HomeMy WebLinkAbout186 FAIRWINDS LN - Building PermitsApplicant 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 M - 14q, `�
os .3
TYPE OF CONSTRUCTION
I,QNEW El ❑ALTERATION
❑REPAIR ❑CONVERSION ❑DEMOLISH
R
❑ OTHER
�•
2893 8/06/6I 7.00
ZONING REGULATIONS
Project Address la.;t 5 h
Owner Phone
Q
Address buc
Arch/Eng. Licens O.
DESCRIPTION OF WORK
A P :F -
ZONE PILING. REF. $
Address
Contractor lyt n,e, Phone
TYPE OF PERMIT
❑ GRADING . ❑ FOUNDATION ❑ STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHANICA
B D
SETBACK CIL ST.
SID TYARD
5pE VAR
'iRB�1I LDI NG
PROPERTY LINE
'\
Address 111 Q. Y%—
LICENSED CONTRACTOR DECLARATION
licensed Charter 9
I hereby affirm that 1 am under provisions of (com-
7000) Division 3 of the Business and
❑ OTHER
PIG HT
mencing with section of
Professions Code license is in full force and effect.
REAR YARD (TO P/L)
\
and my
License —%�Ci License
PROJECT DESCRIPTION
PKG. SPACE
CINS,
54. FT.
REQ.
PROVIDED
Date Signature
STREET WIDTH
PARK FEE $
WORKERS' COMPENSATIONDECLARATIONOCCUPANCY_
CONSTRUCTION TYPE
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 IS tiq n 3800, Lab. C.).
GRADING CU. YDS. ACRES
SPECIAL CONDITIONS:
P,.nicy No.r%PK I'I I't Company V174!.[.M,O a +
.
=rtified copy Is hereby furnished. -
REMARKS: - -
ertified 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).
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 California.
BATHTUBS SHOWERS
Date Signature
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 tabor Code, you must
TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed
LAVATORIES DOUB VS
APPLIANCE -10-50 KW_50+KW
-
revoked.
CONSTRUCTION LENDING AGENCY
KIT. SINKS D W H S
MOTORS 0-1 HP -1-10
HP -
I hereby affirm that, there is a construction lending agency for the per.
SERVICE'SINKS
(INC. SOLAR) 10-50 HP
50 + HP
formance of the. work for which this permit is issued (Section 3097
FLOOR SINKS OOR R NS
FIXTURES OUTLETS
SWITCHES
Civ. C.).
Lender's Name
Lender's Address
_
DRINKING F N
GAS TUBE SIGNS
INTERC RS ARIFIERS
POLE LIGHTS
-
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for
SWI INC PTRAP
the following reason (Section 7031.5 Business and Professions Code:
Any city or county which requires a permit to construct, alter,
POLES METERED
SUB
q ER E ALTE
PANELS - MAIN
SUB
improve, demolish or repair any structure, prior to its issuance, also re-
quires the applicant for such permit to file a signed statement that he
ER C T
SERVICE
AMP
is licensed pursuant to the provisions of the Contractor's License Law
(Chapter 9 (commencing with Section 7000) of Division 3 of the
W T ATERS UTPUT
Business and Professions Code) or that he is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by
SEW R CONNEC -
a- applicant for a permit subjects the applicant to a civil penalty
t more than five hundred dollars ($500).
SOLA TANK COLLECTORS'
as owner of the property, or my employees with wages as their
sone compensation, will do the work, and the structure is not intended
or offered for sale. (Section 7044; Business and Professions Code: The
SOLARS.
ISSUE FEE "
Contractor's License Law does not apply to an owner of a property
ISSUE INK
APPLICATION APPROVED BY
DATE
who builds or Improves thereon, and who does such work himself or
through his own employees, provided that such improvements are not
MECHANICAL PLAN CHECK
SUMMARY OF FEES
intended or offered for sale. If, however, the building or improvement
is SOId 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 0-1000008TU
,
BUILDING -
PERMIT $
SMIP $
❑ I, as owner of the property, am exclusively contracting with
AND DUCTING
licensed contractors to construct the project ( Section 7044, Business
100,000+BTU_
PLAN CHECK $
PERMIT
and Professions Code: The Contractor's License Law does not apply toI'
ISSUANCE $-.
an owner of property who builds or improves thereon, and who con-
REFRIGERATION 0-100,000 BTU
'7 Qa
PLUMBING $
tracts from such projects with a contractor(s) licesnetl pursuant to
SYSTEM
-
GRADING $
the Contractor's License Law).
