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HomeMy WebLinkAbout2167 Kristin Ln - Building Permits &uranium 2167 KRISTIN LN UMT: CITY OF COSTA MESA — BUILDING PERMIT OWNERS NAME IFIU4C%S1* EVERGREEN PL HOMEOWNERS PERM NO: B 071738 ADDRESS: 2166 KRISTIN LA COSTA MESA,CA 92626 PERMIT NO: B 071738 PLAN CHECK NO; N GOVT; N SUPP : N APDL.14MUNG ADDRESS: CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE; REP ARCIIRECT ORENGINEER: tris NO.: JOB DESCRIPTION T/O ROOF, REROOF W COMP SHINGLES SQ FT: 3, 988 ARCH.OR ENG.'S ADDRESS: UNT: CLAIM VALUE: 3, 988 , 00 CALC—VALUE; 3, 988 , 00 GROUP OCC; R-3 /M-1 coNwACTarspla PERFORMANCE ROOFING CO. ( 714 ) 645-2382 camACronmuua 2476 NEWPORT BL COMMENTS : ADDRESS INCLUDES 2169 KRISTIN LN, SMOKE DETECTORS REQ PER 91UBC ADDRESS: COSTA MESA CA uc.NO.: 661267 ***************************'**+h*******ifitit***+att+A*SEM********v*ifit**atNif*****At*at AR+tec** 92627 um 1 /2 Z ONING REQUIREMENTS UCENS ED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I ern licensed under provisions of Chapter g SETBACKS (commencing with Section 7000)of Division 3 d the Business and Professions Code,and my license is in lull force and effect. cmuc.NO.: 05 923 uO.cuss: C-39 uc.N��.jj 6� EXP; 12/95 MAIN BUILDING ACCESSORY BUILDING [J P /�� (�(/ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: _1 /36( Contractor: ,$ LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER ECLARATION:I hereby affirm under penalty of perjury that I am exempt I Contractors License Law for the following reason(Section 7031.5 Business and Professions Code Any city a county which requires a permit to construct,ether,improve, PARKING REQ: P RO V; PARCEL : 93132406 Z N E: REF NO; demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to fib a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Lew[Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES> Business and Professions Code]or that ha or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > 7031.5 by any applicant for a Permit subjects the applicant to a mil penalty of not more than Me hundred dollar 1350011. ******************************************************************************* O I,as owner of the property or my employees with wages as their sole compensation,will do the work,and the structure is not intended DEVELOPMENT SERVICES R E U IR E M E N -T S or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an ewer of property Q who bolds or improves thereon,and who does such work Nmsefl or AeneS or through he la'her own employees,provided that such improvements are not intended or offered for sale.ff.however,the building or itoprovernenl a sold within we year al completion,the ZONING APPROVED BY ' DATE: owner-builder will have the burden of proving he or she did nor build or improve for the purpose of sale). ❑ I,as ownerof the property,em excluk.'*contraaing with licensed contractors to coon the prated(Secton 7044,Business ed BUILDINGAPPROVED BY Professions Code.The Contract«,License Law does not apply to en owner of property who builds or improves thereon and who DATE: contracts for such projects with a contrador(s)licensed pursuant to the Contractors License Law). ❑ I am exempt under Section: B.A P.C..for IN,reason: APPLICATION ISSUED BY: DATE: I k‘G1 (! Date. ON e' LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby certify that I am aware of and understand the requirements of Caldomie Health and Safely Code Sections 25505.PetH,and 25534,and that I or any future building occupant will/will not(circle one)need to comply with said Nate codes and the requirements for a permit for construction or mocation tructidifihorn the Ai trebly anagemenl District.Residential construction app/ramw fm ioexemptm these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provision.. PERMIT 63 . 00 . 