HomeMy WebLinkAbout1813 PENINSULA PL - Building Permits •
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. r
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CITY OSA RUCTION PERMIT - PERMIT NO. TRACT NO. LOT NO.
UNIT NO.
illy
Project Adcic.. ) F/3 ` PENiNSULK} PIAOE_ G'39996 xgg$R 132?4 3
A.P.# •ac.n" 2i3/ —Q ! zone- e 4Q
- II --``
S Main Building: Accessory Building:
TYPE OF CONSTRUCTIZSN L6 NEW U ADD IJ ALTERATION U REPAIR E
Appl:eant's Mailing Address I�n N- RTVF,RV TF.T1 DR Front /
�1 I,J Z
❑ CONVERSION ❑ DEMOLISH ❑ 0 HER T ��] Cp2/ URf219GE� O
Owner'rName _CAI]FMAaPhone 921-Q5'00 DESCRIPTION OF WORK/USE OFBLDG.SFO PLAN 1(� 1B Rear /6i N
Address SAME. AS ARCWE �r�-,�1 ((�� � ! A Right 1
MTKE WOODT.EY License No. Cl5730 TYPE OF PERMIT ❑ GRADING lbt FOUNDATION 8J STRUCTURAL I C ! y G
Arch/Eng. al Left
❑ TENANT ® ELECTRICAL ® PLUMBING UU MECHANICAL $
Address SAMF. AS AR(1VF, .r7 R
S���- •
❑ OTHER I1NTT -��1+611 GARAGE - 432 DEC•T{ - 76 �PIng. Ref.#PA-- -S/� Parking Req./Provided o25/o E
Contractor's Namrt'�A}F`- Phone PROJECT DESCRIPTION SWs• f.ABOVE OCCDI ,1a M1 ' y 0
CONSTRUCTIOiVNYPE - VALUATION$ //7) j5T Planning Not�eso..� FOR SPECIAL
Address(mailing) M
City License No. 4 A 89 4 NINE GRADING CU.V�1A A{:ys" _ REQUIREMENTS 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 full4(yce and effect. 3 4 49 5 ELECTRICAL FEES
Licens• a s I51 Lice se o PC 234 89 '
-A. Signature —./..- i MS' .". .i/ PLUMBING I FEES Automatic Washer Transformer
Date0 15-50 KW
WORK RS' OMPENSATION DECL•••ATIOND ^ Construction Pole Sub. 0 50+ KW
treby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers 4/ O
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
.,do0, Lab. C.) 4189-1090 trans • ins } - • Dishwasher' Meter Dover 100 amps
Policy No. Backflow Irrigation •r Sewer Cap • —
lfll�Certified •opy . hereby furnis d. /� {/ Dryers ❑Gas ❑Electric Sub Panel
Id
erti/� o• i.•• with the c Building iwsion. � I�a Bathtubs / Sewer Connection ' ' 9"DD—
Date . . . Applicant - 44A-/� Fan Motors❑Q7 HP ❑1X-8
EXEMPTI•N F•OM WORKERS'COMPEN TI N DECLARATION Clarifiers Solar Collectors
(This section n'ed not be completed lf,the py It is for one hundred ($100)or F.A.U. Inc.Solar 1:19-15 HP 016.15+
less). ' Dishwasher Solar Piping .. „V. 00
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.
Date Signature Floor Drains Swimming Pool w/S •
pa Device Boxes Pole Light
NOTICE:It,after making this declaration, you should become subject to theOutlets 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.
