HomeMy WebLinkAbout940 JASMINE CIR - Building PermitsqpPiicant to tiu �n au soaces witnin neavy ooraer iines ana siyn au aouroariate aeciantians. %4O9 ��0/26/81 6,00
CITY OF COSTA MESA PER T NO. - TRACT NO. LOT NO. � BLDG. NO.
CONSTRUCTION PERMIT �/ S
Project Address �� �Q. � TVPE OP CONSTRUCTION
OWn2� �� Phone ❑ NEW ❑ ADD ❑ ALTERATION
AddreR � ❑ REPAIR ❑ CONVERSION ❑�EMOlISH
Arch/Eng. - License No.
❑ OTHER � ZONING REGULATIONS �
OESCRIPTION OF WORK P"P' �
Addre55 ZONE PLNG. REF. �
Contractor � �r,Phone � TVPEOFPERMIT � TpgU i�p ING
, � SETBAC ST. PROPERTY LINE
Addre55 ❑ GRADING ❑ FOUNDATION ❑ STRUCTVRAL ID VARD . '
LICENSED CONTRACTOR DECI.A ATION � ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHANICA 5I�D E Y •-
1 hereby atfirm that I am Iltansetl untler provizlons ot Charter 9(com- q�GH7
mencing witn sectlon ]O J of Divizion 3 ot the Business antl ❑ OTHER .
Rofetslons Cotle, antl IIpense Is In full torce antl ffe t.� REAR YARD (TO P/L)
—/ �1�CCf1� PROJECT DESCRIPTION
Litense Class ,¢.ice�nse N�' , PKG. SPACE REQ. PROVIDED �
Date .�-/ ' c���.���.a /LSIl>.,.r_� sQ. FT. .
�� - � - - - STREET WIDTH PHRK FEE S
WORKERS' OC MVENSATIONDECLARATION- � OCCUPANCV_CONSTRUCTIONTVPE
I hereby affirm that I hava a certificate o( n5ent to selLinsure or a VAIUATION ZONE ZONING AGPROVED BV DATE
cer[Ifiwte of Workers' Compensation Ins ca, or a ertitieC copy
lhereof (Secti 3800, lab. CJ. GRADING CU. YDS. ACRES
SPECIAL CONDITIONS:
Policy No. �%%"3A��Company a� �
❑ Certifietl coDY �� hereby furnisheA. - � REMARKS: -
❑ Certlfietl copy I5 flleC wilh the city Builtling Divislon. C •
E%EMPTION FROM WORKERS' COMPENSATION DECLARATION - "}`
(ThiS SBCtion n¢Btl not b¢ COTpletetl I( the permit Is tOr O�e huntllCtl '
SS300) or le5s�. ' '
certlty that n the pertormance of the wOrk for whith Ihis permit I5
issuetl, I shall not employ any person In any manner so as to become PLUMBING PLAN CHECK ' ELECTRICAL PLAN CHECK'
subject to the Workers' Compenzation laws ot Californta.
Date Si9nature BATHTUBS SHOWERS
NOTIGE: 1f after making lhis tleclaration, you shoultl become subject TOI�ETS VRINALS GENERATOR p.� KW_ 1-30 KW
to the Workers' Compensatlon provisions of lhe Labor COGe, you must TRHNSFORMER
forthwith cOTply wit� sucn provi5ion5 or this p¢rmit Shdll be a¢emetl �VATORIE$ BLEtAVS APVLIANCE 30�50 KW_50+KW
ravoketl. '
CONSTRUCTION LENDING AGENCV KIT. SINKS DISHWASHERS' ,� MOTORS p-1 HP_3-10 HP
I nereby atfirm tha[ there is a construction lentling agen<y tor the perv SERVICE SINKS UNC. SOLAR) 30-50 HP 50 � HP � -
formance of the work tor which [his permit Is tssuetl (Sectlon 3097
Civ. CJ. - \� � �� , FLOOR SINKS ' FLOOR DRAINS FIXTVRES ' OVTLETS SWITCHES
Lentler'S Name � ~
Lentler's Atltlress DRINKING FOUfVTAINS GHS TVBE SIGNS
OWNER BUIIDER DECLARATION � INTERCEPTOHS CLARIFIERS POLE LIGHTS
I hereby afilrm lhat I am exempt trom the Contractor'S Llcense Law for
the tollowing reason (Section ]031.5 BuSinezs antl Professlons Cotle: SWIMMING POOL PTRAP
Any city or cOunty whith requires a permit to con5truct, alt¢r, POLES METERED SUB
improve, tlemolish or repair any structure, prior to its issuance, also re- yyqTER SERV ICE AITERATION �� PANELS MAIN SUB
quires tM1e appliWnt tor such permit to file a signed statement thdt h¢
I5 Ilcensetl Dursuant to the provisions of the Contractor'S License taw GAS SERVICE OUT�ETS SERVICE AMP
1Chapler 9(commencing with Sectlon �000) of Division 3 of the
Business antl 7rofession5 Cotle) or that he is exempt therefrom and tbe yyqTER HEATERS BTV OUTPUT '
basis tor [he alle9etl exemption. Any violatlon of Section 7031.5 by
any appliwn[ for a permit sub7ect5 the appltcant to a Uvil penal[y SEWER CONNECTIONS ' '
of not more than five huntlretl tlollars ($500).
