HomeMy WebLinkAbout1640 CORSICA PL - Building Permits E. •4
60144-9
,f � CITY OF COSTA MESA -�
� BUILDING DIVISION
o
F P � I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
J IIPPICa PERMIT
atb�o o e 11302-00533
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.usNG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDIJob Address: 1640 CORSICA PL Status: ISSUED
Suite: Applied: 04/22/2002
Vicinity: ROOF Issued: 04/22/2002
Parcel Number: 13919102 Zoning: R1 R1
Applicant: COFFEY, BRIAN - ISSUED BY: Q�LSJ)1(----
Address: - " ., " " _
Phone: - - -
- • Zip:
i �.
Owner: PINER,:BARBARAH-
Address -1640 CORSICA PL - - : - - ,
Phone: -
' ' 'COSTA MESA,CA - Zip: 92626 - - ��'
v ? \ ,�
Contractor: 'THE ROOFING SPECIALISTS �, 2
Address: 2428 NEWPORT BLVD#5 / .
'�,
,/,' Phone: (949)722-8846 ,�,'
COSTA/MESA,CA
Zip: 92672 ' License: 734068 -
Arch.: - Eng:
Address:' . , Address: -
: :Phone: •
' • / \ ,
'Zip: - - License: 'License:
. SCOPE OF PERMIT ' .„
TEAR OFF EXISTING BUILT UP ROOFS. INSTALL 2 PLOTY 30#FELT,ELK PRESTIQUE 30 YR COMP AND ALL-
RELATED FLASHING.2400 S.F.WITH ATTACHED GARAGE.
- FEE SUMMARY-,:'
Plan Check: $0.00 . - - - - - ' - Calc Valuation: $4,400.00'
Permit: $111.25 - Claim Valuation: ' $4,400.00
SMIP Res: $0.50
SMIP Com:. $0.00
Other: $0.00
Inspection: .$0.00
, Total: - $111.75 i,..,-,,. - "
SETBACKS
PLANNING&ZONING
MAIN STRUCTURE Front 0-0 - - ,.Rear 0-0 Left ' -0-0 -.- Right% H.0-0' '
ACCESSORY Front,`'0-0, 'Rear 0-0 Left . 0=0 Right- 0-'02,,-
'//
PARKING Existing: 0Required: -0 Proposed:. 0
NOTES: _ `
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
fora period of 180 days. ..
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections 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)754-5626
2446-46(6/00)
DECLARATIONS ( ) C
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
71 have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued.
Iy tAy/workers'compensation�sInsurance carrier and policy number are:
r �7 p _
I arrier: 1 4-74cf S Fj/�9 Policy Number. L
(This'section need nor be completed it the permit is valued et one hundred dollars($100)or less.) 1
O I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Califomia,and re at if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these - " '17
rAPPI Signature:�I pro �i , GDate:— -( 22-0��
WARNINGfFAILURE TOSECURE WORKERS' NSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES up TO ONE HUNDRED
THOUSAND DOLLARE(5100,000),IN ADDITION TO E COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
jl.hereby affirn.thattam.licensed underrovisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business an Professions Code,and my license is in full
torte and effect.Lie.a 7 '7 3K&6 3 }cla�`ss aZ
Contractors Signature:, rDate: . A 41'22-'UZ
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
' Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
O I am exempt under sec. _ Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
O As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes O No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U No
(Section 65850.2 of the Califomia Govemment Code requires that the requested information be fumished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑Yes 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and City ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Si lure Of Legal Owner(s) Date
A Or Authorized Applicants r—Date
SODS I INSPECTION TYPE PAII IIQIDAL$ ;Mt INSPECTION TYPE -----r-RAIL =AU
1618 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 41-24:P2- btr 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
•
•
•
PROJECT ADDRESS: 1640 CORSICA PL UNIT: - CITY OF COSTA MESA — BUILDING PERMIT PERM NO: BE 05105C
OWNER'S NAME: PINER, BARBARA- H
ADDRESS: PINER, BARBARA H PERMIT NO: BE 051050 PLAN CHECK NO: 00646-91 _S GOVT: N SUPP: N
1640 CORSICA PL
COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: ELE STR PURPOSE: ALT
4 662-1661 -
ARCH/ENGINEER: , REG.NO.: - JOB DESCRIPTION : REPLACE SLIDING DOORS & ' ELECT OUTLETS SQ FT: 2, 300
'j ADDRESS: ' UNIT:
CLAIM VALUE: 2, 300. 00 CALC—VALUE: 2, 300 .0.0 > GROUP OCC: R-3 /
PERMITTEE: NANCE CONSTRUCTION ( 714 ) 548-8816 •
- ADDRESS: PO 2551. COMMENTS: X
NB CA 92659 **********************:L**+P*******+E******Ir******:PIE********* �F *a* ,
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G ' REQUIREMENT Y�G ! Na t
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS �j
clrruc.: 051956 STATE LIC.:477511 CLASS: Bit' UIRED
g•— /�—el/ (Signature `771u?�i ` (/i .ra . / MAIN BUILDING ACCESSC UMI G
Date' FRNT: FT - IN REAR: FT IN FRNT: FT IN REAR: FT IN
MKS'COMPENSATION DECLARATION: I hereby affirm that I have a cenificate of consent to sen-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN .,1,-:.ampensation Insurance.or a certified copy thereof(Section 3800.Lab.CI.
