HomeMy WebLinkAbout639 PLUMER ST - Building PermitsCITY OF COSTA MESA ' '
° BUILDING DIYISION C�f%
.. > _ �
; DEVELOPMENT SERVICES DEPARTMENT
� PERMIT PEFMIT NUMBER
��
898-01414
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
�obAddress: 639 PLUMERST
Suite:
Vicinity:
Parcel Nunmber: 42421215
App�icant BROMBAL, STEVEN
Address:
owner: BROMBAL; STEVEN
Address � ��� � �
i '
i� � � ,
Contractor. � �> � � =
Address: � � '��' "; �
BUILDING PERMIT
Zoning:
Phone: 949-261�-6122
Zip:
Phone: 949-261-6122 _ ' � �
. Z1P `
` ' ' : i Phone:
, � � Zip:
� ;� = .'.
��� - License:
;.�.:.
Arch / Eng : . � � � , �'� � .
Address[ . " � � � � � � . - �
� � ,��, � , � Phone:. . � - ,
� ' ' . . f . �� i � - Zip:
License:
SCOPE OF PERMIT
", T/0 EXIST AND REROOF WI 25 YR COMP. . � -
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$112.25
$o.so
$0.00
$0.00
$0.00
$112.85
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front �0-0
PARKING Existinq: 0
NOTES:
FEE SUMMARY ..�
- >i
PLANNING & ZONING
Rear 0- 0- � teft 0. 0
Rear 0. 0 Left 0. 0
Required: 0 Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0. 0
Right 0. 0
Status: ISSUED
Applied: 08/10/7998
Issued: 08/10/1998
ss,000.00
as,000.00
EXPIRATION: This permit shall automatically expire and become void iF work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 7 80 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inapeetlons and finel approvel must be obtained. Failure to obtain Inspedions and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 75M5626
WORKERS' COMPENSATION DECLARATION:
I hereby effirtn under penelry of perjury one af lhe following tledaretions:
❑ I �eve end will mainteln e certiticate of consent to seH-Insure for workars' wmpensetion, es proviCed tor by section 3700 of ihe Lebor Code, for the pertormance of ihe
work tor whlch this permit is Issued.
❑ I have entl wlll maintein workers' compensetion insurenca, as requiretl by section 3700 of the Lebor Coda, for the pedortnance of Ihe work for which ihis pertnit Is issu0d.
My workers' compensatlon Insurence cartier entl poliq number are:
Cartler: Policy Number:
(This secfion need nof be can0�efetl i! the permit is ve/uetl af one huntlred dollers ($100) oi less.J
❑ I ceNify that in the peAormence of the work tor which this permit is Issue4 I shell not employ eny person In eny manner so es to become subject to the workers'
compensetlon laws of Celllomia, entl egree that If I should become subJact to the workers' campensauon proNsions of Section 3700 of the LeDor Cade, I shell fanhwith
compy wii� Ihese provisions.
Appllcant Signature: Dete:
WARNINO: FAILURE TO SECURE WORKER5 COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FINES UP TO ONE HUNDRED
T710USAND DOLLARE �E100,000), IN pDDITIIXJ TO THE COST OF COMPENSATION, OAMAGES AS PqOVIUED FOH IN SECTION 3106OF iHE LABOR CODE, INTEREST, M!D ATfORNEI"5 FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirm the� I em Ilcensed under provislons of Chapter 9(wmmencing wlth Sedlon 7000) ol Division 3 of the Business entl Protessions Code, antl my Ilcense is in full
force anC e8ea. Lic. u Cless x
Contrectors Slgneture: Date:
CONS7RUCTION LENDING AGENCY:
❑ I hereby eXirm thet ihere is e construction lending egency br �he DeAormence of Ihe work far which this parmit is issued. (Sec. 3097, Civil Code).
