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HomeMy WebLinkAbout3493 QUEENS CT - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT �� FAIF DRIVE, COSTA MESA, CA 92626 Joba.ddress: 3493 QUEENS CT Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 41204261 Applicant: SELL, RON Atldress: 18032 LEMON YORBA LINDA , CA T� ..,l�,`�r�i✓..F rj Owner: ALALUF GERSHON LE . ,--ra r x-" Address 3493 QUEENS'�,CT d �:��r� � },�;-�' f � �TA MESA; �A r�„{ `}l;% '�. ' � �"',; -y. Contractor sy�-SELL RQOFING COMP,� ,} Addres�s � �18032 LEM,,yON����/ f r .'�',u'-�.%✓ ,��' � ; �G y 3i., ,. . y f�. ;�`./.,� ; �:i,�t ,... YORBA LINDA'?'CA i Arch : �'�k',i�„y.� ���f' rAddiess.-..,, ��y4y{ ,�-•'. 1J1 .' � r��� �� a� �:.� ,� �� 1 4 �'� , .; � � ( � ( �,a . N � Z�p:w'i •%"'`/ `5 ..� '%-d, �!i �� i t'- A< � � s�,. i ��l1 "��t i�' ` :'itREROOF.: T/OjEXISTING WOOD ..^,57 PSF (ICBO #ER-4660) { , �+�reiinu ��.���i. SMIP Res Zoning: R1 R1 ISSUED BY: Status: ISSUED Applied: 09/30/2002 Issued: 09/30/2002 Phone:,,_ (714).528-1758 '.�' :+Zip ;':92686���:"�- 1r..• } 3r r--" rt-c-r ' �._'"'y�� . .�1� L � �.- y4, ",� � '"� -� —M^¢y �w �5 � \-`�k � ,� � �r`{'�af�j ��ti x + ti: ��1� lrtr� . . �`^..,��{"v`",.ti'. � Phone E�% it �tr % ,f "� qat �7 �`,��-'�'� ;,"`Zip * 92626-1659 f ��' ��a.`fi�'� �%"`=�'---�.�3�5_`�`�t��;�`� �;'�C'^`a �F `��'�� \�-�` �y.,! �; ", ,�b..�t . ` '� �� � 'v.h !', '`�. `' _l ' ' .., �`\` � ,.. ; �r i�. ��'yy, : �,iy ~v fia � Phone: (714)528-1758 \`;`�.` r i "�:�.1 ��.�: i�i e �.' P E�9� ?' �� ` Address' p ; t K Phone� ,"�1 , } - "�r Y �E�`x '"l � � � . M `• � �..,'J ����.. �� :....._ K g�' � � � .s� } i= icense �—� � �� � � '' �, ��' __ ��' :L. � i , r. � SCOPE OF PERMIT �' rt. 7/16" OSB SHTG, 2 LAYER 30# FELT, APPLY "EAGLELITE�CAPIS' —.__--�_=..�-.�;�:___� _�a-.+� _�.-�... . d SETBACKS. /.�n 1��� `{ � D� ° tv� MAINSTRUCTURE Front�`0-0 � Rear Gt0 0? ��rs' ���..�a� "/v�} �^,�, �cJR � ss',, cJ� ACCESSORY '�;,a�F��,o\nt �.r0-`0 ��'�� Rear�<0-y0�,��.�,� `44�� '?V`tiJ /~ _' ''`u PARKING Existina: 0 Reawred: 0 ' ���� L�`�j�� �_� �c A, �`�,��., �' >>� r � e� �,��s�„ o �-� '- - — ad: 0 � � � �"C�;��> ��:� �r�. � � � . ;\ � n �� 1tii' G� � ` t`� ` �s� x � -� ll`,�� �Phone:��.�-�� ��� � �l-p�` � ' ��\ l License� � -� l��l ; ?' 1 J i �,�-�?.��� l —:., ,\1�, `�, � . � 4,t��1 l �, r,1 � � � VO TICES:"�,27 SQUARES�Ii I _,�. � ��b, � /�...�� ( �e����f�l � ! � r� � i� ! t i' �, _�r � ; --� Jaluation: f�' ! .ga,soo. o� Valuation: ���r�i L gg,'goo.00 � �, ��j, �� f"= , ' / j�l r_ , � J�`� F�( ) � �� � /^-.�^_ ..,' � / J�: ?� ,'t/ 1 >;�, �c� , �%'� , . ,�; , • �;;,,,n ; i;� / � , � \ Riglit �/0/ � `/ � /�/�J.i �-� V �"�� i� i /i' / � Right U0�0�� � � ij,. \�\�.l. • l )L//� �; INOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related , regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become voitl if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. . - INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inapections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (/74) 7545626 2446ifi IfY00� WORKERS' COMPENSATION DECLARATION: — I �ereDy attirm under penalry ot perjury one ol ihe tollowing declarations: � ❑ I have end will maintaln e certificate of consent to selt-Insure tor workers' compensetion, es provided for by section 3700 ot the Lebor Code, for the peAortnance of the %�ork tor which t�is permit is issued. .