HomeMy WebLinkAbout2054 MEADOW VIEW LN - Building PermitsPpOJECTPDDHESS: 2OS4 i�$�.17�w �%I�w LN
OWNEfl'SNFME: DEBORA L. LLOYU-
aooeess: 2054 MEADOW VIEW LN
COSTA WiESA,CA
714 650-7670
92627
UNIT:
��3 � .
- ia9�i
FBCHIENGINEEF: . ' flEG.NO.: .
FDOflESS: � ' UNIT:
PEBMITTEE: GENERAL INSTALI.ATION ( 714 ) 753-2541�
aooness: 6c�8 WEST HLVU.
LO� ANGE:LES Ch 90043
LICENSEO CONTBACTOP UECLABATION: I hereby aifirm ��at I am licensetl under provisions of Chapter 9(commencing wilh Section
7000) ol �iv i o � usiness antl Prote si tl m license is in 1 br and eflec� .
b����� i�'i �� Y -�e
CITY LIC.: '/_!� SThTE LIC.: CIAS :/J � �
��e: �/_/ Signa�ure: _�� � �-Pf.c. i
UBREBS' COMPENSpTION OECIAHATION: I hereby aflirm tha� I �ave a ce ifica�e ot consenl �0 5elf�insure or a certifica�e ot Worke�s'
Compensa�ion Fjsfja(5!J er QeQt(t)eQ copy mereot �Seaian 3&00. Lab. AQ / U j/ 9 1 .
POLICYNO.: NMIC � E%P.DFTE:
COMPANY:
❑ Ceriifietl copy is �ereby fumishetl. � Cenitietl copy is �iletl wiih �he ciry Butltling �ivision.
/}, �
�ate: y _�.�G� � APPlicant (,i�/ � `�`-�!X'o(%'livU
r�
E%EMPTION FHOM WOBKEflS' LOMPENSpTION UECLAHATION: (This section neetl no� be completetl i�the permit is �or one hundred (5100) or less).
I cerLfy I�al m �he petlorman[e oi ihe work for which �his permii is issueQ I shall not employ any person in any manner so as �o become
su�lec� Io �he Workers' Compensa�ion,�aws of Calilomia.
Da1e: SignaWre'. ' '
NOTICE: II. al�er making ihis declara�ion. you should �ecome suble�� �o the Workers' Compensation pmvisions of the La6or
�Code. you mu511otlhwilh comply wi�h such pmvisions or Ihis permit shall be deemetl revoketl. .
CONSTflUCTION LENOING AGENCY: I here�y a��irm �hat �here is a cons�mction lending agency for �he pedormance o� �he work �or;
which ��is permi� is issued (Sec�ion 3097. Civ. C�. �
� LEN�EN:
aooaess: "
OWNEfl BWIOEF UECIAHATION: I �ereby affirm Iha� I am exempi �mm Ihe Contractors' Sta�e License Law for the �ollowing reason
�Secuon 703L5 Business antl Pmfessional Cotle: Nny city ol counry which repuires a permit to cons�mc�, al�er, improve, Oemolish, or
repair any simqure. prior to ils issuance. also requires Ihe apDlicant for such pe�mi� to file a signetl s�a�emen� that he/s�e is licensed �
nursuanliolhe pwvisions oi�he Coniraclors'Slaie License Law�Chapter9(commencing with Section 7000)o�Division 3 o�ihe Busineu
•tl Pmlessions Code� or that he/she is exempt theretmm and the basis for the allege0 exemp�ion. Any viola�mn o� $ection 70.?7.5 �y
y applican� lor a perml� su�le��s the apPlicant �o a civil penairy af no� more �han five hun0�e0 doilars ($500�.
I, as owner o� ��e pmpeny or my emplayees with wages as Iheir sole compensation, will do t�e work„ and the
❑ SlmcWre is not intentlea orofleretl �or sale (Sec�ion 7004. Business and Pmfessianal Catle: The Contractors' State License Law
does no� ap01y lo an owner ol �a pmperty who builds or improves �hereon, antl who tloes such work himsel�/hersel� or �hmugh
- his or her own employees. pmvitletl that such impmvemenis are not intendetl or ofleretl for sale. If, Oowever ihe builAing or
impmvemen� is sold within one year ol cample�ion, the owner will have �he burtlen of proving he/she tlitl not 6uild or impmve
�oc�he purpose ol sale�. �
I. as owner ol Ihe properiy. am exclusively contracling wilh Iicen5e0 conirac�ors �o constmc� �he pmlect (Sec�ion 7044. Business
❑ and Pmiessions COAe: The Comracmrs' Sta�e License Law does no� apply to an owner of property w�o huilJs or impmves �hereon
and who contrac�s for such projects with�a conVactoqs�license pursuan� to t�e ConVacbrs' Slate License Law),I am aware
�hal pmoi oi their Worker'S Compensa�ion insurance shoWd Oe pmvided to me.
