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Home My WebLink About1805 PENINSULA PL - Building Permits 404. L „ CITY OF COSTA MESA .e BUILDING DIVISION •41. ...g.,AI$ 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 08-00037 PERMIT TYPE MECH STATUS: ISSUED APN: 42451142 DATE ISSUED: 03/25/2008 ISSUED BY: JOB ADDRESS: 1805 PENINSULA PL CM - Suite/Unit: Vicinity: REAR OF HOUSE SQ. FT: 0 SCOPE OF WORK: ADD NC @ REAR OF HOUSE. OWNER: HAYDEN,CHRISTOPHER M Address: 1805 PENINSULA PL Unit: PHONE: City/State/Zip: COSTA MESA.CA APPLICANT: HAYDEN, KENDRA Address: 1805 PENINSULA PL Unit: PHONE: 949 645-3741 City/State/zZip: COSTA MESA,CA CONTRACTOR: • License No. . Address: Unit: PHONE: . City/State: ZipCode: • CELL: MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: $38.20 PLAN CHECK FEE: $0.00 INVESTIGATION FEE: $0.00 REINSPECTION FEE: $0.00 TOTAL FEES: $38.20 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 permiitt.. 1616 t. INSPECTION SyNem PATE INTmALS 206E0 INFinal cIanEi DTE (� IN1111ALJL�J� 1616 Fixed System Final Fire Prevention 206 Final Mechanical P/A' D p 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 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 _ �., WORKERS'COMPENSATION DECLARATION: Owner ID verified by drN. tics,._.. ❑Yes ❑No - \ I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance canier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need not be completed tithe permit is valued at one hundred dollars(5700)orlessJ 2,Art 2,Sec.341,Title 8,Califomia Administrative Code). Policy Number: ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant's Signature Date Division of Industrial Safety Permit Number: Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER '-TO CRIMINAL , certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑ No Lic.# _ _ Class# (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 Contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure), ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,CMI Code), prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No 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 (Section 65850.2 of the Califomia Govemment Code requires that the requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits). Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031,5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safely Code). O I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and r--- 1 city ordinances regarding Hazardous Materials and Emissions. L❑-4, 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 Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: _ the 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 authon d by t s perms I final ins ection. r3-as--Og iggnacw �G 3 aS•e / Signature of Lego O+me ) I Date nature 3057-66(3/07) And/or Authorized Applicant Dale F'(65 Wnr►1SuLe�. t- 1& �� 11 , =� �C�� ` Cosmo- I/ aS6(--, q)-(° a7 Pro Pose) A ( C,( nr f Qgci - (oYS 3 -74 A z�f V Pasendo,d CITY OF COSTA MESA PLANNING DIVISION SUBJECT TO BLDG. DEPT. REG. NOTE: ADDITIONS, DELETIONS, OR CORRECTIONS SHALL BE APPROVED BY THE PLANNING DIV. . � Ql BY: - DATE:,./7 °C3 J t1ydell Res `, ctenc I L.-04- S -o3S Per etlsM (� • CITY OF COSTA MESA w. BUILDING DIVISION fi" �Iis 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us t .� FOR INSPECTIONS CALL: (714)754-5626 �oaaemm 00 PERMIT NUMBER E08-00111 PERMIT TYPE ELEC STATUS: ISSUED APN: 42451142 DATE ISSUED: 03/25/2008 ISSUED BY: JOB ADDRESS: 1805 PENINSULA PL CM ' Suite/Unit: Vicinity: SCOPE OF WORK: ELECT, FOR NEW NC @ REAR OF HOUSE. . REF:M08-00037 -• OWNER: HAYDEN,CHRISTOPHER MAddress: 1805 PENINSULA PL Unit: PHONE: - City/State/Zip: COSTA MESA,CA APPLICANT: HAYDEN,KENDRA- ` Address: 1805 PENINSULA PL Unit: PHONE: 949 645-3741 City/Stale/zZip: COSTA MESA,CA CONTRACTOR: License No. Address: Unit:- PHONE: City/State: . ZipCode: - - - - CELL: • ELECTRICAL PERMIT FEES . Electrical Plan Check Fee: . $0.00 . Electrical Permit Fee: $28.25 . • Reinspection Fee $0.00 TOTAL FEES $28.25 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. CODE#. INSPECTION TYPE DATE INITIALS CODE# INSPECTION TYPE DATE INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing r 200 Final Re-Roof 210 Final Electrical p/A