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Home My WebLink About2208 MINER ST - Building PermitsCITY qF COSTA MESA BlIILDfNG �IVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754d856 • www.costamesaca.aov FOR INSPECTIONS CALL: (71d) 754-5626 PERMIT NUMBER: M13-00054 PERMIT TYPE MECH APN: 42219310 JOB ADDRESS: 2208 MINER ST CM Vicinity: SQ. FT: 0 STATUS: ISSUED DATE ISSUED: 04/0312013 ISSUED BY: RMD Suite/Unit: SCOPE OF WORK:MECHANICAL PERMIT TO REPLACE AN EXISTING FAU < 100K BTU FOR SFD. NOTE' FINAL APPROVAL OF PERMIT SHALL NOT BE (3iANTED UNTII ACCESS TO DWELLING UNIY(S) IS PROVIDED FOR VERIFICATIO OF SMOKE AND CARBON MONOXIDE ALARMS BY THE CITY INSPECTOR SEE ATTACHEMENT WITH INSPECTION CARD.(RESDENTIAL ONLYI OWNER: COVERICK, GEORGE J PHONE: GAUTHIER, CHERYL APPLICANT: GAUTHIER, CHERYL PHONE: 562-777-1142 Address: 2208 MINER ST Unit: � City/State/Zip: COSTA MESA, CA Address: - Unit: - City/State/zZip: � CONTRACTOR: INTER CITY ENERGY SYSTEMS - Address: 12252 MCCANN DRUnit: PHONE: 562•777-1142 City/State: SANTA FE SPRINGS, CA ZipCode: 90670 MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: � 338.30 PLAN CHECK FEE: � 50.00 INVESTIGATION FEE: 50.00 REINSPECTION FEE: $0.00 - TOTAL FEES: '$38.30 License No. 587709 CELL: NOTICE: The work authorized by Nis pertnit shall comply vrith all applicable handicap access requiremenls under Califomia slatutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 780 DqYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for Ne work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspections and Flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this pertnit. COOE�. INSPECTIONTYPE D�7 f_I� COpEi INSPEC710NTYPE 01 I A 1616 Fixetl System Final Fire Pravention 206 Final Mechanical ��1� .%/ ' 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevenlion 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupanty WORKERS' COMPENSATION DECLARATIG I hereby affirm undar penalry of perjury one of the following deGarations: ❑ I have and will maintain a certificate of consent to self-Insure for workqis' wmpensation, as providetl for by section 3700 of the Labor Coda, for the per(ormance of the work for which Nis permit is issued. � I have and will maintain woAcers' oompensation insurence, as required by section 3700 of the Labor Code, for the pertormance of fhe work for which Nis permit is issued. My workers' wmpensation Insurance carner and policy number are: Carrier: " (. (ilrissectmrreednoteoou'�G�hCd 'a etane AMvt(f1POlwknJ Poliq Nu'mber: ❑ I certify that in the peAormance of the work for which this pertnit is issued, hall not employ any person in any manner so as to bewme subject to th vro ers' wmpensation laws of lifomia, and agree that if I s�oulA be me su ject to ihe Iv kers' comp atlon provisions of Section 3700 0l 1 Labor g e, I shal iwjth comp, h h se provisions. � �� pll f Si eNre ' te WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATfORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affrtn that I am licensed untler pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of lhe Business and Professions Code, and my license is in full force and eHect. ///�� L' . � � Class c� .