HomeMy WebLinkAbout1981 KORNAT DR - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. .-
F COSTA MESA CONSTRUCTION PERMIT FERMI NO. p. TRACT NO. LOT NO. UNIT NO. •,
o)ect Address MI • / 6.44z• D,- iVg a.3/'30 1355 3/19/56 ' '
i
1�,r,t�IL-n/ t TYPE OF CONSTRUCTION •
NEW ❑ ADD U ALTERATION REPAIR /
Applicant's MailinghAddress-f/ .0y 6' -zeid ,,�r Sad,
Owner's Name PicAll 1. V't 226-)11/4/& Phone 7V-6a02 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER -
A.P.# Zane
DESCRIPTIONOFWORK/USE OF BLDG. I 4-" SFO kV/n.1 1
Address / 't p �1 PoL' 'Y £'4 L t of ... . B, Al , /44/A/ -Tr/�f.4,Cf... • S Main Building: Accessory Building:
TYPE OF PERMIT . G-AIDING U FOUNDATION LISTRUCTURAL E Front Z
Arch/Eng. License No. T O
Address //�I .,�y ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear - N
Contractor's Namp•.ILUH(A01 ,2 odR/✓�'5Arr Phone GI q ❑ OTHER -
1 .�GAOOdw Ol/� PROJECT DESCRIPTION SQ. FT .747 sec ✓EKY&-OCCUPANCY • C Right N
Address(mailing) /-� f / K
g C Ir-�� CONSTRUCTION TYPE _ VALUATION$ (/�(o S J " S Left R
City License No. /r+47 !�N(� //N•4� ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes:
Q
with section 7000) of Division 3 of the Business and Professions Code,and
my license is in full fo(ce atl effect. //95 _ T
License Class J- it nse No. !`t sI
Date ` " —' Signature /' PLUMBING FEES I
Oic WORKERS' COMPENSATION DE { i•V 1- Airr / Bar Sink Sh• owers ELECTRICAL ) FEES
I hereby affirm that I have a certific. - of cons- t o self-insure or a certificate
Workers' Compensation Insurance —
, or a certified copy thereof (Section Backflow Preventer Service Sink
)0, Lab. C.)/ �,z_p� Automatic Washer Transformer 0 15.50 KW
olicy No. 6:6-?�'T ! °" Comp,Cann�rfpy¢/D/,, T /w~� Backflow Irrigation •
Sewer •Cap Construction Pole Sub. 0 50+KW
', ( Certified copy is herebyfurnished. A•
� Cerijfietl,gppy j-s/filed with the city ivlsi Bathtubs - • Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date /� /7 Applicant /
EXEMPTION-FROM WORKERS'C� • 10 ECLA A ION Clarifiers Solar Collectors Dishwasher • Meter [Dover 100 amps
(This section need not be completed i he per TV for one hundred ($100) or . •
less). , Dishwasher • .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 FanMotors ❑0-1 HP ❑1''A-8
Workers' Compensation Laws of California. - -
Date Signature ;
Floor Drains Swimming Pool w/Spa F.A:U. - Inc.Solar 09-15 HP ❑16-15+
NOTICE: If,after making this declaration,you should become subject to the • -
Workers' Compensation provisions of the Labor Code, you must forthwith ' Floor Sinks Urinal i Fixtures
comply with such provisions or this permit shall be deemed revoked. .Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes ;
I hereby affirm that there is a construction lending agency for the performance - Pole Light
of the work for •which this permit is issued (Section 3097 Civ. C.) •
Interceptors Water Heater Outlets Range
i Lender's Name '
Lender's Address - - -- - Kitchen Sink - Water Service - - Switcties • Sign
OWNER BUILDER.DECLARATION
I hereby affirm that tl.am exempt from the Contractor's License Law for the Lavatories Auto-WashGarbage Disposal • ;Standing Sections
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 Generator 00•5 KW ❑5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit 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
a_-gerefrom and the basis for the alleged exemption. Any violation of Section
, ":,r...131.5 by any applicant for a permit subjects the applicant to a civil •
naIty of not more than five hundred dollars($500).
