HomeMy WebLinkAbout3328 Alabama Cir - Building Permits`J
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�noeessovem�owo: 3328 ALABAMA CI �NT:
OtVNEA'SNAMEIFplOWN:ERICSON, HAROLD C FLOOD: AE-37
�ooxess: 3 3 2 8 AL AB AMA C I R
�' COSTA MESA,CA 92626
wv�. xuuwo �oowess:
8423622
1XCNRECTOPENtlNFEq:
1RCN.ON ENO.'4 /i0UXE59:
uc. xo.:
UNT:
coxm�crarsruMe:ACTION FIRST ROOF CARE ( 714 ) 841-7663
caNm�croxswuww18352 GOTHARD ST
mopEu:HUNTINGTON BEACH CA uc.ra.: 502900
92698 uNr:
� LICENSED COMNACTONS DECL�PATION: I Mreby eflirm uMx penary ol pxjury IMt I em licenastl uMn qwbbm d Cheqr e
(mmmencin0'M�h Section ]000) d Diviaon J d Iha Bueinea� entl Prolseaione Coda, eM my lianw ia ln lull bma vM eHM.
cmuc.No.�643/Jf0� uc.cuss:�_gg uc.No.:S�(r1�' 2•Y�9.00�/ XP/: O'S/97
DetvjLfJ�/ ��/ Conlretlor.�{C�(�IUV l lf.-c71 �.7'J(�- .
OWNEP BUILOEN UECLAR�TION: I Mreby effirm uMm penely of perN�Y �� I em memq Irom �M Contredon Liunea lew Iw ihe
fdbwing reeeon (SeUion ]0]1.5 Buenme enE Proleeeiona Gode: Any cly n counly which repuirae e peimX lo aoneVud, aller, improve,
demdqh, p repai any eVuc�ura, pria ro iU ewenm. eleo npuiras iha epplimnl lor wch pomN to file a eqnad stelament HW M or aM
ia licenaed puivuenl to Iha provisions d iM CaMredoro Licanae Law �Cheqer e(mmmendnp Milh Sed'nn ]aa0) d DMobn 3 d ihe
Bueinesa eM PrMeeebna Coda� or �het M or ehe ia eaemq ihaetrom end Ihe beeie lor �he ellped eaempion. My volelon M Setlion
)W 1.5 by enY aPO��t iw e parmil eubjatle the epd� �o e dvil penely d �wl mw� Ihen twa huMreE dollen j5500�1.
❑ I, es ownar M iM propany or my empbywe wih wepea a� ihei eob cwnpen�elion, will Eo tha wk, eM �he aVuc1um e rwl iMeMeE
or allered iw eda (Seclion'l014. Buainees end PMeesbns Coda: The Conirepon Liceme Lew Eoes'rot epply la en owner ol properry
wM builda or inprowe iheeeon, eM who doee euM work himaeM rc henell a ihraph he a har ovm emplvyeee, pmvidaE Ihel weh
imprwemenn era mi intaMed a dlared la ade. X, howmrer, �M buiNiip a inpowmani ia eold xithin aw yeerW mmpinion, the
owner-buiMer vrill hew Ihe Euken M 0�'ing he or eha did nd Wild or impmve br IM Duryose of eele).
❑ I. m ownar d iM properry. em eRd�mveN ��reqip xilh lironaed contrecloro �o canffiue tln prqsG (SeGion ]OH. Busi�fe eid
PMeabm COEe: The Coniretlwa Licenae law Eoes iwl eppy io en ownar af pmpem� x1ro builla w imqo.•es �hmeon enE wM
COf1VO4Y8 �M WCiI pfOl�9 Wllh B WMfBdOl�9) �ICB1180d p1118118f11 IO Ih0 CiOf11f9E1IX8 �ICB119B �.9W�.
❑ I em axemq uMer Senion: B. 8 P.G.. br Ihie reeaon:
Deie: Owner:
I Eo heraby eeNly Ihel I am ewera d ud uMentaM the reQuiremeMs d CelfomielleeAh eed Sdary Code Seqiam 25505. 255]3. enA
2553d, end thm I or eny Mure buildinp occupent wiil I will nm (arcb one) neaE to compy weM1 edd s�e wdes enA tM repuinmanm for
e pe�millaconsVuc�iona modifratbnhantMA'r�erepamenl Dirna. Rmidantiel oonslrudion eppYrationa ye ezemq Imm iheae
o�wisions.
Deia: qpplzem:
WOHKEN'S COMPENSATON DECUN�TION: I Mreby alfirm uMar panelly d pa�ury wwd IM fdbwi�g dativetiona:
❑ lheveaMwilmanieinecarlilicaladronsenitosaMinaureforworkarscomparwipn,asOrovidadlorbySeaian3)00dtheLebor
coe,. i� ma v�n«�Ka �r �•m �«.w:�m m� o�a �. ��,a.
