HomeMy WebLinkAbout3412 SUMMERSET CIR - Building Permits., �_�' 2fq � 7
�.�� `� ��r�in� Labor�tor�eB �f s�u�� ��f���, ��.
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39�0 Avpon Wey / Meding Add�e�s V.O. Ba. 47 / Long Beach, CA 90801 / �213� 626�3355 / �213) 638�2388 /(]14� 978-6432
T€ST�NG gqANCH OiLICE'. I SIbD Norm IUrpee Svo� I S+nu �n.. C� 9]10] / p ia� 5lr-Y0�5
May 25, 1981
COMPRESSION TESTS ON
Jack H�bbard
3106 Ostrom Avenue
Lang Beach, California 90808
CUNITE CYLINDERS
ExAMINATION NO. 8t-6OI%
rRO�ECt SWIN POOL - Scott Vandruff
.40DRES5 �+12 Su�erset Circle, Coeta Mesa, California
,�qCHiTECT CONTRACTOR
Ownec
ENGiNEER ' SUBCONTRACTOR
Reagan 6 Kramer � Arco Gunite
SAMP�E FR00.1 Shallow end, bond beam
MIX
ppTE CAST
DAjE TESTED
SPEC�AIEN NO.
�pMPRE$SION
70TAL LOAO LBS.
AOUNDS PER 50. �N.
aHEA. $p IN.
4.0 to 1
5/18/81
5/25/81
1
% DByS
97,000
3,430
28.2%
SvECiFiED
STqENGTH
SWMP SPECIMEN SIZE
5/25/81
2
7 DnyS
124,000
4,385
���
coti+�'��ANCE 7-Day [este comply with specifications.
MnDE Bv • UEUVEAED ev� RECENEO ON�
SPLCIMFNS Howard J. Hubbard 5/19/81
OI i f FI[3Ul ION
Jack HuDDard - 3
Coata Mesa Bldg. Dept. - 1
Joe Riley
�Lt Pio0N15 �ME SUBNITTEU AS TM COMFIDfNTIC� GRO►ERTY 0� Cll[NT9 AUTMpR121TION fOp W94GTiON Of OUp AE►ORIS CON�LUSWNS ON fFTq�CTS iROM pP
PEG1PD�t�G TNEu �S n[SEnvED VFHpwG OUN WNOYEM �ovqOV�L 44 � YUiU►L VROtfCTION TO Cl�fMiS. TME VUBLIC �ND WRSElVE9 '
�.. 'vi�s}43Yi�}aR'i'ti`d�aY:[vbw.t:._:.iu:..ua.ai.__"...:.......:i.u��i:..Ve.iiii_ . .:,-
��i/� �s...r.u,vr �a2• Building
Address
rACe�- uGtnc.a�tst��• Owner
B—w-�..t�� Contractor
Address
Permit Date
�/70% Number �,Z 8� Issued
CITY OF COSTA MESA
DEPARTMENT
OF
BUILDING SAFPTY
Registered Deputy Building Inspectar
Certificate of Compliance
3 //�/ X/
Date of this Certificate
To the Director of Building Safety: �"�""""'�'�����
I hereby certify that the following portions of�!faoMld�� 6h��j buildings
at the above address which required continuoua°�,Ynspect'�on an�`�wt{ich I was
employed to inspect, were inspected by me and�y'ca�pjt����,Eh��,�pQ visi6�s
of the Building Code applicable thereto. q '��`,� 6��Q/�gC
�T
1) Concrete
2) Masonry
Swimming Pool Size y-�S �
Sacks Cement %J .`�
3) Welding 5)
4) Reinforced Gypsum
Gunite �( Hand Pack
Tons of Sand 3 8
Approximate % of water in aggregate S�p
Speclal Cases
This report covers work completed during week ending .SLf/ 8/
, � i
,
i I • � /•
. .
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.4f�.0.0 h(�� �B-t�o .d�cm(Qa,u�¢Name �EJi��c�et.f,� - -----
�'�`'a"KO�.� Addreas /d/.� ,t�c�
Laboratory � Telephone�l3�`/IJ�—(o5'8�i
Fo rm BU 6
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�• �� Z� � �
_`�"' '�- ?winii►y Laboratnrie� �f �'04��� e�f���, ��.
��� �, --
3310 Airpon Wey / Maiiing AdCrees P.O. Bo� <7 / Lnng Boac�. CA 90801 /(213� d26�3355 / �213� 636�2386 / �7141 8?8-6a31
TESTING BRANCH OFHCE'. �51�-D Nonp H�eO�� Si,w / S.�u nna. C� 9Z�ol / Pu� 53i�]D�S ' .
