HomeMy WebLinkAbout1804 NANTUCKET PL - Building Permits PROJECT ADDRESS: 1804 NANTUCKET PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 052940
OWNER'S NAME: KAUFMAN & BROAD SOUTHERN
ADDRESS: CALIFORNIA INC PERMIT NO: B 052940 PLAN CHECK NO: 02609-91 S GOVT: N SUPP: N
5500 E SANTA ANA CYN RD
ANAHEIM CA 92807 CONSTRUCTION TYPE; PERMIT TYPE; STR PURPOSE: ADD
548-1695
' ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : 349SF OPEN TRELLIS PATIO COVER SQ FT: 349
ADDRESS: UNIT:
CLAIM VALUE: 5, 000 . 00 CALC—VALUE: 4, 816. 20 GROUP OCC: R-3 /
• PERMITTEE: PMF CONSTRUCTION ( 714 ) 974-9938
ADDRESS: 2541 ASHWOOD COMMENTS; X
ORANGE CA 92665 **yr*****+E**********+ ***+Ex*******+ **********+6*****iF******TE*TE******* ***>E*****aE**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under p.'ions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3;he Business and Professi Code .nd my license is in lull f.ce and effect. SETBACKS
CITY LIC.: 052 STATE LLL.: 116O5CLASS:(yiBDate' 7� II CC I Signalur� ... `/ MAIN BUILDING ACCESSORY BUILDING
WORKERS'CO PENSATI N DECLARATION: I hereby affirmth. I have acertilica:.l co eel to sell-insure or a certificate of Workers' FRNT; 80 FT IN REAR; 15 FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Section 3131 I.Lab.C). LEFT: 17 FT IN RGHT: 15 FT IN LEFT; FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
OC Lot
PARKING REQ: PROV: PARCEL: 42452140 ZNE• PDR— REF NO-
/ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING N TES> PROPOSED 349 SQ• FT• PATIO COVER ATTACHED TO THE REAR OF THE
> RESIDENCE•
r Dale: Applicant: ********************************************************************'* *********
EXEMPTION FROM WORKERS'COMPENSATION bECLA'•TION: ris section need not be co ),eted if the permit is for one hundred(5100)or less). DEVELOPMENT SERVICES REQUIR E M E 'N• 'T S
I certify that in the performance of the work for w h this permit issued. : all not e r.y any person in any manner so as to become ,�/
subject to the Workers'Compensation Laws o alifornia. / ZONING APPROVED BY t1 t� DATE: - 711 8 I
Date: '7 I( 4 ( Signa — AGS —at�
NOTICE'.If, k after raking this declarationk you should beco e subjec o the Workers r mpensation prrrvisions of the Labor BUILDING APPROVED BY : DATE;
Code.you must forthwith comply with Such provisions or I s permit - be deemed rr .ked. C
•
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction _ :.envy for the performance of the work for APPLICATION ISSUED BY; DATE: " 7 (6 r (
which this permit is issued(Section 3097,Civ.Cl. ********************************************** *4******************** ***Tt(twit*
LENDER: *******************************************************************if***********
ADDRESS: LEGALIZATION:N F E E SUMMARY 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 PERMIT7 2 . 00 . 50
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RES
pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Prolessions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 46 . 80
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(55%). ISSUE FEE
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 foe sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 72 . 50 0 . 00 46. 80 1 19 . 3 0 119 . 30 . 00
does not apply to an owner of a propeny 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: 119. 30 OVER/SHORT: . 00
mnhepurpose ofsale). 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 72 . 00 . 50 46 . 80
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. INDIVIDUAL F E E BREAKDOWN
, 0 I am exempt under Section: B.&P.C.
