HomeMy WebLinkAbout159 TERRAZA CT - Building Permits / 7 %.7V7�
PROECT ADDRESS:
UNIT: C CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 049372
OWNER'S NAME: BRIGGS DEVELOPEMENT CO. JY
AODRE6;: 23046 CARLOTTA AV #315 PERMIT NO: G 049372 PLAN CHECK NO: 04397-90 L GOVT: N SUPP: N
LAGUNA HILLS CA
CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE MEC PLU STR PURPOE: NEW
380-0685
ARCH/ENGINEER: REO.NO.: JOB DESCRIPTION : NEW APARTMENT 1 OF 12UNITS SQ FT: ,.2, 173
%r ADDRESS: UNIT:
- CLAIM VALUE: CALC-VALUE: 129, 257.00 GROUP OCC: R-5 / Al -(
PERMITTEE: BRIGGS DEVELOPMENT ( 714 ) 380-0686
AODREss: 23046 CARLOTTA• AV 315 COMMENTS : APARTMENT 1 OF 12 UNITS
LAGUNA HILLS ' CA 92653 *************************N-*+EdtN-dF+eN-N-x-*N-iEN--N-*aE*** -*x-*vtr **N-N-***N-N-*ar*at***N-N-**yt*iE****tt
UCENSED CONTRACTOR OECLARATION: 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 mylicense is in full force and effect. SETBACKS
CITY UC.: STATE UC.: CLASS:
MAIN BUILDING ACCESSORY BUILDING •
Date: Signature: _ FRNT: 12 FT IN REAR: 14 FT IN FRNT: FT IN REAR: -
FT„ IN
WORKERS'COMPENSATION DECLARATION: I hereby affirmlhat I have a certificate of consent to self-insure or a certificate of Workers' LEFT: 25 FT IN RGHT: 10 FT IN LEFT: FT IN RGHT: FT IN
'compensation Insurance,or a certified copy thereof(Section 3800,Lab.C).
POUCY No.: UP.DATE: •
'OMPANY: PARKING REQ: 24 PROV: 24 PARCEL: 43929107 ZNE: R2 REF NO: DR9015
Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> ONE, 2-STORY DETACHED APT. UNIT (ONE OF A 12-UNIT PROJECT)
>
• *********************************** *********************************4* *******
Dae: • Applicant: DEVELOPMENT S, E R V I C E -S R -E Q U I R E M E N -1V S •
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred MOO)or less). - - v:
I certify that in the performance of the work for whkh this permit is issued.I shall not employ any person in any manner so as to become
subject to cite workers'Compensation Laws of California. ZONING APPROVED BY - �- DATE: �= -g -1;
Date: Signature* BUILDING APPROVED BY : 1 DATE: /..
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor -.
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. -. J
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE: .
CS-PC-
which this permit is issued(Section 3097_,Dv.C). *******************************************************************'* * *- ***
UNDER: ********************************** 3E
9E.********************************** **aF******
ADDRESS: LEGALIZATION:N F-E E' S U M . M A R Y STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC . MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,after,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 1:1% 2 5% SMIP/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business p LAN 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 . 00
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars POO).
BUILDING-DIV-> PERMIT ISSUE ,PLAN-CHECK TOTAL PAID DUE
L as owner of the property or my employees with wages as their sole compensation. will do the work, and the TOTALS----> 858 . 11 33 . 00 483 ,93 1375 . 04 1375 . 04 . 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 . t.:. .
