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Home My WebLink About1833 NANTUCKET PL - Building PermitsPROJECT ADDRESS: 1833 NANTUCKET PL UNIT: 21 Gulf NAME: KAUFMANN 6 BROAD ADDRESS: 180 N. RIVERVIEW DR SUITE 300 ANAHEIM, CA 92808 ARCN/ENGINEER: MIKE WOODLEY REGJI C15730 ADDRESS: 180 N. RIVERVIEW DR UNIT: 300 ANAHEIM CA 92808 PERMITTEE: KAUFMANN iS BROAD (714)921"0500 ADDRESS: 180 N, RIVERVIEW DR 300 ANAHEIM CA 92808 LICENSED CONTRACTOR DECLARATION: I hereby alfirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 0l the Business and Professions Coup. and my license is in full force and effect. CITY LIC.: 046894 STATE LIC.: 334495 CLASS: B-1 Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self insure or a certificate of Workers' Compensationsyr or copy thereof (Section 3800. Lab. POLICY NO.: 4 i� - �� EXP. DATE: 63/07/90 COMPANY: TRANS, INS. El,, Certified copy Is hereby furnished. N Certified copy is filed with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERSCOMPENSATION DECLARATION: (This section need not be completed if the penmt is for one hundred (St00)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. 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 lite 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 Por a permit subjects the applicant to a civil penalty of not more than five hundred dollars (55006 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 tloes such work himself/herself or through his or her own employees. provided mat such improvements are not intended or offered for sale. 11, 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 Eland Professions Cade: The Contractors' State License Law does not apply to an owner of properiy 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 at their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section: B. 8 P. C. for this reason: Dale: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and Thal I or any future building occupant will/will not (circle one) need to comply with said slate Codes and the requirements for a permit for construction or modification from the Air Dually Management District. Residential construction applications are exempt from these provisions. Dale: Applicant: I hereby certify that) have read this application and state that the above information is correct. l agree to comply with all city and county ordinances and stale laws relating to building construction and Hereby authorme representatives of this city to enter upon the above mentioned property for inspection purposes. Date: 1641-46 White -Building: Green -Code Enforcement. Canary -Applicant. Pink -Revenue: Goldenrod -Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO. v PERMIT NO: G 044961 PLAN CHECK NO N 5 CONSTRUCTION TYPE; V -N_. PE?LIUE. IT TYPE; ELE MEC PLU STR PURPOSE; NEW JOB DESCRIPTION : SFCPD$143.73 ®n SQ FT: '2,910 CLAIM VALUE: 169,LC- 169,416,74 GROUP OCC; R-3 /M-1 COMMENTS; PC#234-89A 7. 0 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: 13 FT IN REAR: 10 FT IN FRNT: 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 REF NO: PA8844 PLANNING NOTES> SINGLE FAMILY RESIDENCE WITH ATTACHED TWO CAR GARAGE. HALF > OPEN PARKING SPACE PROVIDED PER UNIT FOR GUEST PARKING ########�####yE#######r###�############�###�•#####�E#x+E�P�E�P###�F###########*####fE##SE D E V E L O P M E N T S.E R:V 'I C E;S':: R E Q U I R E M E N=T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : i DATE: APPLICATION ISSUED BY; DATE: #####iE#######sE#######sf###kF###########iE######iE########IE#######ae•###ia#######IE##### LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 884,50 4125% 82508 3251 SMIP/NON-RES PLAN ISSUE FEE 3,00 15.00 15,00 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 1053,60 33.00 0,00 1086.60 1086,60 .00 REVENUE DIVISION TOTALS--> COLLECTED; 1086,60 