� 1 have end will meiritain workere' compensation insurance, as required by section 3700 of the Labor Cotle, tor �ha peAortnance of Ihe work for which this pertnit is issuetl. My workers' com � ati Insure arriar an. licy number are: /Q / / Carrier. �� Policy Number: C (O �O SS � (This section ne not be completed il fhe permit is valued at one hundred dollers ($100) or /essJ ❑ I certify that in ihe peAormance of ihe work for which ihis permit is issued, I shall not employ eny person in eny manner so as to 6ecome subject to lhe workers' compensation laws of California, tl egree that if I ould become subject to the workers' compensatlon provisions of Sectlon 3700 of the Lebor Coda, I shall iotlhwith comply with Ihese pravisions. c�,c/',� / Applicent SiqnaNre: 07// Date: / (— Q � WARNING FAIWflE TO SEWRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CPIMINAL PENALTIES ANO CIVIL FINES UP TOONE HUNDPED THOUSAND DOLLARE (5100,000), IN ADOITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDEO FOR IN SECTION 3]OB OF THE LABOR CODE, INiEREST, AND FTTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl P�fessi��otle, and my license is in full force and elted. Liu a Cless a C� comrectors Signawre: �� �, oete: / — 1 � i CONS7RUC710N LENDING AGENCV: � ❑ I hereby aNirm ihat t�ere is a consiruction lending agency for the peAormance ol ihe work for which ihis partnit is issued. (Sec. 3097, Civil Code). Lenders Neme: LentleYs Atltlress: Signature: OWNER-BUILDER DECLARATIONS: Date: 1 hereby affirtn thet under penelry ot perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following raeson (Sec. 7031.5, Business antl Profeuions Code: Any city or counry which requires e permit to constmct, elter, improve, demolish, or repair any sWcture, prior to its issuance, also requires �he epplicaN tor such pertnit to file a siqned statement ihat he or she is licensetl pursuant to Ihe provisions ol the Contrectors License Lew (Chepter 9(commencing with Sectian 7000) of Division 3 of the Business and Pro�essions Code) or that he o� she is exempt therefrom en0 the Casis for ihe alleged ezemption. Any violetion of Sectlon 7031.5 6y any epplicant for e pertnit subjects the applicent to a civil penalry oi not more than live hundred dollars ($500).): ❑ I, as owner ot Ihe properry, or my employees with wages as their sole compensation, WILL DO THE WORK, and ihe stmcture is not Intentled or oflered for sele (Sec. 7044, Business and Professions Code: The Contrectors License Law dces not apply to an owner ot properry who builds or improves ihereon, end who does such work himself or herselt or through his ar her own emplayees, providetl thet such improvements are not intentled or ottered for sale. If, however, Ihe building or improvement is sold within one yeer ot completion, the owner-builder will have the burtlen ot proving ihat he or she ditl not build or improve tor purpase of saleJ. ❑ I, as owner of ihe propetly, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the proied (Sec. 7044, Business and Professions Cotle: The contractors Llcense Law tloes not eppty to an owner oi propetly who builds or improves thereon, end who contracts for such pro�ecl with a contractor(5) license pursuant to ihe Coniractors License Laws.). ❑ I am exempt under sec. Signature: Owner ID vertlied by dnvers license. ❑ Ves ❑ No Business antl Protessions Code tor this reason: Vedficetlon af Ownership by (type ot documen6 i.e. - property taz bill or tleetl): DriveYs License No. Date: Expires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cetlity