HomeMy WebLinkAbout3031 CAPRI LN - Building PermitsPBOJECT POOflESS: 3 O B S CAPR I LN �� „'
OWNEH'SNAME: BOBHY FIEDLER
aooness: 3031 CAPRI LN
CASTA MES92626
(719)540-8999
FflCH/ENGINEEB:
FODNESS:
HEG.NO.:
UNIT:
UNI7:
PEflMITTEE: CAL—HOME PLIIMHI HTG. ( 714 ) 554-3050
aoosess: 1602 N. SUS
SANTA ANA 92703
LICENSEO LONTPqCTOB UECIAXATION: I hereby aifirm Iha m license under pm 'ons of Chap�e� 9(commencing wi�� Sec�ian
7000) oi Division 3 oi Ihe Busmess antl Pmlessions Code. an license i in tull lor nd efleci.
CITY LIC.!:1 STATE LIC.: Z S H B 1�I cu : C—
Dale: b � � 3 Signalure:
WOflNEflS' COMPENSATION OECIAflRTION: I �ereby affir al t have a ' icate o� consen� to sell-insure ar a certiticate o� Workers'
Compensaiion NSy�ppel�a4ce[lijtetl copy Ihereo� (Sec � 'S I 94
POIICYNO.: W�•Y •SV E OATE:
comraxr: CITATION
❑ Cetlilietl py is h re�y �umished. � Cehifie0 co is d with �he iry Buil ing ivision.
lle: " `� `3 APDlicanC
d(EMiTIONFBOMWOPREBS'LOMVENS�ITIDNOELNNATION: (ihissectionnee ple�etlillhe0ermilis�oronehuntlretl�$100�orless�.
I cetlity Iha� in Ihe pedormance ol t�e work lar which (his permi� is issued, I shall noi employ any person in any manner 5o as to become
� 5u�leq IO ��e WOrk¢rs' Compensali0n LawS ot Califomia.
�a�e: Signature'.
NOTICE It, aiter making this declaration, you should become subject to the Workers' Compensation pmvisions of ihe Labor
Cotle. you mus� fori�wilh com0ly with such pmvisions or �his permil shall �e deemed revoke0.
CONSTBUCTION LENDING AGENCY: I hereby affirm ��a� there is a cons�mction lending agency for �he pedormance ol �he work br
whlc� �his permi� is issued (Sec�ion 3097, Civ. C).
LENOEN:
aonxEss:
OWNEB BUILDER OELIAflRTION: I hereby af�irm ihat I am exemp� trom ihe Conlracmrs' Slaie License Law for lhe following reason
(Section 703L5 Business and Pro�essional Code'. Any ciiy of county which requires a permil b consimc�, al�er, im0�ove, Oemolis�, or
repau any stmc�ure, prior �o ils issuance. also reQuires the applicant for such permit �o �ile a 5igneU s�atement (hat he/she is licensed
pursuam to I�e provisions o� Ihe Comracmrs' Slate License Law �C�apter 9(commencing wi�h Section 1000) o� Oivision 3 oi �he Business
antl PmiesSions Code� or Ihal he/she 15 exempt t�erelmm an0 Ihe basis lor ��e allegeA exemption. Any violation of Section 7D37.5 by
any apDlicani for a permit sublects �he apPlicant lo a civil penalty of not more Nan live hunOretl Oollars (5500).
I, as owner ol the pmperty or my emyloyees wilh wages as iheir sole comDensation, wili tlo ihe work, and ihe
❑ simclure is no� inlen0e4 ar ot�erea �or saie (SeC�iOn 70d4, Bu5ine55 antl PrOtessiona� COJe: The CantlaCtofs' State License Law
tloes no� apply to an owner o� a property w�o �uilds or impmves Ihereon, antl who tloes such work himselfl�erseli or thwugh
his or her own employees, provieetl �hat suctl impmvements are noi intentletl ar o�fered for sale. If, however the builtling or
impmvemenl is sold within one year o� comple�ion, th¢ owner will have �he burden ol pmving he/she tlitl not builtl or impmve
for Ihe Durpose of sale).
