HomeMy WebLinkAbout3150 KILLARNEY LN - Building Permits . Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
. I COSTA-MESA PE IT Ngo TRACT NO. LOT Nei, BLD .NO. 81176 10/118/02 -101067 TL
•
JSTRUCTION PERMIT C- J 0 a a 4bsta ACU ,...0.1.00
. Pr•-et Address •
•any �a71 • • •I '
Owner r : is ► L"i:�•�l - - Phone ■ ■ ADD lr ALTERATION /% - _ • . . .
Address 3 1 So IL! -At/I�-�4 ■ REPAIR ■ CONVERSION ■DEMOLISH
`ice" • ZONING REGULATIONSii
Arch/Eng. Licenle No. ■ OTHER • J .1-
Address -
• - • 4' .ff
• O I a I _ A.P.I .1 - e ,-' • • -
a.
ZONE .1 PLNG. REF.
Contractor 9/ h CtJaT:b Phones ; •z; • TYPE OF PERMIT B • - To BUEI IQ UJG '
n ,,,� SETBACK LST. PROP Y LI E
Address ),c'y4•f *it/ Sb t( L. Lea 0 GRADING,_,/'❑ FOUNDATIIO> 334TRU�CTTUURAL SID T YARD - I �'✓I L� ars I.
LICENSED CONTRACTOR DECLARATION 0 TENANT lief ELECTRICAL IHPLUMBING [Pe CHANICA SIEDE YARD
I hereby affirm that I am licensed under provisions of Charter 9 (com- RIGHT / 0101/e, rptT.y( I .74
I g with section 7000) of Division 3 of the Business and 0 OTHER lr ry
Professions Code and my license is In full force and elfe5t.. REAR YARD(TO P/L 1 oT t
p •� PROJECT DESCRIPTION
License Class LJcpnz �o/ _i PKG.SPACE REQ. PROVIDED
Date/0�1r`S'Y Signature ' `�+ /C/ (tel—_O .SQ. FT. q
[� OCCUPANCY ICON 'RUCTION TYPE391
STREET WIDTH PARK FEE-$
WORKERS'COMPENSATION DECLARATION O" ZONING APPROVED BY { DATE 1
I hereby affirm kt I have a tiof consentto self-insure sed or a VALUATION 000 ZONE PKC-1 � j�
trefcertificate of Workers' Compensation Insurance, or a certified copy -
'lhereof(Section 3800, Lab.C.). GRADING CU.YDS. ACRES SPECIAL CONDITIONS:
Policy No. Company - - - -
CD Certified Certified copy is hereby furnished. - REMARKS:. '
❑ Certified Copy is filed with the city Building Division. - , '
•
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION • - - •
(This section need not be completed If the permit Is for one hundred . _ � -
($100) or less).- - '
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 PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK • - ' ' -
subject to the Workers' Compensate Laws I��jj[((��))ssrn' MI UW tLLIN4 IaH RAfaE
Date/t't X-1." Signature FY l BATHTUBS I SHOWERS NI e
NOTICE: If after making this decla ation, you should become subject TOILETS URINALS • .GENERATOR - 0.1 KW_1-30 KW
to the Workers' Compensation provisions of the labor Code,you must TRANSFORMER - ,
forthwith comply with such provisions or this permit shall be deemed LAVATORIES '2, DOUBLE LAYS , APPLIANCE - 10.50 KW_50+ KW
revoked.
•CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP_1-10 HP
'I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS (INC.SOLAR) "10-50 HP_50+ HP
formance of the work for which this permit is issued (Section 3097 - y
Civ. C.).` A /s.�s FLOOR SINKS FLOOR DRAINS FIXTURES �� OUTLETS�' SWITCHES (
.;
� a '
'Lender's Name L� !^T -• - • /
Lender's Address DRINKING FOUNTAINS ' GAS TUBE SIGNS' ' - - -
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS - -. ' -
I hereby affirm that I am exempt from the Contractor's License Law for _ .
