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HomeMy WebLinkAbout627 SHASTA LN - Building Permits . City of Costa Mesa Planning Department • ' Post Office Box 1200 77 Fair Drive T1 Costa Mesa, California 92626 GO Ili d (714) 556-5245 REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) Tract No. .1;24/1/ Date 7— /v7— 77 Lot No. 172 Address '/va? 7 aat n/�fw tent. ��7d 4,2‘ The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-strr they) ;iZ (weror were),..-Ce.--&-c• advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. By `k'_ `i' ti Slit - I liab / P rchaser ' B S$ 1 :i�r%`t `evloper and/or Au oriz!. Representative • N By Eti 11731 IRVINE BOULEVARD, SUITE 210 CMF 0569-26 TUSTIN, CALIFORNIA 92680 049, �� City of Costa Mesa Planning Department Post Office Box 1200 • 77 Fair Drive �� �� ��- Costa Mesa,California 92626 Ia IU,zj t (714) 556-5245 • REQUEST FOR OCCUPANCY • (Single Family Residential or Condominium Units) • Tract No.C:0' — Date s/,77 Lot No. /7 7 • Address tL ) The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that" (he, she, they) �[y (was or were) 7advised that this tract has • not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions • necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. RECEIA EMESA CI By �� g P At COSTA Purchaser AUG 2 9 1977 • PM Snip 1819 AM (10111)12(1)2(3(4(516 By L_ AWAP_►.'i P/ D: eio•-ran.erif or r7 • 'ep tatir By 1. i I I.n 17731 Irvine` Blvd. Tustin, California 92680 C`AF 0569-26 City of Costa Mesa Planning Department Post Office Box 1200 77 Fair Drive eiI�r ,�n 1 Costa Mesa, California 92626 t(il .E16 t (7141556-5245 REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) Tract Na. l � Date 9 - )3 - 77 Lot No. / 7 ✓f+ Address 3 The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he, the, they) --.-� was r were) I tivised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. RECEIVED By - L— CITY OF COSTA MESA Purchaser plAhmiii r.. 4FPT. 1 SEP 1 3 1977 • AM P1111By \ evelone`..f A Drize. 718190011102i11213141516nevrese at• , 11;:;1 Ii;VI? . EDuLE�'ARD, SUITE 210 CMF 0569-26 TLJSTiN. CALIF8PNlA R21;P11 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY,OF COSTA ME A CONS RU TION PERMIT PER Y Sirs-YrO, TRACT NO. LOT NO. UNIT NO. NA.P.# zone Project Address yes t��-r��'<yy<������� TI r 1 yl S Main Building: Accessory Building: Appliyant's Mailing •+dress z. I*7. a TYPE OF CONSTRUCTION LI NEW U ADD D ALTERATIONS REPAIR E Z 10 • ❑ CONVERSION ❑ DEMOLISH ElOTHER T Front D Owner's Name S - A • 0.' Phone z /I DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address Ay S ' A 1 Arch/Eng. License No. TYPE OF PERMIT LJ GRADING L 'FOUNDATION ❑ STRUCTURAL ' C Right G Address _ ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL 1S Left R ,�K i ��/}/jI)r ❑ OTHER Ping. Ref,# Parking Req./Provided R Contractor's Nam < /�-� !✓ Phone /-/!f"' ''1 ���//))///J)J/ i •, .Eiji/ PROJECT DESCRIPTION SQ. FT, OCCUPANCY 0 Address(mailing) rt; CONSTRUCTION TYPE VALUATION$ • Planning Notes: '] ppe City License No. < ©-/D T ZONE GRADING CU.YDS. ACRES M 1 / 1AArY M LICENSED CONTRACTOR DECLARATION RECEIVED MAY S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: with section 7000) of Division 3 of the Business and Professions Code, and my license is in full . d effect. �//} --,/�q ELECTRICAL FEES ALicense a i nse •. SJ / Date trim Signature eJaraS I _� PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION Bar Sink Showers Construction Pole Sub. 0 50+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate 1 of Workers' Compensation'Insurance, or a certified co y thereof (Section Cooking Unit Meter 0 u to 100 amps I 3800, Lab. C./� ,,/ Backflow Preventer Service Sink Policy No. �[1g3�'a Company c� _, 4!