50_, Date: Applicant: PLAN SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following deduaton°: ISSUE FEE ❑ Hume and wDmining acertificate of consent toself-insure forworkers'compensation,asprovided for bySection 3700of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID • DUE Code,for the pertm performance d . mewakfawhdmpermit is issued. TOTALS----> 63 . 50 0 . 00 0 . 00 63 . 50 63 . 50 . 00 o I have and wit maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work or which this permit is issued.My worker"coin setond n insurance canter apolicy number are: Carder: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 63 . 50 OVER/SHORT; , 00 Policy Number: 13326.ib-95 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed I the perms;.Per one hundred dollars 161001 or lea.) 63 . 00 , 50 ❑ I caddy that in the performance of the work for which this permit is i, _• I shall not employwa as any pern in any manner to became subject to the woks r °'compensation taws d California. tree I should become abled to the meets' **********************************************************nth******************** compensat visions of Section 3700 d the Labor Code,I shall j'h t • provisions. .e' j IND I V IDUAL F E E BREAKDOWN Date: y 4S Applicant: Vir a. .e. Warning:Fat we fo secure women compensation coverage is unlawful,and shall'Noblest an-•.. •criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars(S100,000A In addition to the cost of co •y lion,damages as provided ler In Secdan3706 of the LYaor Code,inters-14 end etymey's hies. SFR 3988 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 988 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there e a construction lending agency for the END OF FEES performance of the work far which the permit is issued(Section 3097.Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I cenify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and stale laws relating to building construction and hereby snhorize representatives of this city to enter upon the above-mentioned properly 190aden purposes. ��44�� /OM 1 - LA- v4UZ / / 'rint Name � Date: 3 01 001791Z3'-00179254 TOT 63.50 /'— Sgaurew•".T/ -.• +*r. 1red« u4TE: 04!03/95 TIfE: 11:17 (5151-46.WP) White-Buildig&Safely:Green-Fle:Canary-APPN' t:Pink-Revenue:Goldenrod-Assessor . CONSTRUCTION AND PLANNING POOL & SPA r Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit# , 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location . 2. Soli Pipe-Undrgrnd. 53. Steel Reinforcement , 3..Electrical Conduit Utility-Undrgrnd. 54. Forms 4.'Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5: Steel Reinforcement: 1 � 56. Rough Plumbing & Pressure Test �]' '6. Electrical UFER Grid. 57, APPROVAL TO COVER-GUNITE I - 7. Footings . 58. Electrical Conduit-Undrgrnd. ..8: Foundation •• 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap,s0 Undrgrnd. - 10. Structural Floor System 7 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap . Heater & Vent-Final 13. Roof Drains _ 4 / 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, c • • - - 70.,Underjround Hydro 22. Ducts, Ventilating, : - . ` e71. Product Piping b 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 //14ir ✓Ci 74. Overhead Hydro 26. T-Bar'Ceiling (Strdctiurall & Monocoat ( t - ; 75. Dry Chemical - ' ' 27. Frame and Flashing r 'dpipe - 76. Dry Stan 28. Lathing& Siding 77: FIXED SYSTEM FINAL 29. Insulation .. 78. FIRE PREV. FINAL - ' 30. Drywall Nailing - I HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat . 79. FINAL INSPECTION , 32. Electrical Power Meter-Final j" - 80. FOOD CERTIFICATE ISSUED i 33. Final.Electric . , Notes: 34. Final'Heating& Air Conditioning -: - - 35. Final'Gas Pipe-.Test' .: „ - - i . 36. Hood-or Canopy ' - 37. Final'.Factory Fireplace - , 38. Final Plumbing - ' 39. Water Service-Final . 40. Gas Service-Final • ' i. • 41. Solar Domestic-Final -- ' . 42. Backflow Preventer " • 43. Backflow Irrigation . 