HomeMy WebLinkAbout1091 SANTA ROSA AVE - Building Permits •
411111
r CITY OF COSTA MESA
*4 BUILDING DIVISION
77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL:(714)754-5626 1/
PERMIT NUMBER./B08-00022
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 41205203 DATE ISSUED: 01/24/2008
ISSUED BY: BJK
JOB ADDRESS: 1091 SANTA ROSA AV CM Suite/Unit:
Vicinity: REROOF PITCHED ROOF ONLY
Squares: 1200 Valuation: $4,000.00
SCOPE OF WORK: REROOF PITCHED RESIDENCE ONLY:T/0 WOOD SHAKE ROOF,7/16"OSB,2 LAYERS 30#FELT,INSTALL
"EAGLELITE CAPISTRANO TILE."1200 SO FT PITCH 4 8 6:12 5.7PSF ICC#ER4660 CLASS A ROOF
OWNER: VARESSI,SIMONE A AND PILAR O Address: 1091 SANTA ROSA AVE Unit:
PHONE: City/State/Zip: COSTA MESA,CA
APPLICANT: FERGUSON,LEW Address: 1260 N HANCOCK Unit: :SUITE 107
PHONE: 714-777-4040 City/State/Zip: ANAHEIM,CA . r,,r117
a
CONTRACTOR: MC CORMACK ROOFING AND WINDOW CO License No. 643700
Address: 1260 N HANCOCKUnit: SUITE 107 PHONE: 714-777-4040
City/State/Zip: ANAHEIM,CA 92807 CELL: 949-347-1400
ARCHITECT: - License No. PHONE:
ENGINEER: License No. - PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00 \�,
Reroof
insp PermitonFee:: $97.25$ - )
Reinspection Fee: 50.00 / ,� •
TOTAL FEES $97.25
[ 107
N�� •I :.JIT
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
60DEt, INSPEC110N TYPE DATE INTMALS CODE. INSPECTION TYPE DAT IN1UALj
1616 Fixed System Final Fire Prevention _ 206 Final Mechanical
1266 Pool Spa Final /5" -191 ,�, 208 Final Plumbing
200 Final Re-Root 2 - y_ v 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval • - I —
203 Final Sign 222 Final Site
204 Final Demolition • 250 Final Building/Occupancy
•
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive 0 Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers'compensation insurance, as required by
section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carder and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
E by this permit,and that no building structure,scaffolding,falsework,a demolition
Carrier: u rJ'D or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This semen need nor be wmp'eled the permit is valued al one hur,dredcbears($100)or less)
2,Art 2,Sec.341,Title 8,California Administrative Code).
Policy Number: I c<631-1 f-j -7 41 3
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
the Labor e,I she forthwith comply with these provisions. Applicant's Signature Date
Division of Industrial Safety Permit Number:
Ap toant's Signature ate HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license isinfull force and effect. a registration form for acutely hazardous materials? 0 Yes ❑No
Lic.# (0 LI 7 072 Class# e3 9 i3 (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
01/2 / /Z r each business which at any one time has on hand a quantity of acutely
.nuactor's S Date hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons. or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑ No
(Section 25534 of the Califomia Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑ No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits).
License 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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 2553-4 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes El No
thereon,and who does such work himself or herself or through his or her own
8. (If'yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
control
sale. If. however, the building or improvement is sold within one year of officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I. as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and slate that
0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Signature of eget er(s) Date
Signature Date o7/24/01
O.wr%
3057<6(3/07) li And/or Authonzed Appti Date
' LEGACY REPORT ER-4660
Reissued June 1, 2003
! ICC Evaluation Service, Inc. matnamR.q`"dalio•V5°Workman NURoad,Wheat.C_tifnia9cwm l at659-054.3
Regional Mica•900 Monsr Road.Stale A.ei nit ,am.Atacama''-5.217 •(Dr) %Sr0
WWW.ICC-es.Orly Regtonalallaa4051Wes FldacnoorRoad.Csurayalb 4ilkltlnm604713•(708)5s.�3.G5
Legacy report on the 1997 Uniform Building Code"' ,
DIVISION: 07—THERMAL AND MOISTURE PROTECTOR Malibu tiles and 7.0 psf(34 kgirrr) for Ponderosa and Eel Air
Section: 07320—Roof Tile tiles.
EAGLE AND EAGLELITE INTERLOCKING CONCRETE c 2.2 Installation:
ROOFING TILES 2.2.1 New Construcion:Installation shall be in accordance
with the Concrete and Cay Roof Tile Insallalon Manual for
EAGLE ROOFING PRODUCTS Moderate Climate Regions.See evaluation repert ER-6034P.
3546 NORTH RIVERSIDE AVENUE 2.2.2 Reroofing:Eagle tiles,as desc'bed in Section 2.1.1,
RIALTO,CALIFORNIA 92277 provide a Cass A roof when installed over existing asphalt
shingle roofs.Care should be taken to ensure both horizontal
1.0 SUEJEC T and vertical alignment on the roof. Foreign matter must be
Eagle and Eaglelite"Interlocking Ccnaete Roofing,Tiles. , cleaned from all interlocking areas. Cracked or broken tiles
must be removed from the roof.Damaged or rusmd flashing
2.0 DESCRIPTION should be replaced. EAsting framing must be adequate for
2.1 General: the additional load.Structural data verifying adequacy should
be submitted to the building official.The existing roof must be
2.1.1 Eagle Tiles: Eagfe conventional-weight interocking insceced in accordance with Appendix Chapter 15,Section
concrete rooting files are pmduced in hien-profile 1515, of the 1997 Uniform Building Cade" (UEC). 'Mien
(Cacisane), law-profile(Malibu), and fiat-cmiie riles with reroofing wood shake roofs,existing shakes must be removed
either smooth surca (Eel Air Standard. Eel Air Esate or and solid Cecxing and tile must be installed, as with new
Eel Air Double Eagle) or tenured surfaces (Ponderosa consttrucion. Mien installed over existing spaced sheathing
Stancard, Poncerosa Estate, Ponderosa Double Eagle or bcares, undenayment complying with the UEC or an
Poncerosa Galcen Eagle). Ridge and rake ;rim units are undenayment recognized specifically fcrthis type of use in an
produced to match each procuct. ICC-ES evaluation report, installed with or without battens,
The tiles are composed of Type II:crland cement.washed may be used. One layer cr No. 30 felt or approved equal
sant, arc grccre:Ary additives. Mineral =icing oxides are
undenaymentmustbeinstalledontheroofpricr;oappiicaticn
octet ;c cr are mixed with poniard cement arc water for cif :lie. In lieu cif this urdedayment's being provided. the
sort`application following exrurcn.Units are carpo under cuiicing official may determine that the existing roc(covering
ccnt,cilec:emcerature anc humicity ccnciticns. Innes are 17 provides the required uncenavment protection.
