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Home My WebLink About1841 NANTUCKET PL - Building Permits J PROJECT A9DRE$$: X184]. -NANTUCKET PL - UNIT: 19 w CITY OF COSTA MESA - BUILDING PERMIT• PERM NO: G 04499'6 OWNERS NAME: KAUFMANN & BROAD _ - . - - ADDRESS' 180 N. RIVERVIEW DR PERMIT NO: G 044996 , ,PLAN CHECK NO: N GOVT: N SUP.P: N ' SU-;TE 3.00 7. r ANAHEIM, CA' 92908 CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE MEC PLU STR - 'PURPOSE: NEW • • • ARCH/ENGINEER: MIKE NOODLE? REG.No.:C157R30 JOB DESCRIPTION : ' SFR SQ FT: • 2, 537 • ADDRESS: 180 N• . RIVERVIEW DR 300 • ' • - PERMrTEE. ANAHEIM CA 92808 CLAIM VALUE: - 144 , 063 . 00 CALL VALUE: - • 144 ;063 . 24 -GROUP- OCC : R-3 /M-1 , 7 ADDRESS: KAUFMANN & BROAD ( 714 ) 921-0500 I - . 180 N. RIVERVIEW DR 300 COMMENTS: PCIt239 89A PD 129 . 51. ANAHEIM CA 92808 • **************************************************************46******* ******* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z 0 N I • N G R ".E Q U I R E M E N T S 7000)of Divisio 3 of the Business and Professions icense is in full force and effect. •$ E T B A C K 'S ' CITY LIC.: ; .4 STATE uc.:g 3 , cuss:H 1 Date: • Signature: . w 4/nQl/i MAIN BUILDING ACCESSORY BUILDING WORKERS' OMPE .ATION DECLARATION: I hereby affirm thaves certificate of consent to sell-insure or a certificate of Workers' FRNT: 18 FT IN REAR: ,1 1 FT IN FRNT: FT IN REAR: • •FT IN . ' Compensat in Insurance,or a certified copy thereof(Section .:.t,Lab.C). LEFT: 5 FT IN RGIIT: 13' FT IN LEFT: FT • IN RGIIT: FT IN • POLICY NO.: 4189-1090 EX• DATE: 03/07/90 Y:TRANS . INS PARKING REQ: 2 PROV: 2 PARCEL: 42433101 ZNE: PDRM REF NO: • PA8840 • Cerbfi ❑ Certified cm: ishe-'yfurnished. (I Certlfie copy is filed iththe city BtuldingDivision. PLANNING NOTES> SINGLE FAMILY RESIDENCE WITH AN ATTACHED GARAGE. HALF OPEN ��// >, PARKING ,SPACE/TER UNIT PROVIDED-.FOR GUEST. PARKIN>OOLD FOR SBFCIAL REQUIfL1'lat Date: • Applicant: •//!/ .**#***********-1E**********,***'***#**If**i(*,*******iE.*'*.**�*9e**********#****#lE***# *#*#* EXEMPTION'•DM WO•ITERS:COMPENSATION DECLARATION: (Thi coon need not be completed if the permit is for one hundred($10g)or less).. D E V E L 0 .P' M TE N..T . S E'„R 'V,"F •C E 1..S ,. R:• Q U 1 R E M E 11;`,11-43, . • I certify that in the performance of the work for which this permi issued,.1 shall not employ any person in any manner so as to become • .• - -1 S ` _ a-v ' subject to the Workers''Compensation Laws of California. - -ZONING APPROVED BY .`- - �. - - �!`�• / CXJ ,DATE:. 'Date: - 7 Signature: ' ¢�� } --7 - . . NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor J BUILDING APPROVED BY. • . .1?.'.'.' /1 DATE:( o .L'• I� 1 Code,you must forthwith comp/with such provisions or this permit shall be deemed revoked. .: ' t' •- _ .�. , CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a'ionstruction lending agency for the performance ot:the work for 'ADPL I CAT ION ISSUED BY: . ''�% �, ''� y" DATE: 1 'r� which this permit is issued(Section 3097,Civ.C). ' /. ******************* '•** . t.( *********7E#ii** 3F * LENDER: • *********************4******** .