CONSTRUCTION LENDING AGENCYSwitches Si
•s Gas Service Outlets Water Closet l0 00n 9
I hereby affirm that therewhiis a permit lendingss (Section
for the performance
C.e
of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors / Water Heater ra 01 Garbage Disposal Standing Sections
Lender's Name -none /�
Lender's Addressk�{{snipq / Kitchen Sink / Water Service T r� Generator ❑0-5 KW ❑5-15 KW Trash Compactor
EW
OWNER BUILDtKCLARATION _
-•, Li
I hereby affirm that I am exempt from the Contractor's License Law for the 4Lavatories Auto-Wash ? 00 i 035 X l 6// -- 66
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 -
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 15
'^e Contractor's License Law(Chapter 9(commencing with Section 7000)of
isirn 3 of the Business and Professions code)
or that he/she is exempt _ Reinspection Fee $15 Issue Fee $
refrom and the basis for the alleged exemption. Any violation of Section P
31.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500). DEVELOPMENT.SERVICES REQUIREMENTS:� / a , Q
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 Zoning Approved By / �-'� -C— Date � '^J 5J7
compensation, will do the work, and the structure is not Intended or offered - - -• (Ltd �/e-/„ _ 7 �/ 1Ip�
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By W t-��-c.e-ee� Date / k
License Law does not apply to an owner of a property who builds or improves �� Date q
thereon, and who does such work himself/herself or through his or her own Application Issued By / /��
employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 -
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 GroundSUMMARY OF FEES
prove for the purpose of sale). BUILDING PERMIT $ 70a,"tD7�
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System SMIP $ �i 0`O^
tractors to construct the project (Section 7044,Business and Professions Code: - PLAN CHECK $ //q,/6 PERMIT
The Contractor's License Law does not apply to an owner of property who , Duct-Ventilating I 100,000 BTU 0100,000 BTU /e 00 PLUMBING $ 4P.00 ISSUANCE $
builds or improves thereon.and who contracts for such oroiects with a con- 1� ENERGY P.C. $
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $
proof oft their Worker's Compensation Insurance should be provided to me. I ELECTRICAL $ 7/13/p
GRADING $
ID am exempt under Section B.& P.C.for this reason I Firepl/Fact.Blt. ICBG#3� Fire Dampers 9 00 MICROFILM $
PLAN CHECK 50% $
Date Owner Heating System&Ducting Registers pp,�-
I hereby certify that I have read this application and state that the above NCD-100,000 BTU 0100,000 BTL p MECHANICAL $ .S/•� TOTAL FEE $ 7 7J/r�7
Information is correct. I agree to comply with all city and county ordinancesqq / / 00 PLAN CHECK 25% $
and state laws relating to building construction, and hereby authorize repr -
sentatives : city to enter upon he above-mentioned prropp rrtyy/yfff r /..5''Signaturinspectloe al 4” " Date Reinspection Fee $15 Issue Fee .$-2--� D,e : Ci/Lg.'3+ t_;Ili:
Drivers' License .. SS* •
0865-46,rev. 5/88 White - Building; Canary -Applicant; Plnk -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING / PO( SPA
. rAPP,ROVALS Permit Date Inspector APPROVALS Permit # Date Inspector
'1.
tt Temporary Electrical Service or Pole • 52. Pool & Equipment Location
.2.[Soil Pipe-Undrgrnd. A//J'- Art-- 53. Steel_Reinforcement .
a
3.; Electrical Conduit Utility-Undrgrnd. ,,.,� 54. Forms .
4. Electrical Conduit-Undrgrnd. lel", ���e 55. Electrical Bonding
5. Steel Reinforcement i�e",� 'J'� 56. Rough Plumbing & Pressure Test
6. Electrical UFERGrnd. /97 f �O� 57. APPROVAL TO COVER-GUNITE
7. Footings / / /�7 '^,�,�,�JJ,�� 58. Electrical Conduit-Undrgrnd.
8. Foundation C�,�//�o. (%'!1- 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. !! �''77�� 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 ` 6. Solar System-Final
16; Rough Electric Wiring /Vicrk /..----1
� 67. Fencing & Access Approval '
17" Rough Wiring Sign ( 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning • FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating • 71. Product Piping 0 Gas ❑Oil
