HomeMy WebLinkAbout3481 SAN MARINO CIR - Building Permits{�
June 20� 1974
9
Mr. Eugene Miller , . �
3481 San Marino Avenue .
Costa Meea, California 92626 � ,
Dear Sirs
A building permit has been issued to Berge Pools to construct a
private swiam�ing pool on .your property. -
In order that your pool c�ill be a safe one for the purpose of
advising you of your responsibility regarding the requirements of
the Costa Mesa Municipal Code� sre refer you to Section 8107� a
copy of which is attached. .
This let� r is directed to you in o er that you will be aware of
our ordinancea aad can make a complet safety check of your pool �
area.
RHtcb
(�� Sincerely yours,
RICHARD NANHART
euilding Safnty Director
.
�` � 2
. � �A
2�""'�" �'�
�,_"� °�
TESTING
July 25, 1974
baboratories �f ���«��___,� ��<<f���,r«�, �,_�.
.
?-O BOY. <] .?3i0 AIRPORT WAY . LONG BBP.CN. CA'JE 90b01 .(213� 426-3355 . 1213� 635�2386 . ��14� 819�5432 •
ev+w:� r,=c�s
.. o vo��-. r„«, s��ee� .s"�_�,� r:o, o.��..�� .e' .
Se�e ��+ Ce �'e.+�e a1J0± °�� -A 3•55 z¢oonaoA.e� 00 Bm ��
��H1911G�5 ��j '� .e. �eech. Celi �9B01 �3111 e�63E6
�i,.Y_n,�
Examination: ' $C]4-jj]4
COMPRESSION TE5T5 ON GUNITE �YIINDERS
Mr. �. [. Sprague
5041 Doanoke Avenue
Irvine, California 92705
PROJECT Swimming Pool for GENE MILIER
aooREss 34a1 San Marino Circle, Costa Mesa
SAMPLE FRO M i-2 Bond Beam: 3-4 Shaliow End: 5-6 Deep End
1pCwRfQ
ENGinEEo
MIX
DATE CAST
DATE TESTED
CYLINDER NO.
COMPRESSION
TOTAI IOAD, 185.
POUNDS VER SO. IN
SIZE:
COMPIIANCE
CYIINDERS
CONIRPCIOR
Berye Pools
SUBCONiRqClOR
Coast Gunite Co.
SPECIFIED
GU11I Le STRENGTH
%-IH�]4 CYIINDER SIZF
7-25-74 7-25-74
i 3
7-Day 7-Day
102,000 • 9fl,000
3.610 3,GiS
6" x 12-1/2" 5-7/8" x 12-1/2':
7-day test eanplies with specificetions.
MRDE BY DEIIVFNEO BY
L.E.Sprague Dave
0
oisnuunon:
osta Mesa Dldg. Dept.
Berge Pools
Coast Gunite Co.
l. E. Sprague - 2
c
Permit?1 38549
2,000 psi
7-25-74
2 "HOLD"
5 4 "HOLD"
6 "HOLD"
7-Day
101,500
3,590
6" x 12-5/&"
NECEIVED ON
7-19-74
,Go.�'�'v, ,,,,,�/, , M1 " •:f..
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38549
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 60X 7200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING 3�8 � �� ���,vv �
ADDRESS
OWNER ��c�J�c ��n ���'.
MAIL
ADDRESS �Ca�\LC Q�fQ Q., `���
��,^ TEL.
CITV CO�jTA ,\ .� SD1 NO SS1'�.
CANSTRU��ON
LENOER
BRANCH
AODRE55
ARCHITECT TEL.
ORENGINEER C�.� � P�.AMS. No. (��`.�'"�c
ADORESS 1Z3�S (�����+. �.F�
R
ADDRE55 .�y � o C�C� LTI.AAi
CITV �' �. NO�. �,�
� e W �n OC..T
STATE CITV
LI0. NO. , � �j� LIC. NO. �
SI2E NO.OF B�DGS.
OF LOT NOW ON LOT
USE OF
EXISTING BLOG.
SI2E OF NO. OF
NEW BLOG. flOOMS STORIE',
EMEFIOFI WA�� FOOF
COVERING COVERING
USE OF BUILDING AND WOftK TO BE PERFORME�
�UT _�WIM Ybcs .
