HomeMy WebLinkAbout3318 WYOMING CIR - Building PermitsPfl0.1ECTRDOHESS: 3J18 WYOMING CI
OWNEN'SNRME:ROBERT P. DAVEY
RDOflESS:18OO1 IRVINE BLVD
� TUSTIN, CA 92680
�ooeess: p
UNIT:
xea.xo.: ,
uxrt:
�. 00000
PENMITTEE:ROBERT F. DAVEY (714)544-8085
�ooeess: 0 18001 IRVINE BLVD
TUSTIN CA 92680
IILEN3ED fANTMCTON OECUWITION: I hereDy aH4m WI I am�yn� e0 unCer Drwisions ol Gupter 9(commendnp wiN Section
7000) ot DiNsion 3 0l tna Busineu antl Pfale55ions COOe, anQ'1frTrc! 84 b in MI lor� e af t.
cmuc.:047646 ST��uc.005568 c�'B '. .
Uare: �(�.�$� SlOnatuR:
WONKEHS' CO PEMSATION OECIA ON: 1 trere amrm Wt I Aave a urtifiate al minem to sdldnsur a certifi a ol Worken'
Compensatmn Insunnce. or a ceni/iM ca Ihermt�Sectlon 3800, LaG. C�.
eoucrxo.:PWC3033345�6 ocv.o�n:ll/11/89
wrnraxv:HERITAGE PROP
'� CeNlietl�fA7Y IS AeR fuM5t1e0. ❑ CefG1iM mDY it'NM wi�h dN B Idin7 U..
� �ate: � MD���
�, IXEMFfION FROM WOPNEN3' COM L1TIOx OEtIAMT10N: (fhb sxtim nee0 not Oe m�letW B Ne pcmit'a ta reE (f1 lasl.
i I ceniry ttwt In ihe pertormance al Ihe work tar wNch tlus cermit is issue0, I stWl rwt emqoy any verson in manner w az ecome
�, subjecl ro IAe Workers' Compensauon Laws ol Cafitamia.
Date: S�qnatua:
NOTILE: II, atter maldnp IhtS EecWratlon, you StqNG berome whject to the Workeri Compensation D��om ol the LaDor
CaUe, yau must tort�wit� comDN wit� SucA D��sians ar tNs pemtit sAall he AeemeE 2voke0.
CONSTflUCTION LENOING IIGENLY: I here�y aHirm [hal I�ere is a canstmctlon IenOinp a0ency fOr t�e peAormance al l�e xrork lor
whicA IAIs permit u issuetl (SecUan 3097, Civ. C).
�xoex:
�oneess:
OWNEB BUILOEP OECUMTION: I �eaUy attirm Itut I am eKempt Irom t�e Caniracrors' Stata Lkense Law lor IAe Iallowln0 reason
(Section 7031.5 Business an0 Pmlesslonal Coae: My ciry of counry wOicA reQuires a permit to constmd, atler. im0�ove, 4emolisA, or
repalr any strucNre, ptlor ta IGs issuance, also repuiru Ine �wM for sucn permit ta file a slpneE statement IIw1 ne/sne is licensed
pursuant to IAe pmvisiws ol t�e Contracmrs' State License Law (CMpter 9(commencinp MtA Sectlon 7000) of DNislon 3 of t�e Business
an0 Professlons COAe) or IIUI �e/s�e is exempt t�emlrom anU t�a Easis lor ��e allepeE exemptlon. My Wolalion ot Saction 7031.5 by
any appliwnt lar a OerMt wbjecls ihe appticant to a dvll penalry ol not mom tlun INe �unEreO Eollars (f500).
I, as owner of Itro Droperry or my empIoyees wiN wa0u u Neir sole mmpensatkn, vNl Eo the work, anC tAe
❑ stmctum is nol IntenEeE or ottered for sate (Section 704d, Business anE Prolesslonal CoUe: T�e Contacton' State License Law
Eoes mI apDN �o an owner of a D�operry wla Md1Os a im0�5 Nereon, aiM who Eoes Suc� work Nmsell/�ersell Or IAroup�
AI5 or Aer awn employees. proviUeE Itut sucA imprmements am no1 NtentlBG or oflereE for ule. II, Aowever t�a GUIIEInp Or
Improvement b sd0 xitNn one year ol completion, Itro mmer wiA luve I�e Eurden oi Orovinp he/s�e OIO not Du110 or improve
lor t�e purpose oi sale).
I, as awner of t�e D�oDe�ty am exGusivery Cantractinp wil� �cenSeE fAmrattors �o wnStruci IA8 Omjett tSBttlOn 7044, Bu51na55
❑ anE Prolessims CaOe: TM CanVaztors' Slate License Law Oces rot appy to an axnu ol pioperrywlp Eu1105 or Improves Nereon
an0 w�o contrazis tar suc� Drajecta wIN a contractw�s�license Oursuant to Ua Cantractors' State License Law),I am aware
Itwt 0�1 0l t�eir Warker's Campensaiion insurance sAONE Ca D�e� �o me. '
� I am erempt wEer $ec�bn: B. 6 P. C.
�or chk reawn:
oate: Mmer.
