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HomeMy WebLinkAbout1126 PAULARINO AVE - Building PermitsCITY OF COSTA MESA i F9 BUILDING DIVISION FI 77 FAIR DRIVE. COSTA MESA, CA 92626 - (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 �`'"°'°"°� PERMIT NUMBER: B10-00105 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 14160417 DATE ISSUED: 04/26/2010 ISSUED BY: CAC JOB ADDRESS: 1126 PAULARINO AV CM Suite/Unit: Vicinity: Squares: 0 Valuation: $6,007.00 SCOPE OF WORK: OVERLAY 1 LAYER OF 30 YR COMP 31 SQUARES OVER EXSITING 1 LAYER OF COMP .INSATLL 1-15 LB'FELT, ., OWNER: HOLDERBY, WALLACE V Address: 1126 PAULARINO AVE Unit: PHONE: 714-979.5159 City/State/Zip: COSTA MESA, CA APPLICANT: DANNY SODERBURG - Address: 20725 SOUTH WESTERN AVENUE Unit: :UNIT 150 PHONE: 310.781.3012 City/State/Zip: TORRANCE, CA 0-0010 5 CONTRACTOR: PACIFIC HOMEWORKS INC License No. 784477"' Address: 20725 SOUTH WESTERN AVENUEUnit: UNIT 150 PHONE: 310-781-3012 City/Slate/Zip: TORRANCE, CA 90501 CELL: ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: F: FEE SUMMARY Reroof Plan Check: $0.00 Reroof Permit Fee: $139.25 Reinspection Fee: $0.00 °, LO FE!". Bldg Std Admin Fund $1.00 Unit; , 'OTAL FEES $140.25 HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010 -PER CMMC Sec. 13.279 •,a: .urns 150 Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitied all hours - Sundays and the following Federal holiday: New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day 1 t t;' NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. 0E/ INSPECTION TYPE DATE INTITIALS CODE 1 INSPECTION ME DATE, ,t � T,NLJS4Lj 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof—�1f /J. !(J._r�✓��J 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval } 203 Final Sign 222 Final Site ' 204 Final Demolition 250 Final Building/Occupancy t r WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. AAI have and will maintain workers' compensation insurance, as required by se lion 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy nu re����" �r1 (This ss� Ea nw Oe cnmdeled 4me pemr4a v�aluL�one nun eC OOWrs 5100)aleu) Policy u ❑ 1 certify that inthe performance of the work for which this permit is issued. I shall not ploy any person in any manner so as to become subject o the workers' mpensation laws of California, a agree that if I should come subj the work rs' wmpensation pr inions of Section 3700 of Labor de, hall f rth lh comply with t e provisions. m's gnature Date WA NTNG: FAIL ECU KE OMPENSATION COVERAGE IS U FUL LL SUBJECT AN YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR USAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. ICENSED CONTRACTORS DECLARATION: hereby affirm that I am licensed under provisions of Chapter 9 (commencing 4th Section 70f1B) of Division 3 of the Business and Professions Code, and ns+ lI wil force and effect. / G- 3� _j Date ❑ I hereby a that th a is a constniMipO_Jpitding agency for the performance of the work h this pennit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature OWNER -BUILDER DECLARATIONS: I hereby affirm that under penally of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. Business and Professions Code: Any city or 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 or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 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 (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or 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 -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a conlmcta(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: SlgroW e W5716 (107) L•�II4 �• r Owner ID verified by drivers license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feel in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, a demolition or dismantling thereof, will be more than thirty-sux (36) feet high. (Chap. 3.2, Grp 2. Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Applicant's Signature Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for rqn-residential building permits), 6. Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (if "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7. If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If "yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that he Information given is correct. I agree to comply with all state laws and city (dredinances relating to building construction, and authorize representatives of 5 City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by IhiEhpermit until final inspection. ZXteate !y I Date Prescriptive Certificate of Curnphance: Resideutild CF -JR :AL le.sidential Altcraticnts (Pace 1 of Prgject Norte: 1 Climate Zone # if of Stories 1-inWiP(-h(A nP�nnn I I I General Infurnuttiou Site Address: // G av ar o I Enforcement Agency: I Date: Building Type�Single Family 0 Multi Family I Circle the Front Orientation: N, E, S, W, or degrees " Project Type: 0 Alterations 0 Envelope 0 Fenestration Roof 0 HVAC Conditioned Floor At (CFA): Replacement or Change Out 0 Duct Replacement 0 Water Heater NOTE': This linin is not m be, user! for Nervly Constructer) Buildings at Additions �.. Insulation Values Far Opaque Surfaces (for Raring use the Mass and Furring Snips Construction table below) Assembly Alteration 0 Opening of framed envity alone— AIterations that involve the opening o/ the framed cavip, ofa wall, ceiling, or floor must install the mandatory mininnnn insulation valueper ,§'15(1 for the ahered assembly. Fill in Columns A—C mud ewer mandatory insulation value in Column H. 0 Replacement of entire assembly— Replacement ofan entire wall, ceiling, or floor assembly requires the installation ofComponem Package- D insulation values in Table 151-C. Fill in Columns A — J, Opaque Surface Details Fmthe furred nm-tiuned of Mass Wafts see Furring Strips Construction Table below. -A I B I c I D R F G- I H I I- Proposed s"h°" Standard Values From JA4 Table Fuming Thickttess, Framed Continuous JA4 Proposed Tag/ I Assembly Name f Material I Spacing, ID' orType' I and Size' or Other) U- factor° JA4 Table Cavity Insulation Assembly Number's R -value' R -Value' Cell Values Assembly 1 -1 -factor" I I f I I I q AtitiCm61P I G C.O r' I I C./.= None Fm' furred assemblies, accouming for Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For' ca/culming fnred walls use the Mass and iFuning Construction table below. 1. For Tag1ID indicate the identification name that matches the building plans. 2. Indicate the Assembly Nome at- rype: Roof/Ceiling, Walk Floors, Slabs, Crawl Space, Doors and etc ... Indicate the Frame type and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame rype assemblies. 3. Enter the thickness for mass in inches or Spacing between firming members enter; 16 "a' 24 "OC, or Other jar all other assembly description such as Concrete Sandwich Panel, Spandrel Panel, Logs, Sanw Bale Panel and etc.... 4. Based on the Climate Zone; enter the Standard U- factor front Table 151-B, C m D for each d fferem assembfy Name or type. 5. Enter the Table number that closely resembles the proposed assembly. " 6. Ecom" the R -value that is being installed in the wall cavity a' between thefaming; otherwise, enter "0". 7. Einer the Continuous Insulation R -value for the proposed assembly; otherwise, enter "0 ". b'. Enter /he row and enlunm of the U -factor value based our Colman FTable Number and enter the As.senthly U -factor in Column J ). The Proposed Assembh, U factor, Column .1, must be equal m ar less than the Standard U -%attar in Column E to conopl y. Furring Strips Construction Table fm' Mass Walls Only A I It I C 1 1) 1 C F G FI 1 ;I I f< 11 m Proposed Properties; of Masonry and Concrete Added Interior in Exterior Insulation Walk From Reference in Furring Space from Reference Joint A t rundix Table 4.35.4.3.6. 4.3.7 .luini A t retulix'I'able 4.3.13 V U17 q AtitiCm61P G.. G C.O r' G C./.