HomeMy WebLinkAbout1793 PENINSULA PL - Building Permits 1 �. a.w• .rd•: s.... +.r . .Y ... kms..._ -SEA .,_ '�_ t' :) ,or'r...¢.d
�4 BN FORM 116 CALIFORNIA SEAB,4EEZE PHASE 1 it
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SIA FORM 1486 'I i4
•
r. �` INSULATION CERTIFICATION A ,ire
•
�,\i • This is to certify That, in conformance with the current energy regulations (California Adminis- " I
'` r. /, trative Coda, Title 25, Slate of California') and approved plans, insulation has been installed in
. 1.\I the building located ut: ����
•
i, J _Costa Mesa _ Orange `\'1
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:51 1 7—y 3_ Peninsula Place y8 _ 13224 \;I
1.,.. :erns r... (II rwu4el•) Sbeel -tat Remo✓ Tad N.. d
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l. . , DESCRIPTION OF INSTALLATION the
ROOFS \l
�'.\, Type of Mylerial _ Manufacturer Thickness________R Value**____ i` )J
it raj EXTERIOR, WAILS, OWENS CORNING 1 )
�'eu+!.\' Type eit Material FIBERGLAS BATTS Manufacturer_-FIBERGLAS Thickness 3 R Value** 111 � ,1
f;,Y3,0,•? Ia Tied. Km.) )
,(4l CEILINGS OWENS CORNING 6411 19 \`
P.NI BA ITS: n b
..s Type of 6latediat FIBERGLAS BATTS Manufaduru_FIBERGLAS Thicknes. 9} r 30 C-
RValue•
(a+ Tale Nana �•:;
LE r'!a I Sq. FL Covert I +
I.• �'2p. J BIOR')4: • .
It ; '/ il
I• 6 Type of Malarial Manufacturer _- Thiclnesr No.Bags_ �,
t ',a (De Trade R...ei -�I) '
'?...II
l •
WL/83g Sq. FL Covered____ R Statuette__
V h •
.' !•:+ FLOORS IV •
• ' Type of Material Manufacturer Thickness_____R Value••_ \�
::*It
:.I P.� (Or Trade Rama I
'i� SLAB ON GRADE .��
t - Type of Material Manufacturer Thickness R Value••_
la T.J.rRama
•. nQ,!•\I Width of Insulation Inches 1'3i
S K':r g�ji FOUNDATION WALLS of required) '\..,i�
'- J typo of Material Manufacturer Thickness___R Value" l��
/ ,ll ler Trade N...) \•
Pl �' .1 REMARKS (if desired) �`2�
•
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General Contractor, (Builder) Kaufman & BroadLicense Number Pl)
�. i By 'title__ Oat• I �
M
% Subco,teactor osuhticn Applicator) Accent Insulation Company license Number 274283
�' {i (I.Wleti.a. Mi..a tic,) "/ (Stole "SKYE" II ao..e..Can ,l ,dpa ����
; \ .-<,/ 99
'i is .8y - - -' Title /< „e9'
Date March 2, 1990 �.
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i'Cdll..el.Id.dasciedi,.C.d., t 'lir InulaN« $.«Ned., d.an..er IZCEIPT h.. See. hays d n.. ll..lt% ad selety Code d Je fid. FA))
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.� ...Ohio. S. .b.d...l.li«N. M..I...NI.d I. .e.ee...y .1. .N r- '•�
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. is .Mrin...L d ekes, md.d«. Jell Iia .v.N.M "d "eat"
IT ..k• awRRup d «a•vM r Nall✓ Awe Rediae MI • •..II s•r
Y' 4,` ow l..al.rib. a lic.l✓ .N ►r Ib• IId✓. DI. Ir.:Nae« wa,ll..n arnJ.d ENMI, •...l, •pe.v.l b...., baa. M .R✓ mld.Md P;
13 v�.'t. add sisal N .Wad d . .«nln.ew4.1 ee« dMl. IN d..11i.••") dvNll. })1• be►dIN4 J.11 be I..vN ti ..J • bNldl,.e d..wle«I .. ....
dela.. ..naive. el lied moles., M addled'MMI I.nlNM .
