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Home My WebLink About3108 KLONDIKE AVE - Building Permits C N J CITY OF CCGIA MESA N :s1, REQUEST FOR OCCUPANCY I TRACT NO. 10513 DATE: ay--.. 020i /9 7 9 LOT NO. 21 ADDRESS 3t118 Klondike Ave. Costa Mesa The developer of the above entitled tract desires to sell the above set forth lot prior to the tine that the tract has been completed and its streets accepted by the City of Costa Mesa. By executing this agreement, the undersigned acknowledges that he/she/they was/were advised that this tract has not been given final inspection nor has it been accepted by.the City of Costa Mesa as having complied with the conditions of approval which were inpcsed. Lw the City at the tine the Final Tract Map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition(s). BY7 ilC/C-� /d. �i 1 APPROVED (Signature of Purchaser) CITY OF COSTA MESA i BY �G*/( �iCJL . PLANNING SEPT. (Signature of Developer and/or SUBJECTit JETO BLDG. DEPT. REG authorized representative BY : ATE.. - - r / (RECTOR OF PLANNING BY ) Si ire of Lender) d r) S / r w gI 4/79 P/O..UI t.No w-Altai. , _ __ _ - _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ _ _ woo CITY of COSTA! NS`�RUCT/I/O�I/��PE MIT P MiT,,NO. TRACT NO. • : LOT NO: • ;UNIT NO. ^ 8704 L2/15/86 • ,Project Address �� NlQ/!lC//�� 9—GC �� ' • •• ' Sa00 TL TYPE OF CONSTRUCTION ' LJ NEW Li ADD ❑ ALTERATION U REPAIR Applicant's Mailin. •ddr-ss _� I /'4 / / ❑ CONVERSION ❑ DEMOLISH ❑ OTHER I - ' Owner's Mamie. / . artzw ' Phon� - - -- ,( . JAY/ 1�f.,/ C DESCRIPTION OF WORK/USE OF BLDG. Address l�� U//t�I -� S Main Building: 1 ,Accessory Building: •• ❑ FOUNDATION E _ Z Arch/Eng. - License No. TYPE OF PERMIT ❑ GRADING ❑ STRUCTURAL T Front f O Address / ' -• ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL I B Rear ' •- N Contractor's Name/ /, Pho ❑ OTHER . -- - + •A - _ „-, (-�Q ,, _ _, _ I ./7e://q7 � PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right V(;L ;1- IJNv N Address(mailing/Slim- ' K ( - L G � / CON ST RUCTION'TV.PE VALUATION'S I 1 s Left I R�yi. ' , CityLicense No. r'7. y'11!! ZONE GRADING CU.YDS. ACRES' LICENSED CONTRACTOR DECLARATION Ping. R¢f.# _ Pafking'Req./Provided I , 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 - T my license is in f ,tare • effect. + ' •_ S • License Class Licen eyo. - - , • )c Date. -7- IAL L Signature �1I�/ "'� I I . •'PLUMBING . FEES i " I ,- • - `jvz, WORKERS' OMPENSATION DEy • RATION Bar Sink Showers • , - I _ "p I hereby affirm that.] have a certificate of consent to self-insure or a certificate �•' ELECTRICAL FEES 1 of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink I .. U - 3800, Lab. ` (��j +' Automatic Washer • Transformer 0 15-50 KW i \y Policy No. /i'O ,S� Company 4.9,../ Backflow Irrigation _ Sewer Ca •" - _ • ❑ 50+KW . ' ` 8Certified copy is-hereby furnished - + P + ' Construction Po Ie SUb. _ + Ceytiti d,c py 's filed with the ci)� i . v s •n, •• Bathtubs - Sewer Connection ' Cooking Unit Meter Dub to 100 amps I . +u Date/.k// Applicant -.ARAM(- - / w - EXEMPTIONFROM WORKERS'C, PENSATION DECLARATION - Clarifiers • Solar Collectors • - -1 1 . Dishwasher Meter. Clover 100 amps - (This section need not be complete. if the permit is 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. ' ' Fan i Motors❑0-1 HP ❑1 h-8 Workers' Compensation Laws of California. - Date Signature ' Floor Drains ' Swimming Pool w/Spa • • " • F.A.U. ' • - r— ' NOTICE:-If,-after-making this declaration, you should become subject to the - - -- - Inc Solar ❑9-15.HP ❑16-15+- Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such; provisions or. this permit shall be deemed revoked. • - - • Microwave , , CONSTRUCTION LENDING AGENCY Gas Service Outlets 'Water Closet • I hereby affirm that there'is a construction lending agency for the performance Device Boxes I Pole Light I , of the work for which this permit is Issued (Section 3097aCiv. C.) I , Interceptors / Water Heater • Outlets Lender's Name - - � -./ � Range , Lender's-Address - - -- • -- -- - Kitchen Sink- i- ' - • - -- Service• - - - Switches - ' ' ' "OWNER BUILDER DECLARATION --- - - - - _ - Sign ,I hereby affirm that I am exempt from-the Contractor's License Law for the Lavatories - -- Water Auto-Wash • Garbage Disposal ' following reason (Section 7031.5 Business and Professional Code: Any city-or • 9 P Standing Sections r. county which