HomeMy WebLinkAbout2248 MINER ST - Building Permits,�
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rnaecTnoosess: ?z'q�$ MINER ST
owNEe's r+nme: FULLEFTON/, JACK
RODPESS: P � H�J{ 1 p� 5
COSTA MESA,CA
557-3118
AXCH/ENGINFEfl:
ROOflE55:
UNIT:
92628
flEC.NO.:
UNIT:
PEPMITTEE: DE PINAO ROqFING ( 714 ) 632-7663
nooness: 1152 NORTH KRAEMER BLVD.
ANAHEIM CA 92806
LICENSEU LONTBACTOfl DECLABATION: i �ereCy alli�m tlu� I am IicenseG unOer provisions ol Chapier 9(rommencing wilh Sec�ion
Ip10) of Div:9W 3 0l ihe Business an0 Professions C0�¢, anG my license is in full forte ana etleci.
aTruc.:0q51640 sTnTEuc.:946��Y!3, cv��ss:^C-3�9
•.l�le: �Sc�� Signa�urN: �L"� ./1 i /�% —
vr.r—"
IOflNEPS' COMPENSPTION UECIAflRTION: I �ereb ,m iAal I have a cenifica�e ol consent to seli-insure or a cetlilicate ol Workers'
eomDensalion �+s��t e, urtdiea coDY ��ereo ' cimn 3800. LaD. I
roucvxo.:28S�—�� ¢xr.o�te: 1/O1/92
Mcomenxr: STATE FUND
�^J CerlilieE mpY � �e�eby Iumi5be0, ❑ C¢rliliBE �pp/y i�s file0 with t�e city Builtling OiNSim.
oaie: �I— Z I— F I qpPlicanC �N—/✓ �/ `-- -
E%EMPTION FROM WOflNEflS' fAMPEN5ATI0N OEClAf1AT10 QM section netN w� be completM il tAe permit a fa one hun4reV �5100) ar less�.
I wNly ��at in t�e pedormance 0� ��e work lor wAicO l�is Dermil iSlssuee. I s�all nol employ any person in airy manner so as �o Gecome
su�lea �o ine Wwkers' Compensation Laws ol Gtifarnu.
°Daie: SiqnaWre:
NOTItE:Ii. al�er maWng inis Eetlaration, yrou shoNG Gecome suUjectto the Workeri Compensatian prav6ians al tAe LaGar
' Coae. you must fontlwiln cOmply wilh sucn pr0vi$jpns or INs permil slull be Oeemetl revake0.
' CONSTflUCTION LENUING pGfNCY: I �ere�y alfirm ��ui �pGre i5 a mnSirut�ion len�ing a0ency la� ��e pedormante af Ihe work lor
� wlriM Itlis Oetmil i5 i51uM (Section 9097, Civ. C�.
' LENOEN:
aooness: , ,
OWNEB BUILUFfl OECIABRTION: I �erehy atlirm l�a� I am e�empt �rom t�e ConVac�ors' Slate LicenSe Law lar l�e lollpwing reason
�Se[imn 703t.5 Business anE Prolessional CO�e: My uly ol wunty wNCh r¢quires a perrttil lo [onsUuc6 aiter, improve. Oematish, or
repair any stmclure. Orio� loils issuance. also repuireg ��e applicant lor suc� Dermii tolile a signed Slatemen� thal �¢/5Ae is Iicen5e0
pu�suanllo t�e povi5ions ol ihe ConVaclors' Sta�e lite�¢ �aw (Cnapter 9(commencing with Section 7000) o� Divition 3 0l lhe BuSiness
anE Pmlessions Code) ar Inal he/s�e is exempt IAerefrom anG t�e Gasis for ��e allege7 eeempiion. Any violati0n ot 5¢ciion 7Q31.5 Dy
any apyicam lor a pe�mit su0jects �he aOPlicant to a civil penalty ol not more than five nunOretl Gonars (35001.
