HomeMy WebLinkAbout1633 MINORCA DR - Building Permits •PROJECT ADDRESS: 1633 MINORCA DR UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P 067755
OWNER'S NAME: ZIMMER, JULIE
ADDRESS: 1633 MINORCA DR PERMIT NO: P 067755 PLAN CHECK NO: N GOVT: N SUPP: (\I
• COSTA MESA, CA 92626
CONSTRUCTION TYPE; V—N PERMIT TYPE: PLU PURPOSE: ADD
, � 714 ) 557-1419
',y ARCH/ENGINEER: R.C . DEVELP . CO 587-5164 REG.NO.: 0000000 JOB DESCRIPTION : CONST. 192SF ROOM ADDITION SQ FT:
ADDRESS: 28985 GOLDEN LANTERN UNIT:
LAGUNA NIGUEL CA 92677 CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 /
PERMITTEE: R,C , DEVELOPMENT CO, ( 714 ) 587-5164
ADDRESS: 25985 GOLDEN LANTERN COMMENTS ; SMOKE DETECTORS ARE REQURED IN EVERY BEDROOM & HALLWAY
LAUNA NEGUEL CA 92677 *******TEaf********+E*****TE***+ * .***+a******+E*+k**vE****x-****** :**********4 c>F******++E
LICENSED CONTRACTOR DECLARATION: I hereby affirm th am l — 'd under provisions of Chapter 9(commencing with Section ZONING R EQUIR EMENTS
7000)o !-'ismn 3 of the Business and Professions Code. . d my licen • is i full force 'd effect. SETH ACK S
CI — STTELIC.: 417745 •I- S : • / EXP :
Signature: &� MAIN BUILDING ACCESSORY BUILDING
i I RICERS'COMPENSATION DECLARATION: I hereby affirm That I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT I N REAR: FT I N FRNT; FT I N REAR: FT IN •
'Compensation Insurance.or a certified copy thereof(Section 3800.Lab.N. LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ• PROV: PARCEL : 13928302 ZNE: REF NO;
Certified copy is hereby furnished. C Certified copy is filed with the city Building Division. PLANNING NOTES>
>
Date: Applicant: ********************************************** ********************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section not be co feted if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES- , REQUIREMENTS
I certify that in the performance of the work for which this per it is i su ,I shall not ploy any person in any manner so as to become
sur• tto ekuCo nsago,Laws of California. ZONING APPROVED BY r' DATE;
p-re': Worts' Signature: `(l1 '`
OTICE:If.after making this declaration,you should became sLbject to the Workers'Compensation provisions of the Labor BUILDING APPROVED B Y ; —.. DATE:i7i71fr .Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the prformance of the work for A1d FL TLSAT TON ISSUED BYE ' DATEwhichthispermitisissued(Section3097.Civ.C). :* .kw,.kLENDER: ****************************************iC******************** *****r *C***ie
ADDRESS: LEGALIZATION: N F E E S U M M.-,A R Y STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 7 . 00 t..7 I fri
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5% • • SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
•and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by !•
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE . 20 . 00 r
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DILA—> PERMIT ISSUE PLAN_CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS——--> 7 . 00 20 • 00 t 0 , 0 0 - 27 n• 27 . 00 , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.If, however the building or REVENUE DIVISION TOTALS--> COLLECTED• - z7 . 00 OVER/SHORT• 00
improvementoie sold one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC �.FLtE ..., ,. IP/TOT GRADING PLAN—CHECK
tor
the purpose of
sale).
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 27 . 00 _
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law). l am aware 'x'*'*'**'*** Nt`*******'**'**********************************i***a-**********.*****;c***ap
that proof of their Worker's Compensation insurance should be provided to me. IND IV IDUAL F EE F' B R E A K D O W N
❑ I am exempt under Section: B.8 P.C. f
for this TYPE QTY DESCRIPTIO N - UNIT COST TOTAL COST
•
Date: Owner: PLU 1 SINK, BAR 7 , 00 7 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEE5,
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions_ . x r
Dale: Applicant:
I hereby certify that I have read this application and S a4C t1t the.Jove information 'correct.I agree to comply with all city and county �' 27.00
O! 00162931-00162932 TO T
ordinances and state laws relating to building construg\jion and hereb .uthorize repre ftatives of this city to enter upon the above-mentioned ,k r—.
rty 12r inspection purposes. y b �.2 DATE: 06/27/94 TIME: 14:02
Signature: ' r.
