HomeMy WebLinkAbout1044 SPINNAKER RUN - Building Permits -- x _
PROJECT r10.ORESS: UNIT: / ,,,�' �'-"'"^-'^•y
... OWNER'S NAME•: 1044 SPINNAKER RUN . i - CITY ,OF COSTA "MESA - BUILDING PERMIT • . , .
ADDRESS: KAUFMANN C BROAD . . ; Iv, ._
FO N. RIVERVIEW DR PERMIT NO: ' G 044973 . • 'PLAN 'CHECK _N0 : 01400-89 A • GOVT:. 'N' SUPP.: ' N
SUITE 30.0
ANAHEIM, CA 92808 CONSTRUCTION TYPE: • V=N -; PERMIT TYPE: ELE NEC PLU STR . ' :- ' _PURPOSE: . NEW,
-ARCH/ENGINEER: - AEG.NO.: '
MIKE Wi700LEY C1��30 - JOB DESCRIPTION : SED• AND GAR , " ' SQ FT: -. 2, 53T
'-ADDRESS: IT. '
180 :N. RIVERVIEW DR 300. •
PERMITTEE ANAHEIM CA .92808 - • ' ' CLAIM. VALUE: 144,063.00::.. CALL-VALUE: ' 144,063.24 GROUP OCC : •R-3 1$- 1
• i(AUFMANN •C BROAD ''• ('714)921-0500 ' • "- I
. o. ADDRESS: ,.. .. _ ry
180 N. RIVERVIEW DR 300 COMMENTS: PLN-CK 234=89 AiMOD 26 PD THIS •PERNIT •
ANAHEIM t CA 92808 • ' ##**************************fit$ #f#******s4#_,p**** **O**a#at######**"****#*###�s`,
LICENSED CONTRACTOR DECLARATION: hereby affiro m licensed under provisions of Chapter 9(corn encing with section •
- Z- 0 N I -N/G: - R E- Q U I R E M E N T 5 .' 1
7000)of Division 3 of the Business and Prafessio, .•nse is in full for and effect. , - 0 5' E T B A C K $
CITY LIC.:0 / 8 STATE LIC.:33 ,, . CUSS:8,,:•_ 9 • = • .
Date: Signature: ; . S•. // /✓/ ---'''• :MAIN BUILDING -- ---�- ------- ACCESSORY BUILDING'1 =- - -
WORKERS' OMPE ATIONDECLARATION: Ihereby affirmthat l . e a certificate of consent to self-insure or a certificate ofWorkes' FRNT: 6 ET .IN REAR: 28 FT . IN .FRNT: • •FT ' IN REAR: - FT ' IIN'. -
Compensation Insurance,ar a certified copy thereof(Section 3810 Lab,C). LEFT: 5 FT • IN RGHT: ' 5 FT IN , LEFT: - , FT IN RG HT• FT IN ' • '
e. POUCYNO.:4189-1090:. , EXP.DATE 03/07/90 gf:14f=33/ -./0
COMPANY:TR A NS. INSJ,a,�., - PARKING REQUIRED;-_,2 2 PARKING PROVIDED: 2 PARCEL : ^4243310 ZONE: -PORNO ' '
❑ Certified c.'yishe•byfumished..g(J Certifiedc is filed with t city Buildinytqvi'sion .'// ' PLANNINGNOTES> -___SINGLE FAMILY RESIDENCE WITH AN ATTACHED 'GARAGE. • HALF OPEN '
Tif� C�J //j�•
/7�x PARK I G, SPACE PER` UNIT.: PROVIDED FOR GUEST PARK INW' 'r �� ^■►1���+.REQUIRF4N(
e Date:. i Applicant "- /L{A`v ` �. �iy J'�"��, i/ ###******#####*****###***** *###****n*******s***s ******#**n**Wigk+C�"•'#-0t ay#•F#**
EXEMPTION ROM 1 RKERS'COMPENSATION OECLARATION. (This secuo• • ed not be completed if the pemut is for one hundred(5100)or less) t. ,) D E VIE L O P' M':E,,;N t 5 r.E �R V"1';
-
. CONSTRUCTION AND PLANNING' - ' POOL & SPA • -
4. Date Inspector Date Inspector •
'r APPROVALS Permit # - APPROVALS . Permit #
•
•1.'Temporary Electrical Service or Poletr 52. Pool & Equipment Location
2.1„Soil Pipe_Undrgrnd._. - ii(2t(a ( CEO53. Steel Reinforcement • -
3:ElectricaiConduit•Utility-Undrgrnd:' • 54. Forms - . ,
-4'Electrical 661 -Cndrgrnd. 55. Electrical Bonding •
t-5.tSteel•Reinforcement ." 56. Rough Plumbing & Pressure Test
64Electrical UFER ,Grnd. . ;, 12047-11 C(gig. 57. APPROVAL TO COVER-GUNITE i _
7. :Footings ~. •_': r t C ,/,1 58: Electrical Conduit-Undrgrnd. .
