HomeMy WebLinkAbout2058 ALISO AVE - Building PermitsApplicant to fill in all Spaces extept tnose within �eavy bortler linas ana sign all apvropriate tleclarations.
[:ITY OF COSTA MESA CONSTRUCTION PERM/I7T PERfy]IT NO. . TRACT NO. LOT NO. , UNIT NO. .P.
AProject Address ZG S f� .4L(SO �.VL � l• m-9��oP
Applicant's�ailingAddress S'°rb"tk�'
Owna�Name � �Z' Phone��i�-i(�
Address 2o S� /�.LISQ_�UG C�lh'� � `)2L2�
Arch/Eng. License No.
Address
Contractor's Name Phone
Addresslmailing) � � �� � �—� —
City License No. �
LICENSED CONTRHCTOR DECLARATION
1 hereby affirm that I am licensetl untl¢r provi5ion5 of Charte� 9(commencing
wilh section 1000) of Division 3 of the Business antl Professions Cotle, antl
my license is in f W I force antl etfect.
License Class License No.
Date Si9nature
WORKERS'COMPENSATION DEGLARATION
p',hereby aifirm that I have a certititate of consent [o self-insure or a certlticate
`;i` Wo�ke�s' Compensation Insu�ance, or a certifletl coOY thereof (Section
t;','%�00, Lab. C.) • .
�"Volicy No. Company
8 Certifietl copY is hereby furnishetl.
Certifietl copy 6 filea with the ciry Builtlin9 Division.
�ate ApPlicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section neetl no[ be completetl it the permit is for one huneretl ($100) or
less).
I certity that in the performance Ot the wo�k to� which this perm�t is I55ueQ I
shall not Gmp y ny person in any man so as `o pecqqq��� e subject to the
Workers' om a[ion Laws of Califo .l _.yn 1_//./�
Oate Signature ��r����(/7N' �-
NOTIC If, a ter making this tleclaration, you o tl ecome subject to the
Workers' Compensation provisions of the Labor Cotle, you must iorthwith
comply with such provisions or this permit shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
1 nereby a/(irm that there is a construction lentling agenq (or the per/ormance
of [he work fOr whicn this Oermit i5 issuetl (Section 3097 Civ. C.)
Lenaer's Name
Lentler's Atltlress
OWNER BUILDER DECLARATION
1 hereby affirm lha[ I am exempt from the Contractor'S License Law for the
tollowing reasdn (Section �031.5 Business antl Pro(essional Cotle: Any city or
county whith requires a p¢rmit to consVuct, alter, imptove, Cemoli5h o� repai�
any structure, prlor to its issuance, also requires tne applicant tor such permit
to file a si9netl'slatement that he/She is IicenS¢tl pu�suant to th¢ provisions ot
IhG Gontractor's License Law (Cbapter 9(commencing with Section 7000) of
;P,-vision 3 of the Business antl Protessions Catle) or that he/she is exempt
'�:'. ��retrom antl the basis for the allegetl exemption. Any violation ot Section
����`��'dl 5 by any applican[ Tor a permit subjects the applicant to a civil
$,�ialty of not more than five huntlretl tlollars (E500).
..YSI I, as owner ot the property � � �e
!C� will tlo the work, anC the structure is not intentletl or otfer¢tl
'�tor sale (Section ]044, Business antl Protessional Cotle: Tne Contractor's
�icense Law aoes not apply to an owner ot a property who builtls or improvez
tM1ereon, antl who tloe5 sucM1 work himself/he�self or Ihrough his o� her own
¢m0loyee2, prOvitletl that sutFl imprOvemen[5 a!e not In[entletl of offered for
sale. If, however, the builtling or improvement is soltl witnin one year ot com-
D�etion, the owner will have the burtlen of provin9 he/she tlitl not bulltl or im-
prove for the purpose of sale).
