HomeMy WebLinkAbout200 MAYFAIR LN - Building Permits MFSl .
a4W\ CITY OF COSTA MESA
. BUILDING DIVISION
DEVELOPMENT t ' SERVICES DEPARTMENT
�• PERMIT PERMIT NUMBER .
41`lbeftwwvo;16.
B99-00003
' (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
lab 2i
Job Address: Status: ISSUED
Suite: Applied: 01/04/1999
Vicinity: 200-206 MAYFAIR LN Issued: 01/04/1999
Parcel Nunmber: 41901342 Zoning:
Applicant: PEARSON, VESS
Address:
•
Phone:
Zip:
•
Owner GARDEN PARK VILLAGE
Address HOMEOWNERS'ASSN
P O BOX Phone:
%HOME FEDERAL S&L ASSN Zip: 92112
Contractor: G M ROOFING
Address: P.O. BOX 3908 - - -
Phone: 714-761-8173 ,
SEAL BEACH, CA
Zip: 90740 - License: 472566
Arch : • Eng:
Address: _ Address:
Phone: Phone:
Zip: • License: License:
SCOPE OF PERMIT
REROOF OVER EXISTING 1 LAYER OF COMP.SHINGLE WITH NEW 25-YR.COMP. ROOF CERT ATTACHED TO
PERMIT.
GADREN PARK VILLAGE CONDO COMPLEX:
FOR ROOF"A"WHICH SHALL COVER 200 TO 206 MAYFAIR
LANE.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $7,050.00
Permit: $137.25 Claim Valuation: • $7,050.00
SMIP Res: $0.71
SMIP Com: $0.00 •••
Other $0.00
Inspection: $0.00
Total: $137.96
PLANNING &ZONING
SETBACKS •
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY rront 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING xistin : 0 Required: 0 Proposed: 0
NOTES:
•
•
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Califo ia,and)gree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provi ion . c
ApplicantSignature: •w\ A_4a.X_ Dater t — S - q I
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST.AND ATTORNEY'S FEES,
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisi s of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.# , (I Class e
Contraorors'Signature: M atnl _ — Date: I —crc
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.(Sec.3097,Civil Code).
Lender's Name: Lender's Address: •
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or 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 or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or 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 civ,l 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(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the,project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sac. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i,e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the Californla Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this'implication apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this
application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑Yes C No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final Inspection.
G cp,.
� 'fSignature Of Legal Owner(s) Da
And/or Authorized Applicant Date
rnns F Marl DATE IWO=Al5 CODF4 INSPFCTION TYPF DME IIDIDALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof y"'/'mac_/ 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site _
204 Final Demolition 250 Final Building/Occupancy _
2446-46
•
yy /'—xD I Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. -
-
CITY OF COSTA MESA I IC�OAN^STRU/C`TI(O7N7-'PEERRMII/T PERMIT
I�NO. TRACT NO. LOT NO. UNIT NO. • _ 2061 4/30/85 13.75 'TI,
Project Address' -Ler- I v A CFPO IC .�NC `' �9 - ErALTERATION
Applicants Mailing Address I �--) �< l l`z`U� • TYPE OF CONSTRUCTION U NEW Li ADD L.� ALTERATION U REPAIR
�rt ❑ CONVERSION ❑ DEMOLISH III OTHER' A p.# - I Zone •
-
Owner•s Name .Olt,
,t I FAT , Phone _ DESCRIPTION OF WORK/USE OF BLDG. .
Address 7� 1`/LQ 1 rAll� �_ ��€ S Main Building: Accessory Building:
• �� Z
Arch/Eng. ' - License No.' TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION -LJ STRUCTURAL E Front- - Q
• ❑ TENANT ❑ ELECTRICAL' ❑ PLUMBING MECHANICAL g N
Address I� /� r7n • Rear -
.. Contractor's Name HZ!-+'V`(4f �ITCI Phone ❑ -OTHER A
p 13C-7(
3. 1' PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
Address Imailing) I a t� 13�I MOF K - G
_ CONSTRUCTION TYPE VALUATION$ s Left
(�--� City License No. ZONE GRADING CU.YDS. ACRES E' I
1 LICENSED CONTRACTOR DECLARATION _ Ping. Ref.# Parking Req./Provided
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M
with section 7000) of Division 3 of the Business nd P ofessions Code, and T
my license is in full force and effect. /• ���vC'_ - S
5(G
License Class C'2 at se•ro. •
Date e}'24--t+3 Signature / i - PLUMBING 1 I FEES
WORKERS'COMPENSATION DECLARATION , Bar Sink ' Showers ELECTRICAL FEES
hereby affirm that I have a certificate of consent to self-insure or a certificate
' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink _ . a
.800, Lab. C.)ce985.7 ISI zUirrT }-. . . "_ _ -
•
Automatic Washer Transformer 0 1550 KW'
Policy No. L-�1'U7 `YAC 7v Company t )en 1 , Backflow Irrigation Sewer Ca - ❑ 50+ KW •
P r 1 Construction Pole Sub. -
Certifietl copy is hereby furnished. —• '
- Certifi bony is filed with the city Buildi�,�-Div's"onL Bathtubs Sewer Connection - Cooking Unit -Meter ❑up to 100 amps ,
Date 50 Applicant t'�^t �1
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or
less). Dishwasher . Solar Piping - Dryers ❑Gas DElectric Sub Panel I .
