HomeMy WebLinkAbout3150 KERRY LN - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. c f i 7Q7
CITY-0 flF COSTA (ESA CONSTRUCTION PERMIT PERMIT
3 f 9 TRACT No. L55 o�°p UNIT NO. A P # �/1/ — u 33 _3 CowZone � i
P djegt Adra:¢ss- I l� rN - 4/ O —7lI/ -
1 `1 t S Main Building: Accessory Building:
'." Applicant's Mailin dress TYPE OF CONSTRUCTION U NEW ADD U ALTERATION L I REPAIR E /� I Z
[q�Rt / qc/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front e2V O
'� Owner's Name '1 r��/CCC����eee ��� r"- E�- PhonL�/o3�Z� DESCRIPTION OF WORK/USE OF BLDG. B Rear ��1 N
Address 31ST K �'•'J , A 1.t.4 — I
C Right (in N
Arch/Eng. License No. TYPE OF PERMIT El GRADING El FOUNDATION El STRUCTURAL K G
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL I S • Left 5 I
•Contractor's Name Phone ❑ OTHERParking q./Provided E
�p •� Ping. Ref.# Re
Address(mailing) t D PROJECT DESCRIPTION SQ. FT. I OCCUPANCY T^J planning Notes: 1 �[�lIµ(//y cto at 9° any f�bjjl,7 M
CONSTRUCTION TYPE v VALUATION$ �ql�� ���yyy ,,,,,,,,,���,��s��,c��.�� lel/ T
City License No. ZONE GRADING CU.YDS. ACRES V-�/' t -� S.
LICENSED CONTRACTOR DECLARATION //'���� a
hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: y/ ( `tom ^,\ et.,--#11 ��t
with section 7000) of Division 3 of the Business and Professions Code, and �t Vv ^TCY S [ J ,5�-ql )
my license is in full force and effect. 1• /yq r ELECTRICAL FEES
License Class License No; R'(� t
Date Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW
WORKERS' COMPENSATION DECLARATION Bar Sink Showers
Construction Pole Sub. 0 50+KW
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I hereby affirm that I have a certificate of consent to self-insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
3800, Lab. C.)
Policy No. Company f Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
—
8 Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel -
Certified copy is filed with the city Building Division. ' Bathtubs Sewer Connection' •
.- .ri'
Iln
Date Applicant `, Fan Motors❑0-1HP ❑1h-8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors r
(This section need not be completed if the permit is for one hundred ($100)or F.A.U. Inc.Solar 09-15 HP 016-15+
less). - Dishwasher . Solar Piping •
-c-
I certify that in the performance of the work for which this permit is issued, I - • - •f/ I Fixtures Microwave I; CO��
shall.not employ any perso in any manner so as o come subject to the Drinking Fountains Solar Tank.- - fr n
Workers' mpe cation L of Califop.a , Device Boxes
/ C / /� Pole Light Date i4 this declaration,
d Floor Drains Swimming Pool w/Spa /•� 9
" NOTIC :If,a enmaking declaration, you should become subject to th - '
Workers' Compensation provisions of the Labor Code, you must forthwithOutlets Range
Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked. Sign '•
CONSTRUCTION LENDING AGENCY Gas Service Outlets •
Switches
I hereby affirm that there is a construction lending agency for the performance - Water Closet
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name •
Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor •_
OWNER 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 '
county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays 1.°
any structure, prior to its issuance, also requires the applicant for such permit
I to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains IDaa
I 40the Contractor's License Law (Chapter 9(commencing with•eection 7000) of
' Division 3 of the Business and Professions Code) or thatShe/She is exempt Reinspection Fee $15 Issue Fee1 . therefrom and the basis for the alleged exemption. Any vt,lation of Section7031.5 by any applicant for a permit subjects the applicant to a civil1enalty of not more than five hundred dollars($500). $ 3 - DEVELOPMENT SERVICES REQUI�.E�ENTS: ,` L �, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee Zoning Approved Byl.(` Ite7ompensation, will do the work, and the structure is not intended or offered1 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICALIFEES Building Approved By '' te �f
License Law does not apply to an owner of a property who builds or improves I -{• i I /�
thereon, and who does such work himself/herself or through his or her own - Application Issued By V 1 . DatO V
emplo ees provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 I
wever, the building or Improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES `U. I
he owner will have the burden of proving he/she did not build or im- Duct-Under Ground
. .or the purpose of sale). BUILDING PERMIT $ q V.
