HomeMy WebLinkAbout3094 GINGER AVE - Building PermitsMarch 28, 1990
To:
CITY OF COSTA MESA
CALIFORNIA 92fi2&1200 P.O. BOX 1200
DEVELOPMENT SERVICES DEPARTMENT
Building Safety Division
Code Enforcement
Communications
Copley-Colony of Costa Mesa
County Administration Office
County Clerk/Bd. of Supervisors
County Registrar of Voters
County Tax Assessor
Engineering Division (2)
Fire Administration
Fire Prevention
Manager,.MIS
Mesa Consolidated Water Dist.
Newport-Mesa Un. School Dist. (2)
Pacific Be12 (2)
Police Dept. - Ping. & Research
Santa ?�na Heights W3ter Company
Sanitary District Engineer
Southern California Edison Co.
Southern California Gas Co.
State Board of Equalization
Street Division
U.S. Post Office - AIS
U.S. Post Office, Adams Avenue
U.S. Post Office, Santa Ana
Zip 4 - Santa Ana
File (2}
The City of Costa Mesa wishes to advise you that the following
addresses have been changed or added:
OLD ADDRESS
1556 Wintergreen Place
NEW ADDRESS
�:n e✓
3094 �ge� Avenue
Unit "B"
A.P. NO.
139-564-04
For your convenience we are listing the agencies above that we have
notified of the change. In addition to those listed, you are
a3vised to notify your correspondents af the change in order to
avoid any possible interruption of mail service.
Your cooperation in this matter is appreciated.
Sincerely,
��"�
MICHAEL E. ODEG D
Planning Intern
MEO:jl(ADDCHNGE.84)
cc: Mrs. Feehan
P.O. Box 3667
Costa Mesa, CA
92628-3667
77 FAIR DRIVE
Building Division (714) 754-5626 • Cotle EnforcemenVBusiness License (774) 754-5234 • Planning Oivision (714) 754-5245
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30�4 �IN�F� �4VENUE
WINTERGREEN PLACE
May 28, 1986
CITY DF� COSTA MESA
CALIFORNIA 92628-1200 P.O. BOX 1200
DEVELOPMENT SERVICES DEVARTMENT
Tb:
Buildina Safety Division '�
Business License Division
Carm�unications
County Achninistration Office
Cow ty Clerk/Board of Supervisors
County Reaistrar of Voters
County Tax Assessor
Engineering Division (2)
Finance, F�venue Division
Fire Prevention
Manager, MID
Mesa Consolidated 4�ater District
Newport-Mesa Ctiified School District (2)
Pacific Bell (2)
Fblice Deparhnent - Ping. & I�search
Santa Ana Heights Water Canpany
Sanitary District Engineer
Southern California Fdison Co.
Southern California Gas Co.
State Hoard of Equaliution
Street Division
Ihited States Fbst Office, Pdans Avenue
Chited States Ibst Office, Santa Ana
Zip 4 - Santa Ana
File (2)
The City of Costa Mesa wishes to advise you that in revising street addresses,
the following addresses have been changed:
OLD ADDRESS
3094-B Ginger Avenue
NEW AUDP.ESS
1556 Wintergreen Place
A.P. NO.
139-564-04
For your convenience Me are listing the agencies above that we have notified
of the change. In addition to those listed, you are advised to notify your
correspondents of the change in order to avoid any possible interruption of
mail service.
Your cooperation in this matter is appreciated.
Sincerely,
/ � �-<-� �- ✓' `-��
MEL E. LEE
Planning Intern
ML:alm (F-i-34)
cc: Ginny Feehan
1556 Wintergreen Place
Q�sta Mesa, CA 92626
Building Division (774) 754-5626
Code Enforcement/Business License (714) 754-5234
77 FAIR DRIVE
Planning Division (714) 754-5245
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CIT.3� 7F COSTA MESA - CONST UCTION PERMIT
.-. .1 /'�
: Projeci Address -- �O � (P! � � K ��
AppliCant's Mailing A�re52 _ '�+�N.,. 5 � � ��`« �"� � C+E
Owder's'Name ��� L �:/ �+ Phone
Address �����C� -
Arch/Eng. License No.