I certify that in the performance of the work for which this permit is issued, I ,; '
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan• • Motors 00-1 HP 01%-B •
Workers' Compensation Laws of California. 1✓
..Date Signature ' Floor Drains Swimming Pool w/Spa • F.A.U. Inc.Solar ❑9-15 HP 016-15+
'NOTICE: If,after making this declaration, you should become subject to the - •
•Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave --
comply with, such provisions or this permit shall be deemed revoked. ' - - '
CONSTRUCTION LENDING AGENCY ` Gas Service Outlets' Water Closet . Device Boxes Pole Light
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.) Interceptors . Heater Outlets Range
•
Lender's Name _ .
•Lender's Address - Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION - _
I hereby affirm that I am exempt from the Contractor's License Law for'the Lavatories Auto-Wash Garbage Disposal I Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair. P-Trap - . Laundry Trays- Generator ❑0-5 KW❑5-15 KW Trash Compactor
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 Roof Drains -
the Contractor's License Law (Chapter 9(commencing with Section 7000) of
`iyision 3 of the Business and Professions Code) or that he/she is exempt
•refrom and the basis for the alleged exemption. Any violation of Section -
31.5 by any applicant for a permit subjects the- applicant-to a civil - '
dnalty of not more than five hundred dollars($500). • •
❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue $ 3 Fee - — .
compensation, will do the work,and the-structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3
'for sale (Section .7044, Business and Professional Code: The Contractor's - MECHANICAL FEES - -
' 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 DEVELOPMENT SERVICES REQUIREMENTS: •
employees, provided that such improvements are not intended or offered for . Boiler Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
prove for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By ' Date_ J
tractors to construct the project (Section 7044,Business and Professions Code: , - ,� '
The Contractor's License Law does not apply to an owner of property who • Duct-Ventilating I®6100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware that - Exhaust System 0 Multiple 0 System Repair/Alteration . 4 G:.7 BUILDING PERMIT $ SMIP $ ' - ,
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ - PERMIT
0 I am exempt under Section B. &P.C.for this reason ' Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ -
Date Owner Heating System& Ducting Registers
_ PLAN CHECK 25% $ ENERGY P.C. $ _
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT • - _ ' $ GRADING $ •
information is correct. I agree comply with all city and county ordinances ELECTRICAL l
and state laws ting o bu'd g nstr uctlon,and hereby authorize repre- • PLAN CHECK 50% $ - MICROFILM '$ _ •
- sentatives of/ i cit o t n the above-mentioned property for • 4 , ,
•
inspection p rp s. /1'_Zi1 C4C MECHANICAL `l-p0 _ 1� --�
Signature Date 4- YOU—" - TOTAL FEE $ T1""7"��
' Drivers' License or•SS# $ - Reinspection Fee $15 Issue Fee • $ 3 PLAN CHECK 25% $ 2 , 2.17 v t J
CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
13.75
-L
CONSTRUCTION AND PLANNING - • POt .SPA
• Date • Inspector Date . Inspector
APPROVALS - Permit# APPROVALS Permit #
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 •
S-Steel:Reinforcement - .56. Rough Plumbing•& Pressure Test
6? Electrical UFER Grnd. . 57. APPROVAL TO'COVER-GUNITE •
-7: Footings - . 58. Electrical Conduit-Undrgrnd.
-
$t Foundation 59. Gas Pipe, D Undrgrnd.,Test
a ,
9.-Water Pipc-UndrgrnO. ' 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•
- 1
. • 12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final - - - .. •
.
16. Rough Electric Wiring - ' - 67. Fencing &Access Approval
17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING - •
• 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning _ - FIRE DEPT. REQUIREMENT .