SMIP $
oner of the property, am exclusively contracting w
.a"wRefrigerationtSystem.with licensed con- Duct-Structural
onstruct the project (Section 7044, Business and-professions Code: PLAN CHECK $ PERMIT
., ctor's License Law does not apply to an owner-of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU • PLUMBING $ ISSUANCE $
',builds or improves thereon.and who contracts for such ordiects with a con- _
tractor(s) license pursuant to the Contractor's License Law)^. I am aware thatPLAN CHECK 25% $ ENERGY P.C. $
Exhaust System 0 Multiple 0 System Repair/Alteration •15 GRADING $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ I
0 I am exempt under Section B.& P.:C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers MICROFILM $
PLAN CHECK 50% $ , ,., „
Date 'ar� o:arowner _ / �l ..ti - Heating System & Ducting - Registers -- MECHANICAL $ TOTAL FEE $ �{�(��
I hereby certify that I have read this application and state that the above ❑0-100,000 BTU ❑100,000BTL
Information is correct.'I agree to comply with all city and coup*ordinances •t PLAN CHECK 25% $
and state laws relating to building construction, and hereby.arilh orize repre- -
sentatives of this city to enter upon the above-mentioned pt ert for
Inspection re res. // �. .G i i-
Signature s �„ •a t e
Drivers' License or SS TV 0 _
OR;T02d0-00D30292 -rot _. - .,
0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE 04/10/89 TUE: 14:17
, ..
- CONSTRUCTION AND PLANNING POOL& SPA
� Date Inspector Date Inspector
'/APPROVALS Permit# APPROVALS Permit#
1. Temporary Electrical Service or Pole 4 52. Pool & Equipment Location - . •
21 Soil Pipe-Undrgrnd. ' ' 53. Steel Reinforcement
t.: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-GUNITEA l
7. Footings IMO/ 58. Electrical Conduit-Undrgrnd. ;.
97
8. Foundation , 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. oJi77 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Sjructural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & •Receptor-Final '
•
12. Sewer Cap 63. Heater& Vent-Final 4-
13. Root Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
1'6. Rough Electric Wiring ,5---s--89 oftee, 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
1_
20 Rough Factory Fireplace _ APPROVALS Permit# - - .
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating71. Product Piping O Gas 0 Oil '
2'3. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing _• 0-j� 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing ; _ 0� 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27,1. Frame and Flashing -• ' 76. Dry Standpipe
28. Lathing&"bidirt . 1 oJ•WO1 77. FIXED SYSTEM FINAL
29. Insulation -\ pJ•gsd2 78. FIRE PREV. FINAL
Or/6k)30. Drywall Nailing Or/( HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric I 8/.1a /Vag Notes: pti(c it
F7-c n7L orz-s c4
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 Domestic-Final
`42. Backflow Preventer --
t ,l i
43. Backflow Irrigation / ! ..i .-
44. Landscape Irrigation System ‘ • yr
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING pB/Or) ----,a ...o(Lg Pe-r-• pit-
.
I
48. Special Requirements Completed
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49. Electric Release to Edison _.
a_
._
50. Gas Release to Southern California Gas Co (; t ,- /r . '
51. CERTIFICATE OF OCCUPANCY Il "
No. • Date ).", '1-' , -
I I. ' I '
Is
City of Costa Mesa
MEASURE "G" EXEMPTION
Plarrtaeck # 95-89s Exemption # 89-287
Permit # Case #
Address: 3150 Kerry Lane Unit: •
•
Applicant: Fred Lee
- • FACTS:
X Residential U Commercial/Industrial . ❑ Other
I I Existing Lot I I Not Part of Larger Project
Project Description: Adding a closet to an existing single family residence
•
No_ of Dwelling Units NA _ Gross Floor Area NA Square Feet
F.A.R. NA Estimated Traffic Generation: NA Avg. Trips/day
FINDINGS: • -
The above described project is exempt from compliance with Measure "G" for the following reasons:
1. Project is a commercial/industrial development which meets all of the following criteria: gross
floor area is equal to or less than 10,000 square feet or has an average daily trip generation
of less than 130 daily trips, has buildable floor area ratio of less than 0.5, on an existing lot,
and is not part of a larger project. .
❑ 2. Project is a residential project of four dwellings or less on an existing lot.
(] 3. Project is residential construction that does not increase the number of permanent housing
units on the parcel where the construction takes place, such as remodeling or rebuilding of
an existing house.
I 4. Project is commercial/industrial construction that does not increase the footprint or square
footage or change the use on the parcel where the construction takes place, such as remodel-
ing or rebuilding an existing structure.
❑ 5. Project is a public benefit facility, which is defined as public libraries, public administration
facilities, public parks, public utilities, and religious facilities.
6. Project is a facility serving the health and safety of the people, which is defined as hospitals,
police, fire and safety facilities, and schools.
