HomeMy WebLinkAbout172 TERRAZA CT - Building Permits 2964 ELDfiE Alr uxrt: G • _ CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 049368
DEVELOPEMENT CO.
__ BRIGGS
23046 CARLOTTA AV #315 PERMIT NO: G 049368 PLAN CHECK NO: 04401-90 L GOVT: N SUPP : N
T2AGUNA HILLS CA
CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE MEC PLU STR PURPOSE: NEW
380-0685
: REG.NO.: JOB DESCRIPTION : NEW APARTMENT 1 OF 12UNITS SQ FT: 2, 173: UNIT:
CLAIM VALUE: CALC-VALUE: 129, 257 . 00 GROUP OCC: R-3 / 01
PERMITTEE: BRIGGS DEVELOPMENT ( 714 ) 380-0686
ADDRESS: 23046 CARLOTTA. AV 315 COMMENTS: APARTMENT 1 OF 12,UNITS
LAGUNA HILLS CA 92653 ***********+E*eE*****+t******N••N***.et**x-x***xeEx***********+t***It*+r**+t****************
UCENSEO CONTRACTOR DECORATION: 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 UC.: STATE UC.: i 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: 12 FT IN REAR: 20 FT IN FRNT: FT ZN REAR: FT IN
%mpeflaoraceas00.1&.C).
ao.C). LEFT: 10 FT IN RGHT: 25 FT IN LEFT: FT IN RGHT: FT IN
LACY NO.: EXP.DATE:
OMPAxY: PARKING REQ: 24 PROV: 24 PARCEL : 43929107 ZNE: R2 REF NO: DR9015
Certified copy¢rtereM furnished. 0 Certified apya Bled with the city&Aldkig Division. PLANNING NOTES> ONE, 2-STORY DETACHED APT. UNIT (ONE OF- A 12-UNIT PROJECT)
Date: Applicant: *.1*********************************4** **** *3 **ie*******************;e*********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Thisctio seneed not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT S E,'R V- I. C E S &'E_ Q U I R E M E N T'S
certifyI that In the performance of the work for which this permit is issued, shall not employ any person in any•manner so as to become /O��/�6
subject to the Workers'Compensation Laws of Califomia. • ZONING APPROVED BY A . (�: DATE: / (/
Date: Signature:oBUILDING APPROVED BY : ry .� 'i DATE: JOA-410
NOTICE:y:IL after mahwit this declaration,you should become
spbrmit the Workers' rvoked.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 Ihe.�normance of the work for APPLICATION ISSUED B Y: DATE: ir' 4E#k 2
which this permit is issued(Section 3097,CN.C). ***********************fie* ***** **** * ******************** *.* /****
LENDER: r• ********************************iE* ********************************ie**********
ADDRESS: LEGALIZATION:N F E'iiE'; S U M-M A R Y STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: My city of aunty which requires a permit to construct,alter,improve,demolish,or PERMIT 744 . 50 27 . 00 62 • 06 s 1 8 . 0 0 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 0$ _ 252 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 BusinessP LAN 483 . 93
and Professions Code)or that he/she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
any applicant for a permit subjects the aaficant to a civil penalty of not more than five hundred dollars($5006 ISSUE FEE 3 . 00 15 . 00 - 15 . 00
I. as owner of the property or my employees with wages as their ale 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 TOTAL S----> 860 . 61 33 . 00 483 . 93 1377 . 54 1377 . 54 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himsel/Derself or through . ' r
his or her own employees,provided that such improvements are not intended or offered for safe.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED.: " 893 . 61 OVER/SHORT: 00
• ;oortepurp�oflof�e)hlnoeeyear otcompletion,Na owner will have the burden oiproving he/she did not build orImprove 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 .; 33 . 00 9 . 05
n. and Professions Code: The Contraprojects with
License Law dons not apply to an owner of property who builds Law).
thereon *******************************************************************************
and who contracts for such protract with a e Licence Odense pursuant to the Contractors'State bade Law).1 am aware
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN s'
❑ I am exempt under Section: B.&P.C. r•.
