HomeMy WebLinkAbout1817 PENINSULA PL - Building Permits I
/ . 11NA ENGINEERS
17390&aStreet,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 t e fine grading for lots
2, 4, 5, 6, 7, 8, 9, 10, 50, 51, 52 , 53 ge, 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
a% -5- 7' /8/ 7 /� 0-7 / 56.4 7'/g C
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Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. e3 (1 Y7 �1 ,
PERMIT NO. TRACT NO. LOT NO. UNIT NO. •�av//./T 13•_�/ _n, �R� I�I1 J
CPTY OF COSTA 1917 �O1V 1Iv5uL ION PERMIT p '/ A.P.# `7 zona
Project Address �a 17 ,N IN5U1 'P t'PE- - G / �$7 11 X�13224 ��T S Main Building: Accessory Building:
TYPE OF CONSTRUCTION Li NEW U ADD U ALTERATION U REPAIR L
Applicant's MailingAddress 180 N. RIVERVIED DR. E / �- z
❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front �5l�.SDG'F}t? D
Ow s N 'ne = KAT7FMAN AND BROAD Phone 921�O�'10 SFn PLAN 3 RIZ I A Rear Ap/ N
i. DESCRIPTION OF WORK/USE OF BLDG.
Adaresa. SAME AS ABOVE rr--ll LL--''
Arch/Eng. MIKE WOODLEY License No. C15730 TYPE OF PERMIT�l--ll U GRADING�Il��UIt FOUNDATION l Iii STRUCTURAL I CK Right 5 / N
❑ TENANT g1 ELECTRICAL}gam PLUMBING }f-i MECHANICAL $ Left / / G
Address SAME AS ABOVE R
SAME
ID OTHER fINTT-7371 GA1�]1GF 463 DECK - 76 Ping. •
Ref.# - -�/ 0 Parking Req./Provided a.5/n(/ E
Contractor's Name '#�1$ Phone PROJECT DESCRIPTION SQ. FT. SEF. ABOVE OCCUPANCY [ u a .
Address(mailing) • . tanning Notes: nnrn p �s (.ep ♦� F IIRFMFNT$ rs'1
City License No. 46894 CONSTRUCTION TYPE .siN -- VALUATION$ •� I ll��rQit pPECIMa � T
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:
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in full formnd effect. 334495 YC. 234-89-1 ELECTRICAL FEES
License Cla s Li : s' O — f
Date te_..�17 Signature _/ea.x. Ar .i i PLUMBING I FEES Automatic Washer Transformer 0 15-50KW
WORK •S' OMPENSATION DECL•(ATION Bar$ink �, Showers .4/ � Construction Pole Sub. 0 50+KW
ereby affirm that I have a certificate f consent to self-insure or a certificate 7
Workers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit Meter Cup to 100 amps
-400,. O0. Lab. C.) 4189-1090 . - trans . iris . Backflow Preventer . Service Sink - • -
Policy No. Com any Backflow Irrigation - t, Sewer Cap - Dishwasher ' Meter Cover 100amps '-
__
�Certif ie co y.i5 hereby furnis �-. �/� '
Y Cer i pled with th ity Build Divi...-* [.,„ ,,,n// Bathtubs j Sewer Connection C� co Dryers ❑Gas ❑Electric Sub Panel
Date Applicant !J'= rC (A44/U Y� Fan
EXEM 10 FROM WORKERS'COMP SATION DECLARATION Clarifiers - Solar Collectors • Motors❑0.1 HP❑1'h-8%
(This section need not be completed if th permit is for one hundred ($100)or n F.A.U.