S1 a
' 8: Foundation ^ " I 59. Gas Pipe, O'Undrgrnd., Test . • c•
_ t
=.9.,Water Pipe-Undrgrnd. ' i 11/Set LI? 60. Backwash Lines;P-Trap, 0 Undrgrnd. •
10. Structural floor System I •
_ I
I • 61., APPROVAL'TO DECK '
11. Property Sewer Line & House, i Connection ..% 40 co - 62. Backwash & Receptor:Final •
12. Sewer Cap .: i . r off 63. Heater& Vent-Final '
13. Roof Drains .. �' - 64. Plumbing System - Final- • .
• 14. Rough Plumbing • .zt fqa 'L.iltrii7 65: Electrical-Final •
15. Rough Electrical-Conduit (• 66. Solar System:Final • '
•
J16. Rough Electric Wiring jet 4 67. Fencing & Acce"ss 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' ,Com; ,...TFIRE DEFT. REQUIREMENT
1 J , .r• IG • yr/ ; at 40 +=f - v •^-• . �: r NR:t..u - t- _ V3_T
20.LRotigh Factory Fireplace I c t;.` j/alto Zip 4..4-. APPROVALS.1_,.Per it# •• - n,rt,t. r-;r-
`1 L . ;
2L,- ,..s, in-Structu". it i " < r_ r-741' ,70. Undergrou d Hydro • ''
22.;Ducts, Ventilating ., j is ▪, • _ ., ;- .-- 44-.1.. ,471. ProducnPiping 0 Gas Q•Oil •
23.•Gas`Pipe=Rough & Test 1 = '• I+• ' v r_ 11 ;72• Under round Flu"sir' '7' I- c- r'
C. o - t r rr r•r c• tr _ ,..t.- 9 -_ v - .• - Y• I^ ill c
f '7*. I t.•-. ::...:9- - .. Y`* - u- - -t. t:v••�-•tr•+•-'v'�•-
24. Roof Framing tis. > ,� a.73.^.Undergrni4.Storage Tank.01Gas 0 Oil
25. Roof Sheathing pr•- -a - \ : r. . .:- 74!�Overhead Hydro', o •
ts-
26.;4T-Bar Ceiling,IStructural) & Monocoa[,_,..*r ' : trJ;t.1! 75rDry Chemical - - r Iri -r-- tt
•
27.-Frarpe and Flashing =c C. ' 2.41T4 ;971"-'1"(.9•44 76. Dry Standpipe 1.-'rc ' r 1 1 •1•-t• r r-1
28. Lathing'& Siding3 ,, `2. 1 1 01 8:44p,.";i: 77glFIXED SYSTEM,FINAL ,_, t -..is- ill- < c.
T29. Insulation {it ` ">� '' I•aj2� 78'FIRE PREY. FI1 AL e = _ Ce_r rl.
('. �• hG • • r:--I a. Y-, Gi 4V"a-Y• -.r` t•• y 7• Ir•1_r•. r", `l
=30. Drywall,Nailing i n rL '�--iir. { C� ` �R.' HEALTH'DEPT EQUIReMENT=t',74-L.,-,a,"7,1-
•
"31. Plaster Brown Coati ` I 'rr,- Y-1'- 1,6 p1 79, FINAL INSPECTION' F - att- n : , iv: -•
n C -, •ie ( n.i t 7 Y t- v'. YP, t7
32._Electrical Power Meter-Final - 4i - 80: FOOD CERTIFICATE ISSUED,.
r• 1 n. I � . t I .. rr n: nr+r r:
331Final Electric- C.r 1 , t G::n� � '/,• Notes^ - :r' ? - - c t.