I. as owner o� t�e pmperty, am exclusivety contracting with licensed con(rac�ors �o cons�mct the pmlect (Sec�ion 70d4, Business
❑ an0 Professions Cotle: The ConVacmrs' State License Law tloes noi aDVty Io an owner ot pmperty who builds or impmves �Aereon
antl who contrac�s br such pmjecls with a[onlracior(s)license pursuan� lo �he Conlraclo�s' S�ate Lic¢nse Law),I am aware
thal pmot o� Iheir Worker'S Compensation insurance should De pwvitlea lo me.
� I am exemp� wder Section: 8. 8 P. C.
�or Ihis reason:
Date:
I tlo hereby certily �hat I am aware ot antl unAers�and lhe
25534 antl I�ai I or any Imure huilAing occupam will/will r
permitfor cons�mclion or motlilica�ion Imm �he Nir Oual
ihese Dmvisions. /
Date: AOPhcan
I�¢r¢�y cerUly�hal I have �eatl��is appliCaiion and Siale 1 t
ordinancesantlstate aw5rela�ingtobuilAingconstmctionan i
pmperty for nspecl n ppurpo5o5.
Uale: —1 3 Signaiure:
�� oriver's License or Soaal Security a:
Owner:
nis oi Caiilomia Neal�h antl Satery CoOe Sections 25505, 25533, antl
ine) neetl�o comply wi�h sai0 s�a�e cotles and the requirementsior a
m isVicL ReSidential ConS�mtii0n appliCati0n5 are exemp� hOm
above i formation s rrect I agree Io campty with all ciry antl county
iy author erepre5e Ia�i es o�lhis ciryto enter upon��e above�mwtioned
t6at-a6 Whne—Builalno: Green—Coee EnlorcemenL Canary—Aoolicant Pink—Revenue; Goltlenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT ER ,
PERMIT NO: P 063551 PLAN CHECR NO; N , ,
CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION : INSTALL ONE GAS SYSTEM OF 1 TO 9 OUTLETS SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /M-1
*�*****+�eir�e****B**+�e**�***�***********�r*�***��*ir*D�*****�+�r+�r�*******�*********�**�r
Z O N I N G R E Q U I R E M E N T S
ssTBAcxs
------------ MAIN BUILDING ---------- --------- ACCESSOAY 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
PARRING REQ • PROV; PARCEL; 13946102 ZNE; REF NO;
PLANNING NOTES>
� F�:
if �f if �f iF �f iFif 1f M�f if �f if if k if if 1f it if �k k iF k iF k 1f if k �f ik iFiF1k�E if �flflE �F 1f �f if �F1f if if if iF k 1f iElkif 1f �F 1Fif 1Flf �F ik 1f �f iflf �f �t if if 1k iE iF M�f 1f 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
APPLICATION ISSUED BY:�AF���
it 1f �EiF 1t iE1f M if �t �f 1f 1FiF1FiFif if ik it if iF
1f ikik ff it k if If k If 1t k ikiF iFif it 1f if iFiF iFif iF k!f it fk 1f It k iFak i!
