HomeMy WebLinkAbout2735 SAN JUAN LN - Building Permits CITY OF COSTA MESA
41n FF'�`i`:: SZ, N BUILDING DIVISION
F •
•'�'�I 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.usl'i
�• FOR INSPECTIONS CALL: (714)754-5626
41%.ymno 4. :1 r:;..� `: -:
PERMIT NUMBER: B09-00147
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 14164310 DATE ISSUED: 08/05/2009
ISSUED BY: KJB
JOB ADDRESS: 27.35:SAQUAN=CNTOIVT ' .Suite/Unit: ..
Vicinity: ^.,.,�,..; ..
Squares: 500Valuation:'' $1,100.00
SCOPE OF WORK: PARTIAL RE-ROOF OVER 1 LAYER OF EXISTING COMP SHINGLE.5.SQUARES'ON THE UPPER SOUTH SIDE ONLY.
OWNER: BOUSKA,WILLIAM M TR - . Address: 2735 SAN JUAN LN Unit:
PHONE: City/State/Zip: COSTA MESA,CA'.'
APPLICANT: TRC ROOFING • . Address: 3719 OLIVE AVE '•- Unit: :
PHONE: 562-682-9027 . - City/State/Zip: LONG BEACH,CA -
CONTRACTOR: TRC ROOFING License No: 712184'-')-0014 t
Address: 3719 OLIVE AVEUnit: • PHONE: 562-682-9027
City/State/Zip: LONG BEACH,CA 90807 • ' _ CELL:
1 -I
ARCHITECT: License No. PHONE: '
ENGINEER: License No. PHONE:
e.
FEE SUMMARY
Reroof Plan Check: $0.00 -
Reroof Permit Fee: $41.80 -Our-1 Sipa ONLY.
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00 .1.
TOTAL FEES $42.80 . -<, ,' �y-rr
7-'-i-H-
Ext. 5: i;.-7iv• a
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No.92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE S. INSPECTION TYPE DATE INTIDALS CODES INSPECTION TYPE DATE:?It): ::INTnIAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final ) 208 Final Plumbing L"I,'
200 Final Re-Roof )C p-L 5 -n m '-' 210 Final Electrical
-201 Final Block/Retaining Wall 212 Final Fire Prevention '
202 Final Factory Fire Place 220 Final Planning Approval , -
.203 Final Sign 222 Final Site
204 Final Demolition- 250 Final Building/Occupancy
S
WORKERS'COMPENSATION DECLARATION: • Owner ID verified by driver's license. ❑Yes ❑ No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. f IV xpires: -
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-properly tax bill or,deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by .
section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:'
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section need not be completed if the permit is valued al one hundred dollars($100)or less)
2,M2 Sec.341,Title B,Califomia Administrative Code).
Policy Number:
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensati.i laws of California, and agree that if I should
become sub' ct to s'compensation provisions of Section 3700 of -
Applicant's Signaturethe Lab e, Ih comply with these provisi s.
/7 Division of Industrial Safety Permit Number: Dale
_' ,'S natu u e Mgr Fr HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. C a registration form for acutely hazardous materials? ❑Yes 0 No
, '� , , c,] ' I (Section 25533 of the California Health and Safety Code, with some
.• SW exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
OF ari�ra-;foSlg re •_te hazardous materials equal to or greater than a weight of 500 pounds. or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Dale 4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications far non-residential buildingits .
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the perm )
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I. as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
thereon,and who does such work himself or herself or through his or her own 8 (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct..I agree to comply with all state laws and
•
❑ I. as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec. 7044,Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
0 am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction,and authorize representatives of
Business and Professions Code for this reason: - the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
a
���� :•al Owner(s) Date
Signature Date � //(� / /
3057-46(3IW)
gr/5702
tI9Andlor Authors zed Ar 0
Gunite----1.,> ) Post-' ioned Concrete ( /) Acrve—
REPORT OF INSPECTION Masonry ( ) Firepi ing ( )
Concrete ( ) Reinforcing Steel ( )
Ban TO: c -M li)p5A
Address: II
OWNER: �n11SIeA
PROJECT: Suurmmiru ` PCnt. cOA Report No.
