HomeMy WebLinkAbout2017 KORNAT DR - Building Permits PROJECT ADDRESS: 2017 KORNAT DR UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 045790
OWNER'S NAME: JESSE ORTEGA -
urns: SAME PERMIT NO: B 045790 PLAN CHECK NO: N GOVT: N SUPP: N
t
CONSTRUCTION TYPE: PERMIT • TYPE: STR PURPOSE: ALT
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION •: REROOF W/ALUM SHAKES OVER 1 /2" SHEATHING SQ FT: 8 , 000.
ADDRESS: UNIT:
CLAIM VALUE: 8 , 000 . 00 , CALL-VALUE: 6, 000 . 00 GROUP .00C : R-3 /
PERMITTEE' ALUMINUM ROOFING SPECIALI ( 714 ) 978 -7970
ADDRESS: 1529 E MC FADDEN ' . • COMMENTS: 3200SF ICB0113147-INSTALL SMOKE DETECTORS
S .A. CA 92705 *>E*�L+r*+e** �Ey **************�P**********�r******JeIr*N******* ****ec*x*******ir***zlr**** .
LICENSED CONTRACTOR DECLARATION: I hereby affirm that 1 an licensed under provisions of Chapter 9(commencing with Section Z ON ING R EQU I• R EMENT S
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. .. SETBACKS E T B A C K S
on uc.:03372 3 STATE uc.:q 5112 5 cuss:
Cate: / 02 7'3
' Signature. MAIN BUILDTNG ACCESSORY BUILDING
WORKERS'COMPENSATION DECIARATIO : I hereb affirm that I have a certificate of consent to self-insure ar a certificate of Workers' FRNT: FT IN' REAR: T IN FRNT: FT IN REAR: FT IN
Compensation Insurance. a certified copy thereof Section 3800.Lab.C). LEFT: FT IN RGHT: �. ' IN , LEFT: 'FT IN RGHT: FT IN, .
POucr t a.: 0 6 6 2 or 9 EXP.DATE: 04 /01 /90 '
CDMPANm: STATE PARKING REQ: PROV:4 PARCEL: 13945103 ZNE: REF NO:
❑ Certified copy is hereby furnished. El Certified copy is I d with the city Building Division. PLANNING NOTES>
A_ >
Date: '-rY�-'W ******************************* **********************************************
Applicant: • ,
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5700)or less). D E V E L O P M E N T R V I C E S R F. Q U I R E M E N T • S
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 Workers'Compensation Laws of California. ZONING APPROVED- BY' 0, -
DATE: •
Date: Slpnatlire: - - :
NOTICE:If.atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : �� DATE: 1
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: 441Art DATE: L-22 .-10
which this permit is issued(Section 3097.Civ.C). ********************** * "{FiFfFA3F***********� *sF*****9E**
LENDER: ************************************** .****************************************
ADDRESS: • LEGALIZATION: N F 'E E S M M A R' Y —. STRUCTURAL STRUCTURAL SEGW%ENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason ' BLDG PMT PLUMB ELECTRIC MECHANIC ' FIRE SMIP/RES' ' GRADING
(Section 7031.5 Business and Professional Code: My city o1 county which requires a permit to construct,atter,improve,demolish,or p EEI'M I T ' 99 . 00 ' . 56...i
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed - SMIP/NON-R E S
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
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 penalty of not more than five hundred dollars($500): ISSUE FEE - ':"
•
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISS b PI:A I-CHECK • TOTAL ' . PAID - DUE
❑ structure is not Intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS------> 99 . 56 0 . 04 .- ),' . 0 . 00. 99 . 56 99 :564•!- , ' . 00 '
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•employees,provided that such improvements are not Intended or offered for sale.It,however the building or -REVENUE DIVISION TOTALS--> COLLECTED : 99 . 56 OVER/SHORT.i" '7 00
Imtorptheepuerpose oflsale)hin one year of completion,the owner will have the burden of proving he/she did not build or Improve DLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN'-CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,•Business 9 9 0 0 5 6 �?