❑ I, as owner ot the property, or my employees with wa9es as thelr SOLAR TANK COLLECTORS -
501¢ Compensation, will tlo the wOrk, antl the st�ucture is not intentlCtl
or offeretl for sale. (Sec[ion 7044, Business antl Professions Coae: The SOLAR PIGING SVS. ISSVE FEE '
Contractor's License Law tloes not apply to an owner of a property APPLICATION APPROVED BY - DATE
who builtls or improves thereon, antl who tloes such work himself or ISSUE FEE
through his own employees, provitleG that such ImprOvements are not
Intentletl or offeretl tor sale. If, however, the bUiltlin9 or improvement MECHANICAL PLAN CHECK SUMMARV OF FEES
Is Soltl wllhin one year of completion, the owne� will nave the bu�tlen BUILDING
o/ proving he tlitl not builtl or improve for the purpose of sale�. HEATING SVSTEM 0-]00,000 BTU PERMIT $ SMIP S
❑ I, as owner ot the-Property, am exclusivery contrac[ing with qNDDUCTING �
licensetl coniractors to construct the project (Section 7044, Business 100,000 + gTU PLAN CHECK S�.� PERMIT
antl Professions Cotle: The Contractor's Llcense Law tloet not appty to �y�p�� ISSUANCE S
an owner of property who builtls or improves thereon, antl who con- REFRIGERATION 0-300,000 BTU PLUMBING $_� �{E,�
tracts from suth pro�ec[s with a mntractor(s) lice5ned pursuant to SYSTEM • GRADING E
th¢ COntractor's License Law). 100,000. BTU PLAN CHECK E
❑ I am exempt untler Section B. & P. C. tor this b
BOILERS BTV ELECTRICAL $
reason PLANCHECK g MICROFILIvI g
Date Owner SVSTEM REPAIR, ALTERATION TOTAL FEE $
I herebycertifythaf I have reatl thi ppliw[ion antl state that the above EXHAUST SVSTEM MVLTIPLE MECHANICAL S �
PLAN CHECK LE55 AD-
information� is wrrect. 1 aqree "comply with all city antl county $ VANCEPC 5_
ortlindnce5 antl stdte laws lelatin [o constluction, antl heleby,authorlie
representatives t B city enter upon the above ment netl '
property t ' Spe o ses. . B�
$i9nature Date FINAL FEE S
Drivers' Licen or 55 �
ISSUE FEE
CMF OB65-46 Wblte-Bullaing; Canary-sappuwnq rmK-.�accounong; uoiaen�oa-Nszessor
Y �1
CONSTRUCTION AND PLANNING �POOL & SPA � . ` •,, �-• �� '
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. Temporery Electrical Service or Pole 43. Pool & Equipment Location
2. Soil ipe-Undrgrn 44. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn 45. Forms
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
. tee ein orce 47. Rou h Plumbin & Pressure Test
6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE
7. Footings 49, Electriwl Conduit-Undr rn
8. Foundation 50. Gas Pipe, ❑ Undr rn, Test
9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr rn '
10. Structural Floor System 52. APPROVALTO DECK
11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final
72. Street Sewer Connection 54. Heater & Vent-Final
13. Rough Plumbing . �
14. Rough Electric-Conduit +' '56. Electrical-Final
15. Rough Electric-Wiring' "-�.,,'".� ., .s 57. Solar System-Final
16. Fough Heating & Air Conditioning " • encing & Access Approval
17. Ducts in Structure . APPROVED FOR PLASTERING
18. Ducts, Ventilating
19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing -
21. Roof Sheathin
22. Frame and Flashin NOTES:
23. Insulation i
24. lathing & Siding
25. Drywall Nailing
26. Plaster Brown Coat '
27. Electrical Power Meter-Final
28. Final Electric
29. Final Heating & Air Conditioning
30. Final Gas Pipe-Test
31. Final Plumbing
32. Water Service-Fina�
33. Gas Service-Final
34. Solar pomestic-Final
35. Landsca e S rinklin S stem
36. ' Sound Attenuation
37. Handicap Regulations
38. FINAL STRUCTURE & QUILDING
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY
No Date
�� 4�2�iL�
rr� —
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. 1 � l�C DATE
IAT N0. `�j �
ADDRESS � � � �
The developer of the above entitled tract desires to sell the above aet
forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he-she-they) (was or were) ���_ativised that this tract has
not been given fina spection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the City
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undereigned agrees to indemnify and hold the City harmleas from
any claim resulting in damage or personal injury to the undersigned by reason
of the aforementioned uncompleted condition.