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 884.50 44,50 97,99 47,75 11,86 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 O N UNIT COST TOTAL COST SFR 2371 DWE-TYPE V -WOOD FRAME -GOOD 67,70 160,516,70 SFR 76 RES -BALCONY, EXTERIOR STAIRWAY 13,54 11029,04, SFR 463 RES -GARAGES TYPE V 17,00 7,871,00 ELE 2371 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT .03 82,99 MEC 1 INSTALL FORC/AIR FURN <= 100 K B U/H 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 CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POOL & 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE Footings' 58. Electrical Conduit-Undrgrnd. 8., Foundation -i . 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. RoughElectric Wiring 67. Fencing & Access Approval 17. Rough Wiiing 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 O Gas 0 0il 23. Gas Pipe -Rough & Test - 72. Underground Flush, - 24.- Roof Framing - 73: Undergrnd. Storage Tank OGas 0Oil' - - 25. Roof Sheathing',•, - 74; Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat" ^ * 75. Dry Chemical 27.' Frame and Flashing 76' Dry Standpipe 28. Lathin dm - • - 77. FIXED SYSTEM FINAL 29. Insulat ,,, �' 78.. FIRE PREV. FINAL ' 30. Dryw ai i HEALTH DEPT. REQUIREMENT - 31. Plaste Coat, I 79 FINAL -INSPECTION - 32. Elect i ower Meter -Final 80. FOOD CERTIFICATE ISSUED - .33. -Fina ctric otes: 34. FinapWating & Air Conditioning .d(� !L (KJ C� - -• 35.' Final Gas Pipe -Test 36. Hood or Canopy .. - 37, Final Factory Fireplace, - 38. Final Plumbing 60 39. Water Service -Final 40. GasService;Final .. - 41. Solar Domestic -Final , 42. Backflow Preventei - (• _ - . 43. Backflow Irrigation -• - 44. Landscape Irrigation System,,, ' 45. Sound Attenuation 46. Handicap Regulations - - 47. FINAL STRUCTUR E & BUI LDING 146-Qp - 48. F*9AU;EEAff9;UGA4L t l zo90 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF, OCCUPANCY No. Date X.- . PROJECT ADDRESS: UNIT: OWNER'S NAME: ADDRESS: ARCH/ENGINEER: REG.NO.: AGGRESS: 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 my license is in lull force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a Certificate of consent to sell -insure or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Section 3800. Lab. C). POLICY NO.: EXP. DATE: COMPANY: ❑ Cen eed copy is hereby lumished. ❑ Certified copy is filed men the city Building Division Date: Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred (S100) 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 WorkersCompensation Laws of California. Date: Signature: NOTICE: If alter 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 allude that I am exempt from the Contractors' State License Law for the following reason (Section 70.71.5 Business and Professional Code: Any city of County which requires a permit to construct, alter, improve, demolish, or Chair any structure, prior to its issuance. also requires the applicant lot such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' Stale 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 live hundred dollars ($500). I, as owner of the property or my em levees with wages as their sole compensation, will do the work, and the El structure is not intended or offered for Sale(Section 7044, Business and Professional Code: The Contractors' Stale License Law does not apply to an owner of a property who builds or improves thereon, and who don such work himseff/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. II, 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 71344, Business ❑ antl Professions Code: The Contractors' la a 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' Slate License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: 8. 