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP ' •
Any city or county which requires a permit to construct, alter, POLES • METERED SUB
improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION - PANELS MAIN SUB •
quires the.ap,Ilcant for such permit,to file a sighed statement that he .
is licensed pursuant to the.provisions of the Contractor's License Law GAS SERVICE OUTLETS ,SERVICE - - - AMP
(Chapter 9.(commencing with Section.7000) of Division 3 of the
Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT ' '
basis for the alleged exemption. Any violation of Section 7031.5 by -
any applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS • - • '-- •
of not more than five,hundred dollars ($500). 5 - '
❑ I, as owner of the property, or my employees with wages as their SOLAR TANK . COLLECTORS - . .
sole compensation, will do the work, and the structure is not Intended
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE • i1
Contractor's License Law does not apply to an owner of a property APPLICATION APPROVED BY DATE/Wick.
who builds or improves thereon, and who does such work-himself or ISSUE FEE •♦ /0 Q
through his own-employees, provided that such improvements are not
intended or offered'for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK ,$UM ARV OF FEES
is sold within one,ye&r of completion, the owner will have the burden .•
of proving he did•not build:Tr improve for the purpose of sale). BUILDING
HEATING SYSTEM 0-100,000 BTU PERMIT $ SMIP $�tJV�7y�
0eI, as owner of 'the property, am exclusively contracting with AND DUCTING - !%���.• : •a
licensed contractors to construct the project'(Section 7044, Business 100,000 + BTU PLAN CHECK $-' e. V . PERMIT .
and Professions Code: The Contractor's License Law does not apply to ISSUANCE. $
an'owner of-property\who.builds'or improves thereon, and':who con- REFRIGERATION 0-100,000 BTU PLUMBING $ -
tracts from such projects with a contractor(s) licesned pursuant to SYSTEM - GRADING $ '
the Contractor's License Law). - 100,000 + BTU PLAN CHECK $
❑ I am exempt under Sectidn B.& P.C.for this BOILERS BTU ELECTRICAL $ 6.75 $
•
reasonPLAN CHECK $ . MICROFILM $
. ` SYSTEM REPAIR,ALTERATION
Date Owner • 00 TOTAL FEE $
I hereliy certify that I have read this application and state that the above EXHAUST SYSTEM f MULTIPLE iMECHANICHL $ LESS AD- .
information is correct. I agree to comply with all city and county PLAN CHECK $ VANCE PC $_
ordinances and state laws relating t construction,and hereby authorize - .
representatives LW ci to r upon the above mentioned
property fo pent' rp • /n /
Signature Date(0-9-.1v I FINAL FEE $/O�. 47
Drivers'License or SS
ISSUE FEE • -
i
�� CMF 0865.46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor - /I
•
CONSTRUCTION AND PLANNING c ' . ' ": • • POOL&SPA\ - -• .tee-
�� .5o I 1 Date Inspector \ . + - Date Inspecto
APPROVALS Permit# .APPROVALS •Permit e n `-'
1. Temporary Electrical Service or Pole .t 43. Pool & Equipment Location - - - - - -
2. Soil Pipe-Undrgrn 44. Steel Reinforcement - - • - - • - •- - - - - • -
3. Electrical Conduit:Utility-Undrgrn - - - ' 45. Forms
4. Electrical Conduit-Undrgrn • . . • -_ . _ . • - 46. .Electrical Bonding - -
5. Steel Reinforce .. - 47. Rough Plumbing& Pressure Test -- - -
•6. ' Electrical UFER-Grn . • . 48. APPROVAL TO COVER-GUNITE -
-
7. Footings, ,.. .-1 - • - 49. Electrical Conduit-Undrgrn •
8. Foundation _ - • ' ' _ 50. Gas Pipe, ❑Undrgrn;-Test
9. Water Pipe-Undrgrn 51. Backwash Lines. P-Trap. QUndrorn" ' '- - • -
10, Structural Floor System .- 52. APPROVAL TO DECK - -
• '11.. • Property Sewei- Line & House Connection - 53. Backwash & Receptor-Final
12. Street Sewer Connection 54. Heater&Vent-Final
13. Rough Plumbing - 55 Plumbing System -Final • ' -
14. Rough Electric-Conduit - - •56. Electrical-Final .
15. Rough Electric-Wiring /1_54'z e.-.e. 57. Solar System-Final . - -
16. Rough Heating & Air Conditioning58. Fencing&Access Approval
•
17. Ducts, in Structure 59. APPROVED FOR PLASTERING . .
18. Ducts, Ventilating , - . - - _
19. Gas Pipe-Rough &Test I >_• 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing -•-' ' •
21. Roof Sheathing -- - .
22. Frame and Flashing _ - I j*_y_ Y7-- d D NOTES:
-23. -Insulation _ _ - .41-//,f3 A2' awe, 47 4o;0} 7� -�•�!as,�
24. Lathing & Siding y'4j.i, - , y/ -a �._� o �aq
25. Drywall Nailing //-/2-gD. R 7`n n.�e�. /<-_,,....-:-.. 7.2.4„.<.:-L. J""'T""'_"-' S .
26. Plaster Brown Coat . . . . _ ( -
27. Electrical Power Meter-Final •
M/yr C 8-- u/$3 I/:00 /}/ i - .
