGLUSIVELY CONTRACTING WIT}i 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 bullds or improves thereon, end who contracts for such project with e comractor(s)
license pursuant to the Contrectg�icense Law�� �)
❑ I em exempt under
Signeture:
Owner ID verified b rrv
���
VedHcatlon of Ownership by (type ot documenL i.e. - property tex bill or
Code for ihis reason:
License No.
Date:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTFICA710N: �
❑ I hereby certify Iha� no excavetion five (5) or more feet in deplh into which a person is required to descend, wlll be made in connection with work authorized by this
permit, antl ihat no building structure, scaHolding, talsework, or demolition or dismantling thereot, will be more ihan thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, California Atlminisiretive Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Indusiriai Safery, as notetl ebove, unless such person hes e
permit to da such work from the division.
Signature: Date:
Division of Industrial Safery Permit Number:
CERTIflCATE OF COMPLIA�CE ANO AUiHORIZATION OF� (: I certity under penalry of perjury Ihat I have read this application and state that the infortnation given is
correct I egrea to com ith all state laws city R1�nces lating to building consWction, and au�hodze representatives of Ihe Clty ol Costa Mesa to enter upon ihe
ebove-described i y for inspectio os . rea no r allow occupancy of any building authorize�this pe it until Anel ins�.
Sign�y Of L� wner(s) -�r�� Da'e
And/Or Authorized Applicant Date
COOE t. INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spe Final
200 Finel Re-Root
201 Final BIocWRetaining Well
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
Q� IMITIpL
COpE1 INSFECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Flre Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
� I[�N$
May 31, 2007
Harry Armstrong
2885 Alanzo Ln
Costa Mesa CA 92626-4203
PERMIT NUMBERS
FOR:
PROJECT ADDRESS
BUILDING DIVISION
EXTENSION NOTIFICATION
606-01794, 606-02089, E06-07423, M06-00810
Addition 8 Re-roof
2885 Alanzo Ln., Costa Mesa
This is to advise you that the request for an extension on the above permit has been
approved by Ed Petros, Chief of Inspection. The extension is valid for 180 days. The new
expiration date of the permit is December 10, 2007. You may call 714-754-5626 for
inspection at any time prior to this date or your permit will expire. Additional fees will be
required to finalize expired permits.
If you hav� any questions, please contact the Building Division at 714-754-5273, between
8:00 a.m. and 4:30 p.m., and a staff member will assist you. We appreciate your working
with us to resolve this matter.
Sincerely,
Mary Jane Weidenkeller
Office SpeCia�ist II
NPlb Information
Activity: BC
Const Type: V-
Owner: AF
Engineer: Sl
Dev coor: S(
Contractor: 0\
Plan check: MI
Agenl: JE
Applicant: AF
Description: AC
794
Request
Pca,�A •
Requested Inspect Date: Friday, June 29, 2007
Site Address: 2885 ALANZO LN CM
Type: BLD_SUB Sub Type: ADD RRIP Status: ISSUED
Occupancy: 7 Use: — Insp Area:
HARRY Phone: 714-315-7773
Phone: 949-495-3214
e
Notice: ELEC/MECH PENDING IN SYSTENi COI
Comment: PER PLANNING, HANDWRITE OV�RAL
Requestedlnspection(s)
Item: 150 MISCELLANEOUS INSPECTION
Requestor:
Assigned To: ""'*"'""
Action: Time Exp: _
Inspection Historv
Item: 1 BLDG F
Item: 3 JOB SI-
Item: 4 FOOTIP
Item: 6 SLAB
Item: 8 STRUC
Item: 10 ROOF
Item: 12 ROOF
Item: 16 SHEAI
Item: 18 FRAM
Item: 20 LATHI
It�m: 22 INSUL
Item: 24 DRYN
Item: 26 PLASI
It�m: 31 NPDE
Item: 150 MISC
Item: 220 FINA
Item: 250 FINA
SYSTEM `
LDG HEIGHT �
1�
)AT �\ ��
lSPE ION � \ I
CC PANCY ���
�
o� ti�
1� � �
SFD TO CREATE A FAMILY ROOM. N
�17 APPROVED FOR 16 FT. FRONT SE
ALL SIDES. PLANNING: LOT SIZE _
f. DRIVEWAY = 209 SQ. FT. LOT
iQ. FT. (66%
AND APPLI�ANT INFO - KENNE S
T ON ELEVATIONS. - KUBOT_BJ
Requested Time: 08:00 AM
Phone:
Entered By: WEIDE_MJ K
REPT131 Run Id: 5528
Requested Inspect Date: Friday, June 29, 2007
Site Address: 2885 ALANZO LN CM
AIPID Information
Activity: B06-02089 Type: BLD_SUB Sub Type: ROOFRRIP Status: ISSUED
Const Type: V-N Occupancy: Use: Insp Area:
Qwner: ARMSTRONG HARRY
Contractor: 0 W N E R-BU I Lb E R
Applicant: ARMSTRONG, HARRY Phone: 714-315-7773 CELL
Description: REROOF RESIDENCE AND Al?ACHED GARAGE: T/O EXISTING WOOD SHAKE/SHINGLE ROOF, 1/2"
CDX SHTG, APPLY 1 LAYER 30# FELT, APPLY 30-YEAR COMP SHINGLES. PITCH 5:12 14 SQUARES
Requestedlnsoectionls)
Item:
Requestor.
