HomeMy WebLinkAbout1793 NANTUCKET PL - Building Permits •
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AOIECTAb�TtRESS: 1793 NANTUCKET PL UNIT: 31 CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 046983
- OWNER'S NAME: KAUFMANN 6 BROAD -
ADDRESS: 180 N. RIVERVIEW DR PERMIT .NO: G 046983 PLAN CHECK NO.: •
•
N " GOVT: N SUPP : N
• SUITE 300
ANAHEIM, CA 92808 CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE MEC PLU STR PURPOSE: NEW
ARCH/ENGINEER: REG.NO.: -
ADDREss: MIKE WN. RIVERVIEW C1��T: 300 JOB DESCRIPTION NEW SFD - SQ FT: 2 -
180 N. DR
PERMITTEE. ANAHEIM CA 928 8 • CLAIM VALUE: ' 16, 417 . 00 CALC-VALUE: 172 , 657 , 70 GROUP OCC: R-3 /M-1_
KAUFMANN 6 BROAD (714 ) 92170500
ADDRESS: 180 N. RIVERVIEW DR - 300 COMMENTS : PC#234-89A PD
ANAHEIM CA 928 8 *************************+e****************** ***+r**:6*ar*aEee***+e********4*****SE***iE
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 .mmencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Cod my license is in lull force and effect. _ SETBACKSr
CITY tic.: 4 6 8 9 4 STATE tic.:33 CLASS: B E 1
Date: 'f`1-`90 Signature: .L p�'- /- MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm ../7 .ve a certificate of consent to self-in re or a certificate of Workers' FRNT: 18 FT IN REAR: 12 FT IN FRNT: FT IN REAR: FT IN
mpensation Insurance,or a certified copy thereof(Section I.Lab.C). LEFT: 5 FT IN RGHT: 5 FT IN ' LEFT: FT IN RGHT: FT IN
A0141: 4189-1090 EX'.DATE: 03/07/91
COMPANY: TRANS. INS PARKING REQ: 2 PROV: 2 PARCEL : 42433101 ZNE: PDRM REF NO: PA8840
0 Certified copy is hereby furnished. NA Certifiedc is filed with ecityBuilding ion. PLANNING NOTES> SINGLE FAMILY RESIDENTIAL WITH ATTACHED TWO CAR GARAGE AND
Li_„_90 > HALF OPEN PARKING SPACE ON STREET FOR GUES p�ept� - A�
Date: •MDliranC �. **********************************************************� ]PVA�l4filaE "-`
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION:'Pis deed not be competed O the permit is for one hundred(5100)or less). DEVELOPMENT 'SERVICES RE • R E M E T S. •
I certify that in the performance of the work for which this permit is iss ed,I shall not employ any person in any manner so as to become
subject to the Workers',Compensation Laws.ot California?:' - ' ZONING APPROVED BY DATE: `HOLD �R � /
� 7
Date: Signature: -
NOTICE:If,after malting this declaration,yotf should•become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : (/\/ L �P h•e-�L0 DATE: (76,-;..t-1 J9J90Code,you must forthwith comply with'such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: Thereby affirm that there is a construction lending agency for the performance of the work for ' APPLICATION ISSUED BY: IIIIIIC .�ta T- Ze DATE: 021/41* iIF F#iF it
which this permit isissued(Section 3097;Civ.CS• ********************** e,= i,:- ********** Fl **
LENDER: ********************************** *** *************************************
ADDRESS: • •
LEGALIZATION:N F E' E S- U M M A R Y STRUCTURAL 'SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC 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 89500. 41 5 0 82 . 95. 32 . 75 12 . 0 9
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed
25%.
