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HomeMy WebLinkAbout1789 NANTUCKET PL - Building PermitsTRADE SUBCONTRACTOR ADDRESS PHONE I STATE LIG, NUMBER ':1SYH,ALT. � Mark Co. 22 11 SS LagunaPHi sa CAe_ i3 i 7 q i 36916A22 19-7 G1E31NETS Gordons Cabinets a r MggnoCAa92503 37 1 e� 97D CARPETS Suncrest Interiors SRiversi Iry?I°lev H 92718 4 8 �-I- -CARPENTRY James Wehner YorbaBHAP CA 92686 19643 3 F, Lp .7a CEMENT CONT. Cal Russ Construction 50 ae0a 2�klqn6 12 8�91680 CEMENT TRANSIT CLASSIFIED SPEC. CLEANUP/HAULING Exclusive Construction pp 77 114(71 Fountaon vav, CA 9270 c 3 C( DOORS (GARAGE) Truman Doors �arlsba�ro D e A f636994863 43910404 5b)59 DRAPERIES DRY WALL Brenes rvwall 895 ivine' 792713 77 441 5aW430 3 9 O ELECTRICAL495 Rai ro reet 1 ELEVATOR EXCAVATION FENCING Golden State Fence Co. tt tt tt iverside 's AeH2509 7 - 20 ?CCF FIRE EXTINGUISHER FLOORING/DECKING Kolsterman Ent/integrated rafieim 815825 5TF--6T50 FORMICA FOU\DATIONS Cal Russ p La0AA?a. 8W-480 7`3 GLAZING ABC Products DD90VV63882 rPothCA BOMOW Ave. 7 3y1771 HEATING Canvon Air 1O1nta Glendoraol�AC61740 gb451 5621819 4 3 INSULATION Accent insulation A001 11 C nt Stt -pp ox 46 �g. asaodenaP yI0 (714) 877 0 6150 � LANDSCAPING Plaza neheim.s nk' treet 5�3(71 5 4 LATHING E 6 E Plastering ar en rove, H6e0 Hover S�Ae�Y�643 89212014 1/3 8 /0 LIN0LEUMJASPHALT TI LEIGUNITE MASONRY PAI\TING Ist street Painting7 ` T PLASTERING E s E Plastering 269g0 H over Streett arden trove. CA H2643 771 801161,4 U3 % PLUMBING7524 Coast %est PI mb' a E. som to d Paramoun 1 - OB POOL Atlas Pools - P 4 9IL4 a tDI REFRIGERATION Canyon Air 186dNicol C 17 )-39 357q ROOFING Archer goofina J2,25,jT5,m!,C,r' SANDBLASTING SEWER Kennedy Pipeline Araona t P.p x 96 H?_ils. Gi 98653 7187 38btt-7833363 5 5 SHEET D1ETAL Pro Sheet Metal 6LLaaunNNa Los AnaelesernCA 90063 26((2 11a8 SHOWER DOOR Reliable Glass Los3Anoeles$ CAe90064 879�I3�5 SOLAR SPRINKLERS r n' Plazan4h 55 im S nk' treet 11 F7 STEEL REINFORC. Cal Rugs o. ox 2 0 7 STEEL STRUCT. STUCCO E a E Plastering Hoover gtre en Grove, CA H 643 921 y 8 Lp TRLISSES/GLU-LAMS James Wehner GGar Yor06aBLind99a. CA 92686 9531668 TV ANTENNAS WALL COVERINGS WEATHER STRIPPING Trimco Finish pp g22 CosiaBMesa01CA 92627 711q 258/3391 5 5 2 D 2. OTHER SPECIALTY F Kolsterman/Integrated EnafieBmox 9 A 536 �92825-5388 17 533 � CM 070130, rev. 10/05 �T.�3 l � 7 C X82 int. Leto IWA ENGINEERS 17390 Brookhurst Street. Suite 100 Fountain Wlley, Calitomia 92708 (714)968-1221 •FAX (714)968-9286 October 29, 1990 City of Costa Mesa Building Department 77 Fair Drive Costa Mesa, Ca. 92628 Attn: Mr. Victor Clift Subject: Fine Grade Certificate r J.N. 207-03 I hereby certify that the fine grading for lots 23 through 35 and 88 through 92 of Tract 13224 were graded as shown on the approved precise grading plans for said project. s Llewellyn D. Incledon RCE 17593 Fract 13224 Job Supt. Job Phone: SEQUENCE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Lost. .esa KAUFMAN AND BROAD Martin Ward 714-631-8284 Subdivision: CALIFORNIA SEABREEZE CONSTRUCTION RELEASE: A 3A LOT A �I"""1 PLAN/ELEVATION (July 13. 