LEGALI2ATION:N F E E
ik �k ik ik 1F 1f !k �k iF iE iF if'y�,
S U M M A R Y
DATE:
DATE: �� 3
lfiflFiFiEifiklFif�F iflF
it �F ik lkif if ikfF �t ik 1t 1Fif ik �flFiF ik IF1f k iF
STRUCTURAL SEGMENT;N
PERMIT BLDG PHT PLUMSI00 ELECTRIC MECHANIC FIRE SMIP/RES GRADING
�15t SMIP/NON—RES
PLAN
ISSUE FEE 20.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 5.00 20,00 0.00 25.00 25.00 .00
REVENUE DIVISION TOTALS--> COLLECTED; 25.00 OVER/SHORT; .00
BLDG PMT PLUMHING ELECTRIC NECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
25.��
kifkitllftitiFjf �f�tMit�flfififjt�tiFlfitkiFikiFMMitikikMlFkklFifMklk�kitikifikiFikfFit�FikMkikififikiFafkiFkifiFitifikififiFiFiFiFikifiFitlkik
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 UNIT COST TOTAL COST
PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS
END OF FEES
5,00'
0100145197-00145197 T�T
DATE: U�/18/93 TIt�E: 11:30
1
25.00
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Po13t� 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. _ 53. Steel Reinforcement
�-..,
��k�'�ech�5al Gonc��'l�tititY-Undrgrnd� E" � 54. Formt
. E�ctrEcai ConctII` �.,'.:t�drgrnd. c•.; 55. Electrical Bonding
.�
��5.,�e1 �einforc�� 56. Rough Plumbing & Pressure Test n
��•� -
c,!
��
xr .�tcical UFE�GGrnd. r� 57. APPFOVAL TO COVER�GUNITE ,�
ty1fl;�Foo€in s �� 58. Electrical Conduit�Undrgrnd. �
S 8. Foundation qs " ' 59. Gas Pipe, O Undrgrnd., Test ``'
9. Water Pipe�UnGr�md. ' 60. Backwash Lines, P�Trap, C] Undrgrnd. �
70. Structurai Floo� System .'� c 61. APPROVAL TO DECK
11. Property SeweF-Lirle;& Hqcyse ConqPction 62. Backwash & fteceptor�Final
� r�
12. Sewer Cap ' �'�' %
�, �, 63. Heater & Vent-Final
73. Roof Drains V { 64. Plumbing System - Pinal
14. Rough Plumbih,� �� 65. Eiectrical-Final
15. Rough ElectricaJ-Conduit 66. Solar System-Final
16. Rough ElettriC6 iring 67. Fencing & Access Approval
17. Rough Wiring�gn 68. APPROVED FOR PLAS7ERING
18. Rough ElectriF�l-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Fough Heating & Air Conditioning PIRE DEPT. REQUIREMENT
_ . . . v� q'tirDF S �F H '�
20;*fio�h �ctony .9�aP�ace i :Xc�7 �t�7 * Q :� c'x = � PPF48VA2.C9��.Pedinit #� %' "+
- h• x H r fj'. r��JhIH 5 A �'1
n � t t i.• I_ y, S x �-+ •" �1 a� a t S�'� C f' t'n
21 �u�,�s, i�Str�ct�{ , .. .. �, S x - p H� ,� ,70. �der r� H �ro
9. 1 �
22. Ducus, Ventr}etir^�}x i (i� Y H � S a:r y:71, produc' ifig ��6ts Li`Oil
23.`�a ipe Ro`� h&'�esc � ``T - � '-"' �' �"�_ i C".7 x �
�.-� � i c*11 + r� 7•: Or � 72. Under9��g�{� F�F1i�D x r
24�Ro FFami�g 7� i FH ••i� > > _ ^` � +� '7�c+Undergrn23•.StortrdF9Tank�7Gas ❑6rl
» �^ r
25. Ro�f St�athing � y a ;� ,# T' ;j � :U;`. w'7qdOverhead�fydrq�-JFV *
26R�T��a/ Ceiling (S�Rturel) S�jtpq�ocoat *' •A �J .�7x fi 7y,7'Dry Chemical "� ��-� C C,
-,
27C..Frameand Flashin� "� � '. -. . � � * OE�' �T= :h .�
�� rv .-� � � S� > tqx x. 76r�Dry Stan�i9e Fm�v ,x
;.�28�Laffiinqi$ SidingC K r, -~]�tS, �: M�: ••!' 8: 777' FIXED 5-Y�T'EM7.fip`dAL� � ��
>'29. Insulat'{� � a C c.••• ' �'r r; 78EFIRE P�EV. FIIj1F�;L � �� x S
p�30. Drywall ailino �k � I -+. � H•u •iFAEALTHrAEPFz REQLJIR� MENT
�'31. Plaster ow Coa{�' � � '� " ` 79��Fi�1'AI�M'I�P�ECTI�N "d � "
!", � i: r a r .< ;V
C� Q 'i � F F ac w.�. S- � r:
t,32i�Electric� Payer�'1Rt�p-Finali h• � F.K nSO;n,FOOD C�ATIf�6A1TE ISSUED^
ry-�� '�
33?FirfAl E('ectr'� �'"A � v' t' ` ' N��}^es: ;' `�� " r'
� � *z! f �[i I r + x � Yl 7 '7 C*1 t'7 O 'T.