��r; 1��-7�'�-�LC011�;8'. ,:xs::3� "�
n+=• �
APPIICATION FOR BUILDING PERMIT
REC E�J�Y DqrTEf��CE1�V� pq� ��1'F �
/ �� �7 i ���
r
P T NQ�
A.P. NO. �� t� Y S
BUILDING „` AN �(� o ' ��C
ADDRESS �� \C \ 4�
TRACT LOT BLOCK
N W AD A P
OWNER P �\\\��
(� VALUg �
S CUT ..`.�Wth� bC
FIRE
ZONE T PE GROUP
APPFOVED / � OATE I/�/���
RV A
)N %NO.OF ,
PLAN$ a
VARDS APPROVED
MAIN BUILDING
ROM s/L STREET)
DISTANCE BET
MAIN BLDGS.
VAR. 3k
C.V.P. #
APPROVEO /,
I hereby acknowletlge thet I hava reatl this application antl stata
thut the ebove into�metion is cOrrect antl agree to comply with
all laws r9gulatinp builtling construction, entl I shall not employ
any perso� in violaiion of ffie workman's compensation fews o5 1'
Ne Sta[e ot Califomia.
I hereby certify that I am prope�ly licensetl as a conttactor untler
the State of California Business a�tl Professions Cotle, Divisicn 3, THE AMOUNT
Chaprer 9, antl xhat such licenses are in tull torce entl affact, or I THE PURP06E C
am eaempt from tt e provisions of the State ot California Business VALUATION
and Pmfessions Cnve, Division 3, Chapter .
Signamre a� � Gi � � Q
Permittee
5 �?a,�
.a
Authorized .49ent
U$E OF NEW
BUILDING s
vnaos nv
BET. MAIN
ACCESS. et
DATE
b
0
VALUATION IS FOfl �
A PERMIT FEE ONL�': Q
� �� O m
E 5 �
K 5 E
0
LL
$
Applicant lo fill in all ipaces except those wit�in heavy Go�Ee� Itnes anG sign all apPropriate tleclarations.
aTroF COSTn M1'EnSA CONST^R1�U�C�/TIO/N� PEnRM'I/T
. ProjectAddress �`�7��-n,1� 1�/C1LU ��lJ /� 1 � V ,/ _
Applican['s Maili�w AA�1•ncc C"Y� � )%�, IA ��� . I Y �
Owner's Ney� �� ` , Phone r��J..J.��� i i-
Address � c��n
ArchlEng. License No.
Address VVV111 G
Convactor's Nam �,'1 'qr� ' J;
Address (ma'i'��I 1All� i� �b I__
City License No. ZZ' � 9
LICENSED CONTRACTOR DECLARATION
I.hereby affirm that I am licensetl untler provisions of Charter 9(commencing
with se<tion ]000) ot Division 3 of the Business antl Protezsions Cotle, antl
my license is in full rc ntl eHect.
�Lice C1 s , __�=y��U��¢a� i��e,�p
Date����' S'9 t ZL� }��i —
�WORKERS' COMPENSATION DECL RATION
I hereby affirm tnat I have a certiticate o( wnse to seli-insure or a certificate
of Workers' Compensation Insurance, or a certitied copy thereot (Section
� 3800, Lab. �k7' 2/� �// D ', /1'!
PolicY No. )1 `JIL�� ComPanY �� f_�_�
�]/Certifietl cooY �s hereby furnishetl.
L7"Cert� � tl pY i tl with fhe city B i i5i
Da[e APPlicant L�
E%EMPTION FROM WORKERS' COMPE SATION E LARATION
(Thisse�tion nee0 not be completetl if the ermit is e huntlretl ($300) or .
less).
I certify iha[ In tM1e pe�fo�manGe of the work for which this pe�mlt is i55ued, I
shall not employ any person in any manner so as to become subject to Ihe
Workers' Compensation Laws of California. �
Date $ignature
NOTICE: If, after making this tleclaratlon, you should become subject to t�e
Workers' Compensation provisions ot [he Labor Cotle, you must forthwith
comply :wltn such provisions or this permit shall be tleemeA revoketl.
CONSTRUCTION LENDING AGENCV '
I nereby ai(Irm tnat tnere is a construction lentling agenty for the periormance
ot the work for which this permit is issuetl (Section 3097 Civ. C.)
