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HomeMy WebLinkAbout1812 PENINSULA PL - Building Permits APPLICANT: DO NOT FILL IN SHADED AREAS: u F COSTA MESA CONSTRUCTION PERMIT I PERMIT NO. k4/' �7 Qr ^ UNIT MODEL A.R N .1-740/1.-* - r3.3/ —a/ Zone / /4/� /8y/z ) ?2.NSv.�4 1/ 0E k0. L- l 2, $ Main Building Accessory Buildingng, Z st Address:! / Unit: E of Owner's Nam ui y - PURPOSE: ❑ NEW,&ADDITION 0 ALTERATION 0 REPAIR T Front N Address: LIZ //4e-se/EAO R_ -;#53 GNJ pB Left 0/ 1 .41.44.46 city/ - l5".yBOS 0 CONVERSION 0 DEMOLITION 0 OTHER 55 Lf IMo �M.el C Right (�/ G li Arch./Enpinear: ! t/ �/feed-yea1-• Rep.No.: /7-16-9-3I / K r Address: /73PU iC/f4c sr- Sr. Unit: /.� DESCRIPTION OF WORK/USE OF BLDG. ac-oe,e Gt/9-6L ON TOS. .0 S Rear 0R F1/ ief 9270.8 / Ping. Ref. N Parking Req./Provided E Permittee: �.4.41e i.4-5. c�w✓NF.� /��e7_TA7/ /.tel' -"�«" Planning Notes: I i ' I 0 55 �a h CAL Z.UO lL art M Address:: SA�+•r/. � viveS.P n ©C � T TYPE OF PERMIT: 0 GRADING 0 FIRE RUCTURAL 0 SIGN -top I /y/)-1 Q �Q/ �_ / e , /y�^ T LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing rF +1'I I" 'Keir.,, E,c.n.LU 0 with Section 7000)of Division 3 of the Business and Professions Code,and My license is in full force and effect. 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL 0 REINSPECTION ELECTRICAL FEES Dm uc.2-25- 22 SMTE UC.: 734496 LUSS: Bl// JOB DESCRIPTION: ❑ SO. FT. OCCUPANCY GROUP s Automatic Washer Motor ❑ 0-1 HP ❑ 1-10 HP Date: 2-25-s0 Slpnalure:��--e->,2( w- .Lej- CrU ' WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure CONSTRUCTION TYPE VALUATION $ t, 1 Ulf -" GRADING CU.YDS. Christmas Tree Lot 0 10.50 HP 0 50-100 HP or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Section 3000.Lab.C). Construction Pole 0 over 100 •:LICY NO.:W40O/403x,75;:nal. EXP.DATE:_3-7-90 CATEGORY: 0 MINOR CONSTRUCTION 0 MAJOR CONSTRUCTION(Under 200.000 sq.ft.) Sub Pole Outlet TMPANY.�'�„Rf/s'pp.e.f/gy7� /'��/i CookingUnit Pole Light J Certified copy Is hereby turnisheC�Certified copy is filed with the city Building Division. ❑ MAJOR/HIGH RISE(Over 200,000 sq.ft.) 9 Z-Z8—V0 .� � L 51 ,1.0 Y() 2 3L)—81 A Dishwasher _ Sign Outlet Date: Applicant: Remarks: Y Dryer 0 Gas 0 Electric Square Footage Fee - - EKEMPTION FROM WORKERS'COMPENSATION DECLARATION:,(This section need not be completed if the permit PLUMBING A 41 U Z 00 FEES F.A.U. Standing for one hundred(5100)or less).I eerily that in the performance of the work for which this permit is issued, Section I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. Backflow Prevention Repipe Fireworks Stand Sub Panel Date: Signature: Backflow Irrigation Roof Drain Fixture Swimming Pool/Spa NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation giver Bar Sink Service Sink Garbage Disposal Switch sins of the Labor Ca,you must last wtth comply wdh such provisions or ms permit shad be deemed rewired. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the pedor- Bathtub Sewer Cap Generator:Size Temporary Work With,.r mance of the work for which this permit is issued(Section 3097,Civ.C). Clarifier Sewer Connection Meter LENDER: QQ �5 D • ❑ up to 200 amps Transformer ADDRESS:/�1'e ���/eA' Dishwasher Shower Meter 0 over 200 amps Size • , OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law Drinking Fountain Solar Collector Microwave Trash Compactor for the following reason(Section 70315 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 appli- Floor Drain Solar Piping cant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contrac- . - tars State License Law(Chapter 9[commencing with Section 7D00]of Division 3 of the Business and Professions Floor Sink Solar Tank Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 70315 Relnspectlon Fee $30 Issue Fee $15 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars($500). Gas Service Swimming Pool w/Spa ❑ I,as owner of the property or my employees with wages as their