POLICY NO.: EXP.DATE: •
• COMPANY: PARKING REQ: • PROV: PARCEL: 13919102 ZNE: REF NO:
] Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES>
>
Date: Applicant: *******************************************************************************
D E V E L O P M E N T S E R V I C 'E S R E U I R E M E N''T 'S
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION::(This section need not be completed if the permit is for one hundred($100)or less). Q
I certify that in the performance of the work for which this permit is issued shall not employ any person in any manner so as to become
subject to the Workers'Compensation Lawsof California. ZONING APPROVED BY ' DATE:
Dale: (Signature:-717 P-•91tri—erg--- / BUILDING APPROVED BY
NOTICE:If.atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labdr : w•- DATE
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. . . ,
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• - -• /'t DATE: r2.-it.
1
which this permit is issued(Section 3097.Civ-C). ******************************************** 1FN********************** *1 iF* *1**
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N • F E E ' ' SUMMARY STRUCTURAL SEGMENT:Y -
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES • GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 . 00 a 1 50 50
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed .- S 0$ SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN - 35. 10 '
and Professions Code)or That he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 15• 00
' 1j,ty applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).
I. as owner of the property or, my employees with wages as tneirsole compensation, will do the work, ane me BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 56 .00 15. 0 0 35. 10 106. 10 106. 10 •0 0
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees, provided that such improvements are not intended or offered for sale.It, however the building or REVENUE DIVISION TOTALS--> COLLECTED: 106 . 10 OVER/SHORT: 00
orimprovementthe
a sold le)hin one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT ' GRADING PLAN—CHECK
for the purpose of sale). 54 .00 . 16. 50 . 50
I.is owner of the property,am-exclusively contracting with licensed contractors to construct the project(Section 7044,Business 35 . 10
❑ and hProfessionsCode: The projects with
contractor(s)
ontraseLawdoessutoo the Contrproperty' abuildse .olas thereon *******************************************************.************************
and who contractsnfor hContract a e License
ic nse Lawlicensenotpursuantaly to the Contractors faprope'Stateh Law).uildsevent aware
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
o I am exempt under Section: B.&P.C.
or this reason: TYPE QTY D E S C R' I P T I O N • UNIT COST TOTAL COST
Dale: OwnerSFR 2300 ALTER BY VALUE RESIDENTIAL NOZONE 1 .00 2, 300 .00
I d0 hereby cenity that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 2 • RECEP T/OUTLET 1 ST 20 EA. . 75 '1 . 50
25534 and that I or any future building occupant win/win not(circle one)need to comply with said state codes and the requirements for a - . END OF FEES
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from .
these provisions. .
•
Dale: Ap licant: ••
. I hereby certify that I have read this application nd state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building co struction and hereby,authorize representatives of this city to enter upon the above-mentioned/
• property lot inspection purposes.`seJ 01 000&O791—Q(]Q80794 TOT 1(]G,10
Date
ea— / 1--1 r Signature:. ,/ -/'-� ---, I • Q�w--
/ DATE. 02/19/91 TIME: fj9:22
Dover's License or Social Security /
v1641.46 While—Building;Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
t -. ._
M� •
r& SPA .
