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151 TERRAZA CT - Building Permits
, y I 041-MW CITY OF COSTA MESA 4 9 . C e4 CALIFORNIA 92628-1200 P.O. BOX 1200 .. O,' DEVELOPMENT SERVICES DEPARTMENT �RPORRiE°..' (// 1:1155 ;52' January 24, 1991 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 Egualizlhtion Engineering Division (2) Street Division Fire Administration U.S. Post Office. - AIS Fire Prevention U.S. Post Office, Adams Avenue Manager, MIS File (2) Mesa Consolidated Water Dist. ' I 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. 2464 Elden Avenue A - 151 Terraza Court 439-291-07 2464 Elden Avenue B - 155 Terraza Court 439-291-08 , 2464 Elden Avenue C - 159 Terraza Court Lots Combined 2464 Elden Avenue D - 163 Terraza Court 2464 Elden Avenue E - 167 Terraza Court 2464 Elden Avenue F - 171 Terraza Court 2464 Elden Avenue G - 172 Terraza Court 2464 Elden Avenue H - 168 Terraza Court 2464 Elden Avenue I - 164 Terraza Court 2464 Elden Avenue K - 160 Terraza Court 2464 Elden Avenue L - 156 Terraza Court 2464 Elden Avenue M - 152 Terraza Court • 77 FAIR DRIVE • -i `- "MFs9 CITY OF COSTA MESA . CALIFORNIA 92628-1200 P.O. BOX 1200 e J•.. /O DEVELOPMENT SERVICES DEPARTMENT �� • N `..ORPORR1E019 January 24, 1391 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 Equalizbtion Engineering Division (2) Street Division Fire Administration U.S. Post Office - AIS Fire Prevention U.S. Post Office, Adams Avenue Manager, MIS 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. 2464 Elden Avenue A - 151 Terraza Court 439-291-07 2464 Elden Avenue B - 155 Terraza Court 439-291-08 2464 Elden Avenue C - 159 Terraza Court Lots Combined 2464 Elden Avenue D - 163 Terraza Court 2464 Elden Avenue E - 167 Terraza Court 2464 Elden Avenue F - 171 Terraza Court 2464 Elden Avenue G - 172 Terraza Court 2464 Elden Avenue H - 168 Terraza Court 2464 Elden Avenue I - 164 Terraza Court 2464 Elden Avenue K - 160 Terraza Court 2464 Elden Avenue L - 156 Terraza Court 2464 Elden Avenue M - 152 Terraza Court 77 FAIR DRIVE Building Division(714)754-5626 • Code Enforcement/Business License(714)754-5234 • Planning Division(714)754-5245 For your convenience we are listing the agencies above that we have notified of the change. In addition to those listed, you are advised to notify your correspondents of the change in order to avoid any possible interruption of mail service. Your cooperation in this matter is appreciated. Sincerely, Richard Welmers Planning Intern :mm (2464ELDEN.RW)C9 • cc: Bob Hughes 361 Newport Glen Court Newport Beach, CA 92660 Briggs Development 23046 Carlotta Avenue Suite 315 Laguna Hills, CA 92653 9 /5`/ //7a /7.z fl-:etv,4 2.4 PROJECT ADDRESS: UNIT: / OWNER'S NAME: Y LLLG AV CITY OF COSTA MESA — BUILDING PERMIT PERM NO: GRA 049568 ADDRESS: BRIGGS DEVELOPMENT 23046 CARLOTTA AV4315 PERMIT NO: GRA 049568 PLAN CHECK NO: 06338-90 S GOVT: N SUPP : N LACUNA HILLS CA 92653 CONSTRUCTION TYPE: 5—N PERMIT TYPE: GRA PURPOSE: NEW ARCH/ENGINEER: (714 ) 380-0686 REG.NO.: JOB DESCRIPTION : NEW 12 UNIT SINGLE FAMILY RESIDENCES SQ FT: ADDRESS: UNIT: PERMITTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 • ADDRESS: BRIGGS DEVELOPMENT ( 714 ) 380-0686 23046 CARLOTTA AV 315 COMMENTS : X LAGUNA HILLS CA 92653 ************************34343+*9Q43E*333E***x43 ****x4****3E***344E344*X**x.*****X-*x****34****74 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. S E TB ACK S CITY LIC.: STATE LIC.: CLASS: N/i Date: Signature: 1 MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a cenificate of consent to sell-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 thereat(Section 3800.Lab.CI. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN 'OLICY NO.: EXP.DATE: - ' ID Ce4coPArtified copy is hereby furnished. ❑ Certified copy is filetl with the city Building Division. PARKING REQ• PROV: PARCEL: 43929107 Z NE: REF NO: PLANNING NOTES> > • Date: Applicant: **34*****************************************************)E********************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVEL OPMENT SERVICES REQUIREMENT 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 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 ton hwilh 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 BY: DATE- 6-2 -C' which this permit is issued(Section 3097.Civ.C). *****,*****,********,***************,*,******3,*,***(E ** *,****,***,***,***,*** *>E** )F** ** LENDER: ******************************************************************************* 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: Any city of county which requires a permit to construct,alter,improve,demolish,or pERM I T 0 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 6 4 5 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 22 . 50 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3 . 00 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 structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 64 . 50 3 . 00 22 . 50 90 . 00 90 . 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 4 his or her own employees.provided that such improvements are not intended or offered for sate.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 : 90 . 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 eyelasive)y contracting with licensed contractors to construct the project(Section 7044,Business 67 . 50 22 . 50 iii 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 .*.***.***.*.*.*.*. .**.**,*.•**.*.**.**,***.***.***.**..**.*.*.*****.*****.*.*********,*********,***,***3*3** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E B R E A K DOWN ❑ I am exempt under Section: B.8 P for this reason: Date: I DIZ TYPE QTY DESCR IP T ION UNIT COST TOTAL COST Z. Owner: FEES WERE SELECTED FOR THIS PERMIT I do hereby certify that I am aware of and understand the requirements of California Health and a Code Sections 243.an(25534 and that I or any future building occupant will/will not(circle one)need to comply with'said s a e codes and the s for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. , Date: Applicant: fr 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 slate laws relating to building construction and hereby authgyFivs representatives of this city to enter upon the above'mentioned \ property for inspection purposes /T / __g! 11 �/- 01 0007256E-00072569 Ti.:a'�,' q9u.,06nate: 1 _ L IZ..ii pSignature: '� DATE: 10/12/40 TINE: 14:46 Orivef s License or Social Security 1641.46 White—Building:Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor • •, if Il CONSTRUCTION AND PLANNING ' & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service 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 • 1:1 . 