HomeMy WebLinkAbout294 CAREFREE LN - Building Permits� .400iieant ro fill in au soaces except those w�m�n neary boraer unes antl sign au aDo�opriale aeclaratianz. ` � ��p03�
CITY OF F^^�" •�'"'• '""'"� •��T �•� � -•' R�TO . l� TR/yCT NO. LOT NO. UNIT A.P. � — O- � 2one �Z
� 294 Carefree Ln. � � �p S �
Project A�. _ ^ _� ' S Main Building: Accessory Building:
�plicanYsMa' � Ad ess L� � `', �'♦ TVPEOFCONSTRUCTION NEW /aDD ALTERATION REPAIR E Z
❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Ffont . �
Owner's Na e 1 Phone DESCRIPTION OF WORK/USE OF BLDG. I A Rear N
Address J•
Arch;En � a ^LicenseNo. �� TYPEOFPERMIT GRADING FOVNDATION STRUCTVRAL �� K Right Z G
Addreis -Q_. K Q�� ��� � �' � TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL g Leit ?� -�-0 � R
Contractor's Name J' p o�e�01L �'OTHER I Ping. fief. # � �� Parking Req./Provided �� E
�1S-�n Zb�� PROJECTDESCRIPTION Sq.FT. OCCUVA Cv Plannin Notes: �
Address�mailing) �� 9 O �� - P'' CO'1 M
• !a� at6zG CONSTRUCTIONTVPE ALUATION$ � ��7���� T
City License No. - ZONE GRAOING CU. VDS. ACRE5=��1�t� $,
LICENSEO CONT0.ACTOf3 DECLARATION
i nereby affirm tnat I am licensetl untler provisions ot Charter 9(commenNng Remarks: L e/ ,2
with section ]000) of Divislon 3 of the Business antl Protessions Cotle, anC
my license is in tull br<e antl effect. � � L G �� ELECTRICAL FEES
License Class License No. J
Date Si9nature PLUMBING FEES %�utomatic Washer Transformer ❑ 15-50 KW
WORKERS' COMPENSATION DECLARATION � Constfuction PoleSub. ❑ SO+KW
I hereby affirm that I have a certili[atG of consent l0 5¢If-in5ur¢ Or a Ce�tlfitate Bd� $ink $hOwC�S
of Workers' Compensation Insurance, or a certifietl copy tnereot (SecUon Backflow Preventer Servite Sink CAoking Unit ' Meter ❑up to 100 amps
3800, Lab. C.) � � -
Poiicy No. Company Backflow Irrigation Sewer Cap � Dishwasher ' Meter ❑over 100 amps
BCertitietl copy is hereby fumisnetl. � , - - . � ,. Drye�s �Gas ❑El2ctric Sub Pan¢I
Certifietl copy is flletl with [he ci[y Builtling DiviSion. B3LhtubS Sewer Connection � r-y
Date Applicant ' � 3 Fan � Motors �0-7 HP �1'/: - B
E%EMPTION FROM WORKERS' COMPENSATION DECLARATION Cl2fii12f5 $Old� COII¢Ct0�5
(This section neetl no[ be completetl if the permit is tor one nuntlretl (E100) or � , F.A.U. .
iess) - - � Dishwasher Solar Piping � a.,� InaSolar 09-15 HP �16-15+
I cartify that in the perfotmance ot tne work tor which tM1is peimit Is Issuetl, I. � Fixtures
shall not employ any person in any manner so as to Decome/zubject to the Drinking Fountains Solar Tank ��a �/ I Microwave
Work¢rs' Compensalion Laws ot Califomia. / ' /
Date -Jo__7._S�d—$i9na[ure __����,, yti ' �Floor Drains Swimming Pool w/Spa L, w Device Boxes Pole Light
NOTICE� If, after nYaking this tlecla�ation, ou Sh become SubjEtt t0 th! ' Z �u[ICtS �' Range �/
Wo�kers' GompenSaUon provisions ot the LabOr Cotle, you must tOrthwith FI001 $iOkS Ulinel p r
comply with such provizions or Ihis permit snall be tleemetl revoketl. n
CONSTRVCTION LENDING AGENCV Ga5S2fviCe Outlets s WaterCloset ,' SWitCh25 p�R�� Sign
I nereby affirm that there is a construcUon lentling agency tor the performance
ot the work tor which this permit iz issuetl ($2Ction 3097 Civ. C.) IntCIC¢pt0l5 WBICI H¢dtCf � Gdlb8IJ2 Di5p0531 SLdOdinJ $eC[iOnS
lRntler's Name
Lentler's Atltlress Kitchen Sink � Water Service �� Generator �0.5 KW �5-75 KW I Trash Compactor
OWNER BVILDER DECLARATION
I hereby affi�m lhat I am exempt from the Contraclo�'S License Law for the Ldvet0�iC5 AutO�WeSh
tollowing reason (Sectlon ��31.5 BuSiness antl Professional Cotle: Any tl[y or � p
county which requi�es a pe�mit lo Const�uct, dlt<r, Improv¢, tlemoli5h o� repair P-Trap LeuOdry TfeyS O O` O
any 5[�ucture, p/io� to i[s issuanc¢, also �equi�es the applitant for Such pe�mit
