HomeMy WebLinkAbout1602 SEA HORSE CIR - Building Permits 1
PROJECT ADOREss: 1602 SEA HORSE CIR UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 056638
OWNER'S NAME: MIKE GARVEY
ADDRESS: 1602 SEA HORSE CI .,. ..� PERMIT NO: P 056638 PLAN CHECK NO: N GOVT; N SUPP: N
COSTA MESA
CA 92627 CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: OTH
ARCH/ENGINEER: ( 71 4 ) 54 8—1 4 1 5 REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : INSTALL GAS LINE FOR BBQ SQ FT:
PERMITTEE: MIKE
VALUE; CALC—VALUE; GROUP OCC; R-3 /
MIKE FARNSWORTH LANDSCAPE ( 714 ) 548-5132
ADDRESS: 1812 0
NEWPORTIBEA HD DR CA 92660 *3*****4******************3 4****3** **********�D3*3*****3r*******3*3t**************r*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in fun force and effect. SETBACKS
CITY LIC.:24 STATE LIC.:4210 7 �� r���//ys CLAS C_
.---
Date- 171./ / Z= Signature: L�eRA MAIN BUILDING ACCESSORY BUILDING
WORKERS OMPENSdTION DECLARATION: I hereby affirm hat l have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C), LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
POLICY NO.: 662072-92 EXP. DATE: O1 IO1 /93
COMPANY: STATE FUND PARKING REQ: PROV: PARCEL: 42519121 ZNE: REF NO:
❑ Certified copy is hereby furnished. 12 Certified copy is filed with the city Building Division. PLANNING NOTES>
'
>
r— Date: 3/Igig 7 Applicant i __.. . _ — — ,**************************************At************* **************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred WOO)or less). DEVELOPMENT --S E R V'4I C E S; REQUIREMENTS
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. ZONING APPROVED BY A" J^ DATE:
Date: Signature:
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : � . DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• `' DATE•
which this permit is issued(Section 3097,Civ.C). *,
** ** *
LENDER: *********************************** * ***************************************
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT;N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason PERMIT BLDG PMT PLUMBING ELECTRIC 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
repair any structure,prior to its issuance,also requires the applicant for such permit to tile a signed statement that he/she is licensed 5 g SMIP/NON—RES
pursuant to the provisions of the Contractors'State 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 PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 3. 00
I, as owner of the property or my employees with wages as their sole compensation, win do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sate(Section 7044.Business and Professional Code: The Contractors State License Law TOTALS————> 2 . 00 3. 00 _
0. 00 5, 00 5. 00 , 00
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 employees,provided that such improvements are not intended or offered for sale. If,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 5. 00 OVER/SHORT: 00
for the purpose olsale)• BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5.00
)
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon 1.1
and who contracts for such projects with a contractors)license pursuant to the Contractors'State License Law).I am aware ****************************************.**************************.**.***,*.*.*****.*.
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BR EAKDOWN
❑ I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: owner:_ PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 . 00 2 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and .END OF FEES
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
permit for construction or modification from the Air Duality 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-orriinspection purposes. (� �p
LDare:�( !_8(4 7— Signature:@i(fM3iy4g-?�{Q
Driver's License or ocial Security n:
Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
7
CONSTRUCTION AND PLANNING POOL & 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. --. -7 55. Electrical Bonding
_
"q. Steel WeinforceineiC 56. Rough Plumbing & Pressure Test
6. Electrical OF ER Grnd. I 57. APPROVAL TO COVER-GUNITE
,. 7. .Footings _ 58. Electrical Conduit-Undrgrnd. ,
• 8. Foundation 59. Gas Pipe, Undrgrnd., Test `
9. Water Pipe-Undrgrnd. • 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor.System 61. APPROVAL TO DECK -
11. P.aperty Sewer-Line'& House'Connection 62. Backwash & Receptor-Final ,
12. Sewer Cap r �, 63. Heater & Vent-Final •
13. toof Drains •
64. Plumbing System - Final .
14, Rough Plumhine 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final •.
•
16. Rough Electric Wiring f 67. Fencing &Access Approval
• 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 1 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning \ _ FIRE DEPT. REQUIREMENT _ ♦
20. Rough Factory F?eplace , . 'i r - - • =
APPROVALS- ' Perm '
Permit# ' - -
�' 1 -
21. Duets,in Structure_ :N.
_ S - • 70. Underground Hydro
22. Duct's, Ventilating - - 1 - :• - :71. Product'Piping OGas ❑Oil
23. Gas Pipe-Rough & Test j . - I 72. Underground Flusif
24. Root Framing - •73:-UndergrncPStorage.rank 0Gas�O0l
25. Roof Sheathing .. • r a- ;;„ . 74,-Overhead Hydro -
,
26. T-Bar Ceiling (Structural) &•Monocoat = - 75:Dry Chemical - -
27. 'Frame and Flashing • -, •; ;
v • ek00g
PPalECT ADC.. SS: 1602 SEA HORSE CIR Ay D UNIht.3 . CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 044710
OWNER'S NAME: SEA HORSE DEV. --J (C0•
3 •
""4": 2915 REDHILL PERMIT NO: G 044710 PLAN CHECK NO: 01194-89 A GOVT: N SUPP : N
' STE 4F203 •
• CM. CA. 92626 CONSTRUCTION TYPE: PERMIT TYPE: ELE MEC PLU STR PURPOSE: NEW
ARCNWEItDINEER: J. MILLER ASSOC . REG.ND.:870 1739 JOB DESCRIPTION : TWO UNIT APARTMENT/SEPERATE ADRESSES SQ FT: 5, 343
ADDRESS: 2021 DEREK DR ONIT: 241
FULLERTON CA 92631 - AIM VALUE: 110, 000 . 00 CALC-VALUE: 297, 734 . 40 GROUP OCC : . R-3 I •
PERMITTEE: PADRE CO14 ) 649- • ' ,
ADDRESS: 1120 STAR RTE : •X "� COMMENTS: ONE OF THREE BLDGS ON THIS LOT, ( 2 ) UNITS
ORANGE • 9 . . 1. ********at*+6*******er*a6**+rye*+r**er***it**+t******ars*****Ns6+reEar�6+e+r****.*********** ***** .
