HomeMy WebLinkAbout2808 CITRUS PL - Building Permits(714) 754-5273 • Fan (714) 754-4856
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JobAddress: 2808 CITRUSPL
Suite:
Vicinity:
Parcel Nunmber: TPN98035
npp�icant: FLYNN, DAN
Address:
owner: W. LYONS HOMES
Address
CITY OF COSTA MESA
BUILDING DIVISION
:VELOPMENT SERVICES DEPARTMENT
PERMIT
Contrectoc'. WILLIAM LYON HOtMES
Address: � 4490 VON KARMAN �
� . � Phone: 714-076-1381 �,��� ., � '� -.
C.M. CA , � ' Zip: � 92660 ' � \%
License:�861158 ��� � � � �
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Phone:r ' " �, � . " � , - � - ,
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SCOPE OF PERMIT
NEVJ 1997SF SFD, 426SF GARAGE. REF: PC#647-98A \ . .
3 PARKING SPACES PROVIDED ON THIS LOT; GUEST,PARKING�ON PRIVATE STREET.
SEE DR-97'0 . . , ' ' ' . . , y,'„ � . .. � � ,
�OLD FOR SP$CIAL REQUI$EhIENis
_ ,; . . `�
BUILDING PERMIT
Zoning: .
Phone:
Zip: .- ." - _ ,
B98-OOR49
PERMIT NUMBER
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED Q�
Applied: 02/18/1998
Issued: 06/15/1998
Phone: � . . . � ' . � .
Zip:� � _ _, _ -.. , . _.
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Arch / Eng :
Address:
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$202.68
$1,247.25
$17.19
$0.00
$0.00
$0.00 ,
$1,467.12 `
SETBACKS
MAIN STRUCTURE Front i6- 0
ACCESSORY Front 0- 0
PARKING Existin : o
NOTES:
-- . " ". FEE SUMMARY . - -
— ' j �� CalcValuation:" m,sia.ao
1 Claimed Valuation: So.00 .
_--- _ � ,
�';�
Rear 17,0
Rear 0-0
Required: 3
�PLANNING & ZONING , .-
,
Left 5- 0
Left 0- 0 -
� Proposed: 3
Right 5-0
Right 0- 0
r
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 periotl 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 inspeetiona and final approval must be obtained. Failure to obtain inspedions and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 �
WORKERS' COMPENSATION OECLARATION:
I hereby ettirtn under penelry ol perjury one of the tollowing tleclarations:
❑ I �eve entl will malntein e certlticete of consent ta seli-Insure for workers' compensation, as provitletl for hy section 3700 ot ihe Lebor Cotle, for ihe pertormenca of the
work for which ihis permlt is issued.
� I have end will meintein workers' compensetion insurence, es required by seclion 3700 0l ihe Lebor Cade, for ihe perfortnance of Ihe work tor which Mis pertnit is issued.
My workers' compensetion Insurance cartler and pollcy number ere: �
Cartiar: Palicy Number:
(TTIs seclian need not be completed i/ the peimit Is valued et one huntlretl dollars ($100) or /ess.)
❑ I certify thet In the peAormance ot Ihe work tor which this pertnit is issued, I shall not employ eny person in any manner so as to become subject to ihe workers'
compensation laws ot Celitomla, and egree thet if I shoultl become su6ject to tha workers' compensation provisions of Sectlon 3700 of the Lebar Code, I shell torthwith
� comply with ihese pro/v �ions.n /J�
�A�plica�t Sip e f /// Y� 'T��� � D'ate::._ �p I ��O I�� .
WARNINO: FAILURE TO SECURE WORKERS' COAIPENSA710N COVERAGE IS UNLAW FUL AN� SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED
TIIOUSMID DOLIARE (E100,000), IN ADDITION TO TME OOST OF COMPENSATION, OFMAGES 0.S PRONOED FOR IN SECiION 370fi OF THE LABOR CODE, IMEflEST, AND ATTORNEVS FEES.
LICENSED COHTRACTORS DECLARATION:
I hereby eflirtn thet I em licensetl under provisions of Chapter 9(commencing with Saction 7000) of Division 3 of �he eusiness and Professions Code, and my license is in full
force end etfect LJc: N Class N
Contractofs_Signature: Dale:. �~"CD � �
CONS7RUC710N LENDING AGENCY: �
❑ I hereby effirm ��at there is a construction landing agency far the peAortnance of tha work for which Ihis permit is issuetl. (Sec. 3097, Civil Code).
Landers Name: Lenders Atldress:
Signature:
OWNER-BUILDER DECLARATIONS:
Date:
I here�y ettirtn that under penelry of perjury thet I am EIIEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a pertnit to construd, altar, Improve, demolish, or repair eny sWcture, pnor ro its issuance, also requires the applicant for such pertnit
to flle a sipnetl stetement Ihat he or she is Iicensetl pursuant to the provislons ot the Contractors License Lew (Chapter 9(commencing with Sectlon 7000) at Didsion 3 of iha
Busineu flntl Professions Code) or that he or she is exempt Iherefrom and the basis for the allegetl exemption. Any vidation of Section 7031.5 by eny eppliceN for e permit
subjects Ne epplicant to a civil panalry of not more tlian five �untlre0 tlollars ($500).):
❑ I, as owner of ihe properry, or my amployees with weges as Iheir sole compensation, WILL DO TME WORK, and the siructure is not Intended or oHered for sale (Sec.