= G.0 +r a Fatal INnss Nun¢ or JA4 Table _ = E R °o 't ? o " m Assembly Thickness' 'I' oe° Hambcr' .A — E w �' ��- c; c "= ''O r U -factor''' Comment I l Regixtrauion Number: Registration Date/Tinie: HERS Provider: 2008 Residential Compliance Forms Augurs' 2009 e Certificate of Cumoliance'. Resid Alteration', CF -I R -ALT ,'Pace. 5 of Sl HEIS VERIFICATION SUMMARY The enforcement agurev should pnr special uuentign to the HC/i.: Aleasures speciiied m this checklist below. A completed and signed C'F-4R Form for all the measures speciiiedsherll be suburiaed m the building inspector helot final insroeGion. Duct Staling & J,esling HERSverifieauon is !soured(for Ibis mensure. Cl YES ❑ NO ),cs: in Chniate Zones 2 and 9-16, if more than 40 linear feet of ties, or replacement duct!, doe installed in unconditioned space, the ducts are to be Sealed per §152(b)IDii and the newly instilled ducts tae Lobe insulated Den §151ry710. ❑ EXCEPTION: Existing duct systems that are extended,. which arc emtsuvcted, insulated ur sealed with asbestos. ❑ YES ❑ NO YES: In Climate Zones 2 and 9-I6, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to'be seated per §L52(h)I Di. ❑ YES ❑ NO TES: In Cumene Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the i eplacentem of the no handler, conflict condensing unit of it split system, cooling or heating coil, of the furnace heal exchanecr) the ducts are to be sealed per §152(b)IE. ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed urouph HERS verification in accordance with procedures in the Reference Residentiiil Appendix RS3. ❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. - _ - ❑ EXCEPTION: Existing duct system,s constructed, insulated or settled with asbestos, Refrigerant Charge - Split S)'Stem HERS verification is required for this measwe ❑ YES ❑ NO YES: In Climate Zones 2 and 6-15; when the existing HVAC equipment is replaced (including the replacement of the an handler, outdoor condensing unit of a split system A)C or heat pump, cooling or heating coil, or the furnace heat exchanger) a refrisrerant charas measurement shall be verified Der §152('b) F. Cental Fan Integrated (CFI) Ventilation System and Fan Vdatt Draw The ventilation requirements of §) 5(Xol do not aDD)v to existing residential homes. Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow, HERS verification is required.for- this measure. ❑ YES ❑ NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is replaced. the airflow and fan watt draw shaif be verified Der §1152(b)10 to meet the requirements of 051(f)713. {Documentation Author's Declaration Statement tl I certify that this Certificate of Compliance documentation is accurate an s mmere. / Islame::NAW��, Signatur Company: t/ Date. 1G Address I ,, if -cable ❑ CEA m ❑ ..I (Certification W): GtylSouc/Zip: Photic: ofV/nr�c C� ��61 l0 X81.1 .�� s `Responsible Bvlildiug Desicn pr's Declaration Statement I am eligible nuclei Division 3 of the California Business and Professions Code to accept responslbllity for the building design identified on this CmtlLcate of Compliance. • 1 certify that the energy feawre:, anti performance spec'dicatiom; for the building design Identliied on this Certdicute of Compliance conform to nhc requirements of Title 24, farts and G of the California Cod•: of Regulations. • The building design features Idcnnihed on Ihi:: CenFficatc of Cantplianct ore consistent with the information provided to document thus building design on the other nppllcnble compliance Ibnne, worlsheets, calculations, plans and specircalions submitted to the enforcement agency for approval with this buildlnp permit application. Name: I Signaune: ` Company: Date! I License: I Phone. Addi ass ChN'/Sante/Zip: Tar a.rsi,vtance rn' gaes'tiryns l.eb'ure(ing the Errergp S'landuldt, comae( the L•nergr Hotline at: 7-8(/(I-7 72- 13110. -- I(egisoatinu slumber' Regrsu'auoi Dane/Tints: HERS Ih'ovider oanr n,. id .Jyr'•nl'.