requires a permit to construct,alter,improve,•demolish or repair , P-Trap Laundry Trays Generator ❑0-5 KW Els-is KW Trash Compactor ' any structure, prior to Its issuance, also requires the applicant for such permit P 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 77000)of • + Division 3-of the Business'and Professions Code) or-that he/she is exempt - - • therefrom and the basisrfor 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). - - - • I ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 • - Issue Fee compensation, will do the work,and the structure is not intended or offered ' • Reinspection Fee $15 • Issue Fee .,$ 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: t 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 corn. Canopy Type II 0 • Zoning Approved By '- Date - ' 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 Approved By Date OH, as owner of the property, am exclusively contracting with licensed-con- Duct-Structural Refrigeration System Application Issued By ' - Date 1 l� tractors to construct the project.(Section 7044,Business and Professions Code: - - _ ' The Contractor's License Law does not apply to an owner ofproperty'who Duct-Ventilating ❑0.100,000 BTU ❑100,000 BTU - : SUMMARY OF FEES , • ' •• builds,or improves thereon, and who contracts for such projects with a•con- _ tractor(s) I+cense.pursua nt to the Contractor's License Law). I am aware that - Exhaust System ❑ -Multiple 0 System Repair/Alteration _ BUILDING PERMIT. $- ' _SMIP 'S ' - proof of their Worker's Compensation insurance should be provided to me: _ + PLAN CHECK $ PERMIT ❑ 1 am exempt under:Section B.& P.C.for this reason' Firepl/Fact.Blt. ICBG* • ' Fire Dampers 44w ISSUANCE $ - - • - - - PLUMBING 6S - PLAN CHECK 25% $- - ENERGY P.C. $ Date owner • Heating System& Ducting Registers - I hereby certify that i have read lits application and state that the above ❑0-100,000 BTU 0100,00013T _ - _ ' ' ELECTRICAL - $ GRADING $ information is correct. I agree to amply with all city and county ordinances - ' and state s relating to ba+Idi/construction and hereby authorize repre- - - - MICROFILM $ sentativ o this city to'ent upon: the above-mentioned property for ' _ - _ -' - PLAN CHECK 50%' $ '_ + inspectilp�wgWy� / //�M/° ' MECHANICAL $ TOTAL FEE $ r•�r 7��• Signzturayy % ��[ Date7 /(r/`� - _ _ Drivers' ense or SS 9f' � , " Reinspection Fee ' $15 Issue Fee $ 3- PLAN CHECK 25% $ • - + i \ 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 ` : 1 • • 3. Electrical Conduit Utility-Undrgrnd. 1 54. Forms - - ' _ - r 4. Electrical Conduit-Undrgrnd. . 55. Electrical Bonding i 5. Steel Reinforcement. 56. Rough Plumbing & Pressure Test t�•.,• 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE r"' 7. Footings . 58. Electrical Conduit-Undrgrnd. y,; - 8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test .. 9. Water Pipe-Undrgrnd. • - _ ' 60. Backwash Lines, P-Trap, CIUndrgrnd? ' �.i 10. Structural Floor System • 61. APPROVAL TO DECK . ' 11. Property Sewer Line & House Connection • 62. Backwash & Receptor-Final 12. Sewer Cap • 63. Heater & Vent-Final ' 13. Roof Drains • 64. Plumbing System - Final. ' . ' 14. Rough Plumbing 65. Electrical-Final , 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval ' 17. Rough Wiring Sign 68. APPROVED'FOR PLASTERING 18. Rough Electrical-T 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 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 41,3/A7 L jQ - 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 - ' 48. Special Requirements Completed 49. Electric Release to Edison _ - ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY ' No. Date No. WILLIAMS INSULATION COMPANY OF CALIFORNIA 1201 E. Hunter Ave., Santa Ana, California 92705 (7141 547-5148 THERMAL INSULATION CERTIFICATION THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE,TITLE 24 STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Tract Name: Lot No. 21 � /nl/ TractraNo. 