HomeMy WebLinkAbout160 TERRAZA CT - Building Permits PR IECTAODREss: UNIT: K ` ,, CITY OF COSTA MESA — BUILDING PERMIT PERM NO; G 049365
OWNER'S NAME: BRIGGS DEVELOPEMENT CO.
ADDRESS: 23046 CARLOTTA AV #315 PERMIT NO: G 049365 PLAN CHECK NO: 04404-90 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 12UNITS SQ FT: :'2 , 173
ADDRESS: UNIT:
' CLAIM VALUE: - CALC—VALUE: 129, 257, 00 GROUP OCC: R-3 / M —(
PERMITTEE: BRIGGS DEVELOPMENT ( 714 ) 380-0686
ADDRESS: 23046 CARLOTTA AV 315 COMMENTS: APARTMENT 1 OF 12 UNITS 'I
LAGUNA HILLS . CA 92653 ******+F***x*atSc+E*2F*****at*****at-a ****+Fx-*******at**;'E+E***** * -*2r **x-er*****x-ar�r-x-***gr St**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREME .T S
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITY UC.: STATE UC.: CUSS: '
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to self-insure or a certificate of Workers' FRNT,:_" 13 FT IN REAR: 17 FT IN FRNT: FT IN REAR: FT IN
ompensation Insurance,or a certified copy thereof(Section 380 .Lab.C). LEFT: lO FT
111
PARKING REQ: IN RGHT: 25 FT
24 PROV: IN LEFT: FT
24 PARCEL: 43929107 ZNE: R2 IN RGHT: - FTh
REF NO: DR9015 IN
DUCY NO.:
COMPANY: UP.DATE:
13 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)
>
iF********************************'************;************************ik*********
Date: Applicant: i ,
E%EMPDON FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is krone hundred($100)or less). D E V E L O P M E N T SER R V I CES-Pre R E Q U I R E M E N ., S
I certify that in the performance of the work for which this permit Is issued,I shall not employ any person m any manner so as to become { ^ /
subject to the Workers'Compensation Laws of California. ,- 'rL ON I NG APPROVED BY : ( '� _ — = �// , - DATE: /0/$f 90
Pm
Date: Signature: /.J LIN
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation,provisions of the Labor BUILDING APPROVED BY : l ?/L �= r - DATE: l%'�e7
Cade,you must forthwith comply with such provisions or this permit shall be deemed revoked. ', % , ' '
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: S DATE: d
which this permit is issued(Section 3007,Civ.C). ************************ "'++ ���FFF���FFF****�** ************************** **
LENDER: i 4******************************** *********************************** *'
* *******
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 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:)% • 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 PLAN 4 8 3 , 9 3 , 'L •
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by h
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3 . 00 f'15 , 00 - 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————> 858 . 11
33 . 00 r., 4 8 3 , 9 3 1375 . 04 1 3 7 5 . 0 4 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through b: /
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 will have the burden of proving he/she did not build or improve
for thepurposeofsate). 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 744 . 50 30 , 00 77 , 06 c^ 3 0 , 5 0 9 . 05
n. and Professions Code: The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereon v r
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 meilfrIitylege7 IND
IV I D U A=L F E E BREAKDOWN
•
❑ I am exempt under Section: B.8 P.C. G
for this reason: TYPE QTY DESCRIPTI�O N UNIT COST TOTAL COST
Date: �� /�a ownerSFR 1773 DWE—TYPE V—WOOD RAME —GOOD 69 . 00 122337 , 00
I do hereby certify t 4I am aware of and understand the requirements of CaliSafe505,25533,and SFR 400 RES—GARAGES TYPE 'V, - 17 . 30 6, 920 . 00
25534 and that I or any future building occupant will/will not(circle one)need to 'mply with said state codes... ,e requirements for a ELE 1773 NEW RES BLDG FOR ire, OR 2 UNITS/ SQ FT . 03 62 , 06
permit for construction or modih tan from the Air Duality Management OBm..Residential construction;g]�ons/ exempt from MEC 1 I N S T FORC—AIR/GRAV FURN <= 100 K BTU 9 . 00 9 . 00
these provisions. , MEC 1 FACTORY FIREPLACE 6 , 50 6 . 50
Date: `s�� Applicant: .4810//,.i/ i • /..�` PLU 1 BATHTUB 2 . 00 2 . 00
I hereby certify that I have read this application and state that the a,.,infor •. •n is correct.I ag•e to omply .c,all city and county PLU 1 DISHWASHER . 2 . 00 2 . 0 0
ordinances and state laws relatin to building construction and hereby authorize .resentatles of this city to eente''ythe ab. -mentioned PLU 1 GAS SERVICE 2 . 00 2 . 00
properly for inspecti pu s. PLU 1 SINK KITCHEN 2 , 00 2 , 00
Date: l42 �� Signature: / r PLU 1 SEWER, CONNECTION TO BUILDING EACH 5 , 00 5 . 00
