HomeMy WebLinkAbout283 CAREFREE LN - Building PermitsPPQIECT RODflESS: ^ �^� y�yt., �.,�
OWNEfl'SNRME: j(VST p,$S�C.
nooaess: ] 25 DAKER#t261-E
CM CA92626
714)668-9016
RflCH/ENCINEEP:
ROOBESS:
PE�.NO.:
uxrt:Ii I CITY OF COSTA MGSA - BUILUING PERMIT
PERMIT NO: M 095220 PLAN CFIECK NO: N
CONSTRUCTION TYPE: V=N PERMIT TYPE: MEC
IJOH DESCRIPTION : AIR COND. ADD TO G40370
UNIT:
PEHMITTEE: CHARLES SANDF.RS INR. ( 714 ) 630-�191 7
ROOPESS: ],QQ:L R�D GUM ST �' J
ANAHEIM CA 9280G
LICENSEo CONTMC7oB oECUMTION: I hereby anirm that I am licensed unAer D�ovisions ot Chapter 9(commencing witn Sectian
7000) ol Division 3 of the Business anA Pmfessions Coae, an0 my license is in tull brce anA effecl.
crtvuc.%:O1 8 4 sTnr�uc.:332798 cu�/$S$$ C�Or�GTiifc�
Oale: ` � � SignaNre: �L(��jlo e
WOBNEPS' MP SRTIONOECUNRTION: Iherebyatlirmthatlhaveacertificateotconsenitosel4insureoracertificateofWorkeri
Compensati Jo gqr,¢, Ar�a c¢rtilir� lopy th¢rPol (Section 3800, Lab .LL. � z��� O
POUCY NO.. 7C W 7 V V J 1 l tf J tl E7(P. D�7E: V 7
cornv�xr:OHIO CASLJLTY
❑ CertifieU copY �s her y fumishea. � Cenifietl copy is 6 the c///i���///yyy BuilOinA /D/�'vyion. ////
Da�e: � �' � u Applicani: � ��^ AQ •�nw�+�' q �
FXEMPTION F OM WOBNEBS' fAMPENSRTION OECUMTIOX: (This secnon neetl not he complete0 if tAe permit is for one hunOrea (5100) or less).
I cenity that in Ne De�a�mance oi the work for which this permit is issued, I sha�l not emDloy any De�son in any manner so as to become
subject ro the WOAeers' Compensation �aws of Califomia.
Date: Sigreture:
NO710E: If, after makinA ihis declaratian, you shaNU 6ecome subject ro the Workers' ComDansation O�ovisions oi the Lahar
CoCa, yau mustlonAwith comply with such Drovisions ar[his permit shal� be deemeA revake0.
LONSTBUCTION 1FN01NG �GENCY: I herehy attirm that ihere is a consimction IenOing agency br the pedormance ai the work for
which ��is Dermit is issue0 (Setlion 3W7, Civ. C).
LENOEH:
nooeess: �
OWNEB BUILOEB OECLAMTION: I hereEy aifirm tAat I am exempt Imm tAe Contractors' State License Law for the follovnnp reason
(Section 7031.5 Business anU Pmfessional CoOe: My cny of counry which requires a permit to constmct, alter, impmve, Oemolish, or
repair any simcture, prior ro its issuance, also requires ihe apPlicant for suc� permit to file a sipne0 statement ihat hels�e is licensetl
pursuant ro the Drovisions oi the Cantracrors' State License Law �Chepter 9(commencinA w��h Section 7000) of Division 3 oi the Business
and Profeuions Code�br that he/she is exemD� ��erelrom and the Easis Por ihe allepeA exemD��on. My violation of Section 7031.5 Dy
any applicant for a Oe�mit sublects Me apDlirant to a ciNl penalry ol not more than five �unOreA dollars (5500).
I, as owner of Ne pmperty or my employees with waAes as t�eir sole comDensation, will Ao [he waM, anA t�e
❑ stmcNre is not intentletl or ottered tor sale (Sectmn 7044, Business antl Professional Code: Tha Coniractors' State License Law
does nota I to an owner of a pm erry who huilds orimpmves eherean anU wAo tloes suc� work himseli/herselfor Nrough
rEizM n�o: M o4s2zo
GOVT: N SUPP: Y
PURPOSE.• NEW
SQ FT:
CLAIM ��ALUE: 800.00 CALC-VALUE: GROUP OCC: R-3 /M-1
COMMENTS: ADD AIR COND TO kG40370
�**�**�***�**�*****x�**�*���**�*�****�*�*�*���r��**�-�****��*�*�***��e**��*******�
Z O N I N G R E Q U I R E M E N'T S .
