HomeMy WebLinkAbout3124 TAFT WAY - Building Permits PROJECT ADDRESS: '3124'.TAFT WY UNIT: CITY OF COSTA MESA - BUILDING PERMIT FERN NO: b Ofbi24
OWNER'SNAME:KLEINER, ROLF E
ADDRESS:KLEINER ENID L PERMIT NO: B 060724 . PLAN CHECK NO: 04941-92 L GENT: N SUPP; N
3124 TAFT WAY
(� COSTA MESA CA 92626 CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ADD
(714 )662-2&i58
ARCN/ENDINEER:DEVELOPER 'S ENGINEERS REG.ND.:43431 JOB DESCRIPTION : ADD MASTER BED RM, BATH, CLOSET 6 DECK SQ FT: 452
ADDRESS: 1401 N. BATAVIA AVE UNIT: 104
ORANGE CA 92667 CLAIM VALUE: 45, 000 .00 CALC-VALUE: 31,080, 00 GROUP OCC: R-3 /M-1
PERMITTEE:BYWARD CONSTRUCTION (714 ) 961-1770
ADDRESS: 2473 SALEM PL COMMENTS: SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF THE UBC
FULLERTON CA 92635 **************************** ************+ESE*****************+E*ae***********x****
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 0l the Business and Professions Code.and my tic Ise is in lull force and effect. SETBACKS
CITY _L 5,79 STATE uc.404024 • cuss:B ' /3 ‘...----/
� /
!c/2 S *} 3 Signature: r� .—✓ MAIN BUILDING ACCESSORY BUILDING
Date'.— FRNT: 49 FT IN REAR: 32 FT IN FRNT: FT IN REAR: FT IN
WORKERS' DMPEN TION DECLARATION: I hereby af firm t at I have a certificate of consent tpefell-insure or a certificate of Workers' LEFT: 40 FT IN RGHT; 5 FT IN LEFT: FT IN RGHT: FT IN
Compeosatioriflriepyry4r64ertifrad2opy thereof(Section 3800, Lab1Cb/01/93
POLICY NO.:1 L R Y 7 L EXP.DATE:
STATE }}��, PARKING REQ• PROV; PARCEL; 14169319 ZNE; R1 REF NO:
COMPA❑ CediliedcopYishereoyfernished. L`J Cenigedcop ishledwnhmecnyBuildingDlvisiurt PLANNING NOTES> ADD 2ND FLR ABOVE EX GARAGE - FOR MASTER BDRM SUITE. 1 ' POP-
> OUT WINDOW-NOT AS FAR AS OK F/ EAVE. NEW BAY WINDOW IN ..LR.
Date:72- S/moi 3 Applicant' � —/ D E V E L O -P M .E''N.-T. S E R V I C E S R E Q U I R E M E 'N• T ,S
EXEM ION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed iI I permit is for one hundred(S100)or less). — - ..- ; -.
. / / p
I certify that in the performance of the work for which this permit is issuedI shall not employ any person in any manner so as to becomei W BIC-- DATE; 21. ( L 3
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY r:' -
Dale: Signature: BUILDING APPROVED BY : / '' r
/ .4. DATE: •
NOTICE:It,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor
Code.you must fodhwith comply with such provisions or this permit shall be deemed revoked. - -51/ /
CONSTRUCTION LENDING AGENCY: I.hereby affirm mat there is a construction lending agency for the performance of the work for APPLICATION ISSUED' BY: ':% • J L/� ( DATE: I I 24.-i ti
which this permit is issued(Section 3097.Civ.C). *****'*'**'*"lf****•**********'*****iF***********
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E S U M M A R YSTRUCTURAL,'- SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC' ' FIRE SMIP/RES GRADING
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason PERMIT 2 9 7, 50fit I
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or �' 3. 11
panyrequiresapplicantpermitsigned ' %'SMIP/NON-RES
repair structure.prior to its issuance,also the for such to file a 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 PLAN 193. 38 c �'
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 •
/ n l
/
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL' �? PAID DUE
I, as owner of the property or my employees with wages as their sole compensation, win do the work, and the TOTALS 300 . 61 0. 00 1,93 .'38 - 493. 991 "r.49.3 . 99 . 00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law j •
does not apply to an owner of a property who builds Cr improves thereon,and who does such work himself/herself or through /, • / J / 'r pr
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; y 300 . 61 ''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 SNIP/TOT GRADNG PLAN-CHECK
for the purpose of sale). 297. 50 'i'
/ 3,1`1, / ,
I.as owner of the property, Co exclusively contracting with licensed contractors to construct the project(Section 7044,Business „r
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon ,************,*,**,*************************** ***4*****iF*�Y[K****!f*******************
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware Aw I r
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E B R ;E-A..Kf D; ,O ?W N
❑ I am exempt under Section: B.&P.C. — /"+`.r
for this reason: TYPE QTY DESCRIPTION . UNIT COST TOTAL COST
', , /.
•
Date: Owner: SFR 412 DWE-TYPE V-WOOD FRAME '' -GOOD '• 74 . 00 30, 488 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 40 RES-BALCONY, EXTERIOR STAIRWAY ' 14 , 80 592 . 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a END OF FRES - r
permit for construction or modification from the Air Duality Management District-Residential construction applications are exempt from /.
these provisions. +•
L,.
Date: Applicant' A n
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 r /j•
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned / k'
property for inspection purposes. �J • / - /j
•Date: /72 .13-6/.9" 3 Signature. 7 7/ ' /-3? / r J
Driver's License Crdal Security 4: / /
164146 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor '
' CONSTRUCTION AND PLANNING POOL & SPA
Date Inspector Date Inspector
I Apf$OVALS Permit# APPROVALS Permit #
,
1. Temporary Electrical Sereice or Pole 52. Pool & Equipment Location
I 2. Soil Pipe-Undrgrnd. . . � 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
.4;Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcer erit ��SI OA? 56. Rough Plumbing & Pressure Test
6. Elecvical'UF[itQrnd. r/ 57. APPROVAL TO COVER-GUNITE
- 7. Footings .• e58. Electrical Conduit-Undrgrnd.
-'8. Found'ahon r ' /bilk cawe 59. Gas Pipe, 0 Undrgrnd., Test -
•
9. Water Pipe-Undrgrnd. i 160. 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 1
13. Roof Drains - - . ' 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough-Electrical-Conduit 66. Solar System-Final 1
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 x FIRE DEPT. REQUIREMENT
20. RdLgh Factory•Fireplace = • f.' -APPROVALS - - Permit# •
21. Ducts,+n Structure - - ' ' ' 70. Underground Hydro -
22.. Ducts,;Ventjlating r - 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test - - ' � • - 72. Underground Flush
