HomeMy WebLinkAbout134 23RD ST - Building Permits •
CITY OF COSTA MESA
:(p43 CALIFORNIA 92628-1200 P.O. BOX 1200
DEVELOPMENT SERVICES DEPARTMENT
•a4' r
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May 23 , 1994
To:
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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 $EW ADDRESS F..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 11 •
130 23rd Street F 128 23rd Street "
130 23rd Street G 126 23rd Street
Your cooperation in this matter. is appreciated.
JA-
Sincerely, - I/JP-
C
kit
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( ' 556-7508 • TDD(714)7545244
[ Iz23s
130 5 2305 t. , .
23rd tideh
5+. Ave.
C
, I28 134w ,
23rd St. 2 3n1 S♦.
1217 13
23rd St . 23rd S+
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TW e - Mild t*rcet \
aPROJECT ADDRESS: 23RD ST • y00.7.4- CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B Ub54 /b
OWNER'S NAME: VNE DEVELOPMENT
ADOREss: 234 E 17TH ST #208 PERMIT NO; B 065476 PLAN CHECK NO: 04101-93 L (,UV1 : N SUPP : N
COSTA MESA, CA
CONSTRUCTION TYPE: V-N PERMIT TYPE: SIR PURPOSE; NEW
548-3072
ARCH/ENGINEER: TAYLOR ARCHITECTSREc.No.: C14978 JOB DESCRIPTION : 971SF 1ST FL, 1117SF 2ND FL, 430SF GARAG SQ FT: 2, 518
ADDRESS: 234 E 17TH ST UNIT: 203
C,M, CA 92627 CLAIM VALUE; 150, 000 . 00 CALC-VALUE: 162, 510. 00 GROUP OCC: R-3 /M-1
PERMITTEE: VNE DEVELOPMENT ( 714 ) 645-7588
N.
ADDRESS: 1048 IRVINE AV, 363 COMMENTS : NEW SINGLE FAMILY RESID, PLAN A
N.B . CA 92660 *�F**+ ***�F�F**�F+ ***�F****�r*********+F*r***iE-****************+F*+FBF********* -**+L*******
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING R EQU I R E M E N T $
7W0)of Division 3 of the Business and Processions Code.and my license is in full force and effect. SETBACK $
CITY LIC.: STATE LIC.: CLASS:
MAIN BUILDING ACCESSORY BUILDING
Date: Signature: 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 Insurance,or a certified copy thereof(Section 3800.Lab.C).
POLICY NO.: EXP.DATE: PARKING REQ: PROV; PARCEL; 43927116 ZNE; R2 REF NO: DR9211
COMPANY: PLANNING NOTES> UNIT B OF A 7 UNIT CONDO PROJECT,
0 Certified copy is hereby furnished. .❑ Certified Copy is filed with the city Building Division. >
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date: Applicant: - • D E V E L O P M E. N;T SERVICES REQUIREMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(51001 or less). - - -r
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 ZONING APPROVED BY ;
subject to the Workers Compensation Laws of California.-Ail_ /' f.�.19 DATE: I Z' 24 1�l 3
...} Date:
20CaffiCi / Signature: ( / �LwL� BUILDING APPROVED BY : DATE:
NOTICE:II,alter making this declaration.you should'become subject to the Work!!rs'Compensation provisions of the Labor e . -
Coae.you must forthwith comply with sucn•provlsipt or this permit shall be deemed revoked.
APPLICATION ISSUED BY• `s (l. 2 'p /q 9
CONSTRUCTION LENDING AGENCY: I befeby affirm that them is a construction lending agency for the performance of the work for - �F DATE: , I�'6 ` 1
which mis permit is issued(Section 3097,Civ.C). -• **********************,****************** *** **********************************
.r' -7 -? **************************.*******************************************F**********
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANC 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 860 . 0 016 . 2 5
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed $MIP/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 559 .00 r 4'
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 live hundred dollars(5500). ISSUE FEE _ '7%
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CONSTRUCTION AND PLANNING POOL ?A
APPROVALS Permitrr _ Date Inspector APPROVALS Permit ;? Date Inspector
1. Temporary Electr cal Service m Pore 1 52. Pool & Egc','.rert ' a;a• ,
2. Soli Pipe•Undrarnd. 53. Steel Reinforr-r••+^',' ,
_____-_.--- -- __ -� - --_I_ _-
_ . E'ectwra".C9-tilt[Jt.'ih. l•ne gc.:if 54. Forr.is
1
I
„2; -s F. actr+.ce'-Conic.:.-Und•rr nd. 55. E ect-Ica Br_rdrra -- _- --- -
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5: 5?ee!Rc nforha�nent 3 �j L( 144.4 56. Rough Plu,n h rg L 7 .s•urc Tcst
c. e.ectr.itil.'g F.^>•+G•rd 177-14
�Y 'IG K/ i 57. APPRO"n:. '(1 C(1'-F P. G, .