for this reason: / f� TYPE QTY D E S C R I P T I O'N UNIT COST TOTAL COST
Date: `a�! Q� Owner: Frf�"'" SFR 1773 DWE-TYPE V-WOOD FRAME . -GOOD 69 . 00 122, 337 . 00
I do hereby certify that I am aware of and understand the requirements of Califo Health and Safety Sections 25505,25533,and SFR 400 RES-GARAGES TYPE V 1 17 . 30 6, 920 . 00
25534 and that I or any future building occupant will/will not(circle one)nee to comply with said state d the requirements for a ELE 1773 NEW RES BLDG FOR 1 • OR 2 UNITS/ SQ FT . 03 62 . 06
permit for construction or mo fication from cite Air Duality Managemen tact.Residential const licati, are exempt fromtMEC 1 INST FORC-AIR/GRAN;;;FURN <= 100 K BTU 9 . 00 9 .00
hese provisions. ��E�A..�� ��/q MEC 1 INST FORC-AIR/GRAVi-FURN .<= 100 K BTU 9 . 00 9 . 00
Date �� Applicant .mow/ (N ' 0..1 PLU 1 BATHTUB 2 . 00 2 . 00
I hereby cent that I have read this application and state that the above info ation is err I agree to co..., ••Th all city and county PLU 1 DISHWASHER . A 2 . 00 2 . 00
ordinances and state laws relatin to building construction and hereby autho' representatives of this city to the e-mentioned PLU 1 GAS SERVICE : _) 2 . 00 2 .00
property for inspectio urn s. PLU 1 SINK KITCHEN 2 . 00 2 . 00
Date: ® �a Signature: G(�/� PLU 1 SEWER, CONNECTION TO BUILDING EACH 5 . 00 5 . 00
��7 PLU 1 SHOWER 2 . 00 2 . 00
Driver's License or Social Security 01 00071-.»3-G '2114 i T 5 i
1641.48 White-Bullding:Green-Code Enforcement;Canary-Applicant:Pink-Revenue:Goldenrod-Assessor CFE1 1Gi'Je:>I[' T:.. t 1•C9 /
CTION AND PLANNING PO___& SPA
ALS Permit# Date Inspector APPROVALS Permit# Date Inspector
WElectrical Service or Pole 52. Pool & Equipment Location '
'
2.,•Soil Pipe-Undrgrnd. 53. Steel Reinforcement 7'-
' -3:%Electrical Conduit Utility-Undrgrnd. 54. Forms - >se
:4. Electrical ConduitUndrgrnd. 55. Electrical Bonding /
. _i 5.iSteel Reinforcement _L2,-(U 6,4y j/ 56. Rough Plumbing & Pressure Test ^
' .6..'EI'ectrical UF ER Grnd. ( ( t ( i 57. APPROVAL TO COVER-GUNITE L
•
7; Footings - Lt. (� 58. Electrical Conduit-Undrgrnd. -
8.,'Foundation 5 (€1 0_2%47 acx 59. Gas Pipe, ❑ 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 ; hi/ /1'17 ' 65. Electrical-Final ,.
15. Rough Electrical-Conduit (�f �!l 66. Solar System-Final �
%
16. Rough Electric Wiring 67. Fencing & Access Approval • - ."l--
17. Rough Wiring'Sigri 68. APPROVED FOR PLASTERING
18. Rough Electricil-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19 Rough Heating &.Air Conditioning Y r _ ;•FIRE,DEP•T. REQUIREMENT _�_y
20:--Rough Factory Fireplace 71 �`,* ` •. _y' " �4, X-;APPRQVALS ::Permit # A - M i %•. t
'21: - .•• 1-" • - -1 ..-
Y r .,^ d
`r, J , (,.. , '70. Updergrotmd Hydro i.
22:IDucts, Ventilatirig : : 7.x 71, Product-Piping 0Oil
4.
'23.•Gas-Pipe;Rou h & Test ; 'I N C c' -72. Underground Flush•�' k
24`-Roof Framing z, �� I•" -^ r~x .'•73 Undergrnd.Storege'TankLJGas ❑Oil^ -.