I Oo nere0y ceniy Nat I am aware ol and unOerstanO Ne requirements al Calitomia NealtA aM Salery CoOe Sectiom 25505. 25533, an0
2553e anA tAat I ar any iNura OuilEinp occupant xiIIM�11 rrot (drpe one) neeE to compN ��� saiE state co0e5 anG Ne repuirements for a
permit lor cpsiruction or mo0il'icatim tram Ne Air � Manapement Oistrkt. flesi0ential construction apptiations ara cvemD� �rom
lhese provislons.
Date: ApWicanC
I �ere0y mrtity ttwt I Iwve reaE tNs apD��on aM sut�
�orAinances ana state laxs relatin0 �o huilAmq canstutial
pmDerry for impection puryoses.
Date: �V/� 7�� SiAn�ure'
oriver's License or Social Securiry »:
ispryre ap compty vntA all ury an0 counry
nt(iry ot 's ry ro e ter upon t�e a�ove�memianeU
1601-68 W�I�a—BuilEing; Green—CoOe Enbrcement; Cenflry—Applicam; Pink—Ravanue;
\
CITY OF COSTA MESA — BUILDING PERMIT ,.
PERMIT NO: B 094560 PLAN CHECK NO: N GOVT: N SUPP:�N �� /
CUNSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: REP
JOB DESCRIPTION . SQ FT: 1,160 '
CLAIM VALUE: 1,160.00 CALC—VALUE: 1,160.00 GROUP OCC: R-3 /
CUMMF.NTS :
x�t��x�t�tit*�t*�r�r*�t*x��t**�i�*�r�r*�c��r�r�rx****+r+t�r�tx���t�r*it�r�t**�*x�*'ft**i�x��r*�t+t�*�t��c�*�*�r�t*�tx�itx�r�**�
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN �UILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: 'FT IN
LEFT: FT IDl RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQUIRED: '� PARKING PROVIDED: PARCEL: 13961118 ZONE:
PLANNING NOTES> >
> \
iF it iE it ik it i! it iE �t iE iP iE it iE it if it If iE iPv�E iE it it ik it it it iE iE iE iE it iE k ft k it iE it iF iE iF if it if ik iE iP it it iP iP it iF if iE 9t iE rt iE if ik it ib iP 1E i4 iPifdt iE if iF ik iE iE it
D E V E L O P�p E N T S E R C� I C E S R E Q U I R E M E N T. S
ZONING APPROVED BY DATE: .
BUILDING APPROVED BY : DATE;
APPLICATION ISSUED BY: � � DATE: ����
�rtitititit*ititit�tf�it*****�f�riFititiF3F 3F iF±P�ir� 3FiF F FiFiF'i�3F'R3F'iFiFTF7FiFiF**itit***rit* itit
�**�r+r�r+r*�r+��r+��**����*�r**��***+��r�r�*��**�* r�r+� �+r�r�+rx�r*��rx*******�x*x**��*�**�����r*
I,EGALIZATION:N F E E S U M M A R Y STRUCTORAL SEGMENT:Y
DLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 23.OU 50 .. �
PI�AN SMIP/NON=REu
I55UE FEE
HOILDING—DIV—> PERMIT ISSUE PLAN—CHL'CK TOTAL PAID �~ DUE
TOTALS----> 29.50 0.00 0.00 29.50 29.50 � .00
REVENUE DI��ISION TOTALS--> COLLECTED: 29.50 OVER/SHORT: �.UO
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN-CHECK
29.00 , .50 ,
i! ff iF k iE k ff �E if k iF iE iF iF if !f iElE IE iE iF k k M M ff k 1E 3f iE ik iE iE 1f ik if iE iE 4 fE Ik 1E IE 1E �f 3f it iE it ik jF it iF iE iF iE iE 3k iE �EiE i4 il-iF 3E ib it if ik �F iF if 1E iE if iE ik 1E k
I N D I V I D U A L F fi E H R E A K D O W N ,
TYPE QTY D E S C R I P T I O N ONIT COST "fOTAL COST
SFR 11G0 REROOF BY VALUE RESIDENIAL NO7,ONE ]..00 1;160.00
END OF PF.ES
0
4'
i
- �. .. . . � .� . . . .
CO T�. N AND PLANNING POOL PA
Date Inspector Date Inspector
APPROVALS Permit # , APPROVALS Permit # ,�.
1. Temporery Electrical ServiceocPole' _ ,!� 52. Pool & Equipment Location -�
2.--Soil Pipe�Undrgrnd: �- � �� 53. Sreel Reinforcement �
y 3. Electrical Conduit Utiliry-Undrgrnd: " 54. Forms
4. Electrical Conduit�Undrgrnd. . ' 55. Elettrical Bonding
" 5. �Steel Reinforcement . 56. Rough Plumbing & Pressure Test
_ 6:-Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE "
�7. Footings % - - 58. Electrical Conduit-Undrgrnd. '
f,'i •
��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. Property Sewer Ljne•& House Connection , 62. Backwash & Receptor-Final �
12. Sewer Cap � � . �; _ � 63. Heater & Vent-Final
13. Roof Drains � - ' '
64. Plum6ing SYstem � Final 1
14. Rough Plumbing 65. Electrical-Final
75. Rough Electrical-Conduit ' 66. Solar SYstem-Final �
16. Rough Electric Wirin9 , 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Ro�gh Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating &-Air Conditioning __ _ , _ FIRE DEFT. REQUIREMENT �
20:�,Rough Factory Fireplace : � '" • � .- . + �APPROVA�LS %�- Permit #
c e � -'
21.:Ducis, in;Structure� �� ^ � " - �- � .��70. U'nderground Hyiiro -
225�Ducts, Ventilating.;. � - + • �77. ProducfPiping OGas ❑Oil
23.'Gas:Pipe;Rough & Test - » J �_ � J72, Underground Flush ,
24. Roof Framing -� � � r��73:'Undergmd.Smra9e=Tank OGas ❑Oil
25. Roof Sheathing ' _ . _"�. ^� 74:`Overhead HYdro
26.AT-Bar Ceiling (Structural) & Monocoat -� � 75:;Dry Chemical _ � �
27:_ Freme and Flashing _ - 76. Dry Standpipe ' � ' .