S E T H A C. K>
----------- MAIN BUILDING ---------- ---------- ACCESSORY AUILUING --- -----
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT . IN
PARKING REQ: PROV: PARCEL: 4J920128 ZNE: REF NO:
PLANNSNG NOTES>. , �
>
if iF iE �E �k iE �E iE iE 3E �E if 3E If �F iF 9E iE iE iE fE fE iF jE iE iE iF fE iE k iE 3E iF jE iE if if iE.iE if if k iE 3E 3t �E iF iE iE fE jf 9f �E iF iE iE iE iF iE jE iF iE iE 3E �E 3E 3E iE if if iF iE if iE iE 3E iE k iE
D E V E L O P M E N T' S E R�V'I C E S R E� U I R E M E N T S,
ZONZNG APPROVED HY ��� DATE:
BUILDING APPROVED BY : _ __ DATF:
APPLICATION ISSUED BY:��"- DATE: 2 Q -�
�(-jEjf�fiFitiEifiElEifiFiElE�fiElEdfiEitiEiF'iF�F iF� 1F1 F�3F1EifififiFiEiEifiEiE 1'it
iF iEiEiEifiFifitifiE�fit�EiFfE�EiFfEiEiEiEifiEiEiFiEaE1E1FiE�1EiEiF3Ei63EjEiEjfiF
U M M A R: Y - - STRCJCTLJRAL SfiGMENT:N
C MECIiANIC FIRE SMIP/RES GRADING
9.00 .
258 SMSP/NON--RES
LEGALIZATIODI:N
BLDG PMT PLUMBING
PERMIT'
PLAN
ISSUE FEE
HUILDING-DIV->
TOTALS---->
F E E
CwCiil
PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
9.00'' 4.50 0,00 13.50 • 13.50 .00
OPY P
r
vi � � im r ment ar not intende0 ar oflereU lor Shce. It however the huilEin or .
hisorherownemplayees.Drotletltatsuc pove s e • e -REVENUE UIVISION TOTALS--> COLLECTED: 13.�0 OVER/SHORT: 00
improvementisSOldmthinoneyearofcompletian.Iheownerwillhavet�ehuraenalD�aNnghe/sheUitlnotbuildorimprove BLUG PMT PLUMDING ELECTRIC MECHANIC FIRE ,SMIP/TOT GR�p LN �,p,�]_('p�'('' '
for t�e purpose ot sale). � K
I, as owner ol the�pmperry. am exclusivel contracting with licensetl contractors to construci the pro ect Section 7044, Business 1 3. 5 0 ' ' R4G11Ut3� �' �313e746�3G5
y i( O1 0063 003 00048I97-0004E79%
❑ anG Pmiessions COAe: The Coniractors' State License Law tloes uot apDry ro an owner ol pmcerty who bmlds or imDroves the2on t3 �e�6
anGwhocnnlracl5�or5uChpfolec�swithaContractor(5)IicenSaOuRuant�alheCon�raCtOrS'S�a�elicenselaw�.lamaware *�"�'K'*�"�'**�*'�'�"�*�"�'K'*�"*�"*�'�'�"*"K"K"'�*"�"�'�****'��'*'�'��'�'*'�*'�'�'*'K'�'*'�'�'�'*'�`�'**'�'��'�� `����'��' .
tAat oroot oi iheir Worker's CamOensatlon insurance s�oulE be proviAeO ro me. I N D I V I D U A L F E E B R E A K D O W N
� I am exemp� untlar Section: . . B. 8 P. C.
lor this ressan: .
Oaie: Owner:
I tlo heaby ceniry that l am aware ot ane un0erstanU the requiremenis oi Califomia Health an0 Salety Cotle Sections 255Q5, 25533, an0
25534 anOlhat I or any future �uilding occupant wiNwill not (circle one) neeA ro cBmDly with sai0 state co0es antl t�e requiremenis for a
permit for constmctwn or modification fmm the Air Uualiry Manapement Oistnct Nesidential constmction applications are exempt tram
fheu praMsians. �
Oate: ADPlicant:
I here6y certity that I have rea0 this aDP�iwtion and state ihat t�e above iniormation is correct. I apre to comply with all city an0 counry
artlinancesandstatelawsrelatinAro�uil0inpconsimclionanUhereOyaNlwnze2presentaf ofth' i toenteruponthea6ove-meniianed
pmp¢rry tor in5peciion puf oses. /1
Oa�e: � 2' � Signaiure: 1 �Q3dC� �1 �ly
Uriver's �icenu or Sacia� secunry x:
1601<6 W�i�e—BuilEino; Green—Coae Eniorcemant:'Canarv—Np0lican�; Pink—qevenue; GoltlenroE—Fssessor
TYPE QTY D E S C R 7: P T I O N UNIT�COST TOTAL COST
MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9.00 9.00
END OF FEES
tl
oi 00048797-OOQ4E797 T� T 23.SQ
DATE: 12/01/89 TI%F: 16:20
�' CONSTRUCTION AND PLANNING POOI & SPA
APPROVALS Permit # Date Inspector qPPROVALS Permit # Date Inspector
1. Temporary Electrical Service or'Pole 52. Pool & Equipment Location .
2. Soil Pipe�Undrgmd. " 53. Steel Reintorcemen[ �
' 3. Electrical Conduit UtilitY-Undrgrnd. 54. Forms
4..Electrical Conduit-Undrgrnd. . 55. Electrical Bonding
' S; Steel Reinforcement 56. Rough Plumbing & Pressure Test �
: 6. Electrical UFER Gmd. - � 57. APPROVAL TO COVER-GUNITE '
� 7. Footings � _ 58. Electrical Conduit-Undrgrnd.
