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HomeMy WebLinkAbout1601 SANDALWOOD ST - Building Permits 'h • CITY OF COSTA MESA A F v AI, BUILDING DIVISION PER , NUMBER DEVELOPMENT SERVICES DEPARTMENT PERMIT ittlbommmdt 99-00305 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1601 SANDALWOOD ST Status: ISSUED Suite No Applied: 05/25/1999 Issued: 05/25/1999 Vicinity: ,,.r pM' Parcel Nunmber: 13921308 ISSUED BY: v • / Applicant: GLOVER, LORIE - Address: - - Phone: Zip: - Owner: MINDER, SUSAN TR - - , Address 1601 SANDALWOOD , ' ' / N / - Phone: • \ ',i NCOSTA MESA,CA Zip: 92626 / ' / 2 ///2/ Contractor , COAST PLUMBING & HEATING . . I Address: 2737 S. CRODDY • SUITED _ Phone: 714 241-1414 - , SANTA ANA CA �' •,� ,' Zip:' 92704 `% • License: 529127 - • ' Arch/Eng: . E D Address: Phone: DATE I 0 7 j.CD Zip: l �f/1' xS(��1 6 • License: ' •SCOPE OF PERMIT 'WATER HEATER CHANGEOUT. -- • ' FEE SUMMARY AMT QTY AMT QTY AMT. QTY ISSUE FEE $22.00 - Laundry Tub/Washer, $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation . $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub . $0.00 . 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System, . $0.00 0 ,Process Piping(per 10 ft) $0.00 • 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 . 0 .�;' Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units ` $0.00 -0 Septic Tank • $0.00 0 Wash Basin $0.00 0 Dishwasher ' , $0.00 0 . ' •' ,Sewer Cap for Demo ' $0.00 0 Wash Basin Set $0.00 0 Drain,Floor ,, $0.00 - , 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer,Private Line - •$0.00 0 Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $11.00 1 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 . 0 Sink,commercial $0.00 . 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 ' Sink, Floor $0.00 0 ' Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 - Sink,kitchen ' • $0.00 0 'Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00; 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $33.00 COMMENTS/SPECIAL CONDITIONS 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: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. 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. FOR INSPECTIONS CALL: (714)7545626 • WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued. pI 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 permit is issued. My w rs'c mpe atlon In.g{�ura�n�c.e, carrier and policy number are: VN, b r+ Carrier: 1Q/11'!1/" Policy Number: ( "O 108 O rTQ7 (This secti n need not be completed if the p4rmit Is valued at one hundred dollars($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 subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. Applicant Signature: _ Date: ✓'tea 1--9 WARNING:FAILURE TO S4ERE WORKER 'COMPENSATION COVERAGE is UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE($160,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Busin9,2,7 and Professions Code,and my license is in full force and effect.Lic.It 5 '?,La--1 Class H Contractor's Signature: Date: • ' — , q 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,Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the Business and Professions Code)or that he or she Is exempt 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 penalty of not more than five hundred dollars($500).): O 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(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or Improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). O I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL'SAFETY PERMIT CERTIFICATION: u-rl , •.I o- 0 I hereby certify that no.excavatlon five(5),oKnore feet In depth Into which a person Is required to descend,will be made In connection with work authorized by this permit,and that n`o building structure;scaffolding;talsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,Califomia Administrative Code)., C'"- g,J ❑ As owner-builder,I will not employ anyoneto db work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a • permit to do such work from the division. Signature: • Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely 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 temperature end pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes 0 No (Section 25534 of the California Health and Safety Code provides that the 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. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LI No (Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which Is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of 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. ,,. f Legal Owner(s) Date 5-- as" Y And/Or Authorized Applicant Date CODE$ INSPECTION TYPE - 2AL' 'IMRIALS p00E! -INSPECTION TYPE • QAUF 1NTmAL$ 1616 Fixed System Final Fire Prevention • 206 Final Mechanical • 1266 Pool Spa Final 208 Final Plumbing 11-2/P-07 by $ate, 200 Final Re-Roof 210 Final Electrical 201 Final Black/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 2446-46 • i ( A. is42's : CITY OF COSTA MESA :91___ �, BUILDING DIVISION PERMIT NUMBER tDEVELOPMENT SERVICES DEPARTMENT OrIkat°• PERMIT ;41 B99-00478✓ (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1601 SANDALWOOD ST Status: ISSUED Suite: Applied: 04/09/1999 Vicinity: HOUSE&ATTACHED GARAGE Issued: 04/09/1999 Parcel Nunmber: 13921308 Zoning: R1 R1 F�% � Applicant: HERNANDEZ, XOCHILT ISSUED BY: Address: 8294 MONIQUE WAY Phone: 888 761-1550 CYPRESS, CA - Zip: 90630 Owner MINDER, SUSAN TR Address 1601 SANDALWOOD Phone: COSTA MESA,CA Zip: 92626 Contractor ALL AMERICAN ROOFING Address: 8294 MONIQUE WAY Phone: 888 761-1550 CYPRESS,CA Zip: 90630 License: 669242 Arch : Eng: Address: Address: Phone: Phone: Zip License: Zip: License: SCOPE OF PERMIT REROOF:T/O ROCK ROOF, INSTALL 2 LAYERS 15#FELT AND 25 YR ELK SHINGLES FOR 23 SQ FT. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,375.00 Permit: $87.25 - Claim Valuation: $3,375.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $87.75 • PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 • ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: • 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: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. 