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Home My WebLink About3201 MINNESOTA AVE - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 �• CITY OF COSTA MESA �� BUILDING DIVIS/ON ` DEVELOPMENT SERVICES DEPARTMENT PERMIT .lob nddress: 3201 MINNESOTA AV Suite No Vicinity: Parcel Number: 13908111 Applicant: Address: Owner: Address: Contractor: Address: Arch / Eng : Address: CLIFF 09911 LARSON AV GARDEN GROVE , CA PETRINA, ROBERT H 3201 MINNESOTA AVE COSTA MESA, CA MECHANICAL PERMIT Phone: (714)530-2440 Zip: 92842 Phone: A-AMES PLUMBING & HEATING 09917 LARSON AV Zip: 92626 Phone: (714)530-2440 GARDEN GROVE , CA � Zip: 92842 License: 250307 Phone: Zip: License: SCOPE OF PERMIT CHANGE OUT EXISTING FAU WITH NEW UNIT IN SAME LOCATION. ISSUE FEE Inst FAU <700 k BTU Inst FAU >700 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Pipin9 factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000dm Floor Furnace Floor or Suspend Heater 523.50 $14.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 50.00 50.00 80.00 $0.00 Quantity 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY PERMIT NUMBER M00-00037 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 01/20/2000 Issued: 01 /20I2000 ISSUED BY: 1S/ �/ Repair / Alt Absorbtion Unit Repair / All Refrigeration Unit Ventillation System Evaporative Cooler Com me rcia l I nci ne rato r Domestic Incinerator Compressors / Absorption Systems Upto3hp/700kBTU 3 To 15 hp / 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Quantity $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 50.00 0 S0.00 0 $0.00 0 50.00 0 80.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) El(PIRATION: 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 penod of 7 BO days. INSPECTIONS: In order for the work authonzed under ihis permit to ba considered legal, such work must comply with all applicable codes, and all requlred Inapectlona end flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: I here6y aHirtn untler penalry oi perjury ana of the tollrnving dedarations: ❑.I have antl will malntain a cenllicate of consent to self-Insure for workere' cnmpensation, as provitletl lor by section 3700 ot ihe Lebor Code, for the pertortnance of t�e work far which this permil is luued. I have end will mainuin workers' campensa6on insu2nce, as requiretl by section 3700 ot Ne Lehor Code, lor the peAormance ot Ne wwk ta which Nis pertnit is issued. � My workers' pe �a °n I rf nce carrier and � nu �r� nare: .� Cartier: ��5�/I�S%I1Q)tAi� �77K�1�.� PolicyNumDer: (This secfion neetl no�etll! fhe p rmil is va/ued er one hundred dollers (S 100) oi lessJ ❑ I certity t�al in l�e peAarmanca of the work for which this permit is issueQ I shall not employ any person in any manner so as to becoma subjeci to the workere' compensation lews ol Celif mW, antl egree thet il I should become subject to Ihe workers' compensetion provisions of Section 3700 of the Labor Code, I shall torthwith comply with thesa provlsio � l l Applicam SigneWre: Date: ��=!.._Qf �d WARNINO: FAILURE TO SECUPE WO 5' GOMPENSATION COVERAGE IS UNLAW FUL AND SMALL SUBJEGT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FINES UP TO IXJE HUNORED TFIOUSANDDOILARE(5100.0OO�.IN � RIONTOTHECOSTOFCOMPENSATION,DPMAGESASPROVIDEDFOFINSECTION3l08OFTHEIABORCODE,IMEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHlrm that I em brce entl eHect. Lic. M_ ContrectoYs Signatura: at Chepter 9(wmmencing with Section 7000) ol Divislon 3 of ihe Busln�s��oles�a�{s Qade, antl my license is in full Class n C_ 4�{� oa�e: T �o do CONSTRUC710N LENDING AGENCY: ❑ I �ereby aflirm thei �here is e construction lending egency lor the peAormence of the work br which Ihis pormit Is Issued. (Sec. 3097. Clvll Cotle). Lentlers Neme: Signature: _ Lentle�s Atldress: Date: OWNER-BUILDER DECLARATONS: I hereby aMirm ihat untler penelry of perjury �hat I Bm EXEMPT FROM THE CONTRACTORS LICENSE LAW for lhe lollowing reeson (Sec. 70.31.5, Business and Professions Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any sirucWre, prior �o Its Issuanca, elso requires Iha applicant for such pertnit to lile e signetl statamem thet ha or she is licensetl pursuant to t�e pransions ot the Conirectors Licensa Lew (Chepter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code) or that he or she is ezempi therefrom and the basis tor the alle9etl exemptlon. Any vlolation of Section 7031.5 by any applicant for a pertnit subjecis the epplicant to e clWl penalty ol not more than fiva hundred dollars (3500).