HomeMy WebLinkAbout312 ROBIN HOOD LN - Building Permits •
ADDRESS a BUILDING 312 ROBIN HOOD LN UNIT: CITY OF COSTA MESA - BUILDING PERMIT
•
Owx2RSNAMEIPMiant: NICH0LS0N, RICHARD E PERM NO: E 073226
"ODDES&NICHOLSON, KIM
312 ROBINHOOD LN PERMIT NO: E 073226 PLAN CHECK NO: N GOVT: N SUPP : N
:OSTA MESA,CA 92627646-0224
AS..I
APPL.MD ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: ALT
ARCHITECT 0R ENGINEER: UC NO.: JOB DESCRIPTION : REPLACE A/C SQ FT:
ARCN.OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: CALL-VALUE: GROUP OCC: R-3 /
CONTRACTOR'S KAME: PACIFIC AIR COMFORT ( 7 14 ) 937-1333
CamuCTOWSMMLPC 1327 S LEWIS COMMENTS: X
ADDREss: ANAHEIM CA into, 500236 ****+I*********it*it**iE**iE3tjEiE*****1EaE*+t****************iEit*****x****itit*****7E********
92807 uMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby alnri under penaiy of perjury that I an licensed under provisions of Chapter 9 SETBACKS
(commencing with Section]000)of Division 3 el the Business and Pr esebns Code.end my license is in hall force and en ed.
4P67-111,"0-:042281 uc.c : C20 LIG.NO.: 0236 E • • if95MAIN BUILDING ACCESSORY BUILDING
�1���9 /F�TY7 / Q�JQ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dal°: 7 OO1NfetlO` r LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWN BUILDER DECLARATION:I hereby affirm under penalty d perjury that I am exempt Professions I. tract= cense Law for the
reason(Section 7031.5 Business and Pessions Code:Any a malty which regd•. . :•r Li
a to°anew.eter,imam", PARKING REQ: PROV: PARCEL : 42622117 ZNE: REF NO:
•Yndih,a repel any Moan,pony to is saran,also requires the applicant for such permit r' signed statement that to or she
licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commendng -.cn]000)d Dwiion 3 of tte PLANNING NOTES>
,nines,and Professions Code]or that he or she is exempt therefrom end the basis for the alleged exemption.My violation of Sectcn >
7031.5 Many applicant for apartna subjects the applicant to a awl penalty ofnot move than five hundred dollen RSGDD. *******************************************************************************
❑ I,as ownerdthepropertyamysmpcyeesw"hwagesasstheirsolecompensation.willdo9ework,andtestudureisnorintended
DEVELOPMENT V E L O P M E N T S E R V I C E S R E �y U I R E M E N T S
or altered for sale(Section 7044.Business and Professions Code:The Contractors Lune Law does not apply to an owner of property Sd
who buids or improves thereon.end who does such work luneet a hent or through he a her own employees,provided than such
improvements are nal intended o offered fa sale.If,however,the building or inprovanerd IS sold within one year d compbtion,the ZONING APPROVED BY DATE:
ownerdullar at have the burden of proving he or she did no build or improve for the purpose of sale).
❑ I,as owner d the property.are exclusively contracting with evened contractors to earmuc to prs[ed(Section 7044,Bus man and ]
Professions Cods:The Co tracnot ors license Law does apply to en owner d properly who builds a thereon ereon and who BUILDING AP P ROC ED BY DAT E
contracts for such projects with a oamactor(s)licensed pursuant to the Contractors License Law).
❑ Iam°senerunder Section. B.AP.C.,for this reason: APPLICATION ISSUED BY: - DATE• 4.3.4- F;-
Date: Owner: LEGALIZATION: N F E E SUMMARY STRUCTURAL S GMENT:N
I do hereby certify that I am aware or and understand the requirements of California Heath and Safety Code Sections 25505.25533,and
25534,and d S I o any future building occupant will/wit m1(dreb one)need to comply with seed stele codes and the requirements for
a pend for constmction or moddmionkam the Mit anagement District,Residential oncioi
nun appcaionaxe these from ese PERMIT BLDG PMT PLUMBING ELECTRIC ECHANIC FIRE SMIP/RES GRADING
prwbions. 50
Dae: Applicant: 50% SMIP/NON-RES
WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one Of to following dedasetions: IS
ISSUE FEE 15 . 00
❑ Ihave and will maintain acertificate doonsenttoself Mears for Workers'compensaZion.as provided for bySaaion3]OOof the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.
