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HomeMy WebLinkAbout1947 SUNDANCE LN - Building Permits - Applicant to fill in ap spaces except those within heavy border lines and sign all appropriate declarations. 3505 9/22/86 15.00 TL '+ CITY-Of COSTA MESA CONSTRUCTION PERMIT -`1$ERMIT NO. - TRACT NO. LOT NO. UNIT NO. Project Address 144 77 .C,11'+OPs.alp Ls 1 . /`-' a).11125 I.p('?7 i TYPE OF CONSTRUCTION LI NEW L ADD ALTERATION ❑ REPAIR ' Applicant's Mailing Address p'C141:2) GA 0.s"y )e-ia Cs-t2ps3 f❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# - - . - I Zone Owner's Name C. .s-- ('riv 5..s st_.at_ Phone Zk'.3fu1C? DESCRIPTION OF WORK/USE OF BLDG. ' Address `,PsOQ:= 4 S Main Building: Accessory Building: •Arch/Eng. �sP'o-. ne,nt-.N License No, TYPE OFsPERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL E Front o Address - \1/ N Pct. LWL�)ris 'pec-. ❑ TENANT ❑ ELECTRICAL '❑ PLUMBING ❑ MECHANICAL B Rear ' N • Contractor's NampS�1.�Rt._S (I'!'a 3r tt.. r Phone C4 k-5 ikl. ❑ OTHER • C Right � N PROJECT DESCRIPTION SQ. FT. OCCUPANCY g Address(mailing) e- 1ru+14 re5�'T'P tY�ZA CONSTRUCTION TYPE VALUATION$ $ ' CityLicense No. \ 7 1Z K Left G lG ZONE - GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref, # Parking Req,/Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: - • Q with section 7000) of Division 3 of the Business and Professions Code, and - M my license is in full force and effect. T License Cla s L^ ../,dlY_ License NOS�nARO I s Date .L Sig aurr•:7�l • �PLUMBING FEES cs WORKERS' COMPENSATIQ$"/• ' RATION I hereby affirm that I have a ce ificate of consent to self-insure or a certificate Bar Sink ' • Showers ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) •• Automatic Washer Transformer 0 15-50 KW Policy No. \.OR(q�- 5 Company iStart-; Backflow Irrigation - Sewer Cap • ON,,. - Certified copy is hereby furnished. Construction Pole Sub. ❑'50+KW Cert iii d cp py is filed with the cityLa_lei • Division. Bath Cubs Sewer Connection • ate ifid 1r- Appli a o_ 1 _.� - _ Cooking Unit Meter 0u to 100 amps ' • EXEMPTION FROM WORKER'JP-•'NSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be compie if t''e permit is for one hundred ($100)or less). Dishwasher, Solar Piping Dryers OGas ❑Electric Sub Panel 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 Drinking Fountains Solar Tank - Fan Workers' Compensation Laws of California. • , Motors❑0-1 HP 1111%-8 Date Signature Floor Drains Swimming Pool w/Spa F.A.U. NOTICE: If,after making this declaration,you should become subject to the - Inc.Solar 09.15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal • Fixtures Microwave - comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes POIe Li ht I hereby affirm that there is a construction lending agency for the performance 9 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name - Range Lender's Address • Kitchen Sink Water Service Switches Sign 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 . Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap . LaundryTrays t ' any structure, prior to its issuance, also requires the applicant for such permit Generator ❑0-5 KW ❑5-15 KW Trash Compactor 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 ' 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 , • oenalty'of not more than five hundred dollars ($500). , L I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 . - compensation, will do the work,and the structure is not intended or offered - - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL ' FEES License Law 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 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- -- Canopy Type II D - Zoning Approved By Date • pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By Date prove for the purpose of sale). n-`7 uR)// fX�/- ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By ) Date 7 tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU v $UM Y O FEES builds or Improves thereon, and who contracts.for such projects with a con- Mk tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration U LDIN ERMIT fA SMIP - $ - proof of their Worker's Compensation,insurance should be provided to me. _ PLAN CHECK $ PERMIT.