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. FOR INSPECTIONS CALL: (714)754-5626 1 ) 1 DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure for workers'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 permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: • • Policy Number: .. (This section need not be completed If the permit is valued et one hundred dollars($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 subject to the workers' compensation laws of California,and agree that if Il should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these Pr r� {�/(�. (� G�{ Applicant Signature: I XIXJ lt,l,V �'- 1 1 bZ Date: 4--q— WARNING: I WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.k Class a Contractors Signature:C. of dil-I tt a l it& Date: 4-U-CI 4 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,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to Its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors Ucense Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt 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 penalty of not more than five hundred dollars($500).): ❑ 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(Sec. 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,end who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or Improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). O I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a 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 or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes ❑No (Section 25505 of the California Health and Safety Coda requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds.or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely 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 temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the 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. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Cale been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes Ulf No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the Information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials end Emissions. Signature: Date: CERTIFICATE OF COMPLUWCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of 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. I(! p.t A{i u i� t er(s) �._Q^Qq)ate I/GI jr),IUITI. And/Or Authorized Applicant Date CODE INSPECTION TYPE PATE l$TITA$ CODE! INSPECTION TYPE PAIF. URRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final Li-4n/ 208 Final Plumbing 200 Final Re-Roof 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 2446.46 • Applicant to fill in all spaces within heavy border lines and sign all appropriate dSclaratian$. CITY 07 COSTA MESA PERMIT NO. TRACT NO, LOT NO, •BLDG.NO. CONSTRUCTION PERMIT /3 jijW ?1/8-7----�D�' • a k 66V8 10/12/81 -- - .36.80 T-i. Project Address /Ga../ Set VI Q (ct,oO( TYPE OF CONSTRUCTION I Owner ...q%U I n Gl_d-(-7 Kr(IK Phone‘ 35-ic 0 NEW n-ADD 0 ALTERATION Address /33(.. r /Lg-L c.5oufl -D REPAIR"0 CONVERSION ❑DEMOLISH / 4 S ZONING REGULATIONS Arch/Eng, 2J CJ,Jet.cc7t License No, 0 OTH _ - DESC��yy++yy77pp��WWION OF WORK `4/•/$// +-/,r r �!'< A.P.56 -� ' et i Address _ r�� ZONE PLNG.REF,E . Contractor`/�{ Phone • TYPE OF'`PjERMIT - BUILD �_ To MAI LG Ss Ir.-STRUCTURAL �/ SETBACK CAL T- PROPERTYLINE Address GRADING ��OUNDATION L] STRUCTURAL SI DF YARD LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL DPLUMBING DMECHANICA 5LT ii EYA - I hereby affirm that I am licensed under provisions of Charter 9c(Cq m- RIGHT- • mencing with section 7000) of Division 3 of the Business'NIP 0 OTHER Professions Code, and my license Is In full force and effect. REAR YARD (TO P/L) PROJECT RI TION License Class License No. �,Vt nR1 • PKG.SPACE REQ. PROVIDED SQ. FT. ��-•qL _ Date Signature /� � STREET WIDTH PARK FEE$ WORKERS'COMPENSATION DECLARATION OCCUPANCYn CONSTRUCTION TYPE- v'-`V I hereby affirm that I have a certificate of consent to self-insure or a VALUATION / AASS(I0 — ZONE ZONING APPROVED 13/59,746.1 DATE/O S1 certificate of Workers' Compensation Insurance, or a certified copy �O thereof(Section 3800, Lab. C.). GRADING CU.YDS.. ACRES SPECIAL CONDITION • Policy No. Company . Certified copy is hereby furnished. REMARKS: S . L/,;,,eµY --O/ • - :ertified copy is filed with the city Building Division. r�/'r _ !'l ,` r'/� _ _ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ?Can—kW ceL�-a-•1(()(1 (J•f (This section need not be completed if the permit is for one hundred Qom., ,,.rl (�` ^S � -t ( [O(\ RS TWF 4'� I$1 rt or lass lJ1CJ LP---HHH Vt , I certify-that in the loyan performance person the workyfor so this permitece subject tQ.th l not employ any aton any mannerlornio as to become PLUMBING • PLAN CHECK ELECTRICAL PLAN CHECK subject Jq.tM1e Workers'Compensation Laws of California. - BATHTUBS SHOWERS UWSO ILLI Nt� SO FT Date Signature FT Sq FT NOTICE: If after making this provisition, you should become subject • TOILETS ' .. URINALS GENERATOR 0-1 KW____ KW I- 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 - - CONSrevoked, - KIT. CONSTRUCTION LENDING AGENCY 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 •y (INC.SOLAR) 10-50 HP_50+ HP formance of the work for which this permit is issuetlz(Section 3097 t‘ Civ. C.). .F,LOOR SINKS FLOOR v I LV0("‘“. if FIXTURES OUTLETS SWITCHES Lender's'Name - ^ •- • " ' " _ - 'V Lender's caress - DRINKING FOUNTAINS ?" >YQOV )!''- GAS TUBE SIGNS ' OWNER UfLDER DECLARATION I hereby a irm that I am exempt from,the Contractor's License Law for INTERCEPTORS • , ' (-•�� LE LIGHTS the following reason (Section 7031.5 Business and Professions Code: SWIMMI (G_ POOL G.L�•'� L Nbl numlIUN , • Any city or county which requires a permit to-construct, alter,. N''_SS r� • Nt / Ver JED5 METERED SUBImprove,demolish or repair any structure, prior to Its issuance,also re- WATER 5138 VICE \1• ! al• •p! •fel.^ ELS MAIN SUBquires the applicant for such permit to file a signed statement that he 11 \; erIs licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE • /0 T VIC•'@,� AMP (Chapter 9 (commencing with Section 7000) of Division 3 of the e Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS ', O TPUT �� basis for-the alleged exemption. Any violation of Section 7031.5 by xe - i ,Qt.O d a- ,applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTI�V- eL r V '- , t more than five hundred dollars ($500). y sii -- � as owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS y f _ Kolircom pen cation, will do the work, and the structure Is not intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS.p, - . Q S $D ISSUE FEE Contractor's License Law does not apply to an owner of a property - who builtl5 or improves thereon, and who tloes such work himself or ISSUE FEE �. q ,� APPLICATION APPROVED BY �� DATE/On2/�/ through his own employees, provided that such improvements are not 1 �J tJY\/ Intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK 1� • ~ SUMMARY OF FEES Is sold within one year of completion, the owner will have the burden l of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU V� BUILDING 0 I, as owner of the property, am exclusively contracting with I PERMIT $ `Z2. — SMIP S aS licensed contractors to construct the project (Section 7044, Business AND DUCTING ' 100,000+ BTU PLAN CHECK $_0/Ak� PERMIT and Professions Code: The Contractor's License Law tloes not apply to ISSUANCE $ an owner of,property who builds or improves thereon, and who con- REFRIGERATION 0-100�1D0 BTU PLUMBING $ tracts from such projects with a contractor(s) licesned pursuant to SYSTEM y Q! GRADING $ r� the Contractor's License Law). 