Drivers License or Social Security a: 1
yl
1641-46 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor 2 r
• • a
CONSTRUCTION AND PLANNING PDL f SPA
APPROVALS 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 56. Rough Plumbing & Pressure Test
6. Electrical UFERGrnd_ 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
•
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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
16. 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 FINAL
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 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24, Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑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:
34. Final Heating& Air Conditioning 1 -
35. Final Gas Pipe-Test
= ill C3 i.,
36. Hood or Canopy �Notes:
G C 4 -I.LJ�1--PrLa-
37. Final Factory Fireplace c--Likurz Q K._
38. Final Plumbing Ct-23-
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backf low Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING •
48'. FINAL PLANNING •
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co - -•
51. CERTIFICATE OF OCCUPANCY
No. Date
Ilitk
. 11
PRDJELNrADDRESS: 1633 MINORCA DR UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 067754
OWNER'S NAME: ZIMMER, JULIE
ADDRESS: 1633 MINORCA DR PERMIT NO: E 067754 PLAN CHECK NO: N GOVT; N SUPP: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: ADD
714 ) 557-1419
nu/ENGINEER: R,C , DEVELP . CO 587-5164 REG.NO.: 0000000 JOB DESCRIPTION : CONST , 192SF ROOM ADDITION SQ FT;
ADDRESS: 28985 GOLDEN LANTERN UNIT:
LAGUNA NIGUEL CA 92677 CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 I •
PERMITTEE: R.C . DEVELOPMENT CO. ( 714 ) 587-5164
ADDRESS: 28985 GOLDEN LANTERN COMMENTS: SMOKE DETECTORS ARE REQURED IN EVERY BEDROOM & HALLWAY •
LAUNA NEGUEL CA 92677 *************** ******+ **aE**an*** -**********Ny **yq*****aE*sr ***x*+6*T:****a6********
LICENSED CONTRACTOR DECLARATION: I hereby affirm at I am lin. sed under provisions of Chapter 9(commencing with Section Z ON ING R EQUIR EMENTS
7000)of Division 3 of the Business and Professions Code. •nd my tic- se is in full f•' e and effect. ,
cl STATELIC.: 4177�=� ss: F� EXP: SETBACKS
�P �7�'� Signature: -I MAIN BUILDING ACCESSORY BUILDING
r ORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' FRNT : FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN FIGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: • PARKING REQ: PROV: PARCEL : 13928302 ZNE: REF NO:
7 Certified copy is hereby furnished. ❑ Certified copy is tiled with the city Building Division. PLANNING NOTES>
>
Dale: Applicant: iF***************************************************************he ********3****
EXEMPTION FROM WORKERS'COMPENSATION DECLARATID . (This ser.on need not be a• •eted if the permit is for one hundred($100)or less). DEVELOPMENT 'E_,R V I C E S REQUIREMENTS
I certify that in the performance of the work far which this.ermit is i5' ed.I sh. no ploy any person in any manner so as to become •
subjecttome ork•s'Compensadr Laws of California. 0 ZONING APPROVED BY DATE:
L r7
�ki Signature: BUILDING APPROVED BY
�y:If,after making this declaration,wiyou shpsi. s corm subjectemithe Workers' rempensation provisions of the Labor DATE:
Code.you mull forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: . '- I DATE :which this permit is issued(Section 3097, Civ.C). *'****'**-*-***********************3e****, ..0 *,. . • • • • *****tc**-7e* ;Z"ye2
( *#K.
LENDER: **********************************************************************' /***** ***
ADDRESS: LEGALIZATION:N F EVE ' SUMMARY STRUCTURAL 3EGMENT: N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1 1 • 2 5
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0% SMIP:NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the oasis for the alleged exemption.Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15 . 00 '
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----- 11 . 25 1 5 . 0 0 0 . 00 2 6 , 2 5 26 . 25 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through ' ,
his or her own employees. provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS——> COLLECTED • 26 . 25 0VEP,1 SHORT: 00
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve
for the purposeol sale). BLDG PMT PLUMBING ELECTRIC MECHANIC F :'c '"• iP/TOT GRADING PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 26 . 25
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).lam aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAYL F E E BREAKDOWN
o I am exempt under Section: B.8 P.G.
for this reason TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Cate, owner: ELE 5 FIXTURES LIGHTING 1 ST 20 EA. , 753 , 75
I do hereby certify that l am aware of and understand the requirements of Calitornia Health and Safety Code Sections 25505,25533,and ELE 6 R EC EP T/OUTLET 1 ST 20 EA. , 75 4 . 50
25534 and that l or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ELE 4 P.EC EPT/SWITCH 1 ST 20 EA. , 75
permit for construction or modification from the Air Ouatity Management District.Residential construction applications are exempt from 3 . 00
mese provisions. .END OF FEES
Date: Applicant: a.
