HomeMy WebLinkAbout2239 MINER ST - Building PermitsPfl0.1EC7A0DFESS: z139 MINER ST
owxexsxnme: HARTUNZAN VICTORIA
AODNESS: `z39 MINE�t Si
COSTA MESA,CA 92627
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`yflLH/ENGINEEN: 6 3 1— 5 8 a �
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UNIT:
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PEflMITTEE: WESTSIAR BUIL,DER5 ( 724 ) 973-7556
nooeess: 1088 IRVINE HL 191
TUSTIN CA,92680
LICENSEO CONTflRLTOfl OECLRPRTION: I h¢r¢by allirm Ihai I am Iicemc0 wEer D�onsion5 0l C�ap�er 9(tommenting with SeCiion
7000) ol Oivision 3 of I�e Busine5s an0 Pmlessions Code. and my license is in lull lo¢e anG etfeci.
ciTr uc.: � 7 7 1 STATE LIC.: c S � B
Oa�e: � — Signature: � _ '�
WOBI(ENS'LOMPENSATIONDECLAPATION: Ihereoyallirmthatlhaveacenilicateolconunitoselbinsureorace� a1eolWorkers'
Comoenu�ion Insurance, or a cenilie0 coDY �nereol (Section 3800. LaD. C).
POLICY NO.: E%P. DATE:
cornvaNr:
❑ Cenitietl copy is hereby furnishetl. ❑ Cenitiea covY is IileO witn ine city Building Oiv¢ion.
ate: Ppplicani:
E%EMVfION fPOM WOBKEBS' COMPENSATION OECfANATION: Qhis sec�ion neetl nal be comDleteU if Ne perrrt� i57or one huMretl (E1ql� or I �.
I cerlily �hai in i�e 0-riormance a� (he work �or whic ��is De�mi� is issued. I s�all no� employ any perwn in any manner m as to e
subject to Ihe Workers' Compensation Laws o� d'��
Date:
NOTICE: I, a�ier makinp Ihis tleclaralion, you s�ould become su61e�� �o lhe Workers mDensation pmvision ��e la�or
Code, you must IorlAxilh comply with su[h pmvisions ar ��is Oe�mit s�all be deeme0 r¢vokeU.
CONSTBUCTION LENOING AGENCY: 1 Irere�y a�lirm �Aai Ihere is a cons�mc�ion lentling agency lor I�e pedor nce ol Ihe work lor
which I�is Oermi� is is1uM (Sec�ion 3097. Civ. C�.
LENOEN:
RODflFSS:
OWNFB BWLOEP OECUBATION: I �ereCy aliirm i�at 1 am exempt Irom I�e Contractors' Siate License Law for tAe lallowinp reason
(Section 703t.5 9usiness ane Prolessional Cotle: Any city ol county w�icA reQuires a permit Io cotrstNct, alter, imo�ove. Aemolish. or
repair any simcWre. prior loits issuance, also requires ihe aDDlicant lor such permit to Iiie a 5igneA statement that he/she is licensetl
pursuant to Ihe pmvisions ol t�e Comracmrs' Slale license Law (C�apter 9lcommencing with Sedpn 7000) ai Oivision 3 0l t�e Business
anU Ptolessions CWe� or Iha� he/s�e is enempt therelrom anU Ihe �asis lor t�e allegeA eMemO�ion. Any viola�ion ol Setlion 7031.5 hy
any applicani �or a Dermii subjttls ��e appliWnt �o a civil penalty ol no� more itlan live huntlred tlollars (5500�.
I, as owner ol IAe D�opetly or my empioyees with wages as Iheir sole compensation, will Uo Ihe work, and iM1a
❑ stmcture is nat intenJetl or ollere0 for ule (Section 7044. Business an0 Pmiessionai CoOe: The Contractors' S�ate License Law
Ooes nol aOOM �o an ovmer ol a omDeny who builds or impmves tnereon, ana who Does such work himsell/Aerself or inrougn
his or her own employees. D�ovi0e4 t�al such impmvemenis are nol inlentletl or oflereG �or sale. II, however �Ae builtling or
impmvement is Sold within one year ol completion. Ihe owner will have ��e burtlen af pwving �e/she 4i0 not huild or imD�ove
lor Ihe Ourpos¢ al sale�.
i, as ownerol i�e pro0etly, am erclusivety contracting wilh licensed contfacto4lo conSWc� lhe projetl (S¢ction 70E4, Business
u anC Profesvni5 CoOe: The Coniratlors' S�aie Lit¢nse Law does noi aDOty �o an Ovmer Oi Droperty wlw bUil45 or improves Ihereon
antl wno convansfor suc� orojecis with a coniracbr(s�license Oursuam to Ihe Cantractars' State License Law�.l am aware
Ihal proo� al iheir Worker'S ComOensa�ion insurance shoWd Ee pmvi0ed Io me.