5% 50%. '25% SMIP/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she Is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN a
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 3 .00 15 .0.'0 15 .00
I, as owner of the property or my employees with wages as their sole,compensation, wit 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-7--> 1064 . 33 33. 00 0 . 00 1097.33 1097 . 33 .00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through :
his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or = •
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: • 1097 . 33 OVER/SHORT: . 00
for the purpose of sale)., 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 7044.Business 895. 00 4 4 . 5 0 97 . 99 4 7 ,'7)5 12 . 09
❑ 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 - ***********.*********.***************.****.se'************.***.***!k***.*****************
that proof of their Worker's Compensation Insurance should be provided to me. INDIVIDUAL FIX E BREAKDOWN
❑ I am exempt under Section: B.&P.C. -
forthisreason: ' TYPE • QTY DESCRIPTIO N ' UNIT COST' TOTAL COST
Date: Owner: SFR 2371 DWE-TYPE V-WOOD FRAME -GOOD 69 .00 163 599 . 00
I do hereby certify that lam aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 76 RES-BALCONY, EXTERIOR STAIRWAY 13 . 80 1, 048 . 80
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 SFR - 463 RES-GARAGES- TYPE V 17 . 3 0 8, 009 . 90
permit for
sionsNction or modification from the Air Gusty Management District.Residents)construction applications are exempt from ELE 2371 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 82 . 99
• MEC 1 INST FORC-AIR/GRAV FURN <= ,100 K BTU 9 . 00 9 . 00
Date: Applicant MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 .00 9 . 00
I hereby certify that I have read this application and s. above information is correct.I agree to comply wit. .11 city and county ' MEC 5 GAS PIPING SYS 5+ OUTLETS PER OUTLET ' .75 3 . 75
ordinances and state laws relating to building const horde representatifppthis City to enter / above-mentioned MEC 1 FACTORY FIREPLACE 6 . 50 6 . 50
property for inspection purposes. MEC
MEC 1 VENTILATION FAN CONN TO SINGLE DUCT 4 . 50 4 . 50
Date: �-17 /0 Signature: �L/L /./%� PLU 2 BATHTUB 2 .00 4 . 00
PLU .1 DISHWASHER 2 .00 2 . 00
Driver's License or Social Security#: o TOT White-Building;Green-Code Enforcement;Canary-APPlCant;Pink-Revenue;Goldenrod-Assessor 01 00058722-00058726 TO a-�•
1097.31
DATE: 04/17/90 TIME; .11:25
i
- - - • - i0L & SPA-
CONSTRUCTION AND PLANNIN,.,
APPROVALS Permit # Date Inspector •
APPROVALS Permit # . Date Inspector
1. 1. Temporary Electrical Service or Pole.€., 52. Pool & Equipment Location .
2., So.iLPipe,Undrgr,ndS ,c-i,: =•S .�`,/jqD LEP 53. Steel Reinforcement
1.-'3.CElectiicerCondui'Utility-Undrgrndr • 54. Forms
1^.--rr1 -,r-,c-- �•-,
,4t`Elect�ical3Coridoit=l ndrgrnd. oS 55. Electrical Bonding
5 :Steel•Reinforcement` " x 51249 (rr�• 56. Rough Plumbing & Pressure Test „i
:� 6'.1::Ele rival}UF ER 4rnd. 4 c/?-4,0 pwvr 57. APPROVAL TO COVER-GUNITE ,a
7;/..;:-"F ooli ngi'R; i;•,, . o . 5/7.49 d'c# " 58. Electrical Conduit-Undrgrnd.
8j flotigtd atio`n' "cFL, 59. Gas Pipe, 0 Undrgrnd., Test r
. 9.yWatei Pipe`-Undrgmd. la° 60. Backwash Lines, P-Trap, 0 Undrgrnd. J
10. StructuralTFloor System 61. APPROVAL TO DECK
11. Property Sewer Line& House Conviction 62. Backwash & Receptor-Final
12. Sewer Cap ;u Ol :✓ 63. Heater & Vent-Final
•.1 r..t a.
13. Roof Drainso_; 0 64. Plumbing System - Final.
14. Rough Plumbing . 65. Electrical-Final •
n .
15. Rough Electricaall-Conduit 66.-Solar System-Final ,
- 16. Rough Iectric-Wiring67. Fencing & Access Approval
-17. Rough Wiring Sig` •- 68. APPROVED FOR PLASTERING
18. Rough ElectriWi-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. B.POUIREMENT
,.J (l 0* I tri- t^C;, z ti 'r Gt * 7 G' .u .• s E-+ tU0 n.1 MI XZ T rtv Cr
m '-+ 'z i .�.1n. 'G"] i' U :;J +J'a' . r , "J�r'' rn. * r tr p" x "J i-1 R7 7c rtl ;'
^7
20.,Rou�t'h Factory Fireplace I S^' C;a; * S ,._t h,*; * -tPPROVAL•S:�:FPermlt # - tinny,, r."-
21!-Ducts, ii Structuie - S
* •• •• • a S C tir a. 7 - f"'r" u * -
F-• m 51I * n H (..1*. * a70. ., ergromd yjro
'-t Vr •� �.z CJS r 5 <L* n .1 Cr S.: n1 it
22.SDucu, \.? -ratings* • ." n .1' O Q 0 F+* * .
