HomeMy WebLinkAbout214 MAYFAIR LN - Building Permits28�2 2%25J87'
� a 50 `,��� '
Applicant to fill in al1 spaces except tnose within heavy oortler lines ana sign all apv�op�iate tleclarations. -.
� �.[ERMITNU. ' 'TRACTNO. ' � LOTNO. 'UNITN6. I ' !/OG'/ �-��'yf; �� Gy�
C oF`cD$Tn:MESA CONSTRUCTION PERMIT -- C �( $� of o.� � �, � D����
Proje�.Address �y YY�a��Fa �21 Lo i fl �OS%q /Y1lSq � L � �O OV ��. ".V . , , , � , , �
�
ApFiicanYs Mailing Address , SOiH °� , � �� � � TYPE OF CONSTRUCTION NEW �ADD AI.TERATION REPAIR ' ' � �
� /� / n ' ' ❑�CONVERSION ❑�DEMOLISH ❑ OTHER q,p,# _ 2 � � � Zone_' "
Owner's Name� /S c-/rO,AG /A ' /�OA 2 ' Phone 7J.7-7G%3 . - . . . . . - .._ , _� '�/ � . ' ' ' ' ' _ .i � _.,. _
� , DESCRIPT ON OF WORK/U$$ E OF BLDG. •��' � - -
� Addiess a- -�� � . L : � Ti • 4 � i% �e Q��Z �,�/y_[,` �{jy�5'%.(-�,([�}-� )yy `�y� V,_�._ E MainBuilding:. . � �AccessoryBuiiding: � ��, � Z
r i �--�.�-�-- � �— �
Arch/En9� �. r License No. TVPE POi+ ERMIT f�_�' ' GRFlOING ❑ FOUNDATION L75TRUC7lT1FAL T Front t : O
Il -I Address ' � A" • � ' � ❑ TENANT' Lri'ELECTftICAL ❑ PLUMBING ❑ MECHANICAL 6 Rear � . ' . � � i N
")�, Contractor'sName Phone ' � � OTHER .� � ' � ' ! � A , _ _ _ , I
� � PROJECT DESCRIP710N SQ. FT. � � OCCUPANCV , C Ri�ht� � , '� N
Address Imailingl—Q��� ' • ..K � � , G
. � ; � -� CONSTRUCTION TVPE vn qTION $ S�U ` �-� g L¢ft � � ; . 1 ' � R
' City Licen50 NO. ' h�� ' ZONE . GRADING CU. VDS. � � ACFES
� - � Ping. Ref.'# ' � j � � ' Parkin Re
� LICENSED CONTRACTOR DECLARATION � � 9 q./Provided . E
� 1 hereby aHirm that I am licensea untler provisions o( Chdrter 9(commencing Remarks: .' - '� �•.� � � _ Q�� Planning Notes: - ! ' � M
II with�sec[lon �000) o! Division 3 of the BuSiness antl,Professions Cotle, antl _
my license is in full force antl eHect. '�f � �' T
LIC205E CId55 ' I,ICQf152 i`�O. I O� v r, � �' ,� `� ' " • ,,�'_/ S
oate Si9nature � ` : � PLUMBING - ' ' � ' �- FEES' {/v[.( � 2��'K LV
� RKERS' COMPENSATION DECIARATION � Bdf Sink � ' - ShOW¢IS V
� reby aitirm tha[ I have a certificate ot consent to selt-insure or a certificate ' i ' ' . - ,., ELECTRICAC ' - � FEES .� +
Workerz' Compensalion Insurance, o� a ce�tifietl copy thereof (Section gackflow Preveriter �� '� . Se�Vice Sink • • - -� 1 3
3800, Lab. C.) . ' ' . Auromatic Washer � ' Transformer-� 15 50 KW .. �' �
Policy No. � ' Company ' • Backflowlrrigation , SewerCap'� � . ' . , Construction'PoleSub-�. ' � � •� -0 50+KW � i �~.' �
e Certifietl wpy is hereby furnishetl. . - � � ' '�. -. � t � n� � !