� I am exempt unaer Seclion: B. 8 P. C.
lor t�is reason:
Oate: Owner
I do �ereby cenity Inal I am aware ol ana unaerslan0 ihe requiremen�s ol Calilomia Healih anC Salety COAe Seciions 25505, 25533, and
2553E and tha� 1 or any INure builtling occupant will/will nol (circle one) neetl to comply with Sditl siate coaes anC Ihe reQuirements lor a
permit lor conslmction or moailication Irom t�e Air Ouaiiry Managemenl Oistrict. flesitlentiat con5lruciion applications are exemD� �mm
�nese D�avisions.
�a�e:
I �ereDy ceriity IAat I �ave reaE �AiS a[
or0inances an0 stale lavis rela�ing to bu
o�ooeny I ec�ion purposes.
oa�e: ^�— �L
Oriver's Li[ense ar $ocul Security M:
Applicanl:
n antl stalet�al Ihe abave inlormationis corr¢ci. I aAree io compty wiih all ci�y an0 coun�y
i�ImclionantlheiebyaulhoritereD�esema�ivesollhisu�ytoemeruponthea6ove�menlioned ,
I6ai�a6 Wnue—Builtling: Green—Cotle Enlorcement; Canary—Appllcang Pink—Pevenue: GoltlenroC—Assessor
CZTY OF COSTA MESA — BUILnING PERMI? PERM NO: B 05639A
PERMIT NO: B 056398 FLAN CHECK NO: N GOVT: N 5UPP: N
COnSTRUCTION TYP6: 5—N PERMIT TYAE: STR PliRPOSE: REP
JOB DESCRIPTION : PROVTDE MINOR RE�EDIAL WORR SQ FT: 500
CLAIM VALilE: SUU.00 CALC—VALUE: 500.00 GROUP OCC; R-3 /M—i
COMMENTS: X
�t iF iF if iE iF if iE k if iE iF iF r� if i'r if if i4 it IE x� �f iE � iE �F 3e �E �E if �E ih 3f iE jF 1'r iF �f aE it jF iF iE iE �lE 3f iF 3E iF 3F iE iF iE �1FiE if iE iE iE if ii• if if ;E N� 3E k iE a� 3e iF if� iE 3E ?F 1i� i� K
Z O N I N G R E Q U I R E M E N T S
S c T B A C K 5
------------ AtAIN SUILDING ---------- --------- ACCESSORY BUZLDING ---------
FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
LEF'T: FT IN RGHT: cT IN LEFT; FT IN RGHT; FT IN
PARKIiVG REp • PROV; FARCEL; 9?.219221 ZiJE: REr NO:
FLANNING NGT'ES>
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*�x#�***�***#***�*�***u*�r**#*#�**��rs��**�*�*�**stxx*��r**��c***�****�*+r� ��kx�tx�*x**
D E V E L O F M E N T S E�R V I C E S. �2 E Q U I R E M E N i S
ZONING APPROVED �Y DATE; �:
BUILDIhG APPROVED BY ; DATE: �
APPLICATIUN ISSUED HY• /' C�� DATE• L c,
**�***��x��'*u��x�*����**�������3.�����r�'��— #�t'�r'�'s������t���*x�*����c*�*�,�`r.�>u
�if iF if iE iF iE 1E iE il� iF �k iE iF iE iF if k ie jE 3E �IF iE iE iF iE ic if i!� ic iE 3f i: if i'r �IE if 1'r # iE i!� # i4 if it N� if M if 1e �f iE iE �lf ie if if iF iF 3'r iEiE K� if !E iF ih iE #�'3r �)f #�E M'� 4 3e � iE 3'r )f
LEGALIZATION:N F E E'� S U M M A R Y STRUCTJRAL SEGMENT;Y
HLDG PMT PLUMHING ELECfRIC MECRANZC FIRE SMIP/RES GRADING
PERMIT 15,00 ,50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDZNG—DIV—> PERMIT' ISSUE PLAN—CHECK
TOTALS----> 15,50 0.00 0,00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHAA7ZC
15.00
TOTAI. PAID DuE
15.50 15.50 ,00
15.50 OVER/SHORT; ,UO
FIRE SMIP/TOT GRADING PiAN—CHBCK
.SO
3f iE �(- iF iE af V 3F iF iF iE Ih aF iF �E 1f aF )E 3E �If iF �lf lr N� %� �E �E%9( ie �E i6 �6 3F ie i(��E 3f i"r If �E aE 3E �i� if- iF 3E%iF #'� 3E 3E jE iF iF �kk 1f # i6 iF �k iE?E i(� �(� 3(� 3E 3E iE 1E if iF iF iE iF if #�El4
I N D I V I D U A L F E E b R E A K D O W N
TYPE QTY D E S C R I F T I O N UNIT COST TOiAL COST
SFR 500 ALTER BY VALUE RESZDENTIAL NOZONE 1.00 500,00
END OF FEES
d! �.i�'�!i-':�:1'.�i• �", "
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CONST?tiJCTION AND PLANNING POOL A
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
1. Tem�txary E�ectrical 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. Eiectrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electricai Conduit-Undrgrnd.