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BY-IC !/� /�(i ��.�Lil.i,C' O
Purchaser
BY �� � " ��!Z^'c-Z�2�
Developer and/or authorized
xepresentacive
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35123
COSTA MESA BUILDING-SAFETY DEPARTMENT
SOLCP•O. BOX 1200 COSTA MESA, CALIFORNIA 92626
Fo� Applicant to Fill in Completely
BUILDING �%!�/1 _ __ _
OWNER Larwin Southern
ADDRESS 16255 Ventura
cirvEncino, Calif.
CONSTFUCTION
BRANCH
RE
AuC, 15-72PA�oOO1048i} +�** 142.85
�MSG
TION FOR BUILDING PERMIT
DATE RECEIVED DAT ISSly
�1.9f �i9 �_/U.
Llf. � ILIC. A•P• NO.
BUILDING D J rnI
�d. ADDRESS �
No�986-8890 TRACT LO
W D P
n al'
3. La,ecui � 5 _C .
OWNFR
a�oRess9100 Wilshire. Beverlv Hills
CONTRACTOR Latwin Southern Calif.
ADDRESS�(�'zSS Ventura Slvd.
TEI.
cirv Encino, Calif. No 986-889
STATE CITY
LIC. NO. 1 1'j'll LIC. NO. ];—].
51 Z E NO. OF BLDC'.S.
OF LOT 6O X IOO NOW ON LOT Q
USE OF
EXISTING BLDG.
SIZE OF 1J4O NO.OF 1
NEW BLOG. ROOMS STORIES
EXTERIOR WALL ROOF
COVERING SCUCCO COVERING Wd. SI11IlQ��.E
USE OF BUILDING ANO WORK TO BE PERFORMED
I heraby acknOwletlgo Met i heva reatl [his applicatiOn and state
thet tne abova information is correct and agree to compiy with
ell lews repulating Duiltlinp consvuccian, antl 1 shall not employ
any person in violation ol Mo workman's compenza[iOn laws ot
me Stata of Cnlifomie.
I hareby cartify thnt I am Oroperly licanmtl as e contractor untler
tho Stnte of Colifornia Bustness entl Professions Code, Divtsicn 3,
Chaptar 9, antl ihot such licenses are In full force entl effect, or I
am exompt irom the provistons ol tha Stete of CalHornia Businasz
entl Protasslons Cotle, Division 3, Chaprer 9.
Slynature of// �� _'A D. Downs
Pormittae .UH'Pv
Authorizotl Agont
FIRE
20NE TVPE GROUP
APPRO D
BV �I DATE � �I �
ZONE� 1 NO.OF USE OF NEW S/NG�E
PV1N$ � BVILDING � F C/ C
VARDSAPPROVED VARDSAPPROVED
MAIN BUILDING ACCESSORY BUILDI�
(FROM C/L STREET)
VAR..$
C.U.P.�
❑�
yr
L
VALUATION
�
$.�G �� _
BET. MAIN &
7TalI�
�O� �
0
IN UNDER VALUATION IS FOR �
ABLISHING A PERMIT FEE ONLY: Q
O� m
PERMIT FEE 5 c'
]
'y m
PLAN CHECK $ / [�` E
/- v LL
TOTAL FEE S