Exemption ratified by: J
(g. Planning Commission Date March 13, 1989
❑ City Council Date
1648-30
OWNER HARBOR HALL OF FAME HOMES/INC. DATE NOV 3 0 1962
JOB ADDRESS - 3150 Kerry Lane - BUILDING PERMIT NO. 18318
GENERAL CONTRACTOR Lifetime Residential Bldg Corp. VALUE $ 17,075.00
AP No. LOT 68 TRACT 4356 FIRE ZONE DESCRIPTION OF WORK Res/Att.Gar.
INSPECTIONS Signature DATE GROW' I&J TYPE V ZONE R-1
Soil J_� PERMITS ISSUED .
Gas ,r,.u� , Q SUBCONTRACTOR DATE NUMI3ER/
Water 14.71.4.1
tire" /Pg-ex-, /
Rough Com. Refrig. 0 Air Cond. 0 / � /
Rough Heating �_/,Qpppj'_'' � , - dP-44P?./14,_ -_:_:_-_
Rough Plumbing i•, i S i_ _ _ , -/6 -5/o 1- w3 /o
Miscellaneous _ _
Prop.Swr.Line House Con. 0 St.Swr. D n - i/ �_ ',„aa,,,B,,, 2 t2/-43 D 7oy
.Sprinkling System /
Construction Pole
Underground 0 Power C _ �� �j _ _ _
Ttough Wiring j /?/.63 ��i///G��a I1 LCGG.eft/b. ,2-/-ra 3 i9aa.� -
Trenches [The' Forms l- Steel Reid. 0 4943/,.1 la.-7-6^r-
Floor System in iy/y_G2 .
Bond Beam 0 Steel Reinforce 0 _
Sheathing /Y /-3/- 3 2
Frame and Flashing /P ^2,�"-QLathing — In @ 'Out 8" / 'f-//-9
Plaster, brown coat /�j y 27-69
Refrlg. ❑ Air Cond. 0 Final
HeatPlumbing
Final ate-et'fi1
Plumbing Fixtures, Final r�tf _
fiza-44-artereFinal Gas Test /
Electric Fixtures, Final = f l� (-6,1_
Building, Final /-7.--Al 7.9'i
OCCUPANCY
FORM BU4•5M — 7-s1 11:121$1
I 18318 F RECtiVtU
COSTA MESA BUILDING-SAFETY DEPARTMENT Lot 68, Tract 4356 Ftlan it0OVDR
P. O. BOX 317 COSTA MESA. CALIFORNIA fiNAN % 68T2.
For Applicant to Fill In Completely APPLICATION F6AT �STA MESA
TYPE ORyPRINT / BUILDING
WE��fI
BUILDING 31,5-0 /1 City 4rye
ADDRESS COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. P R IT�10.
OWNER Harbor Hall of Fame Homes, Inc. I 74„/g
MAIL REC81 D BY DATE_RECEIVED DATE ISSUED
ADDRESS P.O. Box 2066 L� ('- I � —�P 6+i OV :I ,I tag9
cny Santa Ana NO{LI 9-22011 BUILDINGU
DRESS
ARCHITCT
OR ENGINEER Jamison 544-0040 COSTA MESA. CALIFORNIA, o
ADDRESS 225 "D” St. , Tustin ZONE TYPE GROUP � ,/' ,
CONTRACTOR Lifetime Residential Bldg Corr APPROVED DATE (I/]
ADDRESS 2131 So. Artesia ZONING
ft
� J
ZONE, 1 NO.OP USE OF NEW -'
CITY Santa Ana 0l I I PLANS 7� BUILDINO�� //��
LIC.TNO. 208676
T;;KI 9-2204 LEGAL '/_J. qO / cJ /---A' L/.5�V,
DESCRIPTIONyw /^ CEJ / �`
SIZE 60001 I NO. OP BLDGS.O
OF LOT VW NOW ON LOT A.P.NO. .----n ---( a
USE OF NoneYARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE RRz (CENTER LINE ST.1 _
CENTER OP sTRe4T OM 501 REAR YAW:51.501 FRONT re FT. IN.
SIDE YARD I LEFT 51 I RIGHT 51 R.SIDE s FT. IN.
DESCRIPTION OF WORK- — —
L.SIDE -C FT. IN.
NEW I X II ALTERATION I II ADDITION I REAR 3i FT. b IN.
REPAIR I II MOVING I II DEMOLISH I APBYPROVED /� DATE ID -y�.-H Y�
BBZELDING 16OH ROOMS NO. OF 9 STORIES 1 7
��D
EXTERIOR WROOF •
COVERING 'Master I COVERING Shake
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence
ilfreyeticay-
I HEREBY ACKNOWLEDGE �I I HAVE READ THIS APPLICATION
THE AMOUNT SHOWN J1DER VALUATION IS FOR THE
AND STATE THAT THE ISOCORRECT AND AGREE TO TOM- 1111���
L HIND A PERMIT FEE ONLY.