Assigned To:
Actlon:
150 MISCELLANEOUS INSPECTION
Time Exp:
Inspection Historv
Item: 1 BLDG PLAN CHECK
Item: 10 ROOF FRAMING
Item: 11 PRE-INSPECT ROOF
Item: 12 ROOF SHEATHING/BLDG HEIGHT
Item: 31 NPDES/BMP
Item: 60 ROOF DRAINS
Item: 150 MISCELLANEOUS INSPECTION
Item: 200 FINAL RE-ROOF
Requested Time: 08:00 AM
Phone:
Entered By: WEIDE_MJ K
REPT131 Run Id: 5528
Request
Requested Inspect Date: Friday, June 29, 2007
Site Address: 2885 ALANZO LN CM
A/PID Information
Activity: E06-01423 Type: ELEC Sub Type: RRIP Status: ISSUED
Cohst Type: V-N Occupancy: Use: Insp Area:
Cont�ractor: OWNER BUILbERRRY
Applicant ARMSTRONG, HARRY Phone: 714315-7773
Description: ADD 301 SF BETWEEN THE GARAGE AND THE EXSITING SFD TO CREATE A FAMILY ROOM. NEW 66
SF SOLID ROOF PATIO COVER AT ENTRY. REF: B06-01794 ELECTRICAL TO INCLUDE: 8 LIGHT
FIXTURES, 9 OUTLETS, AND 11 SWITCHES.
Requestedlnspectionls)
Item: 150 MISCELLANEOUS INSPECTION
Requestor:
Assigned To: """"""
Action: Time Exp: _
Inspection Historv
Item: 1 BLDG F
Item: 34 TEMP
Item: 36 UFER
Item: 38 ELEC
Item: 40 ELEC
Item: 42 ROUG
Item: 44 ROUG
Item: 46 ROUG
Item: 48 ELEC.
Item: 50 ELEC.
Item: 100 ELE(
Item: 1D6 ELE(
Item: 118 POO
Item: 150 MISC
Item: 210 FINA
2VICE OR POLE
-UNDERGROUND
�UND
CONDUIT
tICAL - WIRING
tIC CONDUIT
ILING
�INAUMETER RELEAS
ONDING
nNnt iiT - i iNnR�RNn
Requested Time: 08:00 AM
Phone:
Entered By: WEIDE_MJ K
REPT131 Run Id: 5528
uest
Requested Inspect Date: Friday, June 29, 2007
Site Address: 2885 ALANZO LN CM
�
A/P/D Information
Activity: M06-00810 Type: MECH Sub Type: RRIP Status: ISSUED
ConstType: Occupancy: Use: Insp Area:
bwner: ARMSTRONG HARRY
Contractor: OWNER-BUILbER Phone: 714315-7773
Applicant: ARMSTRONG HARRY Phone: 714-315-7773
Description: ADD 301 SF B�TWEEN THE GARAGE AND THE EXSITING SFD TO CREATE A FAMILY ROOM. NEW 66
SF SOLID ROOF PATIO COVER AT ENTRY. REF: BO6-01794 MECHANICAL TO INCLUDE: 1
ALT/REPAIR COOLING/HEATING
Requestedlnspectionfs)
Item: 150 MISCELLANEOUS INSPECTION
Requestor:
Assigned To: *"""`""'
Action: Time Exp: _
Inspection Historv
Item: 1 BLDG F
Item: 63 PREV�
Item: 64 ROUG
Item: 66 ROUG
Item: 68 SEWE
Rem: 70 DUCT
Item: 72 GAS F
Item: 86 HOOC
Item: 90 GAS F
Item: 108 GAS
Item: 114 POOI
Item: 150 MISC
Item: 202
CHECK
Item: 206 FINAL MECHANICAL
TEST
Requested Time: 08:00 AM
Phone:
Entered By: WEIDE_MJ K
REPT131 Run Id: 5528
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J FLOORING
2885 AlANZO LANE
COSTA MESA, CA 92626
� `,:��
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R.A. JEHEBER
PLANNING & DESIGN CONSULTANTS
April 13, 2005
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA. 92628-1200
Attn: Chief Plans Examiner, Burt D. Morgan.