May 25, 1981
COMPRESSION TES'fS ON GUNITE CYLINDERS
Jack Hubbard
3106 Oetrom Avenue
Long Beach, Califarnia 90808
PROJECT
ApORF_$S
ARCHITECT
ENGINEER
Reagan 6 Kramer
SAMPLE FROM
MIX
DATE CAST
DA7E TESTED
SPEQMEN N0.
COMPRESSION
TOTAL LOAD LBS.
POUNDS PER SO. IN.
AREA. 50 IN.
COMPLIANCE
EXAM�NATION NO. 81�60��
SWIN POOL - Scott Vandruff
3412 Su�erset Circle, Coata Mesa, California,
CONTRACTOR
Owner
SUBCONTRACTOR �
Arco Gunite
Shallow end, bond beam
�1.0 tD 1
5/1S/81
5/25/81
1
7 Days
47,000
3,430
28.2%
SPECIciED
STAENG�H
SW�dP SPECIMEN Si2E
$/25/81
2
7 Days
124,0�0
4,385
7-Day tests comply with specifications.
M/ DF Bv DGUVEPEO BY-
ScecieneNs Boward J. Hubbard
OISTRIBU7lON
Jack Nubbard - 3
Costa Mesa Bldg. Dept. - 1
a
RECEIVEO ON:
S/19/81
Joe Riley
�Ll REPORTS AAE SUBMInED �5 iNE CONFIDENi1CL VROVERTY OF CLIENTS �UTMOH�ZATION �OM VUBIIGATIOH OF OUR REGOATS CONCLq51ON5 ON EaTR�QS fROM QR
REGAaO�HG THEM IS NESERVED VENUINC OUN WN�TTEH RVPROVnL �5 � MO�WI VPOTECTiON TO ttiEMS. TME VUBUC �ND OUNSELVE$
bj 4
n ' Q� 2�A � . n -�
z``�` �' T1N�1l1lL� LSbOL'8t0l3@S -
, of sou�� ea�fo�� �.�.
�"� °y
3310 Airpon Way / Mailinp Atltlreaa P.O. eo. 47 / Long Beach. CA 90801 /(213) 426-3355 / �213� fi36-2386 / p1a� A78�6a3J
TESTING BPANC/f 04G�CE 151bD Nonn Nu0« Swei / S�nu av, Cn 92107 / �JN15J1�]MS ' .
May 25, 1981
COMPRESSION TESTS ON GUNITE CYLINDERS
Jack Hubbard
3106 Oetrom Avenue
Long Beach, California 90808
PROJECT
RDQRESS
ARCHITECT
ENGINEEF
Reagan 6 Kramer
SAMPLE FROM
MIX
DATE CAST
DATE TESTED
SPECIMEN M0.
COMPPESSION
TOTAt LOAD L85.
POUNbS PER SO. IN.
.1HEA. S�. IN.
EXAMINATION NO. 81-60�7
SWIN POOL - Scott Vandruff
3412 Sumneraet Circle, Coata Mesa, California,
CONTRACTOR
Owner
SUBCONTRACTOR
Arco Gunite
Shallow end, bond beam
�3.� CO �
5�1$�$1 SIUMP
5/ZS/81
1
7 Days
97,000
3,430
28.27
SPEGFIED
STRENG7H ?�OOO
SPECIMEN SIZE
5/25/81
2
7 Days
124,000
4,385
coMr'L��+NCE 7-Day tests comply with speci.fications.
MAOF 9Y UEUVERED BV� qECEIVED ON:
svecinnervs Howard J. Hubbard 5/19/87.
OISiRIBUI'IOIJ
Jack Hubbard - 3
Coeta Mesa Bldg. Dept. - 1�
Joe Riley
Rll 0.EVpRTS �PE SUOMtTtED �5 THE CONi1DEHLILI V0.OPEfliY Oi CLIENTS AUTMpRIZ��fON FON PUBlIC�00N OF OUA PEPOP�S. CONCLUSIONS ON EYTPACTS FROM QR
AEG�RDING TMEM �S HESERVED iEN�ING OUR wRRTEN RVPPpV4L nS � MUTU�� vROTECTION i0 CUENTS. THE VUBLIC �NO OUHSELVES
bj q
C
O
G
" m CiiY V,S��h ZiP 1{pEL Phone$�Gi�'L
Y LICENSED CONTRACTOR'S DECLARATION
N
m I heraby affirm that I em licansed un0ar provisions of Chapter 9
t (commencing with Saction 7000 of Division 3 of the Business and
Professions Cotle, antl y license is in tull force and etfacH.