��J i / n a Sqnawre Dat �. CONSTRUCTION LENDING AGENCY: ❑ I hereby afirtn that Nere is a construction lending agency for the perfortnance of the work tor which Nis pertnit is issued. (Sec. 3097, Civil Code). lender s Name: Lender's Address: Signature oa�e OWNER-BUILDER DECLARATIONS: I hereby affrtn that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe (ollOwing r8350n (SeC. 7037.5, Business and Protessions Cotle: My ciry or county whicn requires a pertnit to construct, alter, improve, demolish, or repair any sWcture, prior lo its issuance. also requires the appliCaM for suth pertnil to file a signeC statement that he or she is licensed pursuant to Ne provisions ot tha Contractors Licensa Law (Chapter 9(cammencing with Saction 7000) of Division 3 of Ute Business and Professions Code) or that he or she is exempl therefrom and Ne basis for the alleged exemption. Any violation of Section 7037.5 by any applicant for a pertnit subjects ihe applicant ro a civil penalry ot not more Nan five hundred dollars (8500).): ❑ I, as owner of the property, or my employees with wages as Neir sole compensation, WILL DO THE WORK, antl lhe sWcture is not intantled or offered for sale (Sec. 7044, Business and Protessions Coda: The Contractors License Law does not apply to an owner of property who builds or improves lhereon, and who does such work himself or herself or through his or her own employees, providetl that such improvements are not intended or oRered for sale. If, however, the building or improvement is sold within one year of complelioq the owner-builder will have the burden of proving lhat he or she did nol build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RAC70RS to conswa the project (Sec. 7044, Business antl Professions Code; The wnVaclors License Law dces not apply to an ovmer of properry who builds or improves Nereon, and who coniracts tor such project with a coniractor(s) license pursuant ro 1he Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code (or Nis reason: Signewre �ero JOS�<8 (3I0]) Owner ID venfied by � ; license. ❑ Yes ❑ No DWver's License No. Expires: Nenfication of Ownership by (type o( tlocument, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more (eet in depth into which a person is required to descend, will 6e made in connection with woAc authorized by Nis pertnit, and Ihat no builtling sWcture, scaflolding, falsework, or dertalition or dismantling thereof, will be more than ihirty-six (36) (eet high. (Chap. 32, Grp 2. Art 2, Sec. 341, Title 8, Califomia Administralive Code). ❑ As owner-builder, I will not employ anyone to do work which vroultl require a permit from the Division of Industrial Safety, as noted above, unless such person has a pertnit to tlo such work trom the tlivision. Applicam's SignoWre Division o( Industrial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicaN or present or fuNre building occupant need ro file and certi(y a Business Plan for emergency response to release or threatened release o( a hazardous material7 ❑ Yes ❑ No (Section 25505 0( the California Health and Safety Coda requires, with some ezceptions, ihat a Business Plan be fled with the Costa Mesa Fire Department by every business which has at any one lime during a reported year a quantity of hazardous materials equal to or greater than a weight ot 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standarcl tempereture and pressure). 