7044, eusiness end Professions Code: The Contrectors License Ww tloes not appty to en owner of OroPerry who builds or improves thereon, entl who tloes such work
�imsell or herself or Ihrough his or her own emplayeas, provitletl that such improvemanis are not intended or oXerea for sale. If, however, the 6uiltling or improvement Is
sold within one year of completion, Ihe awner-builder will have ihe burden ol proving that he or she did not build ar improve for purpose of sele.).
❑ I, as owner ot the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct t�e prolect (Sec. 7044, Business antl ProFessions
Cotle: The contrectors License Lew does not epply to an owner of property who 6uilds or Improves thereon, antl who conirecis for such project with a contractor(s)
Ilcense purevant ro the Contractors License Lews.).
❑ I am exempt unOer sec. Business and Professions Code tor this reason:
Signeture: Date: �
Owner ID venfietl by tlrivers licensa. ❑ Ves ❑ No Driver's License No. Expires:
Vedtication of Ownership by (rype of tlocument, i.e. - property tex bill or tleed):
DIVISION OF INDUSTRIAL SAFETV PERMR CER7IFICATION:
❑ I �ere�y cenity that no excavetlon five (5) or more teet in depth into which a person Is requlretl to descend, will ba made In connectlon wlih work euthorizetl by thls
pertnit, antl Ihat no building structure, swNoltling, falsework, or tlemolition or dismantling Ihereoi, will be more than ihiny-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec.
341, 71tle e, Califomla AdmlNstretive COCe). �
❑ As owner-bulltler, I will nat employ anyone to tlo work which waultl require a pertnit fram the Division of Industnal Safery, as natetl above, unless such person has e
pertnit to tlo such work hom the division.
SigneNre: Date:
Division of Indusirial Satery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND Al7TT10R¢AT10N OF ENRiV: I certity under penalry ot perjury thet I have reatl this application antl state thet the infortnetion given is I
correct. 1 agree to comply with all state lews and city ordinances relating �o building construction, end authorize representetives of Ihe Ciry of Costa Mesa to enter upon Ihe
. ebove-descnbetl property for inspection purposes. I agree not to occupy or allow occupancy ot any building authonzed by ihis permlt until final inspection.
CppE t. INSVECTIONTYPE PAiE I�ALS
1616 Fized System Finfll Flre Preventian
7266 Pool Spa Final
200 Finel Ra-Roof
201 Finel BIocWReteining Well
202 Finel Fectory Flre Place
203 Finel Sign
204 Finel Demolition
2446d8
COOE� INSPECTIONTYiE
206 Finel Mechanicel
200 Finel Plumbing
210 Final Electncal
272 Final Fre Preven6on
220 � Final Plenning Approvel
222 Final Site
250 Final Building/Occupancy
QsiE ir�S
(714)754-5273 • Fax(714)754-4856
JobAddress: 280$ CITRUSPL
Suite No
Vicinity: LOT 20
Parcel Nunmber: TPN98035
Applicant: FLYNN, DAN
Address:
Owner:
Address
Contractor:
Address:
'ArchlEng:
Address: ,
CITY OF COSTA'MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
W. LYONS HOMES ,
' /
WILLIAM:CYON HOLMES
4490 VON KARMAN
C.M. CA
PLUMBING PERMIT
Phone:
Zip:
��-
P98-00441 ✓
PERMIT NUMBEa
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: O6/05l1998
Issued: O6/15/1998
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Phone:�714-476-1361 �, " �,� �
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',�Zip:,.' 92660. � � �'' - � ,
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- � License:661156 � - . "
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Phone:
Zip:
�. � License:
SCOPE OF PERMIT ; '
FIXTURE FEES FOR PLAN 2C, LOT 20: 2 BTHTUB,;1� D%1N,,1 GAS" -- ���-� !��� ���..� . -
1,-4, J GAS OVER 4, ; 1.GAS SERV, 1 LNDRTUB, 1 SEWER CON, 1= ,. j; y-`
KIT SWK, 4 WASH BASIN, 3 TOILETS, 1 W/H, & i WATER SERV -� �• � J
ISSUE FEE
Backflow irrigation �
Backflow Preventer
Bathtub '
Clarifier System
-0onnect pce,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwafer
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oip
Interceptors (Sand Auto )
AMT
$22.00
$0.00
$0.00
$77.50
$0.00
$0.00
$0.00
$8.75
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$5.50
$1.00
$0.00
$8.75
$0.00
$0.00
Qn
0
0
2
0
0
0
1
0
0
0
.0
0
0
1
1
0
,
0
0
FEE SUMMARY-� --
AMT QTY
Laundry Tub / Washer � r'� $875 1
Landscape Irrigation � � � $0.00 0
P-Trap � � �' �' $0.00 0
Pressure Regulator � $0.00'� 0
Process P,iping.(per 10 ftj �$0.00 ��� 0�
Receptors . � ` "" $0.00 ���0
Septic Tank �' � � �� " $0.00. 0 ,
SewecCap for Demo � . � - $0,00 0 -
Sewer Conned � � $22.00 1
Sewer Private Line . $0.00 0
Shower $8.75 1
Sink, bar � � , , $0.00 .0
Sink, wmmercial $0.00 0
Sink, Floor � � 30.00 0
Sink, kitchen _ � - $8.75 1
Sink, service/mop $0.00� 0
Spa (private) � $0.00 0
Spa (public) $0.00 0
COMMENTS / SPECIAL CONDITIONS
\
SumpPump
Swimming"Pool
Trep Primer ' .