24: Roof framing ' . 73, Undergrnd.Storage Tank ❑Gas ❑'Oil
25. Roof Sheathing- .r ' ' 2 . - •. 74-i 'Overhead Hydro - '
261 T•Bar Ceiling IStructurall & Monocoat` '' 1j 7S. Ory Chemical .
27. Frame a.rid Flashing c - j/#o/t2 -�� Tri 176. Dry Standpipe - _
• 28 Cathie; & Siding ` _- .t " ,ix.: , ' 0/ � ,77FIXED SYSTEM FINAL ,
29. Insulation t. '.gdy I r 78. FIRE PREV. FINAL -'
fil
30. Drywall Nailing j! • _ HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ..
�J�p / 79. FINAL INSPECTION •
32'. Electrical Powerrwlater-Final . r' _T L I%LI✓(j`"_ , " 8b`. FOOD CERTIFICATE ISSUfl
_ _ r
33. Final Electeic ,. I Notes: 1,A
b----1-
34. Filial Heating & Air Condition+rig _ I P
35. Final Gas Pipe-Tesi .,y- h - 4 .
36. Hood or Canopy - I . .37r.-
_
37. Final Factory Fireplace .- - • i .
38. Final Plumbing _ , j • .. ''�
39, Water Service-Final - I -i ^ eg= -`-� Si(4 1J
-,49,7",
40, Gas Service-Final- - • C reit-42c
- I
41. Solar Domestic-Final` i �' • d- ,o •e _- C. -�{t-/ 4. /�' n� '/
42. Backflow Preventer I I'-`she Dfc7 )ia..j/fr---'t. /C._ ` ate
43. Backflow Irrigation _ S CII
44. Landscape Irrigation System ; - - r l /�/7 J
45. Sound,Att>3huation - ,. - _ -/1
' 46. Handicap Regulations .
, I /
47. FINAL STRUCTURE & BUILDING I48. FINAL PLANNING •
49. Electric Release td Edison
50. Gas Release to Southern California Gas Co + I •
51. CERTIFICATE OF OCCUPANCY -
No. Date
City of Costa Mesa
California 92628-1200 P.O.Box 1200
Insulation Certificate
•
Permit Number 7-C%6 07 2-11
3, 2-41 Tarr 1,w, y Cosh mess
Number and Street City
•
•
County Subdivision Lot Number
Description of Installation • •
ROOF•
�+ > _ca
Material C- 0 in-yo Brand Name Ceio�X PreS�
Thickness (inches) 31/46 Thermal Resistance (R-Value)
EXTERIOR OR WALL / /d4' S Lj/r
Material � � �—�- v �r[ Brand Name 6111--� C � a !// `�
1/2
Thickness (inches) 3Thermal Resistance (R-Value) R- /3
CEILING
Batt or Blanket Type /JS- Brand Name _Q(.-H S t r r mss!
Thickness (inches) • 6 `� Thermal Resistance (R-Value) /9 U •
Loose Fill Type Brand Name
Contractor's minimum installed weight/ft2_ lb. Minimum thickness inches
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value)
RAISED FLOOR •
Material /J A-"tf Brand NameOt e (corgi r__^
Thickness (inches) 6 ". Thermal Resistance (R-Value)
SLAB FLOOR
Material Brand Name
Thickness (inches) Thermal Resistant (R-Value)
Width (inches) •
FOUNDATION WALL
Material Brand Name
Thickness (inches) / Thermal Resista e (R-Value)
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Adminstrative Code.
r L 4i1O do-n 5 f-2 -c—r."-, /j— I ) �/O2- 7"
General Contractor(Builder) Lice se Number
w
`�� .a ae 3,i �3
Signa(ure and Title Date
•
Sub-Contractor(Inst(anon Installer) License Number
•
Signature and Title Date
•
1907-46
PROJECT ADDRESS: 3124 TAFT WY UNIT: CITY OF COSTA MESA — BUILDING PERMIT VhiRM NO; P- Q6t726
OWNER'SNAME:KLEINE , ROLF E
AODRESSKLEINE ENID L PERMIT NO: P 060726 PLAN CHECK NO: N Uv1 : N SUrr; N
3124 TAF (..
T WAY
COSTA MESA CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: ADD
(714 ) 662—2t58
ARCN/ENGINEER:DEVELOPER' S ENGINEERS REG.No.:43431 JOB DESCRIPTION : ADD MASTER BED RM, BATH, CLOSET 6 DECK SQ FT:
ADDRESS: 1401 N. BATAVIA AVE UNIT: 104 7
ORANGE CA 92667 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1
PERMITTEE:BYWARD CONSTRUCTION ( 714 ) 961-1770 •••_—
ADDRESS: 2473 SALEM PL COMMENTS. SMOKE DETECTORS REQTt�t 1994/EDITION PER THE 1991/EDITION OF THE UBC #B60724
FULLERTON CA 92635 ********4*******************4***************** E4*********1L**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITYuc,0 793 S7ATELtr.:4O402� J_ cuss:B
Date: / -2- i1 13 Signature: �"� t- /7 / MAIN BUILDING ACCESSORY BUILDING
y �` FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
WORKS 'COMPENSATIONDECLARATION: Iherebyaffir thatIhaveacertificateofcons Itoself-insure or acerificateofWorkers' LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
Compensalionlnsyn4r4..erblied2opy thereof(Section 3800,Lab1C6/01/9 3
POLICY No.: 4. 49 y EXP.DATE: V
COMPANY:STATE }}�� PARKING REQ• PROV; PARCEL: 14169319 ZNE; REF NO:
❑ Certified copy is hereby furnished. :_•� Certified copy is tiled with the city Building Division. PLANNING NOtES>
>
i� r
Date: Z 5 S 3 Applicant � "�` D E V E L O P M E N T S E R V I C E 5��-' R E Q U I R E M E N T S
EXEMPTI N FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed I 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 ZONING APPROVED BY Y DATE;
subject to the Workers'Compensation Laws of California.
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. II APPLICATION ISSUED BY• Si DATE• l 'VC ci Z
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the'perlormance of the work for ****************************************** ********************** *********
which this permit is issued(Section 3097.Civ,C).
LENDER: ***************************************************************************if***
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'Slate License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/RES GRADING
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 28,00
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 251 SM I P/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section moo)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 ISSUE FEE 20 . 00
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500).
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the TOTALS----> 28 . 00 20. 00 0. 00 48 . 00 48 . 00 . 00
❑ structure is not intended or oftered for sale(Section 7044.Business and Professional Code: The Contractors'State 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 employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 48 . 00 OVER/SHORT• 0 0
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).
48 .00
I,as owner of the properly,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 properly who builds or improves thereon *,****,****,*,************************************,**********,N,*****,*,*********,IE**3F***
projects
and who contracts for such 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. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: PLU 1 SHOWER 7. 00 7.00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 2 WASH BASIN 7.00 14 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 PLU 1 WATER CLOSET (TOILET) 7.00 7. 00
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from END OF FEES
these provisions.
