HomeMy WebLinkAbout1781 PENINSULA PL - Building Permits PROJECT ADDRESS: 1781 PENINSULA PL UNIT: 45 CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 051184
OWNER'S NAME: KAUFMANN L BROAD
AODRE3S: 180 N. RIVERVIEW DR PERMIT NO: G 051184 PLAN CHECK NO: 00713-91 A GOVT: N SUPP: N
SUITE 300
ANAHEIM CA 92808 CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE NEC PLU STR PURPOSE: NEW
ARCHIENGINEEP: •921-0500 REG.NO.:
1 ADDRESS: MIKE WOODLEY C1c730 JOB DESCRIPTION : SFD AND GAR SQ FT: 2, 537
180 N. RIVERVIEW DR 300
ANAHEIM CA 92808 CLAIM VALUE: 144 ,063. 00 CALL VALUE; 146, 817. 30 GROUP OCC: R-3 /M-1
. PERMITTEE: KAUFMANN 6 BROAD (714 ) 921-0500
ADDRESS: 180 N. RIVERVIEW DR 300 COMMENTS : REF PLN-CK 234-89 A
ANAHEIM CA 92808 ****+E**+tREx*****N*******************TE********************N+E*****SEyr* *********S6*>E
LICENSED CONTRACTOR DECLARATION: I hereby affirm • ensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
70001 of Division 3 of the Business and Profess'. ode.and my tic'nse is in fell .rce and effect/ SETBACKS
CIT"tic.: 046894 STATE LID.: - 4495 GLASS: .
Date'{-(-q / Signature: 4+// /. ��� �j MAIN BUILDING ACCESSORY BUILDING
NORKERS'COMPENSATION DECLARATION: I hereby affirmhave a certificate of consent to self-insure or a certificate of workers' FRNT: 18 FT IN REAR: 11 FT 6 IN FRNT: FT_ IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Sectio nn, Lab.C). LEFT: 6 FT IN RGHT: 5 FT IN LEFT: FT IN
I
POLICYNO.: 4189-1090 P DAT ' 3/07/91
Mat SPFd ►L�'MOTS
COMPANY: TRANS. INS PARKING REQ: 2 PROV; 2 PARCEL : 42452127 ZNE: PDR- REF NO: PA 88-90
' 7 Cenifiedcopyisherebyfurnished. LX Certified copy' filed with m•city Building Di Sion. PLANNING NOTES> NEW SINGLE FAMILY RESIDENCE WITH AN ATTACHED TWO CAR GARAGE,
-I -- 7/ > HALF OPEN PARKING SPACE PER UNIT PROVIDED ON-SITE,
Dale Applicant rn l��'1�. A **************** ********************.****** **:**********7f-***************ac******
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This secty'eed not be Completed if the permit is for one hundred($100)or less). D E V E L O P M E .N T -- 5 E R V' I CE S. R E Q U ( R E M E •N- T S
I certify that in the performance of the work for which this permit is iss.ed.I shall not employ any person in any manner so as to become - -
subiect to the workers'Compensation Laws of California. ZONING APPROVED BY in
)--1 L- 'L__ DATE:7 d Z2T79 (
Dale: Signature:
NOTICE:II.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : liJ l O ,\ti 'Ti DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. - -
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: s_ DATE
which this permit is issued(Section 3097.Civ.C1. ********************** s .l:.s.s•+"- - ****.*.********y.***.*****.
LENDER: ********************************•***** ****************************************
ADDRESS: LEGALIZATION:N F E E UMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELE RIC 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 804 . 00 39 50 • 9;,._136. 2 8 '15 10 28
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 25% ;'° 0% 2 5% SMIP/NON-RES
and Professions Cadet or that he/she is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by PLAN 130 . 65
my applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3 . 00 1'5: 00 1 5. 00
' I' I, as owner of the property or my employees with wages as their sole compensation, wit 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----> 9 51 8 9 3 3 , 00 130. 65
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/nersell or through 1115 , 54 1115 . 54 • . 00
-
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 REVENUE DIVISION TOTALS--> COLLECTED: 1115 . 54 OVER/SHORT: 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 804 .00 42 , 50 84 . 86 11.4 3 . 2 5 10. 28 130 . 65
❑ 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 theContractors'State License Law).lam aware *********************************if it************i*************************.****M.X.
that proof of their Worker's Compensation insurance should be provided to me.