1990 Release for constructi ADDRESS 1821 Nantucket Place 1817 Nantucket Place 1813 Nantucket Place 1809 Nantucke4•Place 1805 Nantucket Place 1801 Nantucket Place 1797 Nantucket Place 1793 Nantucket Place 1789 Nantucket Place 1793 Capetown Circle 1789 Capetown Circle 1785 Capetown Circle 1072 Clipper Court 1068 Clipper Court 1064 Clipper Court 1804 Nantucket Place 1800 Nantucket Place 1805 Capetown Circle 1809 Capetown Circle 1813 Capetown Circle 4817 Capetown Circle 1820 Capetown Circle 1816 Capetown Circle Total Lots: 23 "R"IS REVERSED FROM HOUSE PLANS. RE -CAP IS FOR CONVENIENCE PURPOSES ONLY 8 IS NOT TO BE USED AS ACTUAL QUANTITY. Recap for 23 lots. IA 1 2A 5 3A 4 18 1 2B 2 38 5 2C 3 3C 2 2 10 11 3BR r 2A 2C 74 (!J IBR (July 13. 1990 Release for constructi ADDRESS 1821 Nantucket Place 1817 Nantucket Place 1813 Nantucket Place 1809 Nantucke4•Place 1805 Nantucket Place 1801 Nantucket Place 1797 Nantucket Place 1793 Nantucket Place 1789 Nantucket Place 1793 Capetown Circle 1789 Capetown Circle 1785 Capetown Circle 1072 Clipper Court 1068 Clipper Court 1064 Clipper Court 1804 Nantucket Place 1800 Nantucket Place 1805 Capetown Circle 1809 Capetown Circle 1813 Capetown Circle 4817 Capetown Circle 1820 Capetown Circle 1816 Capetown Circle Total Lots: 23 "R"IS REVERSED FROM HOUSE PLANS. RE -CAP IS FOR CONVENIENCE PURPOSES ONLY 8 IS NOT TO BE USED AS ACTUAL QUANTITY. Recap for 23 lots. IA 1 2A 5 3A 4 18 1 2B 2 38 5 2C 3 3C 2 2 10 11 3BR 2A (July 13. 1990 Release for constructi ADDRESS 1821 Nantucket Place 1817 Nantucket Place 1813 Nantucket Place 1809 Nantucke4•Place 1805 Nantucket Place 1801 Nantucket Place 1797 Nantucket Place 1793 Nantucket Place 1789 Nantucket Place 1793 Capetown Circle 1789 Capetown Circle 1785 Capetown Circle 1072 Clipper Court 1068 Clipper Court 1064 Clipper Court 1804 Nantucket Place 1800 Nantucket Place 1805 Capetown Circle 1809 Capetown Circle 1813 Capetown Circle 4817 Capetown Circle 1820 Capetown Circle 1816 Capetown Circle Total Lots: 23 "R"IS REVERSED FROM HOUSE PLANS. RE -CAP IS FOR CONVENIENCE PURPOSES ONLY 8 IS NOT TO BE USED AS ACTUAL QUANTITY. Recap for 23 lots. IA 1 2A 5 3A 4 18 1 2B 2 38 5 2C 3 3C 2 2 10 11 BN FORM 116 CALIFORNIA SEA BREEZE RELEASE IIIA BIA FORM 1486 INSULATION CERTIFICATION This is to certify that, in conformance with the current energy regu!ctions (California Adminis- trative (ode, Title 25, State of Californiael and approved plans, insulation has been installed in the building located at: Costa Mesa CRY A lser.e� np. lu 1- m.) SIMI YI!/ Orange _ Manufacturer— C.*32 13224 Mumle TnC M.. DESCRIPTION OF INSTALLATION ROOFS Type of Material Manufacturer Thickness R Value•'— BLOWN: Type o! Sq. FL Covered erial _ Manufaclurer Thickness No. Sags_ (or T..d. ft. ) ' - Wt/Bag Sq. FL Covered R Value•'— Type of Material _ Manufacturer— Owens Corning (0, TrN. nm.) --- EXTERIOR WALLS Type of Materia) Fiberglas Batts Manufacturer Fiberg—las Thickness 3Zn R Value" 111 (p Tnd. Mae.) o - Inches - CEILINGS " Owens_Corning. - 9111 30 BTyppee of Material Fiberglas Batts Manufacturer Fiberglas Thickness 6r' R Value" 19 (0, T." Mm.) _- - . BLOWN: Type o! Sq. FL Covered erial _ Manufaclurer Thickness No. Sags_ (or T..d. ft. ) ' - Wt/Bag Sq. FL Covered R Value•'— Type of Material _ Manufacturer— (0, TrN. nm.) --- SLAB ON GRADE — —: Type of Material Manufacturer (0, T.N. Mae.) Width of Insulation Inches - FOUNDATION WALLS (if required) " Type of Material _ Manufacturer (0. Trod, Meee) REMARKS (if desired)_—. — General Contractor (Builders KAUFMAN & BROAD License Thkiness :— - R Value"_ Thickness R Value**— Thickness R Valuee'— Date Sub Contractor (insulation Applicator)_ Accent Insulation Conpany License *rnber 274283 (IswllLan. W Qc��f (Sba ••LJi0 aw s lira tragw) By �� ���� Title Date October 5, 199C l•Cel;.s•n.e �e.:n;.lrvi•. CSM, Ge..