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Home My WebLink About3384 SUMMERSET CIR - Building PermitsAPPLICATION FOR A BUILDING PERMIT T�act I � L�� I BIOck I Lot 2Z Atlitltless �J�T Su�^Y/ ��• Cross Area Street Owner ^%AC{-��/.�/� N��SH)�o✓r�S Atltlress �jyd N SU/hMF�£r% C/R• CItY �.5�/�7—��jr� ZIP /G626 Phone 67i' License rvo. Atltlress / Clry Zip Phone « Englneer � �irense No. c a Atltlress m City Zip Phone y LICENSED CONTRACTpR'S DECLARATION U � m I hereby aifirm iha[ 1 am titansgtl unEer provisions of Chapter 9 t (commencin8 �Yith Section 7000 Ot Division 3 of tha Business and ♦. Protessions Cotle, antl my license is in tull Sorce and affectl. � License C!as Licanse Number T Date Contracmr �c Atldross jy City and Zip Phone N CONSTRUCTION �ENDING AGENCV i I heraby attirm that there is a cOnstruction lending agency for the � performence ot the work for which this permit is issued (Sec. 3097, � CIV. C.�. , y Lflnder's Nnme C lentler's Atltlress '� OWNER-BUIIDER DECLARATION i I hereby aftirm that I am exempt irom tha Contractor's License Law �O for the foilowing reeson: � ❑ I, as owner ot the prOperty, or my employees with wages as their � wle compenution, will do the work, antl the structure is not L intendetl or ofterad forsalo. Y � ❑ I, as owner ot the property, am exclusivaly cont�acting with licensed conVactors to construct the project. �d., ❑ I am exempt under Sec. __, ggPC fo� this reason � Datw Own¢r � n � WORKERS' COMPENSqTION DECLARATION � I hereev attirm thec I hava a ceri{��<ate of consent to self-insure, or a certificate of Warkers' Gampen�s�et/i�on Insmance, or a cartifietl c copv tne.epr. „�� `NE�i'iF1ELi% �k% j� Polity No.lt9f�LS�l.COmpany �a ❑ Certifietl copy is hareby turnis�etl. a ❑ Certif1ietlqcoypppy1 is filatl with O�anB unty, E a Date �1L APPlicant CERTtFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURA CE (This saction neod not be completeA if permit is tar $700 or lessl. I certify that in the pertormance oP ffie wark tor which this permit is issuetl, I shall not employ any person in any manner so as to become subleci to the Workars' Compensation Laws of Caliiomia. Dat Applicant NOTICE TO APPLICANT: If, atter making ihis Certitiwte of Exemption, you shoultl becoma suhject to the Workeri Compensaiion provislons of tha Labor Cotle, yo� must tor2hwixh comply with such provisions or Mis permit shall ba doemeA revok¢d. � I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT "fHE A80VE INFORMATIpN IS CORRECT. I AGREE TO COMPLV WITH ALL COUNTV OpDINANCES AND STATE LAWS RELATINGTO BUILDING CONSTqUCTION, AND HEREBV AUTH- ORIZE flEFRESENTATIVES OF 7HIS COUNTV TO ENTER UPON THE ABOVE MENTIONED.PROPERTV FOR INSPECTION PUR- I� �j All spaces within this box murt be completed to process CMF 0335-46 (BU-28) rev. 6/80 BUILDING PERMIT NO. S� 2��f Type