'[' � > ! M; : X �, �; . . . I .�
v34,-�Fir�7 HP.�tin �& �itGopditi�ry�g n y s :-�� w � C
35T�Firtal G35 PipB-T�s� w ����..,/ C� (l !T1S �:' J
`[5 .. :k ^.1 �j��s(il�_ . i� 20 V�--� .• F.•;r
•r � 1.. [ � � '-XM . ..�i .i
a,36: -Ho� or�anoPY-r, x = � ;r.., ,,� ,, x � � !'+o ' `„
- - � - � � •� �x
,�37(_Fin�l Factory F�ve�l�k � Jr' °� " `i � `� "x - n ;,':
i c� a + # :C �..
� . ., y X � � � .. .. ^J .X :. s: a,e � _'
H38. Firlal Plumbing .� �� � .-. � .. s �-; ; a, r-.
�:?39. 1h'ater S�rvice�FiOaM �� � u r r r �, u�r, �� c�;
„z a .. r � n� rc
'�T40. Gas SerGi'ce•Finai '� � '�� " ' �`� ' ` "
r F:TI 4��r,r $ �i f: � :j'LJ ON �:
E47. Solar DDmes[ic-Fins�S tl •• �_ .� x Qo � a'
t� x a n r y 7 p� x T J '
f-42SBackflo Preve F" '�' � � . �` `i � .� ''
?(i `�� :v + x r a ��-, r�
� .
43. Backflow Irdgatiorr cr, �� > � a �%.F � O v
� n '^ �: i r. (1
r y� w , �
T44. Landscage �ip��n SYsteru�,,.�� .r i-., r� � �Ji �� N Ct% :CCJ x �-,
�
g45�ound AtteIIuatan i-+o:t� t•� % �� . '.- �•> F r, �-+ rrv •X.; 'r. �
m. ic tJ _.4 x
�46^Handica'i R�ulati�s �' S ' � • " "K ' � "� ' c' � • '
R F Y Y� �' JV S t
��47.Sfll�'4L STFit�JCYURE & B LDING � � �: + � c� s ` y
. x , c.
48�1t�'�L PLat4NIN� � T,� ` ' ' T .� `'
� s.. � x.�. :: r. + m ¢
649;Eleajric RelQase to�dison , ,: r�. ^ x� ��, � y
; �50,Gas�Release 2p SoU�hem Cal�fo.rin� Gas Co ; I '': ,� �.�"..� :� , �m � ,� '�
=;51. CE� IFICATE 0 V,OCCUPI�INCY x . r� p �q� ,,. �-. _
No, Date
�
��
PflOJECTADOPE55: 3031 CAPRI LN
owxeesxame: LEATHERS, H L
aooeess: LEATHERS, JUDY F
3031 CAPRI LN
COSTA MESA,CA
AHLMIENGINEEN:
POOHESS:
UNIT:
92626
flEG.NO.:
UNIT:
PEpMinEE: NEWPORT ROOFZNG, INC, ( 714 ) 645-0104
aooeess: 17'1 RIVERSIDE AV
N.H. CA 92663
LICENSED CONTPACTON OECIAflATION: I �e�eUy allirm Ihal I am IicenSed unCer O�ovisions ot Chapter 9(cammencing vnN $ection
7000� of Oivision 3 ot ��e Pusiness aM Pmlessions Cotle. an0 my license is in lull I e antl e��ec�.
