HomeMy WebLinkAbout1060 SPINNAKER RUN - Building Permits •
PRGIECT ADL '.- .- ... .. UNIT: •, .. -. - ; _
i�3bii SPINNAKER RUN 16' 'CITY OF COSTA MESA. -, BUILDING PERMIT .
OWNER'S NAM; .. { -
�.ADDRESS: KAUFMANN E' BROAD ' ''
SUITE•3RIVERVIEW DR PERMIT NO: G 044970 . PLAN CHECK N . .GOVT: N SUPP: • N
:• ANAHEIM, CA 92808 • - CONSTRUCTION TYPE: V-N - ` PERMIT -TYPE : ELE MEC PLU •$TR .•
r , - PURPOSE: ;NEW
,ARCH/ENOINEEfl: •REG •NO.: • t
ADDRESS: MIKE WN., RIVERVIEW
C,1:�a D JOB 'DESCRIPTION SFQ ESQ .FT 2; 537-
180 ' N., RIVERVIEW "DR 300 •
-
• PERMinEe: ANA'HEIM CA •92808 CLAIM VALUE: 1444063.00- • CALL-VALUE: • 144,063.24 • GROUP :OCE: •R-3' • /M-1
• KAUFMANN E BROAD (714)921-0500 ,
ADDRESS:. . •1.80_1N. RIVERVIEW DR' • -300 COMMENTS: PC #234-89A PD $129.51 (NEW PC#1400-89A1. .. '� '
' ; ANAHEIM CA `92808 a# ## * ki#sat #a# $s asx a#+x s s# t#*ntn**# SSSS##ua s a e e#a sa&s **a*'
UCENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G- R E Q U 1 R E. M E N T S
7000)of Division 3.of the•Business and Professions Cod" icense is in full_force and effect. $ E T B A C K $
CITY UC.:(� 68 STATE UC.:33 •
'
/� . CUSS: .
. Date: 1 l Signature: ,.,.. a` Al ---..-- 'MALN BUILDING - -=- ------ 'ACCESSORY BUILDING -= - ----
CompeWORKres ionInsurance,l oro a certiifiedTION: I copy thereofb(Seection to i MA/havea certificate of consen o albs sure or a certificate of workers' 'LEFT: 5 FT `IN RGHT: ?8 FT IN 5 FT IN LEFT: FT IN RGHT:_ - FT - IN '
POLICY NO.:4189-'1090 EXP.DATE: 03/07/90 ' 4614
COMPANY:TRANS• SNS PARKING REQUIRED : 2 PARKING PROVIDED: 2 PARCEL: -ZONE: PORMO ' .
Certified opyis erebyfurnished.jKJ Certif•dcopyisfile. ith the city.Bu ' gTi io . . - PLANNING 'NOTES> SINGLE FAMILY RESIDENCE WITH ATTACHED GARAGE. HALF OPEN 4 .
>-PARKING SPACE.;PROVIDE PER UNIT FOR,'GUEST- PARKING Eve •
t Date: r+- ' ApDlicant '• Y, V \ °!• Alli.
! '! 'le*f*.***t*tt**t****fic** *n**na**t*t 4i* ***gne*#_**nn#3##n nniep iA elQU1IEMFJ
•
IXEMPR FROM 0RI(ERS'COMPENSATION DECLARATION: r(T. ion need not be completed if the permit is for one hundred(3100)or less) D ' F V E'•_L 0 P H•; El--N T .r 5;1E..‘11:-.V.: -Is •C F S .-•R:. E 0 U I •R F M E N, T 'S• -
I
I certify that in the performance of the work for which this perms is issued.I shall not employ any person in any manner sd as to become c: .,• ,' t -- ;- .•'. 2./. •' Q q
' subject to the Workers:Compensation Laws of California. ' t.•• : ZONI NG A PPROVED' BY r. .:-- 'M :?, �3 •DATE: ' /-5 / O.I -
Date: ' ' Signature: ' - • - r ' - ' .. .
NOTICE:It,after making this declaration,you should become subject to the Workers'Compensation provisions oYMe Labor • ;BU TIMING APPROVED BY) : ' S'jr , ` `- ' s'. `_•' DATE: 677714_ �
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 01 the work for ' .•r •
which this permit is issued(Section 3097,Civ.C).'. • '' , • 'APPLIC *ION ISSUED BY:= r` �"' • 'DATE: 1
LENDER: _ *, **** ss***s**n* #Akt*i ***s* �:7iSn**-- -
ADDRESS:- ' - ' '-A . ' LEGALIZATION:N F E E • S a M M A• R Y STRUCTURAL SEGMENT:Y -
OWNER BUILDER DECLARATION: I,hereby affirmthat l am exempt from the Contractors'State License Law for the following reason c BLDG PMT PLUMBING , ELECTRIC MECHANIC - FIRE 'SMI P/RES GRADING
(Section 7031.5 Business and'ProfessionalCode:'Any city of county which requires a permit to construct,alter,improve,demolish,or PE RMI T 797.00 ' 39.5 0; 69.8 6 32.75 10.08 ' ' ' '
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMI P/NON-RE$
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business •
_ 25 - 50 257,
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 o/not more than five hundred dollars($500). -ISSUE FEE . - • 3.00 . • 15.00 15.00 •
•
I, as owner of the property or,my employees with wages as their sole compensation,:wild do the.work, and the 'B LDING-DI V-> PERMIT • ISSUE PLAN=tHECK • TOTAL PAID DUE" '.
❑ structure is not intended or offered for sale(Section 7044,.Business and Professional Code: The Contractors'State License Law •TO AL 5- >' ` 949.19: ' 33.00 ' - '43.00. 982.19 ' 982.19 ; . , .00 .
