HomeMy WebLinkAbout2817 SAN JUAN LN - Building Permits •
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Pfl�ECTAOORES•S: 2817 SAN JUAN LN uxn: • ' CITY OF COSTA, MESA — •BUILDING PERMIT PERM NO B 044991 '
OWNER'S NAME PRAM THUY . • _ •
' (.T ADDRESS: SAME AS .ABOVE ' • PERMIT, NO:' B 044991 _ .PLAN CHECK ,NO: I N GOVT: N SUPP : N ' I
I •• CONSTRUCTION TYPE: • • PERMIT 'TYPE: STB' PURPOSE NEW •
ARcx/ENaxEEfl:'- REG NO JOB DESCRIPTION : REROOF W/SIERRA TILE%ICBG 4361 'SQ FT: 6, 400 •
ADDRESS:- UNIT:
•
CLAIM VALUE: •
6,,400 , 00 ' CALL VALUE: 6, 900 . 00 'GROUP. OCC: R 3 /
PERMITTEE: WESTERN SIERRA ROOFING ` ( 714) 660-28505 "
ADDRESS: 17932 SKYPARK CIRCLE„ ' COMMENTS : • •
IRVINE: CA 92718 *uL+e�r ** *yam*itx*+ yE*Baa+Ex*yk+r ***x*ar +EiE*+r+ExiE +ESE**iE+ * * yE* * - �E*ik *yex * yE •
LICENSED CONTRACTOR DECLARATION: I hereby affirm that l am licensed under provisions of Chapter 9{commencing with Section - 'Z 0 N I N :G R `'E' Q U I .R E M E N T S -
7000)of Division 3 of the,Business and Professions Code,and in license i n t Ce and fleet.: + S. E T B A C K S
CITY LIC.:S>3 9 9 sTATE uc.:4 9 2 5 9 C 39 ;
Date: Il-I Signature: �rJp �(A Dom(✓✓( —-—'- MAIN BUILDING. ACCESSORY BUILDING.
WORKERS'COMPENSATION DEC RATION: (hereby affirm that have acertifia of consent to sell'iinsure or a certificate of Workers' ' FRNT: FT IN REAR: FT IN FRNT: FT • IN REAR: FT ' IN •
Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT • IN RGHT: FT IN LEFT: •FTI IN RGHT: FT
IN,••••
•
•
POuCYNO.: 01WCP12072A UP.DATE: 04 01 /90 •
COMPANY:SUP. NAIL PARKING REQ: . PROV: ' PARCEL: .14167120 ZNE:: REF NO:
❑ Certified copy is hereby furnished. ® Certified copy is fir with the -'• : ildin• Division. ; PLANNING NOTES> . : .
> ,
oate,II�`� .. .Applicant: , >I / '_ .. • aeaeaeaFae-aeaeaeaEaeaf*** 1fiF3L3EiPiEiEiEiEiEN-iE3EBEiliEffiEiEiElEiEdeiE9e-iElEitiEifielEifiEiEielE***TfiF8kiE3fiEdEifieit#de3FTEif#.9tkitifif***
EXEMPTION FROM WORAERS'COMPENSATION DECUBATION: (This section need not completed A the.mit is for one hundred(5700)or less). 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 NITS_
I I certify that in the performance of the work for which this permit is issued,I shalt of employ any person in any manner so as to become • • •..r:,—
subject to the Workers'Compensation Laws of California. •
•
IZONING APPROVED;;BY DATE:
_ . - Signature: r.. - . ... ..
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : - DATE: .�'. 4.
Code,you must forthwith comply with such Provisions or this permit shall be deemed revoked. , /�
CONSTRUCTION LENDING AGENCY: f hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: • •
TATE:: s
which this permit is issued(Section 3097,Civ.C). aEaeaeaeaEa(•aeaeatae#-aEaEafa4aeaeaeaEaEaeaeaEafaeaeaEa4aFaEaeaE#aEifaEaE#aeieaElEaeaf aM4b4ra4'a ******************3F 8F if-iE 4 iE 3E*1E ' •
(ENDER: a e9ea4afafaeafaeaeafae'iEaeae-aeaeaeaeaeaEaeae-aeaeaeaeaeaeaf-aeaeaelEaEae#1E1eiEiElEiAiAiEik#lElfiEiFitlEiEifiEif***k3f-iE•if-1(-df-lF3fiEiP#iE1E9E#iE3t*** .