Lendefs Neme: Lenders Atltlress:
SignaWre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby effum thet under penalry ot per�ury Ihet I am E7(EMPT FROM 7HE CON7RACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business and Professions
Code: Any ciry or counry w�ich requires a pertnit to construct, alter, improve, tlemolish, or repelr eny siructure, pdor to its issuance, also requlres t�e applicam tor such pertnit
to file e slgnetl stetement t�at he or she is licensed pursuent to the provisions ol the Contractors License Lew (Chepter 9(commencing with Section 7000) of DlNsion 3 of the
Business en .Professions Code) or thet he or she is exempt therefrom end the basis lor the elleged exemp�ion. Any violation ot Section 7031.5 by eny epplicent lor e permit
subje e epplicent to e civil penalry of not more ihen five hundred dollars ($500).):
I, es owner of t�e property, or my employees with wages as Iheir sole compensetlon, WILL DO TME WORK, antl ihe siructure Is not intended or oHeretl for sale (Sec.
7044, Business and Professions Code: The Contrectors License Law tloes not apply to an owner of property who builds or Improves Ihereon, end who tloes such work
himseN or herself or through his or her own employees, provitled ihat such improvements are not Intentletl or ottered for sale. If, however, the Duilding or Improvement is
soltl withln one year ol completion, ihe owner-builder will have Ihe burden ol proving thet he or she dld not bulld or improve for purpose ot sale.).
❑ I, es owner of the properry, am El(CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to wnstruct ihe prqect (Sec. 7044, Business and Protessions
Code: The coniredors Llcense Lew tloes not apply to an owner of property who builds or improves thereon, entl who coniracts for such project with a coNractor(s)
license pursuant to ihe Conirectors License Laws.).
❑ I em exempt under sec. /J Business and Professions Code for ihls reeson:
Owner ID veniied by dnvefs license. es ❑ No
Verificetlon of Ownership by (rype of tlocument, i.e. - properry taa bill or deed):
Expires:
DIVISION OF INDUSTRIAL SAFE7Y PERMR CEFiTIFICATON:
❑ I hereby certlfy Ihat no ezcavailon Me (5) or more feet In d8pih into whlch e person Is requiretl to tlescanQ will be matle In connection with work authorizetl by ihis
pertnit, and that no builtling sirudure, scattalding, felsework, or demolitlon or dismentling thereot, will be more �han thirty-siz (36) feet high. (Chep. 3.2, Grp 2, An 2, Sec.
347, Title B, Celllomie Administretive Gotle).
❑ As owner-builder, I wlll not employ enyone to do work which would require a pertnit Iram the Division oi Intlustrial Safery, as noted above, unless such person has a
pertnit to tlo such work irom the division.
Signature: Date:
Division of Indusinal Satery Permit Number:
CERTIFICATE OF COMPLIANCE AND AUTHORIZA710N OF ENTHV: I certity under penelty of perjury thet I have reed this epplication and state thet the intormation given is
correct. I egree to wmply with all state lews and ciry ortlinances releting to huilding conslruction, and authonze representatives of the City ot Costa Mesa to enter upon the
above-descnbed p— ro�rty for Inspection��ree not to� or allow occuDancy of any 6uilding authorized by ihi��� �il finel inspeqion.
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T . I�nehire Of Leaal�Ynerfsl � Dete
AnNOr Authonzed Applicant
COOE I. INSPECTIONTYVE
1676 Fixed System Finel Fire Prevention
7266 Pool Spa Final
200 Final Re-Raof
201 Finel BIacWReteining wall
202 Finel Fectory Fire Place
203 Final Slqn
204 Final Demolition
2dd&48
PA7E IIi�EL$
CODEY INSPECTIONTYPE
206 Final Mechenical
208 Finel Plumbing
210 Final Electricel
212 Final Fire Preventlon
220 Final Planning Approval
222 Flnal Site
250 Final Builtling/Occupancy
OA7E It�l64
=UWNtK ppgRE CONSTRUCTION DATE 1-14-70
J ADDRESS 639 Plumer Streei BUILDING PERMIT NC
�cntkn� wn
AP No. 116-0
l IN��ECTIONS
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G..
WATER <
ROUGH PL ING
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trucc
LOT 402 TRACT Not.MesaFIRE
CON.
AIR CONDIT
UNDERGROUND � POWER
ftOUGH WIRING
BOND BEAM
SHEATHING
FRAME AND
I <THINf. _
dS I[jf STEEL REINF.
TEEL REINFORCE [�
G.