• CONSTRUCTION AND PLANF....i-
APPROVALS Permit# Date Inspector APPROVALS Permit • Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 0 53. Steel Reinforcement
Ci:3.,EIeCtricaI Condi it Utilityrindrgrnd. 54. Forms ,
_r.4.Electi-ical Conduit-Undrgrnd.- 55. Electrical Bonding
. .- r
- 5. Steel.Reinforcement 56. Rough Plumbing & Pressure Test
t- . -p
m•�•j� 57. APPROVAL TO COVER-GUNITE c-.3
t.,lectrical OF t. Grnd.
.r 7Cs.,`fFooiings c't n.. 58. Electrical Conduit-Undrgrnd. e'
, 8.. Foundation t '` 59. Gas Pipe, 0 Undrgrnd.,Test o�
'
9. Water Pipe-Undrgrnd. ) 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System - • ' 61. APPROVAL TO DECK
11. Property Sewer Line& House Connection -. 62. Backwash & Receptor-Final
12. Sewir Cap " '- 63. Heater & Vent-Final ,• �.
13. Roof Drains rp 64. Plumbing System - Final
14. Rough Plumbing ' 65. Electrical-Final .?
15. Rough Electrical-Conduit 66. Solar System-Final 1
16. Rough ElectricWiring 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
- - - - z i--• 1r. t- c.; .
20rrRough Factory Fireplace , i.^:1P rL 0 Ct . AAPPROVALS.`.PeiMit # > -
T r .r :F.,
:Str a:Ici S' - - +. ^, n, t:..17'•4i- J
>. t . _.,•... lC - 7- 1. 7 7 . , -Z. 0 7.-5. LTi 7". ,T'
21. Ducts,in.Structure. •• •• •--i••"' k: _• :-r-c : ;70. Underground Hydro
22. Ducts, Ventilatirng • 5.'s >. _ 5 -:? a :71, Product Piping 05,as Emil•1 . 71 .-r :7 L• r T•. .
23'-Gas Pipe &•
Rough Test mS r to. M vc p ." ._ ,72. Underground Flush.,-_ ...
24'Ro6f Framing - f-•r- 7•E l' :> 1_', h Y >73P Undergrnd.StorageTank':O Gas ❑Oil-;
25. Roof Sheathing z ••. v , u, "74, O_verhead'Hydro- ,
26.,T-Bar Ceiling (Structural) &SMonocoat t• W •0"- tr,:i -' 757 Dry.Chemical , : •-+,_:_-Y-
27.-,,Fra me aJtd Flashfn `•1'' z' <
t- 9 C;r,�� ,r �, ,r:t ; 76. Dry Standpipe Hrc, F ,-�7-
'_28:'Lathing_& Siding .. 3'Ss C * • .. ••I • ••- r 77-7 FIXED SYSTEM FINAL' ,_ _L'
29. Insulat.- C, ` ;` 1_ .. .. P' a • - ?,l;
.s i _ 7B.•FIRE PREV. FINAL •,- > X
r30. Drywall Nailing I t" 1-i iHEALTH DEPT REQUIREMENT
n31. Plaster Brown Coat; '
to to ) ,r79:'FINAL INSP,ECTIOIV,
L.32.;Electrical Power Meter-Finali tv I 1 • 80 (FOOD CERTIFICATE ISSUED ^
33.tFin l Electric » tri 3' l� NI. otes: - -;. -, y y L Ol
1.
!q34_Final Heating;& Air,Condition eig; r I p. tx _ (-- -
35 ..FmGass Pipe-Test' tet" rt C-•ran •=r`'-' :23. C:
(� � - , E i:.r
_,,36: Hood or-Canopy ,,pC I Cr,' : r 1 i. r i'-. 4 ' ` -.
MEr :L a :i1 I 1 t< -• _ ,^, -3. ... J [!
- =Pinel Factory Fireplaces . t-it• _-. ; I - If a; * ..
38._;Final Plumbing , •`t,• I - Y. i I . {+. S �� r
^.
.-39.:.Water Servicer. .Final• :-1 1 I• * rt ' �.
,40`.1Gas'Serviceinal , .r ,y„ LT .fi it; %'+rc -.pi + � • �
41- Solar Domestic-Finals •^• •' -- .:5 fxI ti" '
.0 -' rr 4 I 1. .._ •r •S r: X J
42,1 Backflow Preventer i i I- • tr.' • :> - n
43. Backflow Irrigation, 1 •= _ * ' - = -� ` G -
24. Landscape Irrigation System ,.
., -, ;;. ..•" •r, .. 1..-; 17-14 .c r: :41 n) •.-1 tra a p; n_r„
>45._Sound Attenuation - 7 .1". r. rI -I r•, rrr tine:I .,. . - .. . m .r r t. .. S • I-_'.'