i%/ {•'e VJw b J. rwnn d IN nNNe.0 a • wea 1.1 bNIJ:.• .NN.Adu..bllJed MP«l le KI. slater." _--
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+i ll <H'Foim 116 .—o BUILDING NEWS, INC. 3055 Overland Are, Las Angeles, Calif. canO14 (213)870.9871 1 .' _ ) 1
s J0 � •�- pons 1406-0 BUII.OING INDUSTRY ASSOCIATION Of CALIFORNIA, INC., 1511 Beverly Blvd,Los Angeles, Calif.90026-(213)625-S771 F/ 1
I
�. IWA ENGINEERS
17390&ookhurst Street,Suite 100
Fountain Valley,California 92708
(714)968-1221 •FAX(714)968-9286
August 21, 1991 J.N. 207-05
City of Costa Mesa
Building Department
77 Fair Drive
Costa Mesa, CA 92628
Attn: Mr. Victor Clift
Ret Fine Grade Certification
I hereby certify that the fine grading was completed on Lot 48 of
Tract No. 13224 and will drain as required by normal subdivision
practices. The lot was not certified prior to construction of
hardscape within the rear of the property and is currently drained
by catch basins to the street curb. If the basins were not kept
free of debris the lot would still be able to drain by means of
surface drainage.
JAV
Llewelly D. Incledon RCE 17593
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
N
CITY OF COSTA MESA.' 7 CONSTRUCTION PERMIT PERMIT N a ¢ -� 'yam/TRACT NO. LOT'Yr
UNIT NO.
A.P.# Zone
Project Address �/tiJNINSIILI� PIE - - - - F , S Main Building: • Accessory Building:
Applicant's Maili1�gA ddGre�ssp/PO N h',i/EE//EIA pe AiJftrrEIgl TYPE OF CONSTRUCTION NEW 1_i ADD U ALTERATION U REPAIR - —
r / /' 9oV/��1D ❑ CONVERSION ❑ DEMOLISH ❑ OTHER CP I T Front D
Owner's Name '` I r// N`�" �r77 J Phone 7 DESCR IP ION 0 WOR /USE OF BLDG. i. ' �B Rear N
Address CI-ME. % . .Q,. a . - . - �. . -/ - S4-err . • A I
Arch/Eng.tdigF Ll J f - 1.57�a TYPE OF PERMIT U GR•DING S FOUNDATION e, STRUCTURAL 1 C Right N
``/�/..,�..,• 1`lOL7LF! License No. ' K G
Address �Z.4,V / TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S LeftR
Contractor's Name /UON�• Phone 'OTHER S (-FS �FF/lr.E 7 _ •
!Ping. Ref.# Parking Req./Provided E
PROJECT DESCRIPTION SQ. FT. OCCUP Planning Notes: M
Address(mailing/ p/f CON ST RUCTION TYPE VALUATION$
City License No. 'y a/1r,/ / ZONE GRADING CU.YDS. - ACRES T
LICENSED CONTRACTOR DECLARATION S.
.
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:
with section 7000) of Division 3 of the Business and Professions Code,and
C .
S/' /_efs ELECTRICAL FEES
my license is in full force and effect. ;/y/�Q SC f V
License ass Ick s y 77 ..l
1 Date i i. : Signature yA `'la. -.I/4a/ PLUMBING I FEES Automatic Washer Transformer 0 15.50 KW
KERS'COM ENSATION DEC ARATION Construction Pole Sub. 0 50+ KW
eby affirm that I have a tertilic. e of consent to self-insure or a certificat¢ Bar Sink Showers
orkers' Compensation Insurance, or a certified copy thereof'(SSeection Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
0, Lab. C.)„/&9—/O 21' '�79N� r / N.5 Dishwasher Meter Dover 100 amps
Policy No. LL�� z(/ Corn any Backflow Irrigation Sewer Cap
fietl coo is hereby turn ishe Dryers ❑Gas DElectric Sub Panel
ertifie o filed with the a g Divis n Bathtubs Sewer Connection
Date ' Applicant -9)M2x Fan Motors ❑0-1 HP ❑1%-8
EXEMPT O FROM WORKERS'COMP SATION DECLARATION Clarifiers Solar Collectors
(This section need not be completed If th ermit is for one hundred ($100) or F.A.U. Inc.Solar ❑9-15 HP ❑16-15+
less). Dishwasher Solar Piping •-Ir—
s Alli no that in the performance of the work for as to this permit is issued, RS Fixtures �'�f(".K_ �7✓_G_
Wort rs' employompeanyiperson of any manner so as to become subject to the Drinking Fountains Solar Tank OCJ Microwave •
Workers' Compensation Laws California. H— '
Device Boxes Pole Light DateOSignature Floor Drains Swimming Pool w/Spa p 9
Workers'
, per makingtoondeclaration, you Code,becomesubject ho ite
h 0 Outlets Range
--
comply
plys' such Compensation
provisionsr of the Labor you et forthwith Floor Sinks mal
comply with such provisions or this permit shall b¢ deemed revoked. -
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet SY Switches Sign
I hereby affirm that there is at construction rmit ue agency for the performance
C.) Garbage Disposal of the work for wh'Sch t Ke permit is issued (Section 3097 Civ. C.) 9 P Standing Sections
/� s- Interceptors / Water Heater
Lender's Name
Lender's Address ONL Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
fallowing reason (Section 7031.5 Business and Professional Code: Any city or .