1 - f: Foot!rm.-. .4•241 _ -- _- /,--2-7q,j6 t.....4- 58. Electric..) (brew, iludrgr 4 _ I__ i ?
8. Fou:•datarl :-+. �P_r• - • - i�l_ i7.C✓�it- 59. Gas P.pe. UrC, LI r;. 1 _ •
9. Water Prpe-Undrgrnd. --1 60. Backwash Lines, P-flap, `_, L`_d r�r '-1 I - -- - __-
10 Structural Floor System I 61. APPROVAL TO DICK
11. Property SeCver L:a •
e & House Conrcct:on -_-- .ush --- - ----+- --_ `- -
62. a>a's. asn Prez! •
12. Sewer CapI;� 63. He tar & Vcni-Flew' I I
1 /3 Roof Gini: '. - _ , CL ?.0•r'b'^g c nrem F .! --_-- i
_
14 Rough PwrFL_n r-
a 9 ' I 65, Electrical
It' t.5 Rc_g TT"t cct•.ral-Coro„-- ------ - 66 So:,�r Sas:•r'p rm.. -- --- --- ----
'• ifi. Rough EIectr!t'V ring 1 -_.i-_ -_ _ _ _ __ ___ _1.- _ _
_ - - - -I 67. Fenc1r.g P. 4ec`ss
17. Ro.:yh :."%.ng Jn _ 68. A`PaOV_r1 EOR "I"AS l --------------,---- --
--
18 Rough E'ectrE&L -T Ear Ce : -n 69. POOL SPA Cv'ST "S F);J.i
19. Rough Meati ng 3: Air C.,-dhScning _.. I FIRE DEPT. RLli t:IR':'i.'E;'T
I.- s -='--i-'--r'r'r_l_,xy .4 c_ r.c-:_-r b' T -.'.t7 F 4 1' F '..r1.11
2C_ R1..gh FacrdryY up ace • 'r C t* -k - ' s -.APPRDVfiCb^O ^ ,,., _p_ _ >:-7.-^".-
7'-.-.:EL
"'_:'
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�1.. Ducts,in St:uct•{!re .. . - I.. -• }r •_,t t ! 70.1-IJrdefattn J E1kd'�] i- 1
tr OS I. t - �A '." 71. Prnc:r.FF,TC,r3ou,•El i..• �'U.)
22. Ducts Beni Hat-
23; G1'P; Er Rough'&.Test ' r - :r _r- l r~"* ♦ �-,' 72. UndergrQ, , ' F4�,,J, _r •
J n _.I
... 3.__ �`o r i - -, -r ), O tfr --_ _`-_.
�I 2".: Roof r,.am'.rg `------ t- + �3-1'. ,_ z 4 7T, Undcrgrrjc..`, -?-IC t. ;,.y - rrc -- - 1---____
25. RoiS+ $ht 3:h ng. -` - fLl� to Lt v , _i V rtt r �'-'J 1
1 F. r 1 r.' r 7..r� t.. .Ud r-,
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226: T.-Par Cci'ing lStrutt�:a1'-&i:.Nmrflv,G 4' 1. Y • .`r 7V,�7r•' Ci em.t. �"] •" ". ;._
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27: F•;�. ..rd °1:sr�:J n.r 3`Z;3-9�n,6WR- 76. -Or,''?aw-0: i._,co M ~T'
t “TII-i? -t•. -1,-;.-- p/� - / .-.-r 1 _._ �.. r - -r--J - t -C---f-. - .-_- - -
'..i.2°. ' '3 .ir t:&: :3H.ng3" -" _•'.r2! at•i1 U v-( './. .•/ir I 77. F Er],n1..S--'J rl"�r t if y •S 1
it
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7_z. - su.at e^ .: .. .. ?r[{` L` .t.-11-1-44-YY „'+P� 7 F1H. ?R -, 1 r. , •, T I!