dtlnwakfawhiantnopermaieasuee. TOTALS----> 7 . 50 15 . 00 0 . 00 22 . 50 22 . 50 . 00
❑ I have and Ml maintain workers' d workers' mpensetion insurance,as required by Section 3700 of the Labor Code,for the performance IM
h work for which this permit is issued.My workers'compensation insurance caner and policy number are;
Cater: Sfl.DEN EAGLE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 22 . 50 OVER/SHORT : . 00
Policy Number: PWr'7711'1f17 11 /25/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
is section need nor be comptered I the permi a for one hundred dams(Stool or Am.) 22 . 50
❑ I certify that in the performance of the wok for which this parva is issued, not empkry any person any manna n to
.. subject to the workeenamel.•eewel. laws of CaMonda. dI .. to �E1E1F1E3E1flE1ffE1E1Eif3f K-1EiEliiEififiEititiEil iEiflEif1E1k1EfflklFiFlffEiF****iEfElF1t1F1f-1i1EiEi(-ifiE***fFifiElfffiEiFiEil**********
""" _ ..d .• . abo Code,I Net f oompy wph INDIVIDUAL F E E BR EAKDOWN
Date: •-•'_ — Applicant:_ i�r7 / / l.I
W. Mg:Failure rosecure workers'rompanf/oncoverage Isunlawful, danal?sublet(an .err •criminal penalties and TYPE QTY DESCRIPTION UNIT COST TOTAL COST
dl nom w to ore hu,drsd thousand dollars(5104O00),In add/don to the castorCO • • . . as provided for In
Section 3706ofteLabor Code,Interest,and attorneys lees. .. ELE 1 MOTOR/POWR APPARATUS 1 . 1 - 10 .0 HP 7 . 50 7 . 50
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a con .ion landing agency for 144 END OF FEES
performance of the work for which No peril is issued(Section 3097,Civ,C),
LENDERS NAME: •
LENDERS ADDRESS:
I certify than I have ...No app iicaton and state thst the above information'a coned.I agree to comply with at city and county ordinances
end state Ian .No building mrnandion and hereby authorize repreae raYw of this city n enter upon the above'mentioned property
fa inspection. .....,
KIMB ;j LY ILL '
Ye!".
..'+T. I'7. :•air• r e` n
rhala. . . u: 01 0013f:024-00196024 "f Ci"Q� 22.50
DATE: 07/1:ir�5 TI11E: 13:54
.\ (5151<A.WPI Whirl. . . Safety:Gree Canary-Appirant;Pink-Revenue;Oddenrod-Aaanacr
I
CONSTRUCTION AND PLANNING POO WA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pgte 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 UF ER Grnd. 57. APPROVAL TO COVER/GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test •-
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. Sewer Cap 63. Heater & Vent-Final •
13. Roof Drains ` t 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 •
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 0 Gas 0 Oil
23. Gas PiPe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric 0,G_9( f At , Notes•.
34. Final Heating& Air Conditioning
- air - FM
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 Domestic-Final
42. Backflow Preventer
43. Backf low Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY •
No. Date
ADDRE55 OF SURUDII 312 ROBIN HOOD LN
MEWS NIME IF IONOAI NICHOLSON, RICHARD E
ADDRESS, NICHOLSON, KIM
312 ROBINHOOD LN
.OSTA MESA,CA 92627646-0224
APPL. "UNG ADDRESS,
IARCHITECT OR EPM+
ARCH OR D S ADDRESS:
UNIT:
JZS
UHT:
arffUdVORSNAIOEPACIFIC AIR COMFORT (714)937-1333
CONDIACTOR'S ILNUNG 1327 S LEWIS
ADDREss:ANAHEIM CA Licito, 500236
92807 UNIT
LICENSED CONTRACTORS DECLARATION: I hereby of ion under penally of perjury that 1 am licar eed under prwidons e, Cheaper e
jcommendng with Section 7000) of Division 3 of the Sudnea end Prufessims Cade, and my license t in lull farce and effect,
;cLIC. "o.:042281 uc.c C20 uc.No.: I: � 6 {p. 9
CawedER BUILDER DECLARATION: I hereby ilei ands gamey d perjury Thal I em exempt tmm the ted. lJerea law la the
Idbwi, reawn (Section 7031.5 Suskese and PMea+ions Code: Any cry or country etude requites a t to oomuud. ebr, vnpove.