Address: `,)'1,5 Sa-w /UN-,j (7 c*a iYl' ,a Permit No. pE, MU /$
Architect: Ou31.001 Contractor: ( Lowe\
Address : Address :
Engineer: ri. _( , (3,ogfpg Subcontractor: (\acc) (-4A.Ar
(Gunite)
Address: Masonry or
__L�_ Concrete)
Inspector: rnp, /1)07\c i 1 & Address:
( .o. �1 FLAI.dtLti
Mix Used: 4-a- )
Slump, inches: Q
Admixture: Q
Designed Strength, PSI :133t c c
The following inspection was performed in accardance with the approved drawings:
Cu.Yds. No. of
DATES Placed Cyls. Remarks
5/ 11435 (l7 �I c-ktl_J Po,r✓,� i4 x1) ( ler.t arta he l.v�a low4kTS
T� O)c.f�oal�S�� Uel i � �e•.t� �� CSL r .�r P°'..1.--1c
J
Copies of Reports to: (Indicate which Bldg. Dept. & furnish address of any not listed)
• Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 0983_ 4/ I1ta --I5=J.e EE- It.
Mir .•
CIS{'OF COSTA M/�ESA CONSTRUCTIO�VPERMIT - . PERMIT NO(� - - TRRfF,C NOQ L�O.jT..N4O. , UNIT U: - 'Cr. I ;l
• Project Address r'arC 73s 5,7/./,11.04-1,-/�-g ' A.441 -� . VC- 1.2)4 '?: 4 O ! ! x a• ...'—I 1 r, t , -• • I . .
• AppbcLht's Mailing Address '7 .ScM_ �' t/(�� (iO�fU� • TYPE OF CONSTRUCTION S NHw - ' - - + I
•
''gg'� // 1./ �a....•�a �//�. ��� . IJ ADD L_I'ALTERATION' Li-REPAIR -
Owner's Names &L` --�Uc t fT Phonc� �Z CONVERSION ❑ DEMOLISH ❑ OTHER _ A.P.# 'q' l I a _ D - ,
�'1 � ��- ���� t�--�}�/{�t3 yZ' DESCRIPTION OF WORK/USE DF'e LOG. t Zone
Address' S1 3^__Si9j s t 7Jiza j tot-NE, •' - •' l : _ - - - $ 'Main Building Accessory Building:, Z
Arc En //''��G1��!'<�xr`t,51 A License No. j 'o/t0p�� TYPE OF PERMIT : ❑ GRADING ❑ FOUNDATIO ❑ STRUCTURAL , " T Front jQ — e , • �' 1 m O •
•
Address - Si f.2 _ACI elorcVe-x? ` A UE ' -0 TENANT ELECTRICAL *PLUMBING MECHANICAL r B Rear - ( �S - I Contractors Namel � OTHER r _ A9 -
�q'. ` ,C 1 Phone ` PROJECT DESCRIPTION 5s'. FT. ?ZM�� Oc CUPAN v - C Right w _ (�,_-< 1 :T:"
NAtldress(majtingls -�W tom/ �UG����{� •F; 5K 1. - G
- ` CONSTRUCTION TYPsb AI in •CIL' VALUATION $ "L Left, �1 �6 ."rs'> rCity License No. - � S �`ci RZONE GRADING CU.YDS. ACRES -LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req• ,/Provided - • E-
la
I Hereby affirm that-I'am licensed under provisions of Charter 9 (commencing Remarks:P 'l`^ ) 0.7 ,-�,5-s Planning-Notes: , 'with section 7000) of Division 3-of the Business and Professions Code, and l - •
my license is in full force and-effect. I S
• License Class - i • ; n e '
Date - Signature `/ PLUMBING FEES I
WORKERS'COMPENSATION DECLARATION i
Ihereby •affirm that 1 have a certificate of consent to calf-insure or a certificate Bar Sink Showers •' •
ELECTRICAL I 'FEES I I
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer- - Service'Sink - - - - --
3800, Lib. C:) - Automatic Washer Transformer 0 15-50 KW '
olicy No. Company Backflow Irrigation Sewer Ca 0 50•+KW
dCertified copy is hereby furnished. p Construction Pole Sub. •
