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Home My WebLink About1797 NANTUCKET PL - Building PermitsbJMT,4D0RESS: , 1797 NANTUCKET PL UNIT: 30 OWNER'S NAAE: KAUFMANN & BROAD ADDRESS; 180 N. RIVERVIEW DR ' -SUITE__300_---=-- ^------ - -- — ANAHEIM, CA 92808 ARCH/ENGINEER: MIKE WOODLEY REG.NO.: C15730 ADDRESS: 180 N. RIVERVIEW DR UNIT: 300 ANAHEIM CA:92808 PERMITTEE: KAUFMANN & BROAD ( 714) 921-0500 ADDRESS: 180 N. RIVERVIEW DR 300 ANAHEIM I CA 92808 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (comm ing with Section 7000) of Division 3 of the Business and Professions Code, a yl1 enc sA'Isi full force and effect. CITY LIC.: 046894pp STATE LIC.: 33449 cuss:B-1 Date: —/n Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a ce ate of consent to seK-insure ora nificate of Workers' mpensation Insurance, or a certified copy thereof (Section 3800, Lab. C). aucY NO.: 4189-1090 EXP. DATE: 03/07/91 COMPANY: TRANS, INS. ❑ Certified copy is hereby furnished. Cerci tl copy is file�rh.W�yfti Division. Date: Li -17- Date: ''. ApplicanV: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: ; Miss o6 need not be completed if the permit is tor one hundred ($100) or less). I certify that in the performance of the work for which this permit ued, I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California.. r Date: Signature: - NOTICE: If, after making this declarall 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 amim that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). y - 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 permg 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 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 am levees 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 don 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). 1 am aware that proof of their Worker's Compensation Insurance should be provided to me. ❑ I am exempt under Section: B. S P. C. for this reason: CITY,OF COSTA MESA- BUILDING PERMIT PERM NO; G' 046984 PERMIT NO: G 046984 PLAN CHECK NO: N GOVT: N SUPP: N, CONSTRUCTION TYPE: V -N -- -PERM IT-TYPE:-ESE-MEC--PLU-STR— --PURPOSE"- JOB -PURPOSE:JOB DESCRIPTION NEW'SFD SQ FT: 2';537 CLAIM VALUE: 144,063,00 CALL -VALUE: 146,817,3.0 ROUP OCC: R-3 /M-1 COMMENTS: PC#239-89A PD y **if if if9FlHitBE�+r*TrarSH��E��E�t�r*�reE�rit�H�r�*�r+rTtd6*x�r��EiE�*�E�r�r�r�r��k�r�Ex:6�H�r�r.N-ire*��r�•�rSE�E*rt�E**x•�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 ---------- -- - ACCESSORY BUILDING --------- FRNT: 5 FT IN REAR: 25 FT IN NT: FT IN REAR; FT IN LEFT: 5 FT IN RGHT; 5 FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• 2 PROV: 2 -PARCEL: 42433101 ZNE: PDRM AEF NO: PA8840 PLANNING NOTES> SINGLE FAMILY RESIDENCE WITH ATTACHED TWO CAE�C�RAGFrAML REQU� > HALF OPEN PARKING SPACE ON STREET FOR GUEST. �HHOORRJJPP��11AA 1E 4t'ik**Be 1F Beie BE if Bf BF*4lf iE iflf iF if iE 9f**if it it**3t Bt.*it 9F Bl BririEBr Br*iE*.*B$iE 4E if iF4E 9F 9t Bt*ir**iE FE BElflt 96 iE*BtiE *'Bt•BF 9E BE*BF BF it at 4t ,. D E V E' L O P M: E;.,N T. S, E,,R.,V "I C /3- �- R E Q U I. R E M E4,,T S T ZONING APPROVED BY ` sr 5: `��- DATE: 6671, gO BUILDING APPROVED BY> : icyL DATE: Ll c.APPLICATION ISSUED BDATE; 9Fkif 9t Rt 9t 9t 9F 9k 9F 9F 9F9t 9F iFiEiE 9F iF iF 9E iF it BF*BF iE ib iE FEie 9F iE **iE*ik 9f iE**IE if ik ik iE 9f iElF BF iE 4E Ff BF�if BE*iE 3E BE lE if iE iFikif k -f Eif tiE iE iE BE**ik iL iEik iE iE iF BE BE*BE 1E 8F 9E*iE 9F iE*iE*Bt i$9t 9E 4E ik 9F 961E LEGALIZATION:N F E E:? SWeZ U M A.R'Y STRUCTURAL SEGMENT:Y BLDG PMT LUMBING ELECTRMECHANIC FIRE SMIP/AES GRADING PERMIT 804.00 39.50 69. 