LICENSED CONTRACTOR DECLARATION: I hereby. irm tha I am s.��. er;• 1�apter 9(co endng with Section Z ONING R EQU IR EMENTS • - r
70W)of Division 3 of the Business and Proteuiom Code,am my e® •'A>•'11 t. S E T B A C K S tin •
ufFC piQ`,}; 0 ATE uc.:4 9 6 c "• y •
Date: l'U !/�' Signature: .��A��'���.I Zd MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: thereby aNlrm that • e• .nsen O-insure oracertlfica lWolxers FRNT; 16 FT IN REAR; 20 FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance,or acenified copy thereof(Section ..fa1, 'a..C). 410 LEFT: 5 FT IN RGHT: 5 FT IN- LEFT: FT IN RGHT: FT IN
min.:077698089 .DAT : 1Pvi4 .
COMPANY: STATE FUND - PARKING REQUIRED: 4 PARKING PROVIDED: 10 PARCEL: 42519120 ZONE: R2
❑'Certifiedcopy ishereby,fumished. ® . diedcOPyI-file. ,tit V ( PLANNING NOTES> TWO ATT UNITS-EACH HAVE A SEP ADDRESS. FT STBK IS SEPARATION .
I •
•`4 ,r > FROM FT UNITS. 10S PKING SPACETOTAL PROV FOR SITE
Date: CO'-i 713:3 Applicant: *-* * *-**
*********** **** ******** ***4*****,******•*********************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the perms is for one hundred($700)or leu). D E V E' L O P, M•,E N T '-'. S .G .R V I' C ES: REQUIR E M E N T :S ::
I certify that in the performance of the work for which this permit is issued.I shall not employ any person inion manner so as to become . ' ' * • - .
subject to the Workers',Compenution Laws of California. ' :7 ZONING APPROVED. BY (n/g�''I 6'9 DATE: /`[7/Z7 X
•
Date: Signature: - ((i� C
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor 'BUILDING APPROVED BY:. : 3 S.'1 _ DATE:
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. .. ." T
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the,performance of.the work for APPLICATION ISSUED BY:' - . I.e • 7 ^]
-*'
which this permit is issued(Section 3097,Civ.C). ************************ ******,.-3' w -- .10' ****D******* 1-5 *
LENDER:SEA HORSE DEV FUNDING ********************************4*4*yt*4 ***4**************4********************
ADDRESS: 2915 REDHILL,#F203 LEGALIZATION:N F E E • S U M M 'A R Y - STRUCTURAL SEGMENT:Y
CM, CA, 92626
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any dty of county which requires a permit to construct,atter,improve,demolish,or PERMIT 1 , 332 . 50 ' 71 . 0 0 205. 51 55 . 50 20 . 84
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that helshe is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 701ID)of Division 3 0l the Business 25% S O'$' 25% SMIP/NON-R E S
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN 216 . 53 b
any applicant for a permit subjects the applicant to a civil penally of not more than fwe hundred dollars(S500). ISSUE FEE 3 . 00 15 :00 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 PLANHCHECK ' "TOTAL PAID DUE
❑ tructure Is not intended or offered for sale(Section 7044,Business and PrOfesstonal Code: The Contractors'State License Law •TOTAL S----> 1685 . 35 33 . 00 .216-53 1-934'.. 88 1934 . 88 . 00
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 ownemployees,ryrovided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: t 1.9347.88 ' OVER/SHORT: . 00
Improvement Is sold within one year of completion,the owner will have the burden of proving he/she did not build or Improve
'for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC 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 • 1332 . 50 74 . 00 220 . 51 70_50 20 . 84 216 . 53
❑ -and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon r
and who contracts for such Projects with a contractor(s)license pursuant to the Contractors'State License Law). l am aware ****************************************************************.***************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL : FEE BREAKDOWN
❑ I am exempt under Section: B.&P.C.
for this reason: TYPE QTY D E S C R I P T I O'.N • UNIT COST TOTAL COST
•
Date: Owner: SFR 4343 APT-TYPE V-MASONRY OR .TYPE III-GOOD 64 . 80 281 , 426 . 40 •
I do hereby certifythat l am aware of and understand the requirements of California Health and Safety CodenSections 25505,25533,and SFR 200 RES-BALCONY, EXTERIOR STAIRWAY 13 . 54 2,.708 . 00 '
25534 and that I or any future building occupant wiNvdil not not(circle one)need to comply with said state codes and the requirements for a .R.
800 RES-GARAGES TYPE V ! 9 17 .O O 1 3, 6 O O , O O
'• _
permit for construction or modification from the Air Welty Mani ement District.Residential construction applications are exem
theseproisions. ELE 4343 NEW RES BLDG FOR 1 OR 2. UNITS/ SQ FT . 03 152 . 01
Date: Applicant:
ELE
ELE 10
10 FIXTURES, LIGHTING ' • I- ST 20
RECEPT/OUTLET 1EA. . 75 7 . 50
i ST 20 EA. . 75 7 . 50
I hereby certR that I have Fried this application a tate thio the Ma e or ation i-c' re..I re to comply with all ci and county ELE 2 RECEPT/SWITCH 1 ST 20 EA. . 75 ' 1 . 50
ordinances an state laws re 'ng to bonding co and re Ven . this '.toenteru the abov mentioned ELE 2 SERVICES BELOW 600 V 6; BELOW 200 AMP 18 . 50 37 . 00
property for ispr u `�' MEC 2 INSTALL FORC/AIR FURN -<= 100 K BTU/H 9 .00 18 . 00
p(V/ , /� ( MEC 2 GAS PIPING SYS 1 - '4 :-OUTLETS 3 . 00 6 . 00
�y Date: signature: MEC 6 GAS PIPING SYS 5+ OUTLETS PER OUTLET . 75 4. 50
/ Driver's Licens m Social Security • u iL' •- ' • - - -.
