HomeMy WebLinkAbout132 23RD ST - Building Permits CITY26OF COSTA MESA
orat IFORNIA 9PO. BOX 1200
.:_
'TH4rIaM6.
�r DEVELOPMENT SERVICES DEPARTMENT
•
May 23, 1994 •
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 Equalization
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:
• OLD ADDRESS NEW ADDRESS A.P. NO.
130 23rd Street A 136 23rd Street 439-271-16 & 17
130 23rd Street B 134 23rd' Street
130 23rd Street C 2305 Elden Avenue "
130 23rd Street D 132 23rd Street "
130 23rd Street E 130 23rd Street " •
130 23rd Street F 128 23rd Street
130 23rd Street G 126 23rd Street "
Your cooperation in this matter, is appreciated.
Sincerely,
W BOUWENS-KILLEEN
Senior Planner
(130-23RD.ADR) C-16
cc: Michael Talbott
VNE Development
1048 Irvine Avenue Suite 363
Newport Beach CA 92660
77 FAIR DRIVE
Building Division(714)754-5273 • Code Enforcement(714)754-5623 • Planning Division(714)754-5245
FAX(714)556-7508 • TDD(714)754-5244
i 3z 23,4
130 2305 •
fit ..
23rd fldeh
[5+. Ave.
128
134
23r4 Si-. 2 3rd t+
I 241 i Up
23rd 5t 23rd .
--rw - Mtn a thrett
PROJECT ADDRESS: e :xa 23RD ST LNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO; M 066447
OWNER'S NAME: VNE DEVELOPMENT
ADDRESS: 234 E 17TH ST #208 PERMIT NO: M 066447 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA, CA
CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: NEW
548-3072
ARCNIENGINEER: REG.NO.: JOB DESCRIPTION : INSTALL GRAY, FURNACE 75000BTU SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 /M-1
PERMITTEE: VNE DEVELOPMENT (714 ) 645-7588
ADDRESS: 1046 IRVINE AV 363 COMMENTS: REF: B-65478
N.B . CA 92660 *ir******#****** **->E***rE*****dr*****#k ***tt* ************ae***************+ee6***g6***
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIR EMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect.
CITY LIC.: STATE LIC.: CLASS: SETBACKS
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a cenificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
Compensation Insurance.or a certified copy thereof(Section 3804 Lab.C). LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ• PROV; PARCEL; 43927116 ZNE; REF NO:
Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
>
Dale: Applicant: *************************fE*****************14*****************iF****************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if permit is for one hundred($100)or less). DEVELOPMENT S E R V I C E; S REQUIREMENTS
I certify that in the performance of the work Ior which this permit is issued.I shall not employ any person in any manner so as to become _-,
,w . to the Workers'Compensation Laws of California. ZONING APPROVED BY - •
�j n I /' / DATE:
Oat ' 1 ! Am(`1 Gt Signature: L C C—
NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : .•t DATE:
Code.you most foDING G with such firprovisions this permit shall bedeemed revoked. —�.
CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE-
which
this permit is issued(Section 3097.Civ.C). ************************************ ,.* **********.*.**.*.*.******* ,J-11 w**
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 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 — 6 , 50
repair any structure.prior to its issuance.also requires the applicant for such permit to lite 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 25% SMIP/NON-RES
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($500). ISSUE FEE 15 . 00
I. as owner of the property or my employees with wages as their sore compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLANrCHECK TOTAL PAID DUE
Lei structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 6 . 50 15 . 00 :y-. 0 ,00 21 . 50 21 , 50 , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
hisor employees.provided ar ofatmphionrthe nle are note the bedepof pfor sh/ howeverofild building REVENUE DIVISION TOTALS--> COLLECTED: 21 . 50 OVER/SHORT: . 00
_ improvement or her owis sold within one year th completion,limp oveownerimprovements
will have the burden of provingdforhe/sheldid not build or improveor
for the purposeol sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 2't . 50
❑ and Professions Code: The Contractors'State License Law does not apply to art owner 01 property who builds or improves thereon
and who contracts for such projects with a contractors)license pursuant to the Contractors'State License Law).l am aware *************************************L*******j(.**-. *.**.*.********.**.*.***..J<*.**.)F.*.*.*.)c*v. **.