less). / Dishwasher Solar Piping cg. 0 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 Range
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal -
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comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY .5 Gas Service Outlets 3 Water Closet /d Or Switches Sign
I hereby affirm that there is a construction lending agency for the performance O
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors ' Water Heater �1 Ov . Garbage Disposal Standing Sections
Lender's Name none r'-iu
Lender's Address _((��rr1tpp / Kitchen Sink I Water Service 4 DO Generator 00-5 KW 05-15 KW Trash Compactor
OWNER BUILDER DEZtiARATION J�
I hereby affirm that I am exempt from the Contractor's License Law for the 4Lavatories Auto-Wash P .00 • 10 1 35 X "l 7/
following reason (Section 7031.5 Business and Professional Code: Any city or CC
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays p� 99
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 /5 ^•`•Contractor's License Law(Chapter 9 (commencing with Section 7000)of
'Sion 3 of the Business and Professions Code) or that he/she is exempt - Reinspection Fee ! $15 Issue Fee $•'T
efrom and the basis for the alleged exemption. Any violation of Section ,-
_ _J1.5 by any applicant for a permit subjects the applicant to a civil -
enalty of not more than five hundred dollars($500). $
3 . DEVELOPMENT SERVICES REQUIREMENTS:. t/30'81I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee
compensation, will do the work,and the structure is not intended or offered Zoning Approved By ��s,��� Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES _ Building Approved By i rs eE e - Date 7//�J/
License Law does not apply to an owner of a property who builds or improves __ _--. - _ - �./-1_ //./p�
thereon, and who does such work himself/herself or through his or her own Hood or Type I ❑ - Application Issued By VVV 7 Date V
employees, provided that sucn 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 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 $ f 5a SMTP $ /1r Re
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural 1 Refrigeration System PLAN CHECK $ ��F T 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 J Duct-Ventilating C-10-100,000 BTU 0100,000 BTU 13 5O PLUMBING $ 4ff•00 ISSUANCE $
builds or Improves thereon. and who contracts for such orofacts with aeon- -- ENERGY P.C. $
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ p. ( j
proof o/ their Worker's Compensation insurance should be provided to me. ELECTRICAL $ ] 7l // GRADING $
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# !0 7 Fire Dampers 9 OG
PLAN CHECK 50% $ MICROFILM $
Date Owner Heating System& Ducting ge Registers _ MECHANICAL $ ybz50 „ ��,,yy�'
��
I hereby certify that I have read this application and state that the above 100,000 BTU 0100,000 BTU TOTAL FEE $ f-lJill
information is correct. I agree to comply with all city and county ordinances I 9 00 PLAN CHECK 25% $ /011: ..5
and stat elating to building construction,and hereby authoriz repr 1 r
sentati is city .to enter upo the above-mentioned prof tY f r % 5 av
Inspectlo 's. _F'C7q - /� _ -
Signature v a_ - > •••• .”
Date Y1 QJLYI 1=
Drivers' Licen- or SS 4f ,�: Reins action Fee I $15 Issue Fee $ 3 1`-
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
i
CONSTRUCTION AND PLANNING / • POr '..SPA
APPROOALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Tem, iry Electrical Service or Pole • 52. Pool & Equipment Location
2. 6Rf4pe-Undrgrnd. q-a.' LEO 53. Steel Reinforcement
35Electrical Conduit Utility-Undrgrnd. ��y/' 54. Forms -
r 47-Electrical Conduit-Undrgrnd. /44 / _ 55. Electrical Bonding
_. 5. Steel Reinforcement �/ 56. Rough Plumbing& Pressure Test
" 6. Electrical UFER Grnd. el,0 r 57. APPROVAL TO COVER-GUNITE
7. Footings -I -S
58. Electrical Conduit-Undrgrnd.
8. Foundation V „Iv �r{�/� 59. Gas Pipe, 0 Undrgrnd., Test
//9. Water Pipe-Undrgrnd. J" e'+#'" "' 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System , UUU 61. APPROVAL TO DECK
11: Property Sewer Line & House Connection - 62. Backwash & Receptor-Final
I 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 /z/2°6 � FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace /'fu// p APPROVALS Permit#