1641-46 -While-Buildine:Green-Code Enforcement:Canery-Applicant Pink-Revenue:Goldenrod-Assessor i •r
r
•
a CONSTRUCTION AND:PLANNING POOL & SPA
Date InspectorDate Inspector
APPROVALS , Permit# APPROVALS Permit# -
1*Temporary Electrical Service or Pole I 52: Pool & Equipment Location - -•
2. Soil Pipe-Undrgrnd. //�/irj _,53. Steel Reinforcement
3. Electrical Coridtiit Utility-Undrgrnd" !. [ _ . 54. Forms - -- -•.
4..Electrical Cond'u'it-Undrgrnd. 55. Electrical Bonding
' 3 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. U"(/�2.7 // p .- _57. APPROVAL TO COVER-GUNITE •'
7. Footings BS L (.U. Z/n - -58. Electrical Conduit-Undrgrnd. .
8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test _ -- .y
9. Water Pipe-Undrgrnd.- -' '' - I7,..4-Y ( '? - 60. Backwash Lines, P-Trap, 0 Undrgrnd,
10. Structural Floor System ;-ti Z ! Pis' -- 61. APPROVAL TO DECK '
11. Property Sewer Line & House Connection ._. 62. Backwash & Receptor-Final -
.12. Sewer Cap - _ I 1 63. Heater& Vent-Final -
13. Roof Drains ' - 64. Plumbing System - Final -
14. Rough Plumbing - . • --eth6 Lop 65. Electrical-Final
' 15' Rough Electrical-Conduit _ I 66. Solar System-Final '
16.- Rough Electric Wiring _ 2_790 a;6 67. Fencing & Access Approval
117. Rough Wiring Sign 68. APPROVED FOR PLASTERING
\18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '
19. Rough Heating & Air Conditioning Z{(ad G° . FIRE DEPT. REQUIREMENT( -
20. Rough Factory Fireplace - 24444 �j APPROVALS - Permit# - '
21. Ducts, in Structure " ill ,70. Underground Hydro
22. Ducts, Ventilating - - • • • 71. Product Piping O Gas ❑Oil
23. Gas Pipe-Rough & Test . - 72. Underground Flush -; 4
24. Roof Framing - ,73.-Undergrnd.Storage.Tank 0 Gas 0 Oil
✓
25. Roof Sheathing - _ -: - :P-(t Il, Ott' 74. Overhead Hydro-
26.'T-Bar Ceiling (Structural) & Monocoat Ott.
75t Dry Chemical - -
27. Frame and Flashing ;, �I Q IA( _- 76. Dry Standpipe . : . _
28. Lathing & Siding . " t"• . 271h o Q e, 77, FIXED SYSTEM,FINAL - • - •• .
29. Insulation • - w/ vi 78. FIRE PREV. FINAL _
30. DrywallNailing , _ v . . - _ HEALTH-DEPT. REQUIREMENT . - -
31. Plaster Brown Coat = - 9. FINAL INSPECTION _
32. Electrical. Power Meter-Final ;, ='-. 'FOOD CERTIFICATE ISSUED • -. {. 33. Final Electric Ioteswa vw /�?/ J! :dips Sa19na: ne7_
34..Final Heating & Air Conditioning -)9,r•
/, a
35. Final Gas Pipe-Test . ' " %,14jy4 f_ " o ,? o�.5� ::--14 _
36._Hood or Canopy' : =r 0" 0
_ 37. Final Factory Fireplace' - ' • i _ / •:-.-i 0_, w c ' .43
38.-Final Plumbing EY- se a ,� c•• r i
39..Water Service-Final 't - - . -� -Q ite o o _•
- '40. Gas Service-Final t • t "- a•C m: ..§- - . - • '
E ° a..12
1 41. Solar Domestic-Final - t -
42. Backflow Preventer " . - _ .
43. Backflow Irrigation .n - - •
44. Landscape Irrigation System, ' ' -
45. Sound Attenuation - . . - t - .
46. Handicap Regulations . ' " ///
47. FINAL STRUCTURE & BUILDING - /y/4Q fit' -
48.-FINAL PLANNING • ljslq0 -ctAgt.:_
49. Electric Release to.EdisonM-
50. Gas-Release to Southern California Gas Co .- - .
51. CERTIFICATE OF OCCUPANCY - •
No. Date
' PROJECT ADfi'ESS: UNIT: - - •
-
°OWNER'S NAME: • - '
ADDRESS: PERMIT NO: G 044710 PLAN CHECK NO: 01194-89 A PAGE: 2
u
• • iE****ePiFlP4hifiElfifdflE)F#lE7f1 ***Mead)EfEIE*SEiFfe1414fFlE**lEiE163f1E*3fiElflEaEiFie#3Fi(1Eifie*****)63.**fEiejblE*7E3ei63E#***
,
ARCN/ENG)NEER: REG.NO.: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
, ADDRESS: UNIT: •
MEC 6 VENTILATION FAN CONN TO SINGLE DUCT 4 . 50 • 27.00
PLRMITTEE: PLU 4 BATHTUB 2 . 00 8 .00
ADDRESS: PLU 2 DISHWASHER 2: 00 4 .00
PLU 2 LAUNDRY TUB OR WASHER 2 . 00 4 .00
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section PL U 2 SHOWER 2 . 00 4 .00
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. PLU 2 SINK, BAR • 2 . 00 4 -0 0
CITYLIC.: • STATE CUSS: PLU • 2 SINK, KITCHEN 2 . 00 , 4 .00
Date: Signature: PLU 2 WASH BASIN 2 . 00 4 .00 .