** ***************#************************# ADDRESS: LEGALIZATION:N . F,- E',E. -S U M M A R Y STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason ' BLDG PMT PLUMBING ELE TRIC .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 7 9 7 .-0 0 3 9•. 5 0 ' 6 9 . 8 63 2'• 7 5 10 . 08 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' - 2 5% 5 0% ;_? .• '2 5% SM I P/NON-R E S 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 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 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----> 949-. 19 3 3 . 0 0 - 0 . 00 . 9 8 2 . ].9 982 . 19 . 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: ^"i 982 . 19 OVER/SHORT: 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC, MECHANIC.¢:: FIRE SMIP/TOT GRADING PLAN-CHECK • ¶'2 I,as owner of the property,am exclusively contracting with licensed contractors tit construct the project(Section 7044,Business 7 9 7 . 0 0 4 2 . 5 0 8 4 . 8 6 4 7 . 7 5 : 10 . 0 8 ❑ 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 *..*.******.*.***.*.*.*.*.**.*.*.*'*..**.*.*.**.*..**.*.***.*'*.**.*.*.**:,**.**.X..***.**.*.*.*.****.,M.*.,***.*.**.***.*x*,N.**,* that proof of their Worker's Compensation insurance should be provided to me.I ❑ I am exempt under Section: B.8 P.C. IND I V I D II A` L F E E`• , • B R E A K D O W N • for this reason: TYPE QTY D E S C R I P T. 10 N UNIT COST TOTAL COST Date: Owner: j I do hereby certify that I am aware of and understand the requirements of California Health'and Safety Code Sections 25505,25533,and SFR 1996 DW E-TYPE NV-WOOD FRAME -GOOD 67 . 70 ]. 3 5, ] 2 9 . 2 0 25534 and that I or any future building occupant wilUwill not(circle one)need to comply wib said state codes and the requirements for a SFR 76 RES-BALCONY, EXTERIOR STAIRWAY 13 . 54 1 , 029 . 04 ' permit for construction or modification from the Air Duality Management District.Residenthl construction applications are exempt from SFR 4 6 5 - RES-GARAGES TYPE V 17 . 00 7, 905 . 00 . ' theseprovisions. ELE 1996 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 ' 69 . 86 • • MEC 1 INSTALL EORC/AIR FURN <= 100 K BTU/H 9 . 00 9.- 00 Date: Applicant: MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 004 9. 00 I hereby certify that I have read this application an state that Bove information is corrat.I agree to comply with all city and county MEC 5 ' GAS PIPING SYS 5-( 'OUTL E T S PER OUTLET . 7 5 3 _ 7 5 ordinances and state laws relating to building constm 'on and here horse representatjv I this ci to r nthe above-mentioned NEC . 1 - FACTORY FIREPLACE ' 6 . 50 6 . 50 property for in ectionp rposes. � ) MEC 1 VENTILATION FAN CONN' TO SINGLE DUCT 4 . 50 • ` 4 . 50 Date ' S Signature: /yl/jT� PLU 2 BATHTUB 2 . 00 4 . 00 PLU 1 DISHWASHER. 2 . 00 • 2 . 00 . 1 Driver's License or tial Security Pink-Re4nue;'Goldenrod-Assessor - - - - - ' I - - I.- CONSTRUCTION AND PLANNING • - POOL & SPA :APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector a . _ •1_'Temporary Electrical Service or Pole-^ , 52. Pool & Equipment Location • , 2._Soil,Pipe.Undrgrnd.; - • • i' 53. Steel Reinforcement . ' • t 3. Electrical•Conduit-Utility-Undrgrnd. 54. Forms • 4'. Electricall-Conduit-Undrgrnd. p`{ • 55. Electrical Bonding - - -' S'.