I. as owner ol ine D�openy or my employees witn wa0es as �neir sole compensation, will do tne work, antl Ihe
'� s�mcwre is not imenUetl or ollered lor sale (Seqion 70a4, Business an0 Pmlessianal Cotle: T�e Contractors' State License Law
oo¢s not aoON �o an awner ol a propeny wno �uilAs or impmves Ihereon, anA who eoes sucll work himsell/hCrself or Ihrough
�is or �er own employees. pmvidetl ttat suc� im0�%'emenis are no� imen0e0 or oltereE lor uie. If, Mwever lAe huildinp or
imprwemem is wW vntAin ane year ol complq�iw. �he owner will have �he 6urden al provinp IreJs�e Ob not Cuib or im0��e
lor Ine ourpose of salel.
I. as o-xne� ol tM1e D�opetly, am e.cWsively cont�actinq mt� Iicense0 contractors to canslmct �he D�G�� (���� ��. Business
❑ an0 Pmte55ion5 CaUe: TAe CAnlratiors' Slale �iCenSe Law Oo¢5 nol apDN lo an owner ol properry wlro Gmks or impmves Ihereon
an0 xTo conhans for such DioleCts wii� a mntratlOr�S) li[ense DurSuani lo Ihe Conlraci0r5' S�a�e UttnTe Law). I am aware
Ilut Orool oI Iheir WOrke�'S ComDensatian insUnnce ShONE Oe pmvitletl l0 me.
� I am eRempt unAer Seclion: B. 8 P. C.
for Ihis reason:
Oaie: P.mer:
I ao I�ertOy cen�ly IINI I am aware ai antl underslana IAe repuirements of Calilomia Meallh antl $diety CoOe 5¢t�ions 25505, 25533, anU
2553d ana rtul I m any INw¢ EuilAing occuDani wlll/wiry noi (tirCe one) neetl Io compN Y^�� saitl state wEes and IOe repuirements br a
p¢rmit lo� conAru[Iion oi moOilitali0n Imm Ihe N( Ouabiy Manap¢ment D41riC1. FeSiCeniial mn5lruciion applif2l'ans are ¢e¢mp� hOm
mese o�m+sbns.
Dale: ADplicanl;
I he�¢Ey ttilily IAaI I have reatl I�is apDlication antl 5ia�e tlul lne aUove in�arma�ion is Wrrecl. I aB�ae �o com0ly with all ci�y anG counly
Orpinant¢5 and Slale law5 relaling lo builamg COnslmtli00 anC her¢Cy aul�Orke repreSenlaiive5 a� IA5 tily �0 enier upOn Ihe a00ve�menlionetl
pmpetlY %�or inSUeclion DGurposes.
Dale. _( - ��'' — ` � Si9naWrB: _
Dme�'s Lrtense or Saui Stturiiy a:
160La6 Whue—Builaing; Green—COJe Enlorcemuni; Canary—Applicant: Pink—Revenue: GdEenrotl—A55essar
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B
PERMIT NO: B 051112 PLAN CHECK NO: N GOVT: N SUPP:
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PU POSE: ALT
JOB DESCRIPTION : T/O REROOF W/ CLASS A SHINGLES SQ FT: � 4,200
CLAZM VALUE; 4,200.00 CALC—VALUE: 9,200.00 GROUP OCC; R 3 /
COMMENTS: SMOKE DETECTOR(S) RE�UZRED IN HOME
+r+t�t*��r**�r*�*�r�r�r���**��r�*r�r***�r �r�r*+r*�***�r*�r��r**+r**�r��***�t****+r+�**+tx�+r***�r*�t***�t+�
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGNT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 42219301 ZNE; REF NO:
PLANNING NOT'ES� _./:'
iFMif3flEifiFkkMifafMlFiFifififfEk�EifiFiEkM1FMlkifiFlkifKiElf4iEMlfillEMikMkif4MiEifMif�FlflfififlFifafififiEN-1f1lif IFi(�1EififiFiElFif1�1F
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE;
BUILDING APPROVED BY ; DATE;
APPLICATZON ISSUED BY: DATE; oZ—�L.I �
aFkifMifiEififKiF1fi11tiFif�fMifififif3t ifiFMifiEif�fiFkiF iiFiFlf
MiFiFiFif�tlFif�fififif%if1EMiF1fiflEiEififlfiEKKiEkM1E3FifiEit�fiflFlElE1E iFiE ififlfif�EaFifiEkififMifltififiEiFiFikiFiEifkkifikiE�liEifiFiFK
LEGALIZATION:N F E E S U M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERHIT 72.00 SMZP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 72.50 0.00 0.00 72.50 72.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHORT; ,00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
%2.U� .SU
iE if if if IF �it iF iE�E IE M M iF iF M iF M if if �f iF iE IF 1f 1F iF if 1f iF iF 1k 1FiF if if it M IE iflf If k iE iF 1F k M M it iE M iF iEiF 1E iF M iF k iE iF ik if if af 1F 1f iF 1f IF if it �k iF iF 1k if �F if
I N D I V I D U A L F E E H R E A K D O W N
TYPE
SFR
QTY D E S C R I P T I O N UNIT COST TOTAL COST
9200 REROOF BY VALUE RESIDENIAL NOZONE 1.00 4,200,00
END OF FEES
01 QOOS1Q55-060�:o�a �'r� �
�arE: o�;z.�si rzn�: ��:?r
V
�
` CONSTRUC710N AND PLANiVnuG ?� � POOL & SPA
APPROVALS Permit # Date Inspector AppROVALS Permi[ # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.. � � � • 53. Steel Reinforcement
��
� • 3.`Electrical Conduit-U[ility-Llndrgrnd` �' 54. Forms
'� 4�Electrical Conduit-Undrgrnd. � 55. Electrical Bonding
t.