• Dale'. Applicant: _ /
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 - l Y/
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned I^" . - - . ,
property for i]]]]spection p rposes. r`�-
Date: / Z s�S 3 Signature: " ' /27 L---..--1.7
Drivers License or Social Security a: /
1641,46 White—Budding;Green—Cone Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit�#' Date Inspector
•
1. Temporary Electrical Service or Po4e 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
3. Eleetrieal Conduit Utility-Undrgrnd-. 54. Forms
- ,4, Electrical Conduit-Undrgrnd. ,: 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing& Pressure Test
:8. Electrical UFE4tGrnd. .- 57. APPROVAL TO COVER-GUNITE
T. Footings• • - 58. Electrical Conduit-Undrgrnd.
' 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
l
9. Water Pipe-Undrgrnd. I 60. Backwash Lines, P-Trap, 2 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
1. Property Sewer Lime& House connection 62. Backwash & Receptor-Final
12. Sewer Cap - W 63. Heater& Vent-Final
13. Roof Drains:, // 64. Plumbing System Final
14. Rough Plumbing deft$ Cor-4 65. Electrical-Final
15. Rough Electrical-Conduit ���I`III 66. Solar System-Final
16. Rough Electric Wiring • 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-I Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air ConditioningFIRE DEPT. REQUIREMENT
20.• Rough Fact¢ry L;.ii.ePlace : , a _ - - , APPR-OVAL'S Permit# . -
21. Ducts,in Struct5re ' • •• ' C ' - 70. Underground Hydro
22, Ducts, Ventilating' • = - 1 71. Product Piping ❑Gas 0 Oil
23. Gas Pipe-Rough &Testr - 72. Underground Flush ,
24. Roof Framing - „ .73. Undergrnd,Storage Tank.0 Gas 0 Oil
25. Roof Sheathing ' • ‘ - 74. Overhead Hydro
26.: T-Bar Ceiling ISyrdCturali &'Monocoat - ' 75. Dry Chemical
27: Frame and Flashing r'• 76. Dry Standpipe
-
28. Lathing& Siding " ' I 77. FIXED S$$TEM FINAL ,
29. Insulation 78,s•FIREPREV. FINAL
- 30. Drywall NailingI . HEALTH DEPT. REQUIREMENT
,` 31. Plaster Brown Coat I ( 79. FINAL INSPECTION `
- 32. Electrical Pdwer,Meter-Final • . I80.1 FOOD CERTIFICATE ISSUED
i .
33, Final Electric • Z :
I Notes: _ -
•.: 34: Final Heating & Air Conditioning -
35. Final Gas Pipe-Test ( - _ - .
r
36. Hood dr"- Canopy - -
i '
37: Final Factory Fireplace I I• . - r
, 38. Final Plumbing . - iiia --66(1 ? '
39. Water Service-Final.- ,- -i 7 `
40. Gas Service-Final • • I ( - -
41. Solar Domestic-Final - I , , - • -
42. Backflow Preventer I I N • L - -
43. Backflow Irrigation L
' 44. Landscape Irrigation Systerh ' - - _
45. Sound Attenuation l.-. - t
46.-Handicap Regulations '
I
47. FFNAL STRUCTURE & BUILDING •
48. FINAL PLANNING •- - _ - - '
49_Electric Release to Edison I i
50. Gas,Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY - -
No. Date
DREss: 3124 TAFT WY UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 060723
$NAME:KDEINER, ROLF E
ADOREss:KLEINER ENID L PERMIT NO: E 060725 PLAN CHECK NO: N GOVT: r) SUP-e: N
3124 TAFT WAY
COSTA MESA CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: ADD
(714 ) 662-2658
ARDH/ENGINEER:DEVELOPER' S ENGINEERS REG.ND.:43431 JOB DESCRIPTION : ADD MASTER BED RM, BATH, CLOSET & DECK SQ FT:
ADDRESS: 1401 N. BATAVIA AVE UNIT:104
ORANGE CA 92667 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1
PERMITTEE:BYWARD CONSTRUCTION (714 ) 961-1770
ADDREss: 2473 SALEM PL COMMENTS: SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF THE UBC #B60724
FULLERTON CA 92635 **************************** *************r;'P*AksE*****+F********X6+6+6**4*EF;IE+EAFTc******
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G REQUIREMENTS
7000)0l Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITY LIC.:°5 7 9 31 STATE LIC.4 0 4 0 2 CLASS:B
yam, �� 4-----1"/ MAIN BUILDING ACCESSORY BUILDING
Dale:—1 Z S `i 3 Signature:— FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
WORKER COMPENS ION DECLARATION: I hereby affirm that l have a certificate of consent Wised-insure or a certificate of Workers' LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensationn i7.4)r44eaff912opy thereat(Section 3800.Lab1C0/01/93
POLICY ND.: EXP.DATE:
COMPANY: PLANNING
PARKING REQ• PROV: PARCEL: 14169319 ZNE: REF NO:
y}C�.,, PLANNING NOTES>
❑ Certified
copy,is herebyhfurnished. IC Certified copy is tiled with the city Building Division. >
Dale: //27 �l j Applicant: X-`- 7`71 /1 r.---4.-4/K *******************************************************************************
DEVELOPMENT S E',R V I C E S REQUIREMENTS
EXEMPTI N FROM ORKERS'COMPENSATION DECLARATION: (This section need not be completed if Zpermit 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 ZONING APPROVED BY DATE:
subject to the Workers'Compensation Laws of California,
Date: Signature: BUILDING APPROVED BY : DATE:
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor II —-
Code.you must forthwithcomply with such provisions or this permit shall be deemed revoked.
APPLICATION ISSUED B Y• .- is DATE: k £tsl/13
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for *********************4********************** *********************t* ****7E****
which this permit is issued(Section 3097.Civ.C). *******************************************************************************
LADDRESS: 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 18 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 . 50% SMIP/NON—RES
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 ISSUE FEE 1500
,
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500).
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 18. 00 15.00 0 .00 33,00 33. 00 , 00
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'Stale 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 employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 33. 00 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 SMI P/TOT GRADING PLAN—CHECK
for the purpose of sale). 33 . 00
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: TheContractors'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 j N D I V I D U A L F E E BREAKDOWN
that proof of their Worker's Compensation
insurance should be provided to me.
❑ I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: ELE 8 FIXTURES LIGHTING 1 ST 20 EA. . 75 6 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and ELE 10 REC EPT/OUTLET 1 ST 20 EA, . 75 7, 50
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 ELE 6 RECEPT/SWITCH 1 ST 20 EA, . 75 4 , 50
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from END OF FEES
these provisions.
Date: Applicant:
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
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned V
property for inspection//pyyrposes. / /�
Date:1/Z S/tel 3 Signature: y'� r • 777 r--^•-11
Driver's License or Social Security rr: !7C--------
1641.46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING
G POOL & SPA -
PROVALS Permit-1,- Date Inspector APPROVALS Permit stk Date Inspector
1. Tempo:ary Electrical Service or Pole 52. Pool & Equipment Location
.2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
13. Electrical Conduit Utility•Undrgrnd. 54. Forms
4, Electrical Conduit-Undrgrnd. _ 55. Electrical Bonding
• -5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test
6: ElectricalUFER Grnd ` 57. APPROVAL TO COVER-GUNITE
7. Footings . 58. Electrical Conduit•Undrgrnd.
8.-Foundation , 59. Gas Pipe, 0 Undrgrnd., Test
9. Water PiptUndrgrnd, 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structuit Floor System 61. APPROVAL TO DECK
11. Prbperty Sey'er Line & House Connection 62. Backwash & Receptor Final
12. Sewer Cap . . 63. Heater & Vent-Final
13, Roof Drains,: . 64. Plumbing System - Final
I
14. Rough Plumbing 65. Electrical-Final i
;
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing &Access Approval -1
17. Rough Wiring$ign _ y 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 Fiireplace > .- - ' " ' APPIiOVALB''
to . Permit # :i 7
21. Ducts,in Structure - - - -• - 70. Under§round Hydro -
< Y
22. Dpcts,,t/entilatiag' ,= ^ = t , .f . ¢ 71. Product.Piping l7 Gas 0 Oil
23, Gas Pipe-Rough &--Test _ - . 72. Underground Flush ^
24. Robf Framing = - - i . . 73, Undergrnde<�
.Stove Tank O Gas O Oil
25. Roof Sheathing • V v _ :c - 74. Overhead Hydro
26, T-Bar Ceiling (Structural) &Monocoat . _ 76. Dry Chemical
27. Frame and Flashing A. �- i 76. Dry Stantpipe ' r 1
-
28. Lathing& Siding _ tS '} I" 77. FIXED.SYSTEM;FINA'L s. .
29. Insulation .- r78. FIRE PREV. FINAL ` -
Y
30. Drywall Nailing - % �; HEALTH DEPT. REQUIRE1 ENT
31. Plaster Brown C9et., i • 79. FINAL ItUSPECT*OV I
I' . .
