HomeMy WebLinkAbout155 TERRAZA CT - Building Permits ` sin rw, CITY OF COSTA MESA
CALIFORNIA 82628-1200 P.O. BOX 1200
J + i$ DEVELOPMENT SERVICES DEPARTMENT
PA/ / ;n'"/
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 Equalizl9tion
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: ... b4 ts.D A uxlT: B CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G049373
DWNER'SNAME: BRIGGS DEVELOPEMENT CO. . i,
ADDRESS: 23046 CARLOTTA AV #315 PERMIT NO: G 049373 PLAN CHECK NO: 04396-90 L GOVT: N StPP : 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 12UNITS SQ FT: 2 , 173 '
ADDRESS: UNIT: yt
CLAIM VALUE: CALL-VALUE: 129, 257. 00 GROUP OCC : R-3 / Ai -‘
PERMITTEE: BRIGGS DEVELOPMENT ( 714 ) 380-0686
ADDRESS: 23046 CARLOTTA AV 315 COMMENTS : APARTMENT 1 OF 12 UNITS
LAGUNA HILLS • CA 92653 ** *******xet************x************** *er**** * **********+r**er***at**** +r*****
•
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SE TB ACK S "„
CITY LIC.: STATE UC.: CLASS:
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
FRNT: 12 FT IN REAR: 12 FT IN FRNT: FT IN REAR: FT' IN •
, 'MORKERS'COMPENSATION DECLARATION: I hereby affirm that Iave a certificate of consent toselhinsure or a certificate of Workers' LEFT: 25 FT IN RGHT: 8 FT IN LEFT: FT IN RGHT: FT! IN
mpensation Insurance,or a certified copy thereof(Section 3900.Lab.C).
M : EXP.DATE:
COMPANY: PARKING REQ: 24 PROV: 24 PARCEL: 43929107 ZNE: R2 REF NO: DR9015
C
eAHe
E o
Certified copy is hereby famished. 0 Certified copy is filed with the dry Building Division. NOTES> ONE,ion. > 2-STORY DETACHED APT. UNIT (ONE OF A 12-UNIT PROJECT)
Date: APDOiant: *********************************************************************'**iF*******
EXEMPTION FROM WORKERS'COMPENSATION OECLAIWTION:'4ihis section need not be completed N the permit is for one hundred($100)or less). DEVEL OP MEN T S'-E .R V, I C E,- •
R E Q U I R E M E N ;T S'
I certify that in the performance of the work far which this pbrmi is issued,I shall not employ any person in any manner so as to become - •
d
subject to the Workers'Compensation Laws California. ZONING APPROVED BY - .. 't(. : DATE: t fl ff fr-1 Q
Date: Signature: BUILDING APPROVED BY . - - DATE: 1'
NOTICE:If.after mating this declaration.yoJ should become subject to the Workers Compensation provisions of the Labor _ - ' r
Code,you must forthwith comply with such provisions or this permiti; d shall be deemed revoked. ' , .1
CONSTRUCTION LENDING AGENCY: I hereby affirm that.there's a construction lending agency for the performance of the work for APPLICATION ISSUED BY: - 'A._ DATE: j°-'17131-1-1b
which this permit is issued(Section 3097.(Av.C).' . ********************************1F*,****.*********** aFaF*************** *.#ter* *****
LENDER: ******************************itilaE*i,!**********************************jr*ir*******
ADDRESS: LEGALIZATION:N F E' E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: thereby 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 744 . 50 27 , 00 62 . 06 15, 50 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 1:31% 25% SMIP/NON-R E S
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 483 . 93
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 3,00 1 5 . 0 0 15 . 0
any applicant for apermN subjects the applicant too civil penally of not more than five hundred dollars($503). 0
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 8 5 8 . 1 1 33 . 00 483 . 93 1375 . 04 1.375 . 04 . 00
structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Lawr