`5. �Steel [?einforceme i, 56. Rough Plumbing & Pressure Test
-�6'=Electrical UFER Grnd. � 57. APPROVAL TO COVER�GUNITE c
..�7: Footings �- _ L: . 58. Electrical Conduit-Undrgrnd. •
V
.8. Foundation •� � t_� 59. Gas Pipe, O Undrgmd., Test �
9. Water Pipe�Undrgsnd. � . 60. Backwash Lines, P�Trap, O Undrgmd. �
70. Structura� Floor System � -• � 61. APPROVAL TO DECK
11. P�operty Sewer Line'`& House Connection - 62. Backwash & Receptor-Final �
� c:
12. Sewer Cap `,�. .`. � � 63. Heater & Vent-Final
73. Roof Drains �- 64. Plumbing System • Final
14. Rough Plumbing ' , 65. Electrical-Finai
15. Rough Electriral�Conduit 66. Solar System-Final
16. Rough Electric"Wiring 67. Fencing & Access ApProval
17. Rough Wirin9 $ign 68. APPROVED FOR PLASTERING
78. Rough Electtic��all-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
.19. Rough Heating & Air Condi[ioning � FIRE DEPT. REQUIREMENT
- - � r �a.. z. . - ,v
207Rough Facto;ry Fiieplace 'i:l•% I� J .- _ ^ �+ �qPPR�O,VA'G�'�>Per,init # �' -'�
�J. � . .�P' 13:�5 _ 7 0 .a y{ •
� _. �_ . . _ ..v � n � t-.
21..Ducts, in�Structtire:� ... ._ . : t r, ;70. UndergroJhd Hyaro
22. Ducts, Ventifating � > C u, '=A 7�71. Produc4rP�Ping O��Oas C�OiI
23�Gas�Pipe=Rough $�'test � �,j �,, ; s y ';, � 72. Undergro�tnd Plush'�� x� - �
24.iRoof Freming = X � �� �- �^�r� - � � � �73"Undergrnd' Stora�q�Ta'nk :O Gas ❑ Qil
25. Roo Sheathin �-'. ;-� ''• •�-r, .`, , .'"' ` � •, � ' �---`''
.f 9 �r. r �; v .� � , : e a 74 =0verhead Hydro- � .
26�T�Bar Ceiling (StrueturaU &`Mo�ocoat ^^ Y - ��� y 755.Dry Chemical y�� p�- _ �+�
27. Frame and Flashin'. � ` ''. � "� ,* , "':" -' '� � •
... .�. p�, • . � �. ��, � 76: Dry StandPlAe ' ,-
:-28��Lathing�Sfding_?�c: ��r;,�_ x �.?: • • 77.• FIXEDSYSTENFF.INAL'' _ "
"29. Insulai�oP ": �.,� G s"" ': t�,� � j �' �� 7g5:FIRE PREV. FINAt v-� z r
v30. Drywall=Nailing �-� �� � � � ; k! s ^� HEALTH^DEPT•. R�EQUIREMENT
�-:31. Plaster 8rown Co'.at;' y i�. ,. n � ��:� ,.79� PINAL INSP.ECTION �" '
.-32.TElectrical Power Mete7:Finali � � . ( '�t r �80rF00D CERTIFICAffE ISSUED� �
.- r. � ..�
. ,
s.33�in�) Electric � � r i :; � CT� i �'' ��No�'es: - � � ;; � - N�,.