',^L I 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 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 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- Canopy Type II D Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground - Building Approved By �L Date
rove for the purpose of sale). ( �
I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By N Data 4S/47/2‘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 • 00-100,000 BTU ❑100,000 BTU 'SUM V EES
builds or improves thereon, and who contracts for such projects with a con- ' -�)p�p_ �{p'g ) SO
tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ O�Y�'L`J� $MIP $ t
•
proof•of their Worker's Compensation insurance should be provided t0,me. —Exhaust System 0 Multiple 0 System Repair/Alteration
• PLAN CHECK . $ PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
HeatingSystem& Ducting Registers • _ PLAN CHECK 25% $ ENERGY P.C. $
Date Owner• - v 9 9
I hereby certify that I have --d this application and state that the above ❑O-100,000BTU 0100,00013T GRADING • $
information is correct. I agree comply with all city and county ordinances •ELECTRICAL $
and state laws relating •ui •in• cop- r'•n, nd hereby authorize repre- - PLAN CHECK 50% $ MICROFILM $
sentatives of this < d to Pon ve-mentioned property for - •
•.^�11
inspection purpose./ �/ - - - MECHANICAL $ .. - « SO
Signature •!•a-a// Dal- C-( •- TOTAL FEE $ �`
Drivers' License • SS# " _ - Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ •
.n
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
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER 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 COP 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 C 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 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. 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:
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
43. Backflow Irrigation -
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING r2/901- #W ' ,
48. Special Requirements Completed
49.-Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date _ 11111
/y a Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA M S STRUCTION PERMIT PERMITITNO.�, TRA NO(. LOT NO. UNIT n n
rqE G L �� I , ..�-� A.P.# I� ( '� 1 Z �o7 Zone
Project Addre::, ( f r� rpo _ 2 ��tt S Main Building: Accessory Building:
A Item's MailingAddress TYPE OF C NS RUCTION NEW K.ADD L ALTERATION' U REPAIR E Z
PP /07S / Q.t/4,r.4s' c.N
ie$04i'&4. 0 G3. W.✓4 Phone 7.-V-.02422.• ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front axZ s 0• Owner's Name G DESC' PTION OF ORK/USE OF BLDG.- �����/- I B Rear ? I(y I •
•
Addri(t /9f� ��.2.t.[ -r .C72 N/N '6. J �� A
Arch/Eng. ✓«' C^ ide2774 License No. 5 issisa4 TYPE OF PERMITM GRADING P;II FOUNDATION USTRUCTURAL li C Right - yZ 9j G
Address /o75 ..020-1742/.1.14 C y rq❑ TENANT [N-ELECTRICAL gl PLUMBING MI MECHANICAL S • Left c R
Con/tactor's Name &1'k'L6 C i'tZ'/ y e4 Phone a�7/4s ❑ OTHER • I Ping. Ref.# Parking eq./Provided - E
PROJECT DESCRIPTION SQ. FT. ‘3 OCCUPANCY PlanningNotes: ,,[ f
Address(mailing) /O75 /Ze.L7o/n/4 . eAx 474. —J`r'_�-- s-e3 L.j. /...[4, G( J Q
City License No. 0555 / C ONSTRUCTION TYPE VALUATIONS��t iS Y YI I'ff,h M
T
ZONE_ GRADING CU.YDS. ACRES
S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: p/ ��I 1x01 _
•
with section 7000) of Division 3 of the Business and Professions Code, and C.� L�Q _ /3 ELECTRICAL FEES
-
my license is in full force
Si and effect. 4/54 is �t-t Qr 04 17 • °lo/ ,
License Class O se o. L- L K si-f L a '
Date 9--1-29 Signature PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW
WORKERS' COMPENSATION DELL RATION •
Construction Pole Sub. • ❑ 50+ KW
I hereby affirm that I have a certific a of consent to self-insure or a certificate _Bar Sink Showers
�\of workers' Compensation insure ce, or a certified copy thereof (SectionCooking Unit Meter Duo to 100 amps
'4)0, Lab. C.) Backflow Preventer Service Sink
\ 'cy No. 7f Z S39 " Company S7 77 A/Al° Backflow Irrigation Sewer Cap Dishwasher l 1 Meter over 100 amps f 7150
y Certified copy is hereby furnished. - _ - Dryers ❑Gas .❑Electric � Sub Panel Qr'
la Cert ijll�etl ggogqyyyy�5 filed with the city Buil / i • Bathtubs Sewer Connection il 90
Date 'V--"jr-'d-jr Applicant Fan Motors❑0-1 HP ❑1%-8
EXEMPTION FROM WORKERS'COMP SATION DECLARATION Clarifiers Solar Collectors
' (This section need not be completed if t permit is for one hundred($100) or - 'Dishwasher Solar Piping ( F'A'U' . . Inc.Solar 09-15 HP ❑16-15+ 3 2/
less). 62
I certify that in the performance of the work for which this permit Is Issued, I. Fixtures l2-- Microwave Iq
shall not employ any person in any'manner so as to become subject to the Drinking Fountains • Solar Tank / o•
Workers'.Compensation Laws of California.
