HomeMy WebLinkAbout320 BOWLING GREEN DR - Building Permits�
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PFOJECTFODflESS: 3ZQ BOWLING GREEN DR
OWNEfl'SNpME: KELLY, DOUGLAS M
aooRess: 320 BOWLING GREEN
COSTP. MESA,CA 92626
pflCHIENGWEEfl: �� T�J✓� �0�\2 G��• qEC.NO.:
aooness: �n��Ni +'� •
UNIT:
uxir:
PEflMITTEE: ROY CHAFEY ROOFING (719)636-1747
aoonEss: 9692 LUDERS AV
GARDEN GROVE CA 92694
LICENSEO CONTBpCTOB OECLANATION: I �ere0y a�iirm thal I am licensetl un0er provisions ol Chapter 9(commencing wM1h Sec�ion
d000) ol �ivision 3 oi Ihe Business antl Pmtessions Code. ane my license - in full lorre antl effect.
iiirruc.: 0'15615 sTleuc.:556629 �Cnss: C— 4P; 07/99
y � 3 � SignaW�e ���
a�e
WOBREBS COMPENSNTION OECLABRTION: I herebY aFfirm Ihai I have ceriificale of consenl [o se nsure ar a c rtiticale oi Worker5
ComDensalion Insura ce o a cCrti red c�ppy tper ot (Secnon 3800. . C).
PauCvxo.: yygj�uV�UUL9� E%P.OAE: U1�OII9S
COMPANY: STATE FUND
❑ Certiliea co y is Aereby lurnishea. � CerlifiE4 copy is hled ��e ti�y Builtlipp'Oiwsi //,/
oate: � / applica�r � �L/ s:!�%AGi7�� "/
EXEMPTIONFpOMWOflHEflS'COMPENSATIONOECIAPATIOR (T�issecti neetlnolGecompletetlitthep islorone unOreU�5lW�arless�.
I cetlily I�at in Ihe pedormanre ol lhe work br w�ich t�is permit is i55ued. I shall not employ any De�san in any manner so as �o hecome
subjecl to Ihe WorkerY Compensation Laws oi Cali�Omia.
Oate: SignatU�e'.
NOTICE: IL afler making ��is Oeclaration, you sHOW� become sublec� to �he Workers' Compensatian pmvisions o� Ihe Labor
Cotle. yau must �atl�witA camply with such pm+�sions or Nis permit s�all be deemetl revoked.
CONSTBOCTION LENUING AGENCY: I here�y aflirm �hat there is a cans�mction lentling agency lor Ihe Oedormance a� Ihe wark �or
w�ich ��i5 Permii is issued �Section 3097. Civ. C�.
IENDEN:
RODXESS:
OWNEB BUILOEB OECLAFRTION: I hereby a�lirm IAat I am exemp� �rom the Coniractors' S�aie License Law for �he following reason
�Sec�ion 7031.5 Business anE Pmfessional Code: Nny ci�y ol county which requires a Oe�mi� ro conslmci, alier, impmve, tlemolish, or
repair any slmciure, prior Io iis issuance. also repuires the applicani for such permil lo file a 5igne0 s�a�ement thal he/s�e Islicensed
pursuam ro �he pwvisions of the Contracmrs' Sla�e LiGense Law (Chapter 9(commencing wit� Section 7000) oi Division 3 of Ihe Business
antl Pmfessions Cotle) ar Ihal he/she is exemp� Ihere��am and the hasis forihe alleged exemption Any violation of Sec�ion 703L5 by
any applican� for a permii suble��s ihe applicanl �o A civil penal�y of no� more ��an five huntlre0 dollars ($500�.
I, as owner o� ihe pmpetly or my employees with wages a5 their sole compensation. will Oo t�e wark, and the
❑ stmmuie is no� intendetl or o��erea �or sale (Sectmn 7044. Business and Pm�essionai CoOe: The Con�rac�oK S�a�e License Law
does n0� apply la an owner of a D�ope�y whP bUiltls or improves thereon, and who tloes such work AimSelf/hefseli or �hroUgh
�is or her own employees, pmvideA Ihat such improvemenis are not imentletl or oReretl �or sale. If, however Ne buil0ing or
improvemen� is soltl wilhin one year o� comple�ion, Ihe owner will have t�e burden of proving he/she Aid not bui10 0� imD��ve
for �he purpose of sale).
