HomeMy WebLinkAbout3140 COOLIDGE AVE - Building Permitsi
` AOP�icant to fill in all so��es except those within neavY �ortler iines antl si9n all approDriate aeciarations.
�. 'CI F COSTA MESA CONSTRUCTION PER�MIT PERMIT NO�� �/ TF"A� T N LOT NO. UNIT NU.
r�1,e�, an�,es, 3/ y v co u c � v�,F BE— 6 y� i0 3
�ApplicanYsMailingA dr� A�%C�Hy /�v
Owner'sName � � �• C7i�//L Phone'r�'1"v�j'�O
Addre55 ��y� GdOLfi � �� r
Arch/Eng. License No.
Address
Contractor'sNam �����=/2' �%����= Phoney4y" Z�
Addresslmailin I� "r � �G� v
6 �
City License No. � Z� ��
LICENSED CONTRACTOR DECLARATION
I hereby affirm that 1 am licensetl untler provislons of Cnarter 9(commencing
with section ]000) ot Division 3 of the Business antl Protessions Cotle, antl
my license is in full for ana eftect. ��OQrj�
Licen}�e.0 ss lic s o. � 7
Date J � Signatur �
WORKERS' COMPENSATION DECLARATION
( n 1 hereby atflrm tnat 1 have a certificate ot consent to self-insure or a certificate
\U of Workers' Compensation Insurance, o� a certlfietl cOpy thereot (Section
C 3800, Lab. CpJ�j/' �c��/ �!n �' 1 �
Polity No. Cy� �u/�C T/T ��T6 �mpanY ����� �`
tRiea oDY �5 he�eby (umishetl.
`� C P �letl with the nt m ivi � �
`1� Dat �� APPlica� �
I EXE ION ROM WORKERS'COMPENSATIO CLARATIO
(Thizsection nee0 nat be completetl if the permii is to� One huntlretl ($300) or
less).
I certi/y thnt In the pe�fo�mance ot the work 10� which this permR i5 i55uetl, I
shall not employ any 0¢rson in any manne� so as [o become subjett to [he '
Workero' Compensatian Laws of Cali/ornia.
Date Si9nature
'NOTICE: If, after making this tleclaration, you shoultl becoma suoject to�tne
Workfr5' COmpenSation proviziOns Of the LabO/ COtl2, you muSt fort�wittt
Compty with such p�ovisions or tnis perml[ shall D¢ tleem¢tl revoketl.
CONSTRUCTION LENDING AGENCV
I hereby atfirm tM1at there is a conStruclion lentling agency for the performance
ot [ha work for which thiz permit i5 i55u¢tl (5¢ction 309] Clv. CJ
L¢ntler's Name �
�entler's Atltlress __- _
OWNER BUIL�ER bECLARATION
I hereby atfirm that I am exempt irom the Contractor's License Law for,the
/ollowing reason (Sec[ion �031.5 Buzlness antl Professional Cotle: Any ciry or
county whlch requires a permlt to const�ucl, alter, improv¢, tlemOlislt o� repair
any Structure, priOr t0 ils issuance, also requir¢5 the appliGant fOr sucb pe�mit
to file a signetl slatemen[ that h¢/she is Iicensetl pursuant [o ltte provislons Of
tlie Conlractor's License Law (Chapler 9(commencing with SeGtion 7000) of
Division 3 O/ the Bu51ne55 antl Professions Cotle) or thal he/She is exempt
thc�efrom antl the ba5is for lhe allegetl exCmptlon. Any violatlon ol $ec[ion
]031.5 by any apPlicanl for a permit subjecls [he ap0licant to a Civil
�enally of not more than five huntlre� tlollars (5500).
� � I, as owne� of the pwperty o� my ¢mpl0yCe5 wi[h waqCs as LM1ei� Sole
compensaHon, will tlo tM1e work, and thn structure is not intentletl or otieretl
for sale (Seclion ]044, Business and Professional Cotle: Th¢ COn[racto�'S
LicenSe Law tloes not appry to an owner Of a property wM10 bulltls or improves
thereon, antl who tloez such work nimselt/herself or throu9h his or her own
employees, provitletl that SUCh imprOvemenls a�e not Intentletl or o(fere0 to�
sale. If, however, the builtling or imorovoment is soltl within one year of com-
pletion,�the owner will have the burtlan of proving he/sho tlitl not builtl or im-
p�Ove forthe pu�OOSe Ot sale).
