HomeMy WebLinkAbout3133 BARBADOS PL - Building PermitsAop��cant to till in all svaces withln heavy borGer lines an0 sign a11 appropriate aeclaralions.
CITY OF COSTA y��SA PEy,MJT NO, ��� TRACT NO. LOT NO. BLDG. NO. �
CONSTRUL�ION PERMIT �� .i�ci�
�
Address
Contractor
� V/ `'"�� . TVPE OF CONSTRUCTION �
� Phone � _ �j',f�/ ❑ NEW ❑ A�D � ALTERATION
C, /1'I ❑ REPAIR ❑ CONVERSION ❑DEMOLISH
License No. ❑ OTHER
DESCRIPTION OF WORK �'
LICENSED CONTRACTOH DECLARATION
I hereby affirm that I am licensetl untler provislons of Charter 9(<om-
menting with secclon ]000) of Oivision 3 of the Business antl
Profe55iOn5 Cotle, an my Iicense is In full (orce antl eftect.
Li<ense Class License No. 3 ,
Date �^—�4'�L Signatur�
WORKERS' COMPENSATION DE LARATIQN �•
I he�eby a(tirm that I have a ce�Hticate of con5ent to SelLinsure or a
certiticdte of Workers' Compensation Insurance, or a certitietl copy
thereof (Section 3800, Lab. CJ.
PoIiCyNo. Company��� ���UlTiICe-'
❑ Certltletl copy-is hereby furnishetl. -
❑ Certitietl copy is filetl with the city Builtling Division.
EXEMPTION FROM WORKERS' COMPENSATION-DECLARATION
(This section neetl not ba completetl if tha permit I5 for one hunAretl
Sg100) or less).
cartify that In tne pe�to�mance ot the.wo�k fo� whicb this pe�mit I5
issuetl, I shall not employ any person in any manner so as to become
subject to�the Workers' Compensatlon Laws ot California.
Date � %—�Y—X%� Si9natule {��/✓N.� v.�/./a7t
NOTICE: If atter making this tleclaration, you shoultl Eecome subject'
to th¢ WOrkers' Compensation p�ovisions of the labor Cotle, you mu5t
forthwith comply with such provisions or this permit shall be tleemetl
/evoketl. . - .
CONSTR VCTION LENDING AGENCV
I he�eby affirm that [here i5 a wnstruction lentling agency for the per-
tormanCe of the work for whi[h this permit is issuetl (SeCtion 3097
CiJ. CJ. " ' '
Lentler's Name
Lentler's Adtlress
OWNER BUILDER DECLARATION
Any ciry or county wnicn �eqwres a pe�mrt to consVuc[, al[er,
imp�ove, Aemolish o� �epair any SVucture, prio� to its Issuance, also re-
quire5 the applicant for 5uch permit to tile a Signed statement thal he
is"litensetl purfuant fo the provisions of the Cm[ractor'S License law
(Chapter 9(cOmmentinq with Section 7000) of �ivi5ion 3 Of the
Bu5ine55 antl PIOIESSi0I15 COGf) or that h¢ is exempt ther¢from antl the
basis for the allegetl exemption. Any violation of $ection 7031.5 by
any applican[ (o� a pe�mit subjects the applicant to a Civil p¢nalty
of no[ more than five huntlretl tlollars (g500).
❑ I, as owner o/ [he property,� � � i�
cele-eorrrpertsattmr�will tlo the work, antl thestructure is not intentletl
o� o(te�etl for sale. ($ec[iOn ]046, Bu5ine55 antl Aofessions Gotle: The
Contractor's Licanse Law tloes not apply to an.owne� of a property
who builtls or improves thereon, antl who tloes sucM1 work himself or
tnrough his own employees, provitletl Ihat such improvements a�e not
intentled o� offeretl tor sale. It, nowever, tne builtlinq or improvement
is soitl wi[hin onc year of completion, the owner will have the burtlen
of proving he tlitl. not builtl or improve for the purpose of sale).
