HomeMy WebLinkAbout2331 MINUTEMAN WAY - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
JobAddress: 2331 MINUTEMAN WY
Suite:
Vicinity:
Parcel Number: TPN98078
Applicant: BLANKS, JERRY
Address: 17501 NORWOOD PARK PL
Zoning:
ISSUED BY:
Phone: 714-7459829
TUSTIN, CA Zip: 92780
Owner: MONTICELLO COMMUNITY ASSOC.
Address 150 VALLEY FORGE
Phone:
COSTA MESA, CA Zip: 92626
Contracror: PREMIER ROOFING AND BUILDING CO INC
Address: 77501 NORWOOD PARK PL
TUSTIN, CA
Zip: 92780
Arch :
Address:
Phone: (714) 573-0155
License: 634404
Eng:
Address:
Status: ISSUED
Applied: 09/09/2002
Issued: 09/09/2002
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF ROCK ROOF, COVER WITH HOT MOP/BUR. INCLUDES 2331-2341 MINUTEMAN WAY. MULTI-UNIT
CONDOMINIUM BUILDING.
Plan Check: $0.00
Permit: $237.25
SMIP Res: $1.36
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $238.61
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existina: o
NOTES:
Rear 0- 0
Rear 0- 0
Reouiretl: 0
FEE SUMMARY
PLANNING R ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
$13,592.00
$13,592.00
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and �elated
regulations. (Ord. No. 92-28, § 1, 12-27-92)
EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 1 BO days.
INSPECTIONS: In order for tha work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requ(red Inapeetiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit.
FOR INSPECTIONS CALI: (714) 7545626 .
!466-06 (fYW)
WORKERS' COMPENSATION DECLARATION:
I hereby ettirtn under penalry oi perjury one ol iha tollowinq declarations:
❑ I have entl will mainiein a certificate ol Consent b self-Insure tor worker5' CompenSBilon, e5 praWded for by seCllon 3700 0� Ihe Lebor Code, lar Ihe pertortnance of lhe
w tor which �Mis pertni� is is5uatl.
I have antl ' ma tai wo ers' nsatlon insure e as requiretl by sectipn 3700 of Ne labor Code, for the peAortnance ot Ihe work tor which this pertnit is IssueO.
M workar e llo I rence arder antl ol' um�er are: �• [ / I
Carrier:y l �� P Policy Number. I i' �/�9 ��
(lhis sectlon neetl not e co leted i! the p rmif is velued ef one hundred dollars ($100) or less.)
❑ 1 certiy that in the peA rmance of Ihe work for i this pertnit Is issued, I shall not employ any person in eny manner so es to become sub�ect to Ihe workers'
compensation laws o Celifomia, e a th I s�ould e subject lo lhe workers' compensation pmvlsions ot SecYWWW n 3700 of tha Lebor Cotle, I shell toRhwith
comply with these pr ' n/�/O�
Appliwnt Signeture: Date: 7�
WARNINO: FNLURE TO RE WOFiKER5 COtdpENSFTION GUVERAGE IS UNLAWFUL AND SMALL SUBIECr rW EMPLOYER TO CRIM P TIES AND GVIL FlNES UP TOONE HUN�RED
THOUSANDDqlARE�51 ,000),INADDITIONTOhIECOSTOFCOMPENSATION,DMNGESASPROVIDEDFORINSECTIqJ3]080FTHEL480RCODE.INiEREST,ANDAiTORNEI"SFEES.
LICENSED CON7RAC70HS DECLARATION: i
I hereby aflirtn ihat I am licensed
tome ane eHecL Lic N�
Comrectors SignaWre:
Section 7000) of Division 3 of the B
CI854 M
Coda, end my license is in tull
CONSTRUC710N LENDING AGENCY: �
❑ I hereby aflirtn that there is a construction lending egency for Ihe peAormance of �he work br w�ich this pertnit is issued. (Sec. 3097, Civil Code).