�I have arM witl meintvi workere' companaetbn insurerKe, es repuired by Se tim �>0p M I�a lebor Coda, lor tM peilarmance d IM1e
w«k for which ihis partn� is iuued. My w«ken' mmpanselbn inwrenca �arier ud poliq number ara:
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: B 077899
PERMIT NO: B 077899 PLAN CHECK NO: N GOVT:'N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION : T/OFF EXIST ROCK/ 4PLY CAP B.U.R. SQ FT: 600
CLAIM 6rALUE: 600.00 CALC—VALUE: 600.00 GROUP OCC: R-3 /U-1
COMMENTS: 2 5�UARE ROOF OF FLAT SECTION
*****��*��*�* ��+�*��**�*+�***��*�*+r�*�****���+�*+�*��**�+�*�****�**�����*****�**�*�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY 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: 13958140 ZNE; REF NO;
PLANNING NOTES>
i•
9E iE iE iE 1E �E 1E'IE �E iE iE 9E fE'k 3E iE 1E �E iE iE iE iE iE �E �E iE �E iE 1E iE iF jE �E iE 1E 1E 1E iE 1E iE IE iE 1E 3E')F 3E iE 1klE iF iF if ih if 1ElE 1f iE iF 1k 1E iE 1E 1E 1E 1E iE �ElE iE��E'IE �F 1f !P 1E ik iE 9E
D E V E L O P M E N T 5 E R V I C E S R E Q U I R E M E N T.S
ZONING APPROVED'�BY , DATE:
HUILDING APPAOVED BY :
APPLICATION ISSUED BY:
*+�*�***�t**�t**�*'�r*****�
LEGALIZATION:N
F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 23.75
PLAN
ISSUE FEE
BUILDING—DIV—>
TOTALS---->
PEAMIT ISSUE PLAN—CHECK
24.25 0.00 0.00
DATE:
DATE: S � 9�
�fF�*+�*+�*****�i�**
STRUCTURAL SEGMENT:Y
FIRE SMIP/RES GRADING
,S�
SMIP/NON—RES
TOTAL PAID DUE
24.25 24.25 .00
c�.: (;O.D.N A... EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 24.25 OVER/SHORT: .00
POIcyNumber: NW(� a�1R4��� 09/01/96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
hu uCim rreed rrot be cwnple�ed / Ure peim[ is M are hurMieJ Edlers /giOpl w bss.1 2 3. 7 5 . 5 0
� I cenM �hel i� ihe pe�larmence W the woAc for which ihie paimil is issuad, I slWl �wl employ eny person in vry manner ao as ta
become subied �o the woMn' comDensetion Iexs W Caltlomu. arM eprea Ihet J I Mould bacome wbled b IM vrorken' lE1EiEiE1E1EfEiEiEiE1ElEiEiE1E1E1EfE�lEiEiE1E1EiE�lEiE�lEltlEiE1ElE1EiE�7E1EiE1E3EiE�E1E1ElflEfFiEiElE1E1(-iEihlEiEi(�fkiEiFlflF�lEiEiF�7EiF�1EiElE1EIf1E1E1EiElfiflfiF
penmtion povisiau d Safian 3]00 d IM Labor Coda. I I/Mhwnh wm�r xM thwe pwiniau.
0�<:!7-%�—��O nvoi��:��f1a�.{ 7�1Y2-5'f�i�C>. S'✓G5. I N D I V I D U A L F E E B R E A K D O W N
Weminy: Ftllun M ucuro wohxi rompematlon rovenp� b vnl�wNl, �ntl �Mll �ub/�cNn Nrrploysr fo ctlMlu/OMsltlw mtl TY P E Q'r Y D E$ C.' R 2 P T I � N U N I T C �S' T TO TAL C �$ T
e/vll HM� up ro ons hwtlrstl tMuuM dolbrs (Sf00,000), In etlrlltlon ro fh� ewt ol romperuafbn, Mm�p� u prov/tls! ror /n
s«no�3mso�m��mo�cods,��r�t��earromsy���. SFR 600 ALTER HY �.TALUE RESZDENTIAL NOZONE 1.00 600.00
CONSTNUCTION IENDINO AGENCY: I heroby elfirm uMer penehy d perjury Ihet Ihere e e mnelruaion bMinp epenry br Ne
peAormarKe oi �he woM for whieh tha peemi ie asueC (Seppn 3p9), CN. C).
LENOEfl'S NAAIE:
LEN�Efl'S 4UUHE55:
I cenM thet I M1eve reed ihis epplcmian eM peie ihet �he ebove iniwmelbn e epred. I epree io canpy wnh ell ary eM mumY �inar�ms
enE stme lewe releling lo bu�IEbg eonstmdion erq Mraby amhor¢a mpraeenlUives d Ihia dry io anter upon Ihe ebova-menfnrred propeety
iOf 1118p0C�q11 pYl�M9.
RIS WADA
Ptlm Neme t�
Dale: V � �
Signewre oi OwnarlRpenVAppNranVConvaeor
(515LCe.WP) Whde-Buildinp 8 Sefey; Oreeo-Fle; Cenery-AppGceni�, Pink-Revenue; Goldenro�Aexewr
END OF FEES
t'i�NSTRUCTION AND PLANNING POO� 'A
`� APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. TemporafY Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •�
3. Electrical Conduii Utility-Undrgmd. 54. Forms �
4. Electrical Conduit-Undrgmd�. 55. Electrical 8onding '
5. Stael Reinforcement 56. Rough Plumbing & Pressure Test
� 6. Electrical UFER Gr�d. 57. APPROVALTO COVER�GUNITE
7. Footings � 56. Electrical Conduit-Undrgrnd.
$. Foundation - 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgmd. 60. Backwash Lines, P�Trap. C� Undrgmd.