Re: B04-01799, 2885 Alanzo Lane
Dear Mr. Morgan,
We at this Yime would like to request an extension of our residential plan check
that we have submitted to your building and planning departrnents for building permits.
The address is 2885 Alanzo Lane, Costa Mesa; and the plan check number is B04-01799.
The reason we are requesting a 180 day extension is because we had some problems with
our proposed 20% front setback encroachment with the Planning Department. We have
received a blessing from the Planning Department and are in the process of making our
final plan check corrections and will be turning plans back in by Monday, April 18°i
2005.
Should you have any questions in regazds to this matter, please feel free to contact me at
my office number listed above.
Sincerely
'��
Cc: Harry Armstrong, Owner
�
�i'" ( 7
r� � ! O
�OI �3�°5
�� ���
4I0 32�° ti'I'RGH7'. tiUll'li 202 • NE�C'POR'1' 61iACIl. f,AI.IFORNIA • 92(f}
PIIONE: 94J-723-439J • FAX:'1o9-723-0719
PNOJECT q00BESS: �$$ j pLAN`LO T�TV
JWNEa'SNaME: ���STRONG, HARRY
ROOflESS: zHRJ i'iLi�.f��� LN
COS't'A A1�SA, CA
AflCHIENGINEEfl: 7 Z 4 6? 7— i i 0 2
AODflESS:
uxiT:
92626
flEG.NO.:
UNIT:
PEHMITTEE: �N,MS! P.ONG, FiARRY ( 714 ) 6 A S- i i 0�
nooness: Z88 � pLAN7.0 i,AivE
COS'TA NESA CA 92616
LICENSEO CONTPpCTOP UECLFflFTION: I nereby a��irm Iha� I am licensed untler pmvisions of Chapler 9(commencing wit� Seclion
7000� o� Orvision 3 oi the Business and Pm�essions Co�e, antl my license is in full lorce ana eifect.
CITY LIC.: $TATE LIC.: CIASS:
�aie' Signa�ure:
WOBNEBS' COMPENSRTION oECLi1BpTI0N: I hereby atfirm ihat I have a cenilica�e of consent m selbinsure dr a cenificate of workers'
Campensalion Insurance. or a cetltliea copy I�ereot (Sec�ion 3800, Lab. C)
ILICY NO.: E%P. URTE:
'OMPANY:
] Cenilietl coOY is hereby fumishetl. ❑ Certifie0 copy is filetl wi�� the cily Building Division
�a�e: ApP�icant:
E%EMPTION FPOM WOBNEflS' LOMPENSATION OECLNHNTION: (This SeCii�n neeA no� Oe tompl¢t¢a if �h¢ permii is far ane huntlretl ($100) or les5�.
I certity Ihal m I�e pedormance of lhe work for which Ihis pe�mil is issuetl. I shall no� employ any person in any manner so as �o become
subjeclto �he Workers' Compensa�ion Laws ol California.
Oa�e: Signa�ure'.
NOTICE: If. a�ter making ��is declaration, you shoultl become su6lec� �o �he Workers' Compensation pmvisions ot �he Lahor
Cotle, you must Iorthwiih comDly with such pmvi5ion5 ar �his permil shall be tleeme0 revokeA.