�: rc o�� ❑ I, es owner of the properry;ar my employees with wages as their sole compensation, WILL DO THE WORK, end Ihe Structure is not inlended or ottered for sale (Sac. 704d, Business and,Pmlesslons Cotle: The Coniractors License Ww does not apply ro an owner of properry w�o builtls or improves thereon, entl who tloes such work himself or herself or ihrougFfiis ocher own employees, provitletl that such improvemenis ere not intendad or oflered br sale. If, however, the builtling or improvement is sold within one year of completlon, Ute�owner-builder will have ihe burden of proving thal he or she did not huild or impmve for purpose of sale.). ❑ I, as owner of the property. am E%CLUSNELV CONTRACTING WITH LILENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The conirectors License Lew Eoe3 not appty lo an owner of O�operty who builds or improves thereon, and who wntracis tor such prqect wiN a coniracbr(s) license pursuant b the Contractors Ucen§e Laws.). ❑ I am exempt untler sec. �' �- � Business and Pmteuions Cotle for this reeson: SignaWre: Dete: Owner ID venfietl by dnvers license. ❑ Ves ❑ No Driver's License No. Verifiwtion of Ownership by (type ot documen6 i.e. - pro0erry tax bill or dead): DIVISION OF INDUSTRIAL SAFE7V PERMIT CERTIFICATON: Expires: ❑ I �ereby certlly lha� no ezcavetion five (5) or more feet in tlepih into which a person I5 required to descend, wlll be matle in connection with work authonzetl by this permit, end thet no builtling slructure, scettolding, felsework, or demolition or dismentling Ihoreof, will be more ihan �hihy�six (36) feet �ig�. (Chap. 32, Grp 2, Atl 2, Sec. 341, Tltle 8, Celifomia Administretive Cotle). ❑ As owner�bulltler, I will not employ enyone ta tlo work which wou10 require e Dermit from the Division of Indusirial Sefety, as notetl above, unleu such parson hes a permit to do such work tmm t�e tlivision. Signature: Date: Division of Intlustdal Safery Permit Number. CERTFICATE OF COMPLIANCE AND AUTHORIZAl10N OF ENTFiY: I certity under penalry of perjury that I have reatl this application and state that the intormation given is correct. I agree to wmply with all slate laws and ciry ordinances relating to �uilding consiruction, antl euthonze representatives ol Ihe City of Costa Mesa to enter upon ihe above-tlescn6etl propeny tor inspection purposes. I egree not m occupy or ellow occupancy ol any building au�horizod 6y this permit umil linal inspection. COpE �, INSPECTIONTYPE p9IE IMRIILS 1616 FixeC System Finel Fire Prevention 1266 200 201 202 203 Pool SOa Finel , Finel Re-Roof Final BIocWReteining Well Finel Factory Fire Place Final Sign 204 Final Demolition 2ms.aa � � �Date Date &ODE 1 INSVECTION TYPE 206 Finel Mechenicel 20B Finel Plumbing 210 Finel Elec�rical 212 Finel Fire Prevention 220 Finel Planning Approval 222 Finel Site 250 Finel BuiltlingiOccupancy 49IE A -�b�nu a4�'�p MF q o � ' -- r J �� ' CITY OF COSTA MESA ' BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT {�ia��sa-sz�3 • Fax(714)754-4856 Job Address: 3240 MINNESOTA AV Suite No Vicinity: Parcel Number: 13908210 Appliwnt: Address: CLIFF 09911 LARSON AV GARDEN GROVE , CA Owner: O'TOOLE, MICHAEL J Address: 3240 MINNESOTA AVE COSTA MESA, CA MECHANICAL PERMIT Phone: (714)530-2440 Zip: 92842 Phone: Zip: 92626 Contractor: A-AMES PLUMBING & HEATING Address: 09911 LARSON AV Arch / Eng : Address: GARDEN GROVE . CA Phone: (714) 530.2440 Zip: 92842 License: 250307 Phone: Zip: License: SCOPE OF PERMIT CHANGE OUT EXISTING FAU WITH NEW UNIT IN SAME LOCATION. ISSUE FEE Insl FAU <700 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heat Inst / Rep. Recess Wall Hlr Refrig Sys <700 k BTU Refrig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000cfm Floor Fumace Floor or Suspend Heater $23.50 514.