❑ I, as owner o( the property, am exclusivery contracting with Ilcensetl con-
tracfors to construct [he pro]ect (Section 7044, Business antl ProfesSions Cotle:
The Cmtractor's License Law tloes not apply to an owner of oroperty who
builtls or improves tM1ereon. antl who contracts for such oroiects with a con-
Vactor(sllmense pursuan[ [o �ne Contractor•5 Licenie LawJ. I am aware that
proof of their Worke�'s Compensation insurance shoultl be provitled to me.
❑ I am exempt uqaer Section--�-�� &�P. C.jor tnis reason
Date �rL Ownerd�3.,Ei'GE'_��'�f`p"��"'�'
I hereby certif lhat 1 have rea this appli��iq ii antl ztate that the above
inforTation is c rtect. I agree to Compty with B/1 dty antl county o�tlinances
antl ttate laws relatin9 to builtling cqnstructiod antl hereby au[horize rep e-
sentalives of this s{t4 to ynte/�qponfl�e above-mentionetl prop�l'ty,or
Signa[ure ��
- Orivers' Li ense ar SS �
TYPE OF CONSTRUCTION LI NEW LJ ADD LJ q{7� TERATION REPAIR
❑CONVERSION ❑DEMOLISH �OTHER (�e-��
DESCRIPTION OF WORK/USE OF BLDG.
TVPEOFPERMIT GRADING FOUNDATION STRUCTURAL �
❑ TENANT ❑ ECTRnIC-A_L /�❑� PLU�M+BING ❑ MECHANICAL
/{�''' OTHER �e-/c0(JT ^ L7�-�
PROJECT DESCRIPTION 5�. FT. 3-% O � oCCUPAN S� '
CONSTRUCTIONTVPE VALUATION$ O�
ZOfJE GRADING CU. VOS. ACRES
Remarks: TCI7 U a �i�S� �.iSA
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks
Gas Servic.e Outlets
Kitchen Sink
Lavatories
P-Trep
Roof DrainS
ReinspeRion Fee $15
Bailer
Duct-UnderGround
Duct - Structural
Duct- Ven[ilating
Exhaust System ❑ Multiple ❑
FirepUFact. Blt, iCBO #
Heating System & Ducting
❑4100,000 BTU �100,OOOBTI
Reinspection Fee � $75
0865-46, rev. 5/88 White - Bulltling; Canary - Applicant; Pink - Accounting: Goltlenrotl - Assessor
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Cbset
Water Heater
Water Service
A uro-Wash
laue Fee
Hood or Typel ❑
Canopy Type I I ❑
Refrigeratlon System
❑4100,OOOBTU ❑100,000
System Repair/Alteration
F ire Dampers
Registers
Issue Fee
A. . #
S Main Buildi
E
T Front
B Rear
A
C Right
K Left
S
Ping. Ref. #
Plannin9 Notes:
FEES />utomatic Washer
Construction Pole Sub.
Cooking Unit
DIShW35MQf
Dryers ❑Gas ❑Electric
$ 3
FEES
$ 3
Fan
F.A,U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generator �0.5 KW C
Zone
Bui
Parking Req./Provided
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑up to 100 amps
Meter ❑over100amps
Sub Panel
Motors O0.1 HP O 1�- 8
Inc.Solar 09-15 HP �i6-15+
Microwave
Pole Light
Sign
Standing Sections
5-75 KW Trash Compactor
� Reinspection Fee �$15 � � luue Fee
DEVELOPMENTSERVICESREQUIREMENTS:
2oning APProved By
Building Approved By
APolintion Issued Bv
FEES
$ 3
O
N
i
N
G
R
E
U
M
T
$.
SUMM��n� V,.O,,Fr� FEES
BUILDING PERMIT $ � SMIP $ ��
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROFILM $
MECHANICAL $ TOTALFEE $ S� ,SD
PLAN CHECK 25% $
oi ovoisiss-ouors�s� z,re-�- ;,i�su
DATE: 09/29!$8 ?L'iE: 12:4]
CONSTRUCTION ANDPLANNING POG aPA
� APPRQVALS Permit# Date Inspector pppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location .