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 1 6.,Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE _ 1 '.7. Footings 58. Electrical Conduit-Undrgrnd. ' r 8. Foundation 59. Gas Pipe, O Undrgrnd., Test '.; 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. I'• • 10. Structural Floor System 61. APPROVAL TO DECK , f 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final . i. 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 I FIRE DEPT. REQUIREMENT 20. Rough Factoiy Fireplace • :• ' a, ' ' 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.StorageTank 0 Gas 0 Oil 25. Roof Sheathing _ 74• . Overhead Hydro ' 26. T-Bar Ceiling (Structural) & Monocoat ' ' r . 75. Dry Chemical 27. Frame and Flashing- ' : ,r ,,;+ , 76.`Dry Standpipe - 6 r 28. Lathing& Siding ', a •' r 1 77. FIXED SYSTEM:FINAL • , 29. Insulation , ' ti 6 78.: FIRE PREY. FINAL 30. Drywall Nailing ! ' i HEALTH'DEPT..'REQUIREMENT 31. Plaster Brown Coat . •• 1 x;79. FINAL INSPECTION r 32. Electrical Power Meter-Final • "80. FOOD CERTIFICATE ISSUED ' 33. Final Electric .i • 6 ' Notes: 34. Final-Heating. & Air Conditioning i. 35. Final Gas Pipe:Test ' , 36. Hood.or Canopy r '$ -I . t I 37. Final Factory Fireplace . i �: ' - 38. Final:Plumbing I . ' 39. Water Service-Final ; - ! ' 40. Gas Service-Final { • 'r - A ' 41. Solar Domestic-Final - - 42. Backflow Preventer 43. Backflow Irrigation ' ' , , ,44. Landscape Irrigation System . - r ', 45. Sound Attenuation, • 46. Handicap Regulations . 47. FINAL STRUCTURE & BUILDING 6713'9/ 6Gu4 48. FINAL PLANNING . • 49. Electric Release to Edison .1 ' ' 50. Gas Release to Southern California Gas Co . .; - - 51. CERTIFICATE OF OCCUPANCY I . - . No. Date 1/1 al t -4t—ai_�C/ PROJECT ADDRESS: -•- a �" UN/T: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: BE 05229C OWNER'S NAME: WARD, CAREY D T ADDRESS: HUGHES, ROBERT PERMIT NO: BE 052290 PLAN CHECK NO: N GOVT: N SUPP: N 361 NEWPORT GLEN CT NEWPORT BEACH,CA 92660 CONSTRUCTION TYPE: PERMIT TYPE: ELF STR PURPOSE: OTH ARCM/ENGINEER: 380-0686 REG.NO.: r- JOB DESCRIPTION : 6-SFT HIGH PLE LIGHTS, 19 LANDSCAPE LIGH SQFT: 1 , 500 ADDRESS: UNIT: PERMITTEE: CLAIM VALUE: 1 , 500 . 00 CALC-VALUE: 1, 500 . 00 GROUP OCC: R-3 / ADDRESS: BRIGGS DEVELOPMENT ( 7.14 ) 380-0686 23046 CARLOTTA AV 315 COMMENTS: REFER TO PC 4395— 4406-90L FOR PLANS LAGUNA HILLS CA 92653 *************±6******4***ys****************** ****** *FES****irk+6*******x.***xr**FE* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING R EQU IR EMENTS 7000)of Division 3 of the and Professions Code,and my license is in full force and effect. SETBACK S CITY LIC.:�o 96 7f STATE LIC.: CLASS: Date: [l ( Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that l 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 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL : 43929107 ZNE: R2 REF NO: ❑ Cendied copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> FOR LANDSCAPE AND PARKING LIGHTING ONLY. LIGHTS SHALL r > BE ORIENTED AWAY FROM ADJACENT RESIDENTIAL USES. Date: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(VW)or less). DEVEL OPMENT 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 /' r /' Dale: Signature: ` D- t- DATE: .tt cl cl \ NOTICE:Il.atter 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 affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE: c ei which this permit is issued(Section 3097.Civ.C). **********************************,********, *****************.*.*.****** * ?AA*** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y 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: Any city of county which requires a permit to construct,alter,improve.demolish.or PERMIT 35 . 00 1 8 . 7 5 . 50 repair any structure.prior to its issuance.also requires the applicant for such permit to life a signed statement that he/she is licensed pursuant to the provisions of the Contractors'Stale 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 dollars($503). ISSUE FEE 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 W structure is not intended or offered for safe(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 54 . 25 15 . 00 0. 00 69 . 25 69 . 25 . 00 does not apply to an owner of a properly who bmlds 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 safe.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: 69. 25 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 p . ct(Sec.1 "044,Business 35. 00 33 . 75 . 50 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of prope o bui• • improves thereon and who contracts for such projects with acontractor(s)licensepu ant to the Contractor .te • " e Law).l am aware y..y.,.***.**..**.**.*�,***.*.***.*.*****.**-*.*.*.*.****.*.*.****.*.***.*.**.**,*.**.***.**..*.*.*.**,****.***.*,**.*,**** That proof of their Worker's Compensation insurance should be vided to 1"/J INDIVIDUAL F E E BREAKDOWN ❑ f am exempt under Section: B.8 P.C. k for this reason: �/ //J/ pKt ,. / TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: 6'7 Owner: ((ji �,IC/7/,_-(/� �/v� I do hereby certify that l am aware of and understand the requirements of x.bfornia ealth a .Safety Code SectiodGL5�0S,25533,and SFR 1500 STRUCTURAL BY VALUE PER $1 00 1 . 00 1 , 500 , 00 25534 and that I or any future building occupant wig/win not(circle one)need to co ply ' said state codes and the requirements for a ELE 19 FIXTURES LIGHTING 1 ST 20 EA. . 75 14 . 25 permit for construction or modification from the Air Duality Management District.Re rential construction applications are exempt from ELE 6 POLE/PLATFORM MOUNT LIGHT FI X T. EA. . 75 4 . 50 these provisions. _��--� / END OF FEES Dale'. —C.,--9/ Ap0licanl: " � � j"Y `�� " 1 hereby certify Ilial I have read this application a•r state that the above inform.': oris[► :. : r c�a.. ith all city and county ordinances and state laws relating to building co. (ruction and hereby author's, •resentatN�:r71� • 1 .,on the above-rntioned properly for inspection purposes. p �/' 2'. u7�I_C •• Ot i9`, _ _ Date: — Signature: ���� 1.1 4..E: Lir 5r ':'1 T1 : _ 1 Driver's License or Social Security t:Pink-Revenue:Goldenrod-Assessor r V 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 Utility-Undrgrnd. 54. Forms • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ,b' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test T (6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 17. 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 O 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 I 77. FIXED SYSTEM FINAL '29. Insulation 78. FIRE PREV. FINAL - 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat I I 79. FINAL INSPECTION • 32. Electrical Power Meter-Final . 