❑ I, as owner of the property, am exclusively cont�atting with
IICEOSCtl COplfdtl0(5 f0 COIISIIUC� [i1C pIOjECi ($¢CLIOO �OOA� BUSIOE55
anG Professlons Cotle: The-Contractor's Llcense Ldw tloes not apply to
an owner of property who builtls or Improve5 thereon, antl who con-
traCts from 5uch'projeCts with a'contrattor(s) Ilcesn¢tl pu�suant to
the ConVactor'S License I.ew).
❑ I am ezempt untler Section B. & P. C. for Ihis
reason
Date � Owner" -
I hereby cerlity lhat I have reatl this applica[ion an0 state tM1at the above
Info�mation is mrtecL I agree to comply with all City antl county
ortlinances antl state laws relating to construction, antl hereby autho�ile
representatives of this ciTy to enter upon the above mentionetl
TVPE OF PERMIT
❑ GRADING ❑ FOUNDATION O STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHAI
❑ OTHER �
PROJECT DESCRIPTION
54. FT. .
OCCUPiiNCV '_CONSTRUCTION TVVE
VALUATION ZONE
GRADING CU. V�S. � ACRES
REMARKS:
PWMBING PLAN CHECK �
BATHTUBS SHOWERS
TOILETS URINALS ''
LAVATOf31E5 DOVBLELAVS
KIT.SINKS DISHWASHERS
SERVICESINKS . SVMPS
FLOORSINKS �.� .FLOORDIiA1N5
DRINKING FOUNTAINS .
INTERCEVTORS CLARIFIERS
WATER SERVICE ALTERATIO�
GASSERVICE OVTLETS
WATER HEATERS BTU OUTPUT
SEWERCONNECTIONS
SOLARTANK COLLECTORS
SOLAR PIPING SVS.
ISSUE FEE
MECHANICAL PLAN CHECK
HEATING SVSTEM 0-300,000 BTU_
AND DUCTING 300,000 + BTV _
REFRIGERATION 0-100,000 BTU_
SVSTEM 100,000 + BTU _
BOILERS BTV
SVSTEM REPAIR,ALTERATION
EXHAUSTSVSTEM MVLTIPLE
property for ins ec �on ur.p9 s�es.- �e , �—
Signature �� �+/�+�%�� Date , � ��z
privers' License or 55 ���%/�%%/"�
ISSUE FEE
CMF 0865-46 White-Builtling; Canary-Applicant; Pink-Accounting; Goltlenrotl-Assessor
� 1902 12l17/i.?
ZONING REGULA710N
A.P. �
ZONE PLNG. REF. �
REAR VAR� (TO P/L)
PKG.SPACERE�. PROVIDEO
STREET WIDTH PARK FEE
ZONING AGPROVED BV . DATI
SPECIAL CONDITIONS:
i
ELECTRICAL ' PLAN GHecK
'GENERHTOR 0-1 KW_1-30 KW _
TRANSFORMER -
' ' AGPLIANCE 30-50KW_SO+KW_
MOTORS O-1 HP_1-10 HP _
(INC.SOLAR) 10-SOHP SO+HP_
- - FIXTVRES OUTLETS SWITGHES
' GAS TUBE SIGNS ' .
POLE LIGHTS � .
PANELS � � MAIN ' SUB
SERVICE - - HMP
ISSUE FEE
APPLICATION APPROVED BV � �� ,
7vuu TL
DATE
SUMMARV OP-FEES , -
BUILDING - '
PERMIT E SMIP E
PLAN CHECK� $ 7ERMIT ' �
- � -ISSUANCE $
PLUMBING $
- GRAOING S �
PLANCHECK"E � • �
ELECTRICAL E � s
PLAN CHECK $� - MICROFILM §
MECHANICAL $ ' / �'"� TOTAL FEE $
LE55 AD-
PLAN CHECK E ' VANCE PC E �
FINALFEE § �Ov
CONSTRUCTION AND PLANNING POOL & SPA � � � � ��� • �
APPROVALS Permit# Date I�spector qppROVALS Permit# _ Date Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location �
2. Soil ipe-Undrgrn 44. Steel Reinforcement
. 3. Electrical Conduit Utility-Undrgrn 45. Forms -
4. Electrical Conduit-Undrgm 46. Electriral Bonding _
. tee ein orce 47. Rough Plumbin & Pressure Test
6. Electrical UFER Grn ' 48, qPPROVALTO COVER-GUNITE
7. ootings 49. Electrical Conduit-Undr m �
8. Foundation 50. Gas Pipe, ❑ Undr rn, Test �
9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra - � ndr rn
10. Structural Floor System 52. APPROVALTO DECK --- �- -' -
11. Property Sewer Line & House Connection � . 53. Backwash & Rece torFinal
12. Street Sewer Connection �-' 54. Heater & Vent-Final
13. Rough Plumbing - -� � - - -
14. Rough Electric-(;onduit - � � -56. Electrical-Final �
15. Rough Electric-Wiring - � 57. Solar System-Final � ' - �
-" 16. � Rough�Heating & Air Conditioning - � - - � � encing & Access Approval �
17. - Ducts in Structure ' - � APPROVE� FOR PLASTER WG � �
18. Ducts, Ventilating � � .
19. Gas Pipe-Rough &Test ' 60. POOL/SPA SYSTEMS FINAL �
- 20. Roof Framing _ � � � �
21. Roof Sheathin � � � .
22. Frame and Flashin � NOTES:
23. Insulation . /p/ / (�EFT G4/ZD L,�E•f�
24. Lathing & Siding ' - - �
25. Drywall Nailing ' � • '
26. Plaster Brown Coat • � '
27. Electrical Power Meter-Final - -
28. Final Electric �
29. Final Heating & Air Conditioning 0!Z
30. -Final Gas Rpe-7est � �
.31. Final Plumbing . � ... .. ._... .. .. .,, ,.,_� .......... ..... ... ,
32. Water Service-Final� � �' � � � �
�� 33. Gas Service-Final - �
34. Solar pomestic-Final � ' �
35. Landsca e S rinklin S stem
36. Sound Attenuation �
37. Handicap Regulations
38. FINALSTRUC7URE&BUILDING' • '
39. Special Requirements Completed � �
40. Electric Release to Edison -- - ' � -�
41. Gas Release to Souihern California Gas Co. -
42. CERTIFICATEOFOCCUPANCY _ . _
No Date - -
Laboratories �f =��«E�==�,, �=<<f�.=,,«_, ��-_�.
.
�C c.� +� • 3J�0 AIFPORi V!P-Y . LONG BESCN. CALIF, q0801 . �2131 <2b�735. . 213� 636�'386 .'114� 828-69J2
dHANO* q«'GES.
Se��'• e�$'�ee� :�� Ya-O=r.��'ve er�i�g
e�-eCa��.•�e9])Ol p� � 1955Poa-+oeA.e>OBo•"
Plq S1i }G° �� 1 1 4 _ g E.�cti Ce' C 90601 Oili 61od30e
�a�w
��
��..
February 8, 1977
Examination:
COMPRESSION TESTS ON GUNITE CYLINDERS
Mr. Errol F. Heesch
I2921 Aspenwood Lane
Garden Grove, California 92640
PROJECT Pool for LAUREN HUNT
aooRess 3133 Barbados Place, Costa Mesa
SAMPIE FROM Gunite Swimming Pool •
♦cCNiiECI
FNGINEEG
MIX
DATE CAST
_ DATE TESTED
CYLINDER NO.
COMPRESSION
rora� ioao, �es.
POUNDS PER SO. IN.
SIZE:
COMPLIANCE
4} to 1
1-27-T7
2-8-77
�33 03
CONIRACtOR
California Pools
zuecOr+tanaoA
Grove Gunite Co.
SPECIfIED
STRENGTH
SC77-428
2,000 psi
� CYLINDER SIZE
2-8-77 2-8-7T
1 11
12-Day 12-Day
74,000 62,000
2,850 2,195
5-3/4"x13" 6"x12}��
12-Day test complies with speeifications.
ManE ev
CYLINDERS StCVe
DISiA16Uf10N
E. F. Heeseh - 2
Grove Gunite Co.
-��ta Mesa Bldg. Dept.