lot this reason: TYPE QTY DESCRIPTIO N • UNIT COST TOTAL COST
Dale; Owner: SFR 349 RES—PATIO COVER—POST & TRELLIS 13 . 80 4 , 816 . 20
I do hereby certify That I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
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 the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Ap i ant:
I hereby certify that I have read this applicatio nd fate that .e above information i correct.I agree to comply with all city and .unty
ordinances and state laws relating to bmlding¢ strucuon and her.y oath.. ' 'prose alives of this city to enter upon the above-m- boned
property for inspection urposes. i. CR
( PP/ i / 01 e0CC :81-^:7&?24Ls To'r'"
Dale: (�I'"• ' Sir : . e _J \ LATE: 07(19/9a Illi: 11:21 •_
driver's License or Social Security a:
Canary—Applicant: - --avenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING ID POOgPA '
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. II 53. Steel Reinforcement
3. Electrical Conduit Utilityr&drgrnd. 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 i 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
20. Rough Factory Fireplace • APPRQVALS Permit# '
21, Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating ' 71. Product Piping 0 Gas 0 Oil
23..Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing '•73. Undergrnd.Storage.Tank 0 Gas 0 Oil
25. Roof Sheathing - ' . 74, Overhead Hydro_
26: T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Ory Standpipe
28. Lathing& Siding 77. FIXED SYSTEM.FINAL `
29. Insulation - - 78.: FIRE PREV. FINAL _
30. Drywall Nailing : . IHEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION .
32. Electrical Power Meter.-Final' 1 80.!FOOD CERTIFICATE ISSUED
.33. Final Electric Notes:
34. Final Heating,& Air Conditioning _ - -
35. Final Gas Pipe-Test '
36. Hood or Canopy - r - - . .
37..Final Factory Fireplace r 1 •
38, Final Plumbing t • '
39. Water Service'Final -
40, Gas Service-Final
41. Solar Domestic-Final -• - - '
42. Backflow Preventer • I . -
43. Backflow Irrigation -
44. Landscape Irrigation System- r - r - - •
45. Sound Attenuation - -
46. Handicap Regulations }--��,(./�J�-
•
47. FINALSTRUCTURE & BUILDING ��/CI� I�JI�'7- _
48. FINAL PLANNING _
'49. Electric Release to Edison ' • - '
50. Gas Release to Southern California Gas Co I I ' i. - .
51. CERTIFICATE OF OCCUPANCY
No. Date
�/ PROJECT ADDRESS: 1804 NANTUCKET PL UNIT: 91 CITY OF COSTA" MESA BUILDING PERMIT PERM NO; G 046958 '
•NER•,
OWNAME: KAUFMANN & BROAD'
AOPRESs: 180 N'. RIVERVIEW DR • PERMIT NO: G '046958 •PLAN CHECK NO: N - ' GOVT: N SUPP: N
SUITE 300
ANAHEIM, CA 92808 CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE, MEC -PLU STA • PURPOSE: NEW
ARCH/ENGINEER: MIKE WOODLEY REG.NO.:C15730 JOB DESCRIPTION : NEW SFD - SQ FT: T, 910
ADDRESS: 180 N. RIVERVIEW :DR UNIT: 300 • • . '
ANAHEIM CA 92808 CLAIM VALUE: . 169, 417 . 00 CALL-VALUE: . 172, 657. 70 GROUP OCC: •R-3 ' /M-1 • •
PERMITTEE: KAUFMANN & BROAD (714 ) 921“0500 .
ADDRESS: 180 N. RIVERVIEW DR , 300 COMMENTS: PC#234-89A PD $
. ANAHEIM CA 92808 ***************+r�H+rkE�rEE�E�H******�e***************�E *SExH+ ****xr********+E*************x* .
LICENSED CONTRACTOR DECLARATION: I ereby affirm t . .m licensed under provisions of Chapter 9 .mmencing with Section ZONING R E Q U I R E M E N T S
7000)of Division 3 of the Business and Prof sions Code,and m• icense is in full force and effect. SETBACKS
CITY LIlC'046894 sTATEuc.: 4495 cuss: B .1
Date: 77-70 Signature: O ,
T i�.//id MAIN BUILDING • ACCESSORY BUILDING
"xORKERS'COMPENSATION DECLARATION: I hereby affirm tha ar . •' rtificate of consent to self-ins re oracertificate of Workers' FRNT; 186 FT 6 IN REAR: 18 FT 6 IN FRNT: FT IN REAR: FT IN
npensation s r or copy thereof(Section jl' ,Lab. LEFT; 6 FT 6 IN RGHT: 5 FT . IN LEFT: FT , IN RGHT: FT IN . D.