100,000+BTU PLAN CHECK $ • - :c' 0 I am exempt under Section B.& P.C.for this $ - v BOILERS _ BTU _ ELECTRICAL $ reason MICROFILM § SYSTEM REPAIR,ALTERATION • - PLAN CHECK $ ,S / O C' Date Owner - TOTAL FEES 56 !/ EXHAUST SYSTEM MULTIPLE MECHANICAL $ • I hereby certify that I'have read this application and state that the above LESS AD- Information is correct. I agree to comply with all city and county PLAN CHECK $ VANCE PC $ ordinances and state laws re .ting to-construction,and hereby authorize representatives of this c-j t. ente upon the above mention property for ection Signature ' .. • ms (' _ Date ' FINAL FEE $ 36•g�� Drivers'Lice �i•SS# >1 - FEE CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor • 1 4- • •:. CONSTRUCTION'AND.PLANNING - POOL&SPA .-- APPROVALS Permit# V Date Irispectori APPROVALS Permit# Date Inspector 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 - 48. APPROVAL TO COVER-GUNITE 7. Footings • e ein.r %- 7� j)3 jD,•7cF. 49. Electrical Conduit-Undrgrn 8. Foundation - - • 50. Gas Pipe, ❑ Undrgrntrest • 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 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 FlashingNOTES: t ,p� • (/�, _ F� nId - £ .wee• 1s Q /' �, 23. Insulation _�E1rJ5 t.s-4 N n .el-t rt-MNAys Am j,^,'�// rQa of 24. Lathing &Siding - rJ c Nil z• .hnrJ,Z L.r l 1Qja,.04 D.S /Or- fz.--Cr f 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 34. Solar Domestic-Final 35. . Landscape Sprinkling System • 36. Sound Attenuation .- 37. Handicap Regulations -a - - , ' 38. FI NAL STRUCTURE & BUILDING , . . . ' , 39. Special Requirements Completed - - - •- - - • - - 40. Electric Release to Edison - - . 41. Gas Release to Southern California Gas Co. , - 42. CERTIFICATE OF OCCUPANCY _ - _ _ No Date • , July 26, 1965 • • Anthony Pools' 5871 Firestone Blvd. South Gate, Calif. • SUBJECT: pool being constructed for Dee Schaulie, 1601 Sandal , Costa Mesa, Permit # 24344 Gentlemen: This department is in receip of a seven (7) y gunite test report from H. V. Lawmaster & Co. , showing compr sive strength of 964 pounds per square inch. • You are hereby a teed to withhold the finish plaster coat on the above men- tioned project until suc date as the twenty-eight (28) day test may be evaluated. In the event that the twe `y-eight day evaluation of the submitted test specimens still shows a low reading r ' tive to the 28 day minimum requirements, the pool shall have performed on it three (3) cores to establish positive proof of compli- ance as demanded by the Uniform Building Code, 1961 Edition. If a core test is required to substantiate proof of materials as deposited at the job site, this office shall be notified of the time and date•in advance in order that arrangements can bemade to have a Deputy Building Official at the site. Yours very truly, • FRANK HRUZA Building Official FH/be r H . V . LAWMASTER & CO . , INC . 7940 MAIN STREET — STANTON, CALIFORNIA 65CMS-028A22J – 002 • i 828.8040 XX � Field Data on Test Specimens Core Concrete- CiunxieX Grout/Mortar Project 9haulis 5wimpool Permit No. a7/L,-- Project Location 1601 Sandalwood Costa Mesa, Calif. Contractor Anthony Pools Architect Location in Structure Bond beam Engineer Date Moulded 7/12/65 No of Specimens 3 Slump Specimens Marked Specified Strength at_28_—days 2000_P.S.I. Mix Designation Age to be tested_ days days days days READY MIX PLANT AGGREGATE SOURCE Weather Condition 1 Yd. _____Yd. Batch Cement Riverside Type II Cement, lbs. 150 ske Admix Sand 38 tons Specimens made by Anthony Pools #4 Data by J E McWilliams #3 Delivered by Corum #2 Date Delivered 7/21/65 # REMARKS: Water, Gals. 9 days field cured Diagonal rebound layer in 10 day test specimen FOR LABORATORY USE ONLY Lab. No. 7470 7471 7472 1 . Day Test 28 Day Test - Day Test inoriDay Test G 9 Date of Test _7/22 O' O/� A Specimen Dimensions ���" JG�/( �FO 5,75 X 12. cSy �'39,14 l/., _ Area 25.95 G B&ay���l �7 Ultimate Load 25,000 4,4% Si b ft, Lbs. per sq. in. 964 1 • _ H/D Corrected ii@ ,' ' t 004 al TAT 6II .2 -R.C.E. No. (207 • July 29, 1965 Anthony Pools 5871 Firestone Blvd. South Gate, California SUBJECT: pool constructed for Dee Shaulia, 1601 Sandalwood, pe i 4' 24344 Gentlemen: ' This department is in receipt f a seven (7) and fourteen (14) day test reports from H. V. Lawmaster & Co. ,, owing compress a strengths of 964 and 1,460 pounds per square inch, respectively. You are hereby ad ed to withhold he finish plaster coat on the above mentioned project until h a date as the twenty-eight (28) day test may be evaluated. In the event t the twenty-eight day evaluation of the submitted test .aprcimens still shows low reading relative to the 28 day minimum require- ments, the pool shall have rformed on it three (3) cores toestablish positive proof of compliance or non-compliance as demanded by the Uniform Building Code, 1961 Edition. If a core test is required to substantiate proof of materials as deposited at the job site, this office shall be notified of the time and date in advance in order that arrangements can be made to have a Deputy Building Official at the site. Yours very truly, FRANK HRUZA ;.- Building Official FH:bc H . . LAWMASTER & CO. INC . 