HomeMy WebLinkAbout2526 COLUMBIA DR - Building Permits'`i
ADo�icant to fi11 in all svaces exeept those within neavy Eartler lines ana sign all appropriate Geclarations.
CITY OF COSTA MESA CONST UCTION�P RMIT PERjvll� NO. ,� ,� �,, TRACT NO. LOT NO. UNIT N6.
ProiecfiAddress ZS z� ��=�y�� � zV
„ Applicant's Mailing Address C
Owner's Name ���'�1 ��-�'`� i2��—Phone��'zg�
Address
Arch/Eng. , License No.
Addres5 '
Contracror's Name �� G+ —Phonesy�'9y7�53
Addresslmailing) � � • Zsl*�_-�• Sr%"
CiryLicenseNo. ��n�Zz�
LICENSED CONTRACTOR DECLARATION � .
I M1ereby affirm that I am licensetl �untler provi5ion5 0� Charte� 9(commencinq
with section 7000�. of Division 3 of the Business antl Proiessians Cotle, antl
my license is in f force antl effect.
Licen,,s� Cl�a�s.,s �, � 'cense N .
d Dat `er} � Signature
O WORKEHS' COMPENSATION DECLARATION
� I he�eby affirm [hat I have a certiticate o( consent io selt-insure or a<¢rtificate
of Workers' Compensation Insurance, or a certifietl copy thereof (Section
� 3800, Lab. C.� �� q9 Z!v G�.�%�-vr�.m-�.f �-�o
Policy No. Company
[� Certitietl copy 6 hereby fumishetl. '
Ce�.(ifie opy�is tiletl with tM1e city B Itling Di✓ � y��y/�
' :ee<'P�—Y"a% APPlicant�/�-r^^��— � .
.(EMPTION FROM WORKERS' COMPENSATION DECLARATION
(This sectlon need not be completetl if the permit i5 tor one huntlretl ($100) or
less).
I certify that in the perto�mance ot the work tor WM1ich this perm�t i5 is5uetl, I
shall not empioy any person in any manner so 3s to'become subject to the
Workers' Compensation Laws ot Calitornia. '
Date � - Signature
-NOTICE: If, after making this tl¢claration, you ShPultl become subject to tbe
Workers' Compensation provisions of the Labor Gotle, you must forthwith
comply witn sucn provisions or tnis permit 3hall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
I hereby affirm that there is a construttion lentling a9ency tor the pertormance
of the work for which this permit is issued (Section 3097 Civ. C.)
Lentler's Name
Lentler's Aaaress -
OWNER BUIL�ER DECLARATION �
I hereby affi�m that 1 am exempt from the GontYac[o�'s License Law fo� the
tollowing reason (Section 7031.5 Business antl PrOtessional Cotle: Any city or
counry which requires a permit [o construct, alter, improve, tlemoli5h or repair
any Struc[ure, prior to its issuante, also r¢quire5 the applicdnt for sucM1 permit
to file a Signetl statement that M1e/she is licensetl pursuant to the p�ovisions ot
the Contractor'S License Law (Chapter 9(commencing with Section ]000) of
Division 3 of the Business antl Protession5'CotlB) o�.that he/she is exempt
therefrom and the Oasis for the allegetl exemptio�. Any viola[ion of�5ection
]031.5 by any applicant fOr a pe�mit subjects the applicant to a civil
�enalty ot not more than five nuntlretl tlollars (y500).
I, as owner of the property or my emplOy¢es wi[h wages as their sole
compensation, will tlo the work, antl the structure is not intentled or offeretl
;;F`nr sale (Section ]044, Business antl Professional Cotle: The Contrac[or's
"[; cense Law tloes not apply lo an owner of a property who builtls or improve5
'"2ryereon, antl who tloes such work himselt/herself or th�ough his or h¢r own
"cmoloyees, provitleC that such improvements are not intentletl or otteretl tor
�` sdle. If, however, the builtlin9 0� improvemen[ is Soltl within One y¢ar ot com-
pletioq the�owner will have (he burtlen of provin9 he/she tlitl not builtl o� im-
prove for Ihe purpose of sale). , ,
❑ I, as owner of the property, am exclusively ctlnttacting with IicenSetl con-
tractors to construct tne project (Section ]044, Business antl Professions Cotle:
The ConVactor's License Law does not apply'to an owner of prope�ty who
builtls or improves tbereon, antl who contract5 fPr such projecl5 with a com
tractor(5) I¢ense pursuant to the Contractor'S �iGense �aw). I am aware-that
proof oi their Worker's Compensaiion insu�ance snoultl be provitletl to me.
