HomeMy WebLinkAbout266 ROBIN HOOD LN - Building Permits-.�
! . : �
Ju�y 20, 1971
t�. Robert E, Dugsn
266 Robinhood Lane
Coata Meea, Californis
�
Dear 31r:
A biiilding permit has been is d to Pacifica I's�gineering
Corporation to construct a private awiffining pool on your property.
In order that yo pool rrill be a saYe one and for the
purpose of advising you of responsibility regarding the re-
quirements of the Coeta Mesa icipal Code, we refer you to
3ection 8107, a copy of which is attached.
This r is directed to you in order that you will be
. anare oP our ordi es and can make a complete safety check of
your pool area.
Sincerel,y yours,
RICHARD FIANliART
Building Safety Director
RH:dh
h t �
H. V. LAWMASTER 8 CO., INC.
7940 h1AIN STREET — STANTON, CALIFORNIA 71 �MS_663J-001
828-8040
�CXX
Field Data on Test Specimens Core Concrete_ �nite Gro�i;�V�ortar— _
PfOIeC Du an Pool Fermit No.-33335--.
9 _
Project
Lxation 266 Robinhood Lane, Costa �-0esa
Contractor pacifica Eng. Architect
location in Structure Engineer
Date �Mo�Ided 7�3�/7� No of Specimens 6
Slump Specimens Marked
S��cv:ified Strength at Z� days Z000 pS.l. N.ix Cesign��tion
�aoe to be tested � days 28 days days days
READY MIX PLANT AGGk:GATE SOURCE
I
�1'eaiher Condition Clear � 1 Yd.
Cement Mqnalith Type I/II Cement, Ibs.
Admix Sand
Specimens made by F4
Data by .1ack Hubbard ',F3
Delivered by " ,", 2
Date Delivered .'-F'
REfJ;ARKS:�j`C-Y���r%4��/~// Water, Gals.
Lab. No.
Date of Test
Specimen Dimensions
Area
Uhimate Load
Lbs. ,^,er sq. in,
H/D Corrected
FO�ld M - 01$
711697
Day Test
3,292
711698
3,27U
RCE/f6207
711699 711700
6 DaY 1'e>t
---Yd. 6�'ch
180 sks
45 ton
�i � 70� -r> »oz
Dav Test
� ` .NJ��LW I �JI'1TL1 I UL:'!
106,500__ !
3,516 A'�G � 1971
�L?��'.�.^_4__ I
Applicant to fill in all spaees exceD� t�ose within neavy Eoraer Ilnes an0 sign all appro0riata tlectarations.
F COSTA MESA OCONSTRUCTION PERMIT PER T NO. TRACT NO. LOT NO. UNIT NO.
� � � D A.P. � Zone
�ect Address Z- �G /�o iJ•y f�n.s G.V . C• .�q . S Main Building: Flccessory Building:
Applicant'S Mailing Address �.4"t �- TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E 2
r7� L ❑ CONVERSION ❑ DEMOLISH ❑ OTH R ' 7 Ffont �
Owner's Name c�vC� ���,��'�-� Phone � of/= /IwF pE//E�G B N
Address DESCRIPTION OF WORK/USE OF BLDG. ��'�2 J; j A Rear �
`fRi . i �b .d.Y v./ii%co I C Fi ht N
ArchlEng. LicenseNo. TVP OFPERMIT GRFDI G FOUNDATIorv STRUCTURAL K 9
AddreSs ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL g� �eft G
R
ConVactor's Name ���"" �s oeie/Ti�.J r�/G�o'�%7 ❑�o7HER � Ping. Ref. # Parking Req./Provided E
Phone ' �
S �,��/ev G2u� PROJECT DESCRIPTION SQ. FT. � C � OCCUPANCV�
Address (mailing) � 7'� � /%A.a� A G Planning Notes: ry�
d�O� CONSTRUCTIONTYPE ' �u VALUATIONS�d���� T
Ciry License No. a
ZONE GRADINGCU.YDS. ACRES $,
LICENSED CONTRACTOR DECLAqATION
1 hereby atfirm tha[ I am licensetl uqtler provislons of Cha��e� 9(mmmencing Remarks: -
with 5¢ction 7000) of Div1570n 3 of (�e Basin<55 dntl ProlesiVons Cotle, antl
my license is in full torce ana eilect � r ELECTRICAL FEES
LicenSe CI ss G` % License Na.` �`v g 7
Q Date �����g'% 5'g t �+�,� �- ��� PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW
(l� v""� _ ' ' ❑ 50 + K W
,' WORKERS' COMPENSFTION 1`ARA ION Construccion PoleSub.
