HomeMy WebLinkAbout2273 MINER ST - Building PermitsADOlicant to fill in all soaces exceol I�ose within heavv Oo�Ger lines anE si9n all apP�aVriate Eeclarations.
CITY�OF COSTA MESA CONSTRUCTION PERMIT PER T NO. TRACT NO. LOT NO. UNIT NU. . - ' �
ProjectAddresz z S a 33 8,345 6/86/86 � 5�00 � T
Applicanl's Mailing Addre55 /.� 33 k/, _�1A3� ��m TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
/ ❑ CONVERSION ❑ DEMOLISH O OTHER q,p, �, Zone
Owner's (N[ame one 7'r�'Z DESCRIPTION OF WOFK/USE OF BLDG. -
Address •��'3 A ✓ � O /� S Main Buildin9: Accessory Building:
E Z
Arch/Eng. Licenie No. TYPE OF PERMIT GRADING�y FOVNDATION STRUCTVRAL T F�ont ' Q
Addre55 ❑ TENANT ❑ ELEGTRICAL VJ PLVMBING ❑ MECHANICAL B Rear _ N
� ' Phone�77,'3��� � OTHER A �
Convactor's Nam � " C Right �� ' N
Address (ma"1' I/�3 3 �l ,c./,(�Cd� A/A% 9d-�'0 � PROJECT DESCRIPTION 5�. Fr. oCCUvaNCv K .
9 CONSTRVCTIONTYPE VALVATION$ S Lefi G
CityLicenseNo: s!j ZONE GRADINGCU.YDS. ACRES E
LICENSED CONTRACTOR DECLARATION Pln9. Ret. # Parking Feq_/Provided
I hereby alfi�m thal I am IicenSetl untler prOvlsions of Chdr[e� 9(Commin<in9 Remarks: Planniny NO[¢5: � M
with secUon 7000) ot DlviSion 3 ot th¢ Bu51nes5 antl Prof¢sslons Code, antl
my li<ense is in full foryqanq,e(lect, a� ' � T
�icenseClas C= •S(o Licepte�� , , . S
oate S' /' s'9 t �.1 � PLUMBING FEES
WORKERS' COMPENSATION DECLARATION ' 88rSink ShOwerS ELECTRICAL FEES
I hereby affirm tnat 1 have a Cer[ificate ot consent to seH-insure or a certiticate
Workers' Compensation InSurance, or d ca�Hlletl Copy therBot (Section BAckflowPreventer 5¢rviCE$IOk
o, i.ab, c.) ���/U Automatic Washer � Transformer ❑ 15-50 KW
� �r � ej9 {/ e/P Z,tI S , ❑ 50 + K W
dcy No. Compan, Backflow Irrigation Sewer Cap Construction PoleSub.
(� erlifi¢C capY �s �ereby �UrniSh¢tl.
Ll Certi/ietl c p is i d witq the cit mg � s�on Bathtuhs . Sewer Conneciion Cooking Unit ' Meter ❑up to 100 amUs
Date � �� �� Abpli<d�l ���� � �
EXEMPTION FROM WORK�RS' COMPENSATION DECL�ARATION Clarifiers _ . Solar Collectors Di5hWO5h¢� Met¢� ❑ov2� 100 amps �
(This section ncetl not be cortlple[etl if the permlt is for one huntlretl (5100) or
lezs). Dishwasher Solar Piping Dryers �Gas ,�' Electric Sub Panel
�1 cerlify lha[ in the pe�formdnce of [he work fo� wM1lch �ni5 perm�t is Issuetl, I . �
snau not employ any person in any manner so as to become subject to me Drinking Fountains Solar Tank Fan �/ Motors �0-1 HP �i'h �8
Workers' Com0en5aUon LawE ot Cali/omia.
Oate Signature Floor Drains Swimming Pool w/Spa F.A.U. Ina Solar �9-15 HP 016-15+
�NOTICE: If, atl¢� making thi5 tl¢cla�ation, y0u shoultl become subject [o the '
QWofkers' Comp¢n5ation proy�5ion5 of Ih¢ Ldbof Cotle, y0u must forthwi[h FIOoI$ink5 UliOdl FiXWf¢5 MiClowave
comply with such prov�5io�s or this pe�mit Shall bf tleemetl rovokea.
