HomeMy WebLinkAbout460 ABBIE WAY - Building PermitsApplieant to fill in all spaces within heavy GorEer lines antl sign all appropriate tleclarations. �� ��'���� ,
CITV OF COSTA M�SA PE IT NO: - ' ' TpACT NO. LOT NO. BLDG. NO.- ' '- - �- ' - "
CONSTRUCTIONiPERMIT - ��'� ' , ' •
,
ProjecYA"ddress .'7�`• `ABQ�t N/,y. •. ' - TYPE OF CONSTRUC,T_,I/O.�y' /i n + � . - � _• ,a_ ' � �� . . ' : ,
Ownx�/M'. . Lr � � - . - Phone(75 O ❑ NEW -0 ADD !� A`TERATION �w 4 1� - - ` FE�B ( '. '�� � . . ,•' • . _ �
'Address �:�OO'.-FIQ��C ✓• - --- -- - - . ❑REPAIR_QCONVERSION ❑DEMOLISH ���� . ' _
Arch/Eng. •- - . --- � -� - License No.� /� Z ❑ OTHER ZONING REG TIONS
�. OFWORK A.R ."__", " ,
Add�C55- •_.• . .. �-. . ' - -' - '_ ' ' _ _ DESCRIPTION . . _ .. _ ... _
� � �ZON � I` G.REF.� �..
'Contractor -�-nE T'E�/ "�LvN/f/.�e Phone6J)/%4/• 7YPEOFPERMIT- - " '" ' ' - � TpBU�LOING - � .•
/� � SETBHCK 15T. PROPERTY IIPIE.
',AddTess'-�S � % �C!�-" � '//ANUC(� - '�' ' �❑GRADING�� ❑'FOUNDAT�I_O,/fy� ❑STRUCTURAL �SIDE'YARD � '--^ �=�y: - - - - �-
LICENSED CONTRACTOR_DECL'ARAT.�ON_ _ �. ' '� O�TENANT ❑�ELECTRICAL�If�JPLUMBING ❑MECHAN�A ;L9ECHT . . ._ � . -
I hereby affirm th�t 1 am licensetl �untler provisions ot Charter 9�(Gom- /� q
mencing--with section 7000) -of . Oivision 3 of- the -Busineis antl ❑ OTHER �/ ' U�L�. S ' WE �/ . R _ .. _ _ _ _
Professions Cotle, ,antl my Iitense is in full fo/ce antl effec4, � , REAR VARD (TO P/L)
�' PRO�ECT DESCRIPTION% � �
License qass � � ' ense No �' ' �� - � i PKG. SPACE REQ. � - PRONIDED ' � , ' � ,
Date2' �-- "7. Si9nature . .-.... .SQ..FT ' . , . ' __ " ' , " ' .' ' . .1
WORKERS'COMPENSATION,DECLARAT.ION • OCCUPANCV ' CONSTRUCTIONTVPE STHEETVJIDTFI �. .PARK�FEE$,., .�
1 heveb affirm that 1 have a certiflcate of consent to self-insure.o� a /'� ,` - "ZONING'APPROVED 8V - �" � �ATE"` . '�
certifiwte� of Workerz' Compensation -Insurance, or a certifieA.copy _ VALUATION��O• ZONE _ _ _ __._. - _ _ . _ . . _ -
�of (Section 3800, Lab. CJ. GRADING.CU YDS. -� ACRES ' _ SPECIAL CONDITIONS: � - _ - �
No. ' "' ComPanY - ' ' " ' " ' �
ertifietltopyi5hereby,fumishetl.__ _' _._ _ __ . ' REMARKS " � _
❑ Certlfied copy I5 tiletl with the city Builtling Divisio0. ,. � . ,r
EXEMPTION FROM•WORKERS"COMPENSATION'DECCARATION ' • - - - - - - - - - - - -
(This section neetl not be tompletetl if tl?e_permit is tor one huntlretl � �;_ ���� � �_:, - `. �'O":'��
'"'-' _ '"' _ _' _ " ' ' " ' ' "_ '" _ ' "' ' '" ._ . . .
(5100) or Ieul. i i . .. . � . ' _ " '" "'" ' . " " _' "_. I
I certify that in the periormance of the work for which this permit is , .
Issued, I'stiall-not�employ,any �erson in any manner'so aSto"become ' PCUMBING -'� ' • PL'AN'CHECK' '" �'-' "- ELECTRICAL -'' -- PLAN GHECK - '�-
subject_to_the Workers' Compensation Laws oi Calitornia.:' ._ � '
Date Signature � B.4THTV85: ' SHOWERS '" --- ' ' "- ' - " -
NOTICE: It 5fter rriaking this tletlaration, you shoultl bemme sublact • TOILETSi ,•� -,-URINALS '-- �GENERATOR -0-1 KW_1-}0_KW ��, ��
to the Workers' Compensation provisions ot the labor Cotle,you must ' , ,TRANSFORMER . �,d•-� •• _�
forthwitb comply with such provisions or this permit snall be deemetl LAVATORIES DOUBLE LAVS'- ' fAPPLIANCE'"' 10-50 KW -50-+ KW - -- - -
revoketl. '' � _ -.- -�- -��- - '-KIT.SINKS ' - - "DISFiWA5HER5•'— � ' -MOTORS' - ' - -' - --
GONSTRUCTION �LENDING AGENCV 1- 0-1 HP_1-10 HP - I '!�
�1 hereby aHirm that there is a wnstruction lentling agency for the Per- SERVICE SINKS ' SVMPS' "- - ' - - UNC_SOLAR) - 10-50 HP=50�+�HP -
formance of the work tor whic� this permit is issuetl (Section 309] -
C��' C'�• ' - - " '-" "' " ` ' " -" `FLOOR SINKS FGOOR'ORAINS ' ' �FIXTURES'- -" OUTLETS SW�TCHES' ' - '
Lentler's Name
Lentler'sAtltlress ' DRINKINGFOUNTAINS�- - ""� �"- -' -GASTUBES�GNS-' ' " " ' -
OWNER�BUILDER OECLARATION • -' ' WTERCEPTORS � CLARIFIERS- � ' - � ' ' POLE LIGHTS' ' ' -' "
1 hereby aifirm that I am exemPt from tbe Contractor's �icense Law for