I here0y affirm that 1 have a certificat¢ of'consent to self-insure or a certificate Bar Sink Show2rs
1 0( Workers' CompensatiOn Insurance, or a certiti¢tl copy lhereot (Sectlon COOking Unit Meter ❑up to 700 amps
3800, Lab. C.) U�-� � BackflowPreventer ServiceSink
ZFi'rT � � s'%(.y7(, a�� - Dishwasher Meter ❑over100amps
� Policy No. Company � Backflow Irrigation Sewer Cap
Certitietl topy is hereby /urnishetl, DfyEfi OGas ❑EIECt�iC $Ub PBOEI
Certifie co y is tiletl wltn the city ' iog Divls' . Bathtubs Sewer Connection
Ddte APPIiGdnt -��
EXEMP 10 FROMWORKERS'C ENSATIONDECLARATION Clatifiefs SolafC011ectof5 Fan MOtOr5O41HPOlY�-B
(Thissection neetl not be completetl i( the oermit 6 tor one hunaretl (g100) or F.A.U. Ina Solar 09-15 HP �1E75+
mss). Dishwasher Solar Piping
1 cerlily ihat in the pertorman<e ot the wo�k to� which (hls perrt�R i5 issu¢tl, I Fixtu!¢5 Microwave
shall not employ any person in any manner so as to become suCject to the Drinking Fountains Solar Tank
workers' Compensation Laws ot Caiiromia. Device Boxes Pole Li ht
Date Si9nalure Floor Droins Swimming Pool wlSpa 9
NOTICE: It, atter makinq thiz tleclarqtion, you shoultl become suGject to the Outlets Ran e
Workers' Compensation provi5ion5 Of the Labor Cotle, you must Porthwith FIoOtSinks Urinal 9
comply witYi such p�ovlsions or tM1is p¢rmit Shall be tleemetl revoketl.
CONSTRUCTION LENOING AGENCY Ga55erviCC OutletS WaLerCloSet $WitCheS $jgp
I hereby aflirm that [here is a Wns[ru�[ion lentling agency fo� the p¢rtormanCe (�id�bd ¢ Di5 0521 Std�din $¢CfiOnS �
of th0 wofk fof which [his pelry�it is is5uetl ($CcOon 309] Civ. C.) InLCfC¢ptOfS W3[¢f H¢dt¢f 9 P 9
Lentler's Name
�entler's Atlaress Kitchen Sink Water Service Generator 065 KW �5-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereEy aftirm ihat I am ezemp[ from the Gontrac[or's License �aw for the Lava2ories Auto-Wash '
/ollowing r¢ason (Section 7031.5 Bysiness antl Prot¢SSiOnal Cotle: Any city or �
counly which �equire5 a pe�mit lo COnst�uCt, alter, ITprove, tlemolish or repab P—Tfep LeUOdry T�eyS �
any sVuctu�e, prior to it5 isSudnG¢, dlm require5 the applicant br SUCh pe�mit
to (ile a si9netl statement that he/she Is licenzetl pursuant to the pmvisions of Roof Drains
the Contractor's License Law (Cnapty� 9(commencin9 wlth Section 7000) of
DiviSion 3 ot Ihe Businel5 dntl Pro�essions CoOe) or that he/ShE is e%empt RBIOSpBCtiOn FBB $15 ISSue f00 $ 3
lberelrom antl the ba5i5 fOr the alleg¢tl exemption. Any viOlatlon o( $ection
7031.5 by any applican[ tor a Permit subjects [he applicant to a civil r
�enaity oi noi more than tive hundretl tlouars �E500). DEVELOPMENT SERVICES REQUIREMENTS: .