• I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers __ - PLUMBING $ - ISSUANCE $ HeatingSystem& DuctingRegisters _ PLAN CHECK 25% $ Date owner y 9r ENERGY P.C. $ _ I hereby certify that I have read this application and state that the above - ❑0100,000 BTU 0100,000BTL ' • - .GRADING $ __ Information is correct. I agree to comply with all city and county ordinances _ - ELECTRICAL $ and state laws relt�r. to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of y to enter upon the above-mentioned property for - - inspection'.,yj,'i G/Lf, !� Signa - ,^} 7 Date/ L `— - MECHANICAL $ TOTAL FEE „ $ is O ' Drive ' t- se7 or SS le yReinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ _ CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor / CONSTRUCTION AND PLANNING POOL&SPA Date Inspector APPROVALS Permit# Date Inspector APPROVALS Permit# 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4.- Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro • 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 1- 33. Final Electric Notes: 34. Final Heating & Air Conditioning dub kid rn/ I sive cut r /D 35. Final Gas Pipe-Test �!� l -�/`-' 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. Backf low Irrigation - 44. Landscape Irrigation System - 45. Sound Attenuation • 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed . 49. Electric Release to Edison 50.'Gas Release to Southern California Gas Co ' 1 51. CERTIFICATE OF OCCUPANCY INo. Date - . • _ 22 i 1 a INSULATION CERTIFICATION This is to certify that, in conformance with the current energy regulations (California Adminis- trative Code, Title 25, State of California') and approved plans, insulation has been installed in the building located at: • • MISSION VIEJO ORANGE city cr tT • 1910 y7 SUNDANCE DR. 2 #12067 Strael No. (If Aseltaba) Strad Id Namber Tract No. DESCRIPTION OF INSTALLATION •ROOFS CERTAINTEED 101' R-30 Type of Material fiberglass Manufacturer_ Thickness R Value"_ EXTERIOR WALLS CERTAINTEED 3i1' .. Type of Material fiberglass Manufacturer Thickness_ _XValue R—I1 (Or Trade Nelna) CEILINGS BATTS: Type of Material Manufacturer Thickness____R Value"_ (Or Trade Name) Sq. Ft Covered BLOWN: Type of Material Manufacturer Thickness - No.Bags_ (Or Trade Nemo) WL/Bag Sq. Ft. Covered R Value"_ • FLOORS - Type of Material Manufacturer Thickness' R Value"_ (Or Trade Name) SLAB ON GRADE Type of Material Manufacturer Thickness R Value••_ (Or Trade Name) Width of Insulation Inches FOUNDATION WALLS (if required) Type of Material Manufacturer Thicknes' R Value"_ (Or Trude Name) REMARKS (if desired)__. General Contractor (Builder) License Number By. Title Date Sub-Contractor (Insulation Applicator) QUINN INSULA.TIO^I License Number_ 311 115 :Insuleon, Meeanry. Etc.) (Stab "SAME" N am* e. Genal Cwnd0 rtar) ey_ ur. �'1 ' Tiue owner06/09/86 Date •Cuarnna Adma4usr.e Cede. Energy Ina/ladenStandards. declares, EXCERPT hem Sac. I9A3 el the IMI* end Se1My lode a1 The Sate •Csonancr. Ups. completion of Iho installation N insulrlen, a seed of Cellleeia: •+rl h.np Mar lbw Insulation has boon metalled in cenlermaec with the ad nodded regulations shall be completed and noed by "Ne certlecale or eccupaecy r simile! cetlen Mnewlycon rtlelcaet o n . ' n oaollner sad by the build . ides !e:vlalien compliance 'reacted bony!, ep l, merel, unmwM t house, me el ether re ldrbel .un: stallw Yabuilder.cu at a ' es, locution sdMin Me dwelling.'') dwelling Is habitable shall be lewd by Writ • building department owlets M ,trade al least saddles the minimum enray Insutetlea 'Yr Value is Me mwsura e4 the resistance of a material or building randerdt established pursuant to*10 dapIer." n1 Of the passage el Net The residence rales (R) elm',red e n.. ,aunt Moll net Include env value far reflective facile.)) �la • �N� 4 r r y t e Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. 