ihat no exwvation five (5) or more feet in depth Into which e person is requiretl to descend, will be made in connection with work authorized by this pertnit, antl ihat no building strucNre, scattoltling, talsework, or tlemolition or dismantling thereof, will ba more Ihan thirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Calitornia Administrative Code). � As ownervbuiltler, I will not employ anyone m tlo work which woultl require a pertnit from the Division of Indusinal Safety, es notetl ebove, unless such person hes e permit to tlo such work irom the didsion. Signature: Date: Division of Industriel Safety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OP EMRY: I certity under penalry ot perjury ihat I have reatl this application and stete Ihat the information given is correct I agree to comply with ell stete laws and ciry ordinances relating to building consiruc�ion, antl authorize representatives ot �he Ciry ot Costa Mesa Io anter upon the ebove-descnbed pmperty tor inspec' iryoses. I a e n, t cupy or allow occupency of any building authonzed by this permit until final inspection. . ign tura0 Leg�YO�+�s) 9�—���.—D q J � G� ' nNOr Authonzetl Applicant � Date � CQOE �, INSPECTIONTYVE 1616 Fixetl System Final Fire Pravention 1268 200 201 202 203 204 Pool Spe Final Final Re-Roof Final Block/Retaining Wall Final Factory Fire Place Final Sign Final Demolition p�jf, �MRIpLS COOE 1 INSPECTION TYVE 20fi Final Mechanical 20B Finel Plumbing 210 Final Elecintel 212 220 222 250 Final Fire Prevention Final Planning Approval Final Site Final Building/Occupancy PeIE ItiiID�Li . } . .' � ...AVP��cant to,(ill,in.all soaces except tnose.within neavy oortler lines antl3ign all appropnate Eeclarat�oas. , . ' � OSTA M A �4CONSTRUCTION PE�M,IT � ,_ j P RMIY NO � ��TRACT NO �' � .,LOLNO.., I v� � UNIT NG } � • � � ' � , � , .. 1 � � c, c,%BI I i ���I Icryl IOE�a ry' 's+ `r �^ � I ����i3.,Q��-tis �„��— �PE� ►cx� 5 .��a , �.,t :: ,;.�r;,;�. �, ; G , , . ����� t,,� �, � � , _ aject Address ' . . _. . _ . - j y . � f. . r � ??� : j-� - � AppLcan� 5'Mailing dr ss� -�� S r -' - '! - ' �' ' . � t � �, TVPE OF CONSTRUCTION New' ;nDD: � ACTERATION' R� PAIR'- - f - ^ ' � - - _ ` ; ; [ � + r'❑ CONVERSION� ❑ DEMOLISH 0 OTHER ~ � � � A.P.'# , , p( ' �� , ( �' < Zone Ow e 's Name�� , ' i c/� L 'Phone.�J�%S Z � . , F : � ° = � _ � .. . "- , - - . . , W � _ - . - . • �,. � • DESCRIPTION OF�WORK/USE OF BLDG"` � - � _ - � � - i � � Add essi��. G" `" � �•. • . ( . . ; -+ {': ' � : .- ' . ' rt' � r " :s : ' ' ':� . _ �. � - _ S Main BwliJin9. _ i ; �'a �Accessory Building. ' ` . 5 ;. Arch/Eng:' . - �S�' Q'/ `- eo � No.� 0 T �' f � SYPE OF PERMIT ' ' GRADING' ❑ FOUNDATION �'STRUcruRAC � _ T„ Front�= � �' � ` � � ' �. ' ` p . Addre55i � °2z-� ''�" � _� TENANT �❑ ELEC7RICAL O PLUMBING' ❑ MECHANICAC � � � 8 Rear ' � ' ' '� l � - N � . c - '� � ' '- . , . � : , i ,� _ A '. ' _ : . 5- - , = �_ r. ; : ,. . • Convactor's Nam ' � P6one � �: ;: � "c❑ orHE'R ' � � .- r ' : - _- - . . _� :, , �C Ri9ht �' � � • i.. . : I ` ' �: , c: � - .•� N � � - _, i� � � = PROJECT DESCRIPTION $Q. FT.` - - CCUPANCV , G Atldress�lmai�ingl � � . - ' , ' . ^ t � CONSTRUCTION TVPE �V/�%� �VALUATION $ � —DO -+— �g Le t � { + � ` � .� � .t r . CityiL�CenSeNo. � ' ' ' ZONE�` � � GRADINGCU.VDS. ACRES - . "" ' - - R� ' LiCENSED CONTRACTOR DE[LARATioN _ , � Ping. Ref. #�;' ' 1 Parking,Req./Provided! 