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays
any structure, prior to its issuance,also requires the applicant for such permit
$ile
a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains /.5.Contractor's License Law (Chapter 9(commencing with Section 7000) of
stop 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee . '
efrom and the basis for the alleged exemption. Any violation of Sectionr
1.5 by any applicant for permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
tiI, as owner of the property or my employees with wages as their sole Reinspection Fee. ` $15 Issue Fee $ 3 Zoning Approved By Date
compensation, will do the work,and the structure is not Intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date / O ft'
License Law dues 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 Boiler Hood or Type I ❑ 1. Application Issued By Det
employees, provided that such Improvements are not intended or offered foryp -
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEE p
pletion, the owner will have the burden of proving he/she did not build or in- Duct-Under Ground ' //
prove for the purpose of sale). BUILDING PERMIT $ fa• 00 SMIP $ s
❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ '-» PERMIT
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 Duct-Ventilating 0200,000 BTU 0100,000 BTU PLUMBING $ - ISSUANCE $
builds or imoroves thereon.and who contracts for such oroiects with a con-
tractor(s) license pursuant to me Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 /System Repair/Alteration I PLAN CHECK 25% $ tJ 'fes ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me. •7 GRADING $
o I am exempt under Section B. & P.C.for this reason u Firepl/Fact.Blt. ICBO# Fire Dampers ELECTRICAL $ r1 r
PLAN CHECK 50% $ MICROFILM $ Q7 �J
Date owner _ _ _ Heating System& Ductin Registers _ MECHANICAL $ �/J•f��10
I hereby certify that I have read this application and state that the above 00-100,000 BTU 010 ,000 BTL TOTAL FEE $
information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state la. lating to budding constr • Ion, and hereby authorize repre-
sentativ- • city to -nter p• above-mentioned pro rty for
Signature //L/L As.. /
` Reinspection Fee $15 Issue Fee $ 3 • Cl ••:=.; - --ter
_
0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor UR,G• `r 'r)/^r) T=' -s '`
CONSTRUCTION AND PLANNING PS SPA
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit#
1. Temporary Electrical Service or Pole l 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
3. Electrical Conduit.Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
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
167 Rough Electric Wiring f-"`� .bJ . Fencing & Access Approval
J-23.2)
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
181 Rough.Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
Rough Factory Fireplace APPROVALS Permit#
:2.1!. Ducts, hi Structure 70. Underground Hydro
22. Ducts, Ventilating , 't 71. Product Piping 0 Gas 0 0il
23. Gas Pipe-Rough & Test ' . 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing - 74.,.0verhead 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. DrywaivNailing � ,1 HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat f'i 79. FINAL INSPECTION
32. Electrical Power Meter-Final AO, FOOD CERTIFICATE ISSUED
33. Final'Electric /i/ CNC. (.321 aces:
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 y�
47. FINAL STRUCTURE & BUILDING t�I(��e(
48. Special Requirements Completed �"'1
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co • ' •
51. CERTIFICATE OF OCCUPANCY •
No. Date
j
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. Hi t 1 I �e
ark,.. PERMIT NO. TRACT NO. LOT NO. UNIT NO. ��� _ N I .�(22.-Nat
CITY OFCOsTAMESA CONSTRUCTION PERMIT C^_ 3c� 7-" 13224 �/� A.P.SW 'fat —O/ zona
Project Address 1743�a0 I N.