CITY LIC.'� 9 4 � STRTE LIC.:Q ClA �
Date: �� Sipnamre: _� _
wONNEfl ' LOM NSATION oECuflATION: I nereoy alfirm Ihat ve a ceniliWte ' wnseN to sell-insure ar a cenifica�e oi workers'
Compensation Inm�ance r c nilie rooy merem �secra� �soo, �:e. �
roucrNo.: 1016��2�—�0 E%P.OPTE: 7�O1I9
comaaer: STATE FUND
❑ Ceniliea c py is here6y lumis�ed. � Cenilied copy is liled vntn tAe ci� Oinp Oivision.
Oate: � � ApplicanC �
ENEMPTION FPOM OPKEflS'COMPENSATION OECIAflPTION: (i eclion neea nolbe eietlitthe permi�iSforanelmnOretl�5100�or1e55�.
I ceriily Ihai in Ihe petlorman[e ol Ihe work lor whicA Ihis permi� is issued, I shall employ any person in any manner so as to become
su�le�� �o Ihe Workers' Compen5aiion Laws ol C2hbmia.
Date: SignaWre:
NO7ILE: I�, afier maiwg Ihis aeclaration, you snoula become suUie�� �o ihe Warkers' Compensalion D�o�sions of ihe Labor
Code. you must �otlhvnih comply wilh such pmvi5ion5 or I�is permit s�all be G¢emeA revake0.
CONSTflIICTION LENUING RGENLY: I �ere0y ai�um Iha� Ihere is a ton5imtlion leneing agency tor ��e De�ormante oi Ihe wark for
wnic� I�is pe�m�t is issue0 (Seclion 3097, Civ. C�.
LENDEP:
ADOFESS:
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 05217
PERMIT NO: B 052128 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : T,O. SHARES/REROOF W/"HARDISHAI{E" SQ FT: 12,000
CLAIM VALUE: 12,000.00 CALC—VALUE: 12,000.00 GROUP OCC; R-3 /M-1
COMMENTS: RE: AEPORT "NER406"
*�*�***+�**���*�e*********r*�****�e��*����***�*�*�e�*****���x�***�**x�*�**+�*****��+�
'L O N I N GS ERTEH�AUCIRRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT ZN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ• PROV: PARCEL: 13946102 ZNE: REF NO;
PLANNING NtSTES>
i
af k!f IE iF iE if 1f IFiE if if iE if if iF if if iE if if if if if if k iF ik 1F if if iF iF 1k iE �E iF iE 1f 1f 1E aE ik iE 1E iE iE iE if ?F3F if iE IE �E !'t 1E iF �f iF if iE 1f if iF 3f iF # iE iE if iE Ik i4 iE 1! iE 1E 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'I' S
ZONING APPROVED BY DATE:
BUILDING APPAOVED BY : DATE:
APPLICATION ISSUED BY; ` DATE: SVo'10
iFiElEiFlfiElEiEifiEif�fifiElEiElFatiFlfiFif kikikifik3fifih3F1F iF1E
IEiF*iEjE�EiElElEdElfifiEiFlEfFlEiEiE1E�FiEiE1E1E1E1Fil�ifiFififiFiFiflFifiF aF !F f3F1EiE1EaFif3FjflFiFiF3E)fiFfEdE�flFifaflF�Eaf±6�fiFif�fiE1F1E�EifiEif
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
OwxexeuuoEx�EC�AennON: �herebyanirmiha�lamexemp��mmmeConvamors'Sta�eLicenseLaw�orme�o��owingreason HLDG PMT PLUMBING ELECTRIC i+IECI�IANIC FIAE SMIP/R$S • GRp.DING
(Semion 7031,5 Business antl Pm�essional Coae'. Nny city o� coumy which reQuires a permil m cons�mm, alier, impmve, Oemolish, or p ERM I T 1 3 5, � � ], , 2 � ' '
