HomeMy WebLinkAbout2195 MINER ST - Building PermitsADD���ant to fill in ali spacesenwr. .....__ .___ _ 'r ooreer lines ana zign ali aoo�opriate tleclarations.
ICITV OF COS,TA M S �T �ZION PERMIT �
Projeci Address ��
. � ApplicanYs Maili ddress %
��
Owner's Nam hone, .,. : 9
C'iE�J 2 ^O-.
Address
r
r Arch/Eng. �icense No.
Address �
Contractor's Nam Phone
Address�m�'I'nnl r1
City License No.
LICEIVSED CONTRACTOR DECLARATION
I bereby a/firm that I am licensetl untler provisions o( Charter 9(mmmencing
with section ]000) of Division 3 of the Business antl Profeszions Cotle, antl
my Ilcense is in tull force antl effect. '
License Class � License No.
Oate Si9nalure �
WORKERS' COMPENSATION DECLARATION '
1 hereby aitirm that I have a certiticate oi mnsent fo self-insure or a certificate
" of Workers' Compenzatian Insurance, or a certifietl copY thereot (Section
IB00, Lab. C.) , '
IPolicy No. ' Company
�Certifietl copy is he�eby furnisheiJ.
Certifietl copy is fil¢tl with the city Builtling Division.
late AOPlicant
E%EMPTION FROM WORKERS' COMVENSATION DECLARATION
(Thissection need not be completetl if the permit is for one huntlretl ($300) or
less). '
I certify [M1at in the perto�mance of the work for which this perm�t is issuetl, I
shall not employ any person in any manner so az[o become 5ubjecLto Ihe
Workerz' Compenution Laws of California. � .
Date Signatur¢
NOTICE:Jf, after making this tleclaration, you shoultl become subject to the
Workers' Compensation provi5ion5 of the Labor Cotle, you must forthwith
comply with such.provisions or.this pe�mit shall be tleemetl revoke0.
CONSTRUGTION LENDING AGENCV
I bereby affirm that there is a construction lentling agency tor the pertormance
of Ihe work for whlcM1 this permit is issued (Section 309] Civ. C.)
Lentler's Name
Lentler'S Atlaress
OWNER Bl/1LDER �ECLARATION
1 hereby atfi�m that �I am ezemOt Irom the Coni�actoi'S LicenSe Law fo� t�e
following reason (Section 7031.5 Business antl Professional Cotle: Any city or
counly whith requires a Oermit to const�uct, alter, improve, tlemolish or repair
any 5[ru[[ure, p�io� to it5 issuance,�also requiresthe applicant Por'Such pe�mit
to lile a signetl statement that he/she is licensetl pursuant to [he p�ovisions ot
the ContractoYs License Law (Chaoter 9(commencing with Section �000) ot
Division 3 of the Business antl Professions Cotle) or that he/she is exempt
� lherefrom antl the basis tor [he allegetl exempfion. Any violation ot Se[tion
'031.5 -by any applicant fo� a permit subjects the applicant to a civil
ndlty of not more than five huntlretl tlollars ($500). '
e I„ as owner of the propertY
11 �e�neF�ew, will Go the work, antl the structure is not intentletl or offeretl
�� br sale (Section �044, Business antl Professional Cade: The Contractor's
icense Law tloes'not apply to an owner ot a property who builtls or improves
�ereon, antl who tloe5 sucb work'himselt/herselt or throu9h his or her own
emplovees, providetl tnat such improvements are not intentletl or otteretl for
sdl¢. If, however, the bulltling or imp�ovement is soltl wlthin one year o( com-
pletiOn, the owne� will have the burtlen of proving h¢/she tlitl not build or im-
p�Ove tot tne purpose of sale). '
❑ I, as owne� ot the property, am exclusively cont�acting with licensetl con-
tractorsto conztructthe project (Section ]044, Business antl Protessions Cotle:
The Coniractor's License Law does not appry to,an owner of property wM10
builtls or improves tM1ereon. an0 who contracts fo� such projects w�th a con-
• t�acto��s) ❑cense pursuant to the. Contractor's License Ww). I am awire that
' proof ol tM1eir Wo�ker's Compensation insurance'shoultl be provitletl to me.