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through '. 1
•his or her own employees,provided that such improvements are not intended or offered for sale.If, however the budding or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did•not build or improve RE VE DIVISION TOTALS--> • C L ECT ED:' 982.19 OVER/$H ORT. 00•
'for the purpose of sale). r BLD(\P.MT PLUMBING• ELECTRIC MECHANIC FIRE SNIP/TOT ,GRADING PIAN-CHECK
I.as owner of the property,am excldsively contracting with licensed contractors to construct the project(Section 7044,Business 797:�DD, 42.50' 84.86 47i:75 10.08 - '
' ❑ and Professions Code: The Contractors'Slate 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)..l am aware t************************************************** *****n*t***t************n . i
that proof of their Worker's Compensation•insurance should be provided to me. • ; IND I V -I -D U A L F---4,E .E B R E A K •D O N N
❑ I am exempt under Section: B.&P.C. _q
for this reason: - •`cs
TYPE , QTY. 0 E ' S C . R I P T I O N UNIT• COST r TOTAL' COST
Date: l • Owhec i ,`;,;. - • .. : .
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,•,25533,and SFR • 1996 DW E-TYPE V-WOOD FRAME -G ODD 67.70 135„129.20
25534 and that l or any future building occupant wilVwill not(circle one)need to comply with said state codes and the:requirements for a SFR 76 RES-BALCONY, EXTERIOR STAIRWAY 13. 54 . 1 �029.p4 •
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from SFR . 465. RE S-GARAGE$ TYPE V . ' 17.00 ' 7 7905.00 ,
these provisions. 4 EL 1996NEW RES BLDG FOR 1 OR 2 UNITS/ SO FT .03 • • - : 69.86 •
NEC .1 INSTALL FDRC/AIR FURN <= 100 K BTU/H 9.00 - 9.00 :
Date:" Applicant MEC 1 REFRIGERATION SYSTEM <= '100 K BTU/H • . '9.00 9.00 ;
I hereby certify that I have read this application an, tate that t .information is correct.I agree to comply with all d and county i MEC • 5 GAS PIPING SYS 5+ OUTLETS PER OUTLET ' • .75 ' 3.75
ordinances and se. •laws re ting to building constructs. nd hereby aut .1 •representatives f this city to enter upo. e ,a e-mentioned._ MEC • 1" - FACTORY 'F I-REPLACE 6.50 I 6.50 -
•opertyforins, chonp poses. - MEC, ' 1 • VENTILATION FAN CONN TO SINGLE DUCT 4.50 : 4.50 .
PLU 2 BATHTUB 2.00 • 4,00
Signature: x/1/1'/¢ -
.r ,tial Security x: �: -� PLU 1 • DISHWASHER 2.00 2.00 A
• p; Op,2.7 22-CoOmr53 F.+_r
•e:Green-Code Enforcement;Canary-Applicant;Pink-Revenue:Goldenrod-Assessor - - o`iTE4 -1.1,1‘.73‘.7 'li'rI 1,4i-:
•
- _/
- 'CONSTRUCTION AND PLANNING' - - _ POl . SPA /
Date Inspector j •p
.' APPROVALS Permit# APPROVALS Permit # / are:
C.
1. Temporary Electrical Service or Pole-i f - 52. Pool & Equipment Location - ` re,rr'`tMe,,,..
_ �e w
-2.. Soil,Pipe-Undrgrnd:_ L• L - /1177J`Ic( 53. Steel Reinforcement �� °j�e,,;,
3.'Electrical'Conduit Utility-Undrgrnd 54.-Forms ,
< I I.
4 44-
4,'ElectricaLConduiiUndrgrnd. . . ._ - • 55.-Electrical Bonding
I 5:'•Steel«Reinforcement 56. Rough Plumbing & Pressure Test
6.,;;;ElectricallUFER Grnd. i r 127f%7Y___C Ci 57. APPROVAL TO COVER-GUNITE • '
>'7.;Footings i' • r /• - C� 58."Electrical Conduit-Undrgrnd. I
8.:Foundation" - ,d4 59. Gas Pipe, 0 Undrgrnd.,Test
'.9.tWater Pipe-Undrgrnd. ' !(1WrI /-,p 60. Backwash Lines, P-Trap; ❑•Undrgrnd. -
• r
10. Structural Floor System - 61.:APPROVAL TO DECK : •
11. Property Sevver Line & Hotise Connection - - 62. Backwash & Receptor-Final '
12. Sewer Cap i r i 63. Heater & Vent-Final
13. Roof Drains`- , - 64. Plumbing System_ Finaf ,
14. Rough Plumbing _ - y- `- i-Eho• - 65. Electrical-Final - , •
15. Rough Electrical-Conduit - 66. Solar System-Final
16. Rough ElectricWiring z'qa O emit 67. ,Fencing & Access Approval •
• 17. Rough Wiring Sign - - - • - ,i`• 68._APPROVED:FOR PLASTERING • ,
18. Rough Electrical-T Bar Ceiling - - 69✓POOL/SPA SYSTEMS FINAL . ' -
19.`Rough Heating'&,Air Conditioping ,..,;.• yvja/wj coo_., *-. . FIRE_DEPT. REQUIREMENT r ` r • t c-T ,-
>- rr rr- r ILtr.i r .-L-120., Rough FactoryFireplace , : „r. - -A^nA • x{+rAPPROVAiL ';rr.PerIm,t # {
•• -TR t r,r`r srs.:-_-_,
21_'Dutts, in-Structu're'. � y•• •• "'<- * _ ?r *- , - r.• '•t trr
70. Undergrocnd•Hydro
22. Ducts, Ventilating;; I <,. 4r L _ F :F¢t c71. Product.Piping ❑Gas 008
23.'Gas Pipe:Rough & festiJ - t_ '•t Xr.72. Under round,Fltish t eT
24.'Roof Framing ` .,r I rr• _ r- - Sr t' . c age • ruec.. <.•`-•-•-uv•,••t. -••
9 .r, 1-4r _ --c• v` •.73rUndergrnO.StorageTankOGas ❑Oil
25. Roof Sheathing 4 "'1'43- - ' 1%424 74 VOverhead Hydro_, E,
26..T-8a1 C ilio _Stnbcturall &:Monocoat.• C' .179 is .- • ] : .;t r_-.rr:_•I '.: c
G, g ( ��.:ii C, � Fiji;�+ 75.-Dry Chemical t- � � r,:tr ,_ m._•an `«-
27.Frameand Flashing'.. 't... "I:2r 7 /- '6¢` 76. Dry Standpipe -7•c ,i- II tw:C'- i -'
:28. Lathin & Saint"' v qq x•-ato n/ , 77- FIXED SYSTEM FINAL* ,.._ r•• gip. `r� ~�rr-�'r•'
'29. Insulation rS. 3--gp 78 FIRE PR EY. FItJAL =' - ' "
,;30. Drywall Nailing• `.r;... i L rt •it .„l�O ehai,. t S,c r. c,HEALTH'DEPTrREQUIREMEiNT;,=-•;::".r r1.
