HomeMy WebLinkAbout2468 FAIRBROOK WAY - Building PermitsADo�icant to fill in all soaces exceDt tnose within neavy eorder lines antl sign all approoriate eeclarations.
PERMIT TRACT NO. LOT NO. UNII' NO. � 9336 12/26/86 S�QQ j'�.
CI7v oF cOSra M,/ESap C NSTRUCTION' 'P/ERMIT�y��� �/ f/ •
ProjectAddress �T�a �i�brcaK �/i`i� �� � �
Applican['S Mailing dress �5�� Iil% (A -�j� TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR '
� � Phone+��!S' `���� � CONVERSION ❑ DEMOLISH ❑ OTHER q p# Zppe
Owner's Name 'DESCRIPTION OF WOFK/USE OF BLOG.
� �
Address ��n� S Main Building: Accessory Building:
E Z
Arch/Eng. LiCenSeNo. TVPEOFPERMIT GRADING FOUNDATION STRUCTURAI T Ffont 0
Addr¢u ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL , B R¢dr - N
OTHER %�
I
Contrac�or'sName �/ Phone��d'-3�7U ' C Right � � ' G
I.S�,� G ,C./.U=I�A/.o _v/rYJ FROJEC7 DESCRIPTION Sa. F7. oCCUPArvCv K
Addresslmailing) 1 y � CONSTRUCTIONTVPE VALUATIONS S Left -
Ciry Licenw No: �30 � ZONE GRADING CU. VOS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. R2f. # Pa�king R2q./P�ovidEd E
I hereby affirm [ha[ I am licensetl untle� provlSlons of Cltarte� 9(commencing Remarks: ' � Pld�ning NOtes: M
W�lll SCCIIO�I %0�0) O� D�VI5�00 3 O} [h2 8115�l1055 dlld PlOif55I005 COd2� dfltl T
� my Iicense is� in (uu torjqan�efiect. �fyo �� n�r� . S
j" oate /�IaJ �� 5'g t L'c�J5e4_/A��� PLUMBING FEES
\. WORKERS' COMPENSATION DECLARATION Ba� Sink ShOw¢/5
1 I hereby altirm that I have a certificate of consent to sel/-insure or a tertificate ELECTRICAL FEES
Oof Workers' Compensation Insurance, or a certifietl copy tnoreof (Section gackflOwPrev¢nt¢r . S¢fviceSink
.3800, Cab. CJ D,/f�v / AuromaticWasher Transiormer ❑ 15-50KW
�, Policy No. S`� Company �Al��/i SA [� Backflowlrrigation SewerCa ❑ SO+KW
P Canstruction Pole Sub.
�eriitietl copy I5 M1e�eby turnishetl.
Cer i etl �Qpy ilea wim the city B i}�ai �D%'vi ion/� Bathtubs Sewer Connection Cookin Unit Meter ❑u to 700am s
Date����+''��� APPlicant��'^^���✓ ���ZaJ 9 P P.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION CIa�ilie�i $012� CAIIecL0�5 � Dishwash2� � M2L¢/ ❑OVC� 100 amps
(Tnis section neetl nol be completetl if the permil i5 tor On¢ huntlretl (E100) or
less). Dishwasher • Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certHy tM1at in the perfo�mance ot the wo�k for which this p¢rm�t i5 Iszuetl, I ,
shall not empioy any person in any manner so az to become subject to the Drinking Fountains Solar Tank Fan " ' Motors �0.1 HP �1 X- 8
Workers' Compensation LawS ot California.
. Date Signature � Floor Drains Swimmin9 Pool w/Spa F.A.U. Inc. Solar �9-15 HP �76-15+
'NOTICE: II, afte� making this tlecla�ation, you shoultl become subject to fhe .
Wo�kers' Comp¢nsalion provlsion5 ot the Labor Cotle, you musl forthwith . FIW� Sinks U�i�el Fixtures . . Microwave �
.comply with sucb p�ovisions or tltis pe�mit shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV Ga5 ServiCe Outlets Water Closet DeviCe BoxeS Pole Li ht
I hereby affi�m that lhere is a const�uction lentling agency for the performance 9
of tho work for which this permit is issuetl (Sec[ion 3097 Civ. CJ �nt¢�cepL0�5 Wdt¢� H23t¢� � OUtI¢t5 Rdn9¢
Lentler'z Name �
Lentler's Aatlress Kitchen Sink Water Service Switches Sign
OWNER BUIIDEH DECLHRATION '
I hereby affirm thal 1 am nxempt from the Cont�actor'S LiCense Law for the Lavatories ' Auto�Wash
following reason (Sec[ion 7031.5 Buziness antl Professlonal Cotle: Any city or Garbage Disposal ; Standing Sections
county whlcn reqWres a permit to construct, alter, improve, tlemolisn or repair P—Trap Laundr Tra s
any zlructure, prlo/ lo its i55uance, also requires [he aOPlicanl 10� such permit Y Y Ci¢n¢12t0f �QS KW �5-15 KW TldSh COmp2cLol
to tile a signetl statement that he/she is licensetl pursuant to tne provisions ot Roof Drains
the Contrac[or'S LicCnse Law�(Chapter 9(commencing witn SeCtlon 7000) of
Division 3 of the BuSiness antl Professions Cotle) or that he/she is exempt .
tberetrom antl Ihe basis for the allegetl ezemptlon. Any viOlalion o( Section
�03L5 by any ap0��cant fo� a permit subjects [he applicant l0 a civil �
�enalty of not more than five huntlretl tlollars (5500). .