OUT
AT
HE"'NG, VENT., REFRIG. AND A.C., FINAL
P ING, FINAL AND GAS TEST �
SUBCONTRACTOR
ex
3 i ��-�
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant fo Fill in Completely
BUILOING �^�jO !%��� ��
ADOPESS (�v � �4
OWNEfi �'�I�� C %J/i.��� .
��
JAN 1'4-70vntoOO 380$ ***'186.00
[NSk
APPLICATION FOR BUILDING PERMIT
RECE ED BV DATE FjECEIV DO pqT�SSU/I
� i Y
PERMIT MO
A.P.N . //(o—OS�-e� .�IL'
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W W TEL. TRACT
a U CITY � %vQ NO
ZQ CONSfRUCTION A
O N LENDER
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J � BRANCH � �
J � OWNER
m J ADDRESS ./ W, I j
J m ARCH�TECT TEL. S «.��:��ulr
Q OR EN INEER
V Q Q � FIRE
w � ADDRE55 ZONE T
d W APPROVED �
W Z CONTRACTOR G B�'
m Z e
J � ADDFESS
W w D � TE� ZOJpJ�E—�/ NO.OF �
ZF CITV Q NO Q /�. r PLAN$ .
W � STATE�- 63�3 LICVNO. g/ yMAIDN BUILDING
(n CL LIC. N
7 O � (FROM C/l STFEET)
SIZE / NO.OF BLDGS.
OF LOT yC J NOW ON LOT� NT <
USE OF
EXISTING BLDG. '�� �
F SIZE OF O v � 6 NO. OF L
Z NEW BL /` ROOMS STORiES L. SIDE
U EXTERIORWAL�I RQOF �+ i
COVERWG J �L�D COVERING J REAR o
J USE O UIIDING AN� WOFK 7 E PERFOR O OISTANCE BET
d l� `� MAIN BIDGS.
a
Q VAR. q�
O C.U.P.qW
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VI horeby acknowletlBe t�et I �eve reatl this epplicetion and staie ��JL�
= thet the abova information I� cor�ect end aprea to comply with
� ell laws reBuleNnO bullding construction, entl I fhell not omploy
� any person in vlo�aUon of tha wqrkmen'c compensation laws of
[he SSate of Calitomie. �
? I hereby certify'-that 1 em properly Iic�nsatl es e contrecior untler � �
the State of Calitornie Businesa antl Profeuion� Cotle, Dlvlsicn 3, THE AMOI
Chepier 9, and ihet wch Iicances ere In tull forca entl effect, or I THE PURPC
am exempt irom tha provlsions of the Stece of Cel rnle Buyneca VALUATION
antl Professi�COAe, I ision 3, pte Cy��
SIB�eturaof / �-. /� �
KSr
���
�I BLOCK
l+
�,
/ //
(li FT.
BET. MAIN 8�
ACCESS. BL�GS.
DATE
APPROVED
, �eTF i — ,-- 7 �
Parmlttae r �% $7�� /D �y' '��
�5 / �j '�
Authorizetl ABant ��
i �
0
VALUATION IS FOR
A PERMR FEE ONLV: �
2
�/ � m
_ S /c % a
�
µ m
K$ Gz�- E
� �G, o
�� LL
$
Aoplicant to fill in all soaces within heavy boraer lines antl sign all aoorovriate tleelaration
CITY OF� COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLOG. NO.
CONSTRUCTION PERMIT P- a 9��"' �
Address
\ TVPE OF CONSTRUCTION .
✓, Phone i�<�{'%j ❑ NEW ❑ ADD ❑ ALTERATION
�nj � ❑ REPAIR ❑ CONVERSION ❑OEMOLISH
License Na. ❑ OTHER
DESCRIPTION OF WORK
CONTRACTOR OECLARATION -
rm tnaf I am licensetl untler provisions of Charter 9
:h sectlon 7000) of Dlvlsion 3 of tbe' Busines
Code, antl my Iicense Is in full force� �antl�� �
, _ �� � � _ License No.�1j2�
DateC�--�-- ��^'- Signature
WORKERS' COMPENSATION DE LARATION
I hereby affirm [hat 1 have a certificate ot consenl to self-insure or a
�ce�tiflcate Of Workers' Compe05atiOn Insu�ance, o� a Ce�tifletl copy
" ��eof (Section 38Q0, Lab. C.).
yrvo. O�icl/> comaa�v%�P�ver "r/S'
,�` ertitietl copy is hereby /urnishea. --
49�Certifi¢tl copy is (iletl with [he city Builtling DiviSian.