/( Backflow Irrigation Sewer Cap Dishwasher Meter Clover 100 amps I��JIl,.'ertified copy is hereby furnished. Dryers OGas �E eCirlC Sub Panel .1 certified co�Py�is filed with the city • in"941y /� Bathtubs Sewer Connection Dates-�/��}{'rj Applicant (O(/e�C� Fan Motors 00-1 HP 01t5-8 EXEMPf�ON�F OM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (Thissection need not be completed if the permit is for one hundred ($100)orav T F.A.U. Inc.Solar 09-15 HP Di 6-15+less). f Dishwasher Solar Piping ca bp I certify that in the performance of the work for which this permit is issued, I 1 Fixtures ' shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank t•. Microwave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes - Pole Light NOTICE: If,after making this declaration,you should become subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator Do-5 KW D5-15 KW Trash Compactor OWNER BUILDER DECLARATION ' I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays 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 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 Reinspection Fee $15 Issue Fee therefrom and the basis for the alleged exemption. Any violation of Section $ 3 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). $ B DEVELOPMENT SERVICES REQUIREMENTS: D I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee Zoning Approved By Data • compensation, will do the work,and the structure is not intended or-offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By — Date ern Law does not apply to owner if a property or who builds s or Improves Application Issued B thereon, and who does such work improvements elf or through his or her own Hood or Type I ■ App y Dat employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement Is sold within one year of com- iler ■ pletion, the owner will have the burden of proving he/she did not build or im- s• SUMMARY OF FEES prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT �L The Contractor's License Law does not apply to an owner of property who a 00-100,000 = 0100,000 : PLUMBING $ 1) ISSUANCE $ T� builds or improves thereon, and who contracts for such oroiects with a con- tractor(s) license pursuant to me Contractor's License Law). I am aware that .Exhaust System ■ Multiple ■ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ID ELECTRICAL $ GRADING $ I am exempt under Section B.& P.C.for this reason . e:a ■ a. MICROFILM $ Ducting PLAN CHECK 50% $ - Date Owner MECHANICAL $ .509 I hereby certify that I have read this application and state that the above ' ■0-100,000 : 0100,000. : TOTAL FEE $ information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre sentatives of th' ity to enter upo he above-mentioned property for ISignatturen Purp t./ ...,4%/41/2 '+� . ■ 0/— 00033232-00033232 TOT 5.00 $15 Issue Fee $ 3 Chili: 05i 1i/89 3I11E: 15126 0865-46,rev. 5/88 White - Building: Canary - Applicant; Pink - Accounting; Goldenrod - Assessor ', CONSTRUCTION AND PLANNING POOL &SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2.6 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. ElectricalUFER,Grnd.' 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. • 8. Foundation # 59. Gas Pipe, D 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 Capi - • 63. Heater & Vent-Final 13. Roof Drains i 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 L 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING (18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL tib. 