HomeMy WebLinkAbout168 TERRAZA CT - Building Permits ✓'
`pSTp M6S9 CITY OF COSTA MESA
C. ,O•. CALIFORNIA 92628-1200 P.O.BOX 1200
� C,n
J. ,i./ DEVELOPMENT SERVICES DEPARTMENT
49PORRtfO l
/1/107/
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 Equalizhtion
Engineering Division (2) Street Division
Fire Administration U.S. Post Office - AIS
Fire Prevention U.S. Post Office, Adams Avenue
Manager, MIS File (2)
Mesa Consolidated Water Dist.
The City of Costa Mesa wishes to advise you that the following
addresses have been changed or added:
OLD ADDRESS NEW ADDRESS A. P. NO.
2464 Elden Avenue A - 151 Terraza Court 439-291-07
2464 Elden Avenue B - 155 Terraza Court 439-291-08
2464 Elden Avenue C - 159 Terraza Court Lots Combined
2464 Elden Avenue D - 163 Terraza Court
2464 Elden Avenue E - 167 Terraza Court
2464 Elden Avenue F - 171 Terraza Court
2464 Elden Avenue G - 172 Terraza Court
2464 Elden Avenue H - 168 Terraza Court
2464 Elden Avenue I - 164 Terraza Court
2464 Elden Avenue K - 160 Terraza Court
2464 Elden Avenue L - 156 Terraza Court
2464 Elden Avenue M - 152 Terraza Court
77 FAIR DRIVE
PROJECT ADDRESS: ^2-4r6T ELDEN 'A UNIT: H CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 049367
ommiNAL BRIGGS DEVELOPEMENT CO.
I ADDRESS: 23046 CARLOTTA AV #315 PERMIT NO: G 049367 PLAN CHECK NO: 04402-90 L GOVT: N SUPP : N
LAGUNA HILLS CA C.
CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE MEC PLU STR PURPOSE: NEW
ARCHIENGINEER: 380-0685 REG.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 -1
PERMITTEE: BRIGGS DEVELOPMENT ( 714 ) 380-0686
ADDRESS: 23046 CARLOTTA AV 315 COMMENTS : APARTMENT 1 OF 12 UNITS
LAGUNA HILLS CA 92653 *****************afar****aE********-N Ear***aE******srsE****ar+FaE*ar***afar**+E**+E*atyEN-atyl***at*yt
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS -
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITY UC.: STATE UC.: v CLASS: .
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: 13 FT IN REAR: 12 FT IN FRNT: FT IN REAR: FT. IN
( iipensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: 10 FT IN RGHT: 25 FT IN LEFT: FT IN RGHT: FTr IN
AJCY NO.: EXP.DATE: !.
I COMPANY: PARKING REQ: 24 PROV: 24 PARCEL: 43929107 ZNE: R2 REF NO: DR9015
1 Certified copy is hereby furnished. ❑ Cenifiedcopy isfiled vnththe city Building Division. PLANNING NOTES> ONE, 2-STORY DETACHED APT. UNIT (ONE OF A 12-UNIT PROJECT)
Date: - Applicant: ari*******************************ir**ir********4:x.a'r************************at;*******
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is to;one hundred(5100)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 - • f A //��h / �•
subject to the Workers'Compensation Laws of California. 'ZONING APPROVED BY ' -_ '" - • DATE: /r!f$//CJ
Date: youSshoul HU,ILDING APPROVED BY : SAO- 7:' . ( DATE: /Q/490
a NOTICE:If,after making this declaration,plywishould become'subject to the Workers'Compensation-provisions of the Labor //.. ,. rr
f Code,U you must foNG with such mprovisions a this permit shall be deemed revoked.cy � F*ak of Dili
CONSTRUCTION LENDINGe AGENCY: hereby.Civ.affirm that there is a construction lending agency for the performance of the work for fl**I CAT I** ISSUED **BY: C� DATE. l as,
which this permit is issued(Section 3097,Civ.C). •r ************************** * **** **** ** ***** **************** *******
T LENDER: t, ******************************** **********************************W4**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: My 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 252 5(:i% 252 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 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
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3 . 00 15 . 00 15 . 00
I, as owner 01 the property or my employees who wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
1 structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'Sate License Law TOTAL S----> 858 . 11 33 . 00 483 . 93 1375 . 04 1375 . 04 . 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: 891 . 11 OVER/SHORT: 00
improvement is soldwithin 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 PLANCHECK
for
roehe mpuens of sale).
