HomeMy WebLinkAbout1049 REGATTA RUN - Building Permits ` 4(pw�D CIN OF COSTA MESA
o
A� BUILDING DIVISION
F • �,,,, 1 DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER '
74. In PERMIT ./B06-00748
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ENI1LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1049 REGATTA RUN Status: ISSUED
Suite: Applied: 05/17/2006
Vicinity: - Issued: 05/17/2006
Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N
Parcel Number: 42452115 Zoning:
Applicant: JANOSIK, STEVE "� ..
411,
Address: 1621 EST ANDREW PL 1/
Phone: 714-259-5120 ISSUED BY: /4 L
SANTA ANA,CA - - Zip: .92705 - /
•
Owner: COPPS, PATRICK T
Address 1049 REGATTA RUN .
. • Phone:
COSTA MESA,CA Zip: 92627
Contractor: DIAL ONE WINDOW REPLACEMENT SPECIALISTS
Address: 1621 E ST ANDREW PL
Phone: 714-259-5120
SANTA ANA,CA
Zip: 92705; - License: 523043
'Arch : Eng:
,Address: - , ' • . Address:
Phone: Phone:
Zip: ...License: - License:
SCOPE OF PERMIT .
REPLACE 5 WINDOW WITH LIKE-FOR-LIKE ANDERSEN WINDOWS(1 STACKED),2 PATIO DOOR SLIDERS AND 1 PATIO DOOR REPLACED
WITH FRENCH DOORS,REPLACE 1 GARAGE BACK DOOR.ALL REPLACEMENT WILL BE LIKE-FOR-LIKE.
' - - - - FEE SUMMARY- '
• Plan Check: $0.00 - . Calc Valuation: $7,500.00
Permit:. $153.25 Claim Valuation: - $7,500.00
•
SMIP Res; $0.75 _
.SMIP Com:.' $0.00 . - -- _. -- - - -
'" Other:' . $0.00 .. -
Inspection: $0.00 '
', T
Total: , ,, $154.00 .
PLANNING&ZONING
SETBACKS
MAIN STRUCTURE Fronts 0 0,-;:; Rear- -0-0' Left" , 0-0 -- : Right 010.
ACCESSORY`;, Front 0-0 �';
DECLARATIONS ``- "fl
WORKERS'COMPENSATION DECLARATION: '
I hereby affirm under penalty of perjury one o1 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.
J My workers' Insurance compensation carrier and policy number are:
-Carrier's'', 5)B / 6 Q gQ
SC-A R R'CLINTICYNTLorry Num
-(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 it I sho Id become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these v ions.
!
Applicant.Signature: Loa-. A Date: 5- t7--0 (0
WARNING:'FAILURE TO S CURE WORKER ' PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(S100,000),IN ADDRI E 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 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.Licrll- 3 ` Class g g
C i IWcretOSlgrlatUre: /(J'��j, r iV I(./A tilt—, Ca
^a - 11-
/ f1. c7
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 o1 completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). •
-0 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. 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 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 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 a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes DI 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? 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 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? 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.
ture Of Le I Owner(s) Date
ISI 5- 17-0 40
d(Or-Autho. d plicant ^Date'
;ODE I INSPECTION TYPE PALE INTlTALS CODE, INSPECTION TYPE' DATA .RUIDALS
, 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 / —/,,y..�v�
203 Final Sign222 Final Buil
204 Final �-�- +'
Demolition . 250 Final Building/Occupancy,
tik 1111111111101111e JOB SITE: \ 049' PECATTA Ru •
NIS /SSW renewal:
Window Replacement Specialist'sZIP92 1 Tfl SY A II}H�tSHiV
CODE �Q riudew.etipYi'cemms
Window & Door Change Outs
1 The Fofowitg Locations Require Tempered Glass
A Glass In Doors
I
B. Glass In Windows Witten 24"From Doors And<Than 8g"High
C. Glazing Within 5 Feet From Pool Or Spa '
D. Glazing In Windows At Shower Or Bathtub&Stair Landings<Than 8g"Above Floor
2 All Construction Shall Comply With The 2001 Cal.Building Code.
All Windows Are Rated And Certified For 20 lbslsf Of Wad Load.
All Windows Meet UBC sec 2406 For Safety Glazing.
All Windows Meet UBC sec 1203 For light And Ventilation.