ADDRESS - LEGALIZATION:N `. F E" E' ' ST U M M A R Y STRUCTURAL SEGMENTeV
OWNER BUILDER DECLARATION: (hereby affirm that l am exempt from the Contractors State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC - FIRE•
SM I P/RE$ GRADING
I (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct alter,improve,demolish,or PERMIT 90:. 00 1 . 50
repair 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 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business $MIP/NON—RES.
and Professions Code)or that ne/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ' PLAN - - • •
any applicant for i permit subjects the applicant to a civil penalty of not more than five hundred dollars($500),' ISSUE FEE - - I ' I
'BUILDING—DIV4-> PERMIT ISSUE PLAN—CHECK TOTAL PAID r DUE
I, as owner of the property or my employees with wages as'their sole compensation,'will do the work, and the -
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code:'.The Contractors'State License Law TOTALS---•-> 9 0'. S 0 0 , 00 0 , 0 0 90 . 50 • • l,,\ 90 . 50
0 0
I does not apply to an owner of a property who builds or improves thereon,antl'who does such work himself/herse0 or through .. -
his or her own.employees.Provided that such improvements are not intended or offered for sale. 11,however the building or '
improvement is sold within one year of completion,the'owner will have the burden of Droving he/she did not build or improve - REVENUE DIVISION' TOTALS——>, •- COLLECTED: 9 0. 5 0: OVER/SH RT:. . 00
or the purpose otsale). ' ; BLDG PMT PLUMBING ELECTRIC MECHANIC • FIRE SMIP/TOT GR' DING, PLAN—CHECK
'I,as owner of the'property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 9 O . O O S O •'
I ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon J 1
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law),lam aware ae ae a4**44 ae*K*ae it****.*ae******ae ae****ae*ae ie ae ae ae ae ae ie ae ae a(-ae*W*********ae ae ie ae at*ae ae at*at ae****at ie at*if***
that proof of their Worker's Compensation insurance should be provided to me. I N D' I .V I D U A L FEE B R E A K D O W N
o I am exempt under Section: B:S P.C. •
forIhis reason: ' ' TYPE QTY. . D E S C : R II P T I O N UNIT COST TOTAL COST
Date: owner. 6400 ' REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 6, 400 . 00
I do hereby certify that am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,andNwil • END, OF FEES '
25534 and that 1 or any future building occupant wil not(circle one)need to comply with said state codes and the requirements for a
•
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions. SFR
•
Date: Applicant: . - . •
•
I hereby certify that I have read this application and state that the ove informs' is torr t. agree to comply with all city and county
ordinances and state laws relating to building construcgon and here authorizer re ntative of this city to enter upon the above-mentioned { •
I property for inspectionio`—Purges s. •• ' -•
I• .
Dater , � �7 — y Signatur� �� • v_ �� , •
•Driver's License or Social Security N: • �I - f �t� E 11t 5/39 $T sP c. Q9 r "''�
r PATE: 1!125/55 IC•_. �� i
1641-46 White—Buildino:Green=Code Enforcement:Cenerv—Aoplicent:Pink—Revenue;Goldenrod—Assessor - - - . . . . . _ .. - • , .. -
r.