' Dr e Signature - - Floor Drains Swimming Pool w/Spa Device Boxes Pole Light
ICE: If,after making this declaration, you should become subject to the -- - a _
WWWWWW orkers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal �! Outlets Range 7 l
con.ply with such provisions or this permit shall be deemed revoked. /'�
CONSTRUCTION LENDING AGENCY 5' /07J rsi'1 r Switches Sign
Ga 3Outlets Water Closet / )(�' l - S
I hereby affirm that there is a permit ue ag(Se ti or the performance e nJ,✓ n � •
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors I. Water Heater / /G - Garbage DisposalStanding Sections
Lender's Name �'// �(�� L!
Lender's Address Npy� Kitchen Sink 1 '•• b-Z * ^tanW3 � � 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
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 9 (commencing with Section 7000)of `J
Division 3 of the Business and Professions Code) or that he/she is exempt • „ Reinspection Fee $15 Issue Fee $ 772,4
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
ally of not more than five hundred dollars($500). .DEVELOPMENT SERVICES REQUIREMENTS: 9' q
I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 Zoning Approved By -a- i. :ate °2'I • /
• ,mpensation, will do the work, and the structure is not intended or offered _ - / - -
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By �y Cyh• /2� Date_
License Law does not apply to an owner of a property who builds or improves /.COY`'^.A�71. s�N/ /'!/
'thereon, and who does such work himself/herself or through his or her own -Application Issued By r, Dat: 7a•
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEE
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground •
Prove for the purpose of sale). BUILDING PERMIT $ 343 SMIP $ z 67
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System
oPLAN CHECK $ PERMIT
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 r Duct-Ventilating 00-100,000 BTU 0100,000 BTU • PLUMBING $ -6 . TU ISSUANCE $
builds or improves thereon.and who contracts for such oroiects with a con- — -- ENERGY P.C. $
tractor(s) license pursuant to we Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $
ID •
I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers
- PLAN CHECK 50% $ MICROFILM $
Date Owner Heating System& Ducting Registers 7 2Q t. MECHANICAL $ ( 00
I hereby certify that I have read this application and state that the above .O-100,000 BTU 0100,000 BTU-- TOTAL FEE ! �
$,It
Q
information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ , T7S.9 'h-
and state laws relating t• buil. ng construction,and hereby authorize repre-
sentatives of this cit o e,7er •pon the above-mentioned property for -
inspection purposes �/_ 6/j,�J t•/
Signature •t . Date J 0° --
Drivers' License •'55# ../ . Reinspection Fee $15 Issue Fee $3. - J/
0865-46,rev. 5/88 White - Building; Canary - Applicant; pink - Accounting; Goldenrod - Assessor - - / \
I Sift •-I
CONSTRUCTION AND PLANNINGI � _ ,POOL 8 \
•
APPROV4LS ' •Permit# ` Date Inspec'{ui„ APPROVALS Permit# Date Inspector
M
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2.tSoil Pipe-Undrgrnd. r' 53. Steel Reinforcement
i
Y
;Elecirical Conduit Utility-Undrgrnd. 54. Forms
`4`. Electrical Conduit-Undrgrnd. 55. Electrical Bonding '
5-Steel Reinforcement ' - / 56. Rough Plumbing & Pressure Test
r6._ Electrical UFER.Grnd: 9/2- 19J 01 57. APPROVAL TO COVER-GUNITE
L
77`Footings t S QL, , ti---17(((( V0 58. Electrical Conduit-Undrgrnd. •
8. Foundation ' 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. ';:
/
r 60. Backwash Lines, P-Trap, 0 Undrgrnd. •
10. Structural Floor System
"1/041:1 ® 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; (Gno(yK La) 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 447 67. Fencing& Access Approval
.17. Rough Wiring Sign • 168. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling '69. POOL/SPA SYSTEMS FINAL
,19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
(4�lolK�t l/rFi) 'G;
20. Rough Factory Fireplace 9 r APPROVALS Permit#
21. Ducts, in Structure p'' 70. Underground Hydro
A '. _
22. Ducts, Ventilating i -% 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test ; 10044 Lif0 72. Underground Flush
24. Roof Framing •/3` 73. Undergrnd.Storage Tank O Gas 0 Oil
25. Roof Sheathing P/ lSpbys) 74. Overhead Hydro
26. T-Bari Ceiling (Structural) & Monocoat 75. Drys Chemical
27. Frame and Flashing 1, II io'i ac. 76. ,Dry Standpipe
28. Lathing & Siding jo/ I o-1977. ,FIXED SYSTEM FINAL
29. Insulation G I[31131?j a 78. FIRE PREV. FINAL
30. Drywall Nailing , :1'- /pllll/`cfr -t HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ./00//- ! , . FINAL INSPECTION
32. Electrical Power ,Meter-Final /111,1 FOOD CERTIFICATE ISSUED ,
33. Final Electric I Agi- Notes:
34. Final Heating & Air Conditioning u/zI/ r (,gypCar 1 / 5•06.4.,_57- of �-
!G� 01 4
35. Final Gas Pipe-Test 1( 2 ' J1Ct (et°
to-7o-E9 e heck -7>I io PlciremPaf v.tt,~ '"
36. Hood or Canopy it/N*3 t 9(C- co Dtl' L r�g �' 67 1,;....4.,
it/N*3
apt
37. Final Factory Fireplace I
38. Final Plumbing u.Wet (.ea
39. Water Service-Final
i
40. Gas Service-Final '
41. Solar Domestic-Final
r
42. Backflow Preventer. . - •
i ' :I
43. Backflow Irrigation '
44. Landscape,lrrigation System
45. Sound Attenuation f
46. Handicap Regulations ,
47. FINAL STRUCTURE & BUILDING /��4 RicLe& .
48. Special Requirements Completed Gut�� �[
49. Electric Release to Edison ,
,
50. Gas Release to Southern California Gas Co _ . .. -
51. CERTIFICATE OF OCCUPANCY . - - , ' . • -
‘ No. Date - . • / ' ,
CERTIFICATE OF COMPLIANCE 6n7
PAYMENT OF SCHOOL FACILITY FEES
NEWPORT-MESA UNIFIED SCHOOL DISTRICT
Developer/Applicant : Z>i›r 42�� •
Address : /475 /Aa9A'4 �c lbsa- �R-, 34-- 9zo6
Telephone Number : 7// 5566-7/6S
tTcacc/Parol and Lot Number(s) : /9W/ ,./.2-4244-7-
Location of Project : 74 /fQ 4- - (14-, gz6z6
Number of Square Feet of G,9'///
Residential Space 5.6 3 x $1 . 50 Total p . Sa
Number of Square Feet of
Commercial and
Industrial Space x $0. 25 Total
Commercial/Industrial Project is : (Check One)
Mini-storage Motel Preschool
Movie Theater Bank _ Auto Repair
Racquet/Health Neighborhood Shops Hospital
Warehouses R & D Large Office
Heavy Industrial Hotel Office Bldg .
Regional Shops Medical Office Restaurant
Light Industrial Office Park Fast Food
The provisions of Government Code Section 53080 are not applicable .
This certifies that the above-named Developer/Applicant has paid school
facility fees in compliance with Government Code Sections 53080 and
65995 .
Checks are to be made payable to ewport-Mesa Unified School District .
Business Manager
Newport-Mesa Unified School District
The above representation as to square footage is true . Developer/
Applicant agrees that if it is later determined that such representa-
tions are not true then this certificate shall automatically terminate
and the appropriate City/County shall be notified ./
Date : 992/49 Z(/ / zJ�16C. 7.�/Co,
Devel per/Applicant
SEP 21 1989
OWNER SAMAR CONST.CO.••• DATE NOV 4 1Qga
JOB ADDRESS 1981 Korrlat Drive BUILDING PERMIT NO 2085 .
