HomeMy WebLinkAbout1765 SANTA ANA AVE - Building Permits (17) BY DATE SuoJECTrairSzTArrrin SIICET NO. OF - _ n
A • n
CHECKED BY: DATE 14- JOB NO. u
u
a
u
FUR. DUAN. TRAP WASTE T.W.U. C.W. TGWU )LW. THWU ILW. TGPFI REMARKS F
SIZE UNITS UNITS UNITS C.P.U. 3
W.C, (F.V.) d INT. 6 I6
PVP . 1 / ).------c �" z
W.C. (F.T.) INT, 3
LAY (PUB) I-I/4" I 2
LAY (PVT) 44- 1-1/6' 1 1 "4.
U INT. 2 5
VW 4 1-1/4" I .2_____-1
1 B -
c.ws)IA " "' 1-1/2" 2 4' .
SPIWRS. �� 1-1/2" 2' -
2
BT. '41" 1-1/2" 2 ...1_<.----2.-1 ,e _
SK. .44-. 1-1/2• 2 2-. 8
14E5 -4- 3 1 .2-- -
•
TOTAL { ,?ds y Vt.t °. 1_ r a-ffi?.. I '1 -----UTA..'.. ..
'e4 ce. is �t2 wr (( � 1 ... ..lic,e, _°
N
e-14-1997 6:07AM FROM P. 5
08-13-97 05:45FM FROM POS
T
/L"
TRI-H ENVIRONMENTAL SERVICES, INC.
E Engineering&enWrotttnenns servh:es
Memo
Tb: Joe Sanfilippo
Prom: Judy Hooper
CC: Ken Pcnett
Dales August 13. 1997
Re•. Frenal Clearance Building 014 -Drywall installation
This memo is to corium that final clearance air samples for the drywall htatalbrion in Building 014 were collected
on July 16. I941. Air samples were analyzed in general accordance with the National Institute for
Oavpational Safety and Heath(NIOSH) Method 7400. This method describes air sampling mamas and
a protocol for analyzing air samples via Phase Contract Microscopy (PCM). The NIOSH Method 7400
describes a procedure which provides results that Skate approximate concentrations of any type of airborne
particulate matter which meet specified aspect ratio and size criteria. Particulate matter which masts the
specified criteria arc classified as fibers. The method does not count all fibers in all.size ranges nor does it
differentiate asbestos fibers from other types of fibers. KM analysis of air samples was performed at Tri-
ll's field laboratory located at the site. Air samples obtained to determine if the abatement work areas met
final air clearance criteria were collected and analyzed in general accordance with the Environmental
Protection Agency's(EPA)Recommended clearance criterion of 0.01 floc.
Based on the attached laboratory results and our visual observations. this bcildute is able to be occupied without
respiratory protection. If further asbestos abatement is performed in this building Tri-H should be notified to
mum*the air prior to occupancy of the area.
� `'s?�r L apJycgy�
1:,.f rXPIRE$
wi �n, . iC!n
Ptmcina► III
r , r, 4 0 8 !-1
1 �
v^,. 33.0P30
7007 Greenleaf Avenue, Suite 203 • Whittier, CA 90602 • Tel:562-464-2420 • Fax: 562.464.2422
LAFAYETTE PLACE H
Formerly Martinique Gardens
US
09/25197
Costa Mesa
Bldg. # Units Start Complete
Phase 1 11 9 04/24 08/22/97
(21) 12 8 04/29 08/22/97
10 4 1 05/05 08/22/97
15 4 I 05/16 1 09/27/97 11
Phase 2 14 4 05/22 09/27/97 1
(36) 17 8 05/08 10/04/97 j
16 8 05/12 10/11/97
13 12 05/30 10/18/97
23 3 06/06 10/25/97
22 3 06/16 11/01/97
Phase 3 21 5 06/25 11/08/97
(26) 20 5 07/07 11/15/97
19 5 07/14 11/22/97
18 5 07/21 11/29/97
9 4 07/31 12/06/97
8 4 08/11 12/13/97 1
Phase 4 7 4 08/18 12/20/97
(30) 6 4 I 08/26 12/27/97 1
3 7 09/05j 01/10/98 I
2 7 09/15 01/17/98
5 12 09/25 01/24/98
Phase 5 4 12 10/01 01/31/98
(32) 1 8 I 10/09 02/07/98
Rec/LO I 05/05 09/27/97
9-26-1997 10:39AM FROM P. d • .