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date Applicant I ' , - • •
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
-(This section need not be completed if the permit is for one hundred-($100)or ' - - . - - - -- '
less). I • ' Dishwasher Solar Piping. •Dryers DGas DElectric Sub Panel'
i certify that in the performance of the work for which this permit is iss d, I -
shall.nota 10 any p rson in any manneL s as to bre biec b the • , Drinking Fountains •
Solar Tank 'Fan Motors❑0-1 HP ❑1%-8
Worke g¢yr(s�t� aws of Calii0,9 '
.,Date. ( Cl 'J Signature y'e%(- .K Floor Drains 1 Swimming Pool w/Spa (p F.A.U. Inc Solar 09-15 HP 016-15+ •
,'NOTICE: If,a7 ter making this declare on, you should'become subject to the - ' -
Workers',Compensation' provisions of the Labor Code, you must forthwith ' , Floor Sinks ' - - Urinal - -• - r - - + - Fixtures' ' - - ` - - - '
• comply-,with'.such provisions or' this permit 'shall. be deemed revoked. Microwave
' CONSTRUCTION LENDING AGENCY • I • I - • Gas Servici , Outlets Water Closet '
I hereby affirm that there is a construction lending agency for the performance- is I 'Device Boxes Pole Light •
•
, of the work fon which this permit is issued (Section 3097 Civ. C.)
'interce tors Water Heater' - r
Outlets 'RangeLender's, Name - • ,r , ;
Lender's Address • - 1 Kitchen Sink Water Service ,Switches ' Sign
OWNER BUILDER DECLARATION - - I '
I hereby affirm-that I am exempt from the'Contractor's License Law for the ' Lavatories Auto-Wash • • r ' ,+; Garbage Disposal ;Standing Sections ' I I
following reason (Section 7031.5'Business and Professional-Code: Any city or '
, county which requires a permit to construct,alter,improve',demolish or repair ' , P-Trap. �'
any structure; prior to its-issuance, also requires the applicant for such permit - " - Laundry Trays - Generator 00-5 KW ❑5-15 KW Trash Compactor •
to file a signed statement that'he/she is licensed pursuant to the provisions of Roof-Drains I - ,• - ' , - - r nnn —
' the Contractor's License Law(Chapter 9(commencing•wIth Section'7000) of. I - - , ,_cam ;C, ' CO
'Division13 of the;Business and Professions!Code)'or that he/she is'exempt
therefrom and the basis for the alleged exemption. Any-violation-of Section r ' r . - '4 ,
i:7031:5 by any:applicent for a permit.subjects the,.applicant to a civil ' v - ' • '
,,,penalty of not more than five hundred dollars($500),. . - l , - I _ ' '
': I, as:owner of. the:property 'ornmy employees'with'wages as their sole Reinspection Fee $15 ' Issue Fee ' i i $ 3' ' I r
•"'compensation, will do the work,and the'structure is not intended or offered ,Reinspection Fee ! $15 Issue Fee• $ 3
for sale (section 7044, Business and Professional Code: The Contractor's _ MECHANICAL FEES' __�
License Law does not apply to an owner of a property who builds or improves - DEVELOPMENT SERVICES RE U E NT '"
thereon, and who'does such work himself/herself-or through his or her own • I _ R '
employees, provided that such-improvements are not intended or offered for Boiler - �'/ , (, /�
sale, If, however, the building or improvement 1s sold within one year of com- - Zoning gApproved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground ' Building Approved By I • Date /6 yr '
grove for the purpose of sale). ,; :
U I, as Owner of the property, am exclusively'contracting with'licenseC con- Duct-Structural : Application Issued By I 14) Dat
tractors to construct the project (Section 7044,Business and Professions Code:
• , The Contractor's License Law does not apply to an owner of property who ' Duct-Ventilating 00 Refrigeration
000 = 106,000's - SUMMARY OF FEES
builds.or improves thereon, and who contracts_for sucherojects with a con- I = - - - - / '
, tractor(s) license pursuant to the Contractor's+ icense I. I am aware that ; ' Exhaust System 0 Multiple 0 BUILDING PERMIT $ CJ SMTP I $ t . tp J:
• of of Worker's Com 1Hsu e,sho be-provided to-me.- - • i
I PLAN CHECK '$ i • PERMIT
, I_am e m' under Section .L,P:'C_for this reason Firepl/FacrBlt. ICBG# ' e.• nn •
"' , PLUMBING, '$ •-1 -OO ISSUANCE $
Date Owner - - ` !,:'6: '+ Heating System& Ducting ' , r' ' ENERGY P.C. $
PLAN CHECK 25% :$ I •.5O
II here • rtify-that,i:have.read this;application:and.state that the above- D0:100,000,BTU D100,000BTL" ELECTRICAL i $ I2- .00 ' GRADING '$ ,
information is correct. I agree to complywith all cityand county ordinances ' _
I
and state laws relating to building consruction d hereby authorize repre- L -- l MICROFILM $ .- -
sentatives of; this—city-10-ent:/ pan ,the e'mentioned''pro ert f I •`r - PLAN CHECK 50% $ ('I'• � I ' '
,i spection r•r•.s: / I � _ • i - ��/Q} 7 : MECHANICAL $ ' •
�� 'Date.41 t TOTAL FEE $ 150;510
Drivers' License •r SS# Reinspection Fee $15 Issue Fee , $ 3 • _ •r PLAN CHECK 25% $ '' ' I )
. :Applicant;
,. " . _ — - _ ..- . . - - - . :-..
. CMF 0665-46,rev. 10/84 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor
;CONSTRUCTION AND PLANNING ., - • _ POOL & -. .t - - ."1 7,r r
�d - Date Inspector - Date Inspector 1•
APPROVAL'S Permit# APPROVALS Permit#
1."Temporar Electrical Service or Pole . .n - 52. Pool.& Equipment Location .:
2. Soil Pi tirsdrgrnd. -� 53. Steel Reinforcement "�• • ''
' 3. ElecrtNaCo✓nduif Ur.l.rcy-Undrgrnd. J
54. Forms - . / `d
4r'Elect?ical donduit-Undrgrnd. - 55. Electrical Bonding .<I(4
'.!....J45::Steel Reinforc`'ement • • . 56. Rough Plumbing & Pressure Test ' fT; � �
•
6. Elec ical•UFER Grad. h 57. APPROVAL TO COVER-GUNITE G/ V/ '� ^
7?Fobtingsl ;r < / 58. Electrical Conduit-Undrgrnd. 4/0C f/vM .
ry +
8.'1.Ltind`tion Jn • 4•• • 59. Gas Pipe„ ndrgrnd.,Test on..
