HomeMy WebLinkAbout866 SENATE ST - Building PermitsO M
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CITY OF COS�A MES�r
� BUILD/NG DIVISION �
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
(714) 754-5273 • Fax (714) 754-4g56
Job Address: 866 SENATE ST
Suite:
Vicinity:
Parcel Number: 42239209
Applicant: UNKNOWN
Address:
owner: HEINKEL, ROBERT S
/ Address 866 SENATE ST
/ COSTA MESA, CA
Contractor.
Address:
Zip:
Arch :
Address:
Phone:
License:
BUILDING PERMIT
Zoning:
Phone:
Zip:
Phone:
2ip: 92627
Phone:
License:
Eng:
Address:
c _ �
NUMBER'
� 699-01666
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 10/14M999
Issued: 10/15/1999
ISSUED BY: �,�
Phone:
License:
SCOPE OF PERMIT
ACTIVITY VOIDED. INITIALIZED BY PLANNING WITH NO FURTHER ACTION. NO NOTICE OR COMMENT AS TO STATUS
OF APPLICATION. ACTIVITY MAY BE REACTIVATED IF APPLICANT RETURNS TO CONTINUE THE PROCESS. KJC
CONSTRUCT A TOTAL OF 70 LF OF 6' HIGH BLOCK WALL, SPLIT IN HALF ON BOTH SIDE PROPERTY LINES.
FEESUMMARY
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
I nspection:
Total:
$33.12
$50.95
$0.50
$0.00
$0.00
$0.00
$84.57
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 67- 0
PARKING Existinq: o
NOTES:
Rear 0-0
Rear 0-0
Required: 0
PLANNING & ZONING
Left 0- 0
Left 0- 0
Pr000sed: 0
EXPIRED
n� a ai o �
Calc Valuation: $i,aoo.00
Claim Valuation: $o.00
Right 0-0
Right 0-0
NOTICE: The work authorized by (his permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRA710N: This permit shall automatically expire and become void it work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 1 BO days.
INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
requfred Inapeetiona and finel epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (774) 7545626
��
WORKERS'COMPENSATON DECLARATION: �
I hereby aftirm untler penalry ot perjury one oi ��a following tleclaratlons:
❑ I have antl will maintain a certificate ot consent to self-Insure for workers' compensation, es provided for by section 3700 ot the Labor Code, for the pertormance of the
work for which ihis pertnit is issued.
❑ I have and wiil maintain workers' compensation insurence, as requiretl by saction 3700 ot Ihe Lebor Code, Por ihe pedormence of the work tor which this parmit is issuad.
My workers' compensation Insurance carder antl policy number ere:
Certier: Policy Number:
(This sectian need not be campleted il the permif is velued af one hundred dallers (3100) or less.)
❑ I certity that in the performance of the work for which this permit is issued, 1 shall not employ any person in eny manner so as to become subject to the workers'
compensetion laws of California, and egree thel if I shoultl become subiec� to the workors' compansation provisions ot Section 3700 ot the Lebor Code, I shall forihwith
comply wilh Ihese provisions.
Applicant Signawre: Dete:
WAANING: FAILURE TO SECURE WORKERS' �MPENSATION COVERAGE IS UNL4WFUL AND SFl4LL SUBIECT PN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
7tI0U5AND DOLL4RE (5100,000), IN ADOfTION TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED WR IN SECiION 3/O60F TME LABOR �DE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm the! I am licensad under provisions of Chaptar 9(wmmencing with Section 7000) of Division 3 of the Business and Professions Code, antl my license is in full
force and effect. Lic. n Class a
Coniraciofs Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aXirm Ihat t�ere is e consWclion lending egency for ihe pedormence ol Ihe work br which Ihis permit is is5uad (Sec. 3097, Civil Cotle).
