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HomeMy WebLinkAbout2282 LA PLAYA DR - Building Permits March 16, 1992 To: Building Safety Division Newport-Mesa Un. School Dst. (2) Code Enforcement Pacific Bell Communications Police Dept. - Ping. & Research Copley-Colony of Costa Mesa Santa Ana Heights Water Company County Administration Office Sanitary District Engineer County Clerk/Bd. of Supervisors Southern California Edison Co. County Registrar of Voters Southern California Gas Co. County Tax Assessor State Board of Equalization Engineering Division (2) Street Division Fire Admin.-Training Officer U.S. Post Office - AIS Fire Prevention U.S. Post Office, Adams Avenue File (2) Mesa Consolidated Water Dist. The City of Costa Mesa wishes to advise you that the following addresses have been changed or added: OLD ADDRESS NEW ADDRESS A.P. NO. 182 & 186 Albert Pl. "A" 2281 La Playa Dr. South 426-064-15 182 & 186 Albert Pl. "B" 2283 La Playa Dr. South 426-064-16 182 & 186 Albert Pl. "C" 2284 La Playa Dr. South 182 & 186 Albert Pl. "D" 2282 La Playa Dr. South 182 & 186 Albert Pl. "E" 2280 La Playa Dr. South 185 & 189 23rd St. "A" 2297 La Playa Dr. North 426-064-08 185 & 189 23rs St. "B" 2295 La Playa Dr. North 426-064-09 185 & 189 23rd St. "C" 2293 La Playa Dr. North 185 & 189 23rd St. "D" 2294 La Playa Dr. North 185 & 189 23rd St. "E" 2296 La Playa Dr. North 185 & 189 23rd St. "F" 2298 La Playa Dr. North NOTE: ALL LOTS ARE COMBINED. Your cooperation in this matter is appreciated. Sincerel RICHARD WELMERS Planning Intern (ALBERTPL.ADD) I1 cc: Mike Talbott Jim Young VNE Development 19800 MacArthur Blvd. , Ste 1450 Irvine, CA 92715 23RD STREET 2297 F 2298 O 2295 2296 2293 a 2294 Q 2 H 0 2284 N is co 2283 0 2282 a J O. 2281 2280 J .tee ALBERT PLACE . _TY OF COSTA ME:_. D, „ CALIFORNIA 92628-1200 P.O.BOX 1200 ` L, DEVELOPMENT SERVICES DEPARTMENT May 22, 1992 To: Building Safety Division Newport-Mesa Un. School Dst. (2) Code Enforcement Pacific Bell Communications Police Dept. - Ping. & Research Copley-Colony of Costa Mesa Santa Ana Heights Water Company County Administration Office Sanitary District Engineer County Clerk/Bd. of Supervisors Southern California Edison Co. County Registrar of Voters Southern California Gas Co. County Tax Assessor State Board of Equalization Engineering Division (2) Street Division Fire Admin.-Training Officer U.S.-Jost Office - AIS Fire Prevention U.S. Post Office, Adams Avenue File (2) Mesa Consolidated Water Dist. The City of Costa Mesa wishes to advise you that the following addresses have been changed or added (in addition to 2280-2284 La Playa Drive South, there will be a 182 Albert Place address for the meter located on the property) : 182 & 186 Albert Pl. "A" 2281 La Playa Dr. South 426-064-15 182 & 186 Albert Pl. "B" 2283 La Playa Dr. South 426-064-16 182 & 186 Albert Pl. "C" 2284 La Playa Dr. South 182 & 186 Albert Pl. "D" 2282 La Playa Dr. South 182 & 186 Albert Pl. "E" 2280 La Playa Dr. South 185 & 189 23rd St. "A" 2297 La Playa Dr. North 426-064-08 185 & 189 23rs St. "B" 2295 La Playa Dr. North 426-064-09 185 & 189 23rd St. "C" 2293 La Playa Dr. North 185 & 189 23rd St. "D" 2294 La Playa Dr. North 185 & 189 23rd St. "E" 2296 La Playa Dr. North 185 & 189 23rd St. "F" 2298 La Playa Dr. North NOTE: ALL LOTS ARE COMBINED. Your cooperation in this matter is appreciated. Sincerely, RICHARD WELMERS Planning Intern (ALBERTPL,ADD)11 cc: Mike Talbott Jim Young VNE Development 19800 MacArthur Blvd. , Ste 1450 Irvine, CA 92715 77 FAIR DRIVE Building Division(714)7545626 • Code Enforcement/Business License(714)7W52;4 • Planning Division(714)754-5245 FAX(714)556-7506 PROJECT ALAflESB: "—'� ,•—,2_ L—m.•' mss^'^ 7L n u is D CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 052422 OWNER'S NAME: JIM YOUNG �' �f got�2-4610a_ ADDRESS: 31 ARGONAUT At 'ViA PERMIT NO: B 052422 PLAN CHECK NO: 06156-90 L GOVT; N SUPP: N ALISO VIEJO CA 92656 • CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW 1' 837-7008 t ARCH/ENGINEER: TAYLOR ARCHITECTS REG.RO.: C-014978 JOB DESCRIPTION ; NEW SFD SQ FT: 2, 447 ADDRESS: 1670 SANTA ANA UNIT: K CM CA 92626 CLAIM VALUE: 120, 000 . 00 CALC—VALUE: 144, 249 . 