CONSTRUCTION LENDING AGENCV GaSServiCe �Out�ets 'WaterCloSet DeviceBoxes
� I herCby aftirm Na[ lhere B a conslructlon lendin9 ag¢ncy fo� the perfo�mance PoIE Light
of the wo�k for �which th15 Pa/mlt IS ISSuetl ($ectlon 3097 Gv. C.) Int2�CEpL0�5 Water He2t¢�
Lentler's Name � Q�i Outlets Range
Lentler's aatlress ' • � Kitchen Sink , - `� Water Service � � Switches ' Sign '
OWNER BUILOEN DECIAIyATION - - ,
I hefeby affirm thal I am ekemp[ 1lom the ContraCtOf'S License Law tor the Lav3tOfi¢5 ' � AUtO-W85h , Cid�b�g¢ Di5pO5dl ' ' SLdOding S¢C[iOnS
following reason (Section 7031.5 Business antl Professlonal Code: Any ciry or � , , ' -
counry whicn requires a perMit ro construct, alter, Improve, tlemolish or repain p—Traq _ Laundry TreYs Genere[or �0-5 KW �5-15 KW
any struc[ufe, prio! lo its iSSuanCe, also IeqUiles Ihe applicant fOf such pelmlt T�dSh COmpdCtOf
to fite a signetl statement lhat he/sM1e is Ilcensetl pursuant to tM1e provislons o( RoOf �fains �• ' � " ' ' • ' -
the ConVactor's License Law (Chapter 9_(commencing witn Section 7000) ot � �
pivi5ion 3 of the Bu5ine55 antl Profes5�on5 CoOe) o� tha[ he/shG is exemp[ ' , .
`erefrom antl the basis for (he alle9etl exemption. Any violation of Sectlon . . -' . ' .
ll.5 by any applitant to� a permit subjetts the appliCaOt to a civll
alty ol nol more Ihan five huntlretl tlollar5 (E500�. � ' '
� 1, as owner ot the property or my employees wltn wa9es as their sole � ReinspBction Fee $15 � luue Fee � ' - $ 3
comoensalion, wi11 tlo the Work, antl tho structure Is not intentletl or otferetl Reinspection Fee $15 luue Fee $ 3
for sale (Se<tion 7044, eusiness antl Professlonal Cotlm The Contractor's , ' MECHANICAL PEES
Licenso Law tloes not appty.to an owner ot a praperty who builtls or improves , -
thereon. antl who tloes such work nimselt/nerseu or througn nis or nar own ' , - DEVELOPMENT SERVICES REQUIREMENTS: ,
employees, provitletl tbat zucb improvements ate not infentl80 or offe�eC for BOiIC� • HoOA O/ TypE I ❑
saie. It, however, che tiulltling or improvoment is soltl within one yoar o/ com- Canopy , Type I I ❑ Zoning Approvad By _ Date
pletion, the owner will have the burtlen ot provin9 ne/she tlitl not builtl or im- Duct - Under Ground guilding Approv¢d By Date
prove fot the pUrpose of sale). �
❑ I, as ownm of the OroOerty, am exttusively contracting with Ilcensetl con- Duct - Structural '. Fefrigeration System ., Application luued By Dat �
i�acto�s to conStruCl the project (SectiOn ]044, Buslnes5 antl PrOfe55ion5 Cotla:
The Contraclor's Li<ense Lyw tloas not apply to an owner oi property wno Duct � Ventilating �--- ❑0.100,000 BTU ❑100,000 BTU SUMMARV OF FEES
builtls or impwves lhereon� antl who contraCts to� such projects with a con-
tractor�sl Ilcense oursuant to tne Contracmr's License Law). I am aware that Exhaust System ❑ MWtiple ❑ System RepairlAl[eration BUILDING PERMIT $ SMIP $
prOof o( tneir Worker's Compensatlon insurance shoultl be provltletl to me. PLAN CHECK $ PERMIT ' �
❑ I am ezempc untler Section e. & P. C. tor this reason FirepUPact.6lt. ICBO # Fire Dampers � pLUMBING $���ISSUANCE �$
oate Owner Heating System & Ducting Registers p�qN CHECK 25% $ ENERGY P.C. $
i hereby certity that I hav¢ rwtl tnis application antl ztate that the above ❑0.700,OOOBTU �100,000B ELECTRICAL § GRADING S
intormatlon is mrrect. I a9rae to comply with all cily antl county ortlinances .
ana state laws relating to bulltling conztructlon, antl hereby authorize repre- P�AN CHECK 50% $ MICROFILM $
sen[atives of is <ily lo ente� on th¢ abov0-rt�entionetl property for A ,')
inspection p r� es. ' MECHANICAL 5
Signature - Date.�.��— , TOTALFEE $ �
orivers' �irense ar 55 $� ' - Hainspection Pee $15 Issue Fae $ 3 P�AN CHECK 25% $.
