HomeMy WebLinkAbout162 FAIRHAVEN LN - Building Permits 7011 4/18/79 101.25 TLf,
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECEIVED BY PERMIT ,.z
For Applicant to Fill in Completely— UseInkOnly CS'A 17 `;/'� 5
BUILDING
ADDRESS I�Z PA-11?—�kk3 ( lAJ • A.P. NO. /4I �,' '-- 7) 1 — 2 J
BUILDING I k)2_ �I IZt N r.-/V
OWNER OR I �a r� y- C�n ADO RE55 r
TENANT /,1�1l I F�UI J 1.• UNIT OR
MAI LI NG ,I , PRr v._, b Eutarrw LA) r SPACE NO. g
ADD RES ••... t 11�`,'}-{, 1C �j TEL.�13 T e^^FNNJOC^ LOT �BLK.
22.
CITY a.Kin L ` LLS 9D�74.NO. _'-ri50
1'/ NEW ADD ALTER REP MOVING DEMOLISH
CONSTRUCTION ` 1 -
LENDER
BRANCH
OWNER AIItllatt/ Ser./Al-FS
ADDRESS ARCHITECT TEL x2,1� VSE L / (..,rl�n}�VALUES'�'7" c�
OR ENGINEER (�1C}l4R..n r ilr]'ND '3732,58^, ��(\ITV TYPE V/_ GROVP`�L7 wJq—
p_p_ �n 90005 ZONE
1�'1`/�s J APPROVED
CONTRACTOR C t (� ) • Uz , I foe • BY DATE
ADDRESS 4:1* Y 4{ nk.Q, J� ( A ) •
Ai TEL. 2.y
CITy ...ea u..s �7�
F STATE rrrr����'''' 'r CITY ��� APPROVED SETBACKS
i LIC.NO. .y 7 KT iS LIC.NO.
SIZE 1 1 NO.OF BL (FROM C//LAST E
Q OF LOT �� —�I . (n I NOW ON LOT FRONT [y 44-04 J
(4 EXE OF ! /�(L _� ,
EXISTING BLDG. R SIDE toy 4J FT. /(�/��jj-04
F Separate permits are required for L.SIDE rn g FT.
.. ,e/NJ We/
O electric,plumbing and heating work: REAR Lam.•-I'
F, USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
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`7I Nil N 1T1 VU w' jot
I..a'Ir NA____ 2_L-�/-/8n �/ / / APPROV�EED003
} RI .r sl /L ��. DATE 6 / — 7 9
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a
IR
0 I hereby acknowledge that I have read this application and state n
0. that the above information is correct and agree to comply with
s all laws regulating building construction, and I shall not employ vi
Z any person in violation of the workman's compensation laws of
m
{i
9 the State of California. //O/� SQ. FT. m m
I hereby certify at .m properly lice -d as a contractor under t4„�- J =5/4n5 o•
the State of Cal ornia rosiness and Pr•fe sions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and hat such li nse. ail I fu I force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt fro the pro - • s r. t. of Celiforni: usiness i
and Professions ode, Div�I•n3 VALUATION PERMIT FEE $ m
_ q I m
Signature of I `,,1 PLAN CHECK E ^( G/1 L
Permittee $ 53 560 TAX S 3r 75 U
or
Al
Authorized Agent Date
inn TOTAL PAID $rs t
OWNER FAIRVIEW ASSOC. DATE 8-16-79
JOB ADDRESS 162 Fairhaven Ln BUILDING PERMIT NO. 47875
GENERAL CONTRACTOR DESCRIPTION of WORK Res w/ Gar
AP No. 141-711-24 LOT 24 TRACT 1n522 FIRE ZONE VALUE $ 53.500.00
INSPECTIONS Si Dote TYPE V GROUP I & J ZONE R3
SOIL PERMITS ISS4ED
GAs SUBCONTRACTOR
Dote I Number I Signature
WATER /� Plumbing
ROUGH PLUMBING /-00-4., V' !-/i-
' / . e.,n., .,cke . f-jy n 76'19 —
PROP. SWR. LINE I__) HOUSE CON. 0 -Y
SPRINKLING SYSTEM
MISCELLANEOUS /.
ROUGH HEATING AND AIR CONDITIONING 4R£ /—/t-so .