❑ I am exempt untler5ectibn B. & P. C. for this reason
Date Ownei �
I hereby certify that I have reatl this application antl state that the above
information is correct. I a9ree to comply with all �Ry antl county ortlinances
and state laws'relatinq to builaing constru<tion antl hereby authorize repre-
e
CMF 0865-46, rev.
TYPE OF CONSTRUCTION LJ NEW U ADo
❑ CONVERSION ❑.DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.,—
TVPE OF PERMIT GRADING ❑ FOUNDA'
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING
❑ OTHER
ALTERATION LI�RE7AIR
LJ STRUCTURAL
MECHANICAL
PROJECT DESCHIPTION 5Q. FT. occuvArvcv
CONSTRUCTION TVPE VALUATION $ _
ZONE GRADINGGU.VDS. ACRES-
Remarks: ". �
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers " �
Dishwasher
Drinking Fountains
Floor'Drains
Floor Sinks �
Gas Service '
Intercepmrs �
Kitchen Sink.
Lavatories
P': Trap
Roof Drains
Reinspaction Fee
,r
Service Sink - � �
SeweP Cap
Sewer Connection - '
Solar Collecrors .
Solar Pipin9 ' -
Solar Tank '
Swimming Pool w/Spa
Urinal �
Outlets Water Closet
Water Heater .
� Water Service -
� . Auto-Wash ,
$15
Boiler
Duct- Under Ground
DuGt-StrUcmrdl '
Duct - Ventilating '
Exhaust System ❑ Multiple
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
�0-100,000 BTU 0100,000
y to ent r u on the abo�e-mentionetl property. tor ) -.`-y�
oa„�-14-8� � � . '.
� �� Heinspection Fee' -$15
White - Builtlinq; Canary • APP��canh Pink - ACCounting; Goltl¢nrOtl - ASSessor
Issue Fae
Hood or Type 1 ❑
Canopy Type I I ❑
Refrigeration System
❑0-t00,0006TU ❑100,0(
System Repair/Alteration �
Fire Dampers '
Registers �
Iwue Fea
�
ES
�
�
m
$ 3
$ 3
A.P. #� .
S Main Buildin9:
E
T Front
ARear
C Right
g Left �
Ping.'Ref. #
Planning Notes:
0
Automatic Washer' �
Construction'PoleSub. '
Cooking Unit �
Dishwasher -� .
Dryers ❑Gas ❑Electric
Fan
P.A.U. •
Fixtures +
Device Boxes
Outlets
Switches � �-- -
Garbage Disposal
Generator �0-5 KW �5-'
. . _', : . MH.. � �
, 2538 ' 2/ I 9/@7 � 7:0� = TL
Zone .
�ccessory Building: � �
-.' � Parking Req./Provided
ELECTRICAL � '
� Transformer ❑ 75-50 KW
❑ 50+KW
Meter ❑up to 100 amps '
Meter �over100amps '
Sub Panel � .
Motors OO-1 HP �1'/:-8
� IncSolar �9-15 HP �16-15+
Microwave
Pole Light
Range �
. . - e:.... -
• Standing Sections t
5 KW Trash Compactor ' �
FEES
I Reinspection Fee ��$75 ' I luue Fee I'� $ 3
DEVELOPMENTSERVICESREQUIREMENTS: , �
Zoning Approved By ' Date '
Buildin9 Approved By � ^Datey/ ��,
Appliwtion Issued Bv � Date-__1LZ_L
Z
O
N
I
N
G
R
E
Q
M
T
5
- ' SUMMARV OF FEES � � -
BUILDWG PERMIT �$ SMIP. � '$ -
PLAN CHECK �$' ' PERMIT � �1 � _
PLUMBING � $ ISSUANCE� �$ _
PIAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL � $ GRADING $� � � .