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.6 P.C. .t.
for this reason: / TYPE QTY DESCRIPTIO N', UNIT COST TOTAL COST
/ t �' d '/
rs.le: '� L
chimer: u ""`c'�/ MEC 1 FACTORY FIREPLACE
I do h'eby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and 6 50 6 . 50
.'and that Ior any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END.,pF FEES
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from , •
ajrev¢ions. •A
Applicant:
I hereby pertly 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
y = y lot inspectio purposes. tit. 01 00157331-00157331 TOT 21.50
Date 7 Signature: C4L.4.r!/L DATE: 03/17/94 TIME: 09:01
Driver's License or Social Security 0:
164646 White-Budding:Green-Code Enforcement:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING • PO. 4 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
J. 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. .
10. Structural Floor System 61. APPROVAL TO DECK
•
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
I 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
r '
-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 3-23_4.4,_ APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes;
34. Final Heating & Air Conditioning /
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing /Zt • Ly
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. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING _ l
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: I _ "I 23RD ST ) CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 06643CI
OWNER'S NAME: VNE DEVELOPMENT //
ADDRESS: 234 E 17TH ST #208 PERMIT NO: M 066430 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA, CA
CONSTRUCTION TYPE : V—N PERMIT TYPE: MEC PURPOSE: NEW
548-3072
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : INSTALL GRAY. FURNACE 7S000BTU SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1
PERMITTEE: SANTIAGO A/C, INC . ( 714 ) 998-1600
ADDRESS: 231 W. BLUERIDGE AVE, COMMENTS: REF; B-65478
ORANGE CA 92665 ****************************dry************************** t**b********************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.a my license is in lull force and effect. SETBACK S
/CITY UC.: c�'f9`�xy,J STATE LIG.: 269496 CLASS: C-20
e: ...fGO signature: MAIN BUILDING ACCESSORY BUILDING
RS'COMPENSA ION DECLARATION: thereby affirm I l have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.of a certified copythereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: W 9 3 /10208b EXP.DATE: 0 7/01 /9 4
COMPANY: CALIFORNIA COMP PARKING REQ; PROV; PARCEL: 43927116 INE: REF NO:
n Centred copy is hereby furnished. EH Cenilied copy is filed 'th th i y Building Division. PLANNING NOTES> '
at ' Applicant: tr*!t****it**********ttitit#*****irir**ir*Ir**ir********ahaP;t***1r*it*********irit*****ir**it*ir***
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This sermon need not be completed if the permt is for one hundred(S100)or less). D EVELOP MEN T SERV I C E S - REQUIREMENT 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:
Date: Signature:
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: _
Code.you must forthwith comply with such provisions or this permit shalt be deemed revoked. ♦ �"
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perlormance of the work for ; APPLICATION ISSUED B Y: "� - DATE; ——( `
which this permit is issued(Section 3097.Civ.C). **********************************i.-' sr ************************ ..; ***ac TTFTF**
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 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
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
25% SMIP/NON—RES
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($5001. ISSUE FEE 15 . 00
I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 9 . 00 15 . 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.II,however the building or REVENUE DIVISION TOTALS——> COLLECTED: 24 . 00 OVER/SHORT: . 00
tohpurpose of sale)�n one year of wmpletiw,the owner will nave the burden of proving he/she did not build or improve
ortBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner 01 the properly,am exclusively contracting with licensed contractors to construct the protect(Section 7044,Business 2 4 . 0
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of propertywho 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 ****************************************dt**************************************
that proof of their Worker's Compensation insurance should be provided to me. IND IV IDUAL F r E E BREAKDOWN
❑ I am exempt under Section: B.&P.C. '
for this reason: TYPE QTY DESCR IP T ION UNIT COST TOTAL COST
D ate: Owner: MEC 1. INST FORC—AIA/GRAV FURN_'<= 100 K BTU 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 OT 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.
D ate: Applicznl:
I hereby certify that I have read this application and stare that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and here authorize re lives of this city to enter upon the above-mentioned
OM r r inspection purposes.
