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HomeMy WebLinkAbout188 FAIRWINDS LN - Building Permits PROJECT ADDRESS: 188 FAIRWINDS LN UNIT: CITY OF COSTA MESA — BUILDING Pt•'RMIT ranrj NU: r' VJnnJv OWNER'S NAME: MANNELLA EUGENIO L ADDRESS: 188 FAIRGJI NDS LN PERMIT NO: P 059356 PLAN CHECK NO: NvkJv L : 4N aurr ; 4N COSTA- MESA,CA 92.626 • CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE; OTH ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : INSTALL WASH BASIN (CHANGE OUT) SQ FT: ADDRESS: 0N1T' CLAIM VALUE: CALC—VALUE: GROUP OCC: / PERMITTEE: CINDY MANNELLA ( 714 ) 957-8959 ADDRESS: 188 COSTA MESA CA LN CA 92626 ****BEE*kTE*+(4• * *NG#*Ol#.z%OF*ORIGINAL****X-X#***** # :xN*** *kEk>c#>E#xxXXX***z#><***** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CUSS: MAIN BUILDING ACCESSORY BUILDING — Date: Signature, FRNT: FT IN REAR : FT IN FRNT: FT IN REAR : FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). POLICY NO.: EXP.DATE: PARKING REQ• PROV: PARCEL: 41914202 ZNE: REF NO: COMPANY: PLANNING NOTES> Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. > **********1E***.**************#*****************•W**#***************************** Date: Applicant: DEVELOPMENT SERVICES:— REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(bailor less). I cedily 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 ZONING APPROVED B Y subject to the Workers'Com enation Laws of California. ^ Q�,, DATE: ��—S- 4� l BUILDING APPROVED BY Date: Signature: - DATE: • NOTICE:Il.after making this declaration,you should become subject I. e Work rs'Compensation provisions of the Labor Code,you must forthwith comply with such provisions or this permit all be . 'med revoked. APPLICATION ISSUED B Y CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a constr on lending agency for the performance of the work for DATE• I�S 9Z which this permit is issued(Section 3097.Civ.C). **************************.c *** - _ ******rc*x- *•�**** **************3F*•* x*3t** ADDRESS: LEGALIZATION; N F E E S U M M A. R Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that 1 am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM IP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 7. 00 i., ' repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5% / 6% — SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business p LAI'] • and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 20 • 00 I,1 . any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(55006 BUILDING—DIV—> PERMIT ISSUE PtAW—CHECK —- TOTAL PAID DUE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 7 . 00 20 . 00 - 1 0 . 00 r 27.00 27 . 00 . 00 ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State 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 REVENUE DIVISION TOTALS--> COL L ECFe• ' 27. 00 OVER/SHORT: . 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHAQZ C FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). 27. 00 'I `•' I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business I. a • ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon *.*********************************4X'****ii********#*************************X*** and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law),I am aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL • F E E -BREAKDOWN 6 lam exempt under Section: 8P7044 B.S P.C. for this reason: NO EMPLOYEES TYPE QTY hUNIT COST TOTAL COST 4J' 617----* i•, : t 7. 00 7. 