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Home My WebLink About479 WALNUT PL - Building Permits; Pfl0.1EtT ADDNE55: Q�J 9 WALNUT PL " NEB'S NAME: JQ jCHOLAS GERALD T.J .r.�ADOHESS: zOBZ jG �FiZ�J'T��.� �J'T SUITE 21 SANTA ANA,CA 42707 RFCM/ENGINEEfl: ROOflESS: qEG.NO.: UNIT: UNIT: PEflMITTEE: SNARP ROOFING ( 714 ) 771-7.225 aoonEss: Z0062 FRANK ST ORANGE C 926 UCENSFD CONTNACTOA �ECIANATION: I h¢reby alfirm that 1 am b ensea untle r v ions oi fj ao er 9lcommencina wim Section I 7000) ol Division 3 0� Ihe Business antl Pmfessions Cotle. and my li nse is in � II I r e anC el ct. ' ciTr uc.: 0 4 2� 6 sTaTe uc.: 5 715 7� cuss: I�-Bat . Signa�ure: — I� WOHNEBS' COMPENSpT�ON DECUIBFTION: I nereCy affirm na� I nave a cenificate of consent to sel4inmre or a certilicate ol Workers' Compensation Insuranc¢. or a ttniliea copy ihereof (Section 3800, La�. q. � POLICY NO.: E%P. DRTE: t:; .,�nrnxr: STATE FUND s��-�� CenilieE copy is hireby Iumishe0. � Cenilietl topy is IileO wit� Ihe ciry BuiltlinA Oivis�. � �ate: Applicant: E%EMPTION FflOM WUBREPS' COMGENSRTION DECLAPRTION: (T � seclion not be com et il t ' is lor ne nJre E100� or Ies51. I cetlify I�a� in Ihepedo� ance ol Ihe work br w�ich Nis De� � issue . hall nol em I an rson in an as lo become sublec� lo Ne Wor (e 5' �ampensalion law5 0� Calilomia. -�Ba,r. — � � SiAnaWre: ` NOTICE: II, aller making I�is tleclaration, you s�oultl beca suUlect Io the Workers' Campensalion pmvisions ol t�e La�or Co40. you musl lo��wilh comply with suc� pmvisions or is permit shall be aeemed revoked. CONSTflUCTION LENUING RGENCY: I here�y allirm �hai Ihere is a constmc�ion IenOing agency �or Ihe petlormance of �he work �Or which Ihis Oermil is is54e4 (S¢[�ipn 3097. Gv. C�. IFNOEP: aooxcss: OwNEfl BUILOEP �EClARp7�ON: I hereby allinn Ihat I am exempt imm ihe Conlraclors' Slale License Law lor ihe following reason (Section 70.31.5 Business and Professianal Cotle: Any city of counry whicn reQuires a Oermit m constmc�, alter, impmve, Aemolish, or repair any Slmtiure. ori0� lo iIs iuUance. alSo reQUireS the aDDlicani tor Such permil Io hle a SigneO Slalemeni Ihai he/5�e is litensetl Oursuant lo ��e pmvisians ai I�e Contracrors' S1a1e Litense law �C�apter 9(cammencing wii� $ection 7000) oi Oivision 3 oi 1he Busine55 an0 P�Olessions CoUe) 0� ��at �Gs�e is exempt Iherelrom an0 Ihe Uasis IOr �he alleqeG e�empliM. Any violaiion ol 5¢ction 7031.5 by any applicant br a oerm�l su0iecls Ihe applicant to a civil penalty ol not mnre tnan hve nundred dollafs (b500). I. as owner o� i�a Pmpeny ar my employees wiln waBes as their sole comDansation. will do the work, antl tne ❑ stmcWre is not inlenaetl or offered for sale �Section 7044. Business and Professional Cotle; The Coniractors' State License Law Uoes nol aDPly lo an owner al a o�openy wtw ouiltls or improves Ihereon, antl who