HomeMy WebLinkAbout277 ROBIN HOOD LN - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
F COSTA MSA /(y�/y�1 STR U ION ELM)IT
I PER N_
O. I TRACT NO:'...„ LOT NO. UNIT NO.
01101P5
Project Address (� /n /1y9 .#I G •ZJ`C 2x/fr.-REPAIR l
Applicant's Mailing Address
/7,1�� a ",e,v 0`� TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION
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garage) Phone ,[/jZ7/7/ , ❑.CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# -. Zone
Owner's Name in i} CrTrfC ! DESCRIPTION OF WORK/USE OF BLDG.
Address S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING /FOUNDATION CI STRUCTURAL E Front O
Address ❑ TENANT ❑ ELECTRICAL IJ PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name' -,2� �z -�� Phone _ ❑ o7HER C Right N
PROJECT DESCRIPTION SQ. FT. OCCUPANCY Left
Address(mailing/ " i L/_ �'�/ nt.1 '� CONSTRUCTION TYPE VALUATION$ S R
City License No. 7/II_�IIlI��II ZONE GRADING CU.YDS. _ ACRES
LICENSED CONTRACTOR DECLARATION • Ping. Ref. # Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks:. Planning Notes: L( L LL nig Q
• with section 7000) of Division 3 of the Business and Professions Code, and ...• K�(,tIV LD AUG a u id' M
my license is in full - nd effect.
Licens' C ass - l se O. / •moi $
Date j7 Signature a�Ir/ �/ // PLUMBING FEES ,
4
WORK RS' OMPENSATION DECLARATION _Bar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Section • Backflow Preventer Service Sink
\ - Automatic Washer Transformer 0 15.50 KW
' 3800, Lab r(c ,/„ „/ 0 50+ KW
Policy No. ,�T/op f'/ G <1 Camper).
om panyC- /�K� �[/(fes Backflow Irrigation Sewer Cap Construction Pole Sub.
-Certified copy is hereby th thehet, -
CertuN to�ap•q filetl with the city B V�t�r14/ A/ Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps
Date t/ ///(��r�� ant nO /D'[/RA - -
EXEMf IO FROM WORKERS'COMPENSATION DECLARATION J Clarifiers Solar Collectors Dishwasher Meter Cover 100 amps •
(This section need not be completed if the permit is for one hundred ($100) or
less). Dishvvasher ' Solar Piping Dryers ❑Gas ❑Electric Sub Panel
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 • Drinking Fountains Solar Tank -I ,Fan Motors❑O-1 HP 01%-8 '
Workers' Compensation Laws of California. _
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Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+
NOTICE:If,after making this declaration,you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet •
Device Boxes ,
I hereby affirm that there is a construction lending agency for the performance ^ Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater , , Outlets Range
Lender's Name tY
Lender's Address - Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash . Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or 1.
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW 05-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
• the Contractor's License Law (Chapter 9(commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/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). $ 3
I, as owner of the property or my employees with wages as their sole Reinspection Fee 1 $15 Issue Fee
compensation, will do the work,and the structure is not Intended or offered - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an owner of a property who builds or improves __ __.. -=
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date
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pf, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
prove for the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat
tractors to construct the project (Section 7044, Business and Professions Code: /.
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑o-100000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con •
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tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ PERMIT
0 I am exempt under Section B. & P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers • PLUMBING $ SS UA NCE $ '
el
Date Owner - - Heating System&Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify- that I have read this application and state that the above 00-100,000 BTU 0100,000 BT ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of is ci y to este upon the above-mentioned propert for 60vinspection p. .ser / — 1 ' MECHANICAL $ TOTAL FEE $
Signature / /4 Date da
Drivers' License or SS# Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ e
CMF 0865-46,rev. 10/84 mute - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 09/06/88 TIME: 04:19 �.vu
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CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
' i.
1. TemporarytElectrical•Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms :,i
4. Electrical-Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56: Rough Plumbing & Pressure Test
6. Electrical UFERGrrid: 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrrnd.
8. Foundation. 59. Gas Pipe, 0 Undrgrnd.,Test
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9. Water Pipe-Undrgrnd. • 60. Backwash Lines,P-Trap, S Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK i I
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains l 64. Plumbing System - Final
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. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace ' APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping ❑Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL -
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION '.
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED f J
33. Final Electric Notes:I-,y.8g L EFT_ Uea. G•ED
iv34. Final Heating & Air Conditioning
1
-2,��9 � t��� j)�f
35. Final Gas Pipe;Test - . - _ .
• 36. Hood or Canopy ./
37. Final Factory Fireplace
381 Final Plumbing f -
39. Water Service-Final „+ -y
40. Gas Service-Final r •
41. Solar Domestic-Final - " `l a
42. Backflow Preventer r : t*
- 43. Backflow Irrigation �'
0-2
44. Landscape Irrigation System - • .
45. Sound Attenuationi;,vi
46. Handicap Regulations • , -1
•
47. FINAL STRUCTURE & BUILDING '• 1-2
• , •/ p nit
48. Special Requirements Completed ` -
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49. Electric Release to Edison -
r,
50. Gas Release to •
Southern California Gas Co - .
51. CERTIFICATE OF OCCUPANCY
No. Date
1 t•r:
M- '7168
a/ -,5`5 til c,_
COSTA MESA BUILDING DEPARTMENT FINANCE DEPT.
P.O. BOX 31]
COSTA MESA. CALIFORNIA .' Trill ^I' '',.