r31. Plaster Brown Coat:*'- , i 4 F : �H., �d Ottc...1.; 79. FINAL INSPECTION s_ Y t..: err'=; t�'•'
�
t 32:.rElectrical Power M er:Final r r-i 'Q n11�`'��'`�t '80:`FOOD CERTIFICATE ISSUED `` An.r<'r'
•
33`Final Electric, 1:.4t,...ft i Y„ ;•,t-_ m 4141,14,141** Notesi` m4-`4.74 `4r, t. , a a;4 :;i- C
`34'Fin�l Heating& Air`Conditionirg :' /�/�I itsiii n - f, •b , ` ' Co.
�35.:'Final Gas Pipe-Testi c .� it" i 3ltsrl4 1J 4I +'=„- -.Y`t ,�.REQU( G V- _ li ill.- A.
r':,.:t. 'f • ..
,36.,Hood or Canopy-' is _ I r " "•1,_-•...".. r t Ni-�Itt:%-:;'.'g`l-_ 1G � /_ /. ! C4 : -
.: Canopy:: : r' i a . t I I! Nr _ X17- Jc,(yJ(f7K1 eat
r .
_37..Final Factory Fireplace:; ! v i -; 2QD! (,6016 r _'c. •••. t, c r, __rr
N..1...4t n rr * >. r. _
t38. Final Plumb ng c-,H r ,N 1 ` 1 4 2941 ! te lis�,. v. . "' t. :,. i �'.
-r h - ..y. - C... it r r'C.k.,' C
39. Water ServicerFina h; r - //'gyp' -+ ;.- v.�� r ;J- <-•
c,40. Gas Service-Final di .-d- • -tif.i:lit c . I. :, I = i. C-441., � ,f„:
dr t I-
r • i` 4- r , r r:I:: : 1 r I.t {r I- • r. : 4. .c..
-41. Solar Domestic-Final' n rr ; I I l`•;: o- -o . -. N x �_t .
r42. Backflow Preventer."• �'* I I H. , %•r -
<v ih .. . , .f i ' .. - .. 1, I. Cc, I-.. q ..,r,
43. BackIrrigation,;flow Irrigation, > ;;. , , art•(. ^:. r. - .• :r n • . . .. • . . • . e
44., Landscape IFiigation System.`'R-.• - ''' ` '` .4 ` d ^ c - T. • it r• • ./ t •r c • 4 .;
+- W.44"t-•yµ•„[t 4''44' r t- %; - -- r- t V Y 4 :::
45-Sound Attenuatiorj �.. .rv.p. r, r r 4s *.-- c -.6- • I ".%1 lc
46.•Handicap Regulations '- e ;. .,_ rr': ` •-' :•.-t ' t"
1-' -� le.C, S.
47.�FINAL STRUCTURE & BUILDING.>•e- 5-�-�1 /'•W�.;; I C _
48.-.FINAL PLANNING_ I r' r •'c 574 191:r:�'0 .4't=r r_ 5 s> _ r. «• _
49.;EIeFtricrRelease to Edison I - I;,,I ;,.I .j'It t. :. •
_•< •x VA.,IC-r:
r -_ _ •
50`Gas'Release to Southern California Gas Co '-? '•I I -I**-
51. CERTIFICATEOF'OCCUPANCY - 'r a- t- -• k -+�
No. Date /�
-3
r , . • . , -— --7...N1r -.. -•••
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PROJECT ADDRESS: UNIT: .
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OWNER'S NAME: . ' '
1 . . . . . : . . • • ,
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4.• . •-• ADDRESS: ' ' . • .
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. . " • . - - . PERMIT NO: G • 044970 1 - - PLAN CHECK NO: • . N PAGE:-. 2
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- - ********* *******************************************************************a* . •
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I.ARCH/ENGINEER: ' . ' • . • REG.ND.: ' . ' • ' .
• . • . . . . . . . . . ,
' ADDRESS: • • ' ' • UNIT: 1 0 - TYPE QTY - .DES C R •1 ..P, T -..I- 0 .N . •
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•- UNIT COST -- '_TOT At COST
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PERMITTEE: : • • . • ' PLU ' ; 1 LAUNDRY TUB OR WASHER ' • - .-
• ' 2.00 .-H - . , . 2.00
ADDRESS: : • t . ,
, ' ' , ' -PLU 1 ; SHOWER . • . 2.00 • , • : - : 2.00 ' . 1
, .
.. . . . •
• • 2.-00
• . • • - PLU 1 • -SINK; KITCHEN • 2.00 , ,..
L .
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section m_U. - -4 _WASH• BASIN . ,
- .
. . - - .
. ' 2.00 I • 8.00 '.. •
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. .t • PLU 3 WATER CLOSET - (TO IL ET ) - ,
, .
2. 00, . ..
• . . 6.00 •••, •
CITY UC.: STATE UC.: CLASS: ' . PLU 1 WATER HEATER, AND/OR VENT , ' 2. 00 • • 2..00 —
. •
- . . .
2.00 — •
Date: - Signature: ' . . PLU • 1 WATER SERVICE • . • 2.00 .. ' .
. . PLU . 5 .
GAS PIPING SYS ' 5+ OUTL—P ER OUTLET - . .50 -- .
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' I. ' C • 2.50
Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). PLU • 1 GAS SERVICE • ' . .
• 2.00 ,. . 2 0 CI• ' .
POUCY NO.: , . - EXP.DATE: .
• 1 . . PLU .
1 - CONNECTION TO BUILDING SEWER, ,EA ' 5.00 5.00 ' . • •
COMPANY: • I . :
. . • END OF •FEES 7. i
- • . , . . ' ..