Ooes sucn xrork him5elf/hersell or Inroup� �is or �er own em0loyees. praNded tAai suc� impmvemenls are not intentleA or aifered for ute. II, Mwever t�e bWOing or impmvement is sold wil�in one year ot complelion, ihe owner will �ave Ihe Uurtlen ol proving Ae/51ie GiG not Euiltl or imD�we lar t�e purpose ol sale�. I, as owner ol the property, am exclusively contracting wit� licensetl contracrors m canstruc� �he Owjecl (Section 704a, Business ❑ and Prolessions Code: The Contracmrs' Slate License Law does not appty ta an owner of pmperly wAo builUs ar impmves thereon antl who ConlraC�s lar Such Orolec�s wiih a tontrati0qs�lit¢nse pursuan�to Ihe Conlratlors' SIaIe Lit¢n5¢ Law�.l 2m awafe ihai oroof ol t�Cit Worker's Compen5aiion inmrance snould De pmvitled �o me. � I am exempl unAer Seclion: B. 8 P. C. lor Ihis reason: Date: Ownec t ao hereby ceriify ��at I am aware ol antl un0erslanU Ihe requiremenls ol Cali�omia Heallh and Sa�ery Cotle ; 2553C and Ihal l or any lu�ure builaing occupanl will/will not (cir[le one) neetl Io comply wiih SaiC slate cotles Dermit lor canslmction 0� moailicalion fmm Ihe Air Ouality Managemeni OiSMci. flesidenlia� conslmc�ion ap ihese provlsions. � , Date'. AOOlicanl: I hereby cetlily Ihal I haVe reaG I�is applitaii0n antl Slaie I I Ihe a0ov ordinancesandsateaw<relalinglo�uilaingmnslmcliona ere�ya proOe��Y �ar ms ec on Vurposes. �UaTe.� i � Signalure: onve�'s iicense or sociai Seariiy >: u i505,25533,antl �quiremenis lor a are e�emp� irom i6aLa6 Whae—Butldin9', Grean—Cotle EnlorcvmenL Canary—Applicant; Pink—Ravenue; Goltlanrotl—Assessor ane CITY OF COSTA MESA — 3UILDING PERMZT PERM NO: B 05A9�E PERMIT NO: B 059956 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUC7'ION TYPE: PERMI'C TYPE: STR PIIRFOSE: AiT JOB DESCRZPTION : T/OFF REROOF W/CAL SHAY.E3 SQ FT: 12,000 Ci.AIM VALUE; 12,000.00 CALC—VALDE: 12,000.00 GROUP OCC: 8-2 / CUMMENTS: * +��*��+�*��*��*��*��**��*��x+�**��+�*****�*�**�*�rx.,��*�x�-*a�u�**�� x��cx��**�*�**� Z O N I N G R E Q U I R E M E N T S S a T B A C K S ------------ MAIN BUiLDING ---------- --------- ACCr.SSORY HTIlLDING -------- FRNT; FT IN REAR: FT ZN FRNT; FT IN REAR; FT IN LEFT; F'f IN RGHT: FT IN LEFT: FT IN RGHT: FT I3J PARKING REO• PROV: PARCEL: 92632219 ZNE: REF NO: PLANNING NdTES> � i(� iE # iF IF if 1E'k lE iE if 3F i(� lh 1E if lE if 1E k)t!E 1E )f ±E 1F ih 3F 1F iE iE iE if �W )f k 1F �i� IE iE if-iE 1E �ie 16 if iE If ik iF IE if iE iF if ie 1(� 1E iE If iE ie it' V.� K• iF 3f i@if.lE It if 3E 1F iF N' If �c iF D E V E L O P M E N T 5 E R V I C E S R E Q U I R E N E N>T S c 7.ONING APPROVED HY DATE: I HUILDING APPROVcD BY :'`��,�� DATE: APPLICATION ISSUED BY: i"� "� DATE: I-� �E iF-li jE if Y.� if IE ih iF 3F 1F ih 1E k#E jE 3R 36 ik iF iE�Tc �F �t'iF%7e7'F�fif'ir7F7�'iFiF�Y7FitiF �c icTtiF'dFiFTi�iFi�� IE af IE 34 i61'r ii� 1F iE iE e t �!: i(� iF}1EiFIF1!