•Steel'Reinforcement •::-..- 56. Rough Plumbing & Pressure Test • -, 6...Electrical,UFER Grnd-. • 57. APPROVAL TO COVER-GUNITE _ "--4 t.7.-Footings •- 58. Electrical Conduit-Undrgrnd. • '8.-Foundation, 1 59. Gas Pipe, 0 Undrgrnd., Test 9.,Water Pipe:Undrgrnd. • • - llur[g2 CC) 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 G k Ca? 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring t5 $&2 5��- 67. Fencing & Access Approval ! 17. Rough Wiring Sign , ' 68. APPROVED FOR PLASTERING ' 18. Rough Electrical-T Bar Ceiling -IrLkO 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating &.Air Conditioning z4gf , Gl6Ow ; .. _-FIRE,DEP_T. REQUIREMENT. .--.0 __ - -• . 20.-Rough Factory Fireplace - _ . - 0-. ^. i APPROVALS:-. -Permit# - - . . „ 1. _ _ 21. Duets,in;Structure;. �= - •, . _70. Underground'Hydro r 22. Ducts, Ventilating. .. -- _ <:i - :71. Product:Piping 0 Gas 0-Oil _ 23. Gas'Pipe•Rough &,Test . - t : r Sy . ,.72. Underground Flushnc y _ 24. Roof Fra-ming - . r _ - •-.v; �- -73.`Undergrnd.Storage_Tank O Gas ❑Oil 25. Roof Sheathing :- ` r 74;'Overhead Hydro.. _ A29. _ . 26._T-Bar Ceiling (Structural) &•Monocoat •y- "J ', k 75.-:Dry Chemical - _ - _ _ _ =�- 27_Frame and Flashing ! 3.-2 .2. g)Ai T4 76. Dry Standpipe a. , _ .' _ _ _28. Lathing'& Siding; , r 7j 1',r /iG / r 77-FIXEDSYSTEMLi FINA - - - •- r; • . r: _ _29. Insulation ,r -- •37.94"10.- ' / K 78.IFIRE PREY. FINAL - . .- - �,r;", „ -- ' c.HEALTH-DEPT:REQUIREMENT X30. Drywall Nailing _ -,� -�(p _^ ... - _ _ , _ _ _'-. 31. Plaster Brown Coat* ' - -' 4..46, i ,�/ '` 9. FINALINSPECTION; _ ^'•' ' _ X32. Electrical Power Meter'-Final i.;' 7 -FOOD CERTIFICATE ISSUED J --33:=Final Electric '�1 , es: __ `34. Final Heating& Air Conditioning'' c ,..Sy q do r,:v•.. _ - - c_. r ` ^ • 35. Final Gas Pipe Test , Lr G7�� I. �ps-- a. _ y'' , �. •36...,Hood or Canopy � `! - • -,e� :t. % i FV4. ; ''!wail F( S /!�(, c; . 737. Final Factory Fireplacex .. y/S/9j LI�,K • y s of n; (_-_. _� -_38. Final Plumbing '#0d (,�/J '.K i, -a1-, - ,r x _39. Water Service-Final - +' - ,_ _ • i_,40. Gas Service-Final - .Th , -41. Solar Domenic-Final` ` Ix - _ .- r • ' -- 42. Backflow Prevented ;}_- ` - "- ... i; 43. Backflow Irrigation, _ ' - - - ' _ ' ' ,, - -! ,- - . - -. - - - _44. Landscape Irrigation System` :4r: ' • _ 2 - - `45.:Sound Attenuation - . • di _ _. -' i- - . .. .. . . , . • - • 46. Handicap Regulations -' ;, - 47::FINAL STRUCTURE & BUILDING -..-y�6� • r - 48.-FINAL PLANNING _ " -13 24 r •r`rr-I • - • -I. ' 49.'Electric Release to Edison _ `:( ', • • -1 c; - - =50. Gas Release to Southern California Gas Co ? •• - - - - . • - 51. CERTIFICATE OF OCCUPANCY . No. Date . PROJECT(DRESS: .- UNIT: '' • - • ' OWNER'S NAME: - ' ( ADDRESS: PERMIT NO: G 044996 • PLAN CHECK NO: 01511-89 N • PAGE :' 2 ' ' a i , a r• • **************NIEM'7EBEdf1E')k3FiE1E1E'1E***IE'lF.'Iklllf***** EBF'.F31Ik%****'lE'lElf!!IE'lE#'IElEIE')E-0EIE)E#1E3(-iE1F1E3E3EfEdFiE3E*** T ARCH/ENGINEER: . ' REG.NO.: • TYPE QTY - D E S C• R 'I P_.T I O -N UNIT COST TOTAL COST • ADDRESS: ' UNR: - ' ' PLU • 1 LAUNDRY TUB OR WASHER - • 2 .00 • - 2 . 00' . PERMITTEE: PLO 1 SHOWER 2 . 00 • ' 2. . 