HomeMy WebLinkAbout301 BOWLING GREEN DR - Building Permits� ... . . } .. .r.. � . _ l . . . . , �
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• =Mr Wi111am.Terpening t ' , �� ; - . .. '
� 301 Bowling Green Drive . �} _ ' - � . ,
,' .Coaca Mesa, California ; 92626', • . . � 1 '' .
. Dear Sirs T �_ � �
, s,_ ,- . Y' .
. A building pecmit has been lasued to Anthony Pools to'conatruct�a ; �
rivate swimmin� +ool on� � � F
-_ _ P B P your pioperty. ., .
�In order that�yout pool Wi'll a safe one and for�the'purpose of
T x adviaing you`of your responaibi y regarding.the reqairemeiita of, '
the � � r � . � . --,.-
, rCoata_,Mesa Mun#t^ipal Code�.we refer you�to Section 8107�,a-copy. r-- -"
of whlch .is-aEteched: . =
.. .i. • . r . .
+. This lettet is'dire� yo you in order=ihat .y,ou.will be awar"e' pf - .
' our ordinaaces�aad.can ke a complete safety check of.your'pool,
area. ,• � � �. � • - , _ . `
.. - . Sineerely yoursi - � . . .'. �' ., .
, . . . � . _ ;# '. . .
� - _ . , RICHARD HANHART - - ' ,
' ' . . •Building Safety Direetor ' �,,,� _ ,
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INSPECTION 8 iESiING ENGINEERS
GHEMIGAI 8 PHYSICAL ANALYSIS
0.�DIOGR�PHY %-0.AY GAMMA N�Y
�.0. !e. �) • 1310 Al.pe.� W.y
Lenq Br�aF, G�II(. G0101
�]Il� 1163155 • �]Il) dlb13Y • PiQ o1�+az
$inca 1898
RESEA0.CH \ ENVIRONMENiwI TFSTING
C00.NOSiON ENGINEERING b �N�LY515
ULiFwSONIC MAGNEiIC { PENETRANT
. Examination:
COMPRESSION TESTS ON GUNITE CYLINDERS
Mr. Jack Hubbard
3106 Ostrom Avenue
Long eeach, Californla 90808
PROJECT Swtmming Pool for TERPENING
ADDRE55 301 Bowling Green Drive, Coata �4esa
SAMPLE FROM Shal low end, Deep end, Bond Beam
ARCNrtECi CONf0.�CiON
Anthony Pools
• EHOINEEY ' SUBCONiR4CiOR '
R. J. Kolodziej
roux 4-1/2 to 1
DATE cnsr 6-Z�-73
DATE TESTED 6-28-73
CYLINDER NO. 1 '
COMPRESSION 7-Day
TOTAL LOAD, LBS. SO �000
POUNDS PER 50. IN. 2,951
SPECIFIED
STRENGTH
CYLINDER SIZE
6-28-73
2
7-Day
52,000
2,093
ISI�-D Ne.fA H�.p.. S�r��r
S�nr• ���. C.Ille�nl. �E)03
�)i�� 5)i.]WS
5C73-4z87
Permi t �3��� a
2,000 psf
6-28-73
3
7-Day
51,500
1,900
COMvuANCe , 7-Day test average complies with speciftcations.
M�DE !T
CYIINDERS� W. Doug124
\
DIfTIDUiION�. `'
`—L6s�ta-Me§a Bulld(ng Dept.
Jack Hubbard - 2
DEIIVEPFD BY
Dave
� NECEIVED ON
6-22-73
�JILDIi��G SRFE�Y C��.