� Certifietl copy is filetl,with the city euiltling Di'vision. , Bathtubs ' � Sewer Connection � - Cooking Unit � . Meter �up-to 100 a'mps � ..
Date� ' APOlicant � - - • - � � •
� EXEMPTION FROM WORKERS' COMPENSATION DECLARATION. Clafifiel5 . _ � Sola/ ColleCrors '' " Di5hwa5her '. ,. � Meter �over 100 ampd ; . �
� � (This section neetl not be campletea if the permit is for one huntlretl ($300) ar � . . ' - - �'
less). . , � Dishwasher': ' ' - � Solar Pipin9 - -- � Dryers .�Gas ❑Electric ' _ Sub Panel � ' . "
I certify that in the Oerto�mance of th¢ wOrk (or w'�tl�is.Caca,.. �issuetl, I ' � ' "� �� �'
shall not employ any person in any r�one as to bewme subjecf he � Drinking Fountains � ! Solar Tan . � .� i. Fan ! -
Workers�' qampep Sa[ion Laws of Cal' mf i � - � , • � 3 � '
Date y� �/�' % Signat s�� - -O Momrs �0 1. HP � 1'/: - 8
-. NOTI[E:df, after making this tle6Lvation, you s� me S�E7i[Ltakhe _ Floor Orains . ' Swi _nq Pool w/Spa . F.A.U., .
Inc�Sola� �9-75 FIP �16-15+
Workers' Compensation provislons o! the Labor �Cotle, you must tortbwith j FI00� SiOks � �indl ' 1
wmply with such provisions or this pe�mlt shall be tleemetl revoketl. Fixtu�¢5 , MicrOw3v¢ � t � � �
CONSTRUGTION LENDING AGENCV � � GasService ' ' Oudets � WaterCloset -
� I hereby af(irm Ihat Ihere is a consbuction lentling agenty for the performance � D2viCE BOx¢5 • POIe Light � '
o( the work for which thi5 permit is issuetl (Section 309] Civ. C.) Interceptors ' � Water Heater � utlets � � '
LenCer's Name Range -
� OWNER BUILOEN • � - � Wat¢� SeNiCC - - SwitCheS -. - - -- -� � - - � -
-Lentler's Atltlress � ' _ . Kitchen.$ink - ' - . -- �� �� - Sign ' '� 1 '• —
OECLARATION � '� - •' i
I hereby affirm thabl am'exempiArom the Coniractor's License law for the Lavatories ' Auto-Wash ' . . 1 Garba e Dis osal �
9 P S[anding Sections �
. following reasan (Settion ]03L5 Business antl Protessional Cotle: Any cityo� � �
county which requires'a permit to'construct, alter, improve, tlemolish or repair p—Tpyp ' � � Laundry,Trays � Generator DO-5 KW �5-15 KW ! '
any st�ucture,'p�Io� to its issuance, also requires the applicant tor Such pe�mit . T�dSh COmp2ct0/ , 1
?n fi�e a signetl s[atement that he/she is licensetl pur5uant to the provisions of ' . . ' � ' .