Lenders Neme:
Signature: _
OWNER•BUILDER DECLARATONS:
Lentlefs Adtlress:
Date:
I here6y eNirtn that under penelry of perjury that I am E%EMVT FROM THE CONTRACTOHS LICENSE LAW for Ihe lollowing reason (Sec. 7031.5, Business enC Professions
Cotle: Any ciry or county which requires e permit lo construct, alter, improve, demoiish, or repeir eny stmcture, prior to its issuance, also requires Ihe epplicanl for such pertnit
to file e signed stetament ihet he or she Is Ilcensetl pursuent ro ihe pravislons ot the Contrectors License Law (Chapter e(commencing wlth Sectlon 7000) ot Divlsion 3 of ihe
Business entl Prafessions Code) or IhBt he Or she Is exempt iherelrom and ihe bB919 for the alleBetl ezemptlon. Any vlolatlon of Soction 7031.5 by eny epplitent for e p8rmit
subjects the epplicant to e civil penalry of not more Ihan five hundretl tlollers ($500).):
❑ I, es owner of the properry, or my empl0yees with wages as Ihelr sole compensatlon, WILL DO 7HE WORK, antl the siructure Is not intendetl or oHeretl tor sale (Sec.
704d, Business and Professions Cotle: The Coniractors License Lew does not apply to an owner of propeny who 6uilds or improves t�ereon, and who tloes such work
himself or herself or through his or her own employaes, provided ihat such Improvemenis are not Intentletl or oHeretl for sele. If, however, iha bullding or improvement Is
sold within one yeer of completioq the owner-buildor will have the burden of proving that �e or she tlitl not build or improve for purpose ot aele.).
❑ I, as owner of the pro0erty, am EXCLU6IVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the pro�ect (Sac. 7044, Business antl Professions
Cotle: The con(ractors License Lew tlogs not apply to an owner ol propeny w�o bullds or Improves Ihereon, and who comrects lor such projea wlih a comractor(s)
license pursuam to ihe Contrectors Licanse laws.).
❑ I am evempt under sec. Business ena Professions Code lor ihis reason:
Signature: Date:
Owner ID venFietl by dnvers licensa. ❑ Ves ❑ No Dnvers License No. Ezpires:
Venfication ol Ownership by (rype ot daument, i.e. � property taa bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify Ihet no excavetion tive (5) or more teet in depth into which e person Is requiretl Io Cescenq wlll be matle in connection with work euthorized by ihis
pertnil, antl ihat no building sWCWre, scaHoltling, falsework, or demolition or dismantling thereoi, will be more than Ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title e, Calitomia Adminis�retive Code).
❑ As owner-builder, I witl not amplay anyone to do work which would require a permit from the Division of Indusinel Sefety, es noted above, unless such pereon hes a
pertnit to do such work trom the division.
SignaWre: Date:
Division of Industnal Satery Pertnit Num6er:
CERTIFlCAlE OF COMPLIANCE AND AIJTTIORIZA710N OF ENiAV: I certiy untler penalry of per�ury that I have read this appliwtion antl sute that the information given is
cortect. I egree ro compty with all state lews and ciry ortlinances releling to building wnstruction, end euthonze representatives ul the Ciry ot Casta Mesa to enter upon the
ebove-descrjyed property lor inspect� purposes. I egree not to occupy or allow acupancy of eny building au�horizetl by this permit until final insDec�ion.
CODE t. INSPECTONTYPE
7616 Fiaed System Final Fire Preventlon
1266 Pool Spe Final
200 Finel Re-Rooi
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 Finel Sign
204 Finel Demolition
Q�jE IMITIALS
U%��3�0 Z � /�
COOE� INSPECTIONTYiE
206 Final Mecheniwl
208
210
212
Final Plumbing
Finel ElecMcal
Finel Fire Prevention
220 Final Planning Approval
222 Final Slte
250 Final Building/Occupency
PAIE I[�A4�
�' � PNOJECTADUPESS: 2335 MINUTEMAN WY
OWNEfl'SNAME: ENGLE, SARAH C TR
' noonEss: 2331 MINUTEMAN WAY
;` � COSTA MESA,CA 92620
�
AHCHIENGINEFfl:
ADDflE55:
NEC.NO.:
UNIT:
UNIT:
PEflMITTEE: STOUT ROOFING INC ( 310 ) 923-6775
nooxess: P O B OX 4 3 0 9
DOWNEY CA 90241
LICENSEO CONTHNCTOP DECLABpTION: I �ereby affirm Iha� I am licensetl untler pmvisions o� Chapter 9(commencing wi�h $ection
1000) oi Oivision 3 of the Business antl Pmtessions Cotle, anE my license is in full force and eHect.
