HomeMy WebLinkAbout640 PLUMER ST - Building PermitsAOP�icant�to (ill in aIl spaces except those within heavy Dortler lines ana sign al1 aoPropriate tleclarations.
PERMIT NO. RACT NO. LOT N UNIT NG.
CITYOFCOS7A EI1SA CO STRUCTION yP,ERMIT -� _.. , niio!]inf_ .GYn Pri�- .-,
ProjectAddress �T� �i.i�%lPi� �I•
Applicant's Maili` Address
Owner'sName J�e/.��q �� M/iJ�I�/J - Phone
Address �ny0 �l�A+�l�e.sT
� Arch/Eng. License No.
Address �+
I Contractor's Nam` � � �'/��Phonp%��
� Addresslmailing) S�M P
�', City License No. �7 9�T
LICENSED CONTRACTOR DECLARATION
I hereby aHirm that I am licensetl untler provi5lon5 of Charte� 9(mmmencing
with section ]000) of Division 3 01 the Business antl Professions Cotle, antl
my license is in full torce a eHecL // b�G n�l
�.IC205CC,lass �i � l.icense O.7o a s.�
oate� 7(�- ' a 5'g t ��M'+i`-�
'�ORKERS'COMPENSATION DE R TION
ereby affi�m that I M1ave a certificate of mnsent to self-insure or a Certificate
Workers' Compensation Insurance, or a cer[ifletl c� reof (SeCtion
.i800. Lab. f���/I , /
Policy No. � Y� Compa
eCertifieC copy is hereby (umishetl.
Certifietl copy i5 filetl with the c� ivi5ion.
Date 7— i ��7 Applitant/
EXEMPTION FROM WORKERS' COM�P�ENSAI�ION DECLARATION
(Thissection neetl not be completetl if the permit i5 tor one huntlretl ($300) or
less).
I certify that in the perto�mance of tM1e wo�k tor which this perm�t is issuetl, I
shall not emplhy any person in any manner zo as to become subje[t to the
� Workers' Compensatlon Laws of Calitomia.
Date Si9nature
� NOTICE: If, aiter making this tleUaration, you shoultl become subject to the
' Workero' Compensa[ion provisions of the' Labor Code, you must torthwith
"compty wi[h such provisions or thi5 permit shall be tleemetl remketl.
�. CONSTRUCTION LENOING AGENCV
' I hereby affirm that tM1e�e is a construction lentlinq aqency tor the perto�mance
of the wo�k fo� which this permit is issuetl ($ection 309] Civ. C.)
! Lentler's Name
. Lender's Atltlress
i OWNER BWLOER �ECLARATION � '
I I hereby atfirm that I am exempt from the ConVactor's License Law tor the
' followin9 reason (SectiBn 7031.5 Business and Professional COGe: Any city or
county which requires a p¢rmit to const�uct, alier, improve, tlemolish or �epair
any SVUGture, ptio� lo its issuance, also requi�es the applicant to� such permi[
to tile a si9ned statemen[ that he/she is licensetl pursuant to the provisions o(
•he ContractorY License Law (Chapter 9(commencin9 with Section 7000) of
bision 3 0( [he Business antl Protessions Cotle) o� tM1at he/she is exempt
eref�om antl the basis for the allegetl ezemption. Any violation ot Section
.031.5 by any applicant for a Permit subjects [he appliwnt to a civil
pe0dity ot not more than five huntlretl tlollars (E500).
❑ 1, as owner of the Oroperty or my em0�oyee5 with wages as their sole
mmpensation, will tlo the work, antl the structure i5 no[ intentletl or offeretl
for sale (Section �044, Business antl Professional Cotle: The Contracror's
License Law tloes not apply to an owne� of a property wM10 builtls or improves
thereon, antl wno tloes such work nimseli/herself or through his or her own
employees, provltletl that such improvements are no[ Intentle0 or offeretl for
Sale. If, however, the builtling or improvement i55oltl within one year of com-
pletion, the owner will have Ihe burtlen ot provin9 he/she tlitl not builtl or im-
prove for the pu�pose of Sale). .
❑ I, a5 owne� of the property, am exclusively contracting with licensetl <on-
trac[ors to wnStrucl the project (Section ]044, Business antl Protezsions Cotle:
The ContractorR Li<ense Law tloes mt apply to an owner ot property who
builtls or improves thereon, antl wM10 contracts for such projects with a con-
tractor(s ucense pursuant ro the Con[ractor's LiCEOSE Law). I am aware that
proo} o� their Worker'S Campensation insurance shoultl be Provitletl to me.