R �i iIED Di S Main Building: r1�� Accessory Building:
ARolieant's Mailing Address 180 RIVERVIED DR. CC TYPE OF CONSTRUCTION Lli NEW H ADD 1_-1 ALTERATION LI REPAIR E / /� " z
Owner's Name KAUFMAN AND BROAD Phone 921-Q.L00 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front �Or C1 Ca� He �b� 0
DESCRIPTION OF WORK/USE OF BLDG.SFD PLAN 1 {�(�... B Rear i5 N
Address SAME AS ABOVE
Arch/Eng. C15730 TYPE OF PERMIT H GRADING FOUNDATION ® STRUCTURAL C Right . / N
MIKE WOODLEY License No. K / G
Address SAME AS ABOVE ❑ TENANT El ELECTRICAL ❑X PLUMBING ® MECHANICAL S Left J/•
11:1OTHER NIT - 1611 GARAGE - 432 DECK - 76 gv R
' Contractor's Name 'N�'1'B S.�I/e.�E Phone - U Ping. Ref.�h -ph. -!1/o Parking Req./Provided E
•.5ou
PROJECT DESCRIPTION SQ. FT. SEE ABOVE OCCUPANCY R-3/M-7 0? n
Address(mailing) �/ �� Planning Notes: M
f City License No. 46894 CON STRUCTION TYPE VDI VALUATION S Il �7�0T
• ZONE NA GRADING CU.YDS. NA ACRES/ NA HOLD FOR SPECIAL REQIIIRFMF.NTS S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: I
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in full fine and effect - 34495 PC 234-89-1 • ELECTRICAL FEES
License Cass Lfae• e,r .. - 4 0 15.50 KW
nate Signature _i/ • I �i.. 41L/ PLUMBING FEES Automatic Washer Transformer
tK RS' OMPENSATION DECLA 4ATION
Bar Sink Showers 00 Construction Pole Sub. 0 50+KW
eby affirm that I have a certificate •I consent to self-insure or a certificate
Workers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit Meter Opp to 100 amps
3800, Lab. C.)• 4189-1090 trans .; ins- Backflow Preventer Service Sink
Policy No. CO,... y ' • Backflow Irrigation =- $ Sewer Cap Dishwasher Meter Dover 100 amps
■ ., " • op),is her-by furnishes _ q - • ' Dryers ❑Gas ❑Electric Sub Panel
LI ertified opy i la the cit • Divisi - - ca. Bathtubs _ I Sewer Connection 9 (�/., '-
Date .l 614Splicant 7 LILG - Fan• Motors 00-1 HP ❑1'h-8
EXEMPT/.N FRO W•RKERS'COMP SATION DECLA ATION Clarifiers Solar Collectors
•
(This sect •n need not be completed if th- permit is for one hundred ($100)or F.A.U. Inc.Solar 09-15 HP 016-15+
less). 1 Dishwasher Solar Piping Irl on
I certify that in the performance of the work for which this permit is issued 1, Fixtures
shall not employ any person in any manner so as to become subject to the' • Drinking Fountains; Solar Tank Microwave -
Workers' Compensation Laws of California. -
'
Date Signature - Floor Drains • Swimming Pool w/Spa Device Boxes Pole Light
NOTICE: If,after making this declaration, you should become subject to the -
Outlets
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY5 I6witches Sign
Gas Service Outlets 3 Water Closet coOD g
I hereby affirmk that there is a construction rmit ue agencyc for the performance
C.) Garbo a-Dis osal
of the work for which this permit is issued (Section 3097 Civ. C.) p a on 9 P Standing Sections
Lender's Name —170n@ Interce tors Water Heater
Lender's Address ►��ir�p I Kitchen Sink Water Service z/ coGenerator ❑0.5 KW 05-15 KW Trash Compactor
OWNER BUILDER•DECLARATION ''7 C _ /
I hereby affirm that I am exempt from the Contractor's License Law the Lavatories Auto-Wash I - 1 075 �('J 61/ — �p
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays
any structure, prior to its issuance, also requires the applicant for such permit .