• '09-12-97 05:18PM FROM P02
T TRI-H ENVIRONMENTAL SERVICES, INC. `r7/
H E Engineering E Environmental Services
. Memo
To: Joe Sanfilippo
Fir Judy Haat
CC. Km Pruett
Ds: September 11,1997
Re: Final Clearance Building#14
•
This memo is to confirms that final clearance air samples for the asbestos abatemad in Budding#14 were collated co
July 16, 1997. Air samples were analyzed in general accordance with the National Institute for Occupational
Safety and Health(N105H) Method 7400. This method describes air sampling parameters and a protocol for
analyzing air samples via Phase Contract Microscopy(PCM). The NIOSH Method 7400 describes a procedure
which provides results that indicate approximate concentrations of any type of airborne particulate matter which
meet specified aspect ratio and size criteria. Particulate matter whit*meets the specified criteria are classified as
fibers. The method does not count all fibers in all sive ranges nor does it differentiate asbestos fibers from other
types of fibers. PCM analysis of air samples was perforated at Tri-H's field laboratory located at the ate. Air
samples obtained to determine if the abatement work areas met final air clearance criteria were collected and
analyzed in general accordance with the Environmental Protection Agency's (EPA) Recommended clearance
criterion of 0.01 into.
Based on the attached laboratory results and our visual observtr, this building is able to be occupied without
respiratory protection. If further asbestos abatanan is performed in this building Tri-H should be notified to resist
the air prior to occupancy of the errea.
/f<2 P=,ti( S7pS
Hower err EXPIRES `%D�G
up
" 4PR 01 1998
7007 Greenleaf Avenue. Suite 203 • Whinier, CA 90602 - Tel: 562-464-2420 • Fax; 562.464-2422
. //7/0, Raj
00/4 kl
SOUTHWEST AIR SYSTEMS 16023 KAPLAN DRIVE
CITY OF INDUSTRY CA 91744
626-968-8833 FAX 626-369-8598 ST LIC N 385268
September 12,1997
City of costa Mesa
Dept.Building&Safety
77 Fair Drive
Costa Mesa Ca 92628
Ref':Lafayette Place Apartments
Gentleman:
This letter is to certify that all heating systems in the following buildings have been checked,
and found to be h:good working condition.
All systems are wall furnaces,with the following items checked,to include all venting thru
roof On final stunt up we will provide all new shut off valves with approved gas connectors
as required
Buildings 13-14-15-16-17
Thank You
S' cerety,
utk est A' Sk,,,---
,
and Rodrigwner
•
ADDRESS OF RuILMNO: /j L 43T-rr :-.e 1745 yA4 A 44/4 uNT' BLD14 CITY OF COSTA MESA - BUILDING PERMIT
MINERS NAME MIDKNIN: BAY APARTMENT COMMUNITIES PERM NO: B 08264C
1`E53: 4340 STEVENS CREEK 4275 H
SAN JOSE, CA 95129 PERMIT NO: B 082640 PLAN CHECK NO: 01299-97 A GOVT: N SUPP : N
APPL.MAILRIG ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ALT
ARCNITEaORENtlNEER: MUSSER ARCHITECTS mc, C15234 JOB DESCRIPTION : APARTMENT FACADE UPGRADE SQ FT: 29, 233
ARCH.OR ENG.'S ADDRESS: 151 KALMUS DR UMT: D-103
C.M . CA 92626 CLAIM VALUE: 29, 232 . 64 CALC-VALUE: 29, 233 . 00 GROUP OCC: R-1 /
CONTRACTOR'S NAME:
CONTRACTORSMMUNG COMMENTS- "MARTINIQUE GARDENS" FACADE UPGRADE
ADDRESS: UC.NO.: ********;.*********g************************************************************############################################################
UNIT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commenting with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full tome and effect.