CONSTRUCTION ANDPLANNING - - - -t ,. - POOL & SPA
-Date ' Inspector Date '. Inspector,
1. APPROVALS Permit # -- - APPROVALS Permit#-
. -1. Temporary Electrical Service pr Pole -' - . 52. Pool & Equipment Location
•2.-Soil Pipe-Undrgrnd.., '-. 53. Steel Reinforcement • ,
• =". 3-_Euit lectrical Gond-tilt Utility-Undrgrnd,r, - 54. Forms, - ,
14. .Electrical Conduit-Undrgrnd.� C.'r'' _ 55. Electrical Bonding - :.---
• •:' :._Steel Reinforcement -C 'Y - 56. Rough Plumbing & Pressure Test -
65Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE - - r•`
7. Footings r;^ - 58. Electrical Conduit-Undrgrnd. '' -1 $-
8. Foundation v_' �� - - 59. Gas Pipe, 0 Undrgrnd.,Test •- ,'y- -•
9. Water Pipe-Undre.
g�rnd. :.'t • 60. Backwash Lines, P-Trap, 0 Undrgrnd. -
10. Structural Floor:System i ` 61. APPROVAL TO DECK - '
• 11. Property Sewer Line:&',• Floes e:Connection•a; 62. Backwash & Receptor-Final
• 1'
•
12.-Sewer Cap ', .. . • 63. Heater & Vent-Final _. -
•, 13. Roof Drains -- - . - 64. Plumbing System - Final
14. Rough Plumbing - 1, 65. Electrical-Final - ---7
15. Rough Electrical-Conduit i + 66. Solar System-Final : r •
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 . . -
r 19. Rough Heating & Air Conditioning ., w f -, ._.FIRE-DEPT. REQUIREMENT•
20,Rough Factory Fi eplace :2 ..'•� ;-a -APPROVALS.=+,=Per'mit # -• •-
21!-Ducts, in,Structure • " vH �, F, f y 70. Underground Hydro r
22,-Ducts, Ventilating; t LT;= ; r- ,j 1;71. Product-Piping 0 Gas 0 Oil
• 23.-GasPipe Rough & Test r„,.... r*- ' - '-_- '._ " ;72, Underground Flush1� ' -;
24"Roof Framin ` '
9 a - e " / r 73Undergrnd.Storage]Tank.O Gas ❑Oil •
25. Roof Sheathing + - •, I nC G h •' 74:'0yerhead Hydro?._
26.;T-Bar Ceiling (Strucctural) &-Morwcoat ,- j. +. 75T Dry Chemical -
_ _
277.Frameand Flashing - "' 76. Dry Standpipe _1' •
28. Lathing'& Si'ding X `- '-"" r_ » 77'7 FIXED SYStEM FINAL. - .
29. Insulation < _ " ( � 2 784-FIRE PR EV. FINA1L . - '
• 30. Drywall,Nailing ;°;..+ i • .' K 'HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat! - I ' '79. FINALINSPECTION
32..-Electrical Power Meter-Final. ,;; ;
) - ;, '80: --FOOD CERTIFICATE ISSUED !2,
t33.'Final Electric _, ' Notes: -z '"` I -- '•!-:
X34 Final Heating& Air Conditioning I :r . '� `- ;. = '"
35:.'F inal Gas Pipe-Test- ' r. I. . I. 3 - _
4-4
r36._Hooii or,_Canopy x r-• -•4. ' - •- ' Vi ' I"ter.
"37.•Final Factory Fireplace- - _ /'�- t' _P _ a: _ '
:38. Final Plumbing x c, 1. I `;-�' 11 '" - a -
• - 39. Wafer Service;Final, y if. '• • . o- - _
xt_i - r -1 ..
'40. Gas Service-Final x• t-.~ 0:-t ' r :1: ` `'4> ''' '
a . , -• -
Z;41. Solar Domestic-Final ".:. 01 r -:� -i f• p
42. Backflow Preventer �' ': ^ " t "` - :74--• • I.' G ~' -
- + f•:-4.- X. :- 'k is ri ri 0:v i f-
43. Backflow Irrigation cr.: : 'J i• A 4
n -
r , r1
-'44.- Landscape Irrigation System i-c;F^ • t" c, ,�: ;s: t , i - `1._, ' `.. C.
I.. .. -
' •45.-Sound Attenuation - -. . rn �' 1. t - c- f r
'46. Handicap Regulations .. s Cr. - - a
I- 47'FINA'L STRUCTURE & BUILDING - �` 1 + % J '- C, <: -
i e r. x -
48=FINALPLANNING r'i-• { `'`-:' ` " rt `• t
.. - t-: ru a' a •
749' Electric:Release to Edison 'A ; '• `�•t; c C A �
50�=Gas=Release to Southern California Gas Co
, a CI •
51. CERTIFICATE OF^OCCUPANCY '
'
i• •
No. Date
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA P MIT NO.4. . TRACT NO. LOT NO. •BLDG.NO.
CONSTRUCTION PERMIT 2-7 eft. Z. / 7 .
•Plioject Address Zs? SaM JUOM ••LA- '('1M• TYPE OF CONSTRUCTION • _ - _ '
Owner I netc -Bo, ,p,„,- -Phones44j et.! _❑ NEW. $ADD 0 ALTERATION
'Address cal7 Sot. •vX],yt.- Cj �
y J( , t '- - 0 REPAIR' ❑ CONVERSION 0 DEMOLISH
ZONIN REG AT oNs • 24.42 IL
Arch/Eng, • - License No. 0 OTHER • ;��y - A P ....
