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Home My WebLink About156 TERRAZA CT - Building Permits 4) 4, 05111 W , CITY OF COSTA MESA 4 '�o. CALIFORNIA 92628.1200 P.O. BOX 1200 v_c„ �ss T at:J.10 DEVELOPMENT SERVICES DEPARTMENT / •yC-RPORPtED�95;' / 1,..,,,,,:;,,,,,,..,,,>4 Utif;0 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 Equalization 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 _ _ —..a11114 • /4r� �t a ., PROJECT ADDRESS: 2464 ELLD-EN- AV UNIT: L CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 1 049364 OWNER'S NAME: BRIGGS DEVELOPEMENT 9O. w 1 ADDRESS: 23046 CARLOTTA AV #315 PERMIT NO: G 049364 /r PLAN CHECK NO: 04405-90 L GOVT: N SUPP : N • ' LAGUNA HILLS CA I .,' CONSTRUCTION TYPE:i N PERMIT TYPE: ELE MEC PLU STA PURPOSE: NEW 380-0685 ARCH/ENGINEER: REO.No.: JOB DESCRIPTION / : NE APARTMENT 1 OF 12UNITS SQ FT: p, 073 ADDRESS: l UNIT: CLAIM VALUE: CALC-VALUE: 122, 357 . 00 GROUP OCC : R-3 / 111 -1PERMRTEE: BRIGGS DEVELOPMENT \ (714 ) 380-0686 / ADDRESS: 23046 CARLOTTA AV 1 315 COMMENTS : APARTMENT/1 OF 12 UNITS LAGUNA HILLS ' - CA 92653 >F*+t*****4+E***************N+s********+r+r**+r+H**;'r****+rer**eE**;r ******* **+rererN*xit*>E** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commendng with Section Z O N I• N G 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. SETBACK S CITY LIC.: STATE LIC.: - CLASS: r• Date: Signature: • MAIN BUILDI ]G ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATIDN: I hereby affirm that I have a certificate of consent to sell-Insure or a certificate of Workers' FRNT: 13 FT IN REAR: 13 FT IN FRNT: FT IN REAR: FT. IN r 'ompensation Insurance,ora certified copy thereof(Section 3800 Lab.C). LEFT: 5 FT IN RGHT: 25 FT IN LEFT: FT IN RGHT: FT ti IN CMPANY: EXP.DATE: COMPANY: PARKING REQ: ' 24 PROV: 24 PARCEL: 43929107 ZNE: R2 REF NO: DR9015 1 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> ONE, 2-STORY DETACHED APT. UNIT (ONE OF A 12-UNIT PROJECT) E Date: Applicant: ii ********************eeieeeiereeeerr9rrreree *~ re * r*e #hie *ir* rrrreeeeeer*ererer DEVELOPMENT S- E •R V I_ C E_ S : R EQU IR EMEN .T S:- EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed iI the permit is fin one hundred(5100)or less). j,• 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 ' _ �( p pp subject to the Workers'Compensation Laws of California. ZONING APPROVED BY �;j% �- •- f(/` DATE: (O'• ,D. ^ `d Date: youSignatushre: BUILDING APPROVED BY : .;:5 , � - DATE: it ^.g.' 0 NOTICE:If,after making this dedaration, should become subject to the Workers'Compensation provisions of the Labor1 Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. .4„ • i CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency lar the performance of the work for APPLICATION ISSUED BY: . '' �' �� r• DATE: 0 g • d which this permit is issued(Section 3097,Civ.C). 7" ir**ir#erererererererirerirerireririrerir#i(• * •***** **:**• ** • *** it ******3*ek**er*er i _ ** UNDER: **********************************. ******************************************** ADDRESS: 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 the following reason BLDG PMT PLUMBING ELECTRIC -MECHANIC FIRE SMIP/RES 'GRADING (Section 7011.5 Business and Professional Cede: Any city of county which requires a permit to construct.alter.improve,demolish,or PERMIT 720 . 00 27 , 00 58 . 56 . 15,50 8 . 56 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$ • 25% SM I P/NON-R E S pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business P LAN 4 6 8 . 0 0 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 chill penalty of not more than five hundred dollars($500). ISSUE FEE 3,00 15 ;00 15 . 