111 IV, V & VI
"HOLD IN FIELD"
12-Day
83,000
2,935
6"xi2-3/4��
OELIVENED BY RECEIVE� ON
E. Heesch 1-31-77
RECEIVED
FEg 16 1917
�
... vr. ., 5..i s v.. �o .s ��, .�v or�. .� wwo��P . n �. 1�s .�i..00.a.r.o�. �04 o�e,�c.. ,�! S�rs �;o.�c��sio,�s OdC/
�e S �� � � �t .+�. •.. �-E� 5 �+!$f�\E. F�7 �. v .�c .� �oa��n.�� �S � 4.����L GnO�fC' Ol .iIY.S .rrF VUlLiC �M1O DuoSElYFS
�;
'.� 4���
COSTA MESA BUILDING DEPARTMENT
P.0.60X 31�
FEE RECEIVED �
�� � �- � i ��� 1 � c�
COSTA MESA. CALIFORNIA FINANCE DEPT.
CITY OF COSTA MESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
B11°'"� 3133 Bar�ados Place BUILDING
ADDRE55
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. P�� .I
OWNER ^, rmmnrl n ci T n� ('
RECENED BY OATE FECEIVED �p wTE I55 ED�
MAIL - _ 1 MA1 J Yy�7
ADORE55 J
TEL. BUIL�ING
QTYT :�1 R � P.9. �'8� � NO. ApDRE55
ARCHITECT 1 ��c. COSTA MESA. CALIFORNIA
OR ENGINEER .I�111.AYi1S NO.
FIRE
ADDRE55 ZONE
Surrurierland Land C�TV LIC. ZONE pLqNS TVPE '/ GFOVP
CONTRAQOR r No. hi � ✓ y
AODRE55 T,(1^ i. .'P�P (� i TNO. BYPA�VED OATE
�E�A� �or CORRECTIONS
otscAirnoH NO. �J� BLOCK TRACT %��
A.P. NO.
SIZE I NO.OF BLDGS.
OF LOT b�J�O now ON LOi j�Qj�1_e
USE OF
EXISTING BLDG.
SETBACK IINE FROM r
rvr[A oF siAeer �O � REAR YARD 2 J�
r
SIDE YARD RIGHT ' � LEFT �
DESCRIPTION OF WORK
NEW ly ALTERATION AODITION
/
REPAIR MOVING DEMOL�SH
BUIL�ING NO.OF
SIZE I�O�i. ROOM55 STORIES l
EXTERIOR WALL SI+UCCrJ ROOF Composition
GOVERING Rr CtA� ti COVERING � j Qjpq
USE OF NEW V
BUILDING jln�le l��cii.711v D��ellin
rta �
1 MEREBY ACKNOWLEOGE THnT I HAVE REAO THIS APPLIC/TION RNO
STnTE THAT THE wBOVE IS CORFEQ aND /�GliEE TO CO PLY WITH ALL
CITV OROINANCES AND STATE LA� §�GULPTIN 6 L NG CONSTRVC-
T���' / VALUATI ON
SIGNATURE � PERMIT FEE $ �Ej OO
PERMITTEE
PLANCHECK S �3�00
S /Q/ �� % (�
AUTHORIZED AGENT / TOTAL FEE 5 �/• OO
,
�d.
OWNER j'jJj`�[j,j,(1j�-j,A]� (',�. DATE 5-3-57
JOBADDRESS 3133 Barbados Place BUILDINGPERMITNO. �µ9µ6
GENERALCONTRACTOR Owner BZC3T� VALUE $ ZO,909•QO
LOT 1)i BLOCK TRACT 23rj3 Res. W�Btt, �32'•
GROUP I Bc J TVPE V
INSPECTIONS DATE
Footing Trench � �'S�
Foundation Forms and Grade to Gara e
Rough Framing _ �
Plumhing, Roughto Slab Vu,a y�2'3~,,r
Plumbing, Rough Complete n(.L' �j 9"y�"s;
Temporary Pole JUN 7 1957 V
Wiring,Rough 'l'.yi' y_�j=
Heating,Rough �/ �$ 9-y-�j
Heating,Final �(�/f-S' 2-5--{
Sewer, House Sewer, St.� //'�' ip�q z_,
Lathinq. I
Plumbing, Final, Fixtures Comp
Piumbing, Fin,al Gas Test /�y�
Wiring, Final
OCCupanCy
FORM 210 3M �O�vS
`2 :
SUBCONTRACTOR
�
PERMITS ISSUED
DATE � NUMBER
- te -
d`
�-"'�' 4 �303
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING
AooRE55_3 /�� � r�.a 2 f�A r�a� ►�,
OWNER �
MAIL �
ADDRESS
cirv C �
CANS7'RUCTION
LENDER
BflANCH
aooaess
ARCHITECT
OR ENGINEER
ADDRESS
TEL. �'/ ]�j�
No. /O </_
TEL.