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' PLU 4 WASH BASIN ( SET) 2 .00 8 . 00
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). PLU 6 WATER CLOSET (TOILET) 2 .00 12 .00
POLICY NO.: EAP.DATE: PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS • 2 .00 2 .00
COMPANY: PLU 6 GAS PIPING SYS 5+ OUTL-PER OUTLET . 50 3 . 00
❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLU 2 GAS SERVICE 2 .00 4 - 00
. PLU 2 CONNECTION-TO BUILDING SEWER, EA 5 . 00- - 10 . 00
Date: Applicant: END OF FEES ,
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)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. i
Date: Signature: , , — •- - -
NOTICE:If.after making this declaration, r. - -
g you should become subjectpermito the Workers'Compensation provisions of the Labor
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked, 4 ' •
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of.the work for ''4 t . r j .
which this permit is issued(Section 3097,Civ.C). • ,
UNDER:
ADDRESS: - -- - -
,e
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason ,
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,atter,improve,demolish,or
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
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(5500). • '
I, as owner of the property or my employees with wages as their sole compensation, win 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 of improves thereon,and who does such work himself/herself or through
•
his or her own employees. provided that such improvements are not intended or offered for sale.It.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 improvei ,
- for the purpose of sale).
•
.I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware •
that proof of their Worker's Compensation insurance should be provided to me. • ' '
❑ I am exempt under Section: B.&P.C. '
for this reason:
Date: Owner:
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 1 or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality 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 lav,s relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned '
property for inspection purposes. •
•
Date: Signature: '
Driver's License or Social Security 4:
184/-46 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor - -
-
_.,
-• CO]NSTRUCTION AND PLANNING - POOL & SPA
• I, APPROVALS is 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 UF 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. 60. Backwash Lines, P-Trap, O 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 •
//A. 66. Solar System-Final
16. Rough Electric Wiring 2//13/y0 4 _,p2, 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 Heatingl&-Air Conditionings t,,..t. FIRE DEPT. REQUIREMENT
20r Rough FactoAY.'.F,ireplace .Y r ab D;r 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 C`ailing-(St[uctural) &.Miin`ocpat if : 75. Dry Chemical
2h-Frame and Flashirigy:;: "'~7. - . 76. Dry Standpipe . •
- -•r`.'_
28. Lathing•& Siding_ *C r,'",;;1;1;. 77. FIXED SYSTEM FINAL
. 29. Insulation '-' _ _.^S5`' r) - . 1 78. FIRE PREV. FINAL
30. Drywall Nailing - i-_ - _ -• � r l - HEALTH DEPT. REQUIREMENT
31. Plaster BroWnn Coat'-' V 79. FINAL INSPECTION
•
32YEledtrical Power Meter-Final ;,Cjru _ 80. FOOD CERTIFICATE ISSUED _A /
33��•Final ElectriY. c; ,, ti -Ir Notes 44)''U d .-9
34.-Final Heating,& Air•Conditioning`�6 �i° r A o Oa T_
N T m /-
35!Final Gas Pipe-Test �•" t••tr' / 2 o m •t_
36:'Hood or CatroPY - ,-• i= t� 0 a c �,
c
37+^Final Factory,Fireplace Y% c - co o so U`1`
.. ter, 6l cu a- IR d _b _.
38.-final Plumbing - fo aa. N g „-;
ca o
39-Water Service:Final -1`7 Q8 o te, o W
V n1L d o C pq E
o
40"Gas,Service-Final ro �- ..r_.-,
m
41.Tholar Domestic-Final en E m.6 nov
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
5-2k, l .
CERTIFICATE OF COMPLIANCE
PAYMENT OF SCHOOL FACILITY FEES
NEWPORT-MESA UNIFIED SCHOOL DISTRICT
n
Developer/Applicant :� � �6 E !. ��J 11,l.4.l. l- ��' �-�(
Address : tyle A n�--1.7 -A114- . � ) I L�. LC Z----C 7") C ' H i
Telephone Number : 9(214• "0ZZ0 � ��
Tract/Parcel and Lot Number(s ) :
Location of Project : 27';� s
: iT4 5r CO7tltt•_ vtec_as._
Number of Square Feet of /��//,, 'J ! 7 'p
Residential Space )'%W ! x $1 . 50 Total j c=--2 : 0
Number of Square Feet of
Commercial and
Industrial Space x $0 . 25 Total
Commercial/Industrial Project is : (Check One)
Mini-storage _ Motel _ Preschool
Movie Theater Bank Auto Repair
Racquet/Health Neighborhood Shops Hospital
Warehouses R & D Large Office
Heavy Industrial Hotel Office Bldg .
Regional Shops ____ Medical Office Restaurant
Light Industrial Office Park Fast Food
The provisions of Government Code Section 53080 are not applicable .
—
This certifies that the above-named Developer/Applicant has paid school
facility fees in compliance with Government Code Sections 53080 and
65995 .
Checks arActo, bQmade payable to Newport-Mesa Unified School District .
/' -- \c \ Business\Manager ---a•A
Newport-Mesa Unified School District
The above representation as to square foo age is true . Developer/ ,�
Applicant agrees that if it is later date mined—rr�hh such repr�efl.s�x-�t"a-
tions are not true then this certificate, fiaDi ems? atically - et rminate
and the appropriate City/County sl?-l-rtie notified. , 1 I (
nn . /
Date : !;J `I T} ---'2;i7 '�'I�':ii,ll % ;,ma c
Developer/Applicant
iL A2 L !i e LLQ ZA-. Lel-. .