incites (432 mm) long, 12':, incites (315 mm) wide, and Details not covered under this section are iceniical to those
ncminaily 7,inch(12.7 mm) ;tick. They are manufactured in cescibed in Section 2.1.1.
either Rat or profile style with 1,-inch-,ice (19 mm)
2.3 Roof Classification:
intercc Ong sideiacs cesignec to resist surds water
penetration anc maintain proper alignment All tiles have When installed over solid sheathing in accordance with this
protrucing heac lugs on the uncerlce. whit. provide for rercrt, Eagle anc Eaglelite roofing tiles are Cass A roof
mechanical attachment over wooden tartans. or crovice a covennes in accorcance with Section 1504.1 of the UEC.
stable foundation for nail attachment to solidi decking. Two When installed averspaced or solid sneathing in ac...rcance
nail holes are provicec in each tile for usewhere half tiles are with this report, he tiles are noncomoustible roof coverings in
needed at roof edges.chimneys, slkyticits. etc.Acproximate accordance with Section 1504.2 of the UEC. The tiles are
installed cry weignts ?nth 3-nc't (76 mm) heat laos are 9.5 Class A roof covenngs when installed ever existing asphalt
psf (46 kgrrrr) for Cao sttrna tiles, 9.5 psf (46 kg/rtr) for sningles in accordance with Section 22.2 of this report.
Malibu tiles and 10.0 psf(49 keine,fcr Poncerosa anc Eel Air
tiles. 2.4 Identification:
2.1.2 Eaglelite Tiles: Eaglelite tiles are produced in the The name EAGLE anc the evaluation report number (ER-
same size, manner anti shapes as the conventional-weignt 4660) are imprinted on each tile. A tag on each snipping
Eagle tiles descibee in Section 2.1.1. except fcr substitution pallet indicates the proarcng plant location, product
ofligntwe:gntaggregates and acdtives for sanc.Aperoximate identification and tite installed weight Each Eaglelite tile is
installed cry Relgnts with 3-inch (76 mm) heac lads are 5.7 identified by the precut name'Eaglelite'on a tag and a tient-
psf (29 kglrrr) for Capistrano tiles, 5.5 psf (27 kerne') for colored snip ac'oss the heaclao area /^�
'C:;:i.tacv evert/Jr,nil:a e.anun.a.0•onu „ a I
nnf n.0+ a rn
.m ones, emno.. ...ntl cadr uaJ..m¢ «r a• s a.unnn.hh a snows
u..un.m.n•of A.I„OI...4I vs nro.I rr a r....�.,.h.au hw'a'a:.s...,,w .- nI.WO.:CO i.ainnon..nhre :we aq.Y or.Mahn(ale
;Metre(II alidle..lt.r,n hnh)'.Iwt Tia/e a.Arnow:anted].Me•••ort
CJO.f ,l C :oat P•t/. I JI
t/
.A Ar*iir‘ A v.-. A y. . r , Tr. Tn.
• • • 4 • 4 r 4, • 4. fr. 4*****i
1 ii.71-; p-z-•,; , -...-.7.-1 --t. .... _ic, . ..j , #921 .,,, e...... # _:._6,. - ilail
TROPICAL TROPICAL
ASPHALT REFLEX ASPHALT
WHITE ELASTOMERIC ROOF COATING
r71,_ ENERGY California
Jitt4Z`c,. STAR Title 24 CR C
PARTNERRATINCOOL G
W
ENERGY STAR Compliant CHARTER
MEMBER
TROPICAL ASPHALT's # 921 REFLEX White Elastomeric Roof Coating is a 100% acrylic-based, Title
24 compliant, elastomeric coating that forms a seamless and flexible layer of protection for your roof. This durable
coating is designed to seal and dramatically reduce the surface temperatures. #921 Reflex is a top quality, highly
reflective elastomeric, polymer latex based roof coating, formulated to provide a tough, durable weather resistant
coating. This flexible, fast drying, elastomeric coating adheres readily to most roofing substrates. #921 REFLEX
provides a protective and reflective finish that will keep the sun's damaging rays from prematurely aging your roof,
while keeping the substrate temperatures substantially lower to alleviate stress on the membrane. The significant
degree of flexibility of#921 REFLEX gives the coating the ability to expand and contract with the movement on the
roof.
PREPARATION: Surface must be clean and dry, free of moisture both on and beneath the surface. Sweep roof
thoroughly to remove as much dust, dirt and debris as possible. Use wire brush to remove rust and scale from
metal. After careful inspection of entire roof, repair all holes, cracks, tears or breaks with reinforcing fabric and
#950 Eternamastic. #950 Eternamastic repairs can usually be coated within 24-36 hours, if solvent-based roofing
cement is used to repair, it must cure for 30 days to avoid any bleed through. Coat newly applied asphalt emulsion
as soon as the emulsion can take foot traffic without scuffing the surface, normally 1 —7 days.
APPLICATION: Apply on warm, sunny days, preferably in the morning hours to provide maximum cure time.
#921 REFLEX can be applied to a dry or slightly damp, but not wet, surface. Water must be swept out of all
puddles prior to application of #921. Stir #921 thoroughly before application to achieve a uniform consistency.