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: , 00
theimprovement Is sold within one year of completion,the owner will have the burden of Droving he/she did not build or Improve
for BLDG PMT PLUMBING ELECTRIC ;MECHANIC . FIRE SMIP/TOT GRADING PLAN-CHECK
the purpose of sale). 744 . 50 30 . 00 77 . 06 s'•' 30 . 50' ' . 9 . 05
/ 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 Lkense Law does not apply to an owner of property who builds or improves thereon **,*,**,**,*,****,*s*****,*** *,*-
************ *****************,***********************s**
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware r
that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A r L F E E. BREAKDOWN
❑ I am exempt under Section: B.&P.C. . s
tor this reason: TYPE QTY D E S C R I P T IrrO N UNIT COST TOTAL COST
Date: /0 OR 00 Omer: , SFR 1773 DWE-TYPE V-WOOD FRAME -GOOD 69 .00 122, 337 . 00
I do hereby certi hat I am aware of and understand the requirements of Can nia Health net Safety tions 25505,25533,and SFR 400 RES-GARAGES TYPE V 17 . 30 6, 920 , 00
25534 and that J or any future building occupantwiWwiu not(ckde one)n_, o comply with said state.... s e requirements for a ELE 1773 NEW RES BLDG FOR 1 ,OR 2 UNITS/ SQ FT .03 62 . 06
permit for construction sr ••Ificztion from the Airahty Managements trict.Residential const tions a• exempt from MEC 1 INST FORC-AIR/GRAV .'FURN <= , 100 K BTU 9 . 00 9 . 00
these-provisions. MEC 1 FACTORY FIREPLACE '. 6 . 50 6 . 50
Date: O# CI plicant: I41Lii/ �� PLU 1 BATHTUB 2 . 00 2 , 00
I hereby ce that I have read this application state that t*hove Inf. . .tion is correct. a ,m. with at city and county PLU 1 DISHWASHER 2 . 00. 2 .00
ordinances and state laws rel ing to building const ' n and hereby authors 'epresentatives o this •to en- upon I ,.bove-mentioned PLU 1 GAS SERVICE 2 . 00 2 . 00
property for inspecti p oses. I�.{tt1 ty�{ �(T't`�'gtN 2 .00 2 . 00
J QL 1EWEA, CONNECTION TO BUILDING EACH OI OGS,T00�_JI07.42 3T. 5 . 00
Date: Signature: i./s' �� PLU 1 S3HOWER p 2•,003 .a 1 t,: - 2 . 00 • -
Driver'sU nseorSocialSecuriryx: / OATE• LJ/ 'JyIC T.M:: .OS
1641.46 White-Building;Green-Code P{Ilorcement:Canary-Applicant;Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING PO & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location42
'
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
G
• 3Electrical Conduit Utility-Undrgrnd. 54. Forms `N '
:
,-'4.'Electrical Conduit-Undrgrnd. 55.
55. Electrical Bonding I f
5.-.Steel Reinforcement /O jqo- wff 56. Rough Plumbing & Pressure Test
::6.;Electrical UFER_Gr=nd. /Q f..9p til G/ 57. APPROVAL TO COVER-GUNITE
•-7. Footingsreer l!/�`�` 6a-' • 58. Electrical Conduit-Undrgrnd.
:8. Foundation -.T.-/-/- keit, /G2g_ /, - r 59. Gas Pipe, 0 Undrgrnd.,Test
9:Water Pipe-Undrgrnd.� /0�/� e,0„, C 60. Backwash Lines, P-Trap, 0 Undrgrnd. /- �;
' 10.-Structural Floor System j i"Y 61. APPROVAL TO DECK y
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final j ',• ,7
12. Sewer cap , 63. Heater & Vent-Final /
13. Roof Drains 64. Plumbing System - Final ,
14. Rough Plumbing ///Qrgf /./�df 65. Electrical-Final %
15. Rough Electrical-Conduit J�l� 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 - meq/ /j� ,. FIRB,DEPT. REQUIREMENT r• -j.1-:s r.. - - . t--
- - /kV, 7,/L . � •x+ :..rr)C N . r >. 1rr..1'1-1•. • •3�:
Zj)i�Rough.Factory Fireplace -- 7• u .APPROVALSi-..Permit # - - . -
21;'Ducts, j4 StFuctuiEe " " } 2 .? 4 :4170. illnderg rynd Hydro
•
•
'
22"-Du6ts, Ventilating r • . ti ._ .» + '�71. Product l?tping Das DOil
23.'Gas-PipejRough & Test k, t•1 '4 3.' k` ' 72 Underro
gund Flush'"-
24'."Ro i Framing _ tage: ` l _ .