❑ and Professions Code: The Contractors'State License Law does not apply to an owner o1 property who bunds or improves thereon ' ' •• °'
and I am aware ***************************************************************41.4***!F**********
that proof of their Worker's Compensation insurance should be provided to me. _ I N D I V I D U A Ii• FEE BREAKDOWN •- ' •
o I am exempt under Section: ' B.S P.C.
for this reason: TYPE QTY D E S C . R I P T I O.',N UNIT COST TOTAL COST
Date: • Owner: SFR 8000REROOF BY VALUE RES DENIAL NOZONE 1 , 00 •
8 , 000 , 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES '
25534 and that I or any future building occupant will/will not(drcle one)need to comply with said state codes and the requirements for a p. . . . ., •
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from 4. ,
these provisions. '
Date: Applicant: ' • •..r '
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and4unty R'7
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-men ned . . .
property for inspection purposes.
Date: L �Z�IA signature: % •
7 t r( 01 00052297-00052298 TOT ?9.56
Drivers License or Social Security x: • I i DATE: 01/22/90 TIME: 10:43
1641-48 White—Buildinal Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor - •
CONSTRUCTION AND PLANNING • POOL & SPA
APPP,OVALS Permit# - Date Inspector APPROVALS Permit# Date Inspector
14 temporary Electrical Service or Pole _ 52. Pool & Equipment Location
2.: Soil Pipe-Undrgrnd:- - 53. Steel Reinforcement
2 3_Electrical Conduit Utility-Undrgrnd: . 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement " 56. Rough Plumbing & Pressure Test
C:6. Electrical UF EA •Grnd. _ 57. APPROVAL TO COVER-GUNITE
7. Footings : 58. Electrical Conduit-Undrgrnd.
77 8. Foundation - - - 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgi'nd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor'System - 61. APPROVAL TO DECK
11. Property Sewer;Lirie,& 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 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19._Rough Heating &,Air C'onditioni_ng ._ - FIRE DEPT. REQUIREMENT
20:,Rough Factory Fireplace + 4.. ,: •APPROVALS _ . Permit# -
21-Ducts, inStructure' 'y -f-. l r , - 70. Underground Hydro 'j 4
22.-Ducts, Ventilating ` "" ° 4 = "; '71. Product Piping 0 Gas_ dal
23. Gas-Pipe-Rough & Test c " • -'72. Underground Flusli' - • -
24. Roof Framing rI, r -i 73;•Undergrnd.Storage Tank 10Gas OOil
25-Roof Sheathing - /-r7 I ` �! 74. Overhead Hydro _
26:1 T-Bar Ceiling (Structural) &-Monocoat - ,- 7 ` 757-.Dry Chemical _ r
27n Frame and Flashing' _ : r - •;- i ' 76. Dry Standpipe _ - •
26. Lathing Siding;r ''t ^la
& _ F 4 77'- FIXED SYSTEM'FINAL, _
29. Insulation ��'• e ` 78 FIRE PREV. FINAL '
30. Drywall`Nailing -•\r - . ; .HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat- A •`N\M- 4 '' - 79: FINAL INSPECTION _
32: Electrical Power Meter;Final �;, i '80_,FOOD CERTIFICATE ISSUED, • v
_33 Final Electric C Notes : L ^ Qty [t
34('Final He'_ating& Ait Conditioning �' r ._• 1 '•-\ $, / - �/ Ie _
' 35:-Final Gas Pipe-TestK _. i ( '+' _ - _. ,,, --
="36. Hood or Canopy=. I - �: - " ` 1 • ,t;: 1.' �
•-37 Final Factory Fireplace.- Ir " - - •
38. Final Plumbing ". s.• - -
39. Water Service-Final: g - m .x - '- i .°-
r 40. Gas Service-Final • r t
'-41. Solar Domestic-Final'" _ • a
42. Backflow Preventea _ - - -
43. Backflow Irrigation .7•4` i_ r .: l: r _
44. Landscape Irrigatidn Systeni5�;;, `= v -' i.,-;*
..i: i nux _ - -
-45.-Sound Attenuation ,'� L r E X R-J R E p
Incoin 'let.Inspections
.46. Handicap Regulations •r - * -; ,,7
- 47r FINIAL STRUCTURE & BUI'LDING , „ ) • .Y "; pate= =g1�
48.:FINAL PLANNING '44r ? 7
49.'ElectricReleaseto;,Edison ' - ' -
507 Gas-Release to Southern California Gas Co ' ` `
-- --
--51. CERTIFICATEOF`OCCUPANCY L * t, ' - - -
No. Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
IIIT
CITY OFCOSTA I ,SAi. 1 Roret4 I_• PERMIT PERMIT NO. q ;jx, L10 UNIT NO. r
�o�Q jj�� 'F�-- -i _f 1/ l A.P.# —sir Zone
Project Address c els Q S Main Building: Accessory Building:
Applicant's Mailing Address CA/29 f TYPE OF CONSTRUCTION Li NEW ❑ ADD U ALTERATION ❑ REPAIR
J �c ❑ CONVERSION ❑ DEMOLISH ❑ OTHER / • T Front 5 52 0
Owner's Name G.. Oar G-4 Phone ,n-y.�J _i_ eh'...... .c. rA Rear N
D SCRIP'[ION OF WORK/ SE OF BLDG.