Apply with a heavy-duty paint roller or heavy-duty spray equipment. When applied with roller or brush strokes
should be kept in one direction. Apply second coat perpendicular to the first. Allow at least 4 hours between coats
and 24-48 hours for full cure, dependent upon weather conditions. Relative humidity will directly affect
drying/curing time. Avoid over-application. DO NOT HEAT CONTAINER. DO NOT THIN.
araCATrttte0iDitantI
14435 Macaw Street 1904 SW 31''Avenue 1225 Brai Drive I• P. O. Box 5335
La Mirada, CA 90638 Hallandale, Florida 33009 Port Arthur, Texas 77640
03-739-1408 • FAX 714-670-1605 954-983-3434 • FAX 954-'963-2033 409-727-0091 • FAX 409-727-4647
Toll Free 877-827-2622 Toll Free 800-432-2855 Toll Free 866-727-0091
www.tropicalasphalt.com
f t
CITY OF COSTA MESA
REFUND REQUEST FORM
•
From: ❑ Finance Vendor
Building Safety Permit d. _ 0 12-59
❑ Planning �•00
Amount: S
❑ Community Services Date: ID 'big@
❑ Other /
De : t •natur j
Account Fund Organization Program i Project/Grant Amount
U 15150 l 10l I itb3oo � aoulo (7O 1I
Name and address of applicant: torr s L Ferati ca-,
IN I S4 nt& RoS4 Ave
(,o 1-& I�/flt iGt, LA q�7-ZD
Phone: 7I"I
-115q-404q
-404gI0
"nrkrea----. 70120 4
cant's Signature Date
REASON FOR REFUND
t.M/At& a -i- ►-eft wic rt6'cm•
h m Cc
APPROVALS:
Finance:
City Manager'
:401.2: MW ONLINE
Gi tc I 01 --019-01,9
9--c ) 0 oic * --ru kiq
/tav �SQ21 Yi `' I )2Ql
u
cmOi -vt,-7251I 1
•
CITY OF COSTA MESA
'BUILDING DIVISION'
F
o,'1 ,,, I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
PERMIT
t). 'F B06-01259
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.c8'191LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1091 SANTA ROSA AV Status: ISSUED
Suite: Applied: 07/27/2006
Vicinity: Issued: 07/27/2006
Primary Occ: R3 Type of Construction: V-N
Parcel Number: 41205203 Zoning:
Applicant: FERGUSON, THOMAS L
Address: 1091 SANTA ROSA AVE
Phone: 714-914-5559 ISSUED BY: _ C��/// -
COSTA MESA,CA Zip: 92626
Owner: FERGUSON, THOMAS L
Address 1091 SANTA ROSA AVE
Phone: 714-914-5559
COSTA MESA,CA Zip: 92626
Contractor: OWNER-BUILDER
Address:
Phone:
Zip: License: 000000
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF FOR THE PITCHED AREA AND INSTALL 7/6"OSB 4 LAYERS OF 15 LB FELT AND 30 YEAR COMP.SHINGLES FOR THE FLAT AREA
INSTALL BUR
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $3,000.00
Permit: $83.25 Claim Valuation: $3,000.00
SMIP Res: $0.50
SMIP Com: $0.00 •
Other: $0.00
Inspection: $0.00
Total: $83.75
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0.0 t Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
VI
t titk3kitikl:\ ..1)
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
cn -
�t .
ptember 30, 1974
Mr. Richard Carone
•
1091 Santa Rosa Avenue
Costa Mesa, California 92626
Dear Sir:
A building permit has been issued to Keystone Pools to construct
a private swimming pool n your property.
• In order that your pool wil e a safe one and for the purpose of
advising you of your responsibility regarding the requirements of
the Costa Mesa Municipal Code, we refer you to Section 8107, a
copy of which attached. .
This letter is dir ted to you in order that you will be aware of
our ordiances and ca make a complete safety check of your pool
area.
Sincerely yours,
RICHARD HANHART
Building Safety Director
RH:CB
• g 2 )
•` 2.y�'� h AF�J Twini
0ng Laboratories of 0at11E112 aril-07,2(a, /RC.
X2zY OZ °O. BOX 47 • 3310 AIRPORT WAY • LONG BEACH CALIF. 50501 . 1713) 4253355 • (213) 636-2365 . (714) 828-6432
B RA::C•• OPPCES
TESTING ISN DNo s Nn. .,s..... ...o . Non D,'n c,!..T.I•nR
Se••,Ano Cenda,,,k o2703 '<b 2155 Redondo Ave P.O 80.47
1700 53'-2C•5 d t L•,. Eno, Co"' gae7i 12131 090.7990
October '17, 1974 Examination: SC74-6024
COMPRESSION TESTS ON GUNITE CYLINDERS
Mr. Errol F. Heesch
12921 Aspenwood Lane
Garden Grove, California 92640
PROJECT Swimming Pool for RICHARD CARONE'
ADDRESS 1091 Santa Rose, Costa Mesa
SAMPLE FROM Gunite Swimming Pool
ARCHITECT CONTRACTOR
Keystone Pools
ENGINEER SUBCONTRACTOR
Grove Gunite
SPECIFIED
MIX 4-1/2 to 1 STRENGTH 2,000 psi
DATE CAST 10-10-74 CYLINDER SIZE •
DATE TESTED 10-17-74 . 10-17-74 10-17-74
CYLINDER NO. I 11 III IV 1'HOLD"
V "HOLD"
COMPRESSION 7 Days 7 Days 7 Days VI "HOLD"
TOTAL LOAD, LBS. 110,500 102,500 105,000
POUNDS PER SO. IN. 3,600 • 3,480 3,564
SIZE: 6-1/4" x 12-1/4" 6-1/8" x 12-1/4" 6-1/8" x 12-3/8"
COMPLIANCE 7 Day tett complies with specifications.
MADE BY DELIVERED BY RECEIVED ON
CYLINDERS Tom E. Heesch 10-14-74
•
DISTRIBUTION BUILDING SAFETY DEPT,
E.F. Heesch - 2 -
Grove Gunite _OCT22 1974
Keystone Pools •
• Costa Mesa Bldg. Dept. �^
... .. o ._. b ry.. I_ .S •., !I .. . ... ,.. I 4 . ..,o .. nn .Ou r.. n • O_u n c n, CO•,C1.U505 ..
u. _ y I ,' . a ..Iu s . v ... •tn, u w4 ..,,_ .5 . _ .., 0FI . •o cu[•.•s OUC vVeuc .nC1 ol.asELVIS
}} } t I r_ �ui''' •
I t I 1 l I n✓.