t0 file a signed stalement that he/She IS li<en5¢tl puRudnt to th¢ Provi51on5 Of ROOf Dld105 �
the Contractor's License Law (Chapter 9(commen<in9 witb Sec[ion ]000) ot �
Division 3 of [he Business antl Professions Cotle) or that he/she is exempt qeinspection Fee $15 luue Fee ��
therefrom an� the basiz tor Ihe allegetl ezemption. Any violation ot Sectlon
�031.5 by any applicant ror a permit subjec[s the apP��cant to a civil
enalty ot not more than tive huntlretl tlo�iars (5500). DEVELOPMENT SERVICES REQUIREMENTS: n
� I, as owner oi the oroperty or my empioyees with wa9es as their sole Reinspection Fee $15 laue Fee $ 3 Za�{ng Approved By � �' 3• tl
COmpensation, will tlo the wo�k, and [ne Structure i5 n0[ intentletl o� otfer¢a Dat¢
tor sale (Section 7044, eusiness antl Professional Cotle: The Contracmr's MECHANICAL FEES Buildin8 APPraved By
Litense Law tloe5 ml appty to an owne� of a prop¢r[y who builtl5 O/ improv¢5 DdtB
lhereon, antl who tloes such wo�k hlmselt/hetseH or thrOugM1 hi5 0� her own I � AppllWtlO� ISSUBd 6y �LL � Da[ 0-�'
employees, provitlea tnat such improvements are not Intentletl or otteretl for BOiler Hood or Type I �
sale. Ii, however, tne buiming or improvement Is soltl within one year oi com- Canopy Type 11 �U MARV O FEES
oletion, tne owner will have the burtlen of provin9 he/she tlitl not builtl or Im- Dutt - Under Ground -7 �q�
nrove for the vurpose of saie). . . � BUILDING PERM�Ad�__�[,= SMIP $ BZ�
❑ I, as owner ot the proverty, am exUusively contracting with Iicensetl con- Duct-Structurel flefrigeratiOn System PLAN CHECK
vactorsto construc[ the pro�ect (Sec[ion ]044, Business antl Protessions Cotle: �$ � PERMIT
Tne ContAfctor's License Law tloes not apply to an owner ot property who Duct - Ventilating �0-100,000 BTU ❑100,000 BTU � p�UMBING $ �SSUANCE $ $-
builtls or improvez thereon. antl who <onirattz for Suth oroiect5 wilh a[on-
vactor(s"�ense pursuant io cne Contractors LicanSe Law). I aT aware thai 3 Exhaust Sysiem ❑ Multiple ❑ System RepaidAlteration j'O P�N CHECK 25% $� ENERG� P.C. $ aas —
,� proo/ c ev Worker's Compensation insurance shoWtl be prowdea ro me. ELECTRICAL $� GRADING
❑ I am exa npt untler Section B. & P. C. for this reason Firepl/Fact. Blt. ICBO # 3 i y Pire Dampers MICROFILM $
PLAN CHECK 50% $
Date ��_��_ ��_ owner � Heating System & Ducting C+ s' Registers MECHANICAL $�
TOTALFEE $
I hereby certify that 1 have rea this po�iwtlon ntl sta[e at the above I �0-100,0000TU 0100,OOOBT PLANCHECK 25%
In(ormation is correct. I agree to comply with a11 city antl county ortlinances � $
antl Slate laws rela[ing to builtling consVuctlon, antl her¢by authorize re0/e- .
Sentatives of thi5 city to enter up the abov¢-mentionetl prope�ty for '
InipeGtion purpo£ej. � � � y^ ,.
Signature GC ��S Date /n� �/_
��� � " I Reinspection Fae $15 luue Fee � a
Drivers' Licens or 55 � - ' ' ; '
0065-46, rev. 5/88 _ White - Builtling; Canary - AppllcaRt; Pink Accounting; Goltlenrotl - Assassor . J � �
. � �__�, . _ . . .
. CCINSTRUCTION AND PCANNING � '� i POOL & SPA
�� �FPROVAL9 Permit# Date Inspector AppROVALS Permit# ' � Date Inspector
1�yTempore"ry�Elntrical Service or Pole - i 52. Pool & Equipment Location _
2�.� Soil Pjpe'=Und'rgrnd. I . i .
.�-�,,, � �Q"��•�4 ,(��`� 53. Steel Reinforcement .
'3�ElectricalCond`uit•Utility-Undrgmd. � 54. Forms �
i. -
14; Elecirical Con�iuit-Undrgrnd. 55. Electrical Bonding ' 1 1�
..� .r�
5. $�[ee�'.Re�nfoicement ' . 56. Rough Plumbing & Pressure Test
6.' Electrical•UF.ER Grnd': 57. APPROVAL TO COVER-GUNITE � "
�.t�4' I !� . I' w - _
y Fo'ot;ngs o �' .$. -R� �� ` � Q�- 58. Electrical Conduit-Undrgrnd. '- � /`.
� 8''F�undafion �� �,^ � � 59. Gas Pipe, O Undrgrnd., Test �
� 9j �atei Pipe-U�drgmd� b-�b/'{� (���lj 60. Backwash Lines, P-Trap, O Undrgrnd.
tOyStFuctuSal F�oior Sys'tem �p- 61. APPROVAL TO DECK ' .