3 Smoke Alarms In All Bedrooms. -
All Bedrooms Must Have At Least One Window Or Door Opening Directly To The Exterior
It Must Meet The Following Criteria •
LOn Clear Width =20" Min Clear Height=24"
Min,Area=51 Sq.Ft Max.SN Height =44"
5 Does Any French Door Swing Out 7
ONO
YES= The Outewing Door Must Open Over A Landing Not More Than 1"Belem
Interior Floor Surface
The Landing Must Be At Least As Wide As The Door(s)And Extend Out From The
The Threshhold The Distance Of The Doors Outswingl g Arc
0 P/L C
20'
I
4 6
58 2,3
7 ,-
7 BALCONY / /l
KITr
1 FAM _8' BED MBED •
P/L 9 - I,
.�� _
MIMI ,TRY BATH
\ P/L OPEN
BED
SECOND FLOOR
2 - STORY SFD
18'
CS REGATTA RUN n
NO. ROOM EXISTING WINDOW/ DOOR NEW WINDOW / DOOR
SIZE / TYPE SIZE/ TYPE
1 MBED 57 X 57 ALUM XO WINDOW 57 X 57 RBA XX WINDOW
2 MBED 56 X 26 ALUM PIX WINDOW 56 X 26 RBA PIX WINDOW- OVER#3
3 MBED 59 X 79 ALUM PATIO DOOR 59 X 79 AND PATIO DOOR -TEMPERED
4 KIT 71 X 95 ALUM PATIO DOOR 71 X 95 AND PATIO DOOR-TEMPERED
5 FAM 68 X 11 ALUM PIX WINDOW 68 X 11 RBA PIX WINDOW- OVER#8
6 FAM 17 X 82 ALUM PIX WINDOW 17 X 82 RBA OH WINDOW-TEMPERED
7 FAM 17 X 82 ALUM PIX WINDOW 17 X 82 RBA DH WINDOW-TEMPERED
8 FAM 70 X 96 ALUM PATIO DOOR 70 X 96 FIBERGLASS FRENCH DOORS W/
V-GROOVE TEMPERED GLASS
9 GAR 32 X 80 WOOD DOOR 32 X 80 FIBERGLASS DOOR
Owner PAT COPPS Contractor Address
Address 1049 REGATTA RUN 1621 E. St. Andrew Place
City,Zip COSTA MESA, 92627 Santa Ana, 92705
Phone 949-548-9008 714-259-5120
Prepared By: Steve Janosik
All New Windows and Doors Have Dual Glaze, Low- E Glass
Unless Otherwise Stated
LEGEND
XX Slider- Slider AWN Awning Window
XO Slider- Fixed DH Double Hung Window
GW Garden Window SH Single Hung Window
CST Casement RBA Renewal By Andersen
PIX Picture Window AND Andersen Vinyl Clad Patio Door
JOB: 17747 cg
SCOPE OF WORK:
REPLACE 5 WINDOWS WITH LIKESIZE ANDERSEN RENEWAL WINDOWS
REPLACE 2 PATIO DOOR SLIDERS WITH LIKESIZE ANDERSEN PATIO DOOR
SLIDERS
REPLACE 1 PATIO DOOR SLIDER WITH FRENCH DOORS INTO EXISTING
OPENING - NO MODIFICATIONS
REPLACE 1 DOOR ON BACK OF GARAGE TO EXTERIOR WITH LIKESIZE DOOR
NO HEADER CHANGES
F raaWTAooRESE: 1049' REGATTA RUN - - UNIT: 38' - H CITY OF COSTA MESA BUILDING PERMIT PERM NO: G 046976
• owxEfl•s Narag:.KAUFMANN & BROAD • - , • • - - '- ' - '
ADORESS:,1$O N. RIVERVIEW DR sPERMIT NO: G 046976 PLAN ,CHECK NO;NN GOVT; `N SUPP ; N -
SUITE 300
ANAHEIM, .CA 92808 • - - - • ' t' CONSTRUCTION- TYPE: V-N' ' " . PERMIT TYPE: • l
E:ELE MEC1PLU STR • 'PURPOSE• NEW
-ARCH/ENGINEER: MIKE WOODLEY ' - REc.xo.:C1`5730 JOB DESCRIPTION : NEW SFD •
I • SQ ,FT r ' 2, 119'
• .ADDRESS: 180 N. RIVERVIEW DR UNmT: 300 •-
ANAHEIM CA 92808 . CLAIM VALUE: 117, 438 . 00 rCALC-VALUE: , 119,681 . 40 GROUP OCC; :R 3 /Mrl
PERMITTEE: .KAUFMANN 6 BROAD . - ( 714 )-921-0500
• • ADDRESS: 180 - N6. RIVERVIEW DR - • 300 COMMENTS.: 'PC#234-89A PD
ANAHEIM CA 92808 .*********************************fF*Bk*******4*SF**!**+FBF***ir*********4*+F** *Sr40E4*4
LICENSED CONTRACTOR DECLARATION: I hereby aft' . 7 .77 licensed under provisions of Chapter 9(commencing with Section . - • ' .Z 0 N I N 'G R 'E' Q U I' R E M :E N T S '-
70001 of Division 3.of the'Business and Professions .„e,and my I • • is in full force and effect. . I S E Ti B A C K S I -
clTYUC.: 46894' STATELIC.:3344 ` 55: B -1 / .