PLU 1 SHOWER 2 , 00 2 , 00
Driver's License or Social Security
01 GD071— 1LYi,.'
164146 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor DATE' 143.'5'47 _ ;
CONSTRUCTION AND PLANNINGL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
•
1. Temporary Electrical Service or Pole ��,``` 52. Pool & Equipment Location ,
-2. Soil Pipe-Undrgrnd. �r6 y�fil 53. Steel Reinforcement 't'
_ : in�y //fes
,,• 32Electrical Conduit Utility-Undrgrnd. 54. Forms / -
•'-4.-Electrical Conduit-Undrgrnd. 55. Electrical Bonding
. 5.=Steel-Reinforcement �o-)5-y0 (o a,j({ 56. Rough Plumbing & Pressure Test
1_6c.Electrical UFER Grnd. t( kt. 57. APPROVAL TO COVER-GUNITE
7r Footings L L I t ( 58. Electrical Conduit-Undrgrnd. •-
{: .,,Foundation
$ : 14
5 ." /envt ZY-qo 6tif 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 ,1
14. Rough Plumbing //1,y,r/ 0,Qs' 65. Electrical-Final ,
15. Rough Electrical-Conduit 66. Solar System-Final 'i
16. Rough Electric Wiring 67. Fencing & Access Approval .-/-
17.
'17. Rough Wiring Sign 68. APPROVED FOR PLASTERING '
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning -_ y .,FIRE,DEPT. REQUIREMENT _j 1:2.:
_
20:4Rough Factoiy Fireplace - : (.' °APPROVALSZi Permit# •
- _r. „ : -.7-, �'-�.
21ucts,in,Structure:
`,D -` _i :;' a 770• Underg o'4nd Hydro v
22:;Ducts, Ventilating, - - •• -- y 71. Product:•Piping 0 Gas 0 Oil
23;Gas Pipe-Hough & Test _ - ! • :} !. 572. Undergrdund Flu-sl :; s
24: Roof Framing . - .- . •.73:7Undergrnd.Storage.TankA0Gas 0Oil
25. Root Sheathing ' •t t - •_ '' ' 74t2Overhead Hydra_.. - 4-
12
26_---84r Ceiling (Structural) &'Monocoat= , - .t I -" :� ' r,'- tr
•. 1 _ �i� a 75.�Dry Chemical c_.-- . Z _ , .. l.,::,.,.._z
27'Frdmeand Flashing . X ; c.' - L.,K
, 76. Dry Standpipe f_,° ' t-. 'x'• , '::
28. Lathing & Siding_ „ r.c - A _ L » 7771 FIXED SYSTEM'FINAL -- ', - - ^_'-'._
29. Insulation -• "t' } i, Ao 78._FIRE PREY. FINAL • y „inr ,_.
30. Drywall Nailing - > ,... - % -, a so , ---,HEALTH DEPT: REQUIREMENT- •7..4
31. Plaster Brown Coat; -. T;- r, _ •_% * 79. FINAL INSPECTION' •-
_ - �-' r
r .. ,: 'L a-7'l1 n n1 _ -
X32.-.Electrical Power-MeteF Final 80,yF00D CERTIFICATE ISSUED, , ,
• 33:-Final Electric - .. - /Q No?es: kO�:FUR ggelitI REQU �
:34 2Final Heating& Air Conditioning // :....S. - Ir
35:Sinal Gas Pipe-Test. _ f {( � a ' -� - •i
'36._HooiorCanoPY - .. .1 .� ` ' - ,/h � �_��Yii/
_:37.••F inai Factory Fireplace" :' CAM: 1(0 •
-
,38 Finai Plumbing - ,, n >7a,ht-�Q'. '" - .
