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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 STEEL REINFORCE FRAME ANO FLASHING LATHING - IN ❑ OUT n PLNSTER, BROWN COAT ST"'^TURAL, FINqL H �G, VENT., REFRIG. AN� A PLUMBING, FINAL ANO GAS TEST �'' � :�2� f 0 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. a U CITY C 6J /� V'ti�( �` ,Q NO. ��J O�6 TRACT J��v Z2 Q CONSTRVCTION ON LENOEii ��� am J � BRANCN .�J ! t�- J (n � OWN . �� �C m J ADOFESS C� /J � ARCHITECT TEL. S l�� L OR ENGINEER N L � FIRE W 2 ADDFESS ZONE TVf aw W Z APPROVED J O CONTRACTOR BV mZ � J Q ADDRESS w W /.. v TEL.. l ZON= NO.OF e, Z� CITV O TA f� A NO.'Y%Yi�G' PLP'NS Q W � STATE CITY VAFlOS APPROVED y¢ LIC. NO. LIC. NO. MAIN BUILDI 7� 512E NO.OF BLDGS. (FROM C/L ST� OF l0T NOW ON LOT R NT USE OF J���`r EXISfING BLDG. / ] H SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L. SIOE U E%TERIOR WALL ROOF COVERING COVERING REAR Fl J VSE OF BUIIDING AND WORK TO BE PERFORMED DISTANCE BET. a MAIN BLOGS. a VAR. qW pdF2 ,4 �eo 2E,4- c.u.P..� r APPR E � � Z 0 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 LDING � VARDS BET. MAIN & ACCESS. BLd 0.4TE APPROVED � J m T. o SHOWN UNDER VALUATION IS FOR � OF E5TAgLISHING A PERMR FEE ONLV: m ¢ ov 5- m PERMR FEE S j �� — m PLAN CHECK $ E 5�= ° TOTAL FEE 8 „> ... JOB ADDRESS 331 Minuteman Way BUILDING PERMIT N0. 49883 owenr- APNo.lwl-iul-u� LOT TRACT IN�P G__ 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 i PLRSTER.BROWN COA HF�T SUBCONTRACTOR F�+ 7. a Q .�. H _ F G v� F Q O � i- ..1 a � a O a o. Z W 7." 3 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� �