11`1PropertyV wer Line.&�HouseConnection y qa L�, 62. Backwash & Receptor-Final •, �
�:
12 Sew� C2p��� � j+ � � ' 63. Heater & Vent-Final � ;1 �
i r�, `
13.�Ro6f�Dra�s�"� o f� � 64. Plumbing System - Final r �
14. Rough'Plumbing'! � � L� (�{) 65. Electrical-Final ��
�;. Rough Electrical-Conduit ': � 66. Solar System-Final �
��}�7 Rough Electric Wiring � �y�Q 67. Fencing & Access Approval
.
'1.7'. Rough Wiring Sign 68. APPROVED FOR PLASTERING
�)
. 18� Rough Electrical-T Bar Ceiling� 69. POOUSPA SYSTEMS FINAL
79. Rough Heating & Air Co�iAioning � ��(�D (,� FIRE DEPT. REQl11REMENT
� 20. Rough Factory:Fireplace : �:, � ya G��� APPROVALS Permit #
21�. Ducts, in Structure ,;�� 70. Underground Hydro
+i, ,
22. Ducts, Ventilating �2- 7�1. Product Piping OGas ❑Oil '
'23� Gas Pipe-Rough'&.Test ^ � _ 7,2. Underground Flush /' �
� 24'.` Roof Framin "� � �� �
� 9�, 1 � d 73. Undergmd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing -;�� ���'r� � 74. Overhead Hydro '
26. T-Bar�eiling (Structural� &�MRonocoat 75. Dry Chemical
�r i/M)
�27.. Frame�an�d Flashing� �� �� � 76. Dry Standpipe �
28. Lathing & Siding •� 77. FIXED SYSTEM FINAL �
29. Insulatibn � L�6 p Q 78. FIRE PREV. FINAL .2>q,V -�
30. Drywall Nailing .1 �� �'g• j) HEALTH DEPT. REQUIREMENT
31.. Plaster,Brown Coat .�" „CjI y 79. FINAL INSPECTION �
32. Electrical Power M�eier-Final Z t_, �. � 80�. ,FOOD•6ERTIFICATE ISSUED� �v �^ � J
33. Final Electric � � � � �Notes: �.�� �r 6. �(j ;� - i
�.
34. Final Heating & Air Conditioning '� .CjQ� _GJ�% �. -V � � ��
T ��
35. Final Gas Pipe-Test p �
�36. Hood or Canopy ,
i
.37. Fi�1'Fac�o�y Fireplace ~
,38. Final'Plumbing�� '7/ G('Q �
�r .�� z
•39. Wate� Service;Final � � r � (��Q !� , � L
�>
,40. Gas,S�alv'ice=Fi�l''- Z ^' ` - � VI
�>
'41. Sola� D�omesticFinal� /3 D " " .
.-o
42. Backflow PreJenter.�� • • � . � � ,' i'
_ w
43. Backflow Irri ation : ; '
9 � , :' ..
44. Landscape IFrigation,System � �
s
45. Sound Attenuation'
,
46. Handicap Regulations ,' .
47. FINAL STRUCTURE & BUILDING � . ; .
�48. Completed �- "
49. Electric Release to Edison �� �-
:. • • �
��50. Gas Release to Southem California Gas Co , � � �
�
51. CERTIFICATE OF OCCUPANCY , r •c: � � ; �,t q , ��f !�
No. � Date - • ,.�� - - t-1 1 ' ..
�
;�
.\
City of Costa Mesa
Development Servi�es Department
Building Safety Division
P. O. Box 1200
Cosia Mesa, Califomia
CERTIFICATE OF OCCUPANCY No. �,�._ _�� j
The Building lota[ed at 70A raraF+-oo r�n.�
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group R3�M1 Occupancy.
Use of BuildingCOlIClOI0.1TIlL1Iil
.e�.
Legal Description 939-201-28.'29
(See reverse side for Metes and Bounds)
Building Permit No ��03g� Electrical Permit No. G-40367 Plumbing Permit No. G—h03G7
Mechanical Permit No. G-40367 Number of apartments and/or•guest rooms
ISSUED T0: Building Official Toriy C' De Baca.
ILVST Associates
i � naxar $L01r: by '
Costa :iesa, CA 92626
Date August 16, 1990.
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C.
CMF iois-a6 rav. 1/83 Nlhite - Owner; Canary - Numerical File; Pink - Bldg. Permit File
Appiicant to fill in all spaces except those witnin neavY oortler lines ana sign al1 apvro0/�ale ae�laralions.
CITYOF,CC`--� ----- -_•.�--��-------- -�- �'I ��'��03� 1 I �'`7�� I
� P�j€ctAddi_....-• 291 Carefr,�e}e I,R. I.�
ApNlicant's M�il� Address �1 %�1 c/ ILl7✓� ^� Cf �• TYPE OF CONSTRUCTION NEW LJ aDD
/ L ❑ CONVERSION ❑ DEMOLISH ❑� /OT7HER
Address �� �_�� �f�� Phone "�' '�"�"/ DESCRIPTION OF WORK/USE OF BLucy.�
� ✓
Address �1.6� �' � �� ��'� � R/� Q f�/Y �
C�ntreaor's Name � �Plpne �'�I
ACdress (mailingl �K���Sl-
City License No. __r. "/ ZE 2�
IICENSED CONTRACTOR DECLARAT�ON
i nereby affirm that I am licensetl untler provislons ot Char[er 9(commencing
with secUon 7000) ol Division 3 0( t�e Bu5lness antl Protesslons Cotle, antl
my license is In t W I force antl elfect.