8. Fo�ndation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
70. Structural Floor System � 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal �
12. Sewer Cap 63. Heater & Vent-Final
73. Roof Orains ' 64. Plumbing System � Fina�
14. Rough Plumbing . 65. Eleccrical�Final
15. Rough Electrical-Conduit -' , 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access ApP�oval
17. Rough Wiring Sign , 66. APPROVED FOR PLASTERING
18. Rough Electriw6T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVAIS Permit #
21. Duc:ts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil
23. Gas Pipe-Rough & Test 72, Underground Flush
24. Roof framing � 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structurel) & Monowat 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 Nailin9 HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coac 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. F000 CERTIFICATE ISSUED
33. Final Electric �3-(O-YZ � B�otes:
34. Final Heating & Air Conditioninq
35. Final Gas Pipe-Test .
36. Hood or Canopy
37. Final Factory Fireplace _
38. Final Pium6ing -1/Q�j L E'O
39. Water Service�Final
40. Gas Service-Final
4/. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 4/�� �w�
/ t
48. FINAIPLANNING
49. Elearic Release to Edison �•
50. Gas Release to Southern California Gas Co
51. CEFiTIFICATE OF OCCUPANCY
No. Date
Pq0.1ECTRDOflESS: zz39 MI�E� S•�
OWNEP'S NAME: F;ARTUNIAN VICTORSA
RODNESS: zz-�(? MINE�2 ST
COSTA MaSA,CA 92627
L �
�MCHIENGINEER: 6 3 1' S 8 a � � flEG.NO.:
nooeess:
UNIT:
uNiT:
PEflMITTEE: WESTSTAR BUILUERS ( 719 ) 973-7556
aoosess: 1088 IRVINE BL 191
TUSTIN CA 92680
UCENSE� CONTBRLTOfl OECIABATION: I her¢Dy allirm thal I am IicenSeC unAer Omvisions o� Chapter 9lwmmencing wi�� Seclion
7000� ol Division 3 0l I�e Business ane Piofessi ns Code, ana my license is in lull force and effect.
cirv uc.: 055181 STATE LIC.: - �
Dale'. � � Signalure: �_
WOXNEXS' COMPENSATION OECIAflRTION: I �ere6y aflirm Iha1 I have a tertiliCale al consenl Io Sel4in5i
Compensation Insurance, o� a cenilietl copy thereof (Seclion 3800, Lab. C�.
POLILV NO.: E%P. DATE:
COMPANY:
❑ CenilieJ copy is hereby WrniSAeA. ❑ Cerlilie0 copy is �ileA wi�� �he city Building Oivi5i0n.
l�a�e: PODl/icanc
EXEMPTIONFROMWOflNEflS'fAMPENSAT10NaEC PRTION: Qhissec�ionnee0notbecompleteAdNe umtit
Icertitylhatin��e peAormance olthe workfor ihichthis permitisissuetl, y m
subleci to Ihe Workers' Co^mOensation Laws aliteimar
Dale: ��� L onature' � _ _ .d/./✓
NO710E: If. atler makinA ihis declaralion, you should become suble�� �o t�e Workers Cam� pensato
Code. yau mus� Iorlhwiih comply with suc� pmvisions or ��is permi[ shall �e Geemea revoked.
LONSTBUCTION LENOINC AGENLY: I �ereby allirm �hal Ihere is a wnSVuction IenOing apency �or ihe
which �his Darmit is issue015ection 3W7, Civ. C�.
LENOEN:
AOOflESS:
so as to co
Ine Laoor '
� ol I�e wofk for
OWNEB BUILOEB OELLAMTION: I hereby allirm Iha� I am exempt Imm I�e Contractori $late Lit¢n5e Law �or t�e lollowinq reasOn
(Sectan 7031.5 Buvness ana Pmlessional Cotle: Any city oi counry whicA requires a Dermit to wnstmct. alter, impmve, aemolish, or
repair any simcWre. Dnor lo �is issuaace. also requires ihe applicanl for sucn permit to lile a sign¢E statement Ihat tre/she is licensetl
pursuant Io Ihe pmvisians oi Ihe Coniraclors' S�a�e License Law (Chapter 9(commencing wilh Setlion 7000) of Oivision 3 of IAe Business
and Pro�essions CoOe) or ihat he/s�e is ezem0� ��erelmm an0 Ue basis ior t�e allegee eremption. My riolation ol Section 7031.5 hy
any aDPlicant for a permit subjects the appliwnt to a civil penal�y ol not more tAan five �undre0 OOIWrs (5500�.