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Z 37 D / : \a "r te - ---r:.Y- �a� '-HE7._T'1 DLP! r:t"=l'-1., 1i=
.1 31. ?: 5 ?'o;p rrt�--iI •: •r• L/ ,x72.0.79Cy IC/Carta. 1 7E71' pi ir l `;c.9 r .-tC x L7 �C^ 11
92 F'e , .ca' ia^"er-f:lett •F e.. 1 s ' 8i" Fc1 OD .-t -lr., . 4 , 21
,r ,- --4----4------4 _- 1. -i._ I _� !-j.. - .1
F__3,i. Final is�hcttSc •' - i S r rr7 _L -r• r i 1 i\�•".ttes: ''1 -.'.T . r t.^
I; --r °r. -77-r•-r.--n4 r--- - ,-x -F- -*rr'- 17 In. T "A - <: -- - --- -
4. 3•i •rjF, t•at.a7 s:.,,• 11.1,.., :,3rr:cJ i. ✓.1..� �,�y�_ i
l3• �l�-q'�l Com"
I35. Final Cas Rfie ;_L --mS- I y7' C
r3 30. 1...- .11r. ...ar._p�t! J.-ZT-- - _�. t I' .r S �7�� .` OF- ' T _
1 07. r ^et c-c.s., F '-.-- 1 r. ,•1 `t s t1
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• -_.gr_ _ -r-_�_ )_ -;e may%•'q_ j �/,i ///_
' 39. F.,�ci F.l.mh.,._g .. .. iz - I _i....
1 • 'Ao�97. i.1� ��'-"- O/�dor' t (N-•-
33. .:r. -r SAu .,ce-F.-YT I ,' 1 , . * I •. rc, 7 (/
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4J. Gas SerrceK ^al .- --Y --- --�- - I __Ii.t-1,-1 --- ;r _.. -Y- -- •73 --- ------
r. -__;_,_r_-_,...-- ¢- - --.3:.: .i
c- r- n i G ,
} e..2.• C'GC+rfi.% Pre van ief I. * ( rr -
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43. 6uackf o:. Irt g Lor, 5 �+ 4 ' ',Mr-• . J -
t _ 'd,Ca pe 1<r r 'r^ -1' -d _ F-- • -_ l µ ., - '6- .Y s _ i:t.
I
i _ -r.r tet -4- _h-st _- t_°-, i.-z_L -YI--C. t S -�-
I 4a.' Sound Attet'uauon ^::' . q^ t-•i * (�' C_ c tr, :;�• t '..
1 46.. Handicap Rggu-atii3nsr. -. ,. t + tR r ,J'.. S * '•
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-'T_.-- J: -"41'.--+4r1-.4i7- -- --0 . _Y-- -_ _ __. ---___>-__ t♦
•447-, FINAL STRUCT:4RE & BUILDING_ (5;21-41(./ �(�6t : njr•'r _, .,-
1it3: FINAL PLANNING -- ` -- t -- 1 t 11---11_ .'-- -- --'i ---i- - .. . -- ---- ,S...._. -
r-' It i frt •i. t.
49: Electric-Release to,Ed.cor. • _, - ^.rc.
'. 50. Gas Release So Southern Calitinia Gns Co�` � ; 17 y --
t 51. C BTIFICATcOw CCCUPA"CY Ip 3 - Y_ _
'No. Date I
- - ---
A
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FINAL GRaING CERTIFICATION
Project Address: 134 23rd Street, Costa Mesa
Lot Number: _ 6, Tract 14668
Permit Number: DR-90-22
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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:
25.c Fall from structures within 5 feet from exterior Rolls.
1% Fall for asphalt surfaces and landscaped areas.
0.5`.7c Fail 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/i0 of the designed elevations.