32;75 10.28 254 5 258 SMIP/NON-RES PLAN a. .ISSUE FEE 3.00 15.00 15'00 BUILDING -DIV-> PERM T ISSUE PLAN -CHECK TOTALS ---- > 956. 9 33.00' Or00 TOTAL PAZD 989 989.39 ,39 DUE •00 REVENUE DIVISION TOTALS--> COLLECTED`?: `989,39 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 804.00 42.50 84.86 -47,75: 10.28 1 I hereby certify that I have read this application and State hE'aDdYl 4 formation is correct. I agree to comply with I city and county MEC 5 ordinances and state laws relating to building constmcti and herebyauthorl, representatives of this city to enteruo above-mentioned MEC *M1k 9f•k1f*�f dF 3f 9F 4f Bf 9e*9t 9E**Bl Btie*kBF BE ik iF it ih BF ilii iE iE iF iE BF*iEiEiE*lEiEiE it BEk***kit ikit if it*itBelF BE BE BE Be Blot ikitit9E iE i6it iE*il it MEC I N D I V I 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 O N UNIT COST TOTAL COST Date: Owner: SFR 1996 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 25534 and that I or any future building occupant Wiltwll not (circle one) need to comply with said state codes and the requirements for a SFR 9 6 5 permit for construction or modification from the Air Ouality Management District. Residential construction applications are exempt from ELE 1996 these provisions. MEC 1 Date: Applicant: _ MEC 1 I hereby certify that I have read this application and State hE'aDdYl 4 formation is correct. I agree to comply with I city and county MEC 5 ordinances and state laws relating to building constmcti and herebyauthorl, representatives of this city to enteruo above-mentioned MEC '1 property for inspection purposes. MEC 1 Date: (� Signature: u .� PLU 1 Driver's License or Social Security tl: 164146 White—Building; Green—Coda Enforcement: Canary-Applicanl; Pink—Revenue: Goldenrod—Annear DWE-TYPE V -WOOD FRAME -GOOD RES -BALCONY, EXTERIOR STAIRWAY RES -GARAGES TYPE V NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT INST FORC-AIR/GRAV FURN <= 100 'K BTU REFRIGERATION SYSTEM <=,100 K BTU/H GAS PIPING SYS S+,OUTLETS PER OUTLET FACTORY FIREPLACE VENTILATION FAN CONN TO SINGLE'DUCT BATHTUB DISHWASHER 69,00 137,724,00 13.80 1,048.80 17.30 8,044,50 .03 69.86 9.00 9.00 .75 3,75 6,50 6,50 4.50 4.50 2,00 4.00 2.00 2.00 01 00058727-00058731 TOT 989.339 DATE: 04/17/90 TIME: 11:26 CONSTRUCTION AND PLANNI N� - - JOL & SPA +• APPROVALS Permit # • Date Inspector p,ppROVALS Permit # Date Inspector 1. Temporary' Electrical Service or Pole,:., 52. Pool & Equipment Location • 2-„�Soil,Pipe,,Undrgrnd.. �� _S Qjj (�� 53. Steel Reinforcement - _�•3.cElecfricaCCoKduit'•l7tility-Undrgrnd-+ 54. Forms ElectncaLCort-uiYUndrgrnd. 55. Electrical Bonding t4. �,S .. s. v a<-�� Steel -Reinforcement x rr r 7•�7 ?O �cwrAA 56. Rough Plumbing & Pressure Test n� "6:,pectrical:UFER'.Grnd. 0t (1f' 57. APPROVAL TO COVER-GUNITE ' 7. X 7y�Footings m r. 67 ry �-_ � (pWb% 58. Electrical Conduit-Undrgrnd. �,• =' $:;Fou�r-"idatioti J> 59. Gas Pipe, 0 Undrgrnd., Test 'A y 9.,:Water Pip;Undrgs:nd. - 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural%loor System 61. APPROVAL TO DECK 11. Property Sevyer Line& House Connection 1b W 62. Backwash & Receptor -Final 12. Sewer Cap o, cv 63. Heater & Vent -Final 13. Roof Drains j 64.umbing System - Final -PID- 14. Rough Plumbing J Lw 65. Electrical -Final 15. Rough Etectri al -Conduit .' 