CONSTBUCTION LENOING AGENLV: I hereby affirm Iha� I�ere i5 a constmction IenOing agency for t�e peAormance o� the work lor
whith �his perm7i Is Issuetl (Sectlon 3097, Giv. C).
LENUEN:
POOHESS:
OWNEB BOILUEB OECIAflATION: I hereby ailirm t�a� I am exempl imm �he Conlrac�ors' $ta�e License Law �or �he �ollowinA reason
(Section 7031.5 Business and Pmlessional Coae: Any city ol coun�y which requires a permii to eonstruct, alter, impwve, tlemolish, or
reOalr any s�mclure, prior lo iis issuance. also reQuires �he apPlicanl br such permit �o �ile a signetl 5laiement �hai Ae/she is Iicen5e0
pursuani Io �he pmvisions o� Ihe Camramors' S�aie License Law �Chapter 9(commencing wiU Section 1000) o� Oivision 3 ot �he Business
and Pmfessions CoOe) or iha� he/she is exempi therelmm antl the basis �or the alleged exemption. Fny violation ol Section 7031.5 by
any apPlicani lor a permi� sublecis �he applicanilo a civil Oenal�y ol not more ihan five huntl�ed tlollars ($500).
I. as owner oi ine pmveny or my employees wit� wages as �Aeir sole compensalion, will tln Ihe work, antl Ihe
� slmcWre is not inten0ed or a��ere0lor sale (Seclion 7044, Business and Pm�essional Code: The Con�racbrs' State License Law
aoes not apply �o an owner ot a property who builtls or impwves thereon, antl who does such wo�k himselllherseli or Ihwugh
his ar her own employees. pmvitleJ that such impmvemen�s are no� imentled or OttereA �or sale. Ii, however �he buil0ing or
impmvemenl is soltl wil�in one year o1 completion. the awner will have ihe buraen of pmving he/she 4iA not builtl or improve
for the purpose ot sale),
I, as owner of ihe pmpeny, am exclusively conVacling with licensetl coniractors to consimct ihe pmle�t (Sec�ion 7044, Business
�❑ ana Pmiessions Cade: The Comramors' State License Law does not appry to an owner of pmperty who 6uiltls or improves �hereon
antl who conirads br such pmlecis wit� a coniracmqs)license pursuan� to the Coniractors' State License Law). I am aware
Ihat pmoi ol Ihei� Worker'S Campensation insurance shoultl Oe pmvide0 �o me.
� I am exempl untler Seciion: �� 7 O�� B. 8 P. C.
ior mis reason 'L?� WORK BY OWPI__
1e'. � Ownec � ��''
I tlo �ereDy cenity Ihat I am aware oi an0 unJerstantl the reQuiremenis oi Califomia Health antl Safety Cotle Sections 25505, 25533 and
2553d ana iha� I or anY �uture UuilOing occupan� will/will no� (circle one) neetl lo comply wit� saia sta�e codes anA ihe requiremen� for a
permit lor cons�mclion or motlilica�ion imm Ihe Nu Ouality Managemeni OiSiri 1 esiaenli constr ' n applications are exe imm
ihese pmvisians. �
( �
Dale: Appli[anl: T �
I hereby ce �ity Ihat I �ave �ead Ihls application and stale Ihat Ne above intormali rorr .L I agree �o compty with all ciry� coun�y
ordinances an0 statelawsrelatingio bmlding consimc�ion antl au�horizerepresenta( a�this rj(�ft erupon�he abov tionetl
pmpetly �ar inSpPqiOn pw�cSCS. �'
�ate: � ` � Signa�ure: � �JG� (
Oiiver's L¢ense or Social Secunly : �
t6a - Whne—BmlOinq: Green—Cotle EniorcemenC Ganary—ApPlicanf, P�nk—Revenue: Goltlenrod—Assessor
CITY OF C05'TA i`�ESA - HUii,DTt�G PnRMIT
PERMIT NO: H 051743 PLAN CHECK NU; 01353-91 S
CONSTRiICTiUN TYPE; V-N P�RN7T TYPE: STR
JOB pr:SCRIYTION ; 7L.F. 6'HIGH CITY STD BLOCK viAiL
PEr�M NO: B 051"T4:�
GUVT; T' SJPP; N
PURP05n: 03Fi
S'�,� FT; %
Ci.A.iN, VALII£: 300.00 CALC-VALCIE; 19Q,U0 GRUI'1P GCC: R-3 /
CUMNENiS: 5MOY.E BETECTOR R��UIRrD IN Tiin HOMF.