.ucYNO.: �i -iib ''ATE: X3/07/91
COMPANY: TRANS . INS, • PARKING REQ: 2 PROV: 2 PARCEL: 42433101 ZNE: PDRM REF NO: PA8840 •
❑ Certified copy is hereby furnished. Ce 'ied copy is filed with he city.Building Division. PLANNING NOTES> SINGLE FAMILY RESIDENCE WITH ATTACHED TWO CAR GARAGE AND '
- i > HALF
OPEN
PEN PARKING
, SPACE
PACE ON STREET FOR
OR GUEST # R
EQUIREME
•
NTS
Date. y /7�0Appicanf�/7 - �� ** 4*******************************;E****,E*****.************** ********
iDEVELOPMENT -S" E' R'.VI: CES . R.' EQUIREMEN-`TS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This r .-'ed not be completed if the permit s . one hundred(500)or less).
et,
I certify that in the performance of•the work for which this permit',sued,I shall not employ any person Many manner Mr as to become n '
subject to the Workers Compensation Laws of California. ZONING APPROVED BY : REiL ^?'xi Pj� DATE: c 4r'I(6(31.0
Date: signature: •
BUILDING APPROVED BY : L.J l..-C) - ¢'rib '90
NOTICE:If,after.making this declaration,you should become subject to the Workers'Compensation provisions of the Labor .. �'_ DATE: - d
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: J . i►= ' - DATE: O¢' t(7 •
which this permit is issued(Section 3097,Civ.C). **********************' ---4;iii:f:2'2'6•-. • ******************:,g* .
LENDER: *****************************1f*****-****** . • *******of•****************************
ADDRESS: - LEGALIZATION:N • F •E}E1'• ,;.S U MARY •STRUCTURAL - SEGMENTrY
•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,atter,improve,demolish,or PERMIT 895 , 00 • 41 ,50 82799' , 3 2 ,7 5 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 ' 25% Sy0% 25%% SM I P/NON-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 - s�" ,
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 .00 15 . 00 •
BUILDING-DIV-> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE
I, as owner of the property or my, employees with wages as their sole compensation, wit do the work, and the _ YA
7 structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS- > 10 6 4 , 33 . 3 3 ,0 0 0.00 10 9 7, 3 3 1097 . 33 0 0
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-r> ' COLLECTED: • 1097. 33 OVER/SHORT: . 00
improvement is sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve BLDG PMT PLUMBING• ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
• for the purpose of See). • :. 895 .00 44 . 50 97 . 99 47 .75 • 12 .09
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business :.. i •
❑ and Professions Code: The Contractors'State seLaw does does ot suner
ves on
contractor(s) to the Contractors'State License Law).I am aware
that proof of their Worker's Compensation insurance should be provided to me. I N D I . V I D U A L r;S F E E B R E A, K D O W N
❑ I am exempt under Section: B.&P.C. •
for this reason: TYPE QTY DESCRIPTIO N• UNIT COST TOTAL COST
•
•
Date: Owner SFR 2371 DWE-TYPE V-WOOD FRAME A -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 witUwill not(circle one)need to comply with said state codes and the requirements tor a SFR 463 RES-GARAGES TYPE V 17 . 30 8, 009 . 90