28. Final Electric if-S.-83 e.e •- eV CO"so
46..r
.r 0F4I'CWN1C
29. Final Heating &Air Conditioning 4-//MP? ,4t dee,Y�'!e�/ �Iejat,s Q�AAee - 3N.!�e"7v a/
30. Final Gas Pipe-Test . 4' 4 ) ocr,/ go /si use
31. - Final Plumbing •
/-fl /j 4C e� ae...4 io4 -7 S �C$lS�rp
32. Water Service-Final IaLC is S olde /N '7Zao
-:33:-"Gas Service-Final_ 7.. " j-p•t . fir- (/�tlCOfa
. Fv l u
es
34. Solar Domestic-Final - / /t%/s et . td tc, Ales tialrS
35. . -Landscape Sprinkling.SYsteM-"` 1 _ _ -. . /,.; '#E ' CdILCAvci/+
36. Sound Attenuation • ` (octal/ DoT Jr,- d< >- cesGtt$
37. Handicap Regulations . J/for4.4..v{ .1-24.5 ,&c+CAKS
)
38. FINAL STRUCTURE& BUILDING - (, //
" 4/_ _83 daf4Ta„ a, qe •g.
39. Special Requirements Completed 144 it Chat'- ?7 '•-e do
40. Electric Release to Edison - ,
41. Gas Release to Southern California Gas Co. v i " . . . . •"..2'-/ CZ
42. CERTIFICATE OF OCCUPANCY • '
1 • • No • Date •
- ' '
_. -
1 -
ilk i
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! !fib? NFA!. !Ry ? , — i_ I_. ,
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1 I I I ! I 1 w t t ,
A�- i I y�sni3 I r�' 1 ALL �' i
�•IFPR' ni-OVEN I . - `� ��• oe.r•,o a� . ;.,,,1 ' - '
1 -CITY-CF COSTA MESA I - - I = I - „ i �; I
• I I PLANNING DEPARTMENTI i - , x ' t ; ' 1-3-_ �
i -I I - I i -- I :ti- ' sr ; p: D ' b .I ..0I AReH: .
:DBts •
.�10 (l v,- 1 I i I 1 I i L
i Y I I j ' I I 1 I i i. I. I I I I
1 ! I EXI6T I I 1
11 R d 1-(Rs I I ; - i -` 7AvsEs : 1 : !
. 1 ti./-1., (� • !�G � ® pV h 1. D GaNTRAUoe, !r �E� - I -r r�... I F{ f
; ' I C of Co Mesa Buil ingi Dept. I SmUCTURAL IAPPRO IRL OWL; i i "
.._EATS !o ts�Z SEP�4RATE PERMITS' ARE RE UIP37,
,THEE PIANSI MUST BE ON J:B At ALL TIMES •I . - FOR ELECTRICALI PLIUMBING, ( I I •
MAKE NO- CHANGES -WITHOUT: PRIOR APPROVAL I - , HEATING, VENTIG.ATI�VG AND I• I
• - i 1 Of DEPT: --_ ( 1 REFRIGERATION WORK ! I I I
- ,
1 THE ISSUANCE OR GRANTING OF A 7`R'SIT Ca .'.rr c'r'-
I OF PLAN AN0 SP•pICIEICATIONS-SHALL NOT BE CONSTRUED .. I I ,
I : I !TO GE A�PERMIT FOR, OR AN IAPPROVAL OF, ANY VIOLATION 0 ,r r q�J j , _ I
• OF P.NY CIF THE PROVISIONS-OF-THIS CODE. NO PERMIT PRE wW�Ur_.�,b # I_' ���(/- 1 I .