I,as owner of the proper�ty,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 744 . 50 30 ,.00 77 . 06 30 , 50 9 . 05
IDA 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 acontractor(s)license pursuant to the Contractors'State License Law).l amavrare *'******'*'**'*'**'***'*'**'***'*N'*******aE****'lE******************'************************
that proof of Keir Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E B R E A K D O W N
❑ I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST
Date: /0 64) owner: .40,011;f1
SFR 1773 OWE-TYPE V-WOOD FRAME -GOOD 69 . 00 122 337 . 00
J I do hereby certify tha 1 am aware of and understand the requirements of Cali a Heal and Safe ode coons 25505,25533,and SFR 400 RES-GARAGES TYPE V .' , • 17 . 30 6, 920 . 00
25534 and matlor any future building occupant will/wia not(circle ones need comply with said state c.. the requirements fora ELE 1773 NEW RES BLDG FOR 1"OR 2 UNITS/ SQ FT , 03 62 . 06
permit for construction or 'kation from the/Willy Management Ois d.Residential constrw' cation ire exempt from 1�
these Provisions. MEC 1 INST FORC-AIR/GRAN FURN <= 100 K BTU 9 . 00 9 . 00
o MEC 1 FACTORY FIREPLACE �; 6 . 50 6 . 50
Date: 4n Y v� Applicant: a ,� PLU 1 BATHTUB • 2 .00 2 . 00
I hereby certify mat I ave read this application and state that the ve i ormation is correct, agree to corns all city and county PLU 1 DISHWASHER - ' , 2 .00 2 . 00
ordinances and state laws resatg to building construction and hereby aut rite representatives of this city to e• he abo mentioned PLU 1 GAS SERVICE 2 .00 2 . 00
property for inspecti per ses. PLU 1 SINK KITCHEN 2 .00 2 .00
Date: eV Signature: r PLU 1 SEWER, CONNECTION TO BUILDING EACH 5 .00 5 , 00
PLU 1 SHOWER 61 0(2j:0i0.; .'337)!57 TO i 2 .00-±_' .
Driver's License or Social Security DATE: 10/0::,90 TINE. .1:12
164146 White-Building:Green-Code Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor
r rr.
411 CONSTRUCTION AND PLANNIIv., L a 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 '• ..
r
3?Electrical Conduit Utility-Undrgrnd. 54. Forms ' iv •'
• 4.-Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. SteelReinforcement Z,3 44u W 56. Rough Plumbing & Pressure Test
I-6.1Electrical UFER Grnd. L f j 1 57. APPROVAL TO COVER-GUNITE -
"-.T. Footings I- Electrical di
j/ ( 58. ectrcaConduit-Undrgrnd. ,
?..Foundation •.- 7 I,�P a-27-2o 6,4( 59. Gas Pipe, 0 Undrgrnd.,Test ,• -
9. Water Pipe-Uniligrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. .�
�
10;Structural Floor System 61. APPROVAL TO DECK 1 -
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final '.;; 1
9
12. Sewer Cap 63. Heater & Vent-Final
.
13. Roof Drains - 64. Plumbing System - Final ' -
14. Rough Plumbing f/gam/! `!/77 �j - 65. Electrical-Final ' - 'f •
15. Rough Electrical-Conduit P" 66. Solar System-Final ' '
16. Rough Electric Wiring 67. Fencing & Access Approval f
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. ,Rough Heating & Air Conditioning .FIREDEPT. REQUIREMENT -•-j. - ,// / � „ � " i _ 7`
20: 'Rou h FactoryFireplace SI:
.. -APPROVALS, ;.:Permit #
•
21. Ducts, in Struct tire•' " " - • ,. '-,, e :70. Underground Hydro .r
22,:Ducts, Ventilating" _ 4:: -
_ J . . _ 271. Prod uct,Piping OGas OOiI
23. Gas.Pipe-Rough 8,1 Test •• _ - -• 72. Underground Flu'sli'''. P' -
•24.-Roof Framing - „ . : 3rUndergrnd.Storage:Tank.OGas 0Oil
25. Roof Sheathing s r (_1 A ".74? Overhead Hydric. x.
26,5-Bar Ceiling (Stuctural) &-Monocoat^ - �; t 75:,7.Dry Chemical '-.j I -c'-j. n ; .__
2T. 'Frame and Flashing - - - - - • 76. Dry Stana'pipe v' --• '4. . t �,; -_,..t,,
- 28. Lathing& Siding;. ,-i. r, ' * '' •dr i. 77:, FIXED SYSTEMII;INAL . c c' uR-."rit: ;
29. Insulation Y ` " r ' -- . •_"t ; 78� .FIRE PR EV. FINAL ; - _ `n : 1C
30. DrywalLNailing , r. . i- •.rt '.'s x _,,u 0,HEALTI1.DEPT. REQUIREMENT : r. .r
31. Plaster Brown Coats - C . FINAL INSPECTION- s- r J
r
132..Electricat Power Meter-Final - 'i'4 644 A 7F000 CERTIFICATE ISSUED •-•.11
_ .1
' 33. Final Electric `•- �-z , ores: � TMg4$ �IM,REQU
- gJ""
-34._iFinal Heating& Air• Conditioning' _' !�/� '.t •'- - • = -i "-,_
35. Final Gas Pipe-Test- C ( 31/4/ CED i.`D - . . ....-47
� t .� l�'j'�
36. Ho.otl or'Cano PY - u 1 - ,_ ;, ... ,
37. Final Factory Fireplace-'. - 613/`4c [r r
•-38,1Pinna Plumbing t-.• ':' f7 - c.,•-:
? .
r; c.
39.:.Water Service:Finals ; /i�o'(
40.'Ga's,Service-Final - - • ' _ ' ••
:41_4Solar Domestic-Final -' - • ? r - n ,.
42. Backflow Preventer• - :•.• A r- '
.0 - 4.
43. Backflow Irrigation -. -- -
-
- '44. Landscape Irrigation System - ' ti '' •t' a )r '
45:-Sound Attenuation • •• -- to of n7^ ' '•'" k
r_ • .,
-46. 'Handicap Regulations ` ,' , :a C '" ;.
:747.'FINAL STRUCTURE & BUILDING .:- rt lZ=gr.6-4� _ -
• r
.•49...Electric.Release to Edison -, r - •r -•
50. Gas Release to Souern California Gas Co , �,
th '- • -
51. CERTIFICATE OF OCCUPANCY - -" . - -
No. Date
PROJECT ADDRESS: UNIT:
OWNER'S NAME:
ADDRESS: PERMIT NO; G 049367 PLAN CHECK NO; 04402-90 L PAGE: . 2
ARCIUENGINEER: REO.NO.: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
ADDRESS: UNIT:
PLU 3 WATER CLOSET (TOILET) 2 .00 6 . 00
PERMITTEE: PLU 1 LAUNDRY TUB OR WASHER 2 . 00 2 . 00
ADDRESS: PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 . 00
PLU 1 WATER SERVICE 2 . 00 2 . 00
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section END OF FEES
7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect.
CITY UC.: STATE UC.: CLASS:
Date: Signature:
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers'
!Ipensation Insurance,or a certified copy thereof(Section 3800,Lab.C).
aLUCY NO.: EXP.DATE:
COMPANY:
1 Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division.
Date: Applicant:
EXEMPTION FROM WORKERS'COMPENSATOR DECLARATION: (This section need not be completed it the permit is fcr one hundred Si®)( 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:II,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).
UNDER:
ADDRESS:
•
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter.Improve,demolish,or •
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors State License Law(Chapter 9(commencing with Section 7003)of Division 3 of the Business
x and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
a any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the
I structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
j. does not apply to an owner of a property who builds or Improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such Improvements are not intended or offered for sale.If,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects lith a contractor(s)license pursuant to the Contractors State License Law).I am aware
that proof of their Worker's Compens:Don Insurance should be provided to me.