I • I-� t I I 1 I I ���,.
• i
1 • j/..';. Y 11-1 •I \ I ...7...-----, i.,, yf
- . — te;.- - t
-- lIl 1 _-- -`_ •
--'.i "�!,/"` -
,
_,- �;: "-r •lit R— i _�. � r_,_ _ _ .
N j
I t.
C , W
i ; , • 1, t U o 0
1 --:� 4 1 oC � oI
t v D4 0 w
l 111
n
4
! I
� t<< ` t ppp0 VE
{I �. kW
CRy c Cosa Nasa Euiri. $h dept, I
i STRUCTURAL APPROVAL ONLY or • r!�//�,
ii THESE_PLA s n' .,T ,F ON J08 EAT LL-TIMES
SEPARATE PERMITS ARE REQUIRED of oEPNO- CHANGES WITHOUT PRIOR APPROVAL
•
�, FOR ELECTRICAL, PLUMBING,
HEATING, VEPlT'I-PTING AND THE ISSUANRE OR GRUITING OFA PERMIT OR APPROVAL
REFRIGERATION WORK OF PENIS AT:O SPECIFICATIONS SHALL NOT 8E CONSTRUED
TICM
I 70 RE A PERC:IT FOR. 0 M
•
OF ANY OF THF PRO'WS:C..3 OFATHIS CODE. NO PERMIT
I.
(1Tv�, �/�,p M1(� 1 PROVISIONS TO FI:TH:THIS CODE ITSCALLE VBEYALID,RECANDEL THE
XCEPT /N SO
1! eYMtlIiOU _ 1v _
}` FAR AS Inc 4Y0 ( OR USE WHICH IT AUTHORIZES IS LAWFUL,
THIS ilUi:3ER II Si F.CC1.'INANY
ALL INSPECTION REQUESTS THE ISSUANCE OF A FE2;glT BASED UPON PIANS AND
SPEPIFICATIONS SH9LL NOT PREVENT THE BUILDING OFFICIAL
•
FROM THEREAFTERIREQU}RING THE CORRECTION OF ERRORS
•
F01� BJILD,N�S YvH c PEGSONS ARE TO IN SAID PIANS AND SPECIFICATIONS OR FROM PREVENTING
} BE EMPLOYED, WE $1ucE$T THAT THE BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN
• STATE OF C"ILIFD.;iBA DIVISION OF N VIOLATION OF THIS CODE Oft OF ANY
INDUSTRIAL S.'IfETY BE CONSULTED FOR •
OF THE CITY, OTHER ORDINANCE
ADDITIONAL REQUIREMENTS.
—•:
., _
cV
a,
1 QxCo" IQOUGN SAWN cOUGLAe FIR
};O CO./aN.;NC4 ON ROC1F GRAN iSA`/I-1 E.AOH eloa OF • 2',,l0" F2pl. :! SAWN ' F.:7!s=F(
N41-10 et: 1u PJ M6 Foe1 (T(PIGAI-)
.P - LAG TO House 'wiT'r' %2 viAve`•�r"Z
r14 T_(Y't / • LAG SC•r<rIkie SPACED 3211
.. ('f{;XIMU0'1 1S — CENTER TO ct=tJTEr�
-• . .1\
a•^'-- • `...- ... -. .� .. /i� j• TOP OP EXi7TW 9 DOOR Ort W;NDG
� — tfL1;eia Wa El. 161 P9 X16-Blti P9 atria Z
' °TECO CLIP" 2rx 6,"
Iii: o1AME•Teg -------- • Tei, LFOGsFZ
GAP.R;Aeg ALT --
I ,,
IQ
TYPICAL- 2• ; ' ROUEN SAV/k.I
• _�� A4" ROU&R 'SAWN vOU9LAS 1_bUG;.AC,_FIFZ 9GAGEp Can
•
.• / . FIR R% 'r5 ePAGEO S'-•pa cii, GEJ-11i=r 7-0 CEWTE? •
C 4TEFZ•-tO G�IJTEIZ (T`(PICAL' MniudiuM F_;c>:;T M'u5i-c EA2
i• bk.. • TOP OF ii,�O'{ oR VJ11'�W
P.
2VWIPE x 1b LOU6 STEEL "H° e1RAP ' EXiS(I11G HOU tie. WALL
EXicriNG FEI.I(:e • - -"'�—I • w/(21 -Y2" PANIETER F./Acme �L'T5
11 1YPICAL. @ ALL RyST. \ • --Fl-lISHtO FLOOR eLEVATON '1-:5:::
(hiN1PaO1J GPa44 or APF'D eauAL) \ (EXIsT1h4G)
•
Plu!ent GIRAt0e- "
N
�ll � as „ d? d =1_ e � IINIPt ui�
.Y6
I 'F'A' , 1 - F. cOOFOK
,Itra.iii'. i'',
Mp_l, 011N •
JRI&IIJAL I=1N;9H GKA7e e;:'ATIOh
all PAMe1ER CO)REIE
Ft O1ING
17
F-16—
•
•
• GENERA!. NOTES - UNLESS OTHERWISE SPECIFIED
1. Grab Beams Shall Have No Slope. -_• • ' i-r-';,- r' . ; `
i �: ,,, ` ::rl�
2. Patio Roof Shall Have No Covering. •i V 1! f� I l i �•� \
3. Builder Shall Verify All Minimum Code Requirements Before L LP"- --1 `j1(• , „ u i , . _
Beginning Construction. ' - - >- •1 ,i,_
4. All WoodShallReceive (2) Coats of "Behr” Stain to Match '.,..I1:1 , ,iii i!"""
House Trim Or Existing Fence. —'
a „ ---V. ._ . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESAp �•CONSTRUQTION PEp ,(1 T� PERMIT NO. T NN L UNIT NO. A9'#H I2—t.172-03 Zone FAIl
Project Address I' JACK- I/�'- •k -- - 113 3� n S Main Building: Accessory Building:
?� ' - TYPE OF CONSTRUCTION NEW. ADO LTERATION U REPAIR E IZ
Applicant's Mailliipg A.cress ✓� El CONVERSION ❑ DEMOLISH , ❑ OTHER T Front
Owner's Name/� 1 '-as r -:Jr,�T W,Y� DESCRIPTION OF WORK/USE OF BLDG. B Rear �`N
Address -.6{-4-444--""".