7063 1 /09/3_ -- �r'r�� V • PERMIT NO. .TRACT NO. LOT NO. UNIT NO. ' I. C1TX6�fi COSTA MESA COON,SI`�T1�Rs�UUC�T�IO��N•��P..ERMIT 0— �1� 1 a©(p'7.� •�NJject Address 947 111_P•i./�-•G • - I,,,,, •�/ �r if - _ e Applicants Mailingli� Address O ,l'ee- '/����aeci .:,.VPE OF CONSTRUCTION if NEW U ADD ❑ ALTERATION U REPAIR 1 l A" • f1P` `1L.1 �Phonen _Y�- ❑ CONVERSION ❑ DE OLISH 0 OTHER G A.P.� �t //` - 5O_2 _ V G7 jZonepDc�i Owner's Name DESCRIPTION OF WORK/USE OF BLDG. -S - J "'�•J Address 1� V' �,p�/ S Main Building: Accessory Building: l�j[�h/Eng. 6' •t^7�'M��`("r�-ry's-�r s/(` License No../' - TYPE OF PERMIT I-I�❑ GRADING�I®�OU NDATION ILTST RUCTU RAL T Front I O Address IS To 1� rel Imo'� W1 ❑ TENANT LIdE LECTRICAL IM�LUM GING 1ECH ANICAL BB Rear t / / N fA/L CePA/S r Phone%' 3120 0 .0THER t 7 Contractor's Name C Right J/7 / - - N PROJECT DESCRIPTION SQ. FT. OCC UPANC . f Address(mailing) fOX 223 Z esK •3 i f/,r�� G // CONSTRUCTION TYPE VALUATION$ ;knit. s Left City License No. ZONE _ GRADING CU.YOS. ACRES t'1� _ �J/'l R LICENSED CONTRACTOR DECLARATION `�� / Ping. Ref, r LC l Parking Req./Provided E 1 hereby affirm that 1 am licensed under provisions of Charter 9 (commencing • Remarks: C /�� - `r(�]/� ✓A// Planning Notes: • M j.` l's with section 7000),of Division 3 of the Business and • ofessions •-e, and i ��-r /"" � • my license is in full ore- and effect. ^ _ T C. p ..l- „ .� �- &� 2, HULK HA srtc:f,_ :W �,itr.)rt�ni S License Class �'� /rw�=` 'Cr,�` z Date- Signature _ ��--/ • PLUMBING FEES WORKERS' COMPENSATION D • '�i0 Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate • of Workers' Compensation Insurance, or a certif'e y thereof (Section 1 3600, Lab. CC..) p .S .1F1 (/yy-gyp�� �/� Backflow Preventer Service Sink / Automatic Washer -Transformer 0 15-50 KW Policy No. / enki ~9-C Company dill' yr'-'.�.'r�/ Backflow Itrigation Sewer Cap ` )Construction Pole Sub. . 0 50+KW Ce ifierrcopy is hereby furnished. / `, ertified cop�y` is filed with the city Buny in}Division. Bathtubs Sewer Connection Cooking Unit / Meter up to 100 amps Date /rq 7/ Applicant ferf"j� GO/,...4.77 / EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors / Dishwasher Meter Dover 100 amps (Thissection need not be completed if the permit is for one hundred ($100) or less). / Dishwasher / Solar Piping Z / Drye7❑Gas DElectric / Sub Panel I certify that in the performance of the work for which this permit is issued, I s shall not employ any person in any manner so as to become subject to the Drinking Fountains! Solar Tank Fan Motors 00-1 HP ❑l%-8 Workers' Compensation Laws of California. — - Date Signature Floor Drains Swimming Pool w/Spa - / F.A.U. Inc.Solar ❑9.15 HP ❑16-15+ 'NOTICE:Compensation making thisisof declaration,you should ,becomeusubject to ite Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal / Fixtures Microwave - comply with such- provisions or this permit shall be deemed revoked. 3 /� CONSTRUCTION LENDING AGENCY r Gas Service Outlets /J Water Closet / Device Boxes I hereby affirm that there is a construction lending agency for the performance • / Pole Light of the work for Whisb chis permit L I�uetl (Section 3097 Civ. C.) Interceptors / Water Heater . Z, /Jfe Outlets • Lender's Name fit^ .O IL/PC:iI / l Range Lender's Address ./ Kitchen Sink / . Water'Service 7 /kr Switches Sign OWNER BUILDER DECLARATION �y ! I g I hereby affirm that 1 am exempt from the Contractor's License Law for the '/LavatOfies / Auto-Wash 4 following reason (Section 7031.5 Business and