Urinal
�.Vacuum Brkr BkFlow(7=4)
� . Vacuum Brkr BkFlow(5+)
- ' Wash Basin � . .
Wash Basin Sel' -
� Waste and Vent Syetem
� Water Closet (Toilet)
Water Healer / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOLATION
PLAN CHECK .
REINSPECTION
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
$0.00
$0.00
$26.25
$11.00
$0.00
$0.00
$8.75
so.00
$0.00
$0.00
$0.00
$0.00
TOTALCALCULATEDFEES: $'192.75
an
0
0
0
0
0
0
4
0
0
3
1
0
0
1
0
L
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetiona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626 - . -
WORKERS' COMPENSAnOn oecuwwnoN:
I �ereby effirtn untler penalry o( perjury one ot Ihe lollowing tleclarations�. .
❑ I heve end wlll main�ain a certificate of consent to self-Insure for workers' compensation, as pmvltletl tor by saction 3700 of the lebor Cotle, for the peAortnence of the
work tor which Uis pertnit is Issuetl.
❑ I have end wlll malntain workers' compensation insurance, es requiretl by section 3700 of ihe Lebor Code, for the perfortnance of �he work for which ihis pertnit iv issuetl.
My vrorkers' campensetion Insurance cartier end policy number ere: � �
Gerrier. Policy Number.
(This sectlon need nof be complefed il the permit Is valued et one hundred dollars ($100) oi less.)
❑ I certity ihat in t�e pertortnance ol ihe work tor which this pertnit is issued, I ahall not employ eny person in any manner so as to become subject to ihe workers'
cnmpensetlon laws af Celitomla, end agrae thet if I should become subJect to the workers' compensetlon provislons at Sedion 3700 ai the Labar Cade, I shall torlhwlth
comply with these provl/s1er�/, –/y/ J Q�
Applicenf Signeture: V/ —/ L_ /Date: _� p � � �P / � O
WARNINO: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPIAVER TO CRIMINAL PENALTIES AND qVIL FlNES UP TOONE HUNDRED
THOUSMID Dd1ARE (5100,000). IN ADDfTIIXJ TO THE WST OF CpAPENSATION, �AMAGES AS PROVI�ED FOR IN SE VfION 3]OG OF THE IABOR CA�E, INTEREST, AND ATTORNEV'S FEES.
IJCENSED CONTRACTORS OECLARATION:
I hereby eNirm that I em licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 af the Business antl Professions Code, and my license is in full
forca and eflecL Lic. N Class #
Contrectors Signeture: Dete:�' Co / �
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn ihat Ihera is a constructlon lending egency for Ihe padortnance oi ihe work for which ihis partnit is issuad. (Sec. 3097, Givil Code).
Lendar's Neme: � Lendafs Address:
Signature:
Date:
OWNER-BUILDER DECLARATIONS: . �
I hereby eXirtn thet under penelry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW far the tollowinq reason (Sec. 7031.5, Business entl Professians
Cotle: Any ciry or counry which requiras a permit to construct, alter, Improve, demolish, or repair any sirucNre, prior to its issuance, also requires the eDPlicant for such permit
to fila e signetl statement thet he or she is licensed pureuant to the pravisions of the Contrectore License Lew (Chepter 9(crommencing with Sedlon 7000) of Division 3 of ihe
Business end Professions Code) or Ihet he or she is exampt �herefrom and the Dasis for ihe elleged exemption. Any violation of Seclion 7031.5 by any applicant tor e permit
sub�ecLs Ihe applicent to e civil penelry ot not more then five hundretl tlollars ($500)J:
❑ I, es owner ot the properry, or my employees wilh wages as their sole compensation, WILL DO T}1E WORK, entl ihe siructure is not intended or offered for sale (Sec.