U I, as owner of the property or my employees with wa9es as their sole Reinspeetian Fee $75 laue Fee $ 3 Zoninq Approved By Date
compensation, will tlo tbe work, anQ the structure Is not Intentletl or otfered
for sale �Section ]044, eusiness antl vrofessional Cotle: The Contractor's MECHANICAL FEES Building Approved By Date
License Law tloes nol applY [o an owner o( a property wno builtls or improves
thereon, antl who tloes such work himself/herselt or Ihrough his or her own Applimtion Issued By Dat
emplayee5, provitletl tllat Such imP10vement5 ar¢ nOt InteOtletl Or o((eletl for BOiI¢f HOOd Of TyP¢ I ❑
sale. If, however, the bulltlin9 or improvement Is solC within one Year of com- CanOpy Type II ❑ SUMMAR OF FEES� .
pletion, the owner will nave the burtlen Of prOving he/sh¢ tlltl not builtl O� Im- DuCt - Und¢� G�OuOd
prove tor the puruose of saie�. BUILDING PERMIT $ �� SMIP $�
❑ I, as owner ot thu proporty, am exclusivety convactlng witn licensetl con- Duct -Strucmral Refrigeration System P�AN CHECK $ PERMIT•
t�actOrsto construct the prol¢<l ($ec�ion 7064, Bu51ne55 antl ProfesSionS COtle:
The Coniractor's �icense Law does not apply to an owner o� property who ❑0-700,000 BTU ❑100,000 BTU ISSUANCE $
builtls or imowves thereon. antl who contracts tor such oroiects wlth a r.on- ' Duct- Ventilating PLUMBING $
tractor(sl license pursuam to me Convactors �icense LawJ. I am aware thax PIP.N CHECK 25% $ ENERG�' P.C. $
proot of tbeir Worke�'s Compensaryon insurance shoultl be provitletl to me. Exhaust System ❑ MWtiPIC ❑ System Repair/Alteration
ELECTfiICAL $ GRADING $
❑ I am ezempt untler Section B. & P. C. for this reason Firepl/Fact. Blt. �CBO �k Fire Dampers MICROFILM $
PLAN CHECK 50% $ / ,/
Date Owner Heating System & Ducting Registers MECHANICAL $ TOTAL FEE $ `S`�-s�
I nereby certiry that I have reatl lhl5 application antl ztate lhat lhe above ❑0.100,OOOBTU �100,OOOBT $
information is correct. i agree to compiy w�th ail city and county ortlinances PLAN CHECK 25% •
antl state laws relating�Jn builtling construction, antl hereby authorize reore-
sentatives ot tni !g to enter vj�on the o e-mentlonetl pro erty for
InspeCtlon pU� . l' }� /
519na[ure C �^"' Date �� �a ( :,1, : I " _, "^. _ . -- _ , .
Drivers' ice r55� � ReinspectionFee $15 IaueFea $ 3 �IZ(p ,._ •_�,'j�' `
0865-a6, rev. o/en wnrte - tiun�ing; Canary - qpp�icanh Pink � Accountin9: Goltlenrotl - Assessor
. � '
NSTRUCTION AND PLANNING � POOL & SPA
APPROVALS Permit�k Date Inspector qppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole _ � 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. . � ' 53. Steel Reinforcement
3. Electrical�Conduit UtilitY-Undrgrnd. ' 54. Forms �
4. Electrical Conduit-Undrgrnd. ' . 55. Electrical Bonding '
5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gr'nd. 57. APPROVAL TO COVER-GUNITE �
7. Footings � �;{��,�. 58. Electrical,Con ut;,'ndrgrnd.
8: Foundation . � 59. Gas Pipe, O�Undrgrnd., Test '"
9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-7rap, O Undrgrnd. '
10. Structural Floor System � - 61. APPROVAL TO DECK �
11. Property Sewer Line & House Connection � ' 62. Backwash & Receptor-Final
i
72. Sewer Cap ' 63. Heater & Vent-Final '
73. Roof Drains 64. Plumbing System - Final � �
14. Rough Plumbing� 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16, Rough Electric Wiring 67. Fencing & Access Approval
-r ,
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18; Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20, Rough Factory Fireplaca APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating - 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing ' 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH pEPT. REQUIREMENT
31..Plaster Brown Coat. 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
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 � `
1 ,
43. Backflow Irriga[ion � -^`
44. Landscape Irrigation System � '-�'
45. Sound Attenuation � � �� @
46. Handicap Regulations . �'�
47. FINAL STRUCTURE & BUILDING �� � �
48. Special Requirements Completed
49. Electric Release to Edison .
50. Gas Release to Southern California Gas Co � �� .
51. CERTIFICATE OF OCCUPANCY ,r' i
No, � Date , •
: �� �r � �7g�75
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31]
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
MAIL
ADDRE55
CITV jJeF
ARCHITECT
OR ENGINEER
ADDRESS
'.66 Robin Hood Lane -
COSTA MESA. CALIFORNIA
TEL.
