HomeMy WebLinkAbout3138 KILLARNEY LN - Building Permits . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
,,�.,:I'TY of COST-AIMESAA COMTRUCTION PERMIT PE IT NO. 9 TRACT NO. LOT NO. UNIT NO. A.P. /Zone
`'+ Project Address ME C� �'j 1 LTRUCTI iN P •� • . [ ) 5LOa "
1-4 U TYPE OF CONSTRUCTION U NEW U ADD ❑ ALTERATION L�I REPAIR I E Main Building: Accessory Building: IZ
r Applicant's Mailing Address 'SCV.M-Q.
111 CONVERSION CD DEMOLISH CI OTHER ' T Front D
N ' Owner's Name 1'Y1i112R Phone`�S 1—Lh�Cj r . - 7
EYSCRIPTION OF WQRK/USE OF BLDG. ������ • A Rear N
N) Address �j l3 5___6 1 l ICs 0-n.214- (Net" S4GM-4
Arch/Eng. License No. TYPE OF PERMIT U GRADING Li FOUNDATION U STRUCTURAL C Right • G
Address r1� \_ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S Left R
Contractor's NameUFTtC�n `S` 1.P rrc1. Phone SZ.IOI9 ❑ •OTHER /I I Ping. Ref.# Parking Req./Provided E
Address(mailing) �� 1l0 PROJECT DESCRIPTION SQ. FT. .3 Y OCCUPA CY - - O
Tp� {/yv� `�(r G\, Planning Notes:
9 S C ON ST RUCTION TYPE VALUATION$ M
City License No. 1"""11 ZONE GRADING CU.YDS. ACRES
T
LICENSED CONTRACTOR DECLAR TION S.
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:
with section 7000) of Division 3 of the Business and Professions Code,and
CI my license is in full force a • effect. �yy ELECTRICAL FEES
License Class _ _.� icen.e •. ACP Automatic Washer
Datel _ ,a: Signature an �•fisr �� t, _ PLUMBING I FEES Transformer ❑ 15-50 KW
WORKERS' COMPENSATION DECLA ATION ( Construction Pole Sub. 050+KW •
I hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers
of Workers' Compensation Insurance, or a certified copy thereof Section i— Cooking Unit Meter ❑up to 100 amps
3800, Lab. C�.)��� n �L Backflow Preventer Service Sink
Policy No.c.v2c..P17O1� Company c5A9€EAADe— Ct•.111 Backflow Irrigation Sewer Cap — Dishwasher Meter Dover 100 amps
Certified copy is hereby furnished. VYV— O Dryers ❑Gas ❑Electric Sub Panel •
Certified copy is filed with the city Bui Divi ro Bathtubs Sewer Connection
Dae 4—I tJ Applicant Fan Motors 00-1 HP ❑1'h-8
EXEMPTION FROM WORKERS'COMPENSATION DEC RATION Clarifiers Solar'Collectors
(This section need not be completed if the permit is for one hundred ($100)or —� F.A.U. Inc.Solar 09-15 HP ❑16-1$+
less). Dishwasher Solar Piping
I certify that in the performance of the work for which this permit is Issued I
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar.Tank Fixtures Microwave
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light '
NOTICE:If,after making this declaration,you should become subject to the Outlets
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range
comply 'with such provisions or this permit shall be deemed revoked. Switches
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign
I hereby affirm that there is a construction lending agency for the performance Garbage Disposal
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater 9 p Standing Sections
Lenders Name Generator OM
KW 1:15-15 KW Trash Compactor
BUILDER
Lenders Address Kitchen Sink Water Service
OWNER BUILDECLARATION ,
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 TraVs
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 Roof Drains
the Contractor's License Law (Chapter (commencing9 with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 Issue Fee $ 3
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 _
enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
U I, as owner of theropertemployees with wages as their sole Reinspection Fee $15 Issue Fee 3
p Y or m Y
$ Zoning Approved By Date
rtile (Sectioncompensation, will 0 the work, and the stf oisnot :n The dC on ractoofferrtl - e
for nse we Business and f aProfessionalprCode: The Contractor's MECHANICAL FEES Building Approved By Date
ern Law does not apply to owner if a prole who builds or improves __ __ _
employees.