TEMPORARY SERVICE OR POLE -I
UNDERGROUND Li POWER q /� q
ROUGH WIRING e.e._ 12 71
7.0- Heatingand Vent. l p
TRENCHES !_j FORMS 1 j STEEL REINF. 'P.N(� CCI.{C�]['Q CSC. 4-41-74 I�S�)/I
FLOOR SYSTEM .ka�/�N File} if-e-79 ,�7469 i
BOND BEAM L STEEL REINFORCE D •
I�
SHEATHING I_
FRAME AND FLASHNG ,I,Geft< 7.-• C-CiD I(
LATHI — IN Z. TTIUT {(d' ,eI/.%v !/T /�syyr�
PLASTER, BROWN COAT 3-/ ry.+
STRUCTURAL. FINAL I' ^ Electric
HEATING. VENT., REFRIG. AND A.C^., FINAL l� X'�)� Qd 1.0613,3 eri-icC-T' Iz_]4.79 H[0970
PLUMBING, FINAL AND GAS TEST I I l'I U DZ1
ELECTRIC. FINAL • ,ir -.1 .
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. `
CITY OF COSTA MESA PERMIT NO. �( TRACT NO. LOT NO. •BLDG.NO.
CONSTRUCTION PERMIT //J yOd _
Project Address 162 FAIRHAVEN LANE TYPE OF CONSTRUCTION
4991 9/ 14/81 Tedi' Tl.
Own • W. HOWE Phone q Id NEW 0 ADD 0 ALTERATION
AddrkSSBUCKB0ARD LANE, ROLLING HILLS, CA 9027(-1 REPAIR 0 CONVERSION ODEMOLISH .
ZONING REGULATIONS
Arch/Eng. License No. 0 OTHER
yft
DESCRIPTION OF WORK A.P.^
Address INSTALL AIR CONDITIONING ZONE PLNGp..ggRIlE�1FL..pDIs
ContKl;IfINEY AIR CONDITIONING Phone 772-1444 TYPE OF PERMIT BUILDING
SETLDCK ClL ST. �R 7PEl 2TV LINE
Addr�g41 SO. ANAHEIM BLVD., ANA. 92805 ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL $I9E YARD
LICENSED'CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL ['PLUMBING OSMECHANICAL SIDE YARD
I hereby affirm that I am licensed under provisions of Charter 9(corn- RIGHT
mencing with section 7000) of Division 3 of the Business and 0 OTHER
Professions Code, and my license Is In full force and effect. REAR YARD(TO P/L)
License Class C-20 License No. 15 688
PROJECT DESCRIPTION
Signature
SQ FT. PKG.SPACE REQ. PROVIDED
Date 9-14-91 Si
WORKERS'COMPENSATION DECLARATION OCCUPANCY_CONSTRUCTION TYPE • STREET WIDTH PARK FEE$
I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION ZONE ZONING APPROVED BY DATE
certificate of Workers' Compensation Insurance, or a certified copy
thereof(Section 3800, Lab.C.). GRADING CU. YDS. ACRES SPECIAL CONDITIONS: •
Policy No. W8171423 Company FRFMONT
❑Certified copy is hereby furnished. REMARKS:
It Certified copy is filed with the city Building Division. '
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section need not be completed If the permit is for one hundred
($100) or less).
I 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 PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK
subject to the Workers Compensation Laws of•Calif ornia. uw ELu rvG L+A RAGE
Date Signature BATHTUBS SHOWERS _ _ _ 5O.FT. SO FT
NOTICE: If after making this declaration, you should become subject TOILETS URINALS GENERATOR 0-1 KW_1-10 KW
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW 50+ KW
revoked.
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1-10 HP
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS (INC.SOLAR) 10-50 HP50 + HP
formance of the work for which this permit is issued (Section 3097
Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES
Lender's Name
Lender's Address . DRINKING FOUNTAINS GAS TUBE SIGNS
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS
I hereby affirm that I am exempt from.the Contractor's License Law for
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP LONS I leve.I UN
Any city or county which requires a permit to construct, alter, - POLES METERED SUB
improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB
quires the applicant for such permit t0 file a signed statement that he
is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS SERVICE AMP
BChapter 9 (commencing with Section 7000) of Division 3 of the
usiness and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT
basis for the alleged exemption. Any violation of Section 7031.5 by - ' ,
any applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS ' -
of not more than five hundred dollars ($500).