c w
_ ��r r-
•
_..„..9T -Undrgrnd. .a 60. Backwash Lines, P-Trap, 0 Undrgrnd. �r>//8
• 10'3t ucturJl Floor Sy tem r�) 61. APPROVAL TO DECK' 1 1/`irc vt-
11!Propert cSewer Line& House Connection ` 62. Backwash & Receptor-Final 5//1/¢6 (/L
12%Se ee'r CA ^ - 2 63. Heater & Vent-Final • • s,-,
137;R5of.Drairi •2, 4�. i " 64. Plumbing:System - Final 7b
• 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 ( J/? , (/�
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL tit 12-->
19. Rough Heating•& Air Conditioning FIRE DEPT. REQUIREMENT
20.,Rough Factory Fireplace ' APPROVALS Permit#
21. Ducts, in Structure ' . 70. Underground Hydro .
•22. Ducts;Ventilating 2 _ 71. Product Piping 0 Gas 0 Oil
. 2 ?-Gas Pipe-Rough & Tgst - 72. Underground Flush
24, Roof Framing' '' 73. Undergrnd.Storage Tank O Gas O Oil
25. ,Roof Sheathing"effl 74. Overhead Hydro ,
26. T-Bar Ceiling (Stryu Jural) & Monocoat 75. Dry Chemical
21Fra me 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 F4 79. FINAL INSPECTION
r ,
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric CMNotes: "/s jst -/a /�uNt�/riNor-4%07
lok,J
34. Final Heating & Air Conditioning Q/ / - 11//
35. Final Gas'Pipe-Test• .
36. Hood.or Canopy -
37. Final,Factory Fireplace - -
-
38. Finai Plumbing - - . ,
39. Watei!Service-Final •
40. Gas.Service-Final
'I' .
41. Solr.Domestic-Final - _ -
42. Backflovii Preventer -
43. Backflow Irrigation- - - •"
' 44. .Landscape'Irrigatlon System • ; • 7 '
. L45. Sound Atjenvation t
46. Handicap Regulations . - _
47. FINAL STRUCTURE & BUILDING - • . .
48. Special Requirements Completed . ' - • " - • '
49.. Electric Release to Edison ' •' • - - - , • • • - - - <
50. Gas Release to Southern California Gas Co ! i -. i ';' � '
51. CERTIFICATE OF OCCUPANCY . - -
No. - - Date' ' - /
��S�lc.__.Ilkz , TwiingLaboratories of souteafoTin, � .
it A
3310 Airport Way / Mailing Address P.O.Boa 47 / Long Beach.CA 90801 / I2131 426-3355 / (213)836.2388 / (714)828-6432
TESTING BRANCH OFFICE 15140 North Susan Sow / Sans Ana.CA 9270.3 / 471415542845
May 14, 1985 Examination: SC85-3702
COMPRESSION TESTS ON GUNITE CYLINDERS
Max Sitter
P.O. Box 3454 •
Fullerton, California 92637
PROJECT SWIMMING POOL & SPA •
ADDRESS - 2735 San Juan, Costa Mesa
ARCHITECT CONTRACTOR
Owner Owner •
ENGINEER SUBCONTRACTOR
B.C. Adams Arco Gunite
SAMPLE FROM Main Drain
SPECIFIED
MIX 4.2-1 STRENGTH 2,000 psi
DATE CAST 5-1-85 SLUMP SIZE 5.5 x 12.375
DATE TESTED 5-11-85
SPECIMEN NO. 1 2 & 3 "HELD IN FIELD"
COMPRESSION 10-Day
TOTAL LOAD, LBS. 73,000
POUNDS PER SO. IN. 2,820
28-DAY AVERAGE, PSI
COMPLIANCE 10-Day test complies with specifications.
MADE BY DELIVERED BY _ RECEIVED ON
SPECIMENS Carl Max 5-3-85
DISTRIBUTION:
Max Sitter - 3
-testa Mesa Bldg. Dept. /Scott Priegel
//
Rick Hyden
ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS.AUTHORIZATION FOR PUBLICATION OF OUR REPORTS.CONCLUSIONS.OR EXTRACTS FROM
OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES.
330-12
•
Applicant to fill in all spaces except those within heavy border lines and.sign all appropriate declarations.