25._Roof Sheathing > ` r -, DJ r " 74''Overhead Hydro' , 4'
26.1T-Bar Ceiling (Structural) &-Monocoat: ;. n >. - 75r.Dry Chemical r-.-- t a c .yr> S.-r';�_•-ra;
27--Frame and Flashing' __ - • t t' ., ro* ' 76. Dry Stand-pipe H._"o r ern i-'r"^ x- ' r
28. Lathing-& Siding - r� ••1 ti 77.. FIXED SYSTEM FINAL- -• , C"r- "- -:r't'!-
L' N . r,
29. Insulation -,: a 78=FIRE PREY. FI :Al ; 7 n ___.r . 2r
30. Drywall_Nailing r ,_ 1.
-I E, • " ' _.p. x 0. I± REQUIREMENT'._; ,,;-1
31. Plaster Btovin Coal _ . K u '79. FINAL INSPECTION' .K ^.y "�-' _
-- r !. _ C .y X t.1 4.10 i_. -..z.
32';Electrical Power:Meterfinal. ` �'--�1� OOD CERTIFICATE ISSUED.
• .,33:'Final Electric _ r?7 '� w' es: "''= '- E-
r' . 1 _ :r. / . � vu^�.i• 1 Ok SP$CIAG_R.E.Q
34! .Final Heating& Air.Conditioning , " .. - 'a'� '` -
._. {/�//�. t 7 .i -4rte' 4
35_final Gas Pipe-Test. �. •J 6/./`q/' &CS' a' - :"i _ +^ 4. -
36.`Hood o• r-Canopy ,. rx.:, y. l s > r Al !V'.., ��(/�9/
37.-Final Factory Fireplace' . ' ,' d ,/41 /� i T t4.-, •- (�'v'l
._ beg.' ..T' I n' i _
/ X x
38;_Final Plumliin9 .' '' _ 6Ia�!4/1 lil�;w a - :'o'•; r. _j:'•..
3e;Wafer Service-Final: `, tyles/en ( h .. - _ , ' . ^-� ^t
- '40. Gas Service-Final • " ' ts
'41: Solar Domestic-Final •I r-• , ,r r -. - cc
42. .Backflow Preventee -'a cc ?;w _
- .- - - - - _ ..
43. Backflow Irrigation -> + r; ' d .: ' • . . • • • • .
�. _. -
'q4,_Landscape Irrigation System; _ _ yi .: ... }
•45.:5ound Attenuation •• 7' .
-
if•
46.'HandicapRegulations - " .. r `"'
47 ;FINAL STRUCTURE & BUILDING '•, 6,../L-ql (p(,(/f„k, _ -
48Jj Ntt3�-Yfec- raW r OZ(YQ 1 .'
49. Electric Release to Edison ;, c•
„50: Gas,Release to Southern California Gas Co ' ° - . _ _
51. CERTIFICATE OF OCCUPANCY - - - - " " - " - - - --
No. Date
C
I!
I PROJECT NER'ASODRESs:NAME: UNIT: '
OW
ADDRESS: PERMIT NO: G 049368 PLAN CHECK NO: 04401-90 L PAGE: 2
******�r************Nor**************grit*****N************************************
- ..`,AR8H/ENGINEER: 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 full force and effect.
CITY UC.: STATE UC.: CUSS:
Date: Signature:
WORKERS'COMPENSATION OECLARATIDN: 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:
—] Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division.
Date: Applicant:
EKEMPRON FROM WORKERS'COMPENSATION DECLARATION: (P15 section need not be completed if the pemit is for one hundred(5100)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 penally 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
❑ 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 himseff/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 exclusivelycontracting 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 tith a contractor(s)license pursuant to the Contractors'State License Law).I am aware •
that proof of their Worker's Compensaian insurance Should be provided to me.