demdtM1, a regi eery amcwre, prior ro da beans. onto requkes the apprised la such pmdl to fi e eMtermm dw M «the
Is headed Wnvoml to me prmvtiotu of the Gammas L;ume law IChmir a (commencing cud to 7000) d Denton 3 of the
Susiness end Prdwiw Codel or that he or the 15 eami therefrom and the beds for the all gnd mom in. Any vclaion of Seddon
7031.5 by arty mpb'enl la a permit subpfe the applicant to a avu penalty of rhe mons than ne hummed dodars 1550(I1).
I, as mater of the super or my empoyeae wkh wages m their sole compensation. will do the amit. end Ns structure t rid intended
en dlered odebormsth7044, Smdnes.end Phot in esCode: Theemtrm.limme Lewdoes ampplyloenownadproseny
who bards m k enol thereon, and who does+ude amrk year. the
a henN a through he a her own en one year
of co ed that such
impw+emehee we ria kthe ba er Wired in sale. r e d wr, the bt! or ima ys for t e Pu t edict wept one Ysar a a.pbtion.IM
owror-0uiNw will have the Wrdon d pm+inp he a Gln did m WiM a impreva la the W1Poee of mb).
0 I. as maser of the property. am ea i®vely contracting wito ican.ed contractors to oammuct the project (Section 7044. Sentient and
Prefeecoms Code: The Cohered. Licaree Law does not appy to am . d properly amo bcR « norm. thereon and who
contracts for suds pmjms vola a oonlreda(+) I"nse d gumma Ion the C.rea. Lienee Law).
P
C
J
F
L
P
P
Z
B
❑ I am eaemq under Section: S, A P.C., or the rmaan: A
Dere: Owner:
I do hereby candy Oat I am aware of and undaymand the requirements of CeliomNeagh met Neaend or
Safety Code SinMOS. 5, 23.9nd
55, aI'
25534, and that I or any future building occupied ai11 t wrl net (dmb me) need to comply with +aid state codes and the requirements fa
a pmmt for construction or modification horn the A'w tylliy arupemem District. Raeidental cvnmrmion applications am attempt 1. grove
prwtion.. p
Dae: Applicant:
WORKER'S COMPENSATION DKLARATION: I hereby elfin under penalty dperjtry one of the follov ing dedrdtro: P
I heva and ed mdheet a cene"reM a arwem Ion satlamere b waken' connpernodtn. es prodded f« by Sarrion ]700 d the labs I
cede.. 1«the pad«nence a 0e wok i« elide Iht pemd b iamnd. H
fl h... and won m.wa:t wodem• romtwa+mlm dna«.,,®. ®nwmired M Swim 37ao a nil Mbar code, is nee wf«mande a the T
7� work la whi31 Nb prmity ®ued. MY w«km' .npenvalcn imurenca error vat poW.y rwmber aro:
Carrier: CnT.nFN EAGLE EXPIRES R
Pmfic,Nureber: PWC 77"x'771 02 11/25/95
end deem need her be, competed r the paned, a a ore handl dames /f1Oo «fee..)
I cony that in the pedomtmce d the wok for with tht pane i. leu +hep m empkry any Person in any m&mar w w to
become subject mine workers' eompmnwion mw+ d Calif I r I mount vubjm to I a�pe 1f
/ �cornp aigion prw®Im. d Sypn 37Suf the Labor Code. I .Hely weh _ t-k--g�.L 1� _ // _ro
Failure ro secure w.drini cempwvagon coyarepa I unNwNl, and 0Mf1 arbJact / te matins/ panaldes.5rI T
W ro mrs Inatome!thouueW "hip. f$10q=A In add/doo So the cost of ce rro damages se prewh d far In
70e of the LaOor code, InferaaL and morrssy. tees. M
CONSTNUCTION LENDING AGENCY: I hereby etfirrn under penehy of perjury that furor is e cmmmmlon bndbng ager, W be
panormmce of the work for ahimn rot perm, is t mi (Sorin 3oO7, ct, c).