Address .7017 I(OtCNr�Q C. /�? - CO. 4 ^QAA1 r'/'l Pa� I
Arch/Eng. License No. SoQD [s�O7 TYPE OF PERM LJ GRADIN U FOUNDATION ❑ STRUCTURAL C Right �f ...�p G
Address
SA/✓IA ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL i $ Left tc( R
Contractor's Name 1/ Q Phone ❑ 'OTHER n`5 Ping. Ref. rK�.p�Q Parking Req./Provided E
1 PROJECT DESCRIPTION SQ. FT. OCCUPANCY f•! Q
�...w�, PlanningNotes: �f �y�
Address(mailing) CON ST RUCTION TYPE V N VALUATION$ [ l e 1 ] r `� '-+�^ /{/ter r�fr ta'fr r Iyr 44 1( NI
City License NO. T
ZONE GRADING CU.YDS. ACRES /IPa 'Orr 4 ALi L—,I\'t EAG,. S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commenting Remarks: 1�� - - -- . �s ..sx�...Y-t, CEA l Qin_
with section 7000) of Division 3 of the Business and Professions Code,and 'V'e y\ �"v- iVC 7U( LS ■
my license is in full force and effect. ELECTRICAL FEES
License Class License No.
Date Signature PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW
WORKERS' COMPENSATION DECLARATION Construction Pole Sub. 0 50+ KW
I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar$ink $hOWerS
of Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter Dup to 100 amps
3800, Lab. C.)
Policy No. Company 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
Date Applicant Fan
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
Motors 00-1 HP ❑1%-8
(This section need not be completed if the permit is for one hundred($100) or Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP 016-15+
less).
I certify that in the performance of the work for which this permit is issued I Fixtures
shall not employ any person in any manner so as to become s o the Drinking Fountains Solar Tank Microwave
Workers' Compo�tf+tsatbn Laps of Californ' Device Boxes
Date 7/?0 pi /signature Floor Drains Swimming Pool w/Spa Pole Light
•
NOTICE: If,aftermaking this declare ' n, you should become su ject trice Outlets Range
Workers' Compensation provisions the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions_ or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Siyn ,
1 hereby affirm that there is a construction lending agency for the performance
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 Lemon (Section 7031.5 Business and Professional Code: Any city or
county wlch 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 'f
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 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
en f not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: - /,/,-
$ 3
I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee l : : '``\ 9 zy u
Q'
compensation, will do the work, and the structure is not intended or offered Zoning Approved By lt•uDate
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By : Date Q
❑
License Law does not apply to an owner of a property who builds or improves _.. _ _ ""s.3
thereon, and who does such work himself/herself or through his or her own Application Issued By ' �_ Date �i
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 ❑ SUM AR F FEES
pietion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
SNr
prove for the purpose of sale). BUILDING PERMIT gce- SMIP $ b._
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ 145,ZS- 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 Duct-Ventilating 0o-100,000 BTU 0100,000 BTU .