'JUL 2 ]973
4"HOLD”
5"HOID"
6"HOLD"
2,315 Average
,
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♦ll. qCunp�y �uE S.:BM.:IE'J �5 iwF CON��Ofv'��� eut)a.te�. n ����5 •t.�rrpail�IiON GOA Gu9�IC�liOh O� OUN PEPOFI6 COMC�VSiONS O4 1•
�A�CiS icOu OM o['G•n!:�vG tMEM :5 0�5[�'.ff �1`�O'.. � o.yu .�n �c���7�e�� �c� � MUitJ�l ncOIEC'iON i0 C�IENiS TME PUlLIC �ND OVoSElvfS
iin lfi
`.:
� . / `
� � _ � t� Applicant to fill in all spaces exce0t those within heavy Eo�tler lines antl sign all appropriate Oeclarations: _ _ _ _ ,
CITY Q�'COSTA MESA� ,CO STRUCTION-PERMI.T PER �T N ,. -�al' :TRACT NO. • LOT NQ - •UNIT NO: � � � � � ' � � � �
/ � ' I
P��ectAd�lress _y����G��GU 'C �' ' ' � . , ; . ' • :� ��
' .'FC � 1P/IR/GG �(1-9f1 -TL
A'pplicanYsMail��ddress ������ 7- A/. � TVPEOFCONSTHUCTION NEW .P.Do ALTERATION REPAIR '
������� / �,/� �A • O CONVERSION ❑�DEMOLISH ❑ OTHER q,p,# � � � � Zone .
Owner s;Name f L � `j PhoneL�.b-.�1^�p "� ' '. .. _ ' ' ' !' ' ' ' _ _ ' _ - ' ' '
��� b� qDESCRIPTION OF WORK/USE OF BLDG.
Address � `lst! ./7"��t-�ti� � �OfA� ' `�L`� ' - S MainBuilding: � � ' Accessory6uilding; �
: •' � E 2
Arch/Eng. : LicenSe;No. � ' TVPEOFPERMI GRADING FOUNDATION '❑STRUCTURAL � . �T FronC ' : j � p
Address � � " ��,.�� p� ' �,-� � "❑ TENANT �ELECTRICAL, ❑ PLUMBING ❑ MECHANICAL A Rear � � � � N
i '. . . . . � ,�'Q OTHER . , ' � . ,
Convactor's Name' ' PhoneLO1/__i�G � i � .� � . . � � . i C� Ri9ht, . j :� "' -.� '._".�-" �- � '� � � ` :' � 'N
PROJECT DESCRIPTION � 5p. FT. � oCcuaaNCV
Address Imailing) ' � � �L�( � , � �.LUDO� rv ' . . . . . . �K , . � , � ; . - . �. • � G
: � , � y /,.J�-,T. -' ., ! CONSTRUCTIONTVPE VALUATION$ S Left � : ,
City License No. � � '�� �G ' �4ZONE � - , GRADING CU.YDS. HCRES ' - + ' - � ' R
LICENSED CONTRACTOR DECLARATION I � � � � - Ping.�Ref. # . '�� � Parking Req./Provided � � E
1 M1ereby aftiYm that I am licensetl untler provi5ion5 of Charter 9(commencing ��Remarks� ' � ' ' �Planning NOt¢5: � - ' � ' � � M
with section ]000) of OiviSion 3 ot the Business antl�Protessions Cotle, antl'
mY license is in tull t Jce_an itect. •� . . , _ ' . . � ' � , . ' . T
License CI ss�' License o � . - : S
.t?ate � Si9nature � � �-- �� � ' � ' PLUMBING - ; ' : � FEES � - - ' �
F.; JRK 5'• O PENSATION DECLA ' �"r� ' - . - - � � � . �
"n:��ereby attirm tnat' I have a certifitate o� on M to self-insure or, a certificate Bar Sink . ' Showers - � _ _. - � ELECTRICAL' •-, �. ' FEES ��
`Jt Workers' ComOensation Insurance, or a ceriifietl copy thereof,(Section BackflowPreven[e� , ' ServiceSink - -� . � • ' � ' ' ' . �
Auromatic Washer ,.. Transformer ❑ 15-50 KW .
3800, Lab. CJ��.�'�-+ �
Policy No�'Q%L� Comp Backflowlrri ation ' -! -- ' � ; `� 50+KW� �
9 , SewerCap , Construction.PoleSub.