ot Project: ❑ New ❑ Repalr ❑ Convert Struct , Hei9ht Park Fees Requitetl N Zoning A�Provetl By: Misc. Proposetl Use ot Structure CId55 1. fotal Valuation =n[roathment Permit �. Gratling Pmt. ReqUifed ❑ V¢S 0.ough G�atling Structural 5 Electrifal $ Plumbin9 5 Mechani al $ Pre-Gr tle Inspe ion § Pre- raEe $ Re No. Plan Check By: Front No, of Storles C.T. Electrical Permit No. Plumbing . Permit No. MeChanical Permit No. ❑ Alter ❑ Atltlitlon Demo ❑ Occupancy Pm[. Sup. O15t./ In50 A�ea SPI. Gmt. No. C/L SL Street i No. Yxar SI2E S�. FT. �tl ❑ Ves ❑ No Gratling No Pmt. No. af PERMIT FEES Plan Chetk Special Issue Approvetl: S S S W c n e D a m � N 3' Z c 3 Q � : TY t F : ISTA MESA GLIFORNIA 92626 P.O. BOX 1200 FROM THE OFFICE OF TME DIRECTOR OF BUILDINO SAFETV Project Address J J Q �]` �J ��k��"✓� � Project Name N • ��+. . �DC yGa.� �o-..✓ aane�s r�ame ' �G�c�� L.,, �r��2v-v-� � owners Adaress 33��L cr•twy�.,,.��-y� � . OaneLs Telephone �n y/- / 2 S O Pezmit # S� z � S� qj'Pe ✓ City Use Q�ly I,V�¢Cy,1,I�q,V HFQSH,rov�TS �� Q+%�r, �""`��^`""'. �(strike out all except one) do hereby attest that �loynent of any person, or persons, is not anticipated at the time of see]cing the above-referenced permit. In the event that any person, or persons, are employed under the prwisions of this pecmit, I shall iimnediately cause a valid Certificate of Worlanens Co�ensation to be filed with the Costa Mesa Building Division. I agree to defend at my a•m mst, arrl to indemnify and hold harmless, the City, its officers, agents and/or �loyees, fran and against, any and all liability, damage, costs, l�ses, claims and expenses, haascever caused, resulting directly or indirectly fran, or connected with the improvement under this permit. I further state that I have read and fully tmderstand the i�lications arxi re- sponsibilities of the above statements, and will comply with all provisions of the Contractors State License Iaw found under the Business and Professions Code, Division 3, Chapter 9, of the State of California. itI�9CH�UAti HE/2SH�0✓IT1 Print Name _ � Signature CMF 0777-46 � - 8 - �9�� Date ' _� z ��2W`°� q�-o2 ?wininq Laboratories �f ��u�E=,= �ae�fo2n�, �,u. 3310 ai�onrt Viov � Ma�bng /+nd�ess P.O eo. a7 i Long eeacn. CA 90801 / Rt31 426�3355 / 1213� fi36-2386 / pld� 828-6432 TESTIN6 eaan�cNov�ice is�+.o::o-��r,oP-s„o,,:;sn�:,.�,�.,.ea3:ro� u;a;s��aoas August 29� 1980 Es�mina�ion: SC80-4746 GOMPRESSION TESTS ON 4UNITE CYLINDERS Max Sitter P.O. Box 345U Fullerton, Cal.ifornia 9263% PROJECT S4IIh4�1I�C POOL & SPA ADDRE55 338y Summerset Cirele, Costa P1esa SAMPLE FROM - MCX1IECT California Pools FNOIHkEII H. M. Hanson MIX DATE CAST DATE TESTED SPECIMEN NO. /kl Main Drain: �k2 Shallow End: l/3 Transition u.z - i 8-16-SO 8-26-80 1 CONT��CTOR California Pools SU/COMf[�CfO� Golden West Gunite SPECIFIED