10 GROUP OCC: R-3 / • PERMITTEE: YOUNG/RUSSELL DEV, INC. ( 714 ) 837-7008 !SOLD FOR SPECIAL REQUIREMENTS ADDRESS: 31 ARGONAUT COMMENTS: NEW SFD 1 OF 5 W/ COMMON DRIVEWAY ALISO VIEJO CA 92656 **+ **** TS kE*x******* **>Fx• -*N* *****tFac ****:tx******* 'i< *Nis***u-*>E* x-aFkr>FTr**i!******� LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R E Q U I R E M E . T S 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY UC.: STATE LIC.: CUSS: Date: Signature: MAIN—BUILDING AL.0 .SSORY BUILDING — WORKERS'COMPENSATIONDECLARATION: Iherebyaffirm that Ihave acertificate ofconsent toself-insure or a certificate of Workers' FRNT; 17, FT IN -REAR: 13 FT 5 IN •� FRNT: F1' IN REAR:- FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT; 5 FT IN R1 HT: 2 6 F T IN LEFT: FT IN RGHT; FT IN PGucYND.: EXP. PARKING REQ• 13 P V• 13 PARCEL; 42606416 ZNE, R2 REF NO: DR9032 MPANY. PLANNING NOTES> ONE, 2—STORY DETACHED(. CONDOMINIUR (OF A 5 UNIT PROJECT) W/ A Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. > A 2—CAR ATTACHED GARAGE, P&E Date: ADPlicant: *************** **************************** ii***************#*****IF-lA�** * t ****** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT S E R V I' C E S R E Q 'U I R' F. MEN.'1T 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 Califomia. ZONING APPROVED BY "1 Qj\\L DATE: Col ('A��k Date: Signature: BUILDING APPROVED BY • DATE: NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor `.. 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: lnl ti.-- DATE; which.this permit is issued(Section 3097,Civ.C). ********)E******I%*************44**44****3c*****#***34x***************I(*1e *lt. *K7** LENDER: ***iE******************************/(.*1(-**:f*******iE**X****jE'.t***-IF*?E*F****%**?F*#4444** ADDRESS: LEGALIZATION;N F E E S U MIM A R Yom— STRUCTURAL SEGMENT; Y ' OWNER BUILDER.5B DECLARATION: I hereby affirm that I am exempt hic the Contractors''Stateostnse Law for the ve,odem reason BLDG PMT PLUMBING ELECTRIC'\MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Processional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT '797. 00 './ 10. 10 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensedSMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business • and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by P]..AP! 518 . 05 i 'i = �} 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, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ' DUE LP structure is not intended or offered for saleyVTOTALS > 807, 10 0, 00 518 , 05 1325 , 15 1325 . 15 00 (Section 7044,Business and Professional Code: The Contractors'State License Law s• i 7% 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.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• ,r -407. 10 OVER/SHORT: 00— ftheepurpesold e)hinone year ofcompletion,the owner will have the burden of proving he/she did not build or improve fororthe purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC( FIRE SMIP/TOT GRADING PLAN—CHECK 7• I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 97 00 , 10 . 10 ❑ and Professions Code: The Contractors'Mate License Law does not apply to an owner of property who builds orImproves thereon **,***********4434************44*34***3h:**4444*44* 3e********Y'*;4*s;*F****444434*ai**•****)i**a4** and who contracts for such projects tech a contractor(s)license pursu. Law). I to the Contractors'State License Law). am aware 3S' • that proof of their Worker's Compensation insurance should be provid:'to me. I N D I V I D U Al L' F E_ %`E BREAKDOWN ❑ I am exempt un r Section- B.8 P.C. ig 1 tor this reason / TYPE QTY D E C R I P T I O N UNIT COST TOTAL COST [� Date: /� / Owner: ! �• ( SFR 1981 DWE—TYPE V—WOOD FRAME e:/// —GOOD 69 . 00 136, 689 . 00 I do hereby ce at I am a are of and understand the requirements of C. if nia Health and Safety Cod- ' lions 25'v.,25533,and SFR 437 RES—GARAGES TYPE Vs ex' 17 . 