file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains . •�'-
Contractor's License Law(Chapter 9 (commencing with Section 7000) of /'S
rsion 3 of the Business and Professions Code) or that he/she Is exempt .fgeinspection Fee $15 Issue Fee
.drefrom and the basis for the alleged exemption. Any violation of Section --I
7031.5 by any applicant for a permit subjects the applicant to a civil
enaity of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:`) A g
LJI, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee _( l, ,(�
compensation, will do the work,and the structure Is not intended or offered I $ 3 Zoning ApprovedByDate �j}i��Y
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By ��5_ Date 7 4 .1-
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 • Application Issued By Dat •/s1�1
employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ '
sale. If, however, the building Or improvement is sold within one year of com- Canopy Type II 0 •
',teflon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUMMARY OF FEES
prove for the purpose of sale). BUILDING PERMIT $ 761. -5Z) SMIP $ S A2
0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural - Refrigeration System PLAN•CHECK -REPEAT' PERMIT
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 a. Duct-Ventilating ' V.-4 -'11--10-0,000 BTU ❑100,000 BTU 1 n/7 PLUMBING $ y�i� ISSUANCE $
builds or improves thereon.and who contracts for such oroiects with a con- ENERGY P.C. $
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN.CHECK 25% $
proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section B.8. P.C.for this reason 1 Firepl/Fact.Blt. ICBG x3507 Fire Dampers q ``
ELECTRICAL $ 71,U55 GRADING $GICROFILM $
PLAN CHECK 50% $ /
ANECK 25%
Date Owner HeatinJ�g System& Ducting aRegisters MECHANICAL $ al, 00 TOTAL FEE $ ?Pt�/
I hereby certify that I have read this application and state that the above I IZ}�100,000 BTU 0100,000BTU 9 00 PLAN
information is correct. I agree to comply with all city and county ordinances $
and state . - ing to building construction, and hereby authorize repre-
sentative of this •ity to ente upon j. above-mentioned pro•-rty or %•C . •
inspection • •oses -' .J/ - _ - - -
Signature r�Il...a I ��✓[-h Date f - • - C/I� r10/.). 1-'f - - -
Drivers' License o/SS '- •- Reinspection Fee $15 Issue Fee .$-9 MT:: -„ .- - ..
0865-46,rev.5/88 white - Building: Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING F &SPA
•APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole -1 - 52. Pool & Equipment Location
,4' 2. Soil Pipe-Undrgrnd. .{p-t C40 53. Steel Reinforcement
3. Elegrical Conduit Utility-Undrgrnd. 54. Foims
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5, Steel Reinforcement 56. Rough Plumbing & Pressure Test
6.. Electrical UFEA-Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings •iI 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test ,
9; Water Pipe-Undrgrnd. ¶6..Yt? [.ito 60. Backwash Lines, P-Trap, O Undrgrnd.
10:. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection /L_4iret Lego 62. Backwash & Receptor-Final •
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains • 64. Plumbing System - Final
14. Rough Plumbing /1/2164 (-/O 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
r
1611 Rough Electric Wiring //3/gq 67. Fencing & Access Approval _
17, Rough Wiring Sign D 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19: Rough Heating & Air Conditioning If- • (-ED FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace giftC.t 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 - r
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
27.)Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . ' 79. FINAL INSPECTION
32. Electrical Power Meter-Final - 0 I'r 11,1,50,F 80. FOOD CERTIFICATE ISSUED ,
33. Final Electric • t 3- 5 -Notes: I
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test /2-4-let i 1101A EQE SPECIAL REQUII EG_I 1`T.
36. Hood or Canopy
0917 in cow vC.T PIG/puo -
37. Final Factory Fireplace r
Br. ��
. G. _
38. Final Plumbing
39. Water Service-Final gaf �Cd /D6r
40. Gas Service-Final "
41. Solar Domestic-Final '_"t
42. Backflow Preventer - .
w-
43. Backflow Irrigation . V
44. Landscape Irrigation System
45. Sound Attenuation •
46. Handicap Regulations `„
47. FINAL STRUCTURE & BUILDING I
‘ C)1( gitel
48. Special Requirements Completed 64 t- I nom _-
49. Electric Release to Edison , e.
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY '
No. Date
I PTA
IWA ENGINEERS
17390 Brookhurst Street,Suite 107
Fountain Valley,California 92708
(714)968-1221 •FAX(714)968-9286
I
•
August 21, 1991 J.N. 207-05
City of Costa Mesa
Building Department
77 Fair Drive
Costa Mesa, CA 92628
Attn: Mr. Victor Clift
Re: Fine Grade Certification
I hereby certify that the fine grading was completed on Lot 48 of
Tract No. 13224 and will drain as required by normal subdivision
practices. The lot was not certified prior to construction of
hardscape within the rear of the property and is currently drained
by catch basins to the street curb. If the basins were not kept
free of debris the lot would still be able to drain by means of
surface drainage. /� _�
����G�4� til/G .%E?