PLUMBING $ _ ISSUANCE $
builds or improves thereon. and who contracts for such oroiects with a con- ENE RGVPfC. $ —
tractor(s) license pursuant to me Contractor's License Law). I am aware that IIIExhaustSystem ❑ Multiple❑ IIISystemRepair/Alteration PLAN CHECK 25% $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $
❑ I am exempt under Section B.& P.C.for this reason II. Firepl/Fact.BIt. ICBG# . e. _■ MICROFILM $ _
PLAN CHECK 50% $
Date Owner System DuctingMECHANICAL $ TOTAL FEE $
I hereby certify that 1 have re his application and state that the above 00-100,000 s 11 111 : PLAN CHECK 25% $
information is correct. I agree t comply with all city and county ordinances
and state laws relating to building construction,and hereby authorize repre-
sentatives of this city to enter upon the above-men)Jonod pro erty for
Inspection purpose / / / / / -- `-
Signature Date 9 ' _ '7j�/ 1, /�Q/V//_ 01 00042943-GC.4?Y4p 711-T --
Drivers' Licens r Ss DATE: 09/2e189 NNE Ri
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
I 1. Temporary Electrical Service or Pole 52. Pool & Egibipmenf Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
• .3. Electrical Conduit Utility-Undrgrnd. 54. Forms - - 4
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7.: Footings r 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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
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 0 Oil
.23. Gas Pipe-Rough & Test 72. Underground Flush
.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 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:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing r
39. Water Service-Final
40. Gas Service-Final •
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
EXPIRED
44. Landscape Irrigation System late Inspect10ns
P
45. Sound Attenuation Incomplete
46. Handicap Regulations
Date
#0,/. SIS
47. FINAL STRUCTURE & BUILDING Y
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co - % -
51. CERTIFICATE OF OCCUPANCY
No. - Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF dOSTA MESA CONSTRUCTION PERMIT 1 PERMITNO.
Pon 7� "6, oA I TRACT NO. LOT NO. UNIT NO. A P # Zone
Project Address 03.2(1 JCOQNR r pg. - ' S Main Building: Accessory Building:
ApplicanttMai ling Address SA nra TYPE OF CONSTRUCTION U NEW LI ADD U ALTERATION U REPAIR E I
0.SSF tr)UD( (012-re Phone 'ZS�(-t(.13y
III CONVERSION El DEMOLISH ❑ OTHER T Front Owner's NameDESCRIPTION OF WORK/USE OF BLDG. A Rear Address SA^T(Arch/Eng. _ _ _ License No. TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL K Right Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S. LeftContractor's Name Phone ❑ OTHER Ping. Ref.# Parking Req./Provided PROJECT DESCRIPTION SQ. FTOCCUPANCY Address(mailing) ' Planning Notes:CONSTRVCTION TYPE VALUATION$City License NO. ZONE GRADING CU.YDS. ACRES 'LICENSED CONTRACTOR DECLARATION I .
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: rl n . .. - �-- _
with section 7000) of Division 3 of the Business and Professions Code, and l�L�/���
my license is in/
force and effect. - ELECTRICAL FEES
License Class License No.
Date Signature
PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW
-
WORKERS'COMPENSATION DECLARATION Bar Sink Showers Construction Pole Sub.
❑ 50+KW
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 (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 am- _ ps
3800, Lab. C.) . -
Policy No. Company Backf low 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
Date Applicant Fan
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors 00-1 HP 01%-8
(This section need not be completed if the permit is for one hundred ($100)or Dishwasher F.A.U.
