HomeMy WebLinkAbout3444 KINGS CT - Building Permitss'
(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
MECHANICAL PERMIT
JobAddress: 3444 KINGSCT
Suite No
Vicinity:
Parcel Number: 41207403
.�- � . _ - ` - -
ApplicanC COOTER, LYLE - � "� . . � ". , �
Address:
i .
, , _ , Phone:
Zip:
� �
, .
Owner:�. � GARCIA, LARRY � �
Address: � 3444 KINGS CT �
� . . ' , � � -_ � Phone:
' COSTA MESA, CA Zip: 92626
Contractor: � PREFERRED AIR CONDITIONING SERVICE CO.
Address: 1�1 WRANGERCT., �� . � �
� Phone: (949)766-9500
TRABUCO CANYON, CA - . �-Zip:� 92679
� � ^ License:750418
SCOPE OF PERMIT
REPLACE A/C IN EXISITING DWELLING. ONE OUTLET.
r
� - - - FEE SUMMARY '
Quantity
Status: ISSUED
Applied: 07/18l2001
Issued: 07/18/2001
ISSUED BY:
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ISSUEFEE $23.50 , Repair/AltAbsorbtionUnit
Inst FAU <100 k BTU $0.00- 0 .;" . � Repair/Alt Refrigeration Unit
Inst FAU >700 k BTU $0.00 "0 - ' ' � � "'� � " Ventillation�System" -
Repair/Alt Cooling/Heat $0.00 ' 0' ' � � EvaporativeCooler ' '
InsU.Rep. Recess Wall Htr $0.00 0 Commercial Incineretor
Refrig Sys <700 k BTU $0.00 0 � Domestic Incinerator
Refrig Sys >700 k BTU $0.00 0 Compressors / Absorption Svstems
Gas Piping � $0.00 0 Up to 3 hp / 100 k BTU
Factory Fireplace � $0.00 0 �; {�� .�- 3 To 75 hp / 500 k BTU
Hood w/Mech Exhaust � $0.00 0 , . 15 To 30 hp / 1,000 k BTU ,
VAV Box � , „ $0.00 0 .� � 30 To 50 hp / 1,750 k BTU --.
Vent Fan / Single Duct . � $0.00_.. 0,.' � � � Over 50.hp / Over 1.750,BTU ,
Appliance � � - � $0.00 0 � � Boilers � �
Fire Dampers � -� � $0.00. 0 � - Up to 3 hp � � -
Smoke Dampers �, $0.00 0 � 3 To 15 hp -
Inst or Relocate Appl Vent $0.00 0� 15 to 30 hp . �
Air Handlers < 10000cfm � � " $0.00 0 � 30 to 50 hp � .
Air Handlers > 10000cfm, $0.00 0 , Over 50 hp � -
Floor Fumace $0.00 -0 Other Mechanical Fee �
Floor or Suspend Heater � $0.00 � 0 InvestigatiodFee
' � Plan Check Fee - . �
� � _ . . Reinspection Fee . . ,
, , �TOTAL CALCULATED FEES
COMMENTS / SPECIAL CONDITIONS
� , �
� - Quantity'- �
' $Q00 0
� �$0.00 � 0� �
, ; $0.00 0� . ,
$0.00 0
, � $0.00 0 . � -
$0.00 0 '-
$0.00 0
$0.00 0
$0.00 0
$0.00 '0
$0.00 ,0
$1470 1
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
$38.20
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspectlons end finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
2d4696 (N00)
WORKERS'COMPENSAnON DECLARAnON: — ' �
I hereby aHirm under penalry oi perjury one ot the tollowing declarations:
❑ I have entl will maintain e certiticate of consent to sel4lnsure tor workers' compensation, as provided tor by section 3700 of the Labor Code, for the peAormance of the
work for which this permit is issued. �
❑ I have entl will maintain workers' compensatlon insurance, as requiretl Dy section 3700 of Ihe Labor Code, tor the perfortnance ol the woM for which this permit is issuetl.
My workers' compe tion Ins��e�ar�antl policy number are: '- /
Cerrier. �i13� PolicyNumber: �'V G �I �'� '�y%
(lhls secfion neetl not be compleretl i! the permit /s valuetl af one hundred dollars ($100) or less.) _
❑ I certify that in the DeAormance of Ihe work for which this permit is issued, I shell not employ eny pereon in any manner so as to become subject to iha workers'
compensetlon laws ol Calitamia, entl agree thet I shauld becoma sub�act to the workere' compensatlon provisions ot Section 3700 of the Lebor Cotle, I ahell torthwith
comply with the59 provisions.