Professional Code: Any city or f Garbage Disposal ;Standing Sections county which requires'a permit to construct;alter,improve,demolish or repair P-Trap - Laundry Trays Generator ❑0-5 KW❑5-15 KW Trash Compactor 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'70001 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 — enalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 • compensation, will do the work, and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3 I for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES License Law 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 DEVELOPMENT SER CES 'EQUIREMENTS: i employees, provided that such Improvements are not intended or offered for Boiler Hood or . Type I 0 ///� sale. If, however, the building or improvement is sold within one year of com- Canopy Type I I ❑ Zoning Approved By k --1<14 4 nate / 9-84 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date �. prove for the purpose the property,oe). /_per�j� ❑ t rs owner tr thet rojectam exclusively sinesscontracting with licensedcon- Duct-Structural Refrigeration System Application Issued By 'Sr Date // OO hetors t construct the project (Section tos Business and Professionsfproperty Code: The Contractor's License Law does not apply to an owner je property who Duct-Ventilating ❑0-100,000 BTU 0100,000 BTU S V OF FEES p•Ci builds or improves thereon,and who contracts for such projects with a con- �• c / tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ � SMTP $ S^ .....a.......--- I proof of their Worker's Compensation insurance should be provided to me. ---yy -'' ❑ I am exempt under Section B.& P.C.for this reason ,�-.t� a Fire Dampers PLAN CHECK $ q PERMIT ISSUANCE $ ee ALPLUMBING $ / _ • Date Owner ating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $_ _ I hereby certify that I have read this application and state that the above / 0-100,000 BTU 0100,000BTL— ELECTRICAL $ GRADING $ information is correct. I agree to omply wit city and county ordinances and state laws relating / •. r • .n, and hereby authorize repre- - PLAN CHECK 50% $ MICROFILM $ ` sentatives of this n /c h- - mentioned property for inspection •u •use /-p f MECHANICAL $14 Signature . .....0% Date I T• . FEE $ n—r Drivers' Linen a or 55* ��� _ Reinspection Fee $15 Issue Fee ; $ 3 PLAN CHECK 25% $ - �, •l;7,•'='� '•`1�� CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Plnk -Accounting; Goldenrod - Assessor ♦- • tia CONSTRUCTION AND PLANNING POOL&SPA APPROVALS ,Permit# Date Inspector APPROVALS Permit-# Date Inspector 1'.'Temporary Electrical Service or Pole 52. Pool & Equipment Location 2.' Soil Pipe-Undrgrnd. . //ii/-` juri .53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Boriding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. // , J/ 57. APPROVAL TO COVE R-GUNITE 7. Footings' /3/jC. 58. Electrical Conduit-Undrgrnd. 8. Foundation .- 1.(/... f 11aa/ `. abs 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 /9 �TP yG 62. Backwash & Receptor-Finaf 12. Sewer Cap 63. Heater& Vent-Final - 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing s /,/p; ,rIQ 65. Electrical-Final 'l -- 15. Rough Electrical-Conduit 66. Solar System-Final ' 16. Rough Electric Wiring a If/( .�� i 67. Fencing & Access Apporval , 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling I.� I (mo) . 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning le-Ka �4CO FIRE DEPT. REQUIREMENT 4, . 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 Sas Ii_. 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27. Frame and Flashing ../A? 76. Dry Standpipe i 1 _ 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 /c.-1--c C. ( t_j_ 80. FOOD CERTIFICATE ISSUED 33. Final Electric /G_/_&� /LLNote J �� Nu 34. Final Heating & Air Conditioning 1'2q-4. La 5 lis+ c La 3' St, y- 'r 1 35. Final,Ges_P,ipe-Test 4-ai'14.'