Date: '�1 7-9k.-, Signature: !44 - t. /L,• - / -/✓i MAIN BUILDING • ACCESSORY - BUILDING
'HERS'COMPENSATION DECLARATION: I hereby affirm that) e a certificate of conseni to self-insure or a certificate of Workers' - FRNT: 20 FT • 4 IN REAR: X16 FT IN FRNT; FT IN REAR; - FT IN
ensation Insurance,or a certified copy thereof(Section 38 ' ab.C). ' LEFT: 5 FT ) 6 -IN RGHT: 5 FT IN LEFT: FT , IN " RGHT; • FT IN '
arNo.: 41810,90• EXP. ,ATE: 03/07/91' ,
coMPANy: TRANS, ,INS , . PARKING REQ: 2 PROV: • - 2 PARCEL: 42433101 ZNE: PDRM• REFC��ANO: PA88'40 . ' '
❑ Certidedcopy ishereby tumished.'® Ceniife yisldedwith ecity Bugdmg-Oivis:• ' PLANNING NOTES> SINGLE FAMILY RESIDENCE WITH ATTACHED TWO CAR (ipLU SYE�IALREQUTAEMENTS
4-77-�0 > .HALF.APEN PARKING SPACE .ON STREET,FOR GUEST: . r
Date: t Applicant, I ._I • **************.********!t.**•**********************************************.********
EXEMPTION FROA�WDRNFAS'COMPENSATION DECLARATION: Milken sed not be completed if the permit is for one hundred(5100)or less). 0 E V •E'-,L O P M,E N T'`•` ,S •E'-R V 'I"C E• S R. E Q U I V R E M E N ' S • •
I certify that' performance of the work for which this permit is is d I shall not employ any person in any manner so as to become ,i' - •' `�'' ,{ , � '
subject to the Workers'Compensation Laws of California ZONING APPROVED BY r,-.:. : '-• N"'o DATE: Ti-.., 1 7 / l a ,
-Date: - - " Signature: - - -
NOTICE:If,after making this declaration.you should'become subject to the Workers'Compensation provisions of the Labor ' BUILDING .APPROVED BY ( (✓t.� f - • - m• -DATE: Q 4 7. t 7 -9.0
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. ' tie- : , • , - .-. '
CONSTRUCTION LENDING AGENCY: I hereby affirm that there'.is a construction lending agency for the performance of the work for APPLICATION ISSUED Sr.' �I>', -. - - ' DATE; c 1 7 9
which this Permit is issued(Section 3097;CIv.C). , *********************** ******** - 'TELT .)t.x.*.•****..x.**.,x..N.**,****** 3F'*' **.
•
LENDER: , 1 **************************,**************. ***************************i'F**********-
' 'ADDRESS: ' • • LEGALIZATION:N - • F 'E E. '' Si d M M A R Y STRUCTURAL' SEGMENTcI
n
OWNER BUILDER DECLARATION: thereby affirm that lam exempt from the Contractors'State License'Law for the following reason BLDG PMT PLUMBING ELECTR'I4 -MECHANIC • FIRE SMIP/RES GRADING '
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,'alter,improve,demolish,or PERMIT' • - 709 . 50 . 41 . 5 0 , 56j49 = 3 2 .7 5 8 . 38
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed•statement that he/she is licensed ' a a. .25%
,
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of,Division 3 of the Business ' ' 25%. - ' 50,t e .2 5% .S M I P/NON-RES
and Professions Cdde)or that he/she,is exempt therefrom and the basis for the alleged exemption.Any violation,of Section 7031.5 by PLAN -_
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500).' . , ... .. .,ISSUE FEE 3 .00- • 1570,0 "15 . 00
'I, as owner of the property or my employees'with wages as-their sole compensation, wit do the work, and the "BUILDING-DIV-> - PERMIT _ ISSUE PLAN'fCHECK =a TOTAL PAID ,DUE
structure is not intended or offered for sale(Section 7044,Business and Professional Code: -The Contractors'State License Law -TOTALS--=--> - 848 .52 ' S3 . 00 •`J 0 . 0 0 •rte 881 . 524 881 . 5 2 .0 0
-•• does not appy to an owner of a property who builds or improves thereon,and who does such work himself/herself or through rrA
his or her own employees,provided that such improvements are not intended or offered for sale.Ii,however the building or ';l t, '
improvement issold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE ,D I V I S ION TOTALS--> COLLECTED: ..'i . 8 8 1 :5 2 ' OVER/SHORT: .00 .