30 7, 560 , 1.0 25534 and that I or any future building occupant willwill not(circle one)neiIcomply with said state c•re'and the requirements for a 'END OF FEES permit for construction or modification from the AirAir Oualiry Management ' ct.Residential construct' applications are exempt from these provisions. • / Date: Applicant: � 1.4 I hereby certify tha have r'.d this application state tha he above information is coma agree to comply with all city and co my . --^----1/1 ordinancesandst.a laws r:'ting to building co traction and reby authorize re tative this city to enter upon the above-men nail i property for ins ection p poses. // /l t Date: _. a ' Signature' �� -_ 4 �t', � i •�,` l_ . . Driver's Li ense or Social Security 8: I, 164146 White—Building;Green—Cade Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor r CONSTRUCTION AND PLANNING 0 POO aPA 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, 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 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 PREV. FINAL 30. Drywall Nailing �\�5�(/t DV HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat I\ nn 6j I. j) hTh 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: HOLD FOR spry A 34. Final Heating & Air Conditioning L REMENT$ 35. Final Gas Pipe-Test �}//�� 36. Hood or Canopy ` I it at Le q--T/ `L 37. Final Factory Fireplace . 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final( -ry 41. Solar Domestic-Final 42. Backflow Preverter �- 43. Backflow Irrigaon 44. Landscape Irrigation System 45. Sound Attend on 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDSI!�NGG4t � f_3 7Z Cc. 48. F GSP&LW6Off79z'�`- 49. Electric Release to Edison / 50. Gas Release to Southern California Gas Co 51. CERTIFICATE;OF OCCUPANCY o.)No._ Date tESS: , 182• ALBERT PI. UNIT: D x CITY OF COSTA MESA - BUILDING PERMIT PERM NO: EMP 052426 AME: JIM YOUNG ESS: 31 ARGONAUT PERMIT NO: EMP 052426 PLAN CHECK NO: N GOVT: N SUPP: N ALISO VIEJO CA 92656 CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE MEC PLU PURPOSE: NEW 837-7008 ARCHfENGINEER: TAYLOR ARCHITECTS REG.NO.: C-014978 JOB DESCRIPTION NEW SFD ,RE: SB52422 SQ FT: ADDRESS: 1670 SANTA ANA UNIT: K CM CA 92626 CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 / PERMITTEE: YOUNG/RUSSELL DEV. INC. ( 714 ) 837-7008 ' ADDRESS: 31 ARGONAUT COMMENTS: NEW SFD 1 OF 5 W/ COMMON DRIVEWAY ALISO VIEJO CA 92656 >r#####N•*#±i *#k*##k##tc###-14#;E0##x####**########+•44*#)4444444###z447F 34###343.6#44######70!•###* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY UC.: STATE LIC.: CUSS: Date: signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 0,Lab.C). LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN POLICY NO.: EXP.DATE: MPANY: PARKING REQ: PROV: PARCEL: 42606416 ZNE: REF NO: J Certified copy is hereby famished. ❑ Certified copy Is filed with the city Building Division. PLANNING NOTES>> r ,. Date Applicant EKEMP11ON FROM WORKERS'COMPENSATION DECLARATION: (itis section need not be completed it the permit is for one hundred(5100)or less). •d D E V E L U :P M E N' T S 'E R. V I C E 'S��'• '•R" E Q U I R E M E N'•T 5 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 • '- 1 f - suojecttotheWorkeriCompensationLawsrofCalifomu. 'ZONING APPROVED BY;^ 1. _ = DATE: . Date: signature: • - BUILDING APPROVED BY, f3 ' -- NOTICE:If,after making this declaration;:you should become subject to the Workers'Compensatidh provisions of the Labor ' - �' •1 DATE: Code,you must lonhwith comply with Such provisions or this permit Shag be deemed revoked. 4 . - e:., N; CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the.perfornwnce of the work for .APPLICATION ISSUED BY • • . DATE; ( 6 which this permit is issued(Section 3097,Civ.C). i -• F 7.•****M**********r-**.#*X444.*3E*#********#Wr*3r*********kk***ic*•.*****1E**#*i4 iF ie LENDER: 4' ******************iFt***#*#**#*lC***'3E*******#*****3?X-4b******#*#*****a'*********#****# • ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL' SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,Improve,demolish,or PERMIT 43 00 69 34 51 ,00 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 25% t 0% 25% 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 e ($5 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by c- P any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 00). ISSUE FEE 3 . 00 15 . 00 15, 00 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID .:: DUE L-P structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS- > 163 . 34 33 . 00 0. 0 0 196. 34 196 . 34 �. 