20. Rough Factory Fireplace APPROVALS- Permit#
21. Ducts, in Structure 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 lashing 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 t
33. Final Electric • Notes:
34. Final Heating &Air Conditioning • 67/41- (.M2
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 - `r
. Q
_ _
- 44. ,Landscape Irrigation System •
-
. 45. Sound Attenuation -
46. Handicap Regulations .
47. FINAL STRUCTURE & BUILDING.
48. Special Requirements Completed .
49. Electric Release to Edison' • - - - . - - •
-
50. Gas Release to Southern California Gas Co ,.
X51. CERTIFICATE OF OCCUPANCY -
,r,
No. Date - 1
ADDRESS OF BUILDING: 200 MAYFAIR LN uMT: CITY OF COSTA MESA — BUILDING PERMIT
aYNERSNAMEIPIOKNM: MAHESH SHASHIDHAR PERM NO: M 083427
ADDRESS 200 MAYFAIR LN
COSTA MESA,CA 92626 PERMIT NO: M 083427 PLAN CHECK NO: N GOVT: N SUPP: N
642-2101
APPL.MAILING ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: OTH
ARCHITECT OR ENGINEER: uc.NO: JOB DESCRIPTION : INSTALL 36K BTU CONDENSER & COIL SQ FT:
ARCH.OR 940.5 ADDRESS: UPC: '
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
CONTRACTOR'S AMIE: K & H AIR SYSTEMS ( 909 ) 736-1999
CONTRACT0BSMNUNG 4057 TEMESCAL COMMENTS: ADD A/C
AooREss: NORCO CA uCND.: 684853 ************************************************+ESE*at*-x -*******SE3t******+t -**RETE*at*
91766 UNT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I em licensed under provisions of Chapter 9 Jr E TB ACK S
(commencing with Section 7000)of Wane 3 of the Business and Professions Code,and my license Sin full force and effect.
CITY LIC.NO.: uc.cuss: C-20 uc.NO.: 684 53 EXP: MAIN BUILDING ACCESSORY BUILDING
' / FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dae: (p/23/ 97
Contractor: �yIZB�/�' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
•W NER BUILDER DE LARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the
following reason(Section7031.5 Basilan and Professions Cede:Anycltyo county which requires a permit to construct.alter.improve, PARKING REQ: PROV: PARCEL : 41901325 ZNE: REF NO;
es
demolish,or rapany Structure.prior to its issuance.Seo requires the applicant 1«such permit to fib a signed statement that he or she PLANNING NOTES>
• is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Sedan 7000)of Division 3 of the
Business and Professions Code)or that he or 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 rhe hundred dollars R5001). *******************************************************************************
El I.ori owner of the property er my employees with wages es their sole compensation,will do the work,and the structure is not intended D EVEL OP MEN T SER VICES REQU IR EMEN TS
Or offered for sole(Section 7044,Business and Professions Code:Theown
Conlredors License Law does not sooty to an inner of properly
who buids or improves thereon.and who does such work himself or harsh Or through he or her own employees provided that such
' improvemeesare no.intended or offered for sale.If.however,the buildingorinprovementusodwithin«wyeadcomplMun,the ZONING APPROVED BY DATE:
er will have the burden of proving he or she did not build or improve for the purpose of
was buildsale).
o I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does nd apply to an owner of property who builds or improves thereon end who
contracts for such projects with a contrador(s)licensed pumuanl to the Contractors License Law). �J�
❑ I am exempt under Section: B.a P.C..for this reason: APPLICATION ISSUED BY: DATE. (�
*********************************************** **** ************** ******* 2:
Date ONTef LEGALIZATION:N F E E SUMMARY • STRUCTURAL SEGMENT: N
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sediom 25505.25533,and
25534.and that I ix any Mitre building occupant will/MI not(drcle one)need to comply with said Mate codes and the requinwnents tor BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for contention or modification fromthe AirtinnagemeM District.Residential construction appkationsam m exempt thesePERMIT 13 . 25
provisions.
Date: Applicant: 25% SMIP/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations: ISSUE FEE 22 . 00
❑ Mayo and wil maintain acerfaate d consent toseH;neure for wwers'oompeneeon.as provided for by Swine 37004 the LaborBUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Cede,for the performance othe work for which this pemmis issued. TOTALS----> 13 . 25 22 . 00 0 . 00 35. 25 35 . 25 . 00
.Q I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the
woks«whitl ,hiapemhiaiesuad.Myw«kes�mpea3atp pgyaua ems aodpdignumberae: EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 35 . 25 OVER/SHORT: . 00
Policy Number.