thereon, and who does such work ovem if/s arel f or through his or her own r - Application Issued By Dat
em piof, ho, ,tlthat such improvements are not intended or r o of
Boiler Hood oType 0
sale. If, however,ewthe haunt improvement of pro i sold shwithin one year Im- Canopy Type II 0 SUMMARYO FEES
p rove the owner will have the burden of proving he/she did not build or im- Duct-Untie!Ground /E`
rove for the purpose of sale). BUILDING PERMIT $ /� -0V $ G�
SMIP
I, as owner tr thet property,roject Se tion 7 44, sinesscontracting with licensedionode- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT
hetors Contractor's construct the erotect (oes 7044, toss inessond Pf p moors Cotle:
The smproLicense Law does not act to an owner ie is thta who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $
builds or improves rnt and who contractsfor such w). I am with a eon—
tractor(s)
ha _
tr of hearse pursuantrkr'stome Contractor'snins License should
be Iov aware that Exhaust System 0 Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance mould be .for this a me. ELECTRICAL $ GRADING $
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. iC80# Fire Dampers MICROFILM $
PLAN CHECK 50% $
Date Owner Heating System& Ducting Registers MECHANICAL $
I hereby certify that I have read this application and state that the above 0o-1 00,000 BTU 0100,000 BTL • - TOTAL FEE $ y VN
information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws relating to building construction, and hereby authorize repre-
sentatives of ,city t• ter 1 pon the above-mentioned property' for
1 Inspection pur•• -
Signature pure)
•, PI '�� K Date
1 Reinspection Fee $15 Issue Fee +� (GI
f
Drivers' License or 559E � � 5O � Pe $ 3 l I � � ' li! (10�-.'-'` �/SQ-ir
0:4TE: 1..7.-0: '...14 -11-,E' '- -
0865.46,rev.-5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
•` CONSTRUCTION AND PLANNING /
` POOL &SPA
. APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole .- _ 52. Pool & Equipment Location
-2. Soil Pipe-Undrgrnd -•-� - 53. Steel Reinforcement
A ,.
•3'Electrical Conduit Utility-Undrgrnd. 54. Forms
4s Electrical Conduit-Undrgrnd. -1 „ 55. Electrical Bonding
5. •SteelReinforcement -"-i C 56. Rough Plumbing & Pressure Test
6-_ElectricalUFERGrnd:- 57. APPROVAL TO COVER-GUNITE
7.-Footings_- $ ----.Cd _ - 58. Electrical Conduit-Undrgrnd.
8. Foundation *� 59. Gas Pipe, 0 Undrgrnd.,Test � '
9.-Water Pipe-Undrgrnd. l 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System -: v • 61. APPROVAL TO DECK
11. Property Sewer Line'& House Connection - 62. Backwash & Receptor-Final
127-Sewer Cap 4 1• "I -� 63. Heater & Vent-Final
13..Roof:Drains - LC l, 64. Plumbing System - Final
14.-Rough Plumbing- 65. Electrical-Final _
r -.
15. Rough Electrical-Conduit 66. Solar System-Final
:Lk/Rough Electric Wiring 67. Fencing & Access Approval
11,- Rough Wiring Sign 68. APPROVED FOR PLASTERING
f8? Rough Eiectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
.To, 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 1-
i 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing /p11���p4c 74. Overhead Hydro
26. T-Bar-Ceiling (Structural) & Monocoat FFFF�� 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
rr-28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing - HEALTH DEPT. REQUIREMENT
31. 'Plaster Brown Coatti 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-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 C7
43. Backflow Irrigation ;
44. Landscape Irrigation System - J /
45. Sound Attenuation
..---
46.
46. Handicap Regulations rk ,
47. FINAL STRUCTURE & BUILDINGjfi1 6`
4S 111 d1-d-N,
48. Special Requirements Completed .
49. Electric Release to Edison -G•
50. Gas Release to Southern California Gas Co '''Cl51. CERTIFICATE OF OCCUPANCYJ 0
•
el
No. Date
•
OWNER HARBOR HALL OF FAME HOMES INC. DATE NOV 2 9 1962
JOB ADDRESS 3138 Killarney Lane BUILDING PERMIT NO. 18172
GENERAL CONTRACTOR Lifetime Residential Bldg. Corp. VALUES 17;1iT5.O0
AP No. LOT 1,3 . TRACT 1t356 FIRE ZONE DESCRIPTION OF WORK Res/Att.Gar.