the tollowing reason (Section �031.5 Buiiness antl PtOfessions Cotle: SWIMMING POOL' 'P TRAP '- ' -� - - - -
qny city or county which requires a permit to construct, alter, � �PO�ES� - fNETERED SUB
improve, tlemolisn or repair any s[ructure,-Prior to its issuance, also re- yyqTER SERVICE ''ALTERATION' ' .PANELS '- MAIN' SVB -
qui�e5 the ap.litant (or Such permit to tilC a SigneA 5tdtemEnt that he '
Is �lite�setl pursuant to the-provisions�ot the Contractor's-License Law --GAS SERV ICE � � OUTLETS '� � -� - - � - - ' SERV ICE "' - " �"- - " AMP'- - ' '
�Chapter 9(commencing with Settion 7000) of Division 3 of the - � �
siness antl Professions Cotle)-or that-he is exempt tberefrom antl the � -yyqTER'HEATERS ' 'BTU OVTPUT " � ' -' - - - - - - ' - � � - �
iz for [he alle9etl exemption. Any. violation of Section �031.5 by ' " ,
��appliwnt fot-a permit �subjects-the applican[�to a civil-penalty� SEWERCONNECTIONS ' - -' - - - - ' --� - - ' - -� ' - --'--'��
eF not more than five huntlretl tlollars (y500). �
0 I,-as"owner ot tM1e property, or my emPloyees with wages as thelr 'SOCAR'TANIt� ' ' - COL,LECTORS -' � - "' - -'- - ' ' ' '-' -' ' '
sole Gompensatiorl, will tlo the wo�k, antl the Structur¢ is �ot intentletl
or`dfferetl tor sale. (Section"]044, Busioess'antl Rdfessi6ns Cotle: The SOLAR PIPING SVS. �� ':� �� ' ISSUE'FEE " " " '-
COntYactor's� Lice�se Law tlo¢s not apply to an own¢r ot a property '
who builtls o� Improve5 ther¢on, antl who tloes'SucF wo�k himselt or - -�SSUE�FEE � -� • � " �! ' APPLICATION APPROVEO BY � DATE�' , r q
[hrou9h his own employees, provitletl that zuch improvements are not L,
Intendetl�or offe�¢tl �for sale.�l(, however, the bUilding�or'IFnp�OvemCnf� '- '" - - � " ' ---' " - ' '- - -" """ ' '-' ' ' - " - -
is zoltl within one year ot completion,-me owner will have the burtlen MECHANICAL PLAN CHECK I SUMMARV OF FEES .' :,
of proving he'Gitl not'build or'improve tor Ihe'purpose oT sa�e�. -- - ' - ��BUILDING� � � -- � - � - '� �
HEATING SVSTEM 0-300,000 BTU -PERMIT $ �B�' n•�SMIP .�, 5 � S O �
❑ 1,. as_owne._ot the proPerty,.am. exclusively wntracting with. -qND'DUCTING ' ' --" -- -, - - - � ---- -- �- -
licensetl <ontractors to construct the pro(ect (Section 7044, Business 100,000�+BTU � PLANCHECK $� .PERMIS �;
antl Professions Cotle: The ContractoCs. License Law tloes not.apply to . -- -- ..- - ISSUANCE $ -
an owner of property who builtls or improves thereon, antl who con- REFRIGERATION 0-100,000 BTU ' '�PLUMBING $ � p .. ,��
fracts.trom sucb. P�o�ects_with a contractnr(s)_lite5netl pursuant_to_ _SYSTEM� - � - � - . - - -- _ . _.GRADING S -
the Contractor's License Law). 100,000�} BTU PLAN CHECK E' �+, � �, y .
� I'am ex¢mpt untler'Section' ' -'- - ' - B.'k'P. C: for this' - BOILERS BTU � �ECEGTRICPI $ - � - $ - -
reasoa - . - - . _- - _ ' ' MICROFILNI E
� SVSTEM REPAIR, ALTERATION PLAMCHECK $` � '- - - �
Oate. Owner � ��- � TOTAL FEE y' �
I hereby certify tnat 1 have read this application antl state that the above EXHAUST SVSTEM MULTIPLE "'MECHANICAL'$"""' '-`-'- .
intormation'is' correcC I a ree to' com IY wlth all cit , _'� �_� _ ��_ �' LE55 A�- _ _
g p y'antl munty- PLANCHECK $- � VANCEPC 8_
ortlinances antl s[a[e laws relating to construction, and nereby autM1orize � . . . �
rCpreSentaHvez of' i to ent Don 'tne- dbove 'meniione�l" - ' - '
O�op¢rty t nsp lon pu� ases. Q .
Si9nature ���
��� -' ISSUE-FEE � � � - - - - - . _ _ _. _ _ ...
CMF 0865-46 Wbite-Builtlin9: �nary-Applicanh Pink-A<wunting; Goltlenrod-Assessor _ _ .
' /: . ' ' ' . • ��. .
CONSTRUCTION.AND PLANNI,N�G �"(J �' S�J� � � POOI & SPA' '� � • , �, ,� � • . �. ' -
APPROVALS • Permit # �� Date Inspector ;qppROVALS_ • Permit # Date• lnspectw
1. Temporary Electrical Service or Pole ' - 43. Pool & Equipmen�t Cocation -' -'- ' - --
Soil Pipe-Undrgrn 44. Steel Reinforcement ' - ' �- � - - � - - • ---- - � - � -
3._ lectrical Conduit UtilityrUndrgrn _,.. .45.. Forms � � - - -- - -� -� - - - - - -
.