Cartier: v36714434v ' 07/24 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
air section need nor be completed I the pert is for one hunched dollars(3100/or less.) 35 . 25
o Iceom lhatject t performanceworofthwns for laws of thisperissued,dsig shall t notemployutd b persoDome unary manner woest' ********************************************************** ****************
become satin a the antheworkfor which
California,cdrmt isand agree that H e become subject ao the re as t'
****
7
compensationion 3700 of of Section 3700 of the Labor Code,I shall ff hhwah compcomplyprevision. INDIVIDUAL F E E BREAKDOWN
Dae: -o1 —c 7 Applicant: /A --Atell&e.# —
Warning;Failure to securewabers'compensationcoverageIsunlawful,andshal/erb/ectanemployertocrlMnalpenalf/esarW TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil Mies up to one hundred thousand dollars($100,000),In addition to the cost of compensation,damages as provided for in
Section 3706 olthe Labor Code,interest and atmmey'stees MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 13 . 25 13 . 25
CONSTRUCTION LENDING AGENCY: I hereby affirm under penal,,/of perjury that there it a mnstadion lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this applicationand sate that the above information is correct.I agree to comply with all city and countyordinances EXPIRED
D
and state laws relating to building mnsbudion and hereby authorize representaiwa Of this thy to enter upon the above-mentkoed popery
for inspection purposes.B ILL SAMMONS 86-23-1997/83:16 G
41435.25
Print Name DATE t "(i 18 Ti 11111188123
4iy��Z% Dete:€p, �-3,T PERMIT s 083427
signator of OwwdAgent/Appiant/Conlrad«
(5151-46.WP) White-Builditg A Soley;Green-Fla;Carry-APPicant:Pink-Revenue:Gohbnrod-Assessor
• PROJECT ADDRESS: 200 MC CORMICK AV UNIT: CITY OF COSTA MESA - BUILDING PERMIT lPERM NO: E 07022C I
OWNER'S NAME: OLEN MANAGEMENT 1 . '+
ADDREss: 20 CORPORATE PARK PERMIT NO: E 070220 PLAN CHECK NO: N GOVT; N SUPP : N I
IRVINE, CA 92720
CONSTRUCTION TYPE: 3-N SP PERMIT TYPE : ELE PURPOSE: ALT
• 863-1163
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : SEPARATE ONE SERVICE INTO TWO SERVICES SQ FT;
ADDRESS: UNIT:
CLAIM VALUE; CALL-VALUE; GROUP OCC: B-2
PERMITTEE: CURRENT ELECTRIC ( 714 ) 532-0168
ADDRESS: 2340 DANA AV COMMENTS : REWORK FIXTURES, NO STRUCTURAL PERMIT ON FILE
ORANGE CA 92667 *****TE****aer***+ **********x*+c***ssas*-u*+t?e**** -***-**+r*****ar•x*stE*u**u-*vaFac.xc*ac****ac*x
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. SETBACK S
CITY LIC.: 058873 STATE uc.: 48826' ,/,VX1 class: - E} 09/95
Date -la-S -0 `4 Signature: �"kr - MAIN BUILDING ACCESSORY BUILDING
=RNT; 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 -insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT; FT IN ROUT - FT IN
Compensation IBswarue3 of aa.caiilied,copy thereof(Section 3800.Lab.Si. '
POLICY NO.: Y V 7 EXP. DATE:
STATECOMPANY: FUNDI PARKING REQ: PROV: PARCEL : 00000000 ZNE: REF NO:
Certified copy is hereby furnished. L'1 Certified copy le the city Divisi . PLANNING NOTES>
Dale'. 1d�- J - '30-k Applicant: V` l�"-4 *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be camp! ed if ermit is for one hundred(5100)or less). DEVELOPMENT S V I C E $ R E (� U I R E M E N T $
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 A
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY -• DATE;
Date: signature: BUILDING APPROVED BY
NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor : DATE
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. /�j
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: `.. x-\ DATE: 121. •' ' R.q
which this permit is issued(Section 3097, Civ.C). j **********************************************-***************************#;.#fl**
LENDER: *****************.E**************************************+f**********************
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 37 , 00 .
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0% SMIP/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($5001. ISSUE FEE 15 . 00
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----> 37 . 00 15 . 00 0 , 00 52 , 00 •' 52 . 00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law . 00
does not apply 10 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 : 52 . 00 OVER/SHORT; 00
improvement is sold eone 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
for the purpose offsale).
). HEC
52 , 00
CK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds Law).oves thereon *******************.********************************_***********************
and who contracts for such projects with a e ctor(s)license pursuant to the Contractors'State License I am aware aF****
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.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST. TOTAL COST
Date: Owner: ELE 10 FIXTURES, LIGHTING` E 1 ST 20 EA, . 75 7 , 50
I do hereby certify that lam aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 18 , 50 , .
