HomeMy WebLinkAbout2287 MINER ST - Building PermitsAOPlicant to fill in a11 svaces ezcept tnose �yNnin neavr boraer Iinas ana si9n all aooroDriate aeclanUons.
Ci7Y OF COSTA Ervql_ SA) QC_ NST�i CTION PERMIT
Project Address �(k l�r P
Applicant'sMailin Addre�� C�+� �r[`)����r�'
Owner's Name � Phpne ZLLLZ��
Address � ',` � � �%'}'�l-n-� R- �T
Arch/Eng. LiCense No.
Adtlress
Cqmractor's Nam �%� Pno� 'L3
Addresslmailingl ���Z'�� �� ��+�raL�r%� -
City License No.
LICENSED CONTRACTOR DECLARATION
I hereby aftirm Ihat 1 am IicenSetl untivr provisloqs ot ChartCr 9(commentlng
wit� uction 7000) ot Division 3 0l [he Businesz antl Professions Cotle, antl
my Iicense is in tu rc n fect. n
Ucense Cl!aZss � �een No. ��
Date��� MV 519nature _�
WORK RS'CO ENSATION DEC AT16N� '
' hereby afFlrm [nat I have a certi/ica[e oi consent fo self-insure or a certificate
Workers' CompenSStion Insurance, o� a certitietl copy [hereof (Section
00, Lab. �'y/ �%A%T ��� �, , ^
PolicY No. `� �� 70/ComPanY /v+_�
riitie copy i nereby turnishea.
Cert' ' 9pY ' ith t�e citY ui. �9 .. � (� �`
Date_ 4 AO�IiCant � �"�]6yl/
EXEMPT N F OM WORKERS' COMP 5 O DE LARATION
(This section neetl ml be compiet¢tl it t e permit is for one huntlr¢tl (y300) or
less).
I certify lhat in the perfo�mance of lha k for �yryich this permH is issuetl, I
snall not employ any verson in any nne so i become bject to tha
Workers' Compen5atlon ldws of a I
Date Si9na re
NOTICE: If, after making this tl rati o shbdltl come su �ect lo the
Workers' COmp¢n5alion provision5 Of ht Id or/Cotle, you m4St (Orthwilh
comply with sucn provl5ion5 or tnls pe�mit snall be tlC¢metl �evoketl.
CONSTRUCTION LENDING AGENCV
I M1ereby affirm tbat Ihtre is a consl�uction lentling agency tOr t�e Oerto�mance
af lhu work far which lhls permit IS ISsu¢tl (SecUon 309] Civ. CJ
Lendor's Nama
Lanticr's Atltlress �
OWNER BUILDER UECIARATION�
I hareby aftirm lhat I am exempt irom ihe Con(ractor's Llcanso Law for tho
tollowing reason (Soctlon ]031.5 Buslnass antl Pro�esslonal Cotlo: Any ci[y or
countv whith reouires a oermit to Conitrucl. alter. lmorovu. 4amol75h or repai�
the
�OIVISion J m tne eusmoss ana no9esvens wuve� or ma� na/sne rs enernp�
,. perafrom ana the basis for the allc etl axompti �, q� vlolatlon oi Soction
���D31 5 by any applicanl for a permit sub�¢c[s tno appll<ant to a civil
.,�'enalty ol not morc ihan tive huntlretl tlollars (5500�.
❑ I, as ownm ol tho property or my employee5 with wages as their solo
compansation, will ao lno work, an0 tnu sVuctvre is not Intantletl or offeretl
tor sale (Seclion 7044, Businezs antl Profesiio�al Cotle: The Convactor's
LI<ense Ldw does nol aPPly to an ownOr o� a property wh0 bullEs or imprOves
tboreOn, antl wh0 does such wOrk �ImsaH/p¢r5¢If or IhrOugn his or h¢r own
employ eez, provi0ed lhat zuch improvementz ara not Intentlatl or oHeretl for
Sale. 11, howevet, tho bull0ing cr improvament i5 Soltl withln one year of com-
platiOn, the ownCr will nav¢ th¢ bu�tlen OI provi�g he/sha dltl n0l builtl o� Im-
��ove forthe purpose ot Sale).