I. as owner oi the pmpetly, am exclusively con�racting wit� licensed conVactors �o constmc� �he pmle�� (5ection 7044, eusiness
❑ antl Pmtessions Co�e: The Conlrac�ors' Sta�e License Law Eoes no� apply Io an owner of O�operty who Uuii05 0� imD�oves �hereon
CITY OF COSTA T1ESA — BUIL➢ING PERMIT PEP.Ph NO; E 067563
PEP.NIIT NO: H 067563 PLAN CAECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
,70H DESCRIPTION ; T/OFF REROOF W/COMP. SHINGLES SQ FT; 4,922
CLAIM VALUE: 4,922,00 CALC—VALUE: 4,422,00 GROUF OCC; R-3 /
COMMENTS: SP90KE DETECTORS REQUIRED PER 91 UHC
�r*+�*�+���r***+�*�t�r+�*�*****��*�**�*��*+�+�*****ux*x**r*����#+r*?�********+�*+��t*��x u*+�*�:�
2 O C] 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 ---------
FR�]T; FT IN AEAR; ET IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ; PROV: PARCEL: 14138218 ZNE: REF NO:
PLANNING NOTES>
>
iE ih iE?F iE if iF it iF iE 3h iF if,if iE iF iF if 9E if fE iF 1E �rE if �)E iE if iE?t� 3f iE iF iE if 3F �lE iE iE 1E �lf i4 it� ic?E jf �lt iE if iF iE iE %iF �1F iE # if iF iM iF if- iF?i. �F if iF+l� �14 if �)f iE jf if -V� i!� �1f 1E jF
D E L' 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
20NING APPROVEP BY DATE;
BUILDING AFPAOVEB BY : DATE: � _ _
APPLICATION ISSUED BY: (�� DATE:
����***�*����,�********������,�*���.,����**.*, **����*�f�,����,���**�:�}*��'� :�1;�?�EF�-
if fE %Y-1E 11� it iF if 1E �1(- iE if if iE i'r # i@'rE iE aF if iE iE iF ic iF if rt!f if �1! iE �)f jh #` j'c iE 1E 1t N� iE iE?E if if it%jF iE?F-�E if # if iF if >� *�1F �)f #+c iE if 1E if �tf+f iG?! iF iE iE iF'.f 3EiE #
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC h1ECHANIC FIftE SMIP/RE�` GP,ADIPdG
PERMZT 72,00 ,SQ
PLAN g��}(� pE(ECTOR SMIP/NON—RES
ISSUE FEE �j-�
TOTALSNG_D�V—> P7zM50 IOS00 pLf1���6� �� 7�T59 72A50 L�00
REVENUE DIVISSON TOTALS--> COLLECTED: 72.50 O�TER/SHORT: ,�0
HLDG PP1T PLUMBING ELECTRIC MECAANIC FIRE SMIP/TUT GRADING PLAN—CHECK
�2,�� .5�
antl w�o conlraqs br SucA proleqs with a Contracbr�s) license pursuan� to ihe ConVac�ors' Slaie license Law�. I am aware if if iE� iE iE 1E iE !f i! +f if iF Ifif ic +E if ik fE iP if 3Eit if 1f iE i! it 7Ei(-iE�lf�it ik 3E 3: i6 �(.{E 7E it iF iEiF iE if it * x.+ y.{t {cy..y.{c *�..K.*.jc i�.:� ii.y-M-.y.� * jt.�t.�.}.�(.�( * a� *
ihat pmol o� Iheir Worker's Compensauon insurance shoultl be pmvitlee �o me. I N D I V I U U A L F E E B R E A R D O W N
� I am exempt untler Seclion�. B. 8 P. C.
mrmisreason: TYFE QTY D E S C R I P T I O N UNIT COST TOTAL CG�ST
oate: owner: SFR 4422 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 4,422.00
I do hereby cetldy Iha� I am aware o� antl unEersland ��e requirements oi Calilomia Heallh antl Salety Code Sec�ions 25505, 25533, antl END OF FE ES
25534 anA ihat i or any imure huilding occupant wiNwill nm (circle one� need m comply with saiA state coUes an0 the requiremenis for a
permil for cons�mc�ion or modifica�ion imm �he Air uab�y Management DisVict. Residential constmction applica�ians are exempt �mm �
these provisions.