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from ELE , 2371 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT .03 82 . 99
mese•pmvisions. 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 •
thereby cenitythat Ihave read this application and s .:.ve information is correct.I agree to corn! with all city and county MEC . - 5 GAS PIPING SYS 5+ OUTLETS PER OUTLET 75 3 , 75
ordinances and state laws relating to building constru ion and hereby a horize representatives of this city .e ri pon 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: I/1790 signature: - - '..../e,,,,77 PLU • 2 BATHTUB
PLU 1 DISHWASHER 2 .00
2 .00 4 . 002 . 00
Driver's License or Social Security 01 00058742-000.58747 TOT 1097.3,3
,64146 White-Building;Green-Code Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor DATE 04/17/90 TIME: 11:30 1,
t . CONSTRUCTION AND PLANNII... . dot_ & SPA -
• i APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. iremporary Electrical Serrice or Polet. 52. Pool & Equipment Location
e y -
• x2 it Pipe-Up4drrgrn4 - a • 'C aAJt c-iD 53. Steel Reinforcement '
-4 S -
• Electrical`CdhatitCtility-Undrgrnd' • 54. Forms
xFCEI gtrical'Cppmit Undr rnd. ':"" 55. Electrical Bonding
......-*,....*.s.--
t S5 ': Steel Renforcement •T: 56. Rough Plumbing & Pressure Test • w
• -Jr, :--r
�';671n ElectriPl_UFEi Grnd. a' 57. APPROVAL TO COVER-GUNITE I
aa
'a]✓Footings R; lin Cu 58. Electrical Conduit-Undrgrnd. v:
,Foundation 59. Gas Pipe, ❑ Undrgrnd.,Test - -_
=, 9- Wafer PipgUndr`grnd. • . 60. Backwash Lines, P-Trap, 0 Undrgrnd. 0
10. StructuraaFloorSystem - 61. APPROVAL TO DECK
11. Property Seer Lib,. & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap a, a, a. 63. Heater & Vent-Final
cn cn
13. Roof Draing... 64. Plumbing System - Final
14. Rough Plumbing ' `iiidQ0 . (49 65. Electrical-Final
15. Rough:Electrii al-Conduit 66. Solar System-Final
16. Rough_ElectriaWiring .2,-44-re2e---- Fencing & Access Approval
-117. RoughWging;Mn 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating SsAir Conditioning e ` -_, FygE DE PT.$EOUIELEMENT
C^ it J . , * � [^^_ (It,
t if t�N S/'+�'* 'c 'i --' 7"ra..,r K [U co rim,.a�-T s_c-.•..
-� z, 1, „M 4'r, * .i rA* * c] n+ n'JC' C'1 * j, [nMC7MMM,:!s1..7".
20r Ro�gh actory Zreplace _SC q� &Oi Wo Jr * X; :JAPPFiOV L; p Pe mit # ��p11n; ��
21-'D5 ts,'ii Stsucturi ' " S l: S a '"* * '� 70. 'l7nder rr�t� *
aE Cr! _ S* t Si, }: iJ -� C1* * s•+. F- 9 X�P� I- dro
J FE-,* 1 tom * S C* * .rr, M" I, m� -
22,D1cts,�y en($atiFggI t j r 0 et; Z F-,* * < 71. Productlfping O'6as II Oil
x , ._ r.
23:-Gas+Pipe-Rough &tTest I _ "S * ttl C' S O* * H72• Undergrnrid Frs`la' * r''' `-41
n rn m is I rn' 6r * = -c..* * C
ri, * >4 itL-r
c C?* 1l'�F" ..r * :� 0 i * 7' •�7. Hv^ • 4-
> -40.7.3"-r--“,;[..“--•-a
24:' Root Flaming w* * yy, * . 731 Undergrnd.StoCagrinky0 Gas ❑
25. Rdof SieathingtA t vroro V� * 74?pverhead Hydr6a n 0j*
260'T-rar Ceiling (St'5uctural) &'Nfo ocoatLJ,<# 0 > ? p* W 7 pry Chemi;I F,j * H C xeriltym7?E'�G,tt•-: •,'1'.