01 00157375-00157375 TOT 24.00
ate: a ISignature: DATE: 03/18/94 TIRE: 15:33
s •
wer's License or Social Secure
1641-46 White—Building;Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING - POS S 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-Unargrnd. 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 - - '3. -''q' ('1�..ep FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank Q Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
3 'ia) cet>zr�re _tseai _ _
34. Final Heating & Air Conditioning -C p.�JG/, `aY
35. Final Gas Pipe-Test `�✓gx_
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing �fS44 pffr
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. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: '9 .t 23RD ST m• ' CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 066355
OWNER'S NAME: VNE DEVELOPMENT
ADDRESS: 234 E 17TH ST #208 PERMIT NO: E 066355 PLAN CHECK NO: N GOVT: N SUPP: N
t COSTA MESA, CA
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: NEW
548-3072
4 , ARCH/ENGINEER: TAYLOR ARCHITECTS REG.NO.: C1�g78 JOB DESCRIPTION : 971SF 1ST FL, 1117SF 2ND FL, 430SF GARAG SQ FT:
ADDRESS: 234 E 17TH ST MD: 203
C.M. CA 92627 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1
PERMITTEE VNE DEVELOPMENT ( 714 ) 645-7588
ADDRESS: 1048 IRVINE AV 363 COMMENTS: REF: B-65478
N.B . CA 92660 **************************+e*********+F***+F****+t******+ *******TF***** E****** **+r**
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 torte and effect. SETBACKS
CITY LIC.: STATE LIC.: CLASS:
Dale: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
if . COMPANY: PARKING REQ: PROV: PARCEL: 43927116 ZNE: REF NO:
❑ Certified copy is hereby furnished. 0 Cenilied copy is filed with the city Building Division. PLANNING NOTES>
>
Date: Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for 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 th•Workers'Compensation Laws of California. _ ZONING .APPROVED BYE
DATE:
�. Signature: LJ _ JU.4
OT ICE:If.after making this reclaration.you should become subject to the Workers'Co pensation provisions of the Labor BUILDING APPROVED BY : DATE:
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: 44
DATE:
which this permit is issued(Section 3007,Civ.C). - ***************.****.**{(. •� i, ********** *
LENDER: **************** ***************************** *****j51- t5L
*********
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 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 6 3 , 56
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 5 1:1% SMIP/NON—RES
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($500). ISSUE FEE 15 . 00
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTAL S----> 63 . 56 1 5 . 00 0 . 00 15.6,E 78 . 56 , 00
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through )
his or her own employees.provided that such improvements are not intended or offered for sate.If, however the building or
• improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 78 . 56 AVER/SHORT: 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC IRE S TP/TOT GRADING PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 78 . 56
® and Professions Code: The Contractors'State License Law does not apply to an owner of property}'who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'state License Law).l am aware *.**.*. (..x.{(.**.*.jE**.**•*{E**.*.f(.**.)eie*.*.*{e***.***..N.*.**.*.******.****.*.****.N.*.********.***,1E,**********
that proof of their Worker's Compensation insurance should be provided to me.
I m exempt under Section: B.&P.C. I N D I V I D U A L F E E B R E A K D O W N
for thisason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date w$ Lit-1W Owner: L "" "- C'` ELE 1816 NEW RES BLDG
0 hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and FOR 1 OR 2 UNITS/ SQ FT . 03 6 3 , 5 6
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 END OF FEES
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 slate 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
• •••nyfor po ann, ulposfe� /r/,�'�• ,/ ��j� 01 00156895-00156895 TOT 78.56
Date: " '� signature: wL �L DATE: 03/09/94 TIME: 10:40
/6- Ds License or Social Security+:
164146 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. 51 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 • ,i• 63. Heater & Vent-Final
13. Roof Drains ` - ✓ 64. Plumbing System - Final /t
14. Rough Plumbing -- 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final 2
I 16. Rough Electric Wiring
� . 67. Fencing & Access Approval ^�
'17. Rough Wiring Sign � , al_ 67.
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 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping D Gas 0 Oil
23. Gas Pipe-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 (Structural) & Monocoat 75. Dry Chemical
• 27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
r
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final ---y(/ tie 80. FOOD CERTIFICATE ISSUED
33. Final Electric Tia-age( A. 14 t4e4 Age
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
fl
41. Solar Domestic-Final
42. Backf low Preventer ••
43. Backflow Irrigation
44. Landscape Irrigation System •
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING -
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: 440 23RD ST Jam-13-. CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 065496
/ d' OWNER'S NAME: VNE DEVELOPMENT .