4. Electrical Conduit;Undrgrn �' ' ' .. . . _ 46. Electrical Bonding '- - - - - � - - -- -- � - -� -
tee ein orce � - � 47. Rough Plumbin & Pressure Test �� — - - - -- � �
' 6. Electrical UFER Grn ' � � "� ' ' 4$. - APPROVALTO COVER-GUNITE - - � `
7. ootings__ � . ? 49. Electrical.Conduit-Undr rn ' ' ' �� '
_.8.._Foundation.__ � "' ' ' ' ' 50.. Gas Pipe, ❑�Undr rn; Test ' ' - ' � ' � � � ` � �'
; _9.__Water Fipe,Undrg[n_ ' .: 51.. Backwash Line �..P-Tra UndTm� - " " ' '-' � ' "
_,10._ StSucturatFloorSYstem '-' ,v, • ..52. APPROVALTOAECK "-- ` " -- -` - ' `
_ 11__ P[oper.ty,Sewer.Line & House�Connection. '._:� _ , j�[s __53._ Backwash'& Rece torFinal' '. � ' '� - � � ��
�
]2.._Street.Sewer.Connection.. " � � ' ' ' - - - - - -� 54. Heater&Vent-Finaf � � � •
� _13. Rough.Plumbing _ . _ � .. _ . - . . . . . .-' - �.; - - - - - � �.
14. Rough ElectricConduit � � - �56. -Electrical-Final� -- - - � - � � � � � •' �
15. Rough Electric-Wiring- - �- - � � - - - -- - - - - 57. Solar-System-Final - , " �. � . ', , . �'
= 16.- Rough-Heating & Air Conditioning � - � � - - _ . __ • : encing & Access Approval �
,._. '".9•. .APPROVEDFORPLASTERING � ...'� � " -� '
17; -Ducts, in Struciure. ' • � " ' � '
� �iR_ nucis.Ventilatina.._� -__ _ ' __ . _ ' _ _ ' ' ' ___'__ __ . ... ,__ _-.
60.. POOL/SPASYSTEMS'FINAL ;:'.. ' . , ' . . .- '."+'
' .. . . '_ "_ � . . � �-.,� �� .�i �.. .oP
' NOTES: � �. . .. . •
, �;,
. , � t�
.. - . _ -- , . . . .. - ..... �c.
�. ..r � . . . � . . , . . . . '�
•w ,
. - . . . . . , ,. . .. . , ry
{ .
�- _ `
' _ �
CITY,OI
CpNSI`
� Project A<
Owner
Address
Art n
Address
� Contfetto�
i Address
LICENSED
I hE�¢by aT
11100CIng w
Professione
License Cla:
Date�
WORKERS
___,
ADP��eant to fill in all
A MESA ` a�g MIT NC
ION PERMIT !"S�G-
within heavy
linei antl si9n all app�opria�e tlecla�ations.
]T NO. LOT hS3: � BLOG. NO.
/ � f - � TYPE OF CONSTRUCTION �
Phone
� C / NEW ADD ❑ ALTERATION -
- "- - - � - ❑ R�PAIR ❑ CONVERSION ❑DEMOLISH
� )� ' � . License No� %Q��%' CTOTHER
`rJ� rCj�� �ESCRIPTION OF WORK _
r�h � � (,�' � � � � Plione�3 TVPE OF PERMIT�� � � � � - '
) � � ., O�GRAOING� .❑ -FOUNDATION ' O STRUCTURAL
qCTOR-DECC RATION- �❑TENANT'��ELECTRICAL�OPLUMBING ❑MECHANI
�,am licensetl untler Orovisions of Charter 9(com- . . �j
ip 7000) of �Divtslon 3-of-tha Business antl �� OTHER � -=
��tl ,li<2nse is in full forte antl effect. -
�� � `t � No.�316760 '�-PROJECTDESCRIPTION.__. ; _ _ _ . _. _
�;519nature� - - SQ..F7.� _ . _ ' _
VSATION DECL RATION �� — , '- � OCCUPANCV�/y_C�(17�1''yTRUCTION TVPE.
I have a certificate of mnsent to selt-insure or a �. �/. (/.�{'(7
�5' Compen3ation Insurance, or a certitietl copy- - VALUATIONy7�_ _=ZONE
/i �///�//,'� ' GRAOING CU. YDS. ACRES
�_ComPanYL��L�L[t/-"'�y� � ' ' '�1 ' -
LJ Certlfietl copy is�fil¢tl;with tlie city Builtling DiviS�on. � n, R
EXEMPTION���FROM M�ORKERS' COMPENSATION DECCARATION ' " ' � " "
(This settion neetl no� be completetl it,the per.mit is for one huntlretl ,
(§300) or less�. ' . ' � �- --��i .
I certify that in�the'p¢�-formance.of the,work for which this permit is'
15suetl,� I shall not emQloyany�person in any m ner so as to,becor$e � PLUMBWG µ. - ' PI
subjecttoth, orl�ersCompensatioryl�wa�t ni. _ _ ' _ __'
�d[¢ Signature ��, rN BATHTUBS St
_ �'_ '
CHECK " '
ERS � -
NOTIGE. If,after maK��9 this tle<laration, y u shoultl become subject. TOILETS i r, VRINALS -'" � '
to the Workers' Compensation provisions of the Labor Cotle, you must '� � '
forthwith comply witH such provisions or this permit shall be tleemetl �VATORIES DOUBL'E LAVS -'
revoketl. -- - - " KIT.SINKS '- ' 'DISHWASHERS'
CONSTi3UCT10N LENDING AGENCV
I hereby affirm that tnere Is a mnstruction lentling agency tor [ne perv SERVICE SINKS - .. SUMPS '' -
formance of the wor h this permit is issuetl (Section 3097 -
Civ. C.). - ' - �� - " -�' " " ' FLOOR SINKS - FLO�OR DRAINS -�
Lentler'S Name
Lentler's Atltlress DRINKING�FOUNTAINS 'li """ "" '-
OWNER'BUILDER DE�LARATION ' - '- -' '-' 1NTERCEPTORS - CLA'RIFIERS '
I hereby affirm that 1 am exempt fromShe Contractor's License Law for
the tollowing reason (Section 703L5 Business antl� Professions Cotle: SWIMM�NG POOL �C P'
Any city o� county whith requires a p¢rmit t0 const�uct, alte�,
improve, tlemolish or repair any structure, prior to its issuance, also re- � yyq7ER�5ERVICE - ALTERATION '
qul�es tne ap.licant foI such permit to file a signetl statement that hC
is for the allegetl eKemp[lon. qny vlolation of Seclion ]03L5 by
/-applicant fo� a permibsub�ects'the applicant to-a civil p¢nalty
r not more than tive huntlrea aollars (E500).