Applicant Signeture: � Date: � �� Lo ��
WARNINO: fFILURE TO SEWRE WORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL $t1BJECT AN EMPLOYER TO CRIMINAL PENAITIES AND CIVIL FlNES UP TOONE HUNDRED
T}qUSAND DOLURE (3100,ODD�. IN ADOITION TO THE COST OP COMPENSATION, OAMAGES AS PHOVI�ED f-0R M SECiION 3]Ofi OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CON7RACTORS DECLARATION:
I hereby ettirtn ihat I am licensed under urti'slops of Chapter 9(commencing with Section 7000) ot Division 3 ot the Business antl�rofessions Code, and my license is in full
forte end eRecL Lic. # 7� r Class N C- 7 0
ContractofsSignatura: � Date: 71$Yo ��
WNSTRUCTON LENDING AGENCY:
❑ I hereby aHirtn fhat Ihere is a conslruIXion lentling agency for ihe pedormance of Ihe work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lentlefs Name: Lentler's Adtlress:
Signewre:
Date:
OWNER-BUILDER DECLARATIONS:
I hareby ettirtn Ihet under penalry of perjury thet I am EXEMPT FROM THE CONTRACTOHS LICENSE LAW tor the following reason (Sec. 7031.5, Business entl Professions
Code: Any ciry or counry which requires e pertnit to construct, alter, improve, demolish, or repair any structure, pnor to its issuence, also requires the epplicant for such permit
to file a signetl statement Ihat he or ahe is licensetl pursuant to the provisions ot ihe Contrectors Llcense Lew (Chapter 9(wmmencing with Sec�ion 7000) of DNislon 3 of the
Business an0 Professions Code) or that he or she is exempt therefrom and the basis tor the alleged e:emption. Any violation oi Section 7031.5 by any epplicant tor e pertr+'
subjecls the epplicant to a civil penalty oi not more then five hundred dollars ($500).):
❑ I, as owner ot �he property, or my employees with wages es iheir sola compensation, WILL DO 7HE WORK, end the structure is not intentletl or o%ered for sale (Sec.
7044, Busineu antl Professions Code: The Contrectors Licanse Law dces not apply to an owner oi properry who builtls or improves Ihereon, end who doas such work
himsefl or hersetl or through his or har own employees, pwvided ihat such improvemems ere not intended or oflered tor sale. If, however, the builtling or improvement is
sold within one year of wmplation, ihe ownar-builder will have the burden of proving that he or she ditl not build or improve for purpose ot sale.).
❑ I, as owner oi the property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contractors License Lew does not apply to an owner of property who builtls or improves ihereon, antl who coNracis lor such pm�ect with a contractoqs)
license pursuant to the Contrectors License Laws.).
❑ I em e:empt under Sec.
Signatura:
Owner ID verified by driver's license. ❑ Ves ❑ No
Business antl Professions Code for this reason:
Verifiration of Ownership by (type ot tlacument, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Orivefs License No.
Date:
Expires:
❑ I �ereby ceniiy that no excavation five (5) or more feet in tlepth into which a person is required to descend, will be made in connaction with work authodzed by Ihis
pertnit, anC that no building structure, scattolding, falsework, or demolition or dismantling thereof, will be more then thirry-six (36) feat high. (Chep. 3.2, Grp 2, Art 2, Sac.
341, Title 8, Calilomia Administretive Cotle).
❑ As owner-builder, I will not employ anyone to do work which would requira a Dertnit from the Division of Industnal Sefery, es notetl ebove, unless such person hes e
pertnit to do such work trom the division.
Signature: Date:
Division ot Industnal Sefery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHOiiIZAT10N OF ENTRY: I cenify under penalry of perjury ihat I have reatl ihis application and state that the intormation given Is
correct. I agree �o comply with ell state laws and city ordinances relating to building constmction, end authorize representatives of the Ciry of Coste MeSa to enter upon Ihe
ebove-described pmperty for inspection purposes. I agree not to occupy or allow occupancy of any building euthonzed by this permit until final inspection.
Signature Of Legal Owner(s)
�OpE1, INSPECTIONTYVE pdg �$
7616 Fixed System Final Fira Prevention
1266
200
201
Pool Spe Final
Final Re-Roof
Final Block/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Pinal Demolition
Date
� I �ve�
Date
CODE� INSPEGTIONTVPE
206 Final Mechanical
20B Finel Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Finel Planning Approval
222 Final Site
250 Final Builtling/Occupency
�-g� no ��
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Costa Mesa
`�`�a",,,.a �.'..,�,..'"o ? _ v — O �
CITY OF COSTA MESA
INSPECTION REQUEST SUMMARY
Address Permlt Tme Sub Twe DescrioNon
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—00 SO $
I-Oo380
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(774) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 PAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
,lobAddress: 3444 KINGSCT
Suite No
Vicinity:
Status: FINALED
Applied: 07I18/2001
Issued: 07/18/2001
Parcel Nunmber: 41207403 /� �
App�icant: COOTER, LYLE �\{� � ISSUEDBY: �v
Address - , .- --,Y�.,_• .
.� - ,... _ . , i.. ��w
" � � - ' � Phone: � � - - ' -
. . . , Zip . , . � . . . _ ., _ .
owner _,�GARCIA, LARRY � � �� , � ,
Adtlress 3444 KINGS CT . - - -� � • -�
.. �� - - .. , Phone: � . .. .. .... .
COSTA MESA, CA Zip: 92626 "' ,
Contractoc � PREFERRED AIR CONDITIONING SERVICE CO.