Lentler's Name
Lentler's Atltlress
OWNERBUIIDER OECLARATION
I M1ereby afiirm that I am exempt trom the Contractor's l.icense Law for the
folloJwinq reason (Section �031.5 Business antl Professional Cotle: Any city or
county which requires a permit to construct, alter, improve, tlemolish or repair
any structure, prior to its issuance, also requires the aoP�icani for such permlt
-to file a sign¢tl sta[ement that he/she I5 licensetl pu�suant to tne provisions o(
�-the Contractor's License Law (Chapter 9(commencin9 witM1 Section 7000)�of
� Division 3. o( the Business antl Professions Cotle) or that ne/she is eaempt
fherefrom antl the basis tor Ih¢ allegetl exemp[ion. Any violation ot Section
7031.5 by any applicant for a permit subjects tbe ap0licant to a civil �
eenalty of not more [han five huntlretl tlollars ($500). '�
LI I, as owner ot the property or my employees with wa9es as their sole
compensation, wiil tlo lhe work, antl the structure is not intentletl or.offeretl •
for sale (Section ]044, Business antl Profes5ional Cotle: The Cont�acto�'S
License Law tloes not apply to an owne� of a property who bui105 or iriiproves �
thereon, antl who Ooes Such work himself/herselt or tM1�ouqh his or h¢� own
employees, provitletl tM1at sucn improvements are not intentletl or offered Por
sale. If, M1owever, the builtling or improvement is soltl within one year of com-
pletion,-the owner will nave the burtlen of provinq he/she tlitl not builtl or im-
� p�ov! for [he�0urpose of sale).
exclusivel con
tractin with licensetl con-
f the ro ert am Y 9
❑ 1 as ownet o P Y,
P
4 iness antl Professions Cotle:
bactorsto construct tbe project (Section "!04 Bus
The ConVac[or's License Law does mt apply t0 an owne� of p�operty who
builtls or imoroves thereon. antl who mntracts tor such oraiects with a con-
tractor(sl 1¢ense vursuan[ m me ConVactor•5 License LawJ. I am aware thac
� proof of tbeit Worker'S Compensatlon insurance shoultl be provitled to me.
❑ I am exempt untler Section B. & P. C. tor this reason
Date Owner '
I herebv certitv that 1 have reatl this applicatlon antl state that the above
Signature
Drivers' Licenze or. 5 qF
rev. 5/88
. _...... .._. ....._. ..'. __ _ .._. ....., ,..,. A.P. �i`-
O� S MainBuildi
TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR E
❑ CONVERSION ❑ DEMOLISH � OTHER T Front
DESCRIPTIONOFWORK/USEOFBLDG. IA Rear
TYPEOFPERMIT GRADING FOUNOATIOfy STRUCTURAL '' C Rlght
K Left
❑ TENANT ❑ EIECTRICAL ❑ GLUMBING L�.MECHANICAL �,S
❑ �OTHER Ping. Ref. #
PROJECT DESCRIPTION 5�. FT. OCCUPANCV Planning Notes:
CONSTRVCTION TVPE VALUATION $
ZONE GRADING GU. VDS. ACRES — _.
0.emarks:
$ink
Preventer
Irrigation
Dishwasher
Drinking Fountains
Floor Drains
Ploor Sinks � '
Gas Servic.e Outlets
Interceptors
Kitchen Sink
Lavatories
P—Trep
Roof Dreins
Reinspection Fae � $15
Duct- Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. BIt. iCBO #
I�atmg Sys[em & Ducting
Q-100,000 BTU 0100,000
Reinspection Fee
Builtling; Canary - APP��canh Pink - Accountinq; Goldenrotl - Assessor
$15
Showen
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w
Urinal
Water Closet '
Water Heater
Water Service
Auto-Wash '
laue Fee
Hood or Type I ❑
Canopy Type I I ❑
Refri eration S stem '
9 Y
❑ o-i oo,00a sru ' O i oo,000
System Repair/Alteration
Fire Dampers � �
Registers
Issue Fee
FEES .4utomatic Washer
Construction Pole Sub.
Cooking Unit,
Dishwasher
Dryers OGas ❑Elec
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
. Generator O0.5 KW C
Zone
uilding:
Parking Req./Provided
ELECTRICAL
Trensformer ❑ 15�50 KW
❑ 50+KW
Meter ❑up to 100 amps
Meter ❑over100amps
5-15 KW
Sub Panel
Motors 041. HP O 1'f. - B
Inc. Solar �9-15 HP 016-15+
Microwave
Pole Light �
Range
Sign
Standing Sections
Tresh Compactor '
' � Reinspection Fee �$15 � � Issue Fee
$ 3 DEVELOPMENTSERVICESRE�UIREMENTS:
Zoning Approved By
FEES �. �Building APProved By�
BUI�DING PERMIT $
PLAN CHECK
$
PLUMBING $ �
PLAN CHECK 25% $
ELECTRICAL $ �
PLAN CHECK 50% $ �
MECHANICAL $
PLAN CHECK ZS% $
N
I
N
G
R
E
Q
M
r
S.