18 , 50
25534 and that I or any budding occupant will/willmol(circle one)need to comply with said state codes the requirements far a ELE 1 SUB-PANEL
Srmo
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from �+j 11 , 00
these provisions. END OF FEES
Date:
hereby certify that I have read this application and state that the above information is correct.I agree}n.pmply with all city and county DEC (� }'[M
4 It
ordinances dnd state laws relating to building construction and hereby th ¢e representatives of this cif//Io ole:upon the above-mentioned v htiti��
property for inspection purposes. �� � C /1y p��` *�L r i•
( Date: {Z'S^�� signature ///l-\\ On a COST 1 - .-.9-.±.
Driver's License or Social Security a:
1641.46 White—Building;Green—Cade Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor ' '
•
CONSTRUCTION AND PLANNING PL & SPA
b 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 '• 1 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. -1 60. Backwash Lines, P-Trap, C Undrgrnd. `'•
\"
10. Structural Floor System • 61. APPROVAL TO DECK
11. Property Sewer Line & House.Connectiorq• r 62. Backwash & Receptor-Final "12. Sewer Cap •< 63. Heater & Vent-Final
13. Roof Drains t'' •t 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final -
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
123. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank D Gas D 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 3.d3 / "1„.
G U,y" Notes:
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 F
40. Gas Service-Final • " • •
41. Solar Domestic-Final d '� '•-_ >_=_
42. Backflow Preventer €`'s?i' • ,.°'
43. Backflow Irrigation -. 9..
r;• t
44. Landscape Irrigation System f ;,i;,� _
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
• 280 McCORMIC. . -
• COSTR: MESR EXISTING 400 AMP M.S.B.
•
•
•
•
EXISTING 200 AMP •• EXISTING 100 AMP ' •
EXISTING • PANEL A • PANEL B
NEIN
•
•
•
2". C14 -3 "OTCU
• . NEW 200 AMP ' EXISTING 100 AMP ,
NEW.200 AMP METER MAIN PANEL C PANEL B
FED FROM.EXISTING S.C.E.TRANSFORMER"
•
•
•
NOTE EXISTING METER ADDRESS WILL CHANGE TO 190 Mc CORMIC
NEW METER ADDRESS WILL BE 200 Mc CORMIC �'
•
•
•
•
•
•
Y
Current Electric
•
29041 Canyon Vista Or;ve
Tta4uco,Canyori, CA. 92679•
1 Ali 263.
PROJECT ADDRESS: 200 MAYFAIR LN ' UNIT: • CITY OF COSTA MESA —• BUILDING PERMIT PERM NO: ,B 050843
OWNER'S NAME: ,
GARDEN PARK - • •
ADDRESS: 205 MAYFAIR LN - PERMIT NO: B 050843 PLAN. CHECK. NO: 00280-91 A GOVT: N SUPP: N
COSTA MESA •
CA 92627 •
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: REP
•
ARCH/ENGINEER: ' • REG.NO.: JOB' DESCRIPTION •• - : PATIO 6 STAIR UNDERPINNING . • SQ FT: 2, 93.9
ADDRESS: UNIT:
CLAIM VALUE: 2, 439 . 00 CALL—VALUE: . 2, 439 . 00 GROUP OCC: • R-3 /M-1
PERMITTEE: SOIL ENGINEERING ( 619 ) 560-7645 •
ADDRESS: 1317 SIMPSON WAY J COMMENTS: SITE ACCESS PERMIT #10564 .
ESCONDIDO CA 92027 • ****************************BEx************ ****************************** *9�****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section - Z •O N I N G REQUIREMENTS
•
7100)of Division 3 of the Business and Professions Code,and my license is in full force and effect. ' SETBACKS
CITY LIG.: 050999 STATE LIC.:268082 CLASS: A/] .