PLY WITH ALL CITY O-^ ES A A WE BGMAT)NO PURPOSE OF 88TAB
BUILDING CONSTRU .tN VALUATION 5 �j
SIGNATURE OF L►�aaa '.� PERMIT FEE $ /
PERMITTE '7 0
$ J7 O 'S - PLAN CHECK $ ,3 e SO i
AUTHORIZED AGENT
TOTAL FEE $ et).- J d yl� E
OWNER JEEP, FRED DATE 5-24-77
JOB ADDRESS 3150 Kerry Lane BUILDING PERMIT NO. 44058
GENERAL CONTRACTOR Hill Masonry DESCRIPTION of WORK Blockwall'
AP No. 141-633-36 LOT 68 TRACT 4856 FIRE ZONE VALUE S 1,000.00
INSPECTIONS Signature Date .TYPE V GROUP S ZONE R-1
SOIL SUBCONTRACTOR PEJ{MITS ISS4ED
GAS Date I Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP: SWR. LINE HOUSE CON. .
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING •
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING N/D o/inQ and Ye f. ///,,, ��- �Q./
TRENCHES [ FORMS STEEL REINF. u r-24,-77 l 1�1� ,yam ,L may( (yvN2
FLOOR SYSTEM t(��((�� // v —_-"`-
BOND BEAM STEEL REINFORCE 1Ci.Y ;4 I-7, (J
SHEATHING
FRAME AND FLASHING
LATHING - IN n_ OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL
BUILDING, FINAL RRr 6'1-77
1
- PAI'J
ft OrJ� 'Iv ?4-77cns—nuu 1 147* ****10.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
AP'� C•TION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
-Es..V/D :V DATE RECEIVED . 40
BUILDING 3 rot _ ��1
ADDRESS � �`� •
a PERMIT NO.
OWNER n A.P. NO. A�
MAIL l s , �//
ADDRESS 3 O _• ADDRESS y
���r, "
CITY 0--.2_1t., �_ n NO. TRACT'"re ! LOT �a. BLOCK
CONSTRUCTION
�^ '_ NEW • e s ALTER REPAIR MOVING DFMOI ISH
LENDER .
BRANCH I V '
OWNER �/
i
ADDRESS � � VALUE ...A
ARCHITECT TEL. USE $ !teU
OR ENGINEER NO.
FIRE
ADDRESS ZONE TYPE GROUP (J� /.}
BYPROVED �� DATE .1
CONTRACTOR 0 —72.n ry,� t{
ADDRESS / Z 61I C„ / "
TEL NO.e e
CITY _ _ NO-s 4.-25.0 O , PLANSs s Cid-
f" STATE CITY A ROS •PPROVED YARDS APPROVED
LIC. NO. Z7 4* 2re) LIC.NO. 11 y N BUILD G ACCESSORY BUILDING
t1TTfiri I'
kd SIZE INO.OF BLOCS. T i /�
0+ OF LOT NOW ON LOT S. T. 10 FT.[,/
yUSE OF I J ✓ /�.4
EXISTING BLDG. A FT 1 0�^44 "0 m s nW /
FSeparate permits are required for w FT. l'AFT. 1,
G electric,plumbing and heating work. R FT. C./ FT.
[�. E OF BUILDING AND WORK OBE PE RFO�MEibs DISTANCE BET. BET.MAIN&
Q .- 'Li R .f,_ • . MAIN BLOCS. ACCESS SLOGS.
C 1.`11^^ C� ^ �s VAR.# DATE
.„0:1 1f—� ��.1L�/ C.U.P.# j1, APPROVED '7 j
1 f_•
APPROVED/��I.AtC 11/� ,�/'�2-
,rd - L VY \ DATE
1
CR
FR
0 I hereby acknowledge that I have read this application and state in
r..4, that the above Information is correct and agree to comply with
m
0+ all laws regulating building construction, and I shall not employ
Wany person in violation of the workman's compensation laws of o
S the State of California. m
3 I hereby certify that I am properly licensed as a contractor under - SQ. FT. a
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR az
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONI.sY:
am exempt from the provisions of the State of California Business /1 a
VALUATION PERMIT FEE $ 0
and Professi title,Division 3,Chapter 9. m
PLAN CHECK $ re
Signature of c
Permittee G�'•�eC�/f� �i•--. A'C24i<7..., $/�p�.p-.�_ 'C TAX $ �(� Se u
Authorized Agent '� �• rJ TOTAL PAID $ I t 1 Sb