• 34...Final Heatin ,& Air^Conditianin si -Jult�l•� G/nite • •'
'35.rFinal Gas Pipe-Testft;-, rr: E " mo w;.- u ( 1.. '�11 Il i-
` ��QO L I,I!� :80f.O •FOR /�t�{pt�i - ^
36. Hood or Canopytrx= 1 n'`• -„ - I II/hi F`4t -- •K• GS�IkEhtE,+• p., •-1 S ..-t
G 1. 4. r; 1 cF.I„ ::-. I It d lit > s L- •
-•.*:Atl)17 . P ;- .. 0 ~'
S' _ ; aa.) o
l
37.Final Factory Fireplace,y it t L`� �Qdl1�t 7 (1,1/..!;)?)
- �_ " !! • ��b'�
'38.`•FinaJ Plumbing * rL- 1 . ' 721141 I ^ •v • -••w src t i -
-, -� ar. 1 ✓r� wl I .- .._ .,t:. C ...rte it r: re" ¢. t.
•39..Water Service7Final;i:... . • 1j `� j{�.'•_ ` j.• 7 n=•, �:
C40. Gas Service-Final 4i a. <n?i C C' :r r j 1 I if: c!•-t L.-t'..1 +,4 • 1- S.Ct-
r rf rt-w aft -I.t 1 I lair 'r • it e,
`_41�Solar Domes[is-Final:- 'r 1 1 t'`w. ' = •-.
.42. Backflow Preventers, r I -1.- ' 1 11t - r. I ;4 t -
J Y 'r _ .tI
43. BackflowUrigationt >_ it .4; tt ', fr r, 1.• •§ • • • • • . . •
44. Landscape lrrigatidn Systema m '44--. ;i'' r--- t- :.ii s r,• :'i.: t<
45eSound Attenuations -` •• i,' 7 -" ^• - ,• - " _
.• -4 fY.: f: 4. c "1i • }
46.•Handicap Regulations " `I = -1` a •" r
• .. - t ..1 -'-..ter` a: : t.[ i7 ;)
47."FINIAL STRUCTURE & BUILDINGS ,.' I. t' -1 n.Cr-t_ • ' - '
1 1 < $ 1,-- 1: ...V.
48.r. NAL PLANNING t r •• Jr^: r i � t
49'Electric Release to'Edison t •
v : n 1 r 1 l4 r _' - •. .
50.`Gas Release to Southern California Gas Co . ' -'i cu.l "---i* w -• 1+- • . rt- • V t
51. CERTIFICATE OROCCUPANCY " r, ;tx- ':1- > C. �+ ., It r• .c ---- -.,.,.. 1 .. . ..•_.
No._ Date - . -
•
H
tt
•
PROJECT AgonE33: , - UNIT: ' . -
*- OWNER S NAME: ' _ • • .
ADDRESS: ..,, • ^ _ - ,_.C- ', I 1'. :` r. -} t . - • -.
. PERMIT 'NOn G -044973 PLAN 'CHECK NO: 01400-89 A - PAGE: 2 .' •
ARCH/ENGINEER: : - • REG.NO.: - : - , •-
ADDRESs ' UNIT • TYPE QTY • •
D E.'" S C R 'I P- T I O N UNIT COST TOT 4L LOST
• PERMITTEE: •
_ PLU ' - . 1 LAUNDRY, TUB OR 'WASHER' 2.00 2.00
ADDRESS PLU 1 • SHOWER <. 2.00 - 2.00 •
7
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section PLU I ' SINK,A KITCHEN 2.OD - I 2.DD
70W)of Division 3 of the;Business and Professions Code,and my license is in full force and effect.' PLU ,3 WASH BASIN '.2.00 • 8.00 . -
PLU 3 WATER CLOSET (TOILETI : 2.00 . 6.00 '
CITY UC.: STATE LW.: CLASS: Pui 1 •
WATER HEATER. AND/OR VENT ' ' 2.00 2.00 .
Date: • Signature: PLU ' 1 ' WATER SERVICE 2.00 2.00 :
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' PLO 'S GAS PIPING SYS 5+ OUTL—PER OUTLET • 50 . 2.50
Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). PLU I CONN ECT ION TO BU IL DI NG. SEWER , EA 5.00 ' 5.00
POLICYNO.: - EXP.DATE: : PLU 1 GAS SERVICE 2.00 2.00
COMPANY: END OF FEES
0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. ' •
Date: • Applicant: :
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). • + ,
I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become _ • .
.
subject to the Workers Compensation Laws of California. - . '. _
Date: - - - - Signature: ' . _: — . - - . - .. ,. . ._ .. •
NOTICE:If,alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor . , I i I -
' 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 ' •
' which this permit is issued(Section 3097,Civ.C). . • . , •
LENDER: - ' .