Date 1-30-5 f Signature:__ (i/�X— MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have rtificate of consent toselbinsare 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,La .C) LEFT: FT IN RGHT: FT IN LEFT': FT IN RGHT: FT IN
'OLICY NO.: WOAOO8 3 3 EXP.DATE: 10/01 /91
COMPANY: C. E. HEATH ' PARKING REQQ• PROV: .PARCEL : 41901325 ZNE: R4 REF NO:
❑ Certified copy is hereby furnished, IX Certified copy is filed with the city Building Division. PLANNING NOTES> FOUNDATION STABILIZATION FOR PATIO AND STAIRS OF EX. CONDO
Date: /---30 . 7J Applicant: 5''e.-7 a - ***1E**********1E*****************************3e*******IF******1(-*******i(--.***********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section rte notbe completed if the permit is for one hundred(5100)or less). DEVELOPMENT SERVICES REQUIREMEWT 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 L✓-- DATE: O/3 C%9 f
Date: Signature: - - _ -
NOTICE:II.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY W /1-t ',P
Date:
, DATE:
Code,you must tonhwilh 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• �. DATE:
which this permit is issued(Section 3097.Civ.C). **.1(-*****.***.**.1f**.*.****.. • • ' ----_ • • --- -. *****1(-**if.*iF***.** ih****
LENDER: ********************************** ********************************************
ADDRESS: LEGALIZATION:N F 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 r LECTR IC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT - 54 . 00 - ,50 •
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 _ 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 8 . 78 ,
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
'
'q I, as owner of the property or. my employees'with wages as their sole compensation, will do the work, and the BUILDING—DIV—> ' PERMIT . ISSUE PLAN—CHECK TOTAL PAID DUE
' structure is not intended or offered for sale(Section 7044:Business and Professional Code: The Contractors'State License Law ' TOTALS----> ' 54 . 50 0 . 00 8 . 78 63 . 28 63 . 28 . 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 her ownisemployees, provided that mph improvements nne ori not intended or offeredforshe/ It id not b,md building ore REVENUE DIVISION TOTALS--> COLLECTED : 54 . 50 OVER/SHORT: . 00
hisimprovementr sold withiner,one year of tosuch limp the entsr will have the burden tf proving ale. Ite ilio not build br imng o
for the'purposeofsale): BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 704d,Business 54 . 00 50
❑ 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 *****************************************1E*************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN •
❑ I am exempt under Section: R.8 P.C.
for this reason: • TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: • Owner SFR 2439 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 439 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and . END 'OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a -
permit for construction or modification from the Air 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 V/
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned -
property for niSpectlon purposes, •
s 'Date: t SO 'V Signature. D1 00079505-000795x06 TOT 54,50
( DATE: 01/30/91 TIME: 13:07
Driver's License or Social Security x:
1641-46 White—Building:Green_Code Enforcement,Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
f /
•
CONSTRUCTION AND PLANNING _ .& SPA
APPROVALS Permit# - Date Inspector Date Inspector
APPROVALS Permit#
1. Temporary Electrical Service or Pole; i '52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.,. 4.; -i t� 53. Steel Reinforcement
;3:;Electrical Conduit Utility-Undrgrnd•. 54. Forms
• '4: Electrical Conduit-Undrgrnd/- • - - " 55. Electrical Bonding
i5.'Steel-Reinforcement: - 56. Rough Plumbing & Pressure Test
' 6. E• lectrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical ConatiU Undrgrnd.
.8..Foundation .-- r 59. Gas Pipe, Q U . nd.,Test ti .,- -
- 9. Water Pipe-Undrgrnd. --a,•-,�,:" 60 Bac rr".t s ines,P-Trap, 0 Undrgrnd. u /
10. Structural Floor System '� '� i 1 /
61. APPROVAL TO DECK r
11. Property Sewer Line'"& House,Connection ' 62. Backwash & Receptor-Final r
12. Sewer Cap - 63. Heater & Vent-Final !'�
- r
13. Roof Drains �7 . , 64. Plumbing System - Final
14. Rough Plumbing .' I 65. Electrical-Final I i
15. Rough Electrical-Conduit 66. Solar System-Final I
16. Rough Electric Wiring - 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace ' ' i ' ' APPROVALS.;-Permit#
,- .
21.:'Ducts,in Structure t& ,-.. .- 70. Underground,Hydro 1
22. Ducts, Ventilating : ' - i y .� 71. Product Piping ❑Gas O,Qil
23. Gas'pipe-Rough &test _ • „r ., i . i 72. Underground Flush;, . .1. • -
24. Roof Framing I ' ' . .- ' ' ' ' '' - -73. -Undergrnd}Storage Tank 0 Gas♦0 Oil
'
25. Roof.Sheathing i , _ - 74.Overhead Hydro •. -
' 26. T-Bar Ceiling (Str,ucturall & Monocoat 75..,Dry Chemical - '
27. Frame and Flashing' .-I ,• ., . 76:Dry Standpipe . •
28. Lathing'& Siding . - • ••: 77.1''FIXED SYSTEM'F.INAL'
29. Insulation .,, I (, 78..FIRE PREV. FINAL . .
.30. Drywall Nailing -- i 1 ft ,. , HEALTH DEPT! REQUIREMENT
31. Plaster Brown,Coat a . r .� 1 i; : 79. FINAL INSPECTION ,. ,_
32.• Electrical'Power Meter.-Final 1 • i 1.%) i 'I, r 80.1:FOOD CERTIFICATE ISSUED
,33. Final Electric, ' '- , .� r' wNofes: '
I,
34.; Final Heating:& Air:Conditioning : . ' • . I 'I -
35. Final Gas•Pipe-Test - ; I I 1 ' ' .
1
i . i -2.Z.36. Hood or Canopy • ) - _ I 1 I ' • t `
-
37.-Final Factory Fireplace - 2. I I i^ ,
}I .