❑ I, as owner of Ihe property, am exUusively ContraCting wilh IicenSetl con-
tractorsto mnsUuct the project (Set[ion 7044, Business antl Profes5ion5 COtl¢:
The Contraclor's �License Law does not apply [o an owner of Property who
builds or Improves thereon, antl who contracts Por sucn projects w�th a con-
lractor(s) Ocense pursuant�to the Conlracror'S License L.aw�. I am aware (hat
proof o( their Worker'S Compensation insurance shoultl be provitletl to me.
❑ 1 am exempt unQer Section B. & P. C. for this reason�
Oate Owner
I hereby certify'that I have reatl this application antl state that the above
informatlon is mrtecL I ag ee [o co ly wittt all tlly antl county ortlinances
antl state IawS relating to uildi c n truGtion, antl hereby autboriz re re-
sentatives of s ci ent up the=bOve-rnentionetl pro rty fon
inspection r es.•
Siqnature Daie � �d
Drivers' Li ense or 55 �
TVPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DES RIPTION�yyQRK/U�EOFBA.
L.J �- � {�/
TYPEOFPERMIT GRA�ING FOVNDATION STRUCTURAI
❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ �OTHER �-3
PROJECT �ESCRIPTION SQ.FT. � oCCUParvC
CONSTRUCTIONTVPE�_ VALUATION6
ZONE GRA�INGCU.Y�S. ACRES
Remarks:
•C•
Sink
<flow Preventer
<flow Irrigation
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service �
Interceprors
Kitchen Sink
Foof Drains
Reinspaction Fee $15
Boiler
Duct - Under Ground
Duct � Structural
Duct � Ventilating
Exhaust System ❑ Multipl
Firepl/Fact Blt. IC
Heating Syst Ducting
❑0.70 O BTU 0100.00OBTI
fleinspection Fee � $15
GMF 0865-46, rev. 10/B4 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
L [ _7 ' V v
PLUMBING
ShOwers
Service Sink � - �
Sewer Cap � . �
Sewer Connection �
Solar Collecio
Solar Pi ' g �
S r Tank ��
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto�Wash
Laundry Trays �
Issue Fee
HDotl Ur Typel ❑
Canopy Type I I [�
0
�O,OOOBTU ❑100,000
System Repair/Alteretion
Fire Dampers
Regiscers
Issue Fee
FEES
A.P. #
S Main Buildi
TFront �
B Rear
A
C Right 1
K �eft �
S
Ping. Ref. �
Planning Notes:
!,�9"8 5! I '�. . '
�
� Zone
Accessory 8uilding:
Z
O
� N
I
N
,� G
. R
Parking Req./Provided E
Q
'�'�7 (� , nn
r�,�..(l A n ��� CLYi g
Auromatic Washer
� '' Construction PoleSub. '
Cooking Unit
�,
Dishwasher - -, -
- Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fiztures
Device Boxes
Outlets
ZSwitches
' Garbage Disposal
. Generetor �0-5 KW �5�1
$ 3
$ 3
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑up to 100 amps
Meter ❑over 100 amps
Sub Panel
nno�o�: Oai HP O1 h- 8
IncSoiar �9-15 HP �16�15+
Microwave
Pole Light '
Range
�LStanding Sections
5 KW � rTrash Compactor
FEES
� Reinspection,Fee �� $15 ' � Issue Fee � I $ 3 �
DEVELOPMENTSER/�V�IlC,�E E� IR TS: c
ZoningAPProved,BYSJ-l.�� DateJ /���
Building Approved By _Date
Application Issued 8y Dat
' SU.M�M�p/ R�V �OF FEES /�
BUILDING PERMIT $ �SL SMIP $ O•Ci�
. PLANCHECK $ �R��Z PERMIT •
PLUMBING , ' $ ��UANCE $
PLAN CHECK 25% $ ' ENERGV P.C. S
ELECTRICAL $ � GRADING S
PLANCHECK 50% $' D.CPO MICROFILM S'
MECHANICAL S TOTAL FEE 5 /2� 9s'
PLAN CHECK 25% $�� -
w �
� CONSTRUCTIONANDPLANNING �� POOL&. .