❑� I, as owner of the p�operty, or�my employees witB wages as thei'r
501¢ <ompensdtion, will tlo Ihe Wolk, a0tl the stluctufe is not intentletl
or offered. tor sale. (Section �044, Business antl Aofessions Cotle: The
Cont�actor'S Llcense LP�+' tlae5. not apply to an OWner. of a pJope�ty
who builtls or improvBs thereon, antl who tloes suCh work'himself or
th�o�9h his own empldYees, p�ovitletl tha[ SUCh_imp�ovements a�e not
intentled or oHeretl for sale. If, however, the builtling or improvemen{
is.soltl. within one year of completion, the owner will hav¢ [he bu�tlen
of proving he tlitl not builtl or imp�ove for [he Purpose of 4ale).
❑ I, � as- owner� of tpe -property, am extlusively cont�acting with-
licensetl contractors to construct the project (Section ]044, Business
antl Professions COAe:� The�Conbactor's-License�Law tloes not appry to
an owner oT property �+ho builtls or improves thereon, antl who con-
t�atts f�om� such��proj8�ts-with a-cont�actor(s) lic¢sn¢d pu�suant-to
the ConGactor's License L.aw).
0 fam ezempt untler Se�tion B�& P: C. for this-
reason - - - -
1 herebytartltythat I h2�e reatl this
IpiOfTd210l1 IS COfI2GL I dqIC2 LO
Signature �,rLy
ation antl state that the above
�ly with all city antl county
ruction,antl hereby duthorize
upon the above me ione
Date
GASSERVICE - � OUTLETS ��� ��
WATER HEATERS ' BTU OUTPLIT . "
SEWERCONNECTIONS'--' ' - "' .
SOLARTANK ' '- "COLL'ECTORS`. -
SOLARPIPINGSYS. �j �- ---'- -
��SSUE FEE -� - -"' - " -
MECHANICAL PLAN CHECK
HEATING SVSTEM 0-300,000 BTU
AND DUCTING ' 300,000;+ gTU
REFRIGERATION 0-100,000 BTU
SVSTEM •- ' - 100,000#+gTU
BOILERS BTV
SYSTEM REPAIR,ALTERATION
EXHAUST SYSTEM MULTIPLE
�rivers' License or '' ISSUEFEE
CMF 0865-Z6 White�Builtling; Gnary-Applicanq Pink-Acmunting; Goltlenrotl-Assessor
.. . 1735 2/05/82 203.37
� • `,
I
iLU.��v�a[vaei
r_nn���.r . _
� .
PKG. SPACE REQ. � - �PROV IDED -' �
STREET WIDTH � � � PARK.FEE $ ._ �
L CONDITIONS: ~ - � � � � '
._ . " ' ' _' _ . . .J .
i r1
jEIECTRICAL' ` PLAN CHECK
5(]. FL � �
.GENERATOR Od KW_.1-LO KW " '-
TRANSFORMER
iAPPLIANCE - 10-50 KW '_50 + KW
;MOTORS ' 0=1 HP_�1-10 HP '
(INC.SOLAR) -30-SO�HP=50+HP ' '���
.FIXTVRES" '- OUTLETS- 'SWITCHES �
GAS TVBE SIGNS - - - - - -- - - � - ��
,POLE LIGHTS' . - " ' . �' ' . ' - ' 1
PANECS '' MAIN" SUB - �
SERVICE - - --- � qry�p -
� . - n. _ _ il _ .� _ ' - ' '�'-T� ,
' i/y�-'� 'L(� - JL.(J ' _
- ' ' ISSUE FEE - - "' -- Q
� •APPLICATIONP.PPROVEDBV - ----��-DATE- -
' � " _ ' _ ." ' .. _ ' ' �
SUMMARV OF FEES, . , - •` �
- � BUILDING - '
`PERMIT S O�S� SMIP.. . � S�';"�
•PLANCHECK $� PERM17 � � �T ��'
- ISSUANCE�.S
'P�.UMBING $ ' B� . , � y
fPLAN CHECK - - �GRADING _ S'
$. "_ _ t
' "ELECTRICAL �$� � ' $ ,
PLAN CHECK' $- - �MICROFILM $ -' _
TOTALFEE$� �'
'MECHANICAI S' -
�PIAN CHECK- �S - ' � VA CE PC-
._. $ � .
- �u ltr2 r` -
B-a... l.OD $.�r g',Qat� „Q,�
_ . . . .nzc2r.q-co � �.. . ^.nra In ^ . � 'InL.�.��� . -. n.• .•�3.Li •. . cf - - —'::�
Applicant to fill in all spaces within
GTI�OF COSTA MESA VER�IT NO/���
.EONST�R,UCTION PERMIT �
Project Address A ie t•tav. (bsta,r3�iesa. Ca.
Addrea
Arch/Eng. JO]1R �! Jamieson License No. P$D
Address LJlprj E]. Camino Real, Tust�n Ca1.
Contractor GBO. Z�! Liddle &Sons ano�— e�31
Address 'i27 2 Alinaz # 9. S. J. Capistran
I hereby affirm that I am Ii<enzatl unAer p�ovisions of Charte� 9(com-
mencing wlth seFtlon 7000) ot Dlvision 3 of the Business antl
Professions Cotler antl my Iicense is In fult tor y-ey ffett.
Utense ClasSp Byl Litense No. �J'
Date 'r'A;'�i 2.1 ��9n t ���
W
WORKERS• COMPENSATION DECLARA ON
I hereby affirm tnat.l have a certificate of consent to.ulf-)nsure or a
certlilfate of Wofkers' Compensation Inzurance, or a certifietl copY
thereof (Section 3800, Lab. C.). ,
?olicy No. Company
❑ CertitieU topy is hereby turnishetl. " '
❑ C¢ftifi¢tl COpY IS fileG with th¢ city BUIlding DIVISion.