Supervising Civil En_ineer .141./.62 Reg. No. 31720
• si_r.a:ure) �94 g/g/
Date
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• QPOFESS/0
'47
11
o FAN
LU
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cr. EXP ' 6
* *731
`P CIVIL Q'
TFOF CAL\ceP
a�: '::<':r'_-:• , . STR•2 and SiGN)
City of Costa Mesa
California 92628-1200 P.O.Box 1200
Insulation Certificate �]��
1 324 '3 rd > � Permit Number
lot # B - Elden & 23rd Street Costa Mesa
Number and Street City
Orange B
County Subdivision • Lot Number
Description of Installation
ROOF Fiberglass Batts Owens/Corning
Material Brand Name
Thickness (inches) 6 1/4" Thermal Resistance (R-Value) 79
EXTERIOR WALL
Material Fiberglass Batts Brand Name Owens/Corning
Thickness (inches) —2 Thermal Resistance (R-Value) 13 and 1 1
CEILING
Batt or Blanket Type Batt Brand Name Owens/Corning
Thickness (inches) 6 1/4" Thermal Resistance (R-Value) 19
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 n/a
Material Brand Name
Thickness (inches) Thermal Resistance (R-Value)
Width (inches) •
FOUNDATION WALL
Material _n/a 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
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'Signature and Title Date
1907-46
I3`f •
PRDjCTADDRESS: 4-3'0 23RD ST -UW/. B CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 065488
OWNER'S NAME: VNE DEVELOPMENT
ADDRESS: 234 E 17TH ST #208 PERMIT NO; P 065488 PLAN CHECK NO: N GOVT; N SUPP; N
COSTA MESA, CA
y� 548-3072 CONSTRUCTION TYPE; V-N PERMIT TYPE: PLU PURPOSE; NEW
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
tC.M. CA 92627 CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /M-1
I PERMITTEE: HOODS PLUMBING , INC ( 714 ) 689-2488
ADDRESS: 6703 CDEST AVE COMMENTS: REF: B-65476
RIVERSIDE CA 92515 ***FerFr***************************************F6************F6***F6Fr***************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions 01 Chapter 9(commencing with Section ZONING REQUIREMENTS
70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
cl . 057737 STATE LIC.:260324 CLASS: C-36 _. .,
C�,��p MAIN BUILDING ACCESSORY BUILDING
Date: ���z` r� Signature: _ _ _ FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
WORKERS'COMPENSATION� 4a��tttDECLARATION: I hereby alfirm that I have a certificate of Consent to self-insured certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
Compensation PNt,0 1 Bcl e$copy thereof(Section 380th Lab.89/1 5/94
POLICY NO.: P'l� X711 D EXP.DATE:
COMPANY: SAFECO sA PARKING RE(�• PROV: PARCEL: 43927116 ZNE: REF NO:
❑ Certified copy is hereby lurnished. C'] Certified copy is filed with the city Budding Division. PLANNING NV TES>
a" .✓ >
... Applicant: CCteret _ ***************
****************************************************************
/ ' DEVELOPMENT SERVICES REQUIREMENTS
' EXEMPTION FROM WORKERSCOMPENSATION DECLARATION: (Thisssectionneednotbecompletedilthepermitisforonehundred500)orless).
I certify that in the performance of the work for which this permit is issued,I shag 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: I
BUILDING APPROVED BY DATE;
I NOTICE:If.alter 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 shag be deemed revoked. - - t NB l
;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 lois permit is issued(Section 3097,Civ.C). r ********************************* ****************************** **
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;N
r _
OWNER BUILDER DECLARATION: I hereby alfirm 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 156,00
repair any structure.prior to its issuance.also requires the applicant for such permit to tile a signed statement that he/she is licensed 25% SMI P/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)01 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 20 . 0 O
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($509).
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the TOTALS----> 156 . 00 20 .00 0 . 00 "- .176 . 00 176. 00 .00
❑ structure is not intended or altered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/hersell 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 : 176 . 00 OVER/SHORT: 00
drone uentseoilsaiethin one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC ' -FIRE, SMIP/TOT GRADING PLAN-CHECK
p 176 . 00 •
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business -
❑ and Professions Code: The projectsContractors'wit state License Law does not apply to an owner of property who builds or improves thereon *******************************************************************************
and who contracts for such with a e ctor(s)license pursuant to the Contractors'Stale License Law).I am aware
that proof of their Worker's Compensation insurance should be provided to me. IND I V ID U AL F E E B-' R E A K D O W N
❑ I am exempt under Section: B.8.P.C. -
forthisreason: TYPE QTY DESCRIPTIO N 'y UNIT COST TOTAL COST
•
•
Date: Owner: PLU 3 BATHTUB I ', t 7 .00 21 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 DISHWASHER - 7 .00 7 .00
25534 and that I or any future building occupant wilt/will not(circle one)need to comply with said state codes and the requirements for a PLU 1 LAUNDRY TUB OR WASHER 7 .00 7 .00