repaii any simcture, prior lo ils issuance. also reQuires Ihe applicant br Such Dermi� �o lile a signed s�a�ement �ha� he/s�e is licensed SM I P/NON—RES
pursuant �o t�e pmvisions ol ihe Coniraciors' S�ate License Law (Chap�er 9(commencing with Section 7000) ol 0ivision 3 of Ihe 9usiness
ane Pmfessions Coae) or I�a� �e/she is exempt therelwm ana �he basis �or i�e alleAeO exemption. Any violation ol Section 7031.5 by PLAN
any applicani lor a Dermil su�le[�5 Ihe aD0licanl lo a civil penaliy ol nol more Ihan live huntlred dollars �5500). jSSUE FEE
i. as owner oi the pmpeny or my empioyees wim wa0es as meir soie campensalion, will Aa the work, antl me BUILDZDIG—DIV—> PERMIT ISSU$ PLAT�—CAECK 'I'OTAL P1:ID DUE
❑ stmcwre is not imentletl or oifereU lor sale (Section 70aa, Business an0 Professional Caae: TAe Camracmrs' Siare License Law TOTALS— ---> 1 3 6, 2 0 0, � 0 0, 00 1 36 ..�. 0 13 6. 2 0 , 00
tloes nol apply lo an owner ol a pmpetly who 6uiltls or impmves Ihereon. and who tloes such woB �imselt/hersel� or [hmugh
his or her own employees, pwvitletl t�at such improvements are nol iniend¢A or offere0 for sale. If, how¢ver �he 6uilding or REVENUE D I VZS ION TOTAL$--> COLLECTED ; 13 6, 20 OVER /SHORT • , 00
improvement is soid wiinin one year o� compleiion. �he owner wi�� nave me burden o� pmving he/she dia no� �ui�tl or improve $LDG PMT PLUMB ING ELECTRIC MECHANIC FIR$ SMIP /Z'�T GRAD ING PLAN—CHECK
lor I�e purpose af sale�.
I, a5 owner o� 1�¢ propetly. am e�CluSively contracting with licensed contractms lo consimct the pmlect (Section 7044, Business 1 3�,�� 1, i Q
❑ anA Pmfessions Coae: T�e Conlractors' Stale License Law tloes nol apDty lo an owner o� D�operty who �uiltls or impmves �hereon
andwhoConlrat�51or5uchprOjeclSwithaConiratlor(S�1icenSepurSuanllolheCan�fat�or5'StateLicenseLaw�.lamaware iEikiEiFiFiEiFifi4ifiFififiEikffiFifififlEMiE1E7E�k�EiElEifkifafiFifffjEiEikafiFiF3EifiFjFiEiE3E1E�1Fk{fifif3Eihlfif{(��(.�(.�j(.*{(�{E***�E�p{p�(.�.�{f*.�
ma� wooi oi mei� worker's comPensaiion msurance snowa ee nrovieee to me. I N D I V I D 1J P� L F E E B R$ A K D O W N
� I am eaemp� unEer Seclion: B. 8 P. C.
�o�misreasan: TYPE QTY D E S C R I P T I O N JNIT COST TOTAL COST
Oate: A+'�Cr.
I Oo �ereby certity Ihat I am aware ol antl untl¢r5�an0 Ihe reQuiremen�s of Calilomia Healih antl Salery CaUe $eclions 2550.5, 25533, an�
2553d antl I�al I or any lulure builtlmg occupanl willlwill nol �circle one) neeG to comD�Y wilh saitl s�a�e code5 antl I�e requiremen�s �or a
permil for conSVutlian or moAdicaiion Imm I�e Air Ouahly Managemenl Dislricl. Fe5i0eniial cons�mction applications are ¢Kempt �mm
IheSe pmvi5ion5.