❑ I am exempt under Section: B.&P.C.
for this reason:
(late: Owner:
I do hereby certify that t 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 wilgwill 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 Rc'Q LI F'a_ d C-A-r E t:`�L.''1 .,-
property for inspection purposes.
DATE: 10'C8/e0 T:nE: 11 2
01 00071448-EI'071457 TOT �cpf
Date. Signature:
Driver's License or Social Security N:
164146 White—Building:Green—Code Enforcement;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor '
CONSTRUCTION AND PLANNIiv., "' SPA .
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ Undrgrnd.
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 #
21.1Ducts,in Structure 70. Underground Hydro
22::Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23.-GaiPipe-Rough & Test 72. Underground Flush
24,'Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26 ;T•Bar Ceiling;St_rutural) & Monocoat 75. Dry Chemical
27.2.Frame and Flashing; 76. Dry Standpipe
28. Lathing& Siditg.. 77. FIXED SYSTEM FINAL
29. Insulation '=_'; a- 78. FIRE PREV. FINAL
W z
30. Drywall Nailing :-�_ HEALTH DEPT. REQUIREMENT
31. Plaster Brown'Coat 79. FINAL INSPECTION
32...Electrical
Power:Meter-Final 80. FOOD CERTIFICATE ISSUED
334Final Electric t'}- Notes:
341.,Final Heating ir Conditioning
35;-:.Final Gas Pipe-Test m
36: Hood or Canopy
37.;Final Factory Fireplace
38 Final Plumbing
39...-.Water Service-Final
40.-Gas'-Service-Final
41.:Solar Domestic-Final
42.-Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47.;FINALSTRUCTURE & BUILDING
48'FINAL PLANNING
49. Electric Release to Edison
50: Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Date •
FL,NAL GRADING CERTIFICATION
•
Project Address: 170 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 desio e elevations.
��
Supervising Civil Engineer 1�Illf1 Rea. No. RrE 3177n
(Signature)
Date 6/11/91
00 ESSlp y9 •
g. f1,44, l�
�
• f
a E '. ) /92 ^�
4reOF CA`Ecjik
S^ • and SIG.N
• .
my fir COSTA ME.F4
-A1.1rOftNin 262 .1200 P. 0.80X •Fk
/ 0 ay* c_Ca ( •
Insulation Certificate
................ . _
......
'TA
Number and Stmt..' City
246 AVENUE
, WITT H
County —at Number
Description of InsUillation
•
•.
ROOF
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
EXTERIOR WALL
1"141c110-1 BATTc Brand Name _MANULTE
ThicknesS(inches) "'hernial Resistance(R-Value) _ R-11
CEILING
Bari or Blanket Type BATT Brand Name MANVILLE
Thickness(inches) Thermal Resistance(R-Value) K-19 and _Rn3...0
Loose Fill Type Brand Name
Contractor's minimum installed weightift7 lb Mirdinum thickness inches
Manufacturer's installed weight per square.Rot to actrive Thmnal Resistance(R-Value)
RAISED Fl.001(
Material Brand Name
Thickness(MeheS) Thermal Resistance(R-Value)
SLAB H..001(
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
Width (inches)
FOUNDATION VA1,1.. •
Material linind Name.
"Ibickness(inches) *I berrnal Resistance(k-Value)
Declarat 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 buildings contained in Title 24 of the
California Administrative Code.