10. Strucmra� F�oor Svstem 61. APPROVALTO�DECK
i t. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & VenoFinal
73. Roof Drains 64. Plumbing SYstem � Final
14. Rough Plumbing . ' 65. Electrical�Fina� i
15. Rough Eiectrical-Conduit 66. Solar Svstem�Finat
16. Rough Electric Wiring 67. Fencing & Access Approval .
17. Rough W��ing Sign 68. APPROVED FOR PLASTERING
18. RoughElectrical-TBarCeiling 69. POOVSPASYSTEMSFINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #'
21. D�cts, in Structure- � 70. Underground HYdro .
22. Oucts, V��ltiiating 77. Product Piping O Gas ❑ Qii
23. Gas Pipe-Rough & Tesz . 72. Underground Flush ,
24. Roof Praming 73. Undergmd. Storage Tank O Gas ❑ OiI
�
25. Roof Sheathing ' � }I�- (,�j� 74. Overhead HYdro
26. T�Bar Ceiling {Structural) & Monocoat - 75: Dry Chemical �- (
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding - 77. FIXED SYSTEhA FINAL
29. Insulation . 78, FIRE PREV. FINAL
30. Dryevail Nailing � � HEALTH�DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Poteter-Firtai 8Q. FOOD CERT�FICATE ISSUED � �
�33. Finai Electric� ' Notes: ' '
34. Final HeeTing & Air CondiTioning
35. Final Gas`Pipe�Test
36. Hood or Canopy � .
37. Finat Factory Firepface
38. Final Plumbing -
39. Water Service-Final '
40. Gas Service-Final ' �-
41. Solar pomesticFinal •
42. Backflow Preventer ' - -
43. Backflow Irrigation - -
44. Landscape Irrigation.SYstem � . . � .
45. Sound Attenuation � • � - ��
46. Hartdicap Reguiations . ,
47. FINA� STRUCTURE & BUIIDWG �-�(� y� ��
48. FiNA� PLANN�NG
49. Etectric pelease to Edison
50. Gas Felease to Southern California Gas Cn -
51. CERTIFICATE OF OCCUPANCY
No. Date
��
PR {ECT p00BE5$: 3 3 2 8 ALABAMA C I
OWNEfl'SNpME: ERICSON, HAROLD C
aoonEss: 3 3 2 8 ALABAMA C I R
' COSTA MESA,CA 92626
AFCHIENGINEEN:
AUGHESS:
XEG.NO.:
UNIT:
UNIT:
PEHMITTEE: ACTION FIRST ROOF CARE (714)841-7663
aooness: 18352 GOTHARD ST
AUNTINGTON BEACH CA 92648
LICENSEU CONTNACTOF OELLAflFTION: I hereby affirm thal I am Iicense0 untler provisions oi C�apier 9(commencing with Section
7000) o� Division 3 of ihe Business antl Professions Code. antl my license is in �ull force and e�lect.
ciTruc.: 045135 sTnTeuc.:502900 cuss: C-39
Daie: Signa�ure:
wONREHS' COMPENSRTION OECUINRTION: I here6y aftirm Ihat I have a ceniticate of cansent to sell�insure or a cenificare of workers'
ComDensation Igsy(an�ceZo�aOce�fre9cppy Ihereoi (Section 3800, LaD. Q).
POLICY NO.: 1�� U � E%P. UpTE: V 9/ O 1/ 9 4
IcomeaNv: STATE FUND
❑ Cenilietl c y is her by lumishetl. � Cenified copY is file with e city Builtling �ivision.
Oate: ApPlicant: �
E%EMPTION 0 WO Efl5' COMPENSpTION �ECLANATION: Qhis SeC�ion e0 nD Oe cOmpl¢t¢tl il �he permii i5 �of One hunUretl (5700) ar less�.
I cetlily Ih m �h pe ormance of �he work for which �his permii is issu . I ( not employ any person in any manner so as to 6ecome
sublect Io he W B s' Co pens�tion Laws of Califomia. /
oate: � SignaWre:
NOTICE: , afier ma ing Ihis tleclaraiion, you shoultl be ome sublec� �o Ihe Wo�kers' Compensa�ion pmvisions oi the Labor
Cotle. y must forthwith comply wi�� suc� provisions or this permit shall �e Ueemed revoketl.
CONSTFUC ION 1EN01NG AGENCY: I here�y al�irm thai �here is a tonslmc�ion IenOing agenCy Ior Ihe pertormance 0� the work fof
whic� Ihis permit is issU¢tl (SetliOn 3037. Civ. C�.
IENUEB:
AODflE55:
OWNEP BUILUEH OECLABpTION: I hereby a��irm �hal I am exempi �rom �he ConVaciors' S�a�e License Law for �he following reason
(Sec�ion 7031.5 Business antl Pmfessional Cotle: Any city o� counry which reQuires a Oermit b constmct, alter, impmve, tlemolish, or
repair any simcture. prior b iis issuance, also repuires Ihe ap0licani br such p¢rmii ro �ile a signetl sia�ement �hal he/she is IicenSeA
pursuam to �Ae pmvisions ol IAe Contrac�ors' Slaie License Law (CAapter 9(commencing wi�h Section 7000) oi Division 3 of lhe Business
ana Pmlessions Code) or t�at helshe is exempt therefmm antl Ihe basis �or the alleged exemp�ion. Fny violation o� Seciion 7031.5 6y
any applicani for a permi� sublec�s the applicant Io a civil penalry ot nat mme �han five huntlretl tlollars ($500).