.28. Laihing & Siding ��. � .� 77. FIXED SYSTEM FINAL ��
� 29. Insulation _' r �_ .� �• 76` FIRE PREV. FINAL �
= 30. Drywall Nailing . - - • . . _ HEALTH DEPT. REQUIREMENT
'31. Plasrer Brown Coat� �' � � -. �'79. FINAL INSPECTION � �
•
� 32..Electrical Power Meter-Final � � �;� � 80. FOOD CERTIFICATE ISSUED- ^
� '- -
5 33:�Final Electric " . * Notes: �.' r-
34;-.Final Heating & Air,Conditioning _ ,, : � � , .= " � 7 . - - �
- ' /'.
,35,�Final Gas Pipe-Test. -' �� - � �" ,: �. " - '' ��,
r F ` "
. 36.;Hood or Canopy . ' -_ _ � � . -
• r..
�37 Final Factory Pireplace � - ' 4 , � r , ._ `
=,38. Final Plumbing . - _ �'_- . •3
'. 39. Water Service�Final= � = � �� - ' -
�40. Gas Service-Final `. _ , - , �. _ _
',41. Solar pomeaticFinal - - - � . - _ � -
' 42. Backflow Preventer".' � , '� � � , l ' _
43. Backflow Irrigation �� � '. + • . - '
44. Landscape Irripation System ^. � a � , - '; . - _
45�Sound'A[tenuation - • • - � -' . _ " . � - •
�
46: Handicap Regulations _ - . ,
� : r. !n ,
4- INALSTRUCTURE & BUILDING_ O L jf�
► �
48.rFINAL_P,LANNING � � " �. ''' � ,� - .
49: Electric Release to Edison i ! ',--y , c� . -
50: �Gaz:Release to Southern Calitornia Gas Co _ �� � :` ' ' '
, _ .,
51. CERTIFICATE OF OCCUPANCY � ' -
No. Date
,. �
PqOJECT RD�HE55: J j 1 ii f: ���Ji � 1 V �+ C i
�['�NNEP'S NAME: v(�`( I:Iii�CLD E
� aoon¢ss: �]i� SdYJ�tihG CZR
CL�S'1'H : �'r.b�l. CA
/i��1 �fx7-0438
AflLHIENGINEEfl:
p00NES$:
'."1.b�6
UNIT:
/
HEG.NO.: �
UNIT: /
PEPMITTEE: �, y�', L� j L• 11UF'� I`V �� 1`1 ) V 3t1 u � 7 V
aooness: � ; � L ivCP:TOV :iV:3
LUIVV JEL��k ,_,1 iOUOJ
LILENSEU CONTNRCTOP OECUflRT10N: I hereGy al�irm llwt I am licensetl uMBr prwi5i0n5 0l CtwUter 9 �COmmencin0 w��h Sec�ion
7000� ol Drv;sion 3 0l ��e Business an0 Pmfessions G�e, anG my license is in iNl lorce anE eBect. 1
cirr uc.: 0 1 J) 0�,. STpTE LIC.: � j y 1 4: c _,i g t7{ �; i 0/ 9 9
�at � Sqnatu�e: '
K�UMP NSATfUN ClABATWN: I I�eoeGq flirm Uul l have a i IG oi mn5eni lo sell-inSurE'c� a CertiliU�e 01 WOrk¢rs'
„B6mpensation Insuta ce, a a ceNliea fADY �nereot (SttGM 3800. LaG ).
POLICY NO.: . J�6 i.� .� - 9.i E%P. U�TE: U 7! 2 i/ 9 4
COMPANY: �.+TATE CC/1�L
❑ Cenilie0 copY � �ereGy tumi �eE. � CenitiM �oP/ a tiled xi� .' BWEinq DiviS' .
� � /j 9L
� Da : �L_L� A771iwm:
EMPTION FpOM WOPKEPS' COMPENSIITION OERAIIAPON: (ihis section Oe cample;eG il Ne permt 5 fa me AwNred �5100) m las�.
1 ceriify I�ai in I�e Oer�Urman[e of I�e work lor w�ic� this permi� rs issuetl, 15�a11 not em0�oy any De�son in any manner 50 as �0 6ecome
5ublec� Io Ihe Worker5 CqmOensa;ion LavS o� Cati�a�nia.
Oate: Siqnaw�e:
NOTICE: II, a�ter makinp ��is Ee[laralion. you S�ou10 6efAme Subieti to lhe WOAefs' COmp¢n5aiion D�ovisi0n5 0� IAe La6or
CoCe. you must tonliwit� comON •+�� suc� provisians ar this permit stuA Oe tleemed remkeE.