Address
Contracwr's Nam , - hon�2'L�"i�2-
Adtlress (mailing) �
City Liconse No. _� �
LICENSED CONTRACTOR DECLARATION •
I hereby attirm that I am licensetl uneer provi51on5 of Charter 9(tommen<in9
with section �000) ot Divizion 3 of the Business antl Protessions Code, antl
ttmy license is in full f6rc�ja effect. (�('� �-
LicenS Cla� s, l��icen e N _ 77.�_
Date�'��5._ Si9�ature �Jy-._��—
WORKERS'COMPENSATION DECLARATION
I nereby attirm that I have a terti(icate of consent to selbinsure or a cerUilcata
pf Workers' Compensation Insurance, or a certilietl copy fhereof (Sect n
3800, Lab. C.1 . ��,/_�� - c���,.. �
Policy No. ..5p .p. °/ ComOany o�LiiL1_ _ _ _
�Certifietl copy is hereby tumishea. . .
Certif��tl copy is t�tl wit� the city 6 il �n pivisio,�, _ r��_
Date-� L�J_fl� Applicant ' �-
i -�
EXEMb ION FROM WORKERS' COMPENSA ION OECLARATI
(This section neetl not be tompletetl if the permlt is tor one huntlretl (E300) or
less)
1 ce�tify that in the per(ormdnce Of th¢ wo�k fo� whlch Lhis pe�m�t is i55uetl, I
snall not employ any perzon in any manner so as lo betome subject to the
Workers' Compensatlon Laws ot California.
�ate Si9nature
�NOiICE: Ii, after making this tleclaration, you snoula become sub�ect to tha
Workers' Compensation provisions oi tne Labor �otle, you must forthwith
comply with� such D�Ovisions or thi5 parmit Shall b0 tl¢¢med �evoketl.
CONSTRUCTION LENDING AGENCV -
I hereby affirm thal there is a construction lentling agency for the performance'
of tne work tor which this permlt is is5u¢tl (Sec[ion 309] Civ. C.)
Lentler'z Name
Lentler's Atltlress
OWNER BVILDER UECLARATION -
I herfby a(firm t�at I am exempt iwm the ConlracrorY �Icanse Lnw tor tne
tollowin9 reason (Soction'7031.5 Businezsand Profesilanal Cotle:�AnY tltY or
counly which requires a permit lo construct, alter, ImOrove, tlemolish or rapair ,
any stru'tture, pilar to ils issuance, alw reqWres tne apD���anYfor sucn parmit
to fiie a si9netl slatement thaYhe/she is Ilcenwd pursuant to tno provisions of
tne Contractor'S License law (Chapter 9(commen<in9 witn Section 7000) o(
Divisbn 3 ot fhe Buziness antl Grolessions Cotla) or that he/she is exempt
lhereirom antl Ihe basis fpr th0 alle9etl Bxamption. Any violdtion ol Soctlon ,
7031.5 by any applitant for a permit SUD�ects the apPliwnt to a tivll
.� enalty of not more lhan five nuntlreG tlollars (E500).
I, as owner ot [he' proparty Or my am0�0y¢85 wit� wa9es a5 Iheir sole
COmpenSation, will Co tha w0/k, antl lha StruGture I5 not Intentletl o� olferetl
tor sale (Section ]044, Business antl Professional Cotle: The Contractor's
L+cense ldw tloes not apo�Y to an owner ot a proparty who builAs or imorovas
thc�eon, antl wh0 tlaes Such work himseli/hCrSelt or through nis or hor own
employeas, peovitletl that such imp�ovem¢nts are not Intentl¢tl Or oife�etl fo�
sal¢. It, however, th¢ Duiltling o� Imp�Ov¢Tent Is soltl wlthin ono year of cortf-
pletion, lne ownCt will have [ne burtlen of p�Ovin9 n¢/ihe tlitl not builtl or IT-
prove for the Durpose of wla). �
❑ I, as Owne� ot lhe pro0erty, am excluslvely Cont�acting wllh Iic¢nSBtl Con-
LldCi0I5 t0 COOStlUtt thB plOj¢CL ($CCti00 7044, BUSiO<55 d11tl PfOf855i005 COtlB:
The Cont�acto�'s License law OOes m[ apply to an owne� oi prOParty who
builas or improvez themon, antl who contracts tor zuch projecis with a eon•
trac:or(s1 licenze pursuant �to the Cmvac[or's Licanse Law). 1 am awara Ihat
proof o1 lheir Worker'S Comp¢nwlion InSurance thoultl ba Provitletl to me..
