HomeMy WebLinkAbout1809 PENINSULA PL - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 111 C� �o b /
PE IT O. a TRACT NO. LOT NO. UNIT NO. '
CITY OF COSY%MrSA CONSIRUCTIONhPERMIT
�t 9 g�s- 1 �' SP- A•P•# 44Q -33 -o / °"ei't�►>irel
Project Addes3 �� INSUI_Y� t'� -E.. / '
1 - r ' �� S Main Building: Accessory Building:
TYPE OF CONSTRUCTION LEW ADD U ALTERATION Li REPAIR E Z
Applicant's Mailing Address 180 N RTVRRV TED DR /5/ pp••
Owners Name KAUEMAN ?NB BPOAT1Phone ❑ CONVERSION ❑ DEMOLISH 0 OTHER T Front /750 tie-,E) O
991 -1700 DESCRIPTION OF WORK/USE OF BLDG.SFD PLAN 3q5 IB Rear /n / J N
Address SAMF AS ABOVE ya�� A Right 5 ' N
Arch/Eng. MIKF WOODLF.YLicense No. Cl 573U TYPE OF PERMIT 0 GRADING ® FOUNDATION CnJ STRUCTURAL
��1 -yam K, Left / G
Address ❑ TENANTJd ELECTRICAL PLUMBING NJ MECHANICAL $ R
qAMP A4 ARQVF. 5
S tE Phone 0 !OTHER TINT T-9371 GARAGE 463 DECK - 76
Ping. Ref.# pa GG ParkingRe /Provided q7 `�• E
Contractor's Name (Neve g' p -0s--�� q' pssJ/
PROJECT DESCRIPTION SQ. FT. SEE AROVF OCCUPANCY R/3 M/I Q
Address(mailing) Planning Notes: nr*���
CONSTRUCTION TYPE VN VALUATION$ 69 y/711fl •n �1q �¢ i,. TS M
City License No. 46894 T
ZONE NA GRADING CU.YDS.NA ACRES NA HOLD FOR sSp4C�l�lu:QUll +a"` S.
LICENSED CONTRACTOR DECLARATION
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
my license is in full tor/mild effect 334495 PC 234-89-1 ELECTRICAL FEES
License Cla . Lie n„ •o
-,,,. ...or‘ ,/A PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW
r'-'e .r Signature �
2K -5' C•MPENSATION DECL' -ATION �7 Construction Pole Sub. •
❑ 50+ KW
.reby affirm that I have a certificat Of consent to self-insure or a certificate Bar Sink O� $hOW¢r$ (/ O
of workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
3800, Lab. CJ, a
4189- ! ! -trans . ins . • Dishwasher. - - Meter Dover 100 amps • ■
Policy No. o panBackflow Irrigation : • g Sewer Cap ,
1�-�•Ih/,ertifi•d cop is hereby furni ••d. • )� - Dryers ❑Gas ❑EI¢Ctr iC Sub Panel
OL Ce 'f-• • filed with th¢c auil°I•q a' • ion. [2 % � Bathtubs '- n Sewer Connection �' // ■
Date o r Applicant - / - Fan
EXEM'TIO FROM WORKERS'COMP SATION DECLARATION Clarifiers Solar Collectors . Motors❑0.1 HP 01'A-8 .. ■
(This section need not be completed N the permit is for one hundred ($100)or - ^ F.A.U.
less). Dishwasher • Solar Piping el // Inc.Solar ❑9-15 HP ❑16-15+ .'
I certify that in the performance of the work forwhich this permit isissued, 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. - -.
Date - Signature Floor Drains ,Swimming Pool w/SpDevice Boxes Pole Light
NOTICE: If,after making this declaration, you should become subject to the ''' .