,L34�-Final Hea[in9;& Ai�, Condition;�g; =� �� � j t .� � ' �r. m .> -
�
w35.•Fina�GasPipe•Test� _`r _ ' / � � - ��;! �* • s'
.• r tLc •� -�a
,r36.` Hood orLCanoPY� .� 7µ i t� - � .^ � � � f ,a * �: �"c � > � � :"
� , I. �. '.n '��
37�Final FaCtorV Fire�llace„_ � ?�� "' • O1 I � ��' � � �.•' ``;
.� �: �� i � C\�% :C t N
`38. Firlal PI"umbing � �p� � .. •. . , � � �. ... �� + ,r -
."'39. Water Seivice�Final' � " f � h � � L �' + � C
. Y. t U; �I ,Y a a. . .>
� �: � ... . � . .
n.40. Gas Service-Final .; .� y��.,;, �, .r -,�, � � � ; ��� q •
:.41. Solar pomesticFinel5 � n � •� � � ` ; x �4'� c e
i�4 � b n n� !O n F� -
� '42 'Backflow Prevente� `"' `� I � �, a � '
c� r -
43. Backflow Ir"r�yatiom � S �' k �` - • = � ti `i
�r S li P ' .
,44. Landscape Ikripatiq'n Sysierrym`,'-� , �� �-7 � i ,� `y �, } _
45l:Sound Attenuation ~.s � :; . �� � �t '` _ �- . "�- '$:". - �
i ti ��• �r,. :w �+ � . ���
�46. Handicap Regulatiqns = - ' ''� � � �� � ,� " ' � °'.= ��;� ;
. � .r �:: J- -
147.,FI�IAL STRUCTURE & BUtLDING � 9�I p�� - n' -_
48: FifVALPLANNING :` . ' , .'h � �, .�
_ • i- . .. o. � :r x • *� v - �
�. . ' -
. 49.,Electric Release to.Edison • . I . '' t y - i . . �„
> �b .�
' G . .
50., Gas.Re(ease to Southem Califot,qia Gas Co .� � � � ' ; _ _ - . � r . '•
51. CE�tTIFICATE OF,OCCUPANCY ; { ; , r '; _ r ; �
No. Date
Aop�icant to flll in al1 soaces oortler Ilnes ana siqn all aporoorlate aeclarations.
c
CITY OF COSTA MESA C STRUCTION PERMIT PERMIT NO. . LOT NO. UNIT NO.
Project Address ������ S� � �� 2 D '�`�
Applitan�'S Mailing AddreSi �]C TVPE OF CDNSTRUCTpIO�N NEW ADD ALTERATION REPAI R ^
Owner'SName �fs� VqS�V�"a. 45��� �CONVERSION �yDEMOLISH ❑OTHER Ap�, u'r.
Phone y
Addreu M i DESCRIPTIONOF WORK/USE OF BLDG. �QmO KOvSe. g Main Buildinq:
E
C�
Arch/Eng. —�.,_ � � License No. TVPE OF PERMIT GanowG FOUNoanoN STRVCrUaaL T Front
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear
Contractor's Nem�� Phone ❑ OrHER A
Addreu (mailing)
Ciry License No.
LICENSED CONTRHCTOR DECLARATION
I bereby dtlirm that I am Iiconsetl untlB� provi5iOn5 Of Charter 9(commencing
wi[h seclion 7000) of Dlvislon 3 O7 Ne Bu5ine55 antl Profe551ons Cotle, antl
my license is In lull force ana etle<t.
License Class � �icense No.
Dale Signalure
WORKERS' COMPENSATION DECLARATION
I hereDy alfirm that I nave a ceititicate af consent to selLinmre or a certificate
of Workerz' Comp<nSaliOn InSurant¢, O! d certifietl copy [hereot ($ection
3800, Lab. C.)
�Ilcy No. Company
Certifietl copy Is �e�eby fumizh¢tl.
.J Certifi¢d copy Is file0 with [hG City Builtling Olvision.