CONSTBUCTION LENUINC pGENCY: I �¢reGy a��irm �hal I�ere is a mn5tmt�i0n len�inp apenty lOr Ihe pedOrmant¢ 01 Ihe wOrk IOr
wMc� I�is permit is issueG (Setiion 3W7. Civ. C�.
LENDEfl:
A�OPESS:
OWNEB BUILUEB �ECLAPA710N: I �ere0y afiirm tW� � am exem0� Imm ihe Contractars' S�ale Licensa law lor t�e follovnnp reason
(Seclion 70�1.5 Business and Pwlessional CoOe: pny clry ol counry w�ic� repuires a permit to consimct, alter, impmve, demolish, or
�epan arcy sUuctute. D�iot to its issuance. aVso �epuites the apWitant to� wt11 permil ta I�le a Sipned statemenl tlut IMlShe is AcenSPA
pursuam to t�e pmvisions ol �he Comractors' S�ale License Law �C�apter 9(commencinp wit� Section 7000) ol 0ivision 3 of �Ae Business
ana Pmfessions Co0e) or inat nPJ50e is exempt tnere��om anA Ine oa5is �or I�e allepe0 exemo�ion. Any uiolation ul Sec�ion 7031.5 Oy
any applican� lot a permil suUiecis tAe apDlicanl ta a ���I penal�y af not more ihan fiva hunCreO aollars 135001.
1. as owner ol tne pm0etty or my emVloyees witn wapes as their sola compensation, xill Eo tna work. anE tne
i❑ stmcture is not imm�Cetl or o�4red lor sale (Se«wn 70ad, Buvness an0 Pmle55i0nal Code: T�e fAmrattor5' Slaie LicenSe law
Goes nal apDN lo an owner o� a propeny wllo �uilds or improves tlur¢on, anE who OoeS Suc� wod �imsell/�¢r5ell or IAroup�
�is Or h¢r own employees. proN0e0 Itul Sut� imOmvemen6 are noi inlenEeO a� all¢re0 br SaIB. I�, how¢ver Ihe buildinp Or
impmvemenl a SoIU witltin one year of rAmpleti0n. t�e Ovmer will hdve ��e DurOen ol prOvinp �USlia CiE nol Ou�10 ot improve
lor ine pu�0ose ol sate�.
I, as owner ol me propeny, am exclusivery caniraciinp wilh IicenseE mntracrors ro construct the D�oleci (Secilan 70aa, Business
❑ an0 Prolessions WOe: Tl�e Contropq5' Su�e �reme �aw aoa mt aooN to an owner ot oroa�ty wA0 GuilQs or imDrove5lAereon
an0 wno comrans lor suc� projects wit� a canracroqs) license Dursuam io i�e Convactars' Slate License Lawl. I am aware
tlWt prool oi Ineir Worket's fAmoensalion inSuranfR slroulG �e D«4� to me.
� 1 am exem0� unaer Sectian: B. 8 P. C.
�or t�is reasOn:
Date: Uwner.
I tlo here0y cenity Ilui I am aware ol anG uMersund ��e repuirtmenu of Calilomia Heali� anG Salery COGe Setlims 25505. 25533, anG
2557A an4 ihat I or any lu�ure huilamg atupan� vnlVVAlI no� (d¢le onq need lo tampty vnih sai0 SlalO Co0e5 and ��e r¢quiremen�s lo/ a
petmii IOr Conslm[Iion or moailitalian imm I�e Au Oualiry Matuqemeni Oisln[I. He5i0mtul cmSWt�ion aODlicaii0ns afe exempl �mm
IIICSC O�OVi5i0�S
Oale: NpplitaA�:
I her¢�y ceiliiy Ihai I Aave read t�is ap0�icaii0n an0 Sid�e lha� Ihe aCove in�orma�ion i5 tOrreci. I a0�ee lo tomply vn�� all tiiy and wwty
orGinances anC s�ate iaws retating m ouilang consVuctiM antl here�y autluriz D�esentatives ol iks ciry to enter upon ihe above�mentioned
roDetly IDr inSDettion purposes. �
Oal '. ���� SignaWle: �
ii�ers ticense or Sociai Secunty r: � —�
i6aba6 Wbito—Boiltling: 6reen—CoOe EnlarcemenC Canary—Appiican�: Pink—Revanue: GOldenroC—Asse550�
�i�iY :,r �GG�.i .;E�ei � D�1LLi;d; PEX:;,T
t�r.:�t-tir NU: a ObuOJ� e'i,�uJ �ti�Ct: �JiJ: ;d
::U?JSTRUCiIO:d iYP�: P�R:IIT TYPE; STR
f.:El:i �;u : L �,., u �
:.U�::. :] L�1� . ..
d�i.li ULi:: .,,-.
�UB UESCR1PT10N . T/u, .tE:,HLATH L RE.RUOF id/C(�ilP, :iHi.1G S� F":: ,',G.;
LLt\1M VAilic: �, ":OG.00 C�iLC-VALuE: �,900.OU Gl'.il..�� u�.�: t1- � �'::-i
C0�7hiENTS: S:�tOdG "uE7.^:,CTORS 1�AE RE�IUiRED IiJ EVERY BEL'ROOi-'r Z t[[�_'L".�AY, .'�: ,!;�:
i, i. � f K%� a k� {: L t i� i:� i. 8# i Y i. i, h K� i, i. #�%� ::.. i#\ i; :* A i�'_ t i i: { i•}: i+: +. + Y!:' :. i.� i i: e i. i i�. ., s. . ... 1.� a.. . i '�
� O N 1;4 C R E Q � I R E h: E N T:.