FEES
��
e
$ 3
SMIP $
PERMIT
ISSUANCE $
ENERGV P.C. $
GRADING $
MICROFILM � $
TOTAL FEE $ . r��_
l� '
kCi;4l�NT 4: Q13074����5
�1 U06II 001 4GJ2S,�.'s-�.C,7.9;;,;
11n.l901C4 fit !LL TCN.I ... iil�
. � � �, ` .� . � \
CONSTRUCTION AND PLANNING �• POOL & SPA -\ o
APPROVALS - Permit# Date Inspector AppROVALS Permit# Date Inspectc
�
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-Undrgmd. �� 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Elecfrical UFER Grndt 57. APPROVA� TO COVER�GUNITE �
7. Footings �' - 58. Electrical Conduit-Undrgmd.
8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test ,
9. Water Pipe-Undrgrnd. �. � 60. Backwash Lines, P-Trap, � Undrgrnd. � �
10. Structural Floor System � 67. APPROVAL TO�DECK .
1 L�Property Sewer Line & House Connection , 62. Backwash & Receptor-Final �
12. Sewer Cap •. � 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. �Rough Plumbing � 65. Electrical-Final - 1
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 "
n
22. Ducts, Ventilating 71. Product Piping O Gas ❑ 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 II
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 ' Notes: �{ 3/�q ��(��qpt� �`J �'�' io=�7-a �
.,
34. Final Heating & Air Conditioning ����� �,�,���y�Q ����L �03 , V�G
35. Final Gas Pipe-Test L, ip�,. .
36. Hood or Canopy �
37. Final Factory Fireplace ' '
38. Final Plumbi"ng" .. - -' -- - -' -" - - ' � - -. . . . _ �. ' • .
39. Water Service-Final �
40. Gas Service-Final � _ .
41. Solar pomestic-Final;'j
� 42. Backflow Preventer =�_ � . `�'•
�
43. Backflow Irrigation ��i • . , '�
n
.
�..
44. Landscape Irrigation�3ystem . �
45. Sound Attenuation '" '
46. Handicap Regulations�yy . ,
47. FINALSTRUCTUREi&BUILDING .
d8. Soecial Requirements�Completed �
49. Electric Release to Edison � -
� _i,
50. Gas Release to Southem California Gas Co �-t � '
51. CERTIFICATE OF OCCUPANCY , .
No. Date ' '�
�i
I
(
Appliwnt to flll in all spatts except those within heavy boraer Iines antl sign all appropriate aeclarations.
CITY OF COST� O I T U� I� ERMIT PER T NO TRACT NO LOT NO. UNIT NO
Proj�o,��frAddress `f � _
'Appi�nYs Mai ddre
Owner's Name � Phone I
Address
Arch/Eng. License No.
Address
Contiac[or's Namqp
Address Imailingl �'L
City License No. �✓1
LICENSED CONTRAC O_�D L ATION
I hereby affirm that I am licensetl untler provision5 of Charter 9(commenci g
witM1 section ]000) of Ivision 3 of the Business antl Profe si [[[j���ppp�❑,1e, a tl
fOy �IC2O52151f1 fpl OIC2 flI1CffEC[. ���1 „ n
Licens Cla 1 ��n � IY M�pw��• 1•y1QA7r'tr� ep�yg v�'r'
Date 1�� �5 9 t ���i�_I "JS��1�..t,*
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate oi consent to self-insure or a certiflcate
o/ Workers' s� i n surance, or a certifi c thereot (Section
3800, lab.
Po icy No. Company
Certit'etl c py s er furnisnetl. /�
rti etl y s ti ifh the city �� o.
Da e � � ' APplicant
EXEMPTION FROM WORKERS' COMPE ATION D LARATION
(Thissection need no[ be cOmpleteC if the �mit is for ne huntlretl (5300) or
less).
I certify that in the performance of the wo�k fo� which thi5 permi� is i55uetl, I
shall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws of Calitornia.
Date Signature
NOTICE: If, after making this tlecla�atlon, you shOultl become subject to the
Workers' Compensation provisions ot the Labo� Cotle, you must-tortnwith
comply with such p�ovi5ions or this permit snall Ce Oeemetl �evoketl.
CONSTRUCTION LENDING AGENCV "
I hereby atfirm that there is a construction lentling a9ency for the peiformance
of the work for which this permlt is issuetl (Section 309]- Civ. C.)