License Class License No.
Date 99�ature
WORKERS' COMPENSATION DECIARATION
1 hereby aRirm that I have a certiticat¢ ot consent to self-insure or a<ertlficate
ol Workers' Compensation Inzurancg, or a certitietl copy thereof (Section
3800, Lab. C.) , .
�Policy No. Company
8 Certifietl cooY �s hereby fumishetl.
Certitietl copy is filetl with the city Builtlin9 �ivislon.
Dale Ap0licanl
E%EMPTION FROM WORKERS' COMPENSATION DECLARATION '
(This section neetl not be completetl i! the permit is tor one huntlretl ($100) or.
less). •
I certity that in the pertormance of the work for whlth tNs perm�t is Issuetl I'
sM1all not employ any person in any manner so as to become subject to t�e
Workers' Co pensationy ��a ws of Callfornia. `
Da[e {�- Si9nature /� —��� � -n '-
NOTICE: It, a t�king'this tleclarati-�you ShbvM'l�ecortie subjett to the
Workers' Compensation o�ovisions of the Labor Cotle, you must torthwitn
comply with such Orovisions or this P¢rTlt shall be tleemetl revoketl.
CONSTHUCTION LENOING AGEryCy
1 hereby aflirm titat there is a construCtion lentling agency for the performan<e
ot the work tor which this oe.m�t is Issuetl (SectiOn 3097 Civ. CJ
Lentler's Name
Lentler's Atltlress
OWNER BUILDER DECLARATION
1 hereDy aifirm lhat I am exempi frpm tne Contractor's License Law for the
bllowing reason (Section ]031.5 Business antl Professional Cotle: Any city or
COunty which tequirez a Permit to Const�utt, al[eq Improve, tlemolisb or r¢pai�
any sVucture, prior to itz issuance, aiso requires ehe appllcant tor suth permit
[o file a siqnetl Slalemen[ that he/SnH IS Ilcensetl pursuanl to the provisions ot
the Contractor's Li<ense Law (ChaOter 9(commencing witb Sectlon �000) of
Division 3 of tM1e 8usiness antl Professions Cotle) or lhat he/sM1e is exempt
therelrom antl ihe basis for Ihe allegetl exemptiOn. Any vlolation of $ectiOn
7031.5 by any applicant fo� a pCtmlt subjec[s the applicant to a civil
�ndlty ot n0[ more than five huntlr¢tl tlolldr5 (E500).
I, as owner of the property or my employea5 with wag05 as thei� sole
Compen5ation, will tlo the work, and the 5[�uCture Is not Intentletl Or otferetl
for sa (Settion 7044, Business antl Pwfessional Cotle: The Contractor's
Licen� Law tloes mt aOP�Y �o an owner of a property who builtls or improves
lhereoh, antl who does such work himself/h¢rself or thrOugh his or her own
em0�oyae5, prOvitletl tha[ such imprOv¢ment5 are noI Intentletl Ot otteretl to�
sale. If, M1�y :ever, the bulltlln9 or Imp�ovemenl Is soltl wi[bin one yeat ot com-
pletion, YI� owner will have the burtlen of proving he/she tlitl not builtl or im-
prove torthe purpose of sale).
� I, as ow�ner ot the proper[y, am exclusively contrac(ing wit� licensetl con-
tfactols to constfuct Ute prqect (Section 7044, Bu5ine55 antl Prote55ion5 COtle:
The Contractor's License Law tloes not apply lo an owner oi property who
builtls o� �yfProv¢5 [hereon. antl who contract5 �or such oroiGCts wit� a r.on-
tractor(s) license pursuane m tne ConVactor's License Law). I am aware that
proof ot lYeir Worke�'S Compenwryon insurance shOultl be provitletl to me.
❑ I am exempi untler Sec[ion B. & P. C. for Ihis reas n
Date Y Owner �
I hCreby cerlify thal I have reatl this appl ron a tl state at the abOve
inPorma[ion is mrrect. I agree to comply with all tlty antl county ortlinances
antl state laws �elating to builtling construction, antl hereby authorize repre-
Sentdtives of this city to en et upon the abOv -mentlOneO property fo�
IhSp¢ctiOn purpOses. .