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 D Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank ❑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 • v 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 . (1 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 1-15-* CAW 39. Water Service-Final 40. Gas Service-Final to 41. Solar Domestic-Final roil 42. Backflow Preventer f1'i ,:•J„ 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation A 4 46. Handicap Regulations.-- 47. FINAL STRUCTURE& BUILDING 48. Special Requirements^Completed • 49. Electric Release to Edison jay 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY `� t No. Date "'-" ❑GLI LGA. LIN.I.C. A.IDGD "^ O-LV-/D JOB ADDRESS 627-631 Shasta Lane BUILDING PERMIT NO. 42525 GENERAL CONTRACTOR Owner/R1dr. DESCRIPTION oi WORK 3 Unit Condo AP No. 418-071-01 LOT TRACT . FIRE ZONE VALUES 117.000.00 INSPECTIONS Si•nature Date TYPE GROUP ZONE — • SOIL SUBCONTRACTOR PERMITS 155 ED GAS .r Date Number Si•nature WATER A I , e .74 Plumbin`y a • ROUGH PLUMBING Sr. t_ AtiIAY /C.i4•'71 70 R e- PROP. SWR. LINE 2 HOUSE CON. 4 .13 . ice.✓a� /0-/4-74 7o`a3 f SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING S TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER ❑ ROUGH WIRINGry ,EI I/1 i(7 Heating and Vent. TRENCHES W FORMS 2 STEEL REINF. , Jif-D /de-/C K? .at Ir 12-3a.Z, 1 y — p g FLOOR SYSTEM ii(p /; 31.7, its GR .-- BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING v, Ater LATHING - IN (--I OUT a-GL-/r. 2 PLASTER, BROWN COAT e.- Ifri�La77 STRUCTURAL. FINAL //� s,.. ler is HEATING. VENT., REFRIG. AND A.C.. F NAL PtM p y-7l Mac _gyp f /(Q-?6 �)1 [1�. PLUMBING. FINAL AND GAS TEST KN .-77 'pita. •t• n-I 7 e{ SD/ — ELECTRIC, FINAL G f-3-7,2 //lit. F 1/47 qis-e).3----- BUILDING, -oy/ BUILDING, FINAL pems' J�pSyi SPFCIAI REOIIIRFMENTS ///���/l/QC��' 1 7�� O. cixe 1 /CA,. A/77 S 3l S /iet . 913/77 ,A/77 42525 20-76FR70015281 ,:ct523 r2 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely - Use Ink Only RECEIVED BY DATE RECEIy ED D TE ISSUED BUILDING n AIM e� / 7-7-74 J/(p, 4.••• ADDRESS262� G3altA Ll4 AlE �OWNER/lett.22Ea &treg*,;,c.ifilted/e✓A.P.N0.4/A O7/"0/ PE- ,�t�T ADDRESS 7 x2 14 U/G.eT' BAUILOIEr /71 n5/ /3 / �# A), MAIL / ADDR ESS(GtL/�j L (pJ l CITY L. 4, 900se NO. TRACTQG / LOT 2 BLOCK CONSTRUCTION L )/y p NEW ADD ALTFR REPAIR MOVING DFMfII ISH LENDER !/l-..O t/ BRANCH /tight/ /� �// /� OWNER /jet 7272 ADDRESS �sVALUE �// ARCHITECT TEL. USE J? Lid �i r U.yV S /// 00o OR ENGINEER NO. FIRE ADDRESS ZONE TYPE if,/ GROUPt e APPROVED ,, ^�r CONTRACTOR BY /Y DATE / /W — dr ADDRESS TEL. vLpZ�Er NO.OF USE OF NEW 3 user CITY NO. ^J PIANS Z BUILDING CONDO m.m. STATECITY YARDS APPROVED YARDS APPROVED LIC. NO. 27079,5 LIC.NO. MAIN BUILDING ACCESSORY BUILDING 9.1 SIZE INO.OF BLDfa'S. (FROM C/L STREET) A. OF LOT NOW ON LOT FRO ET. FT. < USE OF 6XISTING BLDG. S Si /0 F./ - FT rd F Separate permits are required for L.SIDE FT. FT. electric,plumbing and heating work. 0 REAR FT. FT. IQ mp USE OF BUILDING AND WORK TO BE PERFORMED F DISTANCE BET. BET.MAIN& Qn D /t 80 , /�k MAIN eLCKwS. ACCESS.BLOCS. a 3 `c •� � � NyO CUP *+ 7��, APPROVEDDATE p } �AYPROVED/s/ '��J DATE O • if'?a .-1 4-IOLD FOR SPECIAL REC;ui.17,E y;? M. I hereby acknowledge that I have read this application and state n.N 14 that the above Information Is correct and agree to comply with $e all laws regulating building construction, and I shell not employ m Z any person in violation of the workman's compensation laws of e W the State of California. - I hereby certify that I em properly licensed as a contractor under SQ. FT. w the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions Of the State of California Business a and Professions Code,Division 3,Chapter 9. VALUATION PERMIT FEE $ 5 ,2 s 5o en Signature of // �/I PLAN CHECK $ G 01, /3 2, Permittee r-✓s e t Zet A.(� te $ //7 Ud Q TAX $ f Authorized Agent / TOTAL PAID E 5- 723