Address: S MACLAREN - -- " - - - . - -
-- , � SUITE T � � � Phone: 949-766-9500 � � � , '
- .: � �" IRVINE, CA „_ . � Zip: 92618-2819 � � _. , �- � _ �
.. . � � � � License:750418 " - � �
" SCOPE OF PERMIT
REPLACE.A/C IN EXISITING DWELLING. ONE OUTLET.� � . , - . � . .. � � � � � � �
" FEE SUMMARY�'^ , �- �
... � � Quantity � � . � . - . .` ' . Quantity . � -
ISSUE,FEE . . . � $23.50 � Temp Dist System / Lighting $0.00 0 : ' � - ,
Temp service test - - � � $0.00 Busway 7100 ft $0.00 - 0 . ' � � � '
Res. a/c�package ' $0.00 Standing Section� -.$0.00 �_ 0 � �
New Res (1-2 units) �, $0.00 0 _ - Misc Electrical Equipment $0.00.,. 0 � .
New Res�.(3+units) $0.00 0 � Transformers up to 1 kva/kw $0.00 ` 0
Pool / Spa � ' - � $0:00 0 - - � " :........:......up l0`70 kva/kw � � $0.00 0
Lighting Fixts $0.00 - 0 � �,� ,� �....... .. ..up,Jo.50kva/kw � , „ $0.00, 0 - �
Recept Outlets . $0.00- � 0 � � �.. . '� ..:...., .. . up.to:100 kva/kw _ � � .$0.00 � -0 �°- '
Switches -� � „ $0.00 � 0 � ' "'� ::....:.over,100 kJalkw $0.00 ' 0 �' �
Non Res Appl • � _ � - $0.00 0 � , - �' low Voltage�Equipment � � � $0.00 0
Res Appl f�� $0.00 Y� ' 0, Low Volt Wiring�Syslem / Ckt .. 50.00 . 0
� '. .. �,., -.. . . _, -
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related
regulations. (Ortl. No. 92-28, § 1, 12-27-92)
EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
iNSPECnoNs: In order for the work authorized under this permit to be considered legal, such work must comply wiih all applicable codes, and all
requlred Inapections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiralion of this permit.
FOR INSPECTIONS CALL: (714) 7545626
�
:�
WORKERS'COMPENSAnON DECLARATON: �
I hereby etfirm under penalry oi perjury one ot ihe following declarations:
❑ I have and will melntaln e cenifcate oi conseN to setl-Insure for workers' compensation, as pmvided for by section 3700 of the Labor Code, for the pertortnance ot the
work for w�ich ihis permit Is issued. -
❑ I have end will malntain workers' compensatlon insurence, as required Dy secUon 3700 0l Ne Lebor Cotle, for ihe parfortnance of the work tor whlch Ihis pertni� Is issuetl.
My workera' compensation Insurance cerrier and Dolicy num6er ara:
Carner: Policy Number:
(This sectlon need no! be completed i! the permif is velued af one hundred dallars ($100) or less.)
❑ I certity thet in ihe pertormance of �he work for which ihis permit is issued, I shall not employ any person in any manner so es to become subject to the workers'
compensation lews oi CelNomia, and agree that fl I should bewme subjaci to the workers' compensatlon provislons of Sectian 3700 of the Labor Code, I shell fonhwith
compty with the56 provislons.
Applicent Signature: Date:
WARNINO: FAILURE TO SECURE WORKEPS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI W�L PENALTIES AND GVIL FlNES UP TO ONE HUNDRED
TqUSAND Dd1ARE (5100,000), IN NDDITION TO iHE WST OF COMPENSATION, DAMFGES AS PROVIDED FOR IN SEGTON 3lOfi OF THE IABOR ODDE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONT(iACTOflS DECLARATION:
I hereby ettirm tha� I em licensed under provisions oi apt�(com ncing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license is In full
torce ena eHect. Lia u qass x
ContractoYs Signature: �� Oate:
CONS7pUC710N LENDING AGENCY: �
❑ I hereby aflirm thet there is e consiruction lending agency tor tha peAortnance of the work tor which this pertnit is issuetl. (Sec. 3097, Civil Code).
Lendefs Name: Lentlers AdAress:
SlpnaNre:
Date:
OWNEF-BUILDER DECLARATIONS:
I hereby eflirtn Ihat untler penalry of perjury that I em EXEMPT FROM THE CONTAACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professlons
Code: Any ciry or wunry which requires a permit to wnswq, alter, improve, demolish, or repair any sirucNre, prior to ils issuance, also requlres the epplicant tor such permit
b(ile e signetl statement Ihat he or she Is Iicensed pursuant ro ihe pmvisions of Ihe Conirectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe
Business flntl Profeuions Code) or that he or sha is exempt Iherefrom entl Ihe basis for the alleged exemption. Any violatlon of Secclon 7031.5 by eny applicant for a pertnit
sublacts the applicant to a ciNl penalry oi not more than tiva hundred dollars ($500).):
❑ I, as owner of the property, or my employees wi�h wages as iheir sole compensatlon, WILL DO THE WORK, and the struciure is not intendad or oHeretl for sale (Sec.