1F'PROVALS Permit# Date, Inspector AppROVALS Permit# Date Inspector
'1. Temporary Electrical Service or Pole -- 52. Pool & Equipment Location
2. Soii Pipe-Undrgrnd. 53. Steel Reinforcement �
3. Electrical Conduit lltility-Undrgrnd. i ' 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 , ' S8. Electrical Conduit-Undrgrnd. .
8. Foundation � � •.• 59. Gas Pipe, � Undrgrnd., Test • ,
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
70. Structural Floor System � 61. APPROVA� 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
74. Rough Plumbing 65. Electrical-Final '��'j � �
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring (� � 67. Fencing & Access Approval
17. Rough Wi�ing 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. Duc[s, in Struaure 70. Underground Hydro
22. Ducts,.Ventilating 71. ProductPipingOGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing Gi � tj 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing G �� �h/ 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL •
29. Insulation 78. FIRE PREV. FINAL �
30. Drywall Nailing �' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat� . � b vC 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric � %�� Notes: 7 a a/ ���q.�, CJ�Gc,r�p
34. Final Heating & AirConditioning ��O ,., �{V/a�. �►GGG� ��
35. Final Gas Pipe-Test -- �G� CU% 41 .��
36. Hood or Canopy , --�
"L "'
37. Final Factor,y Fireplace � ��f-
38. Final Plumbing
39. Water Service-Final �
40. Gas Service-Final
47. Solar pomestic-Final
�.
42. Backflow Preventer • • �
43. Backflow Irrigation
44. Landscape Irrigation 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 � ' �
'.��r�/`��
.
, � �2� ..
✓ ,� J � .
FHA Caa, ..Vo
R O O F 1 N G
Gontrac:tor'e Name: -�'� K �����, Cpyy,i�h,7 LICENCE 0�"� % y<.f yG �
�7�/ k/ ��1,-ff �� CIASSIFIGT ON 0 � - �
Addrebs: PIIONE 0 '"(-p �/ _
_S�irrll�x� C� . F�7U� .
A yualified roofer employed by this firm has inspected the root of.the dwelling ►ocated
at
�
(ltem 1 must be �hecked
3%�O C<<, �,�l�Y
c; , � , ._�u ��
-�— -
�tems 2 and/or 3 ehouid be checked when appropriate.)
� 1. This inspection reveals thal the roo( artd rouf covering is in
eatis[actory condition with no evidence ot leaks.
� 2. The [ollowing repairs were considered necessary and have
bKen completed in a workmanlike menner. (List repairs made.)
� 3. T!) is dw�c,} liq� ap beep re-roofed using the following meterial:
C l�f� �j7 �� �/�i ��dJ Sl,�5 /�.,
1'he ronting was ap�ied in a wbrkmanlike manner and a written
w0rrnn�y hae been lurnished the �nortgagee for delivery to the
p�rcl�asers of tl�is property.
1 erlif thaj 1 am uli�ori�ed to sign this certi[ication on beliall o[
�'l ��• and that, by the signat.u�e hereinafter
mede, is du�y bound unc�er the terms snd
coqditions of lhe r.erti(i a�ion
]n the evenl that tt�e certifjcation us to condition of the roo[ and roo[ing, based
on examination o( vi��ble elemenls, on tlie date o[ tt�e inspection hereinbe[ore referred
to is. subsequently found lo l�avn 6nen inaccurete and thal n p�udent inspection should
have re�ealed exiatin� de[iciencine, then and in such even: the Certifier hereby agrees
lo make such expenditure5 as may be necessary lo make or cause to he made the repairs
fo�nd lo be necessary p-ovided suci� fauity condition is determined to hs�•e been in
existenc:e on or betore lhe date of this certi[ication, �•
1 furlher certify that 1 have.no inlerest, present or prospective, in the property, buyer,
seller� broker, mortgagee or otl�er party involved in the transaClion.