8. Foundation ' ' � 59. Gas Pipe, O Undrgrnd., Test '
9. Water Pipe�Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. ,
70. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection , 62. Backwash & Receptor�Final
12. Sewer Cap � 63. Heater & Vent-Final
73. 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. POOUSPA SYSTEMS FINAL
79. 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•PipingOGas ❑Oil
23. Gas Pipe=Rough & Test '- �. . ' � 72. Underground Flush
24. Roof Framing -, � - ,. 73. Undergmd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing . ' '` 74. Overhead Hydro
26: T-Bar Ceiling (StructuraQ & Monocoat � , 75. Dry Chemical . �
27. Frame and Flashing ' 76. Dry Standpipe .
28. Lathing & Siding ' ' � �� ' 77.� FIXED SYSTEM �FINAL �
29. Insulation - - ' � i=' 78: FIRE PREV. FINAL �
30. Drywall Nailing , . ��- HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat _ , � 79. FINAL �NSPECTION
32. Electrical Power Meter-Final j;;� 50., FOOD CERTIFICATE ISSUED -
33.. Final Electric ' � � �f'" Notes: - ' � �
� 34. Pinal Heating & Aii Conditioning . � � �'t - �' `
_ .i
35. Final Gas Pipe�Test � �� �,' � • � '
36. Hood or Canopy .. - j�- : � r-
� 37: •Final Factory Fireplace' � � � • �
38. Final Plumbing � - � . - . �
39. Water Service-Final � � � � • � .
40. Gas Service-Final ' " � � , . �
' 47. Solar pomesticFinal -, � . � � . ,
42. Backflow Preventer ' � . � '
43. Backflow Irrigation � ��� �� � ,
44. Landscape Irriqation System � ,
45. Sound Attenuation • a - .
46: Handicap Regulations . ' ' - .
�
47. FINAL STRUCTURE & BUILDING , � . ' �
r, '
48. FINAL PLANNING .
49. Electric Release to Edison �„� . - �- -,t �
50. Gas Release to Southern California Gas Co ti-� ' . .
51. CERTIFICATE OF OCCUPANCY
No. Date
Aoo��<ant to filt In all soaces except ihoze witnin heavy Doraer lines antl sign all avVrovriata aeclarations. Q
CITY O P RMIT NUO.�� O TRACT NO. LOT NO. UNI O. A P# 3 ��ml ��..d •� Zane `�
�. '' 283 Carefree Ln. � �
Pr�jeG�n����» — - _ � .
TVPE OF C�NSTRUCTION NEW P.OD ALTERATION REPAI q S Mein Building: ACCesiOry Building:
Appi1L`ant's Mddress�L < E Front / z
f� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T O`�p O
Owner's Na e Phone�0 DESCRIPTION OF WORK/USE OF BIDG. I A Rear � N
Address - �Np ' C qight '�5�� N
Arch/Eng C� � Licens¢ No. TYPE OF PERMIT GRADING ❑ FOUNDATIOrv ❑ STRVCTV RAL K � �� G
Addre55 1J ��'W '�- -�' A /�-% J ❑ TENANT ELECTRIC,(�L❑ PLUMBING ❑ MEGHANICAL S Left R
Convactor's Name �s f' Phone �� �cl b ❑�oTHEa �(�N f� ._. !1 � � Ping. Ref. # R F Parking Req./Provided �%j E
Z'C ' _ nrciionNcv Q
� � PROJECT DESCRIPTION 5�. Fr. - Planning Notes: M
Addre55�mailing) CONSTRUCTIONTVPE �S^ V UATIONS �
Cily License No. T
ZONE GRA�INGCU.YDS. ACRES S.