2 � � E' � ' � � i . i � � e � � . � - Q. fhereby af(irm thzt'1 am licensetl untler provisions of�Cbar[er 9,,(commencing ; Remarks: , � � �� . S }' ' � .� P.lanning Notes: i .�f �� �� " � Sr M � with sec[ion �]000) of ,Division 3 of the BuSiness antl'Profe551bn5 Cotle, antl ' ' ' ' ' � " . . � mY licenze is in full torce antl effect. ? ; i C ; ' ' ��' . � , 1 4 _ � ' � }..' � j j �• �, � � t � f. ' � � � � ' E ' � � , � �t• S I Cicense Class� License No � ' � ' F � � � � � � � , � - � ! i . � 1 �. . �. ' .PLUMBING. �: �FEES-' f � ' ..F' ( � i ± , r . '. !� �ate � Si9nature' .� .�.0 ' f 1 ' '+ k � �''- '� RKERS'COMPENSATIONDECLARATION� � � % � ' � ' • 'i � - Y � � � � � ' . � ` ' � 1� �} BarSink � Sfiowers � � � i. t � r '. ECECTRICAL . . FEES � ' xeby aifirm that I have a certificate-a£consent to seli-msure or a certificate ' � t � 1. � i � � or'Workers"Compensation�',Insurance;�'or`5'certifietl'copy•thereo�i(SeCfion--;- •- � -�+s-�---�•-�y �- '� �-^ ��-' -'c-:---+�-- --_ .r__..-�. .�._,. - .- ._ .._. __ , 3800�, L'ab. d.) . i . . � ' � . ! f f Backflow Preventer i ,�Service Sink . ��j "�i � , Automatic Washer � ��. ��S � Transfoimer 0�15 50 KW ��1�� � '_ � �� � { _ ' Poiicy No. � � � f +- Company ' � ' ; � � � : y' Backflow Irriga[ion � � . Sewer Cap � ; , � � � Con�struction Pole Sub. i ' ' ' "t ' �,50+ KW - � { . � . �Certifietl copy IS hereby fumishetl. j - ' � � � j ( - - . , - � . . , , , � � ` B�Certifietl copY is filetl with me city suiltlin9 Drvision. '• , � � f Bathtubs i � Se'wer ConnecUon �- j ' � Cooking Unit ( ' + ' Meter ❑up to 100 amps � � � �.. .I ' ' � i t � � . . ' ' '• •. 1� Date � ' APPlicant -' : � . � . . � . . � - . , �EXEMPTION FROM�W00.KER5'�COMPENSATION DECLARATION- -'- - �.,y Clarifiefs „� _ �_ ' _ ' . J_ ..._; . Solar Collectols_! � �7 _ _ Dishwasher_ �_. _y;p.,�,,," � � �Meter_ Dovef�00amp5.�� � ' (This section need not be completetl if the permit is fm one huntlretl ($100j or - -� - - - � ~ y �� �� less. -� • { • : � * . � � � ;� Dahwasher � � ;' - +- I , ' SolarPipin9. � ; ' Dryers ❑Gas ❑Electric �. 'Sub'Panel : � ' � � �� I certify lhat in tlie perfo�mance of Ihe work fo� M1lcn thls pei �t i5 i55uetl, I� i . . .. , . snall not employ any person in any manne i as to b �- Drinkin9 fountains � � i . Solar Tank ; : ' � �an' 1, , Motors 041 HP 01'/: �8 '�' � T Worker Co en i n Laws of Ca' � � �� i - - - . . om�.�¢v���:-5i9natu j '\� p100� Drams ; ' 1 i ; $rwc�a�PeeYvi/3Paq ; . ` F.A.U. _ � ' � . 1 Inc.Solar� 09-15 HP O16 75+ • . .'NOTICE: 1 afte. making this tleciaration, you sh I become iub' ct to.the'� ,_, . ,. _ - ' ' � � , . p - � Floor'SinkS',`�"�"`-T�`—� Urmal'�`—y""^"---' �" �Fixture�s��;�� 'Worke�s�"COmpenSalion rovisionsof'the'Labo� Cotle, you'must"torthwrth'^-""" � � ����y f-� �Mic�Owdve�� � ( � � � comply,wi[h suchLProvisions� or.thi5��permit. shall �be'tleem¢tl �evoketl. ` . _ , � , _ , � � ` ' CONST0.UCTION� LENDING AGENCVJ � �.. � .. � - k �.' - 1 ^. � � � � ' ' U � ✓: • > `�.� - ' ' � � i . ` GasSeivice } pOutlets " r WateECloset' � �' i Device Boxes � i ' � Pole Liglit . }�. ,{ � ' I hereby.atflrm tnat there is a construction lentling agency tor the performance- - � �'� 1' . . t' � of fhe work foi �wM1ich^�lhis permitr�s+ �ssuetl';(Sec[ion� 309� Crv' �C:) � t ' Interceptors ,Water Heater � ' � � � � � � ' _ ' � , ' + . Lender's Name� � � ' � �• - - � . . . . . Outlets -� � } �, Fiange-' � ; t � Z, - Lentler's ACCress - � '� ' " - � `- � '� � � � � Kitchen Sink �.