`46.;Handicap Regulations %.•-. _ • a. i;. •,'r :-c }_- '
47.-,FINALSTRUCTURE & BUILDING . 8/qi , >• r•i%a
'r4&IFINAL PLANNING • ! p_ i_•
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-49.=Electric Release to'Edison, Ic , i •i -r :i( ' - , . w
1, n .1 _ C
_. _. as1Re(ease to SouThern California Gas Co :,t; '_ ;� . Qtr.: .
-51. CERTIFICATE OF,OCCUPANCYi . tpc c
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CITY OF COSTA MESA
CALIFORNIA P.O. BOX 1200
FROM THE OFFICE OF THE PLANNING DEPARTMENT
C. Diner November 4, 1964
1640 Corsica P1.
Costa Mesa, California
Dear Pool Owner:
The Costa Mesa Planning Department has been notified of the completion
of your swimming pool.
So that your pool will be a safe one and for the purpose of advising
you of your responsibility regarding the requirements of the Costa Mesa
Municipal Code, we quote Section 9298.9:
1. No swimming pool shall be constructed closer than five (5)
feet to any property lines, measured from water line of pool.
2. No swimming pool shall be constructed under any electric power
lines or on any electric power easement.
3. No swimming pool shall be constructed unless the yard
surrounding such pool is completely enclosed by a fence
six (6) feet in height and have a self-closing and
locking type gate or gates.
This courtesy letter is directed to you so that you will be aware of
our ordinances and can make a complete safety check of your pool area.
Sincerely yours, /1
7 /kg ;,. gall
William L. Dunne
Director of Planning
H . LAWMASTER '& ' CO. , VC.
7940 MAIN STREET — STANTON, CALIFORNIA 64 CMS — 028T — 002
828-8040
XXXXXX
Field Data on Test Specimens Core Concrete Gunite Grout/Mortar
Project Charles B. Pinar Swimpool
Permit No. 22038
Project
Location 1640 Corsica Place, Costa Mesa, Calif.
Contractor Anthony Pools Architect
Location in Structure Bond Beam — South Engineer
Date Moulded 6/8/64 No of Specimens 3
Slump Specimens Marked
Specified Strength at 26 days 2000P S.I. Mix Designation
Age to be tested 7 days 28 days day's days
READY MIX PLANT AGGREGATE SOURCE Livingston—Graham
Weather Condition Mild Clear 1 Yd. Yd. Batch
Cement Permanente ' Type I Cement, lbs. 1 ak
Admix Sand 4.5 c. f.
Specimens made by pn+hnny Pnnta #4
Data by Corum #3
Delivered by Weaver #2 q 10j
Date Delivered 6/9/64 #
i REcc 14117/4;
. JUL 8 1964 _-
REMARKS: Water, Gals. —
Building Dept. ju—
t-,
u
S. b \C.,
FOR LABORATORY USE ONLY
Lab. No. 835 836 837
' 7 Day Test 28 Day Test Day Test Day Test
Date of Test 6/15 716
Specimen Dimensions 5.65 X 12.5 6,05 X 12.125
Area 25.04 29.74
Ultimate Load 63,500 93,006 ..
Lbs. per sq. in. 2,540 • 3,239
H/D Corrected ,
OWNER COMESA, INC. - - DATE 5-111-59
JOB ADDRESS 1540 Corsica Place BUILDING PERMIT NO. 9297
GENERAL CONTRACTOR Dike & Colegrove VALUE $14,552.00
AP. No. LOT 57 TRACT2822 FIRE ZONE DESCRIPTION OF WORK Res.Watt.Ga_ oe
INSPECTIONS flats, DATE I GROUP TYPE ZONE al /
Underground sod nits U.G. Water/0A3 Y-46-CP PERMITS ISSUED /(a
Underground Gas SUBCONTRACTOR DATE NUMBER "1
Overhead Water and Gas
Rough Heating L
(^�� �'(i-Stf -y�Cer.7'/7�7c--4c./'r`�'.r� . h-i-S% /9 s 7'
Rough Plumbing /"' S 6-;p-�j-�/,2 J:�we� /f 1-1./V-57 AI�Slaine
Miscellaneous / - ti
Prop. Swr. Linc House n. St. Swr. %i�L
Sprinkling system /l.. I,
/V
Heating, Final 1S 8-lii J'9 ,J ,Iv
Plumbing Fixtures 4'9 , /9)
Final Gas Test/3— /// ��JJ V�
Construction Pole /
Underground Power / i/
Rough Wiring MA (,,.Xi(5e1 . 'lde,,, Zr.,./l.*e. Z.-4J-S9 5354
Trenches Forms • Steel et ' 2' ..6---..2L `,S%
Floor System _
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing
-
Frame and Flashing J� y
Lathing, In Out e- L/ /3 51
Plaster, brown coat O '8-13 -n1 •
Plumbing Fixtures, Final ///-7z-S 2.1-o f;SY(
Electric Fixtures, Final n...n
Building, Final )71-D r C'/')7
OCCUPANCY /
Form 210-3M-4-59 • 9297
.