No. OR
jond ievannes `,;`o: C747
LEGAL ILOT I
OESCRIPTION NO. 11 BLOCH
A.P. NO.
USE OF
E%ISTING BLOG.
$ETOACN �INE FROM
CENTEH Oi STREET
SIDE YARD
' x �O� NO.OF BLOGS.
�IOW ON �OT
�O� REAR YARD ZJ�
RIGHT Fi� LEFT '7t
DESCRIPTION OF WORK
NEW X A�TERATION II AODITION
REPAIR MOVING DEMOLISH
S ZIE DING 1�o RO MS STORIES
EXTERIOR WALL StUCCO RD�F rock
COVERING COVERING
USE OF NEW _ __ _
�
,
�.,r J��u�... �,� �.
�_ .�-/— �8 V u--
�I�!",�:CE DE?T.
� ' ""1C''1 '1' �
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
� ) /'
BUIL9ING
ADDRESS
COSTA MESA. CALIFORNIA
FIRE
APPROVED
BY
CORRECTIONS
ST�TE TH4T TME �BOVE IS CONRECT ANp /.GREE TO COMVLV WITM �Ll
CITY OROIN.�NCE$ /�ND $TFTE L/.W$ NEGUL�TING BUILDING CONSTf1VC�
iiON. VALUATION
SIGNATURE OF PERMiT FEE S
PERMITTEE
� V4 PLAN CHECK S
s /5l SS D. -�'
AUTHORI2ED AGENT � TOTAL FEE S
�r.
JOB ADDAESS 266 Hobinhooa Ln.
GENERAL CONTRACTOR Ken Frobenuis
nr. rro.118-11, -03 LOT THACT FIAE
INSPECTIONS I DATE I GROUP
SUBCONTRACTOR
OCCUPANCY
1-5-bo
Form 210.-5M-71-59 5-B P . 11�9E
rr a
., „"� ����0
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA. GAIIFORNIA
�
FOR APPL/CANT TO f/LL,/N COMP[ETECY
TYPE OR PRINT
ADDRE'S5 z66 R��/iV/f0�� �/v�
COSTA MESA, CALIFORNIA
ADDRE55 2 � aBiNy��D ���
TEL. � I
CITY NO.
ARCHITECT ` LIC.
OR ENGINEER NO. ��
ADDRESS �
/�E•v FRnt+Y-•viuS STATE I�!�6
CONTRACTOR LIG NO.
ia2 Pz SrY�6 OR. c. � ovE
ADORE55 n
oescnicTion I NO. � I I BLOCK I TRA�'
A.P.NO. � ���U �
SIZE .() 1//� NO.OF BLDGS.
'OF LOT �O 1"' I I rvow oH �oi /
SETBACK LINE FROM
CENTER OF STREET REAR YA{
� /
SIDE YARD ILEFT � RIGHT (�
DESCRIPTION OF WORK
BUILDING NO.OF
SIZE ROOMS
EXTERIOR WALL IROOF
1 HEREBY RCHNOWLEOGE THqT I HAVE ftEAD THIS APPLILNTION
AND STATE THAT THE ABOVE IS COFRECT ANO AGNEE TO COM�
pLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUIL�ING CONSTRUCTION. ��J /�
SIGNATURE OF .�_ ._,G� � � / ,�_. .. �n
� AUTHORIZEO AGENT
�
d �E (����A���
;�u/ � _ ,� - G �
APPLICATI,OIVj�FOR7fPERMIT
�BUILDIIVG� ����
�oR afficF vsE oNcy
I PECEIPT NO. I ��M�
I
4[1 BY I OATE RECEIVE/p OATE I6
,%� / — .�� 4o C1 � � .�
ADOREISS .� (/� (!� �/��`C�i�¢l�-C
COSTA MESA, CALIFORNIA
FIRE
ZONE
ZONING
L I NO.OF USE OF NI
�- l PLANS � BUILOING
YARDS
REOUIRED
ICENTER LINE BT.1
THE AMOUNT SHOWN UNOEft VALl1ATION IS FOR THE
pURpO3E OF ESTA9LI6HING A PERMIT FEE ONLY.