7044, Busineu an0 Protesslons Cotle: The Contredors License Law does not apply to an owner of property who builds or improves thareon, and who tloes such work
himself or herselt or ihrough his or �er own employaes, provided ihat such improvements are not intended or ofleretl tor sele. If, however, the builtling or Improvement Is
sold wiihin one year of completion, Ihe owner-builder will have the burden ot proving that he or she tlitl not build or improve for Durpose of sale.). �
❑ I, es owneroi the pmperry, am EXCLUSIVELV CONTRACTING WI7M LICENSED CONTRACTORS to construct ihe project (Sec. 704a, Business end Professions
Cotle: Tha contwctors Ucense Ww does not apply to an owner of propeny who builtls or improves thereon, entl who coniracis br such project with a contractor(s)
license pursuant to ihe Coniractors License Lews.).
❑ I em eaemp� under sec. Business en0 Professions Code tor this reason:
Signature: Date:
Owner ID veritled by drivefs license. ❑ Ves ❑ No Drivers License No. Eapires:
Verlllcailon ot Ownership by (rype ot documenL i.e. - property ta< bill or deetl):
DIVISION OF INDUSTFiIAL SAFE7Y PEFlMR CER7IFICATON:
❑ I hereby certify that no exwvatlon Me (5) or more feet in depih into whlch a person Is raquired to descend, will be made in connection with work authonzed by this
pertnit, antl Ihat no builtling siructure, scattoltling, falsework, or tlemolition or dismantling thereof, will be more Ihen ihirty-si: (36) feet high. (Chep. 32, Gry 2, Art 2, Sec.
341, TiGe B, Calitomla Atlministrative Code).
❑ As ownerv6uilder, I will nat employ anyone to do wark which woultl require e permit trom the Divisian of Intlustnal Safery, es notetl ebove, unless such person hes a
permlt lo tlo such woB trom Ihe division.
Signature: Date:
Division of Indusirial Safery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AIJTTfORVATION OF ENTRY: I certify under penelty of perjury that I have read this epplicetion end state ihat ihe informalion given is
conect. I egree to wmply with ell state laws and ciry ortlinances relating to builtling conslruction, antl euthonze representatives of the Ciry of Costa Mesa to enter upon the
ebove-described property for inspec�ion purposes. I egree not to occuDY or allow occupancy of any building authorized by this pertnit antil final inspection.
�� , � ' ql•� �'
1616
1268
200
201
202
203
204
Signature Ot Legal Owner�s)
AnNOr Authorized Applicani . .
Fixetl System Finel Fire Prevention
Pool Spa Final
Finel Ra-Rooi
Finel BIocWRetaining Well
Final Fadory Fire Place
Finel Slgn
Final Demolition
�E
�
INTIiIRLS ' �QpF�( INSPECTIONTYPE
206 Finel Mechanical
20B Final Plum6ing
210 Finel Elecincal
212 Finel Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupency
QAlE INTRULS
��r6� ��.Ti,�
�.. w '
Service to 200a
Seivice to 1000a
Service over 1000a
MOtors to 1 hp
Motors to 10hp
MOtors to 50hp
MOtors to 100hp
Mptors over 100hp
drops $0.00
Sub panel to 200a
Pale Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
$0.00 0 Misa Conduit 50.00 0
$0.00 0 Misc. Conductor $0.00 0
$0.00 0 Circus ( gen or ride) $0.00 0
$0.00 0 Circus (mech ride or lights) $0.00 0
$0.00 0 Christmas Tree Stand 50.00 0
$0.00 0 Fireworks Siand $0.00 0
$0.00 0 Other Electrical Fee $0.00
$0.00 0
0 Investigation Fee $0.00
50.00 D Plan Check Fee $0.00
$0.00 0 Reinspection Fee $0.00
$0.00 0
$0.00 0 TOTALCALCULATEDFEES $23.50
$0.00 0
COMMENTS / SPECIAL CONDITIONS
Communication
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Costa Mesa CITY OF COSTA MESA
INSPECTION REQUEST SUMMARY
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OWENS•CORNING �
Fiberg as
B anket Insulation
The contractor named below certifies that the Owens-Corning Fiberglas
Blanket Insulation used carries the NAHB Research Foundation, Inc. label
for assured thermal performance and that the Blanket Insulation is in-
stalled in conformance with current energy conservation regulations,
California Administrative Code, Title 25, State of California, in the building
I� �ed at:
_; , ��/ �; �, � �s /'� � 3 3 %/,%S"
SVeet 1 Lot Number � Tract Number
Exterior Walls
Owens-Corning Fiberglas Blanket Insulation
Ceilings
Owens-Corning Fiberqlas Blanket Insulation
Floors
Owens-Corning Fiberglas Blanket Insulation
� „�ndation Walls
Manufacturer Type
3/ // �
Thickness R-Value
� �� �
Thickness �R-Value
Thickness R-Value
Thickness R-Value
General Contractor License No.
By - � ' Title Date
�Si9^awre�,r �
Insulati ontractor����%1�2�1�'1/��?�L-icenseNo.�����
gyi'/�4E� (_ Title ��� � Date� /'� �%
G� � gnawre</9f�
Homeowner Copy (White) �
State COpy (YelloW) ' pyyENS-CORNING FIBERGLAS CORP.