LICENSED CONTRACTOR DECLARAT�pN
I hereby at/irm [hat I am licensetl untler provi5ions o/ Cnarte� 9(commencin9 Remd�ki:� C •P,er �
with section �000� of Division 3 oi the gusiness antl Professions Cotle, antl ELECTRICAL FEES
my license is in /ull lorce antl eHect. . / �. C,
License Class License No. � �
Date Signature PLUMBING FEES %�uromatic Washer Transformer ❑ 15-50 KW
WORKERS' GOMPENSATION DECLARqTION Construction PoleSub. ❑ 50+ KW
I he�eby atfirm that I have a certificdt¢ Of ronsent to selt-insure or d<n/IHlcate Bar Sink r $hOwQ�S N �p
o/ Worke�s' CompenSatiOn Inzurance, o� a certiti¢tl copy the�eof (SeCtion C�oking Uni[ M¢t¢� �pUpt01��2mp5
3800, Lab. C.� . . . BackflOw Preventef Service Sink
Poiicy No. Company � ` . Bockflow Irrigatidn • Sewer Cap � � Dishwasher ", _ .�, Meter ❑over 100 amps
BCertifietl copy Is hereby fumishetl. " " ' 1 Dry¢r5 Gd5 ❑EleCtric $ub Panel
Certifietl mpy is flletl with the city Builtling Division. ' � 2 Bathtub5 � ' Sewe� ConnecCion �w
Oate Applicant— �� ;� . Fan - Motors �0-7 HP �1 h� 8
EXEMVTION FROM WORKERS' COMP�NSATION DECI.ARHTION Clafifiefs Sola1 ColleCtOrs
i ssissection neea not be <ompletetl i1 the permit is for one huntlretl (5100) or Dishwa5her Solar.Piping � Z I�. F'A�U� Ina Solar �9�75 HP �16-15+
I certity inal in [he Performance ot the Wprk for which this perm�t is issuetl, I ' '' F,ixtures _-� �l MicrOwave e
snall not employ any person in any manner so as to become subje<t [o [he Drinking Fountains Solar Tank ,
Workers' o pe_nsat.ion Laws of Calitorn�a. Device Boxes '
Pole Li ht
Date _��(�q�5i9nature /� �.� �r �' � FlOor Drains Swimming Pool w/Spa �p w 9
NOTIGE: If, after making this tleclarati� youTiSfroultl become subject to ine Outlets � Range
Workers' Compensation provisions ot Ihe Labor Cotle, you muzt torthwith FloorSinks � Urinal �
comply wi[h sucn prOvisions or tltis pe�mit shall be deemed revoketl.
CONSTRUCTION LENDING AGENCV GasServiC2 Outlets SwitChes Sign
1 nereby affirm that lnere is a constructloq lentling agen<y for the per(ormance 3 Wate� Closet � �
of the work for which this permit is issuetl (Section 3097 Civ. C.) Inte�cept0�5 ' Water H¢ater � Garbage Disposal Standing Sections
Lentler's Name
�enaer•s natlress Ki2chen Sink WaterService y,; Generator �65 KW 05-15 KW Trash Compactor
OWNER BVILDER DECLARATION �fn `/ Q
I hereby affirm lhat I am exem0< <rom the Contractor's License Law tor the LavatOri¢5 �� Auto-Wash , �W p. �.Jy LJ
tollowing reason (SecUon 7031.5 Buslness antl Pro(e55ional Cotle: Any city or ,�y
county whicn requires a permit to constru<t, alter, improve, tlemolish or repair P-Trap Laund�y Tra'ys -
any Structure, prior to its i55uanGn, also requires th¢ applicant fOr suCh permit
to tile a signetl statement that he/she h i��en5etl pursuant to the pwvisions ot poof Drains
ine Contractor's License Law (Cnapter 9(commencing with Section 7000) of
DiviSion 3 0/ Ihe Bu5ine55 antl Prot¢Sslpnz CotlC) of [hat he/she i5 exempt R0in5p0ctiOn F¢¢ $1�J ISSUB F08 $a'
In¢re/rom anC the basis for the all¢9¢tl exemption. Any violation Of $ection
]031.5 by any applicant for a permit subjec[s the ap0��cant to a civil
� �enalty of not more than five huntlretl tl011ars (g500). , $ 3 DEVELOPMENT SERVICES REQUIREMENTS: ^
LJ 1, as owner o/ ihe property or my Cmployees with wa9¢s as [heir sole RainipectiOn Fee $15 IssUe F¢e Q� �( l.`{ ,(:2�G}
Compensation, will tlo the work, antl thQ SVut[ure Is not intenEetl O/ ofteretl 2oning qpproved By DetB�_z-�_.,_
for sa�� (Section ]044, eusiness antl Grofessional Cotle: The Gontractor's MECHANICAL FEES � Building Approved By Date '-,
Licensv Law tloes not apP�Y to an Owner Ot a prOpe�ty who builCs or irt�p/ove5