7940 MAIN STREET — STANTON, CALIFORNIA 65CM5-02BAZZJ – 002 828-8040 XX � Field Data on Test Specimens Core _Concrete_ —GcnxteX Grout/Mortar, Project Shaulis Swimpool Permit No. Project Location 1601 Sandalwood Costa Mesa, Calif. Contractor Anthony Pools - n, e, Architect A t w-- 5(71 ' , Location in Structure Bond beam Engineer Date Moulded 7/12/65 No of Specimens 3 Slump Specimens Marked Specified Strength at__28---days 2000—P.S.I. Mix Designation Age to be tested _days days days days READY MIX PLANT AGGREGATE SOURCE Weather Condition 1 Yd. _Yd. Batch Cement Riverside Type II Cement, lbs. 150 sks Admix Sand 38 tons Specimens made by Anthony Pools #4 Data by J E McWilliams #3 Delivered by Corum #2 Date Delivered 7/21/65 # REMARKS: Water, Gals. eN 9 days field cured tI CIii;),f) Diagonal rebound layer in 10 day test specimen FOR LABORATORY USE ONLY / 1V Lab. No. 7470 7471 7472 `to Day Test 28 Day Test L4 Day Test ett :e t` Date of lest 7/22 7/26 ‘: 4‘ o .... Riei . Specimen Dimensions 5,15 X 12 25 5.75 X 11.5 t(t JUL _ ; . i Area 25.95 25.95 r City of Costa Mesa N Building Dept Ultimate Load 25,000 37;500ilP N Lbs. per sq. in. 964 1 ,460 '^r il I-1/D Corrected If woo /7 R.C.E. No. 6207 . _ - • ck• . . . • • • • • • • • • • • . August 11, ,1965 • • • • • • • Anthony Fools • 5871 Firestone Boulevard South Gate, California • . SUBJECT: pool under construction at 101 Sandalwood Street, Building Fermit #24344 • Gentlemen: This office is in receipt of the twenty a ght day test from the H. V. Iammaster. & Co., Inc. laboratory of 119• p i which indicates that materials at applied on the above, job 'site, f 1 to meet the mini- . mum requirements. for gunite as set orth in the Uni orm Building Code, 1961 Edition. You are hereb advised that, 1 all indications, it shall be necessary to tae co s of the pool structure. As soon as a time and date have been set w n these cores- can be taken, you are to con- tact this office in order '.hat arrangements can be made to have a Deputy Bui g Official pit nt •at the job site at the time the • cores are t n. . Yours very truly, • • • FRANK J. HRUZA - Building Official FJH:dh H . V. LAWM'ASTER & CO. , INC . 7940 MAIN STREET — STANTON, CALIFORNIA 65CM5-028AZZJ - 002, 828-8040 Field Data on Test Specimens Core Concrete _ GunliteX Grout/Mortar Project Sheulis Swimpool Permit No. Project Location 1601 Sandalwood Costa Mesa, Calif. Contractor Anthony Pools Architect Location in Structure Bond beam Engineer Date Moulded 7/12/65 No of Specimens 3 Slump Specimens Marked Specified Strength at-28—.-days 2nnn P.S.I. Mix Designation Age to be tested days _days day's days READY MIX PLANT AGGREGATE SOURCE Weather Condition 1 Yd. _Yd. Batch Cement Riverside Type II Cement, lbs. 150 eke Admix Sand 38 tons Specimens made by Anthony Pools #4 •Data by J E McWilliams #3 $ ill Delivered by Corum #2 Iv nicaQNe© We Date Delivered 7/21/65 # lYol 20tes ) N 4Sla906 Mesa / REMARKS: Water, Gals. air SPL CO 9 days field cured 9 5I Diagonal rebound layer in 10 day test specimen 14 day test horizontal rebound inclusions, 28 day test diagonal rebound layer. FOR LABORATORY USE ONLY SpeLYtnbim poorly made. Lab. No. 7470 7471 7472 _10 Day Test 28 Day Test t4 Day Test Day Test Date of Test 7/�2 8/9/65 7/2f Specimen Dimensions 5 75 X 12.25 5.9285 X 12.25 5.75 X 11 .5 Area 25.95 27.6045 25.95 Ultimate Load 25,000 33,000 377500 Lbs. per sq. In, 964 1 , 195 1 ,460 H/D Corrected 13/00 -I R.C.E. No. 6207 • . Richard D. Hanhart, Director of Building Safety City of Costa Mesa Building Safety Department P. 0. Box 1200 Costa Mesa, California SUBJECT: swimming pool constructed under Building Permit #24344 Dear Sir: In reference to the above mentioned swimming pool, located at 1601 Sandalwood Street within the City of Costa Mesa, being fully aware that the materials tests taken by H. V. Lawmaster & Company, Inc. were of a low strength, (7 day test 964 psi, 28 day test 1195 psi, and a 14 day test of 1460 psi), do hereby agree to indemnify and hold harmless the City of Costa Mesa and any and all of its employees by reason of any claim which may be asserted against it past, present, or future, arising out of the construc- tion of the swimming pool at 1601 Sandalwood Street, with specific reference to the marginal material strength tests. In consideration of an approval by the City of Costa Mesa, I hereby release the City of Costa Mesa from any and all responsibility or liability resulting from any failure in pool structure. Dee Shaulis 1601 Sandalwood Street Costa Mesa, California DATE: --V - 4 / -J `iontkt44\ CITY OF COSTA MESA o y ilk,, CALIFORNIA P. O. BOX 317 ). fl I J', /a:,, FROM THE OFFICE OF THE DIRECTOR OF PLANNING November 18, 1965 Dee Schaulis 1601 SenRnlwood Avenue Costa Mesa, California Dear Pool Owner: The Costa Mesa Planning Department has been notified of the completion of your swimming pool. So that your pool will be a safe one and for the purpose of advising you of your responsibility regarding the requirements of the Costa Mesa Municipal Code, we quote Section 9298.9: 1. No swimming pool shall be constructed closer than five (5) feet to any property lines, measured from water line of pool. 2. No swimming pool shall be constructed under any electric power lines or on any electric power easement. 3. No swimming pool shall be constructed unless the yard surrounding such pool is completely enclosed by a fence six (6) feet in height and have a self-closing and locking type gate or gates. This courtesy letter is directed to you so that you will be aware of our ordinances and can make a complete safety check of your pool area. Sincerely• Si// yours, William L. Dunn Director of Planning n CITY OF COSTA MESA /eD/.cOesn,dt • Building DEPARTMENT Address OF 51((�� BUILDING SAFETY 94: . Owner 62-112414:1:1411---- Contractor Registered Deputy Building Inspector � ���.��00 Certificate of Compliance -4)91-1-14 C Address Permit Date Date of this Certificate liN1R t Number (0//3/7/Issued 6/30/77 To the Director of Building Safety: I hereby certify that the following portions of work on the buildings at the above address which required continuous inspection and which I was employed to inspect, were inspected by me and comply with the provisions of the Building Code applicable thereto. 1) Concrete 3) Welding 5) Special Cases 2) Masonry 4) Reinforced Gypsum Pool Size S� Gunite X Hand Pack Sacks Cement .3 7 Tons of Sand /42 Approximate % of water in aggregate C7O This report covers work completed during weekending 7/117 7 REMARKS: ,,.L44;oi Z e2, 4,44,ine REGISTERED DEPUTY BUILDING INSPECTOR Name pia j'L p , Address 2/0k,, C Zafi/; pC iit, Laboratory 4a...tiyLt.�.aq Telephone VI3`� r' 2l0 i"felt Form BU 6 (/ 'r • ;llorl 2f • O1wfln8ng Lab® torics o/ cSouLI em ea�ifoznia, gncL'ti P.O. BOX 47 . 3310 AIRPORT WAY . LONG BEACH. CALIF. 90801 . (213) 426-3355 . (213) 6362386 . (7N) 828.6432 .I,..4444_................. BRANCH OFFICES: TESTING Isl. North H.rP..Su... Non D.mu ..r .. ..T .q s5.