HomeMy WebLinkAbout191 FAIRWINDS LN - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA IQy�/ES CON§T'RUCTIT PERMIT PE IT O. a-{/ TRACT NO. ' LOT NO. UNIT NO. A P # I Zone
•Project Address I �AiR (/Vln)Q ccc••• /T A�. g��,/
f Cn ` ww ���/1t S Main Building: Accessory Building:
Applicant's MailingAddress )`J 3.7 /a )0 TYPE OF CONSTRUCTION U NEW 1:3 Abe LI ALTERATION LI REPAIR E Z
(, ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front 0
Owner's Name �r�N�rr Phon a DESCRIPTION OF WORK/USE OF BLDG. SIA Rear N
Address
Arch/Eng. .- - License No. TYPE OF PERMIT U GRADING T�.❑'I PL�FFOUNDATION U STRUCTURAL C Right G
Address • El TENANT ❑ ELECTRICAL L•TUMBING ❑ MECHANICAL i S, Left R
Contractor's Nan- FARIS Aoin81N6 Phone9?O'3g70 ❑ 'OTHER I Ping. Ref.# Parking Req./Provided E
Address(mailing) FS-33 -•LO ••'Li A)C°Lill PROJECT DESCRIPTION SQ. FT. - OCCUPANCY Planning Notes: M
City License No. iJ 93X CONSTRUCTION TYPE VALUATION$ 11y 2 4 }�g9
ZONE GRADING CU.YDS. ACRES RECEIVED ���111 S
LICENSED CONTRACTOR DECLARATION VN1 /1 ���� )) /^l ••r[ .�1 J y�
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /uSTHLL Lu t 4, )4_r G" A,. aTc it-
-Ns with section 7000) of Division 3 of the Business and Professions Code,and
ELECTRICAL FEES
my license is in full fo e .r• effect. , ^171,E
Liven{g, la - - License OC
Datev Sim Signature �.�. /_ _ _ ... PLUMBING FEES Automatic Washer I Transformer 0 15.50 KW
WORKERS' COMPENSATION DECLARATION Bar Sink Showers Construction Pole Sub. 0 SO+KW
NA I hereby affirm that I have a certificate of consent to self-insure or a certificate
t. Yorkers' Compensation Insurance, or a ce ified copy thereof (Section Cooking Unit Meter ❑up to 100 amps
I, Lab. CJ ,,// p Backflow Preventer Service Sink
-..,icy No. ��Y(] Company `a Lie r Backflow Irrigation Sewer Cap Dishwasher - Meter Dover 100 amps
dined copy is hereby furnished. i \ i Dryers ❑Gas 0Electric Sub Panel
Ce rtij,I'egyp iletl with the city By{1 Oivjsiary. Bathtubs Sewer Connection
Date J/oC / Applicant /"-iG. (�f/� Fan Motors 00-1 HP 01'%-8
EXEMPTfON FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - _
(This section need not be completed if the permit is for one hundred ($100) or Dishwasher F.A.U. Inc.Solar 09-15 HP ❑1615+
less). Solar Piping
I certify that in the performance of the work for which this permit Is Issued, I Fixtures
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank ." - Microwave
Workers' Compensation Laws of California. Device Boxes Light
Date Signature Floor Drains Swimming Pool w/SpaPole 9
NOTICE: If,after making this declaration, you should become subject to the e Outlets Ran
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 9
comply with such provisions or this permit shall be deemed revoked. Switches
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign'
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.) interceptors Water Heater IV Garbage Disposal Standing Sections
Lender's Name
Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays -
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 Roof Drains
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 Reinspection Fee $15 Issue Fee $ 3
-efrom and the basis for the alleged exemption. Any violation of Section
1.5 by any applicant for a permit subjects the applicant to a civil
arty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
U I, as owner of the property or myemployees with wages as their sole Reinspection Fee $15 Issue Fee
p p $ 3 •• Zoning Approved By Date
compensation will do the work,and the structure is not : Theed or offered
for salese dto an and Prf a property