929? ,=EE RECEIVED
cy MAY 18 1959
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 317 COSTA MESA.CALIFORNIA
N CITY OF COSTA MESA
' FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING 1640 Corsica Place •
• ADDRESS
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
I RECEIPT NO. I
'Z297
OWNER Comesa Inc.
MAIL /,� E. 17yh R///666///GGGEI VE BY DAT REJCEIIVED DATE ISSUED
�-("
ADDRESS 41 1� St. _ // I /'J S/7 J /
�, CITY Costa Mesa TNLL181159 B LDING
ADDRESS
ARCHITECT -CDIV- n crook nIC. COSTA MESA, CALIFORNIA
OR ENGINEER as
Garden Grove FIRE I
ADDRESS ZONE
Dike & Colegrove, Inc. STATE 167293 APPROVED //`
I CONTRACTOR LIC.NO. BY 7 DATE / �
ADDRESS 419 E. 17th St. , Costa Mesa ZONING
I LEGAL ZONEy��yy NO.OF USE OF NEW/^1
DESCRIPTION I NO. 57 I BLOCK 173§g? 7. ( I PLANS �I BUILDING
II A.P.NO.
APPROVED-.-' ` �I,' �/� <
60 BY le b/ _ q DATE \'S
t. SIZE x 0NO.OF BLOCS. V " V
OF LOT NOW ON LOT none YARDSEQI - EVES
REQUIRED ALLOWED
USE OF (CENTER LINE ST.) �
EXISTING BLDG. •. ,(c� FRONT { `f.FT. IN.
SETBACK LINE FROM 501 28'
CENTER OF STREET REAR YARD R.SIDE S---FT. IN.
•
I. SIDE YARD I LEFT 51 RIGHT 51 L.SIDE S FT. IN.
DESCRIPTION OF WORK - ^ '�
X REAR ' /ZJ FT. IN.
, NEW I II ALTERATION I I ADDITION 1 '
1 REPAIR I II MOVING I II DEMOLISH I .
SIZE- NO.OF
+
BUILDING l 1450 ROOMS 6 STORIES 1 .
EXTERIOR WALL , ROOF Rock
sucCO COVERING Rock
USE OF BUILDING ANO WORK TO BE PERFORMED
Single family residence with
•
attached double garage
•
Plan 140A
i. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE .OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
I BUILDING CONSTRUCT! J. VALUATION
i SIGNATURE 0 4 PERMIT FEE $ 34.00
` PERMITTEE 17.00
$ 34,552. PLAN CHECK $
/. AUTHORIZED AGENT Dike & Colegrove, Inc. TOTAL FEE $ 51.00 •
r
OWNER DINER, C. DATE APR 2 7 1964
JOB ADDRESS 1640 Corsica Pl. BUILDING PERMIT NO. 22038 .---
GENERAL CONTRACTOR Anthony Pools VALUE $ 2,400.00
7 AP No.139-191-2 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORKPPt. Swim •_.,1
INSPECTIONS _ Signature DATE GROUP J TYPE III ZONE Rl .
