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Home My WebLink About1821 PENINSULA PL - Building PermitsApplicant to fill in all spaces CITY OF COSTA MESA CONSTRUCTION PERMIT Project Address 1��1 �' E.tv Imsuta pffi&F - Applicant'sMailingAddress LRD N_RT'7FRVI$D DR Owner's Name I� KAUFMAN AND BROAD PhoneGD�O Address Arch/Eng. MTBE 1aOODT RV License No. C1 5 7 20 Address R A2AROVR ' Contractor's Name 46; s7A4[E Phone Address (mailing) City License No. --:6894 LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full Ifff and effect 334495 Li censeu�ss tl5!1 •,L.'�rplc Is/g-No. Date,TT C Signatu WORKERS'C MPENSATION DEC RATION l 1 hereby affirm that I have a certificate of consent to self -insure or a certificate 'Workers' Compensation Insurance, or a certified copy thereof (Section .�li0, Nan. C.) 4189-.i0 trans. ins eCer tori co Is hereby furn isf , Ce i " tl c lwitthe Appliccit uiltli Divisio Date an fiad h G EXENj,4TI0,4FROM WORKERS'COMP SATION DECLAR TI N -/ (This section need not be completed if the permit is for one hundred ($100) or less). 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name none Lender'5 Address pp OWNER BUI LDE OBaARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair 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 the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt ,refrom and the basis for the alleged exemption. Any violation of Section 11.5 by any applicant for a permit subjects the applicant to a Civil ialty of not more than five hundred dollars ($500). LJ I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's 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 employees, Provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon. and who contracts for such proiectS with a Con- tractor(s) license pursuant to the Contractors License Law). I am aware that Proof of their Worker's Compensation insurance should be Provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Signature Drivers' Licens or 0865-46, rev. 5/88 Owner I have read this application and state that the above I agree to comply with all city and county ordinances to building construction, and hereby authorize rep e - to. ter u the above-mentioned ro ,esrttyy or Date d`d5-1 those within heavy border lines and sign all appropriate declarations, TRACT NO. I LOT NO. I UNIT NO. C-3 13224 5 A.P.#-Tbf - /-[..► I cone S Main Building: Accessory Building: TYPE OF CONSTRUCTION LXNEw LJ ADD U ALTERATION 11 ❑ CONVERSION I] DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. SED PLAN 11;h REPAIR E7 T Front r ^ CT Z O I e A Rear/ / N I C Right / N TYPE OF PERMIT El GRADING —]TENANT ® ELECTRICAL ❑ OTHER — QFOUNDATION L STRUCTURAL ® PLUMBING Gk MECHANICAL — - — S Left G R Ping. Ref. # 7 _ d Parking Req./Provided E PROJECT DESCRIPTION SCI. FT. SEE ABOVE OCCUPANCY �R— — CONSTRUCTION TYPE VN VALUATION 5 /� 7�7cyp ZONE Ani � GRADING CU.YDS. �lT ACRES p� Planning Notes: O M HOLD FOR SP S Remarks: ELECTRICAL FEES PC 234-89-1 PLUMBING FEES Automatic Washer Construction Pole Sub. Transformer ❑ 15-50 KW ❑ 50+ KW Bar Sink Showers t7d Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps Backflow Irrigation Sewer Cap .r Dishwasher - Meter Dover 100 amps - -• - Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel Clarifiers - Solar Collectors Fan Motors ❑O-1 His ❑l iA - 8 Dish uvdshe r Solar "Piping OD F.A.U. Inc. Solar 09-15 HP 016-15+ Drinking Fountains Solar Tank Fixtures Microwave Floor Drains Swimming Pool w/Spa r Device Boxes Pole Light Floor Sinks Urinal Outlets Range Gas Service Outlets / 3 Water Closet6001 Switches Sign Interceptors � Water Heater Garbage Disposal Standing Sections Kitchen Sink Water Service lie0 'Generator 00-5 KW 05-15 KW Trash Compactor Lavatories Auto -Wash 0 - f P—Trap Laundry Trays Roof Drains /5 ' :.Reinspection Fee $15 Issue Fee DEVELOPMENT SERVICES REQUIREMENT14 Zoning Approved By Date Building Approved By F' Date Application Issued By_ Dat YY UU Reinspection Fee $15 Issue Fee $ 3 MECHANICAL FEES Boiler Duct- Under Ground ,,,w Hood or Type I El Canopy Type II ❑ BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ �-j7.