ADORI,E,a: 23A EE 177TH TH,STT A #208 PERMIT NO: P 065496 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: NEW
I. 548-3072
ARCH/ENGINEER: TAYLOR ARCHITECTS REG.NO.: C14978 JOB DESCRIPTION : 971SF 1ST FL, 1117SF 2ND FL, 430SF GARAG SQ FT:
ADDRESS: 234 E 17TH ST UNIT: 203
C.M. CA 92627 CLAIM VALUE; CALL-VALUE: GROUP OCC: R-3 /M-1
PERMITTEE: HOODS PLUMBING , INC ( 714 ) 689-2488
ADDRESS: 6703 CDEST AVE COMMENTS ; REF: B-65478
RIVERSIDE CA 92515 ********************+ty6***********y6**************+E********yrs ******+ter**+t********+t
LICENSED CONTRACTOR DECLARATION: I hereby affirm that t 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.: 057737 STATE LIt:260324 CLASS: CC-36
Date'. /?-29--E7- Signature: t Z MAIN BUILDING ACCESSORY BUILDING
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensation rA 1c�ik�cl y�8rgt e4 tipy thereof(Section 3800, Lab.a 9/15
/9
4
POLICY NO.: Y1 EXP. DATE:
COMPANY:
SAFECO �}}(( PARKING REp• PROV: PARCEL: 43927116 ZNE: REF NO:
LI Certified copy is hereby tarnished. L:7 Certified copy is filed with the city Building Division. PLANNING NOTES>
q >
Date: /2-jL9 (23 Applicant: 7F *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($1¢0)or less) DEVELOPMENT SERVICES R E QUIREMENTS
I cenily 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: BUILDINGAPPROVED BY : �I. DATE:
NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor
Code.you must font/oath comply with such provisions or this permit shall be deemed revoked. p ♦ `4q dd 11..LL�A t�a;,`I HI.::vAaa tktt�f '' ' f r
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for Ae rt,r t&t].V' TDOUGLS 13 S f . *. L DATE:
which this permit isi.sued(Section 3097.Civ.C). rE E******************* Ep***************************************
***************
LENDER: % xxxxxxxxxxx*xxxx*xxxxx % x* xxxx*xxxxxx ` x x x x***** `* xxx L# :ADDRESS: LC8ALIfLVN*11 **** ******* *p*g*g* *g*t*A3Ex*A* RASEGMENTN
*
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 142 . 00
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 25% SMIP/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7003)of Division 3 of the Business PLAN
and Prolessions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 2 O , O O
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). L
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 142 . 00 20 .00 0 . 00 - 162 . 00 162 . 00 . 00
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a property who builds or improves thereon.and who does such work himself/herself or through
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: 162 . 00 OVER/SHORT: 00
improvement is sold within one year of completion,the owner dl 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).
162 . 00
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ' 01 00152928-0001 52928 -r eE t 167.CO
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon r•.-�,
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ***********************'******'**************'**'.************'**7***'*****************
that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL • F EE B .R E A K D O W N
❑ A aeunder Section: B.&P.C. TYPE QTY DESCR IP T ION • UNIT COST TOTAL COST
t
forr thisexreason:
Date: Owner: PLU 2 BATHTUB •
7 .00 14 . 00
I do hereby cenify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 DISHWASHER :•r, 7.00 7. 00
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 pm) 1 LAUNDRY TUB OR WASHER • 7.0 0 7. 00
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from PLU 1 SHOWER .4 7 .00 7 . 00
these provisions. PLU 1 SINK, KITCHEN
PLU 5 WASH BASIN 7 .00 7 .00
Date: Applicant' 1 7 . 00 35 . 00
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 PLU 3 WATER CLOSET (TOILET) 7 .00 21 .00
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned PLU 1 WATER HEATER AND/OR VENT 7 . 00 7 . 00
property for inspection purposes. p PLU 1 WATER SERVICE r 7 . 00 7 . 00
Zp ���c PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5 . 009,;. 5 . 00
Date: /2 3 Signature: PLU 3 GAS PIPING SYS 5+ OUTL-PER OUTLET 1 . 00 3 . 00
Driver's License or Social Security n:
164146 Wfine-Building',Green-Code Enforcement:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor
I CONSTRUCTION AND PLANNING POL Si SPA
Date Inspector Date Inspector I
APPROVALS Permit K1- APPROVALS Permit ,
L y
' 1. Temporary Electrical Seruice or Poi CO 52. Pool & Equipment Lucat on I
Z. c)., Pipe URdrgrnd -- ili llif i i 53. Steel Reinforcement
'+r.,;:a.Eieciekel-Conciot{Jt.ht y'Undtg.r.!.<, I 54. Forms
it -rl'•Ekc!+!G r -'m-4) ,•d�;irc;r-d - I I 55. Elactr:ca' Berri rig
r^.;r5_ i'•-::.1 5G Mot.--_,n 2Iur-b nil G P'-. ,t.to Tnst
w:SE• c. LF75-T: 1 • --tt 57. .APPPCVAL '' C,)'.-R :f1,.. ,TE
ri`j-:F?3. 't!j ---- - -� -- -;--- -- 58-Elect-ical COI J.,t.�,,t„).rn. _
- -r•:- -- �- •I( i
_8. Fou^d2:pn - , 59. an Pipe, L{ Un;l•gr•-d.. Twit
9-- ?'b' U^a' ,rd. _ - `(^i_'" BC. Cac'..._sh L n. , P - _off ..-. r. ! f--J
'CSS c ' :r Sy yarn / ��f' 61 CPP LOVA 0 DEC< i-
=i. vcP_ 5i.,: r , n, iu• ^•nett.on i_tit .f- N.