INSPECTIONS Signature DATE GROUP I&J TYPE ZONE --
Soil /2/9-6Z PERMITS ISSUED
Gas k- 64•/ /n_t!2 SUBCONTRACTOR DATE NUMBER
Water ked ailCa�
Rough Corn. Refrig. 0 Air Cond. 0
/
Rough Heating A. (4/ ,2-g-6.3_ . . _ , ,&a ,f4=,AP--&o B /� /°
Rough Plumbing A.ded-9. 'ro -as/, . . A (�rSdan-//-3!egi_ 2 ./_.3/-
Miscellaneous /+� �'�"'v 1440,:
Prop.Swr.Line,(House Con. ❑ St.Swr. ❑ ,Cu-' g_22 f, a ,I"xi e ,. a ai 63 d5/7L. ,i%ps
Sprinkling System
Construction Pole w
_
Underground 0 Power ❑ _ ������ _
Rough Wiring /7,0i1; 2 'y-� j C'/q/ Efeee Bier- /-/y-ea 79/5/60
Trenches g--- Forms f3—Steel Remf. ❑ ton to-/v-i. _
Floor System ,n2- ./p-/b -
13ond Beam 0 Steel Reinforce 0 ,��.(�
Sheathing / }2-6
Frame and Flashing -//_F
Lathing — In Er Out r _2.,_b3
Plaster, brown coat / r %-s- 64
Refrig. 0 Air Cond. 0 Final
Heating, Final es_ S—G-63
Plumbing Fixtures, Final C i-4G-/
Final Gas Test/C 5-15 Yi,
Electric Fixtures, Final i',/�� A/r R7'0
Building, Final /j///5 -C-224-63
OCCUPANCY
FORM BU4.5M - 761 _ 18172
I A 172 Lot 43, Tract 4f5‘Esc REC pIV ED
COSTA MESA BUILDING-SAFETY DEPARTMENT NO 1982
P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE Ota '
For Applicant to Fill In Completely CITY COSTA MESA
PP P Y APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
ADDRESS 3/38 ,K,//a rnc}, to n ea
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. Pk4MI1 NO2
OWNER Harbor Hall of Fame Homes Inc. 11 //
MAIL RECEyy�reD BY DATE RECEIVED DATE ISSUED
ADDRESS P.O. BOX 2066 !/Ci ./'- ,7- toy . c 1962
TEL
CITY Santa Ana NO.KI 9-220 ADDREIN
ARCHITECT TEL. 1.'.
OR ENGINEER Jamison "NO.54 4_004040 COSTA MESA. CALIFORNIA
ADDRESS 225 "D" St. , TustS.ci FIRE
ZONE TYPE _TZGROUP 11,..
CONTRACTORLifetime,ResidentialBldg Corp. APPROVEDBy DATE
ADDRESS 2131 SO. Artesia St. ZONING •
Santa Ana ZONE NO.OF USE OF NES
CITY / IPI PLANS 1/ BUILDIppN DPI/ # +L fry/
LICNO. 208676 TND. KI 9-2204 DESCRIPTION/' 3, TIS• 11.3S-to
,(to /
SIZE 6o QQ, I NO. OF BLOCS. 0
OF LOT NOW ON LOT A.p.NO. -----•e2r
USE OF None YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM SFO F REAR YARD 33.00 FRONT LINE ST.)3 d FT. IN.
CENTER OF STREET
SIDE YARD I LEFT 101 I RIGHT 8, R.SIDE V p
FT. --, IN.
DESCRIPTION OF WORK - L.SIDE /O FT. IN.
NEW IX II ALTERATION I II ADDITION I REAR 3-3 FT. —ICI--3-7---C IN.
REPAIR Wi /
II MOVING I II DEMOLISH I APPROVED . / '� DATE /D- 3 Q,
NO. OF 9
BUILDING 1644 ROOMS STORIES 2
EXTERIOR WALLC.laSter I COVERING Shake
COVERING {( y Q
USP.,-QngYe Dlpann yW/resiTOence RFORMED
J - /7gpzi` yid.,/
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN ER VALUATION IS FOR THE
AND STATE THAT THE AB IS CORRECT AND A EE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY O CES AND STATE LA GULATING
BUILDING CONSTRU VALUATION
SIGNATURE OF ak PERMIT FEE $ .3—7___
PERM ITTEF �'�-� N
/�/ /3_ e
$ /'/ PLAN CHECK $ ��3 G
AUTHORIZED AGENT �r./ CO. S
N TOTAL FEE $ .J y