S'.•: T S A C k`.;
----------- F1A.:1 D'J1LDiAIG --- - - --- ---- ---- ACC::S:;OitY ttJIiDi :G
FRNT: ET �ti REAR: 1'i �N FR:JT; FT ";J kET.R: F': i;l
LEFT: r^': ii� RCHT: FT :;� LEF:. FT I;� rlG.iT; .: .:.
PARF:IivG REQ• PROV: PARCEl,: I39o11iE `vNE: htE :;0;
PLA�INI['JG iJOTES>
>
N'#'%'M-k'1:RiFifji'1fi['X'iF3�1I't.'1f'#i�i�-i('1.'1:iF1.�i'.'i«r�`fC�i `.:i.it'IFikifr#i:'iFif'}'.k'iCK'i('itj.''i:%'iiMt.';:#'Y'11"i1('#i�xY.'i.�':#�i i�i-;-s iT A'� �. *i.
D E V E L O P[, E N T 5 E R V I C E S R E Q U I k E[: E�;. T' S
ZONING APPROVED BY Dh1g;
BUiLDING APPROVED DY : UA"iE:
APPLICATION ISSIJEU BY: ��_ LpTg� tC.(: (�
K#%IE####1F#K'#k��X't.'kK-#if�tit -. � '. -' i h' '#i: �•3af' fi'f.• f.'X'x' ',: -' �A'n•It#Xi.k#!:#Y.'1't.;T, it'. � C':
%-*�k-fiit!t1t#i(iF#�iEiiSY�iFK-i`k�iF##fi-itk%�k%�YlFYrk�k%��%RN�XY.�*X�#MY�'.:�#%�t.i.K�i�Y.�Yi'�if#i.i:,:' .'#::Y.�K�t-��i'.:' . :#:': ;-.{,}
LEGALIZATION:N F E E S U M M A R Y S'fRUC1URAi, Sr:�:tE;,i:Y
BLDC PM1 PLUi9BING ELECTRIC MECHANIC FIRE Sii1P/HES L'riAii�ld�:
PERMIT 8i.00 ,�9
. Sh1IP/iJOL4-LiES
PLAN
ISSUE FEE
bUILDING-DIV-> PERD7Ii ISSUE Pi;AU-CHECK
TOTALS----> £11.5° 0.00 U.00
[iEVENUE LIVIS'G:d TO�Ai.G—> COiiECiED: Gi
biDG P�1T FLUh18ING l•:LEC?RiC PiECKANIC FIRE
�1.�0
TOTAL PAID li[;E
81.59 H1.5. ,00
.�9 UVEfi/3HORi: ..�
St9IP/TOT GRALIiJv i �i�:i-C:ic:::ii
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I N D I V i D U A L E E E b R E A I; U 0 4: N
TYPE QTY D E 5 C R i P i i O N UNIT CU.r,'. Tu.r;L CO� �'
SFR 5900 REROOF BY VAiOE RE�TDrldTiAL NOZONE 1.00 :00,00
EP:U UF FCEE �
�
01 0�164097-00164098 TOT 81.59
DATE: 07/14/94 iItIE: 11:35
�, CONSTRUCTION ANDPLANNING POOL �PA
�,+ Oate Inspector Date Inspector
APPROVALS Permit # APPROVALS Permit #
t. Temporary Electrical Service or Poie 52. Pool & Equipment Location
2. $oil Pipe�Undrgrnd. 53. Steel Reinforcement
3. E�ectrical Conduit Utiliry-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgmd. 55. Electrical Bonding
5. Steel Reinforcemen[ 56. Raugh Plumbing & Pressure Test �
6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE I
7. Fooungs 58. Electrical Conduit�Undrgmd.
A. Foundation 59. Gas Pipe, O Undrgrnd., Test . ,
9. Water Plpe-Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrqrnd.
10, Structural Floor System 61. APPROVAL TO DECK
11. Propertv Sewer Line & House Connection ' 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent�Final
73. Roof Drains 64. Piumbing System - F�nal
74. fiough Plumbing 65. Etectrical�Final
15. Rough Electrical-Condu4t 66. Solar System�Final
16. Rough Electric Wiring , 67. Fencine� & Access Approval �
�
77. Rough Wiring Sig� 68. APPROVED FOR P�ASTERING
t8. Rough Etect�ical-T Bar Ceiting 69. POOUSPA SYSTEPAS F11VAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Dutts, Ventilatmg 71. Prodoct Piping C7 Gas O Oii
23. Gas Pipe�Rough & Tes: 72. Underground Flu,h
24. Roof Framing 73. Undergmd. Storaye Tank O Gas ❑ Oil
25. Roof Sheathin9 74. Overhead Hydro
26. T•8ar Ceiling tSvucturall & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 76. FIRE PREV. FINA�
30. Drylvall Nailing HEALTH DEPT. REQUIREMENT
31. Plasier Brown Coat 79. P�NAL INSPECTION
32. Electrical Power hleter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Elec:ric Notes�d s� J,, ��p� /f' (y /Q
( f -�
34. Final Heating & Air Conditioning • �,M�����_e��c •��
35. Final Gas Pipe-Test ..
36. Hood or Canopy �
37. Final Factory Fireptace
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Aitenuation
46. Handiwp Regulations � '
47. FINAL STpUCTURE & BUILDING �t -
48, FINAL PLANNING ',
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co ,.