' G2 E c. -d.nC P c -t.:•-F :r�
'•2 Viz.:_t :sr; ,.j.. _
... J3. H.:.tt.r & Vent-F1":.. t
'.3. a J. r�r S1^-- ._ - __1_ :iS. FittI ,c FVs,illn Fn.i1 _i
P •
I--- _- _I -- -,
' 6/. ; rc nn 8. ds-r..t Ai::ro -, ,
3b. .-sPPROVED PO�R P._AS1ER.;:G i
18 Ro t3T
n E ectr. I- Bur Ce i G9_POOEJSPA SYSTE'.1a FI'' AL - _- ' •
11 3E DE I . Rt,O U,,it'1E iv 1 _t--
�. - .. -✓L' I. t- f:'�,?I.JV e'S- - Pe:frit y r''' ~ -, _
L S _ . • iC-- _- -C� may' - _
2C-,L. - 57'J ctu-_i_ _- -- -I `:v IT •- I.. i ".iD. rl:.c ,L ,- `, _ I•
122 D Dar V t:'at r^;r t= L , c T
t . 1. 7_ 1 rJpu�, }�' (1 1
73..G,ly r„ ?n`4 i' dr7e.t tr )._'"f.�r4c 4 77 Ui.dis IiOu iri Fl.tit I --_-1
- 7r - . -11n4, r '? er ry •:; i; /3?], lydpr,rcSIniraii, • - Cr.; . �. - -.
.
7r 'ti. 't rt, u ' -�--
---
_
1 :
(PROJECTADDRESS: UNIT:
a 4 OWNER'S NAME:
ADDRESS: r PERMIT NO: P 065496 PLAN CHECK NO: 05081-93 N PAGE: 2
*******************************************************************************
ARCNIENGINEER: REG.NO.: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
ADDRESS: UNIT:
PLU 1 GAS SERVICE 7 ,00 7 ,00
PERMITTEE: PLU 1 SEWER, CONNECTION TO BUILDING EACH 15 . 00 15 . 00
ADDRESS: END OF FEES
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section
7000)Of Division 3 of the Business and Professions Code,and my license is in lull force and effect.
CITY LIC,: STATE LIC.: 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:
❑ Cenmed copy is hereby furnished. 0 Certified copy is filed with the city Building Division.
Date:_ Applicant:
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less).
I certify that in the penormance 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).
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: Any city of county which requires a permit to construct,atter,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)al 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
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500).
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the
O 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 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
0 and Professions Code: The Contractors'Stale License Law does not apply to an owner of property who builds or improves thereon
and who contracts(or such projects with a conttactor(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.
0 I am exempt under Section: 8.8 P.C.
for this reason:
Date: Owner:
I do hereby Lenity that 1 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 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 Ouabty Management District.Residential construction applications are exempt from
these provisions.
Date. Applicant. *DUPLICATE RECEI:F-T#
I hereby artily that I have road this application and stale that the above information is correct I agree to comply with all city and county 01 [0 129s- 0151.00
ordinates and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above mentioned r L { 0015_9?8 TOT
property for inspection purposes. DATE: I2/29/93 TIfE: 12:2$
Date: Signature:
Driver's License or Social Security r:
164140 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING - --_ ------ --- PO. _ & SPA -_ I - ---
APPROVALS Permit-triL Date Inspector APPROVALS Permit 51.= I Date I Inspector !