ciTruc`o�59 77 STRTELIC.: 4OZS� cuss: C 39 E7CP; 10/95
�ate:_. _. SignaNre._,_ _
wOBREHs' C MPENSF710N oEClAPa7lON: I hereby affirm that I have a cehificate of consent m self-insure or a cenificate of Workers'
Compensalion I u n e or a certilietl capY �hereof (Seclion 3800. LaO. Ca 5/ 19 / 9 5
Paucv no.: ��� 7 6 9 9 EXP. OPTE:
LOMPANY: AI G ,--v
❑ Wrlifiea coDY is h reby lumis�ed. LT CeM1ilietl copy i�s"�iled wiih t�e ciry Builtling Division.
.. � L Applitan�: /// /
t%EMPTIONFPOMWOfl(EBS'COMPENSATIONDECUflRTION: Qhi55edionneeEirolDecampletetlil�hepermitis�oronehunUreA�3lW�orless�.
I ceNly I�at in Ihe pedormance o� the waB tar which this permit i5 issueA. I 5hali no� employ any person in any manner so as Io become
sublect Io Ihe Workers' Compensation Laws o� Calitomia.
- Oale:'� SignaNre:
NOTICE: II, alter making Ihis declaration, you should become suble�� �o Ihe Workers' Compensation provisions oi ihe La�or
Cotle. you must fonhwith comply with such pmvisions or this permit shall be Oeemed revoketl.
CONSTHUCTION LENOING AGENCY: I hereby alfirm ��a� Ihere is a cons�mction lentling agency for �he performance o� the work for
which Ihis permil is issuetl (Sec�ion 3097. Civ. C).
LENOEfl:
aooeess:
OWNEP BUILOEN OECLABFTION: I hereby affirm �hat I am exemp� Imm the Contracmrs State License Law for ihe I011owinB �eason
�Seciion 7031.5 Business anU Pm�essional Code: Any ciry oi counly whith requires a Dermit to constmc�, alter, im0�ove, tlemolis�, or
repair any simciure. prior lo iis i55uance. also requires ��e applicanl for suc� permit �o �ile a signed s�atemenl lhat he/she is licensetl
Oursuant to ihe pmvi5ion5 oi the ConVac�ors' S�ate License Law �C�apter 9 �commencing vnih Section 7000) ot Division 3 oi Ihe Business
antl Pmfessions Cotle) or iha� he/she is exempt �here�mm anU Ihe Oasis �or Ihe allege0 exemption. Fny vialaiion o� Sttiion 7031.5 by
any applicanl br a permi� 5ubjecl5 ��e applican� Io a civil Oenalty ol not more �han five hunaretl tlollars (E500�.
I. as owner ol IAe pmperty ar my employees wiih wag¢5 as �heir sole compensation, will Oo �he wa�k, antl Ihe
❑ s�maure is noi intentled ar atteretl �or sale (Section 7604, Business and Pmlessional Cotle: T�e Contracrors' Slate License law
tloes nol apply to an owner o� a pmperty who huilOs or impmves ��ere0n, anJ wAo does suc� work himsel�/her5etl or �hmuAh
his or her own employees, provitled t�at such improvemenis are not intendeJ or oflered tor sale. If, however the 6uilainp or
improvemen� is Sold wi�hin one year o� tompl¢Iion, �he Owner will have the burtlen o� pmving he/SAe tlitl no� buila or impmve
lorihe purpose of sale�.
I. as owner of Ihe pmpetly, am exclusively contraciing wi�h licensed contractors �o constmc� �he pmjec� (Section 7044, Business
�J antl Pm�essions Cotle: The Coniractors' State LiCense Law does nol apply IO an OWner of properry who builds or imOmves Ihereon
anA w�o conirams lor such prole��s with a contractor�s�license pursuantto the Coniractors' State License Law�. I am aware
Ihat D�ooi ol iheir Worker's Compensation insurance shoul0 be pmuidetl m me.