00 I as owner of Ina property or my employees with wages as Ineir sole comDensatian, will eo the work, antl the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID ' DUE J structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTAL S----> 829 . 62 3 3 , 0 01-4468 . 00 1330 . 62 1 3 3 0 , 6 2 . 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" 862 . 62 OVER/SHORT• 00 orpurpose the purposose of sale). improvemente 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 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 7 2 0 ' 0 3 0 • 0 O 7 3 , 5 6 3 0 , 5 0 8 . 56 'ad 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).I am aware that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A L.: FEE BR EAKD OWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCR IP T Z O :N UNIT COST TOTAL COST / J� Date: /4?%A� Owner: 4and �/E/' SFR 1673 OWE TYPE V WOOD FRAME —GOOD 69 , 00 115, 437 . 00 I do hereby certify that I am aware6of and understand the requirements of Calico ety Code coon 25505, SFR 400 RES-GARAGES TYPE V .`' J 17 . 30 6, 920 .00 25534 and that I or any future building occupant wilUwill not(circle one)need to comply with said state codes...the requirements for a ELE 1673 NEW RES BLDG FOR 1 -OR 2 UNITS/ SQ FT . 03 58 . 56 permit for construction or modification from the Air Quality Management Distri .Residential constructio• tions ar xempt from MEC 1 INST FORC-AIR/GRAN FURN <= 100 K BTU 9 . 00 9 . 00 these provisions. / /� MEC 1 FACTORY FIREPLACE 6 . 50 6 . 50 ( Date: Lug�9 vu( Applicant: I PLU 1 BATHTUB • 2 . 00 2 . 00 I hereby certify that I have read this application and state that thea a intorma ors correct.I a• -13 to mrty with all city and county PLU 1 DISHWASHER . . 2 . 00 2 . 00 ordinances and state laws relating to building construction and hereby authorize r esentatives of this dty t. - .pan the-••ve-mentioned P L U 1 GAS SERVICE 2 .00 2 . 00 property for inspectio pur es. PLU 1 SINK KITCHEN 2 .00 2 . 00 PLU 1 SEWER CONNECTION TO BUILDING EACH 5 . 00 5 . 00 Date: /PQ� Signature: > �� / .4.1r pur 1 SHOWER 2 . 00 2 . 00 Driver's License or Social Security 4: _ 1641-46 White—Buildi Green—Code Enforcement;Canary—Applicant; 'J-'. IT°�� 4D'�—.'JJ7:•+hi _ np: Pink—Revenue:Goldenrod-Assessor C0Q1S'FRUCTION AND PLANNING rOt SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - 2. Soil Pipe•Undrgrnd.. /et53. Steel Reinforcement 1 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • I "'42Ef:ectrical Conduit'-Undrgrnd. 55. Electrical Bonding • ::5::SteelrReinforcement A-2.3-9D 64", 56. Rough Plumbing & Pressure Test ' 1":.:61-;-Electrical UFER Gcnd. j ( /1 57. APPROVAL TO COVER-GUNITE 4. -7:-Footings r /1/ // 58. Electrical Conduit-Undrgrnd. 8_'_Foundation ,<' ^� /0 TR 6 C,,-41 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. • j 19,: Structural Floor System 61. APPROVAL TO DECK ' 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final , 1W. Sewer Cap - 63. Heater & Vent-Final - 7 13. Roof Drains -. H 64. Plumbing System - Final - • 14. Rough Plumbing 141/1/f/ 'Pr 65. Electrical-Final :•," ....- I 15. Rough Electrical-Conduit (I'(t •��C ` 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 DEP,T. REQUIREMENT - -• 7•?"'t. ~ 20: Rou h Facto-Y Fireplace �: a: ,iAPPROVAL"r'F,'Peirmit# • �•-y�'" 21:,Durcts, in.Stiuctq[e' " " •- ; G ''}. ', '170. Undergiro4nd Hydro r 22.-_Ducis, Ventilating' - "-• _ t- I- 71. Product:Piping OGas nOil 23.•Gas PipejRou gh & Test _• n :,J^ ;. •`t t,: ? ;: . 72. Underground Flushl•� 24:-Roof Framing . ; ;:, t •731 Undergrnd.Storage:TankTO Gas 0 Oil 25. Roof Sheathing '' ` • - -�, ;I 4, 742Overhead Hydro:..... 