••••nea.C.1 .,..97703 (7141I 631.1045 Long e..cF,GIII.9N01 I1131 636-7186 July 7, 1977 • Examination: 77-3709 GUNITE COMPRESSION TESTS ON QQfit' EXR CYLINDERS • Jack Hubbard 3106 Ostrom Avenue Long Beach, California 90808 PROJECT SWIMMING POOL - THERAPY SPA - DEE SAMUELS # S0267 ADDRESS 1601 Sandalwood, Costa Mesa, California SAMPLE FROM Wall ARCHITECT CONTRACTOR Anthony Pools ENGINEER SUBCONTRACTOR R. J. Kolodziej Anthony Pools SPECIFIED MIX 4.2 to 1 STRENGTH 2,000 DATE CAST 6/30/77 SLUMP • DATE TESTED 7/7/77 CYLINDER NO. 1 COMPRESSION 7 Days TOTAL LOAD, LBS. 61,000 • • POUNDS PER SQ. IN. 2,160 COMPLIANCE 7-Day test complies with specifications. • MADE BY DELIVERED BY RECEIVED ON . CYLINDERS Lou Hubbard 7/1/77 DISTRIBUTION: Jack Hubbard - 3 RECEIVED Costa Mesa Bldg. Dept. .Iy JUL gC ALL REPORTS ARE SUBMITTED /ri THE CONFIDENTIAL PROPERTY OF CLIENTS, AUTHORISATION FOR RVRLICATION OF OUR REPORTS. CONCLUSIONS. OR EX- TRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES. 330.,2 V L.E( Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COCTA MESA - - P R LLNO. TRACT NO. LOT NO. BLDG.NO. CONSTRUCTION PERMIT 0101 5/15/B4 26.50 TL • 1 601 Send 1 awooa St , U ALTERATION 0 REPAIR Project Address TYPE OF CONSTRUCTION U NEW U ADD Applicant's Mailing Address 2301 1 MOU I ton Pkw . CI CONVERSION IIIDEMOL`SI4�HE A.P.4 - I Zone Owner's Name . Bruce' G r a It-a n) phone 241 .8 5 3 3 DESCRIPTION OF WORK 1 $0 1 0 1 Do IIC H L r S Main Building: Accessory Building: Z Address - 0 Same TYPE OF PERMIT V•e-• •• • � 1�•� •u •D• I. (♦ STRUCTURAL T Front N Arch/Eng. License No. ❑• TENANT ❑ ELECTRICAL 1:17 PLUMBING El MECHANICAL B Rear A -• N AddressCI ❑OTHER , Sunco Phone 859'-'7 __440 PROJECT DESCRIPTION SQ. FT. OCCUPANCYC Right G Contractor's Namer K Left R Address(mailing) 23011 Maul ton Pkwy.. C O N ST RUCTION TYPE VALUATION$ .S !] LJ. — S E / P ZONE GRADING CU.YDS. ACRES Ping. Ref.4 Park.Fees $ Q City License No. ... .yC,� U LICENSED CONTRACTOR DECLARATION Remarks: P(� JOO— I / Parking Req./Provided I I hereby affirm that I am licensed under pr isions •f Charter• (commencing J R with section 7000) of Division 3 of the us sons d Profesions Code,and Use of Building: E my license is in full forseca4t14effect. 448833 • M License Class Li 4•. PLUMBING FEES Planning Notes: E Date 5/7/84 Signature _ a- WORKERS'COMPENSATION DECLARATION Bar Sink Showers • N I hereby affirm that I have a certificate of consent to self-insure • certificate T • of Workers' Compensation Insurance, or a certified copy t:• (Section Backflow Preventer Service Sink S 3800, Lab. cJ 57WB RD3381 H. rtfo • Backflow Irrigation Sewer Cap • ELECTRICAL FEES Policy No. Compo - 8 Certified copy is hereby furnished. �� Bathtubs Sewer Connection c Aid Automatic Washer Transformer 0 15-50 KW Cerci e o filed with the city Buil • Dill! SPIi'�4 Applicant _ .^w Claritids / Solar Collectors (J '} Construction Pole Sub. - 050+,KW EXEMPTION FROM WORKERS'COMPENSATION DECL• - ' -•N - Dishwasher Z. Solar Pining (y Cooking Unit 'Meter ❑up to-100 amps (This section need not be completed if the permit is for one h •Bred($100)or , less). - DrinkingFountains - I certify that In the performance of the work tso as to this • It is Issued, I / Solar Tank s� //0 Dishwasher Meter Dover 100 anips shall not employ any person in any manner so as to bec• subject to the Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel ' Date Signature s ' NOTICE: If,after making this declaration,you should become subject to the , Floor Sinks - • Urinal Fan' ,/r 'Motors 0-1 HP ❑1%-8 -- /� ' Workers' Compensation' provisions of the Labor Code, you must forthwith ' -- ` comply with' such provisions or this permit shall be deemed revoked. , / Gas Service 'Outlets - Water Closet a�� F.A.U. • Inc.Solar ❑9-15 HP ❑16-15+ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance Interceptors - j Water Heater ^ 2 Fixtures Microwave of the work for which this permit is issued' (Section 3097 Clv. C.) Lender's Name Kitchen Sink Water Service Device Boxes •Pole Light Lender's Address Lavatories OWNER BUILDER DECLARATION - Outlets Range ' I hereby affirm that I am exempt from the Contractor's License Law for the p-Tra following reason (Section 7031.5 Business and Professional Code: Any city or p Switches Sign ' county which requires a permit to construct,alter,improve,demolish or repair any structure, prior to its issuance,also requires the applicant for such permit Roof Drains Garbage Disposal Standing Sections to file a signed statement that he/she Is licensed pursuant to the provisions of s the Contractor's License Law(Chapter 9(commencing with Section 7000)of Generator ❑0.5 KW❑5-15 KW • nivision 3 of the Business and Professions Code) or that he/she is exempt I _ - Trash Compactor •.refrom and the basis for the alleged exemption. Any violation of Section • , 31.5 by any applicant for a permit subjects the applicant to a civil ' .natty of not more than five hundred dollars ($500). -Reinspection-Fee ' $25 Issue Fee' $ 3 _ ❑ I, as owner of the property or my employees with wages as their sole - MECHANICAL Reinspection Fee $25 Issue Fee • $ 3 compensation, will do the work,and the structure is not intended or offered FEES for sale (Section 7044, Business and Professional Code: The Contractor's - PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I ' ❑ thereon, and who does such work himself/herself or through his or her own Zoning Approved By Date employees, provided that such Improvements are not intended or offered for Canopy Type II ❑ sale. If, however, the buildingor Improvement Is sold within oneyear of com- Duct- Under Ground Application Approved By Date prove the owner will have the burden of proving he/she did not build or Im- j/ p Crove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By l•��/ Date 4--73--8:1 I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating 00.100,000 BTU 0100,000 BTU SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ `0U SMIP $ ' v tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING $ /�/ OD ISSUANCE $ Heatin Date Owner g System& Ducting PLAN CHECK $ ENERGY P.C. $ I hereby certify that lave read this application and state that the above ❑6100,000 BTU ❑100,000 BTU //'' GRADING $ information Is correc 9r a to comply with all city and county ordinances - - ELECTRICAL $ '9' D 0 and state laws relati.• • it struction,and hereby authorize pre- PLAN CHECK $ MICROFILM $ !!JJ inspection ofpu this c u the above-mentioned MECHANICAL $ TOTAL FEE $ ' 6'5 0 inspectiongnaturpurp• —_— - SD9nature �• Ve $25 Issue Fee _ CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL ?A APPROVALS. •Permit#' Date Inspector , APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location '0'2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •3. Electrical Conduit Utility-Undrgrnd. • 54.-Forms 4. Electrical Conduit-Undrgrnd. 55..Electrical Bonding . 5. Steel Reinforcement 56., Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. . - • - , 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59..Gas Pipe, 0 Undrgrnd.,Test • 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural FloorSysteni. • .. - 61. APPROVAL TO DECK 11. Property Sewer Line &)-ouse Connection 62. Backwash & Receptor-Final 12. Sewer Cap _ 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing r 65. Electrical-Final 15. Rough Electrical-Conduit - - 66. Solar System-Final 16. Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough Wiring Sign • 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace- • 'APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test . . _ 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro - 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe , 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing t, HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED •33. Final Electric ze(c7la'$- C47 Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy - 37. Final Factory Fireplace I - • - 38. Final Plumbing - 39. Water Service-Final 40. Gas Service-Final . 41. Solar Domestic-Final y/(7/15- LEO . 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation , • 46. Handicap Regulations '47. FINAL STRUCTURE & BUILDING jam'Lrc�/J 48. Special Requirements Completed 49. Electrici Release to Edison - . t •- - 50, Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY • No. Date • • 5`7 ENGINEERING DATA New _ L j , coo,,,,,, DHW/SPACE/SPA Retro� Oc___.----- ,rme Mixer e--5054,0 GM///lnl Wile _ Phone 11 Hm.a/�L[--& J?Wk. . udress aL°/ -5-÷10/764.)00 La S-7- - City _ C /21 Zip n Cash c,ntract Date /944- Salesper.soz�ti4i/ ' ) Contract Total Fin . , . elite by . Date Ste / ` v iiSTALLATION INFORMATION: C(OMPONECNTS : �- SALE. Preview o.. of people in family ;2 _ ( bedrooms 3 • Panels/type I'S / 44/O VAS,/ •:)tal house square footageY'/ O U • Storage tank /2._O gal . otal gallons used daily module P-/60 -CP/IC. 0 D. hot water tanks / gas (�lec Racks 4-,S degre 5,09e67 )nventional tank sizes 1_06/IL Pipe run total >00 ft :,nventional tank location G-A/1f9 - coil pumps _ hp _ - IN ode- -Iv &7?/ci( S/( O!= F-/1U)_ Conv. tan61Mgal . Dof type 7-4C; Condition di E tcal u rade (-h-- ' ft. eight 1240 Pitch 3O Facing / C 4&et?lanket -- :tic : yest/no .Open beams : yes — no bn1;\'eo losuAiX • 'fir `45> er 1 rase available : yes no ,'t , - �� So�� Deng i \. 4:* eQ O rvt rie ; ectrical outlet from storage VS\ . Snk� p�a/t�f. "--leg171 _ �\ . c?.." V'' d storage tank location C^-17/1ycef\ _ vHW :rnace 1pcation C _^ mp Spa —/ , 64 Ac at Water Maker Location - ------ ;°Y, .ower coil AsseMb y IM location --- _ _-- Hot Maker. 1 TM i stanceifrom• gals — ft. Oleo t t:. _ ;a volume ft- gallons 216/ 9) /4:7Gas line -- ft ;uipment pipe size : feed .- PVC/CU Other pn .'cz5 '7-5 return • uSee / ),‘Z_ 17lllrzr— i ping : Size Length ca tie- W .6 ::oiar loop 2:-/ /"O COMMENTS : _ •• Tank X },- to; am PA •dloop, / .. 6. p C(C -i,... (Al(6' riL aI, c;�itc../- pace heating / ' Z0 y t loop du(C- 7ni . U=vV ' '` I [ ` i.', (it. \ .r. , Q. L,/s.l ! . - . . . -1- rit "LiTT1 1i _ 1 ii iTiliH 'iti . '. 1 --- , - i III _Hi ____._ 1 . 1 i. 1: 1 -T-1-I 1 ---. 1 i _I __ 1- 1-- I____ ___ I I__ + ' 1 11 I 1 1111 I 1 1 II- L -.---- -----1- --- - i 1 1 i 1--- i -- - -1-7-----1----i H j J ___1____J, 1 i---- 1 • 1 1 __ ___ :s._ ,iI --- — -1---- ---1---11111 11 1m ii Panel Direction iI t . 1 _ _fr_ ! -41- -1- ' --1- 1 i -I- T i t ; • 1- ' 1 ' 1 ! 1 1 1 I , , . ; , i ! Panel<o _1____H_ I •-1 , I r ; i M __ __I 1 ! &ARA ) , -I-- T-----1--1-1- - 1 - - - - I —7-1"1 . -4- , 111 , 12111ilim ! , , , 1--- I I I 7 1 Fl n 1 1 In I H - • 11 --(141j- _I 1 1 _ __I________,________. __I____ _ i_c.i.. _ 7- au I i --1 1 ; ; i 1 1 g15;nt-111 i,,,_Lil # __i_ 1 1 ! 1 I : . • i i ! z9c-- eh, --- 1*-i-----,i Ty- , , , 1 , , i _. „,,, 1 1 , i 1 Hi i --, , i • _ _i__, ._____,.___i___, __ 1 IL .5 0 r:---I - 1 1 i i ; I . I= i : ( . 1 I I ; qtht.(?(Iii -;- -I--r- --i - ; _LI_ L_ _1_____:___1._!_____ .___Hi...__1_.k....___1___ _i____Hii__:. • irrir r2 _ / i I I ! ! I ie It ..58.1 1 "i J. I I 4 i 4 .....ZW/(111c4127 II,. 11 1 1 1 _l____I__ r 1 1 • -1,- 1 . ; , ; ' ; , ; ; / -1- 1 111 i 1I1-11 1 1 i I_ 1 _.] .7 ; T1 al __1_._ 1 1 1 1, ; 4___i_ i ; . , , 1 1 1 ; _;;I J., :1 ; ; ; , , ; , i 4_ 1 ; 1 1- ; fl 1 r: I- i 1 1 t + ti-' --1 i -1,- 1- I I- i : : : , : . , 1 1 ----c4a------ i --11-1 -- i ; i ! ; 1 I' : siiL_ _i_ 1 1 I 1 I ! ILP i 1 1 1 -: .... ! -__.__ i____. I i 211V- i -2-q:LA 1 CCH • f -I- i 1 1 ' 1 li ! 1 1 , . I -4- ---- 1--- - -;- -0- y k-,-- i - • r--- ' -I— Ii , li 1 i , , , i----1,- -. -I -- - - :' I 1 j_ I; I -._ _ _if-Th 1 1 J. I_ I ! __.! 5eg; 1 i _ !____: _ 1 —1 : 1111 ! 11H1111, 11 ' illiL: _ l . . _i__ _ _ _ i - - --1-- -1. 11111 - 1, 1- ; 1 ! r, 1 r 1 4 I , i , _. ! 1 1 ---i ---i i—H- . I 1 11 —1 1 --I 1 ,1__ 1 IL ; 1 [ 1 1 I _ _____i_ 1 I. _ti i i__ _! 1: ... t ....1. ... i. . • .-1— I I I 1 . I 11 HI 1 , 1 .1_ 1_ 1 i LI . 1 {___ 1___..1 ' ' 1 I . __... _._ • Special Instructions ' 1 . • ., ) --)-;-3 0//-1,3 5e4-cc ,•-- ii____._75 — 4 . - • j-gliVe MA)If .S sq3 . ' . / • • • :y-Cl+llt-c. -, n^••} 1y . COLLECTOR MOUNTING DATA - � L, �' • cc� celr 't =\ � ti, art.; ANGLE CLIPS - • :"?' , ..f U V m' e 5� -14-1-e_4 f • \A77. EL___ . \ SUPPORT ASSEMBLIES rIT -Tr \ C,ii-E) 0- • I . . 1 hjl ' • i \ b * /dols: H \ • I p � .' .r•. Series: iaa.000 202;o I )P'' ,G IQ:�� tS� . Q I gyp 1_,r Vertically h I 4 I 4 I 4 I 6 ' I 6 I 6 I a I 8 I - - 9---I Instal lcd p 10'-10'I 9•- 0_I 6,- 2_ 10'- 7" 9'- 2"I 6'- 2'110'- 1'I 9'- 0' ] '1' I • Fodclsi H i I I I _J Series: aoo -- - —` "�-"- J i0'- 7" 9'- 7" 7'- 7"I 10'- 6" 9'- S" 7'-11' I 10'- 6" 9'- vI a'- Yodels: n a G _—, __.: Series: too,loa.eco . Vertically Installed • 1 ,..>..els: Hint c li _ __ ___ ._. - .. .. . _ _ .__ isi . P - Sol<< r bet ' / I FL - Df 10/1.':Y 1 • P - SPS? 71-..X - .. •1 c - SPa • 1 Si- > L 1 PI , . , Z° I, ,sae.f. I -- JeL ►. ( 4 - p t rim, lif n .1$f• r�" 1-} SE' 9-1 N ISP ISF G P. I1 1 1 I 1 # 1 - 1 1 „ft, .., H 1I I • 1„ _.,, 11 I I • 1 1 I 1VCtnir H I I r ' i !:1r.+er Solar �0lot y a iv 1 •tn.!, y .20(0 qC : 1^/c, C ----- --i - -- — OWNER SAMUELS, Dee DATE 2-7-77 JOB ADDRESS 1601 Sandalwood Street BUILDING PERMIT NO. 43473 GENERAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK Blockwall - No. 139-213-08 LOT TRACT FIRE ZONE VALUE S 700,00 IECTIONS Signature Date .TYPE III GROUP 1 ZONE R-1 SOIL PERMITS ISSUD GASSUBCONTRACTOR I DataNumber I Signature WATER Plumbing ROUGH PLUMBING�t PROP. SWR. LINE r1 HOUSE CON. ri SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING' TEMPORARY SERVICE OR POLE UNDERGROUND El POWER El ROUGH WIRING Heating and Vent. TRENCHES_f FORMS U STEAL REINF. I I IQ Z -S-ig FLOOR SYSTEM- BOND BEAM r T 1 STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING — IN n ^OUT 1 1 PLASTER. BROWN COAT TURAL. FINAL Electric Ham...MNG. VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL • BUILDING, FINAL rec. a-9-P 43413 Fatp **** -cR -7-77-,;:,;,00 359 7.50 • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only RE IV BY DATE RECEIVED DsTE ISSUED..s BUILDING { ' 77 '—ii ADDRESS ��o� dANJ/A.