32. Electrical Pc -meinal _ 80: FOOD CERTIFICA-E ISSUED
4.
33; Final Electric 1 -� - _
y � Notes:
34: Final Heating &'Air Conditlonirig II r rr- -- I •:
35. Final Gas Pipe-Test , I [ ' -� .-_
r
36. Hood or Canopy - - I •^• -
37. Final Factory Fireplace _ . i I. .. -,
38. Final Plumbing ' II.,, "
39. Water Service-Final _ ', ; • - . .
40. Gas Service-Final • t - r t I- Y - -
-41. Solar Domestic-�tnah •: 1
42. Backflow Preventer i I I. - -
43. Backf low letigatiop _ • - - - .
- 44. Landscape Irrigation Systeme - .a
r t .
45, Sound Attenuation r _ -
46. Handicap Regulations - 7�
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING r'
' 49. Electric Release to Edison I i I
50. Gas Release to Southern California Gas Co I I I • -
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: UNIT:
OWNER'S NAME: 1124 TAFT WY CITY OF COSTA MESA — BUILDING PERMIT PERM NO; S 061925
KLtINER, ROLF E
ADDREss:KLEINER ENID L PERMIT NO: E 061925 PLAN CHECK NO: N GOVT: N SUPP: Y
3124 TA 'T WAY
COSTA MESA CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: as PURPOSE: OTH
(714 ) 662-2658
ARCH/ENGINEER:
DEVELOPER 'S ENGINEERS REG.NO.:93471 JOB DESCRIPTION : ADD MASTER BED RM, BATH, CLOSET & DECK SQ FT;
ADDRESS: 1401 N. BATAVIA AVE 'NIP. 104
PERM__ ORANGE CA 92667 CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 /M-1
HYWARD CONSTRUCTION ( 714 ) 961-1770
ADDRESS: 2473 SALEM PL COMMENTS: RE- B60724 & E60725
FULLERTON CA 92635 ############4###########################it##r:################*##################
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect.
SETBACKS
CITY LIC.:C579,1 STATE LIC.:404024 cuss:H
.-- Dale:Y � �J 3 Signature: :CLASS:
le.---*--.--, , MAIN BUILDING ACCESSORY BUILDING
WORKER COM SATION DECLARATION: I hereby affir at I have a certificate of conself-insure or a certificate of Workers' FRNT : FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
Compens tion Insurance,or a certified copy thereof(Section 3800, Lab.C). LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
POLICY NO.:1 2 7 7 4 4 4-92 EXP.DATE: 1 0/0 1 /93
COMPANY:STATE PARKING REQ PROV; PARCEL: 14169319 ZNE; REF NO;
❑ Certified copy is reby furnished. 0 Certified co is •ed wi he city Building Division. PLANNING NOTES>
y����F �}j,, >
^� Date: L Z� 5 Applicant' � � #####1E##############3f#####r.#######'#########if###################################
EXEMP ON FRO WORKERS'COMPENSATION DECLARATION: (This section need not be completed if t permit is for one hu red(5100)or less). u i
DEVELOPMENT V E T O P M E N T S t R V I C E S REQUIREMENTS
I certify that in the performance of the work for which this permit is issued.I shall not employ an 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 ; i, DATE:
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• Zr
'p DATE• Y�'Sll Y
which this permit is issued(Section 3097,Civ.CI. BE#####################k##zvt ##1e..#i it irititit#-rtit#Y..•#***Bit*XE*#it###########.t x it ittf.: itr##
LENDER: ********************************************Y ##JE##############################
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL S£GN.ENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'Slate 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 25 , 25
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 5 0% SMIP/NON—RES
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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred ollars($500). ISSUE FEE 4 . 50
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—D 1V > 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————> 25. 25 4 . 50 0 . 00 29. 75 29 . 75 , 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 one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED• 29 , 75 OVER/SHORT' , 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIIIP/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 29 . 75
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly 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 #{(.#,lf#.#.####,###if#.#####3E###################################iE#########•############'.i
that proof of their Worker's Compensation insurance should he provided to me.
o I am exempt under Section: R.&P. C. INDIVIDUAL F E E BREAKDOWN
for this reason TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner:
I do herebycertifythat I am aware of and understand the requirements of California Health and SafetyCode Sections 25505,25533,and ELE 1 FIXTURES,C ' LIGHTING 1 S 1 2 0 EA, . 75 . 7 5
25534 andthatI r any future building occupant willwill not(circle one)need to comply with said stae codes and the requirements for a EL£ 6 REC EPT/OUTLET 1 ST 2 0 EA, . 75 4 , 50
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from ELE 2 RECEPT/SWITCH 1 ST 20 EA. , 75 1 , 50
these provisions. ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 18 . 50 18 . 50
END OF FEES
Date: Applicant:
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
ordinances and state laws relating to building construction an? '6'
by authorize representatives of this city to enter upon the above-mentioned
properly for in peciion p poses
__ Date: 3 Signature: L-/ Di 00138117-00138117 TOT 29.75
1 odver's License social Security DATE: 04/28/93 TIME: 13:11
IG4146 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor Al
•
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit s9 Date Inspector APPROVALS Permit; Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location -
2. Sod Pipe-Undrgrnd. " 53. Steel Reinforcement 1 .
- i
!3. Electrical Conduit Utility-Urdsgrnd. 54. Forms '
;4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
{
6. E'rctr.ca! UFER Grnd 57. APPROVAL TO COMER-GUNITE
-t
7. Footings 58. Electrical Conduit-Undigind.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe.Undrgrnd. i 60. Backwash Lines, P-Trap, t-1 Undrgrnd
10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & Houca Connection 62. Backsvash & Receytcr Fina'
12. Server Cap 63. Heater & Vent-Fine-
J - 1
13. Roof Drains i - 64. Plumbing System - Fir-nal
14. Rough Plumbing - 65, Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Fina! ~
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
I
18. Rough Electrical-T Bar Ce:; ng 69. POOL./SPA SYSTEMS FINAL '
-1 -_
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ••
20. Rough Factory Fireplace APPROVALS Permit i:-
21. Ducts, in Structure 70. Underground Hydro
22. Ducts. Ventilating 71. Product P.ning Gas -2Oil
23. Gas Pipe-Rough & Test 72. Undergro..ne F.us' f --- -
24 Roof Framing 73. Undergrnd.Sioragr T..c!c O Gu:
25. Roof Sheathing 74. Overhead Hydro
26. .1.-Bar Ceiling (Structural' 1', Ro'ocoat 75. Dry Chemical
27. Frene and Flashi-'g 76. Dry Stand P.pr- i 1
28 Lat:ing & S.d ng 77. FIXED SYETE't FiNAL I _.
29. insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
--- ^
--
31 Plaster Brown Coat 79, FINAL INSPECTiON - --- - --- --- -
32. Electrical Power MvMete• ir , 30. FOOD CERT'F!CATE ISSUED
--- _ _ --
33. Final E'er-trm[ kie Notes;
34. Feral Heating & A-i Cu- .: ,-o^ . g
35. Final Cies Pipe-Test - - -- --- ---- - - -- - - ----- - - - -
----- - ----- ----
36. Hood or Canopy -^ --- - ----- ---
37. Frim Factory Fireplace
38. Fine; Plumbing -------- -- -
39. Water Service-Final- -- - y-- --! ----
40. Gas Service.Final
41. Solar Domestic-Final
--� 1
<2. Gactcilow Prevenier • - -� -
43. Backflow Irrigation
44. Landscape Irrigation Syst_nr,
45, Sound Attenuation -.