> Inp.lerlP SaNerlr, a..lee: Exal" L S+.. IfpS N IM I IM ..d S.f.R CJ of *. SM. •. Crp6e. r.. Uew aPN.r:« N ILS in•rIM:« N : r.la'ien.. t>erl N Ce ife i., r«:RN nef M+r.,ln'i« be• Le.+ In•b11N in mw!.•went. .:M M ne.in�+•h .1 M.+e n. vl.n:«. Jell V orwp4rN .na e..nM bl "r4 .srfl!f tpl..f rpe in Ylpd« .p.limM ,W b�Ye W(Idr,. Tbin !rnlen« wN;Pe. .fMN belies, sur J, ...n..nl bwY, Irw er ..L« m:dw:el YN Jeu M w.Yd N . .«.p.mwr IemKw .is:e rG. d.NIi M.��1 hNllr,e i. bebi464 .Felr IY luwd by Y4 • ►.irdlry Npa•fw«I I"1 .reb. h M. � e N M. re•ia.+o N . eyrvLl « beila:y wp««r re Me ..n.1. N b0,!. Tb. rw:rYno •.Le 111 M w.-Rw In.dpr:«. .Leu .« Indw e.> .N« 1w nMepiY Lciy.l YMu Me rm.!un N Lp.r M�.(er Y. w .w Yw.. ,nmbba farm 116 —m BUILDING NEWS, INC., 3055 Overfed Ave., Lw Angeles. Calif. 9003"13)870,9871 Form 1496—: BUILDING INDUSTRY ASSOC)A, ION OF CALIFORNII� INC., 1571 Be>e+ly Blvd., Los MQeks, Call 90M5 Q!3) 5255771 r r—: >r —> R•--ser—�Pr - PNGIECT ADDRESS: 1789 NANTUCKET PL UNIT: OWNER'S NAME: KAUFMAN & BROAD ADDRESS: 180 N. RIVERVIEW DR ANAHEIM CA 92808 (714)921-0500 ARCHIENGINEER: MIKE WOODLEY REG.NO.:C15730 ADDRESS: 180 N. RIVERVIEW DR UNIT: 300 ANAHEIM CA 92808 PERMITTEE: KAUFMAN & BROAD (714)921--0500 ADDRESS: 11601 WILSHIRE BL 10 FL L.A. CA 90025 LICENSED CONTRACTOR DECLARATION: I hereby affirm that ) 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 force and effect. CITY sec.: STATE LIC.: 3 3 4 4 9 5 CUSS: B Date: Signature: WORKERS' COMPENSATION DECLARATION: there affirm that I have a ceNficete of cannot to self -inure ora certificete of Workers ran Compensation Insuce, or a certified co thereof -section 3800, Lab. C). POucYNo.:WC800160 69907CA EKP.oATE: 03/07/91 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 048992 PERMIT NO: B 048992 PLAN CHECK NO: 05725-90 A GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ADD JOB DESCRIPTION : 88 ADDITIONAL SQ, FT, TO ORIGINAL PLAN SQ FT: 10,000 CLAIM VALUE- 10, E 000.00 CALL—VALUE: 10,000,00 GROUP OCC: R-3 /M-1 04-44-1 COMMENTS: tRR'�+: GlY2 ORIG, PERMIT/PC#234-89A, Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING------_-- FRNT: 20 FT IN REAR: 10 FT IN FRNT: FT IN REAR: FT IN LEFT: 25 FT IN RGHT: 4 FT IN LEFT: FT IN RGHT: FT IN fiOMPANY:TRANS. INS. PARKING REQ; PROV: PARCEL: 42442101 ZNE: PDRM REF NO: - Cendiedcopyisherebyfurnished. m Certified copy is filed with the city Building Division. PLANNING NOTES> ADD TO EXISTING K & B RES, FRONT SETBACK MEASURED FROM > SIDEWALK, ADDITION OK PER WILLA. Date: Applicant: EKEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed a the action U for one hundred (5188) or less). 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 I 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 a as to became subject to the WorkersCompensation laws of California. ZONING APPROVED BY _ _ _ _ DATE: Date: - Signature: ^ NOTICE: It, after making this deciarafion, you should became subject to the Workers' Compensation provisions of the Labor BUILDING APPROVED BY _G(,J _ _ _ _ 4*5 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 lot APPLICATION ISSUED BDATE:which th$ permit is issued(Section 3097. Civ. C). ###################### iF-x#ft#x#eP'iE'iE"Ei E#'iFiF"ie iFiFiZ-R"iF###iATE:LENDER:#f�F################################ ADDRESS: LEGALIZATION:N F E E S U M M R Y STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from The Contractors' State License Law lot the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (section 7831.