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Home My WebLink About3126 KERRY LN - Building PermitsApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 5480 9/17/87 5a00 1 CITY OF COSTA MM E�S.�A/ CONSTRUCTION PERMIT Ploject Adores 's ___qIQS..12 Ropf r(ri �...� •mo�ii PE IT NO. 3O_>6 TRACT NO. LOT NO. UNIT NO. TYPE OF,�CONSTR CONSTRUCTION NEW ADD ALTERATION REPAI R ❑CONVERSION El DEMOLISH LJ OTHER � DESCRIPTION OF WORK/USE OF BLDG. v/�e�ll t� Applicant's Mailina Addrjes�s� hla� 1Q Cil V f'r Owner's Name�j$1SSytI , Phone �$ \tel///�.�/� Address 7 / Li�—x A,p,# Zone" S Main Building: Accessory Building: Arch/Eng. License No. Address I�I TYPE OF PERMIT GRADING p'lLOUNDATION LrJ�✓ ❑STRUCTURAL ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL ❑ OTHER. T Front O A Rear N Contractor's Name• Phone �� Address (mailing) �'1.A�' /�I City License NO.�[ LICENSED CONTRACTOR DECLARATION C - Right I N PROJECT DESCRIPTION SQ. FT. OCCUPANCY CONSTRUCTION TYPE VALUATION$ ZONE GRADING CU.YDS. ACRESE - K S Left G Ping. Ref. # Parking Req./Provided Q Remarks: Planning Notes: M I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section ]000) of Division 3 of the Business and Professions Code, and my license is in full rG��^ d effect. License G�lami�ss �0( � - x'�any� o ✓!� Date sP %a%'f - SignatureA-9 �P I T S - PLUMBING FEES Bar Sink Showers ELECTRICAL FEES WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to Self -insure or a certificate Backflow Preventer Service Sink - Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. ❑ 50+KW - \ \ Of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C 1 G 0,3 p� Policy No.� Company C�'(ij�%� �rtified copy is hereby furnished. q � Cer 'ed o I filed with the city i 9 is./) / / / Backflow Irrigation Sewer Cap Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps J//// Date Applicant l L� �' (/`'`'''' E%EMP O .RKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Clarifiers - Solar Collectors _ Dishwasher Meter Dover 100 amps Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel _ Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1'h- 8 Floor Drains Swimming Pool w/Spa F.A.0". Inc. Solar 09-15 HP El 16-15+ Date Signature NOTICE: If, after making this declaration, you should become subject to the Floor Sinks Urinal Fixtures Microwave Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet Device Boxes POI¢ Light CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance Interceptors Water Heater 0 Outlets Range of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Kitchen Sink Water Service Switches Sign Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section ]000) of Division 3 of the Business and Professions Code) or that he/She is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- rove for the purpose of sale). I, as the of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who t and who contracts for such projects with a con- builds or improves pursuant tractor(s)heirlicense pursuant to the Contractor's License Law). ov aware that Proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Lavatories Auto -Wash Garbage Disposal Standing Sections P—Trap Laundry Trays Generator 00-5 KW 115-15 KW Trash Compactor _ Roof Drains - Reinspection Fee $15 Issue Fee $ 3 Reinspection Fee $15 Issue Fee $ 3 MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: Approved By Date Building Approved ByDate /At Application Issued By �1„ Dat goiter Hood or Type I ❑ yp Canopy Type I I ElZoning Duct - Under Ground Duct -Structural Refrigeration System Duct -Ventilating ❑0-100,000 BTU ❑100,060 BTU �U SUMMARY OF FEES BUILDING PERMIT $ PER $ PLAN CHECK $ PERMIT PLUMBING $ J . 