CRY LIC.NO.: UC.CLASS: LIC.NO.: EXP; MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
Date: Contractor: LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
OWNER BUILDER DECLARATION:I hereby dfinn under penally of perjury that l am exempt from the Contractors License Law for the
following reason(Sedion7031.5 Business and Professions Code:Any city or county which requires apendt000mbp&eher.improve. PARKING REQ: PROV: PARCEL : 42546228 ZNE; R2MD REF NO; PA9705
*now,.or repel any structure.prior to is Issuance.also requires the applicant for such permit lo fib a signed statement that he or she
licensed pursuant to the provisions othe Contractors ucenseLaw[Chapter 9(commencing with Section 7000)(4 Division 3othe PLANNING NOTES> UPGRADES/IMPROVEMENTS (NO ADDL SQ FT OR BDRMS) TO EX . AP.T`
aineasand Professions Code)or that he CS she isexemptthaebom and the base for the atlegedeaemption.Ary violation dSeaon > BLDG AT MARTINIQUE GARDENS APT COMPLEX, -
/031.5 by any applicant for a permit subjects the to adnotfw
civil Penalty nmore thane hundred dollars M500p. -###d(--)E###it######Y,-###1E#### ###### 1!###########lE######Y.-j`##################' ######
Q I.as owner of the ProPerlY Or MY eethiferees with wages as thee sole compensation,will do the work,and the slasclure is not intended DEVELOPMENT SERVICES
R E Q U I R E M E N --T tS".
or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not apply to an boner of property
who builds or improves(hereon.end who does such work limesff or herself or through his or her own employees.provided that such � -n/
'
improvements
eare not intended or offered for sale.If,however,the building or inprova ion,amery sold within one year of completthe ZONING APPROVED BY ""��""-1 DATE:
own -0uilder will have the burden of proving he or she did nor build or improve for the purpose of ale).
❑ I,as owner of the propend.am exclusively contracting with licensed contractors to construct t ed(Section 7044,Business and ,
Professions Coda:The Conuad« no( d properly S License Lew does napply lo an owner prope .or improves thereon end who BUILDING APPROVED BY , N r n DATE;'
contracts for such projects with a contractors)licensed pursuant to the Connectors Linen N 1 `
am em 2nnderSection: B.BP.C.,1«11eaaon: /1 APPLICATION ISSUED BY: DATE:
Me: 3—1.---97 owns iI�J/'� h ///_i/_ / ###################### # ###### ##### E###+ ## #*
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
do hereby certify that I am aware d and understand aqui. , ts e)California Health and a ,re' hnnah.requirements
and
a5534,pemikfnd or ne!w ionormdwitiingomtheAt-e witl :• • neone)need.Recompt cown exempt hem these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
apermittndthe'mctlon«many rebuildinhoccuthe nt •'my.:, • cleo Desna. to comply
nen - -fret
gfmmtsfor
provisions. PERMIT 394 . 75 ' 2 . 92
Dais: Applicant: S M I P/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affsm under penalty of perjury one of declarations:folloeing declarats: P LAN 64 . 15
13 Mime and wil maintainn certificate of consent losetinswe for m
r orkers'compenon,es provided for by Seder,3700 3700 the Labor ISSUE FEE
Code./of performance BUILDING DIV > PERMIT ISSUE PLAN CHECK TOTAL PAID DUE
❑ Ihave end wilmaintain workers' insuranoe,esrequiredbySedar.of
n3700oftheLeberCoda.forthePerformanth. TOTALS 397 . 67 0 . 00 G4 . 15 461 , 82 461 , 82 , 00
compensation
work f«which this panne is issued.My workers'compensation insurance carder and policy number are:
Canter: REVENUE DIVISION TOTALS--> COLLECTED : 397. 67 OVER/SHORT: , 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
;This section need not he completed a She pennh is for one hundred dollars f$f001 or lees.) 394 , 75 2 . 92
O I certey that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so es to
become subject to the workers compensation laws o California. and agree that it I should become subject to the workers' #########'###############################################-###########elf#elf#3E-)f##1E###
compensation provisions of Section 3700 o the Labor Code,I shell forthwith comply with those provisions. I N D I V I D U A L F E E B R E A K D O W N
Oma: Applicant:
Warning:F•llunmsseuro workers'compensation cWengeSuns unlawful, subpar an employer to criminal penalties and TYPE QTY D E S C R I P T' I O N UNIT COST TOTAL COST
civil tinea rpt to one hundred thousand dollen($100,000A In addition to the cut of compensation damages as provided for In
Section 3704 of the labor Code,Interest,end attorney's jus. SFR 29233 ALTER BY VALUE RESIDENTIAL NOZON£ '1. . 00 ''9, " 33 , 00
CONSTRUCTION LENDING for AGENCY: hereby affirmed( under penalty of porjury that there e a construction lending agency for the END O F FEES J/ '^
pe NSTRUCdtheoakforwind,NIsperm)ieissued Iseaon 3097,ch.CI.