NO
L� Fn�2 e/�A 6-n�
. _ . - �
1
�<�, �
���1 i�-�7�.�:=DO sa�:r �:��,::�i�8.5G '
APPLICATION FOR STRUCTURAL PERMIT
FECE DATE RECEIVED DATE ISSUEC
i�-i7- 7c
A.P.NO� LI_�•�•�
eui�oiNc 3 33 3
ADDflESS 1 i
TRACT�.l.� tl 3
FIRE
ZONE
APPROVED
LOT BLOCK
Hu�v�
) VALUE
"�kY_ $ � I
/ GRO P
DATE �
ADDRESS ' � � iG ^�C�. /'//Y/C���D�C I-���
TEI. 71j U— ZO NO.O USE OF NEW
CITY ,f1NA � � ' ^� NO. (0 P� BUILDIN
F STATE . a CITY / .—j� �'ARDSAPPROVED VARDSAPf
� LIC. NO. O LIC. NO. /� Q � MAIN BUILDING ACCESSORV
{y S12E NO.OF BLDC'.S. (FROM GL STREET)
�. OF LOT NOW ON LOT FRONT FT.
a USE OF
� EXISTING BL�G. SI FT. F
�
FSeparate permits are required for �. sioe FT. F
0 elec[ric, plumbing and heating work. REAR FT. F
W USE OF BUILDING AND WORK TO BE PERFORMED
I"' DISTANCE BET. BET. MAIN &
QMAIN BLDGS. ACCESS. BLDG
� VAR.� DATE
a OOG C.U.P.#` APPROVED
� APPROVED
�"
�
0�.
W
0.
� I hereby acknowlad8a that I have reatl this application antl state
y' that tha above Information is correct and agrae to comply with
0. all lews repulating builtling consttuction, antl I shall not employ
Wany person in via�etion of the workman's compensatlan laws of
� the State ot CalifPrnie.
3 I hereby ceriify tdat I am proDerly Iicenud as a contractor under SQ. FT.
tha State of CalifPrnla Business arid Protessions Code, Oivision 3, THE AMOVNTSHOWN UNDER VAIUA
Chapter 9, antl that such licenses are in full torce antl effect, or I THE PURPOSE OF ESTABLISHING A PERMI
am ezempt trom 2he provislons ot the Stata ot California Business VALUATION
antl Profezsions COtle, Divis n 3, Chapter 9. , PERMIT FEE $�
OO PLAN CHECK $
Sfenature of ��
Permitte¢ S �OOO TAX S
Authorized ABent TOTAL PAI D $<
n
m
i
a
m
N
IS FOR m
ON�Y:
b
�
O O m
m
0
D �
V
nuNr, Lauren
JOBApDRESS 3133 Barbados Plac
C�(GENERAL CONTRACTOR California
��.IAP No. 139-133-09 LOT T
(�, Pool Lbcation
�p�,`�t Forms
, ?�'Main Drain
�a
Steel Reinforce
Elec. Bond
ApAroval to Cover
Underground Electric _
Gas Piping Test
Filtering System Lines —
�Backwash Lines and Recep.