Signature w Date_��� :�
Drivers' License ar 55 �� �_� _� �'� _
TYPE OF PERMIT LJ GRADIraG L
� ❑ TENANT ❑�ECTRICAI_ C
❑ OTHER f
PROJECT DESCRIPTION SQ.FT. b
CONSTRUCTION TVPE
ZONE GRA�I
Remarks: , (� �
8ar Sink
Backflaw Prevenrer
Backflow Irrigatiom
eathtubs
Clarifiers
I ❑iehwasher . �
Drinking Fou
Floor Drains
Floor Sinks
Gas Service
Interceptors
Kitchen Sink
Lavatories
P—Trap
Root Drains
Rainspection Fee
Outlets
$15
Boiler
Duct � Under Ground
Duct - Structural
Duct � Ven[ilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. �CBO � 'i (k'
Heating System & Ducting .�
I C�0�100,OOOBTUOt00,000BT
Reinspaction Fee I $15
0865-46, rev. 5/88 White - Bwltlin9: Canary - Applicanp Pink - Acrounting; Goltlanrotl - Azsessor
REPAIR
IFOUNDATION LJSTRVCTURAL
PLVMBING ❑ MECHANICAL
� OCCUPANCV
ALUATION $ _
IGCU.YDS. ACRES��
PLUMBING
Z snowe�:
Servite Sink
Sewer (:ap
Sewer Connection
Solar Collecrors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
3 Water Closet
Water Heacer
Water Service
Auto-Wash
Issue Fea
1 Hood ar Typel
Canopy Type II �
Fefrigeration System
❑aioo,oaoeTu ❑ioo,000eTu
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
FE
$ 3
� �s:�
a
A.P. # `� 5
S Main Buildi
E 3 T Front
B Rear13�
A
C Right
K Left �
S
Ping. Ref. # rj
Planning Notes:
Automatic Washer
Construction Pole Sub.
Cookin9 Unit
Dryers LJGa
Fan
F.A.U.
Fixtures ,
Device Bozes
Outlets
lectric
i
odo s d
Zone
Accessory
ELECTRICAL
Transformer � 15-50 KW
❑ SO+KW
' Meter up to 100 amps
Meter �over 100 amps
Garbage Disposal
Generator 00.5 KW �5-15 KW
Sub Panel
Motors �0.1 HP �1.Yh - 8
Inc.Solar �9-15 HP �16�15+
Microwave
Pole Light
Range
Sign
Standing Sections
Trash Compactor
� Reinspection Fee �$15 � � Issue Fee
DEVEIOPMENT SERVICES REUUIREMENTS:
ZoninB APProved By�
Building Approvad By � �
N
1
N
G
H
E
Q
M
T
S.
FEES
—1 SUA4MARV OF FEES
BUILDING PERMIT1�21� SMIP $ _��
PLAN CHECK $ PERMIT
PLUMBING $ SO ISSUANCE $
PLAN CHECK 25% $� ENERGY P.C. $
ELECTFICAL $ �_ GRADING $
PLANCHECK 50% $ MICROFILM $
MECHANICAL $ � TOTALFEE $
PLAN CHECK 25% $ � �j Lj (
[,^iP' 1:!,'�, �.� � � -
r�- �
(�ONSTRUCSION'AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector AppROVAIS Permit# Date Inspector
A . :�.._
�: Temp��r`y��trical Service or Pole 52. Pool & Equipment Location �`' ,_, ��-�
2._So`IPjpe=^ndrgrnd. /Q-(�.�Q' (,�Q� 53. SteelReinforcement
�3�)Electiical-G°onduit,Utility-Undrgrnd. �-� 54. Forms . - i
..
-4?�Electiic8l Cohduit-Undrgrnd. ' 55. Electrical Bonding
1 / . 11 A'.V � ,/
5. SieelxReinf r,C'ement,7 56. Rough Plumbing & Pressure Test � �
A �.f. .'1 / r •
r6��lectrical�UFER�Gr,nd�. 57. APPROVALTOCOVER-GUNITE " '�'
n .,1.i- i �
,� � Footlr�g����^ ���l�� D� ^ 58. Electrical Conduit-Undrgrnd. �'_ ''`
8� Foundation � ' � 59. Gas Pipe, O Undrgrnd., Test ��
J :J 4' � '
9� Tatrr�Pipe-Undrg nd.. /Q-jb'•.�( L7�y�' 60. Backwash Lines, P-Trap, O Undrgrnd. �'� �„
10!�SFructu�al Floor System ' O ��� 61. APPROVAL TO DECK 'r
71��+PropertY SeweT� Line &,House Connection �a � L� �� 62. Backwash & Receptor-Final
.� _ / .