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.It,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 891 . 11 OVER/SHORT: 00
Improvement is sold within one year of completion,the owner wit 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). 744 . 50 30 . 00 77 . 06 ._;j30 . 50 9 . 05
,y, I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
n and Professions Code: The Contractors'state License Law does not appy to an owner of property who builds or improves thereon *,**,***,*******,*,**,***,***,***,***,***,**** H,*****,**,***,*,**,N,***,*********,***,*,*,*,*,***,N,***,***,
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUA L^ F E E BREAKDOWN
0 I am exempt under Section: B.&P.C. '
for this reason: &2•0c;;/1/
�J TYPE QTY D E S C R I P T I O' N UNIT COST TOTAL COST
Date: /(/J �� Owner: u/• � SFR 1773 DWE-TYPE V-WOOD FRAME -GOOD 69 . 00 122, 337 . 00
I do hereby certify ttttkkklllI am aware of and understand the requirements of Cal i ealth and Safety Cod ctions 25505,25533,and SFR 400 RES-GARAGES TYPE V 17. 30 6, 920 . 00
25534 and that l or any future building occupant Will/will not(circle one)need to ply with said state codes a,• he requirements for a ELp, 1 77 9 NEW REE 5LPt9 FOR 1 QH 2 um/TV jt p 3 6
•
permit for consiruclwnrtlWiwn from thaNManagement Dist' .Revtlental consw,rons
.eexemDt from MEC 1 INST FORC-AIR/GRANOR <= 1. K BT 9 .S0 9 . 00
these provisions.
/////%n �Ly:7�yy., 4� fl FtpFrj:}�tE 6 . 50 6 . 50
Date: /� Applicant ��f/'� ` • YL �TTUS ,' 2 . 00 2 . 00
I hereby ce that I have read this application and state that the a a inf matfbn is correct.I ag •to comply with all city and county PLU 1 DISHWASHER _ . 2 . 00 2 . 00
ordinances and state laws rel.ng to building construction and hereby am representatives of this ci con the)))hhhoobvvve-mentioned PLU 1 GAS SERVICE 2 . 00 2 . 00
property for inspec'• pu -5. / PLU 1 SIWE KITCHEN 2 . 00 2 . 00
ip /7- PLU 1 SEWER, CONNECTION TO BUILDING EACH 01 Op•5�;00;- 5 . 00„ ,
Date: L/ , Signature: e"77PLU 1 SHOWER DME: 21POM V_ 'T ;:• s'��_.• - -
Driver's Lice se or ocial Security
2 . 0 0 - -
-----, 1641-46 White-Building;Green-Code Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor ''•-•-..:_____i'
t_\
CONSTRUCTION AND PLANNIN J .L ' SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
•' 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •
i
li /�i� e-,
2. .Soil Pipe-Undrgrnd. /G 1- 1c ` 53. Steel Reinforcement i ^
` • 3:Electrical Conduit Utility-Undrgrnd. 54. Forms fi,
:4.'Electrical Conduibjndrgrnd. 55. Electrical Bonding
.S;t
5teel Reinforcement Pin, O4-1// 56. Rough Plumbing & Pressure Test -
6. 'Electrical UF CR Grnd. I /92, (t(✓ 9 57. APPROVAL TO COVER-GUNITE •
7: Footings - /0/9-57o b4-'7/ 58. Electrical Conduit-Undrgrnd.
- :8. Foundation - A /n /�9t.t e� 59. Gas Pipe, 0 Undrgrnd., Test
JJ lYW l / / /���,y� r
97 Water Pipe-Undrgrnd. 404. j'v ..,61 2j60. 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 ,A
•
13. Roof Drains 64. Plumbing System - Final ;7 • r
14. Rough Plumbing - 65. Electrical-Final • -
15. Rough Electrical-Conduit 66. Solar System-Final f
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 _.. t; _ .
s.
20,'Rough Factory Fireplace - APPROVALS., Permit # - - - - - ,
21: 'Ducts, in Structure .'- " " " - -
"� n.t '70. rUndergrou',nd Hydro 1,
22!Ducts, Ventilating 4, <a . {
` •(71. Prod uci:Piping 0 Gas 0 Oil
23:'Gas'Pipe!Rough&Test S ,.:72. Underground Flush' `
24.'Roof Framing r- - . •••73.:Undergrnii.Storage:Tank.O Gas 0 Oil
25. Roof Sheathing , ' :. ' ' -!3 74.•.Ove`head Hydro '-:
26.:T-Bar Ceiling (Structural) & Monocoat r, ., .a ; 75..Dry Chemical c., i-
._ -_ .- *•�.