Builder Copy (Pink) Insula�ion Operating Division
P�e. r�o. is�a�-ssssn �nno �� us.n. d�iy isn Fiberglas Tower, Toletlo, Ohio 43659
qpplieant [o fill in all spaces witM1in heavy portler lines antl si9n all aOPropriate tleclarations.
CITY OF COSTA MESA � - PER IT NO. ,' 'TRACT NO: ' LOf NOv BLOG. NO, � - � -! • -� -- rjBJ9 B� I AIB2 ��I�O I�BZ TLi
CONSTRUCTION PERMI�T ��[ � ��5�3' ' l0 �-7S� � - �- _. - �
, .. , . .
'Project Address �(/�J . C.�� ' TYPE OF CONSTRUCTION '�i � ' �� ' ��� (_� __ _ ,_ , _ „ , � � � � • '
IOwner Phone- - • - ;i _ _ . . � _ _ .
/%"//C'i%J�E� ❑ NEW ❑ ADD ❑ ALTERATION�' - • . - - -
��AddfCss - � , _ _ ��� �^ .- _ - �� - ��. . ❑ REPAIR� O'CONVERSION' �DEMOLISH -- } - � �- • ' ' ZONING REGUCATIONS" ' �
�Arch/Eng. - -- - TJ �;LicenseNo.�.' - Qlf.,3 �oTHER� �� ' • ! ; _ �
I'Address^'^- -. _ DESCRIPTIONOF-WORK � � ! �A'P'�^ ^ � '• ^ - . ` i
� . I' ' - �G%�% �ST ' ' ' ' ' �"' ' . �" , - . '- ` ZONE -. ._-..� "` PLNGCREF. %f:", � ; 1
FControctor-- ,�- � - O� I.�` i TVPEOP'PERMIT �� �� i B D �'�eui�DING
SEpTBACK ST� OPERTYLINE �
�i AddreSs'� '� - " � - - - ��j �_, O�GRADI,NG �� �FO�VNDATION - O STRUCTURAL- L�EFTVARD - - - � - _ `- � - � =(-� ;
LICENSED.CONTRACTOR!DECLARATI N �. "'� ❑�TENANT �ELECTRICAL'�PLUMBING-.�NIECHANICA
I hereby affirm th;.t�.l am licensetl untler provisions of Charter 9( o �� . ,/' . RIGHTA - . i '
mencing� wit�- settion •]000)•.of .DIV�zion 3 ot.dne � D:OSHER.' - � ' �
�Profe55ions lCotle ntl'� y icense �s in 1u❑ for e( f � 9 . _' �`, REAR VARD (TO P/L) - '" " _�.'-'' '
�. _ . . • . _ � PROJECT DESC_ _�IPTl9,f�t�./�� /_��� i,
Llcense Cf� _ �?, , , , 'I ense , _ - SQ :FT � ' � S�J� 5 «�r/� _. 4 ' 'PKG: SPACE'REq. ' - ,PROV,IDED - -,` '"'!
-/YIN'N /A. .l i % _ Z, _
� Date�.i._a.y..,c.cT Signature� '- - ^ 'fSTREETWIDTFi'- PARK�FEE �
WORKERS' COMPENSATION DECLARATION _ ��. OCCUPAIVCN �' CONST$l�CT10N TVPE � $ ��'
hereby affirm that I• nave a tertificate ot consent lo self insure or a _-,., ,�D�`- � ''jZONING'APPROV ED BV' DATE �
titicate ot-Workers'�.Comperi55tion �Insurance,.or-a..certifietl:copy. !VALUATION ZONE • • � � -i � +
reof (Section 3800,�Lab: C.). � - �; GRADING CU. V�S. ACRES �� ��SPECIAL CONDITIONS: ' ' �' ' - ' �
iCY�No_'1_'_ " __ ComPanY._'_"'"r. '._ _.....__.._�" '_. : _c._.. : ,..� " __i _ _ _ �,_ ____ _ ' ` _"_ ' '
❑.Certifietl'mpy.isherebyfurnisnetl..'_ .�_._. .. ..�.�__;..! ;:REMARKS:,,,� '���.' '_ � ._ __� � T � , '�
❑ Certifietl�copy is filetl'�wlfh.thetity 9uiltling Division. - �" -- ""'"' � - - "" '-'" ' - "
EXEMPTION"FROM WORKERS"COMPENSATION �EGL-ARATIOM � - � - - � + � � - � ` � '�� � - �l ^�
� . _ _ J.., . . .. . . �
(Thls section neetl na[_be'Compl¢t¢tl_if the permit 6 for one huntlretl �� � T •• � rv � � -- . . �� � �;� -'i � .1 � : • �,_ ' 4
_ " . - .._„'_� �. .�" '___ ' _' .. �. �� �.'...�
��L��� Of �255%. � . . . Ir.�: ^ : n' . _�' �..�..m��Y..�. _ _.�. .__ ,.�.. ._�. . .. '.� . : _ _ _ __ _
1 certity thaT'in thejperfo�manceLot the wo�k for whiGh th�5 permit�ls , � � �
issueil, I;shall,not eTploy any'R¢rson in'dny mdnner'So as'to become �'PCUMBING��y�„�" �'_PLAN'CHECK ^ ' ":'-'� '�ECECTRICAL'-"� ' ' - - PLAN'CHECK� -
subject to the Worl�ers:Compensationy�w f Ca if ni - ' ' • _ ' ' . ' -
Date.�!!�! Si nature� �'�j�e�" /� �i - - - BATHTUBS"' .` . .SFIOWERS""-�"- f". --'-- --_ . _. _ _ �
NOTICE:.It after� akinq9this tleclSration, You s�tl� me�subject q �TOILETS , n .� �VRINACS-- - � a---� �- - ��GENERATOR- 0-1'KW�1 30'KW ' ' ' " �
ro the Workers` Compensation provisions of the Labor Code, you must ' ��� " TRANSFORMER ,� i -- i�'�._