27uFramem,d-Flashing t:,c:r^ aItx .T to*' * 76. DryStarilfpipeHW6 * i -I� :-" -;r ` O.,
.-41-rt 0.-, +^"t x� v* * et I-1 • * n n; c-,C7(JG 4-.4.--r- ,I.-it
128. L -hinz& idinn't i1 7'C.�' atnE ..* * rr i-, en: * >'eCe:.*1trC - :;D<
g $; 91x: t71xF O :,-.-:,H1:. _,I -j 1 i* * 77., FIXED S.1 TEM[-f•{f'lA& H n ir7 ,nJr�;�1-s> :Th-Et;
~ 29. Insulatton • * V . .• •• -"Cs* ' _'yl ' i;'ax * 7Eg'FIRE PREY. FiN ,L *1. > -` Oitcn<St>'t-+ m
,1 -, * r n r t c - ' �x x• .-, , r •"..'7 n H r -.,/l:_r'1 S
30. Drywall Nailing x H I -:.r•: a•ri* E' �d I I i �: * Sn.,ty on�EALTRDEPt. F EOWIR,EMEhirdrim
J 31. Plaster Brown Coat S 1 rr'Cr' 7.* 11 'I * * r' 79. FINAL INSPECTW)N * Otn>'^i ti"C
'_'• v - L C-. r-- s I r -rjn sz n. IC 'l t-, 7-1' H n n,n: try
"' c�MSy. i il* t'7 "r1 n^�. ' C!�TtC:-•NC;
';. 32; Electrical P er Neter aminal coG !� � ' 80-y FOOD CERTI Fr4GCATE I S�ED-1 oltT; <la+M C;
t 33:.• Fingal Electric * m 1 w C 0- .. I otes: '-+': * '-i Q H tic
r• 4. -.. ._.." mmr*7 r�. `. n:tt 4747,'t -k .l r�;-. �.,.�
J, 34; Final Heatigg & Ari. c7Fditiomrg P fl/ aM t.„eta �*k `�/7j' �,y EN'T X�xj xsla H
1357-1F inal Gas Pipe-Tesc Oso m"1 L0I44b 4,,ep.' y •i.t {� 01740 ree4 C2/ � r,' 11 r v
,X_ n
v 36 Heidd or Canopy x 0 'n^-J as--,S* n 11 * S no i. H S. H t-1 H
D a cT * Cl 'X i tin-, * '1I :•4*i* m .'CO * a-: " H. OtT S
v m * ,� , .moi.. ...��, 1: � „ L �, 4. 3 ' . .G
--I37,•Final Factory Fireplaces t i'--,E-• W F-04 o I ifD* * xu " *. Q (UO c: --i
... ,_,�•r * f•- ice r.4 n, ,n it 1+ ..,0 m
[L7 1 •• * * .> ,nu '-:H * l'"1. I C:
38. Fi�l Plumbing ,-, 01.-1.;`-*l qC 4Dl ( * * •c. 1-.1:...-a3 0 ow. * n axwto
m , --ict,r 4- , .f * , ..,../r. .. H ,. .1. ) L.A
"39. Water Service-Final, g 1 n ,* * o �` .x O iz b,-i n
'� _. .. Il tr0Y 7°, l!Fi�he r r-.,;. - r rrt
• n 40. GaslService=Final r M COMM SmC * M1 11' �* .� CSL t�N * F a-r-H
r n _ n='F, alar* I�*K * E-1 • ruz ti rt
-•.-
;41, Solar Domestic-Firtat' m F•C * I i Fk * ' "7w t:'•-, * x 0
42. Backflow Preventel m CQr i i `W' * x •>F * 0 H
0 * N OH.a C Cr*: H * *- M MOO * a"4-1 .
43. Backflow Irrigation >, '.7: * * t, i z CA
., ..., --.)
744. Landsc8pe4"rrigatiitinjN n SystefJ " Ci* M G 7 a, : # ^ Cu ti - O Wfl F •cu oOOwOor:.n000
-'4 SoundtAtterivation m . ,-;�?* m '1 M1: 4 t. OHO ,.S • HO ti:
546:•Handicap Regulations r+ Oivr s+ V * -' al')
w
r * 'c ..m._.* <• ♦I �* MOO as *
477 FIti1AL STRUCTURE & B6iiLDING f-: `iwt T,
af3 F1 6 <� - '' Yc. , Fx H -J -Cu
149 EIectri Release to;Edison I 0 I - I ;.mit. r1 cc * -. Co a.0 X•
i50>Ga's.Release`toSouthernCaliforniaGas 97 I --1 c -`
-* il^ 1:-. m O
o ' o * ^
O 51. CERTIFICATE OF OCCUPANCY tr. x.- * r. 7.1 is ••'c.' " a- r ..,�"..."
s
No. Date h.
•
PROJECT ADDRESS: UNIT: - •' •
'
OWNER'S NAME: , , ' ' .