[uic7 aD 000555 OWNERCI ee i9 n7 t/e2 S A.P. NO. /37—p/3I y� ��t1 cp BUILDING L AMAILDDRESS J/""/n7 �' ADDRESS 760� �jgy.�i9.(cua TEL. TRACT 2as�� I LO20 BLOCK CITY NO. CONSTRUCTION �rNEt^{�IADD ALTER 1REPAIRAMOVING DEMOLISH LENDER �/T 5/-/- /\X/\ BRANCH nn OWNER CA/ ADDRESS VALUE A w �l ARCHITECT TEL. USE • 4�/L%� $�(/T/ OR ENGINEER N FIRE ADDRESS / ���jjj ZONE y GROUP l.>« _ APPROVED /P// �/)_—/7 CONTRACTOR (Ei(/'__ BY �.I DAT _ !// / ADDRESS ZONFe NO.OF USE OF NEW /Lf TEL. /�--'/ PLANS 2 BUILDING OOO ��'/ eili CITY N, \ c I—. STATE CITY YARDS APPROVED YARDS APPROVED gLIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W NO.OF BLDGS. (FROM C/7 F. .1— L SIZE LOT NOW ON LOT FRONT /J FT. CZ.—FT. /� USE OF EXISTING BLDG. R.SIDE . — CLS— FT. V] FSeparate permits are required for L.SIDE FT. FT. G electric,plumbing and heating work. REAR FT. FT. IV # USE OF BUILDING AND WORK TO BE PERFORMED ' F DISTANCE BET. BET.MAIN& Q121 MAIN BLDGS. ACCESS. BLDGS. 'Zeck �� � VAR.# APPR Q C.U.P.# / ATE APPROVED >. 6c , /.w,,r /� V r /I CQa / � HY ROVEs / DATE —07.1-77 Ia / /1 W - p I hereby acknowledge that I have read this application and stateN N 04 that the above information is correct and agree to comply with y� L all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of the State of California. 3 I hereby certify that I am properly licensed as a contractor under SO. FT. a the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, an• hat such licenses are in I force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT EE ONLY: am exemp rom the provisions of thySta of California Business VALUATION "�/ �� J c and Prof: scone Code, Division 3,Chap 9. • PERMIT FEE $ r rZ v: n m Signatu a .,/ tel/ PLAN CHECK $ �^ C Permitt:: $ A /� TAX S I ( O LL Authorized Agenteget' Cf///f•�(.GC-C.��6 TOTAL PAID $ 7. m U OWNER SAMUEL, DEN: UAlt 6-13-77 JOB ADDRESS 1601 Sandalwood Avenue BUILDING PERMIT NO. 44138___ C°NERAL CONTRACTOR ,Anthony Pools DESCRIPTION of WORK Spa 10. 139-213-08 LOT TRACT FIRE ZONE VALUE $1,000.00 INSPECTIONS Signature I� Date GROUP V TYPE ZONE R-1 Pool Location /26 �.•J4' 77 SUBCONTRACTOR PERMITS ISSUED Date_I Number LED Forms L / Main Drain / t teel Reinforce (\ dddddd L �Elec. Bond v7,.� Electric Pas -7 I %ppp Approval to Cover �v G 7� � h . ti t -t3-7! '✓.Z1�(ad�/ Underground Electric RC_ 7' 5J'�7 Gas Piping Test �/ft • -57 1 Plumbing Filtering System Lines ,v" /�. 2�l'7l L/t%�� 6-'3 7, 70703 Backwash Lines and Recep. RL 7• S -7� Electrical Final /Re._ 74 17 F' •r and Vent Final Filter System Final Backwash and Recep. Final Fericjng Final 51 -f. IUU 13-77PA1U0SAOO1504* ****36.50 4413ti COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APP t TON FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only REC D DATE RECEIVED DAJEISSUE 1 BUILDING ADDRESS 1601 SANDALWOOD AVVE, ERM T O Q ^^��' _ NO. OWNER DEE SAMUELS A.P. NO./3 9—, /J MAIL ADDRESBUILDINS 1601 SANDALWOOD ADDRESS TEL. . 0.—iC I LOT 208 BLOCK CITY NO. CONSTRUCTION CASK NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER X BRANCH OWNER DEE SAMUELS ADDRESS VALUE ea ARCHITECT TEL. USE SPA $ � OO , OR ENGINEER R KOLODZIEJ Nn, ADDRESS 5871 FIRESTONE BLVD. FIRE 20NE GROUP ANTHONYPOOLS APPROVE ✓ G - l377 CONTRACTOR BY (4EYPE DATE ADDRESS 5871 FIRESTONE BLVD. ^ ZONE / NO.OF USE OF NEC CITY SO GATE NO.SP32210 / PLANS BUILDING w STATE CITY YARDS APPROVED ,, YARDS APPROVED LIC. NO. 190179 LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS (FROM C/L STREET) / f 4 OF LOT I NOW ON LOT FRONT FT. �� FT. (/ USE OF / // Cn EXISTING BLDG. RES AND GAR B.SIM FT. 7 FTC Ci, / F Separate permits are required for L.SIDE FT. FT.( / /y welectric,plumbing and heating work. REAR FT. FT. 0 er, E. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 121 _MAIN BLDGS. ACCESS. BLDGS. VAR.# DATE :4" SPA ONLY C.U.P.# J�/(,(/�/,1,,,/�/ APPROVED O>., ABY RO(sir/7, n _ DATE/112-3—7 7 ..1 a. W O I hereby acknowledge that I have read this application and state � ed that the above Information Is correct and agree to comply with m L all laws regulating building construction, and I shall not employ ii Z any person in violation of the workman's compensation laws of S the State of California. m I hereby certify that I am properly licensed as a contractor under SQ. FT. ry the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ca Chapter 9, and t at such licenses are in full for d effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FE�E/�ON— h ONLY: to em exempt fr• the provisions of the StateCalif nla Business VALUATION PERMIT FEE $ / c 03 and Profess •ns Code, Division 3,Chapter 9 S m / P e /PLAN CHECK $ at O Signature if ./— Permittee / y$ 30b 0 r TAX $ LL �� f Authorized Agent A / / �i a�j ��✓L-C-CGJ/�� TOTAL PAID s3h' U JOB ADDRESS 1601 Sandalwood Ave. BUILDING PERMIT NO.21344 GENERAL CONTRACTOR Anthony Pools DESCRIPTION OF WORK Pvt.Swim Pool 4 r No.139-213-8 LOT TRACT FIRE ZONE VALUE 52500.00 ?ECTIONS Signature Date GROUP J TYPE III ZONE Rl Soil PERMITS ISSUED Gas SUBCONTRACTOR I Date I Number I Signature Water Plumbng°Rough Plumbing A4/03-as _ '9�ia � U/44r 45-4,Vit Prop. Swr. Line 0 Hous Cona,44 S (? 19 1/ (cj t1511(Q Sprinkling System K.7 GS Miscellaneous Rough Heating and Air Conditioning Temporary_Serviee-et-Pots ‘,...,,,,....,.e. �. e. i �. ice..,. %,mow ��. Underground [ Power ❑ _) yyS Rough WirMa. ,tl '(. 4 r` Heatingand Vent. Trenches Forms 0 Steel Reinf. f� .r. ,,,.•'"ram') Floor System pe�W a„sV, Bond Beam ✓� Steel Reinforce q' 7 -y icor. Sheathing u RI $��s Frame and Flashing I� II Lathing -- In ❑ Out ❑ Plaster, Brown Coat lural, Final Ele ' Eit..ang, Vent., Refrig. and A.C., Final • • [ !tai_ , a - . -49- ,7459 PlumbinFinal and Gas Test l Ars1.7.� 4. . ins- A. , ♦ 111210 2u _, Electric, Final 04y. , - • ` - Building, Final / 0• : 6-f • 7--P6 - 65" /q-der, c' — /i t/ o 'p-5� /, >-rA0_71-12t.VCw R—/0 — 6 s ate._. -� � - //96-f s/549 __ / 24344 CITY OF C8 A MESA eOSTA•M,. 0 ESA BUILDING-SAFETY DEPARTMENT JUN 28 1965 ��,V1 P.O.BOX 917 COSTA MESA.CALIFORNIA V VVV For Applicant to Fill In Completely "pact, Es PERM TYPE OR PRINT DYILUING BUILDING 1601 SANDALWOOD AVE For Office Use Only ADDRESS RECEIPT NO. � pM IT3 N44 COSTA MESA, CALIFORNIA H�/' DATE- - g DEE SCHAULI S ar .