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7, O N I N G R E Q U Z R E M E N T S
s�: � �Acxs
----------- N.AIN BUILDING -------- — ----- — — ACCESSORY BUILDING ---------
FRNT: FT Itv REAR: FT TN FRNT; FT IN REAR: rT 7�
LEFT; rT IN RGii`P: F"P :iN L�FT: FT 7:N RGHT; rT IN
F'ARriII�G Ra PROV• PARCEI.�; 14150323 LN?; R1 AF.F NO;
PLA�INING �I TcS> 7:�F 6 FT. AIGH HLOCK WA1�I�.
�
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D E U n L O P N: N T � E R V Z C E S R E Q U I R E Ni �;v T 5
ZONING APPROVED BY UATE:
AUTLDING APPROC�ED BY : � _ DA'PE: p r
A�PiICATION ISSUcD HY•��-�'��/�r � DATE• 7�I(� �(�
iF3F3eN�K��63Eif163E#1tie3fii��f�3F#jF�7FiFiF x .n. .. x : . .ifk#k#tFif�le3Ek�'��',FS'�iF,.if3r
?E�'t3f-Ih#aEj!-M'�i'riF�EiF3EiE#3f�?F3f3fiFIE�1Y#3e3i-#3f�lf�?:�*iEiEiE3F3Fih9E1fjE3h�N� :��lf3hiFi'rieif3r�a��}�jFaf*3!�-li.!'iE�eietiEiF�e-J'r�7E�]E)Fri"uiC#kdlii�#�1:k
i.EGAI.IZATION:N F � E S U M M A R Y STRT.7CTuRAi, s'EGNEN'i':Y
FiLDG PMT PLUN,BiNG ELECTRIC MECiiAnIC FiRc SMiP/RES GRI�Dl�1G
PERMIT 15.00 SMI�/NO�-R�S
PLAN 9,75
ISSliE FF.E
BiJILDING-DIV-> PERN.IT TSSiJE PLAN-CiIECK TOTAL PAID DUE
TOTAi,�----> 15,50 0,00 9,'75 ,'.5.25 25,25 .00
REVENUE DIVISiON TOTALS--> CULi,ECTED; 25,25 OVcR/SHOR?: 00
BLDG PN:T PL'JMBING £LECTR:iC MnCFiANIC FIRE SN,IP/TOT GRADING PLAN-C;iECK
1S.00 .JO 9,IJ
iE ## N- §F 3f� ii� iF if �IF # if if # 3r 3i� 3't # if jF iF 3E?E ii W iF IE iE If 1F �lE if lE iE jE iF i!� i(� F i: i(� lE i'r+,'- ii� =�li>� M'� ih 1E i(-i2 K• N� iE ic�le i'r k#'- IE i!� iF }:� 3G>'. ;r ii� ic i4 �� 3f if ii �f� iF iE �>
Z N p T V S D TJ A'� F E E B R E A Y. D O W N
�YPE QTY D E S C R I P 3 I O N UNIT COSi TOiAL COS"!'
SrR 7 RES-CONCkETc. BI,i�CK WALL / FT, 20.00 I40,00
END OF rE�S
:' ��iDP52�>i-:�_( � '.' � - -
OAiE' �7�1',S;,i ; T��,�. ,. „ � —
CONSTRUCTION AND P�ANNING P� ' SP'4 •
~ Date Inspector Date Inspector
APPROVALS Permit # APPROVAIS Permit #
7. Temporary Electrical Service or Pole 52. Pool & Equipment Location - .
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility�Undrgrnd. 54. Forms '
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test "
6. Electrical UFER Grnd. . 57. APPROVAL TO COVER�GUNITE
7. Footings [� 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � 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 .