�' `�' r>`•;' ;; Llewelly D. Incledon RCE 17593
w a<-dZ
ND.
C \•'2:4%;.(-, ! kaz \ !'l,,,4—•�.-\.z--, /-�/- - /,Ne /-.N.•/�q.7E ';. \ / \ es:a�. �e_7,:)
I.
I • BN FORM 116
BM FORM 168CALIFORNIA SEABREEZE PHASE 1
1Z
I ,
g INSULATION CERTIFICATION L, .,
i, This is to certify that, in conformance with the current energy regulations (California Adminis- >1
it trative Code, Title 25, State of California') and approved plans, insulation has been installed in
(' ( ' )) .
the building located at:
r �' •
Costa Mesa Orange �
/I
City Comity
�' L,F]=, Peninsula Place 9 8 13224 \;)
�,_\ Street o. *ridable) Street Lot Number Tnd Ne. ))
r/( \:)
rt. , DESCRIPTION OF INSTALLATION /i)
ROOFS \moi)
1.\ Type of Material Manufacturer Thickness R Value**______. /1)
Gf1 EXTERIOR WALLS , OWENS CORNING
Type of Material FIBERGLAS BAITS Manufacturer FIBERGLAS Thickness 3211 R Value" 11
(0' Trade Nam.)
.09
(� CEILINGS OWENS CORNING 64" 19 �;
F._\ Bans: FIBERGLAS BAITS FIBERGLAS 9z" ee 30 �'
Type of Material Manufacturer Thickness___R Value !
eel (Or Tad. Mama) \ :r
to\\ Sq. Ft. Covered )» ;
BLOWN:
�j Type of Material Manufacturer Thickness _ No.Bags
1:.�\ (Or Trade Mame)
•
WL/Bag Sq. Ft. Covered R Value"_
1 •
FLOORS g •
Type of Material Manufacturer Thickness_____R Value**(// (Or Tnd. lone) \i
t`-iI SLAB ON GRADE Mj
1 i ,I Type of Material Manufacturer _Thickness__.—R Value**
tc I (Or Did. N.m.l yy
I Width of Insulation Inches ij)
� \
\tl� FOUNDATION WALLS (if required) �; 5i
Type of Material Manufacturer Thickness R Valuee'_
.% I (Or Trade Nana)
t;
REMARKS (if desired) /J
// {
1\ General Contractor (Builder) Kaufman & Broad License Number /1
( . By Tit!, Date P)
. •
1r.• Sub-Contractor (Insulation Applicator) Accent Insulation Company License Number 274283
(law4ew. Mason ) (Stat. "SAME" N nee n Gail hater) P li
.i ��rBY �—r�� Title ��r� / Date March 2, 1990 \
(I ('California Ad.nini,nali..Cede, Energy Insulation Standard., declares, E%CEirT Fr Soc. 19175 of the 14a1M and Safety Cada el Me Stale fr-)
"G.olianc.. them re.oldie.. of Me in.tallation el innlatie., • mrd .1 Calilwniar
• o. 4Iyln. Mat Me ins.lotiew has been Installed In armlet-mance mitts the �,�)
B / r.avinr.n .1 Mwn rentalw.. shall be 4mot.ted and vented by N. rwtiRrar• et ernpenc, er similar 4rllcotion Met • early cam
i rhe Iwuleb.n smell tee and by M. b(Id.., This !cdatiw ampllem inverted utas, wad, ao.r',' el hww, bean! aMM ...;d.A$at 1)
\ card shall be sews .t a caw.olcve.. teatime NMta .he d.ellin•:') Hellin• Is hebilable shall be steed by sack . building S.pa.t-wt
eats.. Me str.ct.n et least selhr.s tM mini..m energy luapion
i I 1"t Valve I. M. ..asore M the resistance el a sw eetel et butldin• stemderds established pennant hi this chapM." �,)
1 romoenent ta the PO Mlle al heat. The r.ai.tnsb.rise (t) a.as.-tyee �,-
`:\ Invlafiew. .Mit net Indrde any .aim Ica reflective 1vd M.)