� I am exempt untler Sec�ion: 8. 8 P. L.
lor Ihis reason:
Date: Ownec
I do �ereby cenily I�ai I am aware o� antl unders�anU the re0uirement5 0� Califomia Health antl Safely Code Sec�ions 25505, 25533, antl
2553a anE ihal I or any future bwltling occupant will/will noi (circle one) neetl �o comply with sai0 s�a�e codes and I�e reQuiremenis �or a
permil for conslmclion or ma0ificalion Imm �he Air Ouality Managemeni OisVicl. flesitlential conslmciion ap0lications are exempl �mm
I�ese Omvisions.
Oale: ApplicanL
I here�y cetlify I�at I �ave reaa Ihis applica�ion and s�ate ihal lhe above in�ormalion is correc�. I agree Io comply wiih all ci�y antl counry
ordmances ana slaie laws relating to bwl0ing conslmdmn antl �ereDy aulhorixe representa�ives o� Ihis ciry ro enter upon Ihe above�menlionetl
propetly lorinspeclian urpases. ' /��� �`
oa�e�. signamre� �� �� �
oriver's License m ociai Securiry a:
1646G6 W��te-8mltlmg: Green—Gotle EniorremenC Canary—AOPllcam', Pink—Revenue: Goltlenmtl—Assessor
CITY OF COSTA MESA — HUILDING PERMIT PERM NO; H 069551
PERMIT NO; B 069551 PLAN CHECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE; V—N PERMIT TYPE; STR PURPOSE: ALT
JOH DESCRIPTION ; T/O RESTA 6 REROOF W/COMP 6 HOT MOP SQ FT; 2,508
CLAIM VALUE: 2,508.00 CALC—VALUE; 2,508,00 GROUP OCC; A-1 /
COMMENTS; REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DET. RE�UTAED
x��r�r*�r*�rar�r�r�t�t*irir*ir*frir�rir�t�r**ir�r*�e�r�t�r�ritir**�r**x�*�r�r**��t�tx��e*+t�r�t**�r*�r** *�e�*****x�**�r**�r
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY bUILDING ---------
FANT; FT IN REAR• FT IN FANT; FT IN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGFiT; FT IN
PARKING REQ; PROV; PARCEL: 41916383 ZNE; REF NO:
PLANNING NOTES> ,
�
3F�lk.lf k ik if iE if if it if if 1t 1f M if i! it if it 1t iF 1t 1f if ff 1f it 1f if 1f 1t M if if fE 1f if M iE k 1! 1t iE if it M ih if 1f 1t 4 if 4 if if iE if 1E 1f ik i! if M iE ff f! i! if iE it if if if if iE 4 iE
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
HUILDING APPROVED BY ; DATE: �'
APPLICATION ISSUED HY: ' • DATE; �� /
i��t**�*ir**x�ir�x�r�tfr�r*+r*x�**7F'i�7Fi iF'iFiF �-*�r******* ��.
ikikiEiF1f1k1EffilaflElf�lhif�IfifMifiklflE�lki!**1E E f1ElE1f1E�FiflEiffE1Flflfit�f�Ik3EiEiEiEjfiklFlFifif�afitififiEffMlfiElf�f�E�fffiFiEi(�MiEifiF iflfffiF
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54,00 ,50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DIIE
TOTALS----> 54.50 0.00 0,00 54.50 54,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT; ,00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54,�� ,S�
if if jF 1f 1k it it iE ff iF 1f �1! f! if it M ik if M 1! if if jf 1f 1f it it it 9t i! it fk iF i! 1! 1E if i! 1E 4 jf it itlf iE if �f if iF 1f iE M 1f 1E if 1f if 4 if !E k if 1E * 1E ft iE iF if if !f �f it if if !E if 1E 1E
I N D I V S D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 2508 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 2,508.00
END OF FEES
V
/
!