LENDER'S NAME: [V.;
LENDER'S ADDRESS: 1 MAY l/
I 97
end that I laws have read this application and state nandhet the above idarmetionbconed.'esthe oily
comply with all thyat end county ordinances t ., 'uJ 19�7
end state laws reeliN to building construction and hereby authorize representatives of the oily to enter upon the above-mentioned propedy -
for inspection WPM'S.
y)r JOE S nnFILIPPO ..._1
•
_ ��3..�/s HrSA
r� lit 01 i.4;,; ill futc
Nem / I
_'
15L46.WP) White-Build • ery',Green-File Canary-Applicant:Pink-Revenue:Goldenrod-Assessor
„1 . --'
CONSTRUCTION AND PLANNING POOt .PA
IfPPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
• 1Temporary Electrical Service or Pole 52. Pool & Equipment Location _ 111.1
•
2 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, O 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 - 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 0 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 WO HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat M
79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: •
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
I
40. Gas Service-Final
41. Solar Domestic-Final
42, Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
i
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING Qj
48. FINAL PLANNING
z _ 8
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co ..- -
51. CERTIFICATE OF OCCUPANCY -
No Date -
i
ADDRESS OFBWLOWO: 27: L :a-TR—WT 1765 5A•urA An/AWi BLD14 CITY OF COSTA MESA — BUILDING PERMIT
c'eldsNAILEIFnn''N' BAY APARTMENT COMMUNITIES PERM NO: P 08332'.
ADDRESS 1
4340 STEVENS CREEK #275 /
SAN JOSE,CA 95129 PERMIT NO: P 083329 PLAN CHECK NO: N GOVT: N SUPP: N
APDL•MAURO ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: PLO PURPOSE: ALT
ARCHITECT oRu+ralEER: MUSSER ARCHITECTS SND. C15234 JOB DESCRIPTION : APARTMENT FACADE UPGRADE SQ FT:
ARCK OR ENG•s ADDRESS: 151 KALMUS DR Dom: D-103
C .M, CA 92626 CLAIM VALUE: CALC—VALUE: GROUP OCC : R-1 /
CONTRACTORS NAME
CONTRACTORSMMUNO COMMENTS . "MARTINIQUE GARDENS" FACADE UPGRADE REF•B-82640
ADDRESS: UC NO.: *#db***********.**)*4 *******db*******lt) ***** ****Sf****lFIF9F7tlfiEkdt*******K3611#jf** *****
WIT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby eTrm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my kens.is in full force and Sled.
CffY LIC.NO.: LIC.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING
FIiNT: FT IN REAR: FT IN F(tNT: FT IN REAR: FT IN
Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under Poultry of perry that I am exempt from the Contractors License Law for the
lowing reason(Section 7031.5 Bhdness and Pmfaaeiau Code:Any Cly or county Mich requires a permit to cosnxa,alter,in:40M PARKING REQ: PROV: PARCEL : 42546228 ZNE: REF NO:
Nndeh,or raper any swctoe.prior to Ys issuance,also requires the applicant for such permit to rib a signed statement rat he or she
s NOTES>
pursuant to the provisions of NContractorsda
e Contractors License Law[Chapter 9(commencing wish Sen TCWG
)of mion 3 d the PLANNING N TES>
Business end Professore Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Seam >
7031,5 by any appBmM for a permit=binds the applicant to a cid penalty d red more than fir°hundred dvgars[MOB. lE if if ik It if'****1f if fF if 3f It if lk#ik ik dF*********3E 1E lE)E if if ik iE iE if lF it k%1t df.3f 1F 1f 1E 1f k X M k iE If k lE if*********if****Jk***
❑ I,asowrar Of property my employees with wages as their sole do the work,end the structure a not intended DEVELOPMENT V E L O P M E N T S ERV V I C E `S: ! R E U I R E M E N T S
or offered forc
sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of property Q
who bolds or improves thereon,and who does such work himself or herself or Ileac, pl
vaph his her own endorses,Provided that such
ww
imprmentave not Wended or offered for sale.11.however,the building Or inpwvermed is sold within one year el completion, ZONING APPROVED BY - DATE:
ownerbulder slit have the burden of proWng he Ordid ra
she t bad or improve for the purpose of sale).