� I am exempt under Seclion: B. 8 P. C.'
br Ihis reason: , .
Oa�e: Ownec
I tlo hereby cenify ihal I am aware of antl uneerslanA Ihe requiremen�s of Cali�omia Health antl Sa�ery Cotle Sec�ions 25505, 25533, antl
� 2553G antl iha� I ar any fu�ure builtling occupant will/will not (circle one) neetl Io compty wiih said state cotles and lhe requiremen�s for a
Oermil lo� consimction or motlifica�ion �mm �he Air Oualiry Managemen� �isVicL Resitlential consimc�ion aDPlications are exempt �mm
Ihese Dmvisions.
Date: Applicanl:
I hereby cetldy Ihat I �ave reatl �his applica�ion antl s�ate �hat the above iniormation is correcL I agree to comply wi�h all city and county
artlinznies and slate laws relating lo Duilding consimclion anU �ereby authorize representa�ives ot Ihis ciry �o enter upon �he a6ove-mentionetl
pmpetly �or inspection purposes.
Daie: g �� Si na�ure
—�— °�..�C F369899��',��
�nver'S Liwnse or Soclal Searily p-
1641-46 W�i�e—Bmltling; Green—Code EnlorcemenC Canary—Applican�: Pink—Revenue'. Goltlenmtl—Assessor
CITY OF COSTA MESA – HUILDING PERMIT ��� :�'"'. . ":�; ""
PERMIT NO: P 051007 �. PLAN CHECK N0; , N ' 6ob"£. :d^5-c-c;--b �
CONSTRUCTION TYPE: V–N '+ PE�iMIT TYPE: PLU , PURPOSE: O'iH
JOB DESCRIPTION : REPLACE WATER•HEATER SQ FT: ,
CLAZM VALUE: CALC-VALUE: ,; GFtOUP OCC:! R-3 / .
COMMENTS: REPLACE WATER HEATEH � �
if �K-* if iF iE iE at if 1E 3E�1F if iE �1(�-%�-lE �N-if iF # 9E #�%�� �K 9E 3F lE %..N. K. �1(..k �)E # iE # iE 3E ih it IF �)r 3F 3E i4 �% if� �% �1( x-dE iF X�� �% 1(� K�K-iF�.N..%�i(� � iF �F iE �lE if iE �F iE �7F iE iE %� �%#
Z O N I N G R.E Q U I R E M E N T S
' ' S E T H A C K S
=----------- �+2ASN BUILDING ----------
FRNT; FT IN REAk; FT IN
LEFT: FT IN RGHT: FT . IN
– ACCESSORY HUILDING – –
FRNT: FT SN REAR: 'r'T TN
LEFT: � FT IN RGH'I': FT IN
0
PARKING REQ• PROV:' �PARCEL; 42201305 'LNE: kEF NO;
PLANNING NiSTES> i
>
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D E V E L O P M E N T S E R V I C E S. R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY ; - - � • DAT'r:: '
APPLICAT'ION ISSUED BY: � DATE; a' �✓�-7
itiflEiElE3EiflFlEiEiEiEiFiEiEfEiFlEiEiEfE1(� t i. . h. p- f t� ifih�E�lflfiE3f�if�lETt�tk ft !E-0E
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LEGALI2ATION:N F E E � M M A R Y STRUCTIIRAL-SEGMENT;N
� BLDG PMT PLUMBING ELECT&IC. MECHANIC FIRE SMIP/RES GRP.D'tNG
PERMIT. 2,00 ' .