23.
Product-P,iping O Gas Dial
23.•Gas-Piper RRoGgh & Test 14.m in * tr.: _C O:x *' :72. Underground Flosh'ia' x, t .1..... ::i"),
24.'Roof Fla in 12.-f, , E- E-. ••F. * > 0 C' . i S w •' .-1T a,•�.-,.... au-,-�Y--1
jTl 9 rt; x y .1/: * .•73yUndergrnd.StoragerT�ank•D Gas ❑Oil
25. Roocm yf Sheathing 14* •C v x I:,
J m ^t n 74POyerhead Hydro2r
26.4.01-BT Ceiling ISt.Lctural, &'McoatM1,_..,C:Y O W Cl m* *-- 755.•. ChemicJ i o ** H rj ;:;,:CI icnsrr-[ict•:•�ac
d
27.-Frameand Ftashiagr Sx 0 Y
r -- Cr >• =* t 76. Dry Standpi0e W4- * 1 a II`t I urx y .H C:
.. .� a.rr ,
,--, •' ' ?.wx :r•,-y . kt1 ill c..rr+ lm 1>.,-.�
'* C4 `7.�x xtT:tl* Z •• I••* * Q' -1'�'^I * :•,�¢ Smr,•r)-.c;`�z•¢
-28. 10tRing=& Siuing�# dx , O ;,r. 1 I 1 ti. * 77rlFIXEDSY$TEM%F1f�,AL* H n o'��ttt;Ot*7o".rt;ant
•- 1/4, ..4 • .- .�.• „ ,.
29. Insulation •• +, S ••h5::* � � + * 78EFIRE PREV. FINAL d: ' F O ''tan<Str'" 'i
, "-, , a c n c r c , w nu # s c „," r...-1 a to -7.-
P-30. Drywall Nailing Y. . car. o•C* FI *. S•,unu oHEwALTH-DEPT$FfFQUIRFMENTG,_ ,,it.
i-..•. r. ,dvro v. .r .. J �.,_,n.
C31. Plaster Brown,Coat* S I tri If, :x I -i ^+ 'i T'79. FINAL INSP..ECTION• * Qtr: ,-tn ' G.'J<
t. 'T `-t Y' f'1 11T.iK to * Tr T ^'...�nr..." F, TI+^.M yruci
d32:�lectrical Power Merter g.inali ratix I .'� * 80._FOOD CERTIFIiCATE IS UEDH �,h >yp7t•In
7:33-4inal Electric x to 1 <C It m Cr! .,Ti:; Notes:, --4::11 "ri *'- 0 eC- tri0 `±'
_ ,..- .. , , _,„ ,_,..„,,, 1: •s-*n 1-1 rn,"•-•1 ..
__
-c34r Final Heating& AiitConditidning5 C 'S'c1° a I •1relit •S 0X:4. * 5 OTIC: x0 E-,
c ;r r, J k i-1 fT1 i'•t`x �� 1 ., r' o a 1 Cr"G.� x '7 t+
.35., F •
inal Gas Pip-Tesa Cit •:e; * -.t 1 1':E* 4.-- / .. F• II !-+
D36.SHood or Canopy * ,t1 •t �n 4. _ * nip - i i* *JJ /�D> n e,
--37.-Final Factory Fireplace; i f:,i-• ..jFfix •�P j e *. 444c -. Y r pC Ciro rs
w , r v ter,•- •r _
38. Fined Plumb`ng x T''� "t' t_' I k: * S ' - "+i-1 *O., I 0
c .R C: 1
cacti* c r'*' *: T 1-11,-f) 0 OCC * 0 RI:010
, --,r t F.I. 6 , t--n, .. .', .n.a. v v r r-' ..
-`39. Water Service�Finale 4 , F+ x x- ,# * ;r o * O copra n
t_...... x re n m e. .tr.