I, as owner ol t�e pro0eny or my emyloyees wilh wages as their sale campensation, wiA Do the work, anA the
❑ slmciure is nol inten0etl or o��ereC for sale (Semion 7044, Business anE Pmlessionai CoOe: T�e Coniractors' Slaie license Law
tloes not aDV�Y lo an owner a� a pmperiy wbo �uilds or im0�ove5 �hereon, an0 wbo Ooes 5uc0 woAc himSelVhersell or Ihrough
�is or her own employees, proviGeE Iha� such imOmvemen�s are no� in�entletl or oflere0 lor sale. If, however Ihe buildinq or
im0�ovement is m10 wilhin one year oi completion. ihe owner vnll �ave the �urEen oi pmdng he/she Oid not builtl or impmve
for �he puryose oi satel.
I, as owner of ��e pmpetly, am evclusively conirac�ing with Iicense0 con�ractors lo conslmc� �he pmjetl �Seciion 704A, Business
❑ ana Pmlessions CoGe: T�e Contractors' State Llcense Law Ooes not apDly to an owner of pmcenY who builGs or improves ihereon
ana wM canlrat�s for such pmletts wiih a tOntraC�or�s) IitenSe purSuani to ihe ContraCtars S�ate litenie law�. I am aware
Ihal O�ool oi IA¢ir WoBer's Compensali0n insufanCe ShoUld �e pmvided Io me.
� I am exempi unaer Seciion: B. 8 P, C.
lot ih75 reason:
Oa�e: Owner.
I tlo nere0y cenify ��at I am awaie ol an0 untle�stanE the requiremenis ol Caiilomia Nea1N antl Safe�y CaGe Seciion 05, 25533, and
2557G aib Ihal I or any INuie budding Ottupanl wiNwill nol (circle one) n¢e010 complY wiih 5ai0 5late coAes an0 e quiremems far a
permil lar mnsimaion oi motli�ication Iwm Ilt� Oualiiy ManaBemen� Oi5lrici. Nesitlential con5lm[�n aDD}� 5 are ¢xempt Imm
I�2SE OIOvi5i0115.
Dale: ApplitanC J oA'/'�^— ��s//
I pereGy cetlilyl�a�l�ave tead Ihis aOD�icali n antl s�ate thali�e aheveinlormalion is correct.l
ortlmanceSanOilateWwSreWUngloGuiltlmg onSlmclionanOhere�yauthor¢erepre5entalive5olil
pro0eny �or' Spet�io OurpoS¢5.
oate: � L' Signamre: �
Oriver's license oi Social Securiry
16A1 a6 Whi�e—Bwltlina: Green—Catle Enlorcement; CanarV—Aoolicant; Pink—Revenue: GdEenrotl—Assesmr
CITY OF COSTA MESA — BUILD3NG PERMIT PERM NO; P 05639_
PERMIT NO; P 056399 PLAN CHECR NQ: N GOVT: N SUPP; N
CONSTRUCTION TYPE; 5—N PERMIT TYPE: PLU PURPOSE: REP
JOH DESCRIPTION ; PROVIDc EARTHQUAKE STRAPPING FOA W/H SQ FT;
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1
COMMENTS: EARTHQ�UAHE STRAPPING FOR WATER HEATER. Q.� af �S(�''��9
*�t*�t**+�*x*k**�* �**�r��r*u***st+�*#u***#x�*x##*sru*��u�����:�t *�t*�� #*���u�a���***��#+�x#�
7. 0 N I tv G R E Q U T R E M E N T S
5 E T B A C K S'
------------ MAIN HUILD2NG ---------- --------- ACCE550RY BUILDING ---------
FRNT: FT ZN REAR: FT IN FR23T; FT IN REP4;" FT iN
LEFT; FT ZN RGH'1'; FT IN LEFT; eT IN RGHT; FT IN
PARKING RE • FR�2V-: —" PARCEL: 42219221 ZNE: REF NO:
PLANNING N 1'ESs -
�
W M i49F 7f 3i d'r fF #f iF 3F �E if 4 3k 3F li 1f # 3f ib it 3(• te #E ff if 3F 1F fE �E�E !b iE ii� # iF iE fE ic �lE iE IE 3E ii�?i 3E.iF ii� �(� jE iF iP iE iF �N�'F. # if le k%i'r iE iE if �f i'r 3Fi'r 1F iE lf iF ik 3E it� !f� ik
D E V E L O P M L N T S E R V I C E S R E Q U I R E M � N T S
ZONZNG APPROVED iiY , DATE:
BUZLDING APPROVcD BY ; , DATE;
APPLICATION ISSUED BY• �� � DATE; � L�
�,� x # x �r � * �� * x ,� � r * � * ** �*����3sxr�����'�'����� �;€�`��'a ��'rf�'r�x����r±��� ��* * � � ������'r�x *
if if i6 if 1E iE iF 3E % K� k� iE lE 3E � IE 3F # IE iE iE #�N� M#� iF if• �E 3E iF K--%iE �±e ie if it i6 jf if 1t ff ?E ii� 3f 1f k 1(� Ie If IF 1E if if M?E if i!� �le ih lE?F ib 3E 1F ie iF iE 3'r i! �F if jf iE 7f� ie 3f
LEGALIZATION:N F E E S U M M A R Y STR(7CTURAL SEGMENT;N
9LDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADINC
PERMIT
�,�0
258
SMIP/NON—RE5
PLAN
ISSUE FEE 3.00
BUILDZNG—DIV—> PERMIT SSSUE PLAN—CHECK TOTAL PAID DCIE
TOTALS----> 2,00 3,00 0,00 5.00 5,00 ,OU
REVENUE DIVISION TOTALS--+ COiLECTED; 5,00 UVER/SAORT; 00
BLDG PMT PLUM&ING ELECTRIC MECHANIC FIRE SMIF/TOi GRADING PLAN—CHECK
5,��
ii� iE 3F 3F Yf �IE iE lf iE le if 1E IF 9k iE iF iE #f } 3E iE �If 3E 3e 1 jF iE iF ic ii� ieiElF±Fif !E if �1F 1E 1E if 3F-16 is �7f iE i'r ?E ii�i't iE +�(� iE i!� jf # i:iF 1E fE fE )E iE iF iF ie !F 3elF iF iP?41f 1F �le }} if j4
I N A I V I: D II 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 UNIT COST TOTAL COST
FLU 1 WATER HF.ATER AND/OR VENT 2,00 2,00
END OF FEES
qi r�l'^y .4-_ .,�U"ri�: �.-'"
.q'_ i.: ._ � ':: i_
.. _ ..i
CONSTRUCTION AND PLANNING_ . POOL, _ .�A
APPROVALS Permit # Date Inspector qpPROVALS Permit # Date In:pector
/
i. Tem�lorary Etectrical 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. Electrital UFER Grnd. 57. APPRQVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgmd.
10. Structural Floor System � 61. APPROVAL TO DECK
11. Property Sewer Line & HousC Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent•Final �
73. Roof Drains 64. Plumbing SYstem • Final
14. Rough Piumbing 65. Electrical-Final
15. Rough Electrical-Conduit , . 66. Solar System�Fi�al
i 6. Rough E�earic Wiring � � 67. Fencing & Access ApP�oval
17. Rough Wiring Sign � 68. APPflOVED FOR PLASTERING
18. Rough Elecirical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Dutts, in Structure 70. Underground Hydro
22. DuMs, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergr�d, Storage Tank � Gas ❑ QiI
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. Drywali Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINA� INSPECTION
32. Electriwl Power Meter-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 FaMory Fireplace -
38. Finai Plumbing 0 QZ L�
39. Water Service�Final
40. Gas Servlce-Final
41. Solar pomest�c-Final
42. Backflow Preventer
43. Backflow Irrigation
44. �andscape Irripation System
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING
46. FINAL PIANNING �
49. Electrie Release to Edison
50. Gas Reiease to Southern California Gas Co
51. CERTIFiCATE OF OCCUPANCY
No. Date
PflOJECTADOflESS: �23y MIVER ST
OWNEH'SNAME: ��RTUNlAN VICTORIA
aooxess: �L39 MINE{t ST
COSTA ,yESA,CA 92627
�
Afl�N/ENGINEEN: 6 3 1— 5 8 8 0
ADOflESS:
flEG.NO.:
UNIT:
UNIT:
PEHMITTEE: WESTSTI�R HSIILDERS ( 714 ) 973-7556
nooxess: lOBR IRVINE BL 191
TUSTTN CA.926�U
LICENSE� CONTflRLTOfl OELLAflATION: I he�e0y allirm Ihat 1 am Ikense0 unGer provisians o� C apier 9(commenci it� Section
70001 0l Oivision 3 ot IOe Buvness an0 Pmles ns Cotle. anG my licenu 6 in lull torce anG e�feci.