�ik7fi6�iEifN�iF3ElEiFiFifiF3fiE�lEiFiEiEi4if?4iF3EiF1F1flFiEifiEiEiF LiEiEifiElhihiEiFY.�iFitle�kiEiFiF'IEiEY-iEiEihifif#iEieY�lfi:iFifJ4'iFiEiF LEGALI7.ATION:N F E E S U M M A R Y STRUCTURAL�$EGMENT:Y BLDG PMT PLl7MEfING ELECTRIC MECHANIC FIRE SMIP/RES; GRADING PERMIT 135.00 SN,IP�NOi1; RES PLAN �.SZ- ISSUE FEE Bi7Ii�DING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ''"• DUE TOTALS----> 137,52 0.00 0.00 13'1.52 13'7.52 �, .OU REVENUE DIVISION TOTALS--> COLLECTED: 137.52 OVER/SHORT: ,00 BLUG PMT PL"JMBING ELECTRIC N,ECHANIC rIRE SMIP/TOT GRADING -PLAN—CHr.CK 135.00 2.52 ' �' if?F �1F ii� iS�lf it 3i� 3f� 1E iE i'r if� �1F k iE 3E iF 1E �3f IF iE if 3(� lf iC iE iE iC 3f iF if IE if iE i(� # 1f� �F 9h if if� iF it 1E iE ik i� if� if iE 1f� 3i� 1E iF i( 1f �lf if 3f� !f iE iE Y.� lb �!E 1E jF 3r"si!� iP �1k ik N� #� iE ih Y.� iF I N D I V I D U A L F E E H R E A K D O W N ' TYPE QTY D E S C R I P T Z O N GNIT COST T'OTAL COST ., � SFC 12U00 REROOF BY VALUE COMN,ERCIAi NOZONE 1,00 '�'12,000.00 END OF FEES '� /r• � 4 �5 rJ �� QQ1��7{�J'4�101/�l' 6ATE: 21lQbl91 1' 11'ec: 1! ': '� � . ��.ONSTRUCTION AND PLANNING PO SPA !y`�PPROVALS Permit # � Date Inspeetor qppROVALS Permit # Date I�spector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement 3. Electrical Contluit Utility-Undrgrnd. 54. Forms 4. Electrical Contluit-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, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor SYstem 61. APPROVAL TO DECK 11. Properiy Sew�r 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 Str4cture 70. Underground 4ydro 22. Dutts, Ventilgting � 77. Product Piping OGas OOiI 23. Gas Pipe�Rouqh & Test 72. Underground Flusd 24. Roof Framing 73. Undergrnd. Storage Tank O Gas C Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Celltng (Structurall & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 26. Lathing & Siding 77. FIXED SYSTEM FINAL � 29. Insuiation 78. FIRE PREV. FINAL 30. Drywall Nailing . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ' �9. FINAL INSPECTION 32. Electrical Power Meter-Final B0. FOOD CERTIFICATE ISSUED 33. Final Eleciric Notes: 34. Final Heating & F.ir Conditioning - 35. Final Gas Pipe-Test ' '� 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plum6ing 39. Water Service�Final 40. Gas Service�Final 47. Solar pomestic-Final 42, Backflpw Preventer � 43. Backflow Irrigation � 44. Landscape Irrigation System 45. Sound At2enuation 46. Handican Regulations 47. FINALSTRUCTURE&BUILDING /2_(,/�, 6��/_ �� JJ_1-� // /'e 1/ c I � ��'ir r� l¢ tRr 48. FINALPLANNING ', 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 4 � n L�! `� li(� AOp��cant to ��II in all spaees except those within �e:vy Eo�de� Iines antl si9n all approD�iata tleelaralions. CI j? OF COSTi� MESA�L C NSTRUCTION PERMIT PERMIT NO._ _ TRACT NO. LO �IV� UNIT NO. Project �ddress T� ��a � ril.