a 4.4 4 201 Final Block/Retaining Wall 212 Final Fire Prevention il 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy _r 1 \ WORKERS'COMPENSATION DECLARATION Owner ID verified by driv- lice. ._. ❑Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance, as required by section 3700 of the Labor Code,for the perfomiance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This sedbn need not be completed if the permit is valued atone hundred dollars($100)or less.) 2,Art 2,Sec.341,Title 8,California Administrative Code). Policy Number: ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Appuwm's Signature Date the Labor Code,I shall forthwith comply with these provisions. Division of Industrial Safety Permit Number: Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑ No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑No Lic.# Class# (Section 25533 of the Califomia 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 Contractors Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? D Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code), ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and Ufa I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: a contractor(s)license pursuant to the Contractus License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the 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 aulh ri ed by chi permit til mai insp coon. ( z 3 � e 3-01C- O �gnalure of Legal 6wner(s \__ Date • l_s;gtutufe `-Date/ 3057-46(3/07) - Andlor Authorized Applicant Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CS2`— PE MIT NO. TRACT NO. LOT NO. UNIT NO. CITYOA�QSs :J'-0 -PENINSULA CONSTRUCTION PERMIT A.P.# 4z,C.f—c33/ -O f Zone peed Project Address .�'�✓�1 �ENIN1.�.rLl �i I�n� _ • — �� ,,1I13224 r r5 S Main Building: Accessory Building: • TYPE OF CONSTRUCTION LX NEW Li ADD LI ALTERATION LI REPAIR A licz,t:e Mallin Address —1R0 N_ RTVF.RV TFD DR � E / `/ t� ° Z PP g ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Y T Front w lD 4 p F) / O Owner's Name KAIIFMAN ANO--B.ROADhone 921 - 0 DESCRIPTION OF WOR Kai&OF BLDG. SFD li e Rear nn/ N I Address sAMP AS ABOVE Yl KA 1 02C- �- I Arch/Eng. MIKE WOnDT.FYicense No. (.15730 TYPE OF PERMIT ❑ GRADING ® FOUNDATION AJ STRUCTURAL C Right 5/ G I� Left M AS ABO El TENANT g ELECTRICAL PLUMBING }{ MECHANICAL $ S Address SA F VF L R Contractor's Name ❑ OTHER UNIT 199fr Cji�1C 46S DECK ''776 IPIng. Ref. # � —�_!1/p Parking Req./Provided aro/nu E e rRAJ� Phone PROJECT DESCRIPTION SQ. FT.b$E ACUV OCCUPANC/YR—"3/M-1 - Q CONSTRUCTION TYPE VN VALUATION$ /'iy/ Orrt,� Planning Notes: HOLD FOR SPECIAL REQUIREMENTS T Address(mailing) M City License No. 46894 ZONE NA GRADING CU.YDS. NA ACRES NA S. LICENSED CONTRACTOR DECLARATION • • I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: -PC/1 O23 41—11.— with section 7000) of Division 3 of the Business and Professions Code, and f T 1' my license is in full force til effect. 334495 ELECTRICAL FEES License Cla . tSl aft L'i 'nu r+-re i ......in;�J/S Signature lL_ ,e.. IN arta" PLUMBING • FEES Automatic Washer Transformer 0 15-50 KW :KE-Si C.MPENSATION DEC i RATION Bar Sink ' Showers �. Construction Pole Sub. 0 50+ KW .eby affirm that I have a certificate of consent to self-insure or a certificate 00 of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter Duo to 100 amps 3800, Lab. C.) 4189-199 ' • trans . ins . - . - Policy No. om•an _ - Backflow Irrigation ' Sewer Cap • Dishwasher _ Meter Dover 100 amps Il—..I�,..ertiti cop is hereby turn isne• Dryers ❑Gas DElectric Sub Panel • lH Cer 'I' d o Med with the ci :undid, eivi 0 . ' / �, A Bathtubs ' Sewer Connection q Oo Date Applicant Applicant • _ .. Fan • Motors❑0-1 HP ❑1X-B EXEM 10 FROM WORKERS'COMPEN:.•TION DECLARATIO Clarifiers Solar Collectors' (This section need not be completed if the pc mit is for one hundred ($100)or — F,A.U. less). ' Dishwasher Solar Piping a, 00 Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the work for which this permit is issued I. 