HomeMy WebLinkAbout2944 ROYAL PALM DR - Building PermitsAPPLICATION FOR A BUILDING PERMIT
Tract
Block
Lot
BUILDING PERMIT NO.
Ffe
f�,✓
Electrical
Permit No.
Bulldin9
Plumbing
Address 7,
//y �J
/CC L-ksst/_ 4z-%
Permit No.
Cross
Mechanical
Area�fl Street
/
Permit No.
Owner _A
_l
Type of Project ❑New ❑Alter ❑ A itlon
Address /
❑ Repair Convert ❑ Demo ❑ Occupa y Pmt.
City Q S& ZI Phone
Q.P.
Insp. Area/
Architect/
Designer License No.
Zone
SPI. Pmt. No.
Setbacks
P/L runt
C/L St.
Street Width
Address
Yards
Left
Righ
Rear
City Zip Phone
ave ol.
e
g
.
Engineer License No.
rking Spaces
Real, re
toy a
overe -
Address
Str uct
Noof
.ht
No. of
City ZIP Phone
Hei9
Sto ies
Family
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed untlah provisions of Chapter 9
Park FeesYes
No
I C.T•
Fee
Receipt
-Required
Zoning Approved By:
Date
(commencing with Section 7000 of Division 3 of the Business and
Pfofessio ns Code, and my license is in full force and effect).
License Class License Number
Date Contractor
Misc.
Proposed Use
of Structure
Address
City and Zip Phone
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,
Civ. C.).
Occ.TYPe
Class
Const. y
Code
I Year
USE/OCCUPANCY
SIZE SQ. FT.
Lender's Name
Lender's Address
1
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law
for the following reason:
I, as owner of the property, or my employees with wages as their
2.
sole compensation, will do the work, and the structure is not
,y intended or offered for sale.
111, as owner of the property, am exclusively contracting with
X;,
3
contractors to c str Ict the project.
❑ I ;,n exempt under Sec ' ,.B&PC f
4.
0atae"��1
WORKERS' C PENSATION DECLARATION
Total Valuation
Encroachment Permit Requ ed ❑ Yes ❑ No
I hereby affirm that I have a certificate of consent to self -insure,
or a certificate of Workers' Compensation Insurance, or a certified
copy thereof.
Policy No. -Company
Gra din g Pont. ff��11
Required Yes No
Gradin
Pmt. N
❑ Certified copy is hereby furnished.
❑ Certified copy is filed with Orange County, EMA.
Rough Grading
Approvetl by:
Date
Date Applicant
CERTIFICATE OF EXEMPTION
FROM WORKERS COMPENSATION INSURANCE
(This section need not be completed if permit is for $100 or less).
I certify that in the performance of the work for which this permit is
PERMIT FEES
Issued, I Shell not employ any person In any manner s0 as to become
subject to the Workers' Compensation Laws of California.
Det. Applicant
NOTICE TO APPLICANT: If, after making this Certificate of
Structural $
Plan Check
Exemption, you should become subject to the Workers' Compensation
provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Electrical$
Special $
Invest.
plumbing $
1 CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO
COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
RELATING TO BUILDING CONSTRUCTION, AND HEREBY RUTH-
ORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON
Mechan' al $
Pre -G de
InsP tion $
1E BOV NTION PR Y FOR INSPECTION PUR-
P SE I6 -2� 16G
al-gnature of Applicant or Agent Date O
Pre ratle $
R . No.
Permit $
Iszue
Print Applicant's/Agent's Nome
All spaces within this box must be completed to process
Plan
Check BY:
Issuance
APPro Ved:
CMF 0335-46 (BU -28) rev. 6/80
MAIN OFFICG
1635 W EST GAYLORD 51'- - P,O, BO% 9065
LONG BEACH 10, CALIFORNIA
HEMLOCK 5'74B3
SPRUCE 5'ZOfN
BRANCH OFFICES
937 SANTIAGO ST., SANTA ANA
KIMBERLY 7-6646
37815 N. PTH ST. EAST - P.O. BOX 970
PALMDALE - WINDSOR 7-5911
April 29, 1960
Anthony Pools, Inc.