�� QbG'e Appl'icant's Mailing Address ~ 5�� / (, Owner"s Name � Phone b�� !Addreu�{�j.� �' L' <.li'1NTJl%D e�/�(. _-rl�ii21�% �' � / Arch/Eng. �v_Sl„ K YG"��` License No. Zi�9 Address Z-73Zy �1M1 n�� '`l�5tf0.Yln #Z0�'I Contracmr'sName M� � �-�S' �C�1� PhoiF-� Addreu (mailingl �. - � j Ciry License No. �i �P 0� ii LICENSED CONTRACTOR DECLARATION I h¢reby aifirm that I am licensetl untle� P/ovi5ion5 of Char[Gr 9(commencinq wit� section ]000) of Division 3 of [he BuSiness antl Profeszions Gotl¢, antl my license is in full force and eftect. ;Z�� /� License Class C��+� License No.� d Date�Y'�N–�� Signature WORKERS'COMPENSATION OECLARATION I hereby affirm tnat I nave a certiticate of consent to selt-insure or a certificate o/ Workers' Compensation Insurance, or a certifietl mpy thereof (SeCtion 3800, Lab. C.) �o��Y No.P�z�—tirr�s�r�mPanY� A�� Certifiea capy is nereby furnishea. Certifietl co Is filetl with ihe city B �tling pivision Date �'+��–R� Applicant�.�,a6��% �� EXEMVTION FROM WORKERS' COMPHNSATION DECLARA� (T is section ne¢tl no[ be completetl if the Permit is fo� One huntlretl ($300) or les I cer - y[hat in [he Performance ot the Wo�k fo� which this p¢rm�t is i55uetl, I shall n employ any person in any manner so as to become subjeti to [h¢ Workers ompensation �aws o� Galifomia. Da[e Si9nature NOTICE: N, fter makin9 chis tleclaration. You shoultl become subject to tne WorkeR' CO ensation provisions ot tM1e Labo� Cotle, you must forthwitb comply with 5 ch p�ovisions or this Permit sM1al� be tleemetl �evoketl. CONSTRUCTIO LENDING AGENCV I nereby afOrm that ere is a mnstructiotl lentling agency for the performance of the work for Uic� tnis Oermit is issuetl (Section 309� Civ. C.) LPnaer's Name � lentler's Atltlre55� OWNER BUILDEH �ECL RHTION 1 nere�y atfi�m that I am e� mp[ f�om CM1e ConVactor's Llcense Law to� th¢ following rea5on (Section 70 .5 Busine55 antl Prote55ional Cotle: Any city o� cOunty which requires a oarmi to cons[ruct, dl[er, improve, tlemolis� o� �epai� any structure, prior to its issua e, also iequires the aDP�icant for such permit to file a signetl s[a[ement thai he he is I�censetl pursuant to the provisions of roe Contrac[or'S License Law (Cha er 9(mmmencinq with Sec[ion 7000) of DivisiOn 3 of [he Business anE Pro Ssi�ns CotlE) or that he/She Is exempt theret�om an0 the basis for (he alleg ¢xemption. Any violatlon of Section 7031.5 by any applicant fov a pe� �� subjects the applicant lo a tivil pendlty of not more Ihan tive buntlretl tl�ars (5500). � I, as owner oi the property or my P�oyees with wa9es as their sole ,tompensation, will ao tne work, antl ihe st cture is not intentletl or oftered for sale (Section ]064, Business antl 7�of sional Cotle: The Contractor's License Law tloes not apply to an owner of a operty wno builtls