lhereon, antl who tloe5 Suc� work bimi¢If/herself or through his or he� own Hood o� T � APP���tion luuad By �-� Date ���
employaes, providetl that Sutn improver}ients are not Intentletl o� offeretl for Boiler ' YPQ �
sale. 11, nowever, tne builtling or Improvement Is soltl witnin one year ot com- C2nopy Type 11 ❑ � SUMM/�iil' �EES •L2
pletion; th¢ owne� will nave Iho burtl2n ot proving h¢/slte tlitl not builtl Or im- Duct - Under Ground
nrove f1� the purpose oi saie). � BUILDING PERMIT $_(�,e SMIP $ g�
❑ I, as o�+ner oi the prooerty, am exclusively contractin9 with Iicensetl con- Duc[ -Strucmral Refrigeration System PLAN CHECK $ r-J�ERMIT
tractors to wnstrucl [he project (Sec[ion 7pq4, Busine55 antl Protes5ions Cotle: '
The Contractor's License law tloes no� applY to an owner of property who Duct - Ventilating ❑4100,000 BTU ❑100,000 BTU - PLUMBING $��S�ISSUANCE $
builtls o� improves thereon. an0 who cOnt�act5 for such oroi¢ct5 with a mm ENERC�iV P.C. $
tractor(s) hcenze pursuan� to ene ConVactors Li<ense Law). i am aware that '3 ExhauSt System ❑ Multiple ❑ System Repair/Alteration I PLAN CHECK 25% $�
proo( o( thelr Worker's Compansation insurance shoultl be provitletl to me. � ELECTRICAL § 0 GRADING $
❑ i am exempt under Section B. & P. C. for thi5 rea on Firepl/Fact. Blt. IC80 dk � � Fire Dampers PLAN CHECK 50% $ MICROFILM $ �� Q
Date Owner a 1 Heating System & Ducting C-� Registers MECHANICAL $� ���V
I hereby certify that I nave reatl this appl¢ation a tl state that the above 1�10-100,OOOBTU �100,ODOBT TOTAL FEE $
information is correct. I a9ree to compty �yith all Nty antl wunty ortlinances PLAN CHECK 25% $
antl state laws relaHnq lo builtlin9 cons(ruction, antl hereby authorize repre- -
5¢ntatives of [hli city t0 ente� upon the abo e-mentionetl p�operty t0/ i �
Inspection pur0o5e5. l/ _ _
Signa[ure (�l� �
Plicanh Pink - Accounting; Goldenrotl - As5e55or
r -�
C�ONSTRUCTION IlND PLANNING � POOL & SPA "
P,RPROVALS Permit# Date Inspector p�ppROVALS Permit# � Date Inspector
� a.
1• Temporary_F�ectrical Service or Pole „ 52. Pool & Equipment Location . `
i� •
tP..,Soil�P.i`pe-Undrgrnd. (�_��.� L�jf 53. Steel Reinforcement ,
.3.' ElecTrical Conduit Uiility�Undrgrnd. � �= 54. Forms . �
�. .,
4yElect�ical Conduii-Undrgrnd. 55. Electrical Bonding �"�
V� r,l ie
5. SteelSReinfbrcemeni 56. Rough Plumbing & Pressure Test � ,i(
� v _w
�6.' Electnc�dl�UFER�Gmd. 57. APPROVAL TO COVER-GUNITE l
t_ i.� �_c _, : -/ r �� J
7:i Foiiing� � , i$q'(�L �p � Q � 58. Electrical Conduit-Undrgrnd. !� �
8;�Foundaiion � J • 59. Gas Pipe, � Undrgrnd., Test � „�; �
9!� W�ter Fjpe-Ur'�drgchd!' ��Q-�g� (�Ep�.% 60. Backwash Lines, P-Trap, O Undrgrnd. `� ��
, . �i
tO:,St uctu al Floor System ( = 61. APPROVAL TO DECK t`
' 11� P.ropertyrew r Line & House Connection �( �
� , �, _ / � � • 62. Backwash & Receptor-Final .
1'2�Senvei Capl��,/� '� � 63. Heater & VenbFinal �ti ��
t^r A / .�
' 13. Roo Drains �? ;� �✓� 64. Plumbing Sysiem - Final � `.' �'
14. Rou h.Plumbin � � �� � (�/, .
� gz j' 65. Electrical-Final ._
15. Rough Electriral'Conduit 66. So�ar S�stem-Final
�16, Rough Electric W�ring �. D 67. Fencing & Access Approval
.b7-. Rough Wiring Sign 68. APPROVED FOR PLASTERING
.18. Rough Electrical-T Bar Ceiling� 69. POOL/SPA SYSTEMS FINAL �
ni
�19: .Rough Heating & Air Co�tioning � y 9v �� - FIRE DEPT. REQUIREMENT
20.,Rough Factory�Fireplace a�/�/ ��f �Q GED APPROVALS Permit#
�
. 2�1. DuCts, in Structure ? 70. Underground Hydro ,
22. Ducts, Ventilat`ng vi3,/� - 71! Product Piping O Gas ❑ Oil �
23�Gas Pipe-Rough & Test ��1 _ � , � 7,z..Underground Flush __ ,L
2g. Roof Framing r'% 73. Undergrnd.StorageTank OGas ❑Oil
r
.J.: I .