❑ I am ¢xempl untler Sec[ion' 8. & P. C. �or this reason
�ate
ion
: la
owner
ng
the above
ortlinances
TVPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION LJ REPAIR
� CONVERSION ❑ DEMOLISH ❑ OTHER q p# �
DESCRIPTION OF WORK/USE OF 6 DG. g� �� W�C� �^G� �'
/�/l(( s0+'�YV � ��/� t t� � ,P f-- S Main Buildi
TVPEOFPERMI���GRADirvG ❑ FOVNpATION TaUCTURA� T Front' �
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Reat
❑ OTHER %�
PROJEC7 DESCRIPTION Sq. FT ocCUPANCv �— C Right �
�CONSTRUCTIONTYPE VALUATION$�ODO'�L� S Left
�ZONE GRADINGCV.YDS. ACRE$ PIng.Ref.#
Remarks: �tlL � /m �� T N f v " . 50 N P'1/ Planning Notes:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers • •
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Kitchen Sink
Lavatories
R
Reinspection Fee
Showers
Service Sink
SewerCap
Sewer Connection
Solar Collectors
Solar Pipin9
S �l/iming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Laundry Trays
$15 Issue Fee
Boiler
Duct- UnderGround
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ductin
❑0.700,OOOBTU ,0006T
InspecY n n �
� Signature Date7'7'D%
Drivers' Lic or 55 Reinspec[ion Pee
CMF 0865-46, rev. 10/84 White - Bulltling: Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
$15
Hood or Typel ❑
Canopy Type II ❑
Refrigeration $y
❑0-100,0 TU ❑100,000
em Repair/Alteration
Fire Dampers
Registers
Isue Fea
$ 3
$ 3
OS4�-. 7/C,i/_` ' •
,.
� � — / Q Zone Z„
Accessory Building:
Automatic Washer
Cons[ruction Pole Sub.
Cooking Unit . .
Dishwasher -
Dryers ❑Gas ❑Elecvic
Fan
F.A.U.
Fixiures
Device Boxes
Outlets
Switches
Garbage Dispou
Generator -5 KW C
Parking Req./Provided
ELECTRICAL �
Transtormer ❑ 15-50 KW
❑ 50+ KW
Meter ❑up to 700 am
' Meter ❑over 100 mps
Sub Panel
Momrs 0-iHPOi'/x-8
' In . olar 09-15 HP 016-75+
Microwave
�Pole Light _ _
� fia�e '
Sign
Standing Sections
5-15 KW Trash Compactor
Fee �$15 � � issue Fee
FEES
$ 3
DEVELOPMENTSERVICESR�QUIREMENTS: .7_7 y..,
Zoning Approved By_� Date V�
Building Approved By � � Date
SUMMARV OF
BUILDING PERMIT $ ��• �
PLAN CHECK $ �) � �
PLUMBING 5
PLAN CHECK ' 25% �$
ELECTRICAL ' $
PLAN CHECK 50% �$
MECHANICAL $
PLAN CHECK 25% $
Z
O
N
I
N
G
R
E
Q
M
T
SMIP � $ r .�%
PERMIT
ISSUANCE $
ENERGV P.C. $
GRADING $
MICROFILM $
TOTALFEE $ :SU j3
CONSTRUCTION ANDPLANNING POOL&SPA
,4PPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
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 �,j4�� (j�- 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Grnd. 57, APPROVALTO COVER�GUNITE
7. Footings � F�-5 �°� '� 7�s 58. Electrical Conduit-Undrgrnd.
8. Foundation � 59. Gas Pipe, O Undrgrnd., Tesi �
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK �
i t. 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
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ��
r
20. Rough 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.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 �Note�
34. Final Heating & Air Conditioning Ct�" ,� (�f r k- � q=l%J4'( �
i ( 0
35. Final Gas Pipe-Test ' � 7_u ,� k� 6�,y�: g(� +
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. FINAL STRUCTURE & BU�LDING �Q, �� �'
48. Special Requirements Completed �
49. Electric Release to Edison
ti
50. Gas Release to Southern California Gas Co �
. 57. CERTIFICATE OF OCCUPANCY
No. Date
Pa9o��
" �PP��UE� L.
� City of Costd M�sa �vilding Dept.
� gy ,��G;,/�L.__ CP,?E�_ i9_�
�TMESE ?lANS MUS? 6E CN JOB AT AlL 71,+/:ES Pr,:;'1.,�.
NO CHANGES Wi?nOUT F;:(OR APi't<CJVAI Cf- DE?T.