Arch/Eng. License No. TYPE OF PERMIT • El GRADING El FOUNDATION ❑ STRUCTURAL C Right N
Address ❑ TENANT ❑ E,L1E CTRI L `(n'{ 'PLUM ING ❑ CHANICAL s
• Le G
R
Contractor's Name cE 1 Phone
❑ OTHER 67�l \J t,� !Ping. Ref.# Parking Req./Provided E
Address(mailing) -�./ -( PROJECT DESCRIPTION SQ. FT. OCCUPANCY.7s� �, Planning Notes: 0,L Lf //,, I c."( wy I M
l CONSTRUCTION TYPE VALUATION '7ZSO (
1 lV t ' T
City License No. ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of charter 9 (commencing Remarks:
with section 7000) of Division 3 of the Business and Professions Code,and
my license is in full force and effect. ELECTRICAL FEES
License Class License No.
Date Signature PLUMBING I FEES Automatic Washer Transformer ❑ -
15-50 KW
WORKERS'COMPENSATION DECLARATION Construction Pole Sub. ❑ 50+KW
I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink $hOw¢f5
Yorkers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
1, Lab. C.) •- Dishwasher Meter Dover 100 amps
Policy No. Company Backflow Irrigation Sewer Cap —
_ Certified copy is hereby furnished. - Dryers ❑Gas ❑Electric Sub Panel
- Certified copy is filed with the city Building Division. Bathtubs Sewer Connection --
Date •
Applicant Fan Motors❑41 HP ❑1'h-8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
(This section need not be completed if the permit is for one hundred ($100)or Dishwasher Solar Piping F.A.U. Int.Solar ❑g-1$'HP❑16-15+
less).
I certify th t in the performance of the ark for w ich thi permit is Issued, I Fixtures -
shall not ploy any person in any ngr, to,be me subject to the Drinking Fountains Solar Tank Microwave
Worker e ws of Calif •
r w Device Boxes Pole Light Date Signature / Floor Drains Swimming Pool w/Spa 9
NOTIC :If,a er m ing this declar on, you should ecome subject to tKe Outlets Range
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal •
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign -
1 hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name .
Generator ❑0-5 KW ❑5-15 KW Trash Compactor
Lender's Address Kitchen Sink Water Service
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or ,
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays
any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains I
the Contractor's License Law(Chapter 9(commencing with Section 7000)of -
Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee I $15 Issue Fee $ 3
efrom and the basis for the alleged exemption. Any violation of Section •
1.5 by any applicant for a permit subjects the applicant to a civil
,_ arty of not more than five hundred dollars ($500). II $ 3 DEVELOPMENT SERVICES REQUIREMENTS: ///yyyyyy
LJ I, as own of the property or my employees with wages as their sole Reinspection Fee E $15 Issue Fee /- ( ?�
compensatiol'i, will do the work, and the structure is not intended or.offeretl Zoning Approved By •.( 1 Date
for sale (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL r FEES Building Approved By Date
License Law does not apply to an owner of a property who builds or improves �A ®'-3/D—{.Cq
thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 Application Issued By Date ``�� `'--'' �I
employees, preided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II ❑ SUMM RV OF FEES °
pletion, the owner will have the burden of provinghe/she did not build or im- Duct- Under Ground J
prove the purpose of sale). / i BUILDING PERMIT $ L__ SMTP $ d�
as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT
t actors to construct the project (Section 7044, Business and Professions Code: -
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $
builds or improves thereon. and who contracts for such oroiects with a con-
tractor(s) license pursuant to the contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $
0 I am exempt under Section B. & P.C.for this reason Firepl/Fact.BIL ICBG# Fire Dampers
`y/ PLAN CHECK 50% $ • MICROFILM $ .
Date d-3u owner p / ❑ —`Heating System& Ducting Registers
I hereby certify that I have rea this appli tion and state that the abov 0-100,000 BTU ❑100,000 BTL - MECHANICAL $ TOTAL FEE $
information is correct. I agree to co ply with all city and county ordinances PLAN CHECK 25% $
and state laws relating to but ing onstruCtiOn, and hereby authorize repre- 1
sentatives of is cit o ter pon the above-mentioned pro ert for
Inspection p 5
Signature Date� � f r :7,r-
g Reinspection Fee $15 Issue Fee $ 3 �- ��-�1: -I�0'• I'�?j ;:
Drivers' Lice a or SS �i Ti; R .�„,
. -r
0865-46,rev.5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOP SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil.Pipe-Undrgrnd. 53. Steel Reinforcement ,
3. Electrical Conduit Utility-Undrgrnd. ,� 54. Forms ,
4, •Electrical Conduit,-Undrgrnd. 55. Electrical Bonding - �',•
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test •
6.- Electrical UF ER Grnd. , 57. APPROVAL TO COVER-GUNITE
,n
7. Footings q�t58. Electrical Conduit-Undrgrnd. ,
8: Foundation 59. Gas Pipe, O Undrgrnd.,Test
9?Water Pipe-Undrgrnd. - . 60. Backwash Lines,P-Trap, ❑ Undrgrnd.