❑ I am exempt under Section: B.6 P.C.
for this reason: '
Date: Owner:
I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sections 25505,25533,and
25534 and that I or arty future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant: —L
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with an city and countyx
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned #0 U F f,-^ C.P-r` r".Cr--•—
'^ r
property for inspection purposes. 01 00071443—DC07144! tori- i.e.:'
• DATE: 10/08/40 TIPr: 11:04
Date: Signature:
Driver's License or Social Security#:
1641-46 White—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
1111111
CONSTRUCTION AND PLANNING POO WA
APPROVALS Permit# - Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole52. Pool & Equipment Location
2. Soil-Pipe-Undrgrnd. /97/21.4_,W,
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 OF 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`-Rough Factoryjnireplace APPROVALS Permit#
21t Dudts, in Structure 70. Underground Hydro
22..a-Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
• 23.-Ga Pipe:Rough & Test 72. Underground Flush
24?)Roof Framing-is-I" 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26tT-6rCeilinp`.(S ytictural) & Monocoat 75. Dry Chemical
271oFrame and Flashing] 76. Dry Standpipe
n _ n5 r1-imrr
28. .Lathing-St Sid+og„n; 77. FIXED SYSTEM FINAL
29. Insulation c5E'-"'+ 78. FIRE PREV. FINAL
30. Drywall Nai ng j HEALTH DEPT. REQUIREMENT
31. Plaster BrowntCoat 79. FINAL INSPECTION
32._E1ectrical P we rMeter-Final 80. FOOD CERTIFICATE ISSUED
33:SFinal Electric .� tnt Notes:
34i�Final Heating&rAir Conditioning
357Final Gas Pipe-Test r
367cHobd or Canopy tri
37 Final Factory Fireplace
38..Final Plumbing
39.r.Waier Service-Final
40. Gas:Service-Final
41-Solar Domestic-Final
42:7Backflow Preventer
43. Backflow Irrigation.
44. Landscape I?iigati&i System
45. Sound Attenuation
46. Handicap Regulations
47-FINAL.STRUCTURE & BUILDING
48: FINALIPLANNING
49. Electric Release to Edison
50.''Gass-Release to Southern California Gas Co •
51. CERTIFICATE'OF OCCUPANCY
No. Date
•
•
FINAL GRADING CERTIFICATION •
•
Project Address: /72 Ten-aza 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
fordrainage 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 desi4 a elevations.
Supervising Civil Engineer
Will Reg. No. Pr,: 1i7,0
(Signature)
Date 6/11/91
QypPESSikels p yo
�oO�N 8 Nq,���2�
5.2 ca m
w rn
°c E P. / 1/92 z'
LPT4Tf OF Cpl\E���\Q
ST 0 and SIGN
• •
ty -1/ fir COSTA MESA . • -
CAL ir()Bron 92Bn.1200 P. O.BOX 1200
Insulation Certificate
7 '4-721 • vikir:_)• --xl •
t•,±
//z- EZ;Pe.•:".../.T...ic/TheikaFX/11:-
2468 ELDEN AVEN
UE tad Stitet • City •
ORANGE MIT .
County Subdivision Lot bItunber
Description of Installation
•
ROOF
Material It rand Name
Thickness(inches) Then-nal Resist (R-Value)
EXTERIOR WALL
•
•
Material _Bans II rand NaMe _KAIsaaiTiE
Thickness(inches) ' Thermal Resistance(It-Value) R-11
CETI,TNG
Ran or Hawker Type BATT iand Name MANVILLE •
Thickness(inches) Thernud Resistance(R-Value) R-19 and g-3Q
most Fill Type It rand Name •
COntreKdor's inndrown ire:tidied weightlt(• lb Minimum thickness inches
Manufacturer's installed weight per square foot to actieive'llama! Resistance(R-Value)
•
R A ISE()FLOOR
Material Brand Name
Thickness(inches) Thermal Resistance(k-Value)
SLAB FLOOR
Material Brand Name
Thickness(inches) thermal Resistance.(ft-Value)
'Width (inches)
FOUNDATION WAIL •
Mace-EMI rand Name
Thickness 'thermal Resistance(1-T-Value) ....
Declaral 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.
rterinti(. )cir pc ticeBst Numb
Sign/111pr e:01 ilk' Duce
‘ty,. c‘i
... WESTERN INSULATION, INC .Th....481278
Cunt; (10<oktion Bpudict) I.h.cmc:Nianbcr
/
/
t_.)114-44gn Authorized Agent
6-4-91
Dab,
/7.Z
PROJECT ADDRESS: ELUtN R(1 UNIT: G CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 00381
OWNEfl'SNAME: RIGGS DEVELOPEMENT CO.
