HomeMy WebLinkAbout1215 CITRUS PL - Building Permits - .-:;•-5-11.!/.k.,., CITY OF COSTA MESA
F`� 4I, BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT RQR-ff641
PERMIT PERMIT NUMBER
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
•
Job Address: 1215 ' CITRUS PL • Status: ISSUED
Suite: Applied: 02/18/1998
Vicinity: • • • - - . . • Issued: 06/30/1998
Parcel Nunmber: TPN98018 Zoning:
Applicant: UNKNOWN
• Address:
Phone: .
Owner: W. LYON H ES 3:\_, _ i } �� -`
Address/.��� !!! ,�
Phone: I L � �"
Contracto
Address:` r- ��'`\ U� ��``�
////// Phone: `\
J Zip:
/ ��
License:i, � r�v\
Aretit Engr \�\ �\
_ /Address: rr��l q 60 t L `� �`.i
,�� / �� , Phone: fq= fl `'��
I Fz_ .a 11 !----A,..\„ \
/in 1��r ^"� "i,-Zlp: ° ti:,,,,-,, ..' fi r} ��
l)� il� I r . „ -, 'License: A C� - \tir�' i _3 \'
\) 'ih ° SCOPE OF PERMIT �� ��i r',', ii
NEW 1997SF 2-STORY.SFD AND 426SF GARAGE. REF:PLAN CHECK NO.00636-98A. PLAN,TYPE I..:I ``
_j �2B. 1 POWDER ROOM.=OPTIONAL.LOFT/BEDROOM,5.(136SF.).:OP_TIONALLOFT/BEDROOM REQUIRES
'SEPARATE PERMITlF BUILT- 1_ '-'1 0 0 �_H'
u1 S `
�tIIIIDU OFA34-DU�PROJEChAPPROVEDUNDER�DR-97-09 "-r� -'__) �' ,r. -_. ;' �
i 1 \ n. .1 .f" ( r�I
ARKING SPACES PROVIDED ON-SITE,GUEST PARKING'ON PRIVATE STREET(IA/BK)
;,
1 �i � _ _ � fl� � L � ,I �l
iii r 7 uV,1
1Ic, \ r9 Vi' FEE SUMMARY/ 1 r,// _) iv
. Plan Check: \$202.68 , �_ Calc Valuation:,/ `$171 9114:50
'l�
\�Permit: r$1; 47.25 z
Claimed Valuation;`�� So:ooi
SMIP�Res: $1719 fi j
,--)7/R.
, oct l'IJ` ' .,I o 0 U InspeTS
ction: rr$ �11 0111 RF•MIREMEN
Total::I:\\ - z��> \�. °9 -(2•(e6046(\,.: tt)-� % , i�\/ �/ n
\� t-A \ PLSNNING�&ZONING- .`:>) ' 477
SETBACKS \ I_1`)f1--�,,..,...2*, [-__
� .� •
MAIN STRUCTURE Front 15-0`�`-%, ..,Rear 16-I00.- J;C:- Left� 5-0..-i.�_ Right j 5-0
• ACCESSORY Front 0-0 Rear-j0- "'"`°--:-Left..-,-0.0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
•
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or it work is suspended or abandoned
fora period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)7545828
DECLARATIONS U
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations: • • .
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued.
My workers'compensation Insurance carrier and policy number are:
Cartier. Policy Number.