70a4, Business end Professions Code: The Conlrectors License Law does no� epply to an owner of property who builtls or improves [hereon, end who tloes such work
�imself or herself or ihrough his ar har own employees, provlded ihet such improvements are not Intendetl or ottered for sele. If, however, iha bulltling or Improvement Is
sold within ona year af completion, the owner-builder will heve the 6urtlen of proving that he or she tlitl not build or improve for Durpose oi sale.).
❑ I, es owner o1 Ihe property, em EXCLUSIVELV CONTRACTNG Wli}I LICENSED CONTRACTORS to consiruct ihe project (Sec. 7044, Business and Professions
Code: The coNrectors License Lew tloes not eppty ro an owner ot properry who builtls or improves thereon, and who contrects for such project with a contrector(s)
license pursuant to ihe Cantractors License Lews.).
❑ I am exempt under sec. Business end Professions Code for Ihis reason:
SignaWre: Date:
Owner ID veritietl by tlnvefs license. ❑ Yes ❑ No Drivels License No.�
Venfcation oi Ownership by (rype of document, i.e. - properry lax bill or tleetl):
EMpiras:
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
❑ I hereby certify Ihat no excevetion five (5) or more feet In depth into which e person Is reQuired to descend, will 6e made in connection with work euthorizetl 6y ihis
pertnit, and that no building strucNre, swttolding, lalsework, or demolition or tlismantling Ihereof, will be more than thirry-six (36) feet high. (Chep. 3.2, Grp 2, Art 2, Sec.
341, Tltle 8, Gelifomia Administrative Code).
❑ As owner-bulltler, I will not employ enyone to tlo work which would require e permit from the Division of Indusinal Satety, es notetl ebove, unless such person has a
permit to do such work hom the divisian. �
Signature: Date:
Division of Indusirial Safery Permit Number:
CERTIFlCATE OF COMPLUWCE AND AUTHORVJ1T10N OF ENTAV: I cehity under penalry of perjury that I heve reatl ihis epplication and state ihat.ihe intortnetion given is
cortect. I egree to comply wilh all state laws end city ordinences relating to builtling construction, and authorize rapresentatives of the City ot Coste Mesa to enter uDon ihe
above-describetl property for inspection purposes. I agree not to ocapy or allow occupancy of any building authonzed by this permit until tinal inspection.
CO�E I, INSPECTIOXTVVE
1616 Fixetl System Final Fire Pr
1266 Pool Spe Final
200 Final Re-Rooi
201 Finel BIocWRetaining Wall
202 Finel Fectory Fire Plece
203 FinalSign
204 Final Demolitian �
2446d6
��7,1��
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"uP11R�,
LODE� �xsveenowTrve
206 Flnel Mechenical
20B Final Plumbinp
210 Finel Elacincal
212 Final Fire Prevenlion
220 Final Plenning Approvel
222 Final Sita
250 Flnal Builtlinq/Occupancy
QAiE II�ELS
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CITY OF COSTA MESA
� evno�N� �►v�s�oN
, _ �
F DEVELOPMENT SERVICES DEPARTMENT
���, PERMIT PERMI UMBER �
M98-00213
(774) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
MECHANICAL PERMIT
JobAddress: 2808 CITRUSPL
Suite No
Vicinity:
Parcel Nunmber: TPN98035
Applicant: FLYNN, DAN
Address: , � - �
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Owner: W.�LYONS HOMES ; r,
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Address j; �� �, A .� � _ - `
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Contractor:� WILLIAM:LXON HOLMES
iiir
Add ess�� 4490 VON�KARMAN
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StaWs: ISSUED
Applied: O6/05/1998
Issued: OB/04/1998
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��;�� �✓ C.M CA . . . . Zip �:.92660 .�.. � .
� " � �`� :!;'!%� - - _ , . � � License�- .681158 �
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. n.� Address: /� � • . / ' �,-' . - ,
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Zip:
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License:
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ISSUE�FEE�--'�
Inst FAU <100 k BTU, 1,\�
Inst FAU�>,100�k.BTU ��, ti
Repair %'AltiCooling/Heat �
Inst / Rep:,ftecess Wall Htr
Ret�ig Sys�<100 k BTU ,
Refrig Sys >100`k BTU, �
Gas Piping �_� �\
Factory Pireplace�� ; ,
Hood w/Mech Exha`usb
VAV Box � � '
Vent Fan � Single Dud�` _
Appliance � �
Fire Dampers
Smoke Dampers
Inst or Relocate Appl Vent
Air Handlers < 10000cfm
AirHandlers> t0000cfm
Floor Furnace
Floor or Suspend Heater
' .
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_
' SCOPE'OF RERMIT, : .,. ,; �
FIXTURE FEES FOR�PLAN 2C, LOT 20: REF 698-00649, INST 1 FAU UNDER 100K BTU, 1
FIREPLACE AND 4 VENT FANS ���`�
�
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i � .r �:�_ ��:� �/ i
�� Quantity� .,FI
$22.00
�. $13.25
� a�. $0.00
\'��•,\ $0.00 0
��"� $0.00 0
���^ $0.00 0
�
����$0.00 0 ," �
, �$� . ."
