HomeMy WebLinkAbout2223 MINER ST - Building PermitsAVD�icant to fill in all iDacei excepl those wit�in heavy EorEe� Ilnes anC 5ign all appro0riate
Ci7Y O�COSTA MESA CONST UCTION PEg� I�
P,oy��;�Q�� 2zz3 �.,�.� � ( ""
A{+P��ant's Mailing Addr ss R o•RO K a-�7 3 c' ���
Owner's Name �Q'V � 0 �Zr'�Z Phone
AddreSs 5 �' �"�
�Arch/Eng. License No.
Address
Convacror'sNam p " Ph ne —bZ�3
Address (ma'I' g) p�1 r �c %i� .
City License No: J� B��
LICENSED CONTRACTOR DECLApATION
1 be�eby aftirm that I am IicenSetl uqtllr provi5ion5 ot Char[er 9(tommencing
with section 1000) ot Divlslon 3 ol t�¢ gusiness antl Profeszions Code, ana
my license is in fu11 Ai rce a e fect. �'''�'� �
LICEfISC C�d55 __(�, lIC C / � �
Oale/�"��.�� $ignalue
WORKERS' COMPENSATION DE 4ARATION J �U
I M1ereby aftirm that I have a certiticafa o/ consent to Sell-in5w r a Certiticate
ot workers' Compenzation Inswanca, or a certifietl copy ereoi (Sectlon
i800, Lab. C.)
licy No. Company
�1 Cerlitietl coDY is hereby fumishetl,
Li Cerlifietl coDY is filetl with Iho clty guiltling DiviSion.
Date Appllcant .
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section neetl mt be cample[etl i/ the permil is fo� one huntlretl ($100) or
less).
1 cerlity tM1at in Ihe perfo�mance of Ih¢ work fo� which this p¢rmk is issued, I
shall not employ any peROn In any mysr/F�5 [qAecp�qe subject to the
Workers�' �C�o�Jpen ws of Cali{efnit /�!/
Date _�l�Si9natureC_.Jl � �l�.f✓�
'NOTICE: If, aicer makin9 this aeclar �on, you snoultl become s ect to the
Workets' Compensation provisions p{ the LabOr Cotle, you must torthwith
compry wilh such provisions or [hi5 permi[ SM1all be tleemetl revoketl.
CONSTRUGTION LEND�NG AGENCV
I M1ereby aRlrm that there is a constru�tion lentling agency tor the performance
01 the work for which tnis permit is issuetl (Sectlon 3097 Civ. CJ
Lentler's Name
Lentler's Hatlress
OWNER BUILDER bECLARATION
I hereby affirm tM1al I am exempt trom [he Cont�aclor'S License Law fo� the
following reason (Sec[ion 7031.5 B�slness antl Professional Cotle: Any city or
tounty which requires a permit to cOnS(ruct, alter, improve, tlemolish or repai�
any structure, prior to its issuance, also requires tne applicant for such-permit
to file a signetl sta[ement Ihat he/she i5 Ilcensetl pursuant lo the provisions of
the Contractor'S License Law (Chap[er 9(commencing with Sec[lon ]000) of
Division 3 of the Business antl Prq{ession5 Cotle) o� thal he/she is exempt
therefrom antl the basis fo� the a119g¢tl exemption. Any violation ot Section
7031.5 by any applicanl for a p¢rmlt subjects the a0011cant to a civil
-�alty of not more tnan fivc�bundrptl tlollar5 ($500).
as owner oi the property or my employees with wa9es as their sole
.pensation, will tlo IM1e work, antl lM1e st�uctu/e is not Intentletl o� offeretl
ror sale (Section �044, Business antl Professlonal Cotle: The Contractor's
Liconse law tloes not apply to an oWner of a proPerty who builtls or impmves
thereon, antl who tloes such wo�k him5elt/ner5¢If o� through his o� M1¢r own
employeel, 0/ovitletl thal Such Improvemen[5 a�e not in[entletl or offeretl for
salC. If, however, lhe bulltlin9 or Imp�ovement iz soltl within one year ot com-
pletlon, the Owner will have the burtlen of proving he/sh¢ tlitl nol builtl or im-
�iove tor [he purpose of sale).