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.) •
'
❑ I 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 subject to the workers'
compensation laws of California,end agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provi •
Applicant Signature:' Date: ( (921—
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CAVIL FINES UP TO ONE HUNDRED
THOUSAND OOU.ARE(S100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I em licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force end effect..Lic.M • Class , 1 r 99
•
Contractor's Signature: Date: [ t
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code).or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a CMI penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such Improvements are not Intended or offered for sale.If,however,the building or improvement Is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No ,
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No
(Section 85850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast kr Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
B (If yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
7 eOl LegalOwner(s) ( (9e
e
And/Or Authorized Applicant Date
CODE L INSPFCTION TYPF - DATE N{®Al5 coon INSPECTION TYPF DATE HMI
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final •• • - ' ' 208 ' Final Plumbing -• - •
200 Final Re-Roof • 210 Final Electrical • - '
201 Final Block/Retaining Wall 212 Final Fire Prevention
•
• 202 Final Factory Fire Place • 220 ' Final Planning Approval
203 Final Sign 222 Final Site /J /} 'I,�'
204 Final Demolition 250 Final Building/Occupancy / 1J
"L L• eal-
J
•
2445-46
cif
t
44
CITY OF COSTA MESA
F# �AI. BUILDING DIVISION /
DEVELOPMENT SERVICES DEPARTMENT E98-00670 (/
PERMIT PERMIT NUMBER
(714)754-5273 • Fax(714)754-4858 ELECTRICAL PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1215 CITRUS PL Status: ISSUED
Suite No Applied: 06/29/1998
Vicinity: - - Issued: 05/30/1998 -
Parcel Nunmber: TPN98018
Applicant: FLYNN, DAN
Address:
Phone: -�-�
� '_.77,-,t-- r-i\--E
_________________
_r
Owner: W. LYON•HOMES� r \,/,,,Th.,„z,„
Address '�
f ._--:Phone: -----, � &O.,,\--J/./�t � �� -
0
Contractor. WILLIAM L..,41/ OLMES �� \
Addressc
490 VON KARMAN
Phone:c4$,714-076-1361
M. / Zip:Lr92660t\,��, ,�7/1Jj /../..--/--1
/ �1 ,,LiceSL
f T %\
���� I J ��, SCOPE OF PERMIT _ \, �,
J NEW SFR-LOT-B;P.LAN'2 IB NST 1 EACH OUTLET, RECPTACLE,SWITCH"AND PANEL.
•
-/ FEE`SUMMARYtuN I '�tlil
i /Qualritlry O'P 7L=1 InTh-- 1A5L uS Ili binQuantity i��l l; --� Ni
ISSUEFEE i $22.00 Temp Dist SystemLLighting - $0.00 0 �,; i -`� I�ji
Temp service'test i $0.00 Busway/100 ft f $0.00 0. '%';1 r--- U I li t
figs:a/c package i $0.00 _ Standing SectioniiAi $0.00 0;I„,,;1 J \ I
New Res(1=2 units) i $99.85 1997- __ ''1/2 ((Mist Electrical Equipment $0.00 Olr)(- `Th /
New Re (3+units) 7` $0.00c-13-C--r-- -------- - Transformers•up�to i'kva/kw,) $0.00 0 /l /'-, ,.J r
Pool/Spa l`1 $0.00 0 up to/10 kva/kw $0.00 0i/ \�
Lighting'Fixts� $0.00 0 -"Cupp 50 kva/kw `$0.00 0r/ V //
Recept liflle\ts (\ $2.00 2 up.to':100 kva/kw $0Ø
�1 over 100 kO
0 - w Voltae Equipme \$00 , w�Volt iring Systekt $0Service l020OaS $0.00 0 r Misc9Conduit $0 * /
Service to 1000a\ $0* 0 °Missc`Conductor $0.00 0
Service overt 000at �$0.00� h :r0 dk;- -Cncus(gen or nde)\\9 ;.,= - $0.00 0
Motors to 1 h '� $0.00 '�.0 sY/J� Circus mechrrvde orli hts r $0.000
0
Motors to 1 Ohp ?� ('$(100\ \-• ,,,. o�, Chnslmas Tree Stand'rf $0.00 c��0
Motors to 50hp \\\ V$0.00 0L �o `rf�'�,Fveworks Standv°.►. 80.00 V 0
Motors to 100h _ _fi / / /
p �.,., $0,00 0 °r��Other.ElectricalFee n( '`$0.00
Motors over ion dr -\ /\ �'_ �-T ��moot"
x$0.00 - 0 G
Communication dro s $0.00 0 Investi anon Fee
Sub panel to 200a $27:25 1,1 Ilan:Chedli:Fel; O /$0:00
Pole Light Pk p $0:oec 0� �� Reins action Fee /�4$0.00
Sign Circuitsir � $0.000;_ ��S I -i t; //✓ >--
Temp Pwr Pole $0.00 0"4;.:15:----..„Km.^.,.�`� TOTAL CALCULATED EES$152.10
Intermed Pole $0.00 0 �� --t_.�i�-r y /- .