23. Gas Pipe-Rough& Test _ . 72.1 Underground Flush
24..Roof Framing 73. Undergrnd.Storage Tank O Gas ❑Oil
25. Roof Sheathing k 6q' 74. Overhead Hydro .
26. T-Bar Ceiling (Structural) & Monocoat / /1 '•VV� 75. Dry Chemical
27.• Frame and Flashing (_3_ 6 �L��% ' 76. Dry Standpipe
28. Lathing & Siding. /-mil- 77. FIXED SYSTEM FINAL
29. Insulation / •/ p - / 78. FIRE PREV. FINAL a-3040 V4
30. Drywall Nailing 5-f- / HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 2-, - // / 79. FINAL INSPECTION
32. Electrical Power Meter-Finaloil
l 80. FOOD CERTIFICATE-ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning yoso Ls 0.O joR- SPEIA�, REQU�'IERTS
35. Final Gas Pipe-Test into L Eo 67 -_ Of Q,
36. Hood or Canopy
37. Final Factor Fireplace 3J/sfga CS
38. Final Plumbing ;i: /i,�/Q,(/ 449:)
39. Water Service-Final = -
I r -
40. Gas Service-Final"
41. Solar Domestic-Final `
42. Backflow Preventer •
i
43. Backflow Irrigation '
44. Landscape'Irrigation System
45. Sound Attenuation ;z, .
46. Handicap Regulations •
47. FINAL STRUCTURE & BUILDING 3-2/-s
'48. Special Requirements Completed gilt'470
49. Electric Release to Edison . . •
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY ,
No. Date
Fak•. • i
... C..__ °_c 3
tit/ FORM 116 .:11:1 r-.-.JF.. I
I, � BIA FORM 1A86 ti 1
-` INSULATION CERTIFICATION •,
This is to certify that, in conformance with the current energy regulations (California Adminis- 1 i1
r
trative Code, Title 25, State of California') and approved plans, insulation has been installed in r
the building located at: ' ,,,'
r' ,
Costa Mesa :range IJP/
av [aunty
tr.
_1813` Peninsula Place 53 _ 13224 \•.'
\ J<.N Str. Re. (II Anil.11r) Str4.1 Lot 144114 Ind 11.. i ..
DESCRIPTION OF INSTALLATION ;�i l
/l ROOFS \ 1
;�.\ Type of Material Manufacturer Thickness___R Value'•_
;': EXTERIOR WALLS CWENS CORNING .)
L Type of Material FIBERGLAS BAITS Manufacturer FIBERGLAS Thickness 3g R Value•' 11
;;%%1 CEILINGS O4fE1S CORNING 6;111 19 �'I.
nus FIBERGLAS BAITS FIBEFGLAS 94" 3o I�/
r Type of Material (0. Tag.
manufacture,. Thiekne<s R Yalue'•, 0
' ( $y FL Covered_ )—
BLOWN: ,
Type of Material Manufacturer Thickne« •
Na Bags_ N.
ca Troth a n.w a:)
F ___Wt/BaSq FL Covered R Value•'_•
FLOORS� I Type of Material (Or Manufaactu Thickness_______R Value'•_ \,
er4 SLAB ON GRADE /,�)
<( Type of Material manufacturer Thicknen R Value'•_
c•.II Width of Insulation Inches Tact. 11...a �
•
_.d FOUNDATION WALLS (if required)
Type or Material Manufacturer Thicknns R Value" •
(Or Troia Rand
!:.\
REMARKS (If desired) ( /J
/J
1 General Contractor (Builder) KdUfl'72.f) & Br02d license tium"_er
.�/ I \l1
B _rttr Dao I J)
Sub-Contractor (Insulation Apprcato4___Accent Insulati0n Company Ucense number 274283
n..a.C., 11._ l /� •,Sbr "WC' N.. .. C rel Tc.) I 11
\ SClf i Tile_. 2, fI
i By ,,.� /.� March 1990
Darr \�
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Fru. 11S —e 9ULDIAC NEVIS• IM 3055 Overland An_ La Arte! r a1D r
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! 9U.O�AC LVCUSRT /.S,:.CU(IC+1 Cf CAL1G?f'.ylA, IhC., I5J1 3nnly il.d� Ln MI::-s, Calif. 0.';5—L';:51S51i1
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I PTA
MA ENGINEERS
17390&ookhurst Street Sults 100
Fountain Vasey,Calttanla 92708
(714)968-1221•FAX(714)958-9286
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
LoT 5-3 / t/ 3 R,(0-751-fie, c
1