00 ADDRESS: • PLU 1 SINK, KITCHEN 2 . 00 - 2 . 00 • • ' PLU , 4 WASH BASIN ' 2 .00 1 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 , 006 . 0e 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. I ' 2 . 00 CITY UC.: STATE UC.: CLASS: PLU 1 WATER SERVICE 2 . 00 • - ' 2 . 00 Date: Signature: • PLU 5 GAS PIPING SYS 54' OUTL-PER OUTLET . 50 2 . 5.0 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, , Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). . PLU 1 SEWER,TO BUILDING SEWER, ,EA 5 . 00 5 . 00 POLICY NO.: EXP.DATE: END OF FEES ,- COMPANY: 0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. ' . • Date: r Applicant: , 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 perfbrjnance 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: -a Signature: • - 1 - _ _ . -• _ . NOTICE:If,atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor o ' • Code,you must fo;tbwith comply with such provisions or thispermitshall be deemed revoked. • CONSTRUCTION LENDING•4GENCY: I-hereby affirm that there is a construction lending agency for the performance of the work for i ' which this permit is jgsued(Section 3097,Civ.C). ' LENDER:/ i i i • 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 Coder 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 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 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 ' i 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 to me. • - r • ❑ 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 . 25534 and that 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. Date: Signature: , Driver's License or Social Security 9: - 1641-46 White—Buildino:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor . - - • CONSTRUCTION AND PLANNING POOL & SPA Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit# • 1. emperary Electrical Service or Pole ''M 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. naifie'+/�/y/�- 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,& Airi Conditioning FIRE DEPT. REQUIREMENT 20`-Rough Factory_Flteplece APPROVALS Permit # 21`Ducts,in.Structure 70. Underground Hydro 22rDucts, Ventilating 71. Product Piping 0 Gas 0 Oil 23.Gas"Pipe^Rough & Test 72. Underground Flush 24:''RoofFramin , . 9 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro f i< 26,,,T-Bar CeilingIStiuctu�al) &_Monocoat 75. Dry Chemical 27'Frame and Elaahing;l'rint-. _ 76. Dry Standpipe r i rrr-�--�ir r.r 28. Lathing.& Sitting -, me r' . 77. FIXED SYSTEM FINAL 29. Insulation H ^41-10tt;:r4.r-"- 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 1 N 79. FINAL INSPECTION 32.Electrical Pojer Mete Final. , 80. FOOD CERTIFICATE ISSUED - 33AFinal Electric) he ='' Notes: 34:�Final Heating& Air Conditioning:' 35:-JFinal Gas Pipe-Test '-. H 362Hood or Canopy 37.Final Factory Fireplace tri 38._Final Plumbing 39;Water Service-Final 401-Gas:Ser vi ce-F i na l 41:-,Solar Domestic-Final 42`Backflow Preventer 43. Backflow Irrigation • • • 44. Landscape Irrigation System - - 45. Sound Attenuation 46. Handicap Regulations , 47r FINAL STRUCTURE & BUILDING 48TFINALPLANNING 49. Electric Release to Edison t" 50. Gas Release to,Southern.California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date IWA ENGINEERS TeA `S -I '�IOki° 1� � flAct ' �. 