�Certifietl copy is hereby furnishetl. , . � ' �. : . . . . ' ' � ' -^ ' :
Ceit'fi tl ti etl� m4he city Buil ivi on �� Bathtubs � Sewer Connection Cooking Unit Meter ❑up to 100 amps'
Applica
EXEMPTI N ROM WORKERS' COM E N DECLARATION : � Clarifiers . � Solar Collectors - Dishwasher ' ' Meter over 100 amp� �
(This section neetl not be campletetl it the pe ' is for one hu retl (5 0) or ' ��
less). • � . " Dishwasher Solar Piping - ' Dryers ❑Gas .DElectiic Sub Panel '
I certify tM1at in tne perto�mance of the w �or whi thi mi[j ssuetl, I . -- - - '' �
shall not emp oy a y person; in any ma so o be e 5 f6 ct to the . Drinking Fountains . Solar Tank � Fan �
workeI s' C en io Laws ot Cali�orni � 1 �. - Motors �0-1. HP O1 %- 8 . •
OateJ�519nature �`_ �F,IoorDrains ' ' SwimmingPoolw/SPa ' � ` F.A.U. . .� Inc.Solar09-15�HP��i6-15+
.NOTIC If,ai r making-thi5 tl¢Claration, shoultl beco e 5 ject�to the . - - ... _. _ _
Workers' Compensation provisions of the Labor Cotle, you must fortnwith Floo� Sinks � Urinal � � � .
comply with ,such p�ovisions o�. this permit shall be tleemetl �evoketl. FixtU�¢5 MicfOwdv2 .
CONSTRUCTION LENDING AGENCV � G35SErvicC Ou[IEtS � W2fefC105¢L � '
I hereCy affirm that there is a const�uction lentling agen[y tor the pertormance Devic¢ BOx¢5 � ' FOI¢ Light, j
o( the work for � which thi5 permit is issuetl (Section 3097 Civ. C.) �' � � �
Lentler's -.Name Interceptors� � ' WaterHeater Q 1
�entler's Aatlress � . _ .; Kitchen.Sink�'� . _ .,. . Water Service - � - Switches -� - - - g�9� ; � -�- i ., - � - i
OWNERBUILOER DECLARATION • � ' . ' ' '
I Ilereby dfiirm that I am exempt ifom the Contractor's License Law for the Lav2tOf125 �� , ' FiutO-WaSh ' Gdlba C Di5 OSdI � '
following.reas6n (Section 7031.5 Business and ProTessional Cotle: Any city or 9 P S[anding Sections
county which requires a permit to consVuct, alrer, improve, tlemolish or repair p-Trap � ,�' � �undry Trays Generator �0-5 KW 05-)5 KW - �
any structure.'P�io! ta its Bsuance, also requires the appli<ant fOr such pe�mit Tl22h COrtlpdCtOl
�o file a signetl statement that he/She is licensetl pursuant to tM1e provisions ot Roof OrainS'� � '
1e Contractor's License Law (Chapter 9(commencing with Section ]0�0) of ' ' • � � �
�ivi5ion 3 ot the Businesz antl Professions Gotle)�or�that ne/she is exempt - - � y- -- - - - - -- - - •- . - - . " -' - - - - -
ne�etrom antl Me ba5is fo� Ihe allegetl exemption. Any violation of Section � � � � • -" , �
7031.5 by any applicanl for a.permif 5ubjects the appli<ant to a civil "�
�enalty of mt more than five huntlretl tlollars ($500�. ' � � � ; • . , , � . �
LJ I, as owner of the property or my empioyees witn wages as lheir sole Reinspection Fee $15 Issue Fee $' 3 - - , '
compensation; will tlo"the work, antl the structure is not intentletl or offeretl Reinspection Fee $15 � Issue Pee ' �� .$ 3
for'sale (Section 7044, Business antl Professional Cotle: The Contractor's , , � ' MECHANICAL' � ' - FEES
License Law tloes not apply [o an owner ot a property who builtl5 or improves , . .