or improves thereOn, antl who tloe5 such work hlms¢If/her t or through his or h¢r own employees, provitletl Ihat su<M1 improverr�enis are ot intentletl ot otfe�etl Po� sale. If, however, the builtling or improvBment is 5 tl within one year of wm- pletion, th¢ owner will M1ave the burtlen Of Proving /s�e tlitl not builtl o� im- �rOve for the purpose ot Sale). I, as owner of the property, am excWsively contra 'ng with licensetl con- tractors to construct the oroject (Section 7044, Business tl Pro(essions Cotle: The Gontractot's License Law tloes not apply to an own of property who builtls or improves tnereon, antl wno co�Vacts for such Or ectz with a con- t�actor(5) ucense pursuant to the Contracfor'S License Law). am awar¢ that proof of tlteir Worker'S Compensation insurance shoultl be p viAetl [o me. ❑ 1 am exempt untler Section B. & P. C. for is reason Date owner ) I hereby certify that I have reatl tniz app�i�ation antl state that the above information is correct. I agree to comply with all [ity antl county ortlinances antl state laws relaling to builtling mnstNction, antl hereby au[hotlie repre- sentatives of tnis city to enter upon the above-mentionetl property for inspectlon q�rposes.� t1 Signature `�GfLi oaie �� L�'� Drivers' License or 55 � _ �–�� –��_� TYPE OF CONSTRUCTION L�New IJ ADD ❑ CONVERSION ❑ DEMOLISH ❑ OTHEq DESCRIPTION OF WOAK/USE OF BLDG. — ALTERATION LJ REPAIR TVPE OF PERMIT,�j� LJ GRADING LJ FOUNDATION L'TSTRUCTURAL ❑ TENANT �J ELECTRICAI �PLVMBING ❑ MECHANICAL ❑ OTHER PROJEC7 DESCRIPTION Sp. FT. OCCUPANCV_� CON STRUCTION TVPE VALVATION S� ZONE GRADING CV. VDS. AC0.E5— Remarks: P�I.:fU•�X W�...YJ.a.iJljo�'1 1��}) r�i �. z,cG_a�. Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Orains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Roof Orains qeinspection Fae � $15 Duct - Under Ground Duct - Structural Duct - Ventilating Euhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0.100,000 BTU 0100,000BT painspection Fae r $15 CMF 0865�46, rev. 10/84 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl � Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wash Issue Fea Hood or Type I ❑ CanOpy Type 11 ❑ Refrig¢ration System ❑0-100,OOOBTU ❑100,0008T System Repair/Alteration Issue Fee _ . 9239 6/:,E/"% �i,�. — A.P. � � - �d, _ S Main Building: E T Front A Rear C Rig K - g Lett Ping. Ret. # Planning Notes: R � . .� .fY� O FEES ' Automatic Washer Consvuction PoleSub. Cooking Unit Dishwasher Dryers �Gas ❑Eleci Fan F.A,U. Fixtures Device Boxes Outlets Garba9e Disposal Generator �0.5 KW �5�15 2one �, Accessory Building: I Z O i N I N � G R Parking Req./Provided E Q � M T S ELECTRICAL Trans(ormer ❑ 15-50 KW ❑ 50+KW Meter �up m 100 amps Meter pover100amps Sub Panel Motors �0-1 HP 01 Yh - S Inc.Solar �9-15 HP �16-15+ Microwave Pole Light $ 3 I -L- Reinspeciion Fee $15 FEES �DEVEIOPMENT