100,000+gTU
PLAN CHECK $
❑ I am exempt under Section B. & P. C. for this
BOILERS BTU
ELECTRICAL $
$
reasonMICROFILMS
SYSTEM REPAIR, ALTERATION
EXHAUST SYSTEM MULTIPLE
PLAN CHECK '$
MECHANICAL $� [
TOTAL FEE $� n�
LESS
Date Owner
I hereby. cert fy that I have read this application and state that the above
information is correct. I agree to comply with all city and county
PLAN CHECK $
VANCEP PC $_
ordinances and stale laws relating to construction,and hereby a tho+ixe
representatives of this city to ent r upon the above ntidned
- -
-
property for Sp tion p4r s¢k _4
Signature 7 0
ISSUE FEE - -
FINAL FEE $-77-00
Drivers' License or SS *
CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor
TL
CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date Inspector
POOL & SPA n i
APPROVALS Permit Date Inspector
1.
Temporary Electrical Service or Pole
43.
Pool & Equipment Location
2.
SoilPipe-Undrgrn -
44.
Steel Reinforcement
3.
Electrical Conduit Utility-Undrgrn
45.
Forms -
4.
Electrical Conduit-Undrgrn
46.
Electrical Bonding
5.
Steel ein orce
47.
Rough Plumbing & Pressure Test
6.
Electrical UFER Grn
48.
APPROVAL TO COVER-GUNITE
7.
Footings
49.
Electrical Conduit-Undr rn
B.
Foundation
50.
Gas Pipe, ❑ Undr rn, 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
_ Final
14.
Rough Electric -Conduit
- -
56.
Electrical -Final
15.
Rough Electric -Wiring '"-
-
57.
Solar System -Final
16.
Rough Heating & Air Conditioning
W.
Fencing & Access Approval
17.
Ducts in Structure
59.
APPROVED FOR PLASTERING
18.
Ducts, Ventilating
'
60.
POOL/SPA SYSTEMS FINAL
19. Gas Pipe -Rough &Test
20. Roof Framing _
21.
Roof Sheathing
- NOTES:
22. Frame and Flashing
23.
Insulation
24.
Lathing & Siding
25.
Drywall Nailing
26.
Plaster Brown Coat
27.
Electrical Power Meter -Final
28.
Final Electric��•'"`
29.
Final Heating & Air Conditioning
• ` ' `i; ; --
30.
Final Gas Pipe -Test
31.
Final Plumbing
32.
Water Service -Final-
-
33.
Gas Service -Final
-
34.
Solar Domestic -Final
35.
Landscape Sprinkling System
-
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
OWNER FAIRVIEW ASSOC.
0. t /, t_7 t t_ot LOT 3 TRACT 10522 FIRE ZONE
DATE 8-16-79
BUILDING
INSPECTIONS
Si nature
Date I
TYPE IT GROUP
ZONE
So1L
SUBCONTRACTOR
E MITS
GAS
Date
Number Si noru.e
WATER
Plumbing_
ROUGH PLUMBING
PROP, SWR. LINE I__j HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS Imo$
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND P POWERED
ROUGH WIRING
��C.
i�2-
Heotin and Vent.
TRENCHES 1 FORMS E] STEEL REINF.//-,V-'7
O
FLOOR SYSTEM
BOND BEAM -�- STE EL YR_E IyNFORCE
SHEATHING �(�U' "./' U��,.
FRAME ANO FL ASHIN
LATHING_ — IN ',�i OVT
PI -ER.BROWN COAT
5 LURAL, FINAL
HEATING. VENT., REFRIG. AND A.C., FINAL
�11
PLUMBING. FINAL AND GAS TEST
ELECTRIC. FINAL-
p
RIIII nimn FINAI
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION F6W..§.tRUUL36F6PERMIT 187.00
RECE E V P
M T "B
ry
For Applicant to Fill in Completely — Use Ink Only
BUILDING //��
ADDRESS '1G. ND� t
A.P. N#.
