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Home My WebLink About3257 MINNESOTA AVE - Building PermitsJob Address: Suite No Vicinily: Parcel Nunmber: Applicant: Address: Owner: 3257 MINNESOTA AV 13906309 COVELLI, SANTO F 3257 MINNESOTA AVE COSTA MESA, CA COVELLI„SANTO F Address 3257 MINNESOTA AVE COSTA MESA, CA Contractor: O W N E R-B U I L D E R Address: ISSUE FEE Temp service test Res. a/c package New Res (1•2 unils) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors to 10hp Molors to 50hp Motors to 100hp Motars over 100hp Communication drops Sub panel to 200a Pole Lighl Pkg Sign Circuits Temp Pwr Pole ELECTRICAL PERMIT Phone: 714-4357226 Zip 92626-2243 Phone: Zip: 926262243 Phone: Zip: License: 000000 SCOPE OF PERMIT UPGRADE SUBPANEL TO 200 AMP . . 523.50 50.00 $0.00 50.00 50.00 50.00 50.00 50.00 50.00 so.oa 50.00 50.00 50.00 50.00 50.00 $0.00 50.00 $0.00 50.00 50.00 530.50 50.00 50.00 $0.00 Quanlity 0 0 0 0 0 0 p 0 0 0 0 0 0 ' 0 0 0 ` 0 1 0 0 0 FEE SUMMARY Semp Dist System / Lighting Busway /100 ft Standing Section Misc Eleclrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................uP to 50 kva/kw .................up to 100 kva/kw ..................ovec 100 kva/kw Low Voltage Equipmenl � Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor � Circus (�gen or ride) � �. Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand � �� Oiher Electrical Fee InvestigationFee_ . , ,. Plan Check Fee Reinspection'Fee TOTAL CALCULATED FEES Status: ISSUED Applied: 07I28I2005 Issued: 07I28I2005 ISSUED BY: !/ . � U� -- • ' r I• , : �' � � •' Quantity. $0.00 0 $0.00 0 30.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 S0.0o 0 $0.00 $0.00 50.00 50.00 $54.00 NOTICE: The work authorized by this perrtiit shall compty with all applicable handicap access requlrements under Califomfa statutes end ielated iegulations. (Ord. No. 92-28, § 1, 12•21-9P) EXPIRATION: This permit shall automaticaily expire and become vold if work Is not commenced within 180 days, or il vrork is suspended or ebandoned for a period oi 780 days. INSPEC710N5: In order lor the work authorized under this permit to be considered legal, such work must comply witR all appliceble codes, end ell required Inspectlona and finel appiovel must be obtained. Failure to obtain inspections and finel approval will result in ihe expiratlon of ihls permit. FOR INSPECTIONS CALL- (714) 7545626 :�cr:vr;r(sL:9] WOFKERS'COMPENSAnON DECLARAnON: • . , I hereby affirtn under penalry of per]ury one ol Ihe tWlowing dedaretians: ' ❑ I heve end will meintain e ceRifcate of consent co self-Insure for workers' campensetlon, es provitled for by sectlon 3700 oi the Lebor Code, tor t�e pertortnence ol the work for whit� thl5 Dertnit is ISsuetl. ❑ I have and wlll malntain worke�s' compensetbn ht5urance, es requlretl by seccion 3700 of Ihe Lebor Code, for the peAortnance of Ihe work lor which �his pertnit Is Iuued, My workers' compensatlon Insurance carder end palicy number are: Cerner. . Pollcy Number. (rnls section need nof be canpleted i! the perm/f !s velued a! one hunCred dollers (5100) or leu.) ❑ I certity that in the portormanCe of the work br whiU this permit