❑ I am exempt untler Section B. & P. C�_for this reason�
I hereby certify that I have
information is mrreci. I agre�
antl slate laws re�atin9 to bu
sentatives ot yfiis city. to/P
Siqnature /�6
rivers' License or 55
CMF 0865�46, rev. 30/84
that the aGove
unry ortlinances
autho�ize reD/e-
tl property for
�TYPE OF CONSTRUCTION LJ NEW LJ ADD LI ALTERATION LI REPAIR�
7 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER "` � �
D C PTION 9F�.k�R ��sE�oFB�o�.�onrvF � -. Tc
� ���li7",�'11 %uo aDbEn S �F'�r-a�.GE��
TYPEOFPERMIT GRApING� O FOUN�ATION LISTRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICA� � ,
❑ OTHER �
PROJECT DESCRIPTION Sq. FT. oCCVvtaNC
CONSTRUCTION TYPE VAIUATION $ D�
ZONE GRADINGCU.VpS. ACRES
Remarks:
Sink
kflow Preventer
kflow Irrigation
Clarifiers
Dishwasher ' '
Drinking Pountains
Floor Drains
Floor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink .
Lavatories
P-Trap
Roof Drains
Reinspaction Fee
ce
PLUMBING
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipm9
Solar Tank
Swimmi ool w/Spa
ater Closet
Water Heater
' Water Service .
Auto�Wash
Laundry Trays
$75 Issue Fee
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
FirepUFact Blt. ICBO #
Heating System & Ducting
❑ 0.100,000 BTU � 100,00a
Reinspection Fee
White - Bulltling; Canary - Applicanh Pink - Accounting; Goltlenrotl - Aszessor
$15
FEES
$ 3
0
a.P. # . .1. ,
S Main Building:
E
T Front
B Rear
A
C Right �
S Left
Ping. Ref. # ��
Planning Notes: �
5963 10/27/86
'_ �.O i-. �L �C •
� Accessory Building:,
N T��2 f o /Z ,{� [.7'6e �
� Co7UU�✓'Z'f" CX.1577
�B
Automatic Washer
Constructian Pole
Cooking Unit
D ishwasher
Dryers ❑Gas ❑
Fan
F.A.U.
Fixtures '
Device Boxes �
Outlets
Garbage Dispoul �
Generator 00.5 KW 05-15
Park
�rER A-rr o N
ELECTRICAL
. Transformer ❑,15-50KW
❑ SO+.KW -
Meter LJup to 100 amps
Meter ❑ove� 100 amps;
Sub Par�el' �
�7.00 TL
Z
O
N
I
N
G
R
E
�
M
T
$
f tors OPl HP 01'h � B
Inc. Solar �9-15 HP 016-15+
Microwave
Pole Light .
Range
Sign
Standing Sections
Trash Compactor
IqNICAL FEES Reinspaction Fee ,$15 Issue Fee
Hoodor Typel ❑ DEVELOPMENTSERVICESREQUIREMENTS: .
CanoPY TYPe II . Zoning APProved BY D��—I MQ.
Building Approved By
?efrioeretion stem Aaoliwtion Issuad Bv
❑0-100, � BTU ❑100,000
Sysj m�ration
Tre Dampers �
Registers ,
Issue Fee � $ 3
FEES
$ 3
O-2V _
SU RV O/F-7FEES � ' �;.�,/�
BUILDING PERMIT $ �� �/ SMIP $.._.__�i[
PLAN CHECK $ PERMIT .
PLUMBING . � $ � � ISSUANCE $ �
PLAN CHECK 25% $� ENERG� P.C. $-
ELECTRICAL � $�� GRADING $
PLAN CHECK 50% $ MICROFILM $
MECHANICA'L $ � TOTAL FEE , $ �
PLAN CHECK 25% $ '
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector pppROVALS 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
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings _ � ' 58. Electrical ConduiriUndrgmd.
B. 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 PIRE DEPT. REQUIREMENT �
` i.