U I, as owner of che proDerty, am axtlusively contractin9 with licensetl con-
tractors to cons[ruct llte prolect (SeC[ion 7044, Busine5s antl Professions Cotle:
The Contrac[or's License Law doe: noI apply lo an owner ot Property who
builtls or impwves tnereon, and who conVacts tor zuch projectz with a con-
tractor(s license pursuant�to the Cryntracfor'i License Law). I am aware that
prooi o� tneir Workar'S Compensation insurance shoultl be provitleC to me.
❑ 1 am exemo� untler Section B. & P. C. for this reason
Date Owner
I hereby certify that I have reatl
infmmdli00 IS COff2CL I dOfCC IO (
all
above
nances
repre-
[Y for
TVPE OF CONSTRUCTION L� NEW LJ A�D L) ALTERATION � REPAI R
❑ CONVERSION ❑ DEMOLISH ❑ OTH� A p #
��i.S���pl� �� � �a_
S Main Building:
TVPE OF PERMIT GRAOIN6 LJ FOUNDATION STRUCTURAL T Front
❑ TENANT ❑ EIECTRICFiL ❑ PLUMBING ❑ MECHANICAL A Rear
❑ -OTHER
PROJECT DESCRIPTION 5Q. FT. oCCUPANCv C Right
CONSTRUCTIONTVPE VALUATION$3'JOD�� S L2(t
ZONE GRADING CU. VDS. ACRES p�ng. Ref. #
Remarks: �'�p �' �' — Planning Notes:
3ar Sink
3ackflow Preventer
3ackflow Irrigation
3athtubs
Clarifiers
Dishwasher
Drinking Fountains
Floor Orains
Floor Sinks
.�id5 $2fVICC �t1t12[5
Interceptors
Kitchen Sink
Lavatories .
P—Trop
Roof Drains
Reinspac[ian Fee . $15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact Blt. ICBO #
Heatin9 System & Ducting
❑0-700,000 BTU 0100,000BT
Orivers' L" nze or 55 � I I Rainspection Fee I $15
CMF 0865-46, rev. 10/B4 White - Builtling: Canary - Applicant; Plnk - Accountlng; Goltlenrotl - Assessor
$IIOWflS
Service Sink
Sewer Cap
Sewer Connection
Solar Collecmrs
SOlar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Laundry Trays
Issue Fea
Hood or Type I ❑
Canopy Type II ❑
Refrigeration System
❑0.100,000 BTU ❑100,000 BT
System Repair/Alteration
Fire Dampers '
Fiegisters
Issue Fee
FEES
$ 3
$ 3
1631 10/q7/85 e1o50 TL
2one
Accessory Building:
Z
O
N
I
N
G
H
Parking Req./Provided E
Q �
M
T
S
ELECTRICAL
Automatic Washer Transformer ❑ 15-50 KW
Construction PoleSub. ❑ 50+KW
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.
FixWres
Oevice Boxes
Outlets
Switches
Garbage Disposal
Generamr �0-5 KW �5�15 KW
Meter LJup to 100 amps
Meter ❑over 100 amps
Sub Panel
Motors �0.7 HP O 1 Y� - 6
IncSolar �9-15 HP 016�15+
Microwave
Pole Light �
Range
Sign
; Standing Sections
Trash Compactor
� Reinspection Fee �$15 � � Issue Fee
DEVELOVMENT SERVICES REQUIREMENTS:
Zoning APProved By
Building Approved By /�
APPIiWtiO111i5Ued BV LL
FEES
$ 3
SUMMMM ARV F FEES /\
BUILDING 7ERMIT $ � SMIP $ • Sv
P�AN CHECK $� PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROPILM $ J�
MECHANICAL S TOTALFEE $ �•�
PLAN CHECK 25% $
CONSTRUCTION AND PLANNING� POOL & Sp�
A9Pi20VALS Permit # �ate Inspector AppROVALS Permi. . Date Inspector
,f. emporary Electrical Service or Pole 52. Pool & Equipment Location
�
` 2. Soil Pipe-Undrgrnd. " 53. Steel Reinforcement ��
• 3��,EIecVical Conduit!Utility-Undrgmd. � 54. Forms .;y
4. �Electrical Conduit-Undrgrnd. � 55. Electrical Bonding 1�
�: ;` %
5..Slflel-Reinforcement� ' 56. Rough Plumbing & Pressure Test .