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. Device Boxes Date Signature Floor Drains Swimming Pool w/Spa . Pole Light NOTICE: If,after making this declaration,you should become subject to the e Outlets Ran Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 9 comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 5 Gas Service Outlets •7 g Water Closet /b 00 Switches Sign I hereby affirm that there is a construction lending agency for the performance Garbage Disposal of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors ' Water Heater DU g p Standing Sections • Lender's Name none Lender's Address / Kitchen Sink l' Water Service y CO Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECPA.IATIONu"l/ p SN. �\ 1 r! I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash O 035 X 9+% following reason (Section 7031.5 Business and Professional Code: Any city or y 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 69 'ile 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 .ision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee__- $15 Issue Fee $ 3 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 ($500). DEVELOPMENT SERVICES REQUIREMEAbT$: / 9. • I. as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By Lil1F�'�� 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 / Y---r Q-e.- Date 7'd- 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 Hood or Type I 0 • Application Issued By _ Doh •// e— employees, provided that such Improvements are not intended or offered for Boiler sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ 797.00 SMTP $ /4,.0,p- ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ �E�J�T PERMIT tractors to construct the project (Section 7044,Business and Professions Code: - The Contractor's License Law oes not apply to an owner of property who ' Duct-Ventilating 100,000 BTU 0100,000 BTU 13: ' PLUMBING $ y6.a) ISSUANCE $ builds or Improves thereon.and who contracts for such oroiects with a con- ria 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% $ pp ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ O� d!�y O GRADING $ ❑ I am exempt under Section B.& P.C.for this reason / Firepl/Fact.Blt.ICBG#x3507 Fire Dampers 9. OL PLAN CHECK 50% $ MICROFILM $ Date Owner H,,eaytieg-System& Ducting Registers MECHANICAL $ Jib.#50 TOTAL FEE $ A/1 I hereby certify that I have read this application and state that the above ' MI6100,000 BTU 0100,000BTL q� PLAN CHECK 25% information i orrect. I agree to comply with all city and county ordinances $ and stat - s r ating to building construction, and hereby authorize repre- sentativ= of chi citynto enter the above-mentioned props y f �� inspectio •urpo es. Signature / Date "a J�J<li:'`r—JL'.1(• 14 i,7 !. � � t', ' R9 - 0865.46,rev.5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor I t . CONSTRUCTION AND PLANNING I '. &SPA APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector I 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location -f 2. ,Soil Pipe-Undrgrnd. Cf 77 SC' 53. Steel Reinforcement 1 3 Electrical Conduit Utility-Undrgrnd. l r! / 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing& Pressure Test " 6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings i 58. Electrical Conduit-Undrgrnd. 8. Foundation •r, 59. Gas Pipe, 0 Undrgrnd.,Test 91 Water.Pipe-Undrgrnd. C,.4 St to 60. Backwash Lines,P-Trap, 0 Undrgrnd. . 10.1-Structural Floor System r=:• r4 ye,' 61. APPROVAL TO DECK 11. .Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. ,Sewer Cap •'� 63. Heater & Vent-Final • 13. Roof Drains al / 64. Plumbing System -Final /L 14. Rough Plumbing 1Z ? _4O 65. Electrical-Final • 15. Rough Electrical-Conduit _! 66. Solar System-Final • 16: Rough Electric Wiring I2/ji4/ R 67. Fencing & Access Approval 17. Rough Wiring Sign ! 68. APPROVED FOR PLASTERING r 18: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19: Rough Heating & Air Conditioning 1ZP�,fi C� FIRE DEPT. REQUIREMENT 20., Rough Factory Fireplace jj,j j�/,.�ri�(( Ca APPROVALS Permit# 21. Ducts, in Structure 7�'D�C 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23: Gas Pipe:Rough & Test72' -Underground Flush 243 Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 7 25. Roof Sheathing ( idy ag • 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &.Monocoat n 75. Dry Chemical 27., Frame and Flashing r 62.11-g1 L 76. Dry Standpipe ' 28. Latltirig & Siding /a3.90 Pb'. 