Date Applitant
EXEMPTION FROM WORKE0.5' COMPENSATION OECIARATION
(ThiS SCclion neetl not Ue completGU il [he permit IS tor one huntl�etl ($100) o�
IC55).
I cerUly Ihat in the perto�mance Ot th¢ wOrk (Or whlth this pe�m�t Is IssueE, 1
shall not employ any perion In any man e�az� bjecl to Ihe
Workers' omjj en atl ws ol Calibm'
Date �/���Signalure
NOTICE. 11, atter making this tleclara , you shoul ecoma s t to the
Workeri' Componsation Orovisions o he Labor C , you st lorlhwitn
comply witn sucn provizions or t is oermit s Do emetl revoketl.
CONSTRUCTION LENDING AGENCV
1 horeby aHlrm I�at lber0 Is a ConitruttlOn Ientlin9 agency tor tne performance
of ihe work lor w�icb iNs pGrmit Is ISSu¢tl (Settlon 309] Civ. CJ
�entler's Name
� LenGcr's Atltlress
OWNER BVILOEN DECLARATION
I heroby alfirm lhat I am axompt irOm [he Cont�acto�'s Licensa Law for th¢
following reason (Section 7031.5 Business antl Pro1e55ional Cotln: Any city or
COUnty whlch rnqW/us a permlt lo Conitrutt, alt¢r, ImOrove, tlemolish o� repair
any slrucWra, orior to Rs Issuan<e, also reqWres the applicant for such pormit
lo Ii10 a Slgnetl Sldt¢mCnl thdt ho/511e Is IlCenietl puRudnt t0 Ih¢ OrOviiions of
the Contraclor's LI<ense l. w(C�apter 9(tommencin9 with Section 7000) ol
DiviilOn 3 ol tha Bu51ne55 antl P�ofes5ion5 Cotle) or thal h0/She Is exemo�
thcrelrom antl lho �asis lor the allegetl exemption. Any violation ot Seclion
7031.5 by any applicanl lor a permil subjec[s the applicant t0 d civil
•�enalty o/ not mo�a than tiv0 huntlrOtl tlolia�s (5500).
� 1, as owner ol Ihe prop¢rry as t�oi� Sole
.bpensation, will tlo tne work, antl cha structuro Is nol intentletl or ot(eretl
r salo (Section 7044, Builness antl Professional Cotle: The Conlractor's
License l. w tloe5 not apply t0 an owner ot a proPerty who bulltls or Improve5
tM1a�Oon, dntl whD DOes zuch wo�k himseli/h¢rsell o� Ihrough hls or her own
emplOyoes, pwvltle� t0at such ImOrovoments ara nol intentletl or OffOretl 10r
salo. 11, hOwOVOr, t�o builtling or improvement is sold wit�in One year o/ com-
OletlOn, Ihe owner will have the burtlen Of Proving he/ih¢ tlitl nol builtl or Im-
prove lar 11ta purpoSo O/ Sale).
❑ I, a5 owner of Iha prop¢rty, am exclu5ivaly cantratting with IlcenSetl con-
tractors td mnstru<t the pro�ect (Section 7044, Business antl Profe55ions Cotle:
Tbe Contrador's License Law does nol apPly to an owner of Oroperty who
DWltls or Impwves tnereon, antl who conVacts tor such prqacts with a mn-
tractor(sl ucense pursuant ro the ConVactor'S License Law�. I am aware that
p�oof o( IhCir Worker's Componsatlon Insu�ance s�oultl be prOvitletl to me.
❑ I am exempt untler Section 8. & P. C. ror [his reazon
Date �i(,7'=1
I nereby certi/y tha
Informatlan I5 mrrec
antl state laws relati"
sentatives of thiz cl
Inspectlon pur ses.