COMMENTS/SPECIAL CONDITIONS
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
fora period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
DECLARATIONS U ()
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for Workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit Is Issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carder and policy number are:
Carter: - - - - Policy Number: .
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑ I 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 subject to the workers'
compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 o the Labor Code,I shall forthwith
comply with these s. r/
i .
Applicant Signature: `��—�— Date: / (
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL MD SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES MD CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100.000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,MD ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and enact:Lic.kClass K 7 / r /��
Contrector's5ignature: / Date: i
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to Its Issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person Is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑Yes ❑No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the Califdmia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apereit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No
(Section 65850.2 of the California Government Cale requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code).
7 If a permit from the South Coast Alr Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
,� 2G19i14
atu6r .7 gal Owner(s) I/ /CP7
And/OrAG odzed Applicant Date
at. INSPECTION TYPE DATE IIMALS S,QQEI INSPECTION TYPE DATE . WEALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing•
-p Q
200 Final Re-Roof 210 Final Electrical L{-1` l L
201 Final Block/Retaining Wall 212 Final Fire Prevention .
202 Final Factory Fire Place 220 Final Planning Approval „
203 Final Sign 222 Final Site •
•
204 Final Demolition . , 250 Final Building/Occupancy ,. ,•
-
244546
.-1cJ,J-
CITY OF COSTA MESA
,:+" A,) BUILDING DIVISION
�: DEVELOPMENT SERVICES DEPARTMENT P98-00529
PERMIT PERMIT NUMBER
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 t
PLUMBING PERMIT
Job Address: 1215 CITRUS PL •
Status: ISSUED
Suite No • Applied: 06/29/1998
• Issued: 06/30/1998
Vicinity:
Parcel Nunmber: TPN9801B
•
' Applicant: FLYNN, DAN
Address: ---�._
Phonet.--r ---- -�_
ytryp
IV -\-C"''.- '
Owner: W. LYON 7.15><H,,,....
... Mill
ui ' `
Address fikS)\ . � . Ths•- "�
iJ7 � Zip: ��
Contractor: WILLIAM'L=YON HOLMES
\\\
Address: 4490 ��RMAN \' �\
/cr ,Phone: 714-476-1361 t �---- �\
C.M CA -- 1 \ 4 '::'�P: "92660 .. .. r ( c. ����
c:, lir , '-- License 661158. !i ,,,„ •i ", \�l
jIIAr --- -v6- - / 11 It t
• (c)
Arch/Eng: , ,.` `�-SL b \.4 (� ,it L.-- _ -` \I1
Add_ cess: /0.., _ ..\V ` '` ._I k i `CC v:,t S. I.k
)) Phone: ( - rf: , j I
I,ril .J rx==r=.� Zip: ((�;j�o ._ f�l-- 1 ',J, 1 �' ll t�l ' 711199 ori 'cicenssej,"ll Lia .ui,, ii'i_ �0� "!,1l ,L. , , , j
1M
irk VII
}SCOPE OF PERMIT / j!/;
, r r� I(V
S VNEWiSFR LOT 3, PLAN 2B.,INST,n1hEACH DISHWASHER,GAS SERVICE,GAS�PUTLETS 1-4 AND OVER,.-� J;
5}LAUNDRY TUB,SEWER CONNECTION,KITSINK,W.H���-W---A777TER,SERVICE3 SHOWER,2 TUB/S;,3' CI--
1TOICETS AND 4 WASH BASINS-` �) 5.�f/ IC . 4
�� ���U';i 1/J �'� 111
\\ \\\V� , (I FEE SUMMARY�JJ- H f�i ' �J 4y
``l1t1.2\� VVAMT OTY, AMT--QTY
U ,.?j��,, , AMT! QTY
ISSUE FEE� , $22.001 ` Laundry Tub/Washer $8.75 . 1 - Sump Pump � v{' $0100 0
Backflow irrigati $0:00, 0 Landscape Irrigation $0.00 0 Swimming'Pool v $0,00 0
Backflow Preventer ti$0.00 0 P-Trap rtli „ j.0 1$0:00 0 TrapPiimer /1$0.00 0
Bathtub �� \ �>$17.50\21 Pressure.Regulatou�'JoB,$0`.00j1 0 Unna�� � /1J$0.00 0
Clarifier System $0.00, 0 ,.. -.,,1.^-'" Process Piping(pe�r;1 ). .T-$0'.00( 0i'. ,.t,.'Vacuum Brkr Bkflow(b,4)U/$0.00 0
Connect Ice,Soda,etc $9,6 o/-- ON -.Rece tarn /,�y 6' $0.00 110 i 7VacuumBrkr.Bkflow(5+)y $0.00 0
Dental Units $0.00 O�Septicdank� r3. 46/0„$0:00..s
0" $0.00� `04i/- ';'Wash'Basin�) _j $35.00 4
Dishwasher ` $8:75 1��Sewer Cs foi Demo �� $000 4 Ol�Wash Ba 7-, $0.00 0
\ r r
�Y . on oo`),� -Q j % .S /
Drain,Floor $0.00 ��0 /�� Sewer-Connect��- 2:00�1, � ,�<Waste;and Vent System $0.00 0