r /) _ � _
Dale:
•Signature:
Title:
l'iS.' h!i✓
WARNING
Jection 101O of Titl•e l8, U,S:C. ,"Federal Housing Administration. transaclions,"
provides: •"Whoever, [or lhe purpoee o[--intluenci�6 in eny way :he ection of such
Admin�stration--makes, passes, utlere or prblished any slateinenl, knowing the
sa�ne to be fnlse--ehall be tined not more ti�n $5,000 or imprisoned not more than
two yerrr, os both." Othor Feder�l Statute, providn Qevere panaltieo !or any tr�ud
as intentional misrepresentation made for jhe purpose o[ influencing lhe lssuance of
any guarenly or insuranc� or lhe innking o1 any loan by the Administratot of
Veterans A[lair6
. ;•
vwe�s•cqnnuru. �� � � . ;
� : Fiber��s Y � ; ,° ; �:,�} � ; .,,
�_� �uild�ng lnsulat�on:,; : ..., �,:, : .
_]'.. . . . t. . . � . - � .. .. . .. . ... . T. � ...
:� - The contractor named below certifiQs that the Owens-Corning Fiberglas .
��;°�Building� Iri'sulation•used.carries the,NAH6 Research Foundation; Inc. :.,
'- � label for assured thermal performance and that the�Buildirtg;lnsulation is �.
�;�: California Administrative Code;.Tit1e24�.State.of.California; inthe,building-:
, located at: ,; �. , . . u. : , . s � i � , . ,
,.,;M:.: �.,
a,. 3140�COOLIDGE° COSTA, I'l��A � ROOM="ADDITION ,
,:, � 'Address � � . � � � � � ' City . ' ' , - � �� .T�ect Number ' �
; _ ...,.. :. �'. . . ., it �. '.s.t.s,,r , t 1 _.. �
�` Exterior Walls .. :; .�,: � �. : �,L � . ; : , . � . .
.. �l . �.�. J �.. �.
��� nwana-C;nrnina Fihwmlac Tvna •BA'1TS,��,.��Q��latinn ��:.. • �� 3�.•, ,11
, .. ��`'I�^. } �{ . ' I: ��.. �....y. � .- y �� �i� ..c �,ThicknBas-�:.,R-Velue.�
� �,, 1 . ,. '.�, t_�;. � . :. �_ ;I� � :
' t. .�. � ��. � 1 � � _ . ,
Ceilin s�� ` I . �
�� .Owens-�orninq F.iberqlas Tvpe $ATTS.. InsulatioF1'� : . �� • 30,,.....
� �� . � � I �. i �` � � .t' • . � -ort� �. .,j. � TMCkoBs9 R-VelUe�
t. � J � ' �i i � Ir' � � . � }, � �
. ' � . 1 ''� - � , . � .
� : i'
' Floors. ' �.. . _ -; �. � � ; � i ,..
, • Owens-Corninq Fiberqlas Type� �� ' I�sulation �. : ' ' � `
k..•.: . .'1-" • .,�;'�- ., t�: . j; �a.��zr•:� ,,'-. .�:�,:: -.t.�r.Thicknessr, iR-Value
,
:Foundatio � Walis ` , :' :.�� �.�;, , { , t ; ,, i { , ..
, ('�
. � � ' Menu(acturer �- . . . -Type , Thickness R-Value
E
' i Y f
.� � - � , � .ra ,
.. - By, � � - �' ' Title . �' . •. Dete{' - .
; mswation ContractorMW�RICAN EAGI�E BUIIrDER�ieense No.} !`
, ! . ' . , j;.,-'.;- ; t , _;:,;. ,i . � �
� By � ' Tttle � Date' '
, - � is�o�.w�s� , . � . . ; : � �, . . � . � . .
.. ,�. I' ;�i • -.;s.•, ' .
�Y.'� ' ' � ' � .` � . . : j . ,-. , .� � . . . .. . .
HomeownerCopy(White)�' ••- '������:�'�.•��r�i . .
.� Cl�;•,.,
, '..State CoPY IYellow) ., . . ' . . , r . . , � '
' � BulltlarCOGY(Plnky'. . , ��� ' , ��.i{;, . •! .
' ' ' ' ` ' �� OWENS-COflNINGFIBERGLASCORP.