Cotitrayt4(IIMM:s) I aeensc Nurni 0:1
:iirronenr.4/ Talc pair
.... ..27' WESTERN INSULATION, INC-------------------------- -- .Y _481278
n: (II milst Insi: n) I c nsc Nurnba
Authorized-Agent 6-4-91
'Fir it. 1.We
iLb -�=
PROJECT ADDRESS: 246-1 UNIT: H CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M O:Jv.38 /
OWNERS NAME: BRIGGS DEVELOPEMENT CO. •
ADDRESS: 23046 CARLOTTA AV #315 PERMIT NO: M 050387 PLAN CHECK NO: N GOVI : N SUPP: N
LAGUNA HILLS CA
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: -0TH
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: G49367 PRIMARY BLDG. PERMIT. •
ORANGE CA 92665 ******************SESP+P1�*xSE�P�F**+E*�P*�6SE****Sr*** *SP****S6**>Ex*SP*TETE***+t**SP*SH**TE*****St*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU IR E M E, N T S
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACK S
CITY UC.: 015264 STATE LIG.:269496 CLASS: C-20
Date'. Via — y0 Signature:. =.e � t_. MAIN BUILDING ACCESSORY BUILDING
f FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT •
IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm at l have a Certificate o nsent to self-insure or a certificate of Workers' LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensation L6urapps,o5 tcy/ti4etl copy thereof(Section 3800.Lab.51.7/01 /91
POLICY NO.: WW VV JJ L V J 1 EXP.DATE: V
COMPANY: PACIFIC STATES,;,LPARKING REQ: PROV: PARCEL: 43929107 INE: REF NO:
Certified copy is hereby furnished. L7 Certified copy is filed with the city Building Division. PLANNING N TES>
>
*******************************************************************************
Date: /� 1`� l�U Applicant: D E• V E L 0 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
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: I 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 s0 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.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction fending agency for the performance of the work for APPLICATION ISSUED BY• 4. - A .�. _ _ DATE: .2 'R/*/.
which this permit is issued(Section 3097,Civ.C). ********************** • **********' * '!r **
LENDER: ****************************************** ' * *********************************
ADDRESS: • LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
•
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 SNIP/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 ISSUE FEE 1 5 . 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 m my employees with wages as their sole compensation, wit do the work, and the TOTALS----> 9 . 00 15 . 00 0. 00 24 . 00 24 . 00 . 00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
d0es not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED . 24 . 00 OVER/SHORT• 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC F IRE SMIP/TOT GRADING PLAN—CHECK
Mr the purpose of sale).
24 .00
I,as owner of the property.are 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 with a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensation insurance should be provided to me. 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
Date: Owner: MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 00 9 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned -
property for inspection purposes.
`RC1 ' '
Date: . C Signature: moi' �L
Driver's License or Social Security
Canary—Applicant:Pink—Revenue:Goldenrod—Assessor DATE: 12/20/90 TIKE: 14:52
CONSTRUCTION AND PLANNING • PORA P A
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
•
- 1. Temporary Electrical Ser Vice or Pole - 52. Pool & Equipment Location
yo 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
• • 3.zElectrical Conduit Chility-Undrgrni.. ' 54. Forms •
'4:tElectrical Conduit-Undrgrnd. - 55. Electrical Bonding
i, ' .5:-.Steel Reinforcement 56. Rough Plumbing & Pressure Test
• t •6. "Electrical UF ER Grnd. c - • 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd. .
•1 .
- 8. Foundation 'J•.. 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 i
11. Property Sewer Line & House Connection • 62. Backwash & Receptor-Final
u-
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 .` ,:i -APPROVALS:% :Permit #
21' Ducts, in Structure. . . * - . .. 70. Underground Hydro ..
22. Ducts, Ventilating - „ _ 71, Product Piping 17 Gas ❑Oil
23.;Gas Pipe-Rough & Test , • .;• - . > 72. Underground Fliuih
24: Roof Framing - - -73: Undergrnd,Storage Tank 0 Gas 0 Oil
25. Roof Sheathing . - '' ._ - 74C Overhead'Hydro-
26: T-Bar Ceiling (Structural) &-Monocoat - 75. Dry Chemical
27. Frame and Flashing y y`• 76.• Dry Standpipe `.', `
-
28. Lathing,& Siding > o • :>. • • 77. FIXED SYSTEM'FINAL -
29. Insulation _ . - I I; 78. FIRE PREV. FINAL -. -
- 30. DrywalltNailing.i • I k .. T HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat' V .411* ' . 79. 'FINA L INSPECTION -
32. Electrical Power.Meter-Final ! . 80,-FOOD CERTIFICATE ISSUED -
G
33.-Final Electric '-r - • ' I I't, ' ' Notes:
34: Final Heating & Air Conditio ing� -` J/ /9/ ,„.• - ,
35. Final Gas Pipe-Test - I + . - - _'
' J. r r
-36. Hood or Canopy - ,
37. Final Factory Fireplace r"
38. Final Plumbing • - • - ' .
39. Water Service-Final - � ,h,, • .'r- _ - ' '•
> , -
40. Gas Service-Final ` - - - •
41. Solar Domestic-Final, •
42. Backflow Preventei I
I
43. Backflow Irrigation . •. - • . , -
•44, Landscape Irrigation System , .