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ADDRESS 277 Robin Hood Lane BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
OWNER Sherwood Forest Developer's 41 71 13
MAIL RECEIVED�I�BY DATE RECEIVED DATE 1551E4
ADDRESS 3700 Bewport Blvd. `i11-1N . 7 ' . -.SS AUG ''4S y
BUILDING
CITY Newport Beach TEL.NO. OR3-1240 ADDRESS
ARCHITECTOR NGINEER Raymond Levannes
NO. (3_747 COSTA MESA. CALIFORNIA
FIRE
ADDRESS ZONENryy(((
CITY LIC. �D/I PLOANS TVPO�LP
CONTRACTOR Lido Construction NO. 7520 vT1 V\9:
ADDRESS3700 Rel./portNO
port Blvd. . 0R3-1240 BY YPROVED DATE
LEGALo CORRECTIONS
DESCRIPTION NO. 4 BLOCK TRACT 3289
A.P.NO.
SIZE p NO.OF BLOCS.
X
OF LOT 751 801 NOW ON LOT none
USE OF
EXISTING BLDG.
SETBACK LINE FROM ��(! q
CENTER OF STREET . 401 REAR YARD / 29'
SIDE YARD RIGHT 6 1 LEFT 61
DESCRIPTION OF WORK
NEW x ALTERATION ADDITION
II REPAIR MOVING DEMOLISH
NO.OF
SIZE BUILDING 14401 ROOMS STORIES
1
EXTERIOR WALL Wood ROOF
COVERING Stucco COVERING Shake Shtngl,',
USE OF NEW
BUILDING Dwelling
att. garage 400 sq. ft.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC'
TION. � /^/ Aft ) // D' VALUATION i/
SIGNATURE
PER M ITTEE OF'T a V `t/ N'l PERMIT FEE $C.34/J4 5/4115-C°'
�ro. PLAN CHECK / 7
AUTHORIZED AGENT '� `7 TOTAL FEE s SS/ VveF
OWNER Rrt,.pr_F�3_1^t(LYNE R- DATE 8/26/59
JOB ADDRESS . _ _ . : _e BUILDING PERiMIT NO. 102_62
GENERAL CONTRACTOR VALUE $ 1811,00
AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK $l ockwall
INSPECTIONS DATE GROUP ,j TYPE III ZONE Rh
Underground Soil U.G. Water — SUBCONTRACTOR PERMITS ISSUED
Underground Gas DATE NUMBER
Overhead Water and Gas
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final
Plumbing Fixtures
Final Gas Test
Construction Pole
Underground Power
Rough Wiring
Trenches4f0 Forms Steel 405 Irl71''9
Floor System
Steel Reinforce Chimney Re-Rod _
Bond Beam
Sheathing
Frame and Flashing
Lathing, In Out
Plaster, brown coat
Plumbing Fixtures, Final
Electric Fixtures, Final
Building, Final�j�/
OCCUPANCY ; I 469--
Form 210-3M-4-59 10262
10262 a(0
COSTA MESA BUILDING-SAFETY DEPARTMENT "�� L'
P.O.BOX 317 COSTA MESA.CALIFORNIA
fOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT .1� BUILDING
BUILDING .7 77 Ra .w//OOD LA-
ADDRESS o✓JNP?
COSTA MESA. CALIFORNIA� fOR OFFICE USE ONLY
OWNER w4t'-►' //R u- rLfe I RECEIPT NO. 11 ()EES)
MAIL
ADDRESS 27 7 n N, GOD / /,I/ RECEIVEDBYDATE
ATERECEIVED9I DATE ISSUED
6SUED�J
/. l /rf- 16 -cr- r- /-. !
BUILDING
CITY C os741 41. S4 TEL.
NO. ADDRESS
ARCHITECTLIC. .
OR ENGINEER ...IC NO. COSTA MESA. CALIFORNIA
ZONE TYPE W. GROUP /�
ADDRESS L.� FI �y� C�7
CONTRACTOR keel, FR O& USL IC.NTOla V 0 APPROVED DATE
ADDRESS 0282 Sin 6 PR,�G4R,ry6RoVE ZONING
LEGAL (LOT I A� ZONEA2 NO.OF USE OF NEW
DESCRIPTION NO. BLOCK TR+AC Kr I PLANS (1 _ I BUILDING
/ APPROVED r /// /‘
A.P.NO. BY DATE ,PA-c /.3%
SIZE NO.OF BLOCS. YARDS EVES
OF LOT I NOW ON LOT REQUIRED ALLOWED
USE OF IS (CENTER LINE 5T.)
EXISTING BLDG. FRONT LCD FT. IN.
SETBACK LINE FROM
CENTER OF STREET REAR YARD R.SIDE FT. IN.
SIDE YARD I LEFT "[:y � �j I RIGHT 'at ` L.SIDE �! FT. IN.
DESCRIPTION OF WORK
REAR FT. IN.
—
NEW I I/ ALTERATION I II ADDITION I
REPAIR I II MOVING I II DEMOLISH I
BUILDING NO.OF
SIZE ROOMS STORIES
EXTERIOR WALL I ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
4'b RLoo- 64ROFA/ w4LL
' /f,6#, 36' cats 32 pvr
1 HE ACKNOWLEDGE AAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCT/ION. ���J// VALUATION
SIGNATURE OF A�M •
-T� '���Vu� PERMIT FEE $ p�� ILO
MITTEE // l , 1
$ GO PLAN CHECK $
AUTHORIZED AGENT I 1
rTOTAL FEES °it d"0