•
Address - -• - - DESCRIPTION OF WORK -Pet (.tel/t?V /4/ —rn� ZO '
t ZONE (PLNG. REF:#
Contractor - ' - Phone TYPE OF PERMIT' BUILDING pgt�I LDI NG
• _ _ _ SETBACK C/L STFT �C�ROPER• LINE
Addre55 _ . - . ❑ GRADING 0 FOUNDATION STRUCTURAL SIDE YARD ///b T7 '
LICENSED CONTRACTOR'DECLARATION ' - ❑ TENANT 0 ELECTRICAL OPLUMBING DMECHANICA SIGH YARD , 13' as
I hereby affirm that I am licensed under provisions of Charter 9(corn- ' -
mencing with section 7000) of Division 3 of the Business-and ❑ OTHER - ' --' �`y
Professions Code, and my license is in full force and effect. REAR YARD(TO P/L) V
PROJECT DE$Qp�PTION
License Class ' License No. . - - , , /Y8. .PKG.SPACE REQ. 'PROVIDED '
Date Signature - '- SQ. FT. !!• - -
WORKERS'COMPENSATION DECLARATION - • OCCUPANCY ONSTRUCTION TYPE Ir STREET WIDTH PARK FEE$
I hereby affirm that I have a certificate of consent to self-Insure or a 'ZONING APPROVED BV DATE,
certificate of Workers'-Compensation Insurance, or a certified copy VALUATION ZONE I �7 �
SPECIAL CONDITIONS:
thereof(Section 3800, Lab.C.). U •
GRADING C .YDS._ ACRES
Policy No. Company --_- - - - • s f
❑ Certified copy is hereby-furnished. • -•-- REMARKS:- ' . • 1. - - — - --. - - --
❑ Certified copy is filled with the city Building Division.
EXEMPTION FROM WORKERS' COMPENSATION-DECLARATION - . •- -'
(This section need not be completed if the permit is for one hundred -- . . _
($100) or less). - -
I Certify that in the performance of the work-for-which this permit is . - -..
issued, I shall not employ any person in any manner so as to become PLUMBING J:, '-PLAN CHECK .ELUCTRICAL PLAN CHECK
subject to the Workers'-Compensation Laws of California. - ggTHTUBS SHOWERS • UWtLLING GAHA(aE
•
Date • Signature _ _ _ ' e e '
NOTICE: If after making this declaration, you should become subject TOILETS x 'URINALS -- -GENERATOR 0-1 KW__1-10 KW •
to the Workers' Compensation provisions of the Labor Code,you must _ TRANSFORMER - ..forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW 50 + KW -
revoked. - - - - - • -
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1-10 HP
•
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS • - SUMPS - - 1(INC.SOLAR) '10-50 HP 50 +-HP - - -
formance_of the work for which this permit is issued (Section 3097
Civ. C.). - _FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES - .. -
Lender's Name - __ _ _ _ _ _ - _
Lender's Address DRINKING FOUNTAINS ,• a GAS TUBE SIGNS - -
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS
I hereby affirm that I am exempt from the Contractor's License Law for • '
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP '" - - LONSI RULI IUIN • • --
Any city or_county which requires a permit to construct, alter, POLES METERED SUB
Improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION ,PANELS -MAIN SUB
quires the applicant forsuch permit to file a signed statement that he _
is licensed pursuant to_the pro'vi Bions of the Contractor's License Law GAS SERVICE OUTLETS SERVICE AMP
(Chapter 9 (commencing with Section 7000)_of Division 3 of.the
Business and Professions Code) or that he is exempt therefrom andthe WATER HEATERS BTU OUTPUT - -
basis for the alleged exemption. Any violation of Section 7031.5 by
any _applicant for a permit subjects the applicant-to a civil penalty SEWER CONNECTIONS - . .
'
f not more than five hundred dollars ($500). _
x.
I, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS .
ole compensation, will do the work, and the structure is not Intended '
or offered for sale, (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE
Contractor's License Law-does not apply to an owner of a property. -- gppLICATION APPROVED BY DATE
who builds or improves thereon, and who does such work himself or ISSUE FEE 4 .
through-his own-employees, provided that such improvements are.not '
intended or offered for sale. If, however,the building or improvement MECHANICAL . PLAN CHECK SUMMARY OF FEES '
is sold within one year of completion, the owner will have the burdenBUILDING // -
of proving he did not build or improve for 'the purpose of sale). •HEATING SYSTEM 0-100,000 BTU -PERMIT $ M.CO • ''SMIP $ ors O -i
❑-I, as owner' of the property, am exclusively contracting with' AND-0UCTING • - '
'
licensed contractors to construct the project (Section 7044, Business 100,000;+BTU PLAN CHECK $ 9 91 PERMIT
and Professions Code: The Contractor's License Law does not apply to. - / - ISSUANCE $ - • - -'
an owner of property who builds or improves thereon, and who'con- 'REFRIGERATION 0-100,000 BTU LUMBING $
tracts"from such projects with a contractor(s)-Ilcesned pursuant' to "SYSTEM` - - GRADING $: .