Lentler's Name -
Lentler's Atltlress �
OWNER BUILOER DECLARATION -
I hereby attirm lhat 1 am exempt (rom tne Contractor's License law tor the
following reason (Section 7031.5 Buziness and Professional Cotle: Any city or
county which requires a permit to construGt, alter, improve, tlemolish or repair
any structure, prior to its is5uance, als0 requires the applicant tor duch pe�mit
to ille a signetl statement [hat ne/she Is licensetl pu�suant to the p�ovision5 of
the Contractor's License l.aw (Chapter 9(commencing with Section 7000) of
Oivision 3 of the Business antl Professions Cotl¢) or that he/She.is exempt
therefrom antl the basis for the allegetl ezemption. Any violatlon=of $ection
]031.5 by any applicanl tor a permit subjects the applicant `to a Uvil
�e�dlty of not more than five huntl�etl tlollars ($500).
I, as owner of the property or my employees with wages as their sola
compensation, will tlo the work, antl the structure is not intentletl or.ofteretl
tor sale (Section 7044, Business antl Professional Cotle: The Contractor's
Litense Law tloes not apply to an owner of a property who builtlz or improves
thereon, antl who tloes such wotk him5elf/berself or th�ough hi5 or he� own
employees, providetl that sucM1 improvements are not intentletl or otferetl /or
zale. If, nowever, tne builtlin9 or improvement is soltl within one year of com-
pletioq tne owner will have the burtlen of proving he/she tlitl not builtl or im-
prove for the purpose of sale).
' h Ilcensetl con-
sivel contractin wH
ro ert am exclu Y 9
as owner ot the 0 Y
❑ I, P
Vacto�s to tonst�uct the D�ojec[ ($ection �044, Bu5ine55 antl PrOfessions Cotl¢:
The CoMractor'S License law tloes not apply to an owner of property who
builtls or improves thereon. antl who contractz ior such oroiects with a r.on-
tractor�sl license pursuan[ to cne Contractor•s License Law). I am aware tha[
� proof o4 [hei� Worker's Compensation insu�ance shoultl be provitletl to me.
I❑ I am exemp[ untler Section B. & P. C. for this reason
Oate Owner
1 hereby certify that I have reaa this applicatlon antl
Intormatioo-�s correft. I a9ree io f1�mplyRvith al1 tlty a
antl ctate IA c ralatina to builtlinf! construction, antl hE
Signature �
Orivers' License or 55 �
OB65-46, rev. 5/B White - Bui
,� �� 3��
TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.
TYPE OF PERMIT LJ GPADING FOUNDATION LJ STRUCTV RAL
❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION Sq.FT. oCCUaaNCv—
CONSTRUCTION TVPE VALUATION $
ZONE GRAOING CU. VOS. ACRES_
Remarks:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink
Roof Drains
Reinspection Fee I $15
Boiler
Duct-UnderGround
Duc[ - Strucmral
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO �k
Heating System & Ducting
❑0.100,000 BTU 0100,000 BTi
Reinspec[ion Fee
; Pink - Accouniing; Goltlenrotl - AsSessor
$15
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal "
Water Closet
Water Heater
Water Service
Auto-Wash
Issue Fee
Hood or Typel ❑
Canopy Type I I ❑
Refri eration S stem
9 Y
❑0-100,0006TU ❑100,000
System Repa /Alteration
Fire Dampers
Registers �i1CC
Fee
i
$ 3 ..,
FEES -.
A.P. #E
S Main Buildi
E
T Front
B Rear
A
C Fii9ht
K Left
S'
Ping. Ref. #
Planning Notes:
Automatic Washer
Construction PoleSub.
Cookin9 Unit
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.'
Fixtures
Device Boxes
Outlets
Switch¢S
Garbage Disposal
Generator �0-5 KW �5-15
Zone
Accessory Building: I
Z
O
N
I
N
G
R
Parking Req./Provided E
U
M
� T
S.