( ' �� � � <'. "Water Servme '! � p ' .^. � �- Switchesl � � Si n i � � � ; ' ? OWNER BUI,LDEH �ECLA0.ATION t =�. �� � '�. . ' � [- � � I % � � . i .� , � - . � � � 9. � , � . ' ' • I hereby'affirm=lhal'I am.exempt�from the Contractor'S LicenseFL'aw for the �� Lavatones� � � . e�. � ` � ,' � ; .;Auto-Wash j = ` `' � ,� � . . { �_ Garbage �isposal'� ;;.Standing Sections i a' f i~ following reason (SeCtion 7031�.S�Businessantl ProfeSsional Cotle:.Any�city or � " ' ' , . � - ' � " . ' ' ' �' � - ,.county-wnich requires a permitto-construct;alter,-improve, tlemolish or repairr , p'Trep ��r' . . ��,. � i' „LaundryTraYs' I ��^ % Generetor OO-5 KW 05-15 KW ' � _any structur¢, p�Ior to�its issuance,+also �equirez the applicant fo� such permit �� -� ' . �' ' � � T�dSh COmp2ct0� j � � -..o file a si9netl'sta[ement�that.he/she is.licensetl pur5uan[ to:the prOvisions ot �,' a� ROOf,D�21n5 T y 'r .-+` �' ' � I� '� � ;ye Contractor's License Law (Chapter 9 (commencinq with Sectlon 7000) of � . ' �� � - � , 1" . ' ; ( � : -vision 3 of the Bu5ine55 �antl Profe55ions Cotle) or Inat he/Sh¢ is exempt � ,� �^ ��- � �.. � � a i'e�e(rom antl Ihe ba5i5'fOr.•the allegetl exempfiOn. Any.violationqot Section ; , 3� t ,� � � _ � � � �^�� ' � i � � � � ' 703 by any� aOP���ant for a 'permit subjects.the' applicant to•a uvil � ' -` • � � ' ' ' ' , � � ' ty�ot no[ more than five huntl�etl•tlollArs•(5500�1� , . � - r ! ^ ',� t � � ! � �; � i : � -� f �- � i � - �' i � .�' - - � • - ^ �� ' ' � � 4 Reinspection'Fee"�- , $15 '� � ' IaueFeet . $ 3' ' ' ' � , � � . ,aai owne� of the property � I , , _ � � I � . - • will tlo the work; an e� ure is not intentletl or offeretl' � . Reinspection Fee �� $15 � � ue Fee � -$�3 o sale (Seclion;7044,'Businesstand,Professional Cotle: The Contractor's _ � - � - , �MECHANICAL ,: � FEES'. � � � - h - Litense�law'tloe5�not app�Y.to an owner o6aproperty who builtls or improves • � � ' � - , tbereon, antl who aoes such work hiinsel(/herseltror. tnrou9h his or her own ;' � � �� '� 1.� ��Hood or T e'I' ❑. ''�'�• '� DEVELOPMENT SERVICES REQUIR ENTS: ,. ''} '` ' ' employees, provitletl tnat sucti improvements are not intentletl or oHeretl for . Boiler + '. � i , yp �,[+ � f:: � � i• `� � sdle. If, however,-th¢ builtlin9-or,improvement is so�d witnin one year oi com-, . ' Canopy j Type II ;� . . Zoning Approved By Date . , , pletion;_ihe owner'will have the burtlen ot p�oving M1¢/She tlitl not buIIG o� im- � � ' DuCt -'U�d2� G�OUnd�� . ; �� ( , '. � � � ' ,��', ; '$uilding.Approveil By� ' Date � prove tor [he purpose ot,sale). ( , �� � l- � ( � �. . . . - , � . • ' ❑ I�a5 owne� ot the Property, am ezclusively coM�acting wilM1 lic¢nsetl con-' � Duct-SLtuC�U�aI � � � � ; Refr�gere � System � � f� � - f� `APpliratian IRUBd By - �' �' Det9-y�. L�dCfO�5t0 COnSI�UCt tM1¢ PYOj¢C[ (SeCtiOO �044� BUSin255 dntl Professions COGe: �.' _ ' , .. . � The� Contractor's License Law. doesrnot appry to.an!owner of�property who.: Duct,-;Ventilating - -..-� —' •�� � O.00O.BTU �0100,000 BT.0 � i ' � j ' , � ' {SUMMARV OF FEES • . � ' .� - j i � � `' "�� ' � , builds or �improves thereon; antl who'contracts'for,+_zuch proj¢cl5 with a com { � •� � � � ' ' : _ - ' � ' /� tractor�sl?dicense pursua'nt�to the",Contrzctor s,Liwnse.�Caw).;I�am:aware!that� Exhaus{System ❑ Multlple'❑ t Syitem Repair/Alteration � _ = BUILDWG;PERMIT i $ �' �l•JrQ� $MIP. .' � -�:$ � � • �lJ- �proof o� tM1ei� Worke�(s.Compensalion„insurance�shoultl be'provitletl to+me.., -... .. _ . . � . t �_ . . . �r�,t e � � . ' , �r � � : .'t.. PLAN�CHECK � �$ ... 