:740. Gas'Service-Final * :'1 <C^IT £ri )4: rr0 I `a' * Ota (*co lcE-ox .
rt n • x C1 F.f-• -,1=r..:* ! * E-• • w S_ .z d;
,;41. Solar Domestic-Final rn of it n-11 R * r '7w c•t x M
42,BackflowPreventers JFti' I I M a: s, ^F• • *C7 .--1C r' C),-,r•. - +• it-f: , * it moo * c-• et'--I•-,
r.1 C. * C.SS 2t- Ei c .x ....t.-I...../ 4,.....1 -..
43. Backflow Irrigation,: •'- * 'I U ,- a' n • • • • • • • • •
`144. Landscape lirigatio'rn Systemi•c't': m‹ "' C a r* x r. cu o r.:0 '* ^7 . 000..,00voC J
Lr n * .-,Cn I-' Cr .;t.'a. `.a r, t-•.x i , r-I r LPL- U,4, T.
45-Sound Attenuation. -y •• •- 0 r'p T n1 Frit' * -, C'•-,C- < • HC Y
_ - - ., t� ..
C46.•Handicap Regulations FY �x %_ /r - * * ^ x ' : Co S/1 *'
ri. Y: .•xf 1 Y 3 .,. R7o 1. 0 *
�477IIrijo_ STRUCTURE & BUILDING, 1,'' { ' P x tiro» '
t rD r it:. .. .'r >r X F
48= If -fila,1 � gi' ,I A-, -7.,-__ to < is f. ...../'-‘oa
449 EIectric�Release to. Bison o� / . 1/- :4- * r 1-4; .rn ;,I.oro
c-50`GastRelease'to Southern California Gas Co t•- ' ' ,1 ;, 't% : H
,r, z , s-,.. :::i :7J n J. r, og,"LCJOo'ir.,JCJ:.
--51. CERTIFICATE OP OCCUPANCY t x " '" LO Cr r.. I.
No. Date
P• - -
ROJECT F�DRESS: - UNIT: • -
• OWNER'S NAME: - - - • '
ADDREss: PERMIT NO: G 046983 PLAN CHECK NO;, 03397-90 N PAGE: 2
***************************************iter**************************************
ARCH/ENGINEER: REG.NO.: • TYPE QTY DESCRIPTIO N • UNIT COST TOTAL COST
ADDRESS: UNIT: '
PLU 1' LAUNDRY TUB OR WASHER 2 .00 • 2. 00
PERMITTEE: - PLU 2 SHOWER 2 .00 4 . 00
ADDRESS: PLU 1 SINK, KITCHEN 2 .00 2 . 00
PLU 4 WASH BASIN 2 .00 8 . 00
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section PLU 3 WATER CLOSET (TOILET) 2 .00 . 6 . 00
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. PLU 1 WATER HEATER AND/OR VENT 2 .00 2 . 00
CITY LIC.: STATEUC.: CLASS: PLU 1 WATER SERVICE 2 .00 2 . 00
Date: Signature: PLU 5 GAS PIPING SYS 5+ OUTL—PER OUTLET . 50 2 . 50
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' PLU 1 GAS SERVICE 2 . 00 2 . 00
• mpensation insurance,or a certified copy thereof(Section 3800,Lab.C). - PLU 1 SEWER, BUILDING / TRAILER 5 . 00 5 . 00
JLICY NO.: EXP.DATE: END OF FEES
COMPANY:
❑ Certified copy is hereby furnished. 0 Certified copy is fled with the city Building Division. . '
1 .. - . . .
•
Date: Applicant: -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed D the permit is for one hundred($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 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,Cm.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: My 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 helshe is exempt therefrom and the basis tor the alleged exemption.My violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). '
I, as owner of the property or my employees with wages as their sole,compensation, will do the work, and the ' -
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). - .
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 or improves thereon '
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ,
that proof of their Worker's Compensation insurance should be provided to me. ,
❑ I am exempt under Section: B.&P.C. '
for this reason: '
Date: Owner:
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and • I ,
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 Duality Management District.Residential construction applications are exempt from
these provisions.
Date:• Applicant: '
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes.