. 7 Certified copy is hereby furnished. 0 Certified copy is filed Afth,the city Building Division. • ' ' ' - - - - - - • ' r.0
• • ' • I I • .
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-11 Date: Applicant- • - . , .r • , ' .
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EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(MOO)or less). • .
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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 . , f s , . .
subject to the Workers'Compensation Laws of California. . , •• ' ' .: '
• • .:-
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Date: • Signature.' - . . .
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NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation-provisions of the Labor ' t . !. ' . • •
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. .r . - . %.
le
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency far the performance of the work for ' ' ' •• ' . . ' , . • ''
which this permit is issued(Section 3097,Civ.C). , •
' ' • •
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LENDER: . - ' , •
ADDRESS: - '
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.... . . . . - ' •• •. -- .
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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 to construct,alter,.improve,demolish,or t . . ,. . '
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed • • . ,
. .4 .
' , .
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($500).• . . • • • .
,
• . . . , ., , . •
,
• • ' . ,
. •
' • •
,_, I, as owner of the property or my employees-with wages as their sole compeniation?will do the work, and the ' ' . - . . ' . . . ,
• ' I- '
U structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law . ••• . • . .
t., • .
• does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through t,. ,. , .
•his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or • -
. I ; . . .
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, ,
. ' t
. . .
Improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve . ; , , .., . . I r
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for the purpose of sale). , . . . . , •
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. . , • . .
. , . • - • .
, . • • . .
,__, I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business .. S . . . ' .
U and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon . 3- -. • • • - , • •
• .
. ' ' ' ' •
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ' • . •
•
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that proof of their Worker's Compensation insurance should be provided to me: - , • . • . .
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0 I am exempt under Section: B.8 P.C. . ' . . .
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for this reason: • • • . •
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Date: , Owner: . . ..
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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 will/will not(circle one)need to comply with said state codes and the requirements for a.• . . . - '
. -
I
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from „ • . , , . 1
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these provisions. . , . . . . . , •
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• Date: - ' Applicant: , ' .
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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 ' . • ' '
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ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned . . - : - - . „„._ , . . .' . ' ,
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property for inspection purposes. , . ' . . . - . • • -
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Date: , • Signature: .. ' • ' ' . , • ' , , . - . •
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Driver's License or Social Security it: , • '
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L 1641-46 Whireneuildine:Green-Code Enforcement:Canarv-Aoplicant;Pink-Revenue;Goldenrod-Assessor
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CONSTRUCTION ANC/PLANNING POC SPA
_`•APPROVALS Permit# ' Date Inspector APPROVALS Permit # Date Inspector
e
1. Temporary Electrical Service or Pole • 52.--Pool & Equipment Location
53. Steel Reinforcement
2. Soil Pipe-Undrgrnd. - 1
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding '
5. Steel Reinforcement 56. Rough-Plumbing & Pressure Test
6. Electrical UFER Grnd.. - - .57.'APPROVAL TO COVER-GUNITE .
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59.-Gas Pipe, 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 tied* LA7 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 - - v - " FIRE DEPT. REQUIREMENT
n .n 1- .nr i, acre ( C: c
20. Qoug4. FaStoryJFTeplace,'n'..,- -;� APPROVALS Permit #
21. f ucts;`in Structure 70. Underground Hydro
i.
22. Ducts;,Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Rootraming`"""4.w'ru"" 73. Undergrnd.Storage Tank OGas ❑Oil
25.'Roof:Sheathing - 74. Overhead Hydro
26. T BarrCeiling (Str cturall;&;_Nlonocoat 75. Dry Chemical
27. E,tame`and Flashindcrrrrcn=�_ S 76. Dry Standpipe
28. Lathing &.Siding' zar S,:L' wk.. 77. FIXED SYSTEM FINAL
lc
' 29. Insulation: r- a 1-f . a `-:-1G • 78. FIRE PREY. FINAL
30. Drywall flailing r 2 CrrJ l-• • HEALTH DEPT. REQUIREMENT
li.31. Plaster BrownrCoal -'-L r 79. FINAL INSPECTION
32. Electrical Rowe'? Meter-Firi l r 7. 80: FOOD CERTIFICATE ISSUED 1
33. Einal,Electric 'i- r ,r - cr. Notes:
34. iinaliHeating & Air Conditioning ,r
35. Final.,Gas Pipe-Test E- "•t nom
36. H6od or Canopy • 6,`P
're
411,
37. F�inalliactory Fireplace _ ..rV - _
38. FinallPlumbing = n
i, i- Q
39. Watei Service-Final r? , , r f
40. Gas Service-Final l r
h
41. Solar,Domestic-Final" • •
T
42. Backflow-Prevented
x s_
43. BackflowlIrrigatigri.t.c.".`: .`,i '
•
44. Landscape:irrigation-System-c C •
\\\ 45. Sound Attenuation - -
I� "46. Handicap Regulations • - - -'
47. FINAL STRUCTURE& BUILDING -
48. EINAL PLANNING . .
49. Electiic Release to Edison - -
•
50. Gas Release to Southern•CalifoFnia Gas Co
rt .
I 51. CERTIFICATE OF-OCCUPANCY •
No. ' Date
.tea a s
o ne g Ic s` f r .* N .+-t .,w -� .4 vet, , .s. 'S. $. "•4. 7
ir
,: BN FOP NA 11h CALIFORNIA SEA BREEZE 1'
111
I 914 FORM !48o RELEASE II 74
INSULATION CERTIFICATION i '
This is to certify that, in conformance with the current energy regulations (California Adminis- {"
?„. 1,i
trative Code, Title 25, State of California') and approved plans, insulation has been installed in •t
41; , the building located at: p
it? Costa Mesa Orange /\/ `
-,Ii City Count' , r.