for the purpose ofsale). - , BLDG-PMT PLUMBING ELECTRIC MECHANIC 1' FIRE' SMIP/TOT GRADING PLAN-CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 70'1. 50 4 4 5 0 .71 . 3 9 47175 'v' $ , 3 B •-
❑ 'and Professions Code: The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereon ' • : -- . .: :
and who contracts for such protects with a contractor(s)licedse pursuant to the Contractors'State License Law). l am aware **************************************1******1F********.M.*..N.***********.**.7e****.N.***.N. •
that proof of their Workers Compensation Insurance should De provided to me. r ,
INDIIVIDUAL � EE BREAKDOWN •
❑ . I am exempt under Section: B• .8 P.C. •
^/ •
for this reason: •• .TJtPE QTY D E S CSR I P T I O N - UNIT• : COST : •
TOTAL COST
Date: Owner:
7 •
SFR 1611• - DWE-TYPE V-WOOD FRAME -GOOD 69 . 00 111 , 159 , 00
I do hereby certify that l am aware of and understand therequirements of California Health and Safety Code Sections 25505,'25533.and SFR 76 • RES-BALCONY„ EXTERIOR-tSTAIRWAY 13 . 80 1 ,048 . 80
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a. -SFR
• 4 3 2 RES:GARAGES. TYPE V I 17 , 3 0 _ 7, 4 7 3 6 0
permit for construction or modification from the Air Quality Management Distract.Residential construction applications are exempt from ,
these provisions. - ELE 1611 NEW RES: BLDG FOR 1 OR^"2 UNITS/ SQ FT . 03 56 . 39
' MEC • 1 INST. FORC-AIR/GRAV FURN <= 100 K BTU 9 . 00 . 19 .00
Date: Applican' MEC 1 REFRIGERATION SYSTEM 'h 100 K BTU/.H 9 .00 9 .00
I hereby coney that I have read this application and st.ethat the ab've information is correct.I agree to comply with'al'city and county MEC • 5 ' GAS PIPING SYS 5+ OUTLETS PER OUTLET 1 .75 . 3 .75
ordinances and state laws relating to building constructio -nd hereby. 006nrepresent Yes of this i, , . ter upon the above-mentioned MEC - - - 1 FACTORY FIREPLACE 6 . 50 - 6 . 50
property for inspection purposes.
' 1 .are ' MEC ,. :1 VENTILATION FAN CONN TO SINGLE DUCT 4 , 50 A ' . 4 . 50 -
Date: -`Y I �L� Signature: w - y� : PLU - '2 r BATHTUB 2 .00 t : 4 . 00
/
01 00008701-00058705 T_cLT I _ fles eo
• 1641-46 White-Bullaing;Green-Code Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor ' -- '
• CONSTRUCTION AND PLANN� •OL & SPA - •
t Date . Inspector Date Inspector
.r‘ APPROVALS •Permit # . _ APPROVALS - Permit #
1. Temporary Electrical Service or•Pole E. 1 - 52. Pool & Equipment Location
,2.!Soi�:Pipe-Undrgrnd; cs , - ^TS - - 53. Steel Reinforcement
=%:32-Elecirica`f Cortduit•Utility-Undrgrnd_ • 54. Forms '
_▪ 4. Electncal.Condult-Undrgrnd. o;: 55. Electrical Bonding ' •
R:5 Steer RerTforc€ihent •T 4.--za- di 4444,156. Rough Plumbing & Pressure Test w
r`6 Ele trical liFER`,_Sirnd. a r. -dfte 4,k 4( 57. APPROVAL TO COVER-GUNITE - -;�'•
"t7�Footings t~•-' GT u .f -) --t 6w9 58. Electrical ConduitUndrgrnd.
-,8 r•Fodvtldatio h>-. Su-1S' 6,t.v6/ 59. Gas Pipe, 0 Undrgrnd., Test •-• S"
• 9TWater Pipe3Jndrgmd. l4 60. Backwash Lines, P-Trap, O Undrgrnd. - -•
10. Structura4Floor System 61: APPROVAL'TO'DECK '
11. Property Sewer Liriel& HouseConnection 62. Backwash &?Receptor-Final -
12. Sewer Cap u e. a • 63. Heater& Vent-Final
J ,
13. Roof Drains0,., 64. Plumbing System- Final • '
•
. 14. Rough Plumbing . . 65.--Electrical-Final • " ••
15. Rough Eiectriejal-Conduit • 66. Solar System-Final
16. Rough . ectrie-Wiring. •
• 67. Fencing & Access Approval ••
•
c°17. Rough Wiv g $ig� - 68.:APPROVED,FOR PLASTERING
18. Rough Electrial-T Bar Ceiling - . . . -' 69. POOL/SPA SYSTEMS FINAL - -
19"kO gh Heating & Air Conditioning _ FIRE DEPT. REQUIREMENT
C • v (1 :1;: I [r "_^C M mi Cr * " T_ r+ .n E4 rr tr; tiErilf E::ZCr"
:r; �• r t t.tr q-� >< a a•* * n- m pO fri . - ---- rt rr'!lr7r i.t`77
20_�Rough F,_actd Y FrePlace ± c�; .x� s; H e+e: ,: �APPROV!>LL "FPermlt # , .m .gmnt-innc1Ja-,
211-Du(.2s,in Stroctu e* 1 '• 1-,S t S 7 H* * -3 U'ndergr"'ou-,Hydro �'
... 1 � * •
I (J:a * .. 'C.,* * •.1 trP_a 1 I'.:: a.