•39._Watr Service-Final. : ,C r./'q`Q CLD * - -� - r i
'yG"{
40..Gas Service-Final - - i• ` ' • L' `" -
241. Solar Domestic-Final ,- -
' ]- 4, -y
42. Backflow Preventer ., -1 _
, t
43. Backflow Irrigation- - • . • CI - 1 - - - -
.. - . . . _ -. < _0,3'. ..J=
X44. Landscape Irrigatidn System. _ - a.
45:Sound Attenuation - -• • . - - . - .
-746.'Handicap Regulations - ' _ ; . " - -_ .
. 7r
4FINALSTRUCTURE & BUILDING 02-q/ itgi3 - _ -
A
qAh,. c
•iaaadr P
' c,
Rf� a1J s -
. 9:Ele'ctric Release to Edison
50. Gas-RRelease to Southern California Gas Co r a a _ - . ' '
51. CERTIFICATE OF OCCUPANCY - - - -
No. Date
PROJECT ADDRESS: UNIT:
OWNER'S NAME:
ADDRESS: PERMIT NO: G 049365 PLAN CHECK NO: 04404-90 L PAGE: 2
********************************************************0********mar•*********0**
ARCH/ENGINEER: RED.ND.: 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
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'
mpensaton Insurance,or a certified copy thereof(Section 3808 Lab.C).
UCY NO.: EXP.DATE:
COMPANY: .
0 Certified copy is hereby furnished. 0 Certified copy is fled with the city Building Division.
Date: Applicant:
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Iles section reed not be oomgeted it the permit is for one hundred($100)or less).
I ceniry 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.
Dale: 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 Mat there is a construction lending agency tor 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 tofowing 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 fie 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(5500).
III, as owner of the propend or my employees with wages as their sole compensation, will do the work, and the
_ l 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 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
Improvement Is sold within one year of completion,the owner wit 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 teth a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensttion 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 wilWnll not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Alr Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant: "+ - .
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 In C2C7 1h 7— x%2r _
ordinances ono stale taws relating o building construction and hereby authorize representatives of this city to enter upon the above-mentioned OPE: .1.01001/C T.Pi?.
propend for inspection purposes.
Date: Signature:
Driver's License or Social Security N:
1641.46 White—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor r
•
CONSTRUCTION AND PLANNIL & 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
•
20 1Rough`F ectojyjFir`place APPROVALS Permit#_
2lt Dutts,in Structure 70. Underground Hydro
223:pucts, Ventilating 71. Product Piping 0 Gas 0 Oil
23.••GafPipe-Rough & Test 72. Underground Flush
24`)Roof Framing" . " 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Rdbf Sheathing 74. Overhead Hydro
26yT-Bar & Monocoat 75. Dry Chemical
27soFrame and Fta^shi
rrny7 76. Dry Standpipe
28. La hing•& Sid9g}n; 77. FIXED SYSTEM FINAL
29. Iniulanon 78. FIRE PREY. FINAL
30. Drywall Neiin91;2•~ HEALTH DEPT. REQUIREMENT
31. Plaster BrowntCoat 79. FINAL INSPECTION
32,„Electrical Potii rrMeter-Final 80. FOOD CERTIFICATE ISSUED
335LFinal EFectric:tC b1 Notes:
34tiFirial Heating&•Air Conditioning
35'�1Firial Gas Pipe-Tat t^
36?Hood or Canopy
37^Final Factory Fireplace
380Final Plumbing
39y.Water Service-Final
40.•Gas Service-Final
41=Solar Domestic-Final
42. Backflovv Preventer
.
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48'FINALiELANNING
49. Electric Release to Edison
50: Gas Release,to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY
No. Date
•
FINAL GRAI?ING CERTIFICATION
•
Project Address: /60 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 desia elevations.