I i I SUMING. T0..GIVE AUTH9RITYI TO VIOLATE OR CANVCEL'THE, THIS NUMBER MUST ACCOMPANY I I _ 6 _
I I PROVISIONS OP THIS CODE SHALL,BE VALID; EXCEPT IN SO' I • 'ALL INSPECTION REQUESTS . For k1� P�'� • S I 1
I I [ARIAS TH• E
E WORK•OR USE WHICH 1T.A`UTHORIZES IS LAWFUL -. + , I — I I I I _ I !_
• I__ —THE-ISSUANCE OE A P�RMIj BASO UPON PLANSI AND' :FOR BUILDINGS CiHERE PERSONS ARE TO I 1_ alb i 1 '
I SPECIFICATIONS SHALL NOT PffEVENT THE BUILDING OFFICIAL! BEO B ULDING YVi: RE P RST THAT THE _ ��1j/ t
FROM THEREAFTER REQUIRING THE;CORRECTION OF ERRORS; STA E-OF -CALIFORNIA DIVISION 'OF �,
IN SAID PLANS ANO SPECIFICATIONS OR FROM PREVENTING 1 y
BUILDING!OPERATIONS BEING CARRIED ON THEREUNDER WHEN. INDUSTRIAL SAFETY BE CONSULTED FOR d� //!�
IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE !ADDITIONAL REQUIREMENTS. - L�J
I
CF THE CITY. . 1 I , i I • , , ' L_ _- - - -
, TT •
BUILDkNQSAFETY DEPARTMENT fi.
• POST IN CONSPICUOUS PLACE .-
ON THE JOB
DATEI UED
/0 e/�2
A.P. NO. PER T NO
/ /— 6 32 - 0S G - 5099
BUILDING ADDR S
3/So , '
•
TRACTt LO� BLOCK
• NEW .ADD ALTER /REPAIR MOVING DEMOLISH
•
(( D S V eY • o 4 2y i--/ 'o-
jFI RE ZONE GROUP
•
2-3
SETBACK /�
Front Yd Side Yd. R �L_ Rear
Side Yd. R L //// Rear •
BUILDING INSPECTION RECORD
TO KEEP BUILDING PERMITS VALID,WORK MUST BE COM-
MENCED WITHIN 180 DAYS WITH ROUTINE INSPECTIONS AT
LEAST EACH 180 DAYS THEREAFTER UNTIL COMPLETED.
STRUCTURAL INSP. DATE
Trenches 0 Forms 0
Floor System
Steel Reinf .. .. .. .. .. .. .. .. .. ..
Sheathing
Frame and Flashing '- It'.5 LI -CI
Insulation
Lathing •
Dry Wall Nailing
Plaster,Brown Coat _ - -
Sound Attenuation
Handicap Regulation
FINAL
PLUMBING
Soil
Underground Water
Rough Plumbing ��J`:::/
2--
Prop.Sewer Line and House Conn
Street Sewer Conn.
Water Service
Sprinkling System
Gas Test
FINAL_'
HEATING,AIR-COND.AND REFRIGERATION
Refr. Lines,Pressure Test
•
Ducts,Underground
Ducts,in Structure
Ducts. Ventilating �!C
Rough Heating and Air-Cond
FINAL n•
ELECTRICAL
Temporary Service or ORS
Underground
Power Meter �+...,
Rough Wiring. c.oFINAL
Do not occupy this project until final inspection has
been made and occupancy has been approved
Building Final 41-1/-133
Special Requirements
. Occupancy • 4"--co-ft,
NOTICE
notification required when the job is ready for inspection. You
must furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH
R ECTIVE INSPECTfON. CALL 7545827 •t24-hr.
APPROVED PLANS SHALL BE ON J08 AT ALL TIMES
CMF ossa..aE R'm
1_ r/`
F
•
1rCX
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Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY.OF COSTA MESA CONSTRUCTION PERMIT 926,2(0 i PER TRACT NO. LOT NO. UNIT NO. -
. Project Address .3/54 KJ/A/ca)e .Z.AA/C_ ' 7976 5130 3/31 /87 5p0� "ftr
Applicant's Mailing Address .1(3 3 hi kit)el-ate
-�L�7 TYPE OF CONSTRUCTION U NEW U ADD U
CONVERSIONALTERATION 0 REPAIR - - ,
- �) / 0 ❑ DEMOLISH 0 OTHER A.P.q)6 I Zone
Owner's Name -�'5—�7 YC-� They S Phon s DESCRIPTION OF WORK/USE OF BLDG.