5871 E. Firestone Blvd.
South Gate, California
Project: VAN WILKEN RESIDENCE - SWIM POOL
2%1 Royal Palm Dr„ Costa Mesa, Calif.
Examination C60 -925-A
REPORT ON GUNITE CUBE (1l" x LI" x ) ")
A la" x la" x �" cube was sawed from section of Gunite Cylinder No. 2, which
was tested at 29 -days.
The test cylinder was tested April 28, 1960 and due to laminations in the
test cylinder, the result was 1,008 psi.
RESULT OF CUBE
Compression (pounds per square inch) c ���
Cube No. I ��C) tic J
a
Cube Size x 4" x
Date tested Li -28-60 o�GoC eQ
Total Load 32,800 eo
Total psi 2,050 h _��
Remarks: Laminations were also noted in the cube after testing,
TWINING LABORATORIES OF SOUTHERN CALIFORNIA, INC.
4 ap e4ydo"Q
DWA:ck
cc- Anthony Pools
Van Wilken
Costa Mesa Bldg.Dept,
SA Lab
ALL REPORTS ARE SUBMITTED AS T .ONFIOENTIAL PROPERTY OF CLIENTS, AN T HORIZ4TION `R ?UBLICAT'ION OF OUR REPORTS, CONCLUSIONS, OR E%
TRACTS FROM OR REGARDING THEM RCSERVED PENDING OUR WRITTEN APPROVAL AS A MIJT %L FROTECSION TO CLIENTS, THE PUBLIC AND OURSELVES.
MAIN OFFICE
1635 WEST GAYLORD ST., - P.O. BOX 9065
LONG BEACH 10. CALIFORNIA
HEMLOCK 5.7493
SPRUCE 5-2081
Twznina
AA
Laboratories
BRANCH OFFICES
93' SANTIAGO ST.. SANTA ANA
KIMBERLY 7.6845
37915 N. GTH ST. EAST - P.O. BOX 078
PALMDALE � WINDSOR 7-5911
of cSouEizB¢n Call f oania, Ync.
April 28, 1960
GUNITE
REPORT OF wyAMU TEST CYLINDER
Examination No.
C60-925
Project
For - Anthony Pools, Inc.
5871 E. Firestone Blvd., South Gate, Calif.
Attn: Bud Weisbrod
Sample from
VAN WILKEN RESIDENCE, 2944 Royal
Palm Dr., Costa hlese, Calif.
Gunite Swim Pool
Architect
Contractor
Anthony Pools, Inc.
n, �!
Mix
Water, gal./sk. cement
9t2tx" Size
6" x
i- F �p5\a e4\ ti
Date cast
3-30-60
Date tested
4-6-60 4-28-60
4-11-60
Cylinder No.
1 2
3
COMPRESSION TEST
7 Days 29 Days
12 Days
Total load to destruction,
lbs. 20,500 28,500
23,500
Pounds per square inch
725 1,008
905
Cylinder made by
Nozzleman - Irtlspector Van Roy
//
Cylinder delivered by
Henley
Cylinder received by
3-31-60
Note: Laminations in all cylinders.
Cube sawed from
cc: Anthony Pools
Cylinder 42 after test.
Van Wilken
Costa Mesa Bldg.Dept. TWINING LABORATORIES OF SOUTHERN CALIFORNIA,
INC.
SA Lab
b .X/J'laal .� Jya/Y'i�✓7E/
ALL REPORTS ARE SUBMITTED AS !HE CONFIDENTIAL PROPERTY OF CLIENTS. AUTHORIZATIOO FOR PUBLICATION OF OUR REPORTS, CONCLUSIONS. OR E%
TRACTS FROM OR REGARDING THEM 15 RESERVED PENDING OUR WRITTEN APPROVAL AS A AL UAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES.
OWNER
VAN IdSCKLTN HUVIARD C.