I hereby certify that I have read this application and stab hat the a.me infermatioyl correct.I agree to comply with all city and county
ordinances and state laws relating In building construction mnd h•r•• thori -repr`.fntatives of this city to enter upon the above-mentioned
property lop inspection ourpos s. 01 00162928-00162928 TOT
Ill
► DATER 06/27/94 TIME: 14:01 26.25
Date ]IIYY Signature: r
s License or Social Security e'
•
1641,46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
'kr ,
CONSTRUCTION AND PLANNING POG SPA
`^I APPROVALS 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 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, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, 0 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
16. 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 FINAL
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 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 / �j
33. Final Electric � b/[tG Notes: Q o27sg. I"
34.
(a/S��L
34. Final Heating & Air Conditioning {
35. Final Gas Pipe-Test
36. Hood or Canopy v ^
37. Final Factory Fireplace ^�
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE& BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co - --
51. CERTIFICATE OF OCCUPANCY
No. Date -
I '�
PP^IEci�,OREss: 1633 MINORCA DR N 2:1>/v
CITY OF COSTA MESA — BUILDING PERMIT PEP.D1 NG; B 067753
'OWNER'S NAME: ZIMMER, JULIE
ADDREss: 1633 MINORCA DR PERMIT NO: B 067753 PLAN CHECK NO: 02034-94 L GOVT : N SUPP: N
COSTA MESA, CA 92626
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ADD
7.14 ) 557-1419
ARCNIENGINEER: R.C. DEVELP. CO 587-5164 REG.NO.: 0000000 JOB DESCRIPTION : CONST, 192SF ROOM ADDITION SQ FT: 10 , 000
ADDRESS: 28985 GOLDEN LANTERN UNIT:
LAGUNA NIGUEL CA 92677 CLAIM VALUE: 10, 000 , 00 CALL—VALUE: 10, 000 . 00 GROUP OCC; R-3 /
PERMITTEE: R . C . DEVELOPMENT CO, ( 714 ) 587-5164
ADDRESS: 28985 GOLDEN LANTERN COMMENTS: SMOKE DETECTORS ARE REQURED IN EVERY BEDROOM & HALLWAY
LAUNA NEGUET CA 92677 *********************+E+saFaF**aFk**aF.*yE*********ac*** ***+c*+r*-trTE**w+r-xyP*****kir-x- -*****x
LICENSED CONTRACTOR DECLARATION: I hereby 91irm that I a tensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 al the Business and Professions ode.and • license is in II force and effect. SETBACK S
CI STATE LIC.:41 74 , •S/B EXP :
Date MAIN BUILDING ACCESSORY BUILDING
�/=7 7�y signature:_. FRNT; FT IN REAR: 10 FT 6 IN FRNT: FT IN REAR; FT IN
ERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' LEFT; 51 FT IN RGHT: 6 FT IN LEFT; FT IN RGHT ; FT IN
ompensation Insurance.or a certified copy thereof(Section 3800,Lab.C).
' PCOMPANY: EXP.DATE: PARKING REQ• 2 PROV; 2 PARCEL ; 13928302 ZNE: R1 REF NO;
1 Certified copy is hereby furnished. a Certified copy is filed with the city Building Division. PLANNING NOTES> ADD 192 SQ FT. "TV ROOM" ADDITION OFF OF E X. REAR BEDROOM,
> ROOM TO HAVE BAR SINK, BUILT IN DESK AREA. LUR REQ'D..