❑ I,as owner d the property,an exclusively oonttadip WM licensed contractors to construct the• •' • Sedan 7011,Business and - 1 DATE:
Professions Code:The Contractors s CiceroLaw does rw o other apply a1 oer d Propsthe e• . • imposes rad MID eBUILDING APPROVED BY : • ., e 7
convects for such peopds with a maador(s)licensed pursuant to the Contractors License
❑ I em exempt under Section: 97 B.A P.C., reason: / APPLICATION ISSUED BY : DATE: `ClLl7�7
Dale: ? • �_�e/�.� _ //i.// ********�t******* ter*st�tsy�r�y************WWWx*tL**>E.**- **-x- -*****>E***M*X• **I
/ 554.and certdY rat f em reds of ad
ants dcevo Health rued". .,X ' and
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
25531.and that or any haus building a•...,. • circle one)need to complyt with .1 - are rat - •,,ns for
a panne for.rnwcti.o modthaton T" anegemen District Residential•• •f. -1 appL�i«n ere exempt from vase BLDG PMT PLUMBING ELECTRIC,. MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 184 . 00
Date: Applicant: 25% SM I P/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjury one d the following declarns
atio : P LANaffirm
ISSUE FEE 22 , 00
❑ Code faAdMor the mMntanperformaaa certificate «wwIth°his permits workers,'compensation.es provided for by Section 3700 d the Leber BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ Ihave and wmantanwaken'compensation insuran.,a a
required bySenn3700oftheLaborCode,kru»penpmaS
osth. TOTALS > 184 , 00 22 , 00 0 , 00 206 . 00 206 . 00 00
work for which this permit is issued.My workers'compensation insurance wrier and policy number are:
Carrier REVENUE DIVISION TOTALS--> COLLEC:rED: 206. 00 OVER/SHORT: . 00
•
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN— HECK
(This section need not be completed A the permit is for one hundred dollars(51001 or has) 206 . 00
o I certify that in the performance of the work for which n any this permit is issued.I shall notemploy any person manner so as to cel
become subject to the workers*compensation laws of California,and agree that S I should become subjed to the workers' )E.#-)(.yp.)f.x-*******`,t*K*********************(lE**XX******N*****NMdE********K ****N )(•7L*1Ek***
compensation provisions of Section 3700 d the Labor Code,I shall forthwith comply with those provisions.
Dat Applicant: INDIVIDUAL F E E BREAKDOWN
Warning:Failure to secure workers'compensation coverage Is unlawful.and shell subject en employer to criminal penalties and TYPE QTY DESCRIPTION , UNIT COST TOTAL COST
civil fines up o one hundred thousand dollars($104007),X),In addition to lin cost of compensation,damages as provided ler in
Section 3706 of the Labor Coda,Interest end attorney's lees. PLO 4 DISHWASHER '
35 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction landing agency or t e PLO 4 SINK, KITCHEN •' -" t „'l t, >� '% 35 . 00
performance the worm for whim the permit is issued 3097. PLU 4 WASH BASIN '
8 ,75 _ 35 . 00
LENDER'S NAYS , ' 35 . 00
LENDERS ADDRESS: PLU 4 WATER CLOSET (TOILET) i[: 'L �� 75 -:
PLU 4 WATER HEATER AND/OR VENT ' 1fI70 n7 44 . 00
Icertify that I have read tisappfvar.and stela that the above idomaton b coned.I spree to comply with at WY and costly ordinances L9 p y NN/JJfI
ed state laws riming to buddig combustion aro thy authorize representatives d the sty to enter upon the aboe-mentoned proPMy •
END OF IBES V /,�J/
fo inspection purposes. JOE SA, IPPO ter
0X O/
i •. / y�� NESA
1L/► • _ _ ad Date: (Q/(J
/(Si51"ee.WP) White-Buddha&Safety.GreemFle:Canary-Appicent:Pink-Revenue:Goldenrod—Assessor
P
CONSTRUCTION AND PLANNING PG - & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole ' 52. Pool & Equipment Location
2. 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 OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58� Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. g' 60. Backwash Lines,P-Trap, 0 Undrgrnd.