Oale�. Applicanl:
I �ereDy ceriify IAat I have rea0lhis ap0licalion ana slale I�at Ihe abov¢ inlormalion i• rr . I agree to compty vnlh all city antl counry
orGinancesand Slatelav5 relati�gto �wldinq con5lrutlionanG here�yauthor¢ereDr �n�aG' o�IRsary m^ ruponl�e above-mentionetl
O�opetly forin'peclron urposes. �� �
Dale `— Signaiure'
od�ers �icense oi sodai security a:
t6aba6 Whue—Bmitling; Green—Codo Enbrcemem: Canary—Appbcant: Pink—Revenue: GolOenrod—Assessor
SFR 12000 REROOF BY VALUE RESZDENIAL NOZONE 1.00 12,000.00
END OF FEES
I u�L���9�' ''�r'_ _ " _
�
C'�+'�: �=•�.!�_, '- '� � . ,..
J
�e - �
CONSTFUCTION AND PLANNING � FOt,� & SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
7. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soif Pipe-Undrqrnd. . � 53. Steel ReinSorcement
- 3. �Electrical Conduit Utility�Undrgrnd. 54. Forms
�4.'Electrical Conduit-Undrgmd. - 55. Electrical Bonding
5: �Steel Reinforcement 56. Rough Pfumbing & Pressure Test
6. Etectrical UFEfi 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, O Undrgrnd.
10. Structural FloorSystem 61. APPROVAL TO DECK
71. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap , �. _ � 63. Heater & Vent-final
13. Fioof DrainS � 64. Plumbing System � Final
14. Rough Plumbing � , � 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
76. Rough Electric Wiring 67. Fencing & Access Approval
17. Rou9h Wiring Sign 68. APPROVED FOR PIASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heat�ng & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace +' � • APPROVALS Permit #
21. Ducts,in.Structuce . . - � 70. Underground.Hydro
22. Ducts,Veniilating : � • , ,� .71. Product'Pipi�g�Gas �'Oil
23..Gas Pipe-Rou9h &�Test . , 72, Underground Flush . "�
24.�Roof Framing • � � � - � 73. Undergmd.StorageTank OGas ❑Oil
25. Roof Sheathing , " - � '- . , ` �'/q'-Overhead Hydro �
26. T�Bar Ceiling (Structurall &-Monocoat • ' � 75.- Dry Chemical �
27. Frame and Flashing"� � ,� 76. Dry Standpipe '� � -
28. Lathing,& 5iding • -� ' � 5' • �•� 77,. FIXED SYSTEM FINAL ' -
29. Insulation � ' �� � . `� � 78: FIRE PREV. FINAL _ ..
�30. Drywall�Nai�ing HEALTH•DEPT.REQUIREMENT .
' 31. Plaster Brown Coat. . ,, ( "� 79' FINAL INSPECTION ,
i
32. Electrical Power Metei-Final I .� '80. �FOOD CERTIFICATE ISSUED
,33.�Fin�lElectric, ' � • ' - f;.` '�No{es: ,
��34.: Final Heating:& Air�Conditioning� ,' � , , � + � � p,C -
n R_ � f�/ A .P
35. Final Gas PiPe-Test_ - ' � • %�r� �Y � 1 � ; � � �
.36: Hood or;Canopy • • - . : �: �
37.-Final Factory Fireplace � ; ' ' ' , �
38. Final Plumbing � � • . . �
�39. Water Service-Final� - � ' �
� , , •
40. Gas Service�Final , : , . � �
'41. SolarpomesticFinal ' - • •
42. Backflow Preventer. � � � � .
43. Backflow Irrigation �
44. Landscape Irripation System, . � . • .�• . �7 . . .-
45. Sound Attenuation �- ' - ' ` , �� '
46. Handicap,Regulations - � � . , � � ,
47. FINAL STRUCTURE & BUILDING � �' �% - ' �
�
48.'FINALPLANNING � . � �' } �-��7_G12_ k �o,�,_ �`
49. Electric Release to Edison � � Geq,�Q y� - ,� S�W � G�/��
50. Gas Release to Southem California Gas Co i i �� „�.p c�e� _ 6' ti v�-
51. CERTIFICATE OP,OCCUPANCY .
No. Date
��
LEO W. CARLSTROM
lnspection Engineers and Laborato�ies
PHo.E s7s-i�ai
!OI EAST HYDE PARK BLl'D.