CITY UC.: STRTE LIC: — '
,�55181 �536
Daie: � � — 9�,,, Signature- _
WOBKENS'COMPENSATIONDECUIBIITION: Iher¢Eyaflirmt�ail�av¢aterii&atealWn5enlioselbin5 ratertiliCa�eo�Work¢ '
Compensalion Insurance, or a cendied wpy ��ereo� (Senion 3800. Lab. q.
POLICY NO.: E%P. ORTE:
COMPFNY:
❑ Ceni�ied caDY is here6y fumis�eU. ❑ Cenifiea copY is filea xith the ciry Building UHsion.
ale: _
ESEMPTION FP
I cetlily that in
Subleci to Ihe
�
Applicant
1: Rhb=.
permitis
faane
Date:� ��- 7`7� ` Signamre- �r`- '
NOTILE: II, alier making lhis tleclaration. you shoultl become suGiect m �he Workeri Compensa�ion visions oi Ihe La�or
Code, you must foNrrnt� campy vrith suc� pmvisions or i�is permii s�atl be AeemeO revoke0.
CONSTBOCTION LENDINC RGENCY: I hereUy aflirm I�ai ihere is a conitmcti0n IenGinB aAe��Y �orlh pertormance ol the vrork tor
whic� Ihis permit is issueU (Sec�ion 3097. Gv. C�.
LENOEN:
ROOflESS:
OWNEB BUILOEB DECIAMTION: I hereDy atlirm ttul I am exempt Imm ��e ConVacbrs' State Licenu Law for t�e following reason
(Section 7031.5 Busineu antl Protessional Ca�e: My ciry al couniy whic� reQuires a permit to wnslmci. alter, impmve, demolish, or
reDair any siNclure. prior lo its issuance. also repuires ihe apDliGnt for sutn oerrtti� �a �ile a siqned statemenl ihat helshe is licensetl
pursuam m Ihe pmvisions ol t�e Commcmrs' Siare License Law (Chap1¢r 9 �commencinA ��h Sec�ion 7000) oi Oivision 3 0� Ihe Business
and Pmlessions Cotle� or I�al ne/she is eeem0� ��erefmm an� t�e basis for t�e alleged exemption. Fny Nolation of Section 7031.5 �y
any apPlicanl br a permil su�jec�s t�e appliCani Ia a civil penally ol not more t�an live AunAreO Oollars (SSf10�.
I, as owner ai tne D�oDeny ar rtry employees with waqes as tneir sole comDenutian, wiu tlo Ihe wark, antl the
❑ slmclure is no� imenGed or oifereU for ule (Secuon 70Ad. Buvness arM Pmleuional Coae: The Conlractors' Sla�e license Law
tloes not aDDly lo an awner ol a o�o0eny who Ouilas or impmves Ihereon, antl who tloes sucn wark nimself/hersell or ihrouqh
�is or ner own emDloyees, OmviOeA Ihat such imp�ovements are noi iniendetl or ollered lor sale. I�, AOwever IOe Duil4inA or
impmvemem is solA wit�in one year ol compleiion, t�e owner will �ave t�e DurUen of Omvinp �e/she OiE not OuiIE or improve
lor Ihe purpose al Sale).
I. as owner of ��e pmDehR am e�clusively conlraciinq wilh Iicense0 conlracbrs �o conslmci ihe pmjecl (Seclion 7044, Business
I� antl Prolessions Co�e: The Contractors' State License Law aces not apPly to an mvner ol pmperty wlio hudAs or imprwes tAereon
anU who comrac�s lor sucn D�ojects wiiA a comraaor(sl license vursuant �o ihe Comracmrs' State License Law�. I am aware
Ihai D�OoI oi Ih¢ir Workei5 COmDensali0n insurant¢ Stwu10 Oe prariJeA lo me.
� I am exem0� unUer Seciion: B. 8 P. C.
lor ��is reason:
Oale: Oa+ier.