LENDER'S NAME:
LENDER'S ADDRESS:
I cent' that 1 have read this epgirelion arta amt Ihd the abwa Information t coned. I agree to campy weh eR city end county ondinartmea
and stile b'M .p w Wilding Oom cocoon end hereby autleras eeprevenMgves a Ina ay to Grow upon the owe merolanad property
for inspection poses.
KIMBERI,Y MILLER
(515146.WPI Whit"uildig & Sdey: Great,FM: Cway-APPiunl: PmA-Revenue: Gddenrod-A+masmr
CITY OF COSTA MESA — BUILDING PERMIT
-RMIT NO: M 073227 PLAN CHECK NO: N
JNSTRUCTION TYPE: PERMIT TYPE: MEC
JB DESCRIPTION : REPLACE A/C
LAIM VALUE:
CALL—VALUE:
PERM NO: M 073227
GOVT: N SUPP: N
PURPOSE: ALT
SQ FT:
GROUP OCC: R-3 /
OMMENTS: X
iE 1h 1E 1E 1E 1E 1(-* * * iE 1E iL-it 1e 1P 1i 1P 1P 1E 161t iE 141E iE 1E 1(-1E 1P 1i iE �-* 141f 141E 1P 1r 1t 1t 1t 1h 141E iF 1t 1E 1E 1E 1F 1f 1h 1E iE 1t 1h iE 1p * *14141(-1t iE 1t 1t * * * * * iE 1f 1t 1t
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
----------- MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
INT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
EFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
%RKING REQ: PROV: PARCEL: 42622117 ZNE: REF NO:
BANNING NOTES>
>
A1( -1E iE if 1F 1E 1E 1E*1E*i6141f 1E it ib 1E 1k 1E 1E iE 1F 1E ih1E 9E iL-ih i4lL-iF**ih 1E♦Eif*1E*1E 9E 961E 1E 1E 9E♦E 1E 1F iE 1E 1f♦E***1E 1E if *1F 1f 1E***1E 1E 1E iE**♦E ♦E 1E
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
JNING APPROVED BY DATE:
JILDING APPROVED BY DATE:
?PLICATION ISSUED BY: DATE:
Rif if if lF ih lF iE*1E 1E 1E 1E')E 1F 1E 1h ih if if lF��if�TFTE��♦E�i�i!•1�1� � iF3F3FiF�F�F �'�E�F �E�F7F3F 3F 1E ih iE***14141E 1E 1F 1E
EGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
ERMIT 9.00
254 SMIP/NON—RES
LAN
3SUE FEE 15.00
JILDING—DIV—> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE
DTALS ---- > 9.00 15.00 0.00 24.00 24.00 .00
EVENUE DIVISION TOTALS--> COLLECTED: 24,00 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
24.00
N 14 iE if 9E it iE iE iE iE 1E iE iE ii 4 iE it 14 iE iF 1E 1E kF ik iF 1E if 144(-iE !E fF fE iE 1! it iE 1E 14 iF 1E IE fE 1f 1E iF iE 1E iE fE f4 iF 9f iF iF lh 1fik if fE f4 if iF i(if iF If• fE iL- iE iF iE 1E 36 d(- jf- i(dE
I N D I V I D U A L F E E B R E A K D O W N
YPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
EC 1 REFRIGERATION SYSTEM It= 100 K BTU/H 9.00 9.00
END OF FEES
01 00156023-00156023 TOT 24,03
DATE' 07/12/95 TTiiE: 15:54
CONSTRUCTION AND PLANNING
APPROVALS Permit # Date
Inspector
POO. SPA
APPROVALS 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
1
6. Electrical LIFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58, Electrical Conduit-Undrgrnd.
-
8. Foundation
59. Gas Pipe, 0 Undrgrnd., Test
'
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. Sewer Cap t63.