E _ _ �• _•73.:Undergrnii.Storage:Tank,O Gas ❑Oil
^
25. Roof Sheathing -- - y ,---1 -. '-'' t• 74?.Overtiead Hydro, . j
26_T-Bar Ceiling (Structural) & Monocoat'- -• - Vii, 755-dry Chemical c,-n ,I, ' H.-: l-I"'Z ' 1 t4'
27:-Frame and Flashing c^ -;* a' 76. Dry Standpipe 7-.:4-r . - _•,`- t. ,
• 28. Lathing& Siding- , •r-E•• I y: e" 77.! FIXED SYSTEM:FINAL .a = r,
29. Insulation ._ ^ • 7B'` FIRE PREV. FINAL . � 1
30. Dr wall Nailin 7. I: ,., t' '1 •:- v
y g a H -„0�� c,rMEALTH DEPT'. REOUIREMENTi :fir-,
;31. Plaster Brown Coat' - * '� FINAL INSPECTION ;~ v "
,32.,Electrical Power,Meter-Final _ • 4.94/ e��/8 ,FOOD CERTIFICATE ISSUED -
,,..,,o..semx.kQU
33.7Final Electric � �,� # ' es: ,c .t c '
.34. Final Heating & Aire Conditioning' tArai s :
35. ;Final Gas Pipe-Test- 7. C lhi L►te ' ' ='"e
36. Hood or Canopy • //
.-.37.-Final Factory Fireplace - �7' '/- '.
_ •
_38,Final Plumbing 573%/yc 160r t - 1 •.
X39. Water Service.Final - •. TAM( f . ^ - - ,�
'40. ,Gas-Service-Final - 1 ! • -4- F _ -
_41. Solar Domestic-Final ' •_ . j�1.
42. Backflow Preventer - ^ '" l'F:
43. Backflow Irrigation . - - T • • • • - • 1
-• -• . . -t �- 1!� a
•'44.. Landscape Irrigation System _ ,. .w a D -
-45:Sound Attenuation •• %n -
46. Handicap Regulations -
j
,47.'FINNALSTRUCTURE & BUILDING,- : C9`2// glv� - -
48: 'L 070 ri _ ,. ..: • •
. _
,.49:-Electric Release to Edison - - .z , _
50. Gas-Release to Southern California Gas Co - - -
'51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: UNIT:
OWNER'S NAME: •
ADDREgs: PERMIT NO: G 049372 PLAN CHECK NO; 04397-90 L PAGE: 2
************************************************wit****************4****4*4***)t*
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
UCENSED 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 UC.: STATE UC.: CLASS:
•
Date: Signature:
• WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate al consent to self-insure or a certificate of Workers'
Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C).
POLICY NO.: EXP.DATE:
COMPANY:
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,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 Me 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
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 properly or my employees with wages as their sole compensation, wit do the work, and the
44, ❑ 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 hirnself tersell 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 ryth a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compenstton insurance should be provided to me.
❑ I am exempt under Section: 8.8 P.C.
for this reason:
Date: Owner:
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 willwill 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. '*DUF''.I'C:CitTE
01 00071423—E3571427 E 3_f
Date: Applicant: DATE: 1010.3/90 TU1E: .1:02
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: Signature:
Driver's License or Social Security it
1641.6 white—Building;Green—Code Enforcement;artery—Applicant;Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING - POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
i
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test •
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
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•
2U Rough[FactoiyjFireplace APPROVALS Permit #
21t4Ducts, in Structure 70. Underground Hydro
22Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
•23.rGa*Pipe-Rough &Test 72. Underground Flush
24YRoof Framing' 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
2S,T-Ejar Cgiling,l5(yrtiCiural) & Monocoat 75. Dry Chemical
27.:-Frame and Flashings 76. Dry Standpipe
•n w n• rr•ry�� n
28. Lathing;& Sidlgg.pj 77. FIXED SYSTEM FINAL
29. Insulation Cht"r, 78. FIRE PREV. FINAL •
30. Drywall'Nanfni HEALTH DEPT. REQUIREMENT
31. Plaster 6rownteat 79. FINAL INSPECTION
32.„Electrical Pc gr'Meter-Final 80. FOOD CERTIFICATE ISSUED
33QFinal M Notes:
34.-Final Heating r&;Air Conditioning
35z;Final Gas Pipe-Test tr
363Hood or Canopy c f
37C-Final Factory Fireplace
38..Final Plumbing
39. Wafer Service-Final
40: Gas-Service-Final
41..Solar Domestic-Final
42.-Backflow Preventer
43. Backflow Irrigation
44. Landscape I?rigation 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
51. CERTIFICATE OF OCCUPANCY
No. Date
.