MAY 17 '90 16:35 ALL-COAST FOREST PRODUCTS, INC. F.2 ,
�4NiUtE Sr TISO4c_
•
CERTIFICATE OF 3ViNSEE CONFORMANCE
HE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES
that the products identified below and 0n attached sheets IV6;5, are marked
with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC)
and were manufactured in conformance with, applicable provisions of American National Standard
ANSI/AITC A190.1-1983, Structural Glued Laminated Timber, and that such manufacture has
been at our plant in Drain, OR , which plant has a.quality control system
approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
and inspected periodically by such Bureau.
The manufacture of these members complies with the manufacturing and fabricating provisions of
Chapter 25 of the Uniform Building Code.
M9 NAME: All Coast Forest Products for Stock & Custom
.JOB LOCATION: Chino,
yy CA
y
CUSTOMER'S OROER NO. rvrr8252,01,.02,03'9^ ATC 10=27`89 MFGR's OHoca NO.. 6822-D
24F-V4, I?? Glue, Ind App, •ad Wrap, Iced App, Ind Wrap, Arch App, Indy Wrap
SIGNATURRC .14 .� P
__ _de, .' y (� }COMPANY pDuco-Lain
TITLE Quality Control _ADDRESS O8 2971 Drain, OR OATsl1-13-S9
•
A/TC HEREBY CERT/F/ES that the said company at its said plant is licensed by the
•
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Markin respect.
of products which comply with applicable provisions of said Standard, that the adequacy of the quality
_. _ control system' in effect at said plant is periodically inspected and verified by the Inspection Bureau of
the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC,
said company is capable of complying with applicable manufacturing and testing provisions of said
Standard in respect of products manufactured at said plant. Conformance with the Standard in respect
of any specific or particular product is the sole responsibility of the manufacturer;AITC's guarantee
hereunder being that the said company is qualified to produce a product meeting the said Standard
and that its plant is.periodically inspected and verified by the AITC Inspection Bureau.
Alit Certificate No. 61336 A
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
SEAL
A+_
19 5.2
• C 1983.AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
AITC ORM IBCA
MAY 17 ' 90 16 . 43 714 6286154 PAr,E . 02
, MRY 17 '30 16:36 RLL-CORET FOREST PRODUCTS, INC,-HUP DNRW7NW5 * P.3
aaaauaa*40**4**4144*.i*se*4.6*****senna . '
•
Date i 10/30/89 JOB NUMBER: 6822 D 11;
CUSTOMER ; ALL COAST - CHINO Wi
JA 'MEI Stock & Cust CUST PO o ; 8252,01 (( Dar t AIT . ,
LOCATION Chine CA GUST JOB* : I(Cbi-I�z,-JE, OTE ; " aBY JOB 4
we ww»xe:sa==3-- -WaPlar=m7=0 axumm=nmc___
LOQ rl fj1tl-, 6,4 .
LTTET
f VV \ca►
Notes I Mark Oty Camber Dimensions Comb. I App. Wrap Seal
i-- c zc=e ==== acc- rr.-.44.7.m1
I .1B 1 5 0 3/4 8 3/4 x 16 1/3 x 30 - 0 24F-V4 I IND LOAD END
/- /
11B 2 5 0 3/4 8 3/4 x 24 x 30 - 0 24F-V4 I IND LOAD END
11B 3 1 0 1/8 5 1/8 x 16 1/2 x 14 - 0 24F-V4 I IND LOAD END
/ /
11B 4 1 0 5/8 8 1/8 x 12 x 28 - 0 24F-V4 I IND LOAD END
/ /
11B 5 1 0 318 6 3/4 x 12 x 20 -^ 0 24F-V4 1 ' IND LOAD END
/ /
I 18 6 1 0 1/2 6 3/4 x 21 x 24 '- 0 24F-V4 I IND LOAD END
I /
128 1 1 0 1/8 6 3/4 x 12 x 14 - 0 24F-V4 I IND LOAD END
/
/
138 1 1 0 3/8 6 3/4 x 13 1/2 x 22 - 0 24F-U4 I IND LOAD END
/ /
13B 2 1 0 3/8 8 3/4 x 13 1/2 x 20 - 0 24F-V4 I IND LORD END
:/ .. /
14B 1 2 0 1/4 B 1/B x 12 x 18 - 0 24F-V4 I IND INDV ' END
/ /
14B 2 1 0 3/8 5 1/8 x 12 x 22 - 0 24F-V4 I IND INDV END
. / /
14B 3 1 0 1/4 5 1/8 x 12 x 16 - 0 24F-V4 1 IND INDV END
/ •• /
. 14B 4 1 0 3/8 5 1/8 x 10 1/2 x 22 - 0 24P-V4 I IND INDV END
/ / •
1 58 1 6 3 3 1/8 x 10 112 x 60 - 0 24F-V4 l ARCH INDV END
/
I SB 2 6 3 3 1/8 x 13 1/2 x 60 - 0 24F»94 I ARCH INDV END
/ /
I SB 3 2 1 3/4 5 1/8 x 22 1/2 x 46 - 0 24F-V4 I ARCH INDV END
I -•- /
ISB 4 6 3 6 3/4 x 13 1/2 x 60 - 0 24F-V4 I ARCH INDV END
/ /
I SB 5 4 1 1/2 6 3/4 x 16 1/2 x 42 0 24F-V4 I ARCH INDV END
**** k****is****#fF****•K>f'assiNiF*�F3{�*#il*rx+r t+o 4.044iklit*#*i�*ie"*-M 3��1**********�, it ■*****
a . . -. , . .. 1 -APPRDUA4 Y°li *
* / tams.. *
* This signifies our acceptance of these drawings as being appiica le is
* to all contract documents and released for manufacturing. *
* CUSTOMER s- 6_ %? :__6_�a- o ___ *
***********************6*****************************• x***i**************a*rt**4%******************
MRYt17 ' 96 16 : 44 714 6c 2.6154 PAGE . 03
•
TRDDRESS: 1602 SEA HORSE CIR UNIT 1603 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 044711NER'S P4ME: SEA HORSE DEV.