51. CERTIFICATE OF OCCUPANCY
No. Date
APolicant to fill in aibapSees exceot thase within heavy bortler lines ana sign a11 apvrooriate tleclaratlons.
:OSTA MESA
UCTION PERMIT
Project Address' -
Applicant's Mailin Address z�� C
Owner's Name ` one p
Address
Arch/Eng. Li �nse No.
Address �'
Contractor's Nam ne
Address (mailing) -7 � '
City License No. o"�L� � � �
�je10EN5ED CONTRACTOR DECLARFTION
I hereby atfirm that I am lic<n5etl untle� p�ovision5 of C�a�te� 9(commencing
witn section 7000) of Oivision 3 ot tne Business an Professions CoOe, antl
my license is in I(orce a eftect. L.�C��
Licen C ass S 'cen N�
Date Si9nafure
WORK 5' C MPENSATION DECIARATION
hereby atfirm [nat 1 have a certificate ot consent to self-insure or a certificate
i Workers' Compensation Insurance, -or a certified copy tnereof (Section
3800, Lab.�,�.�
Policy No. �..�74� Company �2�,� '
A Certi/i tl c y is hereby fumishetl. , ,
, X`C if c tiletl with the cit tll �i sion.
Date���-�.t� ApPlicantY�/ i�f �T/� '
,f
EXEM ION FROM WORKERS' COMPENSATION OECLARATION
(ThiS settion neetl nol be completetl if the parmit is for one huneretl (5300) or
less)
I certify that in the Oerformance of the work tor which this permit is issuetl, I
zhall not employ any person in any manner so as to become subject to the
Workers' Compensation Lawz o( Cali(omia.
Date Signature
NOTICE: It, afte� makinq this tlecla�atiOn, y0u shoultl become subject to the
Workers' Compensatlon provisions of the Labor Cotle, you musi (orthwith
comply witM1 suc� pravi5ions. or this permit 5hall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
I hereby afflrm that there is a construc{ion lentling agency for Me performance
o( the work ior which [his pAFrAit is issuea (Section 3097 Civ. C.)
L¢naer's Name /A � -� � � �
Lentler's Atltlres
OWNERBVILDER DECLARATION -
1 hereby aftirm that I am exempt (rom the Contractor's License l.aw for the
following reason (Secfion ]�31.5 Business antl Protessional Cotle: Any tity or
county which requires a permlt to construct, alter, improve, tlemoiish or repair
any st�ucture, pdo� to its is5uance, also requires the apP���ant to� such pe�mit
to fila a signetl statement that he/she is Iicensetl pursuant to the orovisions of
.y,the Cantra<tor's License Law (G�ap[er 9(commencin9 with Sectton ]000) ot
'aw�n'fvision 3 Of the Business antl Professions Cotle) o� that he/she i5 exempt �
;k�pzrefrOm antl Ihe basis for the allegetl exemption. Any violation of Section
;'�''031.5 by any ap0licant (or a permit Subject5 Ihe apP�icant to a civil -
�enalty ot not more than five huntlr¢tl tlollars (5500).
I, a5 owner ot the p�operty o� my emDloyees with wages as theit sole
compensation, will tlo tbe work, antl the structure is not intentletl or otferetl
tor sale (Seclion �044, BuSiness and Professional Cotlef The Contractor's
License l.aw tloes mt applY to an owner of a property who builtls or impmves
thereon; antl wno tloes such work nimselt/herselt or throu9h his or her own
employees, prOvitl¢tl that suGh im0�ovements are not intentletl o� otte�etl to�
sal¢. If, M1ow¢ver, the builtling or ImD�ovement is soltl within ona year o( wm-
pletion, the owner wlll have the buraen of proving M1e/she tlitl not builtl or im-
�rove for the ourvose oi zale).