ADDRESS: PERMIT 'NO: G `046958 PLAN CHECK NO: 03427=90 N • PAGE: 2
MjFieit#1E***itifit***iEikiElfMllyk3k1fiflklfil•ikiFie,�titlfyfltyf-0kiFlklflF1k1F1lltiFififiElfyfiE#3FifiElkitjEiEiEifiEiEiFik*iFiklFiEiF+E3Ei ***
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 Z SHOWER 2 .00 4 ,00
ADDRESS: - PLU u1 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.: STATE LIC.: CLASS: PLU •1 WATER SERVICE - 2 .00 2 .00
Date: signature: PLU 5 GAS PIPING SYS 5+ OUTL—PER OUTLET 50 2 . 50
PLU • 1 GAS SERVICE 2 . 00 2 . 0.0
V "HIKERS'COMPENSATION DECLARATION: IherebyaffirmthatIhaveacertificateofconsenttoself-insureoracertificateofWorkers' PLU 1 SEWER, BUILDING / TRAILER 5. 00 5 , 00
npensation Insurance,ora certified copy thereof(Section 3800,Lab.C). END OF, FEES I
_JLICY NO.: EXP.DATE:
COMPANY: '
El Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. '
Date: Applicant: __ -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: •(This section need not be completed if the permit is for one hundred(Si®)or less). ,
I certity 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,Civ.C).
LENDER: ,
'ADDRESS: - _ ._ . - r ._ . . •
•
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 t • '
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 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 sate. 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,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 Io me.
❑ I am exempt under Section: r B.&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 wilVwill 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.
Date: Signature: -
Driver's License or Social Security it '
•
1641-46 white—Building;Green—Code Enforcement:Canary—Aoplicant:Pink—Revenue;Goldenrod—Assessor . - -
- CONSTRUCTION AND PLANNi, - - TOOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
.11 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 UFEA 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
20. R(Tug h;F,acto'.yRir-cnrara2,;17D APPROVALS Permit #
21piDdots,in Structure 70. Underground Hydro
22s Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23' Gas Pipe'-Rough & Test 72. Underground Flush
yr v
24? f Framin R "ac,)""P-""
�`p � 73. Undergrnd.Storage Tank O Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
n
2( T-gar eel IingsSilu't tr JMK°coat 75. Dry Chemical
27 Frameand Ei@ htR��rSrnmur•r.t-•tnwvJCII�
d 76. Dry Standpipe
^
28. Lthingl& idMtcQnznic z 77. FIXED SYSTEM FINAL
29. Insulation H E- n< 78. FIRE PREV. FINAL
30. D rrywafWNa-rpt ngm F7LU t0 HEALTH DEPT. REQUIREMENT
1-4
31. Plaster Brown Coat ---< ru S 79. FINAL INSPECTION
32 Elfctric"al Paver Me ej.. in& - 80. FOOD CERTIFICATE ISSUED
'7 v t-
334 Final Electric MIX Frs' Notes:
346 Fiflal Fraating & Air Coriiiditi nir 0
35h Fipal Gas Pipe-Test
365 Hdbd or Canopy Cr i
CII
o ir!
3 Figalx Factory Fireplace w
388Fi*al Plumbing
• 399 W4er Service-Final
40-Gas Service-Final
*
4t Solar Domestic-Final
42;Backf law Preventer
t
43. B4kf low ligation a"..A -"J
44. LandsEape4th atiorFSysfem00
w
45. Sound Attenuation
46. Handicap Regulations
47.FILVAL STRUCTURE & BUILDING
4BrFINAL--PLANNING
r .r
49., El(ctric Release to Edison
5Oa Gas Release to-Southern California Gas Co
r r,r3
51. CERTIFICASTECOPOCCUPANCY
No. Date
e •v.d?:`=� ': a:,- . ..�.; % Vw . - .v. ,s�- ..\g .--Ti`.r s�._ .c. :7\ 7N.... :.`- .. AC i.V
BN FORM 116 CALIFORNIA SEA BREEZE RELEASE IIIA i
i' BPA FORM 1486 �
'I INSULATION CERTIFICATION
(f
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 !