12. Se}v�r Cap' �' ,� .., ' 63. Heater & Vent-Final �
� �
�3` Rbof�DrafcS�s y�"'� �i� 64. Plumbing System - Final -
i:
14. Rough Plumbi�g�. '� � L� 65. Electrical-Final � �
� :a -
15. Rough Electrical-Conduit 66. Solar SYstem-Final
i
�16., Rough Electric Wiring � 67. Fencing & Access Approval ��
-17: Rough Wiring Sign �� .� 68. APPROVED FOR PLASTERING
18. Rou h Electrical-T Bar Ceilin �
9 �9% 69. POOL/SPASYSTEMSFINAL
]9. Rough Heating &'Air Conditio �ng � g qo LE� FIRE DEPT. REQUIREMENT
20.;Rough FactorylFireplace Q L�� APPROVALS Permit# '
��.� q
21. Ducts, in Struc�re T�.lJ' 70. Underground Hydro
. �
22:%Ducts, Ventilating �� 71. Product Piping OGas ❑Oil •�
�2TGas Pipe-Rough & fest �ry � 72. Underground Flush _
24'.!Roof Framing ,� � `rr-� � 73. Undergmd. Storage Tank O Gas ❑ Oil
25. Roof S� ezthing ;� � �, ' � 74. Overhead Hydro �
26. T-Bar�Ceiling (Siruciural) &FMonocoat 75. Dry Chemical `'
�27rFrame and Flashing i � � 6 Q 76. Dry Standpipe �
28. Lathifg & Siding ���� -� �� 77. FIXED SYSTEM FINAL �•
29. Insula�on ��'""' 3 Q!J t�ac/ 78. FIRE PREV. FINAL �p �
J
l
30. Drywall�Nailing � •� HEALTH DEPT. REQUIREMENT
.'.•_
.31�..Plaster46rown Co'a[,1 9j 79. FINAL INSPECTION
.\
�32' Electriral Power.MeterFinal .j_ ! - 80. FO�D CERTIFICATE ISSUED. ��
� �:
33. Final Electric � '��' .' � . Notes:/Z�('-� ((���'�,�/�,�y�Q� �p' r `�
�
34. Final Heating & Air Conditioning '� � v, - 2� O� �'Q ��f} �
35. Final Gas Pipe-Test 7� (� (�D
-�36. Hood or� Canopy
�
`�37. Final Factor,y„Fiieplace % � � (�jJ
.
� 38. Final Plumbing � a '7 / Qd (.q0
39. Water"Service-Final = 7�z gv c�,�
�.
W0. GasServicerFinal - � ��J
,• � i �
`ki.. Solar pomesticFinal �. �
42. Backflow Preventer - _ _ • � . .
43. Backflow Irrigation; • ' � ' . �
'r. '
44. Landscape,lrrigation Sysfem • y ' • ' •
45. Sound Attenuation �
46. Handicap Regulations ' �
47. FINAL' STRUCTURE & BUILDING � , :
48. Completed
49. Electric Release�to Edison . •�
50. Gas�Release to Southem California Gas Co • � �
� i
51! CERTIFICATEOFOCCUPANCY ' ' �� '� , , '' '
No. Date ' ' . - � �
. � ". .
s.'aw,T. _ ,.�'
City of Cosla Mesa
Development Services Department
Building Safety Division
P. O. Box 1200
Costa Mesa, Calitornia
� 9
CERTIFICATE OF OCCUPANCY No.��,`�;;'t, �
The Building located at 291 Carafrc�a fan
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group R3—Ml Occupancy.
Use of Building COfldomind��mis �
Legal Description 439-201-28 29
(See reverse side tor Metes and 8ounds) ,
Building Permit�No. GdA371 Electrical Permit No.�n�a���Plumbing Permit No.�_
wv.i
Mechanical Permit No. �37'�
ISSUED T0:
KV3T 1Lsaociates
125 Bak�r St. Suite 26L
Co3ta C7asa. CA Q�ht[�GI
Number of apartments and/or guest rooms
Building Official 'tYsnv ��na nara
by
Date A�rn�ak lE, iQ�
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 307• (e) U.B.C. .
CMF 1o15-a6 rev. 1/83 White - Owner, Canary � Numerical File; Pink - Bldg. Permit File
- PB0.1EC7 ROOflES3.
OWNEP'SN�ME:�](VST ASSOC.
RDOHESS: LZS DAKERIt261—E
CM CA92626
714)6GA-9016
RNCH/ENGINEEfl:
�oowess:
NEO.NO.:
uxiT: ➢
uxrt:
PEflMITTEE: CHARI.ES SANDERS INK. ( 714 ) 6J0-1913
ROOHESS: 1 Q A 1 RED GUM ST 7
ANAHETM CA 92806
IICENSEO LONTMCTOfl DEClAM710N: I �ere�y aKfm Ihai 1 am IiCen58tl MUef pfm'i5i0n5 at Clidpier (commencing xit� Sectian
7000) of Oivision 3 ot ihe Busineu antl Pmfesslans COAe, antl my licensa is in NII torce anU etle t.
cm uc.: 01 8 9 sT�re uc.:3 3 2 7 9£i ^�ss: C,+ 2 0
r
�ate: � L SipnaNre: �Q/'�.�
WOPKEBS' C MPENB ION OECIAMTION: I �erehy allirm t�at I Aave a cenificate ot wnsem to sell-insure ar a cenificate of Workers'
CamOensationJoyW qrS C¢rtJiM LOGY N¢¢of (5ecuon 38U0, LaU.L� / 2 8/ 9 0
PoLICY NO.: lt W V U.i .L 1 tl.S tl E%P. DP7E: V
fAMP1NY:OHIO CASULYT.Y �
❑ CenifieG wpy is her �y fumis�etl. LJ CenilieU coDY is� vnt��IEinp 'sio .�
Date: � L �-I rlpDlicant:
IXEMPf10N FP W KEPS' COMPENSITION �ECIAMTON: (Ihis uction nee0 not be mmplete0 il tlre ce�t'a fa ore �uMreG �5700) or ka�.
I cenity that in tAe petlormance al t�e work lor wAlch t�is De�mit is issue0. I s�all not empby any Dersan in any manner so as ro bewme
suhieci to Itle Workers' fAmpensdlion LawS of Califomu.