0.00_„ �0:' _
i; %_ $950��1: r: '
-. �;$0�00�,'0��
, '$0.00 -�0�'. ' '' .
. . "`$26:00 -. 4 . ..�- .
� . �\$0.00 �� �0 -
'�.'���.,$0.00�-'0', .'_
�'{50.00 �1�0' �"- �
" ..$0.00� 0 ' � �
$0.00 0
$0.00 �� 0 � �
$a.00 0
$0.00 0
iUMMARY�-/-/�t` � ' ,� �
1 J/ � � Quantity
Repair-/qltAbsorbtionUnit / � ?.$0.00 Ol'��
Repair I Alt Refrigeration Unit ! %: ; ��� $0:00 �0 � %
Ventillation System . � � -$0.00 ,'�0,�
Evaporative Cooler ',' ' $0.00 � �' 0
� >- Commercial Incinerator � "" � ��$0.00' '0
� �� Dome'stic Incineretor : � ij $0.00 �." 0
• , ` Compressors /Absorption Systeins � � ' � ��
--�'Up to 3�hp /'100 k BTU, ;� -'� $0.00 0
�'�;i3To15hp1500kBTU�-;. � ./�� /�$0.00 0
���i1¢To30hp/1;OOO,kBTU - - ; � � $0.00 0
�; 30,To 50 hp / 1;750 k BTU � � ��$0.00 0
, Over 50 hp / Ovei 1,750 BTU � � , ' � � � � $0.00 0
Boilers - , '
Up to 3 hp,' , � - � "� $0.00 0
3�To 15 hp . � , $0.00 0
15to30hp�.� � . $0.00 0
30 to 50 hp ,� � $0.00 0
Over-50 hp, $0.00 0
Other Mechanical Fee
Investigation Fee $0.00
Plan Check Fee $0.00
Reinspedion Fee $0.00
TOTAL CALCULATED FEES E70.75
COMMENTS / SPECIAL CONDITIONS
EXPIRATION: This permit shall automatically expire and become void ii work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 780 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 Inapectlons antl flnal epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
r•
WORKERS' COMPENSATION DECLARATION:
I hereby effirtn untler penalry of Derjury one ot lhe tollowing declaretions. '
❑ I heve entl wlll maintain a cetlificete ot wnsent to seN-Insure for workers' compensetlon, es provided for 6y section 3700 of t�e Lebor Code, for the pedortnence of the
work for which this pertnit is issued.
❑ I have end will mainWin workers' compensetion insurance, as required by seqion 3700 of Ne Labor Cotle, tor the pedortnance of the work for whlU this permit is issued.
My workers' compensation Insurance cartler end policy number are:
Cartler. Policy Num6ec
(ihls section neetl nat be crompleted il (he peimif is valued et one hundred dollers ($100) or less.)
❑ I certify thet in the peAortnence of Ihe work for which Ihis pertnit is luued, I shell not emplay any person in any manner so as to become sublect to ihe workers'
compensetion laws oi Celitomla, antl egree ihet ii I should became subject to the workers' compensetlon provisions of Section 3700 of the Lebor Code, I s�ell fonhwith
�com I with Ihese rovisi C� (��
Applican� S'gnature: �� _ Dale: fS �� — l li
WARNINO: FAILURE TO SECURE WORKERS' CAMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED
TIIOUSAND DOLLARE (5100,000). IN ADOITION TO THE WST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3/O60F THE UBOR CODE, INTEREST, AND ATTORNEI"S FEES.
LICENSED GONTAACTORS DECLARATION:
I hereby ettirtn Ihet I am licensed under provislons ot C�eptar 9(commencing with Section 7000) of Division 3 of ihe Business and Protessions Catle, entl my license is in tull
force end eflect Lic. p Class !1
CanireclarsSigneNre: ,✓ Date: � � 5--�
CONSTRUCTION LENDING AGENCV:
❑ I hereby eKrtn thet Ihera is a construction lending egency tor the pertortnance of tha work for which this permit is issued. (Sec. 3097, Civil Code).
Lendefs Name: Lentlefs Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby atfirtn that untler penalry oi perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor t�e followinq raason (Sec. 7031.5, Business entl Professions
Code: Any ciry or counry which requires a pertnit to consiruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires ihe applicant for such permit
to flle e signetl stetement thet he or she is licensed pursuant to Ihe O�a�isions of ihe Contrectors License Law (Chapter 9(commancing with Section 7000) of Dlvision 3 of the
Business and Professions Code) or ihat he or she is exempt iherefrom and the basis for the alleged exemption. Any Nolation of Section 7031.5 by any epplicent 1or e pertnit
sub�ects the epplicent to a civil penalry of not more ihan five hundred dollars ($500).):
❑ I, as owner ot the property, or my employees with wages as Iheir sole compensation, WILL DO 7HE WORK, entl �he siructure is not intended or oHeretl for sale (Sec.