I, as owner of the property, am exclu5ively contracting with IlcenSetl con-
t�actor5 to wnitruct the O�oject (Section 7044, Business antl Profe55ion5 Cotle:
The Contractor's Li<enze Law does not apPly t0 an owner ot property who
builtls or improves thereon, antl who contracts tor such projects with a con-
tractor(s) license purouant to the Contractor'S License Law). � '
❑ 1 am exempt un0er Section B. & P. C. for tM1is reason
Date Owner'
I hereby certify_that 1 have rea�
infnrmrrinn is mrrect. I aar¢e to
S�gna[ure _/�/(,.T
orivers' License or 55
-CMF 0865=46 rev. 7/83
t
J -/�/ �3
TVPE OFCONSTRUCTION fVEW ADD ALTERATION REPAIR —
❑ CONVERSION ❑ DEMOLISH OTHER q.p, �6
DESCRIPTION OF WORK (�,J�!,�%✓t �� Y�
S Main Build
TYPE OF PERMIT GRADING FOUNDATION STRVCTURAL T Front
❑ TENANT ❑ ELECTRICAL PLUM6ING ❑ MECHANICAL A Reaf
❑ OTHER
PROJECT DESCRIPTION 5[i. FT. oCCUPnrvCV � C Right
K Left
CONSTRUCTION TVPE VALUATION $ $
ZONE GRADINGCV.VDS. ACRES PIng.RCf.�i-`
Remarks: Parking Req./Pi
Bar Sink
8ackflow Preventer
eackflow Irrigation
Bathtubs
Clarifiers
Drinking Fountains
Ploor Drains
Floor Sinks
GasService Outlets
Interceptors
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fee $25
Duct- UnderGround
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑Q700,000 BTU �700,000
—���" I I Reinspection Fee
W�ife - BuilCin9: �nary - ApPilwnt: Pink = Accounting; GOldenroU - Assessor
$25
Showers
Servic¢ Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
I�sue Fee
FEES
$ 3
Hood or Type I ❑
Canopy , Type I I ❑
Refrigeration System �
❑0-100,000 BTU ❑100,000 BTU
System Repair/Alteration
luue Fee $ 3
Use of Building:
Planning Notes:
� 1316 12/ "/�.
I Zane
Accessory Building:
Park.Fees $
Io ��'�
� ELECTRICAL FEES
Automatic Washer Transformer ❑ 15-50 KW
Construction PoleSub. � 50+KW
Cooking Unit - Meter ❑up to 700 amps '
Dishwasher . Meter ❑over100amps
Dryers �Gas ❑Electric Sub Panel
Fan ' � Motor5�0-1HP�1'/:-S
F.A.U. Inc.Solar��9-15 HP �16-15+
Fixtures � Microwave
Device Boxes Pole Light
Outlets Range �
Switches Sign
Garbage Disposal Standing Sections
Generator �0.5 KW �545 KW Trash Compacmr
I Reinspectian Fee I$25 � �uue Fee I $ 3 I
PUBLIC SERVICES REQUIREMENTS:
Zoning Approved By Date
Appliwtion Approved By ' Date
Applintion Issued By � / Dat y �
SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
� PLAN CHECK $ PERMIT • �
PLUMBING $ � ��UANCE $
PLAN CHECK $ ENERGV P.C. $ _
ELECTRICAL $ � GRADING $ ' ,
PLAN CHECK $ MICROFILM $
MECHANICAL $ TOTAL FEE $ � Q �
PLAN CHECK $
O
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�
CONSTRUCTION AND PLriNNING
�APPROVALS Permit# AI ��5�
7. Temporary Electrical Service or Pole
2. Soil Pipe-Undrgrnd. • �
3. Electrical Conduit Utility-Undrgrnd.
4. Electrical Conduit-Undrgrnd.
5. Steel Reinforcement
6.,Electri�al UFER Grnd. . -
7. Footings
8. Foundation , ,
9. Water PiPe-Undrgrnd. ,
10. Structural'Floor System !
11. Property Sewer Line & House Connection
12. Sewer Cap
13. Roof Drains • ' �
14. Rough Plumbing ,
15. Rough Electrical-Conduit
16. Rough Electric Wiring
17. Rough Wiring Sign
18. Rough Electrical-T Bar Ceiling
19. Rough Heating & Air Conditioning
I20. Rough Factory Fireplace
21. Ducts, in Structure
22.�Ducts, Ventilating
23. Gas.Pipe-Rough & Test
24�'Roof �Framing
25. Roof Sheathing �
26. T-Bar.Ceiling (Structural) & Monocoat
27. Frame and Flashing
28. Lathing & Siding
29. Insulation
30. Drywall Nailing
37. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
34. Final Heating & Air Conditioning
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 pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING ,
I 48. Special Requirements Completed '
49. Electric Release to Edison
50. Gas Release to Southern California Gas Cc
51. CERTIFICATE OF OCCUPANCY
' No. Date
Date
POO �PA
Inspector AppROVALS Permit#
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. .4PPROVAL TO COVER-GUNITE
58. Electrical Conduit�Undrgrnd.
59. Gai Pipe, O Undrgrnd., Test
60. Backwash Lines, P-Trap, O Undrgrnd.
-. 67. APPROVAL TO DECK
� 62. Backwash & Receptor-Final
63. Heater & Ven[-Final
64. Plumbing System - Final
65. Electrical-Final
66. Solar System�Final
67. Fencing & Access Approval �
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
71. Product Piping O Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank � Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemical
76. DrY Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes:
Date Inspector
. -.
�. �
.�
�
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. �j���
LOT N0. 2 3
ADDRESS � �
�-N%
DATE S I 7�—' � l
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that (he-she-they)
was or were)
advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the c`onditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
BY / 6�'�'�
urchaser
B
Developer and/o authorized
representativ
B Lender
DATE
No. 149-611-1t3 LOT TR
SU6CONTRACTOR
PL
ROUGM MEATING /.ND MR COMOITIOMING
11NDERGROUND U POWER
AOIIGN WINING
STEEL REIHF.
FLOOR SVSTEM
FRAME �NO F��SHING
LITMINf. — IN n
ENT., REFRIG. �N� �.C., FIMAL
iIN�L 11ND WS TEST n
FIN�I
BUILOING, �IN�L
cocriu amuiocucurc
y:7�lit`.[��
, :45436
� COSTA MESA BUILDING-SAFETV DEPARTMENT
� P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Onty
BUILPING 3313 .t,ayor-�i� �- �'R.