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' •
;
3,� Electrical Conduit UtilitY-Undrgrnd. 54. Forms ,
4.� Electrical Conduit-Undrgrnd. 55. Electrical Bonding ,
5.� Steel�ReinforcemenF 56. Rough Plumbing & Pressure Test �
6. ElecYrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE �' �
z
7: Footings � 58. Electrical Conduit-UncJrgrnd. � . 1
8.� Founiia�ion i, 59. Gas Pipe, O Undrgrnd., Test �:
9. Water Pi,pe-Undrgmd. - 60. Backwash Lines, P-Trap, � Undrgrnd. �'
10.: Structural Floor System � 61. APPROVAL TO DECIC ,
11:.Property Sewer Line & House Connection 62. Backwash & Receptor'Final �
�
12: Sewei C�p . 63. Heater & Vent-Final � ,
13.� Roof Drains I 64. Plumbing System - Firial � ,
14: Rough Plumbing 65. Electrical-Final " �'
15. Rough Electrical-Conduit 66. Solar System-Final
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
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.StorageTank OGas ❑Oil
25. Roof Sheathing... 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and FlasRing � 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 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE IS UED
33. Final Electric No s: �� ( j �y'
34. Final Heating & Air Conditioning �i
35: Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation � •
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations � �. ?d
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
�
� � � 2sq
�`�"� �� `��-� Twiniaq Laboratories �f ��>«t�=-�,� �����f��:,�«_, ��,��
��� I� � �� �O 9 ' '� • 7!i0 /+iRv�,�' ,.n . ,OnG BE�C�a Ch,�F, qOeOi . 7�1� e2� 3;" • ?'3� b75?38a . 1'n) 8206<32
E�J'�C� OGCC55
TESTING - "' �• - -" ' " �"'" � ' �
. _ ,c... � :=ss=.a , ros..�
� . Ly� r3�^ � .—.—•^ .a -- 9.3 Ho]3:o
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J3;eu�:^y 2!!, 1977 Exam�nation: SC77-181
COMPRESSION TESTS ON GUNITE CYLINDERS
:lr. Errol r. Heesch
17_921 Aspenwood Lar�e
far�en Grove, CaliCornia 92640
PROJECT Pool for W. 0. PARK�.R
ADDRESS Z�SS Aliso, Costa Mesa
SAMp�E FROM GUnite S4firrtP.;2ngP002
♦¢CNiiEC�
ENGiNEEo
�J �
CON1AACiON
Saddleback
SU9CONLqqCtOF
S & A Gunite Co.
SPECIFIED
MIX �!-1/2 t0 1 STRENGiH
DAT� CAS7 1-17—%7 CYLINDER SIZE
DATE TESTED 1_zy_77 1-2�1—`j7
CYIINDER NO. 1 11
COMPRESSION 7-Day ']—DHy
rorn� IOAD, 1B5. �� 500 82,5�0
POUNDS PER SO,IN. 3 Z72 2,920
:dOP3: Cylintier� IV, V F� VI "90LD IN rIELD"
CO MPLIANCE 7-day test complies with specifications.
M4DE BY
cYtINDERS Vern
o�sruieunow
..• F. Heesch - 3
�ta i9esa I31dg. Dept.
OEtNFRFD BY
E. Heesch
?_,000 psi
6" x 12�"
1-2Y-7T
111
7-Day
77,000
?_,725
GECEIVFD ON
1-18-77
I2EC�IVED
FEB 3 l yll
,�"� -��% �---��.��—
. ... . . . . . ,� ,.- .. ... . ., � .. .� „� . , ..5 . ...�� .. �� .�� , a. .. , � uF�oA.s �o,�.�=.o�> �A t.
�. . � � , �_ .. .�w . _,., .� �,.� �. �� .o.� .. ., ... . � r� ,. _ .,E o.e. _ ,_ ,_o=,..Es
- PACIF'IC INSTAI�lF12S, INC.