I N D I V I D U A L4
a y
FEE BREAKDOWN
❑ I sin exempt under Section: e.A P.C. xis •
for this reason: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
Date: owner: SFR 1996 DWE-TYPE V-WOOD FRAME -GOOD 69 . 00 137 724 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 76 RES-BALCONY, EXTERIOR STAIRWAY 13 . 80 1 ,048 . 80
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements fora SFR 465 - RES-GARAGES TYPE V 17, 30 8, 0 9 4 , 5 0
permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from
these provisions. ELE 1996 NEW RES BLDG FOR 1 OR 2 'UNITS/ SQ FT . 03 69 . 86
MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9 . 00 9 . 00
Date: A.' . . • MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 00 9 . 00
I hereby certify that I have read this application• d stale that the abov'nformation is correct.I agree to comply with all city and county MEC 1 GAS PIPING SYS 1 - 4 OUTLETS 3 . 00 3 . 00
ordinances and state laws relating to building constr ' n and hereby auth,ize representatives d scity t nter nthe abovementi e MEC 1 GAS PIPING SYS 5+ OUTLETS PER OUTLET • 75 . 75
properly for inspection purposes. MEC 1 FACTORY FIREPLACE 6 , 50 6 . 50
Date: / .- V_ Signature: "d/.- . PLU 2 BATHTUB 2 . 00 4 , 00
PLU 1 DISHWASHER ....-:•D Ua' 00 ' -a LT"' SuE'L:E 2.- 00 ,T
Driver's License or Social Security a: /'4Oi iEJG8i5 2 GJG2ts9< k - -
� V
_\ 1641-46 white-Building:Green-Code EnlorcemenC Canary-Applicant:Pink-Revenue:Goldenrod-Assessor , CTE. 12:/c1/41 t I",Ff. C-7?-1
I
CONSTRUCTION AND PLANNING 'POOH . SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole. . - 52. Pool & Equipment Location -
S
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
•3. Electrical,Conduit Utility-Undrgrnd. - 54. Forms -
4. ElectricalConduit=Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement '" 56. Rough Plumbing & Pressure Test
6: .ElectricaLUFER Grnd. 57. APPROVAL TO COVER-GUNITE
7.`• footings`t .1. - - 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 Sigri; 68. APPROVED FOR PLASTERING
•
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
20. ;Rough Factory Fireplace I - .. - _- - APPROVALS'- :Permit # '
21.,-Ducis, in-Structure . .. .. r gr
- - • 70. Underound(Hydro
22. Ducts, Ventilating.: .> _ - :=' ; -71, Product Piping O'Gas 00i1
23. ,Gas Pipe-'Rou h &Test '"-'' i " '
9 ' 72. Underground Flush-
24. -Rothaming - -
: ' S73:IUndergrnd Storage,Tank 0 Gas 0 Oil z --'
25. Roof,Sheathing 2 %. 4 a74, Overhead Hydro -
26.'T-Bar Ceiling (Structural) & Monocoat r _ 5' -• 75.=Dry Chemical - • `
27. Frame and Flashings • r
;, , A ;(,,\4\A 13/47,...r, 76.`Dry Standpipe „ - , . I" ,
•
28. Lathing & Siding y - ,h.: 1? 4. y( -• •V(/•• ' 77.=FIXED SYSTEM-FINAL; - ' _ `` ,„--,:
• r
29. Insulation ; ' ;It k� ��./ , 78.>f LRE PREV. FINAL L
'30. Drywall Nailing • - • -l(g9 t, J(/ HEA LTHDEPT. REQUIREMENT::31. Plaster Brown Coat' '- t0 2S GWN(, ;79. FINAL INSPECTION" " ' -
32. Electrical Power Meter Final )�/J- (q� j�/1 :80. !FOOD CERTIFICATE ISSUED - _
33.-Final Electric - 7r �"/- • •'Notes: -
- -
,34.-Final & Air
Heatin ' .Conditionin l'1'AI , •`I),' , . • - -
35. Final Gas Pipe-Test' ''' 'YY'lIej ' 1.-ecrT - - • ' ` ...:
36. Hood or Canopy
- C
37:-Final Factory Fireplace„.. : • , _ b/iel.J ; (�EIJ.
'38. Final Plumbing - • , .. .: - fe-C ; tz0.. : - - - - -
-39.-Water Service-Final• rise fen • • - - ' ' ,
'.40: Gas'Service-Final • ,r:, ' -:am .