VALUATION � . n�ry
PERMIT FEE $
^ CO
$ / � PLAN GHECK $
"� ,�G�
TOTAL FEE $
OWNER
W ATER 1�7�
ROUGH PLUMBING
PROP. SWR. I.INE
SPRINKLING SVSI
N, Robert E.
2 Ro inhoad I,ane
ACTOR ac c Eng.Corp.
� LOT TRACT
Si nat�
_ %
r �
NOUSE CON. ❑
C
MISCELLANEOUS - y/T '
ROUGH HEATING AND AIR CO ITIONING
TEMPORARY SERVICE OR POLE
UNOERGROUNO POwER �
ROIIGH WIRING
TRENCMES U FORMS U STEEL REINF.
F1.00R SYSTEM
BON� 9EAM [(�� STEEL REINFORCE [(�/
LATHING — IN � � i
PLASTEF. BROWN COAT
PLUMBING, FINAL AND GNS TEST f�'�
ELECTRIC,FINAL jQ�� G).��"
DATE 7-19-71
BUILDING PERMIT N0.
DESCRIPTION of WORK Pvt. S�im Po
FIRE ZONE VALUE S 2 900.00
GROUP J TYPE III Z
,� SUBCONTRACTOR PER.
�
� ` 33335
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING �. i i D. .. _ ... . � _ _ ._
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OWNER /n
MAIL
ADORESS (
cirr C�STF
CANSTRUCTION
BRANCH
ADDRESS
ADDRESS LJl)X ��p
CONTRACTOR �AC�F�G
AODRESS aOk� p / V'
GTV G�eNDa�A ,G
L C NO. 23� ' ZZZ
SIZE
OF LOT '
VSE OF
EXI5TING BIDG. '
512E OF
aaie
JUI.19-71cns�0�1604# *::*-31�.��
APPLICATION FOR BUILDING PERMIT
�� �i) A.P. NO.
BUILDING
),n/Noo,� cy�vc'��/ ADDRESS
NO�. S'7g OS7S TRAC
W A C
v
OWNER� G
�cRREc.L NOLr7�iS'�O�/ SE AI
FIRE
�1eK0061q C/IU F ZONE
/ , � . � APPROVED
I�
WALL IROOF
COVERI
11LDIdG AND WOFK TO BE
"'0 7b S'
CITV �
LIC. NO.
INO. O IBF�OGS.
NOW ON LOT
�p
NE NO.OF '
PLANS
VARDS APPROVED
DISTANCE BET
MAIN BLDGS.
VAIi. #
C. V .P. �W
APPROVED //
LOT / BLOCK
�
� VALUE��!'/� N
�ie r—
GROUP
�DATE /�J � �.
USE OF V
BUILDI
VARDS APPflOV ED
ACCESSORV BUILDING
BET. MAIN &
ACCESS. BLd
DATE
APPROVED
1 hareby acknowletlge that 1 have read this application antl state
that ffie above information is correct end agree to comply with
all laws regula[ing building wnsttuction, antl I shall not employ
eny person in violation ot the workman's compensation laws of
m
[ha State ot Calitornia. �
I heraby certify [hat 1 am properly licensetl as a contrector untler SQ. FT. o
the State ot Calitornia Business antl Professions Cotle, Divisicn 3, THE AMOUNT SMOWN VNDER VALUATION IS FOR �
Chapter 9, antl that such licenses are in full force antl effect, ar I THE PURPpSE OF ESTABLISNING A PERMIT FEE ONIV: m
am exempt from ffi¢ provisions of [he S[ate of CalifOrnia Business - ¢
entl ProfessionsCo e, Division 3, Chapter 9. VALUATION — �
� PERMR FEE S j
Sig^atura of h
Permittee G!`l1Z2.� . �V ��� $�OO PLAN CHECK $ ♦ ��� E
`a
Authorizetl Agent � L—� LL
TOTALFEE S ,J