Date: SiOnaNre:
NOTICE: If, afler maltinq tAis OecWration, you s�oNG Oecome su�lecl ro ihe WOMers' Compensation Drmicions of the LaUar
CaOe, you must IanMntA comDH ��� suc� provisions or tNs permit s�all Oe EeemaE revokM.
fAXSTBUCfION IFNOING �GENCY: I Aea6y allirm t�at Itrere is a cons�mdion Ien0in0 a0ency lor Ihe pedormance of t�e work tor
wNc� �his permft is i55ued (Sxiion 3W7, Civ. C�.
LENDER:
nooness:
OWNER BUIL➢FN OECIAMTION: I here0y aMrm t�at I am exemD� ��om ihe Conimctori State License Law for Ihe followinp reason
(Section 7031.5 Business anG Prolessional Coda: My cily al county whic� reQuires a parmit ta constmct, alror, imprave, tlemolis�, ar
�; repair any 5trucmre, prior ta i6 issuance, also repuires t�e appliunt lar sucA permil ro lile a sipneE statement that hMshe i5licanseE
' Dursuant ta Ihe Orodsions of t�e Contracrors' State Licensa Law (Chapter 9(commencin0 ��A Section 7000) al Uivision 3 of t�e Business
antl Pmfessions CoOe) or ihat he/s�e is exempi therefmm an0 the 6asis for t�e atlepe0 eKemptlan. Any violatian of Sectlon 7031.5 by
any appliun[ lor a permii SuEjects ihe applicant to a cFA penatry of not mare t�an five �unOreE dollaro �55W).
I, as wmer of the O�opeM o� mY emVloyees xit� xa0e5 as tlrelr sole compensation, xtill On lhe wark, and the
❑ structureis notimenEea orottere4lorsale�5ection 70G4, Business anU PmlessionalCoOe: TAa ContractoM State Licenu Law
dces not apD�Y �o an owner of a DmOeM w�o Uuilds ar impmves I�ereon, an0 wha tloes such work �imself/henelf or thmuph
�is or Aer own employees, proviEeA tAat such imDrovements are not intenEeE or affereA for sale. II, however t�e 6uildinq or
improvement is sot0 within one year of completlon, t�e owner will hava tha burden of D�a�inA he/she Oitl not build or impmve
tor t�e Durpose af sale�. ' �
I, as owner ot the pmDerry, am extlusivel9 contracting witA licensetl contraclors to consiNct I�e project (Saction 7040, Business
❑ .anU Pmlessions CoGe: The Contrzctors State License Law Uoes nat aOPM �o an owner of Droperry who GmIEs or impmves therean
and who contracts for such prolects with a conlractm�s� license Oursuanito ihe Coniractors' State Licensa Law�. I am aware
that prmt of t�eir Worker's Campensation insurance s�oNA Ue pmvi0ed to me. _
� I am exempt untler Section: B. 6 P. C.
for t�is reawn:
Oate: Owner.
I do hereLy certiry Ihat I am aware oi an0 waerstan0 the reQuirements of Califomia Healih antl Salely Cotle Sections 25505, 25533, ana
2553C an0 t�at I or any future buildinp occuDant wilUwill not (circle ane) neetl to wmpy wit� uiE stata cotles antl t�e requiremenis for a
permit tor consimction or moditication imm I�e Alr Ouality ManaOement Oistrict. Nesitlential consimctian applicatians are exemD� ���m
�hese D�ovi5ion5.
Date: ApDlicant:
I hereDy cetliy tAat I have reaE [his applicalian an� state tAat t�e aDova inbrmatian is carrect. 1 a0rea comply with all ciry an0 counry
ortlinances anA stato Wws reWtinp to GuilNnp conslmcUon antl here0y aut orixe repre enGtives o Ais G enter upon t e a0ove-menUoneE
property far insD��on D �ses.
Oate: 2- Signature:
DrNer's Licen or ia� Securiry x:
I66F16 W�ite—BuiWhm; Green—CoEe Enlorcemant: Cenarv—Molicant; Pink—Revenue; OOltlenroE—Aaaessor
' CI1'Y OF COSTA MESA — BUILDING PERMIT PERM NO: M 04S_'26
PERMIT NO: M 045226 PLAN CHBCK NO: N GOVT: N SUPP: Y
CONSTRUCTION TYPE: V—N PERMIT TYPE: MHC � PURPOSL:'NEW
JOH DESCRIPTION : AIR COND. ADD TO G40367 S9 FT:,
CLAIM VALUE: (300.00 CALC—VALUE: GROUP OCC: R-3 /M-1
COMMENTS: ADD AIR COND TO #G40367 �
*�*****���c******+�*����r��*�*�*x�*�*��*��**�r���****rt�r�xx*x+�*+��******�*,xce�x�*��***
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAZN BUILDING ---------- --------- ACCESSORY BUILDING --------
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: 4�920128 ZNE: REF NO:
PLANNING NOTES>
>
iE iE 43E fE if if iE iE 3E iE 3f iE iE 3E 3F iE 3E 3E if ik �E iE if k iE iF 1E iE iE 9F iE it iE 1E iE if 1E iE if iE K iE iE if k ik ik k iE 1f 1f ik iE �E iE iE IE iE iE if iE ik iE it ik 1E iE ff 3E iE iE iE 1E IE �)E iE 3F iE
D E V E,L O P M E.N T S E R C* I C E S R E Q U I R E M E N T S
D.