Code: Contractor'smroves MECHANICAL FEES,• Building Approved By �� Date
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 Application Issued By Dat
e
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 •
sale.'lf, however, the building or improvement is sold within one year of com- Canopy Type II 0 1 SUMMARY OF FEES
pve , the owner will have the burden of proving he/she did not build or im- Duct-Under Ground •
Prove for the purpose of sale). ? BUILDING PERMIT $ SMIP $
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00100.000 BTU 0100,000 BTU - PLUMBING $ s�00 ISSUANCE $
builds or improves thereon.and who contracts for such oroiects with a con- ENERGY P.C. $
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I - PLAN CHECK 25% $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $
❑ I am exempt under Section B.6 P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers a PLAN CHECK 50% $ MICROFILM $ ,,,,//,,
Date Owner Heating System& Ducting Registers MECHANICAL $ ,('''W
I hereby certify that' I have read this application and state that the above 00-100,000 BTU 0100,000 BTL—
information
FEE $ lJ•
information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws relating to building construction,and hereby authorize repre-
sentatives of this city to enter pon the above-mentioned p op rty for
Inspection pu rpo ,�/ ' j arm
‘Signature /S• /tel/` Dated
Drivers' License or 55# Reinspection Fee $15 Issue Fee $ 3
1 i i-; :\-uoo3441 T C.I
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink - a`L x-
/ Pp Accounting; Goldenrod - Assessor
p�t�, U�/ii2l9n 'HOE: QSC7i
. .
•
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
• a.;Electrical Conduit:Utility-Undrgrnd. ` 54. Forms
4. Electrical Conduit-Undrgrnd. • 55. Electrical Bonding '
5..Steel Reinforcement: 56. Rough Plumbing & Pressure Test
6. Electrical OF ERGrnd.• / 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, 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 ' . .1 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
1.6. Rough Electric Wiring 67. Fencing &Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
J8: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
i
20:1Rough 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 PREY. 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:4,// ? Leifr- c420. L,Co
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing _ /a//C/&1 (,e..
39. Water Service-Final
40. Gas Service-Final ;'i`
41. Solar Domestic-Finalj-r;.
-,•
42. Backflow Preventer La; e-
43. Backflow Irrigation .3-
44. Landscape Irrigation System
45. Sound Attenuation '
.-
46. Handicap Regulations',
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date •••
s
OWNER FAIRVIEW ASSOC. DATE 8-16-79
JOB ADDRESS • BUILDING PERMIT NO. 47863
GENERAL CONTRA •TOR C. W. Howe DESCRIPTION of WORK Res WI -:' r Gar
AP No. 141-711-24 LOT 12 TRACT J0522 FIRE ZONE VALUE $ 54 900-00
I ECTIONS Signature Date TYPE p GROUP I & I ZONE P3
f].n _I-r4/2f PERMITS ISSI�ED
SUBCONTRACTOR
GAS - Date Number I
Signature
WATER Plumbin.
ROUGH PLUMBING '1/?t 1-3-ri Olno,o/ \
IO din LC/iv' - -r
PROP. SWR. LINE .' HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS p
ROUGH HEATING AND AIR CONDITIONING S48-/' .
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER fl
ROUGH WIRING L. C. 1-23 SO Heating and Vent. _
TRENCHES _f FORMS Ej STEEL REINF. D Zeta*,w^`7l, erpir2.rq, J 9- -`11 !6 C3i
FLOOR SYSTEM /['7//� (y� ///� �!� '� 7 /�/�tr5:7---*
' BOND BEAM 7 STEEL RE I NFORCE J('(;y j,/,, 07/ /3" /7 LYp
SHEATHING Jam...- ,) O.1
FRAME AND FLASHING fie -/ � 2�
LAT RING - INL OUT j� �S ^i Se
PLASTER. BROWN COAT _DS 5-.2 1p-?