PERMITS ISSUED
DATE
3-18-6o
JOB ADDRESS
29 Royal Palm Dr,
BUILDING PERMIT NO,
113b2—
GENERAL CONTRACTOR
Anthon✓ Pools
VALUE $ 1
Rough Plumbing ,-- -�
A.P. No.
LOT 2 1 TRACT 2b22
FIRE ZONE
DESCRIPTION OF WORK SwimP001
.�J„
�iKCF — - au"n/.
INSPECTIONS
DATE
B I/I
GROUP J
TYPE 111 1V ZONE
—1
unuergruunu Dun U.U. Wale
SUBCONTRACTOR
PERMITS ISSUED
Underground Gas
DATE
NUMBER
Overhead Water and Gas
Rough Heating
Rough Plumbing ,-- -�
- _, ti„_e✓
„�-/ -
a3 7 I/
Miscellaneous 1'M 9- .-60
.�J„
�iKCF — - au"n/.
93 3�
Prop. Swr. Line House Con. St. Swr.
I,{/'
Sprinkling System
Heating, Final
Plumbing Fixtures
Final Gas Test
Construction Pole
Underground Power
,
Rough Wiring
Trenches Forms/' Steel )-IF- (.0
Floor System
Steel Reinforce Chimney Re -Rod
Bond Beam
Sheathing
Frame and Flashing
Lathing, In Out
Plaster, brown coat
Plumbing Fixtures, Final
Electric Fixtures, Final -p
Building, Final
1
OCCUPANCY
Form 210-5M-11-59 S -B P
11602
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING,/
ADDRESS 'V
COSTA MESA. &UFORNIA
FE RECEIVED
APPL&TION-FgqOU�PPERM IT
UI
CITYB I:diNGMESA
For Office Use Only
OWNER �s'�
RECEIPT NO. PERMIT NO.
�j (7
MAIL ^^
RECEIVED BY I DATE Ret N¢f OA/}e IB £
ADDRESS
—�bC
TEL
BUILDING
//�
CITY NO.
ADDRESS
`Y
ARCHITECT TEL
COSTA MESA. AI IFORNIA
OR ENGINEER NO.
ADDRESS
FIRE
ZONE
APPROVED
BY
TYPE GROUP
G D
DATE G
CONTRACTO 1 �- vL,�
ADDRESS
ZOWING
I I
OOF
/Ir
CITY
I
(N_I
BUD�IN1G/
STATE TEL.
3�
NO. �3 NO.
L GAL
DE
ELIC.eCRiT10N
O1,�
SIZE
NO. OF BLDGS.
OF LOT
NOW ON LOT
A. P. NO.
USE OF
YARDS
EVES
EXISTING BLDG
APPROVED
ALLOWED
SETBACK LINE FROM�'J / ��
ICENTER LINE
BT.I
CENTER OF STREET / "J.EAR YARD -6
.0
FRONT
1 FT. Cy IN.
ILEFT IRIGHT/
SIDE YARD I
R. SIDE
FT. IN.
DESCRIPTION OF WORK
L. SIDE
6 FT. N.
I I II
I
NEW ALTERATION
ADDITION
REAR
APPROVED
FT. - IN.
/,DATEBUIL
REPAIR I II MOVING I
I DEMOLISH I
DING NO. OF
�
SIZE ( ;Ij ROOMS STORIES
EXTERIOR WALL (ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UND¢R VALUATION IB FOR THE
wND STAT. TWAT THE ABOVE 15 CORRECT AND AGREE TO COM-
PURPOSE
OF ESTABLISHING A PERMIT P!! ONLY.
PLY WIT ALL TY ORDINANCES AND STATE LAWS REGULATING
VALUATION
BmLol CONS umlox.
SIGNAT RE F
SIGMA
PERMIT FEE S ,e
S
PLAN CHECK S
�1
AUTHORIZED AGENT1--CSE- \.J"'�'�
.�.� �)�+j
/
TOTAL FEE 5�1
u
OWNER HOMES V/ILLEP INC. DATE 6-16-59 _
JOB ADDRESS 2944 Royal Palm Dr, BUILDING PERMIT NO" 9618
GENERAL CONTRACTOR Linc " wirl uvc VALUE $ 17r7f.L
AP. No. LOT 281 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK ReS w/att-gar.