•
ADDRESS: - _. . -
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: Any city of county which requires a permit td construct,after,improve,demolish,or . , ' •- - I •
repair any structure,prior to its issuance,also requires the applicant for such permit to files signed statement that he/she is licensed i - •
, 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). ' - 4 • • ,
I, as owner of the property'or•my employees with wages as their sole compensation, will do the work, and the • ' - I
•
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law - -
does not apply roan 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 . ,• ' •
for the purpose of sale). - , ., . . ,
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,-Business ;
o 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 contractor(s)license pursuant to the Contractors'State License Law).I am aware , I - . • . i •
. that proof of their Worker's Compensation insurance should be provided to me. I . .
❑ I am exempt under Section: , B.S P.C. .. • x ' ' ' •
.
for this reason: . . j, • , 1
Date: Owner ' )
r
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and . .
25534 and that I or any future building occupant wilUwill 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 for inspection purposes.
Date: - Signature: - 7 . '
1 '
Drivers License or Social Security A: . - '
1641-46"'Whirs—Building:Green—Code Enforcement: anary—
CApplicanC Pink—Revenue:Goldenrod—Assessor - - - - ... . .. . . . . . • . - •
• . .S _ _. - _ _ - - • - -
r-
CONSTRUCTION AND PLANNING e •
POOL & SPA
APPROVALS Permit Date Inspector APPROVALS Permit # - Date Inspector
o .
4.- 1: Temporary Electrical Service or Pole . 52. Pool & Equipment Location -.
2..,Soil Pipe-Undrgrnd. -" . ' 53. Steel Reinforcement
3.-Electrical Conduit Utility-Undrgrnd. • 54. Forms
a. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding -
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. • 57. APPROVAL TO COVER-GUNITE
7. Footings - - 58. Electrical Conduit-Undrgrnd. .
8. Foundation 59. Gas Pipe,.0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. - - • .• 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System ` 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection - 62. Backwash & Receptor-Final
12. Sewer Cap - - 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - 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 '
4... t- cr or-c L'cr L"r-0 C L
20. Roug .Faetory.Fireplaca�- � 2-;_ APPROVALS Permit# -
. 2i'. Ducts)in Structure 70. Underground Hydro
22. Ducts,Ventilating - 71. Product Piping D Gas DOil
23. Gas Pipe-R`ugh & Test 72. Underground Flush -
24. Roof Framing"`"'�'tt'-"+':� '�� 73. Undergrnd.Storage Tank 0Gas .0Oil
25. Roof•Sheathing 74.iOverhead Hydro l 4
26. -1)Bar Ceiling (Suri afl;& Monocoat 75. Dry Chemical J
27. Flatit--."1:;:f.- 76. Dry Standpipe'
28. Lathig & SidiP c u „I'D:1,..n n, „9 '�-•=r,y Np-y..t~ 77. -FIXED SYSTEM FINAL
29. Insulation: I- 1•-e-.G-i4-zc'•- 78. FIRE PREY. FINAL
30. Drywall Nailing' K• r rret f-n ._ HEALTH DEPT. REQUIREMENT -
31. Plaster Brown Coat ---•-‘ r✓ 79. FINAL INSPECTION
32. Elect cal•Pow jMeter-Fiin I f t? - 80. FOOD CERTIFICATE ISSUED
tr .V -'it ' -r
33. FinV al ?Electric y ma- C! L Notes: •
' 34. cinaI leafing &Air Condimoniny� i.'
• ' - 35. Final.'GasPipe-Test I- t-Myit \
1 ::
36. Hoodtor Canopy PK - - . - '
-
37. Ftinalactory Fireplace . Y t"E .+ nt •
38. iinaI Iumbing Vii.'