Lentler s Name: Lentler's Atltlress:
SignaWre: Date:
OWNER-BUILDER DECLAflAT10NS:
I hereby ettirm thet untler penalry of perjury t�at I am E%EMP7 FROM 7HE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or county which requires e permit to construcL alter, improve, demolish, or repair any sWCWre, pnor to its issuance, also requires the epplicant for such permit
to tile a signed statement Ihet he or she is licensed pursuant to the pmvisions of the Contractore License Lew (Chepter 9(commencing with Section 7000) of Division 3 0l lhe
Businass antl Professions Code) or thet he or she is e:empt iherelrom and the basis for Ihe elleged exemption. Any viola�ion of Secilon 7031.5 by any epplicant for a permit
subjects the epplicant to a ciWl penelry of not more than tive huntlrad tlollars (5500).):
❑ I, as owner oi the property, or my employees with wages as Iheir sole compensation, WILL OO THE WORK, end the sirucwre is not intended or oHeretl for sale (Sec.
7044, Business and Professions Code: The Contrectors License Law does not apply to an owner oi property who �uiltls or improves thereon, and who tloes such work
himself or hersetl or through his ar her own employees, provided ihat such impravements are not intended or oHered far sale. If, however, the building or imprevement is
�sold within one year of completion, the owner-builder will have ihe burden ot proving ihat he or she did no1 buiid or improve for purpose of sale.).
I, as owner ol the property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Professions
Code: The contractors License Lew does not epplY to en owner of propeny who builtls or impmves lhereon, end who contrects for such project with a con(ractoqs)
� license pursuant to ihe Coniracbrs License Laws.).
Business entl Protessians Cotle for this reason:
ID verifiad by drivels license. 0�'es ❑ No (Drivers Licens�JNo. � Expira� C� l' Cv
Ventication of Ownership by (type of tlaument, i.e. - properly tae bill or
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby cenily that no ezcavation five (5) or more feel in tlepih Into which a person Is requiretl to tlescend, will be made in conneciion with work authonzetl by t�is
pertniL antl ihat no building siructure, scattolding, talsework, or tlemolition or tlismantling thereof, will be more ihan thirty-siz (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title B, Celifomia Administretive Coda).
❑ As owner-builtler, I will not employ enyone to do work which would require a permit from the Division of Intlusirial Safery, as notetl ebove, unless such person has a
permit to do such work trom the division.
Signature: Date:
Division of Indusinal Safery Pertnit Number:
CER7IFICATE OF COMPLIANCE AND AUiHORIZA710N OP ENTRY: I certity under penalty ol par��ry ihat I have read this application entl state that the information givan is
correct I agree to comply with all state laws and ciry ortlinences releting to building construclion,"and amhorize representatives of the City of Costa Mesa �o enter upon the
ebove-describetl property for iospection purposes. I egree not to occupy or ellow occupancy of eny 6uilding authorizetl by this permit until linal inspection.
COOE I. INSPECTION TVPE
7616 Fixetl System Final Fire Prevention
1266 Pool Spe Final
200 Final Re-Roof
201 Final BIocWRe�aining Well
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
26a6 d6
�n�r,�r��r��:
SOOE 1 INSPECTION TYYE
206 Final Mechanical
20B Final Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final BuildinyOccupancy
S•S4
Qfjjf, INTRIALS
�
DECLARATION OF .UTHORITY
FOR AGENTS OF PROPERTY OWNER
TO APPLY FOR PERMITS
Bldg. Permit N
This Permit #
f33C.4 Se�„�i�� S�- C�s ln�eSR
Street Address AP Number
1. 1(we), _�_ , declare that I am the Owner of Title
of the above referenced real property, and that I(we) hereby authorize:
�., �, k ��.-�� �.. -,�� SLc - f (�3C
Name Telephone No.
'i'1�I S. Vh�rohA
Street Address
�,r � �+ CA- �iZ 3z l
Ciry State Zip
to obtain permits in my behalf, as owner/builder, for
at the above referenced property.
2. Should any person become an employee engaged in the improvement of the property, I(we) shall im-
mediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage
to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws.
3. As ownerlbuilder in fact, I understand and accept that my responsibilities do not transfer to any other per-
son, company or corporation.
4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any
claim resulting in damage or personal injury to myself or any other parties as a result of work authorized
by the permits from the City of Costa Mesa.
5. I declare under the penalty of perjury that the foregoing is true and correct.
Executed this I� day of �-� 19�, at lo�R M�Sf� Califomia.