STRENGTH SLUMP SIZE 8-26-80 2 COMPRESSION 10-Day 10-Day TOTAI IOAD, LBS. SS , 000 5% � 000 POUNDS PER SQ.IN. 2�050 2�O1S Size: G" x 12" 6" x 12y�" COMPIIANGE 10-Day tests comply with speeifications. w.w �r SPECIMENS Mike DIST�I�UTION: Max Sitter - 3 Costa Mesa Bldg. Dept./Chuck Conner DEIIVE�ED �Y Max 2,000 psi : . :� 3 10-Day 57,500 2,03J 6" x 12" lF[EIVEO OM 8-18-80 RECEIVED S�P p 3 1980 Neale Zuidema . �=o�•s .oe �e..i.rzo .s +�� eowmr+n.� oAoar.nn o� euc.Ts. �orHonie.no� row v ue•rio� os oun w.oArs. eovewsio..s, ow u. in.crs rnow on r.re•noirvc r�ew is nnsEavm v�«oi.c oow wai..E� .sanov.� .s . wo.o�� anoree*iow ro eue..rs. r�c vu�uc .wo oowae�ves 330 i3 � �3�-1 +SIUlY1/Ylp?i�,p't Building Address a. ,� • � i. • � �(�x�i� (�aZK Contractor �4��dv 1�1.1Y)sai.v l�H�Address Pereiit Date �73p� Number (� $5 U Isaued CITY OF COSTA MESA DEPARTMENT " aF BUILDING SAFETY Registered Deputy Building Inspeccor Certificate of Compliance / \ � Date of is rti icat� � l�ri�IPd To the Director of Building Safety: I hereby certify that the following portions of work on the buildings at the above address which required continuous inspection and which I was employed to inspect, were inspected by me and comply with the provisions of the Building Code applicable thereto, 1) Concrete 3) We2ding 5) Special Cases 2) Masonry � 4) �Reinforced Gypsinn Swimming Pool Size5i0� Gunite \_�_Hand Pack, Sacks Cement y� a-� 1 Tons of Sand %� Approximate % of water in aggregate ��o This report covers work completed during week ending �'!�o �t�3 V . REMARKS: S��e�. J (��- -w��.�5 � �Ch1tl��L S{ec � C�eqYAM'e' �`+�ca �m�.S%��o �GISTERED DEPUTY BUILDING I:QSPECTOR �� Ic_ pe�..o.,:.a� G�yL'...ne�..��eSuCrS xame iy��C .Si�{t�n Addzess (�ti. f?,p,t �c(S� ��Pe�'dil Laboratory ��viN„v' �/3. Telephone �!1 -$,�`�,?, � Fo rm BU 6 _._. ��1"- m OWNER NA['FmtAN �g[(OVI`Ps JOB ADDRESS 3384 Stmrt�rset GENERAL CONTRACTOR �Pr AP No. 412-083-09 LOT 22 INSPECTIONS SOIL GAS W RTER ROUGM PLUMBING PROP. SWR. LINE Q HOUSE CON. � SPRINKLING SYSTEM MISCEIlANE0U5 ROUGX MERTING RND rIIR CONDITIONING TEMPORRRV SERVICE OR POLE UNDERGROUND � POWER � ROUGH WIRING �TRENCHES FORMS STEEL REINF. � FLOOR SYSTEM � BONO BEAM � STEEI REINFORCE rJ SHEATMING •�FRRME ANO FLASHING NLATMING - IN � OUT � C� PLASTER,BROWN COAT riSTRUCTURAL, FINAL a NEATING. VENT., REFRIG. ANO �.C., FINAL PLUMBING. FINAL AND GAS TEST n ELECTRIC, FINAL Bt11LOING. FINAL ' DATE E SUBCONTRACTOR FS R Lid a a y y "yn F r: . . �e�o iioeiei so:5o r�. COSTA MESA BUILDINGSAFETY DEPARTMENT APPLICATION�FOR STRUCTURAL PERMIT '' '' "� r.u.nun i�uu GUJIAMtJN�GHL1YU1tIVIH9[OLO REC V PERMIT ' ' For Applicant to Fill in Completely — Use Ink Only N� 51214 BUILDING'33p (,� s�MM�SET C�n' A.P. NO. � �� ADDFESS ?