Ls iuueq I shall not employ eny person in any manner so as ta become subJeq lo the workers' canpensetlon laws oi Calilamia, entl epree that It I should become sub�ect to the workers' compansation provisions oi Sectlo� 3700 oi t�e Labar Code, I shell torthwiN comply with ihe5e provl51on9. AppllceN Slgnature: _ Date: WARNINO: FAILURE TO SECURE WORKERS' COIAPENSATION COVEMGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNE$ UP TOIXJE NUNDRED TMOUSANO DOLLAPE (5100,000�, IN ADDmON TO THE 00ST OF COMPENSATIIXJ, DMMGES AS PqOVIOED WR IN SECTION 3]OB OF THE UBOR CODE, IMEREST, M1D ATTORNEY'S FEES. LICENSEO CON7RACTORS DECLARATION: I hereby eMirm Ihet I em Iicensed untler provlslons ot Chapter 9(commenGng with Sectlon 7000) ol DlNsion 3 0l the Business ena Prolessions Cotle, end my Ilcense Is In lull lorce entl ettecL Lic. a Cless N Contrectors Signature: Date: CONSTRUCTION LENOING AGENCY: ❑ I hereby aKrm that t�ere is a�strudion Iending agenry tor Ne peAortnance ol Ihe work lar which this permit Is issued. (Sec. 3097, Civil CoOe). Lendefs Neme: Lentlefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eMirtn ihat untler penalry o� Peryury ihet I em EXEMPT FROM TME CONTHACTORS LICENSE LAW lor ihe following rea5on (Sec. 7031.5, Busineu and Professions Code: Any ciry or crounty which reQuires e pertnit to construct, elter, Imprwe, demdish, or repeir eny strucWre, pdor m its issuance, elso requires the applicant for such pertnit to file e signed stetemem t�at he af she Is Iicensed pursuant ro the proNslons of Ihe Contraciors LJcense Law (Chflpter 8(commencing with SecUon 7000) of DMsion 3 ot ihe Busineu end Protessions Code) al thai he or sha is axempt therefrom end ihe basis Por the ellepad exemption. Any violatlon o� Section 7031.5 by any epplicent far e pertnit sublects the epplicant to e clvil pena�ry oi not more than five hundred dollars (5500).): ❑ I, as owner of the property, or my employees with wages as their sde compensetion, WILL DO THE WORK, end the structure is not Intentletl or oHeretl lor ule (Sec. 7044, Business end Pwlessians Code: The Conirecbrs license Lew tloes not epply to en owner of propetly who builds ar improves ihareon, and who tloes such work himself or herself or ihrough Pis ar her own employees, pmvided thet such improvemems ere not intended or oflered lar sale. ��, however, t�e building or impmvement is sold within one year ol comple�ian, Ihe owner-builder will heve ihe burden of proving thet he or she did not build or improve to� purpose oi sele.). • ❑ I, as owner of the property, ain El(CLUSIVELV CONTAACTING WITM LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Prolessians Code: Tha comractors License Law does not appry to an owner ot pmperty who huilds or improves thereon, entl who comracts lor such pmject with a contracmr(s) �,l�ice1nse pursuant t�e Conir3�ws Llcanse�Laws.). i i ers e emot er nr.c� �� 8usiness and Professions Coda for this reason: __ �. .. . Owner ID �fiad by �IicensP. � ❑ NO Vedfication of Ownerehip by (type o� tlaument, i.e. - pmperry tex bill or tleed): DIVISION OF INDUSTRIAL SAFEYY 7ERMR LER7IFICA710N: ❑ I hereby certity Ihet no excavatlon INe (5) or more