ELECTRICAL
Transtormer ❑ 15-50 KW
❑ 50+KW
. . I Reinspection Fee ! $15 I
�DEVELOPMENT SERVICES REQUIR
Zoning Approved By
Buildin9 APProved By
+(\ppliWti00 ISSOed BY
Meter ❑up ro 100 amps
Meter ❑over 100 amps
Sub Panel
Motors 061 HP 01 X- 8
Inc. Solar �9-15 HP �16-15+
Microwave
Pole Light
Range
Tresh Compactor
" r�
lu`ue Fee
�
UTS: '�'
T
FEES
$ 3
� SUMMARY OF FEES
BUILDING PERMIT $ � SMIP $
PLAN CHECK
q $ PERMIT
' 1 �
PIUMBING $ ��5. DZi SSU9�JCE $
PLAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL $ GRADING $
PLANCHECK 50% $ MICROFILM $ �7��7y�
MECHANICAL $ TOTAL FEE $ �__.1_I_ 1—
PLAN CHECK 25% $ `—�' "�''
II1 iiQ�25%41—Q6025/41 T�c IT `.OD
� rn7�; 02Jr,si£9 ?i�E= OS:,�
,. � a � l . . . . . . . . _
'CONSTRUCTION AND PLANNING � POOL & SPA
a
� AR�ROVALS Permit# Date- Inspector qpPROVALS Permit# . Date Inspector
� i. Temporary Electrical Service or Pole � 52. Pool & Equipment Location
'- i -
2. SoiLPipe-Undrgrnd. ,- ' •� 53. Steel Reinforcement ,.�,�
_ 3. ,Electrical ConduiL�Ujility-UnUrgrnd:� �r� ; - � . � 54. Forms . -
�'4. �Electrical Conduiy�Undrgrnd. _� 1 �-< • 55. Electrical Bonding '�
:5. Ste�el'Reinforcemenf , ,� /
,1 56. Rough Plumbing & Pressure Test
�� �Electrical UFE,R Grrjd.� , 57. APPROVAL TO COVER-GUNITE ' ,�•i _�
,7.'Fobtings � `��� i ° � �:J 58. ElectricalConduit-Undrgrnd. � 'ij.%
. . .. - ': . ��
' �8� iFoundation ' � ���� � �� ✓
_ 59. Gas Pipe, � Undrgmd., Test ,, �
- �.
:9 .Water Pipe-Undrgrnd; .-• � -,� 60. Backwash Lines, P-Trap, O Undrgrnd.
10.�'Structural Floor,jSystem ;� �� �:' 61. APPROVAL TO DECK �i . �
1�1. ,PropertV Sewer :Cine & House �rjnection '. L - �-� � � 62. Backwash & ReceptorFinal �
-12. Sewef Cap ,,; � .� /r_ ._ ..63,.Heater & Vent-Final ,- , ,;,� „ , �;. . .
r
13. Roof Drains ' ' > �. • ' 64. Plumbing System - Final �il �� .
� I f �'
14. Rough PlumbiAg �- ' • _� 65. Electrical-Final ., • �
15. Rough Electrica4-Conduit 66. Solar System-Final -
1.6. Rough Electric Wiring - 67. Fencing & Access Approval '
�� -
`17. Rough Wiring Sign 68. APPROVED FOR PLASTERING '
;18. Rough Electrical-T Bar Ceiling 69. POOL/SPASYSTEMS FINAL �i
.19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20.' Rough Factory Fireplace APPROVALS Permit # -
21� Ducts, in Strucwre 70. Underground Hydro '�i
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil ,- �
23. Gas Pipe-Rough & Test , , 72. Und'erground Flush ',I
24. Rooi Framing � � 73. Undergmd. Storage Tank O Gas ❑ Qil �
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling:(Structural) & Monocoat • , � �75: DryChemical � --- - -� •• � �: �
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-Firial 80;'FOOD CERTIFICATE ISSUED