46. Handicap Regulations !
-- -- - --.
47. FINAL STRUCTURE & BUILDING ---, 1
48. FINAL PLANNING
49. Electric Release to Edison j
50. Gas Release to Southern California Gas Co ! •
51, CERTIFICATE OF OCCUPANCY
No. Date
111111111r-
- -..1111111111
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • 7957 10/22/67
CITY OF COSTA MESA CONSTRUCTION PERMITJPERMIT NO. Q TRACT NO. LOT.,O. UNIT NO. J G 3608\•
Project Address 312t/ TAE &4 8 ✓v `� ll SOBS-}
Applicant's Mailing Address (p0c1 , OI'e.h2 e�tJ'7E TYPE OF CONSTRUCTION LI NEW LJ ADD U ALTERATION LI REPAIR
k LEDER �Z•2659 ❑ CONVERSION ❑ DEMOLISH El OTHER A.P.# f4 / — loQ> •••, r' - . . _ Zone ie,
Owner's Name �'� Ttr WPhone DESCRIPTION OF WORK/USE OF BLDG. —1 7
Address 3f ,- Ay y •S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT ill GRADING I. FOUNDATION STRUCTURAL T Front Q L' ked o
Address . ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear 2,,..3 / N
Contractor's Namerj ZNLfla'ID Ca.a5:12u:Rnf Phone 63tt'332 ❑ OTHER - Ar0� C Right 3� v fi/^ N
bora n! D 92Ld65 PROJECLDESCRIPTION SQ. FT OCCUPANCY %� K N
Address(mailing/ 1 PC✓KC OeI}r'•Sa'
g CONSTRUCTION TYPE VALUATION$ 1240 s Left 14 i '
City License No. w �-C- Z s+07 ZONE GRADING CU.YDS. ACRES--_ R
LICENSED CONTRACTOR DECLARATION p Ping. Ref.# Parking' Req./Provided E
I hereby affirm that I am licensed un• • ovisions of Charter 9 (commencing Remarks: . I,t../1 J coif /6_0 3 Planning Notes: ,�yse yy 0
with section 700 of Division 3 o the ousiness and Professions Code, and z"I I ` r f WCCa /-`^-s• o r te'
my license is in f lgrce and effect ' !'. 51 (y r) g S
T
•
, Lice a Cl. 11 Li -nse No.Y� T
Date 0- or - Signature White 4' . .. PLUMBING FEES '
WORKERS'COMPENSATION DECLARATION Bar Sink ShOW¢rsELECTRICAL FEES
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 (Section Backflow Preventer • Service Sink
3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW
Policy No. Company - Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW
-
8 Certified copy is hereby furnished.
Certified copy is filed with the city Bull. ng Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date Applicant a
EXEMPTION FROM WORKERS'COM' -ATI•N DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps '
(This section need not be completed if trmit s for on• hundred ($100)or '
Dishwasher
less). Solar Piping s Dryers ❑Gas DElectric Sub Panel
I certify that in-the performance of th •rk f• which is permit Is issued, .
shall not employ y rs n in any .•ner 5,a to •ecome subject to the Drinking Fountains Solar Tank �_ Fan ' Motors 00.1 HP ❑1'/.-8
Workers./ mp€d sa iol✓L sof Calif' • a - _
Date C V� C. O ignature _iaae A Floor Drains Swimming Pool w/Spa F.A.U. Inc Solar ❑9.15 HP ❑16.15+
NOTICE:If,after making this declaration,you should become subject to the - - - - -
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light
I hereby affirm that there Is a construction lending agency for the performance 9
of the work for which this permit is issued (Section 3097 Civ. C.) interce tors Water Heater .
Lender's Name p Outlets Range
Lender's Address Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or - 9 W Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW❑5-15 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 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 ($500).
I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee "I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES '
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: �A,
employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0 hC_✓�.� [t� ��e/•,
sale. If, however,the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By " /V7L Date !/ V
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By ! Date
rove for the purpose of sale). F.4 •Y 1-45/
1,as owner'of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or Improves thereon,and who contracts for such projects with a con- a.,,
tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ 1z•� J SMIP $ •
proof of their Worker's Compensation insurance should be provided to me. Exhaust System 0 Multiple❑ System Repair/Alteration
0 I am exempt under ti in B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers - PLAN CHECK $ I I"•3 b PERMITPLUMBING $ - ISSUANCE $
I` Date - owner Heating System 81 Ducting Registers ENERGY P.C. $
PLAN CHECK 25% $
I hereby certify th. I h ye r d this ap lication and state that the above ❑0-100,000 BTU 0100,000BT ELECTRICAL $ GRADING $
information is cora t. I •ree ftom y ith all city and county ordinances
and state laws rela ing t. buil ng co st ctlon,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of-this city • r n the above-mentioneq pro erty or Q / p
inspection purpose . ' r /t //'... �7_ MECHANICAL $ TOTAL FEE .$ !l0 • o a
Signature / Oat --
Drivers' License or - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
`MF 0865.46,rev.10/84 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
4' -.
CONSTRUCTION AND,PLANNING POOL &SPA
APPROVALS Permit# Date InspectorDatePermit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Locatiori ,
2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement ,
3. Electrical Conduit Utility-Undrgrnd. 4 54. Forms
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 • 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 I 63. Heater & Vent-Final '
13. Roof Drains 64. Plumbing System - Final -
14. Rough Plumbing 65. Electrical-Final I ,
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 1
24. Roof Framing' •
73. Undergrnd.Storage Tank O Gas 0 Oil
25. Roof Sheathing ' 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical i • 4 '
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: No A ' • '
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 '
A2. Backf low Preventer - • - C •-
.
•
43. Backflow Irrigation - -
. 44. Landscape Irrigation System - •
-
45:Sound Attenuation -
•
46. Handicap Regulations - • _ - - - _
•
47. FINAL STRUCTURE & BUILDING ilI511/4/ (ifN _ - • • ;
48. Special Requirements Completed • - . - - -
49. Electric Release to Edison .
50. Gas Release to Southern California Gas Co -
1.
-
51.- CERTIFICATE OF OCCUPANCY - • - ; .,
No. Date •
L/ •
.. I ... . ` I
PITT, .