sole compensation will do the work,and DEVELOPMENT SERVICES REQUIREMENTS: Gas System Outlet Toilet PI the structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Con- i . tractors'State License lav does not apply to an owner of a property who builds or improves thereon,and - Interceptor Urinal s /�O who does such work himsellthersell or through Ms or her own employees,provided that such improvements Zoning Approved By Date are not intended or offered for sale.If,however the building or improvement is sold within one year of cont Kitchen Sink Wash Basin elation.the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BuildingApproved ❑ I.asowner of the property,am exclusivel contracting with licensed contractors to construct the projectLaundry Tray Washing Machine PP By Date (Section 7044,Business and Professions Code: The Contractors'State License Law does not apply to an P Trap Water Heater Application Issued By (2, p� �/ •�,O q owner of property who builds or improves thereon and who contracts for such projects with a contractor(s) pP '� SON\ Date C —ZS —go license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensa- Water Service tion insurance should be provided to me. SUMMARY OF FEES ❑ I am exempt under Section: B.&P.C. Reinspection Fee $30 Issue Fee S 3011 for this reason: MECHANICAL FEES BUILDING PERMIT $ 9 '7re MECHANICAL $ Boiler _ Hearin System 8 DuctingPLAN CHECK $ L�_ PLAN CHECK 25%.5. Date: Owner: 9 Ys I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Seo- Duct-Underground 0 0-100,000 BTU + 0 100,000 BTU + SU lions 25505,25533,and 25534 and that I or any future building occupant rvif/ft re t(circle one)need to comply Duct-Structural Hood or Type 1 0 PLUMBING $ SMIP $ Q with said state codes and the requirements for a permit tor construction or modification(tom the Air Duality Manage- ment District.Residential construction applications are exempt from these provisions. Duct-Ventilating Canopy Type 11 0 PLAN CHECK 25% $ GRADING $ Exhaust System 0 Multiple ❑ Date Applicant: YsP Refrigeration System ELECTRICAL $ ,pp Fan ❑0-100000 BTU + 0 100,000 BTU + 3( O T I hereby certify that I haw read this application and state that the above information is correct.I agree to comply PLAN CHECK 50% $ TOTAL FEE $ with all city and county ordinances and state laws relating to building construction and hereby authorize represen- Fire Damper System Repair/Alteration natives of this city to enter upon the above-mentioned for inspection purposes. Date: Z--28"`1e. Signature: i v"4f � � Fireplace/Fact.alt.ICBO N • s License or Curial Security N: DA 00055070-000`5072 TOT T 31.89 Other Relnspectlon Fee S30 Issue Fee S15 • DATE: 02/28/90 TIME: 11:53 0665.46 rev.10189 White-Building;Green-Cade Enforcement: Canary-Applicant: Pink-Revenue; Goldenrod-Assessor - .. w: I f rit"CL, .. •5 C%F.^ _ _.yK. •rrr.»pai'i... c••.1 ..v . 44 ri' .. _I ,._ .. ONSTRUCTION AND PLANNING, P & SPA P!IIPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector • 1. Temporary Electrical SerGice,or Pole , 52. Pool & Equipment Location 2.. SpiI Pipe-Uridrgrpd. ' r: . P , 53. Steel Reinforcement 3.i Electracal,Cbnduit Utility4Uridrgrnd, . 54. Forms 4.-Electr,icalConduit-Undrgrnd. r t 55. Electrical Bonding .5: Sieel'Reiniorcement ' 56. Rough Plumbing & Pressure Test 6 ,EIectFigal,UFiER.Grnd. d• � ,.) 57. APPROVAL TO COVE R-GUNITE ') 7 Footing3 ' 1 2 r+:'j (.;/.'. trek- , 58. Electrical Conduit-Undrgrnd. 8. Foundation ;; If ` i ' -'. : 59. Gas Pipe, 0 Undrgrnd.,Test 't 19.,Water,;Pipe-Undrgrnd. '' ' 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10:1Structural Floor System :' 61. APPROVAL TO DECK 1t1'Prgperty Sewer Line & House Connection 62. Backwash & aeceptor-Final •- i 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final .• I 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 Electiical-T Bar Ceiling _. 