Address ..../J9 4•7
e / S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT U GRADING FOUNDATION 0 STRUCTURAL E Front 0
Address �J // // 0 TENANT ❑ ELECTRICAL PLUMBING 0 MECHANICAL BA Rear N
Contractor's NamNpo 6773 Iunih,nic T K' hone9,-3%74 ❑ 'OTHER C Right N
/ ��/� �R PROJECT DESCRIPTION SQ. FT. OCCUPANCY
Address(nse N g/tin 3. h ///s��� h}� /n7 - -
,�/ o CONSTRUCTION TYPE VALNATION$ S Left G
City LiCenSe No. J 7 rl _ . ZONE GRADING CU.YDS. ACRES • R
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
Q
Thereby 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 11 _
my license is in full .rce and effect. {� zr'
w License Cla s Lice sa ) ��' ' RECE.IVEU MAR `7 i:ld/ 5
t'�O Date d -C3O�'7 'Signature rI � , •, r6, PLUMBING I FEES 1
WORKERS'COMPENSATION DECLARATION Bar Sink Showers ,
1 I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL . FEES
of Workers' Compensation Insurance, or a ce tified copy thereof (Section Backflow Preventer Service Sink - -
Q'3800, Lab. C.)
Automatic Washer Transformer 0 15-50 KW
PolicyNo. n`�4Y"� Company e-Ale/? .l.ti-S• Backflow Irrigation - 0 50+ KW
\ 9 Sewer Cap Construction Pole Sub.
Certified copy is5 hereby hetl. - -
ate 2 l-dzpi copX i3,(ilea with city iltlln DI isioR Bathtubs Sewer Connection Cooking Unit Meter Cup to 100 amps
Date "d4�1 / Appiicthean
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher - Meter lamer 100 amps
(This section need not be completed if the permit Is for one hundred ($100) or - ' -
less). Dishwasher i Solar Piping Dryers ❑Gas ❑Electric Sub Panel
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 Fan Motors 00-1 HP 01%-8 - '
Workers' Compensation Laws of California. "
Date Signature Floor Drains Swimming Pool w/Spa F.A.U.
'NOTICE: If,after making this declaration,you should become subject to the Inc.Solar❑9.15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - Urinal Fixtures -
comply with such provisions or this permit shall be deemed revoked. _ - Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes • Pole Light
I hereby affirm that there is a construction lending agency for the performance • A - g
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater n2 Y a f Outlets Range
Lender's Name - .
Lender's Address Kitchen Sink Water Service . - - '
OWNER BUILDER DECLARATION Switches Sign
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-Trap - LaundryTrays . t
any structure, prior to Its issuance, also requires the applicant for such permit y Generator ❑0.5 KW❑5-15 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains J
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 -
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). I •
-
LiI, 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 1 ' - Reinspection Fee I $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 • Hood or Type ❑ DEVELOPMENT SERVICES REQUIREMENTS:,
employees, provided that such improvements aro not Intended or offered for Boiler Zoning Approved By Date
sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 •
pe the owner halo the burden of proving he/she did not build or im- Duct-Under Ground • Building Approved By ' - Date
prove
for the purposese of sale).
0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application issued By • Dat
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 ❑100SUMMARY OF FEES
,000 BTU -
builds or improves thereon, and who contracts for such projects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware thatExhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
IDI am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBO# Fire Dampers •
PLUMBING - $ 5, ISSUANCE $
eating SystemDucting g PLAN CHECK 25% $ ENERGY P.C. $
Date •Owner � g & Re esters
I hereby certify that I have read this application and state that the above 00100,000 BTU 0100,000BT - • ELECTRICAL $ GRADING $
information is correct.'I agree to comply with all city and county ordinances •
and state laws relating to building construction, and hereby authorize repre-
sentatives
PLAN CHECK 50% $ MICROFILM $
sentatives of is city to en On the above-mentioned property for ,
Inspection p r ns4;utif_ MECHANICAL $ TOTAL FEE $ S.Gf-�J •
river ure
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
- 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
3. Electrical Conduit Utility-Undrgrnd. 54. Forms •
44. Electrical Conduit-Undrgrnd. 55. Electrical Bonding \t •
5. 'Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
t�.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 par Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating&Air Conditioning FIRE DEPT. REQUIREMENT
201 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 ❑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: )y- I -15,7 L.2PrC*W
34. Final Heating & Air Conditioning ••3-87 Cancc-.t A6 reit 20.3 VPG. C.EP
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
43. Backflow Irrigation ..i
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. Daie
OWNER HARBOR HALL OF FAME HOMES INC. DATE NOV 2 9 1952
JOB ADDRESS 3150 Killarney Lane BUILDING PERMIT NO. 1;
GENERAL CONTRACTOR Lifetime Residential Bldg. Corp. VALUE $ 19,055.00
Al' No. LOT 46 TRACT 4356 FIRE ZONE DESCRIPTION OF WORK Res/Att.Gar.
INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R-1
Soil Le/ 7.52_6.--,/9�9-0 PERMITS ISSUED
Gas ,) /n./ jp 9 SUBCONTRACTOR DATE NUMBER
Water �G.1-t/ '..tx<3^asi. -
Rough Com. Refrig. 0 Air Cond. 0
Rough Heating ,42/! ,--/- �y7_ r ' i_.4:2 —40_//{G '5
Rough Plumbing L, / �_/3 - " _- //-�-(6,a' _Li 7-2/6
Miscellaneous e 10 ' _
Prop.Swr.LineX'House Con. 0 St.Swr. 0 la �' - _ _ ,rl. 2-a/�,� e
Sprinkling System ��yii rrl .-9.../ ///5-/3 ear.g.4 ' '/ s• y J - /O//1-ik3
Construction Pole 4
Underground 0 Power ❑
Rough Wiring 'LOC 2 -/-/'2 7V ft e— eige /-/y(03 /W2/9
Trenches [rte Forms p- Steel Reinf. 0 /1'dyf¢ 0-%S-41_
Floor System eare- f.2-_i3-62_
Bond Beam 0 Steel Reinforce 0
Sheathing A'.:s /-22-4
Frame and Flashing I,;Lj R.-/U-<,i
Lathing — In Er Out RT- ,' ' 2-.:Y.=y5
Plaster, brown coat 41A- 1 4'.-5'_&3
Refrig. ❑ Air Cond. U Final
Heating, Final Pact 1712 1>ti kfratel
Plumbing Fixtures, Final /
Final Gas Test/,5' /V/ 3
Electric Fixtures, Finaleery" !/ijcrC)
Building, Final P.-.41-- .--_51 .4
OCCUPANCY OCCUPANCY
FORM RIId.SM — LRl _Lang-
c
- 1 2 1 70 Lot 46, arf 356; crz frQ D
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA
Applicant
to Fill In Completely CITY OFR T MESA
For
P Y APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING 3/6-0
ADDRESS 11 , 7/4i.n ex 4O1 Q.
COSTA MESA, CALIFORNIA For Office Use Only
OWNER Harbor Hall of Fame Homes Inc. I RECEIPT NO. I i' i
to
MAIL P.O. Box 2066 RECEIVE BY I DATII/RETE{ *, DATE IBBUED ,
ADDRESS / � I'��
CITYSanta Ana NEI 9-2204 BUILDING
''A0 ADDRESS
ARCHITECT Jamison TEL.544-004COSTA MESA. CALIFORNIA
OR ENGINEER NO.
225 "DE St•, Tustin FIRE �]
ADDRESS ZONE TYPE 'GROUP `
CONTRACTOR Lifetime Residential Bldg Cor APPROVED DATE
ADDRESS 2131 SO. Artnsin St_ ZONING _op.,
Santa Ana ZONE& NO.OF � II USE OF NEW
CITY , \ ' I PLANS l�1'BUILDING
'' II _y-/'PG
STATE TE
208676 No. KI 9.2204 LEGAL i y I.40 t°I a-. q 3 S�
DEBCRIPfl01� ,
SIZE 6000' I NO. OF SLOGS. 0
OF LOT NOW ON LOT A.P.NO.
USE OF None YARDS EVES
EXISTING BLDG. _- APPROVED ALLOWED
SCETBACK
NTER O LINE
STREETFROM
SQ' REAR YARD 36.50' FRONTR Li" BT.I_s-e,
FT. IN.
SIDE YARD I LEFT 5' I RIGHT SB �_
R.SIDE FT. IN.
DESCRIPTION OF WORK .9 ---
L.SIDE FT. IN.
NEW I XII ALTERATION I II ADDITION I REAR JC'•S'0 FT. IN.
REPAIR I II MOVING I II DEMOLISH I APBY
Dnf DATE !0->2-L Y'
BUILDING 17901 NO. OF 10 11
O
SIZE ROOMS STORIES
EXTERIOR WALL
COVERING Plasto°ERING Shake
USE OF BUILDING AND WORK TO B9 PERFORMED
Single family residence
< j - /79a } 7.1�• .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABO - IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT PER ONLY.
PLY WITH ALL CITY DI CEO A.: LAWS - •ULATING
BUILDING CONSTRU••�• VALUATION JJ
SIGNATURE 0 PERMIT FEE $ CO g
PERMITTE Ile-05 II: - - �- el. D��! L_ e
$ / PLAN CHECK $ 3/� d 117
AUTHORIZED AGENT
N TOTAL FEE $ 7 ysE
0 a