EXEMPTION FROM WORKERS• COMPENSATION DECLARATION
(This section neetl not be <omptetetl If tha permit is for one huntlretl
(E1001 or Ieu1.
I certffy'that ln tHe performance of the work for which this permit is
Data ���� Signature
NOTICE: If af[er making this tleclaration, y 5hoN0 become subjett
to t�e Workers' CAmpensation provi5ion5 of the Labor Cotle, you must
forthwith comD�Y M'�<h such provisions or this permit shall be tleemetl
�evoketl. ' '
CONST0.UCTION LENDING AGENCV
I hereby affl�m thdt there is�a coristructlon lentling a9enty.for t�ie per-
formanCe^cf [ne work for which-thi5.permiY i5\55ue4Y(SeEtion 3097
Civ. C.L... . �a�i. .,.. \ c �\ ` -i �
LEnA¢t,'S N3T¢'= " --
Lentle�'s-Atltlress� - �' � ' -
OWNER BUILDER DECIARATION � �` '
I hereby aifirm that 1 am exempt from.ihe Contractor•s,Li<ense Law for
the following reaso� (Section 7031.5 Business antl Professlons COAe:
Any city or <ouPty which requires a permit to •mnstruct,�.alter,
Improve, tlemolish,or repair any structure, prior to its isivance, also re-
auires the aoolicant Tor such cerrimit to<file a siqnetl statement thaYne
of .not more than rrve nunaretl Gollars (E500): � �' �
❑.I,'as owner of the �propercy, or my emPloyees with wages�as their
sole campe�5dtion,'w'�II tlo tnR work; ana the structure irnot In[entletl
or,otteretl for sal¢::(Sectioo 7,044; Business antl Profes5ions Cotle:�Yhe
Con[ractorY'Licen9e L9w tloes�not apply to'an owner of a propeftY
who builtls or impfovEs thereon, antl� who tloes such work himself or
throU9h his own eR�Ployee5, p�oVitletl that sUch imp�ovements a�C not
intentletl or ofteretl for.zale. If, however,.tne builtling,or improvement.
is soltl within one year oi completlon, Ihe owner will have the burtlem
ot O�oving he tlitl not builtl or improve for the purpose ot sale).
❑�I, as owner ot the property, am exclusively contracting with
licensetl contraclor5 to construct the project. (Section 7044, Business
antl Pro(Mzions Code: The Contractor'z License Law tloes not apply to
an.owner ot property who bullAs or improves thereon, antl who con-
tracts from suc� pro�ects with a contractor(s) IiCesnetl Oursuant to
Ihe Contractor'S LiGense law).
❑ I am exempt under 5ectlon B. & P. C. for tnis
reason —
Date ' Owner
1 h¢rebyt¢rtifythdt � hdve reatl this application antl sta[C that thC�above
intormation is correct. I a9ree to comply with all city antl county
ortlinancez antl state �aws relatin9 to c truction, antl hereby authorize
representatives thls tity to en Lr u n he above mentionetl
property tor i ectlon purp // � ` ^/
Signature-� � Da[e y � �
Drivers' License or 5
Eo�tler lines antl.si9n all approprtate tlecldntions.
SI�µCTNO. L,p�NO.� �BLOG.NO.
i
TVPE OF CONSTRUCTION
❑ NEW � ADD ❑ ALTERATION
❑ REPAIR ❑ CONVERSION ❑DEMOLISH
❑ OTHER
OESCRIPTION OF WOAK e5. A —OTl
/
( ♦
s�
� ��
❑ GRADING �' FOUNDATION C�' STRUCTURAL � �
❑ TENANT � ELECTRICAL �PLUMBING��.9ECHANIC
❑ OTHER �
PROJECT D CR�PTIO�}, �_ -
5Q. FT. ��U SQ. S t. 1�.- T/
�$.F'. _ � t'�t['�.5�'tllCCO%N'.
OCCVPANCV_� ONSTRVCTIONTVPE
VAWi1TION �O�OOO. ZONE ' R-1 •
GRADING CU. VDS. ACRES
PLUMBING
BATHTU85
TOILETS
LAVATORIES
KIT. SINKS
SE�V ICE.SINKS
r� nnde�n�vo _ ♦
SOLARTANK
SOI.AR PIPINf
ISSUE FEE
PLAryCHECK
SHOWERS
URINALS
DOUBLELAVS
DISHWASHERS,C `t�
SUMPS '
FLOOR ORAINS . �
.CLARIFIERS
�7 TRAP
: ALTERATION
� OUTLETS .
HTU OUTPUT`
�.f+T�
. COLLECTORS � � '
. � f �
MECHANICAL , pL'AN CHECK
HEATING SVSTEM 0-300,000 BTU_
AND �UCTI NG 300,000 + BTU _
17EFRIGERATION 0-300,000 BTU_
SYSTEM 100,000 + BTU 5_
BOILERS BTV
SYSTEM REPAIR,ALTERATION i
EXHAUSTSVSTEM MULTIPLE
ISSUE FEE
CMF0865-4fi White-Buildfng;Canary-Applitant;Pink-Accounting;GOlEen�otl-Aszessor
t
3
REAR YARD (TO
PKG.SPACE REQ.
STREET WIDTH
ZONING APPROVI
SPECIAL CONDITI
a�R.wf� �+"'
ELECTRICAL
ean i i,ii,eiei.