22-Duets, Vent:atiriglf Ira n * .. < 0 E-,* 1: x71. ProductrP,iping O Fru D.Oil
23.7Gas,.Pipri rrigh & Test i Tmcis * to t" r O * X72. Undergro nd Fl sh a * E' �L tt
o C- H (Th t: I F.-q, E- * > 0 `T f * S r` i-1C "�J AVti�-IN+-„-+N�-i
24. Roof Flaming ar* ••m * > r. H* c ..73riUndergrnd.StorageT_ankt Gas ❑Oil
25; Roof SRfeathing Y <4•'t y '12, 4 * * -74e5pverhead Hydros,-
G ' r S.. .-i N:. ' �,n* * ,C' 'l 0 or'. :sh:�(�r•tso
26,_T-Brr Ceiling,otr�uctural) &'Monecoat?.,<'r, rJ �, p* * 75sDry Chemic5il e-c **11-1 �� r,;rJs�±�<;rt;.e"
27:-Frame and Elashing: O1dS "cy 6 tet/ >,v/ * 76. Dry Stand]BFPe H 4. * tl.•I� •
1 e-w f,_ w^
••,. * urn.^t rr•--1 * vt'H • * rt •�i c.b mQ` H^'t t�dr,.�
H 7 Tf G2 '...GS r'trt()'. .. I ...k * r- u„ „-1 * :..Tt: Smr.D dJri[;'1°C
X28. Laihing& Sbing�* 0 E O t' _ I I j* * 77 y FIXED SYSTEM 14A1H n tr 3g1i'; < DC1
^29. InsulatiO'n • * .. S ~"4-•' �.6 ( _'V ; 1 * 78 F1REPREV. FIN9;L * > -v �afl`xStty m
^ '7 f: " :iT.7' t* * t . C.,r:Y--)1,1.,
± S
30. Drywall Naffing ), „ I �1- ,;,- , I --y ds y; Sry r� oHE�1LTH•p EPT, R Ql1iR6MENTj ._d,�S,-.,
031. Plaster Browli Coat* S ! El!
t*-M - :afr I i-1 r79. FINAL INSPECTION. X 6, m .t,+� ,itc',
-"32`Electrical Paver M'te?Final) 03 ramy4 �• ell / 'eft. --80 FOOD CERTIFICATE ISSUED co rrir r>'vt '
•X33SFin-al Electrte- a: m 14C7ti .Q1 " �1 * ��Notes) •-'': * 'l 0 <H MO S
y n^ . _.i u ti 4 n 1! /! er ri ner hl r: x -s-:-. (l M T^1 y _
n `i CIS i' v (* t -.- tk 1 fr"` )
''34 ,FinTl Heatingry& Air'Coriditioning ,<y� g/I m, �/1 y b
ktir-, r t-. trio, 'art! y r "!a.!`
„•'. % �/ /fes • . `.
35^Final Gas Pipe-Test±: o •• '(y-rj/ .11i: t \ �o to -IL t I.
t5 : rr''1 •3,1-`.* l, I '*..s: L. ng is H `_. 11 •ti H
y36.'.Ho or Canopy _* n :cm Le:F.* a• ! �I ;, : rri xc x Cr: --I 0C S
'-37.`•�Final Factory Firepiacex i ftI- w+"E<� 411 toPi ...4-i"•i ' C NO : -1
.. ,.«r i r .� �. ., qhs ..
* ro 1 -,Hc+* 1 * * s •., *oto p '. -
538. Fin2� Plumblig .t, irl 1 0F.c up(u!sti L•w•C* #: x :--IL n-. 0 !o l; * CJ y rJ".^<;3? •7
39. Water Servidz,Final* z ± .n Wag// In a: >. .. .. * O ff.,, (-±
/�i''°°lI Q , �i.�: ,K.,� .-.rn * r.. rt m s.. -rr•
"40. Gas`•Service-Final ): !x± y,ttro' SUN m - i I V * o-- , r'-n, * ;.DM,;.
1...41. Solar Do_mesryc-Fina) to .E't)* I I II: * ;r. y-4 t' a: x CD .