8 P. C. for this reason: Date: Owner I do hereby cendy that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that ) or any future building occupant witl/wi11 not (circle one) need to comply with mid state codes and the requirements for a permit lot construction or modification Imm the Air Duality Management District. Residential construction applications are exempt from these provisions. Date: Applicant I hereby certify that have read this application and state that the above information is correct. l 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: Dina License or Social Security p: 1641-46 Whne—Building: Green—Cotle Enforcement: Canary—Applicant, Pink—Revenue: Goldenrod—Assessor PERMIT NO: G 044961 PLAN CHECK NO: 01423-89 N PAG 9fx-M 1F a6)f BE IF iF IE tE is x iH 4E at ib*iF iF 9E*x•*BH x*1F IE iH*i!x•*iE BF iF*iE OF iH iE iH RE*k1H*tE 9f x•x-iEx•iH aE 9E*9K JF *BE 9E*kBk*iH x•iE*9F*iE )f x if iE� TYPE QTY D E S C R I P T I O ND UNIT COST TOTAL COST PLU 1 LAUNDRY TUB OR WASHER %%� a� ".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 5t OUTL-PER OUTLET .50 2.50 PLU 1 GAS SERVICE 200 200 PLU 1 CONNECTION TO BUILDING SEWER EA 5.00 5.00 END OF FEE§ CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & 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, 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 APPROVALS Permit # 20., Rough Factory Fireplace - 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 OGas 00il 25. Roof Sheathing 74. Overhead Hydro 26..T-Bar Ceiling (StructuraU & Monocoat 75. Dry Chemical 27.' Frame and Flashing: - 76. Dry Standpipe 28. Lathing & Siding -� .' 77. FIXED SYSTEM FINAL 29. Insulation - : •� 78. FIRE PREV. FINAL 30. Drywall Nailing - - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric ; Notes: 34. Final Heating & Air Conditioning 35:: Final Gas ia fest 36.. Hood or op¢) - 37. Final F 4ory )replace ' 38. Final P g, - 39. Watery' -Final 40. Gas Se a-Final 41. Solar estic-Final - 42. Backflow Preventer 43. Backflow Irrigation - •• 44. Landscape litigation System 45. Sotind Attenuation 46. Handicap Regulations 47.- FINAL STRUCTURE & BUILDING 48., FINAL PLANNING 49, Electric Release to Edison 50. Gas Release to Southern California Gas Go 51. CERTIFICATE OFOCCUPANCY No. Date PROJECT OWNE TNAMs: 1833• NANTUCKET PL uxlr: 21 �.OWNE ADDRESS D NAME: KAUFMANN E BROAD • AOORESS:380 N. RIVERVIEW DR !IkJITA�MAHEIM,O OCA 92808 ARCH/ENGIWEER: REGARD.: ADDRESS: MIKE WOODLEY C1�7m30 180 N. RIVERVIEH DR 300 PERMITTEE: ANAHEI M ' CA 92808 ADDRESS: KAUFMANN 6 BROAD (714)921-0500 180 N. RIVERVIEHDR 300 ANAHEIM ICA 92808 LICENSED CONTRACTOR OECEARATION: hereby trae+euylicensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3:of the Business and Profession Cade, and my It rise is in full f red and effect. CITY LIC.: STATE LIC.:3344 cusslw&: Date: Signature: w WORKERS' OMPE 311TION DECLARATION: I hereby affirm t have a certificate of consent to seN-Insure or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Section 00• Lab. Q. POLICY NO.:4189-1090 EXP. DATE: 03/07/90 COMPANY:TR NS. INS ❑ Certified cop is here y furnished. Carl copy is filed im the city Building Dili ion. Date: Applicant: EXEMPTION OM WO ERS' COMPENSATION DECLARATION: (TM cdon need not be completed line permit Is for one hundred ($100) or less). I amity that in the performance of the work for which this permi s issued, I shall not employ any person In any manner so, as to become subject to the Workers',Comfdwsaflon Laws of California. Date: Signature: NOTICE: It, after malting 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. Q. 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 repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed ursuant to therovisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business 3B CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: G 044961 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: ELE MEC PLL STR PURPOSE: NEW JOB DESCRIPTION SFD SQ FT: 28910 CLAIM VALUE: 169,417.00 CALC-VALUE: 169„416.74 GROUP OCC: R-3 /M-1 COMMENTS: PC#234-89A PD.