Drain,Rainwater $0.00, N0 / /� Sewer Privatee:LiheT=_--$0.00-'-0 \Water Closet(Toilet) $26.25 3
Drain,Roof $0.00'�., 0 '-.- ,' CShowerm $8.75 1�� �oWater,Heater/vent $11.00 1
Drinking Fountain $0.00 0 Sink,bar �r i'�'+'$0:00 Ltd:�1 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 '--0 c.�, Sink,commercial `A$0.00 0 ,Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 S 7 Sink Floor=-� LAS,i in $O.00L_b__.- .Water Service $8.75 1
- '- Water Softener $0.00 0
Gas(1-4outlets) $5.50 1 -��;Smk?.kitchem„h ;,_,,,,,�„_,,,1$8:Z5�1����
Gas(Over 4 outlets) $1.00 1 Sink;service/mop#st e2$oi00_,,...0-- OTHER $0.00
Gas Repipe $0.00 0 Spa(private) -"$0.00 0 VIOLATION $0.00
Gas Service $8.75 1 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $192.75
• COMMENTS/SPECIAL CONDITIONS
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS; In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
DECLARATIONS
WORKERS'COMPENSATION DECLARATION: •
I hereby affirm under penalty of perjury one of the following declarations: •
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performanceof the
work for which this permit Is Issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carder and policy number are:
Cartier: - Policy Number,
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑ I 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 subject to the workers'
compensation laws of California,and a• -e that I hould become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisio - �
Applicant Signature: '/ Date: 7 /i 192
WARNNG:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I in licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full
force and effecL•Lic�# n Class#
�/ ( (�
Contractor's Signature: — Date: 7 l , 2'
/
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). -
Lender's Name: Lender's Address:
Signature: - Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031,5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement Is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or Improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon, end who contracts for such project with a contiactor(s)
license pursuant to the Contractors License Laws,).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: f
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding.falsework,or demolition or dismantling thereof,Will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code). '
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes 0 N
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apereit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? f�Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits),
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materiels and Emissions.
Signature: - Date:
CERT FiCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the Information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
?y1 et re / al ner(s) CTgCe�_
0iAnd/Or uthonze Applicant Date
COOEL INSPECTION TYPE BATE IN:MALS CODF I IBSPFCTION TYPF DA¢ . ILIBBALS
1616 Fixed System Final FirePrevention 206 Final Mechanical n U
1266 Pool Spa Final - •- • 208 Final Plumbing- Ig -9 1 a -BN'
200 Final Re-Roof ` . 210' - Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval "-
• 203 Final Sign 222 Final Site
•
j 204 _Final Demolition - 250 Final Building/Occupancy ,
•
244646
•
•
t CITY OF COSTA MESA
►;r-; �,-11. BUILDING DIVISION
F �
1 ^"' i' ' DEVELOPMENT SERVICES DEPARTMENT . a
PERMIT Ai
P i" T NUMBER
"'�amm • M9:110327
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
MECHANICAL PERMIT
Job Address: 1215 CITRUS PL Status: ISSUED
Suite No Applied: 07/24/1998
Issued: 08/04/1998
Vicinity:
Parcel Nunmber: TPN98018
Applicant: FLYNN, DAN
Address: -
" . Phone:
Zip:
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Owner: W. LYON'HOM�S ; + V----z>\
Address: /f \\ \
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(If
/1/4
.�' i w Phone: ,� ��A /// s ,,
Contractor: WILLIAM:LY.ON HOLMES SA
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Address: 4490 VONKARMAN
/(/1/47
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/4// �� /077
Phone:- 714-476-1361 ,-1', ‘,\ ,,-\ \,\�
+r C.M�CA Zip: 92660 I / 'r ( �\�
IV 1- -.-
����� ''1 4 'License .661158 1 I' r 1_ 1 .