I
Oate: Signature:
•
Driver's License or Social Security M: � -
1641-46 White—Buitdino;Green—Code Enforcement:Canarv—Applicant;Pink—Revenue:Goldenrod—Assessor -- '
•
1+ CONSTRUCTION AND PLANNIN., ..)OL & SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
•
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 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
n1 Y c-; t-.r.l'T1 n•r:11-v r^n.r..n,
20;&otigh Fact gal-is-4)12g 2OD;1 APPROVALS Permit #
21 Ducts,inn Structure 70. Underground Hydro
22 Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23t•'Gas Pipe-Rough & Test 72. Underground Flush ,
245-Roof FramitTgc^" -"J""DJ"" 73. Undergrnd.Storage Tank 0 Gas 0 Oil
A.
25. Roof Sheathing /.a9 � 74. Overhead Hydro
26T-Bar Cellin ($t?�e-'ut a�r'$f Aprj,�coat �!/ 7 75. Dry Chemical
27ccfra7ne and q3spy-ng_m- ri M 76. Dry Standpipe
t.
28. Laihing.& S ding��,15Cy"Pi ' 77. FIXED SYSTEM FINAL
29. Insulation E- Fi-.,0<tr,s -l0 78. FIRE PREV. FINAL
30. DrtwalrNailing ZJFMncoma HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat -<�co S 79. FINAL INSPECTION
32. Electrical Peter Met-Pnak) 80. FOOD CERTIFICATE ISSUED
33.-Final Electr R7l + r-.tr1 Notes:
34. Final He3tirg& Air Coa`diti5hingtC7
C") * rn C -"
35.-Fi al Gas Pipe-Test FS., yrt"r.
i
36*Ho*d or Canopy m tin
37SFinel Factory Fireplace N •
38. Fir%I Plumbing F
39'Wa 'er Service-Final to
1
40i-Gas:Service-Fina I
41 Solar Domestic-Final
42:SBaekf low Preventer
Yv
* t"-4
43. Backflow Ir-rigAlion. ,
44. Landscape IZrigati6n'S7temPOO
45. Sound Attenuation
46. Handicap Regulations
47C?FINALESTRUCTURE & BUILDING
48-FINALEP.LANNING
49. Ele'dtric Release to Edison
•
50:'Gas:Release to Southern•California Gas Co
,.: ."-...-."-,.-‘,--•e-.(.r,;e5,-.
51. CERTIFICATE OFOCCUPANCY
No. Date
PROJECTADORESS: 1793 NANTUCKET PL UNIT: 31 CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 046985
OWNER'S NAM#: KAUFMANN & BROAD
ADDRESS: 180 N. RIVERVIEW DR PERMIT NO: G 046983 PLAN CHECK NO: N GOVT: N SUPP: N
r , SUITE 300
ANAHEIM, CA 92808 CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE MEC PLU STR PURPOSE: NEW
ARCH/ENGINEER: MIKE WOODLEY REG.NO.: C15730 JOB DESCRIPTION : NEW SFD SQ FT: 2, 910
ADDRESS: 180 N. RIVERVIEW DR UNIT: 300
ANAHEIM CA 92808 CLAIM VALUE: 16, 417, 00n E. 172, 657. 70 GROUP OCC: R-3 /M-1
PERMITTEE: KAUFMANN & BROAD (714 )921-0500 ((III
ADDRESS: 180 N. RIVERVIEW DR 300 COMMENTS: PC#234-89A PD
ANAHEIM CA 92808 ************************** * * ********+E************************u***K*****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQUIR E M. E N T S
70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITYLIC,: 046894 STATE LIC.: 334495 CLASS: B-1
Date: Signature' MAIN BUILDING ACCESSORY BUILDING
FRNT; 18 FT IN REAR: 12 FT IN FRNT: FT IN REAR : FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' LEFT: 5 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN
Compensation Ipsyrapp%,or a,cp l eo copy thereof(Section 3800.Lab.61.3
/07/91
POLICY NO,: 9 1 0 1 V 7 t/ EXP.DATE: V ((��
coCeANrdTRANS, INSPLANNINGARKING RNOTES> SINGLEOV: 2 FAMILY RESIDENTIAL4WITHIATTACHEDPTTWO CARREF
GARAGEAANDO
❑ Certified copy is hereby furnished. LET Certified copy is filed with the city Building Division. > HALF OPEN PARKING SPACE_ ON STREET FOR GUEST
********************************************IF***************************,*******
Date: Applicant' DEVELOPMENT S E REV I C E• S• R E Q U I R E M E N •T S
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($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 . • - ' -
subjecttotheWorkers Compensation Laws of California. ZONING APPROVED BY DATE; '
Date: Signature: BUILDING APPROVED BY , 7,
NOTICE:If,after making this declaration,you should become subject 10 the Workers'Compensation provisions of the Labor - DATE:
•
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: - 1 .i, - DATE
which this permit is issued(Section 3097,Civ,Cl. .)F*'**,*.*.*'.**'*'*.*****'*********i'F**,*,*,**'*•'*,.********** ******************************* **
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E S U M. M A R Y STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC 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 895 . 00 41 50 82 99 32 75 12 . 09'
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5 t 5 0 t 2 5 t SMIP/ ON-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($500). ISSUE FEE 3 . 00 15 . -CHECK
5 00 15 . 00
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 1064 . 33 3 3 , 0 0 0, 00 10 9 7, 3 3 1097. 33 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees, provided that such improvements are not intended or offered for sale.If, however the building or REVENUE DIVISION TOTALS--> COLLECTED: 1097. 33 OVER/SHORT: .• 00
improvementiso
e of sale).