LJ I, as owncr oi ehe oroperty or my employees with wa9os as their zole Reinspaction Fee $15 Isue Fee $ 3 I
comoensation, will ao the work, antl the structure is not intentletl or offeretl Reinspection Fee $15 Issue Fee $ 3 I�
for zale �Section 7044, Buziness antl Pro(ezzional Cotle: Tne Contractor's MECHANICAL FEES
LicenS¢ Ldw CoeS nol apP�Y lo an owne� ot a p�operty who builtl5 Or Improves
thereon, antl who aoes such work himselt/herseli or tnrough hiz or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provitled tnat wcn improvements are not intentloe or offeretl lor Boiler Hood o1 Type I ❑ Zoning Approved 8y � Date
sale. If, however, the builUing or improvement I5 zoltl within one year ot com- CdrtOpy Typ¢ I I ❑ TT _
plelloq tne owner will have the bur0en of proving he/ihe �Itl not builtl o� im- DUCt - Und¢t (�i�OUnd , Bpilding Approved By � �Bt�
p�ov0 for the purpose ot sale). � �
❑ I, as owner of the property, am exUusivery conera<Hng with licensetl con- Duct - Structural Refrigeration System , Applirdtion ISSued By Dat �
Iractorsto construct the'project (Section 7044, Business antl Protessions Cotle:
The Contractor's License Law tloes not apply to an owner of property who Duct - Ventilating �0-100,000 BTU ❑100,000 BTU SUMMARV OF FEES
builtls or improves lhereon, antl wlto cont�ac[5 tor such pmjec[5 with a con-
� tractor(s1 license oursuant m.the Contracmr's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
proof o( their Worker's Compensation insurance shoultl be provitletl to me. _ PLAN CHECK $ � PERMIT ,
� L7 I am exempt untlm Section B. & P. C/or this reason Firepl/Fact Blt. ICBO # Fire Dampers � PLUMBING $� ISSUANCE $
'Date� Owner � Heating System & Oucting Registers PLqN CHECK 25% $ ENERGV P.C. $
�I nereby,certify.that I'have reatl this application antl state lhaf the above .❑0-100,OOOBTU �100,OOOBT . � $ GRADING $
information Is�correcL I agrec to compty with all city antl county ortllnances ELECTRICAL
ana state laws relating to bulltling construction, antl hereby authorize repre- , PLAN CHECK 50% $ MICROFILM $
Sentatives ot t! cily to enter'up . he aDove-m n[iOnetl property for
inzpection our sey /� _a _�� ' MECHANICAL $ ' d� � (
-Si9nature / — � Date � TOTALFEE $
Drivers' Licenu or 55 � — — � ' Reinspection Fee $15 � Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46, rev. 1o/ea Whlt¢ - BWltling; Canary - NppIIWnI: Pink - Accounun9: �+o�ae^�oa - sassessot
�CONSTRUCTION AND PLANNING POOL & SPA '
• APPROVALS Permit #� � Date Inspector AppROVALS Permit #� Date Inspector
�.1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgrnd. 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 . 58. Electrical Conduit-Undrgrnd. "
S. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
' 10. Structural Floor 5Ystem 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
72. 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-7 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. Pwduct Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat ' 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & 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. Electriral 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 � �% L-��
39. Water Service-Finzl
40. Gas Service-Final
41. Solar pomestic-Final -
42. Backflow Preventer
� 43. Backflow Irrigation
44. Landscape Irrigation SYstem
45. Sound Attenuatio❑ � ,
. 46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING '
48. Special Requirements Completed �
49. Electric Release ta Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY �
No. Date "
i
I
COSTA MESA BUILDING-SAFETY DEPARTMEN�
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING n�(� �hnnp„�,l i'lIM„
ADDLIESS � r� i�r7u-nv«-i,vi�-��
OWNEROR �� �y����'�� /j��Qn
TENANT � �Lu )j�j �_.�
MAIIING �^ �'��� L��,
ADDRE55��.( jJ �^�
N_�—r.c�
II TEL. (J ��
CITY ��1� IMsA XLI I I C RA'1.7A. NO. rJ 1 RSA
BflANCH
ADDRESS
ARCNITECT
�,
a� _
— APPLICAT[ON*F,�
RECEIVEDBV PERO
A.P. NO. .. 7
BVILDING ^ p �_ (n
ADDRE55 �f�,.��T�
UNIT OR j�j
SPACE NO. r
TR.NO. LOT ,
NEW ADD LTER REPAIR MOVING DEMOLI
OWNER Fi�{��il'L''� �JCI%�TL
USE )r"Gf U/� �>,¢Q VaWEE'�iJ�
J.
�5 TL+
- ' APPROVED
CONTRACTOR i BV DATE
A�DRESS ' L
' TEL Z'
CITV NO.