6...\\_011 80. FOOD CERTIFICATE ISSUED 33. Final Electric \` A�l1 k Notes: 34. Final Heating & Air Conditioning lC 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 (p-f}-v &✓e 48. FINAL PLANNING. 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co I 51. CERTIFICATE OF OCCUPANCY No. Date VI 15! PROJECT AODREdS: UNIT: / \ OWNER'S NAME: 21GS ELDEN AV "' CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 049374 REBS: BRIGGS DEVELOPEMENT CO. x •23046 CARLOTTA AV #315 PERMIT NO: G 049374 PLAN CHECK NO: 04395-90 L GOVT: N SUPP: N - LAGUNA HILLS CA CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE MEC PLU STR PURPOSE: NEW ARCH/ENGINEER: 380-0685 REG.NO.: -t ADDRESS: UNIT: JOB DESCRIPTION : NEW APARTMENT 1 OF 12UNITS SQ FT: '2, 073 PERMITTEE: CLAIM VALUE: �C CALL VALUE: 122, 357 . 00 GROUP OCC: R / M1 --$ ADDRESS: BRIGGS DEVELOPMENT ( 714 ) 380-0686 23046 CARLOTTA AV 315 COMMENTS: APARTMENT 1 OF 12 UNITS UCENSEDCONTRACTt (djflIjl: Mir1bt5mthatlamhcensedundC v'¢I91.5 p3er9(commendngwith Section ***BEiI-it3Ejf-iEitif-****Bl-'N-if-lf**'k'N'7Eal7tjM1i4'7tieit'iFil-M'N'3l* Fie'kit'ilk'ki('i(1Pie'7E'!f9( Ni4iF')Fi4**'1PIE'N'N'je'ItieiFif'ie'k'k'kil'iEk1f'#'lt** 7000)of Division 3 of the Business and Professions Code.and my license is in full force and a ect. ZONING REQUIREMENT' S - • CITY UC-: STATE IJC.: CLASS: SETBACKS Date: Signature: MAIN BUILDING ACCESSORY BUILDING WO HERS'COMPENSATION DECLAMTcopy I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' pensation Insurance,or a certified copy thereof(Section 3800.Lab.C). FRNT: 16 FT IN REAR: 12 FT IN FRNT: FT IN REAR% FT'_ IN CT NO.: EXP.DATE: LEFT: 25 FT IN RGHT: 8 FT IN LEFT: FT IN RGHT: FT ' IN MPANY: ❑ certified copy is hereby furnished. ❑ Certified copy's filed with Bre city Building Division. PARKING REQ: 24 PROV: 24 PARCEL• 43929107 Z N E: R2 REF NO; DR 9 015 -: PLANNING NOTES> ONE, 2-STORY DETACHED APT. UNIT; (ONE OF A 12-UNIT PROJECT) Dale: Apploanc • ********************************************'�k**,***iF**************************** EYEMPTION FROM WORKERS'COMPENSATION DECWLITION: (ills section.I s not be completed if the permit is la one hundred MOO)or less). I certify that in the perfornance of the work for which this permit a+ssued.I shag not employ any person m any manner so as to become DEVELOPMENT S E R V I- C E -S R',E Q U I R E M E N 'T S. subject to the Workers'Compensation Laws of Ca!lopdaq,. 4.,m_ 0. _ • Date: Signature: • ' ZONING APPROVED BY DATE: i0-<R-'(0 NOTICE:If.atter making this dectaralion;youshoub,become subjen to the Workers'Compensation provisions of the Labor - ' - !! Code.you must forthwith empty w+th such provisions or this permit shalt be deemed revoked. BUILDING APPROVED BY : ,. i- • DATE; f CONSTRUCTION LENDING AGENCY: I hereby affirm that Mere is a construction lending agency for the performance of the work for . - •`, 'esti which this permit isissug!(Section 3O97.5iv.gi ; APPLICATION ISSUED BY: '/ ' 9A DATE:�'0---10-a71 T LENDER: ********************** ***************,*WR-**** ADDRESS: v ***********************************iF******************************************* LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for t fonowing reason • (Section 7031.5 Business and Professional Code: Any city of countywhch requires a permit to construct,alter,i rove,demolish,or BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING repair any structure,prior to Its issuance,also requires the appricant for such permit to file a signed statement t 1 he/she is licensed PERMIT 720 . 00 27 , 00 58 56 c 15 . 50 8 , 56 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of DI sign 3 of the Business and Professions Code)or that he/she Ls exempt therefrom and the basis for the alleged exemption.Any violation el Section 7031.5 by 25% 5 0% 252 SMIP/NON-RES any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). P LAN 468 . 00 4 • I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the ISSUE FEE 3 . 00 15 . 00 ," 15 . 00 structure s Wn7O44Hnot Intended or offered for sale TO L PAID DUE does not apply to an owner o1 a property who builds or improves thereon.and win does such work himsellmerself or through TOTALS----> 829 . 62 3 3 , 0 0 468 . 00 1330 . 2 1330 . 62 . 00 ' his or her own employees,provided Nat such improvements are not intended or offered for sale.If,however the building or improvement isowner sold within one year of completion,the wig have the burden of proving he/she did not build or improve for urepurpose ofsale). REVENUE DIVISION TOTALS--> COLrlECTED : 862 , 62 OVER/SHORT: 00 as owner ohne vocerry,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI ./TOT GRADING PLAN-CHECK ❑ and Professions Code: The Contraclas'State License Law does not appy to an owner of prepe caro builds a improves thereon 720 . 00 30 . 00 73 . 56 (4:• 30 . 50 8 . 56 X and who contracts ler such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware x" that proof of their Worker's Compensation insurance should be provided to me. **********************************•sF******************************************** ❑ I am exempt under Section: B.a P.C. IND IV I D U A .I; F E E BR EAKDOWN for this reason: / 1' Date: /€2S0 owner: .gid/d///_ -."` TYPE QTY D E S C R I P T I .O; N UNIT COST TOTAL COST I do hereby certify that I am aware of and understand the requirements of Califo"'Health a d Safety c ons 25505,25533.and SFR 1673 OWE-TYPE V-WOOD FRAME -GOOD 69 , 00 115, 437 . 00 25534 and that I or any future building occupant wilUwill not(circle one)need •comply with said state c•.es and the requirements for a SFR 400 RES-GARAGES TYPE V. I 17 , 30 6, 920 . 00 permit for construction m '' anion from the Air Duality Managemen r'- a.Residential constructio. ... ..lions an exempt from ELE 1673 NEW RES BLDG FOR 1 OR 2 'UNITS/ SQ FT . 03 58 . 56 these provisions. MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9 .00 9 . 00 Date: m ApApplicantAI�/i/-/ ` MEC 1FACTORY FIREPLACE 6 , 50 6 . 50 I hereby certi that have read this application and state that the above infor, . :, is correct.I..ee to c.r.. with all city and county PLU 1 BATHTUB 2 , 00 2 . 00 ordinances and stalelawsrear g tobutldury construction and hereby. 4.4 representatives of this.. . thea.' mentioned PLU 1 DISHWASHER 2 .00 2 , 00 properly for lnspecti pis PLU 1 GAS SERVICE 2 . 00 2 . 00 / PLU 1 SINK, KITCHEN 2 00, _ 2 . 00 ,\ Date: d9 9° Signature: .411114: i „-, •'� PLU 1 SEWER CONNECTION TO BUILDING EACH OI ��5' 00 x'''17 2 L 5 . 