-� Contractorh License.Law (Chapter 9(commencinq witM1 Section 7000) of Roof, alns j ' � � � �
^'-f;iSlon'3'of �tM1e"Business antl' Profe55iOns Cotle) o� tM1aYite/5M1e'is exempt ' - - _
.t'-i"`retrom antl tne�basis for the alleqetl exemp[ion. Any violation of Section ' ' , , � � ' � " ' ;�
Yb31.5 by dny applicant fOr a'pe�mit subjects tM1e applicant to a civil
�enalty ot not�more than five.huntlretl tlollars ($500). -
I, as owner of'the property or my employees with wages as their sole ReinSpeMion Fee $15 ' Issue Fee , � $ 3 �� � I
coTpensa[ion � will tlo�tM1e work, antl the structu�e is no[ intentletl o� ofteretl � Reinspectian F08 $15 ISSUB F@e � $ 3 -
for sale (Section 7044, Business�antl Professional Cotle: The ConVactor's � MECHANICAL ' FEES� � � �
License Law tloes not apply to an owner of a property who builtls or improves ' �
thereon, antl wno tloes such work himself/herselt or mrougn his or her own - • i DEVELOPMENTSERVICESREQUIREMENTS: , - '
employees, provitletl that such improvements are not intentletl Or offeretl for Boiler 'HOOd Of Type I ❑ , ' � Z..2� _
sdle. If„however, [he builtling or improvement is soltl within one year of mm- - Cd�Opy ' Typ¢ II ❑ �• • 'ZOning Approved By ' DdtB -
-pletlon; tM1e.owner will have the burtlen ot proving he/She tlltl not builG or im- DuCt - UndC� G�OuOd ' � - � '
:'prova for the purpose�oi sale)d '� . � Building Approved By Date �'� r—g;i�
� z- ❑ I�, as owner ot the property, am exclusively contracting �with licenietl con- '� • Duct -Structural . Refrigeretion Sys � � ` Application Issued By '` � Dat �"�5��
tractors to construct the prOiect (Section ]044, Busine55 antl' Professlons Code: - ' ' � " - ,
The Contractor's;Cicense L.aw'tloes not apply to an owner ot property.who Duct- Ventilating � � _ ❑0-100, TU ❑100,000 BTU - _ , • -_ $ SUMMARV OF�FEES . � - � ' � ' '
builtls"o� imp�oves, thereon, antl who contracts for Such projects with a con- ' � . '' ���j-�
tracior(sI imense pursuanLto the Contractor's License'Law). I am aware-that' � - - __ � BUILDING P,ERMIT �$ �.�•nD ����SMIP ; " � $ - � � `�V
proof iof their Worke�'S1 Compensaifon insurance shoultl be provitletl to me. � Exhaust'System ❑ MuILipIE ❑ ¢rt�:R¢pai�/Alt¢IdtiOn . - . 1 r ��
- ' - - �/�'PLAN CHECK � '$�. �' � �PERMIT: 1 -
❑ I am exempt unGec Section - �' or tnis reason. , F,irepl/Fact.6lt.:ICBO # i - �Fire Dampers � - � �, - � ' ' , � � ' ISSUANCE ��. $. � �
� , . - . - . .� : . , . • ' PLUMBING � .. 5, '
o t 7 _2,.� 3�7 = . o � ' " � ' • , Heating System'& Ducti � = Regisfers _ ' �- ' � PLAN CHECK �25� $ �� ENERGV P.C. �$ -
I nereby certif�a41 have, � this applica£on and state tnat the above- � ❑0-100,OOOBTU OO,OOOBT - ' �
information is'correcL:l a ree to comply with'all�city antl <ountyordinances' ' ' ' �_ ELECTRICAL • _�$ �;�DING _� 'S-
antl state w ion, antl'hereby authorize repre-� . - � � _ ,VT - �• � CROFILM. �$"
senta ' of: thi � city. to en on the� ove=mentionen property. tor � ��' • , - „ - , , � �- PLAN CHECK 50%
r� insp tion p "s� ' ,����g �7 ' : ' . . ' , MECHANICAL 5 . TOTAL FEE $ '
/ ��:anatu ' . Data � .. i , i - � ' ' � -, . . , "" ' -,
� •cense or 55 � � ` � ' � ' einspectibn Fee � �' � $15 luue Fee � �$, 3 PLAN CHECK -•25% $' � � � �
`'\Wh\ Builtling: Canary - qppli<anp Pink - Accounting; Goltlenrotl - As5e55o� .
�
� CONSTRUCTION:AND PLANNING
APPROVALS Permit #
t. -Temporary Electrical Service or Pole .
2. Soil Pipe-Undrgrnd.
3. Elecvical Conduit Utility-Undrgrnd. �
4. Electrical Conduit-Undrgrnd.
5. Steel.Reinforcement
6. Electrical UFER Grnd.
7. Footing's , � .
8. Foundation � �
, �'
,.,' .