Dale: ApplitaP�:
I hereby cerlity �hal i have read �his apP�ication and 9aie Ihat Ihe abov¢ i9� ma�mn is torretL I agree lo t ply wi�h all tity an0 COun�y
drtlinances antl stalelawsrelating�o �uilaing con5imciion antl �ere�y a Ik6r repre5enlaiiv thi5� , nlerupo he dbove�mentionetl
PfOPEfIY �01 IIISPCC�100 PWP P5.
�a�e: Signam�e' �
oriver's Laense or ��,i se��� Y>-
16at�a6 Wnne—Bulltling; Green—Cotle Enlorcemem; Canary—Appllcanl; Pink—Revenue; Goldanma—Assessor
Ql ODib?.726—OCllE2127 T�=iT' 7?,:�t�
DATE: Db/13J94 TIISe': Q3:pi
� ;
CONSTRUCTION AN� PLANNING POOL &-SPA
APPROVAIS Permit# Date Inspector p�ppROVALS Permit# Date Inspector
. a
i. Temporary Electrical Szrvice oi Po�e 52. Pool & Equipment Location �
2 SoilPipe�Undrgmd. �_ ' S3. SteelReinforcement . �
3. Eteotrical C�,onduit Utility�Undrgrnd. ' 54. Forms
4. EleCtricafGvnduit-Undrgrndtt ' 55. Electrical Boncling � i
5. Steel Reiriforcement 56. Rough Ptumbing & Pressure Tesi
6. Electriyai UFER Gmd. 57. APPftOVAL TO COVER-GUNITE
7. Footirjgs j 58. Elecuical Conduit�Undrgmd. � '
S. Foundation 59. Gas Pipe, 0 Undrgrnd., Test . �•
� 9. Water �.i e-Und� rnd, �;�/ � �� 60. Backwash Linas, P�Tra `�' yrnd. � �, �
P 9 P, �--, Undr
10. Structural Floor SYsiem" '� 67. APPROVAL TO DECK �
t i. Property Sewer Line & House Connection �� 62. Backwash & Rec2ptor�Finai '
12. Sewer Cap 63. Heaier & Vent-Final
13. Roof Drains �! � � •
, 64. Plumbing System - Finai ,
74. Rou9h Plumbing �,' ''� 65. Electrica6Finai
�
15. Roagh Electrical-Conduit �" , 66. Solar System�Final ��
16. Roogh Electric Wiring 67. Fencing & Access Apqrava4 " �
17. Rough Wirinq Sign 68. APPROVED FOR PLASTERING �
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
j
79. Rough Heating & Air Conditioning PIRE DEPT. REQUIREMENT :
20. Rough Pactory Fireplace APPRQVALS Permit #
21. DuGts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas � Oil
23. Gas Pipe�Rough & Test � 72. Under9round Flush
24. flo0f Framing � 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. floof Sheathing ��C� �� 74. Overhead Hydro �
i
26. T�Bar Ceiling (Structuraq & Monocoat � 75. Dry Chemicai �
27. Frame and Flashing � 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL �
29. Insulation . - 78. FIRE PREV. FINAL
30. Drywall Naiiing NERLTH OEPT. REQUIREMENT �
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter F�nal 80. FOOR,�ERTIFtCATE ISSUEp
33. Final Electrc Notes: �' 1 - � �, I
34, Fin9i Heating & Air Conditioning " � /
a
35. Final Gas�Pipe-Test r1 ' , ,
36. HoDd or Canopy - a"' .�,
. , r� ,
37. Final Factory Pireplace � •� l,_
38. FinJl Plumbing 'ry' " � �
f' � • .