❑ I, as owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS
sole compensation, will do the work,and the structure Is not intended
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE
Contractor's License Law does not apply to an owner of a property APPLICATION APPROVED BY DATE
who builds or Improves thereon, and who does such work himself or ISSUE FEE
through his own employees, provided that such improvements are not
intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES
is sold within one year of completion, the owner will have the burden
of proving he did not build or Improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING
❑ I, as owner of the property, am exclusively contracting with PERMIT $ SMIP S _
AND DUCTING
and
sionscontractors Code: nthe sr Licet (Section 7044, Buslness 100,000 +BTU PLAN CHECK S PERMIT
and wnersof ThebuildorContractor's License Law does a not apply to ISSUANCE $
an owner of property who builds improves thereon, and rsuocon- REFRIGERATION 0-100,000 BTU PLUMBING $
tractsC from such projects with a contractor(s) Ilcesne0 pursuant to SYSTEM GRADING $
the Contractor's License Law). 100,000+BTU PLAN CHECK E '
❑ I am exempt under Section B.& P.C.for this $
B0ILERSTR73OB100 BTU 100M 4.0n ELECTRICAL $
reason PLAN CHECK $ � A MICROFILM $_
Date Owner SYSTEM REPAIR,ALTERATION :err/ — TOTAL FEE$ 7.0O
EXHAUST SYSTEM MULTIPLE MECHANICAL $
I hereby certify that I have read this application and state that the above LESS AD-
ordina anon Is correct. I agree to comply with all city and county PLAN CHECK $ VANCE PC $ I
ordinances and state laws relatingtto C• stupor n,and herebyt rine
;u
representatives fof t'is city to :nt r upon the above Te �QOned t
prproperty • (f .• purP 4.r (g• eeL, ' I. e `/ - 3.00
FINAL FEE $ 7.O0
Drivers' License or SS
* ? ISSUE FEE 3.OO
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor •
' CONSTRUCTION AND PLANNING POOL&SPA
APPROVALS Permit # fit O- l bop Date Inspector APPROVALS Permit# Date -Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -
2. Soil Pipe-Undrgrn • 44. Steel Reinforcement .
3. Electrical Conduit Utility-Undrgrn - • • ' 45. Forms -
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
5. Steel Reinforce 47. Rough Plumbing & Pressure Test .
6. Electrical UFER Grn - - • 48. APPROVAL TO COVER-GUNITE
-7. Footings • 49. -Electrical Conduit-Undrgrn
- 8: Foundation - - - 50. Gas Pi e, ❑Undrgrn,Test -
. .
9. Water Pipe-Undrgrn 51. Backwash Lines, P-Trap, ❑ Undrqrn - --- • - - -
10. Structural Floor System 52. "APPROVAL TO DECK - - -- - -
11. Property Sewer Line & House Connection - 53. Backwash & Receptor-Final •• •
12. Street Sewer Connection - - • 54. Heater & Vent-Final • ,
13. Rough Plumbing - - . - 55 Plumbing System - Final - - - - - • ' -- - -
14. Rough Electric-Conduit .. . •56. Electrical-Final . .
15. Rough Electric-Wiring -- - . - -- - - - - - 57.. Solar System-Final - . 't.
16. Rough Heating & Air.Conditioning - . _ . . _ b8. Fencing & Access Approval - -' _ .,
17: Ducts, in Structure. 59. APPROVED FOR PLASTERING -
18. Ducts, Ventilating - . . '
19. Gas Pipe-Rough &Test .. - 60. . POOL/SPA SYSTEMS FINAL - •
20. Roof Framing _ , , - ,
21. Roof Sheathing - .,.
22. Frame and Flashing NOTES: - • - -
23. Insulation - -
24. Lathing & Siding . .
25'. Drywall Nailing - i - - • - ' ,
26. Plaster Brown Coat • - - _ _r
27•. Electrical Power Meter-Final• - - . 1. ' _ .
29. Final'Electric
29. Final Heating eating
& Air Conditioning ,7-7--12- - - '
30. Final Gas Pipe-Test -
31. Final Plumbing -
32. Water Service-Final - - :, - .
33. Gas Service-Final - - t -
34. Solar Domestic-Final - "- - - . ,
35. Landscape Sprinkling System I -" - - : . -
36. Sound Attenuation
37. Handicap Regulations _- - - - -- •
• 38. FINAL STRUCTURE & BUILDING •
39. Special Requirements Completed • . ' -- - . -
40. Electric Release to Edison .. _ - - .-- - -- -- - - • - - -
41. Gas Release to Southern California Gas Co. - -- -- - - - -
42. CERTIFICATE OF OCCUPANCY - .
No Date . ._ - _