THEi ISSUAt<�E CP. GRAN?I;;:? pr p nig:.��7 C^n A°rRPW+! GF
PLANS AMD SPEUFIGP.?16��;; $�'?.i.i !'•IOT &E C�il�.5f FI�eD ?ii 6f A
PERM;T FOR.. Oft AN APFE:O'dl+L �.JP, n��'/ VI'�LAfICti :'.'F .',f+i Of
THE PkOVI51GN� OF TFiS CCDE. N�J 7EfU:1ii ?i;iSU'rhi:�:G iC� GIVE
AUiHORqY �O VIOLAT� �k CANCFL "fH's a[:v"ri9:;rto CF 7H15
COA? $HAtt B: VktIR EY.Ci:P� IM �O F.iR I�5 iFC �JO::K C2 USE
WH�CN (T AUTHOHIZeS IS IAWPUt.
THE ISSUA.NCE Of A FEkiNJT RASeD UPaN P:A::S ;NO
SPLCIFICATIOMS SHAIL MOi FREYENi TtfE BULLOUY:; G�iiLIAI
FROM THEBEAFTcR REQUIRING TME CORRECT�GN GE Efkii25 IN
SAlD PLANS AND Sr'ECIFICAi1�N5 O° FP,CM PF,FVcN71�1G
BUIIDING OPfRATIONS B ING CARd:°D ON THEPEJNDER WHEN
�N VIOLATION GF THIS C�6E OR OF ANY UTHER ORDINANCE OF
THc CITY.
�aTE
ITIQNS, DELETIONS, OR CORRECTIONS SHALL
RPt'ROYED BY 7NE PLAiJNING DEPARTMENT
�
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. oF co Mnsr � C,�
PWNNING DEPT,
�uecr ro ecoo. uerr, �q
-.-.� DATE '�' �-�
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am.�� av+�, ow+a+N —�
cn.�,e.i eiod� w»n ta/e¢ �
Horiionul Top oi a11
Feneas
Fw F�non 6' a I+nf
vrrt B�n als"}S �s !' -0" O.C.
Fa F�nai Hlqlw Th�n 5'
V.rt.ean 3/6^� n 3t" o.C. �
Fi11 CNb Solid Wiffi (irout
Whtn Stnl Oown
RanioreMq StNI Slrll
Ca+lorm to S�e.A•1578
A.S:T.M,
�n su.� p e. �.00.d
21" Or to Cod�
NATURAL
nw srm s�ae
CONTINVpUgTO�
i BOTTOM
110R1=.fTEEL MUST SE TIfcD IN
►IACE AT TIME OF TRENCN
INSVECt10N.
0
0
T Y PI CA.L 6�� CONCRETE BLOCK FENCE
� . .. �
►
�..1 : :. L—wiotM
�' '� BEIOW ,
��.L
. i_.IC" J
GENERAL-- NOTES
MORTAR; On� Parf Pleslie GrtNN. ond
Thrse Port� Sond
GAOUT: o�. Po.� a�+.�r n.se ana
On� Nolf PorU S�ond
COPINQ: On� Perl Cemrnf� TArN
Porh Sand
coNcpEre: w.�� M�..a r.z-�n:a-�it
Mcz. ol 7- V2 Galbns ot
Waf�r Per Sock of Gm�nt
0110tR MMY SElOUIIEO f110M Tllf TO�
Of THE FENCE IN CEllf MMENE fTEEL
oCCUni
Cf LLS AND All[Af Of NOIIIZOtRAL IIEIN-
FORCEME/R EINII SE CIEAp, CIEAN �
fNEE Of ALL MORTAII DEOw1i, tTC.
� �
M Oi E�I1t/RCOTN
��/� 1NE NE16TM Of i�MCE
$ECOM •90TTOY Of f00TING.