thereon, antl who tloes such work himself/hersel( or throu9h his or her own . �_ DEVELOPMENT SERVICES REQUBEMENTS: � � ' -
employees, provitletl that such improvamants are not mtentletl or offeretl Por 6oiler � • HoOd o� Type I ❑ � - �•
• sale. If, however,-the builtling or imp�ovement is soitl wlthin one year of wm- , CanOpy TypE II ❑ ZOning ApO�Oved By �� DdtO ' �' �
pletion, the owne� will have tM1e burtlen Ot proving he/she tlitl not builtl o� im- DUct - U�d2� G�oUnd � , � ' ,' � I •�
prove for the purpose ot sale). _ • � - - Building Approved 9y Data
- �. I, as owner at the property, am exclusively contractin9 with licensetl con- Duct-Structural Refrigera[ion Sys[em ' Appliption luued By `� -� Dat Z' �
tractors to construct the project (Section ]044, Business antl Professions Cotle: ' , _ , ' '
The�Contractor's License Law aoes not apply to an owner of property who � Duct- Ventilating ❑0-t00,0008TU� �100,000&TU . ' ' . SUMMA OF�FEES '
builtls or improves tnereon, antl who mntracts for5uch prolects with a mn- - ' �� - - �, _, ' '
tractor(s) imense pursuant to the Contractor's �icense Law�. I am aware that - ' BUILDING PERMIT $ -� - SMIP - - $:
root ot tneir Worker's Com ensation insurance shoultl be Exhaust System ❑ Multiple ❑ System'Repair/Alteration -
p p proviaetl to me. _ . PLAN CHECK ��$ ' PERMIT. - ' -
❑.I am exempi untler�5ection � B. & P. C.�for this reason Firepl/FaCL Blt. ICBO # ' Fire Dampers '' - PLUMBING .$ ' ��UANCE _ $. , ,
Dare '" ' Owner � - - � Heating System & Ducting Registers ' ' � ' pLAN CHECK �25% $' � - I ENERGYP.0 '$�- � -
i hereby certity t.'1 have read this appii ion ai state that the above' -� ❑0.100,OOOBTU �100,0008T ' ' �ELECTRICAL '� GRADING � $� ' '
intormation'is ctfl a9ree to compl w' all c' antl county ortlinances ' � ' ��$� �
antl state Iaws ting to builtlin r on tl hereby authorize re e-� ' � ' � � PLAN CHECK ' 50% $ MICROFILM' �$ -' '
sentatives oi t city to'en n o e-mentionetl r t f � ',
Po r or ,. . . . _ . . . , . ,
Inspection se. ' ' �� MECHANICAL ' '$ � TOTALFEE�„ $
Signature ' - -Date �� .• � � � ,
Drivers' License o - ' ' ' peinspection Fee � � $15 � ' . ' Issue Fee ✓ . . $ 3 � PLAN CHECK 25% $ ' � '
CMF 0865-46, rev. 30/84 White - Builtling; Canary - Applicanh Pink - q�counting; Goltlenrotl - Assessor
CONSTRUCTION AND PLANNING , . POOL & SPA .
APPROVALS Permit# Date 'Inspector� pppROVALS Permit# � Date-- Inspector
i. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � � 53. Steel Reinforcement •
3. Electrical Conduit Utility�Undrgrnd. , 54. Forms -
� 4. Electricel Conduit-Undrgrnd. ' � ', �55. Electrical Bonding
5. Steel Reinforcement , 56. Rough Plumbing & Pressure Test� .
6. Electrical UFER Gmd. 57. APPROVALTO COVER-GUNITE .
7. Footings � � � � . � 58. Electrical Conduit-Undrgrnd. ,
8. Found'ation , � . � 59. Gas Pipe, O Undrgmd., Test
9. Water Pipe-Undrgrnd. . _' - 60. Backwash�Lines, P-Trap, O Undrgmd.�.
, 10. Structural Floor System � � , 67. APPROVAL TO DECK � � •
1.1. Property Sewer ,Line & House Connection ' � . 62. Backwash & Receptor-Final
12. Sewer Cap � , 63. Heater & VenbFinal �
13., Roof Drains 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 Ceiling 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 �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 Ceiling (Structural) & Monocoat � 75. Dry Chemical �
27. Frame and Flashing � , - 76. Dry Standpipe �
� 28. Lathing & Siding , ' � > FF 77. FIXED SYSTEM FINAL -
29. Insulation �� 78. FIRE PREV. FINAL �
30. Drywall.Nailing HEALTH DEPT. REQUIREMENT ,
31. Plaster Brown Coat � � 79. FINAL INSPECTION .
32. Electrical Power Meter-Final . � � 0. FOOD CERTIFICATE ISSUED � �
33. Final�Electric � � Notes: � 3,-�,e� �` G• h, .�G f2oS G
34. Final Heating & Air Conditioning , / • � I ..
. ' �i `. �/.wA/ ��lF/2 IJDS iC1Z
35. Final Gas Pipe-Test !
,1�•fc/.i. .... `%h,D ..,.� o���o�S
36. Hood or Canopy • ,J
�J�[.. +�.Ga.. !L I� ./�ayT
37. .Final'Factory Fireplace �. � � � �' � '
tiS C�1 •
� 38. Final Plumbing � � � . � - � � . � ,
39.' Water Service-Final � -� . '� . , ' � -
40. Gas Service-Final � ,. � . ' � � �
��41. Solar pomestic-Final . - ; .; 'I ;� � � � ,
� �y;:
'42. Backflow Preventer , .