• A0o55: 2915 REDHILL PERMIT NO: B 044711 PLAN CHECK NO: 01201-89 S GOVT: N SUPP: N •
" STE 4F203
'CM. CA. 92626 • CONSTRUCTION TYPE: PERMIT -TYPE: STR PURPOSE: NEW
ARCH/ENGINEER: J. MILLER ASSOC . Ie0MD.:870 1739 JOB DESCRIPTION : NEW BLOCK WALL• FOR LOT WITH APARTMENTS SQ FT: 65
. ADDRESS: 2021 DEREK DR UNIT. 241
FULLERTON CA 92631 CLAIM VALUE: 2, 000 . 00 CALC—VALUE: , 1, 300. 00 GROUP OCC: M-1 / •
PERMITTEE: FABRE CO 714 ) 649-2915 — •
ADDRESS: 1120 STAR RTE / COMMENTS : BLOCK WALL FOR LOT WITH THREE BLDGS
ORANGE
` 7 eh/ mer*ar*****it****x* xx* eE* etxst�aiE�E*stiEiE*** sHit**xdt*atststxx/t*eE* srst *E** t**aEaE** aE*** -E*
LICENSED CONTRACTOR DECLARATION: I hereby affix• that ovi •ns •f y :pier 9(comm cine with Section . - Z O N I N G R E• Q U I R E M E N T S
7000)of Division 3 of the Business and Professions ,.: and y( 1 - Q1QI�'..r . and eH^ke• S E T B A C K S -
DarteQ4� �j �mr.-
: �V^(/�0 /A�uC.:4s96044 ,nature: �'� ��� I��T' MAIN BUILDING ACCESSORY BUILDING - '
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have ace-rtiificaatt • consent toseff-insure or a certificate of Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Section,1!•.Lab. J. � LEFT': FT IN RGHT: FT IN LEFT: FT IN RGHT: • FT IN •
nucYN0.: 077698089 4140
COMPANY:STATE FUND ' r, PARKING REQUIRED : . . PARKING PROVIDED: PARCEL : 42519120 ZONE:
•
0 Certified copy is hereby furnished. ® Med copy a ole km.o.. PLANNING NOTES>
--�f Date: I0 Z?4fil Applicant: . .�.._ �-...�J jtie*4****at***tett*itrtit3 *****+tit****3t***st******trot*etatit3EeEaaiE** *******aE******** *iE******
_
- EKEMPRON FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed d the permit is for one hundred($100)or less). I) E V E L 0 P M E N T S E R V I C E S R E Q U I R E M E N T
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. APPROVEDx
ZONING BY . W Bk DATE: /U 27 X7 •
•
•
Date: Signature: j
NOTICE:If,after malting this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : - DATE:
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. 'lae_�
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE: 0 2-7 ,_ /
which this permitis issued(Section 3097,Civ.C). **********************' * '.:•.�-•' - '**********♦�***********
LENDER: SEA HORSE DEV FUNDING **************************************** ,**************************************
ADDRESS: 2915' REDHILL, #F203LEGALIZATION:N F E E S IMMARY • STRUCTURAL SEGMENT:Y
CM. CA. 92626 •
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC 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 • 31 . 0 0 . 50
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed S M I P/NON—RES
pursuant to the provisions of the Contractors'State 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 exemptlon..Any violation of Section 7031.5 by PLAN • 20 . 15 -4'•., .1 '
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE d,"b' -,
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING— PERMIT ISSUE PLAN-CHCK".ii:' TOTAL •, • PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS' ———> 31 . 50 0 . 00 '2-0.:15. .. 51 65 51 . 65 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through i •
- . ;his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or .. .[i-
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or Improve REVENUE DIVISION TOTALS——> COLLECTED :ie}-, , r•.• ' 51 :'6.5 OVER/SHORT: . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC - 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 • 31 . 00 • :ri: -'• '- . . 50 20 . 15 •
❑ and Profusions Code: The Contractors'State License Law does not apply to an owner of properly who builds or Improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ************************************4C****3t****************'It********************
that proof of their Worker's Compensation insurance should be provided to me. . INDIVIDUA Lr F E E- -. B R E A K D OWN
❑ I am exempt under Section: B.&P.C. •
for this reason: TYPE QTY D E S C R P P T I O .N UNIT; COST TOTAL COST
• Date: Owner: r .
SFR 65 RES •CONCRETE DLOCK WALL ,7,'0 . 00 1 , 300 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and END OF FEES •
25534 and that 1 or any future building occupant wiltwill not(circle one)need to comply with said state codes and the requirements for a -
permit for construction or-modification from the Air Duality Management District.Residential construction applications are exem t from .,
these provisions. ' ' .
Date: Applicant: • • N
I hereby certily that 1 have read this apogean° •state that ttryy lyi� �� t.I agr to comply with all city and county
ordinances and state laws relating to building instruction an.her?dy.+ 5:,,��va• . A this city to enter upon the above-mentioned . .�
property for inspectioncioj
pu 1 jj 4 cj i t I 1. '
Date: 104 l Signature: If
_ : - _ --
• Driver's License or Social Security d: ( -
164146 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor - •
.4. •
r
>N CQNSTRUCTION AND PLANNING _ POOL & SPA
APPROVALS Permit Date Inspector APPROVALS Permit # Date ;Inspector
Q, Temporary Electrical Service or Pole 52. Pool & Equipment Location '
2. Soi 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 UF 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. . 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 i
12. Sewer Cap - . . - 63. Heater & Vent-Final
1
• 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 - 7 -• • ,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) & Monocoat75. Dry Chemical
27. Frame and Flashing - - 76. Dry Standpipe
28. Lathing& Siding •
77. FIXED SYSTEM FINAL
29. Insulation ' I �.. i H 78. 'FIRE PREY. FINAL
t
30. Drywall Nailing - • ,' s HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat • 79. FINAL INSPECTION
32.. Electrical Power Meter-Final `' - 80.- FOOD CERTIFICATE ISSUED JI
• '33. Final Electric .- • _ • ',; ' Notes: -o
�(i an v.o,Ltvr� A G.