69. POOL/SPA SYSTEMS FINAL 19. Rough Heatirig& Air Conditioning FIRE DEPT. REQUIREMENT '20: Rough Factory Fireplace APPROVALS Permit# Q1-. Ducts,in Stru?ture 70. Underground Hydro . 1,22. Ducts, Ventilating 71. Product Piping ❑Gas 0 Oil 23. Gas Pipe-Rbur & Test 72. Underground Flush 24. Roof FranSing, 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing ''` - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Mpnocoat 75. Dry Chemical 27. Frame and Flashing . , 76. Dry Standpipe 28. Lathing Be 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 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final - . 42. Backflow Preventer - ' 43. Backflow Irrigation . 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 40 Heti I 48. FINAL PLANNING l� 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • , 51. CERTIFICATE OF OCCUPANCY No.' Date • A IWA E�..3INEERS �'17390&ookhurst Street,Suite 100 � `• Fountain Volley,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 certify that the fine grading for lots 2 ,4, 5, 6 , 7 , 8 , 9 , 10, 50 , 51 , 52 , 53 , 54 , 55, 56 , 57 and 58 of Tract 13224 were graded as shown on the approved precise grading plans for- said project. Llewellyn D. Incledon R.C.E. 17593 Exp. 6-30-93 Zor y / g�� pen;n9c1/Q « 1 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ?)Y7 r \ �0 e P MIT NO. TRACT NO. LOT UNIT NO. ���—��17/N_O/ I� per_ff� CITY OF COSTA MESACONSTRUCTIONPERMIT — 3? ftf// 13224 A.P.# zone Project Address /I3��^ �FNINn(��.� MACE / / S Main Building: t ccessory Building: Applicant's Nraigng Address • 180 N. RIVERVIED DR. 1 TYPE OF CONSTRUCTION KNEW L I ADD ALTERATION LJ REPAIR E Front / y �•� 2 Owne`r's Name KAUFMAN AND BROAD Phone 921-0 00 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER TIy ( IB 4nena4 0 DESCRIPTION OF WORK/USE OF BLDG. SFD PLAN 3(?Q� 1 A Rear !0 N • Address SAME AS ABOVE I �s Cl5730 TYPE OF PERMIT L I GRADING L?FOUNDATION U STRUCTURAL I C Right 5 N Arch/Eng. MTKE WOODLEY License No. LI ��1 �l K Left G ❑ TENANT ]LJ ELECTRICAL CI PLUMBING XJ MECHANICAL $ Address SAME AS ABOVE R/3 r M/ R !� ❑ OTHER TINTT-2"171 nARAGE 461 DECK — 76 Ping. Ref.# hairParkin Re /Provided !.� EContractor's Name 'E -C ME Phone gg q. .5Address(mailin 1 PROJECT DESCRIPTION SQ. FT. SEE ABOVE OCCUPSf sr ABOVE 0 Planning Notes: /� `1 City License No. 46894 CONSTRUCTION TYPE VN VALUATION$ Jet? ql7,� ���Q$ FF�1A1• REDUIREM M ZONE NA GRADING CU-YDS. NA ACRES_ _ 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 fs and effect 334495 PC 234-89-1 ELECTRICAL FEES License CI ss �L�/[M.<-Linen'- ) � 'Date_ �f2Y�O"1 Signature CSC! �1Q/ PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW "'ORK RSo-bf-"M-P•E—NSATION DECD DD Construction Pole Sub. 0 50+KW veby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers 4 — r Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer ,— Service Sink Cooking Unit Meter Dup to 100 amps 3800, Lab. C.) 4189-1090 trans . ins . Policy No. Company - Backflow Irrigation Sewer Cap - Dishwasher. . = Meter Dover 100 amps • 'stied copy is hereby furnished. Dryers ❑Gas 0Electric Sub Panel Z]Cert'ifi tl vo y///sss filed with the cit ui dl Division a 0, Bathtubs i Sewer Connection 9 De) _ __ Date ��j�/1� Applicant 0./.41.4 QC ���a, Fan Motors 00-1 HP 01%.•8 • EXEMPTI N F OM WORKERS'COMPE ATION DECLARATION Clarifiers Solar Collectors (This ).section need not be completed if the ermit is for one hundred ($100)orl ' Dishwasher Solar Piping • 04 • F.A.U. Inc.Solar 09-15 HP ❑16-15+ 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 Outlets Range Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal an 9e comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Switches CONSTRUCTION LENDING AGENCY C. 3 Water Closet �� �Q_ Sign I hereby work that there 15 a permit lending (Section for the performance C.) ./ ^ M Garbage Disposal of the work for which this permit is issued (Section 3097 Civ. CJ Interceptors ' Water Heater �ri W - g p Standing Sections Lender's Name none Lender's Address Sap