FINAL GRADING CERTIFICATION •
Project Address: /59 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
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 designed elevations.
Supervising Civil EngineerA Pi Reg. No. PrP317'70• (Signature) 6/11/91
Date
. QR PESS104,
y
w so
1/92
1
`rT CIV\\- ��Q-
9rf OF CAl\E"R
STY-12.2 c2 and SIGN
TY OF CfSTA MES
--� CAI.IP('t(tUIn W(120.1200 P. O./10X 121)0
Insulation Certificate T��J 9 c7—eiq - Cr 12:1--
•
e- 1)5,7 t j:�i 1�)�lt`-._ t �/� �e� s ISR ' �--)1
n_ ...
2468 ELDEN AVENUE"m w End St .ct City
ORANGE — -_--------------._._. _..____..._...........__...__._..._..__._..._-- _ _ mlx_
Courcy Sul di vision Lex Nur
Description of Institllation
•
ROOF
MaterialIirand Name
Thickness(inches) --_--'--- --._—..— — Thermal Rcsistamx(R-Value)
—_----
EXTERIOR RIOR WAI.,L
Material -_BATTS_-----..._.___....._.._.....__...._. I1 rindNarne
Thickness(incites) :,,._..._._._.__...__. ...___..._...........__...... Thermal Resistance(R-Valuc) _._..-R-11
CEILING
Batt or Blanket Type BAT"._ —_..._._...__..___. ..... Brand Name MANVILLE_..__.—__._.�-_
Thickness(inches) _ _.__..._..._. ._.._....__.._.._. Thermal Resistance(R-Value)
Loose Fill Type Brand Name.
Contractor's minimum nu:t sled weight/ft lb Minimum thickness inches
Manufacturer's installed weight per square foot to a.:-.4ivcThamal Resistance(R-Value)
RAISED FLOOR
Material Brand Name
Thickness(inches) 'Thermal Resistance(k-Value)
SLAB FLOOR
Material Brand Narnc
Thickness(inches) 'Thermal Resistance(k-Value) _—_—
Width (inches)
FOUNDATION WAI..i..
Material it rand Name.
Thickness(inches) Thermal Resistance(R-Value)
I)eclaraiiort
•
I hereby certify that the above insulation was installed in the building at the above location in confbnuance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Admitiisinlive Code.
(tar Kin)contra',eta (Iluilh.i) Li:emr Nmnber
\ -.._.__....._._.._. .. ___...-_.__._..1 i_- '-"-__ .._._........ _ ................... ..__._.. ._.._ _ .._.._... ..__..__..._...
:i i+;nntwc awl lldt--
..' .._..WESTERN_.INSULATION,- INC............ ..... . .. ............. '> 481278
QUI l'anus.tin(b,<alnt ion lusinllrt) I Number
_ _ __......
( Authorized. Agent ' 6-4-91
Untc
PROJECTADORESS: 2464 ELDEN AV (/ UNIT: C CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 05039,
OWNER'S NAME: BRIGGS DEVELOPE ENT CO.