:41.•Solar Domestic-Final : • -•_ _ - • _ _
'42.'Backflow Preventer. • •-
43. Backflow Irrigation; i >' - - • -- •
• Y. -
:A4. Landscape Irrigation System; , a. - t
`45.-Sound Attenuation- - _ -
.46. ,Handicap,RegulatioPs ? • . -
47.-FINALSTRUCTURE&BUILDIt _G 1pt (�i WJ.I,,�� - •
48.±l N L ANNI•NG . ' -r... , _ `,. cis
C...;',..5,,---:- :-
i' 1 , -
•
r 49..-Electric Release to Edison << : • •
, 50. Gas Release to Southern California Gat Co I. ( I; , - .. - -
•
.51. CERTIFICATE OF OCCUPANCY - • - -
No. Date
PROJECT ADDRESS: UNIT:
OWNER'S NAME: •' '4
ADDRESS: PERMIT NO: G 051184 PLAN CHECK NO: 00713-91 A PAGE: 2
fr ARCH/ENGINEER: REG.NO.: TYPE QTY DESCR IP TIO N UNIT COST TOTAL COST
ADDRESS: UNIT:
PLU 1 LAUNDRY TUB OR WASHER 2 .00 2 , 00
PERMITTEE: PLU 1 SHOWER 2 . 00 2 . 00
, ADDRESS: PLU 1 SINK, KITCHEN 2 . 00 2 . 00
PLU 4 WASH BASIN 2 ,00 8 , 00
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section PLU 3 WATER CLOSET ( TOILET) 2 . 00 6 , 00
7000)of Division 3 of the Business and Professions Code.and my license is in fun force and effect. PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 . 00
CITYLIC.: STATE LIC.: CLASS: PLU 1 WATER SERVICE 2 .00 2 . 00
late: Signature: PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 . 00 2 . 00
gORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' PLU 1 GAS PIPING SYS 5+ OUTL—PER OUTLET . 50 . 50
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). PLU 1 GAS SERVICE 2 . 00 200
IPOLICYNO.: EXP.DATE: PLU 1 SEWER, BUILDING / TRAILER 5 . 00 5 . 00
COMPANY: END OF FEES
0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division.
Date: Applicant:
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit isfor one hundred(S1o0)or less).
1 certify that in the p¢normance 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 allirm 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 far 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 7100(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
ny 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
I ❑ structure is not intended or offered for sate(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
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 properly who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.8 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 I 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.
Oat¢'. Applicanll
0: 00041483-3c081693 I CST Illf..7."
I hereby certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county DATE 03/01/91 TIME: 09:27
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: J
Driver's License or Social Security p: •V//
1641-46 White—Budding:Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor •
CONSTRUCTION AND PLANNING •
POO` "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
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 & Air Conditioning FIRE DEPT. REQUIREMENT
20.iRough Factory Fireplace.' • - APPROVALS Permit#
•
21. Ducts, in'Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23.-Gas Pipe-Rough& Test 72. Underground Flush
-y,
24. Roof Framing - _ 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural' &.Monocoat 75. Dry Chemical
277-Frame Flashing • •, 'o) - 76. Dry Standpipe
28: Lathing'& Siding r u. 77. FIXED SYSTEM FINAL
29. Insulatign " - 78. FIRE PREV. FINAL
30. Drywall Nailing I • • • HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat r''-• ' 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 '
n..
36. Hood or Canopy
37. Final Factory Fireplace 1 ''
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..FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY'.
No. Date
CERTIFICATE OF COMPLIANCE /557
PAYMENT OF SCHOOL FACILITY FEES
NEWPORT-MESA UNIFIED SCHOOL DISTRICT
Developer/Applicant : /iQFmAN `t` )?P'AO
Address : /�O M VF2V1FLAi ANA Htim `I-'f-2
Telephone Number : 7/1/`9�/ C'S�
Tract/Parcel and Lot Number(s) : C
Location of Project : / fb TrzeE&a S F • ,a rJ 3 ;a .
Number of Square Feet of
Residential Space o?O/3O5 x $1 . 50 Total ,70.v5- 7,10
Number of Square Feet of
Commercial and
Industrial Space x $0. 25 Total
Commercial/Industrial 'Project is : (Check One)
Mini-storage Motel Preschool
Movie Theater _ Bank Auto Repair
Racquet/Health Neighborhood Shops Hospital
Warehouses R & D Large Office
Heavy Industrial Hotel Office Bldg.
Regional Shops _ Medical Office _ Restaurant .
Light Industrial Office Park Fast Food
The provisions of Government Code Section 53080 are not applicable.
This certifies that the above-named Developer/Applicant has paid school
facility fees in compliance with Government Code Sections 53080 and
65995 .
Checks are to be made payable to Newport-Mesa Unified School District .
&
Business Hager
Newport-Mesa Unified School District
The above representation as to square footage is true . Developer/
Applicant agrees that if it is later determined that such representa-
tions are not true then this certificate shall automatically terminate
and the appropriate City/County shall be notified .
