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HomeMy WebLinkAbout163 TERRAZA CT - Building Permits • J . 1 Allre CITY OF COSTA MESA o'` CALIFORNIA 926281200 P.O.BOX 1200 1 � ya° $ DEVELOPMENT SERVICES DEPARTMENT 07t2LAf /, 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 Equaliziation 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 //.3 > PROJECT ADDRESS: 24c z.1_n l* 1 um D r CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 049371 OWNER'SNAME: BRIGGS DEVELOPEMENT CO. ADDRESS: 23046 CARLOTTA AV #315 PERMIT NO: G 049371 PLAN CHECK NO: 04398-90 L GOVT: N SUPP : N ' LAGUNA HILLS CAI,' CONSTRUCTION TYPE; V-N PERMIT TYPE: ELE MEC PLU STR PURPOSE: NEW 380-0685 ARCIUENGINEER: REG.ND.: 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 a ADDRESS: 23046 CARLOTTA AV 315 COMMENTS : APARTMENT 1 OF 12 UNITS : LAGUNA HILLS CA 92653 ********+Eer*************** *****;tr*******N***aEx****eF****er*yr******>F*+r******+raraEar*** UCENSED 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 UC.: STATE UC.: CUSS: : Date: Signature: MAIN BUILDING ACCESSORY BUILDING Date: Signature: DECLARATION: thereby affirm that have acertificate of consent to self-insure aracertificate of Workers' FRNT: 14 FT IN REAR: 12 FT IN FRNT: FT IN REAR: FT; IN ' Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: 25 FT IN RGHT: 10 FT IN LEFT: FT IN RGHT: FT IN POLICY EXP.DATE: COMPANY: 1:3PARKING 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) Date: Applicant.re *********************************** **** **********.**************************** DEVELOPMENT S .E . R V IC E •S REQ U I R E M E N ,T- Sr EXEMPTION FROM WORKERS'COMPENSATION DECLARATION:',(This section need not be completed if the permit is for one hundred(31W)or less). - / i - - I certify that In the performance of the work for which this permit Is issued.I shall not employ any person in any manner so as to become .i 1 �- subiecttotheWorkers'Compensation Laws•of California... ! ZONING APPROVED BY �C DATE: :;'�0-'B �-� r' Date: Signature: BUILDING APPROVED BY : i'. DATE: NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor + t ' Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. -). •,. . , T + . f CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: "•. .- DATE: LO k J which this permit is issued(Section 3097,CIv.C).. ************************************ ***** **************************** **4*** WIDER: *********************************1*********** ***************************:******* ADDRESS: LEGALIZATION:N F,E E S U-M M 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: 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 10,% . - 2 5 t SM I P/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 4 8 3 . 9 3 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 Me hundred dollars(5500). ISSUE FEE 3 , 00 1 5 . 0 0 . ' 15 . 00 BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE I, as owner of the properly or my employees with wages as their sive compensation, wit 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 w o builds or improves thereon,and who does such work himself/herself or through r Ns 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 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) AA I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 744 ' $0 3 0 ' 0 0 7 7• •0 6 • 3 0 . 5 0 9 . 05, C7 and Professions Code: The Contractors'State License Law does not appy to an owner of property who builds or improves thereon ******************************************************************************* and who contracts for such projects with a contractors)license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. IND IV I D U A.L F E E BR E AKDOWN ❑ I am exempt under Section: B.S P.C. for this reason: ! / ,/ /` TYPE QTY D E S C R I P T I .0 N • UNIT COST TOTAL COST • Date: A�/�< P� Owner: - . ij 4L �'7[7L 3 WQ ty) FRAME ©DOD Q , 7} i 2 3 37 00 Ido hereby certify that I am aware of and understand the requirements of Calif�a Health and Safety J./. ons 25505,25533,and 5 t 9 U 0 t - Hi(HG S 1 Y E V �' 7 , V 6, 920 . 