GENERAL CONTRACTOR Samar Conat.Co. VALUE $ 22,656.00
Al' No. LOT 117 TRACT 11341 FIRE ZONE DESCRIPTION OF WORK Res.w/att.Gar.
INSPECTIONS Si nature DATE GROUP I &• J TYPE V ZONE R1
Soil f2-2 '0 SUBCONTRACTOR PERMITS ISSUED
Gas DATE NUMBER
Water 7-47-W5
Rough Corn. Refrig. ❑ Air Cond. ❑
Rough Heating vn� /r '
/ , . ; /1GZ i 6 1964 '
Rough Plumbing c , rC�<.,-..
...,�if+, p, ,./< i//>/.C5 e 5,-r.7 -
Miscellaneous �! ' t Ai
Prop. Swr. Line El House Con. 0 St. Swr. EV, .2✓k-Ly Pl\7•(�c`\`St�'` -,tCY'- ea-a at4 a W
Sprinkling System .
Construction Pole / 4117'1
tr,,I
Underground 0 Power
Rough Wiring /fry /rh96vfp q _ JAN 2 1 1964 , P2
Trenches UV" Forms ®t Steel Reinf.e- ;int' -3� .?Floor System
/Ti/ /.7 J,/,v—se:7_3
Bond Beam 0 Steel Reinforce o
Sheathing if el/ /_20_&y
Frame and Flashing
Lathing - In 8-e Out ' '• • 2z-`q�
Plaster, brown coat 1 ►P .a —i —
Refrig. ❑ Air Con• 0 Final
Heating, Final /f-4' Nj "-1ig
Plumbing Fixtures, Final ,jC /f H l-d
Final Gas Test /,}5} /Q_," /y W
Electric Fixtures, Final - 4y
Building, Final 1 cI/ 4] - -1
OCCUPANCY / '/ ,,,11J /
Form BU4-5M-3-63-5-13 P —
. 20854 FEE RECEIVED
r COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEI 1 7 IDE
P.O.BOX 917 COSTA MESA.CALIFORNIA PT.
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
Tr. 4341 TYPE OR PRINT Lot 117 BUILDING
BUILDING For Office Use Only
ADDRESS 198 Kornat Drive RECEIPT NO. PERMIT NO.
COSTA MESA, CALIFORNIA 20854
RECEIVED SY ' DATE ECEI ED N u v I UEO
OWNER Samar Construction Co. ie.-- �O�/�G.� ISI Y '��3
MAIL BUILDING
ADDRESS
ADDREaElb53 M'Dora DaveFIRE
/ GROU /
TEI_LyS Y�(/�}'
CITY Costa Mesa No.L.Ki 90395 ZONE TYPE y
APPROVED
OR ENIGINEER E. G. Kaltenbach No'547-8046 BY DATE
ZONING
Al s6I$73 E 17th St Snntn Ann zofi I Puna 2 I SUILDNGavm /wRes.Wiatt.
CONTRACTOR SnmP (IS Owner Npt 117, Tr. 4341
ADDRESS garage LEGAL
DESCRIPTIO
CITY A.P.NO. Zip
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC.TN O. 197838 TEL.. Sr TO SIDE 4 REAR P.L.
EAVES
SIZE NDDV ODpIBL .O ALLOWED •(U.B.C.REQUIREMENT)
OF LOT 69 x 100 YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. ---
(FROM C/LSTREET)
SETBACK LINE FROM 55144
PRQNT 5 5 FT. FT.
CENTER OP STREET REAR YARD I
SIDE YARDI LEFT 5 I RIGHT 5 R.SIDE S FT. FT.
DESCRIPTION OF WORK L.SIDE SFT. FT.
NEW X ALTERATION _ ADDITION I REAR CPI FT. FT.
DISTANCE BET. BET.MAIN e
RE: I MOVING DEMOLISH MAIN BLOCS. ACCESS.BLOCS.
BUILDING" 1 n NO.OF VAR.SC DATE
SIZE [, IL IR.cft ROOMS 9 STORIES 2 C.U.P.* APPROVED
EXTERIOR WALL- aa" `` ROOF Shake & APPRO /
COVERING StUCCO I COVERING Shingle A BY DATE /0 --II"—d3
USE OF BUILDING AND WORK TO BE PERFORMED firl
SinOIP fnmily residence and attached YV7
garage.