39. Water Service-Final t.t. '
1
40. Gas Service-Final . '
i a
41-. Solar"Domestic-Final
42. Backf low Preventer
0 c
vc. oi✓tt r.tt
43. Backflow1lrrigalion . .
44. Landscape Irrigation System
a 445. Sound. Attenuation
46. Handicap Regulations
47. F,INA'l.L STRUCTURE& BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Soethern9Calitornia Gas Co
1• 51. CERTIFICATE OROCCUPANCYi-
No. Date
IWA ENGINEERS ` �/�� 1
J 17390 Brookhurst Street,Suite 100f7 t /..,i4c 1.3
Fountain Valley,California 92708 . L"lll
I !VA (714)968-1221 •FAX(714)968-9286 La
il 12--
May 11, 1990 J.N. 207-03
City of Costa Mesa
Building Department
77 Fair Drive
Costa Mesa, Ca. 92628
Attn: Mr. Victor Clift
Subject: Fine Grade Certificate
I hereby certify that the fine grading for lots(ii)through 20, 22
and 23 of Tract 13224 were graded as shown on the approved precise
grading plans for said project. /�/ ---- 'r ' 1.
rry Wood R.C.E. 32636
• ROOF COVERING CERTIFICATION
Permit No. (.7c-t1 et L 3
Property address 10(0__ ;_%)/�_Y_.1 ► _LWLVG Y--—IAJ
Owner • _- -
•
Contractor ARCHER ROOFING, INC •
State Contractor License Number 334998 Classification C-39
I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the
above address in conformance with Chapter 32; and Section 1704 of the 1979 Uniform Building Code, as
amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the
• manufacturer. •
❑ I further certify that I am the owner of the property. (Owner-Builder permittee only).
IT I further certify that I am: . •
• ❑ Owner of sole proprietorship company
❑ Full partner of the company •
• ❑ Limited partner of the company
•
RI" Officer of the corporation
•
•
I certify that as an authorized officer or agent of the company or corporation, I am empowered to
make this certification, which shall be binding on all successors or assigns of the company or corporation.
I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the
Building Division for acceptance. . -
ARCHER ROOFING INC
• • Company or Corporate Name
P. O. Box 2899
Address
Escondido, CA 92025
•
t ( It I �usta 1- z4, •ao
Received by Building Division by: Signature / Date
•
Paul Mayer
Initial Date • Printed or Typed Name
•
•
Space for Notarial Statement for authorized officer or agent
•
•
•
•
•
•
CMF 0990-46 White-Building Div.:Canary-Contractor;Pink-Owner /
,� ,a . a gp �' r. ,.wr rep .a,. .w z .®, .ry .4 +�„ls .vg..a .ye ,� ;- mQ
f. e 1.li "tea `N.' m , , -r N. t ,, YA
. ,7 / BN FORM 116 CALIFORNIA SEA BREEZE •� - 3
( SIA FORM 1486 RELEASE II • '1
'`'•1 Li
INSULATION CERTIFICATION 'iA°
r\ This is to certify that, in conformance with the current energy regulations (California Adminis- Flit"
% trative (ode, Title 25, State of California') and approved plans, insulation has been installed in . • :)
the building located at: %"
4:(..1.11.:',....1.,-\\(..'..
, Costa Mesa Orange
it
City Counh 'A
i;' 1 O Spinnaker R 12 1 \
Sbwl Ho. (II Anilebb) Strat Lb Nwnb.r Dad No. 1)
ti DESCRIPTION OF INSTALLATION 1 i;'
Roofs ' \';•
1
!+.� Type of Material Manufacturer Thickness A Value•• ••
)'
OWENS CORNING '
El(TERIOR WALLS _'.1
it Type of Material FIBERGLASS BATTS Manufacturer FIBERGLASS Thickness 3211 R Value•' 11 f r
(0r Trade Nam.)
CEILINGS OWENS CORNING 64" 19 �''''
1. . I
BATTS:
of Material FIBERGLASS BATTS Manu!acturer FIBERGLASS Thickness 9211 R Value" 30 r�
1i/ ! (Or Ride Mame) ,
II Sq. Ft. Covered ;
� l BLOWN: i ' i
441 Type of Material Manufacturer_ Thickness No.Bags
(Of Trad• Name) 1 7.r1
I►.
i Wt./Bag "q. Ft. Covered— R Value" d��,r •
p �j�
"• I FLOORS , f)
f;y Type of Material Manufacturer Thickness R Value" (((F(�1\� .,
(0r Trade Name) ($ I
-�s I SLAB ON GRADE J
i ,I Type of Material Manufacturer_ Thickness R Value j I
(Or Trade Name) I
• ' . I Width of Insulation Inches , ))
./1i! I \'.1.
FOUNDATION WALLS (if required)
it‘:II Type of Material Manufacturer Thickness R Value i 11
I.
(Or Ride Nem.)
C. x'17
`�• REMARKS (if desired)__
I 'r
General Contractor I8u11deA UFMAN_&;BRQAD.. ._._-_. r; a. s .