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER '
Water
Rough Corn. Refrig. 0 Air Cond. O
Rough HeatingA
� ,,gi�gg
Rough Plumbing y i Sr a'Aar ' a'a7'c A <z3 /5/ f
Miscellaneous f‘..¢-eyo. if7/ e_4-i-/c' W!7 de y /-,
6 - 3 -6 l 3 5-.77
Prop. Swr. Line 0 House Con. 0 St. Swr. 0 /
Sprinkling System
Construction Pole .3. p... L-L--C Ii
Underground Il Power ;p /Is/ ‘,:id/'
Rough Wiring i irl4Ekyr K ugqtim cl7 c-iG-6// �3-u kr2 eIEC`, lUr 22( —
Trenches 0 Forms 0 Steel Reinf.'Q' T-L7Wl / -6.4i
Floor System
Bond Beam 0 Steel Reinforce pi itcrkt j-/--GV
Sheathing •
Frame and Flashing `
Lathing - In.p Out 0 _
Plaster, brown coat 1 �
Refrig. 0 Air Con. 0 Final I ,
Heating, Final e (/7
Plumbing Fixtures, Final �,/•
A '�
Final Gas Test ��-'l in— & ."1,
Electric Fixtures, Final r" _ _ _
Building, Final ,:•;71,47 --(----IX
OCCUPANCY I
Form 5U4-6M-3-63-5-B P HOTA POR SPECTAT, RF:OIITRF.MENTS 22018
•
' ' FEE RECEIVED
' 2, ,.'i\ . 72n. f APIs 2 7 1984
C STESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
'P.O.BOX 317 COSTA MESA,CALIFORNIA
H CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT - BUILDING
euaDING. For Office Use Only
ADDRESS 1640 CORSICA PLACE
RECEIPT NO.. , �'D3,
COSTA MESA. CALIFORNIA
y RECEIVE ST / 1.DATE RECEIVED - DATE ISSUED
C DINER • `2 _"V'/ 4Z
' 7
OWNER .
,'" MADRESS RUM BUILDING 1640 CORSICA PLACE
'LYE ADDRESS
TEL. FIRE
9 CITY NO. ZOO NE PE GROUP
• APPROVED
ARCHITECT ' TEL. BY DATE 17-27-19
OR ENGINEER T LARSON `
NO. -
5871 FIREBTONE , ZONING
• ADDRESS
ZONEI NO.or - I UBE OF NEW
CONTRACTOR ANTHONY POOLS PLANS o/l1l BUILDING
5871 FIRESTONE BLVD. LEGAL
DESCRIPTION LOT .57 TRACT 2822
ADDRESS SO / 'y �I
CITY GATE - A.P.NO. ' / �'/ / /// d'""'
NOTE: NO EAVE OVERHANG SHALL SE LESS THAN
' STATE •
TEL. c1 • 90"TO SIDE @ REAR P.L.
i
LIC.NO. vy O
N . IW, 1 •
VES
SIZE • 60X1te t�-�q��� /O I I NO.or BLDG'S.
ON LOT (UALLOWED W.B.C.REQUIREMENT)
OF LOT
YARDS APPROVED YARDS APPROVED
USE OF • MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. 'RES AND (PAR
' (FROM C/L{STREET
) /1�
SETBACK LINE FROM 9 1 6 r FRONT / FT. /l/` . FT.
CENTER OF STREET REAR YARD -
', SIDE YARD LEFT 16'6" I RIGHT 8'6$. R.SIDE TFT. 4 ii, FT.
DESCRIPTION OF WORK L.SIDE 1 (/OFT- , ' FT.
NEW ' X ALTERATION _ ADDITION REAR (SFT. FT.
I DISTANCE BET. SET,MAIN @
REPAIR - • MOVING. DEMOLISH MAIN SLOGS. ACCESS.SLOGS.
. BUILDING NO.OF VAR..}j DATE
SIZE 449 ROOMS STORIES C.U.P.# • APPROVED
EXTERIOR WALL ROOF • . APPyyOOVED _ -•T L °
COVERING I COVERING ( BY tri. �" 01, r, DATE `/' �' / /
USE OF BUILDING ANI)WORK TO BE PERFORMED 01/2. •
�;"nr•i n .PE t: _
.,._�.C1:AiLLi: .i _ . .
PRIVATE SWIM POOL se '
N
SQ.FT. .
r.
j' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
- AND STATE THAT OVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL Y ORD) ANCES AND STAT- EGULATINVALUATION '
/ BUILDING CO STRU ION. ] p0 0
SIGNATU jL,�_ p y / PERMIT FEE $ /Z j
PERMITTE ,,J/� ""--""'CCJJ / �J.4OO• •a OO • - PLAN CHECK $ O D S
•
AUTHORIZED AGE,- ..gejt `Z - $_ 00 O
TOTAL FEE $ 7V