$143.73' 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: 13 FT IN REAR: 10 FT IN FRNT: FT IN REAR: FT~ IN LEFT: 5 FT IN RIGHT: 5 FT IN LEFT: 'FT I GHT: FT IN PARKING REQUIRED:' 2 PARKING PROVIDED: 2 PARCEL: 04243310 ZONE: PDRMO PLANNING NOTES> SINGLE FAMILY RESIDENCE WITH ATTACHED TWO CAR GARAGE. HALF > OPEN PARKING SPACE PROVIDED PER UNIT --FOR GUEST PARKING'. D. E V E L 0 P M E N T S <E �R V, -1, E� 1.S_ R' E Q U I' R �� I�1R^5PtC6►1. REQUI�EM��yTS Z014ING APPROVED BY � DATE. •�E /Sy BUI:LOING APPROVED BY BS\ DATE: o l .14:d'9 APPLICATION ISSUED BY: DATE: ILL LEGALIZATION:N F E E M M A R Y STRUCTURAL SEGMENT:Y BLDG,PMT PLUMBING ELECTRIC• MECHANIC FIRE SMIP/RES GRADING PERMIT 884.50 .41.50 82.99. 32.75 11.86 25% 508' 258 SMIP/NON-RES p D and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by PLAN N D I V I D U L - B E K D D W N any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ISSUE FEE 3.00 15.00.+ 15.00 I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the 13 structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law BUILDING -DIV-> TOTAL 5----> PERMIT 1053.60 ISSUE PLAN -CHECK. 33.00 0'.00 TOTAL PAID 1086.60 1086.60 DUE. .00 does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through UNIT COST TOTAL COST SFR 2371 ' his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS-=> COLLECTED= 1086.60 OVER/SHORT: .00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TDT GRADING PLAN -CHECK 1, as owner of the pro"am exclusive contracting with licensed contractors to construct the project (Section 7044, Business ❑ Code: Ie Comractors State License Law aces not apply tow owner of who builds or improves thereon 884.50 44.50 97.99 47.7-5 11.86 ' and Professions property and who contracts for such projects with a contractor(s) license pursuant to the Contractors' State License Law), l am aware >OqE$########################Ar#####C###$###$#########$#################$$#####*## that proof of their Worker's Compensation insurance should be provided to me. 2371 j A F c R A .03 ❑ I am exempt under Section: B. 8 P. C. for this reason: Date: Owner: I do hereby cer ity that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that l or any future building occupant wilYwill not (circle one) need to comply win said state codes and the requirements for a permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from these provisions. Date: I here I have Applicant I propML2 mi Signature:at Sec ty is correct. I agree to comply with all city and 164146 White -Building: Green -Code Enforcement; Canary -Applicant; Pink -Revenue; Goldenrod -Assessor - , N D I V I D U L E B E K D D W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 2371 DHE -TYPE V -WOOD FRAME -GOOD 67.70 '1609516.70 SFR. 76 RES -BALCONY„ EXTERIOR STAIRWAY 13.54 1029.04 SFR 463 RES -GARAGES TYPEV 17.00 7071.00 ELE 2371 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT .03 82.99 MEG 1 INSTALL FORC/AIR FURN <= 100 K BTU/H 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 164146 White -Building: Green -Code Enforcement; Canary -Applicant; Pink -Revenue; Goldenrod -Assessor - , r' CONSTRUCTION AND PLANNING POOL & SPA -Inspector • APPROVALS Permit # Date Inspector APPROVALS Permit # Date 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location , 2.. 21` Pipe-Undrgrnd.c 53. Steel Reinforcement - 3.16ectrical Conduit-Utility-Undrgrnd' ' � r _ 54. Forms - 4.-Electrica1 Conduit-.Undrgrnd. _ 55. Electrical Bonding • 5.'Steel1ReinCdreemeht " 56. Rough Plumbing & Pressure Test - '6:'Electrical UFER Grnd.- 57. APPROVAL TO COVER-GUNITE ' • )..Footings - 58. Electrical Conduit-Undrgrnd. 8.' -Foundation 59. Gas Pipe, 0 Undrgrnd., Test • 9.