CITY OF COSTA MESA. CONSTRUCTION PERMIT' ) PER MITTO. TRACT NO. LOT NO. UNltyb. 2551, , 5/07/85
LI .Oil ?L
Project Address £`f3 V So A/ CC)4-ki.I - " ,1C7 Be)-U , CJ j
'Applicants Mailing Address • - • - TYPE OF CONSTRUCTION H NEW- ❑ ADD H ALTERATION U REPAIR - - , -- ' ii • Ir
•
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owner's Name `w✓"g ' - Phone • - A.P.# - i Zone '
�/ �^
_ f DESCRIPTION OF WORK/USE OF BLDG.
Address • r273S 3410 211144.)' _ , _ S Main Building: l -Accessory Building: . . " k
. Z
Arch/Eng. License No. ' - TYPE OF PERMIT -❑GRADING. ❑ FOUNDATIO ❑ STRUCTURAL E Front - . - .- •
- -- •- - - p
•
Address AA /' / ''// . ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ^MECHANICAL -B Rear . - ••• - N
• Contractor's Name a/ $fl4"D T_� hon7e VSZZ-tp77 - ❑ -OTHER : - -
Address(mailing) 6y5o ,C 6 dc - /r'�tt - .€C .,) ,am ROJECT DESCRIPTION %SQ. FT. v - OCCUPANCY - - C Right - • . _ • - , - N
G
322�� CON ST RUCTION TYPE VALUATION$ S Left R
'City License NO. : ZONE • ' - GRADING CU.YDS. ACRES ping. Ref.# . Parking Req:/Provided E
LICENSED CONTRACTOR'DECLARATION - - - G
I-hereby affirm that) am licensed under provisions of Charter 9 (commencing Remarks: •
` - Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and ' - - T,
• my license is in full force andafle,ct. . - �J tl / - - - . '
License. .-s •�-� .nse Na2�s9GS - - ' S'
Date - Signature _Sr—�.._ - - • PLUMBING- I FEES , - . -
WORKERS' COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-insure or a certificate -
f Workers' Compensation -Insurance, or a certified copy thereof,(Section Backflow Praven[¢r Service Sink - I -
.800, Lab. C.) - . - - - ' - - ' '• -- - ' Automatic •Washer - Transformer ❑ 15-50 KW -
Policy No. l - Company - Backflow Irrigation Sewer Ca ' - I 0 50+KW
•
iikCertified copy is hereby furnished. - p Construction Pole$ub.
Certified copy is filed with the city Building Division. Bathtubs I Sewer Connection Cooking Unit Meter Duo to 100 amps
Date Applicant '
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher - Meter over 100 amps i
(This section need-not be completed if the permit is for one hundred ($100) or- - - - - . - '
less). Dishwasher ., Solar Piping - Dryers OGas DElectric Sub•Panel • '
I certify that in the performance of the work for which this permit is issued I - - _ _
shall not employ any person in any man er so as to ecome subject to the . Drinking Fountains Solar Tank Fan- Motors DO-1 HP D1'/::=8
Workers' Cg�p sa Ion ws of Califo
Date J+"� ;2 Signature - Floor Drains - Swimming Pool w/Spa' F.A.U. - Inc.Solar D9-15 HP 016-1$+
'NOTICE: f,after making this declaration, you should become subject to the '
Workers'. Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal V" Fixtures Microwave-
comply with such- provisions or this permit shall be 'deemed-revoked. - - _ v 's - I _ '
CONSTRUCTION LENDING, AGENCY - Gas Service : -Outlets 'Water Closet ' - Device Boxes-
I hereby affirm that there is a construction lending agency for the performance _ Pole Light
of the,work for which this permit is issued (Section 3097 Civ. C.) ' •
Lender's Name - Interceptors - .Water Heater . - Outlets Range
. , ' — _
Lender's Address - - Kitchen Sink __ Water Service Switches i
OWNER BUILDER DECLARATION s • - - 4 ' - Sign
I hereby affirm that I am exempt from the Contractor's License Law for the' Lavatories - Auto-Wash , rt.! - Garbage Disposal Standing Sections ,
following reason (Section'7031.5 Business and Professional Code: Any city or — - - ,-
county which requires a permit to construct,alter,improve,demolish or repair P-Trap ' ' I Laundry Trays - , Generator DO-5 KW 05-15 KW Trash Compactor I • -