1060 Spinnaker Run 16
\ j
Styr no. til Annable) se,e Lot N�nDe.' Tract n9. /�'
\ DESCRIPTION OF INSTALLATION
• 1; ROOFS ':�';I
\" Type of Material Manufacturer Thickness__ R Value"____ �!/1
.' `tl EXTERIOR WALLS OWEDIS CORNING "
Type ct Material FIBERGLASS BATTS manufacturer FIBERGLASS _Thickness 3=" _R Value 11 ^ ,
pal,
(Or Tnte Name) Ail
CEILINGS OWENS CORNING 6411 19 N'Ill
Ay eType of MateriaLLIbF_RGLASS BATTSManu!acturer FIBERGLASS Thickness9z" R Value** 30 il"
�/�, (Or Trade Name) _—.
SQ. FL Covered
i'l: BLOWN: �'�
' ri Type of Material _ Manufacturer_ Thickness__ _ No.Bags___ j a�
to. Trade n.ma �; .
Yj1 WL1Bag__ Sq. Ft Coverall_ R Value**
\ : FLOORS �'
Type of Material Manufacturer Thickness _R Value** '�,.
` '; (Or Tnde Nene)
SLAB ON GRADE s.
1 7/
Type of Material _ Manufacturer Thickness— R Value" '``
��
(Or Trade Nan.)
Width of Inwlaticn _ Inches lI. i.I
j FOUNDATION WALLS (if required)
\
;�' Type of Material—_ Manufacturer __._.Thickness____R Value•'___ „
Erirtl (Or ride Name)
REMARKS (if desired)____. . '
4 •
I
,��._.. �. .rg,.C..s..•e.._ro..aw..a_ KAiIRP69 N_.-K_.RRfyAn_ ..n =_.
n
By ride Date ,C ;
SutrCrLacta tlnsula'ion nppGcata 2CCent Insula*ion Com ny 274283
nebulas, w tt)
License Number
1, (See "SAME- it orae a nee") ).
By—�� - - � - .< title /i _� Dete_May 2, 1990 _
I'Cc' b•-,; Al.'r'.,-sr.. Cade, Ea.a, Ins.lot(r Src.4:d.. d.c'vu. na?rr 'ra. S... 19375 .1 the N.ol.i •n.1 Sc'.? Code d the Sra•e
41 'C.":"a•-.. Wee- :0913.41.3. el PA. :n.r--!:atine of 7-.ela"ee, a t el Cowl?-.a: �"
ca-'r,,5 Myr! •M 'n,r•:-a- be. a«- :n.':';.d is were rc. .'M N.e
It I, re;,...-..b el no,e -so. : e.. Ja• Ise h.:4M ate! eucu491 by 'No c 5(i!• •1 x zot'eaatIon fc' aw-; can: li
lb. n,.a a• c:c rt
r . e-5 ba e lu...er. T.. C-aF: a.a ,na a.c'.� 1 ele .pateA A ne e,..r n' -e-.I
\ lard ,\i be veer.[ el a carpiR 'Sd ..
au. letalin . • ,.e . •1. ') d ..
e "ti 1. "' l
'�.p un'e:, he tin a •
,,bdry a. i
,/ h r,r NO .,e near na..ia'an
�! 1 er Ya l b 11e w • 1 ;w. •n w el • .:v'.1 r 1).1!d:ng .bila L n a0'.t*.d 0. a.c.l ben dr,.er,
••,to Ibe eel ase d 6.e,. T4 r«:,leu..• ill 11 eau-n.
P
;en:a r, .fail eel include a., race b nN.ci,• hoNi.) • n
Form 116 —e BUILDING NFNS, INC.. 3055 Ove land Ave, Los Anse:es. Calif. 9CC?,�-1213)87O-S871 Form 1e86.a BUILDING INDUS Ry 6.3300AriGti Of CAL(FORh(A, INC., 1571 Bele) e':4., los Ani=.'es, Ca)''f. 90725._-(213,625-5771 i ).
•
IWA GINEERS `� 9DItV"Aktla )
n17390 8rookhurst Sheet,Suite 100O ��-1/(���1;e'I7Fountain Valley, Sheet,S 92708 �{. ' f R yO
(714)968-1221 •FAX(714)968-9286
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 12 through 20, 22
and 23 of Tract 13224 were graded as shown on the approved precise
grading plans for said project. g /
iSeta
rry Wood R.C.E. 32636
.PROJECT ADDRESS: 1060' SPINNAKER RUN ' — UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM. NO: B 048072.
, OWNER'S NAME: JAN KARLSSON
•
ADDRESS: SAME PERMIT NO: B 048072 PLAN CHECK NO: 04780-90 S GOVT : N SUPP : ' N
•
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: NEW
650-3715
ARCNIENGINEER: REG.NO.: JOB DESCRIPTION ].SLF EQUIPMENT WALL SQ FT: 15 •
ADDRESS: - _ UNIT:
CLAIM VALUE: 300 . 00 CALC—VALUE: 300 . 00 GROUP OCC :' M-1 '/
PERMITTEE: CURCIE' S COORDINATED CONS ( 714 ) 528-5571
. ADDRESS: • 1311 N JEFFERSON COMMENTS : X
. ANAHEIM - CA 92807 *****�E****�F*****+ ******ye* �e�e******�r*****�r * ******�F+PeFe ****�E �F*****+ear*,F***** **
'LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS •
7000)of Division 3 of the Business and Professions Code,and my license is in full force and ect. SETBACKS •
cITY LIC.: 0q15 3Q9 9 STATE LIC:312 9 7" IIA,� ,\1 CLASS: C5 3 •
'nate: /.4y�V signature: US tx1IM,C� (Q.Q/V1ln1/"� MAIN BUILDING ACCESSORY BUILDING.