� OWNER OR '/ 11 AODRE55 � W � TENANT ��C��9/✓ r/�H��I� MAILING /� �T UNIT OR ADDRESS �� 'SUMMC�G! «�• SPACENO. �+/ ( TR.N LOT BLK. - CITV C�S�I",��— Iy r� NOL 0��IZJO NEW ADD ALTER REPAIR MOVING DEMOLISH CAN5TFUCTION LEN�ER BRANCH � OWNERA ADDRESS USEY1w.y�� f('^7',Ar�UEa( � / ARCHITECT TEL. ORENGINEER N �� — ADDRESS Z E TVPE v GROUP �� v CONTRACTOR O B�PROVED DATE � Q V� ADDflESS TEL. CITV NO. STATE CITY APPROVEDSETBACKS �IC. NO. LI0. NO. SIZE NO.OF BLDGS. (FROM C/LSTR E) OF LOT NOW ON LOT RONT USE OF EXISTING BLDG. / � � � ( Separate permi[s are required for L. SIDE elec[ric, plumbing and heating work: i Lj REAR FT USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION � � t � DATE APPROVED ' I �� n � APPR ED � � � 1 hereby acknowledge thet I have �eatl this application and state �°, thet the above information is corract and aB�ee to comply wtth all laws regulating builtling consttuction, antl I shall not employ any person in violatlon of Me workman's compansation laws of ? t�e State of Californie. a I by certify ffiat I am prope�ly licensetl as a contraci nder SQ. FL � She State ' rnia 8usiness entl Prot e, Division 3, THE AMOUNT SHOWN UN�ER VALUATION IS FOF a Chapt 9 tl th t f II for e nd eff ct or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � ��p 1 t t I f 8 ness y p VALUATION PERMIT FEE S Q OQ � r PLANCHECK $ O dQ � Signature of or `9��A0 TAX $ O�SD ` Permittea $ Authorized Agent Date ' I TOTAL PAID v. � OWNER $@TS}lICOV1tS DA�t b/LS/tSU JOB ADDRESS 3 'wmnerset BUILDING PERMIT N0. 5�� GENERAL CONTRACTOR i�orna.a o�o� DESCRIPTION of YtORK ool%Spa No. 41Z-Ui55-U)i LOT 99 ` T Pool Location L-� �'��/' SUBCONLRACTOR rqnm�io uou�v Date j Numbc: _ Slon Forms Main Drain Steel Reinforce � � � Elec. Bond Electric � Approval to Cover e-� '� � � — � Underground Electric CC ' f"� Gas Piping Test Plumbing � _ &o rI8 � .t"�. Filtering System Lines aBackwash-LinesandRecep. c-e- '2�U" Electrical Final C-� Z2� HeaYer and Vent Final Filter System Final Backwash and Recep. Final Fencing Final Ann.n�ul fnr Finich e- q�22'� I �7 . . . �0 30� %, COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING fJ�2 �1 I . . _. _ _ —r OWNER MAIL pTV BRANCH � TE TEL. �5'15 6/25/80 APPLICATION FOR S UCTURAL RECEIVEDBV� DAT IVED q� '�� O y P� A.P. NO. ✓' BUILDING ADDRESS ^�� (M �'�( TqACT LOT Z ADD ALTER R P OWNEfl �C �J� � �� t1SE��I�YJI N'• VALUE�C FIRE ZONE APPROVED DATE PERMIT ��./ BLOCK 7?.69 TL `� NO.OF USE OF NEW CITV ` �� NO. +y� P�� BUILDING F STATE CITV �'AR�S APPROVED VARDS APPROVED � LI0. NO. �� Z �IQ NO. MAIN BUILDING ACCESSORV BUI ING {,y SIZE NO.OF BLDGS. (FROM C/L STREET) 1 OF LOT � a NOW ON LOT RONT FT. a VSE OF . N EXISTING BLDG. FT. FT .�. FSepara[e permits are required for i � FT. � electric, plumbing and heating work. FT. FT. [.W.� US BUIIDI G AI�'D W(iK O BE PERFORMED DISTANCE BET. BET. MAIN & a MAIN BLDCS. ACCESS.BLOGS. Q VAR.#E DATE a' C.U.P.�W APPROV � �" .