2. Does or will the appliwnt or present or future building occupant need [o file a registration torm for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safety Code, wi[h some exceptions, requires regislration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantiy of awtely hazardous materials equal to or greater lhan a weight of 500 pounds, or a wlume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does oi will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safety Code pmvides that the Cosla Mesa Fire Department may require tha preparetion, certifcation and fling with the Fire Department of an RMPP by husinesses which are required to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently requiretl, has Section 25534 of the Califomia Health and Safery Code been fully complietl with� ❑ Yes ❑ No 5. Does or will the applican� or present or (uture builtling occupant require for the work which is the subject of this application a Dermit for such consWclion or motliecation irom the South Coast Air Qualiry Management DisVict or from any other air polW�ion control district or agency7 ❑ Ves ❑ No (Seclion 658502 of ihe Califomia Govemment Coae requires that ma requested intortnation De fumishad on applications for non-rasidentlal building permits). 6. Will any part of the faciliry to be constructed under Nis pertnit be within 1000 feet 6om the outer boundaries of a school7 ❑ Yes ❑ No (If 'yes", Ihe faCiliry must meet �he requirement of Sections 25534 and 42303 of the Califomia Heallh and Safery Code). 7. If a pertnit from Ihe South Coast Air Quality Management District or oNer air pollution wntml district or agency is requiretl for Ne work which is iha subject of this application, have all of the disGosures prescribed by Califomia Healih antl Safety Cotle Section 42303 been made? ❑ Yes ❑ No B. Qf "yes", attach certifcate of compliance from Ihe appmpriate air polluGon control offcer). CERTIFICATE OF COMPLIANCE: I certify thal under penalty of perjury the infortnation given above is correct I agree to comply with all state laws and ciry ordinances regarding Hazartlous Materials and Emissions. SgnaWre Data CERTiFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry o� perjury that I have read this appliration and sfate Nat Ne information given is cortect. I agree to comply with all state laws and city ordinances relating to building wnsWction, and authorize representatives of the Ciry of Costa Mesa to enter upon the above-described property for inspectlon purposes. I agree not to occupy or allow occupancy of any building authonzed by this permit until final ins ecGon. / ISig IOwnehs) Date � 9ut izedAp0lican te m Simplified Prescriptive Certificate of Compliance: ZUO�SResidentfal fIVACAIteralions CI'-]R-ALT-HVAC CIim:Hc %onee 1 ar�d 3- 7 Site Duct insulaiion U Nackaged Unii �-��/ Over 40 fi of ducts �mace AFUtX�{'1 �COP �Setback � Indoor Coil �-� 5^rv v system added or replaced in �SEER I�ISY} (lf�+oratrena�'Presenemusrbe B Condensing Unit Q EER _ Q�Resisuwnce sf unconditioned space ��.