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or PERMIT 1 1 7 . 0 0 7 0 repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that helshe is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 at the Business S M I P / NON —R E S and Professions Code) or that helshe is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by PLAN 19.01 any applicant for a permit subjects the applicant to a cM[ penalty of not more than live hundred dollars ($500). ISSUE FEE I, as owner of the property or my eoyees with mass as their sale compensation, will do the work. and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale (Semplction 7044. Business and Professional Code: The Contractors' State License Law TOTALS — — — — > 117.70 0•00 19.01 136.71 136.71 .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 at her own employees, provided that such improvements are not intended or offered for sale. It, however the building orunavREVENUE DIVISION TOTALS--> COLLECTED: 136.71 OVER/SHORT: ,00 forptheepurpoe of sae). 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 ~ 1, as owner of the property, am exclusively contracting with licenced contractors to construct the project (Section 7044, Business 117.00 .70 19.01 © and Professions Code: The Contractors Sate License Law does not appy to an owner of property who builds or improves thereon and who contracts for such projects with a contractors) license pursuant to the Contractors' Sate License Law). l am awaa that proof of their Worker's Compensation insurance should be provided to I N D I V I D U A L F E E B R E A K D O W N ❑ 1 am exempt under Section: B. 8 P. C. for this reason: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST Date: �— %7 — ! owner: SFR 10000 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 10,000.00 I do hereby certify that I am aware of and undersand the requirements of Ca iforma H alth and Sts dry Co Sections 255D5, 25533. and END OF FEES 25534 and that I or any future building occupant will/will not (circle one) need to coin with said state 'i's and the requirements for a permit for constmction or motification from the Air uality Management District. Re dentist construction applications are exempt from these provisions. Date: — Applicant: I hereby certify that I have read this application and state that tide, ordinances and state taws relating to building construZandpropertyforr inspection purposes.Date: tij=�SiOna Driver's License of Social Security A: 164146 White—Building: Green—Coda Enforcement; Cana I agr a to comply with all city and county hisX to enter upon the above-mentioned 01 00069538-0069540 T13T DATE: 09/14/90 TME: 09:02 136.71 y r I CONSTRUCTION AND PLANNING APPROVALS Permit# DateTctor PO. SPA 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit- Undrgr nd. 8. Foundation 59. Gas Pipe, O 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 FIRE DEPT. REQUIREMENT APPROVALS Permit 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping El Gas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing ; 73. Undergrnd. Storage Tank O Gas O Oil 25. Roof Sheathing 74. Overhead Hydro ' 26. T -Bar Ceiling (Strucfuiall & 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 ' i 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning - - 35. Final Gas Pipe -Test - r 36. Hood or Canopy, 37. Final Factory Fireplace . s ' 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final', 41. Solar Domestic -Final - 42. Backflow Preventer - 43. Backflow