00 �' 25534 and that I or any future building occupant wilVwill not(circle one)nee o comply with said state e requirements for a ELE 1773 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 62 . 06 permit for construction mod" tion from the Air Air Quality Management irict.Residential constru �tio .re exempt from MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9 . 00 9 . 00 these provisions. . MEC 1 FACTORY FIREPLACE rc 6 . 50 6 . 50 Date: 8 Applicant: PLU 1 BATHTUB 2 . 00 2 . 00 I hereby certify that I have read this application and state that the ve in rmation is correc comply .'th all city and county PLU 1 DISHWASHER ". 2 . 00 2 . 0 0 ordinances and state laws relating to building construction and hereby aut representatives, •enter :,n the above-mentioned PLU 1 GAS SERVICE 2 . 00 2 . 00 property for inspech pur see. PLU 1 SINK KITCHEN 2 . 00 2 . 00 PLU 1 SEWER CONNECTION TO BUILDING EACH 5 . 00 5 . 00 Date:�� 01 003-'.1 ' I.,.-!: DATE: 16. :: ' ,• Taff . A 164148 White-Building;Green-Code Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL ;PA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location '• 2, ,Soil Pipe•Undrgrnd.. JD/4 ^J . 53. Steel Reinforcement r °( L' -t - -3: Electfical Conduit Utility-Undrgrnd. 54. Forms " 'ie. '• 4'Electrical Conduit-Undrgrnd. 55. Electrical Bonding -: 7; .5.-Steel'Reinforceinent ((J/�o ‘Gclif 56. Rough Plumbing & Pressure Test ' 6`-Electrical UF ER Grnd. 10:1 -91, 4.4 57. APPROVAL TO COVER-GUNITE ' j. Footings /p/9.40 44,171- 58. Electrical Conduit-Undrgrnd. .8. Foundation -.S'/7 / `p_2`/-/Q06G,�[� 59. Gas Pipe, Undrgrnd.,Test ':9: Water Pipe-Undrgrnd. /G/�r,{l1/WC 60. Backwash Lines, P-Trap, 0 Undrgrnd. f 'i : 10. Structural Floor System 61. APPROVAL TO DECK . . , 1.1 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 ///D/yrJ"1 _ 65. Electrical-Final f� 15. Rough Electrical-Conduit WC66. Solar System-Final I. 16. Rough Electric-Wiring 67. Fencing & Access Approval , 17. Rough WiringSign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' 19. .Rough Heating &.Air Conditioning /��9/ _.FIREIDEPT. REQUIREMENT ._ ,- t ... _ 20.'Rou h Factoi. Fire lace ' ` .� r g Y P , a , :'APP VALS�._,Permit# 21:'Ducts, in Stiucture " ' 70. iUndergrotind Hydro 22: Ducts, Ventilating. ' - �, 'Ili : :•z 71. Product'Piping 0 oas G Oil 23:'Gas Pipe-Rough & Test _ ` `r% * '� X 72. Underground Flush r ' 24.-'Roof Framing : 1 , '.-,. :i: 73.7 Undergrnd.Storage:Tank.O Gas 0 Oil 25. Roof Sheathing .. -•' ,• _,� �" 74Overhead Hydroa... :- 26`T-Bar Ceiling (Sir,uctura0 &'Monocoatii ;., 75'c:0ry Chemical t-.;, t714.7.-..•; „2-.. - 27-Frameand Flashing " -- - * ' 71* ` 76. Dry Standpipe •' • i - ''^'' 28. Lathing& Siding- > . NA'F I `"` 7.:-,........ `''` ' "" g g- �, * +' 77:.1 FIXED SYSTEM:FINAL : ,t.. .:_ a�'c::' _29. Insulatign - 78- FIRE PREY. FINAL ° ' r� ' Z' 30. Drywall Nailing , . •... . 3 _pv o,HEALTI11 DEPT. REQUIREMENT m a: _-.31. Plaster Brown Coat- - = y: "• ' ' 9 FINAL INSPECTrON' * ,_ s>''�. f- 4 32.;Electrical Power`Metei-Final ����/� '. `8 ._FOOD CERTIFICATE ISSUED ;�_• '.?' . - .33:7Final Electric . .• `"- e_77, '.4 ' Pdote.i. - ;tdR nCj/�[,. (3 . _ f.:s. .34tiFinal Heating& Air Coriditionin � ,! '"J 'S" ' 4. 35. Final Gas Pipe-Test. .� r .? 6/31 hi Lint ,,;' . -36.,Hood or'canopy .. - _ r ' -37. •Final Factory Fireplace` ; - S g3/`Qt L/F..4* * _+ _ - A Y d' J T t' 38.:Final Plumbing - 3j`q-/ („EA - _ - _ ° - v •l-. 39.�Waier Service-Final - r - Li •+ -- - y125/ar Lam. - _40. Gas Service-Final ' • -- - - •'41.-Solar Domestic-Final _ _` -- -i- r' a :, -i 42. Backflow Preventers.... '.I 43. Backflow Irrigation - t- - _ '77.44. Landscape Irrigation System. 1.. - l '- Ls , "' . t •451.7-Sound Attenuation •• • ".' - 46.-Handicap Regulations _ = 47.'FINAL STRUCTURE & BUILDING _ 6-4-gi 6 -k • - 48 $b.YiliklIAlG 51W 0190. : 0707191/ Cr • > Y .