iI}Arcit h l Eng + 1 t yf„ / 1 1 _1Q , t �/"- ti 1, �
(YJ f
/fl" Address: �1, , / „n,t,+ - - �. r ` .,
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f*� �i// , ✓>,i ', - Phone: '
7 I w. _ ,
r 4? �,'.v/'ice �\,,,,r
\ Zip: + .. �.
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,\i! A 1 `� .' License: V '
IX-11 7 _ , - ,
Hi / 1= / ;C :`XII `SCOPEOFPERMIT'. 1.
+� ;-, I'1'i, NEW SFR,PLAN 2B LOT 3-REF B98-00643 INST 1 FAU UNDER 100K BTU, 1 FIREPLACE AND 4 c.
'i VENT FANSV ,t
. ,,1 -� '1lf'i ,. , .
dx /i. ,
v1 , V �„\/ ,, I. FEE SUMMARY `ftk - - J,;
\4I ` 1,;,. Quantity .417I i ' _ Quantity
ISSUE FEE''- �\ 1,, $22.00 Repair//Alt Absorbtion Unit / -.$0 00 0I ,
F _
Inst FAU<100kBTU ��V��, $13.25 RepalrlAlt,Refrigeration Unit / x $0.00 /0'I
Inst FAUN 100,k BTU\ .�,`r, $0.00 Ventillation System /
�S„, c- $0.00 /tOl
Repair/'AIt1Cooling/Heat \\\//1;), $0.00 0 Evaporative Cooler
Inst/Rep.,Recess Wall Htr v�. 1.A $0.00 0 .-Commercial Incinerator /- -$0.00'. ,0
Refrig Sys<100 k BTU ),A`.),\ $0.00 0 :
Domestic Incinerator ./2)% , ,' $0.00'', 0
Refrig Sys>100 k BTU. V�.$0 00 0 ,' t. Compressors/Absorption Systems /
Gas Piping V xA .) X$0,00_,„ 0'' ` %,/ v � �'Up to 3 hp./-100 k BTU..! , ,$0,00 0
Factory Fireplace. 2'7' $9 50 1: ,�� %.-- 3 So 1p/5�h500 k BTU'.. / $0.00 0
Hood w/Mech Exhaust �� /. ;',$0.00‘-%;,13;� ��� �'`<` (7/,',15 To 30 hp/1,000k BTU _ �"/; -,$0.00 0
0
VAV Box �\-", �/ /$0 00 OZ; ), � ,'' n , - 4' 30,;To 50 hp 11750 k BTU , '/ ,, ',/$0.00 0
Vent Fan/Single Duct V', `'/.$26.00 -,4 - N` - - : . „ Over 50 hp/Over 1,750'BTU " //' ;' $0.00 0 .
Appliance `:,$0.00 •"',0-- - - Boilers ' % ,'
Fire Dampers $0.00 Up to 3 hp,' $0.00 0
Smoke Dampers '-. ,$OAO �%0' ' 3,To-15 hp ' $0.00 0
Inst or Relocate Appl Vent ''x$0.00 0 ' 15 to 301113-, $0.00 0
Air Handlers< 10000cfm $0.00- -0- - 30 to50 hp , '/ $0.00 0
Air Handlers> 10000cfm $0.00 0 - ... , .Over 50 hp, - $0.00 0
Floor Furnace $0.00 0 - i Other Mechanical Fee
Floor or Suspend Heater $0.00 0 Investigation Fee $0.00
Plan Check Fee $0.00
Reinspection Fee $0.00
TOTAL CALCULATED FEES $70.75
COMMENTS/SPECIAL CONDITIONS
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained,Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Cartier: Policy Number:
(This section need not be completed ii the permit is valued et one hundred dollars($100)or less.)