APPROVED
z mac —
r.
e
' BY PC DATE IO/VL191__L
THESE PLANS MUST BE ON JOB AT ALL TIMES MAKE _
NO CHANGES v..ITHOUT PR'OR APPROVAL or DE?/.
Ht 4. tater t\ L e ri.►e2I S 3 aY/7
7-I LTA INT
Cr G%F1' . :G ,Cy, ,• PSPlMIT OP AP%ROVAL OF
l` .r•er t/J et‘11
PIANS AND SPPC'c-C 4T1C',... SHALL.NO'._!CG+S*RUED TO BEC)
A
3 2 L F a PERMIT FOR, OF : ? - > p.n ;UN OF ANY OF
THE PROVISION C of - :?P 4JMING TO GIVE
cos'-A Key R AUTHORITY TO Via...::::. _ 'A ' ,TAS OF TMS
�j
CODE SHALL BE`.'.I:, CFCEPT IN C`''.". . ti-T, WORK OR USE
'err . 6GZ•�„ 2y 61 e • WHICH IT ALIT I-IORIZES FU
IS LAWFUL.
G A
2Z `. THE ISSUANCE ONA PER,AII EASED U?CN PLANS AND
SPECIFICATIOr1S SHALL NOT PREVENT THE BUILDING OFFICIAL
- FROM THEREAILTER REQUIRIFJG THE CORRECTION OF ERRORS IN n
�M ,\ SAID'PLANS AVD SPECIFIZie IONS OR FROM PREVENTING
\l BUILDING OPERA ONS BEING _IONS
ON THEREUNDER WHEN $
, ity, IN VIOLATION OF TYIS CODE 0.OF ANY OTHER ORDINANCE OF
N_ A 'THE CITY.\ \ IP
N'-
Z
•
/O
a •r: Q D
t N 6": ( .
4 to 7 / I .
r--
}PedoPos€ 4-1002 � rt6 tEflSER
4Y. 8 rIERDelt
Milo Caves 21 ROaPfeil; a' cea R
Z-TF Z L.Fyn-)t L
A P. n /4I-6qS -i9 ( O rC ' (�
1 APPROVED 4 xq PacTL
{ lac b,0 as -eh JR' P0c7 mcAto c.
MESA
1PLANNING DEPT.
SUBJECT TO BLDG. DEPT. REO.
-
e3
BY OL.&RG--DAT O'Z -02
1DIRECTOR OF MANNINO
I
4 I
�.�. _�. oK 4vi ec2 Mc.
IZOKC
1
..' •• 20" ROOF CONNECTION DEVELOPnrrl PATIO COVER
SERV
.. DETAILS ICES DEPARTMENT
CONT. • BUILDING SAFETY DIVISION TYP. PLANS
SOLID BLOCK
LEDGER ,
4 rOtirise
OWNER: de IN ER, DATE : Lc -22 .87
ADDRESS: 31z& —rtt r ("MI PHONE: 66z - 26SC? ,
I/z" DIA. x 5" LAG SCR. CONTRACTOR: Niet41AWt Coe4eretuepors LIC. NO. SFS `t7e
AT sz" O.C. ADDRESS: &O t rJ POPt,Ftft oe.NnA EG3�'312 3
PHONE:
DETAIL I RAFTERS RAFTERS APPROVED FOR
CARPORT, PORCH OR PATIO LIGHT WEIGHT ROOF COVER OF BUILDING PERMIT
NOT SUPPORTING CEILING LATH, FIBERGLASS, ALUM.
By Date
SIZE. SPACING SPAN SIZE SPACING SPAN
CR a CL "TECO"
2"x4" 12"O.C. 9'-6" • 2"x4" 16"O.C. 9'-6"GRIPS OR JOIST 16" 8' -0" 24" 8'-0" GENERAL NOTES:
HANGER 24" 6'-6" 32" 6'-6" 1. These plans must be
CONT. kepton the .job at
LEDGER ,� "
i•,� 12, 61-0"" „ „ 4 ,, .dome 51-6,1
- " all time during
48 5 0 2"x6" 16 £• ,���s 6 6
2"x6" 12" 16'-6" 24''{'r�0-:4\a °r-,‘Al '-6" construction.
ll
All
ing to
X16" 12' -0' .,..3°°�`\�48".^i.""!\�\'"•\. IQ' O" 2. DouglasmFir #2e
T�� DIA. . 5" LAG SCR. ( `;/ O " "� " d'- ,, " grade minimum.
AT 16 " O.C. �'1" • -6" �,.; ',.2 x8 24 ��;� ,�.�9;,d•
48" ' 0" ;c,} .: ��^ c ' 32" . • 15"-6': 3.. Rafters may not
DETAIL 2 2"x8" 24„ 5' -b', ::
' 48" 13",-6'-'S, attach to facia ex-
32" L,t'=6" = y t• ' i cept for 10U roofs
: •
48" • ''=6" - 'CS'
t S ' as shown on details;
leOR . LIGHT WEIGHT ROOFS 4"x6" 24" 1:7:'_=0^ ��, HEADERS ''' + 20# roofs must use
32" 15''-0" ' a continuous ledger
ONLY CONNECTION DETAILS ';IIGNT WEIGHT ROOF ONLY'
36" =0" - ' to attached as shown
�2" X FACIA-MIN. REO. 4"x8" 24" 2 ' -OIs!..; . ; §IZE POST_SPACING ^ details #1 .
^,, , ?' 4z4 6 0 ,� 4. LAght weight roofs
32' 19 0 i a.
��) '' 36" 18' "- 3'-- 4z6 9' `> may. attach to facia
►.i 48" 16' 0 ' ' 'v 2' .__e' for„14' span max. ,
►�� „ 32” ,_ p xlO4 'r �" spans over 14' must
��f 4' x10 22 0 �, a� r.,, , ,.,
,- z,. r,�' / use a continuous
36" 21 0 1 a CARPORT;; PORCH;.ORaPATIO ledger as shown in
441,0
APPROVED METAL 48" 20'-0" ESIZE ro " P.OST.'SP'A}CING'
/ details #3
HANGER 72" 17'-0" 4yx411� .t ;•51'-0u,✓
c
4x6 1,, B.'=0"
DETAIL 3 4x4x80 x'12' -6"
y,.
4.-v-
4
NOTE: SHOW AND DIMENSION PROPOSED
PATIO COVER AND YARD AREAS
FE
/ SEE DETAILS ON REVERSE SIDE
Wili . ROOF SHEATHING
',,,,,•,, OVERHANG
I _ I \
I I \ _X__RAFTERS „ ,,",,..........�.. .. __
\ AT_O.C. ..
rThc\
\ ,__J L y
o
X_ BEAM
\ T-STRAP EA. saw
CO \ Foa Pcsr-BeAir
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a \ COAJ,veo r,c,v. 0 Ci
a \ a W
ail
I f I m \ co
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I I F: \ _ N 0 2 - l7
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x 2 c7 O I '�
S W V\ W V N 0 O (
- V D.QoP R4770 v Il Z X _1 2
O
Ftrw.e 2” .p CO : 0 a
I I SLOPES TDRAINAOOVESLAB4 .— 1
I I '. '.