66. Solar System -Final 16. Rough Electric` -Wiring' 4,. AW Fencing & Access Approval C-•17. Rough Wiring 5,RS 68. APPROVED FOR PLASTERING U rJ J 18. Rough Electrical -T Bar Ceiling- 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air ConditioningZjJ FIF.j�_D�PT. REQUIREMENT P ;r c. o n nx i r. rntp _.* * -; i x ,,m (�(Q,, -APPROVALS; it# :; a;gS2, T'•7mmmt .St -r u^ 20 Factor R'tr" lace 1 �m �� 9 Y 1 ( .'::�Rou�h _,gP SD' ,-� _ * ^ ti 1Pedm h1C:nn 1�i1C 21 :-Ducts, ii7Structu e* 7 -1' 4: ^_I % l-1Fdergr, d�Hyy�ro z rn ti w: i ;,. �; i� H t'tw •y X70. 22.SOugts, Ventttati ng;* 1 [� g; n K :-; I -,F * X71. Productifiping 0Gas OjOil 23.. Gas -Pipe --Rough & Test i v J mS * m a' a; O* * 72. Underground FlulsfAc.1 ' F'-' '•� C` ' 'l v: f 'r'c.• ••N 24. Roof Flaming t:> C a * * 5 rL � r,T f.., �h r Storage Tank nOil v2 i�•,nu••-c , * ;� x .,73.yUndergrnB. bGas 25. Roof Sheathing u'k < v •' x 74F.O'verhead Hydro'•) x r '�i 26:,T -62r Ceiling (Styctural)v &=ivl�nocoatH 75fDry ChemicalM. •.4; O > gip; 27c:Frarneand Flashing. fix^, !J[ �G -I� x: 76� Dr J F -,mu A:-i� (NY Dry i .-� Fc; F ,�-+ 5x .,.n .. w y* X28. Latging=& S@inF 4: s '1<x C7[ k g ..� p n H4 77:y FIXED SI;$TEfyFjFjIF�ALe v-1 z rv0 Z;'7Z)4 7 7cCF+ C .'t: .,1 ti.p: W. t.-� n ,vO.T,t-•--<r,2'n; X29. Insulation ~• * J S ✓•4: r * 78FIRE PREV. FIN *> F �: m30. Drywall Nailfin g * •-i 1 a` �' ~ •'� 'HEALTHrDEPf'htQdIRF,M�'IV7�' *. H I n; r; , * r, I _ iy x SrvN o.uw .,.- 031. Plaster Brown Coate S i [r tT' rs,ys l 11 �x * .- 9. FINAL INSv �4P `"32alectrical Power M ter- inali F 0i�1FOOD CERTIFICATE IS�jS IlED r' ¢ [oc r '33.<_pinalElectrtc, 1 •tev �'7 'ctrl x"; d�-+ s * !Tl CrJ[f�_ * O !+m0 arn ns•-, r Fi al Heatinl& Ar};Conditidhg q>E;� MAC i 35 %•Final Gas Pi e -Test. 36. Hood or Canopy *fit, ��„� �r-y'••*n I i1,*' <• I ..._ ,. .., eea, . ., ., ,.. ,,.,. s �37 Fin�a! Factory Fireplace; ; F w EI , N ,vim H38. Firia'f Plumbf ng :J 1 `"E"•'� 4 GjA 1 �j�,� �A, `" * r� !� ®� tC/� c Y, m i OHt,� .4v is t.' f-,� !Y ✓•^•. R (.li (PG%, �^i:�; 39. Water Service -Final," � i ,1 �� # N �. y �; � p 5 jy 1 40. Gaf'Service-Final * t*' Oro n, S:rl[t A: [+7_.:[J A: -_,41. Solar Domes` "tic -Final ,� ••c.,; 1-g I I * -yy ^�•-i .y 7• • 42. -Backflow Preventers CU t70 ~~�-^ r. *nn:--�.i � ,lxrr ax m .7tC-a x � �'•.� 43. Backflow Ir:?•�-,.:.✓ ngation.; -� .:� t>; -u.0 ..+. ._.. +'ti .t i (; •_•_•_• •. t"44. Landscape lFrrigatidn System='mr �'^��'�' I'- O U CJI' * OJ W ^, :9 C) Y: N OC 04,O0'UOOOo `45.�Sound Attenuation y .... C46. -Handicap Regulations r f� r�47'fIN,AL STRUCTUE &BUILDING",. ,h X ��qB/•�* AJ t t„ .t: ^, 48' - 7 < A F, h49.,Electric'Releaseto:Edison _ _ l_ •n ;: �a.ar ^ Y' • -'�'' • - �-505GasSRelease to Southern California Gas Co l r"' `tet"' * '" ''i o �l ' C; 'T'' ' �'k T, X Cc .k * S r7� �: [u �a�J x,OO, Nr•,l �J �51. CERTIFICATEOF`OCCUPANCY No. Date tom. v PRR1107 ADDRESS OWNER'S NAME: r ADDRESS: I ARCIVENGINEER: AODflESS: PERMITTEE: ADDRESS: UNIT: REG.NO.: UNIT: 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 