7� License Clns License Numbar
? Data ontr
E Atldress
jy City end Zip Phone
� CONSTRUCTION LENDING AGENCY
� I hereby aftirm that thnra is a construction lending agency tor the
a performance of t�e wor�/ tor which this pormit is issuad (Sec. 3097,
' Civ. CJ. � \/�
y lender's Name �J
� Lentler's Atldress
'� =--OWNER-BUILDER DECLARATION: -
� I hereby affirm that I am ezempt trom the GanVactor's �icense Law
�° for the tollowing reason:
� � I, as owner ot the property, or my employees with wages as their
solo compensation, will tlo the work, antl the structure is not
t Intentletl or oflerntl for sale.
w
� Q I, as Owner Of the property, am exclusively conttacting with
licensed contrectors to construct the project.
d ❑ I a x under Sec. � B&P for �this r�aj� n
� Data Owner �yw���G�:�lr//
a
E RKERS'COMPENSATION DECLARA N
� I hereby affirm thet I have a certificata ot consent to self-ins�re,
or a certificate ot Workers' Compensa[ion Insuranca, or certitietl
copy thereo� � /��.C�
PolicV No.���ComPanY /�l�k%.l•
❑ Certifietl copy is hereby fumishetl. �
❑ Certifi tl c py is tiletl with Ora o Co n[�M
Daxe�- �Z s� Apulicant y C
CERTIFICATE OF EXEMPTION
FROM WORK£RS'COMPENSATIONINSURANCE
(This section neetl no� bo completeA if permit is for $100 or less).
I cerrify that in the parformance of Me work for which this permit is
issued, I shall mt empioy any perwn in any manner so as to become
sublect to the Workerz' Cnmpensation Laws of Califomia.
Data Applicant
NOTICE TO APPLICANT: If, atter making t�is Certiticate ot
Exemption, you shoultl become subject m[he Workers' Compensation
provisions ot the �abor Code, you must torthwith comply wi[h such
provisions or this perrrit 5hali be tleemM revoketl.
0 I CERTIFV THAT 1 HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE �NFORMATION IS CORRECT. I AGREE TO
COMPIY WITH ALL COUNTV OROINANCES AND STATE LAWS
RELATINGTO BUILDING CONSTRUCTION,AND HEREBV AUTH-
ORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON
THE ABOVE MENTIONED PROPERTV FOR INSP CT ON PUF-
PO 5. � // � �
ignature of Apn�ant or q Da
Pnnt ApplicanYs/Agen['s Name
All spaces within this bon must be completed to proceu
CMF 0335-46 (BV-28) rev. 6/80
rract (�'[�'( I Block
Bulltling �., w �� �
Atltlress � ; `
Area �IM�IQW ° �J�'4�QvI
Owner �_ �ii V�
��•1 \
Atltl�ass % � 1 // !'1
34 L \
Citv , �Q�
Archltect/ ��
Designer
AtlOfC55
Clty
En9lneer �,�� c kran+c
AtlAress ��I E` (
APPLICATION FOR A BUILDING PERMIT
Lot
BUILDING PERMIT NO.
IYYI VYI �Y`S 2 i., lY`c �Q. S/ ���
CroSs
Sbeet
� u Type of P/Olect: ❑ New
��
.__ n.n.. �i._ .. ❑ Repair ❑ Convert
ZIP �� Phone%�'O�� A.P.
Licanse No. ZO�e
SetbdCks
YarCs
Zip Phone
ave ro
License No. SE 23o�t
5[ruct No.ot
Hei9ht Storles
Pa�k FeeS Ves
ReqWretl No QT•
Zoning ApprOv¢tl BY:
Electriwl
Permit No. %f-9�7�
Plumbing
rmlt No. � ��fJ'is �
/
cnanlca�
rmlt No.
❑ Iter ❑ Atltlition
De o ❑ Occupancy Pmt.
Sup. Dist./
Insp. A�ea
Spl. PmL No.
N , ot
m�ly
Fee
ReceiPt
Date
MiSc.
Proposetl Use
of 5<ructure
Oct. Type Cotle
Class Const. Vear
USE/OCCUPANCV SIZE SQ. FT.
1.
2.
3.
4.
Total Valuation
EOCfOdCI1T¢OL PClmit Requif
G�atlin9 Pmt. ❑
Requiretl ❑ Ves
Rouqh G�atling
Approvetl by:
SVuctural E
Electrlcal $
Plumbing 5
Mechanical S
Pre-Gratle S
Inspection
Pre-Gratle a
Rec. No.
Plan
Check BY:
W
c
a
D
6
m
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❑ Ves o �I
Gratlin9
Pmt. No.
S
�ate �
3'
Z
c
3
S
! FEES �
�'
Plan Check
SPe��al $
Invest.
Permit 5
Issue
n
ISSudOC¢
ApProvetl:
Y! �
� �F. ! r:J � h:
lJ
COSTA MESA BUILDING-SAFETY DEPARTMENT
F�
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3
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant.to Fill in Completely - Use Ink Only
BVILDING
ADDRESS Tract 102%%� LAt 48
OWNER McLain Development Co.