. . . I.. . . � .. . 'f 1".0
lly
6 6.4.6.1. fl.ASMINIC N1 1 1
@.A/000 rtooti° Sa_l_ 'J
GoNUN
Sretrcr, PIERS 1eS0. W
0
Q
z
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LL
STREET SIDE ELEVATION
i
PLOT PLAN CONSTRUCTION DETAILS
PROJECT ADDRESS:Jr 3124 TAFT WY UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 060956
OWNER'S NAME:KLEINER, ROLF E
ir
AODREss:KLEINER ENID L PERMIT NO: B 060956 PLAN CHECK NO: N GOVT; N SUPP: N
3124 TAFT WAY
COSTA MESA CA 92626 CONSTRUCTION TYPE; 5 N PERMIT TYPE: STR PURPOSE: ALT
( 714 ) 662-2158
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O SHAKES,RESHEATH 1 /2"CDX,APPLY COMPO SQ FT: 4 , 410
ADDRESS: UNIT:
CLAIM VALUE: 4, 410 . 00 CALC—VALUE: 4, 410. 00 GROUP OCC ; R-3 /M-1
PERMITTEEGREATER PACIFIC ROOFING ( 714 ) 836-1966
ADDRESS: 1016 E. FIRST ST COMMENTS• SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF THE UBC
SANTA ANA CA 92701 ********4****+r***** ********iF**+t*****+E+E**********FE***x****** *********** ******
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
CITYLIc.:056858 STATELIC.521368 CLASS: _ •
•--- Date: 7 '9 -93 Signature' A /.e"f iar'mui--a%—t MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that l 1•a certificate of consent to 'If-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 380/Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICYND.:285-93UNIT00186 EXP. i'TE: 01/01 /94
COMPANY:STATE FUND4� PARKING REp• PROV: PARCEL: 14169319 ZNE; REF NO:
L1Jk�
Certified copy is hereby furnished. Certified copy is filed with the city Buildin. Division. PLANNING NOTES>
,_—L_ Date: 2 3Applicant: I NTr 1 ********************************************************************.***********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This sec,d need not be completed if the r•mit is for one hundred WOO)or less). D E V E 'T. O P M E N T SERVICES R E Q U I R E M E N ;T S
I certify that in the performance of the work for which this permit is is•iT•d.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: d'.•.4
Date: Signature: n . 1
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. ;f.!
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: ', - DATE; OZ.-(�// 9
which this permit o issued(Section 3097.Civ.C). ***************BP*IE***!E*** *** ' * • se* * • ..•.* - **** ***.*..x,*.*,.x.*.K,.K.*.*.*.*..1h*****rrr*r*,+E*,.M,
LENDER: ******************************************** ' ********************************
ADDRESS: LEGALIZATION:N F E E S U M M • R Y STRUCTURAL SEGMENT:Y
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 72 . 00 50
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 SMIP/NON—RES
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 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—D IV—> 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----> 72 . 50 0 . 00 0 , 00 72. 50 72 , 50 . 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 one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 72, 50 OVER/SHORT; . 00
torthepurposeofsate). 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 72 . 00 . 50
❑ 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.
❑ I am exempt under Section: B.a P.C. INDIVIDUAL F E E BREAKDOWN
for this reason, TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date' Owner:
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 4410 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4 , 410 , 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 END OF FEES
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 above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representati es of this ay to enter upon the above-mentioned
property for inspection purposes.
7_.r
II---- Date:Date:"7 — 1 '4:::1
A 3 l Signature: ,i f Y {tY rig-;i:—ilisia---- V \\. . . _ . . _
Driver's Mame or Social Security et: I r -
1641-46 White—Building,Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
lllik r
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole. 52.-Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53, Steel Reinforcement
3. Electrical Conduit Uttlrty•Undjgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing& Pressure Test
6. Electrical UF Eft Grnd. • 57. APPROVAL TO COVER-GUNITE
7. Footings 58, Electrical Conduit-Undrgrnd. I{
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. • - - 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System "',
61. APPROVAL TO DECK
11. Property Sewer Line.& House:Connection 62. Backwash & Receptor-Final
j1
12. Sewer Cap • I, •
63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System- Final
i
14. Rough Plumbing65. 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 ❑Gas O Oil
23. Gas Pipe-Rough & Test i L • • . 72. Underground Flush
24. Roof Framing // 73. Undergrnd.Storage Tank 0 Gas ❑Oil
25. Roof Sheathing 2/l��!3 74. Overhead Hydro
26. 7-Bar Ceiling (Structural) & Monocoat _r( - 75. Dry Chemical
27: Frame and Flashing _ - 76. Dry Standpipe -
28. Lathing& SidingI 77. FIXED SYSTEM FINAL
• 29. Insulation - 78, FIRE PREV. FINAL
30. Drywall Nailing - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coil - i i - I . .79. FINAL INSPECTION
32. Electrical Power Meter-Final ' ' '80. FOOD CERTIFICATE ISSUED
33. Final Electric f i • Notes:
34. Final•Heating & Air Conditioning i •
35. Final Gas Pipe-Test • . •
36. Hood or Canopy ' .. {'
. .. J
37. Final Factory Fireplace I I - I
38. Final Plumbing . ' .I
39. Water Service:Final -_
40. Gas Service-Final -
41. Solar Domestic-Final • j
42. Backflow Preventer t
--1
43. Backflow Irrigation 1
44. Landscape Irrigation System j
45. Sound Attenuation J
46. Handicap Regulations , • -4
47. FINAL STRUCTURE & BUILDING zlez
/
. 48: FINAL PLANNING 1-.4
49. Electric Release to Edison j I
50. Gas Release to Southern California Gas Co i .
51. CERTIFICATE OF OCCUPANCY •
No. Date
/ r-S-29aS
OS ANGELES.CALIFORNIA PORTER. O'BRIEN & ARMSTRONG
AMCL PORTER
K
O. J. PORTER & COMPANY K HH O LF _
NEWARK •NEW JERSEY
CONSULTING ENGINEERS ELL'. ` ARM"Ron'
• JAW:. R PORTER
SACRAMENTO • CALIFORNIA
AsTCIA=ER
510.31s1 STREET
JAKE
C YOUNG
WASHINGTON • D.C. NEWPORT BEACH, CALIFORNIA c F ORIGG
673.0845 C H DARBT
RENO • NEVADA OTTO M V'RRr
J F WHITE A I A
W WAUNLP
OPOTT6 ,A LA •
February 20, 1964
LEONARD E pRDUNAFT
f 1549.1560
Department of Building & Safety
City of Costa Mesa
695 West 19th Street
Costa Mesa, California
Attention: Mr. F. M. Bingham
Gentlemen:
SUBJECT: Report at Completion - Timber Truss Inspections
Kim-Truss Co. , Tract No. 5005 & 4502, Fairview
near Baker, Costa Mesa, California
We have finished inspecting the fabrication of timber roof trusses for
the residential units under construction at the subject site. A total
of 2,909 trusses were assembled at the job site using pre-cut stress-graded
lumber. Construction plans bearing the stamp of a Registered Civil
Engineer were furnished by Trussponents, Inc. in Anaheim. Connections
were made with 20 ga. galvanized steel "Trussplates" and 1-1/2" fillet
head T-Nails. Workmanship during fabrication appeared good.