- _: ., ;49: .Electric Release to;Edison - 50: Gas Release to Southern California Gas Co Il. : 51. CERTIFICATE OF OCCUPANCY - - - - - No. Date V PROJECT ADDRESS: UNIT: OWNER'S NAME: ADDRESS: PERMIT NO: G 049371 PLAN CHECK NO: 04398-90 .L PAGE: 2 • ` *****************+r**************************************************TE********** ARCH/ENGINEER: REO.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 UC.: STATE Ut.: CLASS: • Date: Signature: WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of 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: 7 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. • Date: Applicant: EXEMPTION FROM WORKERS'COMPENSATOR DECLARATION: (tics 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 file a signed statement that he/she Is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he/she Is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). 1t 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 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 wit have the burden of proving he/she did not build or improve. far the purpose of sate). 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 properly who builds or improves thereon and who contracts for such projects nth 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 am exempt under Section: B.&P.C. for this reason: Date: Owner: I do hereby certify that I am aware of and understand the requirements of Califomia 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-1-1117114W duality Management District.Residential construction applications are exempt tram these provisions. Date: Applicant: i.i�l�P.� r i_ Q'T'L_ C-Z E C:c..r 17:1 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 Oaf v i,/to-r r0's 4.3. l E-3 T ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned D4TE: 10:82/?1:-• 'PE:PPE: t.1:u? property for inspection purposes. Date: Signature: pDriver's License or Social Security x: 1841.48 White—Buliding;Green—Code Enforcement;Canary—ApplicanC 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 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, 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 • 20c.'Rough jfacto yiEjrreplace APPROVALS Permit # 21`.-Ducts, in Structure 70. Underground Hydro 22r.Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23 GaS Pipe6Rough & Test 72. Underground Flush r >+ 24Y'Roof Framing" "" 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Robf Sheathing 74. Overhead Hydro 26 T-Bar Ceeiling:(g aural) & Monocoat 75. Dry Chemical 27.-Frdrne and Flashing] 76. Dry Standpipe �• � n: .•^err•_ 28. Lathing;& Sidgg77. FIXED SYSTEM FINAL 29. Insulation ?^1-,;\ 78. FIRE PREY. FINAL 30. DrywallJNail�ngttt.,n HEALTH DEPT. REQUIREMENT 31. Plaster BrowntCo!t79. FINAL INSPECTION 32J,EIectrical P(45Aeter-Final 80. FOOD CERTIFICATE ISSUED 3 'C •Fal Electric^': 1 Notes: •C• •♦ M C 34.,Final Heating& Air Conditioning 35iriFinal Gas Pipe-Test 36?Hood or Canopy r'",y 37OFinal Factory Fireplice 38.-,Fi4a1 Plumbing 39:Wafer Service-Final 40i-Gai Service-Final 41 DSolar Domestic-Final 42.=Backflow Preventer L. 43. Backflow Irrigation- 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48.1FINALPLANNING 49. Electric Release to Edison 50. Gas Release to Sobthern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 29G1 OLDEN AV 1 UNIT: D CITY OF COSTA MESA — BUILDING PERMIT PER NO: M 050391 OWNER'S NAME: BRIGGS DEVELOPEMENT CO. ' -,...'40 • ADDRESS: 23046 CARLOTTA AV #315 PERMIT NO: M 050391 PLAN CHECK NO: N GOVT: 'N_,SUPP: N r 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: G49371 PRIMARY BLDG. PERMIT. ORANGE CA 92665 *******�6�E�E*�EaP****+PSE****� ******uiF**�6* *****+ +E*iE**T6*s6**********ae*y TELE**iE,E**t6****** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)at Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: 015264 STATELIC.:269496 CLASS: —20 Date:��—•."11)> Signature:__ _ _ _ _ MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: (hereby alfirmt„ Ihave aceniliwte of onsent to self-insure ora cenilicate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Asura � cJYn a copy thereof(Section 3800,Lab.6y1 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: W—V�� x+ � EXP. DATE: xv7/01 /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> > 0ate:.,e/2.20 Applicant -et- . 