0 0 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. II,however the building or REVENUE DIVISION TOTALS--> COLLECTED • 196, 34 OVER/SHORT: . 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING,•PLAN-CHECK for the purpose of sale). 46 . 00 8 4 . 3 4 66 . 00 a I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: The Contractors'State License Law does not apply •an owner of property who builds or improves thereon ##**#***#**********,**#***#**#****46**********#(#*********4k***#********>*****#**** and who contracts for such projects t jth a contractor(s)license pursuan t to the Contractors'State License Law).I am aware that proof of their Worker's Compenstton insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt nder Sec ion: B.&P.C. • for this re Sec TYPE QTY DESCRIPTION UNIT COST NOTAL COST Date: ‘ 6/ (/Iowner; .f ' ELE 1981 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ_ FT . 03 69 . 34 I do hereby that) aware of and understand the requirements of•.fomia Health and Safety Code jns2 25533,and MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9 . 00 9 . 00 25534 and that I or any future building occupant wilMwill not(circle one) -• o comply with said state code • d the requirements for a MEC 1 INST/RELOC RECESSED WALL HEATER 9 . 00 w - 9 . 00 permit for construction or modification from the Air Quality Managemen D'.Irict.Residential construction applications are exempt from NEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 00 '• 9 . 00 mese provisions. MEC 2 FACTORY FIREPLACE 6. 50 . 13 . 00 Date: Applicant: NEC 1 INST HOOD W/DUCTS FED BY NEC EXHAUST 6 . 50 6 . 50 I hereby certify that I ve rea•this applicati and state that the... a information is correct,I agr to comply with all city and aunty MEC 1 VENTILATION FAN CONN TO SINGLE DUCT 4 . 50 4 . 50 ordinances and state re. •to building onstruUgn and hereb . Monza represen. •..of this o enter upon the above-men•ones PLU 2 BATHTUB 2 . 00 �0 0 property for inspec•in pu oses. PLU 1 DISHWASHER '7+ i 2.:'00.-E.:••.' -,ot 2 . 00 i / n PLU 1 LAUNDRY TUB OR WASHER • s3., 00 : - 2 . 00 Date: a Signature: !/a_ -- 4' PLU 2 SHOWER 2 . 00 4 . 00 Drivels License or Social Security 4: 1641-46 White-Building;Green-Code Enforcem:1;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor • 4 UCTION AND PLANNING • POOL SPA ROVALS 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 C-25-4 g Dk 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. / (� 57. APPROVAL TO COVER-GUNITE 7. Footings 7 1 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 r ( ( ( Pi 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 - ✓ .27-1( 6RE 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring ..--244( A,(tick 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 ,-2.`t'-a� &gE 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 04-qrt 6 - 76. Dry Standpipe 28. Lathing & Siding -g-R( ca-fl- 77. FIXED SYSTEM FINAL 29. Insulation , �9..9'( �cvyr 78. FIRE PREV. FINAL 30. Drywall Nailing =Q( of HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat (Z2-q( 079. FINAL INSPECTION 32. Electrical Power Meter-Final , 80. FOOD CERTIFICATE ISSUED ifce t. 33. Final Electric Notes: 34. Final Heating & Air Conditioning • 47,1- 35. Final Gas Pipe-Test tgp 36. Hood or Canopy 37. Final Factory Fireplace / ' - 1 50 38. Final Plumbing )-2 =92- LEO 39. Water Service-Final ! (,j_l,�y LC/f 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 . .�7 t2 `w4 ` S` ci eke paz_ - 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date J iiifADDRESS: ' UNIT: ER'S NAME: • ADDRESS: PERMIT NO: EMP 052426 PLAN CHECK NO; 02103-91 N PAGE; 2 ARCH/ENGINEER: REG.NO.: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST ADDRESS: UNIT: PLU 1 SINK, KITCHEN 2 .00 2 . 00 PERMITTEE: PLU 1 WASH BASIN 2 . 00 2 . 00 ADDRESS: PLU 2 WASH BASIN (SET) 2 . 00 4 . 00 PLU 3 WATER CLOSET (TOILET) 2 . 00 6 . 00 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section PLU 1 WATER HEATER AND/OR VENT 2 . 00 • 2 . 00 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. PLU 1 WATER SERVICE 2 . 00 2 . 00 CITYUC.: STATEUC.: CLASS: PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 . 00 2 . 00 Date: signature: PLU 4 GAS PIPING SYS 5t OUTL-PER OUTLET . 50 2 .00 WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' PLU 1 GAS SERVICE 2 . 