' 25� � • SMZP/NON–RES
PLAN , �
ISSUE FEE 3.00 �'-i ���
BUILDING–DIV–> PERMIT I55UE PLAN–CHECK TOT'AL PAID DUE
T'OTALS----> 2,00 ' 3,00 -'.�, ,.0.00 5.00 5.00 .00 '
�,� . �
REVENUE DIVISION T'OTALS--> COliLEGTED: 5.00 OVER/SHORT; � 00
BLDG PMT PLUMBING ELECfRIC MECH'ANIC FIRE SMIP/TOT GRADING P�.AN–CHECK
5,�� � ,.
ifiEiEiFfEiEiE1E1E7EifiEiEiEiF#IEiEikififiEiEirlElEik1E1h1E%fflE�k%�iEiF'9F7Eiki6N�%�lEltifiEiEiEffi4�lEikiEX-iE�fiEiEiFiEiEitiEi(-ifiEiFiE%-1kiE36i(�ihlfi6ifiE '
I N D I V I D U A L" F E E B R E A K D O W N
TYPE QTY D�E S C R I P T I b N UNIT COST TOTAL COST
PLU 1 WAT'ER HEATER AND/OR VENT 2.00 2.00
, END OF' Fr'�.ES
� �
, ,i� .i. � .
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:�, ni n�os�a�s-oao�zoa� -��.+T
� DATE: Os/OS/91 TI!IE. 14-24
�
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I
CONSTRUCTION AND PLAh._,dG'-"-"�"� � � � POOL & SPA
APPROVALS Permit # - Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical Service�r Pole : � '"52. Pool &� Equipmeni Location
c
2. Soil Pipe-Undrgrnd. � � - � .. - 53. Steel Reinforcement
�. 3. Etectrical Conduit Utility-Undryrnd. 54..Forms
. 4. Electrical Conduit-Undrgmd. -� 55. Elec[rical Bonding �
,5. Steel Reinfarcement 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Gmd. . 57. APPROVAL TO COVER�GUNITE
7. Footings - � 58. EleMrical Conduit-Undrgrnd.
'�8, Foundation � , � 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Und�9rnd. 6Q. Backwash Lines, P�Trap, ��Undrgrnd.
10. Structural Floor System -� . 61. APPROVALTO'DECK' . ' _
1 t. 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
1�7:"�Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rougli 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. Produci Piping O Gas OOiI
23.. Gas Pipe-Rough'& Test '� ' � � ; 72. Underground Flush .
24: Roof Framing ' � •• � � '� 73. Undergrnd.StorageTank OGas OOiI ��
25. Roof Sheathing , ' �' ' � � � 74. Overhead Hydro - .
26. T-Ba� Ceiling (Structural) & Monocoat ' 75. Dry Chemical - i � - •
27.' Freme and Flashing � . '� 76. Dry Standpipe � ;" ,
. 28. Lathing & Siding � � - - �•�� - 77. FIXED SYSTEM.FINAL
29. Insulation ' :. " j �� �, 78: FIRE PREV. FINAL �
30. Drywall Nailing � � ��,�,�'. + • HEALTH DEPT. REQUIREMENT
' 31. Plaster Brown Coat ' '� I ��'I' ;„ 79: FINA�L INSPECTION �� � �
� - � _ .
32. Electriral Power Meter-Final �. � I �,�'�� ; 80. FOOD CERTIFICATE ISSUED '
`l. :
33: Final Electric " � , � �.:- ��, : Notes: � L?�g/ i�'% O/>E ��OI»�c- f-rG�i' C.lMC'
34. Final Heatin �& Air Conditionin � i i� ;: �� �
s 9 ,I ,,• C( cSf4l '��n�r �w�rc�o As P�-Zo3
35. Final Gas Pipe-7est � i ��'` � �� � �'; U PC� L.�+�' � ' � � �
: , ;, -r �
36. Hood or CanopV . � �� � � �� . � � •
i ,.
37: Final FaRory Fireplace, i '� �; �' '
38: Final Plumbing - � �� .• - .
i
39. Water Service-Final -- -� � I. . i� . .
� f i '
�, 40. Gas Service-Final . .- 'I � ;; � .
� 41. Solar pomestic-Final � _ � , �,- �� _ � � •
�. �
42. Backflow Preventer' - � � I; _ � '� . `
43. Backflow Irrigation , ' . -
44. Landscape Irrigation System - � � . .. . . , -. . ' . ,
45. Sound Attenuation � � ' ' . • �
- 46.. Handicap Regu�ations � .. � � � � ,_ �
� a7. FwaL STRUCTURE & BUILDING � i f� � • '
48. FINAL PLANNING � I �'-� � ,
i::i�'
49. Electric Release to Edison . � � `�� � � � �
� �r.I
; 50. Gas Release to Southem California Gas Co . � ��� 4 �. . �-, �:
� ��. . .