I, as owner ol the pmperty or my emDloyees with wages as their sole compensation, wi0 do ihe work, an0 �he
❑ simmure is nol intende0 or oiteretl lar sale (Section 7044, Business an0 Pmiessional Cotle: The Coniractors' State License Law
aoes not apply io an owner of a properiy w�o �uil�s ar impmves thereon, anG who Aoes such work himsel0�erseli or thmuAh
his or her own employees, Drovitletl ihat sucn impmvemenis are not inteneee or oflereA lor sale. If, however lhe building or
improvement is soltl wiihin one year of completmn, I�e owner will have lhe burtlen o� pmving he/she Oitl nol builtl or impwve
for Ihe purpose ol sale).
I, as owner of lhe pmperiy, am exclusively conVac�ing wit� licensetl contracmrs to constmc� Ihe prolect (Seclion 704a, Business
❑ antl Pm�essions CoDe: The Conirac�ors' State License Law Eoes not apDly to an owner of proDerty w�o butlEs or imprmes thereon
antl w�o contraCls br Suc� pmieCis wilA a tOnVat�or(5)license pursuanifo Ihe ContfaC�o6' S�ale License Law�.l am aware
Uat proo� o� their Worker's Compensaiion insurance shoultl be pmviaetl Io me.
� I am exempt untler Section'. B. 8 P. C.
lor Inis reason:
oa�e: Owner
I tlo hereby cenity �hat I am aware oi an0 unders�antl the reQuiremenis at Calilomia Healih and Safety Catle Sections 255Q5, 25533, anA
25534 ane Ihat I or any iWure buil0ing occuoan� willlwill not (circle one) neetl �o comply with said state codes antl Ihe requirements for a
permit br con5imclion or motlilica�ion fmm Ihe Air �ualiry Managemen� �i5tric�. Re5i0en�ial constmction applicalions are exemp� Iwm
these pmvisions.
�ate: ApDlicani:
I hereby ceriity that I have reatl I�is apphw�ion and slaie Ihat I�e a�o information is wrrect. I agree Io comply wi�� all ciry antl counry
ortlinancesantlstatelawsrelaling�obuiltlingcons�mclionandhereby tho' reD�esentative5oi1hi5cilyloenteruponiheahove-men�ione0
pmper�y �or im eclia purposes.
Oate � � Signa�ure: �
on�er�ense Sod�Seariiy a:
16Gt�46 Whlte—Builtling�, Green—Cotle Eniomement�, Canary—ApplicanC Pink—Revenue', GolEenrotl—Assessor
CITY OF COSTA MESA — BOILDING PERMIT PERM NO; B 06992C
PERMIT NO: B 064920 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; 5—N FERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; T/OFF, RE—SHEATH & REROOF W/COMP, SHING. SQ FT: 4,800
CLAIM VALUE: 9,800.00 CALC—VALUE: 9,800.00 GROOP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTOR(S) REQUIRED IN HOME,
�x-*ir��x-*jtar�t*�t***itit��ti�it�t*it+t�-***irx�i�i�if�-it*u�**�f*�t***�t*��**ir****�t*+t�it********?t*r�*x�i�x�titr
Z O N I N G R E Q U I R E M E N T S
5 E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT ZN
LEFT; FT IT] RGHT: FT IN LEFT; FT IN RGHT; FT IN
PARKING REp• PROV: PARCEL: 13958190 ZNE: REF NO:
PLANNING NtSTES>
>
if �IE if �lt iF if iE iE iE if iE if if it 1f 3E 1t iE it il� if it if if iE iF it if iE iE iF iE dF if it i! iE jf i(� it iE iE ff iE iF iE iE iE ih } iE k ih iF 1E?E if # iE iE iE iE iF ik iE if if iE iF it iF iE iF �If } iF i! iF if�
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:
APPL.ICATION ISSUED PY; �� DATE; �' ICQ �� 3
iF±Eitif#ififiFiPi6kif�i�"�EifiEiEiEiE�Eif3F��EiF,, r 1E%if�F9E4E?FjEi:if��'c�-�.iFx-�F �9E3E
iEiEifiEi(�itifiFiEiEffififi�iElElEiEiEiEitiEifiEifiElfiEiEiEiEiEiEiEiFihifififiElEiflE�If'R�ikifiFiEiE�E7fif�1i9FiEifiEiEiFiEiFifiFiEiEiE#t*' 1FiE�kiF�ifafifiF
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SE�MENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 72,00 .50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID � DUE
TOTALS----> 72,50 0.00 0,00 72.50 72.50 ,00
REC�ENUE DIVISION TOTALS--> COLLECTED; 72,50 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
%2,�� .50
ic� it iE if it �lf if il� iE if iF it �lE fE iF if M iE it it it k iE if it iE ik ik ik it iE iE it iE it it it ?F iE iE iF iF # iE 3E ft if 1f iE ic 1F it it i4 if it iF iF if M fE +F if iF if� if� if ##+E iE if iE iE ic iE �lf �1F iF
I N D I V I 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
SFR 4800 REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
�;��OKE DETECTpR
! IdrV[�����
�
UNIT COST
1.00
TOTAL COST
� 4.800.00
0
t�1 001.�075�—,�pl`(J7`4 i'CeT 7i.`0
C�ATE: 11.' xbhi3 TTt1=< 10: �6
�CONSTRUCT�ON ANOPLANNfNG
.
