The URL can be used to link to this page

Home My WebLink About3205 MICHIGAN AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • vnvw.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3205 MICHIGAN AV Suile No Vicinity: ParGel Number: 13907309 Applicant: Address: Owner: Address: COOTER,LYLE 12922 HARBOR BL GARDEN GROVE, CA RATFIELD, TERRY 3205 MICHIGAN AVE COSTA MESA,CA MECHANICAL PERMIT Status: ISSUED Applied: 02I06/2001 Issued: 02IO6I2001 ISSUED BY: _� Phone: (714) 530-7320 Zip: 92840 Phone: Zip: 92626 Contractor: JIM WAYNE EICHAMN EMPIRE PLUMBING HEATING & A/C Address: 12922 HARBOR BL Arch / Enq : Address: GARDEN GROVE, CA FAU CHANGEOUT ISSUE FEE Inst FAU <700 k BTU Inst FAU >700 k BTU Repair / Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <700 k BTU Refrig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > t0000cfm Floor Furnace Floor or Suspend Heater 523.50 sia.ao 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 so.00 50.00 50.00 50.00 so.00 50.00 50.00 50.00 50.00 Quantiry i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Phone: (714)530-7320 Zip: 92840 License: 652877 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY Repair / All Absorbtion Unit Repair / All Refrigeration Unit Ventillation System Evaporative Cooler Comme rcia l I ncine retor Domestic Incinerator Compressors / Absorotion Svstems Up to 3 hp I 100 k BTU 3To15hp/500kBTU 15To30hp/1,OOOkBTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15 to 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Quantity so.ao 0 $0.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 30.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 50.00 50.00 538.30 NO710E: 7he work authorized by this permit shall comply with all applicable handicap access requirements under Californla statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or il work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order For �he work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetlona and Ilnal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2448d8 (B/00) WORKERS'COMPENSArON DECLARAnON: � I herehy attirm under penalry at perjury one oi ihe tollovring deGara�ons: ❑ I have end will maintain e ceNfiwte ot consent to seli-Insure tor wofi�ers' compensetlon, es praWtletl lor by sectlon 3700 of Ihe Lebor Code, for the pertortnence ot Ne /-worklor whicn this pertnit Is 155uetl. � I heve entl wiil meintain workers' compensetlan insurance, as requiretl by secGon 3700 0l the LeDor Cotlo, for Ihe perlortnance of t�e work for whirh W5 pertnit ls IssueA. My workers' wmpensation Insurance wrder antl pdicy numbar ere: Certier.- - i�.0 N i✓ � P%�.� Pollry Number: �1Q �� (Th15 section need not be complefed if the permit is veluetl e( one hundred dollars ($100) or less.) ❑ I certify Ihat in Ihe poAormence ol Iha work lor whic� this permit is issuetl, I shall not employ eny person in eny manner so as to become subjoct lo Iha workare' compensatlon laws ol Celitomia, enA egree that It I should become sub�ect to the workers' compensetlon provislons oi Sectlon 3700 of ihe Lebor Catle, I s�ell forthwith comply wiih these provisions. � / / AppllcanfSigneture: �.