.38.,.Final Plumbing • . _ . - -
'39.'Water Service-Final, I • - I I I: - - • .
-40. Gas Service-Final . I •
I �` _ '
'41. Solar Domestic-Final '' - ' I I, r r
' 42. Backflow Preventer• _ - . ,. ' I (t
.43. Backflow Irrigation• I ' . • ' -
-
44. Landscape Irrigation System ,. , . :a �. - ,
' 45.t-Sound Attenuation' - i" - ` '
46.'-Handicap,Regulations _ •- _
47, FINAL STRUCTURE & BUILDING 1.-Zet:ei( �• .
48.'FINAL PLANNING,, • " 1 I I,
49.' Electric Release to Edison t ' r
. .. r I t. . .
. 50..Gas Release to Southern Calif ornia Gas Co , ! ( I, -.
51. CERTIFICATE OF;OCCUPANCY r. r
No. Date
OWNER McKINNCN—BIBB PROPERTIES, INC. DATE 11/13/80
JOB ADDRESS 200 Mayfair Lane BUILDING PERMIT NO. 49342
GENERAL CONTRACTOR J. P. MacIsaac Const. DESCRIPTION of WORK Townhome w/att. garage
AP No.419-012-19,210T 25 TRACT 10856 FIRE ZONE VALUES 48,200.00
II" 'CTIONS Signature Date TYPE V GROUP H & J ZONE R4
PERMITS ISS ED
�A SUBCONTRACTOR
Dote Number 1 Signature
WATER �/, Plumbing
ROUGH PLUMBING Wcr 777-P/ /J An Et. /9/0o 79.737
PROP. SWR. LINE L�O'FOUSE CON. 2/- '/JY{Jr 12-,V
SPRINKLING SYSTEM �)
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND f I POWER 0
ROUGH WIRING e_C 3_43-est Heating and Vent.
TRENCHES ❑ FORMS IE STEEL REINF. J �t A' 3 SOI �aa�a'�jC!
FLOOR SYSTEM^
BOND BEAM I I STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT f
PLASTER, BROWN COAT
STRUCTURAL, FINAL Elect iC,
HF 'G. VENT.. REF RIG. AND A.C., FINAL CJ. ,.r• _. - At- -._ - • f ry r
Pl NG, FINAL AND GAS TEST all- "Cr
ELECTRIC, FINAL �C .
BUILDING, FINAL /tee ,_ 2r/-
- - 2765 ii-iia-/8015400 Tl+
-OSTA MESA BUILDIAFETY DEPARTMENT APPLICA'1_ .r FOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA SA,CALIFORNIA 92626
RECEIVED PERMIT
For Applicant to Fill in Completely - Use Ink Only (GLJC ■ 4 q'{4 7
BUILDING
ADDRESS 200 Mayfair Lane - A•P•NO 419-012-19 . 22
BUILDING
OWNER OR ADDRESS 200 Mayfair Lane
TENANT McKinnon-Bibb Pmoperties
UNT OR
MAILING SPACE NO.
ADDRESS 2737 E . Coast Hiway PA
TR.NO. LOT
BLK.
CITY Corona del Mar n! 675-2311 10$56 25 •
NEW I ADD LTER REPAIR MOVING DEMOLISH
CONSTRUCTION Home - Federal SJL
BRANCH 1702 Main Street • -
- OWNER McKinnon-Bibb Properes
ADDRESS Santa Ana, Calif . VALUE
ARCHITECT TEL USE Tm.Thniicrs W7 attarhrid oaraolr
• OR ENGINEER Geo . Wiseman NO.642-554L-
ADDRESS 833 Dover Drive N.B ZONE R4 YPE V GROUP HFT.T
APPROVED
CONTRACTOR Bell Construction BY DATE`/NrQ�/)/`/ , //_/7 0 f �
ADDRESS 10 E . 18Th. Street .
TEL. '
CITY Costa Mesa NO642-4372 rnndn unit
. . .STATE CITY APPROVED SETBACKS
LIC. NO. 36781 LIC.NO. A I A • - _ • - Al • . •
{,y SIZE NOF BLDGS. -I -;NA /L STR • •)
0. OF LOT I NOO.W ON LOT 0 FRONT FT. -
et USE OF
ron 1-. EXISTING BLDG. 0 R SIDE ET.
rn
FSeparate permits are required for L.SIDE FT.
Ci electric,plumbing and heating work; REAR FT.