less). Solar Piping Inc.Solar 9-15 HP ❑16-15+
I certify that in the performance of the work for which this permit Is Issued I Fixtures Microwave
shall not empl y �ny person in any manner so as to be a subject to the Drinking Fountains Solar Tank -
Workers' C yg,{I Lows of Cantor �' yr� Device Boxes
Date 9 7,� /Signature /flat-- >> Floor Drains Swimming Pool w/Spa Pole Light
NOTICE:If,aft r making this declar i n, you should become subject to the OutletsReb e
Workers' Compensation provisions the Labor Code, you must forthwith Floor Sinks Urinal 9
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign
i hereby affirm that there is a construction lending agency for the performance - Garbage Disposal of the work for syplch this permit is issued (Section 3097 Civ. C.) 9 P Standing Sections
Lender's Name 4:37.9 Interceptors Water Heater
Lender's Address Kitchen Sink Water Service ' Generator DO-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
—
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
en of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
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-rot Intended or offered Zoning Approved By nate
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By
License Law does not apply to an owner of a property who builds or improves (� _ Date-y
thereon, and who does such work himself/herself or through his or her own Application Issued By S /� nat. 19�LirC1,VF
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 0 SUMMAR OF FEES
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 $ /5".9C- _ SM IP $ 6 SI
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System
tractors to construct the project (Section 7044,Business and Professions Code: q
PLAN CHECK $ 1 7 r PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $
builds or improves thereon. and who contracts for such oroiects with a con-
tractor(s) license pursuant to tne Contractor's License Law). I am aware thatExhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof o their Worker's Compensation insurance should be provided to me, ELECTRICAL $ GRADING $
❑ I am exem t u der Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO#(,1630 Fire Dampers p 1 h GICRONILM $
HeatingSystem& DuctingRegisters PLAN CHECK 50% $ _
Date Owner 9 MECHANICAL 7 (�/.
I hereby cern y that have rea is application and st that the above ❑Q100,000 BTU 0100,000 BT $ 11( --
TOTAL FEE $ —111711:-
Information is correct. I agree to omply with all city and ounty ordinances - PLAN CHECK 25% $
and state laws relating to building construction,and hereby author] repre-
sentatives of this city to enter upo the above-mentioned pro rty to
Inspection purposes. fi Q/l of
Signature 1 e�� i.` Date ✓' iii
Drivers' License�ofS# Reinspection Fee $15 Issue Fee ?7' 01 00019022-00019031 TOT 49,.r5-_
0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 1105�0t� TTIiE% 1g7sg I,
, CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Tgmporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soll Pipe-Undrgrnd.
53. Steel Reinforcement �•
3.+ElectrlcaMConduit Utility-Undrgrnd. ' 54. Forms t '
•r
4._j=lectrical Conduit-Undrgrnd. 55. Electrical Bonding i V i1
5.:Steel'Reinforcern nt 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. , 57. APPROVAL TO COVER-GUNITE I • `'.
7.`Footings _.ji, 58. Electrical Conduit-Undrgrnd. /A"
81 Foundation .; 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water:Pipe-Undrgrnd. • 1 60. Backwash Lines, P-Trap, 0 Undrgrnd. (1
10. Structural Floor System •3 61. APPROVAL TO DECK _ .
11. Property Sewer Line & House Connection - i 7 62. Backwash & Receptor-Final
12. Sewer•Cap 63. Heater & Vent-Final
13. RoofiDrains 64. Plumbing System - Final
14. Routh;Plumbing 65. Electrical-Final
15.,Rough Electrical-Conduit 66. Solar System-Final
16: Rough Electric Wiring 67. Fencing & Access Approval
1.7` 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 0 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 PREV. FINAL
30. Drywall Nailing • HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . 1 • 79. FINAL INSPECTION
32. Electrical Power Meier-Final 80. FOOD CERTIFICATE ISSUED -•• i
33. Final Electric Notes: Aid
/ "fee!i' 7,f/r '-c
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace :-/�
38. Final Plumbing //I2/0 LW
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 10//ok (/
48. Special Requirements Completed
49. Electric Release to Edison •
-
50. Gas Release to Southern California Gas Co 11 ) •: •r
51. CERTIFICATE OF OCCUPANCY 'e
No Date
OWNER SAMAR CONST.CO. DATE NOV 4 f.-.A�n-n����
JOB ADDRESS 2017 Kornat Drive BUILDING PERMIT NO.r LO845
GENERAL CONTRACTOR Samar Const.CO. VALUE $ 24,020.00
AP No. LOT 108 TRACT 4341 FIRE ZONE DESCRIPTION OF WORK Res.w/att.Gar.
INSPECTIONS Signature DATE GROUP I8&7 TYPE V ZONE RI.