Supervising Civil Engineer ` 1 P1t1A Reg. No. ?CF 117:)n
(Signature) 6/11/91
Date
r
cOPESS/0
Im
ui 1 1 ml
cc E P /92
�T9TCIVVL
FOF co
AS\
STXQ and SIGN
, . .
• • .
CITY Elf COSTA MESA • • • - " -
CALI ronNIA P. Q.BOX 1200
Insulation Certificate cotocci
c - •
o:27e4- 7IMEA-17 .1.411477:H11-1/ 77.21'57.21 ...e2,14t.=.5.71- •
Number and Street City• •
246RAN
8 ELDEN AVENUE
OGE_
bounty
• Description of Installation
•
ROOF
Material Brand Name • •
Thickness(inches) Thermal Resistance(R-Value)
EXTERIOR WALL •
Material BATTS__ Brand Name _may,T,LLE
Thickness(inches) ......... Thermal Resistance(R-Value) R-11
CEII.TNG
Batt or Malike.IT)Ixt BATT Brand Name MANVILLE
Thickness(inches) Thermal Resistance(R-VAke) R-19 and R-3.1)
Loose Pill Type It rand Nanxt
Contractor's Miamian insulted weight/17 lb Minimum thickness inches
Manufacturer's installed weight per:aware foot to actIvnYeThutrial Resistance(R-Value)
RAISED El
Material Brand Name
Thickness(inches) Thermal Resistance(k-Value)
SLAB 1-1.00R •
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
Width (inches)
•
FOUNDATION W
Material Bernd Name,
Thickness(inches) 'theritial Resistance(P-Value)
ntelantl ion
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 bwldings contained in Title 24 of the
California Administrative Code_
•
Grim Licitii id"Number
\\\% Signn1111r. putt.
sx.
INSULATION, INC- .481278
StM t ltutJitI 0inz.”1114:i; Liccip:c himpha
>24444. r,..414.7..„._
Authorized...Agent
"%Tine mr nik.f Toir
Datr
/Ga !
PROJECT ADDRESS: UNIT: K CITY OF COSTA MESA — BUILDING PERMIT • PERM NO: M 05038`_
OWNER'S NAME: BRIGGS DEVELOPEMENT CO,
ADDRESS: 23046 CARLOTTA AV #315 PERMIT NO: M 050385 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: G49365 PRIMARY BLDG, PERMIT,
ORANGE CA 92665 ********x>FSE**RraE*AH**Lr***Ac* ** ** ** ** *�P** ****+t*****+Apt*+ *****T¢fE************** ,
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 lull force and effect. S E 1' B ACK S
CITY uc.: 015264 STATE LIC.:269496 cuss: C-20
Date./r2—C-90 Signature:- _ _ MAIN BUILDING ACCESSORY BUILDING
�` FRNT: FT IN REAR : FT IN FRNT: FT IN REAR: FT IN •
WORKERS'COMPENSATION DECLARATION: Ihereby affir ,nal l have a certificateUf consent to self-insure'or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensation INuraikc c rt a copy thereof(Section 3800.Lab
POLICY NO.: ^—x/ / V � EXP.DATE: 7/01 /91
COMPANY: PACIFIC STATES PARKING REQ: PROV: PARCEL: 43929107 ZNE: REF NO:
Certified copy is hereby furnished. IX Certified copy is filed with the city Building Division. PLANNING NOTES>
Date: `J p& -7CJ Applicant:4 o` �ti _ *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: is section need not not Im completed for one hundred MOO)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: Syoushul 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- L /
CONSTRUCTION LENDING AGENCY: Ihereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y• Zr .2 2p
which this permit is issued(Section 3097.Civ.Cl. ************************ ,0' *' *.* • * . **** ***************** ** ** **
LENDER: *************************************** ** '***********************************
ADDRESS: LEGALIZATION:N F E E S U M A R Y- 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 MI 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 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 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.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
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 the Contractors'State License Law).lam aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. - INDIVIDUAL F E E BREAKDOWN
D 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: Applicanl: '
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 01 060764.27-2C076627 F A.c 7
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above•mentioned - r`,:
Property for inspection purposes. DATE: 12n/30/70 TIMEi-.151
Date/ 2—e—PC) Signature: _ _. //. /
Driver's License or Social Security
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 Location
2. Soil Pipe-Undrgrnd. -..• 53. Steel Reinforcement
• 3. Electrical Conduit Utility-Undrgrnd.. 54. Forms
Y 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
•j 15.;Steel Reinforcement r - 56. Rough Plumbing & Pressure Test
.. 1 6. Electrical UF ER Grnd. ' 57. APPROVAL TO COVER-GUNITE
7•, Footings58. 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.'Rough Factory Fireplace - - • • - !APPROVALS- Permit#
21:Duct's, in Structure• .. - - .70. Underground Hydro ••
22. Ducts, Ventilating - - _ ;71. Product Piping 0 Gas OOil
23.,Gas Pipe-Rough & Test . - - 72. Underground Flusti.