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets. Range
comply with such provisions or this permit shall be deemed revoked. ,
CONSTRUCTION LENDING AGENCY /� Switches Sign Gas Service Outlets Water Closet g
I hereby affirm that therewhiis a construction ue agency for the performanceCiv. C
of the work for which this permit is issued (Section 3097 Civ. CJ ^ Garbage Disposal Standing Sections
Lender's Name none
Interceptors Water Heater
Lender's Address d�Mle' Kitchen Sink Water Service el v Generator 00-5 KW 05-15 KW Trash Compactor
OWNER BUILDER DATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - o 035 /s p237/ r--- 1
following reason (Section 7031.5 Business and Professional Code: Any city orSte;
q�
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays - ' p p•� q9
?gy structure, prior to its issuance, also requires the applicant for such permit
ilea signed statement that he/she is licensed pursuant to the provisions of Roof Drains /5
`.`.ri4,'4'"Contractor's License Law (Chapter 9 (commencing with Section 7000) of
rasion 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
enaity of not more than five hundred dollars ($500). - DEVELOPMENT SERVICES REQUIREMENT`S-/• [x�
LII, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 • Zoning Approved By "-'V� ` Date r//��A
compensation, will do the work,and the structure is not intended or offered //�� /nJ��
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By LIJ�LSC' Date 7�/'f
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 Date r �p
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 ❑ • •
SUMMARY OF FEES
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground �^.,`.JJ,, �•//
prove for the purpose of sale). - BUILDING PERMIT $ an S- SMIP $ //a O-(o
O I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK �% �pFJ�r
tractors to construct the project (Section 7044,Business and Professions Code: ,,_,� - $ PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 010-100,000 BTU 0100,000 BTU 1.3 O : PLUMBING $ 4p 0 ISSUANCE $
builds or imoroves thereon.and who contracts for such oroiects with a con- ENERGY P.C. $
tract or(s} license pursuant to the contractors License Law). i am aware that Exhaust System El Multiple El System Repair/Alteration PLAN CHECK 25% $
proof of their Worker's Compensation insurance should be provided _
to me. ELECTRICAL $ 9799 GRADING $
IDI am exempt under Section B.& P.C.for this reason Firepl/Fact.BIL ICBG#_ a Fire Dampers
Is' PLAN
-- MICROFILM $
•
PLAN CHECK 50% $
Date Owner H,_eat��l g System&Ducting ;� Registers $ /�y ,rO
I hereby certify that I have read this application and state that the above BU-100,000 BTU 0100,000 BT MECHANICAL r. TOTAL FEE $ C=� a� -
information is correct. I agree to comply with all city and county ordinances 1111PLAN CHECK 25% $ /0e p
and st. of• dating to building construction, and hereby authorize epre- II El ��
sentati - of thil city to enter upo the above-mentioned proper f
inspectio •urpo es. "
Drivers' - /L i 11
$15 Issue Fee _ -
LATEt CS/106/39 Ti"-- - '-
.�
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
._ 1
CONSTRUCTION AND PLANNING F '. &SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
t., 25 Soil Pipe-Undrgrnd. 53. Steel Reinforcement
q•!2• t LSD
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
=t-
4. Electrical Conduit-Undrgrnd. • 55. Electrical Bonding
d. 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, O Undrgrnd., Test " -,
9:Water Pipe-Undrgrnd. ty4 $q (�eD 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 nitehret 44/) 65. Electrical-Final
15. Rough Electrical-Conduit / � /,f66: Solar System-Final _
1,6. Rough Electric Wiring /Z4 & . 7. 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 171 (Ala FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace (t�2 �.lyet, (,�U APPROVALS Permit#
421. Ducts, in Structure - 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 7?: .Underground Flush -
24.• Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil '
25. Roof Sheathing // tri 'ier 74. Overhead Hydro -
26. T-Bar Ceiling (Structural) & Monocoat G 75. Dry Chemical
73
27. Frame and Flashing /1..a., 76. Dry Standpipe
28. Lathing & Siding /12/-OW 77. FIXED SYSTEM FINAL
29. Insulation 7_7 O - l' 'o
78. FIRE PREV. FINAL • itAlf
"°' , - -RQ
30. Drywall Nailing ,'1_ /.y� v HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . .9-/ ' 1,+ / 79. FINAL INSPECTION
32. Electrical Power Meter-Final • 3 Z 6 fir 80:, FOOD CERTIFICATE ISSUED
33. Final Electric ' ' 9/'/oho : i -• Notes: : ! ,
34. Final Heating & Air Conditioning /4/4 (.CQ BM OR SPECIAL REQUIREMEDIS
35. Final Gas Pipe-Test Zire ea
36. Hood or Canopy )) .Or k) . //7r1../
37. Final Factory-Fireplace`.; 3J/3ao -CAW
!