• AKERS'COMPENSATION DECLARATION: I hereby affirm that I have a cel(hcate of consent to self-insure or a certificate of Workers FRNT: 20 FT IN REAR: 5 FT IN FRNT; FT IN REAR: FT IN
apensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: • 4 FT IN RGHT: 4 FT IN LEFT: FT IN RGHT: FT IN
r'OucYNO.: 0743143-90 EKP.DATE: 03/01 /91
COMPANY: STATE PARKING REQ• PROV: PARCEL: 42433101 ZNE: PDRM 'REF NO:
❑ Certified copy is hereby fumished. ® Certified copy is ed with he city Building Division\ PLANNING NOTES> APPROX. 15 LF 5 FT HIGH BLOCK WALL TO SCREEN EQUIPMENT
' Date: 7—in —9 D . c . • UVV�Pnn ( ****************u***************************************************4c.*********
Applicant:
E(ENPRON FROM WORKERS'COMPENSATION OECLARATNIN: (This section need n b completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES R E Q U I k E M E N T��'S
I certify that in the performance of the work for which this permit is issued,I she t employ any person in any manner so as to become q
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY S CC DATE: D —L,'D
• 1-�
' 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. . ('I
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: A DATE: I 0a
which'this permit is issued(Section 3097,Civ.C). ********************** Ie**?E****************** TE*iF3F—9
i'F**
LENDER: *******************************************************************************
ADDRESS: • LEGALIZATION:N F E E S U M M A' R Y STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: thereby 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 15 . 00 . 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 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 PLAN 9 . 7 5
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ,
ry applicant for a permit subjects the applicant to a civil penalty of not more-than five,hundred dollars($500). ISSUE FEE • .
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, and the
Q structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> •15 , 50 0 . 00 9 . 75 25 . 25 25 , 25 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through s
his or her own-employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED ; 25 , 25 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 1 5 , 0 0 . 50 9 , 7 5
❑ 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 vet acontractor(s)license pursuant to theContractors'State License Law).l am aware _?F***********************************************+.E**************************kr'*if.*
that proof of their Workers Compensnfion insurance should be provided to me. INDIVIDUAL F E E BREAKDO N. N
❑ I,am exempt under Section: B.8 P.C. ' .
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
I Date: • Owner: SFR 15 RES—TRASH ENCLOSURE / FT. 20 , 00 ' 300, 00
, I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25529,and ENDOF 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 Ouatity Management District.Residential construction applications are exempt from • .
these provisions.
i
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 au ooze representatives 4 thiA city to enter upon the above-mention • '
property for inspection purposes. '
7-10 — 90 '
Date: - Signature: �-.. ..�'�III�II�
Driers License or Social security x:
L 1-� White—BuildIng;Green—Code Enforcement;Gantry—Applicant; Goldenrod—Assessor -- 01 DATE:0007//10/23 TINE .1r_ET '25.25
_ 47/_i /90 _iTh1E:. .f2:nn .
CONSTRUCTION AND PLANN....i POOL & SPA - I
APPROVALS Permit# Date Inspector APPROVALS . Permit # Date Inspector
r-.
1. Temporary Electrical Service-Or Pole �+ . .. 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. C:; 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms ?i
4. Electrical Conduit-Undrgrnd. ^ 55. Electrical Bonding -
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings58. Electrical Conduit-Undrgrnd. -
8. Foundation59. Gas Pipe, 0 Undrgrnd.,-Test
if
•
9. Water Pipe-Undrgrnd. ' -- - ' . 60. Backwash Lines,PTrap, 0 Undrgrnd. -
10. Structural Floor System -4 ' - _ 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 - ry
15. Rough Electrical-Conduit , 66. Solar System-Final
16. Rough Electric Wirings .., , 67. Fencing & Access Approval •
57. Rough Wiring Sign - - 68.`APPAOVED FOR-PLASTERING 1 `.
18. Rough Electrical-T Bar Ceiling - 69.-POOL/SPA SYSTEMS FINAL .
191 Rough Heating & Air Conditioning . FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing - 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical
27. Frame and Flashing • 76. Dry Standpipe
28. Lathing & Siding - 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
-
33. Final Electric yloF :
34. Final Heating & Air Conditioning .,ti J//� /v 4//?,,,�,}
35. Final Gas Pipe-Test C4!�(/��!!II `� J
36. Hood or Canopy
37. Final Factory Fireplace - '
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation 1
46. Handicap Regulations
47.FINAL STRUCTURE & BUILDING Tig#A- tir.
48. FINAL PLANNING
49. Electric Release to Edison '
•
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: 1060 SPINNAKER RUN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: BEP 048071
OWNER'S NAME: JAN KARLSON •
- ADDRESS: SAMEPERMIT NO: BEP 048071 PLAN CHECK NO: 04778-90 S. ' GOVT:' N SUPP: N '
• CONSTRUCTION. TYPE: PERMIT TYPE: ELE PLU STR , PURPOSE : NEW
• 650-3715 .
• 'ARCNIENGINEER: B ,C. ADAMS REG.NO.:C10183 JOB DESCRIPTION : INSTALL POOL/SPA SQ FT: 13 , 000
• ' ADDRESS: 11022 ACACIA PKWY UNIT: E •
' G.G, CA 92600 CLAIM VALUE: 13, 000 , 00 CALC—VALUE: 13, 000 , 00 GROUP OCC : R-3 / .