1 11;11
1,_
.\ By TitleDate 2
Sub-Contractor (Insulation Applicator) Accent Insulation CompanyLicense Number 274283
nmoI.ba. Moot, Et.) _ (stab '•SAYEifam. aGan.raltncrw) 1�
�lr / . �;.y BY �- Title /� Date May 2 r 1990
'California( Adm;nuporin Cad., Fewer Inwtana Standard,, d•dans: Ek CE EIT bw $«. 79873 .1 the HwiM and sa!eh Cede of the Pato
\ "Gmo!:anc.. upon cama:eia of he installation of insulation, a card of C.Yilern:a:
c.n:hi.a the the :nsvradon lie, bean installed in co-formonse with Me 11
r.a.in m.nn d Mn. •...oto', dao be nmpl.'ed and meow' by "Ne winter* of «cuvanq on similar car!:Fmlien that o noel, con-
oche inulanen aaorim�o,uand by M. bv,td«. This !_:,Iota campli ono din.
('a !. morel, riI ebe nl heuu, hem. *clout
oMer residerY•bl
and doll be v..v.d b a umpinea I«a!on .i Tin the de.ilin0."1 d�Oli,1 is habbvble rhea be iuu.d bn wah a bv:Id Me d.parm.nt
Volo. he strvm:n at Iwsr sari sties M. minimcm •5fly inwlahon
I''i Valu. I, them e N M. • arance N . worerial a bvildina ,bndardc established purrvanl to this draptr. ' 1.
mo«.nr ro M. Passes,of heat.iM r.saronna sato (el N ma.hue
`.� mulatta. shall eat indud. am valuefa. nNectite fad, .I
• - Form 116 —C' BUILDING NEWS, INC.. 3055 Overland Ave., Los Angeles, Calif. 90034--(213)870-9871 11
I
Form 1486—m BUILDING INDUSTRY ASSOCIATION Of CALIFORNIA, INC., 1571 Beverly Blvd., Los Mgeks, Calif. 90025--(213)625.5771
1
1-PflOJECT ADDRESS: 104'4 SPINNAKER- RUN DNR- - - ' - CITY OE'- COSTA MESA: - ' BUILDf NG, PERMIT - PERM •NOi E• •'046516 •
OWNER's NAME: KAUFMAN '& BROAD - • '
'•'J• ,. ADDRESS 180. !N. RIVERVIEW DR - • PERMIT NO: 'E 046516 PLAN,CHECK NO: . . - N j GOVT: 'N SUPP :: N '
SUITE 300 '
ANAHEIM, CA. 92808 CONSTRUCTION TYPE: -- PERM It; TYPE: • Eta. • ' - . PURPOSE':' OTH
714/921.'-0500 -c
4aflCHI!NCINEFB:'• REO.NO.: _ ..LT-OB DESCRIPTION : TEMPORARY POWER POLE- FOR CONSTRUC- ` SQ FT
1 " ° CLAIM 'VALUE: . . . CALC -VALUE: , GROUP OCC: /
PENMmEE: KAUFMANN &. BROAD' - , ' ( 7141921- 0500 • r . . : I • t
ADDRESS: 180 N. RIVERVIEW DR 300 - COMMENTS: ' i - '
• ANAHEIM' ' • CA 92808 Ea+E->t �r>F*�a+E****�e+enc***Ee* �r********>E** -�r*'*ie***tx **�a*******Erx**�a*x* EF+�**+c xuE*EE**>E3i
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section . ' 2 0 N I N al R E Q •U I'. R •E M ' E N• T S • -
7000)of Division 3 of the Business and Professions Code,and my license is in full/orce and effect. • .S E T. B A C K S - '
CITY LIC.: STATE MC.:334495 • B , f ' MAIN BUILDING --------- 'ACCESSORY •
Date: : < •- signature: - BUILDING' ' — '
WORKERS'COMPENSATION DECLARATION: Ihereby affirm that)have a certificate ofchnsent to self-insurebr acertificateof Workers' 1•RNT ; FT 'IN. REAR ; FT IN FRNT: FT ' . IN REAR: FT IN •
Compensation,lsr cfyor{c ie, copy thereof(Section 3800.Lab. ) LEFT: FT IN RGHT': FT IN LEFT: • FT IN RGHT: ' FT IN •
POLICY NO.: J-1 V EXP.DATE: t/3 I O'�/91 r 1 _, e . '
COMPANY: TRANS. INS : ; PARKING REQ: ' PROV: ' • PARCEL : 00000000 ZNE: • . REF NO: ••
❑ Certified• copy.copy.is hereby furnished. L39 Certdieo� 4 th the city But ming r vision. , PLANNING NOTES> ' ,
Date: L le,I-to• • Applicant ix'!". .:. ,
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: '(this secfio.need not be complet..it the permit is for one hundred(5100)or less). , . DEVELOPMENT S,."E.•_R V. I :C E S R E Q U I R E 'M E N T S I
I certify that in the performance of the work for which this permit is issu d,I shall not employ.ny person in any manner so as to become , r- "'v' I• . • ,
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY' • " _,: ` .:" ` _ ' DATE:
Date: - - ' ;, Signature: . - - _ . _. . -. - .. n_. . . — .