Signa[ure
Drivers' L' se or 5:
IF 0865�46, rev. 10/B4
L Owner
I have reatl appli
I agree lo comply wli
fo builtlin9 con5truc�
� ro enter upon the
above
iances
repre-
y tor
PROJECT DESCRIP710N 5�. Fr. oCCuaANCv C Right
CONSTRUCTIONTVPE VALVATIONSIE�QD� O� S Left
ZONE GRApIrvG CU.YDS. ACRES p�ng. Re(.'/b
Remarks: �/�y� r����N�� rb�.t(/Qoy,�i�N � PlanningNot
Sink
Preventer
Clarifiers
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service �1IL12t5
Interceptors
Kitchen Sink
Lavarories
P—Trap
Roof Dr '
Reinspection Fea I 515
Boiler
Qua - Under Ground
Duct - VentilatTn
Exhaust Sysrem ❑ Ml[
Firepl/Fact B(L ICBO #
Heating System & Ducting
❑ P7 00,000 BTU � 100,(
Fee
Bulltling; Canary - Applicani; Pink - Accounting; Go�tl<Trod - Assessor
✓
n
$15
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimmi ool w/Spa
Warer Heater �
Water Service
Auto�Wash
laue Fae
Hood or Type I ❑
Canopy Typeil ❑
Refrigera[ion System
❑q100,000 BTU fe
Isue Fee
ion
FEES
5 3
Washer
Cooking Unit �
Dishwasher
Dryers ❑Gas C
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposel
Generator Oay
lectr
67II t,/':./ -
� � Zone
Accessory Building:
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Meter Dup to 100 amps
Merer �over 100 ps
Sub Panel
Motor 0.1HP�1X-8
I. olar �9-75 HP �16�15+
icrowdve
Pole igh[
Range
Sign
Standing Section
5�15 KW Trash Compactor
't Rainspection Fee �$15 I I luue Fee
DEVELOPMENTSERVICESREQUIREMENTS:
2oninB APProved By
Building Approved By _�
Application Issued Bv
IB `
FEES
S
Z
O
N
I
N
G
R
E
Q
M
T
S
SUMMARV OF FEES
BUILDINGPERMIT $ 17•SO SMIP 5 O.SO
PLAN CHECK 5 PERMIT
PLUMBING $ ISSUANCE 3
PLAN CHECK 25% $ ENERGV P.C. S
ELECTRICAL $ GRADING S
PLAN CHECK 50% S MICROFILM 5
MECHANICAL 5 TOTALFEE $ �B-OO
PLAN CHECK 25% $
/
CONSTRUCTION AND,PLANNING POOL & SPA ,`
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector� `
7. Temporary Electriral Service or Pole 52. Pool & Equipmenc Location
2, Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electriral Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electriwl Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. � � 57. APPROVALTO 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, O Undrgrnd.
10. Structural Floor System 61. APPROVAI 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 k
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. POOUSPA SYSTEMS FINAL - �
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT .
20. flough Factory Fireplace APPROVALS Permit # '-
21. Ducts, 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.S[oregeTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro � .
26. T-Bar Ceiling (Stfuctural) & 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. Finat Electric Notes:
34. Final Heating & Air Conditioning '
35. Final Gas Pipe-7est
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 . � .
i
43. Backflow Irrigation �'
44. Landsrape Irripation System nscections
45. Sound Attenuation •
46. Handicap Regulations e --� �"'� .
47. FINAL STRUCTURE & BUILDiNG , <;�.t
48. Special Requirements Completed 2�
49. Electric Releasa to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANC� • `
No. Date _ �
}
LIMITED STATEME��''f OF RESPONSIBILITY
TO WHOM IT MAY CONCERN:
a� yg m„�E� ��--
Slieet Address
Bldg. Permit # � �g �-� 3 _
This Permit #
�a�- �g3 -�/
AP Number
I, `�v�'` ������ , as Owner in Title of the above referenced
>
property, do hereby authorize:
��
�.��ssc
(f�sd�ez 6�I5- '7�43
Name Telephone No.
�r
5`�- �,� 5 f� ��
to obtain permits in my behalf, as owner/builder, for �� �� �O�`iSL ��`n
at the above referenced property.
Should an�oerson become an p.^nieTee engaged in the improvement of the property, I shall
immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage
to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws.
As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other par-
son, company or corporation.,
I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any
claim resulting in damage or personal injury to myself or any other parties.
o�A� ��. � �.✓��
Prin�eA Neme
onaas, re�. dw
�c� a � i � ��-
Dete
RPR 2 6 1960
OWNER 'rjjQN� j3Q4'jQj?,D $. DATE 2_5-59
JOB ADDRESS 22l�8 Miner St, BUILDING PERMIT NO. 8629
GENERAL CONTRACTOR pt,mer - Builder VALIIE $ 2i(00.00
AP. No. NOri2 LOT 1 Tar.cT 3239 Pu� zoxa 3 DFSCRIPTION OF WORK 5�7.]m POOl
GROUP TYPE ZONE e�,uv xo. 8629
I. .�ECTIONS -/ I/ oATE I 6UBCONTRACTOR I DATE NUMBER
V
, ., .