feet in tlepth Into which e person is reqWretl to descend, wlll be mede in wnnectlon with work authodzetl by thls permit, end that no builtling siNcture, sceH0lding, falsework, or demolitlon or dismantling thereol, will be more ihen ihirry-six (36) feet �Igh. (Chap. 32, Grp 2, An 2, Sec. 341, Ttle 8, Califomla Atlmini9trative Coae). ❑ As owner-bullder, I will not employ enyone to tlo work which would require a permil irom ihe Division of Intlus�riol Sefaty, es nolod ebove, unless such person hes e permit to do such work irom the diaision. SigneWre: Date: Dlvisian of Industnel Safery Pertnit Number: CERTIFlCATE OF MPLIANCE ANO AUiHORVA710N OF ENTAY: I cortify untler Denelry of perjury ihel I have reed t�is application end state that the inlortnation given is wnect. I agree t ompy with all s� lews anC ciry or0inances ralating to builtling consWcOon, end authodze representatives of t�e Ciry ot Costa Mesa to enter upon the ebovadescrib �� m or n tio purposes. I e ree not to ocaDY or allow oaupanty ol eny 6uilding euthodzed by ihis pe il until lir�e4iaspection. 7-2��.? Signatu�e LegelOwn ' D qnNOr Authonzed Applicem Date 400E �. ixsvernoxnre PeIE It�ELi 1616 Fixed System Final Fire Preventlon 1266 Paol Spe Flnel 200 201 202 203 204 Finel Re�Rool Flnel BIaWRetelning Well Final Factory Fire Place Final Sign Final Demolition FODEt INSPECTIONTYPE 208 Finel Mechenical 20B Finel Plumbinp 210 Flnal Elecidcal 212 Finel Fire Prevontlon 220 Final Planning Approval 222 Finel Site 250 Finel Builtling/Oxupancy QsiE u�S �� m � /•�� Address: .. �,,. 4� � / �� a� l?aa,ta %ylea,� S'u��'� D[vtdioyt OWNER-BUILDER VERIFICATION Pcrmit #: A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the remm of, an owner- builder verification. Attention Property Owner: An `owneo-builder' building permit has been applied for in your name and bearing your signawre. Please complete and retum this information in the envelope provided at your earliest opportunity ro avoid unnecessary delay in processing and issuing your building permit. No buildingpermit will be issued until this venfication is received. � I personally plan to provide the major labor and materials for conswction of the proposed � property improvement. � Yes ❑ No %�,� 1(have/have not) �/ �'� signed an application Por a building permit for L/ the proposed work. 3. [ have contrac[ed with the following person (firm) to provide the proposed construction: Name Address Phone ( ) Ciry — Contractor's Lic. No. 4. I plan ro provide portions of the work, but 1 have hired the following person to coordinate, supervise and providc thc major work: Name _ Address ` Phone ( ) City — Contrxtor's Lic. No. 5. I will provide some of the work but 1 have contracted (hircd) the following persons ro provide the work indicated: Name tOd2d6 (Rev.1f/06) Address Phone Type of �Vork I hereby affirtn that I have received a copy of the infortnation set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the bes[ of my personal knowledge, in compliance with [his State law. �Sign� (Prinied or 9'yped) �'.li=#'OR S.S. # � /,� � T Ci— � � C.Y For more information call City of Costa Mesa Building Uivisiun at (714) 754-5273. 