�alledJ _ . Other � ❑ R 6(CZ 1, 3-5J - 1. �f quipmcni 7�ypc: Choose the equipme�t beine installed; if more �h�n one system, use ano[her CT-IR-ALT-HVAC ior each system. �.. � 2.'i�7inin,um Lyuipment lfficicncies: 13 SEEI2, 7R°i� AFUE, 7JHSPF for typical residential systems. - � Cm�tr:ictor (llocumentation �Au[hor's�/Respo��sible Uesi�ner's Ueclaration St;�temenY) � . , . _ � - � - • I oertify that tfiis Cenificate of Compliance documentatiun is accurnw und cumplete. . � ,. � _ � 1 am eligible under Division 3.of the.California 13usiness and Professions Code�m accept responsibilicy�tor the design identifed on this. , � Cenificate ofCompiiance. � � • I certify that the energy.feamres and performance specifications for Ihe design.identified on this Certificate of Compliance conform to.the , -�� • requirements of Title 24, Paru 1 and 6 of the Califomia Code of Regulations. "Che design fwmres identified on.this Certificare of Compliance are consisten ith��the infonnation documented on other applicable .� -� � coytpli¢nce forms, workstyact5. calculations, plans.and�specificationssub � eA.ro th^ enforcement agency for�rovel�with the.peltnit � License: 1006 Xesidentia! Comp[iance Forms Murch ?OJO �_. rr�iecrnooRcss: zzUB MINER ST �WNEP'SNAME: CO%�ERICK, GEGRGE J nooeess: COVERICA I�ISA A 2208 MIN�'R ST COSTA MESA,CA 92627 AfltNIENGINEFfl: 6 3 1— z 4 4 S qEG.NO.: AD�NE55: UNIT: uxiT: PEflMITTEE: GOERGE COVERICK ( 714 ) 631-2441 nooeess: �ZUB N.INER STREET COSTA MESA CA 92626 UCENSEo CONiBRLTOR DELlABR7lON: I nereey allirm �na� I am IicenseE unCer D�ovisions of CnaD�er 9 �commencing wi�n Section 7000) of Urvivon 3 0l i�e Bus�ness antl Piolessions Code. and my license is in lull lo¢e anG ellect. CITY IIC.: STFTE UC.: CLA55: Wte: Signalure: WOFNERS' COMPENSRTION OECIAMTION: I herebyatlirm ttut I have a ceniliwie ol consent to sell�insure or a cenilicate al Warkers' Compensa�ion insurance. ar a certibee wuy inereof (Section 9800. Lae. C�. POLICY NO.: EXP. OPTE: COMPqNY: ❑ Cenified coDY is here0y tumis�ed. ❑ CeN�ietl copy is liled xith the ciry BuilUinp OiWsiOn. �a�e: AOdiwm: E%EMPTION FPOM WOflKEflS' LOMPENSATION OEClAP.1TI0N: (�Irts Setldl ntttl noi Ue complele0 il the perml R la dle huMr[d �5100) ar 1e55�. I cetlity that in IDe per�orman[e oi Ihe work for w�¢h tNs Oerrttii is issuetl. I shall nol ¢mploy any Oerson in any manner w as to become su�lec� Io Ihe WorkerY Compensatmn Laws Oi Calilomia. Date: Siqnature: NOTItE: If, after making �his DeUaration, you s�outU 6ecame su0ject to i�e Workers' Compensa�ion provisions ol Ihe �ahar Caae, you must fontrcnih comply witn sucn p�Wisions or tlns plrrttit 511atl De Ueemea rewketl. CONSTBIlC710N LENDING AGENCY: I �ere0y atlirm ttut thert a a canstruction IenOing apenry lor t�e Derformance ol t�e xrork for which ��i5 