❑ 1 am exempt untler Seclion B. 8 P. G lor this reason
Date Owner
I bereby certity tnat I have rea�
information is carrect. I agree Ao
Siqnature ��•�
Drive�s' License o� SS
CMF OB65-46, rev. 30/84
above
TYPE OF CONSTRUCTION LJ NEW U ADD U ALTERATION J8•REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OT R A p,#
DESCRIPTION OF WORK/USE OF BLDG. �� Q
5 Main Buildi
E
TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL T FlOnt
❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL B Rear
❑ OTHER %�
PROJECTDESCRIPTION S�.FT. '�OOII oCCVPnNCY cr., � Right
,t..o�. K
CONSTRUCTIONTVPE VALUATIONS_S/ ��sC_ S Left
ZONE GRApING GU. VDS. ACR�S Ping. Ref. #
Remarks: ��` � Planning Notes:
3ar Sink
3ackflow Prevencer -
3ackflow Irrigation
3athtubs
Clarifiers
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks
i�i85 $8NIC2 DUIIElS
Incerceptors
Kitchen Sink
LavetOrl¢5
P-Tmp
Roof Drains
"Reinspectian Foe �575
Boiler
Duct - Untler Ground
Duct � Structural
Duc� - Ventilating �
Exhaust System 0 MWtiple ❑
Firepl/Fact.8lt ICBO #
Heating System & Ducting
❑0-100,000 BTU 0100,000 BTi
Reinspection Fee � $15
White - Builtling: Canary - Appliwnt; Plnk - Accounting; Goltlenrotl - Asse55or
Showers
Service Sink
$ewer Cap
Sewer Connection
Sotar Collectbrs
Salar Piping
Solar Tank
Swimming Pool w/Spa
Urine�
wacer Closet
Water Heater �
Water Service
Auto-Wesh
laue Fea
Hood or Typel
Canopy Typell
Refrigeration Sys[em
❑aioo,000sru ❑ioo,000
System RepairlAlteration
Fire Dampe�s
Registers
luue Fee
FEES
S 3
$ 3
Auromatic Washer
Construction Pole Suh.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Electric
Fan
Fixtures
Device Boxes
Outlets
Switches
Garbage Dispoul
Generetor 00.5 KW
1090 4/12/B5
Zone
ELECTRICAL '
Transformer � 15-50•KW �
❑ 50+KW
Meter ❑up to 700 amp"s
Meter ❑over 100amps
Sub Panei � .
� Momrs 067 HP � t'h - 8 .
Inc. Solar �9-15 HP 016-75+
Microwave '
Pole Light '
_1 ! Standing Sections
S75 KWT Trash Compactor
50.EG 7,_
FEES
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Rainzpection Fee 315 Issue Fea S 3
DEVELOPMENTSERVICESRE�UIREMENTS: '
Zoning Approved By Date
Building Approved By � Date
Application Issued By Dat � J
SUM ARV OF FEES
BUILDINGPERMIT $ �O.Oo SMIP $ • ��
PLAN CHECK S ' PERMIT
PLUMBING $ � ��UANCE S ,
PIAN CHECK 25% $ ENERGV P.C. 5
EI.ECTRICA� $ GRADING 5
PLAN CHECK 50% $ MICROFILM S
MECHANICAL �$ TOTALFEE $ SD.SO
PLAN CHECK 25% $
CONSTRUCTION AND PLANNING POOL a SPA
�a AppR.'1VALS Permit # Date Inspector AppROVALS Permit # Date InspPc*or
1. Temporary Electrical 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. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE �
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test ,
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System .� 61. APPROVAL 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
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
i
Y6: Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18: Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAI
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
2D. Rough Factory Flreplace � APPROVALS Permit �k
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. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structurall & Monocoat 75. Ory Chemical
27. Frame 8nd Flashing 76. Dry Standpipe
28. Lathin� & 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 NOtP.S:
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
i
43. BackfloW Irrigation �
44. .LandscaPe Irrigation System �
45. Sound Attenuation
46. Handiczp Regula[ions
47. FINAL STRUCTURE & BUILDING �[�
48. Special Requirements Completed
49. Electric Release to Edison �
� 50. Gas Release to Southern Glifornia Gas Co �, . �
• 51. CERTIFICATE OF OCCUPANCY . �
� Nn. Date
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COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
ADIDRESS 3094 Gin�er Ave. _ _ _-
OWNER H M
MAIL
ADORESS
TEL.