�
,
USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
Q
GI DATEHATE
f Townhouse w/ attached garage ZE-79 -58 I APPROVED 4-9-79
a
> APPROVED •_
y, GY
x
Ss]
0 I hereby acknowledge that I have read this application and state c`
N
that the above Information is correct and agree to comply with
Owall laws regulating building construction, and I shall'not employ .,
i
Z any person in violation of the workman's compensation laws of d
LA the State of California: - 1295 so. FT. J664 + 78 . 5 x/J) 2
3 I hereby certify that I am properly licensed as a contractor under
the State of California Busin d Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that suc menses re In full force - • effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the rovlsion frytyhpe State of •alif. nia Business
and Professions Co , Divis 3, C ter 9. / VALUATION PERMIT FEE $ 184 OO
en
Signature of tc....., F/ (/ � PLAN CHECK $ o
Par or - $ TAX $ it
Authorized Agent Date l/,�/V ` (/' TOTAL PAID ' $ 184 . 00 U
OSTA MESA BUILDIAFETY DEPARTMENT APPLICA7._.. FOkSTRUGTURAL.PERMIT
P.O.BOX 1200 COSTA SA,CALIFORNIA 92626 - • ' " ' cf 1 (OPe97 TI
RECEIVED BY 'PERMIT
.For Applicant to Fill in Completely—Use Ink Only �G 1
ABUILDING DDRESS A.P.NO. 4 q -- .0i2 - l9 1? z'
/// BUILDING
OWNER OR'(/%/J/ry/�/)&�/ ° ADDRESS J
TENANT C / A �� �/ �`
MAI LING W41-2k0.200 ,� �RE Q�
ADDR/E/$S q {��/1 ���}/� /J� /�� TR.NO. LOT ca5 ALK. T
CITYC „ /�W� lk NOL ✓ll 65
CONSTRUCTION
NEW ADD
ADD ALTER REPAIR MOVING DEMOLISH
LENDER �[ ///�,/, �,y/�
BRANCH OWNER/�/��ff� j/ - `/�'�`/','/%}�� �/f//L�v
ADDRESS , „ARCHITECTqq • / yA�� /� J/�l/ U c�)l�_tM/am 0ili 44 ft.7. 1, $JE/� E/V,/8� co
OR ENGINEER.
M4 •�' 1'�qq��J•d<f�/i/J/�(��t//j,/(J,}���'�LJ/JN O`Wr Sir/7+ //�J[��''MOPS ADDRESS X33 �l/XJ///. I y4t.(.CC /� • /� ZONE )fay _TYPE GROUP /I �V
AP
CONTRACT /� • ��/�/,�f� /7 ,/ /IyJ. // (,(� BY DATE DATE
ADDRESSr& �f,L ' i P TE I� Nom`/•(f// I�� y� .
•
CITY I f pfl / NO.(Oo '� //7 Condo u- f 11�
E~ STATE ^l CITY APPROVED SETBACKS
X g LIC.NO.—f7 / LIC.NO. • {�
py SIZE NO.OF BLOGS /^p (FROM C/L STREET) .may
4 OF LOT I NOW ON LOT `�/ FRONT FT. Y \
d USE OF • re-?1, ,
�J,�7pt', , ,
'.�., EXISTING BLDG. R SIDE ET. \1 ly1•tTj.",
CO)
FSeparate permits are required for L.SIDE FT. / e
a electric,plumbing and heating work: REAR FT.
FW, USE
/O�F BUILDING AND
/WORK TO B/E//]PERFORMED
fj,(/f PLANNING
—ACCTION0
C(�
..l //!/ � / L. li[ tI(!,/ Ll_l C.�- Z_C L_ f — J D APPROVED — 9 --7,1
d 914/19,49
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w
Q I hereby acknowledge that I have read this application and state cx
n
gd that the above Information is correct and agree to comply with
0. ell laws regulating building construction, and I shall not employ HOLD FOR SPECIAL REOUIRtMtN E O
Z any person In violation of the workman's compensation laws of ^
1{t the State of California. /n� d( ��jjt� 7 " _�4
3 I hereby certify that I am properly licensed as a contractor under
la �/ SQ. FT. LTA", 'r' / V sS N V
the State of Californ 'Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m k
Chapter 9, and that uch licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: rr
am exempt from t a provisions of the State of California Business `1
VALUATION PERMIT FEE $ Y
and Professions , Division 3,Chapter 9.
/n/� ���,��yyy.rr m
Signature of �/' /J/ /PLAN CHECK $ // r •D
Permittee — ti ck:
JJJOOOCCC , '/ [/�--��$ ��"co TAX $ ,�y� �.S U
or G i
Authorized Agent toIv
as TOTAL PAID $