33. Final Electric Note3:3 27 I(`l Care.2EC.rcons r`
Horin�o�. GEg
34. Final Heating & Air Conditioning �I� 9' (,�O�G�l4�'4i �Yd% OYtS�E. L.�f'D. '
35. Final Gas Pipe-Test
� 36. Hood or CanopY .� �
37. Final Factory Fireplace , � � '
38. Final Plumbing _ � ' � ' �-"`- ' � - ' � � � -
39. Water Service-Final � r, � ;��
40. Gas Service-Final �=,�
�%1��
41. Solar pomestic-Final '
42. Backflow Preventer �� , �
�
43. Backflow Irrigation +'�` '�
,�,• Ins edicns � �
44. Landscape Irrigation System � B �
45. Sound Attenuation ' Uate � .��
46. Handicap Regulations ;�. ' �
47. FINALSTRUCTURE&�BUILDING ��
48. Special Requirements Completed .
� 49. Electric Releaseto Edison ,�i ,�� d ,
50. Gas Release to Southern California Gas Co ' .
�J •
51. CERTIFICATEOFOCCUPANCY , f!'��I .
No. Date , ��
OWNER �LTZER ENTERpRISES DATE 5_19_6q
JOB ADDRE55 7Wi1 ce� Morin f ir�rin BUILDING PERMIT N0. �0�00
AP No. _ 6 LOT lj TRACT
INSPECTIONS Si natu
SOIL
GAS
W ATER
ROUGM PLUM6ING
PROP. SWR. LINE ❑ HOUSE CON. �
SPRINKLING SYSTEM
MlSCELlANE0U5
ROUGH HEATING ANO AIR CON4ITIONING
TEMPORARV SERVICE OR POL�
UNOERGROUND � POWEft �
ROUGH WIRING
TRENCHES � FORMS � STEEL REINF. �
FLOOR SYSTEM
BOND BEAM � STEEL REINFORCE
SHEATHING
FRAME ANO FLASHING
LATHING - IN OUT
PLASTER, BROWN COAT
STftUCTURAL, FINAL
HEATING, VENT., REFRIG. AN4 A.C., FINAL
P�IIMBING, FINAL AND GAS TEST
ELECTRIC, FINAL � �q
BOIL�ING, FINAL
SUBCONTRACTOR
;
� �1
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' COSTA MESA BUIIDING-SAFETY DEPARTMENT
� P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fil! i� Completety
BVILDING �i )/�/ 5 �a1 %n/lL�� !,/ �%
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LENDER
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A�DRESS
CONTRACTOR
aooa�ss j
CITY '�
STATE
UQ NO. '�
SIZE
OF LOT
USE OF
EXISTING BLDG.
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LIC. NO.
INO.OF LB�DGS.
NOW ON LOT
SIZE Of NO, OF
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EXTERIOF WALL ROOF
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USE OF BUILDING ANO WOFK TO Bfi PEflFOFME�
..... . _ �lflSnvv . �..v v - J.V
PAIO
M1'�!Y T9-(,Q� (iQi zn ��,�rrr.s5.0(
APPIICATION FOR BUILDING PE�MIT
RECE�://(.l✓h ��I%EIf!/ 1 ! ]TEI�-/UE�iF�/
oP ����1D-vH.2-O6 `�"n`�n
BUILDING
ADDRE55
FIR
ED
3
ZONE NO.OF
� I P�.� ,z.
VARDS APPROVED
MAIN BUILDING
(FqOM C/L STREET)
BET
VAF. �W
C.U.P.q�
APPROVED
I hereby acknowledga thei 1 hava read this aOP�+caiion and state
Mat Iha ebave intormetion is cOrrect antl eprae to comply with
ell lows reBuleting builtling consttucclon, entl I shell not amploy
any person in violatlan of che workmen's compensation laws of
the Stete of Califomla.
I hereby certify that I am proParly licensetl as a cOntractor untler
the Staie ot California Business and Professions COde, DivislGn 3, TME AMO
Chepter 9, antl nhat sueh licenses ere in tull torce antl efiect, or 1 7HE PUFP(
am exempt from the provisions of the Steie of Calitornia 8usinass V ALUATION
antl Profes5ionsCo¢ ,�IJivisjon 3 ap er 9.
Sipnature of
Permittee S � �
Authorizetl Agant
BLOCK
VAWR,.3�� /-
�
APPROVED
FT.
FT.
BEf. MAIN &
ACCESS. BLDGS.
DATE
APPROVED
J_'__ r_�A,
TOTAL FEE
m
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'ION IS FOR �
'FEE ONLY: m
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OWNER
No. _ LOT
DIL
AS
W ATER
Date
HOUSE CON. �
41R CON�ITIONING
UNDERGROUND � POWEF LJ
ROUGH WIRING
TRENCHES FORMS [/�] STEFL REINF.
BOND BEAM � STEEL REI
SHEATHING
FRAME AND FLASHING
LATHING - IN ❑ OUT n
PLASTER,BROWN COAT
STRUCTURAL, FINAL
MEATING, VENT., REFRIG. AND A.0
PLUMBING, FINAL ANO GAS TEST �
ELECTRIC. FINAL
FINAI
DATE
BUILDING PERMIT N0.
SUBCONTRACTOR
r
y . � ��': 3 I 94f
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
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BRANCH
ADDRESI
AFCHITf
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nooaess � �Sb L" Lllyy/C��/�l�C
CONTRACTOR 6�` �,-iTL��.��'jT(
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ADDRESS 7�. Q �(�' �� /CpF,a ��'{
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CITY � I � NO.�l,3 �
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STATE ///...�p CITV
LIC. N0.2O /b ��{ LI0. NO.
s�zE �oX'�DO b, INOWONLOT
OF LOT
EXI5TING BLDG. JJ(� �CU[i �
SIZE OF NO. O
NEW BLDG. ROOMS STORIE:
EMERIOR WALL ROOF
COVERING COVERING
USE OF BUILDING ANb wORK TO BE PERFORMEO
I hereby acknowletlBe that I have reatl this application antl state
thet ihe above information is correct antl aBrea to comply with
all laws regulating builtl��g construction, antl I shell not amploy
any person in violatiOn of [he workman'S compensation laws Ot
the Stata of Calitornia.