APPROVALS Permit #'�
t Temporary Electrical Service or Pole
2. Soil Pipe-Undrgrnd.
3. Electricai Conduit Utility-Undrgrnd.
4. Electrica! Conduit�Undrgrnd.
5. Steel Reinforcemen:
6. Electrical UFER Grnd.
7. Footings
8. Foundatio�
9. Wa[er Pipu-Undrgrnd. �
16. Structurat Fbor SysCem
1 t. Property Sewer �ine & House Connection
12. Sewer Cap
13. Roof Drains
74. Rough Plumbing
15. Rough Electrical-Condu�t
76. RoughEl¢ctricWiring
77_ Rough Wiring Sign
18. Rough Electrical•T Bar Ceiling
18. Rough Heating & Air Conditioning
20. Rough FactorY Firep!ace
21. Ducts, in 5tructure
22. 6ucts, Ventiiating
23. Gas Pipe�Rough & Tesc
24. Roof Framing
25. Roof Shezth(ng //
V�
26. T�Bar Ceilirg (Struci�ralt & Monocoat
27. Frameand Flashing
28. La:hing & Siding
29. Insulation
30. Qrywali Nai�ing
37. Plaster Bro�en Coat
32. Eizctrical Power Mete: -Final
33. Fina� Electrc
34. Fina� Heating & Air Conditio�ing
35. Finai Gas Pipe-Test
36. Hood or Canopy
37. Pinal Fac.ory Fireplace
38. Finai Plumbing
39. VJater Service�Final
40. Gas Servlce-Final
41. Soiar OomestirFinai
42. Batkflow Preventer
43. Backflow Irrigation
44. landscape ��riqation System
45. Sound A2tenuation
46. Handicap Regulations
47. FfNAL S7RUCTURE & BUILDING /
s
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Cc
Dace
Date inspector
( .
n
�
r�e
�
POOL A
APPROVALS Permit �k
52. Pool & Equipment Location (
I
53. Steel Reinforcement I
54. Forms
55. Electricai Bonding !
56. Rough Pium6ing & Pressure Test
57. APPROVALTOCOVER�GUNITE
58. Electrical Conduit�Undrgrnd.
59. Gas Pipe. I� Undrgmd., Tes[
60. Backm�ash LinaS, RTrap, 0 Urdrgmd.
67. APPP.OVALTO�ECK �
62. Backwash & Receptor�Final
63. Heater & Vent�Final
64. Plumhing System - Final
65. Electrical-Final
66. Solar SYstem-Fioai
67. Fencing & Access Approvai �
68. APPROVED FOR PLASTERING
69. POOL;SPASYSTEib1SFINAL
FiREDEPT.REQUIREMEN7 �
APPROVALS Permit #
70. Undercround Hydro �
71. Product Piping �Gas ❑Oii �
72. Underground Flush
73. Underyrnd. Storage'iank C'i Gzs ❑ Oil
74. Overhead Hydro
75. Dry Ch2mical
76. Dry Standpipe
77. PIXED SYSTEM FINAL
7$. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSP[C7EON +
80. EOQ� CERTIFICATE tSSUED�_
Notes:
z3-Y3 ! G-b�; - �
Date � Inspector
Property Address
Owner
Contrec
CITY OF COSTA MESA
BUILDING DIVISION
ROOF COVERING CERTIFICATION
Permit No. �`�-� 1 �
State Contractor License Number .�� Z`� 00 Classification � S�
T-
I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the
above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building
Code, as amended i� Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the
manufacturer.
❑ I futther certify that I am the owner of the property. (Owner-Builder permittee only).
� further certify that I am:
❑ Owner of sole proprietorship company
❑ Full partner of the company
❑ Limited partner of the company
�" Officer of the corporation
/ �
I certify that as an authorized officer or agent of the company or corporation, I am empowered to make
this certification, which shall be binding on all successors or assigns of the company or corporation.
I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building
Division for acceptance.
Received by Bu' na Div' ion
ur
-----y`� t3init I o e 1�
099046 W�itaBuilding Div.; Canary-Comrac�or, Pink-0wner
`
.
/ o ?� S?� Go�-2� •
�dress
��v � 3 �
' n�ature / Date
��ft�f/ �/�Z�V/' i/ /�0 C�+/ � ��
Printetl or ry ed n e
CITY OF COSTA MESA � '
.
BUILDING DIVISION
ROOF COVERING CERTIFICATION
Permit No. � ` ����
Property Address 3� �g "�`����'l/�l' �/l �
Owner �i(Z� CJON i
Contractor {i ��I I OrJ �'l �5 � ��. �/ LS .
State Contractor License Number b� ���� Classification C���
I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the
above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Buiiding
Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the
manufacturer.
❑ I further certify that I am the owner of the property. (Owner-Builder permittee only).
� I further certify that I am:
❑ Owner of sole proprietorship company
❑ Full partner of the company
❑ Limited partner of the company
8 Officer of the corporation
I certify that as an authorized officer or agent of the company or corporation, I am empowered to make
this certification, which shall be binding on all successors or assigns of the company or corporation.
I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building
Division for acceptance.
Received by Building Division
sY:
� 5� 2�--9.�
Initial Date
0990-dfi White-BuilOing Div.; Canary-ConVactor: Pink-0wner
���� � �� '�� ���
QC`om/�pany or Corporate Name
���� Ju���` /
, I Address
-N,� �� nl � fo�� �� , C'�
,� S' -Z�j -��,
Tignatur �!-�� Date
J/. �N`V1T�
Printed or typed name
�� � �(,c.co,(r.zarca..6z • Building
Address
/�`• ��2tr/jd¢rtJ Owner
�/ Contractor
Address
� Permit Date
� � �� Number /�/{r b'd Issued
CITY OF COSTA MESA
DEPARTMENT
OF
BUILDING SAFETY
Registered Deputy Building Inspector
Certificate of Compliance
Date of this Certificate
To the Director of Building Safety:
I hereby certify that the following pottions of work on the buildinga
at the above address which required continuous inspection and which I mas
employed to inspect, were inspected by me and comply with the provisions
of the Building Code applicable thereto.
