HomeMy WebLinkAbout3142 KERRY LN - Building Permits Iri ` Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
'OSTA MESA " COASTRUCTION PERMIT PE RMI NO '/ TRACT NO. LOT NO. UNIT NO.
ject Address 3142 Kerry Lane yV v LI I ,
Applicant's Mailing Address 2220 S. Dupont Dr. TYPE OF CONSTRUCTION LLJJ NEW LJ ADD U `'ALTERATION y__I REPAI R
❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# 8864 7/03/86 zone 27.50 TL
Owner's Name Larry Culp Phone .._ �� • �. •
Di$CRIPTI NOF WO K/ OF BLDG
Address 3142 Kerry Lane _ sinele .mil awe` lin. ICBG ` tf. 2 se . S Main Building: Accessory Building:
Arch/Eng. _ License No. TYPE OF PERMIT GRADING . FOUNDATION MI STRUCTURAL E Front o
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
Contractor's New Cal-Par Roofing. Mr. PhoneS00-548-5404 ❑ OTHER A Right N
Address(mailing) Dupont Dr PROJECT DESCRIPTION SQ. PT.- 27nn OCCUPANCY
g 2220 S DP CONSTRUCTION TYPE VALUATION$ 41150_00 s Left G
City License No. 27613 ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION _ Ping. Ref.# Parking Req,/Provided �- E
Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: - Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and .
my license is in full fo ,and effect. I �qgg S
License Las Licena���TNo RECEIVED JULJ Ul
Date_t LU S. nT' ell-� PLUMBING FEES
WORKERS'COMPEN • CLA RATIO ' Bar Sink Showers
hereby affirm that I have a certificate of conse �o self-insure or a certificate ELECTRICAL FEES
1 Workers' Compensation, Insurance, or a certified copy thereof (Section _- Backflow Preventer Service Sink •
`, .800, Lab. C.11 Automatic •Washer Transformer 0 15-50 KW
\ Policy No. ISCS 137886 CompanyRoyal Backflow Irrigation Sewer Ca 0 50+KW
9 P Construction Pole Sub.
A
Certified copy is hereby furnished.
Cer Ifi q,yps is filed with the city uil i si n. � (�'� Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date 11V�V(2157 Applicant �^f 1 WrXi
EXEMPTION FROM WORKERS'COMPENSATION D LAR TION Clarifiers Solar Collectors Dishwas Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100)or SQ
less). Dishwasher Solar Piping ryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit is issued, I ��qq
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank ' yY. Fan Motors❑0.1 HP 0136-8
Workers' Compensation Laws of California, x r -N_ _
Date Signature Floor Drains ing P w/Spa F.A.U.
'NOTICE: If,after making this declaration, you should become subject to the ��* �� Inc.Solar ❑B-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ��D ,al' G Is Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked. /� o _
CONSTRUCTION LENDING AGENCY Gas Service u e Wa a Device Boxes
I hereby affirm that there is a construction lending agency for the performance I i t Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors : er Heater Outlets Name Range
Lender's Address Kitchen Sink W • ater Service Switches Sign
•WNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal ;Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair p- LaundryTrays
any structure, prior to its issuance, also requires the applicant for such permit Generator ❑0.5 KW❑515 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of ROOF Drains �' "—
the Contractor's License Law (Chapter 9(commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt
,refrom and the basis for the alleged exemption. Any violation of Section
31.5 by any applicant for a permit subjects the applicant to a civil
.salty of not more than five hundred dollars ($500). - '
Li I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work, and the structure Is not intended or offered Reinspection Fee ( $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
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 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement Is sold within one year of com-
pletion, I
the owner will have the burden of proving he/she did not build or im-
prove for the purpose of sale). n c J�
O I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By •
Date /��9 K•7
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 Duct-Ventilating ❑0.100,000 BTU ❑100,000 BTU
SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con- So
tractors license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ 1 a SMIP $, • t
proof of' their Worker's Compensation insurance should be provided to me. - PLAN CHECK $ PERMIT
am ezerr/pt under Section_— .B. 8f?.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $' ISSUANCE $
- )Owner =_ . _'w�. _'r- Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
-I hereby certify that I have read this application d state snat the above 00-100,000 BTU 0100,000 BTU— - ELECTRICAL $ GRADING $
information Is correct. I agree to comply with all cr11 and county ordinances
and state laws relating to building construction, and hereby authorize repre- • $ MICROFILM $ _
sentatives of this city to enc r ugpn the above-mentioned property for ' PLAN CHECK 50% r� I^
inspection pu�os s. //y � n 6/20/86 - - MECHANICAL $ L� -J C7
Signature ( ' LXiI' '✓i uC Date TOTAL FEE $
Drivers' License or 55' Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ •
CMF 0865-46,rev.10/84 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
•NSTRUCTION AND PLANNING POOL 'PA
PPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
.9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
.10. Structural Floor System 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
20. Rough Factory Fireplace APPROVALS Permit# _
21. Ducts,in Structure 70.'Underground Hydro
22. Ducts, Ventilating 71.. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test .72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat .75..Dry Chemical
27. Frame and Flashing -16 . 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 r% . 79. FINAL INSPECTION
32. Electrical Power Meter-Final •" --? 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
r
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final ;7
41. Solar Domestic-Final
42. Backflow Preventer
it
43. Backflow Irrigation - C
T
.-
44. .Landscape Irrigation System t/ •
45. Sound Attenuation
46. Handicap Regulations •'
47. FINAL STRUCTURE & BUILDING
t
48. Special Requirements Completed •
49. Electric Release to Edison• •
50. Gas.Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER HARBOR HALL OF FAME HOMES INC. DATE NOV 3 0 1962
JOB ADDRESS 3142 Kerry Lane - BUILDING PERMIT NO, 18316
GENERAL CONTRACTOR Lifetime Residential Bldg. Corp. VALUE $ 17,075.00
AP No. LOT 66 TRACT 4356 FIRE ZONE DESCRIPTION OF WORK Res/Att.Gar.
INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R-1
E de(/j �Q,/q(Cit- _ PERMITS ISSUED
Gw pi"- i^ � ! SUBCONTRACTOR DATE NUMBER
Water � `�`�•
Rough Corn. Refrig. ❑ Air Cond. ❑
Rough Heating , C (� -/ryt 7/63 ,, !
Rough Plumbing _ 'N! io-G2' S 0.701 L
Miscellaneous _
Prop.Swr.Line, House Con. ❑ St.Swr. ❑ am ,ca : ., i / 4r, . i,�-�c. /�� , - n„..,2*-� et
Sprinkling System OP
Construction Pole
Underground ❑ Power C 7
Rough Wiring y -/W-t 7i %/M: � � - - - _ ja-
Trenches r Forms gr Steel Rem . ❑ g943-4e. /2-C-47-
Floor
2_C-(2Floor System idV% Ati /a^.2,6-6:-
Bond Beam ❑ Steel Reinforce 0
Sheathing /y ;:.2../-63
Frame and Flashing aj.-2r-63
Lathing - In R Out i- •-T $-fr 61
Plaster, brown coat %/S(/ 1/-/P-A
P "-g. 0 Air Cond. ❑ Final
1 ng, Final r-9-3-6 <i
Plumbing Fixtures, Final 5703-43
--2 J-p /' `i
Final Gas Test/3 ✓ .l/vrJ
Electric Fixtures, Final ikr45 rr/6G3
Building, Final e-24-c9/1-13
OCCUPANCY
FORM 8U4.5M — 7-61 1H2l(i
1831'6 .. FE - RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT Lot 66, Tract 435 , Plan 4[p(�[
P. O. BOX 817 COSTA MESA. CALIFORNIA FINAIYCL JDC 982
For Applicant to Fill In Completely CITY POf ETCTA MESA
PP P Y APPLICATION FOR R
TYPE OR PRINT BUILDING
BUILDADDRESNG S 3i//Z t/erry time
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. PERMIT �
OWNER Harbor Hall of Fame Homes, Inc. I n
/h',-)/N
MAIL RECEIVEZY I 7 ,EC�JVEO 12A I U UEJDO y.
ADDRESS P.O. Ba 2066 `G //,_5e,/H{1^ F
TEL.
CITY Santa Ana NO. KI 9-2200ADDRENG
ADDRESS
AR
OR ENGEI EER Jamison NOL544-oo4o COSTA MESA. CALIFORNIA
FIRE
,//
ADDRESS 225 "D" St., Tustin ZONE TYPE GROUP 4,G�o
CONTRACTOR Lifetime Residential Bldg Corn ABYPROVED DATE
ADDRESS 2131 SO. Artesia ZONING lQ—rev
A�� ZONE NO.OF USE OP NEW
Anna
CITY Santa ✓2 I I PLANS . I BuILDINiYa
ail-ft/tip
STATE 208676 TEL
ICI 9-220k LEGAL/ \ 4 6/ T12-111'`�
LIG.NO.SIZEM DESCRIPTIONSv
OF LOT 60001 I NOW ON LOTS
A.P.NO.
USE OF NoneYARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.
CENTER OP STREET 521 REAR YARD 29.501 FRONT -S - FT. --- IN.
SIDE YARD I LEFT 51 I RIGHT 51 R.SIDE S FT. IN.
DESCRIPTION OF WORK — —
L.SIDE 'SFT. IN.
NEW I x II ALTERATION I II ADDITION I REAR 2. 7 6 FT. IN.
REPAIR I II MOVING I II DEMOLISH I BYPROVEO /n
SYiKDP DATE /O --)-).--c,).-
BUILNO. OF
SIZE DING 1608IROOMS 9 STORIES 1 "��.
EXTERIOR WA ROOF
COVERING rl.aster COVERING Shake
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence
O — ,9 /4-984' ./an
I HEREBY ACKNOWLEDGE T AY I HAVE READ THIS APPLICATION THE AMOUNT SHOWN NDER VALUATION IS POR THE
AND STATE THAT THE E IS CORRECT ACRE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY oil CES A E WB R MATING
BUILDING CONSTRU dr"
VALUATION 5
SIGNATURE OF _ 1� //y PERMIT FEE $ /— N
PERMITTEE �1- $ / /' Q75 PLAN CHECK S 2Pre
AUTHORIZED AGENT /// / 0
TOTAL FEE $ es So 2