Soil �a—/1�.s"_G: PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water r /2--/,2 ‘7
Rough Corn. Refrig. 0 Air Cond. Q s;may �y
Rough Heating /.,/ _ - .t.1 964 ---2 f 33 /---
Rough Plumbing ¢-7 �,_,,.r, -��� ,,%% secr'>o —
Miscellaneous
Prop. Swr. Line 0 House Con. 0 St. Swr. ❑/4'. .2-,e'61' <-'\b. 0.(Nr{y^_- pro. _2-13Ir?-k Ll CYclA l
Sprinkling System rilP///
Construction Pole / 1'
/ DIG
Underground 0 Power 1:1
�I
Rough Wiring /'l? 2/c �. I,.,:.P C*«- • JAN 2 1 1964 e, ' —
Trenches,� Forms I� Steel Reinf. 2Y /z-
Floor System Z7_/4,r)
Bond Beam 0 Steel Reinforce 0
Sheathing ra /_S e -67
Frame and Flashing 2-,c-C c(
Lathing— In It3' Out fir - 3 - -Gy
Plaster, brown coat /p,43-ed 5-1'7-CV
Refrig. .❑ Air Con. ,❑ Final
Heating, Final t/ of ,ZY I.f
Plumbing Fixtures, Final J, / . ✓
Final Gas Test /CO- Ain l/,
Electric Fixtures, Final r , „e
Building, Final H-1 -u/
OCCUPANCY • ,
Form BU4-SM-3-63—S-B P
20845 • i rtt RECEIVED
qui 1..7 1863
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 917 COSTA MESA,CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
Tr. 4341 TYPE OR PRINT Lot 108 BUILDING
BUILDING
2017 Kornat Drive For Office Use Only
ADDRESS
RECEIPT NO. PERM6845
COSTA MESA, CALIFORNIA 77
RECEIVED BY DATE RECEI ED DATE ISSUED
OWNER Samar Construction Co. I inl/(oAA-9 NOV 4 1903
MAIL 1653 Minorca Drive I BUILDING
AADDRESS
DDRESS
i FIRE
cry Costa Mesa TEL-Ki 90395 ZONENTYPE ✓/ GROUPJ VIC
I APPROVED
ORENIGINEER E. G. Kaltenbach no'547-8046 j BY DATE
ADDREss1823 F 17th St. Santa AnaZONING
ZONE NO.OF USE OF NEW
IR1 PLANS 2 BUILDING w a t.gar.
CONTRACTOR Same as Owner
• I LEGAL Lot 108 Tr. 4341
DESCRIPTION )
ADDRESS
CITY A.P.NO.
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
uc.TrEio. 197838 TEL
NO, I 30'TO SIDE a REAR P.L.
SIZE NO.OP SLOGS. EAVES
OF LOT 70 x 1110 I NOW ON LOT 0 I. ALLOWED (U.B.O.REQUIREMENT)
YARDS APPROVED YARDSSAPPROVED
USE OF I MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. ---
(FROM C/L STREET)
SETBACK LINK FROM
CENTER OF STREET 52 I REAR YARD 30 FRONT FT.
_--
SIDE
SIDE YARD I LEFT 5 RIGHT 5 R.SIDES FT. FT.
DESCRIPTION OF WORK L.$IDEfFT. FT.
NEW X ALTERATION _ ADDITION REAR O FT. FT.
DISTANCE BET. BET.MAIN Q
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.SLOGS.
BUILDING, NO OF
VAR.# DATE
SIZE [,238 Sq.ft.pROOMS .8 LSTORIES 2 C.U.P.# APPROVED
EXTERIOR WALIWOOd& I ROOF shl ikel & APPROV /p_ /1- G____3
. COVERING SSturC ) COVERING In Y DATE
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence and attached
garage.
Plan 44 A .. a2�,3d Bq.FT,/ 7 OV r'�'17/.li J.2yD m
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH ALL CITY ORDINANCES AND STATE LA IS REGULATING VALUATION ` 0
BUILDING CONSTRUCTION Sir
PERMIT FEE $ j7I N
SIGNATURE OF q m
PERMITTEE '(��0� _ $ `7VOad-- . �_ rc
7 0
// 7 LL
AUTHORIZED AGENT TOTAL FEE $
UWNtK LA.M111, fEILUUtfLJ DATE ,-.13/w
JOB ADDRESS 2017 Kornat Dr. BUILDING PERMIT NO. 38912
GENERAL CONTRACTOR Air Vent Awning DESCRIPTION of WORK Patio Cover
IAP No.139-451-03 LOT TRACT FIRE ZONE VALUES 1,2413.00
N^INSPECTIONS Signature Date TYPE V GROUP J ZONE
SOIL PERMITS ISS ED
aGAS SUBCONTRACTOR Date
Number I Signature
`A WATER Plumbing
;ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0
ROUGH WIRING Heating and Vent. .