ST,ITETURAL. FINAL JDs /{nom_//o+$m Electric
H ,,_IIG. VENT.. REFRIG. AND A.C.. FINAL Rei 1444 LUsn seat. �-f8ntd 4(.i(Jf'�
PL nOING. FINAL AND GAS TEST r ���111
ELECTRIC. FINAL RC AAS
--_—
BUILDING. FINAL .1i)5 It../,
OWNER FAIRVIEW ASSOC. DATE 8-16-79
JOB ADDRESS 1.91 Fnixw+"4s Lana Uri,' A BUILDING PERMIT NO. 47863
GENERAL CONTRACTOR C. 14. Howe DESCRIPTION of WORK Res W/ Gar
AP No. 141-711-24 LOT 12 TRACT 10522 FIRE ZONE VALUES 54 900.00
I' ?CTIONS Signature Date
TYPE Y GROUP 1. £ J•ZONE B3
S. f—la. .. tS / SUBCONTRACTOR PERMITS ISSUED
GASA
Date I Number Signature
WATER /� �• /]� Plumbing_
ROUGH PLUMBING ',I(, L 3-3—ba (340l�,PIu Ab Yaeln g•72 --r
PROP. SWR. LINE I__] HOUSE CON. E
SPRINKLING SYSTEM
MISCELLANEOUS �'j- ( eq
ROUGH HEATING AND AIR CONDITIONING 1 9 Ii740- -
TEMPORARY SERVICE OR POLE
UNDERGROUND [] POWER fl
ROUGH WIRING c.C_. I-23 Heating and Vent. ..\\__ rf L
TRENCHES I -I FORMS d STEEL REINF. Li '7p7n -lea- o_'Q I^'Q. 9_a+ ( I6 a 1'
FLOOR SYSTEM [[// Aim-I/ /(✓fes ll-y-'7 IiOCT--
BONO BEAM r-1 STEEL RREINFORCEP �/At [nti{L<+l G' , 57-1,3-669 'G, rnS'7.
SHEATHING } iil . LB ..•�' r // O
FRAME AND FLASHING "e., / -• lb 7.-1415/t 1"
LATHING -_IN_y 1 OUT 2 Ti. S -I -$-b
PLASTER, BROWN COAT ,D5 5-a9-8L
ST ACTURAL, FINAL -OS / //m.cm''I Electric /��(
H f� lG. VENT., REFRIG. AND A.C., FINAL I° rzst {(/E+pl s«c 1-1840 4171
PL LNG, FINAL ANO GAS TEST I I V /� /!�
ELECTRIC, FINAL RC 4441/
Run rum: FINMI Ill< Grl_/G •l
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FRIVIRI9etegt.PERMiii02.9_4_ Ili
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECEIVED BY PERMIT
For Applicant to Fill in Completelyt� mm - Use
/Ink
�Only n47 td�.�
ADDRESSG (i1 K.uol•v�.ts L#N A.P.NO. /ei •-- 2 q
OWNER OR h tit,' 1
BUILDING 1Q [�.A 1/SII ,'� TC I /tom s-�
TENANT t A-'p.t/-'1 1 ) AssocO , ADDRESS 11 r]d'` c'W MIS �/�I�_
MAILING UNIT OR- A — jV•
ADDRESS
*4_L3I IL1� LANA CR.N n
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T R.NO. LOT BLK.
r��� � TEL.2�Jy 10522- It.
CITY K-[JL-ri1� uC� �ZlQ- NO. G� � NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION fff"'��, JJJYYY"'
LENDER
BRANCH ,,fu/gW AjcoriAres
OWNER
ADDRESS �1.�typ�-J,`),�r� f���y� ,/ VALUE `', az,
ARCHITECT
OR ENGINEER )aIG%7'Atn A/P..�OI t T NO. 3�- VSE /�fj {✓/ �j/-f-/�,e// E /�+
ADDRESS Co ffn9c5 ZONE K. 3 TYPE E GROUP M" -/
' •�1-1-- n- t APPROVED
CONTRACTOOR,,Irt I) /r ! Aye,
I f p BY DATE
ADDRESS - ? p L
CITY���f�./`-' 1 TE L.21
F. STATE ' 11.1 L� qb�14-CITY O D APPROVED SETBACKS
LIC.NO. LIC.NO.