•
734. Final Heating& Air Conditioning' -
35. Final Gas Pipe-Test' • fs- "G a gC o-W V,- --_
36. Hood or Canopy ., � o
03 dig l
37. Final Factory Fireplace • e . o
38. Final Plumbing -Q E : V
39. Water Service-Final - _ .a I .8
40. Gas Serdice-Final - ' g t . S
as ti
41. Solar Domestic-Final- - . en Ca.
42. Backflow Preventer . C 61'-i1r//' //'Q E P-,�
43. Backflow Irrigation - ��,
44. Landscape Irrigation System -
45. Sound Attenuation .
46. Handicap Regulations
•
47. FINAL STRUCTURE & BUILDING 124//,r GZ%G�/
48. FINAL PLANNING • -' / / %
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co _
51. CERTIFICATE OF OCCUPANCY
No. Date -
PROJECT ADDRESS: 1602 SEA HORSE CIR UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 056637
OWNER'S NAME: MIKE GARVEY
ADDRESS: 1602 SEA HORSE CIPERMIT NO: E 056637 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA
CA 92627 CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: OTH
' ARCH/ENGINEER: ( 714 ) 548-1415 REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION 350 GAL. ABV/GRND 'PORTABLE SPA' SQ FT:
CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /
PERMITTEE: MIKE FARNSWORTH LANDSCAPE ( 714 ) 548-5132
\y' ADDRESS: 1812 HIGHLAND DR COMMENTS: *
NEWPORT BEACH CA 92660 *******************************************************************************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETACKS
CITY LIC.: 0 7 774 STATE LIC.:4 2 1070 c ss: C-2
Date:3�` ' Signature. - - - — MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENS TION DECLARATION: I hereby affirm t l have a certificate of consent to sell-insure or a certificate of Workers' RNT: FT IN REAR: FT IN FRNT: FT IN REAR: 3 FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 6 6 2 0 7 2-92 EXP.DATE: 01 /01 /93
COMPANY: STATE FUND PARKING REQ; PROV: PARCEL: 42519121 ZNE: R2 REF NO:
0 Certified copy is hereby furnished. Certified copy is filed with the city Building Division. PLANNING NOTES> ADD ABOVE WATER SPA TO EXISTING CONDO.
fimayu. �. >
V/
Date:_ �/ Z' Applicant: V---"--��******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT S E.,R VICES REQUIREMENTS
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. ZONING APPROVED BY DATE:
Date: Signature:
NOTICE:It.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE:
Code,you must forthwith comply withesuch provisionsmtat or this permit shall be ending revoked. ��
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY. DATE• 6
which this permit is issued(Section 3097,Civ.C). ****.**.**.**.*.*.****.*.*.******** {E * * **** *{(.*.*****.***.*.**.****.* * .N. *.*
LENDER: *************************************** ** ***********************************
ADDRESS: LEGALIZATION:N F E E ' SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC 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 11 00
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 BusinessO Z SM I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN •
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15. 00
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 11 . 00 15. 0 0 0 . 00 26 .00 26 . 00 . 00
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 employees.provided that such improvements are not intended or offered for sale.If,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED • 26.00 OVER/SHORT; ,00
for the purpose ol sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 26. 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractors)license pursuant to the Contractors'State License Law).I am aware ***********************N.*******************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST
Date: Owner: ELE 1 MISC APPARATUS NOT LISTED REQ PERMIT 11 . 00 11 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEE -
25534 and that I or any future building occupant wiltwill not(circle one)need to comply with said state codes and the requirements for a '
permit for construction or modification from the Air Ouality 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 -
r
property for in echoPurposes. '
Date: ^^' ^ -. . _ -
Signator M�//f
•
Driver's License or Social Security a:
164146 White-Building:Green-Code Enforcement:Canary-Aoolicant:Pink-Revenue:Goldenrod-Assessor
CONSTRvCTIOP'AND PLANNING POOL & 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 lhility-Undrgrnd. ' - ! ! 54. Forms .
4, Electrical Conduit-Undrgrnd. 3,4� y i 55. Electrical Bonding
y. 'Steel Reinforce''�dnt 56. Rough Plumbing & Pressure Test -_
- 6.;ElectricalUFERfrrnd. • 57. APPROVAL TO COVER-GUNITE
,...l " 7.-Footings 58. Electrical Conduit-Undrgrnd. C-�
r
z.8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test
- 9. Water Plpe-Undrglnd. / 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 ,, - . t i ' 63. Heater & Vent-Final •
13. Roof Drains 64. Plumbing System - Final
t
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 Ceiligg 69. POOL/SPA SYSTEMS FINAL '
19. Rough Heating & Air Conditioning r FIRE DEPT. REQUIREMENT .
20.'Rough Factory Fireplace - APPROVALS, Permit #
.x
21. Ducts, in-Structure: - -.70. Underground Hydro •
22. Ducts, Ventilating - . '2 ' . j1. ProductPiping 0 Gas Mil
23: Gas Pipe:Rough 8i Test - 72. Underground Flush
24.'Roof Framing ' A73. Undergrnd.Storage Tank 0 Gas 00il
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 SY$TEM:FINAL _ '
'29. Insulatign - 78. 'FIRE PREV. FINAL
'30. Drywall Nailing /� i HEALTH DEPT. REQUIREMENT
31. Plaster gown Coat. , , . •I ,79. FINAL INSPECTIQN• '
, I+I
^32._Electrical Power Meter•Final - ,f '8' 00D CERTIFICATE ISSUUED
33.`FinalEl?ctri; / Ar/ �1�1 i otes: gAll ad
3I 2. Zr I�_t
34. Final Heating:& Air Conditioning. . ---� .• (( f�!//"--(bs��--
35. Final Gas Pide-Test, - .
. .. ' .