00 2 , DD Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). PLU 1 BACKFLOW PREVENTER 2. 00 2 , 00 POLICY ND.: EXP.DATE: PLU 1 SEWER, CONNECTION TO• BUILDING EACH 5 . 00 5 . 00 firOMPANY: END OF FEES • Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). 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. .• Date: Signature: ' NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. I, CONSTRUCTION LENDING AGENCY: I 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). ' LENDER: ADDRESS: OWNER BUILDER OECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or repair 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 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 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($50). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the �❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law does not apply to an owner of a properlywho builds or improves thereon,and who does such work himself/herself or through his or her awn employees,provided that such improvements are not intended or offered for sale. If,however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). • I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. D I am exempt under Section: B.&P.C. -- for this reason: , Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25S13,and 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. -D Li r'r"_ ?'S�A�' IC :^i'LC.Z Date: Applicant: O, COO2cV0-CCCE 1391 71:;"" I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county D + ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned ATS C5/1 E• 9_ 17;-'5,-; ' - _ property for inspection purposes. Date: Signature: / Driver's License or Social Security M: ^I// 1641-46 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor r shk UCTION AND PLANNING • PONSPA PROVALS 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, ❑ 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 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 ❑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 �2�777,/`teete 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 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY . No. Date • • PROJECT n0DREas:• • 182 ALBERT PL UNIT: D CITY OF COSTA MESA — BUILDING PERMIT PERM NO; M 056591 OWNER'S NAME: JIM YOUNG ADDRESS: 31 ARGONAUT PERMIT NO: M 056591 PLAN CHECK NO: N GOVT: N SUPP: N ALISO VIEJO CA 92656 CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW 837-7008 ARCH/ENGINEER: TAYLOR ARCHITECTS "EB'N0'` C—Q 4978 JOB DESCRIPTION : INSTALL NEW FURNACE SQ FT: ADDRESS: 1670 SANTA ANA K CM CA 92626 CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 / PERMITTEE: SANTIAGO A/C INC. ( 714 ) 998-1600 ADDRESS: 231 W. BLUERIDGE AVE. COMMENTS- REF- B52422 ORANGE CA 92665 *+EEe*****#****4**Err***********************+E********+rx***************+ESE********** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and m license is in lull force and effect. SETBACKS CITY LIC.: 007985 STATE LIC.:269496 ss: C-20 Date: �—(tri—` 1 — Signature: MAIN BUILDING ACCESSORY BUILDING —WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate 01 consent to self-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN ----"—WORKERS' Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN k Nana: W-9732051 EXP.DATE: 07/01 /92 COMPANY: PAC STATES CAS PARKING REQ• PROV: PARCEL: 42606416 ZNE: REF NO: Certified copy is hereby furnished. IR Certified copy is filed with th city Building Division. PLANNING NOTES> 7— (6 - 9,— > Date: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This s tion need not be completed it the perm)is for one hundred MOO)or less). DEVELOPMENT SERVICES REQUIREMENTS 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 DATE: Date: Signature: • NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby allirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• DATE• 3--(6 _ which this permit is issued(Section 3097.Civ.Cl. *.********************it******** ** ****************************4*********N-*** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 9 00 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed Aly% SMI P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any ap scant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15. 