Electric,al Final
Heater and Vent Final _
Filter System Final
Backwash and Recep. Final
Fencing Final
Approval for Finish _
FIRE
Date GR
ll' �'Z
/�.�- � L•tlr7Z
z�
BUIL
SUBCONTRACTOR
Electric
�
lumbing
�'1
/-
ly � F Y�' I 1.� ' '� "
1 �.�Ty ✓ 4 . , . . ., 1. i' ' , -�' � 1 � � � �r
y p�F! -� �'�� �/� l i�� .. � 7'- � k'! �},� 1V,Sl � pi
s�r} ' ,, � . ._ �. . '. . . ���_ S �� �:ili l� �4. i
" � "+,�b. � , CITY OF A"MFSA 1 +J 'ri ,;
�p t
� �!����3�.3�+���J/��,�ADvS' Suilding .. � I. ,.DEPARTMENT-�i� ��" � ''` � `� qvl"�+`��1'
� �1 ) � f
r . a
�� s � ) � .p,, ' . . . .e.QdTC99 � � ,. ' ' 01'' � l�iX� �� i� i- � �� f3 i''t
��� 1�; °. a , ` < < z . "ri '. ' ., . , . . � � , BU '.. DI SAFET�Y �i i�i t��"�'. r � p�,l �;.
�y� t .Ll�1Ud'6"hi %�UNi �� Oca[1ec � . ,. ' 1 : ' �t ;'; i r;N
,s.5� . � : � i .�. � ' , . . , ' �, - : '�i,+_�'y ..,. ir�:
tl' i r' ��•• �/�LiF�'- PdLs �� '�Contractor'. Register D pu Building'Inspector }�?
,� �
�� Certi icate of ,Com liance "� �(*��`
f t�i�. '� :i- � ' . . 1 • .' - . P . i r,�
il�"�` /�� .-� i ,1:, �' .. . . ' . ' .. �• . . :,� , .`.;f' i �t�. �t,'t?'
c ��eri/ � Address �+' � /—�?7 .,�7. r ,`ytr.�
� *� 7'� �Zi.+Po27 .
�, ;� �� �t' ', Permit � � Da[e ' � . Date of this Certificate -' � "
+�1j'+���/�9 c7 "Number � � �i' � 'Issued . .� �,, �- ,-�. ;. r '
�4�;f�.,1�' ' ��.'" �, � '- � . , . . . �, . ' :r:j
,:' . . . -�, . _ . �
•��i.ti✓; � .� . � . ' � .. . . . ����,':r
( . . � . ' ,f� � �
��r '�To the Director of Buil.ding Safety: . ; ,� :.,� ,i.,� � . "�:�,
��i .,� �-; �,'I�.hereby certify that the following portions� of'work'on•the buildinge�;'
c,�ir,�:.�,�„ `at-� the �'above address which required continuous inspection arid,which�tI�rwas�,;;i
�� •-.employed to Snspect, were inspected by me and comply with the provisions'�`
/�"�"of [he,Building,Code applicable thezeto. '' . � �� .;-•, „��',
-.�r..,
��^�'��' • i ' , ' � '. '', �� � ii� •,:,
��}��r'.1) ; Concre[e : �3) � Welding , - 5) �-•�.'��Special Casea�.
fd �, • . ,
t � ' . .. , i ii( 1 4 1• 1) 4i':�
��i, 2), ���iMasonry�� � � � . ,.,4)� �' Reinforced Gypsum �,�'';:'�, -���1�;rn
tYx�,�.Swimming Pool, Size ��,jG ,Y/y Gunite � v! �'Hand Pack ..� � '
„y� „ •.. . ' • ,, � , i.. , ��,�
, + - ' � � �' Sacks � Cement � /'] S/ Tons of Sand �'�� '�` , '' i i �. �
v �. �. . . � . . .. ' .a.1. � ( ��,+
r: ':., .�'-' : . . •� � . , - ' �i f�. ��
� ;�'Approximate % of.water ici aggregate ' ' '��S'%.; �'� ' ` "'"�� �� •� i ;';+
•N :{. � ".'. ' .. � ., . . ' � � � . r..�.'�:• s. .• 1 'r- n.i
� ".: ' , ' � ' . ' � . � . ' . ii;1 . ,�" _ '.�;,;;'.i"��'
.-n� . . . - . . ... �
f�'�wyi;.�,This.report covers,work completed during week"ending is7%�',7�':,,-�,•`{"r;r,
,r,r, � . �_�� i
,, x . , . , . r� �
, �
�
e.+ REMARKS � _�j� ' ,
� , i , . a„ � , r ',�' �j ..
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