• f
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection r ) 62. Backwash & Receptor-Final
12, Sewer Cap 63. Heater & Vent-Final
,1 r
13. Roof Drains '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 I 68. APPROVED FOR PLASTERING
•
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 'e
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank ❑Gas 0Oil
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 PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating& Air Conditioning 4/2279-7 Fr; e�
l i
35. Final Gas Pipe-Test
& - a� ,r ra_ aid
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final .
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49, Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
ADDRESS OF BUILDING: 275 L : T:: ST )les S44/TA 44/Au,.r BLD14s
:,
' CITY OF COSTA MESA — BUILDING PERMIT
OWNERSNASEWI;NOii'fl: BAYAPARTMENT COMMUNITIESJ
SANJPERM NO: P 08441 `
ADADDRESS: UCHA95129
STEVENSS CREEK
#27 �7 PERMIT NO: P 084415 PLAN CHECK NO: N GOVT: N SUPP : N
APDL.MAILING ADDRESS CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: ALT
ARCHITECT OR ENGINEER: MUSSER ARCHITECTS Ug,Ng, C15234 JOB DESCRIPTION ; ADDITIONAL TO P-83329 SQ FT:
ARCH.OR ENG.'S ADDRESS: 151 KALMUS DR UMT: D-103
C.M. CA 92626 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 /
COMPACTOR'S NAME: COLWEB PLUMBING ( 310 ) 431-8927
5162 HOWARD AV •', COMMENTS: "MARTINIQUE GARDENS" FACADE UPGRADE , REF:B-82640
CONTRACTORSMMLING LOS ALAMITOS CA LK.NO.: 731795 ***************+E*i*;t*i***;t****lit************Ren*******is*i*3iti*******-*titi***it****
ADDREu. 90720 Z ON ING R EQU IR EMENTS
°r SETBACKS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of penury that I ant licensed under provisions of Chapter 9 '
( ening withtion TODD)d Division 3 d the Business and Professions Cede,end S in full force and eR
ITV C.NO.: 069921 LIG. C 36 LIG. /31D 95 EXP: Ue /98 MAIN BUILDING ACCESSORY BUILDING
7 FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
l Dat : $ "Z� 9 Conirea«: lrti /PC/A2'j(� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
` NER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lem kr the PARKING REQ: PROV: PARCEL: 42546228 INE: REF NO:
/lowing reason(Sadiron 7031.5 Business and Professions Code:Any city or county dr requires a perm's to corrpuct,alter,bnprove,
emolish•or repair any structure.prior to is issuance,also requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES>
is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the .r
Business and PidfassnnsCode]«rIssttee«r she neem t therefrom and basis the allegedexemption.My violation of Section >
7031
.5 by any applicant a permitah the applicant acivil penalty of not more than Me hundred dollars[$500]l. *i *** t***4********* tt** t**iitt*ittt* t***i *iii ***
******* t*** t*i # t t i * t** t t t* t i *ii
o I,asowneroftheproperlyormyemployeeswithwagesassIheksolecompensation,willdothework,andthestsctureisnotintended D .E'V E L O P M E N T SER V I C E S,'7R EQUIR EMEN TS
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does nol apply to an Owner of propery "(.'