25.. .. .PERMIT f � . . • ' ❑.i arzi exempt uuder Section . C.' r t �' - FvepVFact. BIL ICBO # Fiie Dampers � � � � • ' j � i ISSUANCE �� $ ' ' � � a+ ..� _ - �'a-' �"' -i ' - - ' ' . f P,LUMBING � $ i Heatin System & Duc' g�. i Re iste'rs .� �' i � ' ,'j ENERGV P.C.i $�� i Daie ' � O`n � � - �' 9 � 9 ' " � -� ' i _' � PLAN CHECK ; 25%� • $ � � I�hereby certiry .tnzt I have reatl tnis 5pplication and itzte that �t e�above �� � r 00.100,OOO�BTU 100;OOOBT ' ELECTRICAL " information is corre I agree m'comply�with an city.antl counry ortlinances ... ' -. � - � i - } ' t � ? . � �$ �GRADING : $� . � , ' � � ' antl:state �a a o-bwl n9.construcHon',.antl�hereby authonze repre-. � ; � PLAN�CHECK �50% $ � �� •5 �-MICROFILM � $ �� . � ` sentatives:' _ tr' t e er upon t Sabove-mentionetl q�operty�fon�� -' ;t'{t �,' ' � - ' � , .� _ � F � � � � • � . , /� 93 � , inzpection u �� / � � {, � � � • � ` , MECHANICAL , $ �� .TOTALFEE $ � � 'Si9�ature ' " � C C�L� ale%�Jf.,���. a ' • - + � �� . � ' I' � $ , i ; . . � . �\ ' _ _ R6 nspection Fae �$15� - � Issue Fee i� ,$ 3 P,LAN�CHECK 25%� ' Drivers'� se ar 55 � '� � i' 1 i `F 0 -46. rev. 30/80 Wbite - Builtling; Canary - APplicani; Pink - Accountin9: Goltlenrotl - Assessor � — ' ' ' � \ � , _ :;� .__ , NST�RUCTION AND PLANNING�. � - - � � �� ' � � - "•, P� `SP'�'•` • - _-. ; =, .Date i�lnspector ' ' �` � � " . _ - �Date 'Inspector � APPROVALS ��Permit # � � . . r"APPROVALS , , Permit # L - , .� i,a Temporary El�ectrical 8ervice or Pole , � • � � � � � 52.' Pool &'Equipment Location ' �!�r� ^ � • ,p %' ' ^ � i9 � , W. v � �, 2. Soil Pipe-Undrgrnd. � � , . � � � 53.: Steel.Reinforcement . � � �r,: ' , r � 3. Electrical Conduit Utility-Undrgrnd. .. . , �. 54:_Forms':, �� . . , _ � �' � ' �� ' 4.•Electrical Coniiuit-Undrgrrid. %, � • ' 55. Electrical`Bonding�, . � � � . � ' ' , . •, 5.Steel-Reinforcement � .. ,- � - � 56.=Rough�P,lumbing&Pressure"Sest"�. � -7: 4' � �6. Electrical UFER Grnd.�'� `� ' � _ .' ', 57.»APPROVAL�TO,COVER=GUNITE - y � � � , i V � . ' ` ,7�. Footings�� ; - '' � � - i. � � • -'� �', �58.'-Electricel'Conduit�Undr`gmd. ' . f � (��� � � ' � i;� . ' ' . '. _ . I , , � 8. Foundation ^ � ' �` � � 59. Gas Pipe, 0 ;Undrgrnd _Test`'(7K;}' - � y: LI •:'(�` � , '9. Water Pipe-Undrgrnd. � " ,z .. - - . '!.' 60. � BackwasF' Lines, P-Trap� Q'Undrgmd: � ,� / 4 �� �/�� ' �� '��10. Structural Floor_System � '� - ' � - ','� ; 67.'APPROVAL-��TO DECK: - . 1 �(;' -f � `�!� • -' - - � �1�1�. Property Sewer Line & House Conriection . ;: � / 1 - 62. _ Backwasli &'Receptor-F„inal�� � � � ' .11 "fi�= V72. Sewer Cap ,� � � � � � , � , = � 63.. Heater & �Vent-Final . . ' - " � i � . . r,13. Roof Drains . � � ' • � , � 64.;.PlumbingsSystem'- Final " ' �' ,� ' � , '!� `.� � t14. RoughPlumbing ,' �. �... . �. .. -.65.bElectrical-Final�� - - _,-_ , . i ' _ � ' ',15. Rough-Electrical-Conduit- � - � ' �; � '� ". � "r� �.- T -'66.'�Solar System-Final� -' -' - � � � �, -.. . �'i. '�1'6 �Rough,E'lectric Wiring, , � �' '' - - � , . - �� --^ -67. Fencin &�Access-A �� �'-� ' - - ` - - ? � . 9, PProval _ -_}. �r 17��Rough�Wiring Sign r ''.; , ' ' y� � � � ' '' '68: �APPROVED�FOR PLASTERING � �1' (,�� : r ; 18. Rough Electrical-T Bar.Ceiling � � - ' . F - ,' , ' 69..POOUSPA SYSTEMS FINAL . � �Z( (� �a�� �.:V ` ° 19:,Rough Hea4ing & Air Conditioning, � `,: ; - � , FIRE DEPT: REQUIREMENT•_ � . 