t�p ' Kitchen Sink / Water Service 4 Generator 00.5 KW 05.15 KW Trash Compactor - OWNER BUILDER QEC CARATION p te . I hereby affirm that I am exempt from the Contractor's License Law for the .4/ Lavatories Auto-Wash k' as rQ 5 )(&3n caeca + following reason (Section 7031.5 Business and Professional Code: Any city or i^ ����^^// county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays Qp-92 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 Roof Drains Contractor's License Law (Chapter 9(commencing with Section 7000) of �`� ision 3 of the Business and Professions Code) or that he/she is exempt - Reinspection Fee $15 Issue Fee $ 3 ,refrom and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to,,a civil enalty of not more than five hundred dollars ($500). 'DEVELOPMENT SERVICES REQUIREMEN-ESC-AS,- NT • yy � D�o�v�� U I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 �l.ui"Jri-•- ' ---7- j compensation, will do the work,and the structure is not intended or offered _ Zoning Approved By /,— �� ,s Date //7[� ,pp for sale (Section 7044, Business and Professional Code: The Contractor MECHANICAL FEES Building Approved By LIT/ t=C�Lloc- Date // r License Law does not apply to an owner of a property who builds or improve - -r- ..._ _._ _ r f/ thereon, and who does such work himself/herself or through his or her sown Boiler Hood or TypeApplication Issued By \ F- Date ��CPO d employees, provided that such Improvements are not intended or offered for I ❑ 9 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 • pletion, 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 $ ^EtP3 50 SMIP $ 1�,s ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrig ation System • PLAN CHECK l�EtiflT tractors to construct the project (Section 7044,Business and Professions Code: ,1_, $ PERMIT The Contractor's License Law does not apply to an owner of property who / Duct-Ventilating 04¢100,000 BTU ❑100,000 BTU /3 .Cn PLUMBING $ 4t aO ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- 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% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ /7yy� GRADING $ ❑ I am exempt under Section B.& P.C.for this reason / Firepl/Fact.Blt. ICBG#3507 Fire Dampers 9 QQ ' • MICROFILM $ PLAN CHECK 50% $ /�r.JD Date Owner Hea ' g System& Ducting r' Registers • I hereby certify that I have read this application and state that the above 'T MECHANICAL $ 100,000 BTU 0100,000 BTU TOTAL FEE $ Information is correct. I agree to comply with all city and county ordinances I 9 CC PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentativ city to enter up•n the above-mentioned prope-y f• /� Co InsPectlo . S/.�5�: Cg Mini? DSirivers' _SS 9e - Date•- . - Reinspection Fee $15 Issue Fee - Drivers' License %r $ �� �JPv 1'4[' .i„may iy�� .' _ ! _^ - • 0865-46,rev. 5/88 White - Building: Canary - Applicant; Pink - Accounting; Goldenrod - Assessor r/- L. CL,' L -T, . t' •r' . . CONSTRUCTION AND PLANNING - PC &SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. oil Pipe-Undrgrnd. q.za t L� 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 3 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 :l 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. C;.jt q (,40 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 /.,.Q-!e0 CC° 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 1d. 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 j tr- d LA° FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace Hitred c4O APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 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 /-/2-41.4 S 76. Dry Standpipe 28. Lathing & Siding f ,acte.2e 77. FIXED SYSTEM FINAL 29. Insulation /-/3-q, 78. FIRE PREV. FINAL t-O-gi 140 30. Drywall Nailing `-3/ - 'IP" HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat (.3 . FINAL INSPECTION 32. Electrical Power Meter-Final 1 .91/ 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 1 34. Final Heating & Air Conditioning lIQ £20 OLD. FOR SPECIAL REQUIREMENTS 35. Final Gas Pipe-Test 4* (ra ,/ 'f��. e. _ 36. Hood or Canopy / 37. Final Factory Fireplace yb/Qd 36. Final Plumbing . :' /2YJ // 68)- 39. Water Service-Final 'e'c 90 4 6 • 40. Gas Service-Final 41. Solar DomesticFinale 42. Backflow PreventerC_. . 