t
43. Backflow Irrigation � � � .
� 44. .Landscape Irrigation System , - . � , �
�45. Sound Attenuation • � . '
46. Handicap Regulations . _ . � � ' - � �
47. FINALSTRUCTURE&BUILDING ' • . •
. . ,
48. Special Requirements Completed � - • . ,
49.:Electrie Release to Edison � . �
>� � .
50. Gas Release to Southern California Gas Co � , •, `� ����
51. CERTIFICATE OF OCCUPANCY , . . ' , � y-:' - ,
. �
No. ' Date � � _ .
f ' ���
� CITY OF COSTA MESA
' �° BUILDING DIYISION
> _ �
� � DEVELOPMENTSERVICESDEPARTMENT B98_p��gg
� PERMIT PERMIT NUMBER
��
t
(714) 754-5273 • Fax (714) 754-4856 gUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 301 BOWLING GREEN DR
Suile:
Vicinity:
Parcel Nunmber: 14138311
Applicank CRANK, JIM
Address:
Zoning:
Status: ISSUED L
Applied: 07/O6/1998
Issued: 07/O6/1998
Phone: 714-548-5569
' �:-.Zip:, . _ -
Owner. TERPENING, BILC.TR�
Address 301 BOWLING GREEN DR " . ' /� (� � �` - � �
� i � A; � —
�r% . . � � Phone � � � .
� COSTA-MESA,CA -� � > � -- Lp\ 92626 _ _ \� � � '`-�J � �� �\
- � " � —`- � �� � _C \ > ` �J V` � �
� -� ;.-A�. � . I'., . ' \
-/'�1 � '- -. -- �_ �.. ,��.;
Contradoc CRANK BROTHERS ROOFING CO
r i �'� ��\`��%�� /���\�\`�
Address: � 00126 COMMERCIAL WY
� � .
. -: �-:.- � � , j �� � .
�.,
CSTextt" � -/ ,- y � Phone: CSText7 �V`1 � �` � ��i j � �V�
` T �i\
�.:� -. COSTAMESA:CA Zip: 92627 ���,A��' _,�•��
� �,�, ' �� �... �.
��� .. '�.� License:y;408677 ��:A. ,..'`.
Arch / Eng : - �%� � ��' . �
Address: . ��� � � , � ` . '�
. �'� , ' �� , , ; ,
, ' ' � � - • P,hone:, !�. .. _ ��� . ,�.
, �. �t � -' rn�` _ . _� _
. i- + � �-s Z�p - � .'� ` . . - =
- - . - .i�o-a. __._ .,,, =�" ',- ,' _ ;1.
� . , . � � .'.._ i �.-.c: _. - �License:'- _ _ � �., �.�. � ,
. , . _ _ _ '�,_ . � �\
SCOPE OF PERMIT ' '
. T/O AND INST NEW PLYWOOD AND BUR WHITE ROCK IN THE HOT ASPHACT. �•� .
. ' . - � --� � ;�.
_. ._ � � _, , i � - ` i � ,
'� , a "�
i' � �
" FEE SUMMARY , .
Plan Check: $0.00 �-/ Calc Valuation: , S�,zoo.00,.
Permit: $137.25 _ _ _ _ _ ' f�; , ,�j` , Claimed Valuation: $�,200.00
SMIP Res: $0.72 — - - . .
SMIP Com: $0.00 � - ` `� / ,
Other. $0.00 _ _ ;� � �
Inspection: �, $0.00 � � _ - j,- , ��
_ �
- :,.
.' .- r � �. � .' '
Total: , $137:97 �' ..; i,;, �
� ,
� .. .. , . � , . , - ,.�
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
PARKING
NOTES:
Existin : � 0
� ,,; �"" �
„;. �
�Rear� � 0. 0 �-c ' Le8 - � 0- 0;' -
�' .
Rear 0- 0 - . � �Lek `0, 0
Required: 0. � _ Proposed: � 0,
, 1 -
, - � ,
=..R�an� o-o� , � , ;.