ADDSESS: 2'3046 CARLOTTA AV #315 PERMIT NO: M 050388 PLAN CHECK NO: N GOVT: N SUPP: N
LAGUNA HILLS CA
•
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: OTH
380-0685
ARCN/ENGINEER: REG.ND.: JOB DESCRIPTION : NEW APARTMENT 1 OF 12UNITS SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALL—VALUE: GROUP OCC: R-1 /
PERMITTEE: SANTIAGO AIR CONDITIONING ( 714 ) 998-1600
ADDRESS: 231 BLUERIDGE COMMENTS: RE: G49368 PRIMARY BLDG. PERMIT.
ORANGE CA 92665 *x****�F%�F*�r*4+r*****%*�E*�E *>E%*SEN**4****%*aEFE***********yr********%*****F6*%*FH******
LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIc.: 0152644 STATE LIo.:269496C`LLAASS: C-20
Date:.l a2r LGA Signature: fL fi • MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: thereby allirm at have Iconsenuo seu insure oraceni0cale of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Jmpensation
lnurancg,,�L cEeleq copy thereof(Section 3800,Lab. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
LICY NO.: 14'0 ii
OMPANY: PACIFIC STATESEXP.GATE: 87/01 /91
IX
PROV: PARCEL: 43929107 ZNE: REF NO:
Certified copy is hereby furnished. L4 Certified copy is tiled with thePARKING REQ•
city Building Division. PLANNING N TES>
Date: /.2 4v Applicant: �!<__a...� ************************************* ************ ****************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: f ss section need not be completed if the perm(is to one hundred($100)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: Signature:ushBUILDING APPROVED BY : DATE:
NOTICE: after making this declaration.you should become subject permit to the Workers'Compensation provisions of the Labor
Code.you LENDING comply with such provisions a this permit shall be deemed revoked.ncy
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y• . • ' I DATE
cri
which this permit is issued(Section 3097.Civ.Cl. *********************** *** ** * *** - ********************* ***
LENDER: ************************************** •* '3 *************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY 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 file a signed statement that he/she is licensed 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
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(3500). ISSUE FEE 15 . 00
PERMIT ISSUE PLAN CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the 5
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 9 . 00 1 • 00 0 • 00 24 , 00 24 . 00 . 00
I"
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
improvementBUILDINGDIV >
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 SHIP/TOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 24
O O
❑ 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 *****************************************************************16*************
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 Irom the Air Ouality Management District.Residential construction applications are exempt from
(hese provisions.
Dale. Applicant:
I hereby certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above mentioned
property for inspection purposes.
p r
Dale:` �'— /V Signature: 31 01307.€634—'36574.;634 TO'T -ll'.
Driver's License or Social Security C: DATE: 1.212C/'r: i ii iE: 14:55
\ 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor` 9
.41
IIIH,
POQL di AND PLANNIN
SPA
APPROVALS Permit ilk • Date Inspector APPROVALS Permit # Date Inspector
l..Tempprary 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. '
H, E •
8. Foundation - - 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. r 60. Backwash Lines, P-Trap, 0 Undrgrnd. •
I 10.-Structural Floor System V 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, Ducts, in Structure: .. c. • • -70. Underground.Hydro
22. Ducts, Ventilating ; - • 71. Product Piping 0 Gas O"Oil
23. Gas Pipe-Rough & Test • , _ . 72. Underground Flush • •
24. Roof Framing - • _ -.73.:Undergrnd•,Storage Tank OGas ❑Oil
25. Roof Sheathing '- -Th , „ . 74..Overhead Hydro-_,
26.
26. I-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical _ -
27,_Frame and Flashing .. : 76. Dry Standpipe
' 28. Lathing.& Siding - _ _ -• • r• t• 77,- FIXED SYSTEM FINAL
29. Insulation , I �-`�•, -. 78,. FIRE PREV. FINAL
30. Drywall Nailing : I t• HEALTH:DEPT. REQUIREMENT
• 31. Plaster Brown Coat'
. I r. ,79.•FINAL INSPECTION - '
32. Electrical Power Meter-Final , :=I/ . :80.•FOOD CERTIFICATE ISSUED -
33. Final Electric - iNoles:
r
34. Final Heating & Air.Conditioning. •• /./3/�� %/1l r -
35. Final Gas Pipe-Testt :'I• , , ..
36. Hood or Canopy . • . - - - .- , -
37. Final Factory Fireplace - ' t •
38. Final Plumbing I ' . ' .. r
39. Water Service-Final -• 7 -
,40. Gas Service-Final , •
.•41. Solar Domestic-Final .. l I l -
42. Backflow Preventer 1 ' I_ . _ '
43. Backflow Irrigation -
_ -
.44. Landscape Irrigation System - . - .