•
45..Sound Attenuation . - -
_
46. Handicap Regulations ' - _
47.,FINAL STRUCTURE & BUILDING , '-, : I
48.,FINAL PLANNING ,-
-49. Electric Release to'Edison ' 4 i i
-50. Gas Release to Southern California Gas Co ' I : f, ' - •
51.'CERTIFICATE OF OCCUPANCY . . •-,
No Date
X Xs. Com.k-......C—
PROJECTADDRESS: At UNIT: H CITY OF COSTA MESA - BUILDING PERMIT PERM NO: F 05020'
OWNERSINAME: BRIGGS DEVELOPEMENT CO.
. . ADDRESS: 23046 CARLOTTA AV #315 PERMIT NO; F 050204 PLAN CHECK NO: 06806-90 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 : NEW APARTMENT 1 OF 12UNITS SQ FT:
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 92704 ****************4****4****aE-**+E*******dEx-**********+E******** *********s6*********+E
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
CITY Llc.: 014899 STATE uV233260 class: C16
Date: Signature'. ( MAIN BUILDING ACCESSORY BUILDING •
WORKERS'COMPENSATION DECLARATION: I hereby affirm mal I have a certificate of consent l r Ibinsure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation}'{s r c°�D{ ed gj' thereof tSection 3800.Lab LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: e JJC b—JV EXP.DATE' .4 /01 /• 1
COMPANY: REPUBLICrVAA PARKING REQ• PROV: PARCEL: 43929107 ZNE: REF NO: I
7--- ❑ Certified copy s here furnished. 13 Certified copy is7i h the My.ding yrd� PLANNING NVTES>
/(� // 9q�ax III/ ,/ >
Date:_L2 _fR —FV Applicant' / �r/..r ✓ *********************************************************************IE*********
EXEMPTION OM WO KERS'COMPENSATION DECLARATION: (This sec 'tot be crimple 0if the• mit is for one hutdted($500)or less). DEVELOPMENT SERVICES REQUIREMENTS
I certify that in the :rforma ce of the work for which this permit b �.
i/s ' 'r,I shall not e ry a r•rson in any manner so as to become •
subject to the W .hers' npensation Laws of California. ZONING APPROVED BY DATE:
ICI
/q
Dater Y G _7–I signature: . _ye ' :_ . . - '� BUILDING APPROVED BY : DATE:
TIC .II,allr making this declaration,you should he subject to th orkers'Compensation provisions of the Labor
Cod you mu I forthwith comply with such provisions or this permit sha be deemed revoked.
CDNSTR CTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY; P DATE• \Z.. C, * D
which this permit is issued(Section 3097.Civ.C). *********************4********************1� *********************4*4** * *****
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'Slate License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter.improve,demolish,or PERMIT 5400
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 t 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
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 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 89 . 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 sate.II,however the building or REVENUE DIVISION TOTALS--> COLLECTED : 54 . 00 OVER/SHORT• 00
improvement
olsale).within one year of completion,the owner will have the burden of proving h¢/she did not build or improve
Iorthepurpose 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 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).l am aware *******************************************************************************
that pmol 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
Date: Owner: FIR 54 FIRE EQUIP FEE (FROM BLDG VAL TABLE) 1 .00 54 . 00
Ida 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 far a - .
permit for construction or modification from the Air Ouahly Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant: • '
•
I hereby certify that I have read this epplic, inn and state that thea
Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
•
f. Temporary Electrical Service or Pole. 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - u,j - ' 53. Steel Reinforcement
- 3: lectri1eal Conduit;UtilityO ..`
ndrgrnd "_ 54. Forms
•
' • 4;1El trical Condtlit=Undrgrnd. 'Dr: 55. Electrical Bonding
:5:�Steel Reinforcement ss`- - 56. Rough Plumbing & Pressure Test -
•
6: Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
,.7;_Footings ..r ;t, 58- Electrical Conduit-Undrgrnd.