9. V�ater Pioe-flndrnrnd .
10. Structural Floor System. �
11. Property Sewer Line & liouse Connection
12. Sewer Cap ' -
13. Roof Drains
14. Rough Plumbing
15. Rough.Electrical-Conduit
16. Rough Electric Wiring
17. Rough Wiririg Sign �
18. Rough Electrical-T Bar Ceiling .
�19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
21. Ducts, in Structure
22. Ducts, Ventilating
23. Gas Pipe-Rough & Test '
24. Roof Framing . �
25. Roof Sheathing
26. T-Bar Ceiling (Structural) & Monocoat
27. Frame and Flashing
28. Lathing &'Siding '
29. Insulation •
30. Drywall Nailing
31. Plaster Brown Coat �
32. Electrical Power Meter-Final
33. Final Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test r�
36. Hood or Canopy .
37. Final Faaory Fireplace �
38. Final Plum6ing �
39. Wafer Service-Final .
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer � .
43. Backflow Irrigation �
� 44. Landscape Irrigation System
45. Sound Attenuation .
46. Handicap Regulations . .
47. FINAL STRUCT�URE & BUILDING
48. Special. Requirements Completed
.49.� Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. ,CERTIFICATE OF OCCUPANCY ,
No. ' � Date �
�'
Date Inspecto
,
a
' � POOL & SPA . '
� APPROVALS Permit #
52. Pool &` Equipment Location�
53. Steel Reinforcement . '
54. Forms; , -
� 55. Electrical Bonding
56. Rough Plumbing & Pressure Test �
� 57. APPROVALTOCOVER-GUNITE'
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P-Trap, � Undrgrnd.
67. APPROVAL TO DECK
62. Backwash & Receptor-Final •
63. Heater & Vent-Final �
64. Plumbing System - Final
. 65. Electrical-Final ' '
66. Solar System-Final
67. Fencing &'Access Approval �
68. APPROVED FOR'PLASTERING�
69. POOL/SPASYSTEMSFINAL '
FIRE DEPT. REQUIREMENT •
APPROVALS Permit # Y
70. Underground Hydro • �
�
71. ProductPipingOGas ❑Oil,
72. Underground Flush
r
73. Undergrnd. Storage Tank O Gas ❑ Oil
74. Overhead Hydro
� � 75. Dry Chemical ' �
� 76. Dry Standpipe � , �
77. FIXED SYSTEM FINAL ' -
78. FIRE PREV. FINAL � � '
� � HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION ' �
80..FOOD CERTIFICATE ISSUED
,_ `
Notes: -
�
x
�',
�
Date Inspector'
�
1
CITY OF COSTA MESA
BUILDING DIVISION
01NNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require
the return of, an owner�builder verification.
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be
issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement. �,Yes ❑ No
2. I(have/have not) ha ✓t signed an application for a building permit for the
proposed work. . � '
3. I have contracted with the following person (firm) to provide the proposed construction:
Name ��"
Address
City
,
Phone ( � Contractor's Lic. No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work: '
Name ���
Address City
Phone ( 1 Contractor's Lic. No
5 I will provide some of the work but I have contracted Ihired) the following persons to provide
the work indicated:
Name Address Phone � Type of Work
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the
State of California Health and Safety Code and have completed the above information to the best of my
personal knowledge,— n compliance with�thi law.
Sig�Pd- — � Date: �� ✓� ,>
Name: iit���itc� Ph/�Q
(Printed or'�yped)
C.D.L. #or S.S. # � `�
CMF 3042-06 7545273
�'S'COSTA MESA BUILDI �FETY DEPARTMENT
P.O.BOX1200- COST.« ,A,CALIFORNIA92626
� For �Applicant to Fill in Completely — Use Ink Only
BUILDING
CITY
BRANCM
ADDRESS
ARCHITECT
OR ENGINEEf
ADDRESS
CITY
STATE �i
LIC. NO.^'
S12E
OF lOT
USE
TEL.
NO.
CITV
LIC. NO. '
�—
INO. OF BLOGS.
NOW ON LOT �
Separate permits are required for
electric, plumbing and heating work:
y 8456 12/12/79 126.4�
APPLICATi OR STRUCTURAL PERMIT' -
RECEIVEDBY PERMIT )i/) w w ��
A.P.NO. IL1U �'fJl Z —
UNIT OR
SPACE NO.