.6tC ,7 r HOLD FOR sum'. REQUIREMENTS- 36. Hood or Canopy 37. Final Factory Fireplace 7-&i-YL OW -. • 38: Final Plumbing - cper-Ve Gk.O i .: 39. Water Service-Final y.aq„14 LAO • 40. Gas Service-Final 41. Solar Domestic-Final i : / •v ` ; • .42. Backflow Preventer1 { V • . I , - +' 43. Backflow Irrigation . e 4 :' 4 '. . ` 44. .Landscape Irrigation System I ..r, 45. Sound Attenuation 'tY . . .. 46. Handicap Regulations 1 . 47. FINAL STRUCTURE & BUILDING /t446 ' . : • -1 .. 48.'Special Requirements Completed jZ i* M VIA - • , a 49: Electric Release to Edison • 50. Gas Release to Southern California Gas Co - t. . 51. CERTIFICATE OF OCCUPANCY ' No Date ;% j . ..---•- Applicant to Tillin all spaces except those within heavy border lines and sign all appropriate declarations. CITU OF COSTA MESA CONSTRUCTION PERMIT PERNryT N S �� TRACT•NCO. LOT NO: UNIT NO. 35I,� . 9/22/66 ' 12.00 'IL Project Address Iq 417 Su�Awc.E. LIJ ////'y/1 �'�fnt 7T Applicant's Mailing Address PQ 31 4N /-ec rz a as-e.-.. TYPE OF CONSTRUCTION LJ NEW L.ADD LI ALTERATION LI REPAIR r El CONVERSION CONVERSION ❑ DEMOLISH ❑ OTHER '# Zone Owner's Name C-B- Are, vq�t Flr %asL, Phone Ak. -idT DESCRIPTION OF WORK/USE OF BLDG. ' Address gt3SilliS Main Building: ' Accessory Building: Arch/Eng. % ♦ e'Lx12 -rr License No. TYPE OF PERMIT LJ GRADING U FOUNDATION U STRUCTURAL T Front ZO Address 11 ket to PCts tjPi .sh/a- 14.44(+ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N Contractor's Nam¢ Sr��t�$ 0../....r.- , Phone y '-jr 1-k 1 I:3 OTHER A I _ _ Address(mailing) en Io(„ty (n.S-rat /Ms.F1 PROJECT DESCRIPTION SQ. FT. OCCUPANCY C RightLN K G CON STRUCTION TYPE-- VALUATION $ City License No. / b7 /' ZONE GRADING CU.YDS. ACRES $ R LICENSED CONTRACTOR DECLARATION r^�` Ping. Ref.# Parking Req./Provided • E �; I hereby affirm that I am licensed under provisions of charter 9 (commencing Remarks: G_a Z 31 O Planning Notes: M ( with section 7000) of Division 3 of the Business and Professions Code,and I my license is in full force and effect. • T License Cl. 5 L- Si License No • • • S ej Date 5ignaturFS ,4 ? PLUMBING I FEES WORKE-5'COMPENSATION • 1' •• -ATION Bar Sink Showers • I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW 3800, Lab. C.) - Policy No. 11bJ6:51" S"' Company "crt'i ti Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW Certified copy is hereby furnished. _ Certif' d copy Is filed with the city :,�4 g Division. Bathtubs . Sewer Connection ' Cooking.Unit Meter ❑up to 100 amps Date 414t'1\kL Applies() _.�—. EXEMPTION FROM WORKER$'C OrENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Clover 100 amps • (Thissection need not be compl• -. he permit is for one hundred($100)or less). Dishwasher Solar Piping Dryers OGas ❑Electric Sub Panel • 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 Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1'f.-8 Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. - NOTICE:if,after making this declaration, you should become subject to the Inc.Solar ❑g-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith ' Floor Sinks Urinal • comply with such provisions or this permit shall be deemed revoked. . Fixtures Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes ' I hereby affirm that there is a construction lending agency for the performance Pole Light • of the work for which this permit is issued (Section 3097 Civ: C.) Interceptors Water Heater Outlets Lender's Name ..S -c c1s.4 - Range Lender's Address Kitchen Sink ' Water Service - OWNER BUILDER DECLARATION - $witgh¢5 Sign 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 Garbage Disposal Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW any structure, prior to Its issuance, also requires the applicant for such permit Trash Compactor 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 - - - 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 _ enalty of