• 45.'Sound Attenuation - - -
I
46. Handicap Regulations , -
47.,.FINAL STRUCTURE & BUILDING .
48. FINAL PLANNING . . t
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co - : V -
51. CERTIFICATE OF OCCUPANCY _ -
No. Date
v`--a., —7 ., ,
PROJECT ADDRESS: 21G4 L68£N AV UNIT: G CITY OF COSTA MESA — BUILDING PERMIT PERM NO: F 05020E
OWNER'S NAME: BRIGGS DEVELOPEMENT CO. •
ADDRESs: 23046 CARLOTTA AV #315 PERMIT NO; F 050206 PLAN CHECK NO: 06805-90 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 • 2744 ********4**+E**********+t*******ar*****x******>F***********aE************ ***N**** *
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I a •sed under pr. sions. hapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division f the Business and Professions Code,and m - se is in full •.roe effect. / SETBACKS
car LIC.: 01 8 STATE LIC.:2 3260 2 CLASS: . i/ ,
Date: Ij 6 n ignature: e j - ! MAIN BUILDING ACCESSORY BUILDING
WORKERS' OMP apSA ION DECLARATION: I hereby af firm that I have a nificateofcanse o sel insure or a certificate ol Workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation JoY s 7§g�igen�tled rn thereof(Section 3800.Lab. I. LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
`LICY NO.: EXP.DATE: K4 /01 /41
aMPANY: REPUBLIC rPARKING REQ PROV: PARCEL: 43929107 ZNE: REF NO;
l] Certified copy s here furnished. IX yenired copy is f l i the
cityfij ion. / PLANNING NOTES>
Date: � L9n IAUDlicant:— . *
****************************************************************
DEVELOPMENT SERVICES REQUIREMENTSEXEMPTION OM W KERS'COMPENSATION DECLARATION: (This section need .01 be completed if the permit is of one hundred(St®)or less).
I certify t i 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 tee Workers'Compensation Laws of California. ZONING APPROVED BY DATE:
Dale: Signature: BUILDING APPROVED BY : DATE:
Code.y:If,after making this dpy arith s. hp should become i subjectermito the Workers'meempensation 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 BY• DAT E
which this permit is issued(Section 3097.Civ.C). ***************************************** ********************* **
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that lam 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% 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 PLAN3 5. 10
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). 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 sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED; 54 . 00 OVER/SHORT: 00
improvement is sold lt.within one year of completion,the owner will have the burden oI proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM I P/TOT GRADING PLAN—CHECK
for
the m purpose ofsale).
I.as owner of the property.am exclusively contracting with licensed contractors Co construct the project(Section 7044,Business 54 .00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner al 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 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 his reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Dale: Owner: FIR 54 FIRE EQUIP FEE ( FROM BLDG VAL TABLE) 1 . 00 54 . 00
Ido 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 willwill not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions. • •
Date: A man!' •
I hereby certify that I have read this applicati and state that the ono formation is,ori•.I agree to comply with all city an county '
ordinances and state laws relating to building nstruction and here • orize repre• Mar of is city dienter upon the above. ntioned
property for inspe ion pi uses.
01
Dale:4. .6___ Signature:. . LAC'-11_ _41c'<, ' DATE: 12%Uo/9Q T�iE: 1::1234 TOT 54.04.:Driver's erase Social Secumvp:
1641.46 White—Building:Green—Code Enlorcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING Pt. - & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
•
1. Temporary Electrical Service or' Pole. - - 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. "' • 1' ' 53. Steel Reinforcement
�t.r.