NING REGULATIONS
+P�LNTGp. RUEF. $
py PROPE�RTVNLINE
V '���4
7
� i-L5�0"
� PROVIDED
� PARK FEE $
BY bniG � DATE
I5: �
PLAN CHECK
vn 0-1 KW_ 1-10 KW _
TRANSFORMER
APPLIANC£i` 10-50 KW 50 < KW _
MOTORS ,� 0;1-FiP_3;30 HP _
(INC. SOLAR) 30-50 HP_ 50 + HP _
FIXTURES OUTLETS SWITCHES
GAS TUBE SIGNS
POLE LIGHTS
PANELS MAIN � SUB
SERVICE� AMP�
ISSUE FEE
APPLICATION P.PPROVED BV
•,�
277.00 TL
DATE
SUMMARV OF FEES '
PERMIT G §/�7.7� SMIP E 2• ��
PLAN CHECK §7 1 .�S �' PERMIT
$��00 . �65UANCE S �
PLUMBING E
GRA�ING E —
PLAN CHECK $ .
ELECTRICAL $�' s
PLAN CHECK g MICROFILM E
MECHANICAL $� TOTAL FEE $ -
PLAN CHECK E , VANCE PC $
FINAL FEE $
�
PHOJECT p00HESS:
� OWNEfl'SNAME: 4E�O ABBIE W:
nooness:GREAVES. JAMES R TR
460 ABBTE WY
COSTA MESA.CA 92627
AHCH/ENGINEEfl:
AUUflE55:
HEC.NO.:
uxir:
UNIT:
PEHMITTEE: CF3ANK HROT'HF.RS ( 714 ) 548-5569
nouness: 1'2{'6p COMGM�ERCIAL WAY (�'7
LICENSEU CONTPACTdfl�FCLAAIiTI��Fie7eby aflirm tha� I am licensed undeCr piovis9 �oTCFaD er 9(commencing with $ec�ion
7000) oi Oivision 3 ot Ihe Business antl Professions Code, an� my license is in iWl�orce anE eflec�.
cirruc.:00599 sTaTeuc.408677 �`"S_�39 �EXP: 06/95
Oate: ��, S'�� Signature: ('J C.«sof�
t
OPKEFS' LOMPENSRTION DECNBRTION: I hereby a���rm ihat I have a cerlifica�e of cansent to setl-insure or a certificate of WOBers'
Compensa�ion Insurance. or a ceni�ietl copy thereof (Se��ion 3800, Lab. C).
voucrNo.:zg5-94UNIT00224 E%P.DpTE:O1IOlI9J
comanNr:STATE FUND
�J��np.+ Certi�ietl capy is hereby lurnished. � Certitied toPY is �i/letl wi�h %the.c✓iryf Builtling �ivisi0n.
. '�tle: � � � � � / � � APPlicant �.�lJ `� ��
_XEMFTION FHOM WOflNEflS' COMPENSATION OECIAMTION: Imis secUon neetl noi be campleteU ii t�e permit is tar one hurMreO ($700) or kss).
I certity �ha� in Ihe peAormance ol ihe work for which �his Permit is issue4 I s�all not employ any person in any manner so as to become
subleCl Io Ne Workers' Compensation Laws of CalifOmi?.
Oare: SignaWre:
NOTICE: If, after making ihis tleclaration, you should become sublect to ihe Workers' Compensation pmvisions of the labor
COAe. you mus� toMwith comply wi�h such provisi0n5 or this permit 5�ail be tleemeG revoked.
CONSTHUCTION IEN�ING FGENCV: I herehy affirm ihat ihere is a consimction IentlinB aAency im the pertormance a1 the wark for
w�ich �his permi�is i<sued (Section 3097. Civ. C�.
lENOEP:
ROOflESS:
OWNEN BUILUEB DECIABFTION: I nere6y alfirm that I am exempt Irom ihe Coniractors' State License Law tor ihe followinp reasan
(Section 7031.5 Business antl Pro�essional CoOe: Nny ciry o� counry which requires a permit ro constmct, ai�er, impmve, Eemohsh, ar
repair any stmcmre. prior m its issuance, also requires ihe apDlicant for suc� De�mit ro file a signetl statement that he/she is licensetl
pursuam lo the pmvisions o� the ConVacmrs' State License Law (Chapter 9(cammencing wiih Section 7000� of Oivision 3 af the Business
antl Pmfessions Coae) or ihat he/she is exempt therefmm an0 ihe basis Por ihe alleged exemption. Any violation o( Section 703L5 6y
any applicanifor a permi� 5ubjeC�S !he aOPliCan� �o a CiV�I penalty Oi no� mofe �han (ive huntlfe0 tlollars (5500).
I. as owner of ihe pmpeny or my employees wilh wages as iheir sale compensation, will tlo Ne wark, and ihe
❑ simcmre is not imen0ee or oiferetl for sale (SectiOn 7044, Business and Pmfessional Cotle: The Contracrors' State License Law
tloes not apply to an owner oi a pmperty who bwlds or impmves ihereon, and who Aoes such work himseli7herseif or ihmugh
his or her own employees. pmvitled Ihat such im�mvements are not intendeA or oflereJ for sale. If, however �he huilding or
improvement is soltl wi�hin one year of compleliUn, Ihe owner wi0 have the 6urden o� pmving he/she did not huild or impmve
for �he purpose ol sale).
� I, as owner of �he pro0erty, am exUusively conVacting with licensetl coniraciors to wnstmct �he pmjec� (Se[tion 7044, Business
antl Ra/essions Cotle: The Con�tacbrs' Slate license Law tloes no[ apply [o an ownero� prop¢rry who Omlds ar improves lhereon
� I and who comracis for such pmlecis witA a wnitactor(s) license pursuant ro ��e Coniraciors' Sta[e License Law),I am aware
ihat pmof o1 their Worker's Compensalion insurance shoNd 6e provi0etl ro me.
� I am exempt under Section' B. & P. C.
lor ��Is reason:
oate: Owner.
I do hereby certily ihat I am aware ol ana undersiand the requirements of Ca�i�omia Healih and Safety CoUe Sec[ions 25505, 25533. antl
25534 antl �hat I or any iNure builtling accupan� will/will no� (circle one) need to comply with said s�ate co0e5 and �he requiremen�s for a
permit for constmction or motli�ica�ion fmm Ihe Fir �ualily Managemen� Dis�nci. Residen�ial consiruction apD�ications are exempt imm
Inese provisions
Date: Fpplican�:
I �ereby cetlify Ihai I have reatl ihis applicalion and Slalethai Ihe a0ove informalion is cafrec�. I agree [o comply wi�h all ci�y an0 coun�y
ortlmances and sta�e laws relating to building consimction antl here�y amhonze reDresen�atives of Ihis ciry to en�er upon lhe ahove-mentioned
pmpeny bnr inspection purpGoses.