BUILDING
h/1
OWNER ORMMW
ADDRESS
TENANT CJS/ t
UNIT O R
MAILING
SPACE NO.
ADDRESS
TR.NO. LOT
BLK.
s TEL
CITY 7!4NO. . 2 3
NEW ADO ALTER REPAIR IMOVINGIOEMOLISH
CONSTRUCTION C 1
LENDER 5
BRANCH
OWNER
ADDRESS
VALUE
ARCHITECT TEL.
USE
$
OR ENGINEER N
ADDRESS
ZONE TYPE GROUP
APPROVED
CONTRACTOR
BY
DATE
ADDRESS
TEL.
CITY NO.
STATE CITY
APPROVED SETBACKS
LIC. NO. LIC. NO.
(FROM C/L STREET)
SIZE NO. OF BLDGS.
I
OF LOT NOW ON LOT
FRONT FT.
USE OF
EXISTING BLDG.
Separate permits are required for
L. SIDE FT.
electric, plumbing and heating work.
REAR FT.
USE OF BUILDING AND WORK TO BE PERFORMED
PLANNING ACTION
DATE
APPROVED
APPROVED
Fly
LATE
I hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that am properly licensed as a contractor under
SQ. FT.
the State of Calif. nia usino. end Professions Coda, Division 3,
THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and th t sut li enses ere I full force and effect, or I
THE PURPOSE OF ESTABLISHING
A PERMIT FEE ONLY:
am exempt from he pro i i ns t a tate of California Business
VALUATION
PERMIT FEE S
167
antl Professions C tle, Di n 3 a t r
PLAN CHECK E
Signature of
Perm litee
$
TAX E �•
or
Authorized Agent Dale
TOTAL PAID $
a
i�
rj
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
6990 4/18/79 9.6_.97 TL
APPLICATION FOR STRUCTURAL PERMIT
RECEIVED BY PERMIT 0/0735
7 /0 354
For Applicant to Fill in Completely —Use Ink Only
BUILDING r A4hlit/Y ��
ADDRESS l0 K -U/ N1J
A. P. NO. �,//-•�
OWNER OR
BUILDING N
ADDRESS (f IO TTY 'V
TENANTwmaj rr
MAILING .'
UNIT
SPAeE N- P
Sit_'!- V
ADDRESS
TE L. 'ZI
TR.NKNO. LOT
� Z
' I
CITY LU L Z NO.
✓J
NEW ADD ALTER REPAIR MOVING DEM
CONSTRUCTION
LENDER
JKK.
/
V
BRANCH
F^/ ^� cQ
OWNER H �/ J
S
ADDRESS
ADDRESS
VALVE
W
TEL.
USE E 7
.OR ENGINEER
ADDRESS F
ZONE TYPE GROUP
CONTRACTOR lam, t
APPROVED
BY DATE
ADDRESS
y
TEL. 2_13
CITY LLL L �27 NO.
STATE CITY
APPROVED SETBACKS
LIC. NO. G LIC. NO.
SIZEI NO. OF BLOGS.q
(FROM C/ T T
OF LOT 2 —40 NOW ON LOT V
FflONT
USE OF
'1
UFT.
EXISTING BLDG.
SI 92
Separate permits are required for
L. SIDE FT.
electric, plumbing and heating work.
REAR
USE OF BUILDING AND WORK TO BE PERFORMED
PLANNING
GGjAACCTION
r/(J
DATE
APPROVEF�
APPROVED
IDATE
I hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
DSO. IT. / �+ .if/
I hereby certify that I am properly licensed as a contractor under
the State of Calif Business and Professions Code, Division 3,
THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl t at s h licenses are in u I force a effect, or 1
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt fro the p ?viio ofat of Cel fo nia Business
VALUATION PERMIT FEE $
and Professions od ivis , Ch pt
P $
53
Signature of
Permittee
S TAX $ 17
9Gats
or
Authorized Agent Date
TOTAL PAID $ 41