CITY CL....�...« ll..t.� n..'1 nl I.Aa NO.�'�OL C�
BRANCH
ADDRESS
ARCHITECT
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ADORESS 15117 Ventura BZVC�•
TEL.
cirvSherman Oaks.Cal 91403 NO 9gE
STATE 3 CITV
LIC. NO. ' ygqql IIC. NO.
SIZE ' rNO.OF BLC
OF LOT 60 % 116 I NOW ON LC
USE OF
EXI5TING BIDG. r]One
SIZE OF NO. OF
NEW BLDG. X S ROOMS STOF
EXTERIOF WA�I ROOF
COVERING SE11CC0 COVERING Rock
USE OF BUILOING AND WOFK TO BE PEPFORMED
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' P"I�OQ1132'� *; �`701R.75
�tkY r_ lcrosn
APPLICATION FOR BUILDING PERMIT
:iECEIVFp B DATE RECEIV jE� D TE ISSUED
� .� ad-7a
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A.P. NO.
BUILOING
ADDRES:
TR
FIRE
�CT(�a�.(p/ LOTVS BLOCK
�D AL R P
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L „„ �J / VALU$ �«' �
�l/� ✓ �
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TVPE GROUP���
D
DATE
(VE NO.OF USE OF NE4�
j � p FLANS � BUILDING
VAPDSAPPROVED VAR API
MAIN BUILDING ACCESSORV
iOM GL STREET)
�NT T. �� F
,.,� / n �r P�� �
�FT.
i/
SFT. 3
BET. BET. MAIN &
VAR.�
C. V.P. ��—
I hereby acknowletlge that I have reatl this application and state
that the above information is correct and aBree So comply with
all laws regulating builtling consiruction, and I shall not employ
any person in violation of the workman's compensation laws of
the State ot Califomia. � n �
I heraby certity xhat I am properly licensetl as a conIIactor untler �
the State ot Calitornia Business entl Professio�s Cotla, Divisicn 3, THE AMO
Cnapter 9, antl ffiat such licansas are in tull force antl etfect, or I THE PURPi
am exempt from the provisions ot the State of California Business VALUATION
and Professions Cod /�ivision 3, Chapter 9
Signature of
Permittee 5 ��� �l
Authorizetl ABent
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= �a� J- z�6Prc ,c�
VN UNDER VALVATION IS FOR
"ABlISHING A PERMIT FEE ONLV: m
¢
PERMIT FEE $ ���� �� �
/{� m
PLAN CMECK $ (O (J / z � E
`o
ry [ LL
TOTAL FEE $ 2 � �/ t1
� OWNER ATKINS� Ernest
J08ADDRESS 309 Gibra:
ERAL CONTRACTOR gl�
\A� No.139-1 6-11 LOT
�INSPE TIONS
C SOIL �
� GAS ' y
WATER� 1����
ROUGH PLUMBING
PROP. SWR. LINE �I MOUSE CON. n
MISCELLANEOUS
ROUGH HEATING ANO A
TEMPORARY SERVICE
UNOERGROUND �
ROUGH WIRING
TRENCHES � FOFM
FLOOR SVSTEM
BON� 6EAM ST
SMEATNING
FRAME ANO FLqSN G
IING - IN
,TER, BROWN �OA
HEATING,VENT
PLUMBING, FIN
ELECTRIC, FIN�
IR CONOITIONIIG
0
POWER �
5 � STEEL REINF.
EEL REINFORCE ��y
I�
OUT n
T
iIG. ANO A.C., FINAL
DATE E>-28-71
BUILDING PERMIT
EZONE VALUE
ROUP J TYPE
SUBCONTRACTOR
OWNER Piesa Verde Estates DATE l�_,�CR
JOB ADDRESS 3091t Gibraltar Avenue BUILDING PERMIT NO. g��(j
GENERAL CONTRACTOR L. C, ROb1nSOn VAL[IE $ l 1 �� 4_ nn
AP. No. LOT 1.03 TR�1CT j115 FIRE ZONE . DESCRIPTION OF WORR $eS P.^ Ftt Gar
� UP I&J � TYPE V ZONE Al PLAN NO. '
INSPECTIONS / / I DATE I SUBCONTRACTOR I DATE NUM
coat
1 ing Fixtu�,
F�..m Gas Tut
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