sold within one year of completion,the owner will have the burden of proving he/she did not built or improve
for the purpose
sBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 895 , 0 44 , 50 9] , 9 9 9 7, 7 5 12 , 09 ,
❑ and Professions Code: The Contractors'state License Law does not apply to an owner of property who builds or improves thereon *********************************************************************** ********
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
o I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Dale. Owner: SFR 2371 DWE-TYPE V-WOOD FRAME -GOOD 69 . 00 163, 599 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 76 RES-BALCONY, EXTERIOR STAIRWAY 13, 80 1 , 048 . 80
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 SFR 463 RES-GARAGES TYPE V
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from 2 Q 17. 30 8, 009 , 90
mese Provisions. ELE 371 NEW RES BLDG FOR 1 OR 2 UNITS/ S FT . 03 82 . 9q
MEC 1 INST FORC-AIR/GRAV FURN <= .100 K BTU 9 . 009 , 00
Date: Applicant MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 00 9 . 00
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 MEC 5 GAS PIPING SYS 5+ OUTLETS PER OUTLET 7 3 , '75
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned MEC 1 FACTORY FIREPLACE 6 . 50 6 . 50
property for inspection purposes. MEC 1 VENTILATION FAN CONN TO SINGLE DUCT 4 . 50 4 , 50
Date. Signature: PLU
2 BATHTUB 2 , 00 4 , 00
PLU 1 DISHWASHER 2, 00, 2 , 00
Driver's License or Social Security N:
164146 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING PO(. ` SPA
�. APPROVALS Permit# Date Inspector APPROVALS Permit # _ Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
a '
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 UFER-Grnd. '• 57. APPROVAL TO COVER-GUNITE
7.-Footings--' i - 58. Electrical Conduit-Undrgrnd.
T •
8.1Fou4.ndation - 59. Gas Pipe, 0 Undrgrnd.,Test -
9..Water Pipe;Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural:Floor System 61. APPROVAL TO DECK
11. Property Sevier Line.& House Connection 62. Backwash & Receptor-Final
12. Sewer Cap i 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
- I
20?Rough Factory Fireplace • '-:ni _ - • 'APPROVA'LS.1 Permit# T Ir t
'> s 'S ' A . I<tr 1,;• . S ' Q . ,s. _ _ -. . r'. �•: . .:
21'.. in Structure,. I •• I 7S' _ _ :70. Undergrou d Hydro •
•
• 22. Ducts, Ventilatirig7' r _ r' •,":' y-- " r71_ Produc?Piping D'Gas ❑'Oil
•23 Gas-PipetRough & Test ;;h;' r `- ; '72. Underground Flush r ' - •.
24..t Roof Framing - .r‘ u �73LUndergrnd:Storage.Tank.OGas 0OilL - ' ' ` '
25. Roof Sheathing ra`c, y • _ 74::Overhead Hydro- c x
26.•..T-Bar Ceiling (Structural) &-Monocoat ,'• = r - 75?Dry Chemical - - - 1. ;, -
27;3'Frame and Flashing ` 1, .;;� 1 u. 76: ,Dr "o - r •- � ,s.