17390 Suite ` "` /�� Fountain Wiley, FAX( 4) 92708 `r G 1� (714)968-1221 •FAX(714)968-9286 • May 11, 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 12 through 20, 22 and 23 of Tract 13224 were graded as shown on the approved precise grading plans for said project. g WOW) try Wood R.C.E. 32636 b.s r• ,a 4- .y .a' {, z=► < �.L� ,^ �^.� ,aa..af a.\.a +s:r. IF 'a,o as..o a ..- > ( V ' C\ r C' tsr ® ,. [' •. �. �.. r� . Tf;. •.' '2' ..`�' . `:- fir. .l �; �,G J_ / 1. c•-t---;.--7 1. 1. . . ,.i • i 6N FOFM 116 CALIFORNIA SEA BREEZE I SIA FORM 1486 RELEASE II �t� r• INSULATION CERTIFICATION :f�' This is to certify that, in conformance with the current energy regulations (California Adminis- , ?i-,' i trative ` de, Title 25, Stale of California') and approved plans, insulation hos been installed in • y the building located at: 4 . 1. Costa Mesa Orange — { .41 1841 Stool Place 19 ' St• No. (N l.>'.:.:p7 stt� —� Lal M.mbe, Trt fle. rDESCRIPTION OF INSTALLATION ROOFS Type of Material._— —_ Manufacturer Thickness R Value"__ 'V,' EXTER(GR WALLS OWENS CORNING C \. ; t Type of Malarial FIBERGLASS BATTS Manufacturer FIBERGLASS Thickness_3 1f R Value ' 11 (0r Tad. Man.) CEILINGS OWENS CORNING 6 " 19 > .I BATTS: of Material FIBERGLASS BATTSManu'acturer FIBERGLASS Thickness 911 R Value" 30 � li (Or Trod. Name) I Sq. Ft. Covered 'I BLOWN: \, Type of Material__ Manifacturer Thickness No.Bags • \ (Or Tr.d. KM.) ' / Wt./Bag--_— Sq. Ft Covered_ R Value`•_ �, FLOORS it r,/ . Type of Material _ Manufacturer Thickness R Value" j ii.--Zi (Or Trade Name) \ SLAB ON GRADE �V/ er7 ,'j Type of Material. - Manufacturer Thickness R Value" _ \ (Or Tnde N.m.) 1i width of Insulation Inches Vit; N! FOUNDATION WALLS (if required) .\ Type of Material_._ _ Manufacturer __Thickness_ _R Value" /,,. (Or Tnd. Name)it •\ REMARKS (if desired)______ I\ . 9__ General Contractor (Builder) KAUFMAN & BROAD .License.Number. By Title Date ltie,.....-,.App ) Accent Insulation Com,`� SuaConlracta (Insulation ligator Gdny license Nmber 274283;I-wl,e:. Y @.) ISLb "SAYE" if am .. G.�nt .�sca)4. //! By_ ' i _ Title. ', >% Date Y 2.� 1990I•Ca':!.-:. d.d.:...•r'.. !ad., b.r., m Sm-4r4, d.,'>.«: Exaan Or... Sr. 19V3 d d. M.gaa ..d Sa4.r f.da d !b• Sra!e of California 'i-.T-v1 •l ?.•. .e.•r.-, N>!:•be -pL'.d,*ada newt. br 'Va [w:'R<a'• ci xbxn0 - rn::e. Y'FmCen .!.el a re,1, roe. \ ,Y ,.a•:w a»'<el :•d b. ••• b•i.e[a.,in • :u'a•i.. .sna::one .1-v r1e .let.1 TM•�. oa.on.10', %...•. o... .w •!Av .'..,yllMla•d . be >e.rd [..0 .a. , , .:.:. +. d..,l:ne.") d..11.% ,, aeb.',b i. ,1.1. b. ,..d b. +A • b.:'d:n. d.>ar'-.ntV vs4. I, >. .,.,,,• r d wins n. •-er... ar • r• ,wr(• •• '..l a.v • anise' Y b..i.di.. .b"dord, •.ebf,I ed >y..o,, le M:, d oTle..^r.e.•t •. . ,c,:ee• e•Rro•. '.• .r.lb,u -etre 'e) da u.''n\ �.��.•i:.. .Mn ear ,+e.d• em •vtw '.. MMT.. bc-• Ia I Form 116 —t BUILD:NG NEWS, INC., 33055 O eir. .Ave, Los Angeles. Calif. 90034-!2131870.4871Form 1486-2` BU1LD:5G INDUSTRY ASSC(IAT1DAi OF CALIFOFNiA, INC.. 1571 Beverly Blvd., Los Ange4sCali. 