4 1. Temporary Electrical Service or Pole 52. Pool & Equipment Locaton II '
2. Sol Pipe-Undrgrnd. _ I 53. Steel Reinforcement - I - 1
-T -
r4 Electrical Conduit Ls.r.ty-'Lrd•gr�r. 54. For-i. - :
- -
4. Electr'ca' Cordu t•Urdr•nd ---_ 55 !ilEct 'Ca'3- rd 's
__
5. St:_: R,intorcument l 56. lied r ''. --:burp & Pr;;..'Jr;, r-s.
I- - - ---- ---�-- --- ------ ------ ---- -- --
6 Etectnrdl LIFER G•nd 7 57. APPROVAL TO COVFu.t;r T 1
-
7. Footings __- -_i _-- --{ -`_ 58. Elects ed! .^,nc:u'+ 3rd ;n:-r _- __ _ -__I _ .
8. Foundation 59. Gas F.pe, . Ur!'i in d Test -_ ---
9. Water Pipe Undrgrnd. I ' co. Nac'c. sh !. re• P•Trar C. ' 'c 'w
10. Structural Floor System I 61 AP.PFOV^1. TO DECK I ,
11. Property See.er Line & Haase Darr eo.cn 32. 2.c.;..,... .; Pec:; -13 Roct Diens 64 mh4 2 run .n❑ = F ^cI 1
14 Rough Plumning __---- - _ 65. :le-uric-al 1- nal i -- -- i 15 Rough E1eeUiea r-Corpwt -_- _ -- - _-_ -- -- -- - - --
66. Sol. r uy,tam Fina: - +
16. Rough Electrc Wiring 67 I-nrnng & Acc"cs Apn-o. I -. -
17. RoLgh r'Iring stn t-'_ r,p1,+LIVED FG.7 P; :1ST:Ni'J Ci _ -_-_
18. Rough El:rtrica!-T Bar Ce,,.ng 1 - --
69. P00: =a...: SYSE"'S FIt:At - ~-- ----------
19. Ro..gh th,.t.ng & Air Cor drt,or,-9 I Flri5 GFPT. REDUIREi•..F.: - -- � -
L,--Tom.'-
2r Rd,.gh-itIactotg Firep'ecc /P''tOVi-s_S .. - .__ _ ____
I try C.fr:, Pi Structure
- t - ------ - i
�--- --- --- -
22. Ducts, Ventilating i 71 Pru; vc• P r.na '' __Gas a'
23,'Gap P4;4.800511 U
& Test I _J _ _ 72. ..Jeigrou id x
Fl, h I
24: Roof ramirj-' 73. l:rd_,r•7,u.S.ora;c-i_-c .-. s j
I 23 P_ic Sheath'^Ii ;4 __ . -1
23: T•E v __i; rp'Struc[-ra1 3 '.b.- t
j 271 Frt reAd r.i.nhing I I 76. Di,,' .. I
r 'd- - --- - -- -- - - ---------- I- --
1 29. In ulat r � I 1 7L r iP -i I. .'Rt ..a,
' 33 O-N'.a la ::•41 0 I I HEALT!••' DEPT nEOUIRc
9?. Ply,tcr`t,�•oi'rr17]oat _i _ 7n F ^ sI 1 Ic -C"C .
le thea! Pociaf-
,__:p...._i 32. E ' Mrtr:r-F _a
�_ �_ 9 t �'Ai t c51 '� U 1
_ _ _ - �._ v 'U ' :
-
3 j F:A... t.rC• r_ 1\c'...
1-3--- 1/41.. -_ _ _ _ __+____-� _ 1_-__ _ _ _ _ _ _ __ . _ -.. __ _ ___ . .- .
34 F `, 1 '-.L..,:r ^t ,124:. 3P ., • _
r35<� F-t'' es P;c`F..Trr. - I -- � - --� -- - - � - - - �- ---- -- -
35e. F1:2od o• Can-4141,m
I. -r_ -
'",-/:. ca'.I ca ctcY_`5. P -ice
L_ _ ..� __ _--_ I -__ __. _ - _ .