/Co'Se21'%-" .—t't- M-C-T..�i+%ILdG
Printed ame
'�_
XD '"� y .' gc'l
Date
NOTE: This authorization does not grant authorization to perform the work as owner, it solely provides
for limited power of attorney to secure this permit in any behalf.
on9�a6 (Rev. 7/91)
��,IGll;l: �:�Id�l�.i..�` d,71, I,�
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• n�ns s��j�,�+ g�a�diid�ldL�TY • so�.m w,U.ts/�xc:Fs esnvm,r r�c• � s w rmcxr srut.t
ONLY. APPI.ICA • IG'�PdiP NIG EE SE7'BAIX AT LEA57' ld FROM FRON! PROPFR'IY LINE.
AN ACNRA'IB . 6f '�t PROPFRIY / i'9
QJ G1SE THE SHAPE NOT OORRESPOND �o /� y I • 90I.m WAISS/FFNQ�S SFULL NOT HX� 2' 6' QJ F�[CFff
wr� n� n�ox�nox rxovmID ox r�t. � ia oF ��eoxr exo�an tAte paorcv�s tAre�.
� M„aljp�s MUST be kept cn'.his job et aU limes end il fs � B`�� to DSI'AN� FROM CURH TO PROPEKIY 1.RdE
This set ot planse a�qn ��,�N�itlen pertmss�on�� D� AND StiOW ON PI.W. VFR¢�IG110N FROM'iF� QIYS
i�g ��yig EN�R�tWC DIVSION 6 REQUIRED. GIL (!14) 7545343
3nd Salety, ��' of Costa Mesa. m�A a to be an ep�t�9k�A7PORMA'AQN-
The stampmA ot this Pfan ard s��lio� SHALL NOT be heldto pe
of the �o12Y.on ot any prcvi;iens a arN C:ty o1 Cosla Mesa Ordinance arid�or °• �'"'
� axFire by ti
m'ta!wn ar�E G rome �u� and vorcl if the
TheSe pl2ns BnQ nPrtnG �� j; �. i �or Go.�� (� p;illim 180 d2y6'
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DIiIQ�!S, DELETIO�JS, OR CORRECTIONS SHALI
�E F'r"�!?OVED 6Y TNE PLANN � � IVI ION
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a. I�inGl / / — D (LCY
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� CITY
_ ?� STREET
NIMG DIV.
BLOCK WALL LAYOUT FOR BUILDING PERMIT
PlANNING DIVISION
TYPICAL 6�� CONCRETE BLOCK FENCE
Cemenl Cpping Optional �
Channel Bbck With 1-3/8�
Hori:ontal Top ol all
Fcnces
Foi FenCe� 5' or Less
V<n. Bars 3/8"yS at a' -0" O.C.
For FenMs Higher Than 5'
Vert. Ban 3/B"� at 32" O.C. �
Fill Cells Solid With Grout
Where Steel Occurs
qr.inlnrt��g Steel Shall
Contorm to Sec.A�15�39
A.S.T.M,
All Steel to be Lapped
T4" or to Code
NATURAIGRADE
TWO ]/e"O BARS �
CONTINUOUS TOP �
6 BOTTOM
NOQ1ZSiEE� MUST BE TIED IN
PLACE AT TIME OF TRENCN
INSPECTION.
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LL F
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SEE CMa
BE LO W
FOOTING REQUIREMENTS CHART
WIDTH . . . . 14" . .
THICKNESS . . .10" .
DEPiH OF EARTHTOOTH Q4"
SPACING OF EARTHTOOTH i2'
14.
10"
20"
14'
BUILDING DIVISION
,
8"
16"
16'
GENERA�- NOTES
MORTAR: p�e part Plasfic Cemenf, and
T�rte Parts Sand
GROUT; One Poit Cemenf TMee on0
One Half Parts S�and
COPING: One Port Cemenf, Three
Paf15 Sand
COVCRE7E: Wetl M�Red 1:2-I/2:3-i/2
Ma■ of 7- I/2 Gal;cns of
Waler Per Sock ot Ceme�t
GROUT MAV BE POURED FROM THE TOP
OF THE FENCE IN CELLS WHERE STEEL
OGCVNS.