Irrigation 1 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING t - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PW -CT AWRESs: 1789 NANTUCKET PL UNIT: 32 ' OWNER'S NAME: KAUFMANN 6 BROAD ADDRESS; 180 N. RIVERVIEW DR SUITE 300 ANAHEIM, CA 92808 ARCHIENGINEER: MIKE WOODLEY REG.N0.:C1UT30 ADDRESS: 180 N. RIVERVIEW DR T: 300 PERMITTEE: ANAHEIM CA 92808 ADDRESS: KAUFMANN 6 BROAD (714)921-0500 •180 N. RIVERVIEW DR 300 ANAHEIM CA 92808 LICENSED CONTRACTOR DECLARATION: I hereby attir m licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Proless... e, and my (i se is in full force and effect. CITY LIC.: 0 g STATE LIC.: 334 uss: B `1 Date: 4 �W4v Signature: ' IRKERS' COMPENSATION DECLARATION: I hereby affirm that e a certificate of consent to sell -insure or a certificate of Workers' ipensation Insurance, or a certified copy thereof (Section 38M, Lab. Q. ,ucYNO.: 4189-1090 EKP.DATE: 03/07/91 COMPANY: TRANS, INS, ❑ Cerdfified copy is hereby furnished. IN Cenl copy is filed w h the city Buildin Divisio Date: 7 t7 A10 Applicant: E%EMFnON FROM WORKERS' COMPENSATION DECLARATION: (Th conn need not be completed it the permit is for one hundred ($100) or less). I cenity that in the performance of the work for which this per issued, I shall not employ any person in any manner so as to become subject to the Workers"Compensation Laws of California. , Date: Signature: NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: . 1 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 .ny applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 1, as owner of the property or my employees with wages as their sole compensation, will do the work, and the J structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business El and Professions Code: The Contractors' State License Law does not apply to an owner of property wno builds or improves thereon and who contracts for such projects with a camractor(s) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided t. me. U I am exempt under Section: B. A P. C. for this reason: Date: Owner: - I do hereby cedify that I am aware of and understand the requirements of California Health and Safety Code Sections 2550.5, 25533, and 25534 and that I or any future building occupant wiNwill not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Oualiry Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby cenity 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 retailing to building constmcdo r thorize representatives of Isis cM to enc. upon the above-mentioned property forinspectionpurposes. , 1 /` Date: I '/7 _� Signature: �i1lA. PJ1C0 a Driver's License or Social Security x: 1841-48 White -Building; Green -Code Enforcement; Canary -Applicant; Pink -Revenue; Goldenrotl-Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 046982 PERMIT NO: G 046982 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT -TYPE: ELE MEC PLU STR PURPOSE: NEW JOB DESCRIPTION : NEW SFD SQ FT: 2;910 CLAIM VALUE: 169,417,00 CALC-VALUE: 172',657,70 GROUP OCC: R-3 /M-1 COMMENTS: PC#234-89A PD *4H4L�t�4r4r4E�r*�r*x*�r4r4:sr4E**4r**x�***�rx�r**kifififefieieiFBE if�ex�E�P�L�+t�k�r�H���E�Hx�**�F�e�H�F��H*�H�*�r*�r�Hx �H�r Z O N I N G R E Q U I R E M E N T S ' S E T B A C K S ------------- MAIN BUILDING---------- FRNT: 20 FT IN REAR: 12 FT 2 IN LEFT: 12 FT IN RGHT: 5 FT IN ACCESSORY BUILDING - - FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT` IN PARKING RE • 2 PROV: 2 PARCEL: 42433101 ZNE: PDRM REF NO: PA8840 PLANNING