3a� 1 sii P'_mbi'F I
33 •V:'a1ar .ry'rvict?'inal t _I -
,_ - - __ _ -_ _ -.y. --__ ___ __ 1 -_ _ __ _ _- _- - _ _- _ -._____ _____
I 4Q.',Gait Service-F.r!ra! I I
I' cr.f.,• lan.e.• c-`.cr. '
!7_.5 t cf:car: orgie_.ar _--
1
; 43. Bae'.tf'^e. 1[4:11" on
44. 'rids•`{ c7
Pe`1:ifata ^. $vs pm, - - --'I ---_ -I
L. ------ ---- --- - -- - ------- _. - -- - --- - -
_ __ _T;_- ___ _ _ .__ __- .__ - _ _
�
;>5. Sacrad Attenuation I II
46. Handicap Re9u!atlu'-s -- - ----- - - --4- -- - - -_ .
i --1----- - - --- - - - -- -- - .-
Ip
^!^FID;AI_ STRUCTURE & FU'lD!NG
!- 'Z --- --- ----- ---- -- - --- --
481;FI&AL-PLANNING - -��- �� �� ��
49. E +ctric.Releaseto ;Edison. ----t -- i i ----- - - - - --- -- - - ---- ___ -
' L3..G:`y Rmase to.Southern C-.i.fomas.a GCnl I r- - ---- -- -- - - -- - -
51. C T't ICA'Ft OF OCCUPV'CY - -
No. Date _I
PROJECT ADDRESS: 400 23RD ST exwe—g- CITY OF COSTA MESA — BUILDING PERMIT )9ERM NU: H Ub9 /tS
OWNER'S NAME: VNE DEVELOPMENT
ADDRESS: 234 E 17TH ST PERMIT NO: B 065478 PLAN CHECK NO: 04103-93 L (,UV1 : N bUFF: N
C .M„ CA
CONSTRUCTION TYPE: V—N PERMIT TYPE: STA PURPOSE: NEW
548-3072
ARCH/ENGINEER: TATLOR ARCHREc.NO.: C14978 JOB DESCRIPTION : 780SF 1ST FL, 1036SF 2ND FL, 427SF GARAG SQ FT: 2, 243
ADDRESS: 234 E 17TH ST UNIT: 203
C,M. CA 92626 CLAIM VALUE: 150, 000 . 00 CALL—VALUE: 142, 326 , 20 GROUP OCC: R-3 /M-1
I. PERMITTEE: VNE DEVELOPMENT ( 714 ) 645-7588
ADDRESS: 1048 IRVINE AV 363 COMMENTS : NEW SINGLE FAMILY RESID, PLAN C
N.B . CA 92660 ****+tr(tiE+t+E+r+E+t*** ***+riE+E+Ew+Ew+t********************(E+aw+E+(+E*****T(**********+t**(E*****
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. S E T B ACK S
s CITY LIC.: STATE LIC.: CUSS:
MAIN BUILDING ACCESSORY BUILDING
Date; Signature: FRNT: 10 FT IN REAR: 10 FT IN FRNT: FT IN REAR: FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' LEFT: 33 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C).
POLICY NO.: EXP.DATE: PARKING REQ: 18 PROV; 18 PARCEL: 43927116 ZNE: R2 REF NO: DR9211
COMPANY: PLANNING NOTES> ONE, 2—STORY UNIT (ONE BLDG) OF A 5—BUILDING, 7—UNIT CONDO
Certified copy is hereby furnished. ❑ Certified copy is filed with the City Building Division. > PROJECT _ ,, P E F
Dale: Aoph6nt: ' _ D E V E• L O -P M E'.'N -T SERV I CLE S REQUIREMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5180)or less). �I • ,'�(p
I certify that in the perlor ance of the work for which Ibis perms)is issued,I shall not employ any person in any manner so as to become ZONING APPROVED BY ' t7_ I�
subject to e N o icer omvens Bio aw(of California_. ,A, _ DATE
Dale: Yi Signature {/ (/v/�'( BUILDING APPROVED BY : DATE:
NOTICE:If.alter making this detlaratian,you shoido betume subject to the Workers'Compensation provisions of the Labor
Code.you you must forthwith comply with alum that t or this permit shall be deemed revoked. APPLICATION ISSUED -BY: : - tJi (,L I "'r DATE: �2i 2s ( 1 3
CONSTRUCTION LENDING AGENCY: I hereby aim that there-is a construction lending agency for the performance of the work for ********************************************* ************************* *** ***
which this permit is issues(Section 30027Civ..C1. !,I *******************),(***********************************************************
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 following reason BLDG PMT PLUMBING ELECTRIC MECHASIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city 01 county which requires a permit to construct,alter,improve,demolish.or PERMIT 790 . 00
N 14 . 2 3
repair any structure.prior to its issuance.also requires the applicant for such permit to Ide a signed statement that heMhe is licensed - SMIP/NON—RES
pursuant to the provisions al the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 513. 50
/
and Professions Code)or that he/she is exempt therefrom and the basis or the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE ' as