TRENCHES O FORMS 0 STEEL REINF. D
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE rl
SHEATHING
FRAME AND FLASHING
LATHING - IN fl OUT in
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A,C., FINAL
PLUMBING, FINAL AND GAS TEST [-I
ELECTRIC, FINAL .�p�
BUILDING, FINAL C 9- iD -.77
385 1SEP 10-74Pa190D 428* ****20.00
•
oils:
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.130X 1200 COSTA MESA,CALIFORNIA 92626 -L
For Applicant to Fill in Completely FP IC TION FOR BUILDING PERMIT
�/� /��y �7RE V DATE RECEIVED DATE ISSUED
ADIDRESS ALJ a itir
Ere/// W P-27-74 /� .�f/-
OWNER4//"7/Zepell iT ) A.P.NO.L9 .- 1•245—/— OS .i Ci . 1
MAIL
BUILDING �®
,yam ADDRESS
Z ADDRESS �1`I^ P v ws
a O CITY ��j,ci leiMa2 NOTE. TRACTU1�{� LOThg BLOCK
Z LLL.. JJJ"""
ZQ LONSTRUCTION /�M �( ^p�'g�� N` E W; ADD ALTER REPAIR MOVING DEMO!LSH
a0 N LENDER �iC L'/" /\/,`//
am
J 0 BRANCH '
J CO OWNER _{'// //'r � � 1
Q IL ADDRESS •
�J,�[j�'y /� �{,,� ///J
m CO ARCHITECT TEL. USE jft 'r .0 J C.(/�/{/5 /-J y7
Cu, OR ENGINEER NO
FIRE
W M ADDRESS ZONE YPE11i GROUP ca_uri Q
mZ CONTRACTOR in/`iLAR - to ,I BVPROV / C DATE �GJ
J CC ADDRESS S/ t9 /1T• ft L�/
W W •�/; TEL.�j� ZONE/., NO.OF USE OF NEJ�1(,,T (7,0 7
Z= CITY NO.I!/. �j'�� / PLANS �) BUILDING/1,f�J/ I,1 N&e
H (7),
✓/.
STATE �J CITY YARDS APPROVED YARDS APPROVED
Ill
Q LIC. NO. /O l0� LIC.NO. MAIN BUILDING ACCESSORY BUILDING _
SIZE NO.OF BLOCS. (FROM C/L ST�({p[/1�,,EGEET) /J
OF LOT I NOW ON LOT FRONT O!/d#I c$ FT.
USE OF
EXISTING BLDG. ____S SIDE '(74L FT,
I— SIZE OFL� ) NO.OF /�
ZZ NEW BLDG. s ( / ROOMS STORIES L.SIDE , OFT. FT.
EXTERIOR WALL ROOF
V ' //
COVERING COVERING _ REAR a LOFT. FT.
1 USE OF ILD JJ G,ND WORK TSO fv1
BERED DISTANCE BET. BET.MAIN&�� Cil f MAIN BLDGS. ACCESS BLDGS.