oi �oi.ogaa-aoz7oxa� r��-r sa,so
" DATE: ±0/28/94 Tit1E: SI«�5
� �ONSTRUGTION AND PLRNNING POOL F 1
qPPROVALS Permit # Vace Inspector APPROVALS Permit � Oate lnspector
I
i. Temporary Electrical 5ervice or Pole 52. Pooi & Equipment Location �
y. Soit Pipe-Undrgrrtd. �� ., � 53. Steel Rein`orcemeni �
3. Electrica! Conduit U.tility-Undrgrncl�' . � 54. Forms
4. Electricai Conduit-U�drgrnd, � 55. Electrical Bunding
5. Steel Reinforce:hen[ 56. Rough Plumbing & Pressure Test -
- 6.. Electricai UPER Grnd. � 57. APPROVAL TO COVER�GUNITE : �
7,.Footings � . 58. Elec[ricalCeaduit�Undrgmd. �
8, Foundazion , � 59. Gas Pipe, G' Undrymd„ Test � �
9. Wacer Fipe-Und�grnd. 60. Backwash Unes, P-Trap, G' Urdrgmd.
10. 6tr�ctura! Floor System �' 61. APPROVAL TO DECK
7 t, Property Sewer �ine & House Connection 62. Backwash & Receptor�Final
f
12, $ewer Cap � � 63. Heater & Vent�Einat
I '
73, Roof Drains �� - �� 64. Plumbiny System � Final
74. Rough Pfumbing - � 65. Electrica6Fir.al
15. Rough Electrica6Condurt , 66. Solar SYstem-Final
16. Rough Electric Wiring �� 67. Fencing & Access Approval �
17. Rough VJiring Sign � 68. APPROVED FOR PLASTERING �
18. Rough Electrical-T Bar Ceilinq 69. POOUSPA SYSTEPdS P�NAI �
79. Rough Heating & Air Gondit=oning FIRE DEFT. REQUIREMENT �
-• �' - -:c. . _ ,.� i
20.�RouyhractoryFireplace ;�,,ir, * " ,-� !-'- - �APPRflVAt5�.'Permit# � - �
�r ..ni�-i.. � I
21,'Oucts, in Structure � , ' ' .� • F �170. Undergr;oafn�l HycSro ��� �
I
22. pucts, Ventilating � � _ � v` ` ' -:77. Product Ri� i'ng �Gas �Oii
,.
23,_Gas'Plpe-Rough &'Test S � .�. � �': "� ,72. Undergrohj�d Flush�.,, ' _ .
24.•Roof Framin9 � - � �� � •• � .� ? � * ' �73,'Undergrnc7�.StorageTank OGas� ❑Oil
25. Roof Sheathing • �--/,`�e�'; �(Aj�x =7q,:'Overhead Hvc!ra � � � '
-1
26.�?�Ba* Ce�ling (Structuralt & hionocoat �� :; • ' 75, Dry Chemical � • ' �
27. �Frame and Fiashinq _' � � 76. Dry Stancp:,'oe r,tr .-' �� �
28. Lathing & Siding -. , ' 'n,�, ; - . . '.. � ' 77:. FIXEp SYSTE0.9�F'INAt` T I
�
29. Insuiatio� . - - �.. .. -. ` ;'"' i ' �` 78.-'FIRE PREV. FIDIA�L ' .
. '• : . • .. . .
30. D�Y�vai! Nailing �. � � �„ ' �-+ NEALTH:DEPT�. REQUIREI47ENT �
31. Plasrer 9rom�n Coat � ' ' � ; ��; ; r79: FINAL INSPECT�C�:N ; -' � � �
32. Electrical Powzr Meter.Finai �� , ��± � < �30��FOOD CERTIFICATE ISSUED � --(
1 1 (� " ---_i_.__T_��----!
' .33. Finai E;ec.ric „ x '; t � �.r °� �"Noties: _. , " - 1
'34. Final Heating & Air�CoRditioning � �'� � T i �� - - �---�_'
. _ ', .