any-structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of, ROOf Drains - '
.the Contractor's License Law(Chapter,9 (commencing with Section 7000) of - r
Division 3 of the Business'and Professions Code) or that he/she is exempt - - JI
-therefrom and the basis for the alleged exemption. Any violation of Section •
7031.5 by any applicant for a permit subjects the.applicant. to a civil - - -
peenalty'of not more than five hundred dollars($500). - , '
L I I, as owner of the property or my employees With wages as their sole ReinspectionFee - , I $15 Issue Fee' $ 3
compensation, will do the work,and the structure is not intended or offered Reinspection Fee I $15 Issue Fee ' $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's ' , - MECHANICAL - _I FEES .�' - - -
License Law does not apply-to an owner of a property who builds or Improves - — -- DEVELOPMENT SERVICES REQUIREMENTS:
thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I ❑'
employees, provided that such improvements are not intended-or offered forZoningApproved By - Date
sale. If, however, the building or improvement is sold within one year of com- Canopy Type I 0• PP - •
pletlon, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground . Building Approved By Date
prove for the purpose of sale). - 0 ,
IDI, as owner of the property, am exclusively contracting with licensed con- Duct-Structural - i' Refrigeration System •7 Application Issued By • ,Dat ' t
tractors to construct the project (Section 7044,Business and Professions Code: -
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating •• 100,000 BTU ❑100,000 BTU 44 op "' r SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con- ,
tractor(s) license pursuant to the Contractor's License Law). I am aware that' Exhaust System ❑ Multiple ❑ System Repair/Alteration r `31; BUILDING'PERMIT $ - ISMIP I , $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ - PERMIT '
D I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIL ICBG# Fire Da pers PLUMBING $ RMI ISSUANCE $
Date - owner. • Heating System& Ducting , — Registers , LFCC 4PLAN CHECK 25% $ ENERGY'P.C. $� '
Hereby certify that have read this application and state that the above ! 0-100 000 BTU 0100,00067 ELECTRICAL $ ,GRADING '
Information is correct:I agree to comply with all city and county ordinances • ' .. ' -- $_ ' ,
and.state laws relating-to building construction and hereby authorize pre- i - - MICROFILM ( $ ' l
� PLAN CHECK '50% $ \
sentatives of this to enter upon the above-mentioned �pr9�pg[/ye/for ' , i
inspection Pur %1 j _ '•" MECHANICAL $ I II!•00 ,(��
Signature
Reinspection Fee '$15 Issue Fee $ 3 PLAN CHECK •25% $ '
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -'Accounting; Goldenrod - Assessor .- - -
.CONSTRUCTION AND PLANNING . ? r POOL_ s SPA -
. APPROVALS Permit# Date . Inspector APPROVALS Permit# • Date Inspector
•
1. Temporary Electrical Service or Pole t; 52. Pool & Equipment Location . •
_
•2. Soil Pipe-Undrgrnd. . • - t•... 53. Steel Reinforcement
• 33 Electrical Conduit Utility-Undrgrnd. • 54. Forms -
4. Electrical Conduit:Undrgrnd. - - 55. Electrical Bonding
5, Steel;Reinforcement • - • 56.. Rough Plumbing & Pressure Test •
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE '
•7' Footings ,'. 58. Electrical Conduit-Undrgrnd. '
8. Foundation , _ 59. Gas Pipe, 0 Undrgrnd.,Test
9r Water Pipe-Undcgrnd. •'•I - , . 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor- System - - 6L. APPROVAL TO DECK -
11. Property Sewer,Line & House Connection - 62. Backwash & Receptor-Final.
yi- ;'.12. Sewer Cap 63. Heater & Vent-Final _ .