I\GLEWOOD 3, CALIFOR\Id
GUIVITE
File
Applicaiion No.
Job No. 63�28
Date JdI1ll9I`V 6 � l�i�_
�E COMPRESSION TEST R�ORT
Project: �'. Eldrich - Smimmin� Pool Address: 5�31 C�pT1 L8ri@a Coata Mesa
Sample From: 6'OU't�l � 0aB't COI`II@I` W811 S�—��� £rom bOriA bPAm
Test Made For• r'ie$ta P0016
� GUl'iITE Specified Strength @ 28 Days 2��0
Tesf Reporf $k:
Cylinder
Identificafion:
Dafe Cast:
1• •.
nders Made By Tot3 Ap�l l avi g
Cylinder Received December � 1 �'j$
'�'.` •��L.�
Dafe Tested: Tlc�n _ l l_ 1 qF�S Tnn _ 1_ 1 Qf�p.
Age Days:
Area:
:
. e
Total Load fo ,
Desfruction Lbs.: 11R��n : 16FiyQAA
i �
P51: 1�1���`_/ �T� i��
Remarks:
�8
cc: Certified Inspection
Fieata Pools
City of Costa Mese �
� IDM B 63
LEO W. C
INSPEC710N
�'�rv ,; -
,��, o, C-� ��
Bu,1J�qg ireptg''�
�. 20140
� COSTA MESA BUILDING-SAPE�Y DEPARTMENT
�OpCp^ P.O. BOX 91] GOHTA ME9A. GALIFORNIA
For Applicanf fo Fiq In Completaly
TYPE OR PRINT
su��oiNo �. �.e.0 r/ ,C�He
ADDRESS
COSTA MESA, CqLIFORNIA
, _ , i . �
� MAIL
OF LOT /� I NO. OR BL009. �
NOw �+v � ne
USE OF /�
EXISTING BL�6. ,( e S/, P/?l� �G
BETBACK LINE FflOM
CENTEROF6TREE! REAR
1 +�
SID6YARD LEFT ~ G RIGHT
DESCRIPTION OF WORK
BUILDIN6 NO.
SIZE ROC
EXTERIOR W LL3 � R�
COVERING ! C�
USEOFBU OIN6ANOW0 Kl
�� �
1 HEREBY �CKNOWL6D08 THAT I H�yg REAO THIB APPLIGTION
AND STATE TNAT TNE ABOVE 16 CORHER AND AOREE TO COM.
PLY WITH ALL CITY OqO1N�NC �NO BTATB 8 pfiOULATINa
BOILDIN6 CONBTRO ON.
SIGNATUREOF� �
PERMITTE �
AUTHORIZfiD A6ENT
:,
F�E R�.CEI��D
C9 r
APPLICATI FOR PERMIT
�FIfN�P�/10�aiB�P�pT.���
Ci1R Qf�����IYIC�7R
qHCS1�T NO. PERMIT NO.
O
�' 7.�1'` �v 3 7-T� �3
YARDSAPPROVED
MAIN BUILDIN6
VAR. 72
ZONING
SMALL BE LE55 THAN
N. B. C. REQUIREMENT.
YARDSAPPROVED
ACCESSORY BUILOING
7�i=
TNE AMOUNT BHOWN UNOEP VP
PUHP08E OF EBTABLISHINO F
VALl1ATl0
PERMIT
$�fn /�rlwf �� LA Ch
(��� l�l�{'r
TOTAL F
IB FOq THE
FEH ONLY.
�.
20965 Ft� ���t��t�
COSTA MESA BUILDING-SAFEfY DEPARTMENT FIIY�A�CE aO��