25. Roof Sheathing ��Mt �� �� 1 74. Overhead Hydro
26. T-Bar�Ceiling (StCucturalj �Moaocoat 75. Dry Chemical
29"'Frame�and Flashing,� ��� Q,p e O 76. Dry Standpipe
28, Lathin�.& Siding � V�j 77. FIXED SYSTEM FINAL x
29� Insulation � ',1 � 78. FIRE PR�EV. FINAL
30. Drywall�Nailing � HEALTH DEPT. REQUIREMENT
'31' Plaster�Brown Co�t� . v 79. FINAL INSPECTION
_�_
32. Electrical Power Meter-Final ,� 80. FOOD CERTIFICATE ISSUED� -� -" �
33. Final Electric �� � Notes:fZ��j9 W�,E �(/�n'J�oK. (.�i,p
34. Final Heating & Air Conditioning ? � � _ �"� '; � �- z a� � �, J��. �
v-
35. Final Gas Pipe-Test 7Z d(��
=36. Hood or Canopy .
i.,
=37. Final,FactorY Fareplace . � � �
� i-
,
��8. Final'Pl�umbing� �p � Qd •
rt '
(39. Wat'e,r�'Se[vice- �ina� ' � �� � �- �' - � -
� ❑ a. .
-•-
'4(�. Gas Service-Final � ��
����r�l
G�b. Solar pomesticFinal . . �+ -� -, �
n -
42: Backflow PrevenTer _ _ " ' " �
43. Backflow Irrigation� , ` . �
44. Landscape Irripation System _ '
45. Sound Attenuation
46.� Handicap,Regulations ;
47. FINALSTRUCTURE&BUILDING �(` p0
qg, ompleted
r49. Electric Release to Edison . -
. i 50. 'Gas Release to Southern Califomia Gas Co � • • . .
51. CERTIFICATE OF OCCUPANCY • � �_ - ,
. - ,
,. .
No. � Date ' ,. � � • .
. ,
PX0.IECT RDOflESS: –
OWNEfl'SNRME: RICHARD FT.00K
noowess: Z q � 9 ORANG E A��E
COiTA MESA
CA 92f27
99999999 ..
RflCHIENCINEEfl:
aooxess:
NFO.NO.:
PENMITTEE; ATLAS FIRE PROTECTI:ON
�ooeess: �-764 aAN FERNANDO.RD
SUN VALLEY CA 313
110ENSEO CONTMCTOB OEClAM710N: I herOGy afllrm t�at I am lic eG under D�a�sians ai
7000) ot Divisi0n 3 of the Busine55 antl Pmlessions Caae, an0 my li se Is In lull brca anG
ciTvuc.:049'?43 s�Teuc.:567001 cuss:C-lC
� Oate:�' ��,�� ���`�i 0�/ % SiOnaNra:
WOBIIEBS' COMPENSRTION UECUM710N: I �ereDy attirm that I h a certi cate o ansent to
ComDenutian Insurance, or a certifie0 coDY �hereai (Section 3800 ah. C).
roucr no.: 1 1 2 7 p 4 2- 8 9 ezr. onn: / O 1/ 9 0
COMPRNY: S'TATE FUND
0 Cenifie0 caOY b �ertEy Iumis�e0. ❑ Cenitiea coDY Is /ile0 i(he ciry Buil in ' io
�� Oaie: �Q�. � ApDliwnC �
FXEMPTIONFNOMWOR PS'fAMPFNS/iTI0N0ECW1A1TI0N: (�hisucl nee0 wmpleleOi�Ne
w
I certiTy tha� in �Ae pertormanta 0t [he woM lof whith l�is permii is' e0. I ny employ an
su�lect to Ihe Wor ers' ComDe�%��ion Laws oi CaliPomia.
�ate: Sipnamre:�
NOTICE: i, aRer maqnA � tleGaration, you s�ould Eecrome su6jectt Work ' Ca
uHir:II CITY OF C05TA MESA - BOILDING PERMtT PERM NU: F 045976
PERMIT NU: F' 0454'76 PLAN CHFCIf DIO: 01694-t39 S GOVT: N SUPY: N
CONSTRUCTION 'PYPE; PERMIT TYF.F.: FIR � P[]RPOSEc ADD
uxrt:
( 818 ).767-5'775
10�
C apter9 (commencin0 witA Sectian
ecf.
sel4insure or a ceniliwte al workers'
pmNsions ot Ihe LaOor
CaAe, you must fonAwith comDly wit� suc� Omdsions or tMs permit 1 Oe deem wketl.