44;-- — ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: j. is section need not be ompleted if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS I certify Thal 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 sables(to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Dale: re'' BUILDING APPROVED BY : DATE: NOTICE:ILyou should after making this declaration, should become subject to the Workers'Compensation provisions of the Labor Code,you must forthwith comply with such provisions or Ibis 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 B Y• x DATE• .2-d —0 which this permit is issued(Section 3097,Civ.C). *********************** ** * ** * ** ******************** ** LENDER: **************************************** .Y ************************************ ADDRESS: LEGALIZATION:N F E E S U MARY 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 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 life a signed statement that he/she is licensed 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 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(5500). 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 lot sate(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS————> 9 . 00 15 . 0 0 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 sf 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 properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware **************************************'*************N'*************************** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Dale: Owner. MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 00 9 . 00 I do hereby certify that Dam aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District Residential construction applications are exempt from these provisions. Date'. Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned propeny for inspection purposes. 2' :uO76627:i2.5076625 .r.:.•- ' Date:t��?__o-9U Signature:_ .I:1 E: 12i 2Ce 9C I tit. :.4:Srt Driver's License or Social Security (/ 1641-46 White—Building:Green—Godo Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor MI • 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: I• • 54. Forms 1 4:Electrical Conduit-Undrgrnd. 55. Electrical Bonding ro 5. Steel Reinforcement ,.-,• 56. Rough Plumbing & Pressure Test l .6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE f 7. Footings 58. Electrical Conduit-Undrgrnd. -'' - 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test , I. 9. Water Pipe-Undrgrnd. ! 60. Backwash Lines,P-Trap, 0 Undrgrnd. 7 10..Structural Floor System61. 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 f 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: Ducts, in Structure . _ - . .70. Underground Hydro • 22. Ducts, Ventilating • -71. Product`Piping0Gas DOTH 23.,Gas Pipe-Rough & Test -- _ 72. Underground Flush - 24. Roof Framing • 1 • - ` "73."Undergrnd.StorageTankIDGas 0 Oil 25. Roof Sheathing _• . . ., . '74,, , Overhead Hydro:, 26.•T-Bar Ceiling (Structural) & Monocoat75:'Dry Chemical - • - , > -- - 27:--Frame and Flashing' - r , 76' Dry Standpipe - :-• • ' 28. Lathing& Siding A - . - ••i I r , 77. FIXED SYSTEM FINAL' • 29. Insulation . %. - - - . •, ' ! i xi:r . 78:, FIRE PREV. FINAL . - •30. Drywall•Nailing - - - I ; ;,I- • HEALTH DEPT, REQUIREMENT ' -31. Plaster Brown Coat: . I, . 79. FINAL INSPECTION - 32. Electrical Power Meter-Final •,�' . 80.. FOOD CERTIFICATE ISSUED n 33.,,.Findl Electric _ t . �.:. • Notes: - , 34. Final Heating& Air-Conditioning• w /4/5;'/f/ /45. ,., 35.•Final Gas Pipe-Test •' - •L36. Hood or.Canopy �. >. - .- 37: Final Factory Fireplace -38. Final Plumbing I V t - "39. Water Service-Final' . • ° I - - - " =- • • 40. Gas Service-Final , , • - . 