NOTICE:If,after making this declaration,you should become s •ject to the Workers'Compensation provisions of the Labor • 1 BUILDING APPROVED BY . :__ - /'• , • DATE:
Code,you must forthwith comply with such provisions or this'permit shall be deemed revoked. ' •
CONSTRUCTION LENDING AGENCY: 1 hereby affirm that.there is a construction lending agency for the performance of the work for APPLICATION ISSUED• B Y : : ' 'a� ; ' . DATE: /. /y'�
whichthis permit is issued(Section 3097,Civ.C). • *******************H***TF E-RTF***SF3! iF*-R')e******' RFlFif RII9' "iF'iF***7E********* '*
LENDER: *******************************,;* E********************.****#*****�**************if* '
ADDRESS: - - • LEGALI7.ATION:N ." I'.' E1 E , , U- M M A R Y" - STRUCTURAL SEGMENT':N
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OWNER BUILDEROECLARATION: (hereby affirm that I am exempt from the Contractors'State License Law for the following reason I ' 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 P ERM I T '- 15 . 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 - ' . - 50$ • I • 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 .- i • . '
and Professions Code)or that'he/she is'exempt therefrom and the basis for the alleged exemption,My violation of Section 7031.5 by -
any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars(5500). ISSUE FEE 15 . 00 ' ..
+ andihe . BUILDING-DIV-> PERMIT ISSUE • PLAN-CHECK TOTAL PAID ' DUE
I, as owner of the property'or my employees with wages as their sole compensation, will do the work,; -TOTALS---'--.> H ' - 1 S . 00, k5ATI OO' • • O . 00 30 , 00 ' 30 • OO •' , OO
'❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law I ,
' does not apply to an owner.of a properly 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.N,however the building or REVENUE DIVISION TOTAI:S--> COLLECTED: • 30 . 00 ; OVER/SHORT : • 00
improvement is sold vnthin one year o/completion,the owner will have the burden of proving he/she did not build or improve ,•
• :for the purpose of.sale): $LOG 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 • • '
• 30 . 00 •
RJ ' and Professions Code: The Contractors'State License Law does not appty 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 , ************,*********** **3k*********3e**r'6**************************************** •
that proof of their Worker's Compensation insurance should be provided'o me. - •' j ' 1 - IND I: V I I' D U -A L. F -E E • BR EAKDOWN '
E, I am exempt under Section: - B.&P.C. .• , . '
(or this rea on: ' -TYPE QTY D E S C; R :I P T I., O N I • • UNIT COSTA ' TOTAL COST
Date: Owner: ' ELE 1 TEMP SERV WR POLE W/OUTLETS EA. ' 15 . 00 15 . 00 •
I do hereby certify that I am aware of and understand the requirements of California Hea h and Safety Code Sectin s 25505, 'P
25533 ,and I END OF FEES '
' 25534 and that I or any future building occupant wiIDwill not(circle one)need to comply 'th said state codes and t •requirements fora ' _ --,
permit for construction or modification from the Air Quality Management District.Resid ntial construction application 'are exempt from , • • ,
these provisions. : I -
I t , , • - , I
Oates' Applicant: •- .i - .
I hereby certify that I have read this apptication'and state that the above information is correct.I'agree to comply with all city and county • .. 1 . I -
ordinances and state laws relating to building construction and hereby:thorize representativ,s of this city to enter upon the above-mentioned • ' - •
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property forflin peeccttiioonn purposes. - IuA c ' - I i i
Date:SttAl 10 , Signature: f.7a: - .