90025-213;675.5771 I PROJECT ADDRESS: 1841 NANTUCKET PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: EP 052082 OWNER'S NAME: KAUFMAN & BROAD SOUTHERN ADDRESS: CALIFORNIA INC PERMIT NO: EP 052082 PLAN CHECK NO: N GOVT: N SUPP: N 5500 E SANTA ANA CYN RD ANAHEIM,CA 92807 CONSTRUCTION TYPE: PERMIT TYPE: ELE PLU PURPOSE: OTH 631-2210 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : PORTABLE FIBERGLASS SPA SQ FT:. ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: / PERMITTEE: S & H SPAS ( 714 ) 892-7915 ADDRESS: 15122 BEACH B . COMMENTS: X MIDWAY C' 92685 ****TE*+ETA4**�R***�E***�k**+E****�R+�*****�E*:r**+F***�F�t*�E�E***+EFR****TE+6�F�kAET�TE�E�E+RAE*�R�E*�R*�6�E*�k* LICENSED CONTRACTOR DECLARATION: I hereby a i that I . licensed un: ovisions of Chap•r•-(commencing with Section ZONING REQUIREMENTS • 7000)of DiJ.ion 3 of the Business and Protessio : Die.and • - force and end/ SETBACK S CITY LIC.: ,K 9 79 sTi E IC.: ' 9 4 ' . cuts. 5 r Date: l,,9 Signature: — / MAIN BUILDING ACCESSORY BUILDING .MP NSATION DECLARATION: I hereby.firm tha I have a cemflcatr of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT: FT IN REAR: FT IN Compensation LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation Ins ranee,or a certified copy thereof(•ection 3:10.Lab.C). POLICY NO.: EXP,/DATE: COMPANY: PARKING REQ• PROV: PARCEL : 42223107 ZNE: REF NO: 0 Certified copy is hereby furnished. 0 Certi ed co is filed with the city Building Division. PLANNING NuTES> > Date: Applicant. *****ik*****************************lE*************************3E***************** EXEMPTION FR' WORKERS'COMP 5. 0 D ARAT'N: (Tho sectb eed.: completed it the permit is for.'• undyed($100)or less). D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S I certify that he.erformanc:. he which t is permit 1.iss* hal .t employ any person'1 . y manner so as to become / subject to/JW.kers'Comp n..ti.. ' v of Calilo is /� 7x0NING APPROVED BY DATE: Date. /� • �J Signature: /BUILDING APPROVED BY DATE: NOTICE: I.atter making this declaration,you sho d beco e subject to the . ers'Compensation provisions of the Labor Code.you mus onhwith comply with such pros( ions or this permit shall b. seemed revoked. rr CONSTRUCTION L I ING AGENCY: I hereby aftir that It-re is a constructi. lending agency for the performance of the work for APPLICATION ISSUED BY. (( 11t.L DATE: 1 i 1 which this permit issued(Section 3097.Civ.C) *********************************************If ***3( ************** 1***Bf* *** LENDER: s ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N • OWNER BUILDER DECLARATION: I hereby allirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 2 , 0 0 30 . 00 • repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5$ 55 0$ pursuant to the provisions of the Contractors'State license Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES 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 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 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----> 32 , 00 18 , 00 0 , 00 50 . 00 50 , 00 , 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 trey own employees, provided that such improvements are not intended or offered for sale. If.however the building or REVENUE DIVISION TOTALS——> COLLECTED• 50. 