10/513 Block No. Street .e/oe�j 4.0 .c.,(I�L_ City EXTERIOR WALLS: Mfg.OUCnS CDrninn. Thickness/Type 6a Value 19 Ceilings: Batts: R— Mfg.OeTeri3 GOZULU.R Thickness/Type air Value !1 Blown In: • R— Mfg. Thickness/Type Value R— Sq. Ft. Covered No.of Bags Used Value Floors: R— Mfg. Thickness/Tyne Value Other R— Mfg. Thickhess/Type Value General Contractor California Contractors License No. Date Signature - Title Williams Insulation Co.of California • California Contractors License No. 267522 Date 8-29-79 Field Supt. Signature Title JOB COPY-WHITE BUILDING DEPARTMENT-PINK GENERAL CONTRACTOR-YELLOW FILE COPY-GOLD n 4 "7 30 ,: y �.;; iimegmtu COSTA MESA BUILDING-SAFETY DEPARTMENT------__ 3349 000044_74 30 . „- P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 -- - - ' APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely—Use Ink Only RECEIVED BY DATE RECEIVED: ,I �tDATE ISSUED BUILDING /(8 K / I , ADDRESS `2.4 � PERMIT NO. OWNER Foley Construction Co. , Inc. A.P. NO.C,I9--05 /6 > BUILDING MAIL 2101 E. Fourth St. , #100 ADDRESS 31D 8 ..,g _' I ADDRESS N CITY Santa Arta NOL. 543-9471 TRACT 10513 LOT 21 BLOCK CONSTRUCTION NEW ADD ALTER REPAIR (MOVING DEMOLISH • LENDER X BRANCH • OWNER Foley Construction Co. . Inc. ' ADDRESS ARCHITECT VAL OR ENGINEER Hales-Langston NO. 547-0862 USE e?-2,/ ._ UE$, (Q FIRE ADDRESS 777 S. Main St. , #106; Orange ZONE TYPE �G'ROUP _Qr APPROVED CONTRACTOR Owner/DeValOper BY DATE ADDRESS Same ZONE R \I NO.OF USE OF NEW .5_ , CITY. Sane NO. v TEL. (PLANS Z BUILDING nwi��e�� F STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. Sane LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE . (FROM C/L ST/RE,E_T)j W OF LOT I NOWNO.OF ONBLLOTDGS0 FROM // FT.' 'P FT. Q USE OF N/ A Q/ 4 EXISTING BLDG. R.SIDE (f FT.O FT. rn l . F Separate permits are required for • L.SIDE FT. 0 FT. electric,plumbing and heating work. / tel' W - REAR 3O FT.0 FT. (.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& st - MAIN BLDGS. ACCESS. BLDGS. itl VAR.# DATE ', Development of 41 sing1- family C.U.P.# APPROVED >, detached residence units. —ems RO��gt�� a•TE 3 -16--79 W IX Q I hereby acknowledge that I have read this application and state N a4 that the above information is correct and agree to comply with 0+ all laws regulating building construction, and I shall not employ OLD FUR artClAL a7UiGCTA�PJTi 2 any person in violation of the workman's compensation laws of / a .W2" the State of California. 2��jp ?14 59 /7f - rd 3 I hereby certify that I am Properly licensed as a contractor under `�� SO. FT. s/2 W *401-. the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 035 4 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from the provisions of the State of California Business ., Si th and Professions Code, Division 3, Char ' VALUATION,(' PERMIT FEE $ Signature o 15 ,56PERMIT CHECK $ / Or o U. Permittee ,�:i/� $ 46,931.00 TAX s t1,sp Authorized Agent - TOTAL PAID $/a/V."1,9 z-7/7Ji& 5745 3/27/79 219.00 TL! ' h 6745 3727/79_ . "21'9:000_KTd_ COSTA MESA BUILDING-SAFETY DEPARTMENT r� 67414 0000447430 "IA P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 1.3' APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely— UseInk Only r, RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING 3/ne I� enc ADDRESS /I . Ant4,7\c_ PERMIT NO. OWNER4f12 .ti �`C/�)'�ULAJ�1/y. l/, A.P. NO. r, MAIL BUILDING ^x/08 nmiLA anp ADDRESS ADDRESS [.l—X„'Ol'//^/ l�/ jY TEL. TRACT/05 31 LOWJ BLOCK CITY NO. ((((Vffff�,�" CONSTRUCTION NEW ADO ALTER REPAIR MC/VINO OFMOI ISH LENDER BRANCH -f— n C s1 /M t OWNER rrL/{`'/e�'JAt ..CL llilvlvs/dl'./�A` I`'CwJs ADDRESS VALUE ARCHITECT TEL. USE $ OR ENGINEER NO. FIRE ADDRESS ZONE TYPE GROUP /A, I APPROVED CONTRACTOR \ / / BY DATE ADDRESS ZONE INO.OF USE OF NEW TEL. PLANS BUILDING CITY NO. — STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING W SIZE I NO.OF BLDGS. (FROM C/L STREET) P. OF LOT NOW ON LOT FRONT FT. FT. Q USE OF .Zn EXISTING BLDG. ,R.SIDE FT. FT. H FSeparate permits are required for L.SIDE FT. FT. electric,plumbing and heating work. WREAR FT. FT. E... USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& Q _MAIN BLDGS. ACCESS. BLDGS. Q VAR.# DATE C.U.P.# APPROVED APPROVED >. —BY_ DATE W a Q I hereby acknowledge that I have read this application and state r, N g:4 that the above information is correct and agree to comply withco po all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of e W the State of California. 3 I hereby certify that I am properly licensed as a contractor under SQ.FT. 0 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR w Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business Q OC a and Professions Code, Division 3,Chapter :. VALUATION PERMIT FEE $ 9,4 .(/Cf�/��. m Signature of `/ PLAN CHECK $ m 0 Permittee f' Ar�c4 L Authorized Agent / �. TOTAL PAID Sta.:c U iz c