SIZE NO.OF BLDG& (FROM C//LL S[�,/9EET)
L raj OF LOT 30 X 6' NOW ON LOT O FRONT 2 / FT.
a USE OF ��- ��(.�(J,�1
CO EXISTING BLDG. R SIDE ?J 1G ��"s/�/
rq
9 Separate permits are required for L.SIDE FT. Ig
electric,plumbing and heating work. REAR
IW-, USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
AC
et /� e
?IA R ,Lt. j l Anitti r UY t I��.s APS -? 26 PR
/9 APOVEDCJ2 9/76
7 APPROVED
Y• __RV _DATE
.-1
ly
0 I hereby acknowledge that I have read this application and state n
pr that the above information is correct and agree to comply with
LL• all laws regulating building construction, and I shall not employ i
Z any person In violation of the workman's compensation laws of / /y m
s the State of California. /650 SO. F1, ,,t-G'ij ,x-5/95 I t\
I hereby certify that I am properly licensed as a contractor under
the State of Calif. nia Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR al \
Chapter 9, and at uch licenses a in full force and effect,or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt fro the provis •n o he State of California Business VALUATION
PERMIT FEE E 11
and Profession-Code •I sit :pier 9. m
PLAN CHECK s 2
Signature of M I , 98 5'd
PermitteeA '�_ l:. $ 13 90..6,E TAX s 3f i 2
or ter x : - `�Jl/y' /yt//7U r U
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Authorized Agent Date J TOTAL PAID s D
i
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR2STRINTDR7a PERMIt 97.00 TL
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 EEE^ - -•- - • -..
R I Y 14 LC}/ NPI MIT °
For ApplliQant tyoyFill
lin^Completely — Use Ink
l Only
ADDRESS I I,I.�I� Palk' LIU a I.A.dry
-
OWNER OR I 4I�L11 j ( sea. ADDRESS l9 PAIRAU►UDS LJj-
TENANT twat)
�}sB�jrlICCJJ,_:�.
UNIT OR
MAILING 4F4.. rst s�e u .s r Liu r SPACE NO.
ADDRyE�S—S '\Vr� v(� (� Lf/ • TR.NO. LOT BLK.
CITY Re Btu`s cm, 14,NO. ZIP NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION 666i"�""`"` 5418QgD
LENDER
BRANCH
OWNER
ADDRESS VALUE
ARCHITECT TEL. USE S
OR ENGINEER NO.
ADDRESS ZONE `TYPE GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS
TEL.
CITY NO.
F STATE CITY APPROVED SETBACKS
LIC.NO. LIC. NO.
W SIZE NO.OF BLDG& (FROM CA.STREET)
S OF LOT NOW ON LOT FRONT FT.
Q USE OF
EXISTING BLDG. 13 SIDE ET,
rA
(—•
Separate permits are required for L.SIDE FT.
electric,plumbing and heating work. REAR FT.
I.W. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
Q
n
DATE
APPROVED
7 APPROVED
} _BY _DATE
..1
C
W
0 I hereby acknowledge that I have read this application and state e'
p, that the above Information is correct and agree to comply with
; 1
C• all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of 2
1•i1 the State of California. ,:
m
I hereby certify that I am properly licensed as a contractor under SQ. FT. N
the State of Californ(• cusiness and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that'uclt licenses are n full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: — _`
am exempt from t e pro I •ns of th; Stateof California Business VALUATION PERMIT FEE E )q' ..-
N
and Professions Co•e,Di :n •h.• gn \ \
lit
1 I • S PLAN CHECK S o N`
Signature of
10
Permittee _ a LL
or rt�ft V TAX S U
Authorized Agent Date V IS TOTAL PAID S — U