'c' � . r_ i- '�20=�Rough Factory FirePlace � , , � � . � � APPROVALS � Permit # ' , • . 21. Ducts, i{�-Structure � , �� ' � � i � • 70.'Underground Hydro. . . ! .. � ,` - `22. Ducts, Ventilat,ing '_ „ ; . � r , - � 71,'product Piping OGas ��Oil � ' . � � � �; � � ry23.�-Gas Pipe� Rough & Test . � �, ��, � � j � �, � � � �7z��Underground Flush i � , �-', � ' 1 i"" ��i 24. �Roof Framing Y� � , � �P` �' ' ? r , , �� �. , 73. Undergmd. Storage Tank O Gas' O Oil . � � . � ��25. Roof�SheaiFiing � � � . � - � � ��74�.�Overhead�Hydro , . ` r, . , 126. T`Bar Ceiling (Structurall & Monocoai � ,' � � � : , ; , � � ' 75, Dry Chemical i � . � „ � � ' ' � � � � 27. �Frame and Flashing � , � � �' _ � , � � � ; ' 76.'Dry Standpipe , � ' , � � �28. .Lathing`&,Siding i � '. !� . • �' `77. � FIXED SYSTEM FINAL �� � ' ' t' i ' ��29. Insulation " �' � • . � , �� , � '� � � � � � i 78.�FI�RE�PR�EV. FINAC . ! 1 � �30..DrywalliVailing , � � ' ;; �� � . � �. ' � '. i � ,HEALTHDEPT.REQUIREMENT � . , � 31.���Plaster Brown Coat . ' � I � � F y 79. `FINA�L INSPECTION� � �� ��� �� � - � � -�"� ' 32. Electrical Power Meter-Final � �� .� � t � � j i � 80.;FOOD CERTIFICATE ISSUED �� i � '� /' 33; Final Electric , � , ' �-� � � .- '�: . � Notes: � ! i - � ' � '� ��- ' - -' , : � "- � ~ ' - 34. Final�Heating &•Air Coriditioning� , � � � i � � ' � � � f ' � y.;r � . � . � '.' � t i � + 35. Final Gas Pipe-Test ; ' , ' j _ : Y •� _ � ; � � `� F" � �. � ' � y �, ' - . � �C 36..Hood or'CanoPYi ' '` ' - � . � _ � s � - : I . � i � y „ � � . ' , , � � if � t � ' b� , i : � ,r . 37. Final FactoryjFireplace� � � � ! , ' � ir ' ' j ` f � � 't ' . �.: . ' � �� 'r' r�, t 38. Finel Plumbirig � 1 �, ! � ,. ,"' � i � ' • + ', ;; 4 . . � ' '. - ' . , :- 39. Water Service �Firial � � , ' . ' , . " � � , . � • . �^ r . . " . ` T. 40. Gas Service-Final � � � . ' � � ' • - �, " � • - • . , � . . � ,e 41. Solar pomestic-Final � � - � � , `'� '� ,; '- , � i -' .� ' - '. - - .' ' ' ': _ � . �' . ; . � . . 42. BackflowPreventer , � ' t ,. . � � � 41` � ,�r -.t;.., • 43. Backflow Irrigation �, ! . , i � - � ' � '- , , , . � . � � �. �� `'f'�,� �, - ! fl.'r '1 t ` ' 1 . � 1 " �15" '' .� " . . � 44. .Landscape Irrigation,,SYstem . . , � - 1 `� i.,:. ,' �` � ,' � � , i� :. .. . . , , _ . � i � � . _ � . - . . � � . _ ' , 45. Sound�+Attenuation� � ' � �• � ! � � � r �� ,+ ' � • � ` � '' 46. Handiczp Regulations •. �, � • ' , . - � " ` ; � ' J - ' � �� � � - ' � i i T 47. FINALSTRUCTURE&BUILDING �- ! 1, I ,; . � ' ' � � � �� � � � ' � � 48. Special Requirements Completed � � � ' . � • �� � � i � � =� ' � � 49. Electric;Releaseto Edison � � � � ; - . 't--° -, -j � �- - -'-�K- -.� , ' ' � 50. Gas`Release to SoutherrFi�California Gas'Co ' ' , , � . � '� '� ' � � S r � � �r���� � • 51: CERTIF,ICAT.E,OF OCCUP,ANCY ' ' i f � . � � ' .° ' • f1 . ' -. � � , _� ' � _�_ :., _ ... .��f . .. _; .. . � r ' y' . � �4'r � No:' .� �.• Daie� - . . ` . .+k - • " .,l . _e. _ . � � � REPORT OF IP�SPECTION / � T0: Address: i,VNER: PROJECT: Address: C�S�a (1r1�5q Gunite� ) Masonry ( ) Concrete ( ) Post-Ter��oned Concrete Fireprc ;g Reinforc���g Steel Report No. ( ) �- _' �- �c� c � ) � ) �V43 (���eu:... Permi t No. A�.aa•IyQ, c . Archi tect: ��,n„r-} Lontractor. \f��n.,l -1, Address Address: Engineer. pc..