7044, Business end Proteuions Code: The Contractore License Law does nm apply to an owner oi property who bulltls or improves thereon, end who tloes such work
himseli or �erseH or through his or her own employees, provided ihet such Improvemenis ere not intended or oHeretl for sale. If, however, Ihe bullding or improvement Is
sold within one year of completion, the owner-Duiltler will hava tha hurden of proving thai he or s�e tlitl not builtl or improve tor purpose of sale.).
❑ I, es owner ot the property, em EXCWSIVELY CONTRACTNG WITH LICENSED CONTRAC70RS to constmct the pmject (Sec. 7044, Business and Pmfessions
Gode: The coniradors Licensa Lew does not epply to an owner of property who bullds or Improves ihereon, and who contrects for such prolect with e contrector(s)
license pursuant to Ihe Contrectors License Lews.).
❑ I am exempt under sec. Business and Professions Code for ihis reason:
Signeture: Date:
Owner ID verifietl by tlnvefs license. ❑ Yes ❑ No Dnvers License No.
Verifcation ot Ownership by (rype of document, I.e. - proDerry ta�c bill or tlead):
DIVISION OF INDUS7RIAL SAPETY PERMR CEHTIFICATION:
Expires:
❑ I hereby certify thet no excava[ion five (5) or more feet in depth into which a person is raquired to descend, will be mede in connection with wark euthodzetl by ihis
permit, antl that no bulltling structure, scaftolding, falsework, or demolition or dismantling ihereot, will be more then thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title B, Califomla Administretive Code�.
❑ As owner-bulltler, I will no� employ anyone to do work which would require a pertnit irom ihe Division of Indusinal Safety, es noted above, unless such parson hes e
permit Io tlo such work fmm the division.
SlgnaWre: Date:
Division ot Industrial Safery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATiON OF ENTAY: I certify untler penalry of perjury ihat I have read this application and state that ihe intortnetion given is
conect I agree to wmply with all state laws and ciry ordinances relating to 6uilding construction, antl authonze representatives ot the City ot Costa Mesa to enter upon the
ebove-described property tor inspection purposes. I agree not to occupy or allow occupancy ot any building authorized by Ihis permit until tinal inspection.
q re Of Legel Owner(s) 1
� � � �
nd/OrAuthorized Applicant . Date
FQQEj, INSiECTIONTYPE �A¢ IIiS�dIS
1616 Fised System Finel Fire Preventian
1266 Pool Spa Final
200 Finel Re-Root
201 Flnel8lock/Aeteining Well
202 Finel Fectory Flre Placa
203 Finel Sign
204 Final Demolition
2b66d8
COOE 1 INSPECTION TYPE
206 Finel Mechenicel
20B Final Plumbing
210 Final Eledncal
212 Final Fire Preventlon
220 Final Plenning Approval
222
250
Final Site
Final Building/Occupency
�:I JIII.
•
Y ' r . �
CITY OF COSTA MESA
�` BUILDING DIVISION
� �_ � DEVELOPMENT SERVICES DEPARTMENT � /
� -_ F9R-00505 v
�� PERMIT � PERMITNUMBER
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Vicinity:
2808 CITRUS PL
LOT 20
Parcel Nunmber: TPN98035
Applicant: FLYNN, DAN
Address:
Owner: W. LYONS HOMES
Address '
Status: I SS U ED
Applied: 06/OS/1998
Issued: O6/15/1998
Phone:
Zip �
. � . - � .%. , ' . , �
'Phone:.-� - . �' �, , ,,��, �
�
_ � �'Zip: - - - ',�� �', _ . �� �
;� �\,<�
:-��c. �.. � � ���_�,
. , , . , , . �,A�-✓� ,
Contradoc WILLIAM-LYON HOLMES �' '�,�„ ; � ' �'�� �;
Address: � 4490 VON KARMAN � . �" :'� : � �: � �
.. . . . . Phona:i�714-476-1367 , ' �
C.M. CA' Zip: . � 92660 � -� ; : � '�;.���
. . -;:Lice�5e;661�58' . . � - .� ' � ' .
> � �
. " SCOPE OF PERMIT � \
FIXTURE FEES FOR PLAN 2C, LOT 20: 1 FIX, 1 OUTLET, 1 SW, 1 PANEL, 1997 SQ FT RES BLDG FEE. � �
FEE SUMMARY � -' " � �:� • ,
ISSUE FEE
� Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
�Lighting Fixts
Recept Outlets .
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a_
Motors to 1 hp
Motors to 10hp
Motors to 50hp
Motors to 100hp
Motors over t00hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
$22.00
$0.00
$0.00
$99.85
$0.00
$0.00
$1.00
$�.ao
$1.00
$0.00
$0.00
$27.25
$0.00 �
$0.00 '
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Ruantity
1997
0
0
1
1.
1
0
0
1
0
0
.0
0
0
0
0
0
0
0
0 .