SERVICES REQUIR 2oning App�oved By Building Approved By APDliwtion lauad By $ 3 Sign Standing Sec[ions Trash Compactor Issue Fee FEES $ 3 SUMMA,/NV� -O�F� FEES BUILDING PERMIT $ ____��"'—"- SMIP $ � �J' PLAN CHECK $ PERMIT PLUMBING § �y.On ISSUANCE S PLAN CHECK 25% $ i �� ENERGV P.C. $ ELECTRICAL S IL.OJ GRADING S PLAN CHECK 50% $ MICROFILM 5 ��/ ME AL $ TOTAL FEE $ _IY��.t. PLAN CHECK $ \� CONSTRUCTION AND PLAIVNING POOL & SPA APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporary Electrical $ervice or Pole 52. Pool & Equipment Locatfon � , 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. Fountlation 59. Gas Pipe, 9�Jndrgrnd., Test 9. Water pipe-Undrgrnd. 60. Backwash Lines, P-Trap, C9�CJndrgrnd. 70. Structural Floor System 61. APPROVAL 70 DECK i t. Property Sewer �ine & House Connection 62. Backwash & Receptor-Final y! -� � 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 74. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar SYstem-Final 16. Rough Electric Wirin� 67. Fencing & Access Approval �• y� •t Q� 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �y Z� �� 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL j� �� 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 O Gas ❑ Oil . • 23. Gas Pipe-Rough & Test 72. Underground Flush � 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑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: ( 34. Final Heating & Air Conditioning . 35. Final Gas Pipe-Tesi 36. Hood or Canopy - 37'.' Final F�ctory Fireplace � • � 38. Final Plum6ing . .. �, ' � 39. Water Service-Final , . ' 40. Gas Service-Final �'� ' , 47. Solar pomestioFinal , , 42. Backflow Preventer � , . , � � ' � � 43. Backflow Irrigation ' . . � ' 44. Landscape Irriqation System . ' � 45. Sound Attenuation ' � � - 46. Handicap Regulations ' . � . 47. FINqL STRUCTURE & BUILDING � ' � 48. Special Requirements Completed � , �� ' , 49. Electric Release to Edison � ' 50. Gas Release to Southern California Gas Co � ' �� 51. CER7IFICATE OF OCCUPANCY . � " / No. Date _ _ � , � . � H.V.Lawr.naster & co., �.,�. �TESTlNG & lh'SPECTION EA'GINE�RS 7440 Main St. . P. 0. Box 246 . Stanton, Calif. 90680 Teiephone Area Code )14 828�8040 87-CMS-1982-024 Ficid Data on 7est Specimrns Concrete Gunitc XXX Grout/Monar Job Swimming pool and spa Nichols, 479 Walnut Place, Costa Mesa, CA Conirac�or Mission Pools and MCBee Gunite co. Mix Dcsignaiion_ Concrcte Plant� nvcraee Slump — ^'o. Tcst Spceimens_ Age io be Testcd � 4 to 1 Locaiion in Strunurc: Date Cast Remarks: Spec. P.S.1. at 28 Da�•s. Alarked _ � _ Admixture Ccmcnt Brand 2000 To�al Cu. Yd. Placed 14 days days da��s days Hold #1 transition, '�2 deep end wall and beam Made Bv: Jack Hubbard, Deputy Inspector For Laboratory Use Onl}' LAd. AGF; DATE SPECIME�' U�IT ULT. LOAD ��0. �fARI: DAl'S TESTED WEIGHT �t'T. DIb1E\SIO?'S AREA LBS. PSI MPa 326 327 14 2 � 14 �8-4-87 Hubbard/2 Costa Mesa/1 FaA� e-o�< 6"p x 12" 6"p x 72" 28.27 74,000 28.27 54,000 2620 � avg. 7970 Respectfully Submitted, H, V, Lawmzster a Co., Inc, gy �N L • �c�� x. v. i.nwninsrEx x co., n�c. REPORT OF INSPECTION �,. �ILL T0: Address: CN1ER: 6unite Mason�y toncrete Post- sioned Concrete Fireprootip9 Reinforcing Steel ►ItOJECT: _ �f.