10. Structural Floor System -. 61. APPROVAL TO DECK
11y Property Sewer Line & House Connection • 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final •
14. Rough Plumbing • 65. Electrical-Final
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 ❑Oil
•23: Gas Pipe-Rough & Test 72. Underground Flush
-24. Roof Framing 73. Undergrnd.Storage Tank El Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27: Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
n
lf
34, Final Heating & Air Conditioning O,{4 970: /,teVt $70
/
35, Final Gas Pipe-Test
.36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
•
40. Gas Service-Final
41. Solar Domestic-Final •
42. Backflow Preventer'-
43. Backflow Irrigation '
44. ,Landscape Irrigation System -"-
45. Sound Attenuation
46. Handicap Regulations
47. FINAL-STRUCTURE & BUILDING /$Jr c9IIJp-'
48. Special Requirements Completed 7
49. Electric Release to Edison `
50. Gas Release to Southern California Gas Co 1
51. CERTIFICATE OF OCCUPANCY - o
'
No. Date
t i
•
PARTY WALL AGREEMENT
THIS AGREEMENT, made and entered into this • day of
/� , �, by and between 4,a62./Y.,/ pie--)0
ms �f3�
hereinafter referred to as 'LAND CWWR•, and V "`
hereinafter referred to as •ADJACENT PRCPER .t OWNER
It is hereby agreed that a party wall will be constructed on the
Property line between /IC) 9/ Q acie/
jt•-/S-2- ( dress of Adjo iin ng Properties)
in the City of Costa Mesa, County of Orange, State of California, as per map
recorded in Bock , Page_ of Miscellaneous Maps, in the office of the
County Recorder of said County. The party wall shall be permitted to encroach
IN WITNESS WHEREOF, the parties have entered into this Agreerent the
day and year first above written.
IAND C NER ADJACENT PROPERTY OWNER
Z7P'S Ar-o'rellreireetp/ y(11_,I1D
ICA L Gil-_% _ co4ctey Q`Gto,J
Name (Typed or/Printed) same
(Typed or Printed)
/0 9/ --rtln i (}C O GQtJ� �7 e1 2i cL a t
(Address) (Address)
APPROVED
City of Costa Mesa Building Dept.
•
BY _ DAT 19. • I1� �r / _
THESE PLANS MUST BE ON JOB AT Alt TIMES MAKE •'tr'b I man:-
6 Ii 1 lb
S
.ngn
NO CHANGES WIT 1OUT PRIOR APPROVAL OF DEPT. Q}!
'��� s3tit4' �an,N„v� off' "9(( r
THE/ISSUANCE OR GRANTING OF A PcRMu OR APPROVAL OF ]0
PLANS AND SPECIFICATIONS SHALL NOT SE CONSTRUED 10 SE.A •star
PERMIT r0R, OR AN t:PROVAL OF, ANY VIOLATION OF ANY OF D)
THE PROVISIONS OF TH15 CODE.NO PERMIT PRESUMING TO GIVE 0 DQ -30_1,7
AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF THIS ��iPl�y,,�
CODE SHALL SE VALID, EXCEPT S:SO FAR AS THE WORK OR USE Ata
' WHICH IT AUTHORIZES IS LAWFUL. .
THE ISSUANCE OF A PERMIT BASED UPON PLANS. AND
SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL
r PROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN
SAI . PLANS AND SPECIFICATIONS OR FROM PREVENTING
BUT DING OPERATIONS BEING;PRIED ON THEREUNDER WHEN
IN' IOLA TiON'OF THIS CODE OR.OF ANY OTHER ORDINANCE OF
TNT CITY.
/ `7l
1 •
eIII 0
R[nR[11R[ 9D r
P. R[RIO[RC[ / 'SIL LI
be w
it
h I,
1 M
ti
1ot? t°1( 71 ' it .
TYPICAL 611 CONCRETE BLOCK FENCE
Cement Coping Optional GENERAL— NOTES
Channel Block With 1.3/80 l'
Horizontal Top of all MORTAR: One Port Plastic Cement, and
Fences H I I I Three Ports Sand
For Fences 5'or Lao 'a GROUT: One Port Cement Thee and
Vert.Ban 3/B at 4'-0"O.C. ?d� 2 1 I I `� One Half Parts Stand
��' a = COPING: One Port Cement, Three
For Fences Higher Than 5' row " u I • Parte Sand
Vert.Ban 3/8"0 at 32"O.C. • > CI - - - _ CONCRETE: Well Mixed 1:2-1/2: 3-1/2
a = Max. of 7-1/2 Gallons of
. Fill Cells Solid With Grout II > z Water Per Sack of Cement
Where Steel Occurs > –
Reinforcing Steel Shall 1 W Ir
I11 Si GROUT MAY BE POURED FROM THE TOP
_ OF THE FENCE IN CELLS WHERE STEEL
Conform to Sec.A-1538 w 0 OCCURS.
• A.S.T.M. ��� Z ~1 53 I I CELLS AND AREAS OF HORIZONTAL REIN.
w n FORCEMENT SHALL BE CLEAR,CLEAN&
All Steel to be Lapped IIIu. - I FREE OF ALL MORTAR DEBRIS,ETC.
2e"or to Code
NATURAL GRADE :�// 1' Pi. �
VIII I I I
Q iii i N./.
J a lhr .i a
381,5 -o • e.
TVA Z'm BARS 'tLI b l ••,. . . • . •.. • .
CONTINUOUS TOP BOTTOM • 10 16' 0 C. MAX. e
& '' ''elWIDTH
SEE CHART t • I •
MCOZ.ST EEL MUST BE TIED IN BELOW • DEPTH OF EARTHTCOTH
PLACE AT TIME OF TRENCH , I I i ;. IL3 THE 1EIGTH OF FENCE
INSPECTION. • L •-.•BELOW BOTTOM OF FOOTING •
. "�• 10" ( i..� SCALE: 1/2" • I'
FOOTING REQUIREMENTS CHART '
• 1 WALL HEIGHT 6' 5' y 4r 3' l
' WIDTH 14" 14" i ,.Ie. 12
.: . . .• . . " =
THICKNESS 10" . . 10" B" 8 "
DEPTH OF EARTHTOOTH . . . 24" . . . . . . .20" 16" . . . 12"
SPACING OF EARTHTOOTH. . 12' 14' 16' 16'
�+ OWNERS NAME:
City of Costa Mesa, California JOB ADOPERMIT RE SS' _ — —
Building Department SIGNATURE. —_ _ -- -- _ –.