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro .
22. Ducts, Ventilating � 71. Product Piping O Gas ❑ Oil _ ��-
23. Gas Pipe-Rough & Test 72, Underground Flush '
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑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 � " .
1
35. Final Gas Pipe�Test �
36. Hood or Canopy .
37. Final Factory Fireplace �
38. Final Plumbing �
39. Water Service-Final �
40. Gas Service-Final � .
41. Solar pomestic-Final
'42. Backflow Preventer � .
.43. Backflow Irrigation - '
'44. Landscape Irrigation System , �'� � �
45. Sound Attenuation .
�46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING �� � .
�48. Special Requirements Completed �
49. Electric Release to Edison 4
50. Gas Release to Southern California Gas Co
� •
51. CERTIFICATE OF OCCUPANCY
i
No. Date ' _ . �
Ii I Ciry of Costa Mesa
Building Safety Deparfinent C E R T I F I C A T E O F O C C U P A N C Y N� 2434 B
P. O. Box 31Y
Cosia Mesa, California
��
The Building lomted at �Z�'? ;'��`-'r `�'�"'"C:'�
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group $ �" " Occupancy.
Use of Buildina 5 �ni•L A�ar�c:snt �`aildinE yi.th garages
Legal Description 'Z= rr'%����'
(Sea ravarse side for Matas and Bounds)
' �� l� .
Building Permit No. ��`�'�'�� Elecirical Permif No. ����� Plumbing Permit No. !' �� �`�
Floor Load Signs have been installed as Room Capacity Signs have been insfaled as
required under Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. —
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certificate of occ�pancy by the enforcement agency.
(b) A new cerYificate of occupancy shall be obtained whenever fhere is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apariments and/or gvest rooms as required under $ec. 17050.1 (d), California
Administrative Code, Title S, Chapter 9, Article 8.
Number of aparimenis and/or guest rooms
ISSUED TO: Building Off' ial
:•�. 4 r-r: r�.r•!£: B. GOSS�7'T b .�—
Y `
Date �e�xuar,� 17, lsb7
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
except by the Building OfFicial of fhe City of Costa Mesa under Sec. 306 (e) U.B.C. po�,�, avas-aM—��-sa--s-s r
•uwrvtK GOSSETT, G. B. DATE 6-26-72
� JOB ADDRES$ 2195 Miner Street, Ik2 BUILDING PERMIT N0. 34865
GENERA� CONTRACTOR Harrison b Hertz DESCRIPTIONofWORK Blockwall
� AP No. 115-092-24 LOT TRACT FIRE ZONE vALUE $ q _
� INSPECTIONS Signature Date GROUP 1 TYPE TTT ZONE R-1
� sai� _� ��`� n�` �R PERMITS ISSUED
ROUGH
iiOUGH HEATING AN� AIR CON�ITIONING
TEMPORFRY SERVICE OR POLE
UNDERGROUNO n POwEF n
REINF.
60ND BEHM �J STEEL
SHEqTHING
FRAME ANO KLASHING
i�_�
PLASTER.BROWN COAT
PLUMBING, F�NAL ANO GAS
ELECTRIC, FINA�
BUILOING, FINAL
SPECIHL REOUIREMENTS
i;
' ' � " 34865
Fo� Applicant to Fill in Completely
?� ..PF1lOO.1n Z
'l.�.: L� :r 'k�'!r'xS:�.�3
APPLICATION FOR BUILDING PERMIT
:�IV�j Bv DAT� RECQIVED nnrF.icsw
AD�RESS /G_I�S�'/IyF/2 (7�T�� C�G �IX!
4WNEP,y.0 ��.GJ. LT.�.�aSSETT, A.P. NO. � ��'�
MAIL BVILOING
ADDRESS`� /V(
Z ADDRESS � ���� �
aU CITV COSTA /%ESA. NOJ' �O �O� VI.•W
HZ W
Z Q bONSTFUCTION
ON �ENDER �{
am � �
J 7 9RANCH
J N OWNER
a W 4DORE55
O] J
m 4RCNITECT TEL. 5 L
J a OF ENGINEER N
V y FIRE
wa 20NE TYP
� 4DDRESS
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J � 4ODRESS I�IpD�D� �o/Y� Y'Q��E /✓
VALUE
K
W W TEL. ZONE . NO.OF USE OF NEW �'SL,p�.