NOTES> SINGLE FAMILY RESIDENCE WITH ATTACHED TWO CAR GWffi&DREQUW0T3 > HALF OPEN PARKING SPACE ON STREET FOR GUESTROLD ie*:Elf ieifkiF*ieiE4r iE iH it***it iE 9e Btieititit ititie if*4E,it*it iFfFieit itieit it it•4t :tit it iH Bt iEiH iE to at iEiE :Hit iE itiEiE it it it EE iE**Bt 4t*iEitiE iEfe D EY E L O P M E N T S E R V I, C E SS /R�J, E� � Q U I R E M E N T. ' S ZONING APPROVED BY l/ - DATE: `I % J 1 BUILDING APPROVED BY : (nJ DATE: 014-1,77 .90 APPLICATION ISSUED B3C: DATE: if if if if Mit iF iFif*iE*if if if iF*it*if if if 4E 4E lE It if lE**if if if if if if if if iflfififiEifitititiFitififitlfiFlfiflFitifltitififififif if itlflf itifififififif*iflfiflf*lfifififlfififififlfEEiflflflflFififlfltiflflf LEGALIZATION:N F' E E '`:w%S U' M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING PERMIT 895.00 41.50 8Z{,99 32.75 12.09 25% :'§02 25% SMIP/NON-RES' PLAN ISSUE FEE - �% ".•. 3.00 ;1;57.00 15.00 BUILDING -DIV-> PERMIT ISSUE PLAN*CHECK TOTAL PAID DUE TOTALS ---- > 1064.,33 33,00 /r,, 0.00 1097.33 1097.33 .00 REVENUE DIVISION TOTALS--> COLLECTED:--; 1097.33 OVER/SHORT:00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/TOT 'GRADING PLAN -CHECK 895.00 44.50 97.99 t!- 47.75 12.09 ' if if lF if if if if if if if if iE lE if if s-: if if iH lF if if if if if k k if N• if k k iE if * if if if if k if if ♦E'♦E if if if if if if if if it it if lE iE lE iE lE if if it iE iE iE if it if if if if BE iE it if it k if if 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 .$; N UNIT COST TOTAL COST SFR 2371 DWE-TYPE V -WOOD FRAME -GOOD 69.00 163,599,00 SFR 76 RES -BALCONY, EXTERIOR STAIRWAY 13,80 1,048.80 SFR 463 RES -GARAGES TYPE 71 17,30 8,009,90 ELE 2371 NEW RES BLDG FOR 1jOR 2 UNITS/ SQ FT .03 82,99 . MEC 1 INST FORC-AIR/GRAV.FURN <=;100 K BTU 9.00 9.00 MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9.00 9,00 MEC 5 GAS PIPING SYS 5+'OUTLETS.PER OUTLET .75 3.75 MEC 1 FACTORY FIREPLACE 6.50 6.50 MEC 1 VENTILATION FAN CONN TO SINGLE DUCT 4.50 4.50 PLU 2 BATHTUB 2.00 4.00 PLU 1 DISHWASHER 2.00 2.00 01 00058717-00058721 Till 1097.33. DATE: 04/17/90 TIME: -11:24 JOL &SPA CONSTRUCTION AND PLANNL - .. _, APPROVALS Permit # - Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole,Y, - 52. Pool & Equipment Location 2.�So1Pipe_UndrgcndL 'o 5�j C� (� CAD 53. Steel Reinforcement --,3,_Electrical;Conduit-Utility-Undrgrnd:q n+ - 54. Forms ' ::EYOrical.CoN<"t llrr"idrgrnd. ou' 55. Electrical Bonding _5.11Steel-ReiPfo cement tax 56. Rough Plumbing & Pressure Test J 6._; leciricallUFEli FGrnd. k`'J 57. APPROVAL TO COVER-GUNITE ril 58. Electrical Conduit-Undrgrnd., ct PFoundation' c.> 59. Gas Pipe, 0 Undrgrnd., Test :+ 9. -Water Pipe:Undrgnd. g,Q 60. Backwash Lines, PTrap, Undrgrnd. r: 10. Structural gloor System w 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection :gMLq (,� 62. Backwash & Receptor -Final 12. Sewer Cap a, a, 63. Heater & Vent -Final 13. Roof Drainso�- o 64. Plumbing System -Final 14. Rough Plumbing 65. Electrical -Final ' 15. Rough E16ctrical-Conduit 66. Solar System -Final 16. Rough E_lectrie Wiring 7. Fencing & Access Approval _ -'17. Rough Wir`ng Sign, - 68. APPROVED FOR PLASTERING 18. Rough Electricef-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE REPT. E�EQUIREMENT t .'1x i r. r-, C•n (. r,: rD �'k r '7 C".-, �.':-' +, v r';: V ;:D r` rn. tz i+ Permit t'3 tv tr r tri' m[lt,; 20 Ro hFacto`yFaoeplace 1 c:m �'7 * C.; i�r-, �,� ,� ,,.c,a.x-APPROVALpj,• 21 ,Duets, i7StrSctur2* '70. (YndergPo nil• HKdro 22. Duct's, Vent'Lating; Producti0ping O_G_as 010i < r-, rc ;_ 571. 