OWNER CARONE; RICHARD DATE 9-26-T4
JOB ADDRESS 1091 Santa Rosa Ave. BUILDING PERMIT NO. 39025
NERAL CONTRACTOR Keystone Pools DESCRIPTION of WORKP t.Sxim Pool
4No. 412-052-03 LOT TRACT FIRE ZONE
Signotur. Dote GROUP J VALUE $ 5,000.00
INSPECTIONS TYPE III ZONE RI
Pool Location '1' Qgx/ SUBCONTRACTOR PERMITS ISSUED
Date I Number I Signature
Forms ' ` _
Main Drain • \
Steel Reinforce \\
Elec. Bond 6 Electric
Approval to Cover A1 P-9-7thfr ,. . - 9-a6-7t 3doa 6/
•
Underground Electric I Gas Piping Test ,.� Q-2/-7q PlumbingFiltering System LinesI 470,4 /26,0{4. j'rn-7‘/ 6 1.303
Backwash Lines and Recep.
Electrical Final
er and Vent Final
Filter System Final
Backwash and Recep. Final i
ra..,.,..,. F;nnl /4414.
a {y
`f25PAID
SEP 76-71Ens2001080' ****44.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
RECEI Vyn$D Y DATE RECEIVE�DJ DA E ISS�IEPD
BUILDING di ` /J q-c?b--7'/ -oZ4 /y
ADDRESS la diISAAJZA RQNR kin
OWNER !
C� ic -k ' tt C-Ae_oo A.P.NO. /i -OSc -03 .07
MAIL sy.�� /SOX
/� BUILDING 'On ' Or��;n eo5 �S s
Z ADDRESS 1 v�` t�Ps(� s+'\ `(JS s� ...ttt ADDRESS 0] R �} .{_
0. 0 CITYQO'1.-4 , SPr NO.C�`/��`�21 TRACT�j6317 LOTL�.6, BLOCK
CONSTRUCTION J NEW ADD ALTF- IPFPAIR MOVING nFMO)ISH
Z I— LENDER
.j AO
2
BRANCH \ Nat
t
JN _ OWNER (C� V Nadu .
m Ill ADDRESS "isi ''Y//TTI VALUE
� til .
J,a ARCHITECT `/,,rl',�p `�s G TEL. -� E�/OOO .
N OR ENGINEER { Uu`II-�'1�'` \LC J NO.
U 4 FIRE j(.
Litt ADDRESS ZONE TYPE �GROUP�`
O. w APPROVED I/
tit J Q CONTRACTORK��S .�11JE. POOL BY DATE
-J ADDRESSIO(q J MA I�
W W ZONE n NO.OF USE OF NEW /
Zh / TEL_CITY(21QA,.J C NO.a..(j4.l (rC PLANS `Z- BUILDING �VO
N_Q STATE (�Q /C CITY -• YARDS APPROVED
cc LIC. NO.2bZDdi I c LIC. NO. MAIN BUILDINGACCESSORY BUILDING[[
(FROM
O SIZE NO.OF SLOGS.
W )41
OF LOT NOON LOT -• 7 FT.4/4
USE OF
EXISTING BLDG.Sw 1 - p 0 0 p d
• FT.
I-- SIZE OF NO.OF //
Zs:C NEW BLDG. ROOMS STORIES • FT. alpu a/
f..0 EXTERIOR WALL ROOF
COVERING COVERING REAR FT. �f FT.
—I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
f]' MAIN BLOCS. ACCESS.BLOCS.
CC VVAR,* DATE
O ‘' C3 14sza0 C-Z W 1 SA
, 00 1/4+ C.U.P.# APPROVED _
tiAPPROVED L/ O A n DATE 9-&e - 7 Iz TBY U!
O CMVI hereby acknowledge that I have read this application and staterthat the above information is correct and agree to comply withaall laws regulating building construction, and I shall not employ SaI—, any person in violation of the workman's compensation laws of
0 the State of California. ls7D m
2 I hereby certify that I am properly licensed as a contractor under 5SO SO. FT. o
the State of California Business and Professions Code. Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, end that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ft
am exempt from the provisions of the State of California Business VALUATION � �)
and Prof esslont Coyyee rvision 3,Chap r 9. �C/ VZ a)
/ ) `\ PERMIT FEE $ // I to
Signature of Tf// ��_ �� [, E
Permittee $��p� PLAN CHECK $ /�s�/ l7 E
ti
Authorized Agent @@@@���� ` 2/4$
/ $I u.
\ _ TOTAL FEE a ^ri
UWNtk cAtiUN.IS) tticnara r'ranxlln DAIS .14-1( (4
JOB ADDRESS 1091 Santa Rosa Avenue BUILDING PERMIT NO. 394214
GENERAL CONTRACTOR Ownr.-131.dr. DESCRIPTION of WORK Patio Cover
AP No.1i.12-052-03 LOT 46 TRACT 6637 FIRE ZONE VALUES 600.00
INSPECTIONS Signature Date TYPE V GROUP J ZONE R-1
SOIL
C GAS SUBCONTRACTOR PEf2MITS ISS�IED
Date I Number I Signature
WATER Plumbing
ROUGH PLUMBING
ZPROP. SWR. LINE ❑ HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES(ya FORMS ❑ STEEL REINF.
FLOOR SYSTEM
BOND BEAM [l STEEL REINFORCE 7
SHEATHING
FRAME AND FLASHING
LATHING - IN OUT 0
PLASTER, BROWN COAT
STRUCTURAL. FINAL Electric
HEATING, VENT., REFRIG. AND A,C„ FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC. FINAL
BUILDING, FINAL tRC.