27'. Frame and Flashing _ " ''r t 76. Dry Standpipe "Th f '
28. Lathin & Siding "w -'-'
9 > .. _ - : x 77.1 FIXED SYSTEMtFINAL i-i C r .� : ri ;
29. Insulation • _ - ., % 78-'FIRE PREV. FINAL t .14.,. .,?; r'I.. ••`-
30. Drywall.Nailing - '.; + r. 4t _-oma ;::)"-IIEALTH:D.EPT..REQUIREMENT
".31. Plaster Brown Coat - ; i i'; ' 79. FINAL INSPECTION' r 1 c 0,." - ' -
r32..;Electrical Power-Meter-Final '80'-FOOD CERTIFICATE ISSUED . -
-33�:Final Electric - le,/g' f Notes: ; ' : IA .' QU
.34':1Final Heating& Ail-.Conditioning - / G/ /i C I"' t i Lu" ' _
35..Final Gas Pipe-Test 613!!41 &Cs ' - • __. - •
=36 Hood oi-Canopy " = _ " . .
..- , til0b1 '
•
-37. •Final Factor Fireplace- - - 31 L.rp; .� ='I
y e 61 /� - 1.,,Ar 404
. '38.,Fina,l Plumbing -, 6'131'�-t ` ' v "
"39: Water Service-Final I$ 9 Lt '
•
;-b40. Gas Service-Final -I • `i-
-'41. Solar pomestic-Final ' - +it
42. Backflow Preventer - ; . ., .
..t _ . . . 't , _
43. Backflow Irrigation _,
,44. .Landscape Irrigation System; :7 - r -
45I.:Sound •Attenuation • • �; a;• - r
X46.' Handicap Regulations t - 1
x47.-FINAL STRUCTURE & BUILDINGr /y,`L_9� awF. -
y�� 11
'
49. .Elec rric Release to:Edison . ,
-50. Gas=Release to Southern California Gas Co ' . - - ' , _' • • '
51. CERTIFICATE OF-OCCUPANCY -
No. Date
PROJECT ADDRESS: r UNIT:
OWNER'S NAME: '
ADDRESS: PERMIT NO: G 049373 PLAN CHECK NO: 04396-90 L PAGE:. 2
, ARCH/ENGINEER: REG.NO.: TYPE QTY DESCRIPTION UNIT COST TOTAL COST
ADDRESS: UNIT:
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
PLU 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 FEES
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: '
. 'YORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers'
mpensation Insurance,or a certified copy thereof(Section 3800,Lab.C).
JLICY NO.: EXP.DATE: '
COMPANY: '
1 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.
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,Clv.C). •
UNDER:
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: 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 7D00)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
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(Section 7044,Business and Professional Code: The Contractors'State License Law
F 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,ith a contractor(s)license pursuant to the Contractors'State License Law).I ant aware
that proof of their Worker's Compens:eon insurance should be provided to me.
❑ I am exempt under Section: B.&P.C.
for this resion:
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 will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions. *D1f L 1 C:p,'i c _ •� _ - -
r
rt..''..G t: k.
Date: Applicant:
01 60071412,-i007s427 'i k_: A
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 . DATE! 13/0S/90 T;j l_'- !i:05
ordinances and state taws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned •
property for inspection purposes.
Date: Signature:
Driver's License or Social Security Of: .