� / r—�Da1e: l� �� WARNIN�: FAILURE TO SECURE WORNER$' COMP SAT10N WVEMGE IS UMAWFUL rWD SNALL SU&IECT PN EMPLOYER TO CRiMINAL PENALTIE$ AND GVIL FlNES UP TOONE HUNDRED TH(%ISAND OOLLARE (5100.0OO�.IN AD�RION TO THE COST OF COMPENSATIIXJ, DAMAOES AS PFOVIDED FOF IN SECfION 3'lO60F THE LABOR CODE, IMEREST, ANO ATTOqNE1"9 FEES. LICENSED CONTRACTORS DECLARATION: I hereby eXirtn thet I am Iicensed untler proNs ons ot Chapi r 9(commencing with Sectlon 7000) ol �Mslon 3 oLthe Bus�ness antl Professions Code, antl my Ilcense is In tull force entl ettect. LI` c�N 7 �y �7i� %� LClass a" C 3 6 C ZA �j � Contrectofs Signeture: R Date: i_ 1.�" � ��_" i CONSTRUCTION LENDING AGENCV: ❑ I �ereby aHirm thet ihere is e construction lending egenty for the pertormance ol the work br which this partnit is issuetl. (Sec. 3097, Civil Catle). Lenders Neme: Lentlers AtlAress: Signetura: OWNER•BUILDER DECLARATIONS: Dare: I hereby eMirtn t�at untler penelry oi De�ury ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for lhe following reason (Sec. 7031.5, Buslness entl Professlons Cotle: Any city or Counry which requires e pertnit to conSlNct, elter, improve, demolish, or repeir eny SiruCiure, prior to its issuance, also r8quir85lh8 epplicant tor such pe�mlt ro lile e signetl sietement that �e or she Is Iicensetl pursuam ro the provislons oi Ue Contrectom Llcense Law (Chapter 9(commencing with Section 7000) ol DMslon 3 of the Business end Professions Code) ar that �e or she is exempt therelrom end the basis for the elleped e:emption. Any violation ot Saction 7031.5 by any epplicent for e pertnit suD�ects the epplicent to e civil penelty ot not more Ihen five huntlretl tlollars ($500).): ❑ I, es owner of ihe property, or my employees with wages es t�eir sole compensatlon, WILL DO THE WORK, and the siruclure Is not intentletl or oNereO for sele (Sec. 7044, Business antl Professlons Gode: The Comractors License Law tloas not apply lo an owner of proparty who builtls or improves Ihereon, and who tloes such work himseH or hemell or throuph �is or her own amployees, providetl ihat such improvements ere not Imended or otteretl for sale. If, however, the buliding or improvemen� Is sold within one year at completion, the owner-builder will have ihe burden of proving that he or she did not build or improve for purpose ot sale.). � I, es owner ol lhe property, em EXCLUSIVELY CONTRACTING WIT1 LICENSED CONTRACTORS to construct the project (Sec. 704d, Busineu entl Prolesslon9 Cotle: The coNrectors Llcense Law does not apply to an owner ol property who Duilds or Impmves thereon, enC who contracis br such pmlect wlih e contractor(s) license pursuant to ihe Contrectors Licensa laws.). ❑ I am e:empt under sec. eusiness and PrOf85si0n5 Code for Ihis reason: SiqnaWre: Data: Owner ID vBrified by drivef9 liCenSa. ❑ Ves ❑ No Driver's LitenSo No. Verllicetian oi Ownershlp by (rype of daument, i.e. - propeny tax bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: E:pires: ❑ I hereby certily that no excavetlon frve (5) or more feel in tle0�h ��o whicF� e person Ls reqNred to descend, will be made in connectlon with work euthodzed by this permit, enC thel no Dulltling siructure, scaflolding, falsework, or demolitlon or dismentlinp thereoi, will be more than thirty-six (36) leet high. (Chep. 3.2, Grp 2, A� 2, Sec. 341, Ttle 8, Celifomia AtlministratNe Cotle). ❑ As ownervbuilder, I will nat emplay anyone ro tlo woB which woultl reqWre a perml� from the Division of Induscnol Sefery, as noted ebove, unless suU person �es e pertnit to tla such work Irom the tlivision. SignaWre: Date: Division ol Industrial Salay Permit NumGer. GERTFlCATE OF COMPLIANCE AND