� a w O� I hereby acknowletlpe that I have reatl this application antl state � � that the above info�mation is corract antl aBree to comply wiM � m 0+ all laws regulating building construetion, and I shall not employ Z any oerson in violatlon of ihe workman's compenSallon laws oi m � the State of California. - SQ. FT. Q1 3 I he�eby certify that 1 am prope�ly licensed as a contractor untler � the State o£ Callfornia Business entl ProfeSsions Cotle, Divislon 3, THE AMOUNTSHOWN UNDER VALUATION IS FOn m Chapter 9, antl that suc� licenses ere in full force antl effect, or I THE PURPOSE OF ESTABLISNING A PERMIT FEE ONLY: am axempt from tha provlsions ot the State of California Business a antl P fessions Cotle, Divislon 3, Chapier 9. VALUATION PERMIT FEE S � N � SIB�@ tur '��ipy� /� '+., QS� PLAN CHECK $ \ Perrm7lttl�� ``_�' —" "� — 3 $ / J[ D � TAX $ C.1 � �Authorized ABent TOTAL PAID y `� _ , �'i �. "i � ,y g � . 't"'� COSTA MESA BU�LDINGSAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING ADDRESS Tract 10277, Lot 22 � OWNER MCLain Development Co. qTV BRANCH ADDRESS ARCHITECT TEL. NO. TEL. CONTRACTOF MCLain Development Co. nooRess 1470 Jamboree Road TEL. ciTv Newport Beach N�� 640• IIC. NO. i�3H%S LICVNO. OF LOT E)S X LOS I NOW ON LO S USE OF EXISfING BLDG. Separate permi[s are-required for electric, plumbing and hea[ing work. UILDING AND WOf1K TO BE PERFORMED residence, New House � I �ereby acknowletlBe that I heva reatl ihis application entl state a that the above Information is correct and agtee to comply wIM a ail laws regulating buil0lnp construction, entl I shall noi employ ,'� eny person In violetlon of the workman's compensation lews of 2 Me State ot California. 3 1 hereby certify thai I am ptoperly IlcenseE as a conttactor under the State of California Business antl Professions Code, Dlvision 3, Chepter 9, and thet zuch I(eenses are in full force antl effect, or I am exempt from ihe provislons ot the State of Calitornia Business and Professions tle, Division 3, Chapter 9 � Sipnaiure of � m / C`��\ ,[� � Permittee ��« r r' ��— / \ l `Authorizad A�§nt . . —, '� '�-�'-------_o � 38.12 2/2.1;%79 ' � • 342.31 CKTO ��88J2 "2/2fY79..... 3k2.3 �+t3812 �00004A7512 "' IA '- "- APPLICATION FOR STRUCTURAL PERMIT F�CE�%�E49� DATE RECEIVE9 �DTF i�cucn A.P.NO.'7Ii�O��O� +P BVILDING p ADDRESS � 3p TRACT ZOZ%% LOT 2Z DATE NE NO.OF USE OF NEW 1(t � /�'� D PLANS BUILDING �'AflDSAPPROVED VARDSAI MAIN BUILDING ACCESSOR' iOM C/L STREET) 7NT oZ O FT. O �7 � ..__ � __ e VAR.# DATE C.U.P.�p zE-7$-3y/ APPqOVED APPROVED � � HOLD FOR SP CIAL R; IIT NO. BLOCK � House 2190 Garage 585 SQ. FT. THE AMOUNTSHOWN UNDEF VALUATION IS FOR THE PUFPOSE OF E5TABLISHING A PERMR FEE ONLV: VALUATION PERMIT FEE $ � PLAN CHECK E . � $��/7 _ _ TAX $ . � ' L.A.F� T��U TOTALPAI� $� z 3� n m m m N J m n e N m n 0 � U