�.��(n-vv � �Ci Y�� . � �R�po�H_=�Ilo. � �(�I cf ? L�yrJ �"�n ✓ Aedress: 1/ / 7 �'�/C�w�� _7ermit No.��',�.�a7.$�3 ArcAttect: Contrsctor: ��J-e-ce-„2- U �� AdEress: Address: �UG?'.t.�cti�1i��CS�t� �� Engineer: ��:�y�� 2,,,,,.¢�L,. Subcontractor: -%sYLc �.� �1.�c�,.�.L(;e,�' � (Gunite) i ✓ p Address: � ,�t� • Masonry or �'LB'z�-v-C'-c.�../`�� q n/�(� Concrete) Inspcctor: , �.�a.c,�t�Ce.Jz��.! Address: _ `�,yt,��? eJz ��x� V � Mix Used: /� y �/ ' S1�mC. ^tl�� x/4 `�' ° kJmi-irYvs3: d'� . Desi9neE Stre�gth. ►SI: �.oao The fotiw+iny inspection was pe�formed in •cc�rdance witA t1+e �pproved draMings: Cu.l'4s. No. of pATES ►IaceE Cyls• �� _ ,�� 3 �� .�, > � 33 � CopTes of Reports to: (Indicate rhlcA tidg. Dept. i/urnish sEQress of arir not listed) OWNER 1VICHOLAS� GERALD W. DATE 10-1-74 JOB ADDRESS �7q Walnut PlnrP BUILDING PERMIT v - - � c �+INSPE � SOIL G AS WRTER PROP. SWR. LINE U SPRINKLING SYSTEM UNDERGROUN� U POWER ROl1GN WIRING Fi��:l��:lyl BONO BEAM Q STEEL SMEATHING FRAME AN� FLASHING LATHING - IN n OU� f.'.=!>��:sER. BROWN COAT NEATING. VENT.. REFRI BUILOING, FINAL SUBCOHTRACTOR ORANGE COU}ITY BUILDING DEPARTMENT APPLICATION FOR PERMIT � PLQT PLAN Show locotion and distances from property line and between buildings. . , . � . -�. _ ' . r ,- � ` n . , ' � .�� / /�/ �CT -1-74�n<r�� `8�. I� OQ OQ1:� �:�.-�:. L COSTA MESA BUILDING-SAFETY DEPARTMENT � P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT for Applicant to Fill in Completely BUILDING `!n l� n �) � RECEIV�ED� DAT�'EC�EIV7 DAT�ISS�IED�� ADDRESS "� / G�/"/L�UI.0 /C + � � U � / / OWNERCC�L LI, '`//C' n�lQ. A.P.NO. � — MAI l '/ � �/ ' n BUILDING Z. ) ADDRESS Y � LVAC��U/ /�L � �+DDFESS a U CITV CG5T�1 CS�i NOL q�6" J%j/ TRACT Z Z Q CONSTRVCiION W A D O N LENDER d m J � BfiANCH ' J N OWNER /' Da., W ADDRESS eNl�/tTB � /1' OR ENGINEEFl . f/ 1 �' l�rT �S NEL=�SG`�3I � � � �%Q /1 FIRE W 2 ADDRESS�J�� (/-f (( .Q,� .,(�j , ZONE TVPE aw APPROVED JO CONTRACTOR Q�(� �— �j/L�,e BV m Z J ¢ ADDRESS �3/J � w TEL. ZON PLANS Z = CITY NO. I H w � STATE CITV �'ARDS APPROVED j O LIC. NO. LIC. NO. MAIN BUILDING S12E NO.OF BLDGa. (FROM C/L ST EET) � OF LOT �� ? NOW ON LOT � FROM _ USE OF EXISTING BLDG. L{r�^� - T H' SI2E OF r/ (J y�y'� NO. OF � uC�<'d Z NEW BIOG. /�. ll • ROOMS STORIES L. SIDE �{�. i U EMERIOR WALL ROOF I // � COVEFING COVERING REAR PT. J USE OF eUILDING AND WORK TO BE PERFORMED DI5TANCE BET. a MAIN BLDCS. tNLf�,QGE £O ,/YI + C.U.P # F /y y �p- Amic� /ja.