forthwith comply with'suth provisions or this permit shall be tleemetl LAVATORIES � DOUBL-E LAVS -� --� -' - -�APPCIANCE-'^�10-50 KW__SO�+.KW� �- - - --
ievOketl.___, � • - �� � . � � �
CONSTRUCTION LENDING AGENC'� + � ^� � KIT'SfNKS-"�- -^ --"'DISHWASHERS' -' -"�'�- - "-'MOTORS- - �-- 01'HP "' 1--10 HP - -- - � - ,
I hereby affirm that there IS a conStruCtion lentling agency for the per- _� _.� _ _ ,.. �(INC..SOLAR)....10-50 NP_^, 50.+ HP���'h.;"r __di _
fo�mance of the worK for whiM thi5 Permit is Isiuetl�(Settion 3097 SERVICESINKS.�,, � SVMP$'-- - i . . _ -��
Civ. C:):- --�•� — ^!v-.�/E -+---- - � - ------ � '�FLOOR-SINKS �--- ""FLO�OR'ORAINS - '-' - " -FIXTURES'-- OUTLETS• ' SWITCHES- - � -- - - t
Lentler's Name �� '
�- ---��� - '-' '-'"—' � --"'-""'-'"- -- 'DRINKING`FOUNTAINS' " - Y-"-" ^-� ^�GAS-TUBE�SIGNS - � �� '
Lentler's Atltlress F � "�-` -"' ' -' ' -' ""' ' "' '-' I
OWNER BVILDER�OECL-ARATION� -- • -- --^ --^------- � - �-'- ^ -�POLE'LIGHTS- � -- - � � _ i
I hereby affirm that I am exempt from the Conbactor's License Law for _ INTERCEPTORS� `-YLARIFIERS- - " `'� - ' -- . -'-- '_ -
the�following-reason (Sectiom]031.5-Business-antl Professions.Cotleo- -SWIMMWG - - TRAP^^ - - - -- � - ` � -- - �
Any cily.or coun[y whiCh requires a permit [o ton5truct, alter, J1'�` -�� �PpCES - METERED ' SUB ""� -
improve; tlemolish-or-repai��any�5tructJr¢� prior to its i55uance;�also�re- ��yyqTER'SERVICE' --' 'ACTERATION'--"'V" - - "PANECS-' " -- �MAIN-"-� - 'SVB � --�- - - �+.-- �
quires LM1e ap:litvn[ for zuch permit to file a signetl5ta[emenl that he� � - �
s Iicensed-pursuant to�[he provisions�Of the-Contrac[or's'License Law- GASSERVICE "----"' OUTLETS "- "' - -' - "- "SERVICE----- - -- ------ -AMP^ --
apter 9(commencin9 witM1 Sectio� �000) of �Division 3 of the �� �
iness�antl PrWe55ions�Cotle) onthat^he-is exempLtheretrom antl�tM1e- yyqTER HEATERS- - BTU OUTPUT� - -�-�^ - - - - -- ----- - - �
sis for the alle9etl exemption. Any violation of Section ]03L5 by
any applicant for-�a pe�mibsubjects-the-applican4,to-mclvil penalty� ^SEWERCONNECTIONS'^ ��" -� -"' �--- �^--- -- --�- - -- -
of not more than five.huntlretl tlollars (5500). r; - �' '-' ` '� - � - �� � _f
�'I,as"ownerbftneproperty,or"my'employeeswith'wage5'astheir��•SOL'AR'TANK- '�-^COL�LECTORS^- -��---� -- -j�=-�-^- ----- -. �-- -- �-- _- .-�
Sole Compensation, will tlo the work, a�tl'the Structu�e is not intentletl - '
Or offeretl for sale. (Section'7044; Bus�ess antl-Profe55ibn5 Cotle: The' ' SOLAR'PIPING SVS. � iE ' "" �{'""' "-` t- -i55UE•FEE '- -- -^-� - - - -- - D -
Con[ractor's License Law tloes not apP�Y to an owner of"a property _;f ___ ,,,,�.__, _t,�_, .�APPL-ICATION�APPROVED�BY^-��+ -=-DATE ��
who tiullcls o� imptovei th¢reon, antl �who tlbe5 such work"himself or -- "ISSUEFEE' ��-� �
thrau9h his own employees; provitletl ihat suGh improvements a�e not "'
intentletl or offeiedfor sale.'If, tioweJ¢�, the builtling or improvement- MECHANICAL PLAN CHFCK J $UMMARV OF, FEE '� �
is soltl within one yea� of completlon, [he owner will have the burtlen � J.' + �Y ,,, -�`,t j, J " �
o( proving he tlid-�not'builtl or improve'for the-OurpoSe of sale).' ' - -- -' '-- ----- - - - -'�-- '- r'- - - -BUILDING- �--- - -' - - �
�-I,-.as-owner-.of _the _property, am.ezclu5ively_mntractinq with HEATWG SVSTEM Od00,000 BTV_ �� �PERMIT . '$ O' •�_�_�;SMIP� �_ -�y_E ~� �
licensetl mntrac[ors to cons[ruct the roject Section ]044, Business -AND DUCTING---- - �-e � _._.