I tlo hereDy certify Ihal I am aware of antl untlersiana t�e repuiremen�s a� Cali�ornu Healih and Safeiy Code Setlions 25505. 25533, antl
2557A antl �Aal I or any fuWr¢ 6uiltling occupant wilUwill nol (circle ane� ne¢0 lo comDty wilh SaiC s�aie coAes antl Ihe repuiremen�s lor a
permil for conslmction ar moAilication imm IAe Au Ouabiy Managemeni Dis�nc�. ResiOen�ial cons�mction apP�icaiions are e�yam�f Irom
IhCSe provisions. _ (/
�ale: � � 6�/��� OP�icanC "
I �ereby cerlify Ihal I Aave reatl I�is apPlicati n antl S�at¢ tha� lhe above inlorma�ion is torred. 1 agree Io comp wi� II '
orainance5antlslalelaw5relalingtoDuildinq onslmctionandhereOyauUqrizerepresentativesol��iscilyloen� pon e <
pro0erly lOrinspetlian purposes. -
�a�e: SignaWre: �
Oriver's License or Sociat Security p:
i6ai�a6 W�ii¢—BuilCmg: Green—Cotle Enlo22m¢nl: Cdndry—Applicdnl; Pink—Rev¢nu¢: GolCemotl—A55¢SSOr
CTTY OF COSTA MESA — BOZI.DING PERMIT
PERMIT NO: E 056400 PLAN CHECK NO: N
CONSTRUCTION 'tYPE; 5—N PEAMIT TYPE: ELE
PERM NO: E 05640ti
GOVT; N SUPP: N
PURPOSE; REP
JOB DESCRSPTION : UPGRADE ELECTRICAL TO CODE ,RE;#B5639Ei SQ Fi:
CLAIM VALUE: CALC—VALUE; GRbUP OCC: R-3 /M-1
COMMENTS; MISC. ELEC/LIGHT FIX'S 6 RECEPTACLES,
ib 9(� k if� M 36 iE if # IE R k iF # iE 1f !E K# if 3F ii� iF !!e iF iF if �E # iE # iilE 1F if 3f # iE i6 iF # if iE 3E N� �ll� �1( !i� K# lE M� ## iF iF ## i4 iF�lblf jF iP k iF It ie if k?F 1i iE ib iF if # iF
Z O N I N GS ERiEB�A`jCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT it�
LEFT; FT IN RGHT: FT IN LEFT; F7' IN RGHT; PT IN
PARKING REO• PROV; PARCEL; 42219221 ZNE; REc NO;
PLANNING NCSTES>
>
jE # 3F ii� 3f ]e �lE 3(� # 3'r 3F 3f fF # iF i4 jf� �7(- # iF ii� % fE if 3F IF 1E iF IF iE iE if ii� If iLiF 1f if # i'r iF 1E # iE #�lf ie 3f� ie K+i 3f #E �E 3f 3E # iF # if �1(� iF 3't if 34 iE �IF ic 3e �IF ii-3'r j'r 3f iE ��k ii� 3F
D E V fi L O P M E N T S B R V 3 C E S R E Q U I R E M£ N T S
ZONING APPROVED BY DATE;
HUZLDING AFPROVED BY : � DATE;
APPLICATZON TSSUED BY• ��(� DATE• �'—
iFiE�lE3e3fiE3f3flfY�IFIFiF}iF?6iE3E3f#iF3(�3EiFiFTr3F+e�iFiFiFiFiF3Eic�iF3FiF Trx�F�F�7FiF%iFi�iF3t'TYiEihiF7FIk7EN�iF143E.. < ir£�#3F
3f il� iE� iE if # 1E �1F k iF #� i�� 1f 3E� iE iE 3f if if 3F Y� }{e 3F itle i(� #f i:� # ii 1E if iF IF if� iE ib iEY� if ie iE if iE if 74 if iE �)f 3f ik 1F il�i4 # if �Ih IF if � iF ie iF i�if iE �(� it if �if i�lE it� iE 3'r 3f ti iF
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEG,`;ENT;iJ
HLDG PMT PLUMBING ELECTRIC MECAANIC FIRE S�:IP/RES GRADING
PERMIT 5 25
�OR SMIP/NOh—RES
Pi,AN
ISSUE FEE 15,00
BUILDING—DIV—> I'ER,�iIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 5.25 15.00 0.00 20,25 20.25 ,00
RHVENUE DIVISION TOTALS--> COLLECTED; 20.25 OVER/SHORT: ,00
BLDG PMT PLUMB'1NG ELECTRIC ;9ECHANIC FIRE SINIP/TOT GRADING PLAN—CHcCK
2�.�5
3f-�lE 1f 3F if �Yr if iE 3F 3E �f i6 3F �14 K iE iF i4 if af 3E u� 3E iF K� iF 3b �lE IF 3i� iF if•it a4 3F% iF iF iE iE I( if # 3E If• 3f iE #� 1F iE if iF # iE aF 1�� x� if le lf k%�7F K- #� if k 3F iE ie ii• iF ie?f 3f %� 1( ib �1f
Z N D I V I D U A L F E E B R E A K D O W N
T'YPE QTY D E S C R Z U T I O N UNIi COST TOTAL COST
ELE 2 FIXTURES LIGHTING 1 ST JO EA. ,75 1,50
ELE 9 RECEPT/OGTLET ]. ST ZO EA, ,75 3,00
ELE 1 RECEPT/SWITCH 1 ST 20 nA, ,75 ,75
END OF FEES
" } ,- �. . _ , - � _ 1' '. � , : . � _ .