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from PLU 1 SHOWER - 7 . 00 7.00
these provisions. PLU 1 SINK, KITCHEN 7 . 00 7 .00
Dale: Applicant: PLU 5 WASH BASIN 7 . 00 35 . 00
I hereby ceNly that I have read this application and state that the above information is correct.I agree to comply with all city and county PLU 4 WATER CLOSET (TOILET) •
7 . 00 2 8 . 0 0
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
ny mr inspection purposes. PLU 1 WATER SERVICE 7 .00 7 .00
�/� PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5 . 00 5.00
D 7Z-2-9-9� Signature: ���2>�T�"`---� PLU 3 GAS PIPING SYS 5+ OUTL-PER OUTLET pi Och7.00-'T73L"°a�• Tor 3 .005•eO
Driver's License or Social Security.: - EAT=" Icy_ei9., 'k7_: 1!1`i
1641.46 White-Budding:Green-Code Enforcement;Canary-Applicant:Pink-Revenue:Goldenrod-Assessor
ir 111 _-
PA
CONSTR UCT4ON AND PLANNING POOL ,
,-:41, Date Inspector Date Inspector
•• • APPRItALS Permit-41,1; APPROVALS Permit i4
1. Tempurery Electrical Service or Pole . 52. Pool & Equipment Locaton
_ .---1
- r
; 2.. •Tri LJT-Irgrn::1 --ir btitivriliogr. 53. Stecl Reinforcenieri
-- -- -
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-:,- .3 TIFri`i: CI:HILO Ct utv:UrirlrviT :: I
F4. Form=
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.:r: Ttr5iRI._•-e,r1 F 7 `14hj,11 : •g,-r4 - I I 55. Etectricl Rind og
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, 56, Rctt,5 °LI trnq i5,1 Praso.• e -",st 1 --:
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r -::--: r I • I I 57. AP2RCVAI Tn C. ER C21.1N'TE
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58. EjeCtrIC.11 COI tt-i t•L.,'Jag'^r! :_
- - i-;. --1
I i
5 ' ... ER -.4 i , 59. Gai, P Qv, .7 1J-rye-J.. -r5:
1,_. ._,• _ .. _ __•___ __ _ __ _4__ c
_ if ir_
-:.• -- Sv
61. APPROVAL TO DECK
TI - '- - ' I ---1
-.------• "FIRTT-ir-ei4Z1-• 4-00)-J---" ! C2 C.,,c:t,-:, r- ,,,, Pc: ir., -•F. .J1
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03. Huil-ir 1
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1 1 61 Pli.n4or.., 7,..t0,r, ' 5.5 !
717 -___•
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3_14.0 4.1S, ' , 35. .1' • c5 c -. .1:
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I- - -I -- i I 36 Enl-i 5, :tcri;•-• Pri.
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1 , I I i 67' F.'rei7i ei A.tc1.4. A n,T,.).3i
1 i ;
CS. APPROVED FCR PAS-. EH \G i
. .
-- ; - - -,..• . , -i.-- . II
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. Erl. n•-•14711,7- j^,-1-77 07-CTICCUPARCY
I . - -
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---- -
.1
PI JECT ADDRESS: UNIT:
OWNER'S NAME:
ADDRESS: PERMIT NO; P 065488 PLAN CHECK NO: 05075-93 N PAGE: 2
***3M**3*3* titRtitk**ftatu*******itie****39rat39t3*ati*Be3it*hit**3t1E4ff 3******3E$Eitl*it3titit33333tit*r*1r33
r
ARCH/ENGINEER: 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 full torce and effect.
CITY LIC.: STATE LIC.: CLASS:
Date: Signature'.
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers'
Compensation Insurance.OF a certified copy thereof(Section 3800,Lab.C).
POLICY NO.: EXP.DATE:
COMPANY:
❑ Certified copy is hereby furnished. ❑ 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(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
subtect to the Workers'Compensation Laws of California.
Date: Signature:
NOTICE:It,alter 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 a0irm 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,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.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).
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 7944,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 improvement%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 al sale).
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
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).I am aware
that Drool of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.B P.C.
for this reason:
Date: Owner:
I do hereby unify That I am aware of and understand the requirements of California Health and Safely 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(tom 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
property for inspection purposes.
t-DUP :LATE. Fec1.f C
Date: Signature: J? 00152;1:s-173152926 TOT :7e,60
Driver's License or Social Security o: DATE: 12/T-,5C TIME: 3'1:25
1641-46 While—Building:Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
• I . /2
- -CONSTRU1.
CON AND PLANNING I -- POOL Os SPA
r-
.... • APPROVALS Permit -1p Date Inspector APPROVALS Permit ,,. Date :ripe;
4 1, Temporary Electrical Service or Pole 52. Pool & Equ'pment Loc:.t on _
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Uthty-Undrarnd. ( __ 54. Forms _ "_ _�-
4. Electrical Conduit•Undrgrr d. I 55. E'ect•ica; Bonding I
-- - -4- _i- - - -- - - . -I-- -'
5. S:ce' Ra.nto•ca me^' _____- I I 56. 1u�^yh --5.]:-.b r�& 'r-` �� _- -
_r-__. y_-
E F.e. t•.c..' OF ER C.3:2-,:fi 57. A'PE'1Vr,.- TC C7'.'Ca i, . • IT
-1_- ---I-
7 Footings .au'. L rct• cau
: Cm- t u' c •. .. .