�...,.,. ..,r..et 2009 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY Ofi COSTA MESA CONSTRUCTION PERMIT Prg/� (�p ect Address . /' A 4414 A i NU Applicant's Mailing�A�dIdress X t Pea -4 A/ A,' b Owner's Name —Ul A L L �4 C /- _&A i Phone 9 7 95 �5�7 Address 11e-,zZ) Arch/Eng. License No. Address Contractor's Nam Phone Address (mailing) City License No. LI NSED CONTRACTOR DECLARATION I hereby that I am licensed under provisions of Charter 9 (commencing with section 7 Division 4—th loess and Professions Code, and my license is in full ln t Lic ice she No. Date Signature WORKERS' COMPENSATION DECLARATION ' hereby affirm that I have a certificate of consent to self -Insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section ,00, Lab. C.) Policy No. Company 8 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 ($100) or less). certify that in the performan Ce of the work for which this permit is issuetl, I shall not employ any person in any m ner so as to be ome subject to the Work o Comppp,, ation Laws of Ca lifo 1 O L Date ✓ y •d—) , Signatures .PO.., — NOTICE: If, after making this declaration, youshould become subje to the Workers' Compensation provisions of the Labor Code, you must torthw ith 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's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or 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 t0 file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Olvision 3 of the.Buslness and ProfessionS•COde) or that he/she is exempt ,N:arefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil ty of not more than five hundred dollars ($500). as owner of the property or nwr-erre vl eeS with wages as their Sole compensation, will do the work, and the structure is not intendetl Or Off¢retl for sale (Section 7044, Business and Professional Code: The Contractor's 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 Com- pletion, the owner will have the burden of proving he/she did not build or im- prove far the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project(Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). 1 am aware that proof o their Worker's Compensation Insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date V89-3-2' 7 wner 1 hereby certify that I have read this application and state tRaVrthe above information is correct. I agree to comply with all city and count OrdmanceS and state laws relating t0 building construction, and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for inspection purposes.,lipl/ Signature Date�­71 Drivers' License or SS gy B 0A (0 TYPE OF CONSTRUCTION 11 NEW LJ ADD LJ ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. Zone DESCRIPTION OF WORK/USE OF BLDG. $ Main Building: Accessory Building: E Z TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL T Front O I❑ TENANT El ELECTRICAL El PLUMBING El MECHANICAL B Rear N rIOTHER —A I PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N K G CON STRUCTION TYPE VALUATION$ si 3D�� $ Left R ZONE GRADING CU.YDS. ACRE$ Ping. Ref. # Parking Req./Provided E Remarks: Planning Notes: DM S Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Bit. ICBG # Heating System & Ducting 110-100,000 BTU ❑100,gQd Reinspection Fee 1 $15 CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Hood or Type 1 ❑ Canopy Type 11 ❑ Refrigeration System ❑0-100,000BTU ❑100.000 System Repair/Alteration Fire Dampers Registers Issue Fee $ 3 Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Generator ❑ KW'❑5-15 KW Meter Llup to 100 amps Meter ❑over 100 amps Sub Panel Motors -0O-1 HP ❑1 %- 8 I pc�So lar El 9-15 HP El 16-15+ Microwave Pole Light Range Sign - Standing Sections Trash Compactor Fee 1 $15 1 1 Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Issued By FEES $ 3 PLUMBING FEES Bar Sink Showers Backflow Preventer Service Sink �7• b> v SMTP Backflow Irrigation Sewer Cap PLAN CHECK Bathtubs Sewer Connection PERMIT Clarifiers Solar Collectors PLUMBING Dishwasher Solar Piping _ ISSUANCE Drinking Fountains Solar Ta PLAN CHECK Floor Drains Swjpirl Pool w/Spa ENERGY P.C. Floor Sinks Anal ELECTRICAL Gas Service Outlets Water Closet GRADING Interceptors Water Heater PLAN CHECK Kitchen Sink Water Service MICROFILM Lavatories