CONSTBUCTION 1EN01N0 �GFNCY: I herehy affirm tAat there is a wn uctron 1¢ndinp apency lor Ne pertormance al t�e work lor
w�ich t�is permit is issuetl (Section 3097, Civ. C).
LEN�Efl:
ADOHE55:
OWNER BURDEP UELUMTION: I AereEy aflirm I�ai I am exempt Irom tAe ConVactors State Lkenu Law Iw ihe lollovnnp reason
(Sec(ion 7031.5 Bu5ine55 anU Prolessional CoGe: My tiry Ot tounry whictl repUireS a Dermii Io ConSlruci, alier, imOmve, demoli511, af
repair airy sirucNre, O�a< <o its issuana, also requiru t�e apDlicant tor such permit to iJe a signed statement llut �e/slie L5 IkenSeE
pursuant to Iha pmvisions of the Comractors' State License Law (ChaD�er 9(cammencinp wii� Section 7000) ot Division 3 al t�e Busineu
anE Professions CaOe) or that Ae/s�e ¢ exempt t�erehom anE Ue Casis for Ihe allepeU exemptlon. My doWUon of Sectbn 7031.5 Ey
any apDliwnt for a Dermit su�jects t�e applicant to a civil Denalry ol not more than live AunEaO Uollars (5500). '
I, as owner of the Dmperty or my employees with wa➢e3 as iheir sale compenutlon, wi0� tlo IM work, and Ne
❑ swcture is nm inren0e0 ar oflereA lor sale (Section 7Da4, Business and Pmlessional Catle: T�e Contactars' SWte Liunse Law
tloes nol appty to an owner ot a O�operry who 6uilOs or impmves I�ereon. an0 wAo dces such work himuli/hersNl or ihmup�
�is ar her awn emDloyeu, DmviEed that such imprwemenis are not intentletl ar allered for sale. It, however t�e OuilEinp or
imD�ovement is mld wiNin one year oi com0�eiwn, tAe mmer will have ttu CurOen ol D�a��O haJshe tli0 wt CuilU or improva
for ihe Ourpou of sale�.
I, as owner of tha pmDeM, am exclusivety coniractinp wit� licensed contrattars ro consimct Ihe pmjeci (Sectlon 7044, Busineu
❑ and Pmtessions CoOe: The Cantrottors State lice�ae Law Eoes not apDN �o an owner ol D�Werry �o buAds or improves thcreon
anE who contracts for suc� Dmjecls vAt� a contractor(s) license pursuant to the Cantrattors' State L¢ensa Law). I am aware
that prool ot t�eir Worker's Compenution inwrance stwulC be prwiOeG to me.
� I am exemD� unEer Sedion: B. E P. C.
for this reasan: '
Date: Owner.
I Oo �ereUy certity ihat I am aware ot anE unEerstanOlhe reQuirements of Glifomu HealtA and Safery COGe Sections 25505, 25533, antl
25534 anG that I ar any imure builAinA a«upanl vnlUwill nat (cirCe one) neeU to comOH ��h said state cotles antl t�e repuirements for a
permit lor wnsimction or moGifiwtion from t�e Nr �uatiry Manapement Distnn. Ne5i4eMal construction aODliwtion5 are exempt Imm
tAese orovisions. .
Uate: Rpplicant:
i nerety ceniry tnat i nare reaa tAis appliwtion anE state roat �ne abwe int tion rs conect. i apwe to ompry wit� a0 ury ana counry
mUinances anA sUte Wxs reWtinq to bWtlinp construRion ana �ertEy autAo' preuntat ' ciry enter upon tlre aUove�menlione0-
property larinspection Durpo es.
Date: � � SiOnawre:
orrver's �kenu or Social Securiry M:
1Ba1J8 Wnite—BviMing; Green—CaEe Enforcamam: Cenery— plkam: Pink—Revenue; GdEenroE—Avessor
_ � a s .