0V ISSUANCE $ Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICBO # Fire Dampers Date owner 1 hereby certify that 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state lawslrelating to building construction, and hereby authorize repre-. sentatives of thi's/ city to enter upon the aboy�-mentioned property for inspection roe purpoge s} / q // /yl q7 y y �/ 77 /sLX A VVV✓V-/ ,Date /�tLL Drivers' License'or SS 9f Heating System &Ducting Registers 1:10-100,000 BTU ❑100,000BT PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50°/ $ MICROFILM $ MECHANICAL $ TOTAL FEE $ 00 PLAN CHECK 25% $ - Reinspection Fee $15 Issue Fee $ 3 CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND IPLANNING APPROVALS Permit,# Date Inspector POOL & SPA APPROVALS Permit# Date Inspector 11. Temporary Electrical.Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - r- , 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding -, 5. Steel Reinforcement 56. Rough Plumbing & Pressur'e' est 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-, UNITE 7. Footings r,• 58. Electrical Conduit-UndrgrW. 8. Foundation 59. Gas Pipe, O Undrgrnd., Terms) 9. Water Pipe--'Undrgrnd..- . 60. Backwash Lines, P -Trap, ®Undrgrnd. 10. Structural Floor Sys3em 61. APPROVAL TO DECK "• 11. Property Sewer 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 APPROVALS Permit # ' 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush ' 24. Roof Framing 73. Undergrnd. Storage Tank 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:2'10-ff GQ►'1G111114,4S P62 243 UAC; L - it, a 34. Final Heating & Air Conditioning - 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing - I 39. Water Service -Final ' 40. Gas Service -Final , 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date OWNER PETERSON. ROBERT DATE 1-28-70 JOB ADDRESS 3126 Kerry Lane BUILDING PERMIT NO. 1411,49 AP No. LOT A7 TRACT LVSA FIRE ZONE VALUF Si nnn nn GAS WATER ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER ROUGH WIRING TRENCHES ❑ FORMS ❑ STEEL REINF. FLOOR SYSTEM SHEATHING FRAME AND FLASHING LATHING - IN n I PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFR PLUMBING, FINAL AND ELECTRIC. FINAL BUILDING, FINAL SUBCONTRACTOR Z c. U I- Z ZF Om J 7 J N < J fD J Q U � Za w� aw J 0 M Z J � W w O Z F- wU CC �0 31332 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 JAN 28-70PAIB00 858 0*** cnsr. * 10.00 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI ED BV DATE RE IVEO -70 DATE ISSUED /^� D BUILDING / ADDRESS A/ _ _ OWNER A.P. NO. - 33`3O PE MI MAIL BUILDING ADDRESS 2 F �� ADDR E55 TE TEL. CITY TRACT , LOT BLOCK CONSTRUCTION (l�cQ W DDREPAIR LENDER BRANCH OWNER /t kQT P IQ rV ADDRESS VALUE S $ ARCHITECT �A / TEL. OR ENGINEER a C N FIRE fol - � T ADDRESS z, / • � G _e b t.•� ZONE TYPE GROUP CONTRACTOR `(� .Llyt � APPROVED BY DATE (/ MY ADDRESS • r • TEL ZO NO. OFUSE OF NEW clry t iv No. Z PLANS BUILDING STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. Q 2 - C - LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE )V. / b. 1 Jk q6-67 NO. OF BLDGS, (FROM C/L STR E OF LOT NOW ON LOT ROM FT. USE OF ^� EXISTING BLDG. Ja r T FT SIZE OFyy NO. OF NEW BLDG..rr. 4 X P ROOMS STORIES L. SIDE FT. EXTERIOR WALL ROOF COVERING COVERINGfl&,L�REAR Q FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& MAIN BLDGS. ACCESS. SLOGS. VAR. # DATE C.U.P.# APPROVED • r �. E APPROVED By %, I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State Of California. O SO. FT. I hereby certify that I am properly licensed as a contractor under THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Divlsicn 3, Chapter 9, and that such licenses are In full force and effect, or I I—. _... —1 OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business and Professions Code, Divislon 3, Chapter 9. VALUATION � Signature of / /� /C at,- PERMIT FEE 5 _ Permittee lil. i-•-�1 y-C�t.4.. �.` s(.g • 5 � D rss O / V PLAN CHECK 5 //�� //��//�� Authorized Agent /..)„1�{� Ct,.�„CAfL TOTAL FEE $ C/ HARBOR HALL OF FAME HOMES INC. DATE M 3 0 1962 GENERAL CONTRACTOR Lifetime Residential Bldg. Corp. VALUE g 15,155,00 Al? No. LOT Ai TRACT ),V,A FIRE ZONE n .Ff'.RTPTInN OF WORK Reo/6t.