�Water Pipe-Undrgrnd.. F 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural*Floor System 61. APPROVAL TO DECK _ 11. Property Sewer Line & House Conrection 62. Backwash &Receptor -Final 12. Suver Cap - 63. Heater & Vent -Final c l 13. Roof Drains` "._ 64. Plumbing System - Final ; 14. Rough Plumbing Ctif? 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric' -Wiring 67. Fencing & Access Approval ' 17. Rough Wiring Sign j 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating &Air Conditioning 3 QQ )_ FI[ E-DEPrT. REQUIREMENT t( _ 1 -APPROVALS". Permit # ,- rr r•_,_ 20.' Rough Factory Fireplace 21 ^Ducts, in•Str'uctuie* i '• •' " - • is �• ""' t• 70. Undergio& Hydro ♦ 22. Ducts, Ventilating r 1 • c, r.. :, { =71. Product Piping 0 Gas O'•Oil Test 23. Gas -Pipe -Rough &-r. t t '• ' nd.`sh F 72. Under roLFlu g l ri . �• t n h' t- r t r ,. •O r > i 24. Roof Frami g # r • ,•} i• ..73-Undergrnd. Storage Tank O Gas 0 Oil -t Y 25. Roof Sheathing 1 •' ` "" `•'' i' 741 Overhead Hydro ♦ -7 i. 26 ;,TB9r Ceiling & Nioriocoat ...+- 75r Dry Chemical.- -(Structural) 27.,:Frame and Flashin r : ' C' 9- it : y ' - i I ( 76. Dry Standpipe I - • L .-e • 28. Lathing &Sjtling." ,• "� 77. FIXEDSYSTEM.FINAL,r.- -r_�: r'• - _ 29. Insulation `•1;.' -'=' _ ;r �,`-;;'; 78: EIRE PREV. FIMV L �= f r.: I. r 30. Drywall Nailing • , VI . , DHEA LTH DEPT;. REQUfRENIENTi. r� �.. ' 31. Plaster Brown Coat::: - 1 r - r =•.`. -1 i• ' 79, FINAL INSPECTION - 32 -Electrical Power Meter -Final ! ` �•r 80!. -FOOD CERTIFICATE ISSUED,. •. F i..•T� ,r r 33: -Final Electric C + r c • I ,�' es: r r -n - - • 1•34S Final Heatin & Air' Coriditionin %'' I ,'n •' r ' w r t 35?•Pinel Gas PiPQ•TesUi + CO l,t , OR;n i t f" �REW 36. Hood or Canopy rf :. I t - •• 'r { +'f ;4t c -+ -- ..37 .Final Factory Fireplace> I -- f.- t S p� I it �:., -_. -• <' �. n Ni _ ..., r.. ., i it r• `-38. Final PlumbJng {' ^ I r• $- Ali r• •v -.•- '.. i ,.39. Water Service Final:. ` r. tirL(/ iw ,40. Ga Service -Final +- _'"� ` r 1 •' 1• ?' •c r•" - -41. Solar Domesiic-Final r 42. Backflow Preventer., r' •-, -- 1 I: :-�--• %`: w• r 43. Backflow Irrigation, ` T' r 44. Landscape Irrigation System' r - I "`s- `• t '` _ 45.,Sound Attenuation. .,. x. �� F 1. r r.. i` i.. c • ,, . r ,t ' 46.•Handicap Regulations o ' ter,• t •' •' 47. -FINAL STROCTURE & BUILDING a •, `� a 1 L i- 48: FINAL PLANNING' r i nl V- 49'Electric Relse to'Edison r ` ,- ' "' "•`` 50: Gas Release to Southern California Gas Co l ,1. is a' - '`' •. ',' ' ' • ' r 51. CERTIFICATE OF'OCCUPANCY No. Date i PROJECT ADDRESS: ' UNIT: OWNER'S NAME: ADORESS: , ARCHIENGINEER: 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 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 Compensation Insurance, or a certified :copy thereof (Section 3800, Lab. Q. POLICY NO.: 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 section need not be completed N the permit is for we hundred ($100) of 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 co as to become subject to the Workers' Compensation Laws of California. Date: Signature: NOTICE: Ii, after making this declaration,' you should become subjecttothe Workers' Compensagon 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 Contractors' State License Law (Chapter 9 (commencing with Section 7DDOI of Division 3 of the BuSmeSS and Professions Code) or that helshe 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 Trot more than five hundred dollars ($500). 