.} 3.,Electrical Conduit-Utility-�ndrgrnd. 54. Forms •'
4;'Electrical ConduifUndrgrnd. rock 55. Electrical Bonding
'' 5.,Steel Reinforcement . .. 56. Rough Plumbing & Pressure Test .-.
i 6: -Electrical UFER.Grnd. ' 57. APPROVAL TO COVER-GUNITE
• .7.'';Footings 58. Electrical Conduit-Undrgrnd. ,'a
' 8. Foundation - 59. Gas Pipe, 0 Undrgrnd.. Test
9: Water Pipe-Undigrnd. 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 - _ c 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 ctoFi?eplace • ' to 'C J :Yx > IAPPROVALS. - 7Perihit#
> U �.-• - '2 .t.Y. Zi.--'.f t['
21:Ducts,in-Structure - .. .. ._,. .. C -, . -70. Underground Hydro -
22. Ducts, Ventilating-.' t .- ' - r 3 ;I- %.71, Product:Ptping OGas Qbil
23.;Gas Pipe-Rough &Test T,e , :,, 47 ,Z `'; '.72. Undergioupor d Flu`sli+ :
- `�LDeaL� 14.37AI
24. Roof.Framing ":.7 ; ^ - : y S73.UUndergrnd:'StorageTank O Gas ❑Oil
25. Roof She thin ar ` 3. ; H •r ,_, CJ.Y > . : ' - r
9 ., „ 0:$ , 74.'Overhead Hydro - :• ,, 1
1
1 �•t
26._T-Bar Ceiling (Str.uctural) & Monocoat x Q '1..- 75 spry Chemical - _' "1
27`Frame and Flashin ' -
g. ,,;r, [ 4.1.4; 76: Dr Stand• e :J>' S x
27.:Frame �. v- 7• Y P,L7 ,C . .
' 28. lathing& Siding v > _i ; c :c •r s. •• • I •-t' ' 77 -FIXED SYSTEM;FINAL _ ,T{ (,0•({( (9,,e
'29. Insulation `, , ' ti t`t I• , 78.>FIRE PREY. FINAL r b4b41 IV:49
W
*30. Drywall.Nailing 1•t • I HEALTH,OEPT;REQUIREMENT
s.31. Plaster Brown• Coate , n. ,- I ' 4 1179 FINAL INgPECTION- `- L
32.tElectrical Power MeterrFinal • I r :r -180.1FOOD CERTIFICATE ISSUED -
- '--
33SFinal Electric -i r .2 'r `'- "Not`e's: ., ' _ T,r
1134.-Final Heating& Air.Conditioning� - y ;-, %- 'S -
- _ ... I �• _.r t
35..Final Gas Pipe-Test' _ r. ' - C . a•s x r
A If , 1, .4-I, - 17 A '
,336: Hood or.Canopy . , n - S, ->; _
- -
•
37.:Final Factory Fireplace 4.-`' `" ' t� i' " - •1 c:"-
• 7- i -l-' LA s i '" :t: tt'
4. yS'
`38.� um
Final Plumbing ;L 1z� • .t z -
..39.'Watet Service-Final• :� 4;
,- . 2: .. •1, x v >- o -
, 40. Gas Service-Final ", T .4-.,.41-n. '' a h It. e ` a ate c
>41.cSolar Domestic-Final < i •• re DI 1 I, r %S' r
-
• .r^ .._
'42. Backflow Preventer`• • ° -, I I C a _ •_ �_-
} V ,
43. Backflow Irrigation- T > > ---n - '
"44. Landscape Ir,' .,- - - " ' t -
P i9ation System n.,^ > �r, a ( 2. t_._^ _ c
?45:_.Sound Attenuation• t:r r ' X - t- 'x • - n v' i
- .. _ - . .. .n .. . e , - = • . 7
.46..Handicap-Regulations - ` '• "•
47.,-FINAL STRUCTURE & BUILDING + -' ' le ' . c' : -
r I t4 -,
48_'FINAL PLANNING , LT..: •
t49. Elec ric Release to Edison s; ;/; __ ,.C r .r
c 50.,Gas Release to Southern California Gas CO » 1 1 Ie : `- :-'--1 ;- 4
;51. CERTIFICATE OF.000UPANCY , r;p '
No Date