43. Backflow Irrigation, 44. Landscape Irrigation'System 45. Sound Attenuation 46. Handicap Regulations 47. FI NAL STRUCTURE & BUILDING ,3.22.lc /� d/✓1/ . C `� - r 48. Special Requirements Completed 4//g/CID \ _ t 49. Electric Release to Edison • ra. 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date }:1 '\l .— BN FORM Ile CALIFORNIA SEABREEZE PHASE 1 j i ;} BIA FORM 1886 �! INSULATION CERTIFICATION This is to certify that, in conformance with the current energy regulations (California Adminis- 1: trative Code, Title 25, State of California') and approved plans, insulation has been installed in I the building located at: .. '/ Costa Mesa Orange \ ', C.IT Ceay /� 1812 Peninsula Place 4 13224 . `. street Ni. (II A..iI.CI.) Sb.d Lal Member Traci N.. /. �. DESCRIPTION OF INSTALLATION ROOFS 1:)\\ !` Type of Material Manufacturer Thickness____R Value" • t1/? ( EXTERIOR WALLS - OWENS CORNING t 1 GGG ) P-� Type of Material FIBERGLAS BATTS Manufacturer FIBERGLAS Thickness 3811 R Value•• rJ CEILINGS OWENS CORNING 6411 19 �`) enns: FIBERGLAS BATTS (Or Trod. Namos) FIBERGLAS apt 30 ' Type of Material Manufacturer Thicknees R Valve" ,.. �( (d Trade Name) �) s9 FL Covered 1 �j BLOWN: �" , ,.\„. a%: Type of Material Manufacturer Thickness No.Bags_ t•.\ (Or Trade Nam) !.: Rooms ade Mame) F. ,7 Ylt/Bag_ Sq. FL Covered R Value"____ \,) • ‘,44 Type of Material Manufacturer faa ur Thickness__R Value•' �•;l 1 n ,N I SLAB ON GRADE /» r ,� Type of Material _ Manufacturer Thickness_R Value" ) c0' TIa..N.a.) ;. .) n\71 Width of Insulation Inches /1 ;:,?};I FOUNDATION WALLS (if required) J I Type of Material Manufacturer Thickness R Value"_ 0.y (Or TM, Na.d \.,1 c. REMARKS (If desired) y /) (/ I \‘: . 1 i General Contractor (Builder) Kaufman & Broad License Number '/1" • ( \ ' By Title - Date r) Subtontractar (Insulation Applicator) Accent Insulation Company License Number 274283 ,\,. nnd.le, Mn... ) Melo "SHOE" N r. a t...n& tnrm.) F 11 i/ March 2, 1990 / ' 3, /-�-i..� Tit] �� _ Date II \ (•Cd;lr'1.Ad.:ni.N.K.•C.d.. Esser I...l.rl.e sl.ndrd., dale... train Fro Sec DVS M IN. Health ..d Wyly C.d. d Ib. Seal. Le)) "C—p...... UM c..al.l:r .1 n. ;.,&iali.. .a ;...l.1r, • reed .1 Uil.r.:.. /7` atn,M.• I•.r S.:...I.ri.n b..b... 1w.t.t48 I. e..lwwa. .:n M (' ) r........n .l Hue."•.:.,:r. .b.11 M o+rl.M W . .nM by "N. .wl:Nf.l. .d ..na...y r r.:fr u.fi Rrerlee tb.. . ...( ..+ ,1) 41.: A-1.....,- nail..•& W bp M b.nlr. Tbl. !r:.l.r:., n..dla.a ..nets k...l, .WI, ap.r!.eel bee.., 4.... r .* r..:J..did �f) eM `b'll H ..Jed d • t.w.ak.... I.reH.. .U•L I d..l'•-..'•? d..nlq I. ..bb.bl. .Rall be i....1 by ..A . b.i11.. d. .r',.a.l ::.:\/ (••. Yy.. 1. fir .wt.r. a 1. rw aw .l eeb.. n.. .bd... .1 I.a,l ..ILGn M. ..1.-;..... ....sr I.,.t.riw I • ....d r b.dldl.. .I.sM. .,rabll.Fa ...,pent I. Al, 3..rr.•• �•l. — '-'tit n• n......1 keel.T....Ja.a ..I.. Is) id u-p.. ��) lees:s e., ..11 .et Inds. .q .dee ti nn.cl'. Tale..) , ;�/ Tortn 175 .a anDING NFM. INC. 3055 OaAand Are. los Angc!es, Calif. SC034--12131 D70.987t I %l \ Form 1436--t 8uI1OI G INDUSTRY ASSOCIATIDN Of CALIFORNIA, INC., 1571 Sere:it Blvd, las kick's,Calif.90325—(2131 525.5711 ,l' `_ \_ `,/ _ .„_._ 'L -.:,...\?!. ..c �i 1„i i ce �i L~;. �. IWA rookGINEERS 17390 Brookhurst Sheet,Suite 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 certify that the fine grading for lots 2, 4 , 5,6, 7,8, 9, 10, 50,51, 52 , 53 , 5455, 56, 57 and 58 of Tract 13224 were graded as shown on the approved precise grading plans for said project. Llewellyn D. Incledon R.C.E. 17593 Exp. 6-30-93 L GT 3-5- /�f 2 / Pen 10-754 4 ( (4C 1