24:Roof Framing s -73: Undergrnd:Storage Tank 0 Gas 0 Oil
25. Roof Sheathing ; _ 74.:.-,Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat •-• - • 75. Dry Chemical • •
.
27. Frame and Flashing; _ 76. Dry Standpipe - "
• 26. Lathing:&`Siding 77.. FIXED SYSTEM FINAL
•29. Insulation • • • i 1. •- 78. FIRE PREV. FINAL .
30. Drywall ittiling • - ( r .i; • HEALTH-DEPT•. REQUIREMENT
31. Plaster Brown Coat' I j: i, , 79. FINAL INSPECTION -
32:-Electrical Power Meter-Final • I 1, t" - •80. FOOD CERTIFICATE ISSUED i
...33. Final Electric - . ' i I. Notes: '
..34. Final Heating_& Air ditioning - U/ /c/Lt/ _ - '! .
35..Final Gas Pipe-Test- ` < (tel- It' -'
36. Hood or Canopy - - . - I.
1. , .
37..Final Factory Fireplace ' I ` ' - '
-38. Final Plumbing '. • -
39. Water Service-Final • , - - '-- • ''
.40. Gas Service-Final ` . _ , -. -
• {
;41. Solar Domestic-Final - i I { =
•
42. Backflow Preventer - F"
43. Backflow Irrigation -
44. Landscape Irrigation System , .. - . .
-45..Sound Attenuation . • -
46: Handicap Regulations - • -
47. FINAL STRUCTURE & BUILDING -
t,•,
48. FINAL PLANNING '. -, '
49. Electric Release to Edison ,
50. Gas Release to Southern California Gas Co i •
' 51. CERTIFICATE OF OCCUPANCY .
No. Date
`�51f1 FS-9 CITY OF COSTA MESA
4 %' CALIFORNIA 92628-1200 P.O.BOX 1200
0
. .,. .�
ai DEVELOPMENT SERVICES DEPARTMENT
1
a#PoxoRo d
p/41171*
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 Equalizbtion
Engineering Division (2) Street Division
Fire Administration U.S. Post Office - AIS
Fire Prevention U.S. Post Office, Adams Avenue
Manager; MIS File (2)
Mesa Consolidated Water Dist.
The City of Costa Mesa wishes to advise you that the following
addresses have been changed or added:
OLD ADDRESS NEW ADDRESS A.P. NO.
2464 Elden Avenue A - 151 Terraza Court 439-291-07
2464 Elden Avenue B - 155 Terraza Court 439-291-08
2464 Elden Avenue C - 159 Terraza Court Lots Combined
2464 Elden Avenue D - 163 Terraza Court
2464 Elden Avenue E - 167 Terraza Court
2464 Elden Avenue F - 171 Terraza Court
2464 Elden Avenue G - 172 Terraza Court
2464 Elden Avenue H - 168 Terraza Court
2464 Elden Avenue I - 164 Terraza Court
2464 Elden Avenue K - 160 Terraza Court
• 2464 Elden Avenue L - 156 Terraza Court
2464 Elden Avenue M - 152 Terraza Court
•
77 FAIR DRIVE