PLANCHECK 50%'$�—(�� -�� MICROFILM $
MECHANICAL $ __!_Sl_iL-- TOTALFEE $,��
- . PLAN CHECK 25% $ ' '
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS , Permit# � Date Inspector qppROVALS Permit# ' Date Inspector
1. Temporary Electrical'Service or Pole 52. Pool & Equipment Location '
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement � �
3. Electrical Conduit Utility-Undrgmd. ' 54. Forms � � � .
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding -�
5. Steel Reinforcement ' � 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE
7. Footings . . � � � - 58. Electrical Conduit-Undrgrnd. �
r`
8. Foundation ' ' 59. Gas Pipe, O� Undrgrnd., Test '
9: Water Pipe-Undrgrnd. . � - 60: Backwash Lines, P-Trap, O Undrgmd. '
10. Structural Floor System 61. APPROVAL TO DECK
� 11 . Property Sewer Line & House Connection 62. Backwash & Receptor-Final .
12. Sewer Cap . 63. Heater & Vent-Final
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. Frameand Flashing , � 76. DryStandpipe • �
28. Lathing & Siding . 77. FIXED SYSTEM FINAL �
_ �
' 29! Insulation 7S. FIRE PREV. FINAL � �
30� Drywall Nailing ' HEALTH DEPT. REQUIREMENT �
31. Plaster Brown Coat 79. FINAL INSPECTION �
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
� 33. Final Electric . Notes: . � . �
34. Final' Neating & Air Conditioning (� � . ' ' . . _
35: Final'Gas Pipe-Test � � • �
36..Hood or Canopy
37.�Final Factory Fireplace � � ' .
38. Final Plumbing ' � • . .-
39. Water Service-Final . � � � �
i
40. Gas Service-Final ' �
41. Solar pomesticFinal .. - ' . �
42. Backflow Preventer � � � � � �
.43. Backflow Irrigation . - . � ' � '
i'
44. .Landscape Irripation System • . � � .
45. Sound Attenuation . � - � .
-46. Handicap Regulations - " . , "
47. FINALSTRUCTURE&BUILDING .' � � � �
' 48. Special Requirements Completed � ' � ` , „
49:'Electric Release to Edison � . .
50. Gas Release to Southern California Gas Co �; � `
51. CERTIFICATE OF OCCUPANCY , � -
No. Date � , . .
�
. . . . . ��V 1 1. ` � f.�; . hR y � . . . ..
i�i �
T 1
`, � �F-gn��� `�.+' � .'� , CITY OF_ COSTA MESA �
' �15aG :epL4/DQ/'q Building DEEARTMENT � � ', i
, � 3 ' "��� '. Address �� � . � OF � . . - .. '
. . �f - � i .. .� - �`� - . BUILDI TY '
�10NATHAw �Kow�vOwner. � µ`. ' �
�°'�, ,,�J �� `�'q`���'� � Contractor' �`Regist ed D ut ui ding- Inspec ;c i
} � � �.� � � ;i , . _. . ; ' - Certif ic e o - ompllance . ,
..... C�RROr'7� Cvze✓c � Address-. � . . �- �—/ 9 - 7� � � �.
- �� - Permit " Date �� " Date�of this Certificate �
,' �' � '�%(is�y Number �•�-2%--7�( Issued� -'� �_ � � . � � . ' .. .
�-��To the Director of Building Safety:_ � - -
� � I hereby certify thaL the following portions of work on the buildings �-
.' at the ahove address which.required,con[inuous inspection and which I was
� employed to inspect, were inspected'by me and comply with the provisions,
�-, .�of the Building Code applicable Chereto. . ,
1) .Concrete�
�3) � Welding . 5) Special Cases
2) -'Masonry, �� 4) ' Reinforced Gypsum
Swimming Pool Size //_ X,35� Gunite (/ .� Hand Pack
� �Sacks Cement %G� Tons of Sand �`3
Approximate % of water in aggregate S% ��
This report covers wark campleted during week ending �/�-07,� —%t�
�
�c_", Laborato
Foxm BU-
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ry. /JJ/A.
`6 '� �OA'9n
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_.r,.. ' ; . . .;_ ;Name " �aPze L F i�t�3-cf�_ ; `.
_ , �. '�Address C�Arto�� ��u✓e-
A, G � = �Telephone �J'7/ -39SZ • '.
.E .� ) ; � . w..
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l.aS Y.iina+�.: 4'� ta'.�v eial+�.e1 •��':14-4 -� ��i i' Y1::!`Y -. S
(.! ... . -� . . . r J�.._--' y
. . . . . . . . . .. . _ 1- �
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�2� Z�Q
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TESTING
Laboratories ��f ��u�E=,= �a��f���=�, �,_�.