1) Concrete
3) Welding 5) Special Cases
2) Masonry �, 4) Reinforced Gypsum
Swimming Pool Size %�S�.S� Gunite�,Hand Pack
Sacks Cement %�� Tons of Sand SO
Approximate % of water in aggregate b'�/'p
.
This report covers work completed during week ending /�31� �'/
.
..'irt,a�iPiT.tef(.'5�.,�µy..""v` � ..ssa.,Qc.q ,
�',��yt� ��;,i�e,�� a �� RE � TERED DEPUTY BUILDING INSPECTOR
/— ! . rS��,c�i%v�r"�-s':'
�`� � Name�
Address �/O�� elvu4 �.u�� �
. �_
Laboratory /.�.ccJ-Lwc,.,, Telephone R/3��{ �.S—�8b'`1
Form BU 6
' COSTA MESA BUILDING-SAFETY DEPARTMENT
� P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
� For Applican[ to Fill in Compktely — Use Ink Only
BUILDING � / /�`,
ADDRESS � �� �
OWNER OR �
TENANT 4 C� J�f
MAI LI NG �j
HDDRE55 s��y M -1
TEI.
CITV � .VYI- NO.
BRANCH
ADDRESS
0
TEL.
ADDRESS ��(j/�a�C/� �;/'(Q/•�,
CONTRACTOR � �j�
ADDRESS
TEL.
CITV NO.
STATE CITY
LIC. NO. LIC. NO.
SIZE NO.OF BIDGS.
OF LOT NOW ON LOT
USE OF
EXISfING BLDG.
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
APPLICATION �OR STRUCTURAL PERMIT
.nEI�Ei�iR ' R .��. .. - 5114 �- 9 �• ��� �
A.P.NO. �� \^�L�
BUILDING ��� (1 /; /
A�DRE55 Q (��/
UNIT OR
SPACE NO.
iR. 10. � LOT ��Iy_�
V
NEW ADD LTER REPAIR
USE
APPROVED
APPROVEDSETBACKS
PLANNING ACTION
DATE
DATE
E
$
LK.
I hereby acknowledge that I have reatl this application and siate �
that the above information is corract and ag�ee to comply with �
all laws regulating buildinB cans[ruction, end I shall not emplay �
any person In violation of the workman's compensation laws of d
the State of California.
m
I hereby cartify that I am p perly licensetl es e conttactor untler SQ. FT. �
the Staie of California Bu ness antl Protessions Cotla, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chaptar 9, antl Shat uc 'censas are in II force antl effect, or I TME PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: e
am ezampt from t isions of t tate o alito ' Business a
antl Protessions C ivision 3, er
VALUATION PERMIT FEE 5 N
n
Signature � PLAN CHECK $ ? o
n LL
Perm�tt $/ oO(/ TAX S U
' �^ / �
Authoriz A t �ate TOTALPAID S .,,Q�
4123 �2/09/80 5.5q��TU
` COSTA MESA BUILDINGSAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
RECEIVE Y PERMIT � /
For Applicant to Fdl in Completely — Use Ink Only
BUILOING . NO.
ADDRESS � �
UILDING
OWNER OR � ADDRE55 3�
TENANT
UNIT OR
MAILING SPACE NO.
ADDRE55
R. O. LOT BLK.
T . �
CITV
EW ADD ALTER REPAIR MOVING DEMOLISH
CONSiFUCTION
LENDER
BRANCH
OWNER S O
ADDRESS ALUE �j�
ARCHITECT TEL US E- � $eLl1�
OF ENGINEER N .
ADDRESS ZONE TVPE GROVP
APPROVE �y�
CONTRACTOR C B� DATE ��(/
ADDRESS
� T �`
CITV �
STATE y CITV /� / APPROVED SETBACKS
IIC. NO. J 7 LIC. Nq�� �Q
SIZE " NO.OF BLDGS. (FROM C/LSTREET)
OF LOT NOW ON LOT RONT FT.
USE OF � p �
EXISTING eLOG. V\
Separate permits are required for L SIDE FT.
electric, plumbing and heating work.
REAR FT.