Date: Applicant:
************fEY'*******************************************************.ks*****= YES*
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION:. is sectio need not be completed if the permit is for one hundred($100)or less). D E V E• L O P M E N T SERVICES REQUIREMENT S
I certify that in the performance of the work for which this per it i is ed.I shall not Ioy any person in any manner so as to become / 1 /7( 1
1,1 the workers'compensation Laws of California. ZONING APPROVED' BY I\ DATE; �-•�� "IE �---
' .:�D"Zi / Y signature: BUILDING APPROVED BY ' �{�0 2, 4—
NOTICE:If.alter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor DATE;
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. n
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APF L I CAT I ON I,SS UED B Y: DATE: r_1
which this permit is issued(Section 3097, CI. *********************{(****************#°41) ***iF*************)f.)p**yt ,2*4--******iE EC%:-)
LENDER: • ********************************************************************= ******** 4*
ADDRESS: LEGALIZATION:N FEE SUMMARY STRUCTUR,64 SEGMENT;Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/P£S GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 117 , 00 1 00
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 76 . 05 SMIP/NON—RE S
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 118 . 00 0 . 00 , i 76 , 05 194 . 05 194 , 05 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through -.+T
- his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 118 . 00 — OVER/SHORT: . 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose 01 sate). BLDG PMT PLUMBING ELECTRIC MECHANIC ' T_°_ SMIP/TOT GRADING PLAN—CHECK
1,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 117 . 00 1 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon ,
and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).l am aware *******************************************************************************.
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C. '
for this reason TYPE QTY DESCRIPTI Q, N UNIT COST TOTAL COST
• Date: Owner: SFR 10000 ALTER BY VALUE RESIDENTIAL NOZONE
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and 1 , 00 10 , O D 0 , 0 G
25534 and that I or any future building occupant will/will not(circle one)need to comply with said slate codes and the requirements for a END OF FEES
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions. •
Date: Applicant:
I hereby certify that I have read this application and stat that the above nformation is rrect.I agree to comply with all city and county
ordinances and state laws relating to building construction nd hereby a Drize represe rues of this city to enter upon the above-mentioned 01 00162929-00162930 TOT t
proper) for inspection purposes. 118.J0
�� �^ 7 •
DATE: 06/27/94 TIME: 14:02
/ D�Le' &--1 7- f/ Signature:
l/Driver's License or Social Security
L1641.46 White—Building:Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING POO SPA
APPROVALS 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 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 7%01 �.SY` 57. APPROVAL TO COVER-GUNITE
7. Footings
Tarry /vv 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 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
16. 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 FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating r 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test f 72. Underground Flush
24. Roof Framing { ij/l�uQ,/(/ Art
73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing Zg��Y`� A_" 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 14f77. FIXED SYSTEM FINAL
29. Insulati-_ 1 ' 78. FIRE PREY. FINAL
30. Drywall Nailing uWW� 7/ft _ HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat3lAie 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATEISSUED
33. Final Electric - _ Notes: �,(G f/l
34. Final Heating& Air Conditioning 7 _
8/V �
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 Domestic-Final r
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations I I
47 FINAL STRUCTURE& BUILDING /•l/ fj' 4' /
48. FINAL PLANNING / `
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY
-
No. Date
•
City of Costa Mes)
California 92628-1200 P.O.Box 1200
Insulation Certificate •
•
Permit Number B K/ 776-
•
0
/&33 /W1.062egt 01z . ( yam, f'7l.5 :
Number and Street City
County Subdivision Lot Number
Description of Installation
ROOF •
M
Material • Brand Name /'
.Thickness (inches) Thermal Resistance (R-Value)
EXTERIOR WALL / /2'!/I • ', ��F
Material ——�2 SS /�S1114�B rand Name ,(��✓{/I
Thickness (inches) L Thermal Resistance (R-Value) _2j
CEILING yp 2'y/ � �]�J�
Batt or Blanket T .✓/ 1 Brand Name !/ff�(�/[,LG(_�
Thickness (inches) 1j�2 Thermal Resistance (R-Value) /� —/9
Loose Fill Type Brand Name
Contractor's minimum installed weight/ft2 lb. Minimum thickness inches //�� �/�
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value)_,e
RAISED FLOOR
Material Brand Name
Thickness (inches) Thermal Resistance (R-Value) •
SLAB FLOOR •
Material Brand Name
Thickness (inches) Thermal Resistance (R-Value)
Width (inches)
•
FOUNDATION WALL
Material Brand Name
Thickness (inches) Thermal Resistance (R-Value) •
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
Californi. Adminstrative Code.