73. Roof Oroins 64. Plumbing System � Final
14. Rough Plumbing 65. Electrical-Final _
15. Rough Electrical-Conduit 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access ApProval �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING • -
18. Rough Electrical�T Bar CBiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT,
20. Rough Factory Fireplace APPROVALS Permit #
21. DuCts, in Structure 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. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Celling (Structural) & Monocoat 75. Dr.y Chemical
27. FromeandFlashing 76. DryStandpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PFEV. 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. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service�Final
40. Gas Service�Pinal
41. Solar pomestic-Final
42. Backflow Preventer ,
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap ftegulations
47. FINALSTRUCTURE&BUILDING � c�+�
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
.
�MPLAINT INVESTIGATION ��07 A.M.
Received by � xorrocks ]�ay� 6/9/�+
Made by: MrS. J. Th0171&S Address 2a85 Alanzo Ln. ph. No.
ngasnsc: �cco -Mesa Del Mar qd
Directions:
Nature of Complaint: B18Ck tOp i6 11" below
netion taken: Was out to the job this mornin� at 9:30. The hole that her husband du€� in
in front yard to plant tree (North Side of Lot�checltesL�ith_rod_and ha,m�Pr._pn gp�h
side of Lot, black top still in front yard approximately 12" belov �round. She will
call Macco and noti£y us of her finding. However this problem is out of the Building
Department's jurisdiction�
Complete: Yes
No X fOr
reason stated above
Complainant Yes X
Interviewed:
•!��
Ed Horrocks
f
I N S Y E C T I O N b i E 5 T I N G E N 6 I N E E R 5
C H E M I C n L b P H Y 5 I C A L 4 N n l Y 5 I 5
P.O. Bo. 16036 • 331� nirPort Wav
Lonq BencM1, Calil vP0�6
�113) 416d)55 • 1111� 6362386 • �I14� Bt8-6411
Since 1898
i E A R C M 8 E N V I R O N M E N T A L T E S T I N G
0. 0. O S I O N E N G 1 N E E 0. I N G b A N A L Y 5 I 5
ISIa.D N orfh Harver S�reel
Senfa nna, Galifornia 92101
�114) 511-16C5
Examination:, SC6]-3]09
GUNITE
COMPRESSION TESTS ON QQQXpp(C�xR CYLINDERS
Jos. M. Henley
1973 Newport Blvd.
Costa Mesa, California 92627
PROJECT 15 x 30 Swim Pool for EARI THOMAS
ADDRESS 288$ Alanzo l.ane, Costa Mesa
SAMPLE FROM Cyl #1 - Bottom deep end: Cyi. #2 - Side wallr
Cyt #3 - Bond beam at lite
ARCNIiECT CONTRACi00.
Tihor 6inCer Blue Havan poots
ENOINEEN SU6fONTRACIOR
- � - Century Gunite
SPECIFIED
MIX �— 1 STRENGTH 2,000 osi
DATE CAST
SIZEa
DATE TESTED
CYIINDER NO.
COMPRESSION
TOTAL LOAD, LBS.
POUNDS PER SQ. IN.
COMPLIANCE
8-9-67
�" X 12�'
8-1(-57
7-Day
79,000
2,574
SLUMP
6" x 12�"
8-16-67
2
7-Day
88,000
3,110
4"HOLD" 5 "HOLD"
7-day test canpiies with specSfications.
MADE 6Y
CYLINDERS J.M.Henley
oisTaieunoN:
Blue Have� Pools
�C-�+�� !Aesa_Bldg. Dept.
Century Gunite
,1os. M. He�ley
Gene Crostey
DEIIVERED BY
J.M.Henley
6-1/8�� x 12'-'z"
9-16-67
3
7-Day
64,500
2,190
6 ��HOLD"
RECEIVED ON
8-10-67
REGE(V�D
BUILDING SAfETY DEPT.