Date : . c2
Dev - • - r/Applicant����
it f
:/moi/ .. / \ .. \ / \ \ / :•i _ / /�_/.`' / i
e�
,r/ BN FORM 116 ,YQ,rr,,
( \ _ BIA FORM 1486 _^
i
del INSULATION CERTIFICATION
I
ui ' - 10
I This is to certify that, in conformance with the current energy regulations (California Adminis-
: .I trotive Code, Title 25,State of California') and approved plans, insulation has been installed in
\!i the building located at: ''�
a'% i \....,
I COSTA MESA ORANGE �J
II
ca, Conti SEABREEZE
I
F 1
1781 Peninsula Place LOT 45 TR 13224-3B .
IV VI Sisal He. (It Anibbls) SIr.I Eat Nisbet Teed N. '1)
•
\li DESCRIPTION OF INSTALLATION - I is.
�� I ROOFS �.S)
a.\II Type of Material Manufacturer _Thicknpec R.vatue••— L
A. EXTERIOR WALLS OWNS CORNING -
(`\) Type of Material FIBERGLAS BAITS Manufacturer FTRT7t(t.AS Thickness ) " R Value T I_
(Or Tied. Name)
E CEILINGS ) „
i
r.\ BATTs: OWE IS CORNING 61 19 „
FIBERGLAS BAT15 FIBERGLAS 915" ••30 a'
Type of Material Manufacturer TM1icknxc R Value �`
h/11 for ties. Memo) ( ,
SQ. Ft Covered
.74
BLOWN:
1;\/1 Type of Material Manufacturer Thickness Na Bags— )
'" !
(Os Ingo Name) ."); .
e j Wt./Bag Sq. Ft Coverer! R Value•'_ ',.
h�tl FLOORS ii.
&/ j Type of Material Manufacturer Thicknrcc R Value's_ �,
E�&� ' (Or Tiede Mn..)
@w\i SLAB ON GRADE _ . - /�_'
fF, Type of-Material • -Manufacturer,— Thicker -R Value's_ • ,a :
• n. ,: _ (Or Tied. Na..)
Width of•Insulation Inches
�j
f • FOUNDATION WALLS (if required) 1
"` Type of Material Manufacturer ThicknessesR Value"—
Tine Ti • Mer)
! \)i
(..\ REMARKS (If desired) _ .,.
KAUFMAN & BROAD-SOUTHEAST �'
General Contractor (Builder) Ilene Number /
I:/ • ».
By . Title Datr 171).
Sub-Contractor (Insulation Applicator). Accent Insulation Company License Dumber 274283
(Inane,. Meson ) (Stab •'SAMC'• N ser n Cr mel ���
\ �CC� /2 ! lam / • Date 6-17-91 l:
/ i By �L-!_i Title !
,. 1 1•Catil«n:o Adminisner:v Con, Energy Insulate. Standards. dot! O(CEIR bele Sea. 19175 a On Heade .ed Selsey 4d• e1 ie Si.,. f4./.
\ -Cementite. Up.. woolen. e/ do Msbllallee a inflation. • card et 411/«n1•, - $
/' con:lying Intbe Insane, Mi been installed In conformance with the
rwelr.rnls et these rewlariee, shell be wmplet.d end named by H. aMlAa•t• el estspenry e1 similar erilfie Mw Int • nay ern \�)
the Iwoelstiw applicator end by the balder. This 1-:wlotisa nmplients stored betel, motel, eperneat nese, Mme M any MId.n:el /1 1
end dell be paled at • •••••Imre location w1Min to dwelGne.") dwelling is ebitebl• tell be lewd by mob • betiding apartment 12)
./S sonless S. snowsy el lent satisfies S. minimvm intern Iesel•t:w
(••I Vein I, The mann et to resistants a • metwlel es b adiM stonerde•stsbll.ed
mp.n...I.the peon*d beet.The masons vets III el m eMswwl Pe lets davl•r.•' ���
n w ,)
sebu«,s sell net JwJwd• lay sale M nflMlw WM./ • 7
i I
uf Form 116 —m BUILDING NEWS, INC., 3055 Medand Ave, Los Angeles, Calif. 90034--(213)870-9871 11
\ I form 1486 -C BUILDING INDUSTRY ASSOCIATION OF CALIFORNIA, INC;1571 Beverly Blvd,Los Mgeies•Calif.90026--4213)625-5771 )%)),
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I
PTA
IWA ENGINEERS
17390 Brookhurst Street,Suite 100
Fountain Valley,California 92708
(714)968-1221 •FAX(714)968-9286
July 26, 1991 . J.N. 207-05
City of Costa Mesa
Building Department
77 Fair Drive
Costa Mesa, CA 92628
Attention: Mr. Victor Clift
Subject : Fine Grade Certificate
Dear Mr. Clift :
I hereby certify that the fine grading for Lot 45 of Tract 13224
were graded as shown on the precise grading plans for said project .
Llewellyn D. Incledon, R.C.E. 17593