' - - � ���'9
f�
COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31�
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
eui�oiHc �.� �%�, o
ADDRE55 (� /�L�n11� �
COSTA MESA. CALIFORNIA
OWNER
�
CITV �UprY(
ARCHITECT
OR ENGINEER
TEL.
NO.
LIC.
NO. ��
ADDRE55 V L�
� � � C V LIC. /
CONTRACTOR ��JGl9i� �,r�jJO. ✓
TEL. ��
ADDRE55 �� NO.
LEGAL lOT � 2
OESCnivnON ry0. BLOCK TRACT�oF�'
A.P. NO. ��'/t�-��uL�.
SIZE ��/ �'� NO.OF BL�GS.
OF LOT .�IU n /�J NOw ON LOT 3
USE OF �/ .t y�^1�
E%ISTING BLDG. �Jyw.�� y- �[�yi�I.��(q/ —
SETawcrc LiNE FROM //y' I YJ I/ REAR YARD � O�
CENTER OF 9TREET `l/ ��{J�^
SIDE VAR� RIGHT �'j / LEFT � �
DESCRIPTION OF WORK
NEW ALTERATION qDDITION
REPAIR MOVING DEMOLISH
BUILOING . NO.OF
SIZE ROOMS STORIES
E%TERIOR WALL ROOF
COVERING COVERING
USE OF NEW
BUILDING
�
�'t�� ��.��I��.�
FEB 5 195�
fIfVANCE DEPT.
CITY OF COSTA P,1ESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIGT NO. VERMIT NO.
� E z,
RECErvEO BV OnTE FECEIVED DATE ISSV
i -S-S
ILbING
COSTA MESA. CALIFORNIA
3
Wr-/L!�. /�✓fPcrCT.a.
/..�. �GS, ATE
„� ORRECTIONS
Fn H" d" .��� �5 ''ti �.', �
CITY OF ���r,� r,sF,�,
uHhIV i UL':'1.
SUBJECT TO " UG. Dt��T. RE
STFTE TMPT TNE r�BOVE IS CORRECT 4N0 RGFEE TO COMpLY WITH ALl
CITY OR�INFN<ES /�NO ST TE L�WS HEGVL4TING BUIL�ING CONSTIiUC�
riorv. '�1� � (� VALUATI ON
SIGNATURE OF �(�c �y �� PERMIT FEE g ��
PERMITTEE ��� �V (
�� /� ��/J� ��" g� / v v, d� PLAN CHECK S U �'
<: //� o
�
AUTHORI2ED AGENT TOTAL FEE 5 � � ��M�
�
OWNER THON� H447ARD H. DATE 5..$-S$ _
GENERAL CONTRACTOR
`lkH: No. LOT 1 'rna.c'r 3239 � zoxe DESCRIPTION OF WORK Garag� Stora�e
GpnIIP .T TYPE V ZONE Rli PLAN NO. Fi7ii
1. !ECTIONS DATfi $UBCONTRACTOR PERMITSISSUED
_ ... it �_/ / DATE NUMBEF
coat
F� 3as Test
6�22
� • .. ' 6�722
.
COSTA MESA BUILDING DEPARTMENT
P. O. BOX 31]
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
nooRess _� ��f D / (/��� �J/'
�� COSTA MESA. CALIFORNIA
OWNER ��w- �
MAIL ���s
AODRE55 �
CITY � �
AFCHITEGT
OR ENGINEER
ADDRE55
CONTRACTOR � ��
/ NC,iJ
�>� S�:
TEL.� •
NO
�IC.
NO.
� CITY LIC.
NO.
TEL.
oesce�arior+ NOT J IBLOCK � ITRAC�
�--.
A.P. NO.
SIZE f. No.oF aLocs. /
OF LOT r/ �� /�� now oN w*
T—
USE OF
E%ISTINGBLDG. CS/' / G/�a
SETBRCK LINE FPOM
CErvTEa OF STREET aDl� REAR YPRD
« —
/ �
SIDE YARD� RIGHT �O LEFT �O
y_..