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 so.00 $o.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantiry FEE SUMMARY PERMIT NUMBER M00-00034 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 01/20/2000 Issued: 01/20/2000 ISSUED BY: ?�� Repair / Alt Absorbtion Unit Repair / Alt Refrigeralion Unit Ventillation System Evaporative Cooler Commerci al I ncinerator Domestic Incinerator Compressors / Absorption Systems Upto3hp/100kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 7,750 k BTU Over 50 hp / Over 7,750 BTU Boilers Up to 3 hp 3To15hp 75 to 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Quantiry $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $o.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutas and related regula�ions. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automalically expire and become void if work is no� commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inepectiona and tinel approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS'COMPENSATION DECLARAnON: I hereby aHirtn untler penalty of perjury one ot ihe following tleclaretions: ❑ I have and will maintain a certificate of consent to selt-Insure for workers' compensation, as provided lor by section 3700 0l the Labor Cotle, for the parformance ol tha �work for w�ich this permit is issuetl. I have end will maintain workers' compensation insurance, as requiretl Dy section 3700 oi t�e Labor Coae, tw ihe pertortnance al the work for which this permii is issued. My worker ' cro ensa'on Insuwnce carrier and p i n er �re: Carner. ��_�SLI /Zldl/� �� 1 C3i� Policy Number: (This sec(ion need no( be camp/efed il the permif is valued et one hundred dollars ($100) ar less.) ❑ I certify that in Ihe pertortnance of the work for which this permit is issued, I shell not employ any person in any menner sa as to bacome subjec� to Ihe workers' compensation laws of Celifo ia, d agree iha 'f I should become subject to the workers' compensation provisions of Section 3700 af the Labor Cotle, I shall forthwith camply with iheso pmvis �i %/�d )O � Applicant SigneWre: Date: � WARNING: FAILURE TO SECURE 0 KERS' COMPENSATION COVEFiAGE IS UNIAWFUT AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE MUNDRED THOUSANDDOLLARE($100.000),I AODRIONTOTHECOSTOFCAMPENSATION,OAMAGESASPROVIDEDFORINSECTION3]WOFTHEIABORCODE,IFIrEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm Ihat I am licensed under rov' s of Chapter 9(commencing with Section 7000) of Division 3 of Ne I force end eflect. Lia k U� � Class tt Coniractofs Signature: Date: _ CONSTRUCTION LENDING AGENCV: ❑ I hereby ettirm �het lhere is a construction lentling agency tor the peAormance oi �he work br which this permit is issuetl. (Sec. 3097, Civll Code). Lenders Name: Lentlefs Atltlress: SignaNre: OWNER-BUILDER DECLARATIONS: Date: antl my license is In full I hereby aHirtn that under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a pertnit b constmc6 alter, impmve, demolish, or repair any stmcture, prior to its issuence, also requires the applicant for such permit to tile a signetl statement iha� ha or she is licensed pursuent to ihe provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Protessions Code) or that ho or sha is exempt theretrom and Ihe besis for tha allegetl ezemption. Any violation of Section 7031.5 by any applicant tor a permit subjacts the epplicant to e civil penalty of not more than five hundretl dollars ($500).): ❑ I, es owner of the propetly, or my employees wiN wages as their sole compensation, WILL DO THE WORK, antl the stmcture is not intended or oHered tor sale (Sec. 7044, Business entl'.P,rofessions