77. FIXED SYSTEM FINAL 29. Insulation 1.10-9b / ' 78. FIRE PREV. FINAL 3 20 1)6 30. Drywall Nailing - 2 /-16 ' / / HEALTH DEPT. REQUIREMENT i 31. Plaster Brown Coat 0- -20 # i '79. FINAL INSPECTION 32. Electrical Power Meter-Final 3 2 Lac.-wL��'.--FOOD CERTIFICATE ISSUED r • . , 33. Final Electric es:, HOLD. En SPECIAL REQU - 'TTS 34. Final Heating & Air Conditioning - 3 /3 qv to 35. Final Gas Pipe-Test Z/ZZj/g4 CE.D 3bi . 36. Hood or Canopy .,J 37. Final Factory Fireplace 3/3/16 Luo 38. Final Plumbing 'SC cia 39. Water Service-Final t: 40. Gas Service-Final c:"I 41. Solar Domestic-Final=, 42. Backflow Preventer 43. Backflow Irrigation ' 44. Landscape Irrigation?System - 45. Sound Attenuation`. 46. Handicap Regulations' 47. FINAL STRUCTURE & BUILDING 3..(9_14) e. . 48. Special Requirements Completed 41/ 91 TO p,,, 49. Electric Release to Edison t 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY . No. Date fNiA -‘41 _ �� :(y BN FORM 116 Cat I GRNIA SEABREEZE PRASE 1 f \ BIA FORM 1486 11 I • INSULATION CERTIFICATION This is to certify that, in conformance with the current energy regulations (California Adminis- ie. !' trative Code, Title 25, State of California') and approved plans, insulation has been installed in the building located at: Costa Mesa Ora ne;e• fry Cwnry1805 Peninsula Place 51 13224 . \•.,str..l M.. (1t Anil:Y.) SC.M Sit:tant. rna N.. /,)1 DESCRIPTION OF INSTALLATION >/)• ROOFSVtedType of Material Manufacturer ThicknessR Value•'_ /%)EXTERIOR WALLS OWENS CORNING • P. Type of Material FIBERGLAS BAITS Manufacturer FIBERGLAS Thickness 3ii1 R Value" 11 �, � (Os Tna. Ma* ( CEILINGS 0W943 CORNING 64" 19 \ t \ sans: FIBERGLAS BAITS FIBERGLAS 9i" 30 Type of Material Manufacturer Thickness R Value" ry (Or Trade Maui \';, if61711 Sq. fL Covered )^ /1� BLOWN: Type of Material ManufacturerWV in* Pia ing Thickness No.Bags »1117r � Wt/Rag_ Sq. Ft Covered R Value" \ ] • \ FLOORS //) • Type of Materia) Manufacturer Thickness R Value••_ (Or Tap Mas.) �) Si\ SLAB ON GRADE /. ) P. Ij Type of Maters) 30?tuts Naiad Type ef mThicknessR Value ))3Width of Insulation lathes .J • �I V. \t:� FOUNDATION WALLS (if required) Type of Material Manufacturer Titickn..vs R Value ,;/ • I .(Or Ind. Nee.) \`a REMARKS (if desired) /J // \.)') \ �� ( I General CKauft*an fit Contractor (Builder) License Number • h) s By Tin. Date /) sub-Contractor cavitation Applicator) Accent Insulation Company License Number 274283 (. (iMac... Nevi ) (SL.. •'SAY£• N se. a Cale".I Ins'..) `t) � - March 2 1 J) I By �� % I_� Tin �� / Date 990 22 i' \ 1'Cailr.:. A4.:.:.w.c..C.d.. e•.sr I...1.N.. Ss.4v4.. 4..Irn. R¢an 1... Sac inn a H. N..II. .. triply C.. a A. SM. Al/ -C. a:..... Up.. ...,ir;r a I.. :..RII.N.. a i.nl.,,... • Md a Cant•.:., awlr:.. nn A.i.wler••....r I..bll. I. ...............c• ..4r1. Pe ll•• •� f r...:.. .n .1 M... r..•I.w.n ..a1 Ss n..l•n4 ..4 n.o.r. by "Ma a rtin..l. N .ale•,.Is r C.•IR o.SRc.M.. Ma . ...1, tea-\1 A. In Mab., ..NIr.1r wJ by A. b.114 . nal. !':.I.Kr c.-,Il.-.. .Irv.}. ..I.1. .N.1. nee . b.... Mr .. •.Mar ...:d N:al 1 cad Jail ,. ,..•.d a • ....,las... taad.. .l Mt. r.. 4..IIi..,") S.Nli. Is b..IIJI• ....Ii be I....I /� il { 1 S. ..A . \.Iidl.p 4aY-..1 vain. M. .rrvst.. M Iw.I arid.% IM .W... ...wy, I.u1n1.. 1". .p.. I. 1.. .w...• a ti rest Ow.. • . (II r .. .M.1.A. •.1,611.... p.n.aar s• MII chair." \)i \ Ia.,....1 I.M. •.....•a Int. 11••••101...••ni 'Si.. Ir/ a.1...41.4 I...latl... .1..11 M I....M ti.. Ns nN•CI.. tae...) I�/I 41' Fenn 11S —t BUILDING NEWS, INC. 3055 Overland Ave, Los Angeles, Calif. 900.3}--.1213)E70-9871 I li \ Farm 1486`--�D BUILDING INDUSTRY ASSOCIATION Of CALIFORNIA, INC, 1571 Beverly Blvd, Las Arirles, Calif. 90025—(21315255771 it I PTA IWA ENGINEERS 17390&oa horst Street Boas 100 Fountain Valley,California 92708 (714)968-1221 •FAX(714)968-9286 March 21, 1990 J.N. 207-03 City of Costa Mesa Building Department 77 Fair Drive Costa Mesa, Ca. 92628 Attn: Mr. Victor Clift Subject: Fine Grade Certification I hereby certif that the fine grading for lots 2, 4, 5, 6, 7, 8, 9, 10, 50 1, 52, 53, 54 , 55, 56, 57 and 58 of Tract 13224 were graded as shown on the approved precise grading plans for- said project. 2 .4-4491,eadird. — Llewellyn D. Incledon R.C.E. 17593 Exp. 6-30-93 L o % 57 /O S ��H�.isu/9 /%�_ cc • 1