36. Hood or Canopy : • ' , ._ . , r - .
37. Final Factory Fireplace_ - '_.r - • _ _ '
-38. Final Plumbing - , _
39. Water Service-Final -'• - '
r
.,40. Gas Service-Final , - - :
'•41. Solar Domestic-Final _• - 1 .!,
42. Backflow Preventer" ! -
43. Backflow Irrigation;44. Landscape Irrigation System , 1
45.-Sound Attenuation ii -
•
-46. Handicap Regulations -
.47. FINAL STRUCTURE & BUrLDING
48. FINAL PLANNING - - - f _
49. Electric Release to Edison ''
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY
No. Date
.....r• i__P.a.,:...,..6s.v.._Lo....._c_ict-ititne________-_ 7.% 77,--) (Tr?
ar0
Wite
.. A ��. L o-. 0.ac" ..• �;� b ,,C ._�C �_ a: _��s—
kip '"Ils4(:ill xi:7-,)Cf`-:
4 • cI\tI.)
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liglit
// -mac _. ( `�' —_��r-
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\ 3I 1-_‘c_ _c_r'
l�p� � sal >°
�p�� l U
r APPROVED 2`Ao. --17 a P V r.
ant OF COSTA MBIA 9 diy
PUNNING DIPT. x; 4 City a Costa Mesa Bui;Eding Dept.
ill -'="eir--- ,Ma to IMO. NFL la ' { qq I < • ;
I ' 2. 13Y • L c DATE .3�G6__1°1� O 7�{t— HP' F^F> H'---
Mine fir HANSI - I' THESE PLANS MUST BE ON JOE AT ALL TPMES MAKE
NO CHANGES WITHOUT PROP APPROVAL DEPT. u:R INSPCTIO.NS
THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL OF
PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED 10 BE A -i CALL
-. Nzee PERMIT FOR, OR AN APPROVAL OF, 4NY VIOLATION OF ANY OF ,
l/ !/ If IE PROVISIONS OF THIS CODE.N..,PE.;MIT PRESUMING TO GIVE
AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF THIS -.•./ 754-5626
e TO PROCEED WITH PLAN CHECK. CODE SHALL BE VALID EXCEPT IN SO FAR AS THE WORK OR USE
THIS DOES NOT CONSTITUTE FINAL WHICH IT AUTHORIZES IS LAWFUL. - _ 0
PL/ NTNG APPROVAL. THE ISSUANCE OF y PERM,I5 BASED UPON Pb N$ AN,7, ,, ",. r„, 754-5627
�J .l5. Yz SPECIFICATIONS SHAL:_1i r E NY"i NE 'PCriici;'C"'^.fAt-' "
FROM THEREAFTER REO IkI NG THE CORRECTION CF El/. DRE IN
INITIALS D SAID PLANS AND SFEC!FYCATIONS CR FROM PRE 1 IG ' - -
BUILDING OPERATIONS BEiN3 CARRIED ON TH`iltti •D-P'','17 V =A 411
Ca-Paz. III VIOLATION OF THIS CCDL CR OF ANY OTHER4,1.(4•;.,r,:.75
THE CITY. )) _ `•. (i �- L o Fr.A M / ( r.O_P �,r„y_O
—e ?fi L 4. ._-T .-.o€J, ` , • • r 'sem
N.I �
0�` 1. C j 1-®
j � 5 {1 17 1y L.
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G
• ---- -. \tells Insulation Co -
\�WSWV YAYuvanV
C 11 7460
I' 11362 Wn imin,rer Ate.#C Garden Croce.CA 92643
714-530-9530
license # 384692
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
CURRENT ENERGY REGULATIONS,CALIFORNIA ADMINISTRATIVE CODE,TITLE 25,STATE
OF CALIFORNIA,IN THE BUILDING LOCATED AT:
PERMIT #G044710 LOT# TRACT#
TWO RESIDENCE
STREET 1602 & 1603 SEAHORSE CIRCLE CITY COSTA MESA
EXTERIOR WALLS:
MANUFACTURER MANVILLE THICKNESS/TYPE 3 LI 11
VALUE
CEILINGS:
9ATT5: MANVILLE 6 k R-
19
MANUFACTURER_MAN.VTT,T.F. THICKNESS/TYPE 11 VALUE_3fl—
BLOWN IN; MINIMUM R-
MANUFACTURER THICKNESS VALUE
SQUARE FOOTAGE COVERED NUMBER OF BAGS USED
FLOORS;
R-
MANUFACTURER THICKNESS/TYPE VALUE
SLAB ON GRADE: R-
MANUFACTURER _ __ THICKNESS/TYPE - . VALUE
WIDTH OF INSULATION INCHES
FOUNDATION WALLS:
R-
MANUFACTURER_
THICKNE -111PE VALUE
GENERA C9- - e /�QI ,, ` y7
CA IhTR• r s1LICE : # t h IIX,-O`�1 DAT !I�^
0
No aro2_
SI NATURE TITLE
INSULATION CONTRACTOR WELLS INSULATION COMPANY, INC.
CALIFORNIA CONTRACTORS LICENSE#
/�
/J 384692 DATE 05-16-90
JOY)'? t- PRESIDENT
SIGNATURE TITLE