1, as owner of the property or my empDloyees with wages as their sole compensation, will do the work, and the ' El structure is not intended or offered for Sale (Sechon 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of 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. It, 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 kensed contractors to construct the project (Section 7D44, Business 11 and Professions Code. The Contractors' State License Law does not apply to an owner of property who funds or improves thereon and who contracts for such projects with a contractors) license pursuant to the Contractors' Stata License Law). I 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: Date: Owner: I do hereby certity that I am aware of and understand the requirements of California Heahh and Stiffly Code Sections 25505, 25533, and 25534 and that I or any future building occupant W lOvnll not (circle one) need to comply with Said state codes and the requirements for a permit for construction or modification from the Air Dually Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby cenlfy 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 propend for inspection purposes. Date: Signature: Driver's License or Social Security M: lel Wrote—numwma: lareen—Gone tMwcemam: \.anary—P Ducam: rinx—nevenue: Vomamnf. Re— PERMIT NO: G 044961 PLAN CHECK NO: N PAGE: 2 .. ############################################################################### TYPE QTY 0 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 ALU 1 WATER SERVICE 2.00 2.00 PLU 5 GAS PIPING SYS 5+ OUTL-PER OUTLET .50 2.50 PLU 1 GAS SERVICE 2.40 2.00 PLU 1 CONNECTION TO BUILDING SEWER EA, 5.00 5.00 END OF FEE I t t CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & 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, 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 - f FIRE DEPT. REQUIREMENT APPROVALS Permit# 20. Rough`Fadtor F-irepla a -'.� 21. Ducts?tin Structure r ,r 70. Underground Hydro 22. Ducts; IWA ENGINEERS 17390 in Valley, Sheet, Suite 08 Fountain Valley, California 92708 (714) 968-1221 • FAX (714) 968-9286 May 18, 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 21, 59 through 61 and 78 through 87 of Tract 13224 were graded as shown on the approved precise grading plans for said project. -OTe-71 Llewellyn D. Incledon RCE 17593 R55 N4u� FcACf- }' r 4 G = 1 i-• fe .. �. 5 INSULATION CERTIFICATION r\ 1 f„r- a :. s � This is to reriify the!, in ro��'cr:.�lcnfa with the curact enargy fegulofior,s C�lil�rn;o A�,minis- tro ve ' 1de, Tille 25, S'cle of Coi'.f0f'.1ial '_f).d opp,_ied plods, insuwlio,n has been irstc'I_d in r, the buil: ng 'ao'ed at: Costa pti 'x--o _1833_ Nantucket Place �'P,� � •N Tia I�! bi .. .. —_—. -_ _._ i+� __ __—._— —_ _._ —la Mw�.• .r.] Ma )��.. Q" l \I CESCRIPT ON OF INSTALLATION ROOFS �\ ` Tape Jt Y;'.e'ial_ff._ _-ThicecesS_ R Va!ue —._ I/; EX-ER!OR WALLS r x,11 sft;Lral_ ''�r��-'•---5 ___ 4anut�rr�,n..-r-Ib=hv�!,SJ- Thickness._ '?__._R '_ Tipe of 'Jalue �!• CEILINGS o'N�^Tis Cor.R'_')G 611, 19 ''' asrrs: cInt. GLnS CATiS FId RGLASS 9'-z1 R 30 ' . Type al MateGal _.—_----_---- Manu'adorer__. -- .--- _____Thic:,:e>s__._.— Value' SQ 41 Type of 5!alanal-- ---- - ----- Mf T,.a'.ure, -- -- ----- ---- Thicka'u- - -- -- No. Bags ---- `;� to r,.e,,.,a !� WL,'9ag._----- SR. Ft- ^a:erel-- _-- R Vafae•'__—_ i� FLOORS F'a 1 _ Manu'ar!arer --__--—Thic�a=.ss__ __.._P, Value"--- '� Type of Ya.e: ial._�-_- _— ' a I i0r L•ae ,•a•) �, �. SLAB ON GtAJE - T}pe of Ma!rial.-_-� Manofacturer _Thick ess___R Value" �\ ---- ----- iJr 5-•L h.�e; �, '- W'"E7$ of insulation _ __ Inches ' FOUNCATION WALLS (if requt.ed) !7 Y, T7pe o. M:(e'ial_- ___...—__ -_ _. _ _ .Y.an,f;C'xer_--______—_—.—_Th�c4ner. -._ _ _R Val.,>••_—_ RE.Y,,.n KS (if desired)__. Y�AI,- -e�. iz t3Qb'D 4'. art _ . _. _ _ —LicerSz -,.5er---- -- _- Ai By— Date.___ Title—_____ _..__ ate.-- ---- --- Su?rxl,acty A:C?'it Ir'S J)at lOn ComLdnL License Nanber > _;. ey_-� �i-; - - Title ��' ��. -_ Cate-'`z_2,. X990.— ' v y - e •,-1 a_. • f. .✓ . �.: a %4 I'•5- v +. ..` .. ..vo v _-.� �a� 7' .r.: _ t + ~ / Form i:6 —L a `i•'hG hCG. INC., D'.5 'Ac'r 4,e.• Ln anis: Q44. NX3=-12131810.;M 71 , Firm :e5o--t 81::L: YG LY2'T-ZY ISSiUni:vn pF Jl_::F�.� 'h... ;511 ! x 5-,r' -s Ca:., 3:525-5711 , A.0-J