10d2�46 (Rev. 1 tNd) OWNER jj[JG]�ES.� JOB ADDRESS DAT� VALUE PERMIT AP No. 11 —BO —O LOT TRACT RIRE 'I,ONE D�SCRIPTION OF WORKR@t.Sc IP'^�ECTIONS Signature DATL GROUP TYP� 7,ONE R_ ` PER�IITS IS Gag_ . -- SUQCONTRACTOR DAT—� �,U �.auimg — m U Plasteq brown cont ?� 'g. ❑ ir � .ing, Final Plwnbing rixtures, Final Gas Test 1'slectria Fixtures, R I3uilding. Final OCCUPANCY FOFM Bllb - 5M — J�6t . ,' �s��.2 , COSTA MESA BUILDING-SAFETY DEPARTMENT P. O• BOX 9f7 COBTA MESA. GLIFORNIA For Applicani fo Fill In Compleiely TYPE OR PRINT eu��wc ADDRE68 1J - S 0 COSTA MESA. CALIFORNIA TEL.� � � � ARCH ADDRESS (�-� ' W- S �T cin S A / LIC. NO. I �1 � O i� NO. K� �. O O� b SIZE no. ov 9�oae. OF LOT now oN Loi USE OF 6ElBACK LINB RROM CENTER OP 9�%a� SI�E YARD LEFT • II DESCRIPTION OF FEE RECE(VED ocT �s�soti flNANCE DEF�t, ,.. CI1Y Of COSTA MESA �� APPLICATION FOR �ffiRM1T BUILDING For Office Use Only R6C£lPT NO. YBRMIT 1 32;f'`7 1.�,.,�.4 .�. COSTA MESA. CALIFORNIA FIRE ZONING � 20N9'� �/I pUN9 y I'BUILD�NO EW . f. ii� l ��- �o.� t� fi �yt( � � 3 � �. DESCRIPTION e o.�,. 1/ l -�'R ii �..-- � CI L�NH 9T.1 APPROVED tlUILO�NG nV. VY - - � 91ZE ROOMS STORIES P]LTERIOR WALL I ROOF /� COVERING COVERING USE OF BU�LDING AND WORK TO B6 PERFORMED �� f�� - Loc (/ (.vS ��K IG� 6�5� � ETn�NE� �N IZF� _�� P�oS G�� 7C I� I 55 PLnrir-a- Etawce w fe 1 HHRBBY ACKNOW4OOE iHAT 1 XAVE THI9 �PPLIGTION THE AMOUM BXOWN UNOER VALl1AT10N IB PON THH wND 9TAT6 THAT THE A80VE �S CORR AND AOAEH TO GOM- pUPP088 OP 89TABLIBHING A nERMiT FFe ONLY. PLV WITH ALL GITY O INANCEB AN T8 LAWB RHOULATING au1lDlNo GONBTRu oN. - VALUATION / 81GNATUR2 �F -' pERM1T FEE S�P PERMITTE � �J �� 5 �t s � PLAN CHECK $ AUTHORIZED AGENT � �/ TOTAL FEE '�or `–, -rR 3-C ' 13:�'?'�. COSTA MESA BUILDING-SAFETY DEPARTMENT P, O. BOX 917 C08TA MEBA. GALIPORNIA For Applicani fo Fill In Complefely TYPE OR PRINT BUiLDINc 32r�7 M�NNESOTA AVENUE ADORE6S COSTA MESA. CALIPORNIA oWNER K Sc E DEVELOPMENT CO.�(NC. ntAIL I PLACENTIA AVE ADDRESS TEL. C1TY NO ARCHITECT TEL. W. STATE 6 � � 95 � *E�. M i 6-32z7 LIG. NO. NO. s��E 63.3ox�oo �o. a� aeoa. OF L07 NOW oN LOT USE OF _ __ NONE FEE RECEIVED � Oc7 2 4 �s60 �- FiNANCE DEPT. CiTY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only aece�nr Ho. ,q �u BY COSTA MESA. CALIFORNIA FIRE ZONE APPROVEO iesueo ZONING ; � zoj� e'1 no. ov r] use or new i(�y I PLANe G I BUILDING W��}� LHOAL _ . � ��. _ . ..��.. SiBACK LI%1B FROM �O � Z� 1 ICBNTeN LIN6 BT.1 ceNiea ov eTReeT REAR YARD FRONT i 91DE YARD LEPT � RIGHT ft.SIDE DESCRIPTION OF WORK L. SIDE ..�,., X II.,.�e.�,�..1 II.....,_...., I BUILDING Tvv-Unn NO. OF SIZE 1 1'�i 7��{$FROOMS � STORIES � EXTERIOR Y✓ALL I ROOF WOOD SILAKES I USE �F BV«�NGAAD WORK TO BE PERRORMED IN- FAMI Y RESIDENCE AND AT7A�HED GARAGE 1 HEHEBY ACKNOWLEDGB TXAT 1 HAVE READ TXIB APPLIGTION •NO BTATK �HAT TXH ABOYB 13 COPREGT I�ND AGpE6 TO CON- PLY WITH ALL CITY OIiDINANCE9 AN ATE We ii60ULATiNO BUILDINO CONBT/Iy�� ION - HIGNATOPE OR/ /% �i � . �i.-i_ � AGENT TX6 AMOUM BHOWN UNOEN VALUATION 19 iOR THE PUqP06E OF EBTpBLIBHIN6 F PERM�T FEE ONLY. VALUATION � — � PERMIT FEE $ /� f / ��A° y s s (p/ J PLAN CHECK $ IO � F � y— p TOTAL FEH 4