44. Landscape Irrigation System _ - = • . -“I- 45. h, • 45. Sound Attenuation , ,. .. -• 46. Handicap Regulations - j 47. FINAL STRUCTURE & BUILDING 5 ;/'f •�• � �p OA 48. FINAL PLANNING • ! - 49. Electric Release to Edison ' • 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY - ' . No. Date 020c y4 COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION.E8R h'RtW'PI 1U1.PERMIT 89. 1 5 IL P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVED BY 'PERMIT 1V8 �� � ^� For Applicant to Fill in Completely— Use Ink Only ,( � BUILDING / A.P.NO. i9_ orszo ADDRESS ` BUI LOIN S OWNER OR 3Ifl9LJS fYfrEfer/ r /t n/ ADORES �� TENANT q•' Y/Cv UNIT OR ADDRESS prc 7/ (/42 � ' 2/I SPACE NO. .s-�� TR.NO. LOT SLK. TELCITY AleuiPOer�04No.673228 Z. ' CONSTRUCTION NEW ADD ALTER REPAIR I MOVING I DEMOLISH LENDER BRANCH � OWNER ACF)e-,IS g3C-4-/er-/ ADDRESS VALUE ARCHITECT TEL. USE $ OR ENGINEER NO/ /1�/ /fir ADDRESS ZONE / Z (TYPE O/ GROUP27 Cv �� APPROVED v CONTRACTOR Y'3C4JJ ar BY DATE R/ ADDRESS 7/ /J/Ll y2)p *L/I CITY Wegiifegtorrapgai NO`Cron net' F-/ STATE 7.-9007//� CITY APPROVED SETBACKS . LIC. NO. (Jd 7 C/ LIC.NO. SIZEf‘l 1NO.OF BLOCS. (FROM C/L S74TAET) L_ Z� Ch OF LOT NOW ON LOT FRONT 3' FT. T,� ��W l • Q USE OF cn Qom} `�Y f.(/ . ,., EXISTING BLDG. R.SIDE c� FT. CA 2 Separate permits are requiredfor L.SIDE electric,plumbing and heating work. REAR (W. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION Q • //�� '7/0 j �..�./� ` 79,43", DATE 4/6, Q C...'OA./2y+j C_O.tJJ/z� r/O� L//�'' � APPROVED I ?t777 >. AP s�'//��((��C. fl• DATE (/ ce HOLD FOR SPECIAL REQUIREMtN i a •w O I hereby acknowledge that I have read this application and state• n p( that the above information is correct and agree to comply with n. all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of 2 W the State of California. 4-rt, /tc-�s I hereby certify that I am properly licensed as a contractor under /42j.0 • SQ. FT. YJ v Z 3 N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR rn 9 Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e 0 am exempt from the provisions of the State of California Business y VALUATION PERMIT FEE Sc Crb and Professions Cod 'vision 3,Chapter 9. in PLAN CHECK EeG dQ o Signature of `/ 4.41-‘1‹... /^ QO r o Permitte> / $ 4�"a OOQ�+ TAX S ,,j,/S . Y Authorized Agent Date__"""���" TTT V J TOTAL PAID Et7i /s // tie AP COSTA MESA BUILDING-SAFETY DEPARTMENT APPL CATION FtQ, iSTRIJ Rat PERMIT 72.00 TL P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 _ _ - _. - - RE V PER B For Applicant to Fill in Completely— Use Ink Only In BUILDING /� �� A.P.NO. 7/ 7- Qg/...Q 9I/0 BUILDING ADDRESS yb ` !//C���r-.L�++ /' 1 • OWNER OR /J t / // ADDRESS '72,Of/f,cm,L(„� S eh TENANT /Y�/�a-.�-t r II 7 .e,.y..�.•. UNIT OR MAILING SPACE NO. • ADDRESS TEL. TR.NO. r� LOT / BLK. CITY NO. , ©r CONSTRUCTION NEW ADD ALTER (REPAIR MOVING DEMOLISH LENDER 1 BRANCH OWNER /41t44/}'.f/ 44r1..�.t. / ADDRESS 1 O VALUE ARCHITECT TEL. USE $ / OR ENGINEER /\J ADDRESS ZONETYPE GROUP�� APPROVED p CONTRACTOR BY DATE Q 7 ADDRESS TEL. CITY NO. STATE CITY APPROVED SETBACKS LIC. NO. LIC. NO. SIZE NO.OF BLDGS. (FROM C/1_STREET) 0. OF LOT NOW ON LOT FRONT FT. Q USE OF V) EXISTING BLDG. R SIDE FT. VI (••• Separate permits are required for L.SIDE FT. Ci electric,plumbing and heating work: REAR FT. F.W USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION W Q • CI DATE Q I 1 APPROVED APPROVED ). BY DATE W DL w O I hereby acknowledge that I have read this application and state m X that the above information is correct and agree to comply with 0. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of a W the State of California. - C I hereby certify that I am properly licensed as a contractor under SQ. FT. C`+ D the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from the provisions of the State of California Business VALUATION /7Z 00 c‘ DI Professions Code 'vision 3,Chapter 9. PERMIT FEE $ n Signature of PLAN CHECK $ !� in0 0 Permittee ♦� $ TAX $ a LL .. F Or Authorized Agent Date .94 7 TOTAL PAID $ /7 � U C.