00'"- Driver's License or spial Saudry A: Applicant;Pink-Revenue;Goldenrod-Assessor r doL & SPA .111111111111111CONSTRUCTION AND PLANNI APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location / 2. Soil Pipe_-Undrgrnd. q,4 p//, 53. Steel Reinforcement ., ! "! S 3. Electrical Conduit Utility-UUndrgrnd. 54. Forms ' 4:Electrical.Conduit:Undrgrnd. 55. Electrical Bonding • r 5:-Steel Reinforcement. 1(}11-* 60,0 56. Rough Plumbing & Pressure Test 6:'Electrical UFER:Grnd. /0-./4_•0 (,(v ,. 57. APPROVAL TO COVER-GUNITE 7. Footings "• 10-il„e� i'(µii 58. Electrical Conduit-Undrgrnd. 8. Foundation 5�ti w 0-2f--,, Gail 59. Gas Pipe, ❑ Undrgrnd., Test 9: Water Pipe-Undrgrrid. („Q "r 7 i 60. Backwash Lines, P-Trap, O Undrgrnd. ., 7 ' 10. Structural Floor System 61. APPROVAL TO DECK .j 11. Property Sewer Line & House Connection 62. Backwash & Receptor•Final . ,. 12. Sewer Cap 63. Heater & Vent-Final , ' - - 13. Roof Drains - - 64. Plumbing System - Final 2 r 14. Rough Plumbing 65. Electrical-Final - �' ' 15. Rough Electrical-Conduit 66. Solar System-Final ,7 \,c Rough Electric Wiring 67. Fencing & Access Approval , - ' Rough Wiring Sign: 68. APPROVED FOR PLASTERING 18. ough Electrical:T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. ugh Heating & Air Conditioning_ „t FI REDEP,T. REQUIREMENT 20. Rough=Factory Fireplace - - .APPROVALS'-: •P.ermit# - 21. Ducts,•in Structure - '• •• F - - . 70. Underground,Hydro 22. Ducts,'.Ventilating ; 0 ,•:: - 7,1. Product Piping 0 Gas-: 0 Oil 23. Gas Pipe-Rough Test & • c 't, 7,r' 7.2. Underground Flush' u`' , 24. Roof Framing •- - 4 73. Undergrnd.Storage Tank D Gas 0 Oil 25. Roof Sheathing .7 :- :' '''':' ' 74. Overhead Hydro . , ; 26. 1:Bar Ceiling (Structural) & Monocoat --, * •- - 1. 75. Dry,Chemical.: r - .'t ' .•'-. 27. Frame and.Flashing - - - 76. Dry Standpipe; "" ' 28. Lathing & Siding - •• . . - ^,' 77, FIXED SYSTEM FINAL • , . :i 29. Insulatio -• 78. TIRE PREV. FINAL] : " n ' -;_ 30. Drywall Nailing _ r HEALTH DEPT. REQUIREMENT : 31. Plaster Brown Coat ' • - ,4/79. FINAL INSPECTION:_• ' , _ _ ' _, 32. Electrical Power Meter-Final • `- Lj ' : _Art. FOOD CERTIFICATE ISSUED .. - 33. Final.Electric •: , :• -1�/ I 0 Notes: '^t �t -11•_.. Y. REQ I. Nui y,l'+ : ' 34. Eipal;Heating &.Air Conditioning• -- / 3.717 r bf J �lC L / ' l / 35. Final Gas Pipe-Test ''..--131/41 C.l£D 1`.7 / "' :e.. - :It- (P C 36. Hood or Canopy ` _; -: - - 37. Final Factory Fireplace : ..- 'al/R! LAP ; c r 38. Final`Plumbing . - c--,' el 41 -• - _ - 39. Water Service-Final ' . 403/y -- - Y - - 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 4--/..).-q 6.44,4 $9�i. 070z5), c=- ' 49. Electric Release to Edison - - . 50. Gas Release to Southern California Gas Co • • 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: UNIT: ' OWNER'S NAME: ADDRESS: • PERMIT NO: G 049374 PLAN CHECK NO: 04395-90 L PAGE: 2 A TYPE QTY • DESCRIPTION . - UNIT COST TOTAL COST ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: PLU 3 WATER CLOSET (TOILET) 2 .00 6 . 00 PLU 1 LAUNDRY TUB OR WASHER 2 . 00 • 2 . 00 PERMITTEE: PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 . 00 ADDRESS: PLU 1 WATER SERVICE 2 . 00 2 . 00 • END OF FEES UCENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Processions Code,and my license Is in lull force and effect. . • CITY LIC.: STATE LIC.: CUSS: Date: Signature: KERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' fpensation Insurance,or a certified copy thereof(Section 3800,Lab.C). IfO ICY NO.: EXP.DATE: MPANY: 0 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. 1 CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for r which this permit is issued(Section 3097,Civ.C). • LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm!Nat 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(S500). 1, as owner of the property or my employees with wapes as their sole compensation, will do the work, and the •I 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 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 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){th 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. ❑ I am exempt under Section: B.8 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 25505,25533,and 25534 and that 1 or any future building occupant wilt/will not(circle one)need to comply with said state codes and the requirements for a • permit tor 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 representatives of this city to enter upon the above-mentioned 3E DY1 F'L I C:c4'j' property for inspection purposes. �`TEtO7141�-00071517, Tr'"q�Y% t Y r F f 6i Date: Signature: 1Q/Oa./9Q TIflE 10:2 �.\,.,\ C,---_, Driver's License or Social Security ft: \ IlsoL46 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNI. & SPA 1 APPROVALS � Permit Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 5y 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. I�,/� 7yj/f 53. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd. Y 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, 0 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 Y?t' 65. Electrical-Final 15. Rough Electrical-Conduit [J �d 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 /1/4 t/ FIRE DEPT. REQUIREMENT 20- Rough.Facto1y-Fjjeplace 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 261 TBar Ceiling(Strtiuctural) & Monocoat 75. Dry Chemical 27: Fra meand'FI951tfig 76. Dry Standpipe 28. Lathing & Siding-, 77. FIXED SYSTEM FINAL 29. InsulifionCI'4'." 78. FIRE PREY. FINAL .y- 30. Drywall Nailing;,„-� HEALTH DEPT. REQUIREMENT 31. Plaster Brown:Coat 79. FINAL INSPECTION 32.. Electrical PovVer:Meter-Final 80. FOOD CERTIFICATE ISSUED 33r, Final'Electrlc7r4 Notes: 34. FinalHeating-&,AirConditioning 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 Irrigat-ion 44. Landscape-1 riiation 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 th 51. CERTIFICATE OF OCCUPANCY No. Date , FINAL GRAQING CERTIFICATION Project Address: /s/ Terraza Court Lot Number: • Permit Number: By Civil Engineer: I certify to the satisfactory completion of grading in accordance with the approved plans, specifications, local and state codes. All drainage devices required by the grading permit, grading plan and grading ordinance have been installed. Adequate provisions have been made fordrainage of surface water from each building site. The minimums are: 2% Fall from structures within 5 feet from exterior walls. 1% Fall for asphalt surfaces and landscaped areas. 0.5% Fall for concrete surfaces to approved disposal areas. The final monuments as shown on the recorded tract map were set. All final grading eleva- tions are within + 1/10 of the desi140 ed elevations. Supervising Civil Engineer Reg. No. RCE 31790 (Signature) 6/11/91 Date 7- Q�OF'ESSIpy • q ese 8. Hq��N�yc0. n I m m 1/92 70 *lirCMS- ��Q . CIO" STRIP and SI(T] 1E9;-g CITY 017 COSTA MESA • --P CALI r 0 BNI A 0262B•1200 P. O.BOX 1200 Ensulation Certificate tt/C-/ 77- ---Me17/4- coal& ( 41( .. • 4:Y Number and Sttcet City 2468 ELDEN AVENUE RANGE UNIT A County Subdivision 14X Number • Description of Installation ROOF Mastriai ................ Brand Name Thickness(inches) Tlitirmal Resistance(fl-Value) EXTERIOR '0,1/ALL Material Brand Name KANyILLE__ Thickness(inches) ' "thermal Resistance(R-Valthe) R-11 CEILING Batt or Blanket Type BATT itrand Name MANVILLE — Thickness(inches) "'hernial Resistance(Ft-Value) R-19 and R-3Q Loose,Fill Type Brand Name Contractor::minimum installed weight/ft 7 lb Miitinium thickness iliChttS Manufacturers installed weight per square foot to acheive Thimnal Resistalice(R-Value) RAISED FLOOR Material Brand Natne, Thickness(inches) Thermal Resistance(R-Value) SLAB FLOOR Material Brand Name Thickness(inches) Thermal Resistance.(R-VaItie) Width (inches) FOUNDATION WALL Mau:dal hand Name 'Ibickness(inches) "Itv.irmal Resistance(R-Value) _ . Declaration hereby certify that the a hove insulation was installed in the building at the above location in conformance with the current Building Energy Et licieney Standards for new tesideoti al buildings contained in Title 24 of the Califwin:1 Administrative Code. .;.. RI (Thutratcol (Boili icr) ticemsr Nurnt of3 ....._ .................................. .......................... ..... Siwuthoc ail Tide Darr WESTERN INSULATION, INC. 481278 , , St Is OTI.I.111/IIRIli DE:A/Mr° ))41-,)11/441:412 \NI / Authorized_Agent . ‘.•••11,1,ut, nyI'lute Dmr 06/04;91 10:42 8' 71438009881 �BRICQS DEV CORP "`02}76'8 e • -- / • CITY OF COSTA MESA : . .t_e :.-•'_ .:::1-;A:;. z fir. • BUILDING DIVISION - :�>�{.`'a i k ,' ROOF COVEPINC "CE T IFICA:f ION ' �/5/ i a= z, G<. l L d •-- • . ' t �� , .may A • t' unit N; 60•9- 92 - • Property Address .- t„).„...7,-74 ..,.__ _• ....4, ,.._. (,Ti__ • l t`< IrkJ - r : ' e 4 e 4.1l,._a.... r ... . Owner _ • j 1 .f - . %, . i ' r • :.-.L..,- - , . ..c�"".{.{��//-- '''7 , 20 State Contract:: ticenata. Nl.anbct ...""..L..62 /�.-._:L_�-./-._, •.. .... elai£S{tif:i4t00 _ .0,I [ ....._.._.±_ 1 - r• • I hereby certify that I Katie installed, or r.,.used to be installed. a minimum Class,; C. .out covering at the, ii ''ailove address in conformance with Chapter 32Section and ?04 of, the latest adopted edition at the Uniform t:11110'ny '-. 7 /12 Code: as amended in Section 547 Tittc. 5 Costa Mesa ry unirip.at COUP, and the instali_ctiJn Itislructio is Of the • � manufacturer. . , .. - - I ttirtiler certify Ihi'I I am the owriet Of the, piap&ily. Owner-f:3utalec I.HY,mii'i Only. ''t�, I ferltlei- Certify that I am: Ownoi of sole proprietorship company . . Puff partner of Mc. ciztrlruany . •. i_.I i..itnired partner of Into company Officer cif the corporation • i ceiriity/ that as an autlior:2$rt uifil:;Er or agent of the company or nor poratlpit, I am Orriarr.enreri to make this certit37afion, which shall be binding on ail, surcet zior;; or assigns G: the ecirrirany Or Corporation. :,:ball rioiiver a copy of Inis Co tilicaiitin to the at)OV iisit.M.nt'sner, Mier submility r' urn :_. the tSuikiing tk.1sfc'n i,:r acceptance. //// l n /� ge. C.conf��� ._(r��S _..._/CQ01 (/ Icl . . _.___• __.P O . t�&X 6. g.3-___ _ . as .. '- Received by t3 i loir,„� Drnsi:,n ()co_ • L'. �.� gab'. 3 6y 4iiii / l • $ \10E, . Oi c r.04.1.vici,EJ e.cc►_bail ':j,' CYWiftig582 r+"'sTAPf'�wPI:A.Vil fia'KaWnJ's`9ti'7r3'AlCi7�"�...—"' ... "P•Pmil'r +irofi'W 'roxo^.m,q''.'ThrV'ralor ^ •w .,,r'''' . ' CERTIFICATE OF COMPLIANCE PAYMENT OF SCHOOL FACILITY FEES NEWPORT-MESA UNIFIED SCHOOL DISTRICT Developer/Applicant : '3n-els �ov i r Arp . / `7,n y� -`�'nu Address : 7504 4-val;DA- De LA/- COA2IOJ-f4 13/5 /A3vi a11f1 a5a Telephone Number : lit - 3 0- 0(2940 Tract/Parcel and Lot Number(s) : Location of Project : Z4&4 t 2444 Chitt! Ove-• Zi, pbp Number of Square Feet of % IS 00 Residential Space x $1 . 50 Total /E1 -Q. V b . Number of Square Feet of g ' I 1,,D Commercial and Industrial Space x $0. 25 Total Commercial/Industrial Project is : (Check One) Mini-storage Motel Preschool Movie Theater Bank Auto Repair ' Racquet/Health Neighborhood Shops Hospital Warehouses R & D Large Office Heavy Industrial Hotel Office Bldg'. Regional Shops Medical Office _ Restaurant Light Industrial Office Park Fast Food The provisions of Government Code Section 53080 are not applicable . i This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995 . Checks are to be made payable to Newport-Mesa Unified School District . Business Manager' Newport-Mesa Unified School District The above representation as to square footage •is true . Developer/ _ Applicant agrees that if it is later determined that such representa- tions are not true then this certificate shall automatically terminate and the appropriate City/County shall be notified . Date : i -27 /990 J , 'm . _ r1 � . Developer'' pplicantt I . V 1mipH m.—rhbeep /51 2--e--4.4.r. .u_l PROJECTADDRESS: 1. 2464 ELDEN AV ? UNIT: A CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M 050391 OWNER'S NAME: BRIGGS DEVELOPEMENT CO. ;onus: 23046 CARLOTTA AV #315 PERMIT NO: M 050394 PLAN CHECK NO: N GOVT: N SUPP: N , LAGUNA HILLS CA CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: OTH • 380-0685 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : NEW APARTMENT 1 OF 12UNITS SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-1 / PERMITTEE: SANTIAGO AIR CONDITIONING ( 714 ) 998-1600 ADDRESS: 231 BLUERIDGE COMMENTS: RE: G49374 PRIMARY BLDG. PERMIT. ORANGE CA 92665 ************************************************X-S)(Ir******iF**************sP***** 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. SETBACK S CITY MC.: 015264 STATE LIC.:269496 CLASS: C-20 Dater —%U Signature:_ MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: thereby affirm atlhave acemticate consent to self-insure ora certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Jnslura�n/o�alceityiel copy thereof(Section 3800. Lab.Gl.7/01/91 LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN POLICY NO.: W l/ V 1 EXP.DATE: l/ COMPANY: PACIFIC STATES,-SS,� PARKING REQ• PROV: PARCEL: 43929107 ZNE: REF NO: J Certified copy is hereby furnished. I:J Certified copy is filed with the city Building Division. PLANNING N V TES> Dale', /7—'-‘) —SO Applicant' .� *********************N***************************#***************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This sssection need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SER -VICES 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 ZONING APPROVED B Y DATE subject to the Workers'Compensation Laws of California. Date: Signature•. BUILDING APPROVED .BY• : DATE: NOTICE:If.atter 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. zo CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY- 46......-44 j`.,i DATE- ta a.© _ • which this permit is issued(Section 3097.Civ.C). **********************' ° ********** . . if* LENDER: **************************************. *************************************** 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: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 92.00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5% SMIP/NON-RES pursuant to the provisions of the Contractors'Stale 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 15 . 00 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). 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 ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS---—> 9 . 00 15 . 0 0 0 .0 0 24 . 00 2 4 , 0 0 . 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 Thal such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 24 . 00 OVER/SHORT; 00 I 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 GRADNG PLAN-CHECK for the purpose of sale). 24 . 00 • I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: The Contractors'Statese Law does tapply tponowner rcorsah builds or improves thereon and who contracts lr such projects with a contractugaidoese pursuant to the Contractors'State LicenseLaw). I em 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 Date: Owner: MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 00 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 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 Duality 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 stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property loo inspection purposes. 01 CX17 oat-j1007(ib32 1-67" _ Date: 42-7,0 '90 Signature: _ ., r� Le._, _ DATE: 11/20/90 'I Ii:L. 14:3-i: Driver's License or Social Security • 1641-46 Whine—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING PAP& SPA APPROVALS Permit # Date Inspector APPROVALS Permit#_ Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd, I I 53. Steel Reinforcement 3,-Electrical Conduit Utility-Undrgrnd:, 54. Forms ' ••' 4.-Electrical Conduit-Undrgrnd. 55. Electrical Bonding T 1 .5. Steel Reinforcement ,y 56. Rough Plumbing & Pressure Test ,. ;6. Electrical UFER Grnd. ' 57. APPROVAL TO COVER-GUNITE y . 7. Footings 58. Electrical Conduit-Undrgrnd. • • • 8. Foundation - 1 59. Gas Pipe, O 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 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 ,r 22. Ducts, Ventilating _ ti _ 'C- 71, Product'Ri ing 0Gas 0Oil 23..Gas Pipe-Rough & Test i M1 _ . 72. Underground Flush 24.-Roof Framing : : • +73! Undergrnd.Storage Tank-0 Gas 0 Oil • 25. Rdof Sheathing c ' • 74= Overhead•Hydro_ 26._T-Bar Ceiling (Structural) & Monocoat -. 75. Dry Chemical - 27. Frame and Flashing i ' 76. Dry Standpipe ' ?i t• - • 28. Lathing:& Siding- . . •.c - - 77: FIXED SYSTEM'FINAL . 29. Insulation •I - - i 78•:FIRE PREV. FINAL ., .` 30. Drywall Nailing y !i. _ .HEALTH DEPT. REQUIREMENT 31. Plaster Brown coat' 1 i ` " •, 79�•FINAL INSPECTION ' - - 32. Electrical Power Meter-Final I � ' t•. 80.- FOOD CERTIFICATE ISSUED 5 33. Final Electric ,r •, , 1" ` Notes: .-34; Final Heating& AirConditining , i_3_9/ //✓/7 . 35. Final Gas Pipe-Test' • I 'T//`;, ' • I - - . .. , 36: Hood or Canopy . I ( ; /5`/ Thal-. /72 -Ten2.f3Z.b PROJECT ADDRESS: n _ :x, -AV UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 05178e OWNEfl'S NAME: WARD, CAREY D T ADDRESS: HUGHES, ROBERT PERMIT NO: B 051.784 PLAN CHECK- NO: 01396-91 S GOVT: N SUPP : N 361 NEWPORT GLEN CT NEWPORT BEACH,CA 92660 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: NEW ARCH/ENGINEER: REG.NO.: UNIT: JOB DESCRIPTION 224LF-6FT HIGH CITY STANDARD BLOCK Q WALL SQ FT: 224 ADDRESS: PERMITTEE: CLAIM VALUE: 4 , 500 . 00 CALL-VALUE; 4, 480, 00 GROUP OCC: R-3 / ADDRESS: BRIGGS DEV ( 714 ) 250-8002 4300 CAMPUS DR 215 COMMENTS: X T� R CA 92660 1,:.x,6 LE#*x*-u+�x ***xK**#) (.*** kir :x*+6* *,c�c+r±i.*ux-xx**K***�kx�E*�E*>+X•k }>xkx**x***�F+t*�e.:*:W LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7 ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect, SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: _ Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to selbinsure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: 10 FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 38D0.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL : 43929107 ZNE: R2 REF NO: J Certified copy is hereby furnished. ❑ Cemged copy is bled with the city Building Division. PLANNING NOTES> APPROX. 224 SQ FT. OF SIX FOOT HIGH BLOCK WALL BUILT TO > CITY STD AND SETBACK TEN FEET FROM FRONT Pb Date: Applicant: _..._ *;r*i**)%*1E-Y****Y.}** i.*irkPt*N.}:)**1n1i.****.1(BF****V-* fii-?E3i*30*ff*kir***}.a}*4)34-W**7ekac*Tf I.F4(.1L 40E74**•1E* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($109)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 CC.- DATE: —/—12 3/� Date: Signature: - —/_ _ NOTICE:If,alter 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. s • CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPL ICATION ISSUED BY• I DATE• 1 / which this permit is issued(Section 3097.Civ.C). _ /x*�* LENDER: 1E1.'********************u*u*LS-*1E**));*1b1i1c****a:-3c-*IE***iEM.#.r.*.y.*N r.74- *}:-ar.*-k7Etiff}}:}***y.iE **•ii.* ADDRESS: LEGALIZATTON:N F E E SUMMARY STRUCTURAL SEGMENT: Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG72 . 00 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 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 7 2 . 0 0 . 50 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 70315 by PLAN 46 . 80 any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars(6500). ISSUE FEE I. as owner of the propeny 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----> 72 , 50 0 . 00 46 . 80 119 . 3 0 119 . 30 . 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.II,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: 119 . 30 OVER/SHORT: 00 for the purposeol 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 72 . 00 . 50 46 . 80 Qand 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 . contractor(s)license pursuant to theContractors'State License Law). I am aware **yN,N*N*3F*f-*ii,******N,**1c****.*i,N,*N,dE**,N,1E**.1e*N*tE*IE**N***1F***#1E j:***N*** ***.1E#`******* that proof of their Worker's Compensa k insuranc• .hould be provided to me. INDIVIDUAL F E E BREAKDOWN❑ I am exempt under senior: topera P.C. for this reason: �YPE QTY DESCRIPTIO N UNIT COST • TOTAL COST Date: .. .. ��� Owner: I do hereby certify that l am .are of an`derstand the requirements of California Healthand Safety Code Sections 25505.25533.and SFR 224 R ES-CONCRETE BLOCK WALL / F T. 20 , 00 4 , 480 , 00 25534 and that I or any future building upant 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 Duality 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 infor lis . •--nit .comply with all city and county ✓ ordinances and state laws relating to building cons ruction and hereby authord! • -n city to en• ...in the above-mention property for inspection pur ses. �./� - _ �, �' �► U1 0035 ,51K—ttt,DF.;: Date: / Signature' A.— _ Driver's License or Social Security P: ,/' / r��I�' 24/fie./�1 11.: _, •,an�� White-Building:Green-Code Enforcement:Canary-...licant:Pink-Revenue:Goldenrod-Assessor CON&TRUCTION 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 t ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms .4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' :5. Steel Reinforcement 56. Rough Plumbing & Pressure Test' ' 16. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITEO, i (7. Footings 58. Electrical Conduit-Undrgrnd. • '. l 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test ` 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, O Undrgrnd. , 10. Structural Floor System 61. APPROVAL TO DECK , i 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 U Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing • 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation • 78. FIRE PREV. FINAL 30. Drywall Nailing . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy • 37. Final Factory Fireplace 38. Final Plumbing • 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 G47-9/ Ito ti 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. - Date /cC/ T`i.2ec /.7a 3--.�Rf 2.Zi.—. • PROJECT ADDRESS: UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H OS1909 OWNER'S NAME: WARD, CAREY D T ADDRESS: HUGHS, ROBERT PERMIT NO: B 051905 PLAN CHECK NO: 01518-91 S VUVT: N SUFI': N 361 NEWPORT GLEN CT NEWPORT BEACH,CA 92660 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: NEW ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : STD TRASH ENCLOSURE SQ FT: 122 ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: 2, 440 . 00 GROUP OCC: M-1 / PERMITTEE: BRIGGS DEV ( 714 ) 250-8002 ADDRESS: 4500 CAMPUS DR 215 COMMENTS: REF B51784 N.B CA 92660 ********4******************** ******+F#k***********:F**+FBF***RF******RF************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)0l Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS . CITY LIC.: . STATE LIC.: CLASS: Date: Signature: FRNT: FT MAIN INBUILDING REAR: FT IN FRNT: FTCESSINYY REARLDING FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). POLICY NO.: EXP.DATE: PARKING REQ; PROV: PARCEL: 43929107 ZNE: R2 REF NO: COMPANY: PARKING NOTES> TRASH ENCLOSURE ONLY • ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. > ******************************************************************************* Date: Applicant' DEVELOPMENT SERVICES R E Q U I R E M E N?'T S 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 nn ,{ // CI subject to the Workers'Compensation Laws of California. ZONING APPROVED BY vV '` 1.---_ -� DATE: �''ZI 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. _� c CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED _�—'—__�� DATE: $ )'Z-�' ******************* • ':.:.xr*.•,.�."—' ******************* ** which this permit is issued(Section 3097.Cor.C). ***************************** ************* ********************************* LADDRESS: LEGALIZATION:N F E E S U M A 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 CHANIC 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 54 .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 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 p LAN 35 . 10 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). BUILDING—DIV—> PERMIT ISSUE PLAN—Cr ECK 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----> 54 . 50 0.00 35. 10 89 . 60 89 . 60 .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: 89 . 60 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). 54 . 00 . 50 35. 10 y I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business C7 and Professions Code: The Contractors'State License Law does not apply to an owner ofpropen whobulldsorlmprovesthereon ,*****•****•*,********,*******,**,*,************,*,***********,*************************** and who contracts for such projects with a contractot(s)license pursuant to the Contractors'Slate 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.S.P.C. for Phis reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST �J Date: .� 9 / owner: a(G.6-S �E7�/ SFR 122 RES—TRASH ENCLOSURE / FT. 20 . 00 2,440. 00 I do hereby certify that I am aware of and understand the requirements of Caiilornia'Health and Safety Code Sections 25505.25533,and END OF FEES / 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 r k/// permit for construction or modification from the Au Duality Management District.Residential construction applications are exempt from these provisions. / 2.— --7467- �'� Dale: — 9( APPIi[anf: ��, I hereby certify that I have read this application and slate that th' + 'mfor. ,..n is co agree to comply with all city and county ordinances and slate laws relating to building construction a • reby au•„ , •r•se :iv':of his icy to enter upon t mentioned pOrnery for inspection purposes. t /'' nO OQO57y -..(-'iJp L143 .X Cr'r _. _ �_ Date: J �� -9 / Sign. .. ---,a- ,- --Saeger- ` Driver's License or Social Security#: ■ te4 n.46 White-Building:Green-Code Enforcement:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor I /111 / CONSTRUCTION AND PLANNING !_ POUL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector if 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location , 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •; ' ;;S.._EleCtrical Conduii Utility-Undrgrnd. 54. Forms rr 4.'Elri,ectrical Conduit-Undrgrnd. 55. Electrical Bonding • .91.2. $Teel Reinforcement 56. Rough Plumbing & Pressure Test t ji,6L Electrical RE trical UFEGrnd. 57. APPROVAL TO COVER-GUNITE t.• • ' 1_,JT.rFoptings '.J 58. Electrical Conduit-Undrgrnd. ' A 181. Foundation ,: 59. Gas Pipe, 0 Undrgrnd.,Test ,r . 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. ' I ,.� 10. Structural Floor System 61. APPROVAL TO DECK ;.` 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final -, .f, 12. Sewer Cap 63. Heater & Vent-Final ••j 13. Roof Drains 64. Plumbing System - Final 'i- t--; t.1 14. Rough Plumbing = 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough ElectriptWiring 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 - - - 0'1 +nit-. S -x 13 2011RoOgh Eactory Fireplace '2 1 ; C :. C'" :',APPROVALSM OPerri,it# ' '-,' '' c :D cf.' >7:• y . %' i' ). r -4 J•1' :1 :) J: eC'•,J.-, ,T Z `S Ducks, .[;,i ; l �. ..meq, -Ti 21,. Ducts, in Structure,. .. .• _"5 - 7 x_ 70. ,UndergrpyndHydro 22. Ducts, Ventilating ' S :t s ,-Ca :1 :r71. Producf Piping ID Gas ❑Oil 23;Ga Pipe,Rough &;Test t�*iS x m t . rj „ 4 7 72. Underground Flu.0•,.. - . -. 24.,]Roof Framing rh..• . - - - > - , S 1.732 Undergrnd.StoragT- ank 0 Gas 0011 25. Roof Sheathin y • ti - T• J CU It 3 .: - v 9 y}. y d > n1x . 74 Qverhead Hydro •• 26:;T-Bar Ceiling (Structural) &.Jylonocoat'- w I I .. 757 Dry Chemical - - '7 u: +.-.-. ,r t �.. r-+� r Tri gr..„--, to 27?; Frame and FlasMng '_^,S •S r r M t -13 yr} R Ib 27,?;Frame - 1ti x c �, sr4 78. Dr ret i e F ui w J m ,1 _ 28. Lathing;& Siding -11"-: r;_ r r ••k a 77? FIXED SYSTEM FINAL J 1-r "29. Insulation -• s • • • '...,: # _ '± M A 78 ? FIRE PREV. FINAL •> 7C L- r'30. Drywall:Nailing - * r v HEALTHiDEPT. REQUIREMENT 31. Plaster Brown Coat, ,.r., - ; [,, ,79?FINAL INSPECTION ; 7 'T - -327 Electrical Power Meter-Final' n a. ,: , ll .1)B0 FOOD CERTIFJCATE ISS`ED J `33±Final Electric 1' ac---; „ 'r' I I� 'Y' 1 . Noies: ,r `17 < x T ,L Y d. ,e -: • T -" 0 i.t: ,!34 Final Hating& Air Conditioning; :---; .r I 4 S f,- S 35rFinal Gas Pipe-Test{ �� y I Y ..-1 ;l,_ r!.S •3 r C 1 rr ` e- } Pr, :. • • ••t - fl; ,136.'Hood or Canopy -. :- -• •i. -s C fs4 :- <: ,: ,T -^37: Final Factory Fireplace ' •"r •i 4 a - L -, cV :.38g,Final Plumbing _ • •• a tT �, t. ... -- 539:-.Weter Service-Final- ' 1 1.- x _ i I {= 3:1., .. Er ri,40. Gas Service- inal y .-rt,l S x Cr; ! r V `10, re -1 >.41.-Solar Domestic•FinalS •• :} ^ ' � 'S•- _ :1- -42.'Backflow Prevente7 - t ' _ • :] ,_, • 43. Backflow Irrigation _ e • �. s: _ a -A < . r a ,J .? n • 44. Landscape Irrigation S stem;•' '` "45:,Sound Attenuation 5: - * ... • •-"o, • .- -. 1 n :r :a - ��. _ S ?46.;;Handicap Regulations r. 't1 .t O ..1 F : t: ••.S 70 .x 47,:,FINAL STRUCTURE & BUILDING � -7j �ct4 toot W T , '.. - ' .• n48'IFINALPLANNING - - . cc I X49=Electric Release to-Edison . j. A x l .r ` - 50. Gas-Release to Southern California Gas Co f ;` _ - "'`n • 51. CERTIFICATE OF OCCUPANCY ,; t,' Rn : _, t , ,� No. Date ,- CITY OF COSTA MESA {► �—� D---elopment Services Departmr--t: Aiding and Safety Divisi( 77 Fair Drive P.O. Box 1200 • Costa Mesa, California 92626-1200 AEOUEST FOR ALTERNATE MATERIALS AND METHODS OF CONSTRUCTION • Under the authority of Section 105 of 1988 Uniform Building Code, Uniform Plumbing Code, Uniform Mechanical Code and 1987 National Electrical Code, the undersigned request approval of alternate materials and methods of construction for: Protect Name: X. / Terraza Court Project Address: --"146 , 3L6B Bh ue Subject of Alternative: Lo "AJ' the driveway t1or. for thy proposed subdivision will be up against the unit building walls which have openings in them. Code Requirement (Specify Code Edition and Section) : Minimum set back from unit walls is outlined in UBC Table 5-A. Alternate Proposed: Restrict Lot "A" so no buildings will be constructed on it. A note will be placed on the final subdivision map stating that Lo-t 'TA" is tor • private driveway purposes and not a bunging lot. Justification (Attach copies of any references, test reports, expert opinions, etc. : See attached letter from Klaus Straschil, CCM Bldg. Dept. , regarding this issue. • Requested By: L 1 —1 Architect or Engineer Contractor -building Ownt</ 7111-1/ J (STAFF AND OUTSIDE PLAN CHECK USE ONLY) Staff: 1/04 Outside Plan Check: a Recommended j Not Recommended Firm: Address: Phone: • Reason: &E P,2n'.4r6 D,QJYE+✓4Y C/✓iN6- AccEss T ALL C,uirs c9 r,s .DE✓E- ,LopAinor/ lV°tooti As Lor 39" /S ffR 'THIS fc.i.epoGE oi.,L/. /f,is EXCLuPES AAy • ro,'cre'ccc/onJ A,!/77{ oe L1/ffou5- V4 /AJC.0 AT ANY 77A-(E /.J Tint Funv.c. Approved u Denied eason: • ASS . V. 6VS. DIR./ FIRE MARSHAL (if applicable) BUILDI G OFFICIAL • (AMSM.REO) • • 441 5tp tit CITY OF COSTA MESA O CALIFORNIA.82828-1200 P.O.BOX 1200 41 Fl t • J 'o DEVELOPMENT SERVICES DEPARTMENT 4%./;;ORa�yA • August 16, 1990 Robin B. Hamers Robin B. Hamers & Associates, Inc. 234 East 17th street, Suite 205 Costa Mesa, CA 92627 RE: 2464, 2468 ELDEN AVENUE • Dear Mr. Hamers: It is obvious that. with interior property lines following more or less the perimeter of the buildings, certain problems arise concerning the fire resistive construction of the walls adjacent to these property lines. In a case like this, openings in these portions of exterior walls are not permitted by UBC Table 5-A. The only viable solution 'would be to restrict the use of Lot "A" in such a way that any construction on it is prohibited; this must be recorded in the grant deed. It appears that a different subdivision with a property line identical to the longitudinal axis of Lot "A" would create a situation which is not at all in conflict with the Uniform Building Code. At the time of regular plan check procedures, the architect or owner shall outline the proposed conditions on the attached form ' "Request for. Alternate Materials and Construction" for approval by the Building Official and permanent record in the Building Division files. • • Sincerely, • KLAUS STRASCHIL, AIA Plan Check Engineer dmigix40(4 KS: jl (RBH.KS) • • • 77 FAIR DRIVE Building Division(714)754-5626 • Code Entorcemsnl/Business License(714)754-5234 • Planning Division(714)7546245 1141 CITY OF CO: MESA PARK FccS Fee Payment Recei t 001240 <6) - t12- Terrazas Court AveProject Address 24(0'4 4& 1-40E) f • A.P. Number 39 — 291 — 07, 0$ Building Permit Number Owner's Name GCNt 1U, Mailing Address 2044' Avenida c(e la Carpis. is-31S Lag WiHS 9z'S3 FEE: Single Family * Number of Units 2-Bedrooms or Less @ $ 861.76 = 3-Bedrooms @ 1,205.67 = 4-Bedrooms @ 1,545.62 = 5-Bedrooms+ @ 1,810.50 = Multiple Family ** Bachelor or Studio @ 474.37 = / 3�/�OyO� 1-Bedroom @ 573.18 = 2-Bedrooms @ 881.51 = 3-Bedrooms+ 12 @ 1,229.38 = 14,752.50 11 9P$6214)7 2� 5 : 1TOUTPl ^�'i Total FLeref O6, `., ,. ,:AcE: 11:16 ppning Department Approval Date(q-4-7 Applicant's Signature' * City Ordinance 72-44 ** City Ordinance 72- 5 City Re olu on 78-116 ,gyr���,�,ryI�ry�'�,7�' (7t�f CMF 0174-30,rev.7/85 White—Planning;Canary—Planning;Pink—Fi ance;Goldenrod—Applicant MDR