�uG t t ��s�
AM f'M
7�Si9�lD�ll,k.'�� �"��3'�<4'��iS�
�
��..�,:��.:� �i='......_„�-:,.<.,..__
♦ll REPONiS �RL SVBNITiCO �5 iME COIaFIDENTIaL PFOPFNi� OF CLILniS. �UTnORIZ�TION cOF PVBIIC�T101+ O�' OVA REPOFTS, CONCLVSIONS. OX Ell�
TF�CTS �ROM OP REG�401NG IwCu IS �!$EAVEO o�NOINfi OUA WPIiTEN >VVROVaI q5 q MUTVeI PROiECiION TO GL�ENiS,TNE PUBLIC �NO OURSELVES
330-� 2
e
CITY OF COSTA MESA
CALIFORNIA P.O. BOX4��A�200
FROM THE OFFICE OF THE PLANNING DEPARTMENT
December 6, 1967
Mr. Thamas Earl
2885 Alanzo Lane
Coata Mesa� Californis
Dear Pool Ownero
The Costa Mesa Plannfng 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 Code, we quote Section 9296a9a
1, No swimming pool shall be constructed closer than five (5)
feet to any property lineso measured from water line of poolo
2, No swimming pool shall be constructed under any electric power
lines or on any electric poxer easementa
3o No swimming pool shall be constructed unless the yard surrounding
such pool fs completely encl�sed 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 you will be aware of
our ordinances and can make a complete safety check of your pool area,
Sincerely yours9
William L, Dunn
Director of Planning
�5;���
C65 A MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA M68A. CALIPORNIA
�
For Applieanf fo Fill In Complefely
TYPE OR PRINT
BUILOING _,,,,� . _ _
COSTA MESA CALIFORNIA
■ MAII.
FEE RECEIVED
Lot 74, �ract t�zo4� Plan 4-AR
� SEP 11 j�`FiNANCE OEPT.
I� Cft� Uh t;OSTA MESA
APPLICATION FOR PERMIT
BUILDING
For O#lce Use Only
RlCEIPi NO. GERMIT NO.
� 5���
xiv6o er I o.vs xecuvec I o�re �esu¢o_-
COSTA ME6A. CALIFORNIA
AODRESS C d ZONING
ZONC E No.oF u66 OF NHW
arv � M C �� vtrWe eunnlNa
ucTrEio.98808�SB-1 No: OR 3�y220 LeGAL Z%ZO
oeecnixiox !�
61ZE xo. oI Btone.
oF �or 6622 S F xow oH �or none p, p, NO.
USE OF YARD9 EVES
EXISTING BLDG none pppROYED ALLOWED
BETBALK LINE FPOM � � �� f�MT�R LINC BTJ (/
Brrteer 43 REAR YARD16 6 FRONT / L
� I LEFT 1 �11�� I RIGHT ZO �1�� R.61DE / a
DESCRIPTION OF WORK - �.S�oE �/
I IIALTERATIONI IIADDITION I REAR /�
, I IIMOVING I IIDEMOLI6M I APPROVED ���
SIZE � � ROOMS STORIES
EXTERIOR WALL S'f.IlCCO ROOF '
COVERING COVERING $j��
USE OF BUILDING ANO WORK TO BE PERFORMEO
Sin 1 am'1 r s'
yr/attached garage
I NEREBY RCHNOWLED6E THAT 1 HAVE RE�D THI6 APPLIWTION
AND 9TATE TNAT THE ABOVE 18 CORRECT AND AORCE TO COM-
PLY WITH ALL CITY ORDINANCEB ANO BTATE IAWB flBOULATING
BUILDING CONBTRUGTION.
81GNATURE OF �I C
PERMITTE �,�
AUTHORIZED AGE � �"`"�"�/"�"N�4iW$i
Garage Area
1274 S F
445 S F.
. 19SF
TXE AMOUM 6HOWN UNDER VALUATION 1! POR THE
PUHP09! OP E9TABLIBHINO A PEPMIT PEE ONLY.
UATION
� PERMIT FEE $ ���
1' N
��LyO1�OO p�,pN CHECK $ L� &
C
TOTAL FEE a
S r-
��
2.- � %?��
�A MESA BUILDING-SAFETY DEPARTMENT
PAIU
JUL 11-67c�j,pQ� 715=` "x�*aiB.OQ
OWNER E rl DATE .(-11'b.(
JOB ADDitESS 2$85 Alanzo I�ane BUILDING PERMIT NO. 272
GENERAL CONTRACTOR g1UB A3Veri POols DESCRIPTION OF WOAK PVt. '�4iim POOl
V
SUBCONTRACTOR
aud
— In