00 I 7' I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ENAi OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a 71 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from '1 these provisions. -r i Date: Applicant: ' / I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county l ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned I property for inspecLLtion purposes. / ^ e t Date: I -`J� . Signature: C ) - - Driver's License or Social Security or: ' • C.. 1641.46 White—Building:Green—Code Enforcement:Canary—Applicant;Pmk—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL PA 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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe,0 Undrgrnd., Test 9. Water Pipe•Undrgrnd. 60. Backwash Lines, P-Trap, O 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 FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning I - hitt";35. Final Gas Pipe-Test 1 ht 36. Hood or Canopy 37. Final Factory Fireplace \ 38. Final Plumbing Iof7/7L• ��j F?{nRte•O I(" PCZ ct Ll .CO 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backf low Irrigation 44. Landscape Irrigation System • 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING - 48. FINAL PLANNING 49. Electric Release to Edison I 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date CITY OF COSTA MESA 4' REQUEST FOR OCCUPANCY TRACT NO. 10522 DATE: /0 — 2—,ro IUP NO. 2 ADDREss 188 Fairwinds Lane The develcper of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. By executing this agreement, the undersigned acknawledges that he/she/they was/.ere advised that this tract has not been given final inspection nor has it teen accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the Final Tract Map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than these conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless frau any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition(s). (Signature of/ c haass,� BY u —of Developer and/or authorized representative Security Pacific/ National Bank BY }142 ,G tinct i (Signature of Lender) Midge Bonds, AVQ; 4/79 OWNER FAIRVIEW ASSOC. DATE 8-16-79 JOB ADDRESS 188 Fairwinds Lane Unit B BUILDING PERMIT NO. 47853 GENERAL CONTRACTOR C. W. Howe DESCRIPTION of WORK Res w/ ' Gar AP "40• 141-711-24 LOT 2 TRACT 0522 FIRE ZONE VALUES 53,500.00 I. ECTIONS Signoture Dote TYPE V GROUP T61 ZONE R3 SOIL SUBCONTRACTOR PETRMITS ISSUED GAS Date I Number I Signature WATER /� Plumbing ROUGH PLUMBING 1-1,010 & r�N 16� Ocean y7 can � /-Q f 7.6•17.?� PROP. SWR. LINE i.� HOUSE CON. 0 V" � SPRINKLING SYSTEM MISCELLANEOUS (,JsuQ 4;', -s.) Sb 7-I-W ROUGH HEATING AND AIR CONDITIONING IlV 4:461D TEMPORARY SERVICErIOR POLE LJ UNDERGROUND POWER ❑ �n ROUGH WIRING CC S'7L-i. Heating and Vent. TRENCHES IJ FORMS 0 STEEL REINF. 0 .1124iNt.v /�/L1 ,s-CC- 19 /'toad FLOOR SYSTEM 7 BOND BEAM STEEL REINFORCE n SHEATHING �'--..AJ'-rc , �_ a_4 (/ FRAME AND FLASHING SiJLC S 37-sr, LATHING — IN i,INOUT .hs c' 7-/220+}O PLASTER, BROWN COAT DS 2-41-41) S' -TURAL, FINAL ,D[ 7-r1-Ya ei eCtrl I, , G. VENT., REFRIG, AND A.C., FINAL �f\� 4/�2 (��`` (�{/ _ stint, C�L7Gt,( PLUMBING. FINAL AND GAS TEST I p \ w / 1- � ELECTRIC, FINAL A. t.:. �a3�SS BUILDING. FINAL _1.5 S-. J... • 6989 4/18/79 101.25 TLI COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR'STRUCTURALPERMIT r ; P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVED BY PERMIT ? '] For Applicant toFillFill in Cormpletelly'— Use Ink Only t/�� /n AI '7,-I J5 `-t ADDRESS 1 S I�f 1K-1u1/VLCr3� ( /11V� A.P. NO. 76/4 �2///r�^ a �f�'JC ,A,f ry OWNER OR r'/t I Kv1 &I�� /1– .SOC, ADDRESS 1/3f: iR4i K1 )1/UI 1/? 