42. Backflow Preventer* cu QOm* - 1 I ' It * x >`- • * O
rl * til OHH r. .i* ri * * CI ril Cl..i * 1.--
N •: * .�>� 2.t I:-•* t, + v
43. Backflow Irr_gationp >, C •-* M +: * t �� r n •V . . . . . . • •
M44. Landscape Iirigat• System-tin cc * m G C' C* * 71-%. N ro :n •^t, * CO 000wo.:�,I0000
'l Y: -I C.`. r 'qt.) .. :c H t-. r a' 4 . rt n t..:,, ,.
r45,-Sound Attenuation: _ . - ^ ;x`Oto 6: m* * < 01 0 - E-C * •
E46.-Handicap Regulations -+ "?`'* ` ' *' 1 '`
' ' M 'c '``-i <" *
47 SGINAL STRUCTU,1,'tE& BUILDING Cl /+r^`% [�•,� * _
(,�. f fy/n r.. -I
a49Y,hhedtric:Releaseto Edison i o ^:;. I `H * a . •
"` -
C.50.tGasiRelease to Southern California Gas Co•' i ; '-I !...;1 * rte 1--� O - o- t 0
.-t x . `7.- n1 -S * ,. S so :l x 0:.p'v..J0::;.;,..U 00
C51. CERTIFICATE OF'OCCUPANCY * - .../* * .M "3'� r
No. Date tI
1
kI
PROJECT ADORES¢:" ' . - _ UNIT:'.• _ _ - _ _ _-
+
- OWNER'S NAME: .. _ .. _ .
ADDRESS:.. -- - PERMIT NO: G 046976. • PLAN CHECK NO' -03405-90 N + • PAGE: 2 •
. - - * ** *�r�E�r+r�rirxik x+t�rkE�r �r �e�rit**krxx *�r**it*�E�rx�rx�E+r�E***�r�E+rir�r�E kr�r�r�rSr�E�txsr'�t+E�r x�EE+rsr�E •
•
ARCH/ENGINEER: , REc.NO.: r —TYPE : - QTY ' D E. S ;C, R I P .T I 0 •N ' 'UNIT COST - —TOTAL COST
ADDRESS: - ' UNIT: •. ,
• ' • ' PLU 1• LAUNDRY TUB OR WASHER •' 2 , 00 , 2 :00
• PERMITTEE: -. I • , PLU •• j• 2 SHOWER ' - '2'. 00 - 4 ,.00
ADDRESS: ' - • PLU ' .1 SINK, KITCHEN' - • ,. .2'.00 ' 2 . 00
•
PLU 4 WASH BASIN • 8 .00
2 .00
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section PLU 13 . WATER CLOSET (TOILET) • - s -2 .00- : ' 6 ', 00
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. { 'PLU •
1 WATER HEATER AND/OR VENT .2 .00 2 . 00 -
CITY LIG.: STATE CLASS: :_PLU -1 :WATER SERVICE 2 , 00 2 . 00
Date: Signature: ._ - PLU . .5 GAS PIPING SYS 5+ OUTL—PER OUTLET . 50 2 . 50
�KERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' PLU . 1 GAS SERVICE 2 , 0 0 , •' ' 2 . 00
Ipensation-Insurance,or a certified copy thereof(Section 3800,Lab.C). • .PLU• 1 , SEWER, BUILDING / TRAILER '5 , 00 i 5 . 00'
WUCY NO.: • . UP.DATE: •• . ' END OF FEES • •
COMPANY: i •
I: Certified copy is hereby furnished. ID Certified copy is filed with the city Building Division. - • - , '
•
•
Date: Applicant• •
f I - .._ - -.1 - _ .. I .. ,
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION:. (This section need not be completed if the permit is for one hundred(3100)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 , a
I
subject to the Workers'Compensation Laws of California. - • I - • '
•
Date: . Signaturer . .. . -. - ., - t _ „ ••
•
NOTICE:II,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor .
Code,you must forthwith comply with such provisions-or this permit shall be deemed revoked. • •• , •
CONSTRUCTION LENDING AGENCY: I,hereby affirm that there is'construction lending agency for the performance of the work for - -
•
which this permit is issued(Section 3097,Civ.C). . ' '
r LENDER:' , I
_ _._ADDRESS:_ .. .. _ • -. : .. .. - . ._ ...
., .. - _. I
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractois'.State License Law for the following reason -
• (Section 7031.5 Business and Professional Code: Any city of cdunty which requires a permit to construct alter,improve,demolish,or 1 ) ••
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed • ' - - , '
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business - - I
and Professions Code)or that he/she is'exempt therefrom and the basis for the alleged exemption:Any violation of,Section 7031'.5 by ' " C• 1 " . (. .
applicant for a permit subjects'the,applicant to a civil penalty of not more than five hundred dollars(3500). - • ,
I, as owner of the property:or my employees'with wages as their sate compensation, will do the work, and the '•
structure is not intended or offered for sale(Section 7044,Business and Professional Code:-.The Contractors'State License Law ' •
does not apply,to an owner of a property-who builds or improves thereon,and who does such work himself/herself of through •
- ''his or her own employees,provided that such improvements are not intended or offered-for'sate.If,however the building or ..• , •
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve , , - r - - - •
• :for the purpose of sale). - - '
.I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,.Business I - , -
•
O 'and Professions Code: The Contractors'State License Law does not apply to an owner of properrtyry who builds or improves thereon ' , .