' 1641-46 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION ANP PLANNINti 'JG. . SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. //�ff41; err 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final •
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing
Poor 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 / //�' 70/ FIRE DEPT. REQUIREMENT
20 'Rough Facto?yJFir place /40/17 'v�`' / APPROVALS Permit#
211 'Dubts,in Structure 70. Underground Hydro
22-Ducts, Ventilating 71. Product Piping ❑Gas 0 Oil
23.Gas Pipe-Rough & Ten 72. Underground Flush
24?R4f Frami'n'g •-'' 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
28,1T-Bar Ceiling`.L ucturall & Monocoat 75. Dry Chemical
27s-Frame and Flashing: 76. Dry Standpipe
28. Lathing;& Sidicgyr; 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing A HEALTH DEPT. REQUIREMENT
31. Plater BrowntCoat 79. FINAL INSPECTION
!-•
32.-E14trical Pgwer~Meter-Final 80. FOOD CERTIFICATE ISSUED
33c.Final EIectric=4t: so Notes:
34nFinalHeating&fAir Conditioning
35;Final Gas Pipe-Test r+
36:Hood or Canopy
370Final Factory Fireplace
38`_,Final Plumbing
39.,..Water Service-Final
40.TGilr Service-Final
41:2:Solar Domestic-Final
42: Backflow Preventer
- r
ion•
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47.-FINAL-STRUCTURE & BUILDING
48.--FINALiPLANNING •
49. Electric Release to Edison
50: Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
J
FINAL GRADING CERTIFICATION
•
Project Address: /55 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 designed elevations.
Supervising Civil Engineer IL. Reg. No. PCE _1 i 7n
(Signature)
Date 6/11/91
(7----
c
ESSIONq
. !-Iq,� l�.
��Att,yc�
j+ m
L(1151 : 1 r" -
1/92
clv+� �`P CA`\E0�
. SVC'S' and SIGN
F-TY Elf COSTA MES '
•
CAL I FO RNI A 92628.1200 P. O.BOX 1200 . .
Insulation Certificate 27—C7TZVA-7/4 a CA ke277:1
‘' 6z-be:A) zifr-L;(5-Alt%:: 7-725121 •
klambet entl Sticet City
2468 ELDEN AVENUE
OFANGE _UNIT
enunty Suldirision Lin Number
Description of Installation
ROOF .•
Material Brand Name'Thicknc.ss(inches) Thennal Resistance.(R-Value)
EXTERIOR WALL
Material _BATTS__ Brand Name ...manT.F.
Thickness(inches) -thermal Resistance(R-Value) R-11
CEILING
Batt or Blanket Type AIT Brand Nanie MANVILLE
Thickness(inches) Thermal Resistance(11-Value) R-1_9. arid
Loose Fill Type R rand Name
Contractor's minim ain neaalled lb Minimum thickness inches
Manufacturers installed weight per itquare l'oy,to azifteive.mama,Resistance(R-value)
•
R A ISEDFI.00R
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
SLAB FLOOR
Mat:rial 13rraid Name
Thickness(inches) Thermal Resistance(k-Value)
Width (inches) ,
FOUNDATION WALL
Material Brand Name
• " "
'thickness(inches) 'thermal Resistance(k-Value)
Declaration
•
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Tide 24 of the
California Administrative Code.
_
Crdtit Contr .ttyc 0311049) License Number
, , .......... ..........
zowl Talc than
c`1
WESTERN INSULATION., INC "••,_481278
1..1 thitillal;011 in:.1;dirt)
Agent Ike Inc NutlIbC
Authorized_
:tmtur.attrlit ljotr
/5c a2
PROJECT ADDRESS: 2.ier; gx,aa,41-4W V UNIT: B CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 05039:
OWNER'shrAME: BRIGGS DEVELOPEMENT CO.