. -
P.O. BOX �I . 31I0 nIRPORi WhY . �ONG BEACH, ULIR 90BOI . �713� •16�?35S . j213� bla73eb .�lla� 828-6�37
BAnnC� O�qCES.
iS:.GNorFHe,oaSr.... � Nc��.e.�o�..iev.eq
Sen'e�•eGl��,-,e0pv0) '4 �00c•��
�1i�1511]C�5 'j � � y�' lo^c'v+c^CeiS�060111�1�e][HAe
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September 30, 1978
E�amination: SC78-4863
COMPRESSION TESTS ON GUNITE CYLINDERS
Mr. Errol F. Heesch
12921 Aspenwood Lane
Garden Grove, California 92640
PROlECT
ADDRESS
SAMPLE FROM
♦PCNt�fCl
FNGI�aiEY
MIX
DATE CAST
DATE TESTED
CYLINDER NO.
GOMPRESSION
TOTAI IOAD, L6S.
POUNDS PER SQ. IN
COMPLIANCE
CYIINDERS
Pool for JONATHAN BROWN
7526 Columbia, Costa Mesa�
Gunite Swimming Pool
4� to 1
9-19-78
9-29-78
1
10-Day
65,000
2,505
CONtPAC�UP
Blue Haven Pools
SUBCONINACIOF
Grove Gunite Co.
SPECIFlED
STREkGTH
CYLINDER SIZE
9-29-78
2
10-Day
62,000
2,390
10-Day test complies with spec ifications.
M<DE BT
Ray
oisreuurwn:
E. F. Heesch - 2
Grove Gunite Co.
--6esta Mesa Bldg. Dept.
DEIIVENED 9Y
Heesch
2,000 psi
5=3/4" x 12"
3 & 4 "HOLD IN FIELD"
AECFWFO OH
9-20-78
r! �.
� '� �7 /J_, i�..) �i+-J.�_/'�.� _
_, uErC ♦ �! S B+ rO �c ;u� ��.r.�rv. �� U.le. � t.. 1. c ��n�� T�i OM ��]v [yP�iC�1.0� na O�u ui >n_5 COYCtJ5�Orv5 Oe [a
��'S ��� � �� 1/'.�.. .,, ..�u y uFS��.hL eftiCY.v(.'�. w�. �! . • .. .n. ♦S � M.i.l�_ cu��CC'�J'.'/JCLIf'v•5 �� nl;pLlC �HDOJoS[LVES
EROWN, JOIiIJATHAN M. _ DATE $_21-7E
ADDRESS 2526 Columbia IIrive _._ BUILDING PERMIT N0.
ERAL CONTRACTOR nlun uA..Pn Pnnl � DESCRIPTION of WORK Privat.r> Rvim Pr
P No.
Pool Location .
�Forms
���
- Main Drain —
Steel Reinforce
Elec. Bond
Approval to Cover
Underground Electric _
Gas Piping Test
" Filtering System Lines _
� Backwash L�nes and Recep.
Electrical Final
Heater and Vent Final _
Filter SYstem Final
IBackwash and Recep. Final
Fencing Final
Approval for Finish
SUBCOqTRACTOR
Elec[ric
� I/o-Zb'�� Plumbing
_,l(I 4c/U4VI %
dt\
�
� -
^� . ,.
COSTA MESA BUILDING-SAFETY DEPARTMENT
j P.O. 80X 7200 COSTA MESA, CALIFORNIA 92626
l
F,or Applicant to Fill in Completely — Use Ink Only
BUILDING 'j� 1/ /'� , .� _ _
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OWNER ``�
MAIL �
ADDRESS
CITV CQ I
CAN5TRUCTION
LENDER
BRANCH
ADDRESS
ARCHITECT
CONTRACTOR
ADDRE55 � ,
CITY 6fll��
STATE
LIC. NO, l
SIZE
OF LOT
USE OF
TEL.
NO.
Bcz1 SQ4/
2 � SO . i
! G2or�
NO.'(��
CITV
LIC. NO.
NO. OF BLDGS.
NOW ON LOT
Separa[e permits are required for
electric, plumbing and heating work.
OF BUIIDING ANP.YYORK TO BE PERFORMED
c (o �ieS
3396 BL21/78 . 60.50 TL'
•�3395 B7P1"/78 �0•50CKTD
>�396 OOD0446569 ' I,A;- "."'