41. Solar Domestic-Final • ` - I 1: ; • 42. Backflow Preventer, 1. ' 43. Backflow Irrigation i ` (`y v 44. Landscape Irrigation System • - 1 - - . - . - l45. Sound Attenuation • a ' , u - .. . . . - (6. Handicap Regulations - . N 47. FINAL STRUCTURE & BUILDING - ' - . • -/ 48. FINAL PLANNING l• 49. Electric Release to Edison - - - 50. Gas Release to Southern California Gas Co 1 I - i• • - 51. CERTIFICATE OF OCCUPANCY - _ . - , No. Date • • FINAL GRADING CERTIFICATION • Project Address: /63 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. An 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. I% 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 de Caned elevations. Supervising Civil Engineer Rea. No. _arE 11770 (Signature) Date 6/11/91 leiThroOFESS/04/A � E /42 rn `PI Cf V1L 9TF of cpk 0� STAMP and SIGN tiTY HF COSTA MEr'i -At.1FOHNIn 92628. 200 P. Q.BOX 111)0 /63 Cir-Ln-/ZIWA C-01AZ • • Insulation Certificate • • fr/570:1-- .• , _Number ma Strect City 2468 ELDEN AVENUE ORANGE c _UNIT D --- • St.1}4 ountyLot Nunbcr • DCSC.431km of Installation • ROOF Material It rand Name Thickness(inches) Thenual Resistance(R-Value) •. EXTERIOR WALL Material „ BATTS__ _ Brand Nana; _MayILLE _ Thickness(inches) ' ibermal Resistance(R-Val ye) .. R-11 c:Eu INC • Batt Or Blanket Type BATT Brand Name MANVILLE Thickness(inches) Thermal Resistance(R-Value) R-1_9 and _ Loose FiliType Brand Name. Contractor's ininimurn installed weigWft2 lb Minimum thickness inches Manufacturer's installed weight per square.foot to acheive libenrial Resistance(R-Val ue) RAISED I:1.001Z Material Brand Name Thickness(inches) -Ibramal Resistance(R.-Value) SLA13 FLOOR Material Brand Name Thickness(inches) "[henna! Resistance(k-Value) Width (inches) FOUNDATION WALL • • Material itrand Name *thickness(rnchcs) "therrnal Resistance(R-Value) Declaral ion hereby certify that the above insulation was installed in flue building at the above location in conformance with the current Building. Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Admii initiative Code. Genet id License.Nurnarti ...... ..-..... ...... ..... ........ aisl THIC Nt<7 WESTERN...INSULATION.,Nutiniat Ft:II/I 011SU in; ) r iDatekell,;:r‘r;;;;; Authorized. Agent Siriht!mr nik.1 Ttile PROJECT ADDRESS: 21£ 1 E *TLDE n�X UNIT: D CITY OF COSTA MESA — BUILDING PERMIT PERM NO:\ F "7 ,.4 - 1 • OWNER'S NAME: BRIGGS DEVELOPEMENT CO, '1 ADDRESS: 23046 CARLOTTA AV #315 PERMIT NO: F 050209 PLAN CHECK NO: 06802-90 S GOVT: N SUPP: N . LAGUNA HILLS CA • CONSTRUCTION TYPE: V—N PERMIT TYPE: FIR PURPOSE: NEW 380-0685 • ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION a NEW APARTMENT 1 OF 12UNITS SQ FT: I ADDRESS: UNIT: CLAIM VALUE: 2, 400 . 00 CALC—VALUE: GROUP OCC; R-1 / PERMITTEE: CALTA PLUMBING INC ( 714 ) 540-2914 ADDRESS: 31030 W CENTRAL COMMENTS: APARTMENT 1 OF 12 UNITS S.A. CA • . 704 **********************************TETE+ESE**+rel***********+E+E**+E+E+E************4****** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am I d under pro ions• Chapter 9(commencing with Section Z ONING REQUIREMENTS 70001 of Division 3 of the Business and Prole ions Code.and my' O — is in full Li ce am effect. / SETBACKS CITY LIC.: 01 ,89 STATE LIC. 233260 CLASS: "I , / fel N. MAIN BUILDING ACCESSORY BUILDING Dale: /. & 76 Signature:_ _ %- . _ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS' MPEN ATIONDECLARATIDN: fhereby affirm that Ihave ater.acate of consent i el insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN compensation;Yv� _ I ���yX •t'ed ,67{thereof(Section 3800,Lab POLICY NO: F.1/44 �• �`• EXP.DATE- COMPANY: ATE- � • /OS / � 1 COMPANY: REPUBLIC EN (/ I PARKING REQ: PROV: PARCEL: 43929107 ZNE: REF NO: 0 Certified ccooPy is h eby furnished. IN Gerified copy is fit i r the city Bi ti n. PLANNING NOT ES> Date:�gl1 M�76 ApPlicam:_ A , i 1- /I/ a� iF*************s>E***1F***************lt*IE**********lF******!E*************IE****lE**lE** EXEMPT] FRO WORKERS'COMPENSATION DECLARATION: (This section re not be completed if the permit is for one hundred($1001 or less). D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S 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 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 B Y• DATE. 4Jd which this permit is issued 3097.Civ.C). ***************************************** ************************* *N * * ** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby allirm that I 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 54 ,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 65* 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 35. 