I, ai owner ot lbe property, am ezClusively cp�tracting witb IlcenSetl cOn-
tractors ro consV ucl the Project (Section 7044, BuSiness anU Prolessions Coae:
The ConVactor'z License Law aoes not aoPly to an owner ol property who
bulltls or imvroves thereon, antl who contracls tor such pro7ects with a con-
tractor�sl license pursuant to the ConVactor's License Law�. I am aware tnat
prool O� their WOrker'S Compensatlon insu�anc¢ Shoultl be prOvitletl LO me.
❑ I am exempt untler 5ection B. 3 P. C. for this reason
Date Owner
1 nereby certity that I have reatl tnis aDPlication antl stale that the above
information is correct. I agree [o Comply with ary Nty antl county ortlinances
antl state law atin t iltling cqostructlon, antl hereby autnorize r¢pre-
s¢ntdtive5 ,/�� lo � ter u Qn lne abOve-mentlonetl Property for
InspecUo u s (���n _
Signat ' � � �/+/� ~ Date ��
Drive � ' S5 � � ���
�� ' �s �� I ....._. ..- I -- -- I .,.... ...,.
TVPEOFCONSTRUCTION NEW P.DD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER �
DESCRIPTION OF WORK/USE OF BLDG.
TYPE OF PERMIT� GRAOING LJ FOUNDATION�.J STRUCTV RAL
❑ TENANT ELECTRICAI ❑ PLUMBING Lld'MECHANICAL
� OTHER
PROJECT DESCRIPTION 5a. FT. OCCUPANCv_
CONSTRUCTION TVPE VALUATION 5
ZONE GRAOING CU. VDS. ACRES_
Remarks:
Bar Sink
Backflow Preventer
Backflow Irrigation
Drinking Fountains .
Floor Drains
Floor Sinks
Gas Service �l1tIQt5
Interceptors
Kitchen Sink
Lavatories
P-Trap
Roof Drains
Reinspection Foe
BOiler
Duct-UnderGround
$15
ExhaustSystem ❑ MWtiple
Pirepl/Fact. Blt. ICBO #
�H,,/e,ating System & Ducting
�pJ,0.100,000 8TU 0100,000
ReinspeRion Fee � S15
CMF 0865-46, rev. 4/84 White - 9uiltling; Canary _ qpplicant: Pink - Accountin9: Goitlenrotl - Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool wlSpa
Urinal
Wa[er Closet
Water Heater
Warer Service
Isue FOe
Hood or Typel ❑
Canopy Type I I ❑
iefrigeration System
�QO-100,OOOBTU ❑700,000
System Repair/Alteration
Isue Fee
$ 3
FEES
$ 3
A.P. qW
S Main Building:
E
T Front
B Rear
A
C Right
K
g Left
Ping. Ref. #
Planning Notes:
Automatic Washer
Construc[ion Pole Sub.
Cooking Unit
D ishwasher
Dryers ❑Gas ❑ElecVic
Fan
F.A.U.
Fixwres
Device Boxes
Outlets
Switches
Garbage Disposal
Generator O0.5 KW O5-
7984 9/12/B4
Zona
Accessory Building: .
Parking Req./Provide�
ELEC7RICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑up to 100amps
Meter ❑over100amps
Sub Panel
Motors�0.1 HP�Q1Yh-8
Inc.Solar �9-15 HP �iG15+
Microwave �
Pole Light
Range
Standing Sections
5 KW Trash Compactor
� Reinspection Fee �$15 � � Issue Fee
DEVEIOPMENTSERVICESREQUIREMENTS:
Zoning Approved By
Building ApproVad By
Apolifation Issuad BY
IB.e� T;
FEES
S 3
Z
O
N
I
N
G
R
E
Q
M
T
$.
� SUMMARV OF FEES
� BUILDING PERMI7 $ SMIP $
� PLAN CHECK 3 PERMIT �
� PLUMBING § ISSUANCE S
PLAN CHECK 2596 $ ENEFiGV P.C. S
ELECTRICAL $ � GRADING $
PLAN CHECK 50% $___�� MICROFILM 5 �� ��
MECHANICAL 3 TOTA�FEE S .J��
PLAN CHECK 25% $
CONSTRUCTION ANDPLANNING POOL .PA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
7. Temporary Electrical Service or Pole . 52. Pool & Equipment Location
i
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. ElectricalUFERGrnd. • 57.�APPROVALTOCOVER�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. APPROVAL TO DECK