who bolds or improves thereon,and who does such work himself or herself or through he or her own employees.provided that such sir
improvements are nol intended«offered for eels.If,however,the building«knprovementewld within one yeas et complaint.the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I,as owner of the property,am exdtreiey contrmng with licensed cat actors to conned the project(Section 7044.Business and BUILDING'.APPROVED BY : f DATE:
Professions Coda:The Contractors License Law does not apply to an owner el properly who builds or improves thereon and who
contracts for such projects with a contrition)licensed pursuant to the Contractors License Law). / -- ��
I exempt ander Section: B.SP.c..for this reason: APPLICATION ISSUED BY: - r DATE:
❑ ****itititit*)t*****it***itisitis***it***itit,tit,t*** itis**it,t*********ititxitititititit***it x .**
Date: Owner: LEGALIZATION:N F E E S U M M A/R Y STRUCTURAL EGMENT:N
I do hereby candy that I am aware of and understand the requirements of Caleonnie Health and Safety Code Sections 25505,25533,and
25534,and that I or any tenure Wilding occupant will/will nd(dole«n)need 10 campllwih said sale codes and the requirements ler BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permittercomtredionor modification from the Airy anagement Distrid.Residential construction applications are exempt horn these PERMIT 35 . 00
prows 25% SMIP/NON RES
Date: Applicant: PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE 22 . 00
❑ Ihave and wilmaintain acertificate of consent toself-insure for workers'compensation,as provided l«bySedion3700of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
m
Code,for the perfoanceof the woknand TOTALS----> 35. 00 22 . 00 0. 00 57. 00 57 . 00 . 00
❑ I have end vil maintain workers'cmpemrnn insurance,as required by Section 3700 of the Labor Code,for the Prt«mence d the ..
work workers'compensation r
aaranepokynumberr REVENUE DIVISION TOTALS--> COLLECTED: 57. 00 OVER/SHORT: . 00
OB " G BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
Policy Number
(This section need not be completed y the panne is for one hundred dollars(SIX)or less.) 57. 00
„
oily that ine the pedomaneadthe work for which this pemleivued, shaft not employ any person in any menrsraesto *****itit,tit***it***ititit*itititit**** itit**********it**hili****itititit**#itit*itit*itit****it*it*titit*i
subject to the workers'compensation laws d California, and nee that t I should become abject to the wohene
(D
co provisions d(�sad'i'r'n)3700 a the Labor Code.I shad foe h comply with t r�rwebm. I N D I V I D U A L t. F E E B R E A K D O W N
ate: • za.- 7 / Applicant:
Ws n9:Failurerosecure worker'compensationcoverage isun I,and shall.repotanemployer toaleatpenalties rat TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
fines rp to one hundred thousand dollars($100,000).In addition to the coat of compensation,dames es provided for In
Section3706 of the Labor Code,Interest,andadomey's fees. PLU 4 • GAS RE—PIPE s-c 8 . 75 35 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury That there is a construction lending agency for the ENfl I OF FEES
performance of the work for which son permit is issued(Section 3097,Civ.C),
)
LENDER'S NAME:
LENDER'S ADDRESS:
I candy that I have read this application end sale that the above information is correct.I agree to comply with all aft and county ordinances
and state laws relating to Wilding construction and hereby authorize representatives of this city to enter upon the above-mentioned popery
fOf 1nSpedon purposes. SCOTT COLWEB
/ F gNam 08-26-1997/03:29 P4/557aEt
i� �� Date: RCPT0:01 0011479
�6 f 7 PERMIT:084415
re of OwnedAgent/Appi 1.t/Contrador
(5151'46.WP( While-Buildbg&Safety;Green-Re;Canary-Appicant;Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING PG, _& SPA .
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. 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-Unclrgrnd.
8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ 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 • Final
14. Rough Plumbing ri - 65. Electrical-Final : • - `
15. Rough Electrical-Conduitl- - - 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 0 Gas 0 Oil
23. Gas Pipe-Rough & Test ef_t
fet3
I it 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
26. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL •
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final - • 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notefi/Notes:
34. Final Heating & Air Conditioning '214 7 to OK v t
9 t
35. Final Gas Pipe-Test 11! I't eI
36. Hood or Canopy
37. Final Factory Fireplace f
38. Final Plumbing F���/q7 4,, -
•
39. Water Service-Final !T `-7 1
40. Gas Service-Final IL
41. Solar Domestic-Final
42. Backflow Preventer
-43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47.. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Date