EXEMPTION FROM WORKERS'COMPENSATION �ECLARATION
(This section neetl not be completetl if tbe permit is for one huntlretl
(5300) or less). '
I C¢rtrty Ihat In Ih¢ performance ot the work fOr which this permi[ is
issuetl, I shall not employ any person in any manner so as to become
subject to the Workers' Compensatlon�Laws of California,
Date Signature
NOTIGE: It atter making this tleclaratlon, you shoultl become:subject
to th0 WOrkers' Compenza[ion prOvislons ot the Ldbot Cotle, you muzt
forthwith comply with Such provi5ion5 0� thi5 permit Shall be tleemetl
revOk¢tl.
CONSTRUCTION LENDING AGENCV
1 hereby aftirm that tnere is a con5truction lentling agenGy tor [he per-
fOrmance of [he work for which [his permit is issuetl (Sectlon 3097
Civ. C.).
Lentler's Name
Lentler'S Atldress
OWNER BUILOER DECLARATION
I hereby affirm that I am ezempt from the Contractor's License Law for
the following reason (Section �031.5 Business antl Professions Cotle:
Any city or County which requires a permit to construct, alter,
Improve, tlemolish o� repai� 5ny St�ucture, prior to it5 issuance, alm �e-
quires tne applicant for such permit to file a signetl.statement that he
is licensetl pursuan[ to [he provisions of the Contractor'S License Law
(Chapter 9(commencing with Section ]000) of Division 3 of the
' �ness and PrWessions Cotle) or that fie Is-exempt therefrom antl [he
for the allegetl exemption. Any violatlon of Section �031.5 by
applicant for a permit subjects Ihe applicant to a civil penalty
o� noi more than five huntlretl tlollars (g500).
❑ I, a5 owner of the prop2rty, or my employees with wages as their
solE Cortipen5ation, will tlo the work, antl She structure is not intentletl
O! ofteretl fOI sale. (Section 7044, Business antl Professions Cotle: The
Cont�actor4 License Law tloes not apply to an ownet of a property
who builtls or improves thereon, antl who tloes such work himself or
through his own employees, provitletl thal such improv¢ments are noi
intentled or offeretl for sdle. If, however, the builtling or improvement
is soltl within one year of completlon, the owner will have the burtlen
ot provinq he tlitl not build or improve fo� lhe purposC of sdle).
❑ I, as owner of ihe property, am excluslvely conVacting with
licensed conVactors to construc[ the project (Section �044. Business
antl Professions Cotle: The Contractor's Licenze Law tloes not appty to
an owner of property who builtls o� imprOves thereon, and who con-
tracts from sucn projects with a wntractor(s) Ilcesnetl pursuant to
the Contractor's License Law).
❑ I am eKempt untle� Section 8. & P. C. fo� this
reason
Date Owner
I her¢by c¢rtify thai I have reatl this appli[ation antl state that the above
intormation is correcL 1 aqree to comply wilh all city antl mun[y
ortlinances antl 5[ate IawS �elaling to con5truction, antl ite�eby authotize
representatives of this city to ¢nter upon the above mentionetl
prope�ty for i ec[io pur oses. . .
Si9nalure �nA��P�'�%'
_ _ _ _
TVPE OF PERMIT
❑ GRADING- ❑ FOUN�ATION ' ❑ STRUCTURAL
❑ TENANT ❑ ELECTRICAL �PLUMBING ❑MECHAN
❑ OTHER
PRO�ECT DESCRIPTION
SQ.FT.
OCCUPANCV_CONSTRUCTION TVPE
VAIUATION ZONE
GRADING CU. VDS. ACRES
PLUMBING
TOILETS
LAVATORIES
KIT. SINK$
SERVICE SINKS
3402 3/17/B2
ZONING REGULATIONS
H.P. �
ZONE
REAR VARD (TO I
PKG. SPACE REQ.