�ti '�Y.:: County i
t \ ' �Q-1 ( I. (f116�1 1- 4_91 _ 13224 i ,,;
�! ; so-rt N.. (It Audible) nivel Lat Number • Tint INI
. / :
I \'a
1 DESCRIPTION OF INSTALLATION I /I
di t1 ROOFS \'',,,
".\ j Type of Material Manufacturer - Thickness R Value"_ /7
(( ; EXTERIOR WALLSOwens Corning - •`.ell
Type of Material Fiberglas Batts Manufacturer Fiberglas Thickness nitR Value** 11 4
I (Or Ta. N.m.3
(7 CEILINGS -. \
BAns: Owens_Corning 9 n tI 30 �,::
Type of Material Fiberglas Batts Manufacturer Fiberglas Thickness 6G R Value•• 19 • \
U' ! (Or hid. Yam)
, I Sq. Ft Covered - .. .. i
.:. .� BLOWN: - -
,:t Type of Material • Manufacturer Thickness No.Bags_ I
(Or Tan Nam.) .i±,.
Wt/BagSq. Ft Covered R Value"._ - ' �
FLOORS - ---_ /A
(� \
Type of Material Manufacturer - - Thickness - - R Value"_ ,
(Or TM* liar)
I� .
SLAB ON GRADE .__. __:--_ -_:- .. ....: %l)
II, , Type of Material Manufacturer --- Thickness R.Valuee1_ )
I - (Or bade bell '
\ 1 Width of Insulation Inches _ I J)
j : Irr
(' FOUNDATION WALLS (if required}- "- _' - - --- - -- - - - : \1
\• Ii Type of Material Manufacturer - Thickness_ R Value••— I . �
(Or Tad• Name) - : ,.:
- 1"/ .
,
I
!REMARKS (I( desired)__..
\ General Contractor (Builder) KAUFMAN & BROAD License Number ; //
V I \'u
.� ! . By litre = Date I .)) .
Sub-Contractor (Insulation Applicator) Accent Insulation Company License Number 274283
(Is..I.Ua. Yuenp Gc. l�� (Sam"SAM" q .a•p Cenci Inca) �\�j_
By it/K _ 11_-/6 - _ Date October 5, 1990 ! JI
1:
I-Celif.n:a Adm:n:.lr.-:.• Cada, b.r.i Iwtarien Standards, Isolators Pain hrs. Sir. Irr73 et M Neel* •M safety Gla .4 M SLS. !i i .
"Crpl4nr.. U.., r..pl.,{r d %. inrrollarir et { rrla•:.n, • and N Cala.nie: ! _
/ ar^ly'M A., rho :nralar;r Ion boon Inrb!I.d In a.lar.an . wilt M
rr.;n-Nn of m... r.erloiir, Aral/ be a pl.l.d .ad •Nawd In "N. attf!c n •1 arvmn<y a similes artinali.n Mr • newly an• i -
\ I We i Nloy/�'. a•!iara .M by Ni. Mild... nig !-al.n.. a..li.na strutted hoist, met.}. .wn..n, boors, .w Y. whir nLdm.lal
II.�!
cord N.IIr.. .and et • Wrr:aw. I.arir .:w;. ell.e d.M.n.."1 'inn*, ii a.YiNLl• droll b i r..d by Nr. • Wailing d.pmta.wt I .
roles. M. ''mcv,. n lent •TLf•r b w' own inml•fwl
Int 'lois. , M .rrsr. et A. resistance .f . m.mvie• r boldin. .LMH, •rla.lu.al e.r...at or Nils drops...' ell;
t
\ ; .,r *monail p 4. sa.N Moi. rM rwin•na..1.. (I) 11140111112 bolding
I i; -
l.ai.frr asci .et lads. boy oh** fry af.ci.. 4.ci .l
i Form 116 —m BUILDING NEWS. INC. 3055 Nerlend An, Los Angeles. Calif. 90034--12131870.9871 - I '‘):i
Form 1086--Q BUILDING INDUSTRY ASSOCIATION OF CALIFORNIA, INC., 1571 Bevedy Blvd., los Mge)es, Calif. 90025--(213)625.5771
t7r eel. -- -IYr. .� ... . —._ w _, _ . ..
i ...,
L.4 _ _ - —.
• Lortql la" ,eotlike-1I.
IWA ENGINEERS cliW" 464-13
17390 in Valley.
Street.Suite •. .
Fountain Volley.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. //
Llewellyn D. Incledon RCE 17593