Heater & Vent-Final '
13. Roof Drains
64, Plumbing System -Final
14. Rough Plumbing
65. Electrical-Final -
15. Rough Electrical-Conduit
66. Solar System-Final '
16. Rough Electric4Viring
67. Fencing & Access Approval
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18, Rough Electrical,T Bar Ceiling i
69. POOL/SPA SYSTEMS FINAL
19, Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping 0 Gas 0Oit
23. Gas Pipe-Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank 0 Gas 0 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 PREY. FINAL
30. Drywall Nailing
HEALTH DEPT. 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
�._ L
U
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 Domestic-Final
42. Backflow Preventer
43, Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50, Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
CITY OF COSTA MESA
CALIFORNIA P. O. BOX 317
FROM THE OFFICE OF THE DIRECTOR OF PLANNING
November 19, 1965
Mr. Normn Egli
312 Robin Hood Lane
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,
V vX�
� L
William L. Dunn
Director of Planning
READY MIX PLANT Job Mix AGGREGATE SOURCE Osborne
Weather Condition Clear
1 Yd.
•&
Cement Permanente Type II
Cement, lbs.
H. 1w.
LAWMASTER CO., INC.
Admix None
Sand
7940
MAIN STREET — STANTON, CALIFORNIA
65CMS_028AZT-002
6.05 X 12.5
6 X 12.125
828-8040
Data by Charles Camp
#3
2A 27d4
XXXX
Delivered by
Field Data on Test Specimens
Core Concrete Gunite
Grout/Mortar
Project
Norman Egli
Swimpool •
Permit No. 23521
Project
Water, Gals.
APR 6
- tz
Location
312 Robib Hood
Lana, Costa Mesa, Calif,
Contractor
Anthony Poole
Architect
Location in Structure Bond Dean
Engineer T J Larson
Date Moulded
3/8/65
No of Specimens A B C
Slump
Specimens Marked 1
– 4 1/2
Specified Strength
at 28 - days 10LOLL_P.S.I. Mix Designation
Age to be tested
days days
day's days
READY MIX PLANT Job Mix AGGREGATE SOURCE Osborne
Weather Condition Clear
1 Yd.
_Yd. Batch
Cement Permanente Type II
Cement, lbs.
122 RkR
Day Test
Admix None
Sand
30 ton
Specimens made by Wm -#4
6.05 X 12.5
6 X 12.125
Data by Charles Camp
#3
2A 27d4
Delivered by
#2
111 nnn
�1 ]
Date Delivered
#
4,704
Rf�Elvrn
REMARKS:
Water, Gals.
APR 6
- tz
Lab, No.
Date of Test
Specimen Dimensions
Area
Ultimate Load
Lbs, per sq. in.
H/D Corrected
DuildiaB Deg
6141
6142
6143
Day Test
28 Day Test
Day Test
Day Test
a/15
4/5
6.05 X 12.5
6 X 12.125
28.75
2A 27d4
93,500
111 nnn
3,256
4,704
JOB ADDRESS y 912 Robin Hood Lane BUILDING PERMIT NO. 23521_
GENERAL CONTRACTOR Anthony Pools DESCRIPTION OF WORK Pvt.Swim Pool
AP No 11 8-lbl-21 LOT TRACT FIRE ZONE VALUE $1 900. 00
INSPECTIONS
Signature Date
GROUP J TYPE III ZONE R-1
c
I PERMITS ISSUED
SUBCONTRACTOR Date Number Signature
G
Water
er
_17 Plumb' g
Rough Plumbing
Prop. Swr. Line ❑ House Con. ,p
,y �, 3- -�.
!- _ 3
Sprinkling System
_
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground ❑ Power p
Rou h W' '
_ 2- -G
Heating and Vent. ,,e it
Trenches Forms 0 Steel Reinf. p.w
Floor System
Bond Beam p- Steel Reinforce
Sheathing
Frame and Flashing
Lathing — In ❑ Out ❑
Plaster, Brown Coat
Structural, Final
EI?X is
H,—ing, Vent., Refrig. and A.C., Final
.; _ / -65 L
I ging, Final and Gas Test ❑
Electric, Final
Building, Final
Special Reauirements
23525
COSTA MESA BUILDING WETY DEPARTMENT
P.O. BOX 129E COSTA MESA, CALIFORNIA 92620
For Applicant to Fill in Completely
TYPE QR PRINT
BUILDING
COSTA MESA. CALIFORNIA
TEL
EI
m
CITY ?d l�7 7L'r
STATE�7� THL
LICO.
. N / / NO.
SIZE9GX !pFA'W'.gx // / I ,.or OLD".
SETBACK LIN[ FROM or /
a� 0�'
ERT RIGHT
DESCRIPTION OF WORK
WALL
1 HERROY ACKNOWLEDGE TNATA HAVE ROAD YM18 "PLICATION
AND OTAT��_ ROV[,IB CORRECT A TO COY.