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law),II am aware '
• that proof of their Worker's Compensation insurance should be provided to me. ,
El I am exempt under Section: - B.&P.C.
for this reason: - • - I '
Date: ... Owner: - t • • .
- i
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and . - ,
25534 and that I or any future building occupant wil0will not(circle one)need to comply with said state codes and the requirements for a. , - '
permit for construction or:modification from the Air Quality Management District.Residential construction applications are exempt from _ '
these provisions. , ' - '
• ,
Date: Applicant: , _ ' .
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county - •
•
-ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned . _ .. - .,. • - ,
property for inspection purposes. _ •
-
r 1 1. • , i
Date, i Signature: ' i . ,
Driver's License or Social Security M:,
1641.48"White—Duildlno:Green-Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor ' - - - - - - .,- - '
•
CONSTRUCTION AND PLAN : - - _ . ' �OOL & SPA
' , , APPROVALS Permit # - Date_ Inspector Date Inspector
APPROVALS Permit#
.
.
` 1. Temporary Electrical Service or Pole • - • . 52. Pool & Equipment Location .
2.t Soil Pipe•Undrgrnd. 53. Steel Reinforcement - -
3. Electrical Conduit Utility-Undrgrnd. 54. Forms • .
4. Electrical Conduit-Undrgrnd. • 55. Electrical Bonding -,
5. Steel Reinforcement - . 56. Rough Plumbing &.Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE .
7. Footings . , 58. Electrical Conduit-Undrgrnd. •
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
• 9. Water Pipe-Undrgrnd. - - 60. Backwash Lines, P-Trap, 0 Undrgrnd..
10. Structural Floor System 61. APPROVAL TO DECK- ,
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ,
12. Sewer Cap 63. Heater & Vent-Final .
. 13. Roof Drains 64:Plumbing System - Firial
14. Rough Plumbing - 65. Electrical-Final -• - .
15. Rough Electrical-Conduit 66.:Solar System-Final - . .
-
16. Rough Electric Wiring • 67. Fencing & Access Approval - -
17. Rough Wiring Sign 68.- APPROVED FOR PLASTERING .
18. Rough Electrical-T Bar Ceiling 69.PP POOL/SPA SYSTEMS FINAL .
19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT 4
a' a,rnrt,rC„LT,.,.tr.rr,
20rRo ghuFacto�yfir.Pslace2222 APPROVALS Permit # -
Y -.
E.
21�Autts, in Structure - 70. Underground Hydro
22.y-0uCts, Ventilating 71., Product Piping O Gas O Oil
23.Ga Pipe-Rough & Test 72. Underground Flush •
24rRof.Framin`g'4'"-14-,"^”"`" 73. Undergrnd.Storage Tank 0 Gas 0 Oil
.1.
'
25. Roof Sheathing 74. Overhead Hydro .
26,041.8ar CellinigM a 1W`.t i}ocoat 75. Dry Chemical
27:-Frame and F-fl -gr py n7T m 76. Dry Standpipe
-28. Laing.& St mgganx,.o�T ' 77. FIXED SYSTEM FINAL
29. Insulatitb €-, O< Si- ) • 78. FIRE PREV. FINAL •
30. Drywall-Nailing C7 tinitit'78 HEALTH DEPT. REQUIREMENT
>: "' V N r A. :YIi -
31. Plaster Brown Coat -c t'U s 79. FINAL INSPECTION
32`„Ei&tri al Pier Met€Fjnal� - - 80. FOOD CERTIFICATE ISSUED • .
33QFirel Elgctrir, m + Mm Notes: - - . .
34.,7Fin l Heating•& Air m itiQning`e
35 Final Gas Pipe-Test -, 7 i;�
I 36N-Io&d or Canopy c' rr
r m m
37.-Final Factory Fireplace cu
38`Finial Plumbing . .
H
39aWai+er Service-Final hj.
40fLGastService-Final - •
r
41;Soltr Domestic-Final
42:SEaokflow Preventer
t
43. Backflow Irri7g' ' "g.v:1PA •4_J
ation
_I a
44. Landscape IFr(Oft 6WQystem 0
45. Sound Attenuation
46. Handicap Regulations
r.