AUTHOiiIZA710N Of ENTFiV: I cenity under penelty of perjury that I heve read this application end stete that the iniormatlon given Is correcL I egree to wmply wit� all siaie laws end ciry ordinances rela�ing to bulltling wnstruction, and authorize representa�ives ot Ihe Ciry ot Costa Mesa to enter upon the ebove-described propeny tor inspectian purposes. I egree not to occupy or ellow occupancy of eny building authonzed 6y this pertnit until final inspection. Ot Leg ner(s) rtnorized Appliwnt eooe �. insvernoNTrve 1678 Fixetl System Finel Fire Prevention 1268 Pool Spa Final 200 Finel Re-Root 201 Flnel BIocWReteining Wall 202 Flnal Fectory Fire Place 203 Flnal Sign 20d Final Demolition i�n�� COOE I INSPELTION TYVE 206 Final Mechenical 20B Flnel Plumbing 210 Finel Electrlcal 212 Finel Fire Pravention 220 Flnel Planning Approval 222 FinelSite 250 Finel Buiiding/Occupancy Date , (,GJ,�:.1 y' '�L �_� �riuV. Jx., J.M. . . � DA�rE. .12-21=62 JOBYADDRESS 4205 MiChi�an AV2. BUILDING PERMIT NO. 18509 GENERAL CONTRACTOR Owner-Bldr• VALUE S 100.00 aY r1o. 139-073-09 LOT TRACT b'IRE ZONE D�SCRIPTION OF WORKCom.B1k.47a11 IP� sCTIONS �Signature� DATE � GROUP III TYPE J 7.ONE SUBCONTRACTOR �( � ' 1850 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MHBA. CAIIPORNIA For Applieant fo Fill In Complefely TYPE OR PRINT BUIIDiNG �A AODRES9 �ZO �I:\�L�'�'�C,�/"� �lt COSTA MESA CALIFORNIA TEL. ' gU1LDING 'A C'S�A� NO. ADDRE68 . __ TEL. �� '— FE�RECEI�ED DEG 2 1 196 APPLICATIOt��.� ��AE MESA BUILDING For Office Use Only asce�rr NO. PERMISiryO.�-. BY COSTA MESA. CALIFORNIA ADDRESS ZONING ZON I NO. OF ,_ I U88 OP CITY __ h„ PI.AN9 Y J-BUILD�I. — I STA7E TEL. LEowL �--� LIC.NO. ___ _._---�'-�NO.—�� oEBCRIrTION �OT Z �Y SIZE r� . . ... NO. OP BLDG9. �1 OF LOT \ O)L O O I NOW ON LOT p, p, NO. I � O� 3 � USE OF YARD6 EVES EXI8TING 9LOG S�� E� C� qppROVED ALLOWI 66iBACK LINE RROM ^ ICBNTCN YN6 6T.1 y1� csMea oP enxerr Y U REAR YARD ZO FRONT IFT. I SIDE YARD LEFf S RIGHT � R.61DE FT. DESC IPTION OF WORK L. SIDE FT. NEW I IIALTERATION I IIADDITION I REAR FT. REPAIR I IIMOVING IIDEMOLISH I BY�'ROV DA BUILDING ��^^��-NO.-OF^' " � fy� SR8 ' ROOMS 6TORIES Nv 2XTEHIOR WALL ROOF COVBRING -COVERING.. U8E OP BUILDI G AND WORK TO BE PERFORMED \".��_.�.�.e...rr . `.oL_�c �AI_.` // '� � � 1 HeREBY AGKNOWL¢DG¢ THAT 1 HAVE RBAD THIB APPLIWTION THE AMOUNt BHOWN UNOER VALUATION 19 FOR TXE ♦ND 9TATE THAT THE ABOV¢ IB CORREC} AND AGREE TO GOM- pUPP086 OP 86TABLIBHIN6 A P6qMIT FHH ONLY. PLY WITH ALL CITY OPOINANGH9 AND HiATB RE6ULATING eurtmxo coNeixucr�ox. VALUATION � —_ SIGNATURH OF � PERMiT FEE $ PERMITTE $ /�� / X PLAN CHECK $ AUTHORIZED AGENT / � TOTAL FEE �� C 4 • .CP�i�� GENERAL CONPAACTOR i AP No. jQOne I*'^nECTIONS � Gas OCCUPANCY "OFM Bllb - SM — Jr. DAT� �-�-62 BUILDING PERMIT NO. VALiJ� S l l h_(ln LOT 2 TRACT 37Zj FIRE ZON� DIiSCRIPTION OF WORK COiqi�l.Bl.W211 � Signuturc� DA19; GROUP $].,Wal�'YP� 7.ON� $-]. SUI3CONTRACTOR t�l/)31 _ -- 16865 COSTA MESA BUILDING•SAFETY DEPARTMENT P. O. BOX 917 C09TA M�A. CALIFORNIA For Applicani to Fill In Complefely TYPE OR PR�NT ADDRESS 3ZUS .M�L, �C J ��(� COSTA MESA CALIFORNIA � MAIL �ARCHITEGT � SIZE �., 6 86TBACK LINE FPOM � � CENTER OP 6TREHT 61DE YARD ILEFT � S, DESCRIPTION TEL. � NO. TEL. NO. OP BtDGe. NOW ON LOT IGHT S� WORK FEEjRECEIVED � APR 4 1962 FINANGE DEPT. APPLICATION FQJ#jQE�11�OSTA MESA BUILDING For Office Use Only neceiar rvo. �eqMl�,�� i �1c� DI p�� .i� A�.I� D+/�R4��v/ 7�1' V re,ipsuey. S/ / COSTA MESA. FIRE i�ONING ZONE^ NO. OF U9E OF N /,) �' PLAN9 Y BUILDIN6 L66AL � ..,�%' 1 /% �.i � YARDS EVES APPROVED ALLO ICENTER LINB 8TJ � IBUILDING NO. OF 81ZE ROOMS E%TERIOR WALL IROOF / �T.' 