permil i5 i<sued (Section 3097. Gv. C�. lENOEP: aoosess: OWNEB BUILOEP OECLAflRTION: Illereby atli�m ��atl am exempllrom I�e CAnlrat�Ors' Staie License Law fo��he lollowinp reason ISection 7031.5 Business anC Pmlessional COGe: My dty al munry wkc� repuires a permn to wnslruci, aller, impmve, Cemofis�, or reoart any sirutWre. prioi lo ils i55uance. also i¢puires tlu ]ppiflnl for SuUi pe�mi� Io We a SiO�� slatemenl tlW� �PJshe ¢ IicenS¢E pursuam to ine D��ons of i�e Canbacmri Sia�e License Law (Ctupter 9 �commenunp wit� Seclqn 7000) ol Division 3 0l tAe Buvneu antl Prolessions CoCe) or tllal ne/she is eeempt t�eRirom and Ille EaSis lor l�e allepe0 eMemption. My vioWtion ol SeCiion 70J7.5 Ey any apo��wni fw a permit wOjttis me apqiwnt to a civil penalty ol noI more Inan live IlunEreO UaPars (5500�. I, as owner of Ihe D�a7eny ot rtry em byeM willl wd0es as Iheit Sde COmpensdtion, wiA Uo ihe vrork, ana Ina ❑ simcture is not intenaeA or offered for sale (�cUon 70aa. Business anA Profettional COEe: TAe Contractors' State License Law aoes nol apDly to an ownet o� a pmp¢ny who 6uilEs or imprOVCS In&¢on, ano who Ooes sucn work himselllnersell or Ihrough IliS or nN own employees, yWiG¢G I�di wcfl improuemenis aR noi inlenOeE ar ollere0 lor ule. II. �Owever Ihe EuilAinp or imOrovemeniis SOIC wi1Nn One yCdral tAmpletian,t�e ovmet wi�lluve tl1e 6ur0en of D�ovinp �e/She EiG nol �uilG orim0�ove tor me ouroose o1 salel. ` I, as owner ol �he D�openy, am evclusively tonlratiinp wiih Iiten58E [Oniratlar5la tonSlruti I�e DmleCi'$eCtion 70EE, Busine55 ❑ an0 Profe55i0n5 CaOe: T�e CAnVactor5' Slate L'KMse Law OoeS MI dpply to an owner of Dmperty who WAQS or improvCs N¢r0on d�d w110 COOIfdL15 �N SOtll pf0�EC15 Mit� d CMIfdqOf�S) IICLM1St pUfSYdlli IU IIIE COfllfdC1015' State license Lawl. I am aware Illal 0�001 0l I�eir Worker'S Comp¢nuti0n in5urantt Slroultl Oe prohEeG me. � � am ezemp� unaer Sectian: B P�� 4 4 B. 8 P C _'LU"—' � mr mis re con: ALL WORK B Y OWNER �Daie:_g��Z/ �� Umer. _ _ 7 I oa nereey c mty tnat�am aware al ana unaerstana ine repuiremems al Calilorrda Heai� nC Salety CaUe Section515505.25533. antl 2553d antl ihal I or any INure GuilEing accupant wilVwill no1 (cucle One) neea Ia compP nih SdiU slaie coAes anA i�e iepuiremenis lor a permii lor conslmclion or moeihcalion Irom t�e Ru Ovaliiy Manaqeme� Uslnct. Rev4eniial consimttion aDP��ations a eeempt Irom ��ese pmvisio�n• /� � 'Hale: 11_%.�� Apolicanl:______�// , I hereby cerlilyi�atl nave reaa Ihis applica�ian and statel�alihe ove inlorm' � ¢ wireci. laqr¢e�o com0ly with all ciry and county � ortlinances and statetaws relaiinglo OuilO�ng con5imc�ion anG �ere�' ilMnze mpreuntaliveso�lhis cityloenteruponl ve�mentioneE II pmperly la� m5D°qion purposes. � / �ate: _� _/ �1�� Signalure: _ v Oriver's License oi Koi�ai Securiry �: a i6at�46 W�ite—Buil�mg', Green—CaCe Enlorcement; Canary—Appl¢anC Pmk—Reveno¢ Golaenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMYT FERK NO: B 05331 PERMIT NO: B 053316 FLAN CiIECK NO: N GOVT: N SiIPF: N CONSTR!JCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: Ai,T JOH DESCRIPTION : T/OFF RESHEATH W/FIBERGLASS SHTNGLES SQ FT: 1,300 CLAIM VALUE: 1,300.00 CALC—VALUE: 1,30U.U0 GROUP OCC: R—:i / COMMENTS: SMOKE DETECTOR RE�UIRED IN THE HONE +�*�*��t?