0
0
Temp Dist System /,Lighling
' � Busway /100 ft ,' ; .,
� ' � � -' Standing Section � � -
�- Misc Electrical EquipmenC� �
� -- - Transformers up to { kva/kw
.............. �up to`10 kva/kw
..............�...up to;50 kva/kw
..........:'..-....up to�100 kva/kw
� ..................over 100 kva/kw
� �� Lov✓ Voltage Equipment
. , Low Volt Wiring System / Ckt
. - . Misa Conduit
Misc. Conductor
� � � ' ' ' Cirous ( gen or ride),� .
_ , � Circus (mech ride or lights)� �
. �� Christmas Tree Stand ' -
' . � � Fireviorks Stand ' � �
� ' - �Olher Electrical Fee �
quantity .
$0.00 0 ,
$0.00 0
$0.00 0
$0.00 0 �
$o.00 o '
$0.00 0
$0.00 0
so.00 "o
$0.00 :�: -0
$0.00 �. , '0 -
$0.00'� 0
so.00 o ' .
$0.00 0 .
= $0.00 0
$0.00 0
$0.00 0
. ' $0.00 0 ,�
$0.00
Investigation�Fee $0.0C
Plan Check Fee - $0.0C
,Reinspection Fee $0.0[
�TOTAL CALCULATED FEES 5�52.10
COMMENTS / SPECIAL CONDITIONS
EXPIRATION: This permit shall automatically expire and become void iF work is not commencetl within 1B0 days, or�if work is suspended or abandoned
tor a period of 180 days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inapectlona and finel approval must be obtained. Failure to obtain inspections and final approval will result in the eicpiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626 .
WORKERS' COMPENSATION DECLARATION: �
I hereby effirtn under penalty of perjury one of Ihe following declaretions: '
❑ I heve antl will meintein a certificate of consent to self-Insure for workers' compansetion, as pravitletl for by secllon 3700 ot the Labor Code, for ihe peAortnance of ihe
work for w�ich Ihls permlt Is issuetl.
❑ I have end will meintein workers oompensetion insurenca, es required by section 3700 of the Labor Cade, for ihe performance of the work for which ihis permit is issued.
My workers' campensation Insurence cartier end policy number are: � �
Certier: Palicy Number.
(7his secfion need not be completetll/ tne vermlr is valued et one hundred dollers ($100) or less.)
❑ I certify ihat in the peAortnence of Ihe work for which �his permit is issued, I shall not employ any parson in any manner so es to become subject to ihe workers'
compensation laws oi Califomie, entl agree ihat if I shoultl bacoma su6ject ta the workere' compensatlon Orovislons oF SeMlan 3700 ot the Lebar Cotle, I shflll forihwith
comply,with,these provis�' j ' / � �+
/ ^, � 1
Applicant Slgneture: f� � � Dete � , % �� — I �D �
i i_.
WFRNINO: FAILURE TO SECURE WORKEFS' COMPENSATON COVERAGE IS UNUW Fl1L AND SMALL SUBJECT M! EMPLOYER TO CRIMINAL PENALTIES AND CIVII FlNES UP TO ONE HUNDRED
TqUSAN� DOLLARE (5100,000), IN ADDRION TO THE WST OF OOMPENSATION, OFMAGES AS PROVIOED FOR IN SECTION 3]O60F THE ll�BOR CODE, IMEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eHiim ihat I em licensed under provisions of Chepter 9(commencing with Section 7000) of Division 3 of the
�. .
force entl eHect. Lic. N ' - Class
Contrectads SignaNre: �Dete:�,
end Pratessions Code, and my license Is In tull
GONSTRUC710N LENDING AGENCV:
❑ I hereby affirtn thet there is a consiruction lending agency for the pertortnance of the work tor w�ich this permit is issued. (Sec. 3097, Civil Code).
Lentlefs Neme:
SignaNre: _
Lender's Atldress:
Date:
OWNER-BUILDER DECLARATIONS:
I �ereby etlirtn that under penelry oi perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business entl Professions
Cotle: Any clty or counry which requires a pertnit lo construcl, fllter, improve, demolish, or repai� any strudure, prior to its issuence, also requires lhe applicent tor such permit
to flle e signetl statement thet he or she Is IicenseC pursuant to the provisions oi the Goniractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of Ihe
Business and Professions Code) or ihat he or she is exempt theretrom and the basis for the alleged exemptlon. Any violetlon oi Section 7037.5 by eny applicant for a pertni�
suhlects the epplicant to e clvil penelry of not more �han five hundred dollare ($500).):
❑ I, es owner o� the property, or my employees wlth wages es Iheir sole compensetion, WILL DO THE WORK, and Ihe structure is not Intentled or ottered for sale (Sec.
7044, Business end Pmfessions Code: The Conirectors License Law tloes not aOPN �o en owner oi properry who�builds or improves thereon, antl who does such work
himselt or herself or ihmugh hls or her own employees, proviaetl that such improvemems ere not intenOetl or oHeretl for sale. If, however, Ihe bulltling or Improvement is
sold within one year of completlon, the owner-builder will have ihe burden of proving ihat he or she did nat builtl or imprave for puryose of sale.).