the Contractor's License Law). , .` •
.. - ' \ 100,000'+ BTU _ PLAN CHECK $ '
❑ 1 am exempt under Section B.-& P:'C:°for this' BOILERS \• BTU E }( {j I K C { ELECTRICAL $ $ -
• reason '" - - - - ¢ ,• tient, PLAN CHECK- $ MICROFILM S "
Date- Owner - SYSTEM REPAIR,ALTER taeoh7l Dlete In_¢ .. TOTAL FEE$ - - '
I-hereby certify-thatl have read this application and state that the above . EXHAUST SYSTEM . MULTIPLE. MECHANICAL $- • _LESS AD-
information is correct. I agree to comply with'all city and county Sib. ��rr PLAN CHECK $ VANCE PC $_ ' -
ordinances and state laws.relating to construction,and hereby authorize Date - y- 4
representatives f this city to enter upon the above mentioned _ I
property for pectic) urposes. -
Signature. Date 7 (G/g / t _- - - . . FINAL FEE $ 2 �/i
-f
Drivers'License or SS$ � -ISSUE FEE ; -' `- ' - I
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor Is
- ,' . • l
CONSTRUCTION AND PLANNING -POOL& SPA - -••
Date Inspector - t Date Inspector
APPROVALS Permit # .APPROVALS Permit# •
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -
2. Soil Pipe-Undrgrn 44. Steel Reinforcement '
3. Electrical Conduit Utility-Undrgrn - , • - 45. Forms - .
• 4. Electrical Conduit-Undrgrn 46. Electrical Bonding _ _
5. Steel Reinforce , • 47. Rough Plumbing & Pressure Test - .
6. Electrical UFER Grn . . . 48. APPROVAL TO COVER-GUNITE
7. Footings 49. Electrical Conduit-Undrqrn •-
8. Foundation _ 50. Gas Pipe, ElUndrgrn,Test s •
9. Water Pipe-Undrgrn - 51. Backwash Lines. P-Trap" ❑-Undrgrn - - ---• • •
10. Structural Floor System 52. 'APPROVAL TO DECK •
11-. Property Sewer Line-& House Connection 53. Backwash & Receptor-Final
12. Street Sewer Connection - 54. Heater & Vent-Final
13. Rough Plumbing • A> • 55. Plumbing System -Final .. - - - - .
• 14. Rough Electric-Conduit •56. . Electrical-Final '
-15: Rough Electric-Wiring - 57. . Solar System-Final - • '
16.- Rough Heating & Air Conditioning 58. Fencing &Access Approval
17. Ducts, in Structure - 59. APPROVED FOR PLASTERING
18. Ducts, Ventilating • - • _ _
19. Gas Pipe-Rough &Test -.• 60• . POOL/SPA SYSTEMS-FINAL • -
. 20. Roof-Framing - . • - . - .
' 21. Roof Sheathing - •
22. Frame and Flashing -- • - NOTES: • , ,
23: Insulation _ •_ .
24. Lathing,& Siding . •
25. Drywall Nailing - "
26: Plaster Brown Coat -
27. Electrical Power Meter-Final ' •
' 28. Final Electric
29. Final Heating & Air Conditioning .. - '
-
30. Final Gas Pipe-Test - •
31: Final Plumbing '
.32. Water Service-Final _ . .
. 33. Gas Service-Final E .
34. Solar Domestic-Final • . f
35. Landscape Sprinkling System: r
36. Sound Attenuation :::,-•1 . .EXPIRED
• 37. Handicap Regulations Incur iplere Inspections _
38. FI NAL STRUCTURE & BUI LDI NG 7 Q�
39. Special Requirements Completed - , . fir aY L 's1g --
40. Electric Release.to Edison - - - - '
41. Gas Release to Southern California Gas Co.
?.
42. - CERTIFICATE OF OCCUPANCY - J
`No Date
, -
•
Mak, 9, 1969_
.
Mrs. Clair Capers . .
2817 San Juan Lane
Costa Mesa, California
DearMrs. Capers:
,This letter in'connection. h'the private swimming •• .
• pool being constructed :on. your` property by Petty Girl Pools.