Cotle: The Coniractors License Lew does not apply to an owner of property who builds or improves Ihereon, antl who tloas such work himself or hersell o�thPough his or her own employees, provided �het such improvements are not intended or ottered for sele. If, however, the building or improvement is sold within one year�0omplatioq the owner-huiltler will have ihe burden of proving ihat he or she ditl not builtl or improve for purpose of sale.). ❑ I, as owner of Iha property, am,E%CLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Pmfessions Code: The contrecbrs License Law does not appty to en owner of pmperty who builtls or improves thereon, and who coniracis for such project with a contracror(s) license pursuant to the Coniractors License Laws.). ❑ I am exempt under sec. V un T% Business and Pwfessions Cotle for ihis reason: SiqnaWre: - � Date: Owner ID venfietl by tlnver's license. ❑ Yes ❑ No Drivers License No. Expires: Verifiwtion of Ownership by (type of dwumeni, i.e. � property taz hill or tleetl�: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cehity ihat no excavation five (5) or more fee� in tlepth into which e person is required to tlescenq will 6e matle in connec�ion with work authorized by Ihis permit, end that no building sirucWre, scaHoltling, falsework, or demolition or dismantling Ihereof, will be more Ihan ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B. California Administrative Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require a permit frOm ihe Division of InduStrial Sefety, a5 noted above, unless such person has a permit to do such work irom the division. Siqnawre: Data: Division ol IndusMal Sefety Pertnit Number. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certity untler penalty of perjury ihat I have read this application and state that the information given is correci. I agrea to comply with all stata laws and ciry ordinances relating to tuilding consiruction, and authorize representatives of t�e Ciry of Costa Mesa to emer upon the abova-tlescribad pmpeny tor inspaction purposes. I agree not to occupy or ellow occupancy of eny building au�honzetl 6y Ihis permit until final inspection. CODE �. INSPECTIONTYPE 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 207 Final BIocWRataininq Wall 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition 2046-46 � .[ C e/jf Date' OATE �jQ�� C�� INSPECTIONTYPE 206 Finel Mechenical 208 Final PlumDing 270 Finel ElechiCal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Sita 250 Final Building/Oaupan�y �. . �� COSTA MESA BUILDING•SAFETY DEPARTMENT « P. O. BOX s17 C08TA MEBA. CALIFORNIA Fo� Applfeanf fo Fil( In Complefely LOT �-TR jE25 TyPE OR PRINT BUILDWc ZO1 MINNESOTA AVENUE AODRES6 � COSTA MESA. CALIFORNIA owNER KENKOL CONSTRUCTION CO. MAIL �555 PIACENTIA AVENUE ADDRE55 ��.n, i��WPORT BEACH�CAL. NoMI 6-32, ARCHITEGT TEL. K.W. Ko�� ? �555 PLACENTIA AVENUE NEWPORT BEACH� CAI.IF. 6�t95 No�� 6-3227 6�X�OO IRREG rvo.oFa�oae.Q OF NONE i1NG BLDG - _ q 1CK LINB PROM �O � LO' aR OP siw¢ei REAR YARO � �o' � 5' YARD LEFT RIGHT ' DESCRIPTION OF WORK � x �� ., _�e._.,... � �� ..,..,,.,.., � BUILDING � 5�5 NO. OF �j � SIZE ROOMS STORIES EXTERIOR WALL STUCCOI ROOF OODSH I NGLE COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED SINGLE—FAMILY RESIDENCE AND ATTACHED GARAGE r�rarv —� - �i.. I HEfl6BY ACKNOW E THAT 1 HAVC PEAD TH18 MPYWTION •ND BTATfi TXA XE BOV¢ 16 CORHECT AND A6REE TO COM- PLY WITX ALL 1'fY O INANCE�AN /��R�UUTINO BUILDINO CO V H. 7 �AUTHORIZED AGffNT RECEN',E[' � BUILDING ADDRESS FIRE ZONE APPROVED BY SON6 I LE6AL F_�� .S`-�3�bo G'i��!�1C� U��: C1T't Qi= !i��?� P:�FFS� APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. PE' COSTA MESA. CALIFORNIA ZONING NO. OF ^ I 119E OF M1 ruNe v� eui�ciHc YARDS APPROVED (ClNTHR LIN¢ BT.) EVES /—/ao THE AMOUNT BHOWN UNUEft VALUATION IB FOq THE PURP08E OF ESTA0L18HINO A PERMIT FEE ONLY. VALUATION � / � PERMIT FEE $ �� $ ��/ �� PLAN CHECH $ ��"� rnTe�_ cE¢ A �.l^/