CE L l5 AND AREAS OF HONI20NTAL NEIN
FORCEMENT SHALI BE CLEAR, CLEAN 6
FREE OF ALL MORTAH OEBR15, ETC.
M (.� C4RTHTCOIH
V! frlE HE�GTM O( �ENCE
�IOW BOTTOM OF f'OG7�NG
SCALE: I/2'�= I'
12"
8"
12"
16'
7•�- •
9
0
" " .. _ . . . : ; .. . . _ �y�:�,� .
. . . ;- ' ""��� . -
.r�
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� ' ��' INTERlVATlONAi TESTfNG CORPORATION
,, � -. � �
GAriidd 2�6550 �
TEIEPHONES GArtiald'2�7500 � 6179 CMERRY AVENUE - V. O, 80% 84�8, IONG BEACM B, CAIIFOGNIA
NEveda eae2� � �
•r
Identi£ication No:
Architect or En�inear:
Contractor:'
Structure:
Sample from:
Miss
Total.Water:
Admi,ature:
i
REY()RT ON GUNiTts TEST CYI,INDEA°" '
F+398-1152 - P-358-1285'.
I+Iclntostt
Anthony Bros.
m
� .� _., .
R.ii. Valdea 3wimming pool, 866 Senate Ave.
Costa Mesa� Ca]:ifornia
Floor -
;4.5:1 3Q00 P.S.Z: @ 28 Days .
3
Specimen Nos: � • • �
Date Made: 9-26-SS �� 9-26-58
• ' � '�
Date' Tested: � ' 10-3-58 � 1a24•58
:
C�@BESSION--- � �
8
Tot81 Load, I,,be.: �� 58,OOU ��, 88�500
Lbs. .per sq. inch: � 2,120*�•,130*t
Speciinens made by: Anthony. Bros. `.•H• L. Sa
Specimens delivered bya g. L. St,�eet
3pecisnena received: 9•28-58
*5.94 In. Average Di�coeter = INPBRt�ATIQI4AI. Tl
27.f9 Sq. In. Avazatge �oaa-
Secttion�l, /�irea �
Average Di�neter � 6. In. _..
,
4'1'
f� ,icct�vELl
,. Nov .�„ _
{ ��• �:�_
�t 1 �Q of C�cta hl,sa
yt.:
tor �,
f.
OWNER FAARr.-COu.�TRiTCTT(1N CORP_ oATE 3_19_r7
JOBADDRES$ 866 Sen�„a Street buILDINGPERMITNO. #(1%],LI
GENERAL CONTRACTOR I'1Q0 �onstruction COI'p� VALUE $ 1].�88(�.00
LOT 1jA BLOCK TRACT 3143 Res. W,�Btt. g2T•
GROUP I&' 'J TVP� V ZpNE R1l FIHE DISTRICT 4637
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR— DATE I NUMBER
Footina Trench _��7' � � � y
�tion Forms and Grade to
Framing _
_.\'71 cL� /y ✓
Heating, Final /
Bewer, House Sewer, St.
Septic Tank or Cesspool
�athing, In Out
Plastering i
Plumbing, Final, Fixtures Comple�
Plumbing,Fin.alGasTest �,L—
Wiring,Final �^n �
Occupancy ���
FORM 210 9M 10�59
�63'7
l.OSTA MESA BUILDING DEPARTMENT
P. O. BOX 31�
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING
AOORESS
COSTA MESA. CALIFORNIA
OWNER Fabre Construction Cor .
nooRess ?1L01Y Via L1do '
c�TVNewport Aeach Tr,o: Har
ARCHITECT LIC.
OR ENGINEERR. Levanas NO. 7 7
ADDRESS��W W. W
CONTRACTOR
ADDRESS 4'OLF Vj.
LEGAL LOT 11
OESCPIPTION NO. �Y'
A.P. NO.
OFZLOT 6O X ZOL
FEE RECEIVED
`Yh�,.�,����� -�
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PERyI]_�'�_�
47
IECENEO BY DwTE FlECENEO �sTE ISSUEO
�,,,,_..o -.�_ �-( � MAR ] A 14S
COSTA MESA. CALIFORNIA
FIRE
ZONE �
J CITV NO. µi:L ��
TNO.FI2i 7].fy eP
BLOCK TFACT�1��
NO.OF BLOGS. —O—
NOW ON LOT
EXISTING BLDG.