r
sca�E: v2" • i'
REQUIREMENTS CHART i � •
WIOTH � . . . . . . . . . .14 . . . . . . .14. . . . . . . .1._{��,.... . . . 12�.�
� THICKNES$ . . . . . .10� . . . . . .10� . . . . . . �.�. . . e` . .". �. . :': . . . e•
... . . . . .. . . •
DEPTM OF EARTHTOOTN . . . 24' . . . . . . . . . .20r . . . . . . . . . . . i6�. . . . . . . . : 12� '
SPACIN(i OF _EARTHTOOTH. . 12� . . . . . . . . . .14' . . . . . . . . . . . 16�. . . . . . ". . . . . 16'
OWNENS N�ME: .�C/ @�'i�dv� Y1%lNK G21 _ � _ _ _
JOB AOORESS: 3+.�0 ` %('�••y) �.�- S�
City of �Costa Mesa, Ca ifornia pERMI? NUMBER'� � _ � _ � _ _ �
Building Department � �a�T�E: _ - _ _ _ _ �_ _ _ _ _
�:�UY 1�•.:�JV�1�ES �r.����V �/���i ' •
n
0
. .a r• � er �a io-
ZHIS A(�tEENffSI'P, made and entered intn this lst day of
19$? -
��5�� by and hetween David T.. Ad'ama & D�nalrl N_ Minklar
hereinafter referred to as "LAND 04dJER", and
here inaf ter refe rred to . as "AATACENr : PROPEKIY Q�iNER" .
It is hereby agreed that a party �rall will be oonstructed on the
property line between 6L0 Plumer St. and 6'i6 Pl�y�pr St.
(Address of Adjoining Properties)
in the City of Costa Mesa, Coimty of Orange, State of California, as per map
reco�rled in Book 3289 , Page�4of Miscellaneous Maps, in the office of the
Coimty Recorder of said Coimty. �e party wall shall be permitted tv encroac3i
IN WIZfIFSS �EOF, the parties have entered intn this Agreement the
day and year fixst above written.
IAND QdNER
,�6,,,.� �, �����.
(Signature)
Q•
Donald N. Minkler / Mari a d_ Karrh
Name ('Iyped or Printe9)
5/a0 Plumer St.
(Address)
_ �Q`7�� '7''���
, � � . r. y •
. �r . Lc I I� ��� �.. �
David L. Adams
Name (Ryped or Printed)
636 �lumer St.
(Address)
.: - - - - - -_-_ _ - -
.�
� t- ,
. ; � . ,, _
OWNER BISS�LL. FRANK V DATE �n_a�_Ci.
�lL�
JOBADDRESS �J�1� Plumer $t. BUIL�INGPERMITNO. (�(�2
GENERALCONTRACTOR Owner-Builder VALUE$ 1(� S��.QQ
L�'T- (j,0], BLOCK TRACT Newgort Mesa DWe� � irig & At, Gar,.
FIRE DISTRI
INSPECTIONS � DATE � SUBCONTRACTOR
DATE
Foundation
Sewer
Lath
P
Plun
Final Gas Test(/5) ,��F�../Y I 2.
Form 210 G-A lbt 1'L68
PERMITSI6SUED
C/J
��: Costa Mesa Building�epartment �y APPLIpCATION FOR PERMIT
� " .. ..1N EAST 20tb STREET �/� p U I L D�� N G �
• COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN FOR Ob'FICE USE ONLY
cel t o Permft No.
a�,�d,�9 �v �'� �'� G 6 v
Address
Costa Mesa, �i8��011ll$ Reeeived by Date Rec'd. Date Isvued
.,----� _ „ . I �o - .E/- s�
Owner � 7//�–j(/L
Mail J y
Address / � D.�
City � , /�// •
ArchiteCtor �� –
Contraetor �,�.G�sy(�
Address —
Legal Lot�/
Descriotion No.T �
(Attaeh Metes and
Size of Lot J s
Use of
from/ �
Yf V n
New
euiiaing ysX 3 S
ize
.xterior Wall„ ,� _ �
Coverin9 J.cJ�.t�-we
Use oi New f:. �.f
TCI.
No. R -
City L
No. �
Now on Lot °�
No.of No.oi
Famflien � Room.
Rear Vard 3 _
Demolish
Stories
n // •
eswiamg ��� – �.�+�� .
Adtlreu
Costa Mesa, California
Neareat
Cross St. _�
APPROVAiC
Foundatlon Loeation I Inspeetoi
Forms, Materials,
I hereby acknowledge that I have read this Application
and state that the above is rnrrect and agree to rnmply Lath. Ext.
with all CYty Ordinances and State Iaws regulatlng
building constructton.
Signatureof �A /% � /� Plaster,lnt
Permittee /liL.fi/r o1�//
"'i`— Plaster, Ext.
Authorized Agt. ���
Masonry Re'i
V�ation Pefmit Fee $
Plan Check $ � Bond Beam
�� � . � Total p o
Fee $ .3 � ��� FINAL
. FORM 204 G•H 2M 3-34
�_ I
2
D
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il-E'f �i�i!:� S!. Y1��:
Show Iocation_�and ,"distanceg Trom ' ! . J
property line and between buildings
_ ' . , . , s. .. �
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