� 6.�%Ele�tdical UFER 6rnd. 57. APPROVAL TO COVER-GUNITE �
7,'Footings ' " `,,�. 58. Electrical Conduit-Undrgrnd.
; 8.�,'Fouridation . , � '' ��� 59. Gas Pipe, � Undrgmd., Test : + ;
9. ,Water Pipe-Undrgrnd. �: .' ` 60. Backwash Lines, P-Trap, � Undrgrnd. �i�
� 10. Structural Floor System �,� � 61. APPROVAL TO DECK .
11 -Property Sewer Line'& House Co�necfion /f 62. Backwash & Receptor-Final
12.,Sewer Cap ' 63. Heater & Vent-Final '�
73,; Roof Drains � � ., , 64. Plumbing SYstem - Final .
14. Rough Plumbing . . 65. Electrical�Final �..
15. Rough Electrical-Conduit 66. Solar System-Final �
. 76. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign . 68. APPROVED FOR PLASTERING
18. Rough Ele�ctrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. •.Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in�Structure 70. Underground Hydro
}
22. Ducts„Vehtilating 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-Ba'r;Ceiling (Structurel) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulaiion 78. FIRE PREV. FINAL
30. Drywall Nailing �'� HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat ��' 79. FINAL�INSPECTION
32. Electrical Power Me�4r-Final 80. FOOD CERTIFICATE ISSUED
33. �Final Electric Notes:
34. Final Heating & Air Conditioning
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 Irriqation System
45. Sound �Attenuation
46. HandicaP Regulations
47. FINALSTRUCTURE&BUILDING '
G /G' �
48. Special Requirements Completed � .
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
I'�
OWNER (1�C(1Nb]pR� Frank J. DATE %-�-5% _
JOB ADDRESS 222j Mlner S'E. BUdDING PERMIT NO. SJ,aS
GENERAL CONTRACTOR S2itt2 VALLIE $ 9 996.00
AP. No. LOT 18 '��'I' 3239 F� Zoxs DESCRIPTION OF WORK ReS. 4(�8tt. Gaz'.
GROUP T& .i TYPE U ZONE. R)i � PLAN NO. K�K7
'ECTIONS I DATE I SUBCONTRACTOR I PERMITSISSUED
_� . _ i � DATE NUMBER
Fi' - Gas Test
C �cH�
•;�,;� ' ' - 535'7
: ...
COSTA MESA BUILDING DEPARTMENT
� P. O. BOX 31 ]
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
'y ZL'3 /v/�,cJE� �
COSTA MESA. CALIFORNIA
OWNER r-�,� ��
MAIL �i%r� � / �• I
ADORE55 T /��� K�
CITY ✓..r�/
ARCHITECT
OR ENGINEER
ADf 5
CONTRACTOR S�✓��J�
ADDRE55
LEGAL LQT
OESCRIPTION NO. ,� BL
A.P. NO.
size �'2'��S
OF LOT
USE OF
EXISTING BLDG.
SETaFGK llrvE
CENTER OF ST
SiDE YARD
�
TEL. %/
N O. �� !
LIC.
NO.
CITY LIC.
NO.
NO.OF BLDGS.