38. Final Plumbing _ ',///,S*0 Lt
39. Water Service-Final
' 40. Gas Service-Final'
41. Solar Domestic-Final --
' 42. Backflow Preventer : - -
F
43. Backflow Irrigation ' . .
44. Landscape,Irrigation;System •
45. Sound Attenuation 2 •
46. Handicap Regulations
+ 47. FINAL STRUCTURE & BUILDING 3...2/_042
elf/
48. Special Requirements Completed '4/q i'qo 'nen--
,.
ply 7 Zv_
,- 49. Electric Release to Edison v��'
' 50. Gas Release to Southern California Gas Co
.
51. CERTIFICATE OF OCCUPANCY
No. Date -. i
1
;� .�-� mai � i / / iVi ` �,
• .%�_��eiaW..�i-.�i4-• ,. . ;
I!/ .. BN FORM 116 CALIFORNIA SEABREEZE PHASE 1 • .1
Ii ti B1A FORM 1 a86 i1
-i4 INSULATION CERTIFICATION
, 1
Ire
`\ This is to certify that, in conformance with the current energy regulations (California Adminis-
i trative Code, Title 25, State of California') and approved plans, insulation has been installed in j
} �( the building located at: !'
!'/ Costa Mesa Orange • \``
Gy twnty ��J
�' 1809 Peninsula Place 52 13224. \,)
9
!; \ Street Na. (l) a.4lat.) Sha Bal Number Intel M. �,:
1 .�I DESCRIPTION OF INSTALLATION l %)
ROOFS �'J
i_� Type of Material Manufacturer Thickness R Value"
(e EXTERIOR WALLS
OWENS CORNING
V Type of Material FIBERGLAS BATTS Manufacturer FIBERGLAS Thickness 3111 R Value'• 17 iJ
{o. Tna. R.mr
( CEILINGS OWENS CORNING 6111. 19 ..,
)TM
r
BATTS: FIBERGLAS BATTS FIBERGLAS girt 30 �[,4
Type of Material Manufacturer Thickness R Value••
i1� (Of Trade Rasta \:)
: SO. Ft Covered 1,1,
•
BLOWN: - �` .
Type of Material Manufacturer Thickness No.Bags_ »,"'
(a Taa N.—) �;)Wt/Sam 5¢ ft Covered R Value•'_ )r;V:.\\
FLOORS• i)TypeofMaterialManufacturer Thickness R Value" ��4 (Or Tnd. Ilea.)
f_�.I SLAB ON GRADE /))
/yy1 Type of Material Manufacturer Thickness R Value"— \1
(t II (Of Tnt Mat)
Width of Insulation Inches �i 1)
.4 FOUNDATION WALLS (if required)
i
j ( Type of Material Thickness R Value"______
'
REMARKS (If desired) ��
G/ I \\
¶ .3
I General Contractor (Builder) Kauftran & Broad License Number ;1
„71 \
t .v : By Title Date I)
.," statoetractor (Insulation Applicator) Accent Insulation Company License Number 274283 t
n..we�, t,o,. �.) (3Db "SAME- r ...,. Corral P,avd \'t
�.7�
/ By ! �-� 1" Title //e Date March 2, 1990
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form 116 —t BUILDING NES, INC. 3055 Overland Ave., Los Angeles, Calif. 90G3-S-1213)370-9871 0
Form
�,'!4486.—a BUILDING INOUSTRY ASSOCIATION OF CALIFORNIA. INC., 1571 Be.erly Blvd.lot Mgekt, Calif.90025-421316245771 i 1�%
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