Z� CITV ��� NOP 7//(J P�� BUILOING �.L
w � $TATE CITV �'ARDS APPROVED VAHDS APPROVED
j O UQ NO.'�.�1 'y.Z� � UC. NO. MAIN BWLDING ACCESSORV BUILDII
5¢E NO.OF BLDGS. 1FROM GL STREE71 _/� „
OF LOT r�pW pN LOT FRONT F"
USE OF
E%ISTING BLDG.
� SIZE OF NO. OF
Z NEWBLDG. ROOMS STOFIES L.SIDE F'
U EMERIOR WAIL ROOF
COVERING COVERING REAR F'
J USE OF BUILDING AND WORK TO BE PERFORMED OI5TANCE BET.
y / � MAIN BLDGS.
Q VAR, qW
O C.U.F, qy�
NAPPROVED � l
z
0
VI �eraby ucknowlatlge Nat 1 heve reaC this apO���ation antl stata
� thnt the ebove in}ormation is correct antl agrae to comply with
� nll laws rogulaNnp b�iltlinB conzttuction, and I shall not employ
� ony Oe�son in violation of Me wo�kman's cOmpensaSiOn laws at
(A Ma S[ate of Celifornla.
ZI haraby certity ��et 1 am properly IicenseG as a contrector under SQ. F
Ma $mre oi Calitornia Business and Pro�essions Coda, DivisiGn 3, THE AMOUNT
Chapter 9, an0 that such licenses are In t�li force antl affeet, or I THE PURPOSE C
em eaempi trom ihe provisions of the State ot Caiifornia Businen VALUATION�
antl Profeszions Code, Division 3, Chepter 9.
SIQIIBLV f0, �Oi /� •�. � /
Parml�t ep//2.�T_ T/ �� � 5 �
A�thorizatl Apent
BET. MAIN &
S7ATE
� �
m
TAX o
VALVATION IS FOR �
A PERMR FEE ONLV: m
¢
m
E S � G c'
7
m
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5 �l
' �. _� 264
40STA MESA BU�LD�NG-SAFETY DEPARTMEM
P.O. BOX 1200 COSTA MESA� GALIFORNIA 9262E
Fo� Appllmn� fo F711 !n Completoly
TYpE OR PRINT
BUILDINO
ADDRfiDB �
COSTA MESA. CALIFORNIA
�1 DTAT6
� 86TB6CR LIN6IROM
�
NO.
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DESCRIPTIOPI OF WORIC
BUILDIN6 NO.OP
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�eXTER10R WALL ROO�
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�
1 M[R6lV ACKNOWL6D0� TNAT.1 HAV[ RlAD TYII� AP�LIGTON
•N� BTAT6 THAT TNl AePVi 19 COHR6CT ANG 110p[� YO COY.
PLY WITN ALL'CIiY ORDIW�NCY AqD RAii IAYj* 1¢OULATNO
� AUTHORIZ[DAOiNi
ROV 28-66 0�1189 �**�''*3.00
APPLICATION FOR PERMIT
BUILDING
for Offic� Us� Only
11[C[IR NO. ��11MIT NO.
D�� //r.�2�,'-G6 // T ��� 6L
� 2 i �s /y�, � �� �. N
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re: No ewve oveaHwHo aNw�� ee �ses tHu�
' TO BIDB @ RBAR P. L
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YARDEMPROVlD YARD9APPROVHD
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tOM C/L iYRi[Tl
)NT SD �.