23. -Gas -Pipe &_Test '6S * M T T •fix > X72. Underground Flush,'? Ir ,:Rough n r-ro 24�Roof FramingClx + Fr ••r *> O :r * x. S m •+ :-;n• Storag ffTank Cl Gas 0 Oil �^._.,_;,.,-,u��. zt 44m x > r; * a. ..73.nUndergrnd. 25. Roof Sheathing ux v •• C > W* K �74^Over head Hydro'= _ .e ` u-1 26.`-�T-87e-'r Ceiling"(Stc-'u�iural) &=Nl�n`acoat MIMI4C .iJ ci tr1}:ti • ^ O 75.rDry Chemical ooz l JL'-`.•r�; [,) * O y C* x ,.,a #; M 1: :RtM.SHAM-',' om �(;1�YC(a;Y�,^H 27rzFrame and ldashia(gv ;�t_1M Com", Ci r. tr >• nx< 76�Dry Standpipe �^�'+' mr, mow* -28„Latjiing'&S in91-il � H = "1 0 "i 77z-FIXEDSYSTEMjFJUAL*r1 7�c�iJOnt:lktmc�u W I"x t*, c� r29. Insulation * v S �•'¢t.a: 1 �' ( i,`* Y 78' -FIRE "EV. FINAL x> • O ?Sna1S[ ~ T30. Drywall Nai11n '' y 9. 'i * - �r �'P` x F`l 'HPALTHTDEPT hEdUIRFROE >:. .-],�xL - (PK$ SNnJ O..,w 031. Plaster Brown, Coat* trn' ::x ,•79, FINAL INSPECTION. + GP•1 YP+i OJ - .32" lectrical Po�er M -- 2te �nali "•N�• `' "80«FOOD CERTIFI'GATE IS l4ED rtr� r� t„ ,,, N •M-; z33ina1 Electric, NotBs:'J "'34,'.-,f in`al Heating&AiCor,ditidniFlg n�tM "�'•x�Y ��pp��,�r� pT�. ��4fnnv���S t9 :CD H r, ra xt+7 mC1i 1*>rw�'•(W+nl:llv;r%�, i 35.`'Final Gas Pipe -Test] ,7, w " . �.`:6'Qpfl ,• ' : A V x0 _,H� #. ` [-, -," ` ° '-T-36. Hoo or Canopy t t*"7 aH:: x ('r I f: b; +: i�:o0 fi �(=K Ro -+ r•; ZD ,: �r , x[r �E" i':..� * C m 4, ^•37.:Final Factory Fireplace^ �-: ti� 1; (E -•F w i c � ., i���f* r � �W _ « r• 1 (Uo M �• n Z38. Final Plumbing "Ft•x r !k * •.n •-,-i * A i O x:^7•� O KK * :r 0 ocr * CJ -J .".'z+� o °39. Wai r Service -Finch v r •x ! ` ` '° ", s - .J }: T I n # [f. r40. Gas�Service+final x:'^ a r• Sa i;x'; I* p - w,v x FDxN `,41. Solu D=6:& -Finals 42. Backflow Preventer+ N i70t1i ffi* %: 5E-• xiD r -r C) } to nl 'r is (ix,-: x* i.1 Lr: C,o x •y 2.ti�•. ('� x azsa. 43. Backflow Irrigation�c X()t+�: xh •.l:,u 1. •,J 1, 4J'i tLW •a >, a;,%x: c, * a: �i * 11 _ . • •. . .-.. rr744.�Landscape lirigatit SysterT �r7•1* m C7 q �7� i- * N N o �z 0 * W 0o0w00r+.:0000 � S e, C C: 45 Sound Attenuation!L^titr c, - =-:7 * C46.•Handicap Regulations «+ q! x 4 +• .0 •S t7w S x STRUCTU'�E & BUFLDING.,, '. IQ '.% .-,47.'FINN~AL J11141 , tr_ # F- 48: GG `J�i- - `�- °J0l i tL * r-, ;,•-, a, 1 Z49.,Electric.Release totdison i o ❑ * Y .� ,� .n ;K _ yaon ;w507sGas:Release to Southern California Gas Co x 1 !-•�: ' cn x . o- -" r c^ v a _ .r. a. p0 ('1 * ,L• D^a' Cv:✓00(iNN0 '51. CERTIFICATE OPOCCUPANCY -y x a x M� mcg ,. n ��-+���--��•�•�--•i No. Date 1 GIECTr(;rl" NESS: UNIT: OWNER'S NAME: ADDRESS: ARCN/ENGINEER: - REG.NO.: ADDRESS: UNIT: PERMITTEE: ADDRESS:' 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 ray ficense is in ful force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: `IRKERS' COMPENSATION DECLARATION: I hereby affirm that I have a cenificate of consent to self -insure or a certificate of Workers npensation Insurance, or a certified copy thereof (Section 3500, Lab. Cl. ,LICY NO.: EXP. GATE: COMPANY: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (TI¢s section need not be Completed 0 the permit is for one hundred (5700) or kas). 