ADDRBSs: 23046 CARLOTTA AV 15315 PERMIT NO: M 050392 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: G49372 PRIMARY BLDG. PERMIT,
ORANGE CA 92665 *****************�E�E***+EBF***x**�F�E**�P*>E*�t �F**FE*****M***>EM*M***********FA**>E**kr*TF**
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
cITruc:;015264 SnATEuc.:269496 cuss: C-20
Date .ifd_ Signature:_ _ _ _ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: thereby affirm consent to self-insure of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation JnsurawuL, g,cplijliej copy thereof(Section 3800,Lab.C1.7/01 /91 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: % V 3 L 1/J EXP.DATE: U
WOMPANr: PACIFIC STATES,i,TPARKING REQ; PROV; PARCEL: 43929107 ZNE: REF NO:
J Certified copy is hereby furnished. L4 Certified copy is filed with the city Building Division. PLANNING NOTES>
>
Applicant:— S-n. �% _ ************************************** lE
************************** **************
Date: DEVELOPMENT SERVICES REQUIREMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: IT is section need not be completed it 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. ZONING APPROVED BY DATE:
Date: signature: BUILDING APPROVED BY : DATE:
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. ' J/ - G / /J�
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency far the performance of the work for APPLICATION ISSUED B Y: � yt^/`'�3E if • tt�F`�` DATE: /RIF c:
which this permit is issued(Section 3097.Civ.C). * *'* '**
LENDER: ****************************************** ***********************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'Stale 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 25% SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business pLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 15, 00
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
111 structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law
opdoes 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 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
foror me 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 sdfo The CoprojectswithState eLawdoes pursuatpo the Cotrproperly' a 'censor improvesI thereonr *****************************************************************************14*
and who contractsCo for he with a contractor(s)LicnLwlicense notapplypursuant to the er Contractors'Stateh builds or
em aware
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
o I am exempt under Section: B.&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 o1 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 Quality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes. 01 00076626—' 1307662f: ' T
Date:.�1 _
Apoficanh Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING , PC & SPA
APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Ser'iiceor 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 '
• f • 6. Electrical UFER Grnd. 'c t ' 57. APPROVAL TO COVER-GUNITE
J. Footings n. 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
20.E Rough Factory Fireplace • . , - • •APPROVALS'-5 'Permit# v r -
21C Ducts, in-Structure. S - 70. Underground Hydro -
22. Ducts, Ventilating - G. 1.71. Product Piping OGas OOil
23.-Gas Pipe-Rough &Test i - - _ 72. Underground FI`ush.
24. Roof Framing - ' . _ • - -'73: Undergrrid.StorageTank OGas ❑Oil
25. Roof Sheathing ' . .; '74.=Overhead Hydro • a
26: T-Bar Ceiling (Steuttural) &Monocoat - 13', - 75: Dry Chemical - - -
27.. Frame and Flashing . • •• . ' • -�, , 76. Dry Standpipe .- ; , - -
28. Lathing;& Siding : 77; FIXED SYSTEM'FINAL-
29. Insulation - " ��, 78- FIRE PREV. FINAL -.
30. Drywall Nailing • HEALTH:DEPT. REQUIREMENT
31. Plaster Brown Coat; _ . 79 FINAL INSPECTION : -
•
32: Electric-al Power Meter-Final / . . . 80. FOOD CER
caCERTIFICATE ISSUED
33. Final Electric• y t Notes: °-
.....34. Final Heating'&. iY t2nj,n , / 4 //may
35..-Final Gas Pipe-TeWB -r t , ' ' ..
.36: Hood orCanopy . , . , _ - -
37.: Final Factory Fireplace - -
-1,; '
38. Final Plumbing . - r • • { • - -
I _.
•
39. Water Service-Final '-I- ` - -
40. Gas Service-Final ; i, ; , , -
.
-
41. Solar Domestic-Final • • ,o
422Backflow Preventef - I I I• ` -
43. Backflow Irrigation -- - "•
44. Landscape Irrigatign System - . . •
45. Sound Attenuations r - j -.
.
46. Handicap Regulations - - - - - - -
1
47.. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING - 1 .:
49: Electric Release to Edison •' -
50. Gas Release to Southern California Gas Co ; ,• .,i - :' , • ''
51. CERTIFICATE OF. OCCUPANCY
No. Date
`Ocie ut,. CITY OF COSTA MESA
t CALIFORNIA 92628-1200 P.O.BOX 1200
e
juvii
7.1 0 DEVELOPMENT SERVICES DEPARTMENT
Sea . ::
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 Egualizbtion
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