�******�t*�k*��*x�*�t**�ti� *x�******i��-*+�****rti��t*�**x��c***��t��#k•r��t*+��•�t�s�*��fr��t�* Z O N I N GS ERTEB�AUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT tN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARRING REQ• PROV; PARCEL: 92219310 ZNE: REF NO: PLANNING Ni51'ES> i IE M� fF # if !E iE �f #'?f 3F �k iF iE iE 3(� # iE # 3E-1F # iE iF iE iF # if iE # iE �IE iE �E 7F�7E iE fF aE lF if� iE iE li iF iE i't �F iF if if iE K-�f i'r if # IE # 7F IF iE � iF iF 1F if if IF3i 3i �E 3e if if if iF lE iF D E V E L O P M E N T S E R V I C E S k E Q U I R E N � N T S � ZONING APPROVED BY DATE: ' HTJILDING APFROVED BY : DATE: ��- � APPLZCATION ISSUED BY: � �Yl�t AATE; : —U � ` � / iE �k if iF �f i'r �e if iF iE fF i(� 1f 1F if �li� iF iE-lf 3E if iF . t� .. a7F3F�iF .'iFiiiF � . .. if 1E iE iE if ii iE if if i(-�"3��iFti: if iF **** iF * iE iE> iF �F **� iE !E iE *�f if x� iF iF � iE * iF it ik iE iE if �7F if * iE if 1E * 3�'��F i�f 3i� i� �� i� �F *?E iE �lE iE x� �c iE *�t� �f if i� 1E �E iF tt'ie �F,c � �F if N� r lE x� LEGALIZATION:N F E E S U M A Y STRi7CTURAL SEGMEN"_';Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 31.00 .50� SMIP/NON—RES PLAN ISSUE FEE BUZLDING—DZV—> PERMIT ISSUE PLAN—C:iECK TOTALS----> 31.50 0.00 0,00 REVENUE DIVISION TOTALS--> COLLECTED: HLDG PMT PLUMHING ELECTdIC MECHANIC 31.00 TOTAL PAID DUE 31.50 31.50 .UO 31.50 OVER/SiiORT: ,00 rIRE SMIP/TOT GRADING PLAN—CHECH .50 iFif if if iE N'if ih if if it it iE if if if ii' ifif if iFif if if ii'i('iF 1F ih if iEii'ir if iF �f 1'cii'ii'if lfif iEi{'if i('ifif #ii'iFi�iFii-'M'it )f ii'ir 1t N'ii'1% if iF iFiE ?i' N'iF 3"i't iF ie ik if iF If if I N D I V I D U A L F E E B R E A R D O W N � TYPE QTY D E S C R I P T I O N iJNIT COST -SOTAi, COST SFR 1300 REROOF BY VALi7E RESIDENSAL NOZONE 1.00 ''1,300,00 END OF FEES V CI ��fn..d:,5-.:C'u%;rvyS r, �.--- .. aar�: a��; �z�^7 -�.��: o�:��. , CONSTRUCTION AND PLANNING P�� A ' � y APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pooi & Equipment Location ��, - r � 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement " �•� : i." 3. Electrical Conduit Utility-Undrgrnd. 54. Forms .� ' . 4. Electrical Conduit•Undrgrnd. 55. Electrical Bonding " i 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAI TO COVER�GUNITE 7. Footings 58. Elec[rical ConduibUndrgmd. 8. 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 �� - �� i 11. Property Sewe� Line & House Conneciion 62. Backwash & Receptor-Final �- � • :/. 12. Sewer Cap 63. Heater & Vent-Final V�, �� ' 73. Roof Droins � � 64. Plumbing System � Final v_ '' •� i 14. Rough Plumbing 65. Electrical-Final .�" '�. ' . l% "i 15. Rough Electrical�Conduit 66. Solar System�Final � '• , 16. Rough Eleciric Wiring 67. Fencing & Access ApProval � ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERfNG 18. Rough ElectriWl-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough FactorY Fireplace APPROVALS Permit # 21. Dutts, in Structure 70. Underground HYdro 22. Dutts, Ventilating 77. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank�Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T•Bar Ceiling IStructural) & Monocoat 75. Dry Chemical • 27. Frame and Flashing 76. Dry Standpipe 28. � Lathing & Sid�ng 77. FIXED SYSTEM FINAL 29. Insulation 76. FIRE PREV. FINAL 30. Drywalf Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat �_. 79. FINAL INSPECTION 32. Electriwl Power Meter�Final ' 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & R,ir Conditioning ' . 35. Final Gas Pipe-Test � � 36. Hood or CanopV 37. Final Factory Fireplace ' 38. Final Plumbin9 39. Water Service�Final 40. Gas Service-Final 47. Solar pomesticFinal � 42. Backf�ow Preventer i 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handican Regulations 47. FINAL STRUCTURE & BUILDING �2�1 �.�� 48. FINAL PLANNING � .^��9/ 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ', � \51. CERTIFICATE OF OCCUPANCY ( D. Date \I ,..... �.. ,..-...w....� vr� � � �- i i 108 ADDRESS M ner . BUILDING PERMIT N0. ��onh SUBCONTRACTOR `� ROUGH PLUMBING . PROP. SWR. LINE � NOUSE CON. S,SPRINKLING SVSTEM MISCELL�NEOUS ROUGH HEATING ANO /IR CONOITIONING TEMPON/.RY SERVICE OR POLE UNOERGROUNO � POWEH � ROUGM WIRING TRENCHES FORMS � STEEL REINF. FLOOR SVSTEM BONO BEAM � SYEEL REINFORCE n SNEATHING FRAME AND FLRSMING LATHING - IN n OUT � PL/STEF.BROWN COAT 5' 'TUR h JG, PLUMBING FINRI RIG. ANO A.C.. FINAL SPECIAL REOIIIRFMFNT$ � .=-�► � :�7904 �f COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For qpplicant ta Fill in Completely BUILDING ( ADDRESS �yI% i I N � � OWNER ��µ,�.p � /p � MAIL S��^ `C� Z ADDRESS .� J W W ^ �--•_ TEL. �y � d U CITV C.�C`�iI /r�in- ryp, ZZ Q COWTRUCTION ` ON LENOER W��`^� am J � BRANCH J N a "� ADDPESS V ARCHITECT 9 w �� / TEL. — N OR ENGINEEF �� S �Y N. UQ w Q ADDRESS d w J O CONTRACTOR W ( /S(M �G( �n mQ ADDRESS/[.1 Q OO Se 7f�'�"�/% 1�+�/�'� �� W TEL. Z� ci rv � 4 No. 6(+Go w 0 STATE /� S-1 !/ CIT V y K LIQ NO. hY LIC. NO. � � SIZE NO.OF BLOGS. OF LOT NOW ON 1.0T USE OF EXI5TING BLDG. �— � F" SI2E OF NO. OF Z NEW BL�G. ROOMS STORIES U EXTERIOR WAL4 ROOF COVERING COVERING J USE F BUIL�ING AND WORK TO BE PERFORMED a I��unw. r/a�c � r H y Z O UI hereby acknowledge that I have reatl this application antl state � Ihat the above jnformation is correct antl agree to comply with � all laws regulating builtlinp consttuction, entl I shall not employ F ony permn in v�olallon of 2he workmen's compensation laws of y the State ot California. zI heraby certtfy ihat � am properly lieensetl es a convec[or under SQ. FT. the Stata of Cal�fornia usiness antl Profeuions Code, Dlvisicn 3, THE AMOUNT SHOWN UNOER Cnepcar 9, antl th uch icansas are in tull force antl effect, or 1 THE PURPOSE OF ESTABLISHING A am exampt fro he pro ilons of tha Stata of Celltornla Bus(ness entl PrOfesziOn Co , D islon 3, Chepter 9. VALUATION �• PERMIT FEE Sipnat�re o '/ �� Permittae � $ (/ PLAN CHECK R FIRE 20NE APPROVED 'ra 7 " •00 i o SO _S_ 1 �'F �x'•.• .