-•u:.;, .T ?' til-. y Standpipe I I -
-:28. Lathing,& Siding. ' r > >; •' ^a ' 777 FIXEDSYSTEM'FINA�, >^ I. r.- _ IC
C:". . .
' 29. Insulation _ " '• •••- -. a. ,` 78:.FIRE PREY. FINAL a > S• - , ,.� -
-30. Drywall Neill • - i ( :• - •HEALTHIDEPT: REQUIREMENT _ - =•
'�ppffd�� '' - I n• f n c
-'31. Plaster Brow�yy�yLCoati �. : to'r, ! I F 79. FINAL INSPECTION. . , `,
32.:Electrical P'Cir�Metec-Final I. - r."= !i I I . 0.• FOOD CERTIFICATE ISSUED " .,,, "
`t LL .
33:ZFinal Elec L'�- - I I " '• - r•' 7
r
�O Notes
v34-Final He n r& Air Conditioning; i .31100 ego., i , , .x
�J .. .. .. L hxr N 1r. .a:
N.
T km
.e .< c 4 y: -
.G ,.
•
• Bra FORM 116 CALIFORNIA SEA BREEZE RELEASE IIZA
1 i
'�
BIA FORM 1.186 I '
INSULATION CERTIFICATION
This is to certify that, in conformance with the current energy regulations (California Adminis- • •
, '
i trative Code, Title 25, State of California') and approved plans, insulation has been installed in •
the building located at: . ' )'
Costa Mesa .orange
r7�� rl'aMg7 R4 �-J 31 13224 — I iv
��.
'I city
`�K.a
No (It Anibllal shoat Ls NumAw tends
Trod rah I 1'
t\?1
N ; DESCRIPTION OF INSTALLATION
fi
ROOFS"•\ Type of MaterialManufacturer Thickness R Value1OvensCorningd iEXTERIOR WALLS in •!
!l,\ IType of MaterialFiberglasBattsManufacturerFiberglasThickness 3� R Value" 1 ?f
1 (Or
Tracts Naval
(� I CEILINGS - n �'
sans. Owens.Corning 9�T 30 .
)C
Type of Material Fiberglas Batts Manufacturer Fiberglas Thckness 6 R Value" �9 s
r (Or Trade Nana) -_-
%` Sq. Ft Covered —' ,,,
BLOWN: ---- - `. .
Type of Material Manufacturer Thickrees No,Bags__ l
''.\ I (Or Toch Name) ---- - - 1V71
Wt/Bag Sq. Ft. Covered R Value" -
j
• i FLOORS _____ /%<.
K i Type of Material _ Manufacturer_. — ' Thickness___R Value"__ :. ,.
(OTad. rte) --- Vi :)
SLAB ON GRADE ._ ._ ____
iii • Type of Material Manufacturer - -Thickness R Value"_ • .
I' ) (M Tna maw) -
\ I Width of Insulation Inches ,,�
FOUNDATION WALLS (If required)
I ' ))
' Type of Material Manufacturer Thickness Value"______Value" '
(Or Tnd. N.m.)
REMARKS (N desired)_—. — _ j ,,.c
• 1 \--...:
General Contractor (Builder) KAUFMAN & BROAD license Number 1 /7
u / ' \ll
c By Title Date -
;/y Sub-Contractor (Insulation Applicator) Accent Insulation Company license Number 274283 1
.. -1 Il.abhan, risen @.1 (Sher "Wit' N . a Catral tndvr) ll-
By
�e!���� Tr _ Date October 5, 1990
•I 1'Caiilrnla Ad. .;.l..•;.a Cad., hen, Inwlv�rl SOMard., dwiwn: EXCERPT Free S... 1067S e( S. IWA .M S..e.r Cale a/ rhe Sher I .1'
i "C...pl:ere. U... ....oldie. .. ti InalOnio• .4 i...:aien, • COS r Calitrnie: 1
/ rOl.{ry AU 'a. :n.Na+w he. Men 1..F11N in llrwanu eiT S. I
flewof saeq.latiw. Jell M concaved ..d eu<r.a b. -Me lrilftee .0 Ott-II eanq r ,i..1 grliKuliw Aet a newly ..e. 11
Ph. i .ele^w eaol;ari, W lay A. builder. Tb. In:dniw o.r:r.a n..u.d heel, as.i, .wnront hrs., hero er raw rm.:denial !
b ea'd OHO be awed at a ow.aitr.es leoere e:A:• the desk...'') hrlint I, handebl. .ball he :Hued by :Ado a M:1 . departnwl
owlets A. .tnmun at last switch.. Aa ..n• .e .1.'01 ino l ekeI _
1• t rale. •, the e.r .s r Igoe roisters r . sorrel r bold:q s4•44. aHabl;.hM s...eat a Alt<bwler.