00 OVER/SHORT• . 00 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). BLDG PMT PLUMBING ELEC4TRI0CC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 5I,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).l am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.Ts P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: ELE 1 SWIMMING POOL — IN GROUND — NEW EA. 30 . 00 • 30. 00 I do hereby certify that I am aware of and understand the requirements of California,Health and Safety Code Sections 25505,25533,and PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 .00 2 . 00 25534 and that f or any future building occupant wilt/win not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Ap lie I hereby certify that I have read this applicati an state that the as we information is c. - gree to comply with all city and cou y ordinancs'.nd state laws relating to bulletin onstr cion and hereby asthonze err iv... is city to enter upon the above-menti ned property I r i spection. as-e . Date: / 14 Eh Signature: A v L' ,_ • _ _ Vic Drivs License or Social Security .... " = .1 e ". _ 1641-46 Whit—Building:Green—Cale Enforcement Cana Applicant.Pmk—Revenue;Goldenrod—Assessor • CONSTRUCTION AND PLANNING POOL & 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 6..Steel.Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. • 57. APPROVAL TO COVER-GUNITE ;��j�/ • 71 Footings - 58. Electrical Conduit-Undrgrnd. Sin/ L.Y"^� 8.-Foundation 59. Gas Pipe, ndrgrnd.,Test 4,....-J 7 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 Electricyal-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning _ FIRE DEPT. REQUIREMENT 20..'Rough Factory Fireplace ' - - " • APPROVALS, Permit# - 21. Ducfs, in-Structure, ,. - • :70. Undergrounds Hydro - 22. Ducts, Ventilating, : • - 71. Product,Piping 0 Gas ❑Oil 23. Gas Pipe-Rough & Test ;j, , . 1 . 72. Underground Flush- - 24._Roof Framing T _ : •73. Undergrnd.Storage Tank 0 Gas mOil 25. Roof Sheathing �, _ _ - . . 74:Overhead Hydro • 26. T-Bar Ceiling (Structural) & Monocoat • • 75;-.Dry Chemical ' 27`Frame and Flashing' 7 . r r . 76. Dry Standpipe _ 1 1 . 28. Lathing& Siding -•I.• '_ - : 77.'FIXEDSYSTEM,FINAL' -29. Insulation 78,, FIRE PREY. FINAL *30. Drywall Nailing _ j - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat- • „ I �, ,` ;79: FINAL'INSPECTION , - • 32..:Electrical Power Meter-Final r I I. - .80. •FOOD CERTIFICATE ISSUED ,33..�Final Electric, • � I: 'Notes: _ .34.-Final Heating'& Air Conditioning-, I I 35.'Final Gas Pipe-Test'% - •. I • � • . ' _ ' . - 36. Hood or,Canopy • -. ,-c- . -37.--;Final Factory.Fireplace , T 38. Final Plumbing - - - - -39. Wate1 Service-Final- - ' - . 40. Gas Service-Final - • _ - . - 41. Solar Domestic-Final .. i " 42.Backflow Preventer. CI - j ! f. _ 43. Backflow Irrigation , - - ; -, - „44. Landscape Irrigation System. ,, :, _ ._ 45..Sound Attenuation - 46: Handicap Regulations _ I . _ .7-:,_- 47.,FINAL STRUCTURE & BUILDING - '' •• _ 48. 'FINAL PLANNING - . ', • 49. Electric Release to Edison ' , •50.Gas-Release to Southern California Gas Co , I ,- i _ . - '51. CERTIFICATE OF:OCCUPANCY 4 • - No. Date