P ( 100,000�+gTU � �PLANCNECK $ PERMIS. t �j'
antl �Protessions.CoOe:-The Convactor.ro.Lwense Law.tloes notapply.to _ ISSUANCE S' ..j
an owner of property who builtls or improves thereon, antl who ton- REFRIGERATION 0-300,000 BTU ' tpWMeING E� 'O '
tracts.�from such projecis_with-a_con�ractor(s) licesnetl_pursuanL,to. _SVSTEM- -_._ _ . _ __w __. ,� _._ _ 'GRADING _ $ + �
tM1e ConVactor's License Law). ' � 100,000�+gTU � � PLAN CHECK�E " �-�U"",.��'�,._ Ip„ , -'
�1 am'exemPYunder SectiOn -" ' �""'- ' - ' ' B. &' P: C.-for this' '- -- .-' . --^'^ - '-'" - ""y- ' ' � ' ' - - ' ' $
. _ BOILERS BTV , � EL'ECTRICAL "E� /, .-00 � "`" ' �i
ieason � _ -' __ ' _ . _'__ ' . -- � � _ : � ;,.'�! •': MICROFILM_S ` :'
SVSTEM REPAIR, ALTERATION "�PCAN'CHECK" 5- - � -
Date. Owner � �� r•�•�, i TOTAL'�FEE $ :�a
I nereby certi(ythat I have reatl this application antl state that the above EXHAUST SVSTEM MULTIPLE i� iMECHANICHL y- •�� -•-- - - --- --
� � LE55 AD- '.` I
informatlon is'wrrect' I'aqree'to'cort�P�Y'"wlth all tity'antl county` �� � �P�AN CHECK -§-�� ���- - -- VANCE PC $'- - �--�-
ortlinancEs antl sla[e laws relatin9 to coqst�uG[ion, antl hereby authoriz¢ � ' /"�i u, �[�`��1. '� 1�' - �.l �
representatives'of-this�'cit to-ene� on the�-above mentionetl - - - .r I � � - ' � �
p�operty_f 5 ct� n p oses. ' /n/
- " "�' ""-' ' - -' - . � FINAL FEE $k.j�/��
, Slgnature Date - � - - '� ' - . _....'ci�. ._ . .
_ .'_'__'. .. . ._ ' ._ _ -.,.' "'_'ISSUE.FEE . ._" ' ?_) ' " _ ""_ . "_ "' �--
Orivers' License or 55 � - "-' ' ' - "' " '-'- '- ' --- -----
CMF 0865-4fi Wnite-BuilCing; CanarY-APPlicant; Pink-Accounting; Goltlenrotl-Assessor ' �
CONSTROCTION AND PLANNIN/�Gnc-�,�� , • POOL&�SPA _ . . � . � '
APPROVALS Permit # J� Date Inspector �qppROVALS Permit #` � Date Inspector
1. Temporary Electrical Service or Pole � 43. Pooi & Equipment Location '� � /QL�-
_. 2. Soil .ipe-Undrgm � ' 44.. Steel Reinforcement ' ' � ' '
3. Electrical Conduit Utility-Undrgrn . 45. Forms �- � �-
. 4.. Electrical ConduitUndrgm � � 46. Electrical Bondin ��-� - -
tee em orce ' � � 47. Rough Plumbin & Pressure Test � - - � - - � � - -
6. y Electrical UFER Grn 48. APPROVALTO COVER-GUNITE �- ; 5 1/-$L �U-
Z. Footings - - 49. Electrical Conduit-Undr rn -• �' G '
8. Foundation_ . .. . ' � 50. Gas.Pipe, ❑Undr m`Te'st � _"" ' fo- =FS C.�.
9. Water-Pipe-Undrgrn �' • 51.• Backwash Lines P-Tra ' � ddi�rn ' " ""Z� " -'
10._ StructuraLFloor SYstem 52. APPROVALTO DECK � - - - - " � •
�- 1.1. _Propecty Sewer Line & House Connection - � � j 53. - Backwash & Rece tor-Final . " ' '
� 1�2. Street Sewer_Connection._ _._ '� ' - - • 54. Heater & Vent-Final
--13. _ Rough Plumbing _ -- - , . ." . - - ` _ � �.. .- , -
14. Rou h Eleciric-Conduit '"' ' ' " "' ' � •56. '' Elecfrical-Final - - • • • ' ' � ' �
15. Rou h Electric-Wiring - ' " - '-' 57: •Solar System-Final „ � ' � " •
-16: Rou h Heating�& Air Conditioning' - - ' - - � - - � • encing &�Access.Approyal. "
"" "- -' � - �" ' .. APPROVED.F.OR'PLASTERING'- �,�,.:' .;,, ,�.