PERMITTEE: CURCIE' S COORDINATED CONS ( 714 ) 528-5571
ADDRESS: 1311 N JEFFERSON - COMMENTS ; X
ANAHEIM CA 92807 • ***********************************iF****+e******+e***eE**4**+e**********+E** ******
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING R EQU IR EMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. • SETBACKS
cm uc.: 0 15399 STATE LIC.:)12970 1.a CLASS: Te '
Date: •7-1D-9D Signature: 7 (QQra4A._ MAIN BUILDING ACCESSORY BUILDING
iFRNT: FT IN REAR: 3 FT IN FRNT : FT IN REAR: FT IN
RICERS'COMPENSATION DECLARATION: I hereby affirm that have erUticate of consent to self-insure or a certificate of Workers i
.eLICYN0.n certifiedIns74c314copy thereof(Sectio-90 �P00,DALab O)3 /01 /91 LEFT: 5 FT IN RGHT: 4 FT IN LEFT : FT IN RGHT: FT IN
COMPANY: STATE PARKING REQ: PROV: PARCEL: 42433101 ZNE: PDRM REF NO:' •
U Certified copy is hereby furnished. ® Certified copy Offiled wit�the city Building Division. PLANNING NOTES> POOL AND SPA
—I0--�P ( til ... owSA f kiDIA.P+ >
Date: 7 APPlicant: *******************************************************************************
E%EMPRON FROM WORKERS'COMPENSATION DECLARATION: (This sermon need not mpleted if the permit is for one hundred($1DD)or lessj. D EV EL OP MEN T SERVICES REQUIREMENTS
I certify that in the performance of the work for which this permit is issued,I shall employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BYCC—/J CDATE: '1=4 b
0';-9 '
•
•Date: Signature: - '
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; DATE:
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: \J CG C 1'r' `1 —1
which this permit is issued(Section 3097,Civ.C). ;rev-1 DATE: A
LENDER: *******************************************************************************
ADDRESS: - • LEGALIZATION: N F E E S"'U M M A R . Y ,' STRUCTURAL SEGMENT:Y •
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from theContractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC-' t' FIRE SNIP/,RES - GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1 4 4 , 0 0 2 . 00 41 . 010 - '
repair anystructure,pdor to its issuance,also iequires the applicant forsuch permit to file a signed statement that he/she is licensed !-J%
pursuant o the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business +�'S 0$ �" a•• lS M I P/NON—RES l
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 93 , 60 • 'j _ 1 . 95
'y applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($510). ISSUE FEE 3 . 0 0 1.5 ,;0t0 '
I, as owner of theproperlyor y p p •
BUILDING—DIV—> PERMIT ISSUE PLAN=.CHECK I U 'TOTAL PAID DUE
my employees with wages as-their sole compensation, will do the work, and the +
., tructure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS—---> 188 . 95 18 . 00 • :'93 . 60 300...7:55 300 . 55 . 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 .REVENUE DIVISION TOTALS--> COLLECTED • " 3 0 0:-5 5' 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 144 . 00 5 , 0 0 56 . 00 ? .• _ 1 . 95 9 3,• (j Q
U and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon rt ?•' j
and who contracts for such projects with acontractor(s)license pursuant to the-Contractors'State License Law).I am aware *********************is******* 3f
****** *jP*********iE.**iE*iF.* ***********'s'*************
that proof of their Worker's Compensation insurance should be provided to me.
p i am exempt under section: B.S P.C. I N D I V I D U A L). i �F" EE b jR .E, A• K D 0 W N
for thisreaaon: TYPE QTY D E S C R I P T. I O 1• 144 • '• ^+ UNIT COST TOTAL COST
Date: • Owner: •
SFC 1300t POOL & SPA is 1 . 00 13 , 000,00
I do herebycertifythat I am aware of and understand the requirements of California Health and SafetyCode Sections 25505,25533,and I
25534 andthatI r any future building occupant wiltwill not(circle one)need to comply with said stte codes and the requirements for a ELE • 1 SUB—PANEL %j,�+ 11 . 00 •
1 1,Q 0
permit for construction or modification from the Air Quality Management Oistric12Residential construction applications are exempt from., ELE 1 SWIMMING POOL — IN GROUND — NEW- EA. 30 .00 30.0 0
these provisions., .%; PLU 1 SWIMMING POOL Ai 2 . 00 2,00
„ ” ' �A : END OF FEES •-,
Date: - —-- Applicant: � ' '�•- c
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city an county i ,
•
ordinances and state laws relating to building construction and reby a�phmrze representatives of his-city to enter upon the above. ntioned •
property�forJinspection¢purpo�^se1s. �\t\J ,x.i ' (1�/�] .J .•r'
Date -7-10—9D— Signature: '�f '
Driver's License or Social Security Of:
Applicant;Pink—Revenue:Goldenrod—Assessor
j
CONSTRUCTION AND PLANN,,.. JOL & SPA
Date Inspector Date Inspector
.... APPROVALS Permit # - APPROVALS Permit # / / L'
1. Temporary Electrical Service'or Pole 52. Pool &.Equipment Location 7/z. Ala-
2. Soil Pipe-Undrgrnd. • .7 53. Steel Reinforcement I /f"_ -
3. Electrical Conduit Utility-Undrgrnd. 54.-Forms -
4. Electrical Conduit-Undrgrnd. L./ 55.- Electrical Bonding
I
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 4d
6. Electrical UF ER Grnd. -. 57. APPROVAL TO COVER-GUNITE
7. Footings _ 58. Electrical Conduit-Undrgrnd.
8. Foundation -• -.) - 59. Gas Pipe, 0 Undrgrnd.,Test fa.
-
9. Water Pipe-Undrgrnd. e-C „ F. 60. Backwash Lines, P-Trap, 0 Undrgrnd. ("?,' �'t
10. Structural Floor System - = - 61. APPROVAL TO DECK /f9 gd '-
11. Property Sewer Line & Hpusonnection - 62. Backwash & Receptor-Final 1 _'
12. Sewer Cap - .l 63. Heater,81 Vent-Final ) '
13. Roof Drains ---.. _ 64. Plumbing System - Final '
14. Rough Plumbing --1--') 65. Electrical-Final '
15. Rough Electrical-Conduit 66. Solar System=Final
•
16. Rough Electric Wiring i C: 67. Fencing & Access Approval
•
17. Rough Wiring Sign - �I. _ 68. APPROVED F,OR PLASTERING _ -
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS-FINAL
9/#0 o V
&
19. Rough Heating Air Conditioning FIRE DEPT. REQUIREMENT .
20. Rough Factory Fireplace APPROVALS Permit#
1
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 i.
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL i
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT I
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
rte-20 C�o...r� card
34. Final Heating& Air Conditioning ilty 4Q.O -J,--_ ���j��
35. Final Gas Pipe-Test �I /"'r
36. Hood or Canopy
48
37. Final Factory Fireplace
38. Final Plumbing lfr 272"•//G' 61(*'if i I
39. Water Service-Final yDe '`/ / Nt
40. Gas Service-Final ��ldi/AJFF 'Jr/C'"/ G //
41. Solar Domestic-Final /� '
- 42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation -
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING --
48. FINAL PLANNING t _ ..
49. Electric Release to Edison 1
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY I
No. Date •
r
PROJECT ACIDNESS: 1060 SPINNAKER RUN UNIT: ' . CITY OF COSTA MESA - BUILDING PERMIT PERM NO: BEP 048075
' OWNER'S NAME: JAN KARL SON
ADDRESS: SAME PERMIT NO: BEP 048075 PLAN CHECK NO: 04779-90 S GOVT: N SUPP : N ,
' CONSTRUCTION TYPE: ' PERMIT TYPE: ELE PLU STR PURPOSE: NEW-
. 650-3715 -
ARCH/ENGINEER: B .C . ADAMS REG.NO.:C10183 JOB DESCRIPTION : INSTALL BARBEQUE • SQ FT 500
ADDREss: 11022 ACACIA PKWY UNIT: E - _
G.G. CA 92600 CLAIM VALUE: 500 . 00 CALC-VALUE: 500 . 00 GROUP OCC : R-3 - /.