MAIL 1470 Jamboree Road
ADDRESS
TE L.
cirv Neuroort Beach No. 640-6800
BqANCH
ADDRESS
ARCHITECT _ _ , ,__ _ „ TEL.
ADDRESS 3661 Spruce St., Newport Beach
CONTRACTOR MCLain Development Co.
ADDRESS 1470 Jamboree Road
TEL.
cirv Newport Beach No. 640-6800
uc No. 273875 uc�No.
OF LOT 4S X Z�LZ . NO.OF BLDGS.
I NOW ON LOT
USE OF
EXISTING BLOG.
Separate permits are required for
electric, plumbing and heating work. �
USE OF BUILDING AND WORK TO BE PEFFORMED
Single family residence,
New House
I hereby zcknowletlge thet I have reatl this application and state
that the above informetion is cortect antl agree to comply with
all laws regulating builtling construction, antl 1 shall noi employ
any pe�son in violation of the workman's compensation laws of
the State of California.
1 hereby ce�tify that I am prop¢rly licensetl as a conttactor under
the State of Cellfornla Business and Professions Code, Division 3,
Chapter 9, antl ihax such licenus are in full to�ce antl effect, or I
am exempt trom the provisions of the Stata of Celitornia Business
entl Protessions Code, Division 3, Chapte� /9�.
St9natureof ��. • /� OF,^�^
Pelmlttee �
� �
Authorizad B /t
APPLICA
BUILDING
ADDRESS �
TRACT
FIRE
ZONE
APPROVE�
NO.OF
Iv PLANS
APPFOVED
ROM
V AR. #
c.u.P. # 2 E-
APPROVED �..
342.31 TL
342.31CKTD
���A _ --
PERMIT NO.
USE OG NEW
BUILDING � E S
VAROSAPPROVED
ACCESSORV BUILDING
BET. MAIN &
ACCESS, BLD
DATE
� House
SQ. FT. Ci3Y�dC�2
THEAMOUNTSHOWNUNDERVALU.
THE PURPC6E OF E5TABl.ISHING A PERP
VALUATION PERMIT FEE $
PLAN CHEGK $
g � O /� TAX $
O/ TvU TOTALPAID $
n
m
2190 d
SBrJ m
N
ON IS FOR m
FEE ONLY:
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�„ ,
OSTA MESA BUILDINGSAFETV DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
RECEI D BV P M J g
For Appticant to Fill in Completely — Use Ink Only �'� �� 4�i=�67 �- �
BUILDING 3`Jl� Suw�r,e�set C~ A.P•NO. I`�'07 ^ 2
ADDRESS
`/�/' BUI LDI NG G
T� NA T�R SCU ✓j�Na%�U7'j ADORE55 �I7�h�eS`T
UNIT OR
MAILING SPACE NO.
ADDRESS
TR.NO. � LOT BLK.
TEL.
CITV ('�� p 1'�es . No. y�ivi�
NEW ADO ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION
LENDER
BRANCH ^
� OwNER r7-/� %�,G(�
ADDRESS VALUE
ARCHITECT TEL. USE �(� �} S
OR ENGINEER D/ � �
ADDRESS ZONE TV E GROUP
APPROVED
CONTRACTOR BV DATE
ADDRESS
TEL.
CITV NO.
w STATE CITV APPROVED SETBACKS
7 LIC. NO. LIG NO. -
± SIZE NO.OF BLDGS. IFROM C/ �TREET/))=''
OF LOT NOW ON LOT ROM FT.V �
� USE OF � `
� EXISTING BLDG. �
� '1
Separate permits are requued for L. SIDE � FT. " yy
� electric, plumbing and heating work: REAq , FT�n
: USE OF BUILDING ANO WORK TO BE PERFORMED PLqNNING ACTION
c
�
? q DATE
� A[/ ` APPROVED
APPROVED _/J�%�
�L�
i
i
j I hereby acknowletlBa that I have read ihis application antl rtata �°,
� that the ebove informetion is correct and apree to comply with
all laws reguletinB building construction, antl I shell not employ
' any perwn in vlolation of Me workmen's'compensation lews of ;
; the State of Celifornia. ' .
SQ. FT. �
I hereby cerUty that I am properly licensetl as a contrector untler °
the Stata of California Business entl Protessions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR u
Chepter 9, and that such licenses are in full fofce and effect, or I THE PURGOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am exampt from tha provisions ot the State of Calitornia Businass VALUATION PERMIT FEE S �
antl Professions Cotle, Division 3, Chapter 9. , a4 �
SiO�ature of l PLAN CHECK E a(P 0-p �
Permlttee S TAX $ `
ar D �• d c
Authorizad ABent Date �-Z � � TOTAL PAID $ �
�7 TL'