,
� Right . 0- 0 �. -
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days. ' .
INSPECTIONS: In orcler for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inapeetlona 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) 7545628
WORKERS' COMPENSATION DECLARATION: -`
I heraby aHirtn under penelry oi per�ury one at the following declarations:
❑ I heve end wlll maintein e certlflcete of consent to self-Insure tor workers' compensetion, as provided tor by sactian 3700 of ihe Lebor Code, for ihe peAormence of the
work for wNch this pertnit is Issued. ,
� 1 have and vnll mflintain workers' canpensetlon insurar�ce, as required by sectlon 3700 of the Labor Coda, tor ihe pertortnance of the woilc tw which ihis pertnit is issued.
My worke '' m nsatl n Ins�ce cartier qnd policy number are: �'� �' `� o�����
Certier: � �/°.� Policy Number: U
(Thls secUon neetl not be completed i fhe permlf ve/ued et one huntlretl dollars ($100) or /ess.)
❑ I certify that in 1 ertormence ot the work tor whi this permit is issued, I shell not employ eny pereon in any menner so as to become subject to ihe workers'
compensetlon I s f Celifomle, and agr ffl i1 I Id become subject to the workers' compensetlon provisions of Saction 3700 oi ihe Le6or Code, I shall torthwith
' camply wlth thes vi5ions. . /,
Applicent SlgneWre� Date: � �V — �
WARNING:FAIL TO CUREWORKEfiS'COtdPENSATIONCOV 61SUNLAWFULANDSHALLSU&IECfANEMPLOVERTOCRIMiNALPENALTIESANDGVILFlNESUPTOONEHUNDRED
THOUSAND R 100,000),INADDITIONTOTMECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECTION31060FTHELABORWOE,IPREREST,ANDATTORNEV'SFEES.
IJCENSED CONTRACTORS DECLARATION:
I hereby eKrtn ihet I am licensetl un er provisions of Chapier 9(commencing with Sectlon 7000) at Division 3 at tha Business ar� Pyy�ssions Code, and my license is in full
force end eHect. Lia � � Class k ���
Contrectofs Slgne Date:
CONS7RUC LENDING AGENCY: "
❑ I hereby affirm ��at there is a consiruction lending agency tor the peAortnance of the work for which Ihis permit is issuetl. (Sec. 3097, Civil Cotle).
Lendels Name: LendeYs Address:
SlgnaNre:
OWNER-BUILDER DECLARATIONS:
Dete:
I hereby eKrtn thet untler penalry oi perjury ihat I em EXEMPT FROM THE CON7RAC70RS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professions
Code: Any city or counry which requires e permit to consWd, alter, Improve, tlemolish, or repair any structure, prior to its issuance, also requlres Ihe applicant for such pertnit
ro file e signad stetement ihat he or sha is licensetl Dursuent to Ihe provisions of the Contrectors License Lew (Chepter 9(commencing with Sectlon 7000) of Dlvlsion 3 ot the
Busineu antl Professions Code) or ihet he or she is exempt therefrom and tha basis tor the alleged exemption. Any violation of Section 7031.5 by any epplicant for e permlt
subjects the epplicant to a civil penelry of not more than flve hundred dollars ($500).):
❑ I, as owner ot Ihe property, or my employees wlth wages as ihelr sole compensatlon, WILL DO 7HE WORK, enC Ihe structure is not intentletl or oHered for sale (Sec.
7044, Business end Professions Code: The Con�ractors License Lew does not apply ta an owner at property who builtls or improves ihereon, end who tloes such work
hlmseN or herseN or Ihrough his or her own employees, provlded thet such Improvements are not Intended or ottered for sale. If, however, ihe huiltling or Improvement is
soltl within one year of completion, the ownerbuilder will have �he Durden oi proving t�at he or she tlitl not bulld or improve for purpose of sale.).
❑ I, es owner oi the propeiry, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTFiACTORS to construct ihe praject (Sec. 7044, Business end Professions
Gode: The coniredars License Law does not epply to an owner of property who bullds or Improves ihereon, end who conireds for such projed with e contrectar(s)
license Dursuent to ihe Contrectors License Laws.).
❑ I am exempt untler sec. Business and Professions Code for this reeson:
Signeture: Date:
Owner ID verifietl by dnvers license. ❑ Ves ❑ No Dnvefs License No.