1,
nwbrid '.
a Ae p....'•r beet.The .Iowa..l.. ra
III relype
\ Iw.
.hell sr Ind.d. or rise t, .ifrr.e Sd.r.) •
form 116 —m BUILDING NEWS, INC. 3055 Overland An.. Los Angeles. Calif. anrl3a 1213)8)0.9871
I
\ Form 14862 BUILDING INDUSTRY ASSOCIATION OF UtIfTer 1A, INC., 1571 Beverly 814., Los Angeles, Calif. 90025--1213)525-5771
�e/,'a�'�7
1-14.9) ( 1
IWA ENGINEERS tAMAC�4 �3 •
I
PT. 17390t in Valley,
Street.Suite 100 '
Fountain Valley,California 92708
(714)968-1221 •FAX(714)968-9286
October 29 , 1990 J.N. 207-03
City of Costa Mesa
Building Department
77 Fair Drive
Costa Mesa, Ca. 92628
Attn: Mr. Victor Clift
Subject: Fine Grade Certificate
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.
,3A1/4124-L-gida-21.1
Llewellyn D. Incledon RCE 17593
1
�..
Tract 13224 Costa Mesa KAUFMAN AND BROAD July 13, 1990 Release for constructs
Job Supt. Martin Ward
Job Phone: 714-631-8284
•
•
Subdivision: CALIFORNIA SEABREEZE
CONSTRUCTION RELEASE: # 3A
U
SEQUENCE LOT 0 1 "-"'�� PLAN/ELEVATION ADDRESS COLOR
1 741: —1 k ij
2CR 1821 Nantucket Place 1
• 2 25 c * _• 'MEI 3AR 1817 Nantucket Place 2
3 26�'=1_t_ I--- 11R 1813 Nantucket Place 3
4 27C' 1-1i-1-(e:7 2AR_ 1809 Nantucket•Place 4
5 28- "L(:Gpi. 3C 1805 Nantucket Place 5
6 Z9C.• -tL-4`44-O 3BR 1801 Nantucket Place 3
•
7 3D r' :(-41,.C-1:. _ 2AR 1797 Nantucket Place 6
8 11G4littr 1RR 1793 Nantucket Place 7
9 32�- 1;_�t 3AR 1789 Nantucket Place 8
10 33';',hke: 7A_ 1793 Capetown Circle 5
11 147^4 i%4; 3C_ 1789 Capetown Circle 6
12 35'_`l IC'1 Its 2B 1785 Capetown Circle 2
13 88/ �1_ ,--_� 2AR 1072 Clipper Court 6
14 H9-t?..h4 2C 1068 Clipper Court 7
15 gQ'j%iIzli4'C' _ 2BR 1064 Clipper Court 8
161� (� ',/i.':.%-_ .3A 1804 Nantucket Place 1
17 92_-""'�(<4:i41-7 2C 1800 Nantucket Place 2
I874.'4is"1(.0 1BR 1805 Capetown Circle 2
19 Z5 ..-7-4}17._.,6 3B 1809 Capetown Circle 1
20 16;;'_'•^1=t_ __ 1AR 1813 Capetown Circle 8
21 77 r if ^i '', 3AR -1817 Capetown Circle 7
22 6f-c:i(CC1 + 3BR 1820 Capetown Circle 6
2363--f.*(.j 2A _ 1816 Capetown Circle 5
Total Lots: 23
"R"IS REVERSED FROM HOUSE PLANS.
RE-CAP IS FOR CONVENIENCE PURPOSES ONLY & IS NOT TO BE USED AS ACTUAL QUANTITY.
Recap for 23 lots.
IA 1 2A 5 3A 4
18 1 2B 2 3B 5
2C 3 3C 2
2 10 11