my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: 1 hereby affirm that I have a certificate of consent to sell -insure or a certificate of Workers' mpensation Insurance, or a certified copy thereof (Section 3800, Lab. Q. - JLICY Ill EXP. DATE: COMPANY: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This senior need not be completed if the permit is for one baked ($100) or hss). I certify that in the performance of the work for which INS permit is issued, I shall not employ any person in any manner 50 as to become subject to the Workers' Compensation Laws of California. Date: Signature: NOTICE: If, after melding 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 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 Contactors' State License Law (Chapter 9 (commencing will Section 70100) of Division 3 01 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 any applicant for a permit subjects the applicant to a civil penalty 01 not more than five hundred dollars (5500). 1, as owner of the property.or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (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 E:1 and Professions Code: The Contractors' Sate 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. - ❑ 1 am exempt under Section: B. 8 P. C. for this reason: Date: Owner: I do hereby certify that 1 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 wilUwill not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from theAirI Quahly Management District. Residential construction applications are exempt from these provisions. Dale: Applicant: 1 hereby certify that 1 have read this applicationand state that the above information is correct. I agree to comply with all city and county oNinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. r Date: Signature; Driver's License Or Social Security M: 1641-46 White—Buildup: Green—Code Enforcement: Canarv—ADpgcank Pink—Revenue; Goldenrod—Assessor PERMIT NO: G 046984 PLAN CHECK NO: 03395-90 N PAGE: 2 ie**lf MiE iF 1k♦E***4*k*i!le 1F BFMleie ie******klf if le 3f le ie iF Be BEk aelF BE le 1t*iE**!e**kif eF le*Mae 3f foie*iE*ie**ee iE iE eE eEM***ie 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 1 SHOWER 2.00 2.00 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 r.. I END OF FEES 0 CONSTRUCTION AND PLANNl1v. r APPROVALS Permit # Date Inspector .JOL & SPA APPROVALS Permit # Date Inspector f. 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, 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 Heatir'•rng"r& rnrn MAir Condit-tioningrn rr Y F. .rT l'n l'^ FIRE DEPT. REQUIREMENT APPROVALS Permit# t20,`';Ro�gh€Act0EJF P9c_-,DJD 21 i-Oucts, in Structure 70. Underground Hydro 22 Putts, Ventilating 71. Product Piping 0 Gas ❑Oil 23.VGascPip¢ Rough & Test 72. Underground Flush 24rRojf Framing"-"+'"-""`"'t""'r 73. Undergrnd. Storage Tank OGas OOil 25. Roof Sheathing 74. Overhead Hydro r 26. oT-B r Ceilin ijfHQura�Fpnocoat 75. Dry Chemical r to e+t+n:uw 27 xFrafne atrnd _-�7@gC R; ^7 C4 R7 76. Dry Standpipe 28. La*hing & Sidi-ng- WnxN��T 77. FIXED SYSTEM FINAL 29. Insulation i- Hi-+O�S_.r�+D 78. FIRE PREV. FINAL 30. DrNall-NaiRg,T~triMIn CJ HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat .-.¢mco S_ 79. FINAL INSPECTION 32ElePrical Pozer Metna. 