71. Property'Sewer Line & House Connection ' 62. Backwash & Receptor-Final
12. Sewer Cap , . 63. Heater & Vent-Final
13. Roof Drains � 64. Plumbing System � Final '
74. Rough Plumbing � 65. Electrical-Final �-
15. Rough Electrical-�nduit 66. Solar System-Final
76. Rough Elec[ric Wiring 67. Fencing & Access Approval .
17� Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79.� Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
YI.� Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 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-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: /�((��,�5 („�F�� Cf�2D C�:#.(1 �
34. Final Heating & Air Conditioning �M� A,s �� fL. �,3 Upl�� , c��d�is
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 Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison �
50. Gas Release to Sbuthern California Gas Co �.
57. CERTIFICATEOFOCCUPANCY
No. Date � �
City of Costa Mesa
Building Safefy Deparfinent
P. O. eoz 317
Cosfa Mma, California
CERTIFICATE OF OCCUPANCY rT� 1$Q2 C
The Building located at 22ET j+�1��� �LI'�eL� A� B Cc C
has been inspected ond found to comply with the pravisio�s of all City of Costa Mesa Ordi�a�ces aoplicable thereto
for a Group � � '1 Occupancy.
Use of Bvilding }'Z'iplex Qeaidence crith aCtschod C�r{wrL 6s Latmdr5► __
Legal Description �t il � F� 1!'8CE �91
(Sae revena side fw Metea ond Bounds)
Building Permit No. 2�37 ElecTrical Permit No. 20�493 Plombing Permit No. 3395�
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. . required vnder Sec. 3301 (7) U. B. C. —
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or octupied
until the owner or operator has been iss�ed a valid certificote of occupancy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in: �
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Gro�p H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Adminisfrative Code, Title S, Chapter 9, Article 8.
Number of apartmenTs—�_ and/or guest rooms .
ISSUED TO: Bvilding Officiol
C�t�ll �c 9trnvo by �,�j, �- /�lt�
pO}e Pobzuarsr 6, 1964
This Certificate nf Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
except by the Building Officiai of the City of Costa Mesa under See. 306 (e) U.B.C. For,n suaa—ia¢_l�-e�-s-s r
•� • 20037
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX Jf7 C08TA MHHA� CALIFORfiIA
For Applicanf to Fill In Completely
i'YPE OR PRINT
� E'ss ?7 �� /J7i�.�/e� S'T
COSTA MESA. CALIFORNIA
■ MAIL
NO. O� BLOOl.
� SETBACR LINB FROM
DESCR�pTiON OF WORK
% II .� r�e.r�.,.� � �� ..,.,
5 Z'E D'NO 3000 � ppOMS 11
EXTERIOR WALL S.tC � I ROOF
COVERING COVERINO
USfi OF BUILDItlG ANfp WORKTO B! PER
,
FEE RnE{I�C�y.EIVED
,i4� � u C� 1�1�11t1
AP�d G,A��`{��.PERMR
t IVAIV ��
CITPaOfoB�TA��E�ry
BUILDIN6
�
Z NO. OF I U8E OP NGW /-�
•UN8 eOILD! I �'- �V�,.
�e�•� PoR_ � o'r 4- .-c: _ .
oescnirriox L p � �
i �/ 7 q
A. P NO � �-f�L/- , J � ! �
NOTE: NO EAYE OYEANAN6 SHALL BE LESS iHAN
80" TO 61OE 8 REAR P. L.
EAVES
ALLOWEO �U. B, C. REpU1REMENT.
YAROSAPPROVED YARDSAPPROVEO
MAIN BUILOIN� ACCESSORY BUILDINO
DISTANCfi BET. I BET. MAIN Q
MAIN BLDGB. ACCESS. BL[
VAR.�j DATE
t10LD FOR
� HEHEBY ACKNOWLHO6Q TN�T I XAV6 R6AD TXIB APPLICATION TH! AMOUNT 6HOWN UNDEp VALUAT'ION ��8 FOp THE
ANO BTATE THAT TH8 ABOV 18 COpR T ANO AGREF TO COM� PIlRPO6E OF 86TABL18NIN0 A PERMIT PHE ONLY.
PLY WITH ALL CITY OqD� C68 ANG TATB LAW6 p60ULATING VALIIATION �'
BUILDINOcoNaTRUCTlO / / PERMITFEE $/D,%/.
SIGNATUREOF �Y�/ s ^�JI/L��i� �A GHEC ���
PERMITTE
AUTHOftIZEOA6ENT ✓� `' /�O