10 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 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----> 54 .00 0, 00 35 . 10 B9 , 10 89 . 10 , 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• 54 . 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 54 . 00 ❑ and Prwho actsdfo Theh projects State eLaw does pursuant to theowner tfctorsproperty who icensor improves thereonr ******************************************************************************* and Prof contractsCfor he Contract with a contractor(s)LieasLaw widoese notapply tla the Contractors'State wh builds or 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: FIR 54 FIRE EQUIP FEE ( FROM BLDG VAL TABLE) 1 . 00 54 . 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: Ap icant: I hereby ceriny that I have read this application rid stale that the' information'.correc agree to comply with all city. d county - p 9 ordinances and state laws relating tobuilding costructionand he4, horize repr_'ntati this ty to enter upon the above entioned f5 ((��/�!� 7_ x•'5733 'C''.L ,• t- property for ins .ction' 'poses. , • 01 YOD7573. �•�Jt w// DATE: 12!C6/90 T1nE: 15:11 J Date: A- �24 ignature' f�� _i i Driver's L ense r Social Security 1641-46 White—Building:Green—Code Enforcement Canary—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. - C 1 53. Steel Reinforcement a . r on 3:,Electrical Conduit_Utility-Undrgrnd. ` 54. Forms 1 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 N , 2.-Footings '-.. 58. Electrical Conduit-Undrgrnd. a ' . 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 1-1.. Property Sewer Line-8i 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 $ign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 201'Rough Factory Fireplace i -: . - - -: • ;APPROVALS`_••_Permit# 21 SDuCt's, in Structural. .. , r C 70. Underground Hydro - let-)0,4i tsGn 22. Ducts, Ventilating : A _ `- -r-' ;71. Product Pipling 0 Gas 0,011 23:;Gas•Pipe`-Rough&Test , 1 -'' ; c , -72. Underground FlusFr GP 4p tit 4:14 24.•Roof Framing . - . - • '73.'_Undergrnd:Storage Tank 0 Gas O Oil 25. Root Sheathing - '= - • , '74.=Overhead Hydro,: • f-49' L0 26. T-Bar Ceiling (Structural) &.Monocoat 75:`Dry Chemical - - 27.:Frame and F,lashing• h '. 76. Dry Standpipe = a - S • 28.E Lathing,& Siding r c. -,-r;^. 'c ` s 772 FIXED SYSTEM FINAL,' _ /DA) toy) 29. Insulation - • 7 `' . I° ' 78 'FIRE PREY. FINAL , ' (o-10.4j AIN 130. Drywall Nailing •.• • y _ HEALTH.DEPT:REQUIREMENT -,31. Plaster Brown Coat: i •l.• -1,: .79. FINAL INSPECTION : "•' ,_32. Electrical Power Meter-Final -- � I I• ? 80.:,FOOD CERTIFICATE ISSUED 33_cFinal Electric ,'1 e I: "Notes: _ : ` Zr .'34.-Fina'' l Heating;& Air Conditioning, T r 3• •_ - _ 35;'Final Gas Pipe-Test* _ ' 4 ' S _ _ - I' Vii. =,- r - a36. Hood or-Canopy .• ' • t- t >. - ` r . w yr 37.2Final Factory Fireplace ' G.' 1 ` ` • . >. "r -38.�Final Plumbing •:,e , .• • - I e S' ..n. - "39,-Water Service-Final. > , - • •i (: • >4 S" - Jo • 1;40. Gas Service-Final .•a ,_ i ' _ .- 41::Solar Domestic-Final .' - = I { • - r 42:1Backflow Preventer` t• I I I:- ; '`, - 43. Backflow Irrigation. • , - - - - t 44. Landscape Irrigation System it-;• - -+ , '� - • C45=Sound Attenuation Ill ' + - - = 46.,Handicap Regulations - - _ •� - 47.:FINAL STRUCTURE & BUILDING - - ;+ -• _ < • 48: FINAL PLANNING " y t-49:Electric Release to Edison + r - 50.-Gas Release to Southern California Gas Co � ) - - , --•- ' • 51. CERTIFICATEOF.000UPANCY - _ �, -. - r3 No` Date