26,_TT•Bar Ceiling (Structural) &'Monocoat-- ',. p .. ` t-':. , 75:Dry Chemical :r' t.;s,^. c ,::t•::: 27roFrame and Flashing :.....r,=' - - =" -1"1' 76. Dry Standpipe F '-c ' " • :4- - -_28. Lathin7& Sidin "-`-: .. 9 9,.,.: - _ i• ` jl_ 77c± FIXED SYSTEM;F'INAL . , 7-4 29. Insulation - •- .� x 781,FIRE PREY. FINAL '' ' , .. 30. Drywall Nailing - r x _ o^u - HEALTH DEPT.REQUIREMENT:: '',:r..--; 1'31. Plaster Brown Coat • r* C t FINAL INSPECTION . 32',Electrical Povaer:Meter-Final '-'1... ie 74 RA - 0` FOOD CERTIFICATE ISSUED tri: 33'"Final Electric - ^?� gtes FO� � C itQW • •,:34;rFinal Heating& Air`.Conditioning' jar _ Q _- 35i:Final Gas Pipe-Testi ^•-" b/3/k..l, \ UV> " • - Y "- • :- _ _.., -, _-i .1 p: �' - �. ^-i Y!/ -i "36...Hp dor Canopy ' - • a �0 .37.--Final Factory Fireplace . - Oilf4j` ..L ' r =-' .'.• 38::Final Plumbing SJa1/a[... Lr-gw -, , -;.,„ r, _ •_39_ Water Service-Final. .S u�js/q I' LCD_,- : • i s r. C. T 40. Gas•Service-Final ' :71.: -I*/t_•: i-, - it r_ ci-' '•o , 41'Solar Domestic4 Finar - ` - -• .r ; .:, , r, 42. Backflow Preventer - _ • t ,- '- , 43. Backflow Irrigation .- r • • . • . • .. - f' . . • _ _ .J' •:44.,Landscape Ir{igation System ' '.1 - - t ' C .1 _ ':? R ..:. c"".r .1 cJ -457'-'Sound Attenuation •, '. . a: • , �� :;i .^ l:: 746. 'Handicap_ Regulations '- - - - - ' . om. ,y 47: FINAL STRUCTURE & BUILDING::'-'.'-1---&-14.1( '& - - ' . 07029/ . :.49:..Electric Release to Edison . , .. I 50: GarRelease to Southern California Gas Co �� j' 1-• - ; y_ ` -, 51. CERTIFICATE OF OCCUPANCY No. Date a • PROJECT ADDRESS: UNIT: OWNER'S NAME: 4 ADDRESS: PERMIT NO: G 049364 PLAN CHECK NO: 04405-90 L PAGE: 2 *******************************************+44****4*******4***4***************** ARCH/ENGINEER: REG.NO.: TYPE QTY DESCRIPTIO N 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 7090)of Division 3 of the Business and Professions Cale,and my license is in full force and effect. CITY UC.: STATE UC.: CUSS: Date: Signature: WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' 7mpensation Insurance,or a certified copy thereof(Section 3800,Lab.C). OUCY NO.: EXP.DATE: COMPANY: ] Certified copy is hereby furnished. 0 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(11 W)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,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: Any city of county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to is 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). I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the .J 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 himsellmersell 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 connecting 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 1 and who contracts for such projects beth a contractor(s)license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Company-lion Insurance should be provided to me. 0 I am exempt under Section: B.A 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 wiNwill 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 state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned propend for inspection purposes. *D:"-P II v:.=',T r F:t-C _r _ 01 C007146 LL071467 T'OTi Date. Signature:g DATE: 1C/03%90 TiliL: Ii:I? Driver's License or Social Security X: 1645.46 White—Building:Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING rJ♦ Si 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 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. 19. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 1?. 