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IUNWOI O� ifTMLI8HIN0 l� P6qMIT 1�6 ONLY. �
vwwwr�oN �
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TOTAL P6G J� D O
JOB ADDAESS 2195 Miner Street
GENERAL CONTRACTOA
� L L-1
�N OP WORK D�
VALUE:
TYPE
SUBCONTRACTOR
". 25838
..�:__
i 40STA MESA BUIWINCrSAFETY DEPARTMEM
P.O. BOX 1200 COSTA MEHA, CALIFORNIA 9MZE
a
For App1/mnf fo Fll/ In Comploro/y
TYpE OR PRINT
�uu.oiNa � '
ADDRBCY y�
COSTA MESA, QALI�QV�IIA + )
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DESCRIMION OP WORK
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1 X[P6CY ACKNOWL[00[ TM1�T.I NAVi 11�AD THI� A��YGTON
I1NO 9TAT6 TI�AT TMt AGOVt.I! C011R[R ANO AOp[[ TO COY.
PLY WITN �LL CITY ORDINANCO AMD YTAT[ IAW� 11tOYYTNO
6UILOINO GONBTpUCT10N.
816NATUR! 0��.�� . n � ,� � �. �, i ' . _. _ /
CITY 0�' C;;S'i'� MESA
1rPLIGA,��a �� �
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O, BOX 1200 COSTA MESA, CAIIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For App(rcant to Fi!! in Comple[ely
ADDRE55 y//yE2 S RECEIV� '� �AT@RE EIVED ppTE I$SUEp�
BUILDING �� 7 � 5 ��
OWNER �P .S� -F—� A.P.NO, S'Op��p� 4' P(7��
MAIL BVILDING / S' U9 � —a.�
AooRF5S cS/-)/JICi ADDRESS
CIT�
CONSTRUCT�ON
NOL�SJa'�O/��
BRANCN
ADDRE55
ARCHITECT /� � _ _ .. _ TEL.
CONTRAGTOR�����-� ��n,��� �
ADDRESS ��GS/��L,�u.X.�7`
TEL.
CITV �j✓�� �A/'yf— N0.�3
STATE CITV
LIC. NO. �%� i�('�(f � LIC. NO.
i
512E �OIxI '`�� In10.OFBLC
OF LOT rf NOW ON L(
USEOF �PfS '�G/tiC�iJ�1G
EXISTING BLDG.
NEW BLDG. c��KS ' ROOMS Z STOI
EMERIOP WAL ROOF �
COVERING �'�G Q�� COVERINGdC!/LD
USE OF 9UIL�ING AND WORK TO BE PERFORMED
i�' ad A.e. P._ �� r.a �
Z
I heraby acknowletlpa Net I �eve read this epplication antl stata
thet [ha Bbova informatlon ie cOrrec[ antl aprea to comply with
ell tewz requletlng buildiog consfruction, eatl 1 shall oot emploY
eny permn {n vIOIB[IOn Of the workmen's compansa[IOn laws Ot
the Stete ot Celifornle.
I hareby tertify Mat I em properlV licensatl as a contrector untlar
tho Stete ot Celifornia Business entl Professions Cotla, Dlvislcn 3,
Chapter 9, and thet �uch Ilcenses ara in tall foree ontl effact, or 1
am exem0t from tho provbions of tha Sm[a of Calllomla Bua(ness
antl P�ofeSslone Cotle iv' lon 3, ChaOter 9.
Sip^ature �rL
Garmitt ,�i��i/N� L�
r'
Authorized ABont
�i
.�
OVED
p/,�� NO. OF
/ \Y PlANS
VAROSAPPROVED
MAIN BUILDING
DISTANCE BET.
MAIN BLDCS.
VAR.# V��S"Io�
0.U.P. �b
iiaLD FOR
(J�os Se��
VALUE
5
GFOUP
��C
DATE �
JS E O F N E W fiA_.�.I-�JO �
3UILDING U (/ L
YARDS APPROV ED
ACCESSORV BVILDING
FT.
Ctiil�
/r �/
�l� PT
rl /
Tf
BET. MAIN &
L
/, J, ,l V
0'��r'l/ SQ. FT.
THEAMOUNTSHOWN UNDER
TNE PURPOSE OF E57ABLISHING
VALUATION
QD PERMIT FE
//��/} �
5 ,���/ v PL4N CNEI
�
O
_UATION IS FOFi ^
:RMIT FEE ONL�': Q
z6,aa ;
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