. .+. ;,---' - -
V FOR STRUCTURAL PERMIT
A.P. NO. ��I � �0
eui�owc ��a�
�/ ADDRESS
1/! TRACT ZQ� 9
ROVED
ZONE ^/ NO.OF
K Pu+nis
VARDS APPROVED
VAR. #
C.U.P. #
/]
O
e
�
�
.� � I PERMIT NO.
Q �2.
LOT Ia BLOCK
R
:�.v M. h3?p.� �
VALUE %L�!
5 r G7
9�GROUP�
Q �
DATEQ ' `�
USE OF NEW •
BUILOING � S �i-�
VAPD$ APPROV ED
ACCESSORV BUILDING
DATE
APPROVED
FT
&
I heraby acknowledge that I have reatl this application entl state
that the above information Is correct antl agree to comply with
all lews regulattng buiiding construction, and I shall not employ �
any person in violation of the workman's compensation laws of
the Scate ot Califomia. � -
I�hereby certify ihat I am properly licensed as a contractor untler SQ. FT. '
the State of California Business antl Professions CoCa, Oivision 3, THE AMOUNT SHOWN UNDER VA�UATION IS
Chapter 9, antl that such licansas are in full torce and effect, or I THE PURP�E OF ESTABLISHING A PERMIT FEE O
am ez pt fram the provisions ot the State of California Business
VALUATION PERMIT FEE $
and Profes ns C�de, Divislon 3, C ter 9. '
� PLAN CHECK $ ;
Signatura of �
Permlttee � TAX $ �
Authorizetl AgA ' (if(�"� �� ' TOTAL PAI D $ �`��, �
n
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' � � D
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Y(:;OSTA MESA BUILDING DEPARTMENT
'l P. O. BO% 31] '
COSTA MESA. CALIFORNIA
�.�.�a �lLvrO�J/ �
� �� /� 4.✓
rp 1 '
1 �I�Y�i�nE� [aEP�
`it' `': i,�'1C7A Vi_Cn
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ADDRE55 2526 Coliunbia Drive � BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
� RECEIPT NO. PE IT NO.
OWNER Mesa Hi kil�ands Inc. ���
MAIL 1555 Plaeentia RE veo ev nnre r+ECEivEo onre iss�eo .
A�DRE55 G
nrv N8W ort Beach C81. TNo: I�"S fi-3227 nooRess
ARCHITECT SHiCtB ua COSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE
ADDRE55 {j y .9$IDe /�'� ZONE�
K�r W� 110�� COISSU• CO• CITV LIC. �(�f�� ���E NO.OF TYPE G O(IP
GLRN$ �
CONTRACTOR NO. '
AD�RE55 Sai71e NO. SSlfle BVPROVEO DATE
o[scaiviioN NO 62 BLOCK TRACT 2�L� �ft�e�bNs-' }PV
�� . 1 F; �'x� (�� Iy� i
A.P. NO. ' � � �. il . �t �.+' :+�
SIZE e NO.OF 9LOG5. .� �i �'�,� "' SI`
OF LOT lri'e g� ][, �9 now orv �or 0 : h � �� il t �i '- 1% �;�w� ��
use oF p,�� �i'� ti. 1�1 k,"::_% 1i_t �.
EXISTING BLDG. �-t' ""� �C"�.. �D
SET9ACK LINE FROM
cErvTEa oF s1n[[i 5O REAR VARD 1�'
I r`ft l �:
SI�E YARO RIGHT lO LEFT �µ q� i1<: �
�' . 1\J.
DESCRIPTION OF WORK
NEW p ALTERATION � A�DITION
REPAIR MOVING DEMOLISH
5 ZELDING 1574 — 469 ROOMS 6 STORIES 1
EXTERIOR WALL ROOF I�
COVERING StUCCO- COVERING LLOt�i00
usEOFNEw, Residence & att, garage
BUILDING
Plan 3—BR
lhe Artrount shown under valuation is for tAe
I HEPEBY ACKNOWLEDGE TNwT I HnVE FEAD THIS APPIICATION AND purpose o es�a is mg a psrmi i�� �j(�iY.
STPTE THwT THE ABO IS CORRECT FrvD RGPEE TO COMPLY WITM wLl
CiTY ORDINANCES F D TFTE L/aa5 REGULFTING BUILUING CO STFUC-
iioH. � VALUATION
SIGNATURE OF PERMIT FEE � 35�00
PERMITTEE 15 747��0 17���
. � PLAN CHECK S
$
AUTHORIZED GENT TOTAL FEE $ 2� Q
err