+ G.,,, INSPECTIONS Signature DATE GROUP I&j TYPE V ZONE R-1 Soil 9 SUBCONTRACTOR PER ITS ISSUED Gas /jn/ DATE NUMBER Water Rough Com. Refrfg. ❑ Air Cond. ❑ Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line House Con. ❑ St. Swr. ❑ Sprinkling System i Construction Pole Underground ❑ Power ❑ Rough Wiring _ % ,enc es Vag 'orms Lg— tee m e . 17-6: Floor System po /A %26^62 Bond Beam ❑ Steel Reinforce ❑ Sheathing `3 -h Frame and Flashing Lathing — In R' Out s %63 Plaster, brown coat V.. Ir -63 Refrig. ❑ Air Cond. ❑ Final Heating, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final • G Building, Final 1 7 OCCUPANCY FORM BU4 -5M — 7,61 1 R!z1 0 18312 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING 3 ADDRESS / 2 L -74e BUILD( COSTA MESA. CALIFORNIA Lot 62, Tradt 6,4LL tVO D (NGv 30 1952. INANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only OWNER Harbor Hall of Fame Homes Inc* RECEIPT NO. P RMIT NO. , AMAIL DDRESS P.O.RECEIYCD BY p TE, v'IVED NOV 310 X562 / Y CITY Santa Ana TEN4.1 9.-2204 BUILDING ADDRESS ARCHITECT OR ENGINEER NOJamison NEOL 544-4404 COSTA MESA. CALIFORNIA ADDRESS 22 RDR St., Tustin FIRE ZONE TYPE GROUP APPROVED Lifetime ResidentialB1djz Co CONTRACTOR BY ❑ATE ADDRESS 2131' So. Artesia St, ZONING ' ZONE NO. OP OF NEW / Santa Ana CITY I SUE PLANE BUILDING LEOAL 7� A. P. NO. n y �] ^,II11 LIC. NO 208676 NO. RI —2204 SIZE 6oOQ1 I NO. OF BLDD9.0 OF LOT Now ON LOT USE OF None EXISTING LDG. YARDS EVES APPROVED ALLOWED SETBACK LINE FROM(CENTER CENTER OF STREET 45* REAR YARD2 ' •0" LINE ST.) FRONT FT. IN. Ct SIDE YARD LEFT J 9 (RIGHT R. SIDE S FT. IN. % DESCRIPTION OF WORK L SIDE ` FT. r IN. NEW I X II ALTERATION I II ADDITION I REAR-- FT. IN. REPAIR MOVING I I DEMOLISH BYPROVED DATE D _ BUILDINGNO. OF SIZE 1400 ROOMS 8 STORIES 1 ROOF EXTERIOR WALPlaster (COVERING Shake COVERING yC ry N(Q G USE OFI) ngle Al amily TO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND, STATE THAT THE AS IS CORRECT AND AGREE TO COM. PLY WITH ALL CITY O 1 A CES A AT (AWB TINGGULA 'UILOINo CONBTRU N THE AMOUNT SHOWN UNDER VALUATION Ie FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION \'ATURB OF PERMIT FEE $ —` PLAN CHECK $ ;2 5-��G n� TOTAL FEE 7 AGENT WN JOB ADDRESS 4126 Kerry Lane BUILDING PERMIT NO. 21973 CCENERAL CONTRACTOR Air Vent Aluminum Awning CO. VALUE g 300.00 (j AP No. 14i -63 -A --Ai LOT TRACT I -IRE 'LONE 3 DESCRIPTION OF WORK Sun Shade 4 INSPECTIONS Signature DATE GROUP J TYPE IV ZONE R I Soil SUBCONTRACTOR PERMITS ISSUED Gas DATE NUMBER Water Rough Com. Refrig. �o Air Cond. ❑ Rough Heating ' Rough Plumbing Miscellaneous Prop. Swr. Line House Con. .p St. Swr. E] Sprinkling System Construction Pole Underground f� Power ;p _ Rough Wiring Trenches f] Forms ❑ Steel Reinf. 0 Floor System Bond Beam ❑ Steel Reinforce 0 Sheathing Frame and Flashing Lathing — In.C) Out 0 Plaster, brown coat Refrig. (3 Air Con. 0 Final Heating, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final - - -- %1(�- - - - - - - - — - ----- Building,Final --- -- OCCUPANCY Form p 21971 21973 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING ADDRESS 7- b COSTA MESA. CA IFORNIA ADDRESS 1) -7 %z, 41 I/ r � — _ .- L. A 1 FIRE FEE RECEIVED 18 1964 (�ITFIINANCE DEPT. APPLIYII1091fFOOR PERM TSR BUILDING For Office Use Only RECEIR NO. 1 PERMIT G PLANS vil A. P. NO. 185 NOTE: NO SAVE OVERHANG SHALL BE LESS THAN JJ .132--o ? -TL -o SO' TO SIDE a REAR P: L. EAVES lF SLDas. ALLOWED (U.B.C.REQUIREMENT'. ON LOT YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING SETBACK LINE FROM . CENTER OF STREET 77 REAR YARD6 SIDEYARDI LEFT 7 1 RIGHT L DESCRIPTION OF WORK BUILDING SIZES tl ! NO.OF ROOMS STORIES EXTERIOR WALLI ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED ie UNDER VALUATION IS FOR THE O FEE . r <2 �e,s. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILD I NO CONSTRUCTION. SIGN,/l E OE�t-t_ -� �// C&, PEE RMAITTE // L..h 'C I AUTHORIZED AGENT0�... F $�/)�) EC DISTANCE BET. BET. MAIN e MAIN SLUGS. ACCESS. BLDGS. _ VAR. # DATE i.q --6- THE -L THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O VALUATION) N PERMIT FEE $ J m F $�/)�) EC p 2 D O `� TOTAL FEE 11 U