�-+ � qT .SF2 i'Fi �ROVEDi,I - �V W O� ,f' C /-� VI hereby acknowletlge that I hava reatl this epplication and state � that the ebove info�mation is correct antl apree [o comply with � all laws regulaNnB builtlin8 construction, antl I shall not employ F any oerson in violation of the workman's compensaHon laws of y the State of Celitornie. ? I hareby cartify that I em prope�ly licensetl as a contractor untler SQ. FT. the State of California Business and Professions Cotle, Divisicn 3, THE MOUNT SHOWN Chaptar 9, antl that such licenses are In full foree and effect, or I THE PURPOSE OF ESTAB am ezempt from the provisions ot the State of Californla Business VALUATION antl Professions Cotle, Division 3, Chapter 9. PE Signatura of ,/ /�/L� `� /u� �•� /� �/ Permittee .� / � /G` � $ / �/ �/ PL � �( � � Authorizatl ABant TO USE OF NEW BUILDING �rn �� VAflDS APPflOV ED BET. MAIN & N / e � � 0 ON IS FOR � FEE ONLY: Q � m J ; .7�'Z� @ 0 �� r,D LL F � Lil a Q � � '�. F G W F Q � 1 r � m w a 0 C a z I+J x 3 R � : CPSTA MESA BUILDING-SAFETY DEPARTMENT ApPUCATION FORISTRUC�T[�RALPERMIT 9.50 P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 RECEIVED BV P R � - ' / For Applicant ro Fill in Completely — Use Ink Only �� N� BUILDING q.p,ryp. I g--�q � ADDRESS -/ ` 1� �-� o OWNEROR ADDRESS �� y L'�{�/ � \ L, TENANT UNIT OR MAILING SPACE NO. ADDRE55 � � G., TR.NP663 LOT �� BLK. TEL. CITV p NO. _ ,.j ' - NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTRU�ION LENDER CiYI-c• �/ l\. BRANCH OWNER G. W' �l G f/ D L.� j ADORESS /7 /�� VALUE �' OR ENGWEER Q% .� TEL. USE €/JT/� /��/D S�D' �� ADORESS �% � Sr 20NE I TVPE GPOUP � APPROVED CONTRACTOR (/ BV DATE AD�FiE55 TEL. CITY NO. STATE CITV APPROVEDSETBACKS LIC. NO. LIC. NO. SIZE NO.OF BLDGS. (FROM C/L STflEE/ T) OF LOT NOW ON LOT � OM T. USE OF � �� / � EXI5fING 9LOG. Separate permits are required for L SID electric, plumbing and heating work. REAR USE OF BUIIDING AND WOFK TO BE ERFORMED PLANNING ACTION J r � _ DATE � APPROVED APPROVE ,D �/ u I hereby acknowletlge thet 1 have fead thls epplicatlon entl rtate °i that the abova informaHan ic corract antl agrea to comply with � all lews re8ulatin0 builtlinp concttuction, antl I shall not amploy � ,eny parson in violation of the wo�kman's compenxtion laws of ° tne State of Calitornla. 'y ' SQ. FT. N I hareby certify that I em proparly licensetl es a contractor under the State of Californle Business end Professione Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, antl that sueh Iicenses era in tull torce end ettect, ar I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � am exempR from tha provlslona of the State Of Calif e Business VAlUAT10N PERMIT FEE S q antl Professions Code, D'vialon ; C ter 9. ,:Ii� a+ n PLAN CHECK S o SiO�ature Of � Potmittae '�T - $ � � � TAX E , s� V Authorized Bent Da �'�� 7g TOTALPAID b , S� TL