�le: � `� � g — / � siqnaWre: _
�river's License or Social Securi�y x:
164t�46 Whi�e—Bulltling: Green—Cotle Entorcemem: Canary—App�icanC Pink—Revenue: GolCenmtl—Assessor
CI'TY OF COSTA M�;SA – BUILDING PERMIT PF.RM NO: B 0%042
PERM2T IdO: B 070420 PLAN CHECK NO: N GOVT: N SUPP: N
CONS'TRUCTION TYPE: V–N PERMIT TYPE: STR PURPOSE: AL'T
JOB DESCRIPTIOId : T/O EHIST.INSTALL BILT.UP CAPSHEET ROOF SQ FT: �� 1_067
CLAIM VALOE: 1,067.00 CALC–VALUE; 1,067.00 GROUP OCC: �+.� /
COMMENTS: BUILT–UP CAP SHEET ROOF. SMOKE DET, REOUIRED 1991 UBC
*xiE��r��***�*�x-x*******�t***iE*******�***iEiE��x******�3d****iE************�x*iE*a�*****�*
Z O N I N G R E Q U I R E M E N T S
S E T S A C K S
------------ MAIid BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRTd'T: FT IN REAA: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT TN RGHT: F'T IN
PARKING REQ: PROV: PARCEL: 11737202 ZNE: REF NO:
PLANNiNG NOTES>
>
*�**iE*�***�***�*�***�*���*��r**�***iE*iE��****iE�*-�*��*�*iE***iE**�****iE**�****xiE***iE
D E V 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
ZONING APPROVED BY _____�_ .__ DATE: __ .__
BUILDING APPROVED BY : DA'TE:
APPLICATION tSSUED BY- • DATE:
*�faEiEifiEiEififaEaEafifif'ii'�tifaEaf*aEIE��;F��3e�'iF� . —_--_ ffififiEiEif'Ia**ifaf � ' '�fif
jfjEjEjE3EjEiEififiEifjFiFiEiEiEjEiEiEiEiEiEjFifiE iEifiEiEiflEiE�EjEjEjfiEiEiE�EiEiEiE%iEifiEiE�FiEjf���MiE1EiFiFiflfiEjE��ifif�lEiFiEiEif'%iEifiEiEiEiFiE
LEGALIZATION:N F E E S U M M A R Y S'TRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 27.00 .50
SMIP/NON–RES
PLAN
ISSUE FEE
BUILDING–DIV–> PERMIT ISSUE PLAN–CHECR TOTAL ' PAID DUE
TO'TALS----> 27.50 0.00 0.00 27.50 27.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 27.50 OVER/SHORT: .00
BLDz/PM�T� PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT� GRADiNG PLAN–CHECR
jE if iE if iE iE iE iE iE jf 3E if jE if �E if �� if iE iE iE jE if �E if jF �E if if 3E if iE iE iE iE iE iE if jf if iE if iE if if 1E if iE iE iE jE iE iE jf # iE iE iE �f if jE �f jE if iE iE iE iE iE if �3E iE if if iE :� iE �E 1E
I N D 2 V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R 2 P T I O N UNIT COST 'POTAL COST
SFR 1067 REROOF BY VALUE RESIDENTIAL [dOZONE 1.00 1_067.00
END OF FEES
�: �0+7'o54S–Q01735U�� "i'�7'6 27.5(i
i�4FE: 22tI7/44 7'1Nz: 1�e42
_ �.. . ..
eoo� & s , ''�'
CONSTRUCTION AND PLANNING - /' `
APPROVALS Permit# � `pate Inspector pppROVALS Permit?k �ate inspector
1. Temporary Electrical Service o'„r Pole �, ' 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. �. {! �� 53. Steel Reinforcement .
3. �Etectrical Condutt Uti{ity-Undrgrnd. 54. Forms '
4-.,�Electrical Conduit=Uddrgrnd. 55. Electrical Bonding �
��5. Sieel Reinforcement��, 56. Rough Plumbing & Pressure Test
_�-.Electrical UPER Gmd. �, 57. APPflOVALTO COVER�GUNITE
7.. Footings . 58. Electrical Conduit-Undryrnd.
8. Foundation i 59. Gas Pipe, � Undrgmd., Test
9. Water Pipe-Undrgrnd. � . 60. Backwash Lines. P�Trap, O Undrgmd.
10. Structural Floor Svs�em 61. APPROVAL TO �ECK
11. Properxy Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap - - , 63. Heater & Vent•Final
13. Roof Drains ,'� �� 64. Plumbing System � Pinal �
14. Fough Plumbing � 65. Efectrical-Firal
75. Rough Electrica6Conduit 66. Solar System-Final
16. Rough Electric Wiring _ ' 67. Feneing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditfoning �'IRE DEPT. REQUIREMENT
, �- • . . �...