DESCRIPTION OF WORK
NEW ALTERATION I ADDITION
REPAIfi� � I �MOVING � I OEMOLiSH
BUILDING V�X 3"�' � NO.OF
SIZE � ROOMS STORIES
E%TERIOR wALL`` • ROOF � C . � �
COVERING r"! C(/KO COVERING (S J�,4
USE OF NEW C 'I
aiiir nivr. �,i1i.�.fv G - ,)�GR.iY6
��="�.� ��C�:����
S_ s- s8 d c�.
FINANCE DEPT.
CITY OF COSTA �7ESA
APPLICATION FOR PERMIT
BUILDING i4
FOR OFFICE USE ONLY
RECEIPT NO. PEPMIi NO.
� �
ECEIV'D BV OATE FECErvED DaTE ISSUEO I
JIA �11 .,�-fr��f� C b-�X-
BUILDiNG
COSTA MESA. CALIFORNIA
IyL-T�
�
APP.ROVED
�
CORRECTIONS
CITY O�
�
SUBJEGi TO
0
A MESA
�
DEPT. REG..
STs�E TMaT TME aBOVE IS CORFECT aND sGPEE TO COMPLV WITH ALL
CITY OROINANCE$ PND 9TLTE L�WS REGUL4TING BIIIL�ING CONSiFUC�
iiON. / / VALUNTION ^ ��
SIGNATURE OF C` i�,� �'l PERMIT FEE S Q
PERMITTEE w / ��� —
$,
Y�U' PLAN CHECK $ �'
TOTAL FEE $ � �. - �� �srr
AUTHORIZED AGENT ���
OWNER O�CONNOR� Frank J. DATE %-g-5% _
]OB ADDRiSS ?Q�iR Mi nar St.rPat BWLDING PERh11T NO. S3J8
AP. No. LOT ;
TYPE v ZONE
DESCRIPTION OF WORK Re9 i�/att
L.PECTIONS I DATE I SUBCONTRACTOR
�
PERMITS ISSUED
�
• ' - 53.40
CO�TA MESA BUILDING DEPARTMENT
. P. O� BO% 3I�
COSTA MESA. CALIFORNIA
FOR APPLICANT' TO FILL IN
BUI�DING i) /� //� ����CZ rJ
ADDRE55 F 4'f
COSTA M�SA. CALIFORNIA
OWNER
ARCHITECT
OR ENGINEER
LEWI
oEscAivrioN
A.P. NO.
/
FEE RECEIVED �
�,,,.,�s. 1 `�, I � ,S i --�'�
FINANCE DEPT.
AP��LICAT�C51V F"dR PERMIT
BUILDING
FOR OFFICE USE ONLY
7lti. ✓� �`CON.•tJ0✓L
� /� � NECEIV
/%i�c
� NO�� C/ L y� qDDRE155
LIC.
NO.
FIRE
ZONE
/O� QTY NO. (pT`.1 zow[ �
TEL. APPROVE
NO. BV
lo05C/.3�1
$ETBiCK IINE FflOM !• _
NO. OF BLU69. ��
NOW ON LOT
REnF YARD S�'
DESCRIPTION OF WORK
NEW q�TERATiON qDDITION
REPAIR MOVING IDEMOLISH
BUILDING � � �. 2 ROOMS � STORIES /
SIZE
E%TERIOR WALL ftOOF
COVERING S �� COVERING u����
USE OF NEW jJ�s _/ G� �,
6UILOING /�� 7�6
�L�d.—. �.. " LO) U
COSTA MESA. CALIFORNIA
ST1TE TXAT TNE �BOVE IS CORRECi �rvO �GREE TO COMPLY WITH �LL
CITY OROIN/.NCES �Np T�TE L��'/5 REGULATING BIIIL�ING CONSTXUC�
iioN. ��%,:/" — VALUATION
SIGNATURE OF
PERMITTEE
,i`� 5 %9��
AUTHORIZED AGENT (� �
\ . � �.�
CORRECTIONS
� �'��
�/ �
PERMIT FEE S L5% ^
PLAN CHECK S /` �
TOTAL FEE 8 �b ^
"OM(