F STATE CITV APPROVED SETBACKS
� LIC. NO. 5 LIC. NO.
{y� SI2E I �I NO.OF BLOGS.T (FROM C/L STREET)
0. OF LOT � NOW ON LOT 'L/ RONT FT.
a USE OF
„�,� EXISfING BLOG. �
H
5 Separate permits are required for L SIDE
� electric, plumbing and heating work: REAR S FT.
F USE OF BUI�DING AND WORK TO BE PERFORMED PLANNING ACTION
Q
� � ` �� / S ^ APPROVED�/ zS %�
Q
> .�Ro�.2 ' � �— - 9
r
�
a
�
� I h¢reby ecknowlatlBa thet I have reatl this application entl stete �
y� that the above intotmation is correct antl agree io comply with
a all laws repulatinp builtling cons[ruetion, entl I shell not employ �
,'� any perwn in vioieNon of the workmen's compensation �ewz ot m (_
W tha Stata of Calitornie. / ��//' ' ,U\�� j
S (O/O SQ. FT.�L/c�, ��/ 'S 0 \
3 I he�eby certlfy I am p�opa�ly licensetl as a cOntractor untler �
the State ot C ifor a eusiness an rofessions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOF m\
Chapter 9, en that uch li en s e In tull force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am ezempt ir m the r I ons f h State of Calitornle Buslnecs VALUATION PERMIT FEE S q
antl Protessio s Cotle, i is n a ter 9. v+
m
PLAN CHECK $ ,'5O ^�
Signatura ot • �
Perm�Ictee $ 53 5� � TAX a 5 u
Authorizetl ABent Date TOTAL PAI D b`Q�� zs
OWNER FAIRVIEW ASSOC. DnTE 8-16-79
AP No. 141-711-24 LOT 3�_
INSPECTIONS
sm�
c.s
W�TER
ROUGH PLUM8ING
PROP. $WR. LINE �_ � HOOSE CON.
SPRIHNLING SYSTEM
MISCELL>HEOUS �� S ��,�
ROUGH NE�TING �NO AIR CON�ITIONING
TEMPOA�AV SEAVICE OA POLE
UNpERGROUND � ❑OWER �
AOUGM WIAING
TRENCHES IJ FORMS STEEL AEINf.
FLOOR SYSTEM
BOND BE�M_L_ STEEL REINFORCE ❑
SMEniHING
FR>ME RNO FL44MING iI%^
L<THING � IN r� OU�
PL�STER, BAOWN CORT
STRUCTUp�L FINSL
HEnTIN0. �ENT., RE�RIG. ANO �.C., FIN�L
PLl1MBING. FIN4L �N� G�5 TEST �
ELECTRIG FiNAL
BWL�ING FIN4�,
SUBCONTRACTOR
P
F
C
Lid
a
Q
y
h
S
F
O
m
F
Q
G
..1
Q
�
i'
.�
x
w
o.
�
0.'
a
Z
�
S
3
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING /'1� �) A �y�v I� M, �
ADDRESS (� r7qrKrF7 I I XJTtv'
OWNER OR
TENANT �,�1 �P •
MAILING �j �V� i f `
ADORE55 � F �J.V.
CITV
�J►� 7!7 Li �`f�i i 7 CL N OL Z� �
BRANCH
ADDRESS
AflCHITECT TEL.
ADDRESS
CONTRACTOF
ADDRESS
TEL.
CITY NO.
STATE C�TV
IIC. NO. LIC. NO.
51 Z E NO. OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PEFFORMED
I heraby acknowledga that I heve �eetl ihis eppllceNon antl stete
thet the above informatlon is correct antl agrea to comply with
all laws reBulating buildinB �onstruction, antl I shell not employ
any parson in violation oi the workman'a compensatian laws of
the Stata of Californla.
I hereby certify that I am properly licensetl as a convactor untler
tha Staie ot California Businass ond Professions Cotle, Division 3,
Chapter 9, antl t t ch licenses ara tull forc¢ antl effect, or I
am ezempt fro the p ovislons of ih taie of Cellfornla Business
antl Protassions otle, D'! on , a er 9.
Sienature of
Permlttee
or
Authorizetl A9ent Date
APPUCATION FOR�fR�'�b��., PERMI'T� 95.00 TL
BUILDING � � /
ADDRE55 �r(�
UNIT OR
SPACE NO.
TR.NO. LOT
NEW ADD LTI
OwNER
USE
APPROVED
APPROVEDSETBACKS
(FROM C/L STREET)
PLANNING ACTION
APPROVED
THEAMOUNT:
THE PURPOSE O
VALUATION
$ / �i
�1 ��- �a--�
2B K�
BLK.
REPAIR MOVING DEMOLIS!
VALUE
E
E GROUP
DATE
OATE
�
m
� '
i �m
m �
N
JN UNDER VALUATION IS FOR m
ABLISHING A PERMIT FEE ONLV: �
PERMIT FEE $ 5^ N m�
m � o�
PLAN CHECK § �� "� �
0
TA% $ LL
�� f
V
TOTALPAI� $ L� �"