•
In order that your ool .will` be a `safe one •and,, for the -
- purpose• of advising you - your responsibility regarding-the
requirements of the Costa sa .Municipal Code,_ we 'refer. you '
- . to Section 810 a copy of which is attached: . -_
.This.. letter ' =directed to you in. order that you will _
be 'aware of our o. inances and can make .a complete -safety
check'of your' pool' ea
. - ,Sincerely yours,.
RICHARD HANHART ..
-. . - , -, Building,-Safety Director
- - RH:dh;
._ i
•
' T
IN?PECTION d TESTING ENGINEERS RESEARCH d ENVIRONMENTAL TESTING
CHEMICAL & PHYSICAL ANALYSIS CORROSION ENGINEERING & ANALYSIS
A\
RADIOGRAPHY X-RAY GAMMA RAY ' ULTRASONIC MAGNETIC & PENETRANT
P.O. Boo 47 • 3310 Airport Way Twining Laboratories 1514-D North Harper Street
Leeg Beach, Cali9. 90801 • Santa A no, Ce Ii for nie 92703
12111 426-3355 • 1213) 636-2386 • (714) 828-6432 (714) 531.2045
Since 1898
•
• May 9, 1969 Examination: SC69-1579
GUNITE
COMPRESSION TESTS ON MIIMODUIRE CYLINDERS
Jose M. Henley
1973 Newport Blvd .
Costa Mesa, California 92627
PROJECT 10' DIA. SWIM POOL FOR MRS. CAPERS Z?7,2t�
ADDRESS 2817 San Juan, Costa Mesa
SAMPLE FROM 241. Bottom Center Line: 2-#2 Side Wall: 2-#3 Bond Beam.
ARCHITECT CONTRACTOR
Scherrer & Baumann Petty Pools
ENGINEER SUBCONTRACTOR
- _ - Orange Co. Cunite
SPECIFIED ,
MIX 4 sack - 1 ton STRENGTH 2,000 psi
•
#1- 5-9/4'x12-1/2"
DATE CAST ' 4-11-69 SIZE p #2- 5-3/4",c12-1/4"
#3- 5-3/4'1,02-5/8"
DATE TESTED 4-18-69 4-18-69 4-18-69 5-9-69
CYLINDER NO. 1 2 3 3-A
• 5-5/8" x 12-5/8"
COMPRESSION 7-Day 7-Day -7-Day 28-Day •
TOTAL LOAD, LBS. 64,500 63,500. . 28,500 79,500 '
POUNDS PER SO. IN. 2 ,485 • 2,445 1,098 3,199
•
Cylinders #1 and •2 complies with specifications.
COMPLIANCE Cylinder #3-Ar to be tested at 28-days.
Cylinder #3-A complies with specifications.
MADE BY DELIVERED BY RECEIVED ON
CYLINDERS Jos. M. Henleey�j Jos'. M. Henley 4-14-69
DISTRIBUTION: ' / ! if RECEIVED
City of Costa Mesa BUILDING SAFETY DEPT.
Petty Pools •
Orange Co. Gunite MAY 1`' 1969
Jos . M. Henley AM �M y
7,81S,13111112.,142i3,41:14
•
ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AUTHORIZATION FOR PUBLICATION OF OUR REPORTS. CONCLUSIONS. OR Ei
TRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WR,TTEN APPNO':AL AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES.
OWNER _MESki T, MAP GMT GO DATE 9_10-63
JOB ADDRESS 2817 San Juan Ln. BUILDING PERMIT NO. 20535
GENERAL CONTRACTOR Macco Realty Z`,O. VALUE $ 20/288.00 _
AP No. LOT 17 TRACT 5252 FIRE ZONE 3 DESCRIPTION OF WORK Res.&At.Gar.
INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE Rl
Soil ttG 4-.t1 (o-7-C-2 PERMITS ISSUED
SUBCONTRACTOR
Gas pp p _ •/ DATE_ NUMBER
Water ye JoJy/-G'= , .. i/-,''�'3 yC-,s,�
Rough Com. Refrig. Air Cond. 0
Rough Heating tlit /Y-/1-L7 OCT„�, 'x -
Rough Plumbing I i/0-63 -...lac -7 SEP 1 7 1963
Miscellaneous ,
Prop. Swr. Line ❑ House Con. 0 St. Swr. ❑ (0-3/-6.3i ' OCT 2 8 196 s i f i1rji7J"' N
� --77---7-Sprinkling System . y`�-), ,• %�Y lit e-5-lQ (CN- laValt1
Construction Pole --1+1
Underground 0 Power 0 ' -
Rough Wirings y /?-/5743 pe . &Lecv /2-/,2 4D' - —
Trenches Q- Forms LAY Steel Reinf. Pe- ,/ to IC)*-0 j
Floor System _ e- /0 - /743
Bond Beam 0 Steel Reinforce 0
Sheathing .QeW im-6-63
Frame and Flashing _Rt944 /y- . -64
Lathing — In R- Out C— eo i-i-6 y
Plaster, brown coat it~ 2-3-C C/
Refrig. 0 Air Con, 0 Final
Heating, Final � ,�h %r-Gy
Plumbing Fixtures, Final �) 'Fs-✓ 3-/Y"{-y
Final Gas Test /s -n,,--� 3--/y.C/
Electric Fixtures, Final -t'/ - 3-
Building, Final j„ _ -. 3-y-CY I
OCCUPANCY (/ I •
Form BU4-5M-3-63-5-B P
.
20535 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT
§€P 1 0 1963
P. O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely CArPITY (laFOR PERMIT
/� �7 TYPE OR PRINT L. BUILDING
BUILDNG 2 ADDRESS -/ 7//l) JU4Z) 4
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. I O.
OWNER mesaMAILDelDel Mar Development Co. - ''-'`..
ADDRESS 3800- E. Coast Highway. RECEI ,aSY I t„RECE� Pio I Dw E 0 19
�1'/ (�3 St� 1 U 1963
TEL.Oriole BUILDING
cITYCnrnnr. Deil Mari Calif, N om_ ADDRESS
OR
ARCENGE EER Macco Realty Co. NO. Oriole COSTA MESA. CALIFORNIA
3-4220 FIRE �y
ADDRESS Same as above- ZONE TYPE � GROUP V;D-
CONTRACTOR Marr() Realty Cn. APPROVED DATE
ADDRESS Same as above ZONING
Z NO.OF UEE O N
/ 0
CITY Same as above - 1 PLANE.c (EUS�I- J/ 1
STATE- 2 3 3-A-SB-1 TEL. Oriole - —� LEGAL l �" d-" '
LIC.NO. 88}{ B NO. lt22O • T
9L -1 I1l_ DESCRIPTION Lot 17 Trac 5252
OF LOT 721 x 93* I SIZENO. OF,BLOT O�
NOW ON LDT A.P.NO.
USE OFYARDS EVES
EXISTING BLDG- None — APPROVED ALLOWED
SETBACK LINE FROM 1��rr (CANTER LINE ST.). ,/L`
CENTER OF STREET ]U I REAR YARD 23'10" FRONT TfJ FT. IN.
SIDE YARD I LEFT 51iI RIGHT 516" E
- R.SIDE `) FT. IN.
DESCRIPTION OF WORK .-, J�
L.SIDE FT. IN.
NEW I I. II ALTERATION I II ADDITION I REAR ppT 3 FT. L "1/� J IN.
REPAIR i MOVING I DEMOLISH I BYPROVEDL y-I�;n„^ DATE '`J °�7-
SI
ZE DING(jl 1(711 1 O. OF - J '_ "" •' \ r
7{511 2 ROOMS 6 STORIES 1 tivirg area 1896 SIC--------
EXTERIOR
,—
EXTERIOR WALL Wood ROOF Shake BC
COVERING COVERING 2 . - Garage 483 S.F.
USE OF BUILDING . .•14..-K TO BE PER Alt'.1.
Single family residence w/attached
garage. Plan 400.AR
I HEREBY 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.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION J_
SIGNATURE OE. PERMIT FEE S (YUV
PERMITTEE 01:,Q DPl T`�' Df!vP1O ent Co.
By: oMZ. $ 20288.00 PLAN CHECK $C �, 4.
AUTHORIZED AGENT O-Q C
WI
TOTAL FEE $ 9 E
4OWNER CAPERS, eTATR DATE 4-1-69
JOB ADDRESS 2817 San Juan Lane BUILDING PERMIT NO. 29926
GENERAL CONTRACTOR Petty Girl Pools DESCRIPTION of WORK Pvt. Swim 4. Pool
AP No.141-671 -OA LOT 17 TRACT 5252 FIRE ZONE VALUE $ 2,500,Op
INSPECTIONS Signature . Date GROUP 3 TYPE III ZONE 11 1
OIL SUBCONTRACTOR PERMITS ISSUED
GAS �w����_� !,� _ Date Number I Signature
WATER LL ING /^z1 9-cifA/ ./
ROUGH PLUMBING
1 (e%���� /G/V PV �ir'yf-� 41 - ��`y �
PROP. SWR. LINE HOUSE CON. rG6f (f�
SPRINKLING SYSTEM
MISCELLANEOUS+ sys
ONQ 4""444 S 4.tr_r.tl�
ROUGH HEATING AND AIR OITIONING �'l
TEMPORARY SERVICE OR POLE
UNDERGROUND Cl POWER n
ROUGH WIRING t17/h 5'--€7 Heating and Vent.