USE F BUILDING AND WORK TO BE PERFORMED P�.qNNING ACTION
�t „ 1 DATE
Wl APPFOVED
APPROVED
I hereby acknowletlBe that I have reatl ihis application end rtate �'
that the above information is cbrrect antl agree to comply with
ell laws reguleting builtling eons[ruction, and I shell not employ �
any person in violation of the Workman's compensation laws ot v
ffie State of California. � .-:
m
1 �ereby certify thet 1 em properly licansetl as a contractor untler SQ. FT. �
the State of California Business a�tl Professions Code, Division 3, THE AMOUNT SHOWN UNDER VAIUATION IS FOR m
Chaptar 9, antl that such licenses ere in full force and effeei, or I TNE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: e
am ezempt trom tha O visions of ihe State o California Businass >
VALUATION PERMIT FEE $
and Professions Coda, i isi ' 3,�haptar 9. � m
I
Signature of j PLAN CMECK S o
1 /'�
n
Permlttee ' ^� $
`1n J�ylf TA% $ �� �
AuffiOrizetl Agent Date /�� —` v � TOTAL PAI D $ U
OWNER ggi��
JOBADDRESS 3328 Alabama Circle
GENERAL CONTRACTOR Solar Ehe
AP No. 139-581-�0 LOT T
INSPECTIONS �
SOIL
cns
WRTER
ROUGM PLl1MBING
PROP. SWR. LINE Q MOUSE CON. �
SPRINKLING SYSTEM
MISCELLRNEOUS
ROUGH HEATING RND rIIR CONOITIONING
TEMPOfiAFV SEAVICE OR POLE
UNDEFGROUND � I POWER Q
� ROUGM WIRING
Y TRENCHES FORMS STEEL REINF. �
pFLOOR SYSTEM
�r] BONO BERM n STEEL REINFORCE
.� SNEATMING
FRAME ANO FLRSHING
Y�!] LRTMING - IN OUT
ai PLASTER.BAOWN COAT
aST0.UCTUR�L, FINnL
HEATING. VENT., REFRIG. ANO A.C.
PLUMBING. FINAL ANO GFS TEST r
ELECTRIC, FINRL
BUILOING, FINAL
DATE
SUBCONTRACTOR
�
z .
a cwj
z
za
ON
o- m
J �
J N
Q W
0] J
m
J Q
U N
Z a
w �
a w
WZ
J p
m Z
J �
W W
O=
Z F
w �
70
B-1R �"� 3 099
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.o. BOX 1200 COSTA MESA. CALIFORNIA 92626
PAID r *��
4PR 24-fiScnsaQG1293� 137.Z5
% APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
REC VED V DA qE EIVE DATE 155=E�
BUILDING % � ��'� �^'�
ADDflESS � �'!'h-L
PERM T NO.
OWNER Hermas �V• �i0• .4.P.N0. "�' ��� //
MAIL )� BUILDING C���/7 � `�/"
ADDPESS LLOY rl. 17th Street /aDDRESS3�a. tra�(J-.[r�y'w -.
TEL TRACl��/(� LOT/X BLOCK
ar� 9ant& Ana No.547-7044
LENDER�'ON United States National Bank �^' Aoo n a
BRANCH '1 aroadwa Avenue
OWNER
ADDRESS gQn Aie o, California
1,'y�� VAIUE n 'n
ARCHITECT TEL. 1164 S � L(/ �. S Q'��.b�
cwc�x;a�m K. Darius N .675—
FIRE �- a T
ADDRESS 2],2 E. COH9t H3'7jT. Corona DM ZONE v TVPE GROUP��v/
APPROVED
CONTRACTOF. OWI7CS BV DATE
ADDRESS
TEL. ZO NO.OFc� � USE OF NEW
CITV NO. P�� ✓ BUILDING
STATE CITV �'AROSAPPROVED VARDSAPPROVE
LIC. NO. 'Z 'L Q �I0. NO. MAIN BUILDING ACCESSORV BVILDING
SIZE C� NO.OF BLDf3S.
(FROM GL STR T)
OF LOT LOO X/�+ NOW ON LOT O FFONT FT. FT.
USE OF �
EXISTING BLDG. FT
SIZE OF NO. Of
NEW BLDG. 1 O ROOMS 7 STORIES 1 �.SIDE U FT. FT.
EXTERIOR WALL FOOF COIDIJO OT'
COVERING SLUCGO COVERING WOOd REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLDGS.
Residance w attached Rara e c u P��/, 5— b� AP ROVED S—�%'b
APPROVEO
- -6
I hereby acknowledBe ffia� I have read this appliwtion antl state HOLD FOR SPECI L REQUIREMENT�S
that the above information is correct antl agree to comply with
all laws re0ula[ing builtling consttuction, and I shall not employ
any person in violation of the workman's compensation laws of
the Stare of California. �7 �� .1
I hereby certity that I em Properly licansetl as a conttacior untler
� /� SQ. FT. � �r
the State of California Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNOER VALVATION IS FOR
Chapier 9, and that such licenses are in full force antl effect, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLY:
am eaempt from the provisions of the State of California Businezs VALUATION
antl Protessions Code ivis'on ter 9. !�",^
� PERMIT FEE $ d V
Signature of � ` �]� ^ (�..b
Permittee � ��2�"�' ,;-�[�/�l�/ —� p�qNCHECK$ � �
Auffiorizetl Agenx "", `/' / %
TOTAL FEE $/�/' ��
vni��n HRRMES DEVEIOPMIIVT v��� S'1'by
JOB ADDRESS ZZafj p�aBama (!trrlP BUILDING PERMIT N0. �0099
AP �. LOT 1g
INSPECTIONS
SOIL
GAS
W ATER
ROUGH PLUMBING
PROP. SWR. LINE OUSE CON.
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGM HEATING ANO AIR CON�ITIONING
TEMPORARY SERVICE OR POIE
UN�ERGROIIN� � POWER �
ROUGN WIRING
iRENCHES � FORMS � STEEL REINF.