Plan 43 AR SO.FT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULA!INO VALUATION e
BUILDING CONSTRUCTION. ^ N
SIGNATURE OF PERMIT FEE fig/
PERMITTEE_ /til l/// A /I //�,W 4-5-4--
/ S �� / / / co
/ 4i5� PLAN CHECK 5 3` — E
AUTHORIZED AGEN( u.
TOTAL FEE $ /Df'-
J
,...i..,.• 'Jr2w.,LWVVL, LVIVALV Z. - DATE .JL O 07
JOB ADDRESS 1981 Kornat Drive BUILDING PERMIT NO. 24968
GENERAL CONTRACTOR Owner-Riff lder DESCRIPTION OF WORK Community Block Wall
AP No. 199-442-07 LOT TRACT FIRE ZONE VALUE $ 150.00
INSPECTIONS I Signature Date GROUP J TYPE III ZONE R-1
Soil I PERMITS ISSUED
1 Gas SUBCONTRACTOR Date
Water
Plumbing SUBCONTRACTOR Number I Signature
itt Rough Plumbing
Prop. Swr. Line 0 House Con.0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0 _
Rough Wiring / Heating and Vent.
Trenches al Forms,0 Steel Reinf. 0 /Y!�< //r16
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing—In 0 Out 0
Plaster, Brown Coat
Structural, Final Electric
Heating, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final i ,
Building, Final Mfr
----- -—
24968 / WYDFC3J1MESA
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92520 Efa;C 6 1965
For Applicant to' Fill In Completely PLIN FOR PERMIT
TYPE OR PRINT _ i -
DD
ARESS !9ij/I Kn.e A/RT bit. ..
RECEIPT NO. PER IT NO.
COSTA MESA, 2 IIS
/w\ ,II CALIFORNIAIF
RICE! Y OA ETEC ED 1 U80
OWNER MIM both/LU L Srnal/wood / 4,��04- / s
a nom.
BUILDING
/ t et.„.
( re;(7,\I47 7-
ADDRESI //1I gag Ai FIT r
n qq� 2 TEL SyS IRE
ZONE 1 GROUP
cITY eosR.- PlTeSNO. 9.200 ,
ARCHITECT OR ENGINEER NEL BrPROVBD
((?/TI
2' 10
Q.. DATE I
(( ZONING
_ JRESS - -
/� J,7/✓� /� (}�r�E I PH 0 LANS GUILD NGS /
CONTRACTOR v•G!" `ie - Z/�� . L./ r l )) A ']
ADDRESS DESCRIRION LLY`t` /l 7 IA' Y /
CITY A.P.NO. ( 7 ` �-(/ l )- - d 7
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL JO"TO SIDE&REAR p.L.
LIC.NO. NO.
VES
SIZE I ILOC
NO.OF BS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT 0X OD NOW ON LOT
YARDS APPROVED YARDS APPROVED
EXSTING BLDG. 2Ec IDEAkL MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET) .(--
BETBADK LINE FROM FRONT FT. � FT CA
CENTER OF STREET REAR YARD - '
SIDE YARDI LEFT I RIGHT R.SIDE FT. R.
DESCRIPTION OF WORK L SIDE Fr. PT. 0
ALTERATION ADDITION REAR FT. �
DISTANCE BET. BET.MAIN a
nePAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS.
BUILDING NO.OF VAR.$ DATE
SIZE ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALL I ROOF APPROVEDLUO APPROVEfel
_/ _/
COVERING COVERING IT
,(1 eD�TE .1 Ij7 ICJ
USE'LOF BUILDING AND WORK TO BE PERFORMED l//+//!/J a
7 " Cane reit hLock lcence m
betuieen Lor //7 t/rrotc 1
TafT It 43z/l . SQ.Fr. 1
I HEREBY ACKNOWLEDGE TWAT" HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE C
AND STATE THAT THE ABOVE ID CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
BUILDING CONSTRUCTION.
SIGNATURE
OF
-//(fi/l , PERMIT FEE $ g 1
PERMITTER I
f / 5 O PLAN CHECK S r w°
AUTHORIZED AGENT / m C
TOTAL FEE $