JOD DESCRIPT'70N . FIRE SPRINKLERS 5Q FT:
CLAIM VALUE: L,200.00 CALC-VALUH: GROUP OCC: R-3 /
COMMENTS: PROVIDE WORKMENS COMP AND AUTHORIZATION /� �Q J\ p C�
*+r�*�+r**�**��r*���*+�*�r�t�r****�***�r*x**�r*�r*�t*�r�*����yx -*�***���*r*��* x,�* ...::
Z O N I N G R G Q U I R E f� E N T S K
S_E-T H A C K S
------------ MAIN BUILDING ------ ------ ACCESSORY'BUILDING
FRNT: FT IN RGAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: I'T IN LEFT: FT IN RGHT: FT IN
PARKIDIG REQ: PROV: PARCEL: 4J920128 ZNE: REF NU:
PLANNING'NOTES>
>
1F i(� iE if iF �N� ik 3f iE �F �E iE 3f if iE iE it ik if iE ik fh iE if iF iE k iE ik aE iF 3F �E 1f 1F iE jf if iE iE if ff 1E fE if iE!(� iE 1E if iE iE jk �E'E iE it iE ik # if fE i! iE iE if if iE d! 3F i� �E if 3t iE iF if ie �f
D E C� E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
DUILDING APPROVEU QY : DATE:
APPLICATION ISSUED HY:� DATE:�Z'���
kitiEiE�lfiE%1hiEkihiEiliEiEititlEfE�Ek�1E�ir iF�� tE' . ik' iEiEiEif-IE3tiEiFiEiE7FiFiF +E .iE��
iElEi(-iEiE�lfiE3fiEiEiEikiEiEiEiE3EiEitiEiEiEit�lEifiElEiliEili!%iEitiEiEi(-kiEiEiE 1EiE#iFiEiEiEiE#iEifiEiEitiEikffiEi(iE3EiE3EiEifiF�lEiF#iEk3[�if3E?EiEif
LEGALI2ATION:N F E E S U M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SidIP/RES GRADING
PERMIT 29 00
PLAN
ISSUE FEE
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK
'I'OTALS----> 29.�0 0.00 18.II5
REVENUE DIVISZON TOTALS--> COT,LECTED:
BI,DG PMT PLDMBING ELECTRIC MECHANIC
65t SMIP/NON-RES
18.t35
TOTAL PAIU DUE
47.85 47.85 .00
29.00 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN-CHECK
29.00
IE k%aE # iE 3E IE 1E iE iE iE ±E If lE rt iE 3E iE If ±f if if iE iE %if iF # iE iE k iE iE 16 it if if iE iE iE iE iE IE it iE iE 3E iE �IE iE 3E iE iE iE iE it iE iE k if �7E if iE iE df iE # d! 3F �E iE # iE it it ih if �lE
I N D i V I D U A L F G E D R E A K D O W N
'CYPE QTY U E.�'i C R I P't I O �l UNIT COST' TOTAL COST
FIR 29 FiRG EQUIP FF'E (FROM ➢1:DG VAL TAHLG) 1.00 2'3.00
criD oF FCEs
� � ��
�
r � � � .
O1 �005�245—OQD5024� TQ T
DATE: 12/20/89 TIItE: 15:10 .
29.U0
CONSTRUCTION AND PLANNING POOL & SPA �
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
i
t. Temporary Electrical Service•3cPole ' � r 52. Pooi & Equipment Location •
i 2. Soil Pipe-Undrgmd. � 53. Steel Reinforcemen[ r
� 3. Electriwl Conduit Utility-Undrgrnd. 54. Forms �
� 4. Electrical Conduit�Undrgrnd, ' �i .• 55. Electrical Bonding �
5. $teel ReinforcemenY 56. Rough Plumbing & Pressure �Test
� 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. � ,. . 60. Bacliwash Lines, P-Trap, O Undrgrnd. '
10. Structurel 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 i/ 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 O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
��3-4U W � �1
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing ' 76. Dry Standpipe �
28. Lathing & Siding , � 77. FIXED SYSTEM FINAL Z�
29. Insulation ' 78. FIRE PREV. FINAL T{-Z CyU b).j�
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 jr�% ,
�,�.
35. Final Gas Pipe-Test � ��j: � .
�
- 36. Hood or Canopy �' ' �
i�j ,
37. Final FactorY Fireplace � �
i:
38. Final Plumbing - � �
39. Water Service-Final -
40. Gas Service-Finalj
41. Solar pomestic-Final . �
42. Backflow Preventer '
43. Backflow Irrigation �
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations � -
47. FINAL STRUCTURE & BUILDING �
',
48. FINALPLANNING ' � •� �
�.
49. Electric Refease�to Edison • `
, i.
50. Gas Release to Southern California Gas Co -•
51. CERTIFICATE OF OCCUPANCY
No. � Date
. a
� .
a ". ..
City of Costa Mesa
Development Ser�ices Department
, Building Safety Division
� P.O.Boz 1200
. Costa Mesa, Califomia
t
CERTIFICATE OF OCCUPANCY No.�}fl�%.��`�
-The Buildfng located at 283 C3t'ef['60 Larte �
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group R3—PYl Occupancy. •
Use of Building Condominlvm� � �
Legal Description 439-001-28,29
' � (See reverse side for Me[es and Bounds) '
Building Permit No. G�i0370 Electrical Permit"No. QM�7(1 Plumbing Permit No.`� rAn�7r�
__ -y. ,
Mechanical Permit No. C�3�n Number of apartments and/or guest rooms
t �
ISSUED TO: Building Official Tony C'De Baca '
�VST Sssociates
125 Baker Stre�t,. Suite 251E bY "'
Coata Mesa. C8 92626
Date Auquat 16� 1990 3
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALI NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. �
CrvtF 1015-46 rev, 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File �
3
i
r