�oo:hG Subcontractor: j�t2t� � (Gunite) Address: Masonry or Concrete) Inspector. �'�qx ��-{9 Address: n . �.x�,,4, r-�,i �o-+�� Mfx Used: Slump, inches: Admixture: Designed Strength, PSI: The following inspection was performed in'acc�rdance with the approved drawings: Cu.Yds. No. of DATES Placed CYIs•_ Remarks `ol S K �b � �i'e<�_� 4�0'��, '71�c1. �I-C YAUi � J�J 1y���,.n l.` UJ S�P �e.s�' 1'nli,r (Le.�-SRc Tyv�n.;... 1�� Copies of Reports to: (Indicate which Bidg. Dept. 6 furnish address of any not listed) 0 OWENS-CORNING Fiber� �as Blanket Insulation The contractor named below certifies that the Owens-Corning Fiberglas Blanket Insulation used carries the NAHB Research Foundation, Inc. label for assured thermal performance and that the Blanket Insulation is in- stalled in conformance with current energy conservation regulations, California Administrative Code, Title 25, State of California, in the building located at: ��/ ,. � . �1�� ��i:ODnY, 4 /i74�1_Y '/% �. �n . i " � lStreet Lot Number Tract Number Exterior Walls Owens-Corning Fiberglas Blanket Insulation Ceilings Owens-Corning Fiberglas Blanket Insulation Floors Owens-Corning Fiberglas Blanket Insulation Foundation Walls General ; �� , Thickness �; , Thickness R-Value � ;" R-Value Thickness R-Value Manufacturer Type Thickness R-Value License No. By , Title Date �Signature� //.� " Insulati V r_ _+ �� . - License No. By— �'f ""'— "" � Title � Date. - ? ✓ `,'/%y�i9naWre) � Homeowner Copy (White) State Copy (Yellow) Builder Copy (Pink) Pu�. No. I6-BL6995�P Lil�o In U.5 A., July 19]] OWENS-CORNING FIBERGLAS CORP. Insulation Operating Division Fiberglas Tower, Toledo, Ohio 43659 FS 5 C�. Q � y S F C W F a > �- .� � w a O � a Z k] S 3 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX1200 COSTAMESA,CALIFORNIA92626 For Applicant to Fill in Completely — Use Ink Only BUILDING 3493 Queens Court ADDRESS OWNEROR Wimbledon Assoc. TENANT MAIIING 14%Q Jamboree Road ADDRE55 aT� Newport Beach No�640-68 CONSiRUCTION LENDER ImAerial Savinqs & Loan BRANCH Pasadena ADDfiE55 C,� C T.�lro Dvc -7124 ADDRESS 17992 Mitchell So..Irvine CONTRACTORMCLdlIl DeV. Co. ADORE55 ].4�]0 Jamboree RCl cirv Newport Beach No`b40-6800 LCNO. 273875 LICYNO.ZHH/3 SI2E NO.OF BLDGS. OF LOT NOW ON l0T O Separate permits are required for electric, plumbing and hea[ing work: UILDING AND WOFK TO BE PERFORMED prd-New Construction Single-£amily dwelling I hereby acknowledpe ihet I hove reetl thls epplicetion antl state thet the ebove information is correct antl apree to comply wiih all lews regulatin9 builtlinB consvuction, antl I shall not amploy any person In vlolaUan ot the workmen'a compensatian laws of the State of Celitornla. I he�eby ce�tify that I am p�opa�ly IicansBtl as a contracto� untla� the State of Cellfornia Business antl Professions Code, Division 3, Chapter 9, antl that such licenses are In tull force end effect, or I am axampt trom Ihe p�ovlsions ot the State of Celitornia Busineu antl Pro7essions Cotla, Division 3, C p 9. Signature of G Parmlttee or � � � Authotizatl ABen[ Data APPLICATION FOk�U�ffE�Rh71 PERMIT 2g9181 T� RECEIVE V PERMIT N� � � � � � r,. A.P. No. �. �i � ` DY,�- - �3'S ADDRE55 3493 Queens Court VNIT OR SPACE NO. Z O Tf�lY02,75 LOT 20 BL� LU NEW AO� ALTER REPAIR MOVING DEMOLI OWNER PRD USE ZONE PO ' APPROVED BV APPROVEDSETBACKS IFROMLYC�TRf�ET! ! PL{iNNING ACTION Assoc. VALUE E =N DATE � IZO/7� I DATE APPROVED� a THE AMOUNTSHdOJN UNOER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLv: VALUATION PERMIT FEE b ! PLAN CHECK § $A 3ap� TAx $ G•8/ 7�J TOTALPAID s �D9 �// m C i x � m N 7 \ m e � N � n m 0 u T, f C.� u