❑ I, es owner ot the property, flm EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct ihe project (Sec. 7044, Business entl Protessions
Code: The contrectors License Lew Ooes rrot apply to an awnar of property who builds or improves thereon, antl who contrecis for such project with e caMrector(s)
license pureuant to tha Contractors License Lews.).
❑ I em exempt untler sec. Business and Protessions Code for Ihis reason:
Signeture: Date:
Owner ID verifietl hy drivefs license. ❑ Ves ❑ No Drivefs License No. Expires:
Verification af Ownerehip by (rype oi daument, I.e. - property tex bill ar deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CER7IFICATON:
❑ I hereby certify ihet no excevetion five (5) or more feet in depih into which e person Is requlretl to tlescentl, will be mede in connection with work aut�orizea by ihis
permit, entl thet no building siructure, scaflolding, talsewoAc, or tlemolition or dismentling thereof, will be more than ihirty-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Celitomla Atlministretive Code).
❑ As owner-builder, I vnll not employ enyone to Co work which woultl requlre a permit from Ihe Division of Industnal Safery, as noted above, unless such person has e
pertnit to Go such work from the division.
Signature: Date:
Division oi Industriel Safery Permlt Numher.
CERTIFlCA7E OF COMPLJANCE AND AUiHORQATON OF ENTRV: I certity under penalry of perjury�ihat I have read ihis application and state ihet the infortnetion given is
correct. I agree to wmply with all state laws end city ordinences relaiing to building construction, end authorize representatives ot the Ciry of Coste Mesa to enter upon Ihe
above-descnbad propeity tor inspection purposes. I agree nat to occupy or allow accupancy of any bullding authorized by ihis permit until final inspaction.
^ ,fi ' ure Of Legal Owner(s) / _ � � _
�LY� V
A d/Or Authonzed Applicant �
COOE 1. INSPECTONTYPE
1676
1286
200
201
202
203
Fixad System Flnel Fire Prevention
Pool Spe Final
Finel Re-Roof
Final BIocWRateining Wall
Final Fectory Flre Placa
Finel Sign
204 Finel Demolition
2416de
�Sg ��
j�QyFj IxSPECTIoxTYVE
206 Finel Mechenical
20B Final Plumhing
210 Finel Elec�ncal
212 Final Fire Prevention
220 Final Planning Approvel
+�
250
Final Site
Final Building/Occupency
�.1 JIII..
.. �'�%►
�
`� ; ; .
� PET13A
COSTA MESA • SAN �IEGO • TEMECULA • LOS ANGELES
June 24, 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 20, Tract No. 15570, City of Costa Mesa,
Orange County, California. a, �j Q pj ��� r!,� S f�L
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,
PETRA GEOTECHNICAL, INC.
�C�-�.�'�-u-�n �e-�t l�(G-
Ray Mut�lenkamp �
Supervising Soils Technician
RM/mel
cc: 1998\400\<92-9].20
PEiRA GEOTECHNICAL WC.
3105 -A Ainvay Avenue
Cosia Mesa. CA 92626
Tel: (714) 549-8921
Fax: (714) 549-1438
pefrocm@ibm.net
REFERENCES
1) Geotechnical Investigation, Proposed Residential Development, Tentative Tract No. 15570, Northwest Comer
oF Fairview Road and Adams Avenue, City of Costa Mesa, Orange Counry, 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 Georechnical, Inc., dated Apri16, 1998.
3) Geotechnical Recommendations for design of Post-Tensioned Founda[ions in Accordance with Design
Spec�cations of the Post-Tensioning InsriNte, Tract No. 15570, City of Costa Mesa, Orange County, California;
letter by Petra Geotechnical, Inc., dated April 14, 1998.
PETRA GEOTFCHNICAL, /Nf.
J. N. 492-97
/
�
PARDUE, C�RNWELL & ASSOCIATt�, INC.
PIANNING • ENGINEERINC� • SURVEYINC{
June 23. 1998
City of Costa Mesa
77 Fair Dr.
Costa Mesa, CA 92628
Re.: Tract 15570, Lot 20
Dear Sirs:
The engineer of record inspected the building forms for Lot 20 for the above referenced tract on
June 23, 1998. Upon inspection, the finish floor elevation on Lot 20 of Tract 155701ocated in
tbe City of Costa Mesa, CA. is within ± 0.1' of the elevation specified on the revised Precise
Grading plan.
If you have any questions or comments, please do not hesitate to call.
Sincerely,
PARDUE, CORNWELL & ASSOCIATES, INC.
Fred Cornwell, P.E.
Principal
/QROFESSiO�y 2
���� ��p CORN�y�9l�
� � c_�
W N0.45592 ^
� Exp. z ��� �
`rJ'q,,F CIViI ���'�
OF CAL�F�
151 KnlmusDa.,Suir�G230. .CosrnMEw,CA 92626 •PNone(714)241�3400 •Far�714)241•3432