21. Ducts, in Structure !`^L 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough &Test t 72 Underground Flush _
24.- Roof Framing ( 73. Undergrnd.Storage Tank 0 Gas 0 Oil ti
25. Roof Sheathing /-/ (i_ (`alt~ 74. Overhead Hydro
' 26. T-Bar Ceiling (Structural) & Monocoat I/ 11111 v 75. Dry Chemical
27. Frame and Flashing .3_1, 76. Dry Standpipe
28. Lathing & Siding j•-q'.:44 4c 77. FIXED SYSTEM FINAL
29. Insulation / -/ Q. "�f/� 78. FIRE PREV. FINAL 3-3D-g41 Lb- ,
30. Drywall Nailing -/fO / HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - ,,, .( , 1 79 FINAL INSPECTION
32. Electrical Power Meter-Final . 5' OOD CERTIFICATE ISSUED . ,
33. Final Electric • , 446-1,6. 77 p�- j$F]�
34. Final Heating & Air ConditioningI ��],�,LA._ -�C- ' �""QU"�"� s
35. Final Gas Pipe-Test 3,15 Gdt/ '1 7k161710/v .eNa.44164S.
36. Hood or Canopy
37. Final Factory Fireplace titeM G6a38. Final Plumbing 5ho C#9
39. Water Service'Final 'y
40. Gas Service-Final %5
41. Solar Domestic-Final;
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42. Backflow Preventer
43. Backflow Irrigation
44. Landscape IrrigatioruSystem
45. Sound Attenuation ; -
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46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 3-a/-tri f/
48. Special Requirements Completed y//art b ` / �
49. Electric Release to Edison `7 '
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
-
No. Date i
r �:�.sl�:L�•�—`•�'�� ��:l�t�l�.e.�� �L � !�a���.%F�._fr- 1
. a"% BN FORM 116 CALlr vgp)Tp SEASREEZE PHASE 1 .' I ''
BIA FORM 1 486
(; A ;.1{
INSULATION CERTIFICATION
.11
'' ( This is to certify that, in conformance with the current energy regulations (California Adminis-trative Code, Title 25, State of California') and approved plans, insulation has been installed in
,
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the.building located at: i
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Costa Mesa Orange /J
GM County
17,,2 1817 Peninsula Place 54 13224. \•;,
1\,; Str..1 Available.) Sh
Ma. (II Available.) lotPlumberinclMa. 11
•
/� DESCRIPTION OF INSTALLATION
•
• ROOFS \71
H.,\ Type of Material Manufacturer Thickness_____R Value"_ /
EXTERIOR WALLS - OWENS CORNING
N Type at Material FIBERGLAS BAITS Manufacturer FIBERGLAS Thickness 3k" R Value" 1 i,J
(Or Tna. Mann)
�� CEILINGS O41ENS CORNING 64° 19 '
Type of Material FIBERGLAS BATPS Manufacturer FIBERGLAS Thickne« 911 R Value**___30�! (0r Toa Mara) '5.
t 58. Ft Covered
il4
Di BLOWN: ,
Type of Material Manufacturer Thicknec' No.Bags
t \ _ (Or Tna N.r4 /:)
Wt.Bag_ Sq. FLCoveredRValue" \.) .•
FLOORS /Type of Materia( fpaTu urrta et ThicknessR Value"� \•�" � SLAB ON GRADE . 1�
(
Type of MateriaL Manufacturer
to. Tnd. Marl 1
Thickness_____R Value"_
9 Width of Insulation Inches /,1
?(j FOUNDATION WALLS (if required) P\l
I
Type of Material Manufacturer Thicknett R Value"(,f (Or 71•4• Hasa \.
REMARKS (If desired) �/.•
"l/ 1 \t
r,:\ �2
IGeneral Contractor (Builder) Kaufman & Broad License Number
. ' By rne_ Date
.
Sub-Contractor (insulation Applicator) Accent insulation Company License Number 274283 •
`_\ n..wes, Mn.. , Cc) (Stub "SAYE" Yaw.4 Ca,eal Victor) j
l / By ,....-0".."-----& ��o-.-./.� Title_ -� Date frch 2, 1990 ,)
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/! Torn 116 —a BUILDING NEWS, INC. 3055 Overland Are., Los Angeles. Calif. 90034—(213)37D- 311 �i
1 8+.-'D BUILDING INDUSTRY ASSOC' CATION Of CALIFORNIA, INC., 1571 Berri/ eird. Los Mjeks, Calif. 90026--1113)625-5771 I I
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