ZONING APPROVED BY - DATE:
BUILDING APPROVED AY : DATE:
APPLICATION ZSSUED BY:��—��-,��� DATE: �Z'�
1E1flE1Ei4iE�7EiEifiFffiElFifjEiliElklEiklEiE s F iFiF�F3F3F3FiF��iF9lIF1kiElElEiE1liFiF iFiF iF�1(-�.
fE-0EiElEiEiE�IF1E1f1EiEiE�7EfEiEfE1ElE1F1EiElEfEiEiEiE�fiklf�lEfE F1kklfiE 1PiEiElfikiElFikiEiflkitlEikiFiFitiEiElElk�ItlElklf�lEiElfiEiEil3f�IFiE3E�lEiEiF�lE�1F�EiE
LEGALIZATION:PJ F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 9.00 •
� 25Y SMIP/NON—RES
PLAN � ,
ISSUE FEE 4.50
II[)ILDING—DIC�—> FERMIT I55U� PLAN—CHECK TOTAL PAID DUE
TOTALS-- —> 9.00 4.50 0.00 73.50 13.50 .00
REVENOE DIVISION TOTALS--> COLLECTED; 13.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
13.50
iE iE iE i(� iE if fF iF �E jE 1E iE if it 1E iE if iE iE iE 3E jE iE iE iE iF 3E 9f IE iF if iE k iE iF if if ik if if i(� iE iE !f if �E 1f iE 1! iE iE ik if iE iE IE 1k IE iE iE iE �)E iFlf �1F 1E iE iE iE iE jE fE-1E iE iE if if �f iE
I N D I V I D U A L F E E B R E A K D O W N
TY.PE QTY D E S C R I P T I O N UNIT COST TOTAL COST
MEC 7 REFRIGERATION SYSTF:M <= 100 K BTU/H 9.00 9.00
END OF FEEa
x
0
01 D0048790—OU�43790 T QT 13.SD
UAiE: 12/OL/89 TIME: 16:17
CONSTRUCTION AND PLANNING POOL & 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 Reinforcement
� 3: Electrical Conduit Utility•Undrgrnd. 54. Forms
� 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
j'S': Steel Reinforcement � . � 56. Rough Plumbing & Pressure Test -
6. ElectricalUFEFi�Grnd. 57. APPROVALTOCOVER�GUNITE -
7. Foo[ings -� 58. Electrical Conduit-Undrgmd. . .
� 8. �Foundation ' 59. Gas Pipe, O Undrgrnd., Test
� 9. Water Pipe�Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd. '
10. Structural Floor System • 61. APPROVAL TO DECK �
11. Property Sewer l.ine & 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-Finai �.
15. Rough Electrical-COnduit . � 66. Solar SYstem-Final
16. Rough Electric Wiring . 67. Fencing & Access Approval �
77. 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. FiEQUIREMENT
20.�Rough Factory Fireplace •� �-� _ APPROVALS Permit# �
21. DuCts, in Structure �'� 70. Underground Hydro .
22. Ducts, Ventilating . -� - ' 71. ProductPiping OGas ❑Oil
23. Gas�Pipe-Rough & Test . � ; ' 7Z, Underground Flush _
24. Roof Framing . �.. . 73. Undergrrid. Storage Tank � Gas ❑ Oil
25. Roof Sheathing ' � ' 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat . 75: Dry Chemical -_
27. Prame and Flashing ' 76. Dry Standpipe -' � ^ -
28. Lathing & Siding . � - - " � �� � � 77, FIXEO SYSTEM FINAL
29. Insulation ' - �' 78r FIRE PREV. PINAL -
30. Drywall Nailing . ' . �� HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat �� ' ���- � � 79. FINAL INSPECTION
32. Electrical Power Meter-Pinal � ,.'�80. FOOD CERTIFICATE ISSUED_
33: Final E�ectric � ' � ' Notes: � •� - -�
34. Final Heating & Ai� Conditioning � ,7 �(� L� (�� .
35: Final Gas Pipe-Test ' � - �' ' . -� " '
36..HoodorCanopy ' . -. ' , - . .
37. Final Factory Fireplace • - • '
38. Final Plumbing , , - � � � � � " . . � �
39. Water Service�Final �� � • . -�
40. Gas Service-Final ' '��" ' "� ' � ' �
41. Solar pomestic�Final' �� � : � _ .
42. BackflowPreventer � ' -' - `�
43. Backflow Irrigation -- - � -
44. Landscape Irrigation System � ' � . ' `'
45. Sound Attenuation . � ,_
46. Handicap Regulations ,. '"
47.�FINALSTRUCTURE & BUILDING � � � �
48. FINAL PLANNING � ; � � � •
49. Electric iielease to.Edison ,_ � �
� 50. Gas Release to Southern California Gas Co `�� .. '
51. CERTIFICATE OF OCCUPANCY ''
No. Date