INSPECTIONS 7 ;_S.Q
DATE
–%–
—
I GROUP I&J TYPE V ZONE R1
Underground Soil 41 r4 U.G. Water �r/T�
SUBCONTRACTOR
PERMITS
ISSUED
Underground Gas
DATE
NUMBER
Overhead Water and Gas
at
JT!
6' J ✓ 0 iM
---
Rough Heating
Rough Plumbing_
Miscellaneous
Prop. Swr. )sine— H '" on. St. Swr.
�/
(/ �C/�a-
Sprinkling System
Heating, Final
Heating,
Plumbing Fixtures
Final Gas Test/
Construction Pole
Underground Power
Rough Wiring
95 ,N//Al<: 1r;e
S7_711
=HCl/�) ✓
Trenches orms Stee
Floor SystdITi
Steel Reinforce Chimney Re -
Bond Beam
Sheathing
Frame and Flashing
7
Lathing, In r- Out
Plaster, brown coat
Plumbing Fixtures, Final /19fS
//—/7 :S
Electric Fixtures, Final ri/L
Building, Final
OCCUPANCY
Form 210-3M-4-59
ar'
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA, CALIFORNIA
FOR APPL/CANT TO F/LL /N COMPLETE[Y
TYPE OR PRINT
...Res. 2944 Royal Palm D
COSTA MESA, CALIFORNIA
vjto
a JUIN 1 L ;959
utnlly
;n!nw" DEPT.
�
APPLICATION FOR PERMIT
BUILDING
FOR ONCE USE ONLY
OWNER Homes Vallpy Inc.
RECEIPT NO. rq�r Y
CC
MAIL
ADDRESS 1 E h S
RECE VED BY
rS
ADDRESS
DATE RECEIVED /DATE ISSUED
I -�J •� Z- C
CITY Costa Mesa TEBUILDING
L18-11 9
COSTA MESA. CALIFORNIA
ARCHITECT Carlson & LIC.
OR ENGINEER NO.
ADDRESS Garden Grove
FIRE
ZONE
nn��j�pp
C01,14AL`YOR& COlegrove, InCt CT. TE 167293
APPROVED
BY
DATE
ADDRESS 419 E. 17th St. Costa Mesa
ZONING
LEGAL LOT nA I 2822
DESCRIPTION NO. 281 BLOCK TRACT
ZONE
I
NO. OF
I PLArvs
USE OF NEW
But LDING ^ff -
A.P. NO.
BBYPROVED
DATE ' /(5
YARDS
REQUIRED
EVES -'
ALLOWED
SIZE[ C No. OF BLDGS.
OF LOT OG x lC) Now ON Loy none
(CENTER LINE ST. ). '
FRONT PT. IN.
USE OF
EXISTING BLDG.
SETBACK LINE FROM
CENTER of STREET 50R@AR YARD 361
R. SIDE
_It7l FT. IN.
L. SIDE
FT. IN.
[I
SIDE YARD I LEFT 51 ( RIGHT 51
DESCRIPTION OF WORK -
REAR
FT. IN.
NEW
I ALTERATION I II
ADDITION
REPAIR
I MOVING 1 II
DEMOLISH
BUILDING 1 L^ NO. OF
SIZEW ROOMS 7 STORIES 1
EXTERIOR WALL
(ROOF
COVERING
COVERING
USE OF BUILDING AND WORK TO BE PERFORMS
Single family residence unith
attached garage.
n B
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANDSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
THE AMOUNT
PURPOSE OF
SHOWN UNDER VALUATION IS FOR THE
ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTION.
-
VALUATION
SIGNATURE OF
$ 15,571
PERMIT FEE $,
PERMITTEE
AUTHORIZED AGENT I]]ke OI o e C.
0
PLAN CHECK $lftOB
Sp
TOTAL FEE $