51. CERTIFICATEOFOCCUPANCY , ; .
No. Date � , ,
' , �
`�
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- . �� ' t� ' . . ' .. . .
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,
p �ITY OF�COSTA MES -
:.: i�� BUILDING SAFETY DEPARTMENT
Pfl�T IN CONSPICUOUS PLACE
,
t Ob THE JOB
� , �--^
' 1 11, DATE ISSV_ED_ -^
� ' 1 ' �-�-/O
� A.P. NO. ''Ly�
' i..
' 9VILOINC ACDRE55
� 20 4 Meaaov
TRACT
�ERM TA{
.. � 50
�.00iz} zL '
�. r NEW ADO ALTER REPAIR I MOVING OEMOLISH
I .� . . '
A �, .
, O`NNER . , ,
�i_� 'v[t` Cl7�L �i . i`-'. . � .
; � . USE... - . ..
�. FIRE ZONE TVPE , , GROUP
� . � �/ [ _ I..Bt. . .
. - �. :'i;)�.11 i"�7:: YL'L1H� Li:: _.......,....... . .
SETBACKS ,
! Front Yd �_ Side Yd. R�_ L }2 �� Rear 7' 4�� ..
Side Yd.-R C Rear ,
BUILDING INSPECTION RECORD
� TO KEEP 6U:!.DING PERMITS VALID, WORK MUST� BE COM-
`� � MENCED WITHIN 60 DAYS WITH ROUTINE INSPECTIONS AT -�
', . LEAST EACH 120 DAYSTHEREAFTER UNTIL COMPLETED. �
� ' �STRUCTURAL w DATE �
Trenches Forms �""""'-"""' .� : + • � �� �.
'. . � . .' ' . ' � L-Ls' ,
�. .. floorSYstem."""�""""'_""""" ;
; SteelReinf.""""'_"""'-"""""'. , -�� 'L��'A i
' � ' � �Si ,rJ"Pe'..�j3 � '
Sheathin9 """""""""""""""
��. FrameandFleshina."""_...."""""' � �� �.�•T,j.`i ��
� � insulation"'-..."-"-•"--'"""-""' �? �. i . fA-7.%� i
� � - . •. /b " 4� %d. ',. �
?.n'„ _.. ....--'------ ------- S%J
� _ ,.�:. . .
Qry Wall Nailin9.._.....""""_"""" � .�1.�7, . , �R_��.' � �;
� Plaster,BrownCoat-"""""�"""'"""- ' t-���' ,�
. Sound Attenuation ..............:........ � --� --- .
� i
�, HandicapRer�ulation .........:............ — —' �
- � ' FINAL (� ! ,�/d-�� . �
� ' PLUMBING � ' � �
—
sou ---• ' "'
i< --------------�---•---- -:-- -
� Underground Water """"...."""""' � �. •
' Rou9h Plumbin9 -"""_"""""""' .
• Prop.SewerLineandHouseConn.------.--- ��- '
� � Street5ewerConn. """"""""""" �. '
.. �
, WaterService ""-""""""""""'
� SPrinklingSystem -"""""""""--
' GasTest """"""""""""""" ,,
'� FINAI i
, HEATING, AIR-COND. AND REFRIGERATION
� Refr. Lines, Pre�ure Test ....... ...... ... �-
/
Ducts, Underground ......................
�. .�.
Ducts,inStructure ................_..... �� ' - �
Uuc[s, Ventilating """"""" """"- '' �. �
.J
I �
-� , :
, �RovniiHeatin�andAir-Cond.""-""'.... ,:
FI NAL %flrQi'iI
��YZJ� ,
: � "' <�i`^' '.
..9 -/,=��/ '
I/ -L'O' A' _ '
//�1.:,-%S' ,
3 �-
s -y -r%'
c� FCTRlCAL �
Temporary Ser� ce or Pole .... . . . ... .. . .... ---- —
IUntlerground -""-""""'"'"_""""' r_/ n- C
fPower Mecer ..... _... �' �-
I Fough'Niring . ,.� ... .................. . � • ' . / ":•.