'S� �� f�/'NC u o� �` // /� �� / �/ ii�lNYi'�' 1 HHRBBY ACKNOWLeDOE THAT 1 HAVE R6AD TH�B APPLIWTION }NE AMOUM 9HOWN UNDER VALUATION IB FOR THE AND BTAT¢ THAT THE ABOVE IB COR�R AN� A6RCE TO COM- PURPOBE OP EBTABLI6HINO A PERMIT FEE ONLY. PLY WITH ALL CITY OFDINANLE9 ANtl �ATB LAWB ULATINO eu��owa mxetrt N. VALUATION � SIGNATISRE � - PERMIT FEE $O PERMITTE ' ��J//� PLAN CHECK $ —!^ '' /�j/ �'(/ AUTHORIZED ENT � TOTAL FEE OWNER �K JOB ADDRES£ GliNERAL CO] nr rro. 139-0 ir��rECTroNs � Gaa F. OCCUPANCY JR„ J.M. LOT TRACT P'IR� ZON� � Signature� DATB GROUP -26-62 G PERMIT NO. vALUE � 399•00 DESCRIPTION OF WORKCOnffi.B1k.W811 TYP� III ?ONE R-1 SUBCONTRACTOR COSTA MESA BUILDING-5 TY DEPARTMENT P: O. BOX 9f7 C06iA MEBA. CALIFORNIA � For Applicanf fo Fill In Comple+ely TYPE OR PRINT BUILDING —� _ _ ._ M . �. _ � ARCNITECT � SIZE COSTA MESA. CALIFORNIA TEL. NO. TEL. __� NO. OP O1D09. 6CTBACK LINB FRON ` � cee�iers op sTxegT �YO • REAR YAItD , i / SIDE YARD ILEFT RIGHT DESCRIPTION OF WORK BUILDING NO. OF SIZE _ ROOMfi—� EXTERIOR WALL ROOP .._......._._ "� I......�..�.... Fiae FE R�C�Il�ED JUL 261962 FINANCE DEPT. CITY Of COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only NlCe�VT NO. P[RMIT NO. . �!Y I pAlB R6L�IV[D� I OAT IeIG Cp 7 0,/� � �� .// I� 6 � �ac�'%��r CASTA MESA. CALIF NIA ZONING No. or use ov n .uHa � BUILDINO YARDS APPROVED �ceHrert uHe et.) � � ' l �� C�C� 1 HEqHBV �LKNOW��Q TMAT 1 HAVB RBAD TNIB A/PYGTION }�{g AMOUNT 6HOWN UNDBP VALUATION �9 IOP TN! ANO BTAT¢ THAT TM8 ABOVE IB COp1i8GT AND AOPEB TO CAM- pURP098 OP eBTABLI8X�N0 A PBpMIT FE8 ONLY. PLY WITiI ALL CIYY GNDII4NCE8 I1NO 8TAT6 LAWe q6GULATNa Bu�LDINa CONBTRUCnON. ' VALUATION � � PERMIT FEE $ BIGNATURE OP �� PERMITfE $ � � Y PUN CF7EC% $ -- /� ai�riannive erKNT ^J / Lor 2 -,�Ta 2^ -- ' ' � -� a a �� 'COSTA MESA BUILDING•SAF TY DEPARTMENT P. O. BOX 917 GOBTA MEBA. CALIPORNIA For Applicanf fo Fill In Complefely TYPE AR PRINT j�CUj li�i'E�+4 HVENUE COSTA MESA. CALIFORNIA ORT BEACH, CALIF. N�I F)- LL CONST. CO.� INC. ACENTIA AVENUE aTY NEWPOFT DtACH� I.ALIt. ��rNo. 6� i 2� No: M � 6-�z2� 81ZE 7ox99•85 IRREG (NO.OFBLD�6.o OF LOT How oH �oT 86T9ACK LIN6 PROM 6O � zO � ¢eiien OP sTrse6'r REAR YARD 1 I SIDE VARD ILEFf �5 RIGHT � DESCRIPTION OF WORK BUILDING / NO. OF 81ZE �0 2' SF ROOMS STORIE6 � EXTERIOR WALLSTUCCO I ROOF :"�000 SHAKES COVHRING COVERING ' USE OF BUILDING AND WORK TO BE PERFORMED F�E REC�IVED �fi�ANCE DEPT. APPLICATION f0'R p��f4SfiA b4ESl1 BUILDING For Office Use Only P6CEIPi NO. � PfiRMiTiWWY. � �1.�DA�E�188?E�M1I au BUILDING ADDRE6S COSTA MESA. CALIFORNIA FIRE � ZONE TYPE � GROU APPROVED BY DATE ZONING ZONE NO. OF U9E OF NEW ' R_l� Iruns 2 IeuucuaWT� Stt gl LEOAL YARDS EVES APPHOVED ALLO (GBNTCR LIN6 9TJ _ l ATTACHED GARAGE PLAN N0. �-� I HEREBY ACKNOWLEDGE THAT 1 HAVE REA� THI9 APPLJGTION THE AMOUNT BXOWN UNUER VALUATION I8 FOR TNE ANO 8TAT8 TNAT THH ABOV6 �8 CORRECT AND RGRCE TO COM- pURP09E OP EBTpBLI8HIN6 ♦ PERMIT pEE ONL�'. PLY WITH ALL GITY OROINAN�e AN AT! WB PEOULATINO eun.olNa cONernu TION ._ VALUATION "7 SIGNATURE OF PERMIT FEE $ �/'�� N PERMI7TE - � $ /7, 33�' PLAN CHECK $ /�'7 � w AUTHORIZED AGENT 5-S;,So � TOTAL FEE LL