t
-
13. Roof Drains . 64. Plumbing System - Final _ 1 •
14. Rough Plumbing) , 65. Electrical-Final .
15. Rough Electrical-Conduit - 66. Solar System-Final
H16. 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
30.1 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:4_5"/ u4- /LrtF• Olt iu
34. Final Heating & Air Conditioning t-241-v9 Pee - br 6444(140 Oa+S Plitt goa.o
35. Final Gas Pipe-Test V MG . L.C.A
36. Hood or Canopy
37. Final Factory Fireplace -
38. Final Plumbing - .
39. Water Service-Final , -I
40. Gas Service-Final •
41. Solar Domestic-Final •
-
-
42. Backflow Preveriter .
,[43. Backflow Irrigation .
-44. .Landscape Irrigation System
45. Sound Attenuation
1.46. Handicap Regulations •- .
747. FINAL STRUCTURE & BUILDING -
48. Special Requirements Completed - - - - -
49. Electric Release;to Edison. -_ - - .
-50. Gas Release to Southern California Gas Co ; . ' , , • _ ,'
. 51. CERTIFICATE OF OCCUPANCY ' ' - _ . •
_ t
.ep_6_6-111eosTnr92 ***11250
18911
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 517 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRESS 2735 San Juan Ln. .
COSTA MESA. CALIFORNIA For Office Use Only
I RECEIPT NO. I I mint
OWNER Mesa Del Mar Development Co. {(C(,„,))�I
MAIL RECEIVED BY I DATE RECEIVERq DATE ISSUED
ADDRESS 3800 East Coast Highway aLel eq- 4 O Inn a (gge
CITY Corona del Mar No.OR 3422C BUILDING
ADDRESS
ARCHITECT Realty TEL.
OR ENGINEER CO. NO. COSTA MESA. CALIFORNIA
ADDRESS Same as above FIRE //j�..,��_
ZONE TYPE �GROUPAS9/
CONTRACTOR Macco Realty Co. - APPROVED
BY DATE
ADDRESS Same aS above ZONING 'Ion
ZONE ) I NO.OF USE OF NEW �•'��
CITY Same as above k3sr j ( PLANS I BUILDING JJJ/T sz'
LIC.NO?07343-A-SB-1 TEL.. OR 34220 DESCRIPTIONLEGAL
` Lot 49 Tract 4808` ti
SIZE 5952 S.F. I NO. OF BLDGhone
OF LOTNOW ON LOT
USE OF noneYARDS EVES
EXISTING BLDG, APPROVED ALLOWED
SETBACK LINE FROM ,[H (CENTER LINE ST.) .,c-0 e�r-�'
CENTER OF STREET 50' REAR YARD 31 6 FRONT �j VFT. IN.
SIDE YARD I LEFT S' I RIGHT S'6" R.SIDE ( FT Ce, IN.
DESCRIPTION OF WORK . j
L.SIDE C FT. (/ IN.
NEW I X II ALTERATION I V ADDITION REAR e2-D
I FT. .( 1, IN. ,
REPAIR 6 I II MOVING IV DEMOLISH BYPROVINAA'(((y///'\\,DATE cam--S _`�"3
SIZ,El54'x41'6" RNO. OF OOMS 7 STORIES 2
EXTERIOR WALLStucco I ROOF Wood Shake /
COVERING & WOO COVERING& ROCK
USE OF BUILDING AND WORK TO BE PERFORMED
Single Family Res. w/att. Gar.
Plan #500-C Living Area: 2260 S.F.
Gar. Area: 460 S.F.
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
SIGNATUR OF Mesa Del Mar Development Co. PERMIT FEE $ ^ /T�^ n
sy. 7 $ 23,925.00 PLAN CHECK $ J Sc
AUTHORIZED AGENTr ( { 0
OI TOTAL FEE $ /1 '7 So/