not more than five hundred dollars($500). • I, as owner of the property or my employees with wages as their sole Reinspection Fee ! $15 Issue Fee $ 31 .1 • I • 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 Reinspection Fee $15 •Issue Fee • $ 3 License Law 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 DEVELOPMENT SERVICES REQUIREMENTS: • employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date pletlon, the owner will have tho burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date ' orove for the purpose of sale). - I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date 45%-i9•b to tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEES builds or Improves thereon,and who contracts for such projects with a con- - • tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUI LDING PERMIT $ SMIP $ proof of their worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT I: I am exempt under Section B.b P. C.for this reason • / Firepl/Fact.Blt. ICBG# �/ Fire Dampers y 07 PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $. I hereby certify that I have read this application and state that the above ❑0.100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $ information is correct. I agree to comply with an city and county ordinances - and state laws rel.tit to building construction,and hereby authorize repro- - LAN CHECK 50% $ MICROFILM $ sentatives of ts�f• y to enter upon the above-mentioned property for inspection p i, Sign.40 .`/' Date 9�/kb/ ECHANICAL $ //•OO TOTAL FEE $ /7•e,o Priv ric- SS Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ 1-iDD , IliSIISEINIIIINgismogoge CMF 0865-46,rev.10/84 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. 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 r^ 57. APPROVAL TO COVER-GUNITE 6. Electrical UFER Grnd. 7. Footings 58. Electrical Conduit-Undrgrnd. z; 8. Foundation 59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15., Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank ❑Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro . 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL • 30. Drywall Nailing • HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas'Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 34347 �. 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backf low Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co Ir' 51. CERTIFICATE OF OCCUPANCY ,4 No. Date I a�Oyjp% CITY OF COSTA MESA S( A6G CALIFORNIA 92626 P.O. BOX 1200 w 1-i '(a, 4 eE A FROM THE OFFICE OF THE DEVELOPMENT SERVICES DEPARTMENT/ CpRpoF4 i9y PLANNING DIVISION October 28, 1985 • To: / Building Safety Division J Pacific Bell (2) Business License Division Police Department - Ping. & Research Oannunications Santa Ana Heights Water Company County Administration Office Sanitary District Engineer County Clerk/Board of Supervisors Southern California Edison Co. County Registrar of Voters Southern California Gas Co. County Tax Assessor State Board of Equalization Engineering Division (2) Street Division Finance, Revenue Division United States Post Office, dams Avenue Fire Prevention United States Post Office, Santa Ana Manager, MID Zip 4 - Santa Ana Mesa Consolidated Water District File (2) Newport-Mesa Unified School District (2) The City of Costa Mesa wishes to advise you that in revising street addresses, the following addresses have been changed: OLD ADDRESS NEW ADDRESS A.P. NO. None 1930 Sundance Lane . 115-502-29 1931 Sundance Lane. 1932 Sundance Lane, 1933 Sundance Lane 1935 Sundance Lane, 1937 Sundance Lane, 1939 Sundance Lane. 1941 Sundance Lane 1943 Sundance Lane, 1945 Sundance Lane 1946 Sundance Lane 1947 Sundance Lane 1948 Sundance Lane 1949 Sundance Lane 1950 Sundance Lane. 1951 Sundance Lane 77 FAIR DRIVE (714) 754-5245 191 1 . • 049 19so 194"/ 1940 1945 194.6, 1932 1939 1943 19 41 t4 I g 37 1935 1 10133 031 C\ SU ND& -