.'� _ viw. no. ide�eeey.e i ' . .' . . . Insutatlon Operpting Division ' - ,
� � uuwinu.s.n.:�.m,i�ax '�coorricm•�iuezowm-oomi�yrie,�wco,p.� :;Ffberplas'7ower,ToleCo,Ohio43fi59�' ��
... .... ._:" . i'• .. ._ • . '�rb. ' ... . .a'i.'-Ii:L:' ":Y �. . .. . .
+ n
,,� . l SUBCONTRACTOR L1ST _ ,
, 'City,of Costa Mesa - Plenning Div�sion P.G_ ax 1200, Coata Mesa, CA 92626
Builder '''merican Eagle Builders ��� 2964 Airway, Costa Mesa phone �14-549-7922
Job Site Gaul Residence ps� 8/12/86
Permit # BE23716 Valuation 16,036
TRADE
• ASYHALT
' CABINETS
CARPETS
CARPENTRY
iMENT CONT.
� CEMENT TRANSIT
DOORS(GARAGE)
DRAPERIES
DRY WALL
ELECTRICAL
ELEVATOR
EXCAVATION
' FENCING
:E EXTINGUISHER
FLWKING/DECKINC
FORMICA
FOUNDATIONS
GLAZING /
HEATING
INSULATION
LANDSCAPING
LATHING
LINOLEUM/ASPHALT
TILE�GUNITE
MASONRY
PAINTING
' PLASTERING
;� PLUMBING
POOL
, ROOFING "�
SANDBLASTING
SEWER
SHEET METAL
SOLAR
SPRINKLERS
STEEL REINFORC.
STEEL STRUCT.
STUCCO
TRUSSES/GLU-LAMS
TV ANTENNAS
WALL COVERINGS
WEATHER STRIPPING
OTHER SPECIALTY
xis
SUBCONTRACTOR
te Impressions
ADDRESS . I PHONE
2175 Pacific Ave, CM � 631-3859
� . ,1780.Santa Ana Ste. 3,� 646-5363
Electric 17683 Beach Blvd. HB 960-4713
2720 W. Keller #2. SA I850-0881
�UI��S
Ii�'C.
2964 dinvuy Avenue • Cosia ,�lesa, Californin 92626 •(714) 5�9-792,2
January 28, 1987
FROM: American Eagle Builders
TO: City of Costa Mesa Building Department
SUaJECT: Concrete Slab
American�Eagle Builders takes full.responsibility for concrete
work performed at 3I40 Coolidge, for addition constructed by
American Eagle Builders.
Sincerely,
e��,��
Scott D. Beebe
Project Manager
SB/jm
Norman S. Gaul
3140 Coolidge Ave.
Costa Mesa, CA 92626
(714) 545-6246
Cal ifnrnia Conlrtn'for lr l,ieense S.i90119f.
�
Auguat 9, 1974
Mr, N. S. Caul � 1'
3140 Coolidge Avenue '
Costa Meea� California 92626
Dear Sir:
On July 15th a builJing permit wae issued'to Aathoay Pools to contruet
a pzivate awi�i4g>pool on your propeity.
In order that your pool will e a safe one and for the purpoae of
adviaing you of your responsib 'ty regarding [he requiremcnts of
the Cos[a Mesa Munleipal Code� we 'sefer you.to Section 8107� a
copy of vhieh is attached.
This letter is dir ed to you !n order tha[ you will be aware of
our ordineacea and ea ke a complete safety check of your pool
area. .
RHteb
Sincerely youra,
RICHARD HANHART
Building Safety Director
� 2� I ^v °(�°pyyqq.�e� 4�ys °� °�p� �j i� ` n
[i�e• I I '\ �.O /�
1 ��_ � •��`� dLFVS�J3313� oe7i�S7y�'3�a'����.,a �f cSouu_e¢�z �aLifazr_ia, .Jizc.