RIGHT , LEFT (
DESCRIPTION OF WORK
NEW A�TERATION ADDITION
REPP MOVING DEMOLISH
SIZEG +GT Dy�S/// � ROOMS (� STORIES /
E%TERIOR WALL <� ROOF � / %a�0
COVERING �/ �� COV/EJRING li��
USE OF NEW � _/) TJT/ � �
BUI�OING /�� //
4�u�
FEE RECEIVED�
��� �9S�1��'.
F ANCE DEP�
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. �< PERMIT NO.
V � 3
RECEIVGO BV OPTE RECEIVEO OSTE ISSUED I
��i_ _�. ��///—/� i�fi�C 7
COSTA MESA. CALIFORNIA
FIRE
ZONE
l� ZONE �J y
I�
APPROVED
BV
y3
1 NEREfiY �CI(NOWLEOGE TX4T 1 HAVE RE/D TMIS TPPLIC>TION iNp
6TwTE TH/T THE RBOVE IS ORRECT FND hGREE TO COMPLY WITM ILL
CITY ORDINANCE$ AND E L��N$ REGULl� ING BUILDING CONSTFUC�
TION. � VALUATION
SIGNATURE O
PERMITTEE ^ ^� /
Cy (f 6
S � �
AUTHORIZED AGENi
DATE
CORRECTIONS
PERMiT FEE S �
PLAN CHECK 5 7�
TOTAI FEE S o/V ^ `9M`
OWNER BUNCH, JOHN F. OCT 2$ 19SE DATE B-u-SS
]OB ADDRF,SS �?23 Mi nPr MAR 2. 1g59 BllILDING PERMIT NO. 7Q'j5
GENERAL CONTRACTOR Qwner-Builder VALUE $ i�00.00 -
AP. No. LOT ld �acT 3239 ruz� zorrE DESCRIPTION OF WORK Patio Slab
GROUP TYPE ZONE PLAN NO.
ECTION6
coat
DATE � $UBCONTRACTOR
Y� r : , '72'75
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31]
COSTA MESA. CALIFORNIA
aui�oiNc
AODRE55
OWNER
MAIL
FOR APPLICANT TO FILL IN
-y�/////1/f/�
COSTA MESA. CALIFORNIA
ARCHITECT
OR ENGINEER
ADC i
CONTRACTOR
ADDRE55
'LECRI LOT
oescaivnorv NO.
A.P. NO.
: SIZE �� r
OF LOT
USE OF
E%ISTING BLDG.
SETB�CR LINE FpOM
CENTEF OF STPEET
ry iH�R
r�Q TEL.
G.�/7 NO.
LIC.
NO.
,� CITY LIC.
NO.
TEL.
NO.
BLOCK TRAC
� � N�� BLOGS.
NOW ON lOT
T REAR YARD .
DESCRIPTION OF WORK
NEW ALTERATION �qODITION
FEPP ��MOVING DEMOLISH
BUILDING NO.OF
SIZE ROOMS STORIES
EXTERIOR WALL
COVERI G L,
USE OF NEW ✓'
�=tE RECEIVE��
�^ �� - s� r �..
��'' FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
NECEIPT NO. PERMIT NO
BUIL6ING /�
AODRE55 Z Z Z' � ///N C/�
COSTA MESA. CAIIFORNIA
FIRE �
20NE
ZONE HO.OF GROUP
PL�NS �S /� �/^
7/ Y
APPROV��D 'T ry /
BY QiI�/C DATE � /
CORREC ONS
SU2JcCT TO�f�DG. DEPT. REG.
STRTE THAT THE �BOVE IS CORNECT �NO �GREE TO COMPLV WITH �LL
CRY OHDIN�NCES �vD ST�TE L�WS NEGUL�TING BUILDING CONSTPUC�
TiON. � w VALUATION �
���/'�� ^/ � PERMIT FEE S
SIGNATURE OF l y
PERMITTEE /S/ ���—/
PLAN CHECK 5�
5 y6 0�
AUTHORIZED AGENT TOTAL FEE 5 ��