FLOOR SYSTEM
BOND BEAM � STEEL REINFORCE �
SHEATHING
FRAME ANO FLASHING
LATHING - IN OUT �
PIASTER, BROWN COAT
STRUCTURAL,FINAL
HEATING, VENT., REFRIG. AND A.C., F AL
PLUMBING, FINAL AND GAS TEST
ELECTRIC, FINAL
BUILOING, FINAL
SPECIAL REpUIREMENTS
E VALUE
SUBCONTRACTOR
PI.�...{.:.... +
� y �
�� sA
�W `� Iwini� Laboratoris� �f s�LL�� enc;�o,n;a, .�,�
����
3310 Airyon Way / Mailing AAtlreaa 7.0. Bo� 47 / Lonp Be�ch. CA y0801 / �273) �28-3355 / �213) 636�2388 /(710) 828-643Y
TESTING BRANCM OFFI[E: I51�-D Nort� Hnpo SVu� / S�nu nnt. tn 92107 / p 1q 531 �7045
a
Feb. 5, 1981
COMPRESSION TESTS ON GUNITE CYLINDERS
Jack Hubbard
3106 Os[rom Avenue '
Long Beach, California 90808
PAOJECI
ADORESS
EXAMINATION NO. 81—iZ$O
3iiit4 ?ii�i;. — �iiaroid cricnc�n
3328 Alabama Circle, Coata Mesa, California
ARCHITECT CONTRACTOP
Owner
ENGINEER � 'SUBCONTRACTOR
B. C. Adame McBee Gunite
SAMPIEFROM Shallow end, deep end, bond beam
MI%
DATE CAST
DATE TESTEO
SPECIMEN NO.
COMPRESSION
TOTAL LOAD 185.
�aur.os �eF sa. ra
AREA. 50. IN.
4.2 to 1
1-26-81
2,05-81
1
10 Days
1p9,000
0 occ
.,..... •
2a.z�
SPECIFIED
STRENGTH 2>OOO
SLUMP SPECIMEN SIZE 6'� X 12"
2-OS-81 2-OS-81
2
10 DayB
93,000
3,2S:,
3
10 Days
86,000
3,vvC.
COMPLIANCE 10 Day tests comply with specificationa.
MADE Bv: DELIVEPED BV: PECENED ON:
SPECIMENS Morrell Hubbard . 1-27-81
DISTRIBUTION
Jack Hubbard - 3
Coata Mesa Bldg. Dept.
, � j 186160L.3 ,
� 5�5 `�j a�na����
Joe Riley . '
a�� NEPORTS �RE SUBkmED AS TME CONFIDEMTI�� GAOPl:�4T {SF CLIENTO �UTIqfIL�ION FOp DUBLK�TIOM OF OUR REiORTS. CONCWSIONS (1R £xTenCPS ipOM OR
REG�R�ING TNEM IS RESEnVEO PENOING OUA WRIR�M RFFRUYdI. �S I+kUTU�L 0110TEC190N TO f,itEMS. TNE PUOIIC ANO WRSELVES
.��,
v
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.. �•`���.....:..4..:����' •�
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": �q'x 30' �� � 8'oEEP .0
,�'oEEo
GERiaM�c TitE qr ,��c sTE��`,fEq7^,,
E�(�ES A�/o SP��PoOL WALL '
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REf/�7EN c.� : _---.
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Per:T:::�: �:=;=_._�/ii�_____
THIS PUJ 9C; _R f,i'�:i'� hi;CUNIAANY.
NLL INSF"cC7i0iJ RCQU'cSTS
'�s> �, e�� , .
A��'� Engineering Data Resldential Sale
Pool Builder
namer.i,tc'V fll:c tit.c: Wife: � �i/ D°��ract /
�Ic1�C=i i�- Phone H..� > 7_ �S f W'L3'E-�i'�S; i a /Z�> 1�'
Address�_�.:7�x; /r«fi;�;,,:,� (' J�CIr City. �.m . Zip y�� 2 G•
Pool Usage / Temperature °/ o
�
Salesman fi fjy?_i t--� L.
-� COMPONENTS �>. SALE ' PREVIEW
POOL Length :=l�' W; dth :// Area � 2� ' Panels 8' f 10' ��
Inlets # Size Bubbles? Substrate��'' �S
Sun on Pool 9'0 �tiind? Tedlar �
/ T
Temperature Condition Pallets
SPA Length: Width: Area Racks R-F �
Volume y F -P ��
PUMP BrandCc.e =CC/'/�tige Model � Ground �
MOTOR HP �� Condition Elevated J
Voltage SF Bkr Amps Control-Manual��
FILTER MakeL:E �l�J%�ype Area Auto /
Pressure: Normal Max Timer 110-220 �
HEATER T4ake / Model Age Pump /�. �iRXc'FuiS
CLEANER Type /���1 Filter 3-��!`�'�F.l�
PIPE Size: Suc s�!��' F(H Ret Heater �
Mat' 1: Suc ,C�� F/H Ret Pipe ��. ft ft
ROOF TIPE !y,./�� Pitch �£ Height �'�Blanket � x
Length c �/�_Width�� � facing Reel �
Condition Open Beam? �,�;F^ Spa Cap � ' x
Splits Banks Thru eves?Yfj Trench . �- ft ft
RACK Pallet Roof�F�'`%c%;;,Ground Tunnel f� ft ft
Angle Material Concrete Cut (�' ft ft
Enclose Paint%�$ Color�l�'i�Ut_1� punch �
PLUMPING Round trip %%C� ?t. Heater Bypass �
SPECIAL NOTES Other
�C' I��� .L.c-r,—.CCL, �c Mi l` �/ L iN,�. ��.fit -
1� i
a.r�.�t�c�-�1> �v �xr.c�P. �
Comments