STREET WIDTH
SPECIAL CONDITIONS:
PLNG. REF. �
PROVIDED
PARK FEE $
PLAN CHECK ELECTRICAL PLAN CHECK
SHOWERS SO.F SCJ_FT.
URINALS GENERATOR 0-1 KW_1-10 KW _
DOUBLE LAVS � AOPLIANCE�� �R 30-50 KW_50 t KW _
SUMP$
ERS
FLOOR SINKS FLOOR ORAINS
ORINKING FOUNTAINS
INTERCEPTORS CLARIFIERS
SWIMMINGPOOL PTRAP
WATERSERVICE ALTERATION
GASSERVICE OUTlETS
WATER HEATERS 9TU OUTPVT
SEWER CONNECTIONS
SOLARTANK
SOLAR PIPING SYS.
ISSUE FEE
MECHANICAL
HEATING $VSTEM
AND�DVCTING
REFRIGERATION
SVSTEM '
COLLECTORS
�•lA_�RN�Ix9��
0-300,000 BTU_
100,000 + BTU _
0-100,000 BTU_
100,000 + BTU _
BOILERS BTV
SVSTEM REPAIR,ALTERATION
EXHAUSTSVSTEM MVLTIPLE
ISSUE FEE
CMF 0865�46 White-Builtling; Canary-APplicanh Pink-Attounting; Goltlenrotl-Assessor
MOTORS 0-1 HP_1-30 HP _
(INC. SOLAR) 30-50 HP 50 + HP _
FIXTVRES OUTLETS -�SWITCHES
GAS TUBE SIGNS
SUB
APPLICATION APPROVED BY
SUMMARV OF FEES
BUILDING
PERMIT $
PIAN CHECK $
PLUMBING $ • �1
PLAN CHECK S
ELECTRICAL S
PLAN CHECK $
MECHANICAL $
PLAN CHECK $
P
DATE
5.00
SMIP $
PERMIT �L
ISSUANCE $
GRADING $
$
MICROFILM $
TOTAL PEE $
LE55 AD-
VANCEPC $_ � �
F�NAL FEE $.�
y -�o � �'.vs.�
CONSTRUCTION AND PLANNING POOL & SPA;. .
APPROVALS permit # Date Inspector ,-qppROVALS �- Permit # � Date Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -
2. Soil ipe-Undrgrn � . 44. Steel Reinforcement -�
3. Electrical Conduit Utility-Undrgrn 45. Forms
4. Electrical Conduit-Undrgrn 46. Electrical Bonding '
. tee ein orce 47. Rough Plumbin� & Pressure Test
6. Electrical UFER Grn 46. APPROVALTO COVER-GUNITE �
7. Footings ' 49. Electrical Conduit-Undr rn� � �
8. Foundation - 50. Gas Pipe, ❑ Undr rn, Test �
9. Water Pipe-Undtgrn 51 . Backwash Lines P�Tra ❑ ndr rn
70. Structural Floor System 52. APPROVAL TO DECK
; 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final �
12. Street Sewer Connection � - 54. Heater & Vent-Final � �
13. Rough Plumbing - - � - �
14. Rough ElectricConduit - �56. Electrical-Final
15. Rough Electric-Wiring - - 57. Solar SVstem-Final
16. Rough Heating & Air Conditioning • Fencing & Access Approval
17. Ducts, in Structure ' - 59. APPROVED FOR PLASTERING � �
16. Ducts, Ventilating
19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FiNAL
.20. Roof Framing
21. Roof Sheathin �y,
22. Frame and Flashin NOTES: N�Q„�. ,�r' /��
23. Insulation
24. Lathing & Siding '
25. Drywall Nailing " �
26. Plaster Brown Coat
27. Electrical Power Meter-Final '
28. Final Electric
29. . Final Heating & Air Conditioning
30. Final Gas Pipe-Test
31. Final Plumbing �� .
32. Water Service-Final ' '
33. Gas Service-Final
34. Solar pomestic-Final
35. Landsca e S rinklin S stem
, 36. Sound Attenuacion
37. Handicap Regulations
38. FINAI STRUCTURE & BUILDING �
39. Special Requirements Completed
40. Electric Release to Edison
41 . Gas Release to $outhern California Gas Co. � �
42. CERTIFICAT� OF OCCUPANCY
No Date