I hereby certify that I am properly licensed es a convector untlar
the State ot Calitornie Businesz antl Professions Code, DIvlslcn 3,
Cnapter 9, antl ihat such licenses ere In full force antl etfecq or I
am exempt trom the prOvisions ot t e$t te of Callfornia Businass
antl Professions Code, D�'v��on� C
Sienaty
PermiR
Authorized Agent
�u;: a2-�oP"'�OOzz47=Y ����Z�.SC
Ct15A
APPLICATION FOR BUILDING PERMIT
�I D B OATE flECE1VED DATE ISSUI
�o —��� %/,� /_ .—/!._
A.P. NO.
BUILDING
ADDRESS \
TRACT ��7 �
OWNEF
sE { .Lt� :
FIqE
ZONE T
APPROVED /y
sV 6�/
ZON / NO.OF
� PLAN$ G
VARDS APPROV ED
MAIN BUILDING
(FFOM C/L STREET)
DISiANCE
MAIN BLIX
VAR. #
C.U.P.�
APPROVEO
THE AMOUNT SHi
THE PURP�E OF E
VALUATION �
/.��� �
$
USE OF NE l
BUILDING
VARDSAPPROVED
DATE
FT.
J
— �
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0
R VALUATION IS FOR �
3 A PERMIT FEE ONLV: ¢
EE S / �D j
m
=_cK s �•5 6 e
=E g �z �s7� �°
OWNER MII,LER� GENE
INSPECTIONS
Pool Location .
Forms
Main Orain _
Steel Reinforce
Elec. Bond _
Approval to Cover
Underground Electric _
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep.
Electrical Final
Heater and Vent Final _
Filter System Final
Backwash and Recep. Final
Fonrinn Final
DATE 6-14-74
SUBCONTRACTOR
Electric
Plumbing
J
f
�
L�T ;i-,' - 294�J 3
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1P00 � COSTA MESA, CALIFORNIA Y2620
For Appllcanf to F(11 In Campletoly
TYPE OR PRINT
woone�ss° 3481 San Marino Circle
COSTA MESA, CALIFORNIA
owNeR Heltzer Enterprises-Costa Mesa
"'w"- 144 South La Brea Ave.
ADDRHSY
�„�. Los Angeles 90036 Ne�• 936-110
Z
936-1104
61ZE � � I No.o��LDos.
OF LOT noW oN {.07 O
useor None
EXISfINO BLDO.
f6TOACK Liryt IROM 20 �
c[rfien oP aTe[R RiAR YA D
SIDQYARD LQRT 5' RIONT 16�
DESCRIPTION OF WORK
euaoiNn 39� x 58' No.o� 6 1
SIZE ROOMB DT RI
EXTERIOR WALL ROOR
, COVERIN6 SYIICCO G�VHRINO WOOd shin
wellin and Attached Garage
�oi r.
I Hl0.fiBY ACKNOWL6p06 TM�T 1 MI�V[ 11CAD TX19 APPLIGTIOH
ANO 8TAT6 TMAT TX6 /�GOV6 1� COpR6R�/�ND ApREe TO COM•
PLV WITH ALL QTY ONDJ NC�{ A D�T 6 LAWs q[pyL11TINp
BVILDINO CONBTRYGlION /
SIGNATURE OM p/
PERMITTfi • `�
AUTHORIZiO AO[M
LDINO
DEC -4-68Pa1oOO 270+'� **° �85.�C
[NSn
APPLICATION FOR PERMR
BUILDINf3
Fo. offrro u� o�ry
ZONINCi
xo.o� uctornaw
run� "�� eu��oixo
YARDB MPROVHD
MAIN BUILDINO
IOM W L STRR[T )
DIYTANC[
MAIN BLDi
VM. �F
� 2
� - v�
SNALL BE LE88 THAN
(U.B.G.REOUIRHMENT)
YARDS MPROV 6O
�ceessoer eu ao�na
DATB
p� � i � • a
m
'9 �
i�y3 e4. �. �90 �
0
TH8 AMOIINT BNO UNO6R VALUATION 19 FOq TH8 j
rUHPOBB OF [BTI�BLI8NIN0 A PHRMIT P6H ONLY. 3
VALUATION �j �
� PERMIT FEE $ S/ —� k
s ��DS� � , so w