SET6ACK LINE FROM � �
c[Hrcq or sra[er ,� Q REAR YAftD V�
�� i q l �r
SIDEYARD RIGHT �J" � LEFT � ��
DESCRIPTION OF WORK
NEW - iS ALTERATION ADDITION
REPAIR MOVING DEMOLISH
B�ILDING NO.OF
SIZE ROOMS STORIES
EXTERIORNyLL.� ..+........ ROOF „y���„� �}��„„��
CORRECTIONS
r
� / ��
I HEREBV hCKNOWLEOGE TMnT 1 HwVE REnD TMIS wPPLIGTION wN0
$TLTE THAT TNE ABOVE I$ CORRECT 1NO .�GNEE TO COMPLY WITN ALL
CITY OROINANCES >ND STATE lP�NS REGVLATING BUILOING CO $TRUC�
iion. VAIUATION �i
SIGNATURE OF PERMIT FEE S � Q '�
PERMITTEE '/
L1CIO CO(1S'tT�UC'tl COI��• // t� � �./�� PLAN CHECK S "
$ � Q !
AUTHORIZED AGENT ' TOTAL FEE S �a '� �OM�
OWNER VALDRS, RICHARD VI('""�R ���,? ���ro ^�TE 9_2_5$ _
iOB ADDRESS 866 Senate Str ' .LDING PERMIT NO. %4%6
CONTRACTOR AnthOn,y BrOS. PoOls VALIIE $ 2�a00:00
DESCRIPTION OF WORK SWiM
GROUP .T TYPE
INSPECTIONS r' N I�DA�g I SUBCONTRACTOR I DATE PERMITSNUM ER
/ r..r�,
Stcel
Hause
71�76
� �7��i� :�I� �''L,�iL'd v�'e.',� Nayw vlau,, :,� ,_IJ
IC '1d30 3�11VN1�
OST.A MESA BUILDING DEPARTMENT c� .�-S'S' �m
' P.O. BOx 31� p�
COSTA MESA. CALIFORNIA FIIRA�CE DEPT. � � F
FOR F
�' /., /_ .
CITV ( _
ARCHITECT
OR ENGINEER
.ICANT TO FILL IN CIr ^` rnAPPLICATi'ON F�OR�PERMIT
BUILDING
MESA. C LIFORNIA FOR OFFICE USE ONLY
I '' RECEIPT NO. PEFMIT NO.
� w
�/ RECEIVfD BT OATE RECErvEDU D� SU
a's 4
TEL. BUILDING � � ' � A �.
� NO. qDORE55
LIC.
� NO.
� `' c.a.�--.ti
� �
��I� TY LIG.
,t.�J� NO.
�l / � /I^TEL.
lEc�l ILOT I
OESCRIPTION NO. �� BLOCK
1—
A.P.NO. IIS S_t� / �
S�ZE "b� X/D�.�'
OF lOT
USE OF ��c�t
E%ISTING BLDG A
$ETBACM LINE FPOM � � yJ� ,
CENTER OF STREET f�
r �j „ q ,
SIDE VARD RIGHT I 9•� LEFT
or e�ocs. �
� ON LOT
REAR YARD
NEW
DESCRIPTION OF WORK
ALTERATION I ADDITION
MOVING DEMOLISH
NG / � /� NO. OF
�C ROOMS STORIES
OR WALL ROOF
NG � COVERING
NEW A . �
COSTA MESA. CALIFORNIA
FIRE �+
ZONE �
ZONEI�J w pLaNS n iVPE �_
�CL i L /^�%
$TATE TX/�T TNE 1BOVE I$ CORRECT RNO <GqEE TO COMPLY WIiH PLL
CITY OROINA ♦Np $TATE L/�W$ fiEGVLPTINGf �BVILOING CONSTRU<�'
TiON. � VALUATION
/`
SIGNATU E
PERMITT
� � $ �.Scb °`�
i
AUTMOHIZED AGENT
7i
�r�vc �r:Nr.
PERMIT FEE S �
PLAN CHECK $ �S �
TOTAI FEE 8 �e:r