47..:;:F I ft:4L(STRUCTURE& BUILDING
-
48r FINAL PLANNING .
k '
49. EleMric Release to Edison
50:•GasrReleaseto Southern California Gas Co •
51. CERTIFICATE'OF:OCCUPANCY
No. Date
- •/)
/ BN FORM 116 - 76.1i' \ BIA FORM 1486 • 'I
v I `tS
\ INSULATION CERTIFICATION
a�
' . , This is to certify that, in conformance with the current energy regulations (California Adminis- i
I idtrative Code, Title 25, State of California') and approved plans, insulation has been installed in l
\I1 the building located at:
r• COSTA MESA ORANGE i1J
• loin City tans SEABREEZE
1.649 Regatta Run LOT 38 TR 13224-3B
\ Star No. (If Melina) Prost to Naar Tat N.. : ` ')
/i •- DESCRIPTION OF INSTALLATION i 0
r ROOFS \ d
('\ Type of Material Manufacturer Thickness R Value"_ I /4
EXTERIOR WALLS OWENS CORNING i _ .
( FIBERGLAS BATTS FIBERGLAS 31 " �• 11 I
b Type of Material ManufacturerThickness R Value 4
Q CEILINGS (Or kat Nam)
OWELS CORNING IN'
•
r. BAlrs: FIBERGLAS BAITS FIBERQ�AS 6%"
+ Type of Material Manufacturer Thickness d R Value' 19 Imo,
t (Or Trade N...) • ;I • . .
� 50. ft Covereed_ 1
BLOWN:
feType of Material Manufacturer Thicknesss_ No.Bags_
(Or Tao Nora
Wt/Bag Sq. FL Covered R Value"_
' li
` FLOORS
04 Type of Material Manufacturer
(Or Tao NNolaThicknessR Value**____ )
'` SLAB ON GRADE /2
I
1, ,�� Type of Material Manufacturer Thickness R Value**___ \
Value**___ .
c-..,..„ : = 1!
;11
Width of Insulation Inches T.M. Nose)
FOUNDATION WALLS (if required) j\;
Type of Material Manufacturer Thickness__R Value"___ /4
( (o. T.d. w...l \';l
iX.•;
( "\ REMARKS (If desired)--
0"/ 1 \':
KAUFMAN & BROAD-SOUTHEAST /2
\ ` General Contractor (Builder) ucense Number
\ll
: . : By Title Oat. 1'fJ)
' . Sub-Contractor (Insulation Applicator) Accent Insulation Company License Number 274283
(r,whbr. N.rn tel (State"SAME" N to..a Cara yi
i P' 1:
/ I By J'� �GC �l Title />'/�-ll / Date 6-3-91 \..
I'c.INrni.Ad.1.i.U6Day. ..Cd.. y In..l..la Saadi. darn. Fiala free ea Mil .f Mai
rd. ad Way Cade of M s].... r• r•
i
\ • •C.ariato. Ian aa.lair N M I..bll.l:r .f lialora. • and A Calais /.
,_,lI onifya M. M Saran A..M.. Walla In air,.... el* M
.a.M...a a M. "and... .41r M ...lad .4 wawa by "N.aerator, .f ra..a.p r ales'a.CCa.lr SO . ...h a«- 1)Ni
a. is..is$ . n$la..rM M. IN. aria.. T.I. !Tatra n..lia.a .t ,'Md Ital. ..a. enema Na... Ma. r .14.. sada!a ) )
\ I r..41 'al a. arra or . aa..law.. lana .IM1. M d..IM.r.••) d...li.e I. Mr.nle 5.11 M bad by web . b.ild'wy d...ea.a
..1... a .Irma.a a lo.. Mi.r... M atlas awn 1..sirio Si)We yaw I. masa M mof M masa .f . ..and r MINTY .I.d..do end .Mr.
ld.. .rC1,01~7l b SitC1,01~7l
a s......b Se a.....or r,.1.Tb./011101118000 nim III a swans
' \ . ra.r.a. .hell M Sala ayago hr calla ve fame.) ))
If r loan 116 —m BUILDING NEWS. INC., 3055 Overland Ave, Los Angeles, uric 90034—(213)e70-9871 »
Farm I486-0 BUILDING INDUSTRY ASSOCIATION Of CALIFORNIA, INC 1571 Beverly 81,6,Los Angeles,CAL 90026-4213)6255771 1/J)
1. it. '7.0"...' w w. w. .M w,-w; vs w .r.. m,.. vim, w_.. -r., ,
1 _ _ ..... .,__ _ .
F .
I rr4 IWA ENGINEERS
17390 Brookhurst Street,Suite 100 •'
Fountain Valley,California 92708
(714)968-1221 •FAX(714)968-9286 r
June 6, 1991 J.N. 207-03
City of Costa Mesa
Building Department
77 Fair Drive
Costa Mesa, CA 92628
Attention: Mr. Victor Clift
Subject : Fine Grade Certificate
Dear Mr. Clift :
I hereby certify that the fine grading for Lot 38 of Tract 13224
were graded as shown on the precise grading plans for said project .
da.41149-Zed
Llewellyn D. Incledon, R.C .E. 17593
voESS10
�
`�0 ‘NCCe o r :'
W 62 v No.17593
COPC.76C13;31