80. FOOD CERTIFICATE ISSUED n 33.�Final ELectrtz mtr + F^trt Notes: 34. Finli1 Heating.& Air Com iti@i ingjCd 35, incl Gas Pipe-Test y MtVr' 36;tzHood or Canopy o h" x m m 37 ^f inryl Factory Fireplace to 38.r Firttl Plumbing ILI 39`Wger Service-Final M 40 ^.G a sr Se r v i ce- F l n a l r r 41 aSolo"r Domestic-Final 42m8aakflow Preventer V " tNN v1N 43. Bac�Cf low Irriga•xsi i"o tion . J 44. Landscepe Ilratio�=Systefi�� Y L 45. So 4nd Attenuation 46. Handicap Regulations 47 7 INAL�STRUCTURE & BUILDING 48r=FINALiPLANNING 49. Electric Release to Edison x 50_•Gas:Release to Southern California Gas Co 51. CERTIFICATErOF'OCCUPANCY No. Date s, !._ • R.. f: 4 1 R g r,. -� n :T...'. 7s .- S "- ie .!. -f 1 (Or TM• Kw* - CEILINGS — Owens 9111 30 BN FORM I t6 CALIFORNIA SEA BREEZE RELE:;SE BIA FORM 1486 INSULATION CERTIFKATION This is to certify that, in conformance with the current energy regulations Kolifornia Adminis- trative Code, Title 25, State of California') and approved plans, insulation has been installed in the building located at: Costa Mesa str No. (11 I.bi,F I se ROOFS Type of Orange c.(.v, 30 13224 W Hu w Tn,t No. DESCRIPTION OF INSTALLATION _ Manufacturer Thickness_ R Value** EXTERIOR WALLS Type of Material riberglas Owens-Corning Batts Manufacturer Fiberglas Thickness 31 Value" 111 (Or TM• Kw* - CEILINGS — Owens 9111 30 — — -Type of Material Fiberglas Batts Manufacturer Fiberglas Thickness 6 11 R Value" 19 10, Tad. R. ) -' Sq. Ft Covered BLOWN: — - - - - -Type o1 Material - - - -- Manufacturer Thickness No. Bags_ (Or Tads N.m•) WL/Bag_ Sq. Ft Covered R VMue"— FLOORS Type of SLAB ON GRADE Manufacturer = Thickness" R Value" IN Tad. Nm.) Type of Materia) - Manufacturer Thickness- - - R Value". (or Tad. Rel.) Width of Insulation --Inches FOUNDATION WALLS (if required] Type of Material - _ Manufacturer Thickness— R Value" (0, Tad. N.ae) REMARKS (If desired)__ General Contractor (Builder) KAUFMAN & BROAD License Number By Title Date Sub-Contractm (Insulation Applicator) Accent Insulation Company License Number 274283 (1e•.I.Er. Y..vny {tc.) /�- �/ (abs •'s"E•• A N n Qr LAOrMdAd I•Cvlil.r+:e Ad.;.I~;.• C.d.. enq. Iiud•dr Saeduu(d,• d.(1•a,: •'C..v�imo. U..+ (MrbYr .1 M inrall.fir N i ..hien. • cera T•hiY M.1 .Ir. ;n,J enM .M Www i+,b11N 5-I mNITpK. .;I. lir) rr+; cnn d Mwc d r•.ul, bJ•11 V (• M, M• .n d•eM •rsi�rl! Ma !, M• bias. n:. !ad•r;r me�Nla.o uq Mau M ....rd ., • (.Illri(Yw, I•vaXw .IMI. Ile• dcNllra."I 1". Yel.. ;. n• . • N Mc 1.(1.rew N • MMiel r Wildiq ca y M. NnNcrN 4.(. TAc rwi,MO vl.. Ie) N ouhN L,.le(M. rM1ell •N l.ticN r, wlw M aN•Wn ady.f October 5, 1990 FaCearr I.r, S•c. Ie03 N Nr IM•IA ••d SN.h CN• N IF• Sal• N Cdil.rnla: 'X (Ylln(ea N KNNnl1 < P:IW gliawliM IrNI . 1(A, <M Mw((ed M N.eil.bl. awn.Ml, iww. ...y NN.r n.ie.Tal dwll:e. h e..el• dNl b ,.J . b;ui.. ecol,nM1 rrrdeA, •raN:MN rw,rr. a MI, MWM,•�n;w Form 116 —c BUILDING NM. INC. 3055 Cwdmd Ave, Los Angeles. Calif. 90036—(213) 8749871 Form 1485--5 BUILDING INDUSTRY ASSOCIATION Of CALIFORNIA, INC., 1571 Beve!!y Blvd., Las Mge4s, Calif. 9=s-42131625-5771 ft IWA ENGINEERS 17390 Brookhurst Sheet, Sulte 100 Fountain Volley, California 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 a M7 l�rnv J.N. 207-03 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. Llewellyn D. Incledon RCE 17593