75ly1 dnthony Avenue
Gardea Grove, California g26bt
P.O. Bos 728
westmsnater, cauf. 92663 .
State Lic. #�//�"1� city Lia. # �y��
DBte
Cuetomer 1Pame �2c�/-f'��—'
Permit No's. ��%' �''
Types of Pe�itp _�_
CiCy of �,l-� /�
Department of Building aad Safetq
Gentl�ens
Pleaee be advieed thst as of �Y " 1`0 � all work by
Paoific Inetallere, Iaaorporated, oa the pezmit aumbers lieted above
� have been cancelled.
Therefore, Paoifio Iaetallera, Inoorporated, requeete that the
pexmite be canoelled and that all pre-paid feee be reRmBed.
Thie oanoellation aotioe ia advice to you that Pacific Iastallere,
Iacorporatefl, has no r epons� lity for � complished tm8er
Pe�ite noted at � .
Yery tsu'�y youss,
PACIFIC IftSTALLEFtS� IIPC.
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COSTA MESA BUILDING-SAFETY DEPARTMENT
p,0. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use lnk Only
BUILDING `� i> � �. ___ I� L
nooAess �l:c�a C,YX.C.G�O— Z
OWNER ��tL• /_�
{
MAIL ... _ �. f1 �.. Ii �
yy�� � TEL.
pTY //J /7 /� K��O'. NO.
CANSTRUCTION n nL �c
BRANCH
ADDflESS
CONTRACT�R S/(�(J'y�,�ti �/'�
ADDRESS
TEL.
CITY ND•
STATE CITV
LIC. NO. LIC. NO.
SIZE I NO. OF BLOCS.
OF LOT NOW ON LOT
USE OF
EXISTING BLPG.
Separate permits are required for
electric, plumbing and heating work.
USEOF_BUILDING ND RKSRBEitEF3SDRMED
FA,_ �,
'r,I; -i-77c,-,(10 G?fi = ..,::�-.tIR,7x�
APPLICATION FOR STRUCTURAL PERMIT
PECEI DATE FECEIVED DATE ISSUE Jl
/`3- frr
/ PERMIT NO. /
A.P. NO '� �
BUILDING �
ADORESS�O ( I
FIRE
ZONE
APPROVED
r" BLOCK
�
�1�
VALUE � �
$ �
GROU
_. __ `-�.9'�i
NO.OF USE OF
PLANS BUILDIN
VARDSAPPROVED YAR
MAIN BUILDING ACCE:
DISTANCE BET
MAIN BLDGS.
VAR. #
C.U.P. #
APPROVED �
BET.I
ACCE:
DATE
-3 -'7
��
ti
I hereby ack�owletl8a thet I have reatl this application antl state iO
n
that the ebo�e Informatlon is corract and agrea to comply wlth �
all laws regul8tin8 bulltlin0 cOnstruction, end I shall not employ
i
anY Person in violetion of the workman's compensetion laws of m
the Stata ot Celitornla. ';
m
I hereby cert�fy that I am properly licensetl as e conttactor untler SQ. FT. a
tha Stata of Californie eusiness and Professions Code, Division 3, THE AMOUNTSHOWN UNDER VALUATION IS FOR m
Chapter 9, antl that h licenses are In full force and effect, or I THE PURPC6E OF ESTABLISHING A PERMIT FEE ONLV: �
am exampi ffom th pr vis' of the Stete of Callfornia Businass VALUATION PERMIT FEE $�, N
antl ProfessionsCotl , visi n Ch ta � m
y7DOI� PLANCHECK $ � ^�
Slenature of 6 r �
Pe�mittea ` ` � TAX 5 �
� U
AvthoNzetl Agent TOTA� PAI D § g„i�
• \� L♦
`�JOB ADpRESS 2058 Aliso Avenue
GENERqL CONTRACTOR Owner/Bld
< 118�303-31 LI
f .:TIONS
� Pool Location
`�`�. Forms
�Main Drain
Sleel Reinforce
Elec. Bond
Approval to Cover
Undergrpund Electric _
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep.