35. �Final Gas Pipe-Test � ? - '"� � ` " ' _ �, .� - ' "• -- �;
36. Hood or CanoPY ' �. , ... �• - �r� .i _ �i*' _�
37. �inai Fac.orv Pireplece � :. ,' � `,. I' . -• . .;• �
� 't:
� �r . � � a --r-- ----�
38. �inal Plumbing , ' � , �� �� � ;� . n � �
39. Water Service�Finai � � � � � ~ �� . � � �
� � I �• < �
� 40. Gas Servrce-Final 4 r,,. _.,. � f `, :� . . '
•41. 5olar0omestic-Final ' � ^ + � I ' �' R s.�� ''
�. 1 � t t
42, 6ackflow Preventer � ' ', . ; �r ' �� ' - • -• I
43. Eackflow Irrigation . - .. ° � - - •- ' � "
.. T . � . , �-. �. .
44. Landscape irrigatloo System ,�,;. , , �;, 1 -, - �� ,� -� �� . � -
45. 5ound Attenuation �-�" - ' r =� -- ' � • F � � -• - ` - ��
�:, -n �p : r F-, c^ e-� a !
i` . , i
�46. Handicap Regulations � - � � �� � . ,� . .�. : .. • �
47. PINAL STRUCTURE & BUILDWG '��i_qs 4�c ,: � _
46..FINALPLANNING. .. • .' � �,-.- ;f-� �r •; . • �� ,
49. Eiectric Release to Edison � � v j• �= _ i -� .
.1 -v:-- .r, �-,
50. Gas Reiease to Soutfiem California,Gas Co , i ;� �: � ' �? -, . - ��� � � � �
51. CERTtFICATE OF OCCUPANCY ' - ,_ , . ; , . -
No. Date
vn v�rt G N\TT mA 7T TN • 0
JOB ADDRESS 2331 Minutemen Wav
GENERAL CONTRACTOR Same
AP No. LOT TF
I�' �ECTIONS 5�
s
GAS
WATER � � /
ROUGH PL MBING
PROP. SWR. LINE � HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONOITIONING
TEMPORARY SERVICE OR POLE
UNOERGROUN� � POWER �
ROUGH WIRING
TRENGNES � FORMS � STEEL REINF. /
FLOOR SVSTEM
BOND BEAM STEEL REINFORCE
SHEATHING
FRAME AND FlASHING
LATHING — IN OUT �
PlASTER, BROWN COAT
STRUCTURAL, FINAL
H� VG, VENT., REFRIG. ANO A.C., FINAL
P. .ING, FINAL AND GAS TEST
ELECTRIC, FINAL 'L
BUILOING, FINRL
VAIC 1�-4
BUILDING PERMIT
RIPTION of WORK u s dence
ZONE VALUE $ 1�,2lK
DUP TVPE
SUBCONTRACTOR
�;`� _ 2%66G ar,:o
GCT -4-67crisn00 13G" : ,•::::.o7.5C
COSTA MESA BUILDINCrSAFETY DEPARTMEM
P.O. BOX 72M COSTA MESA, GALIFORNIA B262e .
ER ENGLE� James R. DATE
ADDRESS 23?1 Minuteman Wav BUIL[
FIRE ZONE VALUE
GROUP TYPE
SUBCONTRACTOR
W ATER
ROUGH PLUMBIM
PROP. SWR. LINI
SPRINKLING SVS
MISCELLANEOUS
ROUGM HEATING
TEMPORARY SER
UNOERGROUN� [
ftOUGH WIRING
TRENCHES �
FLOOR SYSTEM
BONO BEAM �
SHEATHING
AIR CONOITIONING
OR POLE
POWER n
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PLNSTER, BROWN COAT
ST"'^TURAL, FINqL
H �G, VENT., REFRIG. AN� A
PLUMBING, FINAL ANO GAS TEST
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COSTA MESA BUILDING•SAFETY DEPAI
P.O. BOX 1200 COS7A MESA, CAIIFORNIi
For Applicant to Fill in Completely
eui�oiNc d� �l /U��
ADDRESS
OWNER /l�v�Ail D �/ (.("' Y�.
kAR 11-71Pa'000 324 �***��
cnsn 5.00
APPLICATION FOR BUILDING PERMIT
',/ �7 / PER
A.P.NO. //��— /�/-03
BUIIDING /--
ADDRESS � �J���t�/i�lP�rn.
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7� 512E NO.OF BLDGS. (FROM C/L ST�
OF l0T NOW ON LOT R NT
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H SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L. SIOE
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a MAIN BLOGS.