TRENCHES 0 FORMS n STEEL REINF. n r
FLOOR SYSTEM/� '
BOND BEAM 0--.—STEEL REINFORCE � `v7-rct{A7-69
SHEATHING
FRAME AND FLASHING
LATHING — IN Ll OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL E Ic //�/�p�/q�' /C/ p
HEATING, VENT., REFRIG. AND A.C., FI A!/L ` /i�f/ i/�[���'/ V �/ 67 ,c 5J
PLUMBING, FINAL AND GAS TEST /1 9 (7 zeryt
ELECTRIC, FINAL .I1.7121:1P
7 1 �J A
BUILDING, FINAL /A' t7V41 �4
99C06 PAID
r APR -1-69u-8400 054* ****314.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to�IFill
linCompletely RECEI ED�/rtBV DAT/JUq/Ey.E/IVE JD(gT ISS/ly/D
LDING
ADBUDRESS Lb I / S/TN �tJJ�� L�i✓LC (± r '" 19i - / b /�f / 4
/ -.1 T •,
OWNER GL ' C_I A.P. NO. _/
MAIL (, _ / _ BUILDING i
Z ADDRESS 2d /7 5 ,,) J ✓4 A✓ LAV ADDRESS a' 2/7J 3/`�yy
dO CITY co -r TEL. TRACT LOT/' / BLOCK
ZA AfES4 NO. Slip ern; -� /
CONSTRUCTION NELTER REPAIR (MOVING DEMO( ISH
O cn W ADD A
LENDER `/ .(,�v) //JI
J N BRANCH /]` �K l �I n�
OWNE ,( EZS 2D,\
C 1 J •
ADDRESS [. VALUE hy\ '
J Q ARCHITECT E (NEEScHfzz�,C-.y QA/, NO. k13 `1J) y USE
N OR ENGINEER 1177
Z Q ZONE TYPE GROUP
W ADDRESS 11,2-If A/1 7fQOy}D I✓//yci_Ly , 5�/✓/fJ A/J FIRE //�/
- Z CONTRACTOR p�TTy C l p L �00 5 APPROVED f DATE
O 1 / e //VVV�//I
- rr ADDRESS 7v 0'"C- AI, 134-rn /i 4-
W W ,�pJ / �` _ ZONE NO.OF USE OF NEW
ZI- CITY c91L4-A)&-E NO.5/f) Yds' �.2-/ PLANS BUILDING
- O STATE CITY [-- YARDS APPROVED YARDS APPROVED
LU
znn CC LIC.NO. 1 7 / Z, 2 LIC. NOa Qs„) 0 MAIN BUILDING ACCESSORY BUILDING
D 0 (FROM C/L STREET)
SIZE NO.OF BLDGS. J
OF LOT 1 2 y7<.G r P-O fir- NOW ON LOT FRONT FT. `7FT.
US
/�,
OF
EXISTING BLDG. S/6-A-/` B.SIDE FT. L 78FT.
I— SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT. ,.:J C FT.
< EXTERIOR WALL ROOF
_ COVERING COVERING REAR FT. 6 FT.
J USE OFUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN c &
d 12 "r/ POO L
MAIN BLDGS. ACCESS.BLDGS.
a -
VAR.# DATE
O 56a/yl C.U.P.# APPROVED
I— "/ APPROVED ' /_/I69
U) RY � , (1ATF /'L
Z
0
U I hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
CO the State of California. es
? I hereby certify that I am properly licensed as a contractor under. SQ. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0
am exempt from the provisions of the State of California Business --,y CC
antl Professions Code, Division 3,Chapter 9. /I VALUATION s'�, N,
PERMIT FEE $'�r� f N
Signature of V )1,,1/44t. // _ . I/ / S Q co
Permittee C' 7�/v�� X./ PLAN CHECK $ /y' E
Authorized Agent ` 4•/l TOTAL FEE $3 / CO LL