46 . Op//ctai>116 Co. Vi 775
General C+ntr..tor(B 'de License Number
tigna r e d Title f Date
Sub-Contractor(Insulation Installer) License Number
Signature and Title - Date
•
1907-46 -
ADDRESS OF BUILDING: 1633 MINORCA DR UMT: CITY OF COSTA MESA — BUILDING PERMIT
OWNERSNAME IF MONK ZIMMER, JULIE
ADD" 1633 MINORCA DR PERM NO: M P7-36 .E
COSTA 'MESA,CA 92626 PERMIT NO: M 072366 PLAN CHECK NO: N GOVT: N SUP?: N
557-1419
ADPL.SWUNG ADDRESS CONSTRUCTION TYPE; V—N PERMIT TYPE: MEC PURPOSE: OTH
ARCHITECT ORENLiNEER: UC.MD.: JOB DESCRIPTION ; REPLACE FURNACE SQ FT :
ARMOR ENG.'S ADDRESS: UHT:
CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 /M-1
CONTRACTOR'SNAME: COAST TECH SERVICES ( 714 ) 589-6592
CONTRACTOR'S MING 14 SANTA CATR INA COMMENTS : NO OTHER WORK AUTHORIZED' BY THIS PERMIT
ADDRESS: RANCHO SANTA MARC CA ND.: 355425 **********************-'**************:04-*40-* +.>F+t?F***N +*irif***-10.-K.-X;54045-u.x.<-Ka.1c*.kr44F""
92688 UNIT: Z ON ING R EQU IR EMEN T S
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that . licensed under provisions of Chapter 9 SETBACK S
(commencing with Section 7000)of Division 3 of the BUMnees end Professions Code,end (cense is in fun force ••effect.
CrrYuc.NO.: 0t 5168 uc.cuss: C 20 uc.No.: 35' 425 EY. : 12 /95 MAIN BUILDING ACCESSORY BUILDING
-, V FRNT; FT IN REAR: FT IN FRNT: FT IN REAR : FT IN
Date: - Don"°°° LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN •
OWNER BUI rER DEC'RAT*lir I hereby affirm under penalty of perkily t exempt fromthe Contractors License Law for the
_(allowing reason(Seal.,7031.5 Buanes,and Prdessics Code:Any city or county which requires a puma too ted.eller,improve,
-4ernolsh,orrepelany afacture,prior toisissuance,also requires the applicant for such permit to file a signed sWementthat heorshe
PARKING REQ: PROV; PARCEL: 00000000 Z7'JE: REF NO:
j n0,t licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES>
R ''Business end Professions Coded or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section >
7031.5 by any applicant for a permit subjects the applicant to a dvil penalty of not more then five hundred dollen l$500)). ************************************45„.**************if***********$4c4n**4F*i'*it**$3f4i*
❑ I,asowner of Me property or myempbyeeswlh wages as thele soceompensation,will do the work,and the structure is not Intended DEVELOPMENT V E L O P M E N T S E R ,V I C S R E U I R E M E N T S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property Q
who buids or knproves thereon.and who does such work himself or herself or through ha or her own employees,provided that such .
improvements axe not intended or offered for sale,It,however.the building prrovers W'PowM )one year of completion,the ZONING APPROVED B Y DATE :
did will have the burden of proving he or she not build or imove for the
o 1.as owner of the property.an,exclusively cntradng with licensed contractors to ccnNuct the project(Section 7044,Business and
Professions Code:The Contractors License Law does not apply man owner of property who builds or improves thereon and who BUILDING APPROVED BY , DATE:
contracts for such projects with a mfad
rao(s)licensed pursuant to the Comreaecs License Law).m
❑ laexempt under dro
Section: 5.8P.c., thaream : APPLICATION ISSUED BY : r \ DATE ;
********************** * .**** '. * * ** • * * ******************r * it- *
Dar Cramer LEGALIZATION; N F E E SUMMARY STRUCTURAL SEGNENT ; N
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and
•
25534,and that I or any future building occupant will/wit not(circle one)need to comply with said date codes and the requirements for
aprmit for construction or modification tram the Ak uB i agement Didnd.Residential construction applications an exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
previsions. PERMIT 9 ,00
Date: Applicant: • 25% SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under Penalty of perjury one of the following declarations: PLAN
ISSUE FEE 15 . 00
❑ I have and MI maintain acertifcate of consent to eeninsure for workers canpnsatcn,as provided for by Section 3700 or the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID
Code,for the performance of the work for which thio permit a issued. D U E
❑ 1 have and wit maintain workers'compensation insurance.as required by Section 3700 tithe Labor Code,for the performance of the TOTALS > 9 , 00 15 . 00 0 . 00 24 . 00 24 , 00 . 0U