39. Water Service-Final
40. Gas Service•Final --=
'Y
41. Solar pomesiicFinal - � �
42. Backfilow Preventer � i
43. Backflow Irrigation ---�-1 .
44. Landscape Irriqation System
45'. Sound Attenuation
46. Handicap Ragulations
47. FINAL STRUCTURE & BUILD�NG ' 1p 9�1
t
46. FINALP�ANNING ,.r"
49. Electric Refease to Edison '
50'. Gas Release to Southem Califomia Gas Co
.r;,
� 51. CERTIFICATE OP OCCUPANCY �
No. Dace
� llllIl�Qll � �SI�IlIlIl� � �,I��7C°�.1��7C°Il��y �aac.
MOBILE LAB. • SOIL • CONCRETE • STEEL • WELDING
GENERAL OFFICE 1309 EAST FIRST STREET, SANTA ANA, CALIFORNIA • TELEPHONE KI 7-8287
Job Name:
Job Location:
Contractor:
Engineer:
Architect:
July 11, 1g62
Job No. 62-177
REPORT ON iGUNITE �
Ken Parker
320 Bowling Green Lane
Costa Mesa, Califorr.ia
Hal Whitaker Pools
Fullerton Cal
Richard Blair
Inspector: Jos. Henley
.Lab. No. 32�
Designated Strength: 2000 o.s.i.
Date of Pour: 6/�/62
Date Tested: 6/20/62
Diameter: 6.0 x 12
Area, Sq. inc. 28.3
Maximum Strength: �585�
Compressive Strength: 1620
Location in Structure Top & Deep EY�d
Age at Test: 7 days
CEH:ik
cc: Hal Whitaker
City of Costa Mesa
y RecEivE�`
JUL lti 1�u�
City of Costa Mesa
\ Building Dept.
Jos. Henley
320
2000 p.s.i.
6/9/62
7/io/62
6.o x 12
28•3
90500
2560
Top & Deeo End
28 days.
Respectfully submitted,
ALLIED T TING LAB, INC.
B;�: L�L2� �1` �
Charles E. Hyde �
President
TESTING TO A. 5 T. M.. A. A. S. H. O. AND STA7E HIGHWAY SPECIFICATIONS
OWNER C(1T,LR(:R-PARK -- - DATE 3_],Q_5'j -
JOBADDRESS j9(l"Bnwling GraPn DrivP BUILDINGPERMITNO. #f,y(�j�y
IERALCONTRACTOR H�bor �onstruction VALUE $ 11�2QQ.�Q
�oT (�3 . BLOCK TRACT 3166 Res w�det gar
GROUP I& J TVPE V ZONE FIRE DISTRICT Lt%1Q
� PERMIT$ ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER
Foundation Forms and Grade to
Rouah Framinq _ _ _
Piumbin Rou h to Slab r"-� �
9� 9 �- _ m�c � „ - � . -
Plumbing, Rough Complete j�yle 5 /.�/>y7
Wi
Pole
Rough ✓1pG$ I /'/�'
Final 1NtG 5 /- I/-J'
L ay�touce LG/L sewer, st.
.c Tank or Cesspool
Lathing, In Out �'
Plasterino <
Plumbing, Fin,al Gas Test
Wiring, Final
Occupancy f
GORM 210 3M �O�•v5
-1 y '
:� � .
' �: � -,� • . �`�13
C05TA MESA BUILDING DEPARTMENT
P. O. BOX 31�
� � � COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
COSTA MESA. CALIFORNIA
LLFGE PARK�NO. �i
irr,m
CIT�
ARCHITECT
OR ENGINEER
IC4lJL'LPl[]:�
LEGwL LOT
OESCRIPTION NO.
A.P. NO.
S�ZE 8 x
OF LOT
USE OF
EXISTING BLDG.
SET6ACK LINE FPOM
CENTER OF STREET
TEI.
NO.
LIC.