424
COSTA MESA BUILDING-SAFETYDEPARTMENTPAIS I� *'.it:;r;6,SC
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • -' 17-�L'tpc•Q" 832
' APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely A q IVEDI�V DATE RECEIVED'
/ Q C �/]'� /�/J�/1�/,s� �.. .DATE ISSSSUEED[/),
ADDRESSP[�/1[O�/(,QI�. 4611,1
/,ss'.�! !/T�'/ g ("/itl P/'1�I4 J I Qg--]I(��t¢!-� / 7�
OWNER Pie///Af l+4 If' 11,1t/j t)`/�`-T w"'& A.P.NO. - Z—OSjth
Prr424
ADDRESS ( 09 4.9:M/71%• eOc4 ME' ADDRESS/O 9/ ,F�
z
MAIL `w La //� �7 �/'�
eL U CITY Gas-71 in GSf_ NOL�7y�a7 TRACT cP�� / LOT /-(O BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
-hI-- LENDER X
JD BRANCH OWNEGr/rlfLl.l 1 IZ AN(Lin/`t-'ir W/`z�
J N lf/
Q w ADDRESS
CO J • /' VALUE /LJ
•m ARCHITECT TEL. USE PA-770 ..-.--7/.._ $ U
J C OR ENGINEER NO.
V CS) FIRE T
W 2 ADDRESS ZONE I TYPE GROUP 7\--
0. L9 /^! � ` APPROVE AL
II �J -4
J Z CONTRACTOR 62 ((f ger_ Id./i LD(Y(� BY �.rU I DATE i 2-I I '/�(�
mZ I
J cc ADDRESS
W w TEL. 20 NO.OF USE OF NEW fTn t .
= CITY NO. l PLANS BUILDING cover
Zf-
W O STATE CITY YARDS APPROVED YARDS APPROVED
to Cr LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D0 SIZE NO.OF SLOGS. (FROM C/L STREET)
OF LOT NOW ON LOT FRONT CSFT. FT.
USE OF
EXISTING BLDG. R.SIDE 11 FT. FT,
F' SIZE OF y 7 NO.OF ,t
Z NEW BLDG./ ri7 ROOMS STORIES t L.SIDE H�FT, FT.
Q EXTERIOR WALL ROOF I✓// ^ IC-j /
UCOVERING COVERING /-/' REAR FTir/i FT.
J USE OF BUILDING AND WORK TO BE PERFORMED
Il DISTANCE BET. BET.MAIN&
MAIN BLDGS. ACCESS. BLOCS.
0 nm
Q ATE
,�7d OA Veg.__ VAR.# APR
O J')"�� V C.U.P.qW APPROVED
J
to BY ROVED/ , C.7•6.)0 DATE I L- 17---1 /
0 I hereby acknowledge that I have read this application and state �1 SIOC
that the above Information is correct and agree to comply with ( f.-'7) \3
¢ all laws regulating building construction, and I shall not employ
•
I- any person In violation of the workman's compensation laws of
V) the State of California. �� INCyOS
I hereby certify that I am properly licensed as a contractor under SO. FT. O
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: $
am exempt from the provisions of the State of California Business
VALUATION oz-9 w
and Professions C Div cion 3, apter ; �� ?
f`I!}/, PERMIT FEE $ (rJ
Signature of 9 / J) f/�f /q -7 j al
Permittee /� �'s'"'�, ` �� $U �J (/ PLAN CHECK $ E
Authorized Agent O u
TOTAL FEE $ `
295 .Jal, -69! 1°00 203* ****99.Q(.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
/� For Office Use Only
BUILDING / „-
ADDRESS 1091 Santa Rosa {.(.Vv RECEIPT NO. 7Kge(Ygo{
COSTA MESA. CALIFORNIA —• OJ 7 1
RICE, ' DST DA RICE'VE DATE ISS
OWNER }4P1tzer Enterprises-Costa Mesa ' .
OL"O[., -Ye Z.
i
MAIL BUILDING /01/ _ e , //.,_,
ADDRESS 144 South La Brea AvenueFIADDRESS !( 94I4.�� L.L[At
grcnn' Los Angeles 90036 No 933(6-1)10/w ZONE W 3 TYPE GROUP
ORR ENGINEER Frank Gonzales no-32-6878 _BYPRov[D DATE
1336E E. Chapman Avenue ZONE NO.OF ZONING OFUSE NEw
ADDRESS Orange. California 92668
R1 PLANS 2 BUILDING Res. w/
CONTRACTOR George J. Heltzer & Assoc. p• Attach-Garage
LEGAL
ADORES! 144 South La Brea Avenue DESCRIPTION Tor 46 Tract 6637
cnTY Los Angeles , California 90036 A.P.No. None
NOTE: NO[AVE OVERHANG SHALL BE LESS THAN
STATE
201098 TEL. 936-1104 30•TO SIDES REAR P.L.
SIZE I NO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT) -
OF LOT NOW QNI,.OT VESO
' YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET)
SETBACK LINE FROMmom* cbrT FT
CENTER OP STREET REAR YARD 20 I � �///'j
SIDE YARD I LEFT 5 '
I RIGHT 251 R.SIDE J 5 T.P4 T.{(,L(�(i,/- `FT.
DESCRIPTION OF WORK L.SIDE 5 PT. Rr.
NEW X ALTERATION ADDITION REAR !✓ PT. Fr.
DISTANCE BET. BET.MAIN&
REPAIR MOVING - DEMOLISH MAIN BLDOII. ACCESS.BLOGB.
BUILDING NO.OF VAR.# DATE
SIZE ROOMS STORIES 1 C.U.P.# APPROVED
COVERINGEXTERIOR WALLstUCC01 COVERING wood shingle APPROVW � i��� RATE I,l,/.3l)lb"�
, I') l
USE OF BUILDING AND WORK TO BE PERFORMED KIO.
nwalling and Attached Garage 61
Plan 402DRX - Lot 46 1
--11/9f0 SQ.nil 7tij NI
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHQ�IN UNDER VALUATION IB FOR THE j
AND STATE THAT THE ABOVE IS CORRECT'AND AGREE TO CON. PURPOSE 01. ESTABLISHING A PERMIT FEZ ONLY. F13
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION //
BUILDING CONSTRUCTION. PERMIT FEE $ (p,(FSI
SIGNATURE OF G�t% ` OG €
PERM ITTEB ✓j7G o
s / PLAN CHECK $ 3.?— B'
AUTHORIZED AGENTQ� ���
TOTAL FEE $