TR.N . LOT �
NEW ADD ALTER REPAIR
APPROVED
APPROVEDSETBACKS
PLANNING ACTION
7 �� �Q � �Q, DATE
DEMOLI
I hereby acknowledge ihat I have reatl this application and rtate HOLD FOR SPECIaL F' n
thai the abave information is corroct and aBree to comply wkh R--U���f2F'h4� n•'�
all laws repulating building construction, and I shall not employ
any perwn in violation of Me workman's compensetion laws of
Me Stete of California.
I he�eby certify that I am properly licensed as a eonSractor untler Sn•
the State ot Californla Buslnau antl Professions Cotle, Division 3, THE AMOUN
Chapter 9, antl that such licenus are In full torce antl attact, or I THE PURPOSE
am ezempt trom t�a pro Isions ot the State ot California Busfness VALUATION
and Proiessions Cotla, Di sion 3, Chapte� 9.
Sipnaiure of �j �
Permittee � L � (�70
or
Auihorized ABent Dat �
i
m
J G - (oo . � p
VN UNDER VALUATION IS FOR m 0
'ABLSHING A PERMR FEE ON�V: � (�
PERMIT FEE 5 a �� `
m `�
PLAN CHECK y o \
3 ' �`
TAX S f
U (�
TOTALPAID § �t
�
' " � 27se ii7i3�s� ie
" COSTA MESA BUILDI 4FETV DEPARTMENT APPLICAT 'OR STRUCTURAL- ERMIT „.
P.O. BOX 1200 COST� 3A, CALIFORNIA 92626 �
. RECEIVED PERMIT
For Applicant to Fill in Completely - Use Ink Only 49305
.BUIlO1NG � A.P.NO. 41(j—01z-1j�z2 -
ADDRESS 214 Ma fair Lane
OWNER OR ADDRE55 214 Ma fair Lane "
TENANT McKinnon-Bibb Properties,2nc.
MAILING SPACENO. PZdSl B
ADDRE55 2737 E. Coast Highway
TR.NO. LOT BLK.
cirv Corona del Mar No� 675-231 10856 18
NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCiION
LENDER Home Federal Savings & Loan
X
BRANCH 1702 N. Main St.
owNea McKinnon-Bibb Pro,perties,2n
� aooriess �- Santa Ana Ca. va�ue
ARCHITECT TEL. USE Townhouse w/att. garagt
OR ENGINEER
A�DRESS D 1Ve N.B. ZaNE R4 T E V GROUP H&J
APPROVED /�/ � U
CONTRACTOR t10R � Br DATE
ADDRESS 105 E. 18th Street
TEL. CORCIO Ul±lt �
CITV Costa Mesa No. 642-4372
APPROVEDSETBACKS
uc No. 367516 �ic�No. 7420 as per approved plan
SIZE NO.OF BLDCaS. (FROM C/LSTREET)
OF LOT ' NOW ON LOT O FFONT FT.
USE OF
EXISTING BLDG. 0 F .
Separate permits are required for L. SIDE FT.
electric, plumbing and heating work:
REAR FT.
USE OF BUILDING AND WOFK TO BE PERFORMED PLANNING ACTION
Townhouses with attached garages ZE-79-58 aaaaoveo4'9-79
APPROVED
I hereby acknowled8e thet 1 have reatl Shis appllcation antl state
thac the above intormatian is correct antl agree to comply with
all laws re8uta�inB buil0in8 �onst�ucilon, end I shall not employ
any person in violation of tha workmen's compensation laws ot
the Stete of California.
I hereby certify thet I am o�aParly licensetl as a contrector untler 1377 sn. Fr. J 664 �F (�. 5
the State of Celifornie Business antl Profeuions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl that such ' n a�e In full force an ect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
am exempt from the ovlsion f theState oi Cajjjl' or ' Business VALVATION PERMIT FEE $ �.$9 • 0�
antl Professions Cod , Divisl 3, Chapt 9� ^'
Signature of [//y� PLAN CHECK $
Permlttee $ 7—/ TAX $ �--
o, i 1 /3 B� �
Authorizetl Agent oate TOTAL PAID s 189. 00
9:00
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