.�nic. �,�-,�.i. -. �T _ .. _
CONSTRUCTION ANDPLANNING POOL A
APPROi�ALS Permit #� Date Inspector AppROVALS Permit # Daie Inspector
1. Tem� orary Electrical 5ervice or Pole � 52. Pool & Equipment Locauon
v
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Util�tv-Undrgrnd. 54. Forms
4. Electrical Conduit�Undrgrnd. � 55. Eiectrical Bonding
5. Sreel Reintorcement 56. Rouc�h Plumbing & Pressure Test
6. Electrica� UFER Grnd. 57. APPROVFl� 70 COVER�GUNITE
7. Pootings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe•Undrgrnd. 60. Backwash �ines, P�Trap, O Undrgrnd. �
10. Str�ctural Floor System ' 67. APPROVAL TO DECK
11. Property Sewer Line & House Cqnnection 62. Backwash & Feceptor�Final
12. Sewer Cap � 63. Heater & Vent-final ,
13. floof Drains � 64. Plumbing SysTem � Final
74. Rough Plumbing � � " 65. Electrical�Final '
15. Rough Electrical-Condu�t 66. Solar System-Final ' •
16. Rough Electric Wiring 67. Fencing & Access Approvai
77. Rough Wiring Sign � 68. APPROVEO FOR PLASTERING
18. Rou9h Electrical-T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL
79. Rough Heating & Air Conditioninq FtRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. DuCts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping OGas OOiI
23. Gas Pipe-Rough & Tes� 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ 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 8 FOOD CERTIFICATE ISSUED
33. Final Eleciric 3��,IQ2 � otes:
�7
34. Final Heating & Air COnditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Faclory Fireplace - .
38. Finai Plumbing
39. Water Service-Final
40. Gas Service-Final
4t. Solar pomestio-Ftnal
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irriqation SYstem
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING
48. FINAL PLANNING '
49. Electric Relcase to Edison �
50. Gas Release to Southern California Gas Co
51. CERTIFICATEOFOCCUPANCY
No. Date
69
OwtvEa O�CONNOR. Frank J. DATE �_q_5�
]OB ADDRESS 2239 Miner St. BUILDING PERMIT NO. 5(�].9
GENERALCONTRACTORS2Irt2 VALUE$ 9�996.�
GROUP
'ECTIONS
P'ir � .as Test
�c .cti�
IM�'��
F6iE ZONE DESCRIPTION OF WORK
DATE I SUBCONTRACTOR I
DATE
Res. w/att. Gar.
SiGi
PERMIT8ISSUED
NUMBER
.�: .: : .
� � � 5361
COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31]
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING z� ,��,�
ADORE55
COSTA MESA, CALIFORNIA
OWNER / ia^^��t�—�/� � GO/��.U�
f � / (�
MAIL /%! l i//'LZ� ��
ADDRE55 •�— {iw
A. TEL. (
CITY G� �vI NO �
ARCHITECT LIC.
OR ENGINEER NO.
ADDRE55
CONTRACTOR
s,�.6 ��TY No: 6
LEGAL ILOT / ') �
DESCFIPTION ry0, � f/
A.P. NO.
SIZE !�1 .y�p�'
OF LOT �� ����[iL)
USE OF
EXISTING BLDG.
SETBnCK LINE FROM (^�
CENTER OF STREET V
SIDE YARD RIGHT �� �EFT /
DESCRIPTION OF WORK
NEW ALTERATION ADOITION
REPAIR MOV/ING DEMOLISH
SU�IE DING (�Qx S/ L ROOMS � STORIES /
E%TERIOR WAL�� L�� ROOF . n 3.��
coVFRIN� (/ COVERING �����
no.or e�ocs.
MOW ON LOT
PF9� l�`.IX^.1
,
FEE RECEIVE�
��.i�T7�sQ.
INANCE DE�T.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
av
D�TE ISSUED
- y-T�
COSTA MESA. CALIFORNIA
FIRE
20NE
20NE `
APPROVED
BV
CORRECTIONS
�
I NEflEBV wCNNOWLEOGE TM�T I M�VE FE�O TMIS �PVLICM1TIOrv IrvO
ST/�TE TNAT TME �BOVE IS COPREQ �N� �GREE TO COMPLv WITN ALl
CITY OROININCES �ND STA L�WS REGUL�T G UI�OING CONSTNUC�
TiOrv. VA W ATION
SIGNATURE OF PERMiT FEE S �
PERMITTEE /�p �
g�9 T� � PLAN CHECH S ��/
L i /
Al1THORIZED AGENT TOTAL FEE S �b � `��