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ADDFESS
ADDFESS
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STATE
LIC. NO. �
SIZE
OF LOT
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5156 /2I/78 5050 TL
APPLICATION FOR STRUGTURAL PERM[T L�
RECEIVEO DATERECEIVED ne-raiccimrr�
' FIRE
� A ZONE
AGVROVED
A , c N c� n,iu a-�e� e�
i.., i �� e.��1!_ AQt/1�',F. �Z � _
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CITY
LIC.I
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Separate permits are required for
electric, plumbing and heating work.
F BUILDING AND WORK TO BE PERFOR�
�o l�v�� IBO L' '
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�
TVPE GROUP
/ _C�/ DATE �����IJ
20NE��NQ.QF
PLAPiS
VARDS APPROVE
MAIN BUILDINC
DISTANCE BET
USE OF NEW
BUILD�NG
BET. MAIN &
�
I �erebV acknowletlpe ihat I have reatl thla applieetion antl stete '^
n
that the ebove infarmaiio� is correct antl aplee to comply with m
all laws raguletinp bulltling consttucNon, antl I shall noc employ �
any persan In vlolatlon of Me workmen's companmtlon laws of m
MB Steto of Californla.
m
1 �erabvi cettify ihat I am praperly licensetl af a eonttector untler SQ. FT. w
Me Stete ot Callfotnia Business antl Profasslans Cotle, Olvlsion 3, THE AMOUNT SHOWN UN�ER VALUATION IS FOF m
Chapta� 9, enC that such licanses are in full force antl effaet, or I TiE PURP06E OF ESTABL6HING A PERMR FEE ONL�': �
am axtlmpi from t provisionsaf ihe5 e of Californie Buzineu VALUATION PERMIT FEE E Q(% a
antl P�ofettions C O' ion , C , er . U �— J �n
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5 PLAN CHECK S o
SI9�atUra of /'�J L ')
PermlKee � S `�— TAX S r�/t� u�
Authol�ied A9ent TOTAL PAID S 5 5�
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626
NOV -4-70�n�� '(2i+x *** 1 Z9.��
ForApplicant to Fillin Completely APPLICATION FOR BUILDING PERMIT
RECEI V B D TE R CEIVryED DATE ISSUED
BUILDING p O� � /
ADDRESS ZU OR1111 Circle p
OWNER Modular Technology� I71C. A�P� No� ^�"'���
MAIL BUILOING
ADDRESS 110� E. 1%'tYl S't. P.DDRESS 3318 Wyoming Circle
cirv Santa Ana No.` 5�+7-967 TRACT 66 �or2 BLOCK
LENDER�ION U.S .National Bank W A� A P
X
BRANCH Main Office
OWNER Modular Technolo Inc. -
ADDRESS 1 0 S. Broadwa San Die o
ARCHITECT Kermit Dorius TE s Residence �A��s 13 200
OR ENGINEEF N `�75-i164
FIFE
ADDFE55 111 2nd Ave. Corona Del Mar ZONE TVPE � GFOUP
APPROVED
CONTFACTOR Owner BV DATE
ADDRESS S2IIle �� qi
TEL. 20 E NO.OF VSE OF NE /
CITY S2Lle NO. PlANS `�/ BUILDING �
STATE .��rZq(}� ���`'Na. i690 yMA1DN 8 I DOING ACCESSORV BUILDDING
11Q NO. �
SI2E NO.OF BLOCS. (FROM C/ STREET)
OF lOT Q X 7 NOW ON LOT -- ROM � FT. FT.
USE OF
EXISTING BLOG. �— OFT. �T.
NEWBLDG. �'S�`�' Sf ROOMS 7 STORIES �' L.SIDE v FT. FT.
EMERIOF WALL ROOF
COVERING COVERING W d hin 1.2 REAR FT. FT. �-
USE OF BUIIOING AND WORK TO BE PERFORMED DISfANCE BET. BET. MAIN &
MAIN BLDCv. ACCESS. BLOGS.
VAR. # DATE ` /
Construct new residence with attached c.u.P.# — 5-(,� APPROVEDJ'—��O
g�.�e. nwaoveo �� �-}_%v
LD FOR S ECIAL REQUITcEMENi �
I heraby acknowlEtlBe thet I heve reetl [his epplicaiion antl smte
that the ebove information is correct entl agree to comply with
oll laws regulating buildin0 construction, antl I shall not employ
any person in violatlon af the workman's compensation lews of
the State ot Califo���=. O/' �� �
I hBrBby c0rtify that I dm prOperly IicOnsetl es e cOntractor untlB!
v SQ. FT. / o
the Stete of Calitornia Business antl Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOF '
Chapter 9, entl th2t s canses are in t torce antl effect, or I THE GURPOSE OF ESTABLISHING A PERMIT FEE ONLV: Q
am exempt from th pr Isions f Me e f Calitornia Business VALUATION /_
entl Professians Co ivisio , Ch ter (O r
PERMIT FEE 5 �
Signat�re of �{ Op ' �/ m
Permittae 5 /� �l,Q PLANCHECK$ /3 — e
r�� J `o
LL
Aoffiorizetl Agent � TOTAL FEE $�� r-