_ � - 1 _ �._ _l.
•
8. Foundation I I 159. G..; Fipe. : Uru.ce• d -_ - -_
9. Water PipP•Undrgrnd. CO. Ra e!ovash I_re P _"rap 'J L
10. Str.'etural Flnor System I 61. F.FPROVAL TO OE CK i
} I
11. Pronr ty Sec.er Line 8• Nous D,nr•.r• on 1- -_ -_- fit. 9.c.c:.:,>' !'z Rtc-_,r -�._ _ i
•
12. Se-:er Gip ---- -- f --�E3. ',-h ate: & Vent-51r, ----- I
{- -y_- --1- -
54. ? umhirp S,,s•rn- - F !
14. Rouc` Picmh,^ E ^tr
o 6S. 'elca'.r ra! - - - - -- --4! -- --
15. Rough Electrical-Gond art
66. Solar Systen-'-F•n;,' I
16. Rough Electric Wiring I 67. Fencing & Acc-ss Anonn ll
17. Rough Wring Sign I 68. APPROVED FOR PLAS: EKING I
18 Rauch Electricai-T Bar Ceiling 69. POOL.SPA SVSTL--IS FINAI I
1£. Ra..qh ;!c.ting & Air G;n.dit or, .o - FIRE f:EPT. REOU'RE6 T--1-
e2C Ro..ei,lr,.ccJ+p FIreP',a ce I 7 I APPROVALS :. rmi, r _ -_ -,
21: Dar:;,'li, Stn,ct ore --_ __ -- -- - --- _.I 70. Urdcr gra..'•d ,:‘,.C• ------- -- -...
22. :Jots, Vcni litng I 71. Pr-duct P -' r, _( s a
�__
237),G,., Pa Rough & Test _ - _ 77. Undeiyre! !lc' : Ls
34 ROOT ;ram«til- I - _- I 73_ Urdryr . cr
25 Rou' Shret-,-,y I 74. Otrriie,-.c ityc.•n
2': -•n_ v, ' 'a 1Sr-•..c:_.-. _ `c'..-. :
I /5 Dry Cnc n,.,,a
!- -r. - - --1- _ -- - - - - - --- - - -- - -- -- 4 t
27- Fri,r. d'i-•t` 76 Cr•, St.s:
_t____
29. La: nr G: S, :eg 1 77 F SY .. -
`
29. ''Auutro- ' ' !c. el RL PR EV. r .
.::M
F ,q -Hs ' :: '. I�-_. _-_1- . _ HEALTH DEPT iRcO.2R5
•i]'o.,:G Co.]: I.-_" __ .�.- I 7n. PI'.�li irrcPcC
� -- - T-:. t 1 r
1 32. E'e-t,i¢' Po, x '.'.,:er:,- --- - - -1---- 52. FOOD CEP . - -
3fi -Fn I_ ----I.- --- i
-
3 r cd5:' G.. P 5w?-A ' I I
3A1!f� - � 1 _- I - -- --
. Ho^d Cr ii
r
• 38. Err.. Pi_mbq 1
391.'Viatcr Service-:=ina1 I - - -
•-, s
40"',Gas Se vice E al _ I - - - -
:1, Sof,- Domo°Ic:..
12. 2e .cf:o\. are -en-..r
I I
43. doC.ilorr lrr_!atlpn I.
Soler; ia.11emi tt-cr I .