I FVNAL ��'�J 3�;
.- .___ _�...,�.�_-
Do not nccupy tliis project until final inspection has �
'-� �� rade and occupancy has been,approyed
Buildinq Final' // iCbN,l�7 TiS —r_
. ( apenai naqwromancs � ^
� ccupancy ��
-� ;�� NOTICE � ��.
24•hr. notifi�aiion required when the job is ready for inspection. You
must furnish l'�RMIT NUMBER.and the JOB AODRESS FOR EACH � �
.' RESPECTIVEINSPECTION. CALL556-5273.
. APPROVED PLANS 5HALL BE ON JOB AT ALL TIMES . .
CMF 0559-46 � ' � ' ^' ' . '
6
CITY OF WSTA MESA REQUEST FOR OCCU�@i�� �'� E D
CITY OF COSTA MESA
n�,^,��M1IID19 CEPT.
TRACT N0. 10018
LOT N0. 22
ADDRESS Z054 Meadow View Lane
DATE
�,� Pn�
7;`i�'i� . �� _ _5...:;i�j
�
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that (he-she-they)
(was or were) advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
��/d'� �LL�{� � S.Lc'���=-C/
�
BY \
Purchaser
BY�t/�s/ ,,, % .
Develo and/or authorized
repres ntative
BY '
x�.�es '
All Cash Buyer - Residential Escrow
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 80X 1200 COS7A MESA, CALIFORNIA 92626
For Applicant [o Fill in Completely — Use Ink Only
BVI�DING�O�^ �A/ � / 1 /
ADDRESS �.iy�� �Jl1F.r� l�9^�-E
OWNER The Gregory Company
MAIL 31g7-G Airway,ave.
ADDRESS r7C
CITV COS�Yi3 MeS`ci � NQ�'( JI.�,
BRANCH
ADDRESS
ARCHITECT Harrison/LorenzT,�§.i 751-3
OR ENGINEER-.
ADDRESS 37-87-G Air�vay Ave •
con,rRncToaGregory �onstruction Co.
ADDRES53187-G Airway Ave.
��rv Costa Mesa No%51-38��
LIC.NO. ZVJ7��- LICYNOOO�l(9
size l�27'x992' No.oFa��. p
OF LOT NOW ON LOT
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFOR�
new condominium units with
atached �arage
I hareby acknowletlge that I have reatl this application antl scate
Mat t�e ebove Information is corract antl aprae to comply with
all laws rapulatin8 building consttuction, and I shall not amploy
any permn In vlolatio� of Me workman's compenution laws of
ihe S<ate of California.
I hereby certlfy that I am propa�ly Iieensetl s contractor unde�
tha State of California Bus(nass and Profe io s CoAe, Division 3,
Chaptar 9, entl thai such licenses a i I oree and effect, or I
am exemp ro Me p�ovisions - t ta ot California Bustnezs
antl Prof sions C tle_ Divislon. . C t 9.
Pe�mlttee
j778 6/30[78 231.67 'TL�'
�,�1;7r�9 6%30L7,e. _ �23T'.67CKT6
�i��1;�79 i1000LG5950 "'I{I""�'-�'
1�E*'+i>c..- .
APPLICATION FOR STRUCTURAL PERMIT
RECEIVED BY DATE RECEIVED nn�rc iscucn
A.P.
ADDR
X
;_ � �� � /2 I PERMIT NO.
� /
�� iP
OO� S LOT ZZ BLOCK
Ils�ondo .w/a�t gara"g�"$ 33�EIm•:
FIRE
ZONE TVPE v GROUP I&'j
APPROVED
BV DATE
� I��D NO.OF /� USE OF NEW� n
PLANS G BUILDING L,s�j�j,�.Q
VAROSAPPROVED VARDSAPPROVED
MAIN BUILDING ACCESSORV BUILDING
L. SIDE �/
REAR `
DISTANCE BEf.
MAIN BLDGS.
VAR. S
�(OLt3
BET. MAIN
ACCE�. BL
DATE
APPROVED
■�
THE AMOUNT SHO�'�'N UNDER VALUATION IS FOR
THE PURP�E OF ESTABLISHING A PERMIT FEE ONLV:
VALVATION PERMIT FEE § �
M PLAN CHECK E '
$.3�, lao flai TAX § � �.{ �
✓
TOTALPAID E �
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