CMF 096S-nb, rev. io/e. ..����a - eunaing; eanary - N.vP���nc; rine - sacwunung; �maenmu - naw»or �- 3�-�•6
�CONSTRUCTION AND PLANNING POOL' A
Jate Inspector Date Inspector
,'APPROVALS Permit# APPROVALS Permit#
' 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinfarcement
3. Flectrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6� Elec[rical UFER Grnd. 57. APPROVALTO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. N�atef Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
70. Structural Floor System � 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptoc-Final
12. Sewei Cap 63. Heater & Vent-Final �
13. Roof Drains - 64. Plumbing SYstem - Final
14. Ruugh 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 Elecirical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAI
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roui 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
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace �
38. Final Plumbing �.� 2 �7 �%J
39. Water Service-Final �_..�
40. Gas Service-Final �Ti
41. Solar pomestic-Final _�
42. Backflow Preventer _„
43. Backflow Irrigation
4,4� Landscape Irrigation System .
45.. Sound Attenuation .�<"�
46� Handicap Regulations �
47,? FINA4 STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison .
50�Gas Rslease to Southern California Gas Co
51�CERTIFICATE OF OCCUPANCY
No c Date
�
City of Costa Mesa
Bu�lding Safety Department
P. O. Box 317
Gosta Mam, Califomie
CERTIFICATE OF OCCUPANCY rj� 18nQ � C
The Building located at ��� t-YL4,^1T G'l,i`E(it. /1. H. � C
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group u S� a Occupancy.
Use of Building �' �13=GX P��a+CG'.S:%G S:L%11 El�`.�fiht� `L�2'D�7P� Es i6LkK91y �
Legal Description Lh�: 3- 31 �..°s�+'zL� ZlC/l
(Soo ravorso sida for Metca cnd Bounds)
B�ilding Permif No. %'-�3! Elecirical Permit No. �•'�qa- Plumbing Permit No._ `��5�
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. _
17p50. CERTIFICATE OF OCCUPANCY. (a) No apartmenf house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a�valid certificate of occupancy by the enforcement agency. �
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occvpancy classification of a building or portion thereof •
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Adminisfrative Code, Title 8, Chapter 9, Article 8.
Number of aparimenis 3 and/or guest
ISSUED TO: Building Official
� 3LC�?� i t• u �Y117B b�, n'
Date
This Certificate oi Occupancy SHALL BE posted in a conspicuous place on the premises and 511A1L NOT BE removed
except by the Building Official of fhe City of Costa Mesa under Sec. 306 (e) U.B.C. Fom, svu—�m—ii-ea�s-s r
2003�
COSTA MESA BUILDING-SAFEfY DEPARTMENT
P. O. BOX 21'f COHTA MBBA. CALIPORNIA
Por Applicanf fo Fill In Completely
TYPE OR PRINT
ADDRE59 Z2 / v//% if/ �� C
/
COSTA MESA. CALIFORNIA
OWNER Casnell & 8truve
ADDR868 ?900 Pncific Blvd•
crrr Huntinaton Psrk Ho'Lo 61
0 E. 2nd St
Oaner
TEL.
PI10M
FEE RECEIVED
APPLt�GnRTIE�N� ��O���.PERMR
F�NFt1V�WIlD1NC� •
C IT�°9 P��49TRq�lE�Ah
11[C61I� NO, p
BUILOI
:o _�� �1fo. o�
nune
L6GAL �
� owre �
VG
`
use or new ..
am�o�no:. � I,
NOTE: NO EAVE OVERMANO SHALL BE LESS THAN
90' TO SIDE 9 REAR P. L
EAVES
No.apelnoe. ALLOWED �U.B.C.pEOU�REMfiNT�
NOW oNLOT YARDSAPPROVED YARDSAPPROVED
MAIN BUILDINO ACCESSORY 9UILDIN6
DESCRIPTION OF WORK
NEW x ALTHRATION ADD
RE/ MOVIN6 DEM
S ZIE DING 3000 � ppp°n�g 11 �
COV RINGWALL StC• ROOF /
COVERINO
USH OF 6UILDIWG A11D WORK TO BE P6RFOR
� ^AR. �j
2 �
DATE
I XEREBY �CKNOWLlOOE T{I�T 1 NAVB RB�O THIi APPL�CATION TMH �MOUNT BXOWN UNOEP V
•ND BTATB THAT TH6 ABOV I8 COflqCCT AND AOqe[ TO GOM� PUNP098 Op HBTABLIOHINO �
PLY WITH �LL CiTY OpO CU�LAWe R[ODUTINO yALUATION
DUILDINO CONBTHURI
SIGNATURE OP
PERMIT
PERMITTE '/
s�� �s u c
AUTHORIZHD A6ENT
e
IB FOP TM8 Z
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