��/ Form 116 —m BUILDING NEWS, INC.. 3055 Overland Ave., Los Angeles, Calif. 90035-4213)870-9811 �l
.\, Form 1486—ie BUILDING INDUSTRY ASSOCIATION OF CALIFORNIA, INC., 1571 Beverly Blvd., Los Mgefes, Calif.90026-1213)625.5171 ��))
1-
PROJECTADDRESS: 1793 PENINSULA PL UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 045916 -
OWNER'S NAME: KAUFMAN & BROAD •
ADDRESS: 5500 SNATA ANA CANYON RD PERMIT NO: B 045916 PLAN CHECK NO: 02426- 90 A GOVT: N SUPP : N
ANAHEIM
• . CONSTRUCTION TYPE: ' PERMIT TYPE: STR PURPOSE: ADD
•
ARCH/ENGINEER: REO.NO.: - JOD DESCRIPTION : 181SF POST & TRELLIS SQ FT: 181 •
ADDRESS: . UNIT: •
CLAIM VALUE: ' 2, 000 . 00 CALC-VALUE : 2, 497. 80 GROUP -OCC: R-3 / •
PERMITTEE: TROPICAL PLAZA INC ( 714 ) 533-9490
ADDRESS: 1445 S SUNKIST ST COMMENTS: REFER TO P .C . 11234-89A, PLAN 1A '
ANAHEIM CA 92806 **kEsr+e ke* ********keiF* ******sr*+E***er**********Tr**yl*sr*+e** ****N*******+rx>E**>E****ss# •
UCENSED CONTRACTOR DECLARATION: I hereby affirm that lam licensed under provisions of Chapter 9(commencing wit Section Z 0 N I N G R E Q U I R E M E N T S -
7000)of Division 3 of a Blni ss and Professions Code,and my lie sin full force and effect. // / S E T B AC K S i
CITY uc.: U49�SO�STATE ul.:519398 ss: �% XI/
Date: ( ' 90 signature: C (�( / 4 4 �� f MAIN BUILDING •- ACCESSORY BUILDING •
-
� FRNT: 10 FT IN REAR: FT IN FRNT : FT IN REAR: FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certi ate of consent to self-insure or a certificate of Workers LEFT: FT IN RGHT: 13 FT IN LEFT : FT IN RGHT: FT IN
Compensation s c r ed copy thereof(Section 3800.Lab. •
tY NO.: s v EXP.DATE:rtifi (3'4 /04 /90
MPANY: STATE PARKING REQ: PROV: PARCEL : 4243310'1 ZNE: PDRM REF NO:
Certifiedc yisher yfumished. 0 Certified copy isel the city Building Division PLANNING NOTES> TWO TRELLIS PATIO COVERS TO BE ATTACHED TO THE FRONT OF A .
/+ r � /�/ > HOUSE CURRENTLY UNDER CONSTRUCTION.
Datenr// o 1 L�"t/ � %`I ./*************************3E****iE**************************************'*********j(
A°°want' , DEVELOPMENT SERVICES , R E Q U I R E M E N.T S
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed I the permit is for one hundred($100)or less). .
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become (3 •
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY V.) K- _ DATE: I ^Z?j_j�
Date: Signature: BUILDING APPROVED BY' : - DATE:
NOTICE:If,alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor ---
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. E7
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPL I CAT ION ISSUED BY : �..50 DATE: L':�� �'�O
which this permit is issued(Section 3097,Civ.C). ***************#******'*'iF " " ' iFSF9 - **************TL** * IF7F"iF**
LENDER: ************.*******************************************************************
ADDRESS: • - - LEGALIZATION: N . F E ' SUMMARYY • STRUCTURAL SEGMENT:Y-
•
r
OWNER BUILDER DECLARATION: I herebyaffirm 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 54 . 00 • - . 50
repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON-RES-
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 8 . 78
and Professions Code)or that he/she.is exempt therefrom and One basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE '
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).