6. hda cap Regulations __ _ __ . _ . _ II{ -I
4:17 -i{;",i_ STRUCTURES FJ ;G
II_DI,
1 Alai
--- --- - 1_ + --- - - - . - . - - __
4°�i.sd 'c.Rd'c-.ca t: Ec 1 1 I - - - -- -- ----
SC G.., "e,t�se tci;Southi•n C., `ern.a Gas COI
51. CCI',7ft�ICA';-E OF CCCUPP.'.C"---I 1 - - i -- - -- - - - -• ----- -
`-- ---- - ---V- --------- - --- - - - - - -- - ------ -- - . - --- - -
PROJECT i DRESS: S 23RD ST -4414. .t... CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 066353
OWNER'S NAME: VNE DEVELOPMENT
/ ADDRESS; 234 E 17TH ST #208 PERMIT NO: E 066353 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA, CA
CONSTRUCTION TYPE; V-N PERMIT TYPE: ELE PURPOSE: NEW
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 "a: 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: 8-65476
N.B . CA 92660 ********FF***yR****+F,e*yF+F**"-********************* -iE***xdk***+FBF**+E+c-******+ex.*****aEaryc*
LICENSED CONTRACTOR DECLARATION: I hereby aflirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU I R EMENT S
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIC.: STATE LIC.: CLASS:
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' F RN T: 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:
COMPANY; PARKING REQ: PROV: PARCEL; 43927116 ZNE: REF NO;
1 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
>
Date: Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the perrnt is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIR EMENT S
I c • ' 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
eelr NS Vpth.W'orkerws'Compensation� ZONING APPROVED BY Laws of California. DATE:
i f V� (/
Date `Q Signature: L •
NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions el'1he 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 BY: al, - DATE: Pl Li
with this permit is issued(Section 3097.Civ.Cl. ********************** ,..: , * **********7Z '¢*.*.'
UNDER: *******************************,************************************************
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 73 , 08
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 0;
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business S M I P/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 live hundred dollars($5170). 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 TOTALS----> 73 . 08 15 , 0 0 0 . 00 8 8 . 0 8 88 . 08 . 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 -_ ��
forptheepurpose ollsae)hinone year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE B LDGVISION TOTALS PMT PLUMBING ELECTRIC OMECHANIC :kg IPO/OT/SHORT: . 00
GRADING PLAN-CHECK
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 88 . 08
® 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).I am aware *********************************.***.********.**.******.*******.*.**.'*****************
that proof of their Worker's Compensation insurance should be provided to me. IND I VIDUAL F E E BR EAKDOWN
❑ 1 are exempt under Section: B.&P.C.
tor this reason: /2 r L TYPE QTY D E S C R I P T ION UNIT COST TOTAL COST
� �� ('w L- (
Dale � - Owner �I�/clh.�/ ELE 2088 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 73 , 08
.,hereby cendy 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 Quality Management District.Residential construction applications are exempt from
these provisions,
Dale: 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
pr rty for inspection purposes. AA ���p ��
te: t �1�- '� signature:_/ tc.d_0 i,-- 01 00156896-00156896 TOT 88.08
wars License or Social Security of: DATE: 03/09/94 TIME: 10:40
1641.446_Whue\Duilding;Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
aONSTRUCTION AND PLANNING PO . SPA
APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector
fat' 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
• 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit ' ' 66. Solar System-Final
16. Rough Electric Wiring v6/�!/__��%(,�' , 67. Fencing & Access Approval
1 17. Rough Wiring Sign ')/- 7 �_- 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 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 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
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat //FINAL FINAL INSPECTION
32. Electrical Power Meter-Final 7 J. FOOD CERTIFICATE ISSUED
33. Final Electric 1?4it _ � otes:
34. Final Heating& Air Conditioning l
35. Final Gas Pipe-Test
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. FINAL STRUCTURE & BUILDING
48. FI NAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co _ -
51. CERTIFICATE OF OCCUPANCY
No. Date
r
i31
PROJECT ADDRESS: -HO 23RD ST =— CITY OF COSTA MESA — BUILDING PERMIT PERM NO; M 066445
OWNER'S NAME: VNE DEVELOPMENT
ADDREss: 234 E 17TH ST #208 PERMIT NO: M 066445 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 GRAV. FURNACE 7S000BTU SQ FT;
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /M-1
PERMITTEE: VNE DEVELOPMENT ( 714 ) 645-7588
ADDRESS: 1048 IRVINE AV 363 COMMENTS : REF: B-65476
N.B . CA 92660 ###N#*w# *##ar###**##******##**#->Fx-> ****##*#########***********N#####*-Nx*##******
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING R EQU IR EMEN TS
70001 of Division 3 of the Business and Professions Code.and my license is in lull force and effect. SEIB ACK S
CITY LIC.: STATE LIC.: 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; 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:
COMPANY: PARKING REQ: PROV: PARCEL: 43927116 ZNE: REF NO:
O Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
>
Dale' Applicant: _#**############**#*###*##*########
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D E V EL OP M ENT SERV IC E S R EQU I R EME 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 1e become
subject to the Wor ers'Compensation Laws of California. ZONING APPROVED BY DATE
Dale'. 1 ViSignature:nature: Iiiti,
NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor • B U I LD I NG APPROVED BY ; ' A DATE: _
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. r —{ : E� C�
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for' 'APPLICATION ISSUED B Y: S • . DATE: 1 l \�-
which this permit is issued(Section 3097,Civ. Cl. ************************************,. #*********3* -3F***
LENDER: #****#*#*#***#*#*************************#*************************************
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from theContractors'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 PERMIT1 3 . 0 0
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 1.1'. 25% 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($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 TOTALS----> 13 . 00 15 . 00 ' 0 . 00 28 . 00 28 . 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 awn employees, provided that such improvements are not intended or offered for sale. If, however the building or REVENUE DIVISION TOTALS--> COLLECTED: 28 . 00 OVER/SHORT: . 00
peurposeot sae)hin one year of completion,the owner will have the burden of proving he/she did not build ar improve
for the pBLDG 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 Z8 . 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).I am aware **************#****#***##************jP*******************#****************#*#**
that proof of(heir Worker's Compensation insurance should be provided to me. INDIVIDUAL "'F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C
for this reason: TYPE QTY DESCRIPTIO N= UNIT COST TOTAL COST
Dale'. /7 ak'N, C et Owner: Al L 'L.- MEC 2 FACTORY FIREPLACE 6 . 50 13 . 00
t 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 tulure 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. •
i
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
properly fm inspection purposes.