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UI hare0y acknowletlBO that I heva reatl thia application antl ctate
� that Me ebova inforrryeNon is correct antl eprae to comply with
� ell laws rapulacinp bu{ItlinB consttuc[ion, antl I sholl not amploy
F any person in violatiOn of the workman's compenaation lews ot
y Ma Smro of Celifornle.
? I �eraby cartify that I am properly Ilcansatl es e conbeccor untlar SQ. F
iha Stata of Calitornia Bustness and Prolossiona Cotle, Dlviaicn 3, THE AMOUNT
Chopror 9, ontl tho[ s�c� licanws ore in /ull force ontl eHoct, or I THE PURPO6E
om exempt from Ne provislons ol the State of California Businecs
antl Profassions Cotle Olvision 3, Chapter 9. VALUATION
p0
Sipnatura ot /��
Parmlttee $
Authorizetl A t
DATE �
E OF NI
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VARDS
BET. MAIN &
ACCESS. BLd
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APPROVED
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SHOWN UNDER VALUATION IS FOR �
OF E5TAgLISHING A PERMR FEE ONLV: m
¢
ov
5- m
PERMR FEE S j
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PLAN CHECK $ E
5�= °
TOTAL FEE 8
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JOB ADDRESS 331 Minuteman Way BUILDING PERMIT N0. 49883
owenr-
APNo.lwl-iul-u� LOT TRACT
IN�P
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PROP. SWR. LINE � J HOUSE CON.
SPRINKLING SYSTEM
ROUGH MERTING FNO �IR CONDITIONING
UNOERGROUNO U POWER
ROUGN WIRING
FLOOR SYSTEM
BON� BEAM � STEEL REINFORCE
SHEFTHING
fRAME AND Fl.ASHING
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
ADIDRESS ,� �,3 � ��� ✓''^"l�
OWNER OR ` � C C' /
TENANT J LL�- C�wp(RJ
%
MAI LI NG
ADDRE55 ���
� �{_ TEL.
CITV i� N.L(w, yL(J.a.a rn_ Na. slfo-6;
BRANCH
ADDRESS
ARCHITECT
ADDRESS
a G,w�,.c.` -
ADDRESS
TEL.
CITV NO.
STATE CITV
LIQ NO. LIC. NO.
OF 1.6�F PN�'j/O p�( �6 / NO.OF BLDGS.
NOW ON LOT
USE OF n -I-�
EXI5TING BLDG. �- �f/-
Separate permits are required for
electric, plumbing and heating work:
USE OF BUILDING AND WOFK TO BE PERFORMED
w� F-Qy.wBebC a.�(-
�k.;ry �.:
i hereby acknowletlpe that 1 have reatl this application and rtete
that the above Information is correct and agree to comply with
all laws reBuleting builtlinp construciion, and I shail not employ
any parwn in violetion of Me workman's compansation laws of
the State of California.
I hereby car[ify that I am properly licensed as a conttector unGer
the State of Calitornia Business anA Protessions Code, Division 3,
Chepier 9, antl thet such licenses are in tull torca antl effect, or I
am exampt irom tha provlsions of the State of California Business
antl Professions Code, Division 3, Chapter 9.
Signatura ot lJ�, /1 /1 � �
Permlttee J R,Gt, C-
or �p
AuthorizetlABent Date JJtic�'�./^- '23 � /�J.�D
APPL[CATIOIOF�bR�STRU�I'Sl�R4ALPERMIT 6050 TI,
R
A.P. NO. �
BUILDING /
ADORE55 OI
UNIT OR
SPACE NO.
TR.NO.
N�
LOT � d�i
4LTER IREPAIR MOVING DEMOLI
4LE
EO
APPROVEDSETBACKS
(FROM C/L STREET)
PLANNING ACTION
APPROVED
m
C
'm
m
SQ. FT. N
7
THE AMOUNTSHOWN UNDER VALUATION IS FOF m
THE GURPp$E OF ESTABLISHING A PERMIT FEE ONLV: �
VALUATION PERMIT FEE S v y
� m
5 �6 PLAN CHECK § "�
i TAX E f
U
TOTALPAID S� �