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.Ro*gh Heating &,Air Conditioning FIRE DEPT. REQUIREMENT 20xRough Facto�'yjFireplace APPROVALS Permit # 21; FINAL GRADING CERTIFICATION . Project Address: /56 Terraza Court Lot Number: • Permit Number: By Civil Engineer: • I certify to the satisfactory completioh 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 for drainage 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 design levations. Supervising Civil Engineer '/Mill. Reg. No. _pry lirm I (signature) Date 6/11/91 R%0E'ESSiON �O\N g. Nq,��eyc �� cD °C E P $'/92 rl CINAt ��Q tr • . OF CAIEF�� S x.2 and SIGN rYTx or COSTA- ES"P • CALIFORNIA 92628.1ZOO P. O.nOX Insulation Certificate �56 '�� l C00‘a ` Number LMI$rR.11 - City 2468 RANGE AVENUE Co-Tit• Solidi vi siren I�rt Nwnlxr Description of instillation ROOF Material lirand Nssmc Thickness(inches) .-_-, -_—.--- --- Thermal Resistance(R-Value) EXTERIOR WA1.l. Material —BTTS -----------------.___....__---- Brand Name kIANIJILLE _ Thickness(inches) -_._.. _T,..___.....__._...._... Thermal Resistance(it-Value) _ R-11 CEILING Baa or Blanket Type BATT-__ _ Brand Nanlc _MANVILLE Thickness(inches) — 'thermal Resistance(R-Value) R_19and_R t30 Loose Fill'fyfx ----..—.._._._._._._—..__.. Brand Name_.......--_._._........_._— Contractor's minimum 'mulled weight/it __.__._. _.. Ib Minimum thickness _._ inches Manufacturer's installed weight per square Rrot to attrive Thermal Resistance(R-Value) _—, RAISED FLOOR Material Brand Name Thickness(inches) Thermal Resistance(it-Value) • • SLAB FLA)OR Material tir.uld Name Thickness(inches) _ __. Thermal Resistance.(R-Value) Width (inches) FOUNDATION WA1.,1, • Material Itrmd Name Thic}mess(inches) 'I1 ermal Resistanec(R-Value) Declaration • 1 hereby certify that the above insulation was installed in the building at the above location in canfbnuance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Admit istralivc Code. t.cera ci("mltrstna (ltuilda) I.i:chs Number .17 INSULATION., INC. ', .481278 .._........__ v nub ono r:Ln Cdistillation Iltslnlln) . sso fJ�L t.GG �.,,a .._. Authorized_Agent %"• 6-4-91 . ......... U4tc /5.6 4-0—.4J CA--? PROJECT ADDRESS: 2Q6Q ELDEN AV `i UNIT: L CITY OF COSTA MESA — BUILDING PERMIT • PERM NO: M 050381 OWNER'S NAME: BRIGGS DEVELOPEMENT CO. ADDRESS: 23046 CARLOTTA AV #315 PERMIT NO: M 050384 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: G49364 PRIMARY BLDG. PERMIT. ORANGE CA 92665 +F�F�F*�F�F�F*�H�F�F�k�F�F*�F�F�F*�F*�F�cx**�F**** �E�E�H**�F�F�c�F�F************ **********x************* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY LIC.: 015264 sTATEuc.:269496 cuss: C-20 Date:./2-oz0-10 signature. _ MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: Ihereby affirm at l have a cenificateo consent In selbinsure or a certificate of Workers' (,,EFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN Compensation Asuraecoa�a,cr ie copy thereof(Section 3800.Lab. POLICY NO.: W �3LV � EXP.DATE: 7/O1 /91 COMPANY: PACIFIC STATES PARKING REQ• PROV: PARCEL: 43929107 ZNE: REF NO: Certified copy is hereby furnished. Certified copy is filed with the city Building Division. PLANNING NOTES> > • Date:/a O""�/) Applicant: _ ...-r. • _ ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: itis section need not be completed if the permit is for one hundred(5700)or less). DEVELOPMENT S E R 'V I C E S REQUIREMENTS I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Dale: 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 G comply with such provisions or this permit shall be deemed revoked. / /j^ CONSTRUCTION LENDING AGENCY: hereby affirm that(here is a construction lending agency for the performance of the work for APPLICATION ISSUED BY. � • f � DATE- which *T*• 1f/ R/-kJd which this permit is issued)Section 3097,Civ.C). ************************ **'*** 9E'*'�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'Slate License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT - - 900 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5 t SMI P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 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. 0O 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—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----> 9 . 00 15 . 00 0. 00 24 . 00 24 . 00 . 00 ❑ 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 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 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING 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'Slate License Law does not apply to an owner of property who builds or improves thereon *******,*,*,*,*,*,**,*,*,*,*,*,**,**•***,*,*,**,**,*,*,*,*,*,*,*,*,**,**,*,**,*,****,**,*,**,**,****,*,*,*,*,*,**,*,**,*,**,***, and ocontractsr for such projects with a contractor(s)sh)should licensepursuantto the Contractors'State License Law). am aware INDIVIDUAL F E E BREAKDOWN That proof of their Worker's Compensation insurance be provided to me. ❑ 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: Cl 00C i 4628-G00?„62£ T O T ATE: 12/2C/?Q r I hereby s and that l laws td this ingtion and state that the above int e nares ist correct.of agree to complyterwith ell city andmcounty 1tiE: )'�'-'L 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. Dale:1c /l Signature:_ i�...L__ Driver's License or Social Security#: 164146 White—Building:Green—Code Enforcement:Canary—Apoticant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING $ PIO/"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 • 4.4Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5.,Steel Reinforcement _ 56. Rough Plumbing & Pressure Test ' i= :6. .Electrical UFER Grnd. -t 57. APPROVAL TO COVER-GUNIT.E • 7. Footings - 58. Electrical Conduit-Undrgrnd. y l 8. Foundation - / 59. Gas Pipe, 0 Undrgrnd., Test • I 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': 7 Permit# ' ,' - 21' 70 ,Du'cts, in Structure: , " . unn . Undergrod Hydro 22. Ducts, Ventilating :71. Product Piping 0 Gas 0 Oil 23.:Gas Pipe.Rough & Test - _ , 72. Underground Flush -. 24,Roof Framing . • • 73: Undergrnd.Storage Tank•0 Gas 0 Oil • . 25. Roof Sheathing - 74,; Overhead Hydro 26. T-Bar Ceiling (Structural) &-Monocoat u' a' - 75:Dry Chemical - • 27.-Frame and Flashing . 76. Dry Standpipe ` ' - r 28. Lathing:&Siding. 77: FIXED SYSTEM'FINAL 29. Insulation .i. - 78. FIRE PR EV. FINAL . - 30. Drywall.Nailing , - I HEALTH-DEPT. REQUIREMENT 31. Plaster Brown Coat' -.1." . 79 FINAL INSPECTION 32. Electrical Power Meter-Final • • I i' 80.:FOOD CERTIFICATE ISSUED 33. Final Electric - ' I' Notes: _ - _ - . 34. Final Heating & it Conditioning. 4,J6 1 D/, 1 _ 35! Final Gas Pipe-Test. - If. • - - • - 36. Hood or Canopy _ ,- , - _ , - ' 37.Final Factory Fireplace - . L. 38. Final Plumbing - -- - , i t . 39. Water Service-Final - ( - - 40. Gas Service-Final • r.• i. - - 41. Solar Domestic-Final - - I 42: Backflow Preventef �J: . 43. Backflow Irrigation 44. Landscape Irrigation System ,- 45. Sound Attenuation (/ -46. Handicap Regulations ' 47.,FINAL STRUCTURE & BUILDING ' • ' • 48::FINAL PLANNING ." ' " 49.• Electric Release to Edison i 50. Gas Release to Southern California Gas Co ' i '' !- ' ' _ - • / 51. CERTIFICATE OF OCCUPANCY 1 - . . i No. Date