any applicant for a permit subjects the applicant to a CMI penalty of not more than five hundred dollars(5500). BUILDING—DIV—> PERMIT ISSUE P LAN—CHECK iy TOTAL PAID DUE
x I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 804 . 23 0 .00 513 . 50 1317 . 73 1317. 73 . 00
LT structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a property who bulbs or improves thereon,and who does such work himsetfinerself or through rt
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: 04 . 23 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 E SMI P/TOT GRADING PLAN—CHECK
for the purpose of sale). 790 . 00 /
•I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 14 . 2 3
❑ 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'Slate License Law).I am aware ********************************************* 4*******************************
that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E 1tE , R E A K D O W N
❑ lam exempt under Section: B.&P.C. TYPE
monis reason: QTY DESCR IP T ION � UNIT COST TOTAL COST
Date: �1� I �'C t/� owner: AGA C.7tel' SFR 1816 DWE TYPE V WOOD FRAME en' 74 . 00 134, 384 . 00
I do hereby certify that I am aware of an understand the requirements of California Health and Safety Code Sections 25505,25533.and SFR 427 RES—GARAGES TYPE V � ) 18 . 60 7, 942 . 20
25534 and that I or any lulme building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a END OF FEES �V
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions. •
fel
Date: Applicant' -ill
ifF) Q
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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 I .01
.�
ordinances and state laws relating to budding construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes. '
(f _ a(g
Dale: �" "'�L Signature: C &A1-C C-- 'iT DEC 993 t;
Driver's License or Social Security I:
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Pink—Revenue;Goldenrod—Assessor .. r fIESA
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laity of Costa Mesa •
• California 92628-1200 P.O.Box 1200
Insulation Certificate
32, a3niL�].yg j- Permit Number
lot #D — Elden & 23rd /Street Costa Mesa
Number and Street City
Orange - D
County Subdivision Lot Number
Description of Installation
ROOF
Material Fiberglass Batts Brand Name Owens/Corning •
Thickness (inches) 6 1/4" Thermal Resistance (R-Value) 1 9
EXTERIOR WALL
Material Eiberg.lass_Batts Brand Name _Owens/Corning
Thickness (inches)_31" Thermal Resistance (R-Value) 1 3 and 1 1
CEILING
Batt or Blanket Type batts Brand Name Owens/Corning
Thickness (inches) 6 1/4" Thermal Resistance (R-Value) 1 9
Loose Fill Type Brand Name
Contractor's minimum installed weight/ft2 lb. Minimum thickness inches
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value)
RAISED FLOOR
•
Material._n/_a Brand Name
Thickness (inches) Thermal Resistance (R-Value)
SLAB FLOOR
Material n/a Brand Name
Thickness (inches) Thermal Resistance (R-Value)
Width (inches)
FOUNDATION W�(aL
Material Brand Name
Thickness (inches) • Thermal Resistance (R-Value)
Declaration
•
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 Adminstrative Code.
General Contractor(Builder) License Number
Signature and Title • Date
Schmid Insulation Contractors Inc . 221517
Sub-Contractor(Insulation Installer) License Number
•
Signature and Title Date
1907-46
•
FINAL GRADING CERTIFICATION
Project Address: 132 23rd Street, Costa Mesa
Lot Number: 4, Tract 14668
Permit Number: DR-90-22
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:
25i Fail from structures within 5 feet from exterior walls.
1% Fail for asphalt surfaces and landscaped areas.
0.5 cc Fall for concrete surfaces t0 approved disposal areas.
The final monuments as shown on the recorded tract map were set. All final grading. eleva-
tions are within = 110 of the deli^ ped elevations.
Supervising Civil Engineer 9l��a1w Reg. No. 31720
(Signature)
7/y69-4
/ f
Date S
•
• QP(1)FESS/p4/
4...1,4 B. RI-NS
co n9
' 31/96
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