Q VAR.# DATE
O C.U.P.# / APPROVED
I— APPROVED/ 1. I1 P6-
en
N _RV I+LJj��1 DATE "'7S4
Z /
O STATE
U / .0
I hereby acknowledge that I have read this application and state
D that the above Information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
r any person in violation of the workman's compensation laws of
y the State of Californ ie. �j` 19
ZI hereby certify that I am properly licensed as a contractor under t/!- SQ. FT. O
the State of California Business and Professions Coda, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: b
am exempt from the provisions of the State of California Business Et
VALUATION
and Professions Co Divition 3,Chapter 9. /� �') CO
PERMIT FEE S
Signature of //// //(L/ •�/1 '^Y/ �,/t co
n
Permittee _ //" f N�JJs 5/l �4 PLAN CHECKS V E
to
U v 9 �� LL
Authorized Agent /
` TOTAL FEE S ,
•
OWNER GREEN, Jo DATE 9-10-64
JOB ADDRESS 201 Kornat Dr: BUILDING PERMIT NO. 2'2' -
tGENERAL CONTRACTOR A & B Masonry Co. VALUE $ 180.00
3 AP No.139-451-03 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Pvt.Blk.Wall
] INSPECTIONS Signature DATE GROUP J TYPE III ZONE R-1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Com. Refrig. 0 Air Cond. O
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line 0 House Con.0 St. Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power 0
Rough Wiring
Trenches 1741 Forms 0 Steel Reinf. frgy-4 p/y/ay
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing—In,0 Out�0
Plaster, brown coat
Refrig. 0 Air Con. 0 Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final p,4ff 91/4/At,/
OCCUPANCY
Form BU4-5M-3-63--S-8 P nonan
22929
COShTA MESA BUILDING-SAFETY DEPARTMENTFE E 1\ E G E I Y C
P.Q.BOX 517 COSTA MESA.CALIFORNIA ��}pp}^^ �rrOFF 1964 II
For Applicant to Fill In Completely APPLICATIOW-FJ&I PFRMIT
TYPE OR PRINT CItY g610 MESH
BUILDING 1 O / 7 No n A/� 7 DRFor Office VS® Only
ADDRESS /��"
RECEIPT NO. �P AM/I/i N
COSTA MESA. CALIFORNIA 'y/
A.r�Q / /
RECEIVE Y DAT%RHC YID 6 HU/{m
OWNER /!/\ .e
-tete
/t✓ /9/ 65C 7 rflt /QT/&SP
MAIL 'I O / 7 y0 A4-7 Ua , ADDRESS �/ 7 jZV V ( ✓ P2---
ADDRESS
.0 I�'
FIRE
CITY (0 ('/f.7 rnyS,Q TEL.
NO. ZONE TYPE. / it GROUP
S7:0;
ARCHITECT •-----
� BYPROVED
�--�- TEL. BY DATE
OR ENGINEER NO.
ZONING
ADDRESS use�IIy i .i.� /q,N/g
CONTRACTOR ,44-
,p. 2. 2 HAS
0,-(ft y re Zj ( I/ I/IAA'
PLANS'L. BUILDING//H�Jw
ADDRESS�// a 3 �/'4.J C)N ( DESCRIPTION (� Q q11 d L / 1 c�
CITY i//A/W N y C../ /L� A.P.NO. 3 � a�. �l� Q 3
`�/ / NOTE: NO EAVE OVERHANG[SHALL BE LESS THAN
IS -,22E 133 TELNO. O '7is—y} 3O TO SIDE&REAR P.L.
EAVES
SIZE
OF LOT O O O No.OP SLOGS.
NOW ON LOT ALLOWED (U.B.C.REQUIREMENT)
USE OF YARDS APPROVED YARDS APPROVED
EXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET)
SETBACK LINE PROM .CY1 I FRONT FT. jFT.
CENTER OF STREET �J(/ REAR YARD
SIDE YARD I LEFT I RIGHT
R.SIDE FT. FT.
DESCRIPTION OP WORK L.SIDE FT. FT.
NEW X ALTERATION ADDITION REAR FT. FT.
DISTANCE BET. BET.MAIN&
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
BUILDING ..--' NO.OF �-__ VAR.# DATE
SIZE ROOMS STORIES C.U.P.# - APPROVED
EXTERIOR WALL .---......—Roc*. APPROVED �I / /L/]E, q—(/ 4
COVERING COVERING BY y 7 f��"""�A C V
USESOFOBUILDING ANDWORKTO BE PERFORMEDE7 / /� ///�'yn_ - //
oZ 0 //N!t 8J / •T 64 B oci1 Gi4 21-. �/A .(_/�Ld-�./i abet je
�
SO.FT. NG
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 FEE ONLY.
O
PLY BUILDINGG ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION GAG)
CONSTRU ION. $
SIGN
SIGNATURE OF PERMIT FEE
PERMITTEF m
$/�D vT� PLAN CHECK $ -�, 0
AUTHORIZED AGENTZ D-ta 4.
TOTAL FEE $ dy