'. 17. Ducts in Structure �
- - _.
18. - Ducts, Ventilating - � � ' ' � - -�� - -- • - - - ---,... _ _ - , _ .. - - .
� 19: Gas pipe-Rough & TesY � �" - �� ' - - 60._ POOUSPA SYSTEMS FINAL" , ' � , � �� _���� e � ��
' 20.- Roof�Framing � ' -�- -� - � � � - ' � - ' ' � ' '
21. Roof �Sheztfiin - . . - i - - - - - -� � - . „ • � .... r . . .. . . .
22: Frame and Flashin � - - -- _ _ NOTES: � , ' : . " • .
23. Insulation � - -� � � � - - ' ' � - ' �'' �
. 24: Lathing & Siding- - = . . ' .. . . . . -. - _ _ _ � . .
� 25: Drywall Nailing - � - -�., ,.. . .. . _ . - � . . . . .� . . - ,.,
� 26. PlasterBrown Coat - - � - - - � '� � ' � � •
• - 27. � Electrical Power Meter-FinaL � � - � - ' - � � � � ' ' - - • �
281 �Final�Electrio- �- • - - - � . .. . � . .+� . �
E-29: Final�Heating & Air�Conditioning � - - t- - - ' "' ' � � � �
' 30: 'Final Gas Pipe-Test . . . . . _ - _". � � � � - • � . �
. :31: _. Fina1 plumbing � - -� � - ' • ' ' �
' ' _ . -- ._: _ . . ,. _ . ...,. , . •
� 32.' Water Service-Final- � � • - ' - � - - - ' � � "' 9 � �
�� 33: Gas $ervice-Final. � - � ' � ' ' � ' � � '
. 34. Solar pomestic�Final r^��• '� � - ' ' ,. � " � � ' �
' 35. LanHsca e S rinklin S stem � � � �� � � ' ' - � � � � ' � '
- 36. Sound Attenuation � � - ' �� � ' �� ' � " - - -
• 37. Handicap Regulations ' � > � -� � � " ' - � ' • ' �' • � �
- 38. FINAL STRUCTURE & BUILDING - - � � �
� 39. Special �Requirements Complefed '� � � ' ' � - � � � '� �
40. Electric Release to Edison � � � � �
41 . Gas Release,to Southern California Gas Co. ' � � '
42.. CERTIFICATE OF OCCUPANCY - - , - . - "
. •
YVo' ` '' ' Date - " � - .
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COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
ADDFESS 3444 Kings Court
OWNERORWlIfIb12C1O11 ASSOC.
TENANT
ADDREs 1470 Jamboree Rd
aT., Newport Beach No�840-680
LENDER�'�N Imperial Savings & Loan
BFANCH Pasadena
ADDRESS 61 So. Lake Ave.
ARCHITECT Corbin/Yamafuji No`349-712
OR ENGINEER
ADDRESS 17992 Mitchell So.,Irvine
CONTRACTOR MCLd1T1 Dev. Co.
ADOFESS �-47� Jamboree RCl
cirv Newport Beach nT,o�640-680
LC NO. 273875 LICVN0.18873
SIZE NO.OF BLDGS. O
OF LOT NOW ON lOT
USE OF �
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work:
OF BUILOING AND WORK TO BE PERFORMED
PRD - New construction
Single-family dwelling
I hereby ecknowletlge that I have �ead this application and state
that the abova information is correct antl a8rae to comply with
all laws regulatin8 building construction, and 1 shall not employ
any person in violation of the workman's compensation laws of
the Stace of California.
I hereby ceriify that I am properly licensetl as a contracto� under
the Stata of Califo�nia Business antl Protessions Code, Division 3,
Chapter 9, antl that such lieenses ere in full force and effect, or I
am exempt from the provisions ot the State o Calitornia Business
and Professions Cotle, Division 3, Ch i'r 9.
Sipnature of // r
Permittee Lr�
or i!S �
Authorizetl Agant Date
APPLICAT[ON
RECEIVED�V
A.P. NO. .
BUILOING
ADDRE55
UNIT OR
NEW ADD
X
STRUCTURALPERMIT
I�� ivoi io�
'T N° 4i74�
!I-Y� -�S�S
il(TS (�(111Y+
BL
REPAIR MOVING OEMOLI
OWNER Wimbledon �iSSOC.
VALUE
USE DATI
APPROVED
APPROVEDSETBACKS
PLANNING ACTION
Z F_ —
�I�
THE AMOUNT SI
THE PURPpSE OF
VALUATION
� (� �
$ ����ff"
DATE
DATE
APPROVED
J� 3
20 �X l
yN UN�ER VALUATION IS FOR
"ABLISHING A PERMIT FEE ONLV:
PERMIT FEE $ �3 �
PLAN CHECK $
TAX E � �
TOTALPAID $ �/(�/1.�/`j