PLY WITHREGULATISIONAW L
AUTHORIZED AGENT
FEE RECEIVED
FEB 3 1965
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
F
RLC[IPTNO.
PERMIT NO.
';I_ 3J.2/
R[C[ [D KY
OA R[C[IVED
OAT[1lEU[D
RINE
ADO
RIR[
/
ZONE
rack GROUP
PROVED
AP
DATE
ZONING
ZON[�r
NO.Or
UB[OP NEW
v�/
PLAN[
BUILDING
LEGAL
UTON
/
A. P. NO.
NOTE: NO EAVE OVERHANG SHALL B8 LESS THAN
SO- TO BIDE 9 REAR P.
L
EAVES
ALLOWED
(U. B. C. REQUIREMENT)
YARDS APPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
(FROM C/L ReLT)
FR NT
FT,
R. BID%
FT.
!/
�^!T G
L. YID
Fr.
REAR 15FT.
RT.
DISTANCE BET.
BET. MAIN e
MAIN BLDGS.
ACCESS. BLDQ8.
VAR.*
DATE
C.
APPROVED
AFF 8
DATE
�[}�y R S C
XDOF
-
SQ. PT.
WE AMOUR KNOWN
UNDDi VALUATION 18 FOR THE
PURPOSE OF KKTAOLIKHINO A PERMIT FEE ONLY.
VALUATION
PERMIT PHH
TOTALPEB
F
w.
1' .1627
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 317 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING
ADDRESS 312 Robin Hood Lane
COSTA MESA. CALIFORNIA
FEE RECEIVED
JAN 3 01962
r �'PEFIINANCE DEPT.
APPLICATION FOR�Rn1f OSTA MESA
BUILDING
For Office Use Only
RECEIPT NO. PRIM
OWNER Santa O O DOO
��LL//
7
MAIL 1533 Baker St.
or -72711 DATEFLU 15 UED96
ADDRESS
TEL
KI 11 1
BUILADD EES
Robin Hood Lane
if. No.
clri onar�tl Mriri
312
&
AE kl No.
COSTA
MESA. CALIFORNIA
;ENEHR 1 b 00 L
Garden Grove, Calif.
FIRE
ADDRESS
ZONE
_
TYPE GROUP
CONTRACTOR CD
APPROVED
BY
DATE
1533 Baker St.
ZONING
ADDRESS
Costa Mesa, Calif.
ZONR_ Z
I P�
I BU wf '
CITY
NOF S
Lora
�I 167293 9-1151
LEGAL
Lot
5, Tract 4439
C..NO. NO
DESCRIPTION
SIZE 54 x105
I NO. OP SLDOE
ho
OF LOT _
NOW GN LOT
A. P. NO.
USE OF
EXISTING BLDG. None
YARDS
APPROVED
EVES
ALLOWED
SETBACK LINE PROM t t
70 25
((CENTER LINE ST.)
EREAR YARD
CENTER OF STREET
70
FT.IN.
SIDE YARD I LEFT 6t I
RIGHT 6t
R. SIDE T
FT. IN.
DESCRIPTION OF WORK
K
L. SIDE
FT. IN.
NE I XIIALTERATIONI II ADDITION I
REAR z y!
FT. IN.
REPAIR I II MOVING I DEMOLISH I
J�
ABYPROVED �i
O DATE
BUILDING o. OF
SIZE B ODMS 8 STORIES
EXTERIOR WALL nCCOIROOF
COVERING nne COVERING Rock
US OP UILDING A D WORK TO BE PERFORMED
USI
Fami� Dwellin with
attached gar.
Res. 2498 sq.
ft.
Plan 24 A
Gar. 460 sq. ft. (attached)
I HERESY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE T COM-
PURPOSE OF ESTABLISHING
A PERMIT FIN! ONLY.
PLY WITH ALL CITY ORDIN AND STAT WE REG TING
VALUATION
BUILDING CONGTS ION. /
SIGNATURE OF
PERMIT FEE $ 46.00
PERMITTE '26
245.00
23.00
$
PLAN CHECK $
AUTHORIZED AGENT Dike FL Cole oVe Inc.
69.00
TOTAL FEE