•
PERMITTEE: CURCIE' S 'COORDINATED CONS (714 ) 528-5571 r ,
4 ADDRESS: 131'1 N JEFFERSON COMMENTS : X . •
ANAHEIM CA 92807 #################*######******##*###############****** ************************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON INC R .E Q U IR EMEN TS - ,
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. S E T B A C K S
CITY uc.: 071.5399 STATE LIC.:3 12 9 7^ .11•1\) CLASS: C5 t - '
:pate: `/8 "qO `Slgnature: �.,Vwr�- b-/LASAlM.ovg1 / MAIN BUILDI• NG ACCESSORY BUILDING:
MAKERS'COMPENSATION DECLARATION: I hereby affirm that I have certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: - FT IN FRNT: FT• IN REAR: FT
impensation fns ace y certified copy thereof(Section 3800,Lab. ). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POUCY NO.: 0 i q 3 4 3—�V EXP.DATE: kJ 3/01 /91
COMPANY: STATE PARKING REQ: PROV: PARCEL : 42433101 ZNE: REF NO: ' •
i 0 Certified copy is hereby furnished.'d Certified cop file?Lvith the city Building ivision PLANNING NOTES>
•
• III\\\//1i •,,w\ • >
•
Date: �'/D—� (Q�jY11R.v�_ *#*********#****#***#***********##iE##**_§E#*#####*******#***#*******###R#***#*### .
Applicant: D E V E L O P M E N T ' S E 'R V"T; C E S R E Q U I R E M E N T S
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section n not be completed if the permit is for one hundred(3100)or less). I .
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 �� ''S_C-C� DATE: ,n_to—(6
•
i Date: Signature: -' '
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY -i _ 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: ' e7—`1
whichthis permit is issued(Section 3097,Civ.C). ********************************************** g******************n** ,#**
LENDER: *#**************#******?E*********#********************##.*******##*************if
ADDRESS: LEGALIZATION':N F E E S' U M M A R Y ' STRUCTURAL SEGMENT:Y
.
•
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from theContractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC ' FIRE SMIP/RES GRADING
' (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 15 .00 2 . 00 1 50- 5 0
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 25% 5 10•% SMIP/ -RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 9 . 75 '
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 penalty of not more than five hundred dollars(3500). ISSUE FEE 3 . 00 15 . 00
I, as owner of the property or myemployees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ tructure is not intended or offered for ale(Section 7044,Business ess and Professional Coda: The Contractors'State License Law TOTALS----> 19, 00 18 . 00 9 . 75 46 . 75 ' 46 . 75 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through -
hisorherownemployees,provided that such improvements are not intended or offered for sale. If, however the building or REVENUE DIVISION TOTALS--> ' COLLECTED : 46 . 75 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 contractingwth licensed contractors to construct the project(Section 7044,Business 15 O O 5 . 0 0 16 . 5 0 50 9 . 7 5
❑ 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 lith a contractor(s)license pursuant to the-Contractors'State License Law).l am aware ******'>F*-*-N'****'#dE'N**'R'***'##***3t#*#**#**7E*#**#*******#****##*N-#****#*3E********9E***
' that proof of their Worker's Compenstulon insurance should be provided to me. I N D I V I D U A L • EEE BREAKDOWN
0 I am exempt under Section: B. 8 P.C.
for din reason: TYPE QTY D E S C R I' P T I O N UNIT COST . TOTAL COST •
Date: • Owner: SFR 500 STRUCTURAL BY VALUE PER $1 . 00 1 . 00 500 . 00 .
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 2 R EC E P T/OUTLET 1 ST 20 EA. . 75 1 50
25534 and that I many future building occupant wilUwill not(circle one)need to comply with said state codes and the requirements for a 1
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 . 0 0 2 . 00
these provisions.
• END OF FEES
•
Date: • Applicant:
I hereby certify that I have mad 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 buildiconstruction a (herebNutfodre representati .s of this city to enter upon the above-mentioged '
property for:inspection purposes. \ 1`
Date:-• /-- /0— ( 0 Signature: A- :�OIr(�i��
01 00064869-00064873 TOT . 46.751
Driver's license or Social Security
Applicant;Pink—Revenue;Goldenrod—Assessor - - .
1 __ —__- __
CONSTRUCTION AND PLANNING , - POOL& SPA - .
APPROVALS Permit# Date Inspector APPROVALS -Permit# Date Inspector
1. Temporary Electrical Service or Pole t ,l _ - 52. Pool & Equipment Location -I .
2. Soil Pipe-Undrgrnd. - - , 53. Steel Reinforcement - -
3. Electrical Conduit Utility-Undrgrnd. 54. Forms - - -�4. Electrical Conduit-Undrgrnd.:1 55. Electrical Bonding • `J
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 . r - 59. .Gas Pipe, ❑ Undrgrnd., Test i - .
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 C
12. Sewer Cap •. 63. Heater & Vent-Final
13. Roof Drains ,: 64. Plumbing System - Final -
14. Rough Plumbing i 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
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. .Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 1
27. Frame and Flashing 76. Dry Standpipe •
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric • • litiii (AD Notes:
34. Final Heating&Air Conditioning e'er
35. Final Gas Pipe-Test $/idQ$ c- _(LaliotiItide
t id i / /A2) / es
/
zi
36. Hood or Canopy /f.l
37. Final Factory Fireplace
38. Final Plumbing ,f/yJ441 CAC.
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System •
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 3byirrit C Ara
48. FINAL PLANNING -
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY
No. Date