�0m6?, ,r�r1•/�i SMTP $ $ RFPEX/ PERMIT $ y f 00 ISSUANCE $ $ ENERGY P.C. $ $ GRADING $ $ MICROFILM $ $ 6 / OL TOTAL FEE $ $ �•:�t� RP/, Duct - Structural Duct - Ventilating Ref ration System 100,000 BTU 0100,000 BTU p L Exhaust System ❑ Multiple ❑ System Repair/Alteration if Firepl/Fact Blt. ICBO *,35ro7l Fire Dampers 00 Heat System &Ducting -100,000 BTU ❑100,000 BT Registers _ 00 SS -P �% I I Reinspection Fee White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor $15 I I Issue Fee I 1 I 01 0004". -17 I—, -n t CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POO' PA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soi( le-Undrgrnd. �S� 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. 2(� 55. Electrical Bonding 5. Steel Reinforcement ^ 56. Rough Plumbing & Pressure Test 6. ElectricalUFER-Grnd. 8t• 57. APPROVAL TO COVER-GUNITE 7. Footings �• 4 58. Electrical Conduit-Undrgrnd. 8. Foundation 94!4 - ai 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. C��).WQ CED 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 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 / G FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace LApV 1. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas El Oil 23. Gas Pipe-Rough & Test - 7.2'. Underground Flush - 24. Roof Framing 73. Undergrnd. Storage Tank OGas 00il 25. Roof Sheathing 2, 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27> Frame and Flashing -/Z_9, 76. Dry Standpipe 28. Lathing & Siding-ao Gf0 77. FIXED SYSTEM FINAL 29. Insulation '/Z Ro 78. FIRE PREV. FINAL 30. Drywall Nailing /j -90 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat /'/3 • ib 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 2 ftv e" J10- - - - - 36. Hood or Canopy 37. Final Factory Fireplace L"C40 IV 38. Final Plumbing CAD 39. Water Service-Final 40. Gas Service-Final .,. 41. Solar Domestic-Final ' 42. Backflow Preventer 43. Backflow Irrigation 1�! 44. Landscape Irrigation System 45. Sound Attenuation s •, - - 46. Handicap Regulations -, 47. FINAL STRUCTURE&.BUILDING ,�CJ�AW 48. Special Requirements Completed/ltd 49. Electric Release to Edison . 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date BN FORM 116 CALIFORNIA SE:,'iREEZE PHASE I BIA FORM 1486 INSULATION CERTIFICATION This is to certify that, in conformance with the current energy regulations (California Adminis- trative (ode, Title 25, State of California`) and approved plans, insulation has been installed in the building located at: Costa Mesa Orange ctr e.enp 1821 Peninsula Place 55 13224. SbM Ne. fit A..il.bl.) sbr Ln N.Tnd N.. DESCRIPTION OF INSTALLATION ROOFS Type of Material Manufacturer Thickness --it Value SLAG ON GRADE EXTERIOR WALLS Manufacturer Thickness R Value••— OWENS CORNING (O, Tnd• Nam.) Width of Insulation Type of Material FIBERGLAS BATTS Manufacturer FIBERGLAS Thickness 3�n R Value**—' 1 (a wd. N..w CEILINGS OWENS CORNING 61it19 BATTS: FIBERGLAS BATTS Type of Material Manufacturer FIBERGLAS Thicknes<9" R Value**— 30 (or Tod. n..l.) Sq. FL Covered BLOWN: Type of Material Manufacturer Thickne« No. Bags_ (or Tnd. N....) Wt./Bat_ Sq. Ft Covered R Value••_ FLOORS Type of Material Manufacturer Thickness.—R Value••— (or TM. N.wq SLAG ON GRADE Type of Material Manufacturer Thickness R Value••— (O, Tnd• Nam.) Width of Insulation Inches FOUNDATION WALLS (if required) Type of Material Manufacturer Thickness --R Value" (o. TO& Newer REMARKS (if desired) General Contractor (Builde Kaufbian & Broad '& Br0.3d Licrose Sub -Contractor (Ir.bGr. Y.s Accent insulal M3 • umv, V r. u Ad.:.;.. S,. C.d., Gq, I..H.dr Sr.dwd., drlrJ. ue...r.l J:r a +}. I.J.II.nr .I i..Hwir, • M dKy+1 I.J N. i•wl.nr 1r Yr I..hlla 1. w.IhVw..il} N. •rHn..q d Nwe AJerir. .Yll Y o.eMbd .N ..avled bs N. I..Je:r wHtca,. wy ti h f.tlM. T1t. !-:.terir ..�sll+•s W JJI }• wN M . er..levw.. lemdr MN:. M d. Ht�N.l I..H.rir. JNI M I.d.M ..� Nlw h nNeM.. I.dN.) License Nunber 274283 Date March 2, 1990 E1[QiR Fe.e S.c I/VS .( M1. N..IM1 .N y!.y «e .r M SNN. A Ull.rw:., .1rv<:.d 1.41, .JH, .ew•..•1 }w w, )r. .r .d..r r..:d..A.] d.HILa 1. }ebliJlle Jell Y Iu..I >ti ..A . f.:41ry d.ow•.rl w4.. I}e •Irvd.n N Iw.l wrl,f. •. M wlu .. .race., •..I.rir Form Its _e BUILDING NEWS, INC- 3055 O+er;md Ave, Los Angeles, Calif, 90037--(:!3)870.9371 Form 148&—a 8U ON% NNJU iiy ASSOCUTION Of CALIFORNIA, INC., 1571 Beverly Blvd, Los M.pe!sn, Calif. 5(v S--(21316255771 OW IWA ENGINEERS 17390 &ookhurst Street, Suite 100 Fountoln Whey, Callfomla 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. 1� -- Llewellyn D. Incledon R.C.E. 17593 Exp. 6-30-93 LGT C� 1