•u4 ��,�. ON FOR BUILDING PERMIT DATE RECEIVED DATE ISSUI 2��i N NO.OF PLAN$ VAflOS APPfiOV ED MAIN BUILDING D4STANCE BET MAIN BLOGS. VAR. # VALUE USE OF � BUILDING VARD'. BET. ACCE' DATE -5- �— J — l�—� m b 0 oN is Foa ; FEE ONLV: m ¢ � N � m E �47 `o ' - LL UwNr.:tc UHUllr:IV'1'l, H. J. DATE 2-225-67 JOB ADDRESS 2208 Miner Street BUILDING PERMIT NO. 26735 GENERAL CONTRACTOR pnthonY Pools DESCRSPTION OF WORK Private Swim Pnol FIREZONE VALUE Date I GROUP J TYPE SUBCONTRACTOR or : . =- , ` 26`�35 COSTA MESA BUILDINGSAFEfY DEPARTMENT G.O. BO% 1200 COSTA MESA, CALIFORNIA 92626 For App1)cant to Ftll In Complatoly TYPE OR PRINT AnDRE'SS 2208 MiIv�R 5T COSTA ME3A, CALIFORNIA R SAl'LLvui rypL 5871 FIREST017E BLVD. I1 ��rrt[i�_�� K871 FIRESTONE BLVD. �9 C�'� 190179 w��• OF LOT J2�LU I NOW OH W7� use oP RES AN D GAR E%ISTINa BLDO. i6TpACK LINI fROM � � eanien oI sin[aT � RGR YA D BIO6 YARD IXPT � � RIpHi' �' DESCRIPTION Of WORK u� � EXTERIOR WALL WORKTO I HERCBY ACNNOWL6D06 TMAT 1 XAV[ RBAD TX19 AND BTATB THAT OV6 1� COpR[R�ANG �p P�x WITx w�� ORDjIUNclt AND YTATi,i'1(Wo BUILDINO CO IlLTIOH. / FEB 28-67PA1D001017 1�.00 cwsa � ��`t` APPLICATION FOR PERMIT BUILDINf3 for Offlce Use Only sr ,P T —.v_i ZONING MO.O� YY[ _ / �uxs "% emi �.No. �I � — /Jl�.�C —/(/ fQ: NO[AVHOV[RMAN08XALL�HLE88THAN ' TO BID� S NBAR P. L �ea .OW6D fU.B.G.REGVIRHMfiNT1 YAROBMPROV[O YARDSMPROVHO MAIN BUILDINO ACCEII80RY BUILDINO lOMC/LYTR6[T) ♦ � Q'T//� 6 DIYTANCt ![T. BeT.MA1N MAIN BLDQy, ACCE89. B VM. Yi DATC � W HOLD �OR SPfiC REQUIRE1�iENT9 � - � so. Rr. � TH8 /�MOUHT BMOWN UNDHR V�LUATION 18 FOR TX6 j PUPPOBe OP [HiI�BLI8XIM0 I� PlRMIT IH8 ONLY. :; 'ALUATION � PERMITFEE p 0 �z400.o0 � n. W TOTAL FEE S/// � � OwNEx ��CONNf1R� Frank J. DATE ']_9-5� JOB ADDRESS 2208 Miner St. BllILDING PERh3IT NO. 5L{O7 GCNERAL CONT Same VALiIE $ J AP. No. LOT �O TRACT �'jq FIRE ZONE DESCRIPTION OF WORK R25.. W�Htt. gaz'. Gu4lIP T& .T TYPE V __ZONE RIy PLAN NO. SjI.G9 ..._ . PERMITSISSUED DATE SUBCONTRAC70R ____ � _______ � •�, :+R,;-;' • 5349 �COSTA MESA BUILDING DEPARTMENT P. o. eox 3 n COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN eui�oiHc �� AooRess /NE/Z � COSTA MESA. CALIFORNIA OWNER�Yj�"�"�—i-- �/a � �C/.O��.��N/O��L AODRE55 I � v �' � • `� '� �// CITY C "�/ • ARCHITECT OR ENGINEER ADO CONTRACTOR �J/��/` AO�RE55 LEG�L LOT DESCRIPTION NO. /O BLOCK A.P. NO. � SIZE �fl/ I Z�QS � OF LOT <7T USE OF E%ISTING BLDG. SETB�CR LIrvE FROM T CENTER OF SiREET J � TNOY�• �/OI "' AC LIC. NO. FII ZC CITV LIG �� NO.'� �� TEL. %P NO. BV TRACT�� NO.OF BL�GS. REAR ` DESCRIPTION OF WORK NEW ALTERATION AODITION REPA MOVING DEMOLISH SIZIE �ING �1 Zx [�j ROOMS 6 STORIES � d E%TERIOR WALL ROOF ' . ^O�O COVERING � �� COVERING «� USE OF NEW �%S / %�%� �� _ 9111LDING /G ra !/ FtE �k�tC�tfVtU ��i d�'""`.,�' �i � l C"�' 9 "� - FINANCE DEPT. APPLICA�IIfV' FIIR PERMIT BUILDING FOR OFFICE USE ONLY l5 �/� ♦TE RECEIVEO DSTE ISSUEO -i�zr �- 9-s7 COSTA MESA. CALIFORNIA CORRECTIONS ST�TE TMAT TME /.BOVE IS CORRECT 1N0 �GREE TO COMPLY WITN �Ll CITY ON�IN�NCES AND TE L1W5 REGV 1TING BUIL�ING CONSTPUC� nON. VALUATION r PEFMIT FEE S Z� SIGNATURE O PERMITTEE ��5�� PLANCHECK 5 1�� $ � AUTHORIZEO AGENT TOTAL FEE $ �j ��