- ADDRESS: 23046 CARLOTTA AV 11315 PERMIT NO: M 050393 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.ND.: 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: G49373 PRIMARY BLDG. PERMIT:
ORANGE CA 92665 �E�k**+E*�P*+t �r�6i�P�ESe�E*�E>E*�P****LP****�t�E�6fE****x*4******************************x•(E**x**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R E Q U I R E M E N T S
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIG.: 015264/� STATE UC.:269496 cuss: —20 • i
Date:/Pq7�f"Zv Signature:_ _ _ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm th ,I have a certificate onsent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurances or 1 certified copy thereof(Section 3804 Lab. LEFT; FT IN RGHT: FT IN LEFT: 1 FT IN RGHT: FT IN
POLICY NO.: W-0 /32051 EXP.DATE: v 7/01 /91 •
• COMPANY: PACIFIC STATES PARKING REQ• PROV: PARCEL: 43929107 ZNE: REF NO:
Certified copy is hereby furnished. EX Certified copy is filed with the city Building Division. PLANNING NOTES>
J
Date./# --are Applicant: Har_.... _ ********************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: ( is section need not be wmpleted if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS
I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become
subject to the Workers Compensation Laws of California. ZONING APPROVED BY DATE;
Date: Signature: 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. r
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: .. , �; r DATE: (//Zwhich this permit is issued(Section 3097.Civ.C). ************************ * ' *" ' �Er **********************ft* * A*}T•*•**
LENDER: *************************************/ **************************************
ADDRESS: LEGALIZATION:N F E E d M M A R Y STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P✓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 25% SM I P/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 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 penally of not more than five hundred ollars($500). 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
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 9 . 00 15 , 00 0 . 00 24 , 00 24 . 00 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees. prpvided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 24 . 00 OVER/SHORT: 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 24 .00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to theContractors'State License Law). l am aware ******************************************************T************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B. &P.C. •
tor 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
(hese 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 for inspection purposes. .
•
Date/2 —!cv Signature:_ z...,_ /fa° i S.'_^ 1I0?t r,3 i 1-117
Driver's License or Social Security 4:
Applicant:Pink—Revenue;Goldenrod—Assessor
IIIII
CONSTRUCTION AND PLANNING • POSSPA
-APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
r,1. Temporary Electrical Service or Pole. J 52. Pool & Equipment Location •
•
2. Soil Pipe-Undrgrnd. � ' 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd` 54. Forms
! 1 4:Electrical Conduit-Undrgrnd. 55. Electrical Bonding
i.'5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
• 6. Electrical UFER•Grnd. it • 57. APPROVAL TO COVER-GUNITE
1 7;. Footings -1- • _ 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 J
y �.; 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final .
12. Sewer Cap - I 63. Heater & Vent-Final
13. Roof Drains _ 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
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 Fireplacei' _ - - ' APPROVALS -Permit# ti is-
21.'Ducts,in Structu e.: .. ., l -_ - :70. Underground.Hydro -
22.yucts, Ventilating : r. • 'c -71. ProductIPiping O Gas O'Oil
23. Gas Pipe-Rough & Test - 72. Underground Flush- "'
24?Roof Framing • ' S73.' Undergrnd:Storage Tank 0 Gas 0 Oil
25. Roof Sheathing = ', '74,=Overhead Hydro- .
26.!T-Bar Ceiling (Structural) &.Monocoat 4. • -• • • 75.:Dry Chemical - •
27. Frame and Flashing : , 76: Dry Standpipe ''' . . ' '
' 28. Lathing.& Siding - . - • f • - 77;: FIXED SYSTEM FINAL' .
'29. Insulation - ' i 78;'FIRE PREV. FINAL z j
*30. Drywall-Nailing . ' HEALTHTDEPT, REQUIREMENT
-31. Plaster Brown Coat. . ,79. FINAL INSPECTION -
, •
32.- Electrical Power Meter-Final " ,,: •80..-FOOD CERTIFICATE ISSUED
33.. Final Electric 1 l"- }; . ' Ndtes: .
34. Final Heating`,& Air,Condng, -5 _
35.'Final Gas Pipe-Test, _ - • �. ., _ -•
.36. Hood or,Canopy' .t >• >
1
37. Final Factory Fireplace - `' - -1. - '
38. Final Plumbing , ..L. _ , - -' - ;,. , - - - -
- 39. Water Service-Final- . . - •- •
40. Gas Service-Final : , . - • _,
•'41. Solar Domestic-Final- •• ' :
L.
42. Backflow Prevente( • I I I- - . ,
43. Backflow Irrigation . . - - - '
44. Landscape Irrigation System : ; . - - - - •-
-..45..Sound Attenuation •1.. - ,_
..46. Handicap Regulatidns - _ - i .
-
•
-
47. FINALSTRUCTURE & BUILDING ;.
48: FINAL PLANNING ;