2 � 'v
� P.O. SOX <] . 3710 AIR70�T WqY .:OP:G BcACH. CAIIE 90801 . �2U1 426-ll55 . �213J 6363786 • �714� 818-6472
� ¢0.nrvC� OFFlCES:
TESTING isi..oNo,ieN„a„s�..,• y:a=p'�, No,o.,�,.�;..r..�ay
�an�,.cer,re„�,vnai .fr�"'":r :vssx,a�aen....r.o.eo.o
�)I�� 5114J�5 Rd ���I~;� '}///''' lo•q 9.ech, Cel:i. i0801 I��)1 6]Y}IBb
� �� �i,��
August 20, 1974
Examination: 74-7417
CO�Y17R=55tO�Y 7EiT5 ON GUN I TE CYtiNDeRS
Jack Nubbard
3105 Ostron Avenue
Long Beach, California 90808
PROJfCT
ADDR:S:
SAMPLE fROM
ARCNITECT
FM1OINEER
R. J. Kolodziej
MIX
DATE CAST
DATE TESTED
CYIINDeR NO.
COMIPRESSION
TOTAI I.OAD, LBS.
POUNDS PER SQ. 19V.
COiY1Pl1ANCE
CYtINDfRS
SWIM P00�, N. GAUL ��`���
3140 Coolidge, Costa Mesa, California
Shallow end, de=p end, bond beam
4 1/2 to 1
8-13-74
8-20-74
�i
7 Days
85,000
3,005
8-20-74
2
7 Days
70,OOD
2,475
CONT0.ACTOR
Anthony Pools
SUBCONfNAGT08
Anthony Pools
SPECIFlED
STRENGTH
SIZE
8-20-74
3
7 Days
83,000
2,935
2,000
6" X 12"
HOID HOLD
4 5
7 Day tests conply with specificaiions.
MADf !Y DEIIV'RED BY RECEIYED ON
L, 8utler Jack Hubbard 8-14-74
o�zraiaur�ox:
Jack Hubbard - 3
Costa P1esa Bldg, Dept.
BUlCDING SAF�1Y QEPT.
AUG2 O1914
HOLD
6
1�l PEPOPT$ ARE $UBMITTEO AS THE COryFIDEMTl1l PROP[RTY OF CLIENTS. AVTNOn12/.TION FOR VUgLICATION OF OVH FEpONTS. CONCLUSIONS. OR EY.
TPACiS [ROM OR NEGI9OING TXEM I$ RESEPVEO PENOIMG OVR WflITTEry /.pPROYAL �5 A MUTV>L PROTECTION TO Cl1ENT4. TXE PVB�IC ANO OURSELVES.
� 33012
OWNER GAUL, N.S.
JOB ADDRE55 31
GENERAL CONTRACT01
AP No.� 1- rjl-32
INSPECTIONS
Pool Location
Forms
Main Drain
Steel Rsinforce
Elec. Bond
Approval to Cover
Underground Electric —
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep.
Electricel Final
Heater and Vent Final
Filter System Final
Backwash and Recep. Final
C.,......... Ft..�l
DATE 7
SUBCONTRACTOR
Electric
Plumbing
=/Jr-
�f �
Z .
aV
�- Z
ZF
O fn
am
J �
J N
aw
m J
J m
Q
U a
Z¢
w
aw
wz
J Q
m Z
J ¢
W w
� _
Z F
w �
N �
70
V
�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CAIIfORNIA 92626
�UI i5-74��,�c00�zrz� :..::�,:3� �0
APPLICATION FOR BUILDING PERMIT
ForApplican[ to Fillin Completely qECE1VE BV D TE RECEIVED DATE ISSUED
BVILOING '�lYV COO�dge 1 �-/� �� S��
ADDPESS
/� P T N . �.
OWNER 1 A.P. NO. �'Y1/^lJ ' �
MAIL BUILDING 'j1VN Coolidge
ADDRESS ADDHESS
TEI. THACT u536 LOT BLpCK
C17V NO.
CONSTRVCTION Cash P
LENDER
XX:
BRANCH
OWNER N• S• G'dlll
ADDRESS swimming pool"A'-"E
ARCMITECT R'. IG�lodziej TE�j���21U S $
OR ENGINEER N
FIRE
AODRE55 ZONE VP GROUP
CONTRACTOR Anthonq Pools evPRoveo onre �
ADDRESS �'fV /,t F�,rosione B10d•
n�, TEI. Z�NE NO.OF USE OF NE
CITV SOjlth Vu�.e NO. Sp3Z�O P�� BUILDING OC
STATE nn CITV �'ARDSAPPROVED VARDSAPPROVED
LIC. NO. 19OI / 7 LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BLDGS. (FROM C/L EET) �
OF LOT NOW ON LOT RONT FT. FT.