as owner of the property or nem employees cath wages as their sole compensation, call 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 TOTAL S----> 5 4 . 5 0 0 . 00 8 . 78 63 . 28 6 3 . 2 8 . 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 REVENUE DIVISION TOTALS---> • COLLECTED: 63 . 28 OVER/SHORT: . 00
• improvement sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
foror 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 5 4 . 00 . 50 8 ' 78
❑ and Professions Code: The projects with License Law does not apply to an owner of property who buedserimproves thereon *******************************************************************************
and who contracts for such protasis with a e License license pursuant to theneniractoperty te License Law).t 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.&P.C. •
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Ovmer: SFR ' 181. RES- PATIO COVER-POST & TRELLIS 13 . 80 '
2 , 497 . 8i0
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533•and END OF FEES
25534 and that I or any future building occupant MUM!not(circle one)need to comply with said state codes and the rbpuirements for a ,
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions. '
•
Date: Applicant: -
I hereby certify that I .ye ream his application and state that the above inf mason is correct.I agree to comp with all city ounty
ordinances and state I re g to buildin (ruction and hereby out •epresenUtivee of this d est upon a abs a ioneQ _ , •
property for inspec'in pu"es.
Date: ` r ) signature: / :- 01 00053129-00053131 T EJ T 63.28
DATE: 02/01/90 TIME: 12:58 •
•Driver's License or Social Security x: - • •
1641-46 •- White—Buildinol Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor , • -
•
. CONSTRUCTION AND PLANNING - .& 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 '
1,4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding
'5::Si-eel Reinforcemerit _.. 56. Rough Plumbing & Pressure Test
.:,6`4•Electrical UFER:Grnd. ' ' - 57. APPROVAL TO COVER-GUNITE
_
7. Footings . 58. Electrical Conduit-Undrgrnd.
8.-Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
r _
_ 9.`'Water Pipe-Undrgrnd. " 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10._Structural Floor System - 61. APPROVAL TO DECK
11...Property Sewer Line& HouseConnection 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 -
tiFIRE-
DEPT. REQUIREMENT
20. Rough Factory Fireplace - - . - APPROVALS_ :.Permit# •
21: Ducts, i-n'.Structure . . - - ' 70. Underground Hydro
r
22. Ducts, Ventilating.. - . - - t 4 , 71. Product,Piping 0 Gas 0 Oil
23.-Gas-Pipe-Rough & West _ _ ' 72. Underground Flush
24: Roof Flaming _ ; _ . , 73.- Undergrnd.Storage Tank D Gas 0 Oil
25. Roof Sheathing - ; 74. Overhead Hydro _
26:'T-Bar Ceiling (Structural) &Monocoac - . _ 75;• Dry Chemical _
27: Frame and Flashing .. - 76. Dry Standpipe
28. Lathing'& Siding,:, - - _ - + 77, FIXED SYSTEM FINAL
29. Insulation _ 78' FIRE PREV. FINAL
30. Drywall-Nailing ; * :HEALTH DEPT.'REQUIREMENT
31. Plaster Brown Coat- . - 79, FINAL INSPECTION
' 32' Electrical Power`Meter-Final 80.. FOOD CERTIFICATE ISSUED- -
t .
33. Final Electric ' ., 3. • Notes: _ , -.
'. 34. Final Heating& Air Conditioning ` :- - -
35,-,,Final Gas Pipe-Test - .- _ • - .- - _ •
36. Hood or Canopy 4 - ." - - -- - '
A Y
-37: Final Factory Fireplace- -- - ^'
_ 38. Final Plumbing - ' ' ' - -
'39'.Water Service-Final r J - - - 4 . ,
- 40. Gas Service-Final • - - - ? + -
-4Y Solar Domestic-Fin`a l- , ^ -I • ' ' , , - - „ .
42. Backflow Preventer t -- r -
43. Backflow Irrigation __ '
44. Landscape Irrigation System = : _ . •• ' - .. - -. •
45. Sound,Attenuation
46.•HandicapRegulations - _
47. FINAL STRUCTURE & BUILDING r t \4kt D - _ _
48: FINAL PLANNING -, - ,
49. Electric Release to:Edison •
50: Gas Release to Southern California Gas Co ' - _ "
51. CERTIFICATE OF OCCUPANCY ' -
No. Date