Electrical Final
Heater and Vent Final _
f System Final
Backwash and Recep. Final
Fencing Final
Approval for Finish �
C...
4� �_
BUILDING PERMIT NC
FIRE ZONE vnLUE
GROUP TYPE
SUBCONTRACTOR
Electric
L�J`r�ii
c. -w•ti
L y y � Plumbing '-
�� \_u.'t� /i..__�. �.4�.0.. �-
- _43248-_
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�, � '�, I,t} s';, t `. . � CITY x� OSTA MESA �� � f�.�s '.
, ... 7 , o�0$=J ��U�50 � � . Building . ' D'�'e�RTTtENT �..� n � .
1 �� ,p,. Address OF ,�'..i } �.'� {.,� ,
� � �� - ILDI AFETY ' '
, t^�r d 7 . . . . � , ..y
� } -�('J L �:ex�7t:' �'`�` Owner� :; �� �
.,. , -. .' . �'�:. !� -`q,
'�� � �� Contractor' �,Registe� d ep y Building�inspe r
� � �1� .:���E-�,��.,,��� , Certifi 6te of Compliance . � � �i1.
-,,, � j'
, �/g�ylE Address' � !I �'—�'`�
''���, Permit Date �� Date of this Certificate.. � •�;;:',,;
M1 ;,�•{��Number % �-%/% Issued . . �. � ';r. �, : ,� .. ;,,�,;.
" � �,
. • ' . � ��,. ,
. �. , ,. � , . . ,
`�'��,+ � . .
�;�,i'� To the Director of Building Safety:, � ' '� ' ,. :� -'���; � ' '
,. I:hereby certify that the following portions of work�on�the��buildings�„ �
at the above address which required�continuous inspection an3��which 3�was•�:' �
" employed to inspect, were inspected�by me and comply with�the'pYovisions'�',`�,
of [he Building Code applicable thereto. �,� `:�,' .� :, ""'
;i,'�'� . . . . , • , ti.�.,. ��`��'��
�:�;;� '` 1) • � �Concrete �3) � Welding� , .. � ' S) ° �,Speclal��Cases�•
, . . .. .a'�, . ,��,
�'.v��J� . , .:�,. � � . . .. , ',�: • �',:'r::l
,�•�� . . . . . . - • .. : �
�-:;r:;� -�. 2) .'' ,.Masonry .. '. �� 4).� Reinforced Gypsum � ,;�;•1' . ,��.�:
�� '��Swimming Pool Size �'L X/S� � Gunite_�Hand Pack-���'•��., ,
' , . . ri.
�� . . .. :. . l � . '� .
,�. • Sacks Cement /sJ'r Tons of Sand �� � � .M���
1. •„� .'..: - .. . . ' � . . � e�i.. . . ,b;!'„`;:.
'�'�•"�..,'Approximate % of water in aggregate ' Jr'��% � ' ' .
. � , •i � �.. .
�P,��,�,;�.`�'�` This' report� covers work completed during week ending �—da�—� •�' �"",' '
} � i REMARKS : .. , . , . , . . � . �
� ,.f � �" ',
,�c.� ..,l�L�7��icJr�' _' y a� '
� , � � � .- , � � � TERED U B_ LDING INSPECTO ., ���.
P�, t ; ,. ' ,
� `
' �.: . ,.. � � � . ' - � . . ' Name ,p2 iL i%��CJ�' . ' ' '..
1f;� � ' . . � . . , ' �+ ' f . .� �� . � � ��% �
{ � � • . . . Address /—�., ,.l (lY1K�� � �?t
,
� "� � ' '� "•, � . ' - ' . . i i.-, � . � ' � .
,f�,�' . � Laboratory �iNl � Telephone ' ��7 �ld%�.5-� "t4 � J, .
p I. I .. � ' // /JI �/l ii i y�f c t �t ,
i. .i�P011rt BU 6+L \�.0�l0�. '`—�"/' . , � � �, .'f ��611 i
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