Eighteen trusses were rejected as not according to plans due to faulty
materials or wrong plate size. These trusses were dismantled and rebuilt
using the disassembled materials, if suitable. The 2,909 total trusses
are identified by Trussponents, Inc. drawing numbers as:
1,238 W-40-35 27' - 0" Span
r7 876 G-40-21 20' - 0" Span
431 W-40-35 20' - 8" Span
:// ��� (wedge)
�/ 876 G-40-21 20' - 0" Span
r ////� 21 40-2027 20' - 0" Span
18 W-40-35 20' - 8'I Span
ACI 11 t/
•
A RPOSr . HIshe/Ayr . STRUCTURES UT'LITIES . DAMS . REPORTS . SURVET•v • 01. ANO CEO OG CA. •.0 T AT'O'.0 .O.•.. 1! ^
Department of Building & Safety
Costa Mesa, California
Attention: Mr. F. M. Bingham
Page Two
February 20, 1964
We certify that the 2,909 trusses approved and marked with our stamp
were assembled according to the plans using lumber with a stress grade
equal to or greater than that specified. Joints were generally tight,
and the trusses in good condition when loaded on the transporting trailer
at the assembly area.
Respectfully submitted,
PORTER, O'BRIEN & ARMSTRONG
IL.i Ur
Herbert J. Dix
CE No. 13,635
f
•
HJD/bep
cc: Kim-Truss, Inc.
PORTER. O'BRIEN & ARMSTRONG
'-, a/ �___ soon \ 1
,
LOS ANGELES • CALIFORNIA PORTER, O'BRIEN & ARMSTRONG PARTNERS •
O. J. PORTER & COMPANY 0. JAMES PORTER
K. H. O'BRIEN
NEWARK • NEW JERSEY CONSULTING ENGINEERS ELLIS L. ARMSTRONG
JAMES R. PORTER
510-31sT STREET ASSOCIATES
SACRAMENTO • CALIFORNIA JAKE C. YOUNG
NEWPORT BEACH.CALIFORNIA
C. F. GRIGG
673-085 C. H. DARBY
WASHINGTON • D.C. OTTO M. V KRE
J. F. WHITE (A.I.A.1
October 5, 1963 W. J. WAGNER
V. J. SPOTTS (A.I.A.)
RENO • NEVADA
LEONARD C. UROUHART
1949-1960
Department of Building & Safety
' City of Costa Mesa
695 West 19th Street
Costa Mese, California
Attention; Mr. F. M. Bingham
Subject: Report at Completion - Timber Truss Inspection .
Kim-Truss Co. - Tract 5005, Costa Mesa, California
Gentlemen;
Our personnel have finished inspecting 169 timber trusses constructed by
Kim-Truss Co. to be used in residential units at 119k, 1195, 1198, 1199
Boise Way in Costa Mesa. These trusses were assembled in Fountain Valley
during the preceding two weeks. Certified assembly plans were furnished by
Trussponents, Inc., in Anaheim. Connections were made with 20 ga. galvanized
steel "Trussplates" and 1-1/2" fillet head T-Nails. Workmanship during fabri-
cation appeared good. Faulty materials and improperly nailed joints were
rejected and immediately corrected.
The 169 trusses are identified by Trussponents, Inc. drawing numbers e
listed as follows: g 10 n/�
26 units, W-40-35, 26' span I\ RE Ea mid
58 unite, w-40-35, 27' span
. 41 units, G-40-21, 20' span (c)14(131)::11:11);1117:
CT '7 1S . -
42 units, G-40-21, 20'-8" span GI Y of Costa Mesa `
• 1 unit, Gir 40-20/27, 20'-8" span S Bding DepL
1 unit, Gir 40-20/27, 20' span
v ..
We certify that the 169 trusses approved and marked with our stamp S I `
assembled according to plans furnished to us using lumber with a stress grade
equal to or greater than that specified. Joints were generally tight, and
the trusses were in good condition when completed and stacked at the assembly
area. i�
•_ ..9.� � . / �� Respectfully submitted, 63
eC l.(1 1 �" c -- �'Lwoo,� ° PORTER, O'BRRMSTRONG A I (-1
6
F SDP
RCE No. 13,635
__/:;4?..ti . diee24-
RJD/ad cc: Kim-Truss, Inc.
AIRPORTS . HIGHWAYS - STRUCTURES • UTILITIES • DAMS - REPORTS • SURVEYS . SOIL AND GEOLOGICAL INVESTIGATIONS - FOUNDATIONS AND STABILIZATION
pp-/
. . 2137 ! FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT JAN 1 7 1964
P.O.BOX 317 COSTA MESA,CALIFORNIA ������FINANCE ow MESA ovi)
For Applicant to Fill In Completely APPL'ICATf�NCFORAPERMIAT
TYPE OR-PRINT BUILDING
For Office Use Only
BUILDING
ADDRESS 3124 Taft Way
RECEIPT NO. 2131 31
COSTA MESA, CALIFORNIA L/ I l<J !/•/O/,
- RECEIV�DBY D,yTER¢C$IVHU, DJATE
OWNER Northgate Homes �`� / �Y 61/Y/
MAIL 15939 Las Flores BUILDING
ADDREb9
ADDRESS � (//�7��
TEL. 2 GROUP[,jCt/
c,,, Fountain Valley ND. 5316792 ZONE TYPE
ARCHITECT C. Hiller T J E APPROVED
OR ENGINEER NO!w520O7 DY DATE
ZONING
ADDRESS Anaheim „
.."
oN / I PuO.nOaP I UILO ,IL � 36CONTRACTOR Bonser Const, Inc.
I5005LEGAL
ADDRESS 15939 Las Flores DESCRIPTION • •/ a i
Founiffin Valley A.P.NO.
CITY
rT
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL.
LIC.NO. 215049 NO. 531-6792 90'TO SIDE 0 REAR P.L.
EAVES
SIZE
101.e65 C I NO.OF BLOTS ALLOWED (U.B.C.REQUIREMENT)
OF 0
NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF 00 MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/LSTREETI
SETBACK LINE FROM 50, REAR YARD 1 I FRONT CO FT. FT.
CENTER OF STREET 3f
• SIDE YARD) LEFT 11 ' I RIGHT r R.SIDE 5 FT. FT.
DESCRIPTION OF WORK L.SIDE)', .L)FT. Fr.
1
NEW X ALTERATION _ ADDITION REAR }J .33 FT.
DISTANCE BET. BET'.MAIN&
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.SLOGS.
BUILDING 1881 NO.OF 7 VAR.# DATE
SIZE ROOMS STORIES 2 G.U.P.#'''''' ))) APPROVED
EXTERIOR W0 ROOP APPROVEDy/c A DATE /l,) G -
COVERING a Is LAI.:“..“..) COVERING shingle BY 1111 /
USE OF BUILDING AND WORK TO BE PERFORMED ' ',A,
single Tam. res. w/att. gar.
/9,3z SC.FT. f1�✓/ IJ / N
QJ 0
•011J
I HEREBY ACKNOW -•OT. f NAVE R O THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION TS FOR THE F
AND STATE T THE A: CORRECT ND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH CITY OR AND STAT LAWS REGULATING
BUILDING ••NSTRUCTI I VALUATION �� �#- E
SIGNATU-EO.- / �J PERMIT FEE $ Ad m
PERMITTE' 1/ .( (J() ,7q
$aU V D!� — LA `-� U /
AUTHORIZED AGENT J E /,
TOTAL FEE $ (\//