00 LJ . as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 9 . 00 15.00 0. 00 24 . 00 24 . 00 . 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.If.however the building or improvement is sold within provided of completion,the owner will nave the burden of proving he/she did not build ar improve REVENUE DIVISION TOTALS——> COLLECTED: 24 . 00 OVER/SHORT: . 00 for the purpose of sale). BLDG 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 24 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *********,*****.*******.***,*******,****.**,***.**,****************,******,**,************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Dale: Owner: MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9.00 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 9 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions, Date: Applicant: I hereby certify that I have read this application and state that the absf information is correct.I agree to comply with all city and county ordinances and stale laws relating to building construction and hereby Orin representatives of this city to enter upon the above-mentioned _ _ _ 7 property for inspection purposes. r 1 •11': •f_ ..:ii j�. _ _y �(�J ','_ITE: r' .D. \Date: 3-L -Y l._. Signature: x ._ _ ... a Driver's License Of Social Security x:: 1641'46 White—Building:Green—Code Enforcement:Cenarv—AoolicanC Pink—Revenue:Goldenrod—Assnssnr • CONSTRUCTION AND PLANNING Pod'`& 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 t, �. ElectrjyaloCondgtt Uility-Undrgrnd`" 54. Forms j• :4•..-Eli.'ctrleeCWnderit-tTndrgrnd. 55. Electrical Bonding o .. t 5%igel RliQtorcerE[rt 56. Rough Plumbing& Pressure Test 6 l-ectricalUFERQrnd. `.• 57. APPROVAL TO COVER-GUNITE r _ r -' n. -7. Footings_ :- r el 58. Electrical Conduit-Undrgrnd. - • •-8. Foundatrort S t. L 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pike-Undr9Tnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. U 10. Structural Floor &%stem . 61. APPROVAL TO DECK 11. Property Sewer Linel& Koine Connection 62. Backwash & Receptor-Final -1, 12. Sewer Cap y ^ ,_ 63. Heater & Vent-Final 13. Roof Drainst .c 64. Plumbing System - Final 1- r 14. Rough Plumthng 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 Electricaj-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - L -+ E 20.'Rough Factory Fireplace r `c - 'v • TAPPROVA S. Permit # - - •" 21.1DuC, inStr 4-ctui4,, . . Y� S j . • :70. Underground.Hydro r .. . 1' _ 22. Duda, Ventilating • `• , - •t S "L, :P ,71. product' rpm 0-Gras D0i1 '" s 23.;Cias'PiperRough 8i Test r{• r r • , ' v '..72. Underground Flusti • . c - ? 24>Root Framing '*.T• •••• -. ,,:c ti ,a - '73.-nUndergrneeStorae•Tank OGas 0011 25. Roof Sh .thing f - . r - ., '. S74=Overhead Aydro--• , p 26. .T-Bar Ceiling (Structural) & Monocoat tr 75;-Dry Chemical _ - --.7 _ 27.'-Fraz�re and Flashing` it ' _ ' ' ` --s 1 `'' z t - 76. Dry S[antigiQe 78. • -Lathing.& Siding . t. .' . s •• - ••• . 77E FIXED SYSW TEM- NAL _ 29. Insulatiofi .. • y I ,. .y 78 FIRE PREY. FINAL x C i30. Drywall Nailing I .t 1. - HEALTH^DEPT: REQUIREMENT .31. Plaster Blown Coat; `, 1 1 b } ,,79. FINAL INSPECTION 1' .'32.-Electrical Power Mater•Final f ,80.rFOOD CERTIFICATE ISSUED •g 533.�'.Einaj El�ctric r ;t ' •' ' ., F, ' Notes: '� - ',n 34.,-Final He ting& Air Conditioning 1 t yarr n, Lei : , „ c ty:* s - 35:`Final Gas Pipe-Test; ,�n • 1 y 1 ` A r , • t 1 I. 6: Hood or Canopy . 1 - C t 4 �-- -_37 SFinal Factory Fireplace,_ • _ ; ` - 1 d • t. J.l. -AJ WIi :38. Final:Plumbing .. /3 1 _ y J. > ..39. Water Service-Final, -• - c -"hI ' '} , 5' r . . >. .a 1 r Gas Service-Final ; , t „ „ 1, -,-40. - y • >41. Solar Domestic-Final - •• t �` • - •,- .. - 0-3 42. Backflow Preventers r. - 43. Backflow Irrigation - .t r - S ;44. Landscape lrripation System- - r - _ - s i • - E 6 ' . - 545.'Sound Attenuation w -- t - • "` - r . • ,. :11 rri r . • '46.•Handicap Regulatiops • .. ` w -'c 47.FINAL STRWCTURE & BUILDING + - - . r _ I , ' 1.. . - 1 r. - ) 48.rFINALPLANNING I I:: .. • • -i c49'-Electric Release to Edison :. � • 1 - • . 50.-Gas Release to Southern California Gas Co i j :' ' 5 ' - . 251. CEPcTIFICATE OF.00CUPANCY - No. Date