00157329-00157329 TOT 28.00
� 1.- DATE: 03/17/94 TIME:: 09:00
Date: 17 Pik �w
Driver's License or Social Security e:
1641-46 While—Building;Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
J
CONSTRUCTION AND PLANNING POOL PA
APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
•
4. Electrical Conduit•Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6, Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ 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 '.TZ 25-cei FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace J ! 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 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
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:
34. Final Heating & Air Conditioning
711- �J
35. Final Gas Pipe-Test - -
36. Hood or Canopy
37. Final Factory Fireplace 7-11...et4j
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. 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: —1--.....") 23RD ST CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 066428
OWNER'S NAME: VNE DEVELOPMENT
ADDRESS: 234 E 17TH ST #208 PERMIT NO: M 066428 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 GRAV. FURNACE 75000BTU 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-65476
ORANGE CA 92665 **+t********* Ear* ***********************>F*>E*x*>E****** *************x*>F>E**x***x**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I a licensed under provisions of Chapter 9(commencing with Section Z ON I NG REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and m [cense is in full force and effect. SETBACK S
C LIC.: 0A-7e& . STATEuc.:269496 CLASS: C-20
Dat .f52 ' signature MAIN BUILDING ACCESSORY BUILDING
RICERS'COMPENSATION DECLARATION: I hereby affirm that I 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 lnsuuttat e,or? cef t,in thereof(Section 3800.Lab.p1..7/01 /99 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY CONO.: CCCALIFORRNVItlAb COMP EXP. DATE: PARKING REQ: PROV: PARCEL : 43927116 ZNE: REF NO:
COMPANY: �f Q
7 Certified copy is hereby furnished. II Certified copy is til with a city Building Division. PLANNING NOTES>
>
gill Applicant: *******************************************************************************
MPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5700)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:
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 shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE: L�
which this permit is issued(Section 3097.Civ.C). **********************� :**************************** 'ir,�F *�
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E S •U M M A R Y 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 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 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty OI 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 TOTALS----> 9 , 00 15 . 00 0 .00 24 . 00 24 , 00 . 00
does not apply to an owner of a property who builds or improves thereon.and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale. II.however the building or REVENUE DIVISION TOTALS--> COLLECTED: 24 . 00 OVER/SHORT: . 00
orimprovement is of sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
for the entis of sale).
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 24 . 90
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). lam aware *************************************************************.7E*.7F.7e**.j(..7k*J(.**.*.x..x.*.**
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F 'E E BREAKDOWN
❑ I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: MEC 1INST FORC—AIR/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 OF,\F EES
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 A
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions. . I
Date: Applicant'
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and slate laws relating to building construction and hereby ulhorrze representatives of this city to enter upon the above-mentioned
pro erty I r inspection purposes.
0100157377-00157377 TOT 24.00
Date: ! ? N Signature: DATE: 03/18/94 TIME: 15:35
Orr
License or Social Sectrity t
1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POL . 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
._ i 3. Electrical Conduit Utility-Undrgrnd. 54. Forms
' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding {
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test I
6. Electrical LIFER 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, O 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 t'31'4' FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace t 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 0 Oil 1
25. Roof Sheathing 74. Overhead Hydro j
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: 301 -2o r
'_5_4 edit n -
34. Final Heating& Air Conditioning tbsi r %4-
35. Final Gas Pipe-Test Ally
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Servica-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