USE OF �/
ex�srwcs�o�.resiQence and garage T. FT
NEWBL�. 397� ROOMS STORIES L.SIDE FT. '/ FT.
EXTERIOR WALL ROOF
COVERING COVERING REAfl FT. PT.
VSE OF BVILDING AND WOpK T BE PERFORMED DI5TANCE BET. BET. MAIN &
rivate swim oo°.L in rear of Mq�NBLOGS. ACCESS.BLDGS.
single fismily dwelling C VRP.qW pPPROVED
APPROVEO �,�/�
I heraby acknowledBe that I have reetl this application antl state
that Ihe above informetion is correct antl apr0¢ ro tomply with '
ell laws repula[Ing builCinB �o�struttion, untl I shall not employ �
uny porson in violatian of Mg wprkman's compensation laws of
Me State ot Calitornta.
I hereby cartity that 1 am prop¢rly Iicensetl az a conttactor untler . FT.
the State of Calitornie Busineys antl Protessions Cotle, Oivisicn 3, T MOUNT SHOWN UNDER VALUATION IS FOR
Chaptar 9, and [hut sueh litens¢s ere in tull forca entl effett, or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ON�Y:
om azampt from ffie provisionz ot the Sta o( Caltfornia Bvsinass VALUATION �(
antl Professions /Cj/+Q�e, Division 3, Chap PERMIT FEE $ oL _
Sipnature of �j( /� J 2.8�0�00
Permlttae � `� $ PLAN CHECK $ i /
Auihorizetl Apent
TOTAL FEE $ ,� �� U
.��
. �! 9�2�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX ]1] COSTA MHSA� CALIFORNIA
For Applicant fo Fill In Completely
TYPE OR PRINT
BUILOIN6 1�,� -
ADDRES3 31`� a l
COSTA MESA, CALIFOR IA
� ARCHITECT
<
I C4 V�V
� ��
rvo. oe a�ooe.
68IDACK 4N6 FflOM
CENTEROKGTRCR � REAR
61OEYARDI LHFT JI I-R10HT
DESCRIPTION OF WORK
I1 HEREBY ACKNO
ANO STFTH THAT
PLY WITH �LL Q
BUILOINO CONSTF
� AUTHORIZBD A6fiNT
�
). OR
)OM9 � STOR19
ROOF c� /% r
/
FE�N �=E,��IVED
APPLICATION FOR PERMR
fFIN�A(�I�{yG,F�i�.y�T(.y�.�
C�i Q� l!T"4VJ ITT�=.7W
R6C¢IPT NO. ., .��np1
GlJ
��
[q0Y OA [RIVHD OATE I65UEO
APPROVED �
BV DATE
ZONING
ZONB NO.OF 116@OPNEW
R-1 PLANB .z euaoino W/Stt �ST
GBGR1�,o„ Lot 73, Tract 4536
w. r. No. none
NOTE: NO EAVE OVERHAN6 SHALL BE LE55 THAN
HO' TO SIDB 8 REAR P. L.
EAVES
ALLOWED �U.B.C.REQUIREMENT
YARDSAPPROVED YARDSAPPROVED
MAIN BUILDING AGCESSORY BUILDING
( FROM C/L 9TREHTI..r
T
FR NT FT. FT.
e nrne � •/ c-r er
DIeTANCE BET. BET. MAIN 2
MAIN BLOGB. ACCE95. BLI
VAR.�iC DATE
W, L. D. I„orF E
s �b e. o
—_S%� so. �.
APPLIC FiON THE AMOUNT BXOWN UNOfiR VALUATION �8 FOP THC F
FEH COM. PURP036 Of HBTABLISHINO A PERMIT FEE ONLY. 0
aUTATIN VA!!!LU���A��A I ' m
� �L �'y / PERMIT FEE $ .f)�� j
�7l -1 m
s — c �'` �` a
� /� �9 °
TOTALFEE $ /��