❑ I 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 subject to the workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provis (', /5- /?,}Q
Applicant Signature: Date: cS ( 5 C,}
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100,000),IN ADDRION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.p /' Class# {
Contractor's Signature: . Date: 'S -79)
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
•
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 WIII the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? p Yes O No
(Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health end Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions. -
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. _
lpgetitai I Owner(s) 1(+yig
And/Or Authorized Applicant . r Date
CODE t IN$PECTION TYPE DAIL MALE CODE It INSPECTION TYPE RATE
1616 Fixed System Final Fire Prevention 206 Final Mechanical I ¢-9 -9[D ISIZS
1268 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
2446-46
1 4 .
• PETRA
COSTA MESA•SAN DIEGO•TEMECULA•LOS ANGELES
July 28, 1998
J.N. 492-97
WILLIAM LYON HOMES, INC.
4490 Von Karman Avenue
Newport Beach, CA 92660-3600
Attention: Mr. Gary Haddy
Subject: Footing Observations, Lot 3, Tract No. 15570, City of Costa Mesa,
Orange County, California. / a, i S C i/r o s fiL
References: See Attached References.
Dear Mr. Haddy:
Footing excavations for the proposed residence within the subject lot have been carried
into firm, competent bearing soils and are considered geotechnically suitable for
concrete placement.
If you require any additional information, please feel free to call.
Respectfully submitted,
PET-RA-CFOTECHNICAL, INC.
RayK.,
Muhle�.
P
Supervising Soils Technician
RM/mel
CC: 1998\400\492-97.3
PETRA GEOTECHNICAL,INC.
3185-A Airway Avenue
Costa Mesa,CA 92626
Tel:(714)549-8921
Fax:(714)549-1438
pefracm@ibm.net
REFERENCES
I) Geotechnical Investigation,Proposed Residential Development,Tentative Tract No. 15570,Northwest Corner
of Fairview Road and Adams Avenue, City of Costa Mesa, Orange County, California; a report by Petra
Geotechnical, Inc., dated December 29, 1997.
2) Geotechnical Report of Rough Gradings, Lots 1 through 34 and Lot"E",Tract No. 15570, City of Costa Mesa,
Orange County, California;report by Petra Geotechnical, Inc., dated April 6, 1998.
3) Geotechnical Recommendations for design of Post-Tensioned Foundations in Accordance with Design
Specifications of the Post-Tensioning Institute,Tract No. 15570,City of Costa Mesa,Orange County, California;
letter by Petra Geotechnical, Inc., dated April 14, 1998.
PETRA GEOTECHNICAL, INC.
J.N. 492-97
PARDUE , COPWELL & ASSOCIA 1 CS , INC .
Planning • Engineering • Surveying
July 27, 1998
City of Costa Mesa
77 Fair Dr.
Costa Mesa, CA 92628
Re.: Tract 15570, Lot 3
Dear Sirs:
The engineer of record inspected the building forms for Lot 3 for the above referenced tract on
June 23, 1998. Upon inspection, the finish floor elevation on Lot 3 of Tract 15570 located in the
City of Costa Mesa, CA, is within± 0.1' of the elevation specified on the approved Precise
Grading plan.
If you have any questions or comments, please do not hesitate to call.
Sincerely,
PARDUE, CORNWELL & ASSOCIATES, INC.
// 1/ -
/
Fred Comwell, P.E.
Principal
FROFESS/pN
4.9 CORAc c.?,...\,,
w !�No. 59 f
; ExP.1713(/02f7
` -9CIVIL
� F Ck�1tc\ck\�Q
151 Kalmus Dr., Suite C-230. • Costa Mesa, CA 92626 • Phone(714)241-3400 • Fax(714) 241-
3432