Auto -Wash MECHANICAL P—Trap Laundry Trays TOTAL FEE Roof Drain ^ i5.3J PLAN CHECK 25% $ Reinspection Fee $15 Issue Fee S 3 MECHANICAL FEES Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Bit. ICBG # Heating System & Ducting 110-100,000 BTU ❑100,gQd Reinspection Fee 1 $15 CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Hood or Type 1 ❑ Canopy Type 11 ❑ Refrigeration System ❑0-100,000BTU ❑100.000 System Repair/Alteration Fire Dampers Registers Issue Fee $ 3 Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Generator ❑ KW'❑5-15 KW Meter Llup to 100 amps Meter ❑over 100 amps Sub Panel Motors -0O-1 HP ❑1 %- 8 I pc�So lar El 9-15 HP El 16-15+ Microwave Pole Light Range Sign - Standing Sections Trash Compactor Fee 1 $15 1 1 Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Issued By FEES $ 3 - SUMMARY OF FEES BUILDING PERMIT $ �7• b> v SMTP $ J PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ ^ i5.3J PLAN CHECK 25% $ 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 FIRE DEPT. REQUIREMENT' APPROVALS Permit # _ 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. 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 Pipe-Test - 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing . 39. Water Service-Final - 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System :45. Sound Attenuation , 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date -' OWNER Seaview_Homes.,_' XTE 6-19=62 JOB ADDRESS 11 26-Panl ari r .. Avienue-JILDING PERMIT NO. 17298 GENERAL CONTRACTOR S_. -V Huasaker Qu Sans VALUE $ 15,(y11..44 AP No. LOT 7 TRACT h565 FIRE ZONE DESCRIPTION OF WORK res wA- tt ear INSPECTIONS Signature DATE GROUP I&J TYPE v ZONE Rl Soil . -� SUBCONTRACTOR PERMITS ISSUED Gas [ DATE NUMBER Water y . Rough Com. Re rig. ❑ Air Con ❑ Rough Heating Rough Plumbing _ly..4v _ ' ,2, /%L�1�-moi✓-�'N.� _ 6' z7"G_Y __ -%Z Miscellaneous Prop. Swr. Line Q -House Con�-St. Swr. ❑ /. L fp Sprinkling System ` ol�ion ole /Y Underground ❑ Power ❑ I/ Rough Wiring —7-�.7%Yl _ 'rrePorms ❑ Steel I-Ceinf. ❑ 3 m d 6 - 1 i _ y_ Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing - Frame and Flashing ,$- i - k e Lathing - In EJ�Out ©� /O'62, Plaster, brown coat Re rig. ❑ Air Cond. ❑ Final Heating, Final _ /V ^t — Plumbing Fixtures, Final _ Final Gas TestQ. Electric Fixtures, Final r / - Building, Final OCCUPANCY 17298 FORM BU4 - 5M — 761 I -7998 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely +� TYPE OR PRINT 17 LD NG /J ADDRESS 4 /-04 ` e `i - COSTA MESA CALIFORNIA ll�i FE ,E RECEIVED .gun 15 oat 1 FINANCE DEPT. gV Pt COSTA MESA APPLICA N R PERMIT BUILDING For Office Use Only RECEIPT NO, IPERMIT(ljp� OWNER SBavi@W HOmeB Inc. MAIL ADDRESS 1602 W. Almond RECEIVE BY OATH REGEJVBg- 3bT ISSUED ,�J-(, du111 9 196; Orange TEL. BUILDING CITY NO. ADDRESS ARCHITECT TEL OR ENGINEER Ramberg & LowreyNo.KI7-6131 COSTA MESA. CALIFORNIA 2127 N. Main St. Santa Ana, FIRE ADDRESS ZONE TYPE GROU S. V. Hunsaker & Sons APPROVED CONTRACTOR BY DATE 15855 Edna Place ZONING ADDRESS Irwindale ZONE NO. OF I USE OF NEW /h CRC dA. I CITY �_ I PLANE BUILDING LICTNO. 164929 No_ ED8-7361 LBOAL �,,� TiP ys6�r- DESCRIPTION y SIZE /� 00 NO. OF BLDOa. yy��yypp���� OF LOT tan" NOW ON LOT 0 A. P. NO. USE OF �- YARDS EVES EXISTING BLDG APPROVED ALLOWED SETBACK LINE FROM �7 (CENTER YNE ST.1 CENTER OF STREET REAR YARD _5 FRONT S - FT, IN. SIDE YARD I LEFT ' - / I RIGHT e— R. SIDE ..S FT. IN. DESCRIPTION OF /�- s-� L. SIDE FT, V IN. I g II Ip1WORK I I NEW ALTERATION REAR Z' 7 FT, IN. I�IIIIADDITION REPAIR I MOVING I II DEMOLISH I APPROVED DATE/ L (p 2 - BUILDING BUILDING3NO. OF 1 SIZE ROOMS STORIES EXTERIOR WALe uCCO I R COOF COVERING OVERING USE OF BUILDING AND WORK TO BE PERFORMED Sin le Family Dwelling with attached ( ov gar e. ,-vI, Plan i C I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IE FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION BUILDING CONSTRUCTION. r SIGNATUREOF S. V. HunsakeI & Sona PERMIT FEE 5PERMM PLAN CHECK S L S '� 1 AUTHORIZED AGE i E TOTAL FEE �