work for which this permit is issued.My workers'compensation insurance carder she policy number we:
Cance.: — REVENUE DIVISION TOTALS--> COLLECTED ; 24 ,00 OVER/SHORT ; .00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN—CHECK,
(This section need not be completed ithe penmk is for one hundred dollars(Stager less.) 24 . 00
❑ I certify that in the performance of the work for which this permit is issued.I shall employ any person in any manner so as to
becomesubjed to the ... compensation laws of California.and agree Hl should subject to the workers' *********************************i***********************************i*i w
** *.:*.**
p
comners..provision, . Section 3700 of the arbor Code,1 shall with ply with those ' INDIVIDUAL F E E B R BREAKDOWN D O Y1 N
7‘ Date: - Applicant:
Warning:Failure to Uro workers compensation coverage ls unlawlu and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil lines up todre
one ts, d thousand Shl&t ($504000A In additionto the Poet of compensation, as damagesprovided for In
Section 3706 of the Labor Code Interest,anderomey's fees. NECI 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9 . 00 9 . 00
CONSTRUCTION LENDING AGENCY: I hereby elfin under penalty of perjury that there it a construction lending agency for the END OF FEES
performance of the work for whits this permit is issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS: '
1 certify that 1 have read this application and mete that the above information is correct.I agree to comply with en eityand county ordinances
and stale IgegggYYYYY�P��P relating to building construction and he authorize representatives of this city to enter upon the above-mentioned properly
for ins, purposes. D�/ �Z Jr//f���!/ Pin ars/e�// / �� DATE: 05/16/95 TIME: t3%ZJ$
SSignatur-e of Owner/ nVAppli tractor Dme:% ���� ,'
///
(5151'5.WP) White-Building&Safety,Green-Rte:Canary-AppkcanC Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING PO( SPA
APPROVALS 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-Undrgrnti. 54. Forms
4. Electrical Conduit-Undrgrnd. o - 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. •_
- r
•
B. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. .60. Backwash Lines, P-Trap, 0 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
16. 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 FINAL
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 0 Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 PREY. 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 , -
Ti
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 Domestic-Final •
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
• i 0729 FEE - RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT "e"-/ A-- 'f-- 5–y
P.O.BOX 317 COSTA MESA. CALIFORNIA
FINANCE DEPT.
•
FOR APPLICANT TO TILL IN COMPLETELY APPCCyA${CMSTT,NE&
RMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRESS __1633 Minorca Drive
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
OWNER Maylene,yInc. RECEIPT NO. L PERMIT
NO.
MAIL 419 E. 17th St., RECE/IVa-EU_BY DATE RECEIVEDn¶ DATE ISSUED
ADDRESS !NI I //-01-5-7 NnI/ , +-_-
v la.iy
CITY Costa Mesa, Calif. TNO.1,1 81159 ADDRESS
IN
A TECT Carlson & LIC. 167293 COSTA MESA. CALIFORNIA
( ..,!NEER '.'_iddlobrook ' NO'
ADDRESS Garden Grove'
FIRE 9
ZONE TYPE / GROUP J V/1/L
DiCONTRACTORke t4c Colegrove, Inc. LIC. T 167293 APPROVED DATE
ADDRESS 419 E. 17th St., Costa Mesa ZONING
LEGAL LOT C I O I NO.OF I...Luc::W/
DESCRIPTION NO. 51 BLOCK TRACT PLANS 'I/d s/ .:moi
1----
APPROVED (At"—
OF
• / �(
ef
A.P.NO. BY I� h DATE - )�U
SIZE 1 ) rvo.of BLDG YARDS (/.�)`/��ES
OF LOT 73 x 1QQ rvow oN LDTnone REQUIRED '�ALLOWED
USE OF None (CENTER LINE ST.)
EXISTING BLDG. FRONT FT. IN.
SETBACK LINE FROM 221
CENTER,OF STREET 501REAR YARD 4 R.SIDE S FT. IN.
SIDE YARD LEFT 5' !RIGHT 51 L.SIDE 8 FT. I--
DESCRIPTION
fDESCRIPTION OF WORK
_ v REAR 9A--- FT. IN.
NE I A II ALTERATION II ADDITION
REPAIR I II MOVING I (� DEMOLISH I
SIZE BUILDING 1601 NO.OF ROOMS STORIES 1
EXTERIOR WALLstllcco !ROOF Rock
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence withC� CI gt
1--;
attached garage „f 1/4//
—flan-750-BR
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTI//IOO���N. VALUATION
SIGNATURE OF t_19 �jR�fA�(� __ PERMIT FEE $ 36.00
PERMITTEE U/�//�-- >I18.00
$16,4 I • PLAN CHECK $
---_
/ AUTHORIZED AGENT Dike & Colegrove, Inc. •\ TOTAL FEE $ 54.00