20. Rouyh Factory Fireplace �� . r ` � � � � APPROVALS. , Perrnit #��
21. Ducu; in�:Str�Gture •�� . �� 70. Underyrou�d,�Flyclro
22. Ducts, VEntilating ,' ' „� 77. product Riping C7 Gzs D Oii
23. Gas Pipe-Rough & Test � � � 72, Underground Flvsi� � -
24. Roof �Framing - , : � �' " � �, , ,73. Underyrnd, Storage Tank [J Gzs ❑ Oil
25. Roof Sheathing -, , + � - � 74.��Overhead HYdro -
26. T�Ba� Ceiling (Structural) & Monocoat ' • � ' ' � 75. iD ,ry Chemical ~' . �
27. F�ameandFlashing � _;�,�., . ,, . 76. DryStandpipe • �� � �
28. �athing & Siding " "� - ' 77. FIXED SY�TEM �aNAL ' �
.�..,
29. Insulation' � �� ,` 78. FIRE PREV. FINAL • -
30. Drywall Nailing `-'= . HEALTH�dEPT. R�EQUIREfv1ENT
i
.31. Plaster Brown Coai• - -n �79. FINAL INSf'.ECTION � � _
32. Electrical Power Meter Final 80. FOOD CERTIFICATE ISSUED
c
33. F.inal.�Electric �'. �- _ ' Notes: � � - �
,34. Final'Heating & Air Conditioniog ; ' - . . � '
35. Final Gas Pipe�Test: ^� ; ", . - � � ;
36. Hood or Canopy . �� ! '
37. Finai,Factory Fireplace ;;�, . ' _ .
38. Finai�Piumbing ` , .. . , . � - -
39. WaterService�Fina1 ' � , , � � � ' '
4D. Gas Service-Final � . ��r � .
41. Soiar pomesticFina( - � '.' ;"'
�
42. BackflowPreventer'"�• � Z:, �,��Gl' � � �� i
43. 8ackflow Irrig`ation ' , � � ' ,, ' � - , �
'�'r- "� ,i � � .
44. Landscape Irrigation System „ � � � � , � _ . � _
45. Sound Attenuation ' � • , ' ' � "' �"
� T 1 h
46. Handicap.Regulations � � ' �� . � - : �.
47. FINAL STRUCTURE & BUILDWG - - � � .
� � ���
48. F.INAL PLANNING �� . . - � . -• �
49. E�ectric Reiease to Edison � -`""� '-
50. Gas Release to Southern California Gas Co '� -`'^ �' � �
5,1. CEfiTIPICATE OF OCCUPANCY - . � ' � � �
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.�Address:
ONNER: J„y� �/,
PNOJECT: �itJ�.,»,�,
Address: �
Arch{tectt
Address:
NEYORT OF INSPELTION ON
Gunite � %
Rasonfy
Loncroto
Englneer: � �/� �i�i�7s
Address: �� p c)C� , �}
Mix Used: �'-�"�
$Iump, In'ches: '
Admixture:
Dest ned Stren th P51• �bo
9 � Q� � ��" ��
Inspettor: ��
ca,,�, ��� -b��s
Re�ort No. �
Permtt Ho.�,�� r,is�'r% .
/•
Contractort ��5�,,,��s1.i'
Address: %����Rf+.v��tt�,�C�d.JDr�p�
,� , , .
Subcontractort ����((r�v,�
(Gunite�
Masonry o� � ����%�� Q�
Loncrete) �
Addresss
Rebar:
Brtck: �03 �`CO
�
Btock: w�P
,,,
The following Inspectlon was parformed in accordance wlth the approved drm+tngs.
DATES
� a�
tu.Yds. No. of
, Placed Cy1•
- �d a� �
� ���`',IS
�
Remarks
�e ILJ2e�2D cs%C�� ��, p.(i�7i.J f �. �,�D � rO.J� r��-
.7�� � lrfl,.J.dE(s%w p �jr t� cc.ciD � Ct1.¢%e� � �' 9Z � � �
tit-2A / �e� [l���Pr 7iN�� f r¢2 �� �cl.Ji�C.,
�� i,. ' lTd.li )!� /�/ pP7�� / N LT eJI�J� S�IPL�/� ry .
/L�lL�.IJA.�r� °� �D� �or�� /o �ii.4,t1S' � SP�S
Coples of Reports to: (INDICATE WHICN BLDG, OEPT, b FURNISH ADORESS �F ANY NOT lI5TE0)
�,n_�
2� 2� � �� `
�=�,2��� A�oy Twinin� Laboratories �f ��u�� ea�:fo�;�, .�,�. .
� 3310 Airpon Way / MaiLng Aatlress P.O. Bo. 47 : lono Beach, CA 90801 / 12131 <26•3355 / �213) 636-2386 / P741 826-6432
TESTING , esnneN orriee 1514�� Nurin HarOe� $��eei /$ania Ana CG 9P03 i P1EI 531�2045
March 5, 1982
COMPRESSION TESTS ON GIINZTE CYLINDERS
Elmer G. Volden
14509 Dalwood Avenue
Norwalk, California 90650
PROJECI
ADDRESS
ARCHITECT
ENGINEER
B. C. Adams
SAMPLE FROM
DATE �CAST "
DATE TESTED
SPECIMEN N0.
COMPRESSION
TOTAL LOAD LBS.
POUNDS PER SO. IN.
AREA,Sa.IN.
COMPLIANCE
E%AMINATION N0. H2-ZZ$O
SWIMMZNG POOL WITH SFf�
460 Abbie Way, Costa Mesa, Califoznia
CONTRPCTOR
Mission Pools
SUBCONTRACTOR
Don McBee
�I1 shalIow end walls b floor
Oi4 Deep end walls & beam
� SPECIFIED
4:`.YZ ' STRENGTH
, Z��G�HZ " SIUMP SPECIMEN SIZE �
3/5/82 3/5/82
1 4
7 days � acj�5
86,000 88,000
3,040 3,115
28.27
7 day Average: 3,080
7 day tests comply with specifications
MADE BY� iiELIVEHED dV:
SPECIMENS D. McBee E. Volden
DISTRIBUTION
Elmer G. Volden - 3
Coata Mesa Bldg. Dept. - 1
� � ¢ ����
MP
2,000 .
6 x 12 "
HECEIVED ON:
3/1/82
Fu FEv0a�5 >aF SUBMI*TE[l 45 THF CON�IGE�:i�4t cROVERrv OF CUE�+iS •U*�O��i='�J': �'iF �U2uC<TiCN O� OUA RE�ORTS CONCLUSIONS OA E%TFPCTS iROM 0�
REG<RDiHG tHEM 15 RESFA`/E� VEND�nG OVA w'o�TTEH �PoqOvn� n5 n MUTU4L VRQTfC1�Q�•' � l Cl If'.•S LNE �UF3LI� PND �UA$fLVfi