NO.
LIC.
NO.
TEL.
rvo.oF e�ocs
RIGHT y LEFT
DESCRIPTION OF WORK
NEW X AITERATION, ADDITION
REPAIft
BUILDING
SIZE �
EXTERIOR WALL
NO.OF
ROOMS STORIES
ROOF
COVERING
FEE RECEIVED
qM�.�,��� ���''1 ^��
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
BUILDING � /
ADDRE55
COSTA MESA. CALIFORNIA
FIRE
ZONE
ZONE ' NOQOF TVpE
PL NS
APPROVED '
BY DATE
� CORRECTIONS
I MERE9Y PCKNOWL[V4G �
STATE .THAT THE ABOVE IS CORFECT ANp PGREE TO COMPLV WITH qLL
CITY OROINANCES f�NO STATE I.F�NS REGULATING-9UILOING CONSTRUC-
T���� . VALUATION
SIGNATURE OF
PEaMirree CnLLEGE PARK n�0. 3.'
8 11,200,
.y
/
PERMiT FEE $ 0
PLAN CHECN $ �
TOTAL FEE $ �
VBM!
�
PARREH, Ken
JOB ADDRE5S
"��NERAL CONTR
N�. 141-382 -
INSPECTIONS
Gas
�ne
coat
LOT TRACT
� Signature
DATE 5-2g-62
BUILDING PERMIT NO. 1%�
VALUE � 2l�00.00
FIRE ZON� DESCRIPTION OR WORK PVt.Swlm POol
DATE GROUP J TYP� T_II 7.ONE R-1
I SUI3CONTRACTOR QPRMITS ISSUED
DATE NOMBER
� `� 17135
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA MEBA. CALIFORNIA
For Applieanf io Fill In Complefely.
TYPE OR �PRINT
ADDRESS � �O OI.� //IIG P��F %f
COSTA MESA. CALIFORNIA �
OWNER- / F �� A K 1����- lZ
MAIL �� IL C, .
ADDRE65
GITY l_ C ' /� /� , �j ,J� . TEL. .
ORCENGI EER/ (C l l � I NO. J`��6�
ADDRESS " - `r �%v �" 1 �R �'r� S
I y) ) r/
CONTRACTOR�''�r�I�� Q'r /L ��''(�� A�/�1\
ADDRESS Cnl/ r'' '�.. L'il {( P= ��
I cirv LtS fi ��`�S-Q .�
LIC. NO.� �` '� �' C NO. � / G � � �
s�zE .l ��` Y 7 D x I/ a. � I xo. oF a�ae. �
OF LOT NOW oN LOT
USE OF �� N �� L ��.
E%ISTING BLDG. � �'�n 1 ( �-
86TBACK LINE FRON Ll.� � . iv �
OF WORK
� � �(.CI �i NO. OF �-�
ROOMS STOF
VAL '�N� (L^I COVOEftING
LDING AND WORK TO BE PERFORMED
2r v
� HeREBY ACKNOWLED06 TMAT I HAVE RPJ.D TH19 APPLIWTION
AN� BTATE TNAT THb ABOVE IB LOPRE ANO AGREE TO COM-
PLY WITN ALL WTY O INANCEe AND ATE W9 R GULATIN6
BUILDINO CON6TRU N� 4 /�
9IGNATURE OF � (' ( �L � /� �� {�.\ 24/1
■ AUTHORIZED AGENT
FIRE
ZONE
APPROVEO
ZONE
LEGAL
F�E RECEIVED
b1AY Z R tggy
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
RECEIPT NO. I PlRMIT NO.
� �� �
COSTA MESA.
NO. OP � UBE OF N
PLANB BUItD1NG
LING BT.)
rli
TXE AMOUM BXOWN UNDER VALUATION 19 FOR THE
PYRPOBE OF, E6TABL18H�NG A PERMIT FEE ONLY.
VALUATION
G, /if�j PERMIT FEE $ I� —"'
�{I X "
$ ✓ / �� PLAN CHECK $ � — m
F
K
TOTAL FEE � �
4
�
