HomeMy WebLinkAbout152 TERRAZA CT - Building Permits 44�w9 CITY OF COSTA MESA
''���� BUILDING DIVISION
> - DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
0114PERMIT
-` OaatN
PO4-00830
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 152 TERRAZA CT Status: ISSUED
Suite No Applied: 12/06/2004
Issued: 12/10/2004
Vicinity:
ISSUED BY:
Parcel Nunmber: 43929501
Applicant: CULLIGAN WATER
Address: 502 S LYON ST
Phone: 714-750-2233 }�
SANTA ANA,CA Zip: 92701 tit){'Q tEL
Owner: CREAMER,AARON P & MEGAN E DATE 4 7
Address 152 TERRAZA CT
Phone: 949 279-2936
COSTA MESA,CA Zip: 92627-5168
Contractor: CULLIGAN WATER
Address: 502 S LYON ST .
Phone: 714-750-2233
SANTA ANA,CA Zip: 92701
License: 663091
Arch / Eng :
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT •
INSTALL WATER SOFTNER.
FEE SUMMARY
• AMT QTY AMT QTY AMT QTY
ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00' 0 P-Trap $0.00 0 Trap Primer $0.00 0
•
Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain,Roof 30.00 0 Shower $0.00 0 Water Heater/vent $0.00 0
Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626 .
2446-46(6/00)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION: f ,
I hereby affirm under penalty of perjury one of the following declarations:
O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
L
I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued..14::11
My wvo ars'compensation Insurance carrier end policy
nuller are:
<carArn•P2 to A tLtU$ ) Policy Number: t4)C 5! 30 'SC,
0
J� U
--(This section need not be completed if the permit is valued of one hundred dollars($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,a agree that' I should b come subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with the izvisions. /
Applicant Signature: -`I NDate: /D-/)(] Dr7/
_WAJINGrFAILURE TO ytOGRE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED
, ;THOUSAND DOLLARE( 000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE.INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am lice sed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effectLic.a te Date:
Conti3ctor 5 Signature:\ 1 �.s-z,... � C,u.(�I.L-01(.., /,'(Jq Date: /j1/O Cf
'CONSTRUCTION LEING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: _ Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or 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 or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or 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 compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). •
O I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the Califomia Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds. or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Ll Yes LJ No
(Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safely Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Si natur f Le al wn Date
tL (s) /a /
-/
An r Authorizad,Q(pp scant +--. Data}
SODS I INSPECTIONTYPE PAH 11301A1.1 CODES JNSPECTION TYPE DATE tNTTRAL4
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
o 444. CITY OF COSTA MESA
s'. P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
✓1 ;fq-r•
rte -- x g
DEVELOPMENT SERVICES DEPARTMENT
J;� L+� BUILDING DIVISION
04"°O°"1-7. COURTESY NOTICE OF PERMIT EXPIRATION -
February 16, 2007
Aaron P & Megan E Creamer
152 Terraza Ct
Costa Mesa CA 92627-5168
PERMIT NUMBERS: PO4-00830
FOR: Water Softener
PROJECT ADDRESS: 152 Terraza Ct., Costa Mesa
Our records indicate the above listed permits were obtained for property improvements
or alterations at the above address. Per the 1997 Uniform Building Code, Section
106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the
date of your last inspection for the project and additional fees will be required to finalize
expired permits.
According to our records, the permits listed above have not had an inspection for a
period exceeding 180 days. If you have a signed inspection card indicating an
r inspection was conducted within 180 days from the date of this letter, please contact this
office so we may correct our records.
If you need to request an inspection, please call our Inspection Request Line at
714-754-5626. If you wish to request an extension, requests must be made in writing
addressed to Ed Petros, Chief of Inspection, at the above address, detailing
circumstances and listing an estimated date of completion. If you do not have an
approved final inspection, your permits will expire on March 5, 2007.
If you have any questions, please contact the Building Division at 714-754-5273,
between 8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The
accuracy of records affecting your property is our goal and we appreciate your working
with us to resolve this matter.
Sincerely,
•
•
1, ./,,//,
Ma Jane Weidenkeller
•Office Specialist II
cc: Culligan Water
502 S Lyon St
Santa Ana CA 92701
Building Division(714)754-5273 • Code Enforcement(714)754-5623 • Planning Division(714)754-5245
Detailed Results Page 1 of 1
Mir
Detailed Parcel Description
Address
Address 1 152 Terraza Ct
Address 2 Costa Mesa Ca 92627-5168
Parcel Info
Assessor Parcel Number 43929501
Legal Description N TR 14378 LOT 1
Township/Range/Section
Lot Area 2199.18202
Acres
Owner Information
Name Aaron P & Megan E Creamer
Address 1 152 Terraza Ct
Address 2 Costa Mesa Ca 92627-5168
Property Specs
Year Built 1997
Living Area 1850
Number Residential Units
Number of Stories
Parking Size
Parking Type
http://srv6/parcelview/Custom/custom parcel_details.aspx?pd=1&APN=43929501&s=&... 12/21/2006
•
`oslo M sQ CITY OF COSTA MESA
0 9 CALIFORNIA 926261200 P.O. BOX 1200
F 1 -n r T/
l3 $7 DEVELOPMENT SERVICES DEPARTMENT
tyfri -41A...>/j4417:77
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 Equalizhtion
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
PROJECT ADDRESS: -.q- -•ELDEN AV-- UNIT: M CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G I 049363
OWNER'S NAME: BRIGGS DEVELOPEMENT CO.
. AODRLss: 23046 CARLOTTA AV. #315 PERMIT NO: G 049363 PLAN CHECK NO: 04449-90 L GOVT: N SUPP : N -
• LAGUNA HILLS CA
CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE MEC PLU STR PURPOSE: NEW
) 380-0685 "`-
-ARCH/ENGINEER: REO.NO.: JOB DESCRIPTION : NEW APARTMENT 1 OF 12UNIT5 SQ FT: ('2, 173
ADDRESS: UNIT:
CLAIM VALUE: CALC VALUE: 129, 257. 00 GROUP OCC: R-3 ' / 64 -1
PERMITTEE: BRIGGS DEVELOPMENT ( 714 ) 380-0686 •
ADDRESS: 23046 CARLOTTA AV 315 COMMENTS : APARTMENT 1 OF 12 UNITS
LAGUNA HILLS CA 92653 ********************+r***aux*************x*xis********************+r+r*>f**********
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS _
7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect. SETBACKS
CITY UC.: STATE LIC.: CLASS:
Date: signature: _ MAIN BUILDING ACCESSORY BUILDING
ORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: 20 FT IN REAR: 13 FT IN FRNT: FT IN REAR: FT; IN
mpensation Insurance,or a certified copy thereof(Section 380 .Lab.C). LEFT. 5 FT IN RGHT: 25 FT IN LEFT: FT IN RGHT: FT' IN
IllOomPANTLICY : EXP.DATE: PARKING REQ: 24 PROV: 24 PARCEL : 43929107 ZNE: R2 REF NO: DR9015
OMPANY: PLANNING NOTES> ONE, 2-STORY DETACHED APT. UNIT (ONE OF A 12-UNIT PROJECT)
Certified copy is hereby famished. ❑ Certified copy s filed with the city Building Division. >
•
EXEMPTION FROM WORKERS'COMPENSATION DECLARATMN: (Tit section need not be competed 0 the permit is for one hundred($100)or less). DEVELOPMENT S E R I E 5 E • U Z R E M E N T S
co
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 - I 'i/
subject to the Workers'Compensation Laws of California. - r . ZONING APPROVED BY ea " --midi 'pi/ _ - DATE: r' 0
Date: Signature: -I�'�r
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY •�'1:%'i,�l �� ' DATE: .- 0
Code,you must forthwith comply with sbch provisions or this permit shall be deemed revoked. . ' v ' s l o
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY �;jA� “I�a/,, DATE: cd, /� 7 c)
which this permit is issued(Section 3097,Civ.C). ********************* *********** rt e.* *****
UNDER: • ******************************* iF********************************************
ADDRESS: LEGALIZATION;N F E S U M M A R YSTRUCTURAL 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: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 744 . 50 27 . 00 62 '06 15 . 5 0 9 . 05
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she Is licensed 25% 5 0 t 25% SM I P/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commenting with Section 7000)of Division 3 of the Business PLAN 483 . 93
•
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by
anyapplicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE 3 . 00 ' c 1 5 , 0 0 15 . 00
as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE 2LANr.CHECK TOTAL PAID DUE
I,
is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law
TOTALS----> 858 . 11 33 . 00 '4 8 3 , 9 3 1375 . 04 1375 . 04 . 0 0
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through i
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 • 891 . 11 OVER/SHORT• . 0
D
improvement is sold within one year of completion,the owner wi0 have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
•
O forthe purpose of sale).
I,as owner of the property,am exclusively contracting with licensed contractors to construct the protect(Section 7044,Business 744 . 5 0 3 0 , 0 0 7 7 , 0 6 30 . 50 9 , 0 5
x and Professions Cede: 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).I am aware '*********N'*'*'****'*********'**N'***'N'* NN'**N'**********************'N'******************
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
/�o t •
Date: 076 owner:VastSFR 1773 DWE-TYPE V WOOD FRAME GOOD 69 , 00 122, 337 , 00
I do hereby certify that I am aware of and understand the requirements of C and Safe e S Bions 25505,25533,and SFR 400 RES-GARAGES TYPE V ' 17 . 30 6, 920 . 00
25534 and that l or any future building occupant wit/will not(drde one)need to comply with said sta a codes nd the requirements for a ELE 1773 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 62 . 06
permit for construction or modification from the Air Duality Management Dist' .Residential construct p cations exempt from MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9 . 00 9 . 00
these provisions. /Q
MEC 1 FACTORY FIREPLACE 6 . 50 6 , 50
Date: IO �Q o Applicant: ? (�f/ PLU 1 BATHTUB 2 .00 2 . 00
I hereby certify that I have read this application and state that th ove into mation is correct.I agree to comply with all city and county PLU 1 DISHWASHER 2 .00 2 , 00
ordinances and state laws relating to building construction and hereby autho' representatives of the mala the above-mentioned PLU 1 GAS SERVICE 2 .00 2 . 00
Date' for inspei? s' PLU 1 SINK, KIONNEN 2 .00 2 . 00
/0 i? QD ' � PLU 1 SHOWS CONNECTION TO BUILDING EACH 5 . 00 5 . 00
Date: !
Applicant;Pink-Revenue:Goldenrod-Assessor DATE: T 1)/j i3•„41, -7.--: - - i
41111)
CONSTRUCTION AND PLANNIb 0SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1; Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.1 1o// "1t) i9i fC 53. Steel Reinforcement i/.
'1- -3:--Electrical Conduit Utility-Undrgrnd. ! // 54. Forms 4 Jr
;4."Electrical Conduit-Undrgrnd. 55. Electrical Bonding _
j-
.r5gSteel Reinforcement Jo- 5./0 64t-ff 56. Rough Plumbing & Pressure Test •
' _ 6.SElectrical UF Elk Grhd. Et / / 57. APPROVAL TO COVER-GUNITE
• .
r 7` Footings 1 / // 58. Electrical Conduit-Undrgrnd. -
i :B...Foundation ,_<'_/c I n 10_27_70 6 59. Gas Pipe, 0 Undrgrnd., Test r
§.•Water Pipe-Undrgrnd. 60.60. Backwash Lines, P-Trap,-0 Undrgrnd. 4
-
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 • r
14. Rough Plumbing /ytj,s/Y_, g 65. Electrical-Final .
15. Rough Electrical-Conduit !! 66. Solar System-Final -/
16. Rough Electric-Wiring 67. Fencing & Access Approval
17. Rough Wiring-$ign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE,DEP•T. REQUIREMENT1 ._ _
20:5•Rqugh Factory Fireplace , APPROVALS _,c:.Permit #
21.:Ducts, StructVre` " " i y : t 70. Under jround H�tlro
22.-Ducts,Ventilating. _ C . , :71, Product.Pipiing O Gas 0 Oil
23. Gas-Pipe,Rough&Test - ,t Gr. '72.,Underground Frtish`
24.-Roof Framing . - . _ ,-•• -. .. •73:.Undergrnd.Storage:Tank-DGas Dail
25. R691 Sheathing lz- • _ " '' ,7 ' •_- r 74.-Overhead Hydra:.
26:`T-BrCeiling (Sv_ucturall & Monocoat= ,i Rr: 4 75i;DryChemical F-^ .' - - '
`:;=ta••'i.',1: ;-"ar'
27. Frame and Flashing �;, -4.! ; 76. Dry Standpipe <<,ty _ ••
'28. Lathing & Siding. . . . - ' , v /,•.,t ', .: , 77:rFIXEDSYSTEM:FINAL . , .--,t...! i,,;c7i��--
29. Insulation _ " " "r . v. x 763:FIRE PREV. FINAL * ' ' • ` _
30. Drywall..Nailing"„ ` :i 41,� -r ' hiEALTHIDEPT. REQUIREMENT -
7.31. Plaster�Brown Coat '• - ,z 79. FINAL INSPETION' .
_32aElectrical Power Mete 'Final �1919/r' '�x 0:1FOOp CERTIFICATE ISSUED:. ,
lr 33:..Final Electric Gill/?/9 .. • /Notes: SOW FOR SEgIAL'JQ-L, 11;455,$
X34:'Final Heating & Airr. Conditioning• •• : /31.91 ` • x , 3/j/c(\; tfiaytp�Sc44/Y✓'v ui,c LcIJ
35.,iFinal Gas Pipe-Test 7_ t '/4i. gx ^ •
/ L Y`- _ _ _'
:136.. Hood or:Canopy ' ` - -
.. Vii, - t _ / / /
- 37-Final Factory Fireplace' - .5/*/a/ (,@p • ! -• L!! /0 �•
7'38._Final Plumbing _ - �j/.3�./Qt Lei _ /V _
39:Water Service-Final v 447 r L.ee
-• 40.. Gas Service-Final K nt ---r _ � •" x - J ,_• '
.'41 Solar Domestic-Final -
'
42. Backflow Preventer • •
43. Backflow Irrigation- > _ - * -
- . - - , - - . . Th. J •, -.Ju:,c r,
44. Landscape Irrigation System, ,..,...i: - ; ' - -'
r
455Sound Attenuation . - •• - •
-46. 'Handicap Regulations _ ' , -
47. FINAL STRUCTURE & BUILDING-' 6-jt_ ' 4O-'& ,
SfEG` .. 07ozi/..ti--- -----,--,-.7 _
49. Electric Release to Edison f v/
•-50`-GanRelease to Southern California Gas Co ; / ' i
51. CERTIFICATE OF OCCUPANCY ; - - '
No. Date
PROJECT AODRESS: UNIT:
OWNER'S NAME:
ADDRESS: PERMIT NO: G 049363 PLAN CHECK NO: 04449-90 L PAGE: 2
************skit*********************** ************************ ****************
ARCH/ENGINEER: REG.ND.: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
ADDRESS: UNIT: r
PLU 3 WATER CLOSET (TOILET) 2 . 00 6 . 00
PERMITTEE: PLU 1 LAUNDRY TUB OR WASHER 2 . 00 2 , 00
ADDRESS: PLU 1 WATER HEATER AND/OR VENT 2 .00 2 . 00
7PLU 1 WATER SERVICE 2 . 00 2 . 00
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section / END OF F EES
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.
CITY LIC.: STATE UC.: CLASS:
Date: Signature:
'ORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers'
npensation Insurance,or a certified copy thereof(Section 3800, Lab.C).
LICY NO.: EXP.DATE:
OMPANY:
i 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 151001 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:It,after malting this declaration,you should become subject to the Workers'Compensation provisions of the Labor
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued(Section 3097.Civ.C).
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason
(Section 7031.5 Business and Professional Code: My 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.My violation of Section 7031.5 by
ny applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(SSW).
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the
AiiJ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
iidoes not apply to an owner of a property who builds or improves thereon,and who does such work himsetf/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.It,however the building or
y 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 lith a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensc0on 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 I or any future building occupant wil0will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the-artay 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
property or inspecton purposes. 7 a 3T E rr——:.-
' t,Di 06O7146S-70071472 -in; ,9' ,;i
Date: Signature: DATE: 10/08,R TIrE: :1:12
Driver's License or Social Security M:
1641-46 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANN 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
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, 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
N cC
20GRoiigh FactoiyjFirep lace APPROVALS Permit #
21Ducts, in Structure 70. Underground Hydro
222;Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23 Gas Pipe-Rough & Test 72. Underground Flush
24.Roof Framing73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26y`T-$ar Creili4(itgturall & Monocoat 75. Dry Chemical
27 Frame and Fla fiinq�+. 76. Dry Standpipe
28. Lathing & Sidigg;n; 77. FIXED SYSTEM FINAL
29. Insulation '?`"�^ 78. FIRE PREV. FINAL
30. Drywall Nailing pit: HEALTH DEPT. REQUIREMENT
31. Plaster BrowntCoet 79. FINAL INSPECTION
32.,E1ectrical PiRr'Nleter-Final 80. FOOD CERTIFICATE ISSUED
334:Final Electricf;I� to Notes:
r ,rn
34..Final Heatirig&'air Conditioning
35:-!Final Gas Pipe-Test r
362Hood or Canopy
37^Final Factory Fireplace
38. Final Plumbing
394.Watter Service-Final
40
Gai Service-Final
41;Solar Domestic-Final
42. 'Backflow Preventer
43. Backflow Irrigation•
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47.-FINAL;STRUCTURE & BUILDING
48:-FINAL:P.LANNING
49. Electric Release to Edison
50: Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
. .
• city OF COSTA MESA
CA..e FO itNI A 92628-121Y.) P. O.UM< 120. •.
Insulation Certificate coiun - •
EzberA) Akt-.7.?Vcier. (-225-rzE.eitz.-tot
•
14umbes end Struci City
2468 ELDEN AVENUL
UNIT M
•
—
County Suktivivion LntNwnbcr .•
• Description of Installation
• •
ROOF
material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
EXTERIOR WALL
Material _ Brand Nrune
Thickness(inches) ... _ Thermal Resistance(R-Value) R-11
•
efil I INC
Batt or Blanket Type 8ATT Brand Name MANVILLE
Thickness(inches) Thermal Resistance(R-Value) 1:t,-]„9. and
Loose Fill Type _ Brand Name
Contractor's minimum installed weight/It
ib Minimum thickness itches
Manufacturer's installed weight per square(but to azheiseThmnal Resistance(R-Value)
RAISED FLOOR •
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
•
SLAB FLOOR
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
Width (inches)
FOUNDATION WATT
Material Itranti Name
'thickness(inches) Thermal Resistance(R-Value)
Declarat ion
I hereby certify that the,above insulation was installed in the building at the above !nation in conformance with
the current Buildinp, Energy Efficiency Standards for new residential buildings contained in Tide 24 of the
California Admit ii strati at Code.
()WIWI) LICCIISC NIMIECT
Sigritumc air I Title Diac
WESTERN....INSULATION, INC..S..\ S‘ix,
't481278...............
s sutt ( itn t IffidAllitt) I c nr•e:Nunaw."
r
//IC+.114,2-414-Prt._ Authorized •Agent . 64-91 . ......... ....... ...
Ctiannor Sill Tole Dittr
FINAL GRADING CERTIFICATION
Project Address: /52 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 + 110 of the de .g ed elevations.
Supervising Civil Engineer 1Q.LP1.l. Reg. No. prE 3179n
(Signature)
Date 6/11/91
lerisci6),FESS/04/4
tP
c� �' m
A2
w ��Q
9TFOF CA��FO�
STXTT and SIN
ismO.�ie
PROJECT ADDRESS: 6I ELDEN AV UNIT: M CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 0S0.38.:OWNER'S NAME: BRIGGS DEVELOPEMENT CO.
• ADDTIEss: 23046 CARLOTTA AV 4315 PERMIT NO: M 050383 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: G49363 PRIMARY BLDG, PERMIT,
ORANGE CA 92665 ******>E*�P***EP* *** **********aE*�taE*EE*******a6******+Far*T6*T6***********Tr*aET6a6*******RP
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 lull force and effect. SETBACKS
CITY LIC.: 015264 STATELIC.:269496 CLASS:�''
C-20I
Date:� ���� signature:_ _ ' "......‹ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: (hereby allir nail ifiwtAof consent to sell-insure or a cenificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensationnur e= c�jr a copy thereof(Section 380O.Lab.
POLICY NO.: n—�7°� `r .� EXP.DATE: 87/01 /91
SCOMPANY; PACIFIC STATES PARKING REQ: PROV: PARCEL: 43929107 INE: REF NO:
J Certified copy is hereby furnished. C19 Certified copy is filed with the city Building Division. PLANNING N TES>
Date'472-42'e—g0 Applicant: _ ' Tr**********7F***#***********************iF*!(-******#**Ir******IL-14****%*******3P******
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is fur one hundred(MOO)or less). DEVELOPMENT SERV ICES REQUIREMENTS
I cenify 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: BUILDING APPROVED BY
NOTICE:II.atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor a a / DATE:
Code.you must lonhwilh 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• iik.� _— -41 �._;..,��, , DATE• /�
which this permit is issued(Section 3097.Civ.C). ********************** ' " - - - "�' " '********** . **
LENDER: ************************************** ** j' '***********************************
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 9 , 00
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed • 251 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
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15. 00
I. as owner of the property or my em loyees 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 , 00 0 , 00 29 , 00 24 . 00 . 00
•
does not apply to an owner of a properly 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• 24 . 00 OVER/SHORT: 00
iorpineepurpose of salejnin 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/TQT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 24
00
KI and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). l am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
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 slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above.mentioned
property for inspection purposes.
Date- 4'2",2e) Signature:_ '
r..0
Driver's License or Social Security i".' '2.171:1I.. .. ,:
, ,5J2
1641-46 White—Building:Green—Code Enlorcemont:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor f5. ` '•C
CONSTRUCTION AND PLANNING W P( SPA
APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector
1.4 Temporary Electrical Service or Pole 52. Pool & Equipment Location
1 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
• I • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms
• 4.'Electrical Conduit-Undrgrnd. 55. Electrical Bonding
15. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE
7. Footings _ _ 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash i e -Tra f) Undrgrnd. •
/t
10. Structural Floor System 61. APPROV +-
./ 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
r
20.-Rough Factory Fireplace r_ - ' 'APPROVALS: -Permit 4
21. Ducts, in Structure. - - 70. Underground Hydro
22. Ducts, Ventilating ' - - " ' i71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough &Test . . - . 72. Underground Flush -
24. Roof Framing • •73: Undergrnd.Storage 0 Gas 0 Oil
25. Roof Sheathing ' Hydro
•
74. Overhead
26. T-Bar Ceiling (Structural) & Monocoat -• ' 75. Dry Chemical '
27. Frame and Flashing , . 76. Dry Standpipe • t -
28. Lathing & Siding - - i I� • 77. FIXED SYSTEM FINAL' -
'29. Insulation - - I ' ,Ji • 78. FIRE PREY. FINAL
30. Orywall'Nailing ) j - -V HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat' : , 79. FINAL INSPECTION
• 32. Electrical Power Meter-Final. • - • •80.8 FOOD CERTIFICATE ISSUED
33:Final Electric - . • ' 't - - ' Notes: -
34. Final Heating & Air Cnditionin Gid/47,97 1
35.'Final Gas Pipe-Test _ ' / + �/',./�
36. Hood or Canopy . i -
37. Final Factory Fireplace • -
38. Final Plumbing - .
39. Water Service-Final- r I •�' - - • I -
40. Gas Service-Final - - , , ) , . '
-.41. Solar Domestic-Final ,
42. -Backflow Preventer I -
43. Backflow Irrigation • - f -
44. Landscape Irrigation System • - _ - -
45. Sound Attenuation •
46..Handicap Regulations ,
47. FINAL STRUCTURE & BUILDING • - -
48. FINAL PLANNING - • _ _
49. Electric Release to.Edison
. •
50._Gas Release to Southern California Gas Co , t !.'
51. CERTIFICATE OF OCCUPANCY
No. Date