8.„Foundation `: '� " • 59. Gas Pipe, 0 Undrgrnd.,Test
T +'
9.-Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10.'Structural Floor System v , ' 61. APPROVAL TO DECK
•
1 f.-Property Sewer Line& House Connection •, 62. Backwash & Receptor-Final -
'� 12. Sewer Cap 'c •
I 7 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 Electri 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
' � .' 'Y.- ,S!_ u T
20..Roulgh Facto y Fireplace I ';15!.1.12S'� : _ �-) _ 'APPROVA' Per it# 7
•_ , . N.% -• ' ,- rg� :,
L04D11 Lts4A
21. Ducts, iCStructuie:, 1 .. ,. _.<; r - e : 'JO. UndergrotrndiHydro
22 Ducts, Ventilating•x , r -, ti .k : %rj1. Product:Piping OGas 0,�il
i _ _
23.;Gas•Pipe"Rough &'fest '1' G. ,_ C.* i _72, Underground Flush _ 6j u-ti l-t
24.zRodf Framing r r • t - 7 = `-73tUndergrnd:Storage:Tank OGas OOiI
25. Roof Sheathing .1.:::' ''
-7 ;,,:. y''74.=Overhead'ilydro t _q. q� Lull
26'7-Bar Ceiling (Strvotural) &Monocoat c C r.' -. 75.JDry Chemical -
27 frame and Flashing .� r 44. -. 76:Dry Standpw.e r =:'
-28. Lathing:& Siding •. :_ -:.y ! P
••, t- .•, 77=FIXED SYSTEM;FINAL; foqpea �y,)p
"19. Insulates% " V ''' 1C ,
Y ' • I I>< :r. 78jJFIRE PREY. FINAL _ ,. Wel b.411 1441
r30. DrywallNailitg t.. ' -• I I I.
' - HEA LTH^DEPTr.REQHIREMENT
!--31. Plaster Brown,Co C •,. ; .,,�; r I I; < .J9 ."FINA L INSPECTION ; c•-• - `T
i f.32.cElectricitPower Meter;Finali ._• I * r.-80.,-.FOOD CERTIFICATE ISSUED
ili
33_\Finel Electric J : °• !n a ''Notes: t ' r `
•
1;34.;Final Heating-& Aic;Conditiong{inr; ,t i ,. S ;-;,z ;,
11
35.'F Gas Pipe-Test" ° 1 ( Et ' • • _•
i is . - y
_36 Hood or:Canopy zY •, ,-4. . ;1 I S - ; - •' T
37-.Final Factory Fireplace ' .�^ n - rr ,r >:: C: ._; r
. - .• .. .l 1 N -
38.Final Plumbing 0; r 4 _ c r
.-39?Water Service-Final ' • 1. rk� :� ' 1.17 C.; .R P
--,3 >. .. l: i t f Y .� O .
T40. Gas Service-Final t , ` 1; • C; 13:
-s41.-.:Solar Domestic-Final= I I y 4:“4
'-
3.4.-42.'•Backflow Preventer'` ; "` ' 11` ',, - -
t• n J•
43. Backflow Irrigation ,,..;-• -c-,,,-, - .:D-....r - y
t"
•,44. Landscape Irrigation System •-, u. GC' _71 - 0.: - µ "
45._'Sound Attenuation c - t + r
- -:•
- -1• •, t
146..Ha ndicap;Regplations - '•• = i, - CO
47.-FINAL STRIJCTURE & BUI'LDING e I _ • n_ s •
' . 4 ; -
. .o, * . o
46.'FINAL PLANNING 1 j • II, i
-49. Electric Release to..Edison i -; I Y :; ;', ti, " •
I , i, it -
=50. GassRelease to Southern California Gas Co I I I 4,7 i'
51: CERTIFICATE OF;OCCUPANCY ( ; ,_,
No. Date