°J • • -; -&S 0 —are& OWNER BUILDING MAIL ADDRESS 1601 SANDALWOOD AVE ADDRESS 1601 SANDALWOOD AVE CITY COSTA MESA TEL.SP3221C ZONE TYPETC / / /— GROUP NO.ARCHITECT TEL. - APPROVED DATE ORENGINEER T LARSON• N SP3221C 5871 FIRESTONE BLVD. ZONING ADDRESS ZONe NO.OF ^ USE OP new ANTHONY POOLS / Puna BUILDING CONTRACTOR C LEGAL 2 3ZZ k LOg ADDRESS 5871 FIRE'ST OM DESCRIPTION J CITY SO GATE A.P.NO. /3 / - `/3 - g NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TEL. 90'TO SIDE 9 REAR P.L. LIC.NO. qq 190179 ryN9. Sp 32210 OFILOT Z&XK J GX •OI A NO.OF On LOT . EAVES ALLOWED (U.B.C.REQUIREMENT) USE OF 76X86X61 A1n0Ay YARDS APPROVED YARDS APPROVED EXISTING BLDG. R SAND GAR MAIN BUILDING ACCESSORY BUILDING 61611 61 y(FROM C/L STREET) 1 SETBACK LINE FROM CENTER OF STREET REAR YARD FRONT FT. At FT. , J SIDE YARD LEFT 221 I RIGHT 231 R.SIDE FT. OC//JJ 3 FT. DESCRIPTION OF WORK L.SIDE FT. 2. 2 / FT NEW X ALTERATION _ ADDITION REAR FT. 67 FT. I DISTANCE BET. BET.MAIN d MAIN BLOCS. ACCESS.SLOGS. REPAIR MOVING DEMOLISH _ BUILDING 483 NO OF VAR.4F DATE SIZE ROOMS STORIES C.U.P.tC APPROVED EXTERIOR WALL ROOF APPROVED G C COVERING COVERING BY 44 Y,• cs�i DATE ZQ 6� USE OF BUILDING AND WORK TO BE PERFORMED 6�F FNTo lint FOR SPECT L REQ TR._ SWIM POOL 69ic.2 ,s&./a%o n SQ.FT. B I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE t AND STATE THAT THE VE IS CORRECT ANDAo- TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. _O PLY WITH ALL CIORDINANCES AND STATE ULATING VALUATION Q� q BUILDING CON uCT10N. . N PERMIT FEE $ I D =METTE °F,LA.--- '� 1 / B-� S PLAN CHECK $ o AUTHORIZED AGENT ��Q/Cl(,� 6-V I` j TOTAL FEE $ /J OWNER SCHAULIS} H.D. AUG 1 0 1461 DATE 9-29-60 JOB ADDRESS 1601 Sandalwood Ave. BUILDING PERMIT NO.12918 GENERAL CONTRACTOR Owner-Bldr. VALUE §200.00 AP.No. 113-593-08 LOT TRACT _ FIRE ZONE DESCRIPTION OF WORK Block Wall imSPECTIONS DATE GROUP TYPE ZONE R1 lerground Soil U.G. Water SUBCONTRACTOR PERMITS ISSUED ..uderground Gas DATE NUMBER Overhead Water and Gas Rough Heating - Rough Plumbing Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring _ Trenches0(#11 Forms Steel 10L7-&o Floor System Steel Reinforce Chimney Re-Rod b• Bond Beam ,h43-Sheathing _ I F -le and Flashing .ng, In Out Plaster, brown coat - Plumbing Fixtures, Final _ Electric Fixtures, Final Building, Final /fl*5 @/4--6, OCCUPANCY Form 210-5M-11-59 S-B P 12918 12918 COSTA MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVED P. O. BOX 317 COSTA MESA. CALIFORNIA a6 —/9 6 6 For Applicant to Fill In Completely APDLIhhI(7YCM Err�+ (}��IeQQ k�� TYPE OR PRINT Y11 Y ADDRESS 1601 SANDALWOOD 1lltl{{{ Y��,IIIVVVV COSTA MESA. CALIFORNIA For Office Use Only OWNER H D SCHAULIS EIYEO.By I RECEIPT NO. I 1ER�IQ�NQ.Q ADDRESS SAMEMAIL RECI �TE RRECEEIVta I DATEy I LiEiEED(D�/J�! CITY COSTA MESA NEo`KI 9041' ADDRESS UIL /./ 2 0/..).4...14 ARCHITECT TEL COSTA MESA. CALIFORNIA OR ENGINEER NO. FIRE ADDRESS ZONE TYPE GROUP CONTRACTOR OWNER APPROVED BY DATE ADDRESS ZONING y� App ZONE.yy I NO.OF 2-I USE OF NEW /vy(� CITY /s1� PLANS BUILDING fu n i /� STATEIC.NO. TEL. LEGAL/ ( / e / /I opj 7721 (�/} ( SIC. //^ y NO. DESCRIPTION �/,94JX SIZE NO. OP OF LOT `L-' )CI 0 1 I NOW ON LOTS A.P.NO. 1/ - 5-C7,-.3 C USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.) �J� { CENTER OP STREET REAR YARD FRONT . l IN. SIDE YARD ( LEFT I RIGHT R.SIDE FT ///�� T IN. DESCRIPTION OF WORK L.SIDE / VV/��.�.�F/ �,�sjV X V ALTERATION I V ADDITION REAR [ �00 F II JJCC A IN. NEW I A/1L, .74•1REPAIR I tlMOVING I V DEMOLISH I BYPROVEDf4 /L / DATE Si/� 1. BUILDING NO. OF ({.Jam_ SIZE ROOMS STORIES EXTERIORWALL ROOF / f / / X"� J 4 COVERING COVERING (O(O USE OF BUILDING AND WORK TO BE PERFORMED COMM 3"X7,14--X6' BLOCK WALL 3'IX10'X4' S/ l PVT. 6"X X4'-3&" CGS '5( 4e / 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 BUILDINGNATUCON, :Ned/'A�,/�� VALUATION 405 [ It �- 81GNATURE OF /� PERMIT FEE PERMITTEE o% ort $ PLAN CHECK $ AUTHORIZED AGENT �(J ! — 0 TOTAL FEE - 4 OWNER ROSSLANE LAND CO. DATE 7/9/59 JOB ADDRESS 1601 Sandalwood St. BUILDING PERMIT NO. 9870 GENERAL CONTRACTOR Dike & Colegrove, Inc. VALUE $ 15,928.00 AP. No. LOT 208 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK Pea. w/_att.. gar. 5PECTJONS 7.4,,_ DATE GROUP I & J TYPE V ZONE Rl _.iderground Soil U.G./jj.fs Water/VMS 12`7-3YL_ SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE NUMBER Overhead Water and Gas 1.,) Rough Heating /h 7-30-49 5, %/ - t _ l- - - - -1J46 7 3 ,/ _ Rough Plumbing ///Lei /C-S--gf 7f/�/r n' ).int. l- - -2//y / Miscellaneous a/- Prop. Swr.ILiute_ HuittjcCOn. St. Swr. ,�1f 1c'f (i ...,.4Cr Q..4 7/30/Sir 7F6Y1it/ _ NJ� D Sprinkling System _ _ Heating, Final (� �_ _��J Plumbing Fixtures N/ M" Final Gas Test /�r /-t'`.,A _ Construction Pole ( -'- Underground Power Rough Wiring ti/;/S til n>1k)a W,ry;.i, L,, 9-/u-c9 /e/c a ' Trenches - Forms ft Steel( 2-/-1q4 Floor System r Steel Reinforce Chimney Re-Rod . • - Bond Beam F' -thing / J 2J- (0-f -51 to and Flashing tie1 - to--4-5-i Lathing, In /{ Out ee co-z_119 Plaster, brown coat �Ad ii- 17-ti Plumbing Fixtures, Final 4 4•-4:40 Electric Fixtures, Final rL Building, Final t-'F, OCCUPANCY 1 Form 210-3M-4-59 9870 • - 98170 _�_' _. JUL 13 1959 .v COSTA MESA BUILDING-SAFETY DEPARTMENT ;'.; -'1^t: rED P.O.BOX 317 COSTA MESA. CALIFORNIA fOR APPLICANT TO fill /N COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING ADDRESNS 1601 Sandalwood St. COSTA MESA, CALIFORNIA TOR OFF/CE USE ONLY,II�►A''� RECEIPT NO. I j lTil'Ij OWNERRosslane Land Co. VlJ MAIL 17th �y. R`EGE�WED BY DATE RECEIVEDD .Q8TE ISSUED ADDRESS 419 E. U /7�J 17--9�/ I / C- CITY Costa Mesa TNOLIBf59 ADDRESS / ADDRESS ARCHITECT Carlson & LIC. COSTA MESA, CALIFORNIA OR ENGINEER Middlebrook - NO. Garden Grove' FIRE ADDRESS ZONE Dike & Colegrove, Inc.STATE 167293 APPROVED CONTRACTOR/, c� LIC.NO. By DATE ADDRESS 419 E. 17th St., Costa Mesa ar� ZONING LEGAL I LOT I I /044 ZONE y� NO.OF USE OF NEW DESCRIPTIONA'\ _ NO. 208 BLOCK TRACT R1 I PLANS I BUILDING • APPROVEYVJ j (� / /J_/2 /-(J A.P.NO. BY f�'Q(�r J�y, DATE / 1 J I SIZE 69 X 101 I No.OF DLOGS.none YARDS EVES OF LOT Now oN Loi REQUIRED ALLOWED USE OF (CENTER LINE ST.) EXISTING BLDG. FRONT ,c o FT. IN. SETBACK LINE FROM CENTER OF STREET 54) REAR YARD 291S'.R.SIDE S FT. IN. SIDE YARD (LEFT 101 (RIGHT 71 L.SIDE ier FT. IN. DESCRIPTION OF WORK . (9- REAR V FT. IN. NEW I X II ALTERATION I II ADDITION I REPAIR I II MOVING I II DEMOLISH I BSIZE L1 GING 1601 ROOMS NO.OF 6 STORIES 1 EXTERIOR WALLROOF COVERING SUCCO (COVERING Rock USE OF BUILDING AND WORK TO BE PERFORMED Single family residence with attached garage. Plan 750B R I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCTTI�IO1/N^. VALUATION 3J � • � SIGNATURE OF /� V �.I �%fA/A PERMIT FEE $ PERM ITTEEfrn NN PLAN CHECK $ i1.00 Dike & AUTHORIZED AGENT ikeCOQ rove $ D15,928 TOTAL FEE $ CC