Verificatlon oi Ownership by (rype of tlaument, i.e. - property ten bill or deed):
Ezpires:
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATON:
❑ I here0y ceNy Ihat no excavetlon five (5) or more feet in depth into which a person is required to descend, will be metle in cannedlon wit� woM authorized by this
pertnit, entl ihat no 6uilding siructure, swttolding, falsawork, or demolition or dismantling ihereoi, will ba more ihan thirry-siz (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
347, Tltle 8, Celitomia Administretive Code). '
❑ As owner-builder, I will not employ anyone to do work which woultl require a pertnit irom the Division of Industrial Sefery, es noted above, unless such person has e
permit to tlo such work from the division.
SigneNre: Date:
Division ot Indusinal Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORVJITON OF EMAV: I ceriity under penalty of perjury that I heve read Ihis epplication antl stete that the information given is
correct. I agree to comply with all stete laws end city ordinances relating to builtling consiruction, end euthorize representetives of Ihe Ciry of Costa Mesa to enter upon ihe
ebove-descrlDetl properly for inspection purposes. I agree not to occupy or allow occupancy of any building euthorized by ihis permit until final inspedion.'
CQOE �. �xsvetnoNTvre
1616 Fized System Final Fire Prevention
1266 Pool Spe Final
200 Finel Re-Roof
201 Final BIocWRetaining Well
202 Finel Factory Fire Plece
203 Finel Sign
204 Finel Demolition
24i6d8
ueg u�e�s
J�� �
���� � te
` Date
�pyE1 ir�svernoxrve
206 Final Mechenicel
208 Finel Plumbing
210 Finel Eledricel
212 Final Fire Preventlon
220 Finel Planning Approval
222 Flnal Site
250 Finel Builtling/Occupancy
ueg u�e�a
OWNER
AP No
�1 Pool Location .
� Forms
�Main Drain
Steel Reinforce
Elec. Bond _
Approval to Cover
Underground Electric _
Gas Piping Test
Filtering SYstem Lines �
Backwash Lines and Recep.
Electrical Final
Heater and Vent Final ,
Filter System Final
Backwash and Recep. Final
C......:.._ Ci..,.l
Pools DESCRIPTIi
TRACT 3i66 FIRE ZONE
DATE 5-1�-
BUILDING PERMIT N0.
( Private swiffii
VALUE$ 2900.00
SUBCONTRACTOR
%3 � �Plumbing
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ON
am
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J m
Q
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Z a
W �
aW
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W W
ox
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W �
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70
36660
COSTA MESA BUILDING-SAFETY DEPARTMENT
•_Y„=;,�;,°eo,c��E.�:� �::..::��.r.o
Y.U. GVA ICUU a.Va IA MtJA, l:HLlhUftNIH tlGbLb
� � A L CATION FOR BUILDING PERMIT
- ForApplicant to Fillin Completely R ev onr RECEIVED DATE ISSUED
BUIIDING � - � �� _�
ADDRESS 301 BOWI,ING BREEN DR `
OWNER
W14 TERPENING A P N� �-` —3g3�t `' PERMIT NO.
MAIL . BUILDING
ADDPESS SAMC� " ADDRESS O�. B ING FREEN' I%4
' TEL TRACT31 �Io COT3 ! BLOCK
CITV NO.
CONSTRUCiION W ADD A R P
�LENDER C$^,�'1 j(](
BRANCH '
' OWNER WM TERPEIJIHG
-ADDRESS VALUE
ARCHITECT h^,� Kolodzie TEL. c.�1221� SE �'i11°roing pool $ 2.y�0��0
OR ENGWEER .� NO. ��k'J _
FIRE T
ADDRESS 20NE T PE � GROUP `•�
CONTRACTOR'p�thOn�Y POOZS . ByPROVED DATE � � /
ADDRESS 5�71 �irestone BZV(]• �
TEL. ZONs.� NO.OF USE OF N
cirv South Gate No. 5�32210 IC't P�`� BUILDING �L. ,
STA7E 1701��, CITY YARDSAPPROVED YARDSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BlDGS. (FROM C/L STREET)
OF lOT NOW ON LOT ROM FT. �� FT. ��
USE OF /
EXISfING BLDGi'Q51�.BR(`F 5 FT. /`� FT.