1.J1'\! '., TENANT Prat MAILING 1, � y-� ^ � SPAY FN 8-1z�ll. ADDRESS * �W4-EtWIZcb List {{{{/111 1 TEL.21 TR.NO. LOT �7 BLK. CITY *Lid \ I LL 'J D k – • 2Z Lam. NEW 4m ALTER REPAIR MOVING DEMOLISH CONSTRUCTION Or BRANCH LENDER BRANCH F.Ahe V 14 .''1 /l Ti y OWNER /� ("IyC��✓Q a€J JQ(-� S OR ADDRESS EA Pa/0Z ,\ssDI I / NO`�73Z - %S USE /OF VALUE / ol-mt VALUE`_ ADDRESStIJ�/�vf( p'f�-�;y �p Ike ZONE ,!�✓ TYPE GROUP �C;II IF I/V` APPROVED CONTRACTOR`(,,, t BY DATE ADDRESS 46�,��r�sssl���6� `r 1� XT LAN/,,�..__. TECITY I20L.L.l,vnI } +1 us NOL 9 VT __ I" STATE (Ir CITY APPROVED SETBACKS LIC. NO. X11 �rjrj LIC.NO. SIZE I /�1I NO.OF BLDG.S. (FROM C/L ST C. OF LOT 2_4111. 19 X / I NOW ON LOT © FRONT Q USE OF VI EXISTING BLDG. — R._SIDE 00 Ft h FSeparate permits are required for L.SIDE r67 . e — electric,plumbing and heating work. REAR (W. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION 9 9 ..1 to OC-1 ' PA--011 L9 �_A// 1Vj/I',Lw Fl-2�J//�/ APPROVEf�/28/R Q ` I /, Qom) .�.1 —av RO -� Q � ✓, DATe--/T — ,f ix Ii. aI hereby acknowledge that I have read this application and state r. C that the above information is correct and agree to comply with L all laws regulating building construction, and I shall not employ i Z any person In violation of the workman's compensation laws of e ts.I= the State of California. / /a ,2e �5/ /( N G 1({ m I hereby certify that I am properly licensed as a contractor under SQ. FT. N the State of Ca la Business and Pr.fessions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, an that uc licenses ar. I full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt fr m the r vi ions oft a - ate of California Business VALUATION PERMIT FEE $ Y in and Professlo 5 Code, I I n 3, • pnr 9. /{. Signature of Oka– 5 C350ti PLAN CHECK E 4 7 `J7 en (to o — Permittee 6 cb TAX E Jp or sJ'76. u Authorized Agent Date f_ TOTAL PAID 9 0 s 42 . 66• II E/77gg I \ COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOROSTR�CTURA-L PERMIT 9• 5.00 IL P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 1 w QisLsN �.Q.�..¢Q RE IC Y �P41B5.3' `O For Applicant to Fill in Completely— Use Ink Only BUILDINGp,Art lip 0. / , ` A.P. O. ADDRESS (/�/ s BUILDING I Q/t 'htt Mt ss�e �� TENANT R h to A sSoc. ADDRESS th F.'Wr/�/{J� TENANT w t 'is•L- ///��� ��_�.s s. UNIT OR ADDRESS bt1C-yy77�.s/ 3 � A I s SPACE NO. {�./��s ss Fi`„_ .�"-� aw v TR.NO. LOT BLK. CITY t2O jC 902.14. NO. TEZt'3 ����"""++y 11 NEW ADD ALTER REPAIR (MOVING DEMOLISH CONSTRUCTION 51-1 , .n _ LENDER BRANCH OWNER ' ADDRESS VALUE ARCHITECT TEL. USE $ OR ENGINEER NO. ADDRESS ZONE ITYPE GROUP APPROVED CONTRACTOR BY DATE ADDRESS TEL. CITY NO. F. 1STATE CITY APPROVED SETBACKS LIC.NO. LIC.NO. ty SIZE NO.OF BLDGS. (FROM C/L STREET) O. OF LOT I NOW ON LOT FRONT FT. Q USE OF Eta EXISTING BLDG. R.SIDE FT. z I—. Separate permits are required for L.SIDE FT. C electric,plumbing and heating work. REAR FT. [y F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION Q G DATE Q APPROVED APPROVED Y --BY DATE .] LL' a10 I hereby acknowledge that I have read this application end state n CC that the above information is correct and agree to comply with .. L all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of a • = the State of California. m N FS .I hereby certify the am properly licensed as a contractor under SQ. \{,(,Y_7' the State of Calif ntaBusiness and Pr•fessions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 04 D Chapter 9, and t t suc licenses ere I full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from the pro isions f he'tate of California Business VALUATION PERMIT FEE $ I Is ^ Y m� and Professions otle, Di Ion el r 9. , J m ,J 1 PLAN CHECK $ —s 2 Signature of f o $ fes ' 2 Permittee TAX $ Or U Authorized Agent , _�—`� TOTAL PAID $ .