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. Date: Signature: NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 'CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: - OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to consumer, 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 Sector 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, 4ny applicant for a permit subjects the applicant to a civil Penalty of not more than five hundred dollars (5500). I, as owner of the propend or my ampleyees with wages as their sole compensation, will do the work, and the �J structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not appy to an owner of a property who builds or improves thereon, and who does such work himself/herself or through. his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' State License Law does not appy to an owner of property who builds or Improves thereon and who contracts for such projects with a contractei license pursuant to the Contractors Stare License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under SecUon: B. A P. C. for this reason: Date: Owner I do hereby certiy that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant wilVwill not (circle one) need 10 comply with said state codes antl 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 ordinances and state laws relating to building comonection and hereby authorize representatives of this city to enter upon the above-mentioned propend lot inspection purposes. Date: Signature: Dr'iver's License or Social Secudy M: 164146 White—Buildinn: Green—Code EnforcemenC Canerv—AoplicenC Pink—Revenue: Goldenrod—A Mf PERMIT NO: G 046982 PLAN CHECK NO: 03398-90 N,, PAGE:, 2 *��*��*4E�*x�E******iteEit�EitaExiEaE�r�Eetx*ar4t*eeetiEeE*4t*�E+E���r�E*x*�E�r�E�r�r�E*�r�r�E*�Ex�E�E��E�E�x�E*�E�r�Eir�r* TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 LAUNDRY TUB OR WASHER 2..00' 2.00 PLU 2 SHOWER 2.00 4,00 PLU 1 SINK, KITCHEN 2.00 2.00 PLU 4 WASH BASIN 2.00 8.00 PLU 3 WATER CLOSET (TOILET) 2.00 6.00 PLU 1 WATER HEATER AND/OR VENT 2.00 2.00 PLU 1 WATER SERVICE 2.00 2.00 PLU 5 GAS PIPING SYS 5+ OUTL—PER OUTLET .50 2,50 PLU 1 GAS SERVICE 2.00 2.00 PLU 1 SEWER, BUILDING / TRAILER 5.00 5.00 , END OF FEES CONSTRUCTION AND PLANNI. _ APPROVALS Permit # Date Inspector ,JOL & SPA 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7, Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O 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 FIRE DEPT. REQUIREMENT APPROVALS Permit # 20�'_gqo gh FactoSy �C' 21 .-Ducts, in Structure 70. Underground Hydro 22._D4ts, Ventilating 71. Product Piping 71 Gas ❑Oil 23.Gas Pipe Rough & Test 72. Underground Flush 24`_Ro�f Framing-----'"` --- 73. Undergrnd. Storage Tank OGas GOil 25. Roof Sheathing74. Overhead Hydro 26 pT-Br Ceilin($truu',,a� �; M`Ondcoa[ 75. Dry Chemical �wg�r;r-tr:, ,o s 27 �-Frarr,,-e and F}gshmRira_; Cn 76. Dry Standpipe 28. Lathing Sidmq to <nx0crmM 77. FIXED SYSTEM FINAL 29. Insulatioh F E•tiO<crS�J 78. FIRE PREV. FINAL 30. Or ivalf Nailingm�Fsnr,3ma HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat -�4� 13 S_ 79. FINAL INSPECTION 32,_Elettri%a P`wper Mete=F,inaL 80. FOOD CERTIFICATE ISSUED •� x N t 33. Final ELectr= M. I, El Notes: 34 Finhi Hiating.& Air COriditionin5CO 35.Final Gas Pipe-Test i- I jto 36.�Hood or Canopy T ^m rn m 378F i nl I Factory Fireplace ~ nj 38. Final Plumbing 39tyater Service-Final 40?--Gas�Ser vi ce-Fina l 41 t3ol�r Domestic-Final 425Baakflew Preventer v 43. Backflow Ir rigWon. 44. Landscape 176ggationrSystem- OCA 45. Sound Attenuation 46. Handicap Regulations 47:gFINALfSTRUCTURE & BUILDING 48?FINALIPLANNING 49. EleLtric Release to Edison 50:.Gas•Release to Southern-California Gas Co 51. CERTIFICATE,OF=OCCUPANCY No. Date