SI2E OF 6 NO. OF �� /��
NEWBLDG. S7 qOOMS STORIES L.SIDE FT. FT.CO
EXTERIOR WALL ROOF
COVERING GOVERING REAR FT. FT.
USE OF BUILDING AND WUFK TO BE PERFORMED DIS7ANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLDGS.
Of Sl ]_E i8jpl� VAR..$ DATE
n6' � dWelling c.u.P.� APPROVED
, �� APPROVED / / V /���
V�
I hereby acknowledge that I have reatl this apP�ica2ion and state S
that the above intormetion is mrrect antl agree m comply with -
all laws regula�Ing builtling construction, and I shall not employ "
any person in violation of the workman's compensation laws of �
the Stare of Calitornia. ♦.�E
I herebY certity that I am prDperly licensed as a contractor untler
SQ. FT. 1w'
the State of Calitornia Busin@ss antl Professians Cotle, Oivisicn 3, THE AMOUNT SHOWN UNDEF VALUATION IS FOR
Chapter 9, and th h licehs¢s are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PEFMIT FEE ONLV:
am exempt tr the provisions of the State ot ' ornia Business
antl Profess' s Cotle, Division 3, Chapter 9 VALUATION . ���
2900�00' PERMIT fEE S
Signa[ur of ' �
Permitte $ PL,AN CHECK $
Authorized Agent /�':iOc�c.�`c� 5_
TOTAL FEE $ �
OW NER COLLEGE PARK -- DATE 3-1Z-r77
JOBADDRESS . 3O1."BOtdl]S1J? GTe2ri DP1V8 BUILDINGPERMITNO. #(yC�OS
GENERALCONTRACTOR H8TUOT' Construction VALUE a 17,�20�•0�
LOT i�i BLOCK TRACT iIE�E� RP.S_ w�fjP.'Il_ PAT_
GROUP I & J
INSPECTIONS
Footing Trench
Foundation Forms dnd Grade 1
Rough Framing
Plumbing, Rough io Slab
Plumbing, Rough Cqmplete
Temporary Pole
Wiring, ROugh
Heating, Rough
Heatinq, Final
Tank or Cesspool
g, In Out
DATE
SUBCONTRACTOR
Plumbing, Fin�al GagTest /d�� � LS �p, ¢ �7 (�.(�[
Wiring,Final _ ��'f�' Fj—/1—JY ��
Occupancy � y� ld �..���
FORM 210 3M 10-i5
si
PERMITS ISSUED
I NUMBER
�
° � - -� �. _ 4�5��
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31�
• COSTA MESA. CALIFORNIA '
FOR APPLICANT TO FILL IN
BUILDING
aooRess Z(11 Rn��ii �nin (;ocrni Iloivr
COSTA MESA. CALIFORNIA
TE�.
NO.
LIC.
NO.
QTY LIC.
NO.
TEL.
NO.OF BLOGS.
�IOW ON LOT
USE OF
E%ISTING BLDG.
SETBACK L NE FPO I
cENrEa oF siR[[iM O REAR VARD (��
��
SIDE YARD ' RIGHT LEFT
DESCRIPTION OF WORK
NEW X ALTERATION ADOITION
REPAIR MOVING DEMOLISH
BUILDING NO.OF
SIZE � % ROOMS STORIES
EXTERIOR WALL ROOF
cnvveimr. COVERING
ILi�i:I
'�EE RECEIVED
o,;..�i,��S�� S.� ,.
FINANCE DEPT. ,
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PE���T
J
I�j�ED B^ / t JE FEC�E``ED �R�TF.�IS�jtIF��C I
) � � H L 4 I J
19�R�11�I�1
COSTA MESA. CALIFORNIA
FIRE
ZONE
APPROVED
BV
�
STnTE TMAT THE RBOVE IS CORRECT nrvO nGREE i0 COMPLV W?H nll
CITY OflOINANCES AN� STATE L<�NS REGULATING 6VILOING CONSTRVC�
T���� VALUATION
SIGNATURE OF
PERMITTEE n GF_ PAR/K �N �
',/�L�' /.� b �����Z�Q�i
IAUTHORIZED AGENT
lI
CORRECTIONS
PERMIT FEE � �a
PLAN CHECK $ l SL —'
TOTAL FEE $ � �i—