Driver's License of Social Security x: - ' • 01 00056063-00056063 TOT 30.00
'1641-46 -White-BuiMino;Green-Coda Enforcement:Cana ADPlicanC Pink-Revenue:Goldenrod-Assessor - '- -- - .. ,. OATS: 03/14/90 TIRE: 12:06 ,..
J.J .
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CONSTRUCTION AND PLANNING' - . a -- - POOL & SPA
Date Inspector • Date Inspector
APPROVALS Permit # - - APPROVALS .Permit# -
1. Temporary Electrical Service or Pole -, - _ - _ 52. Pool & Equipment Location . �--,
2.-,Soil Pipe-Undrgrnd;; 53. Steel Reinforcement
.3:`ElectricalConduit-Utility-Undrgrnd_ - - 54. Forms_
- 4.-Electrical Conduit-Undrgrnd. • •-`�_ _ 55. Electrical Bonding .
• - _5.-Ste •
el Reinforcement . - % 56: Rough-Plumbing & Pressure Test
c-• .§.". Electrical UFER:'Grnd. ` _; 57. APPROVAL TO COVER-GUNITE - ' - .
=7r:Footings - .58. Electrical Conduit-Undrgrnd.
'-•'81:Foundation - - 59..Gas Pipe, 0 Undrgrnd.,,Test - -
- 9._Water Pipe-Undrgrnd. - ' 60.- Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System ' ' ' - 61. APPROVAL TO DECK '
• 11. Property Sewer Line & House Connection - , ., 62.-Backwash & Receptor-Final ' - .
12. Sewer Cap x - ,_ _ . 63. Heater & Vent-Final -
13. Roof Drains .• _; • 64.- Plumbing System - Final - .
14. Rough Plumbing - - 65. Electrical-Final - - •-
15. Rough Electrical-Conduit - 66.. em
System-Final
16. Rough Electric Wiring - . - 67.=Fencing & Access Approval
. 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING • =
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18. Rough Electrical-T Bar Ceiling . . 69..PO'OL/SPA SYSTEMS FINAL
' 19. -Rough Heating & Air Conditioning - •- .' FIRE DEPT. REQUIREMENT
20.-Rough Factory Fireplace _ tT , I APPROVALS. Permit #
21-Ducts, in Staucture• _ -- - ' :70. Underground Hydro
22.-Ducts, Ventilating - ,_ , ':,71, Product.Piping 0 Gas 0 Oil
23.-Gas-Pipe-Rough &Nest = 72. Underground Flush -
24: Roof Framirig < - : . 731-73- Undergrnd.Storage-Tank 0 Gas 0 Oil
25. Roof Sheathing - - _ 74. Overhead Hydroma _ - --
26:`T-Bar Ceiling (Structural) &Monocoat , , -, 75.- Dry Chemical _ _
27. Frame and Flashing . r - - ' 76. Dry Standpipe - •
28 Lathing.& Siding .' m -- 77.: FIXED SYSTEM FINAL _ • i
29. Insulation _ - - 78:- FIRE PREV. FINAL -
30. Drywall Nailing Y' ' r 'HEALTH DEPT.. REQUIREMENT
31. Plaster Brown Coat -. - - A - /9. FINAL INSPECTION
-'32_Electrical PowerMeter_Final - `c. -- -• ta' :OD CERTIFICATE ISSUED__, .
_33Final Electric t:, _ -, re : ". •• ,es: - = ; -" r •_
'•,34."'Final Heating& Air Conditioning 4' �- ` c •
- ' `=°
35: Final Gas Pipe-Test .- .. .. ... - - _
36. Hood or Canopy •- ' ' i - -zn a. --"''
37. .Final Factory Fireplace:. -
lace;. , 'f T. ,.
.138. Final Plumbing - 1 i -' -`
39. Water Service-Finale :: ! r , . _
40. Gas Service-Final -
-41. Solar DomesticFinal , i. - -
42. Backflow Preventer _ - - y
43. Backflow Irrigation - - i, r -
• 44. Landscape Irrigation System '
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--451- Sound ,Attenuation '-;
46. Handicap Regulations
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47.-FINAL STRUCTURE& BUILDING „, • -
• 48:::FINALPLANNING ' !�. ' •• -r
49:•Electric Release to'Edison . , % - r -- .
50..Gas Release to Southern California Gas Co '
o '
51. CERTIFICATE OF-OCCUPANCY • - - -'' •- -
No. Date
•