HomeMy WebLinkAbout1658 BIMINI PL - Building Permits i- �
t � CITY OF COSTA MESA
: r.�___ . BUILDING DIVISION PERMIT NUMBER
�l '.....-...,.:•:' DEVELOPMENT SERVICES DEPARTMENT
: • PERMIT
ltbsto'"`stoe t/B99-00616
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1658 BIMINI PL Status: ISSUED
Suite: Applied: 05/05/1999
Vicinity: RESIDENCE&ATTACHED GARAGE. Issued: 05/05/1999
Parcel Nunmber: 13922309 Zoning: R1 R1
Applicant: MEZA, ROBERTO ISSUED BY:
Address: 5060 CALMVIEW AVENUE - 1-,....r, <f-71-<' 2-.-,-.>-,y
;Phone: ' 626-814-4400 - '- -` j'-
BALDWIN PARK,CA - Zip: 91706 ^
%/
Owner BELL, EUGENE O•TR ' - '- ' -i / • 7
Address 1658 BIMINI PL
COSTA MESA,CA Zip: 92626
Contractor: RELIABLE SHEET METAL & ROOFING N.�,�,„ j' -
Address: 5060 CALMVIEW AVENUE ',
Phone:- 626-814-4400 `.-V:/
,-
BALDWIN PARK,CA :(:i -
Zip: 91706 License:,. 670674 ,
r` , _ . . i -
Arch : - - / _ •til Eng: ,
Address: - . - Address: ;
Phone: - Phone: .
Zip License: Zip: c. - `\ License:
SCOPE OFPERMIT , '
REROOF:T/O AND LEAVE EXITING SHEATHIN1/2'•G( PLYWOOD);;INSTALL 2'LAYERS OF15#FELT;REROOF WITH -
341 YR COMP SHINGLES. INSTALL NEW EDGE METAL AND FLASHINGS..25 SQUARES.
FEE SUMMARY, 'j a
Plan Check: $0.00 _. - •;- Calc Valuation: $3,875.00
Permit: $87.25 '. ,77 / ` - Claim Valuation: , $3,875.00
SMIP Res: $0.50 . 6'
SMIP Corn: $0.00 —-
Other $0.00 - - ._. 4 -
Inspection: $0.00 ,
Total: $87.75
• ' PLANNING.&ZONING
: •
SETBACKS
MAIN STRUCTURE Front 0-0 Rear -- 0-0 -� ' 'Left` - 0-0, Right . 0-0
ACCESSORY Front .0-0 - Rear - 0-0 Left.. 0-0 ` ' '. Right ,0,--0'' '
PARKING Existing: 0Required: .0 ^ _Proposed: 0 j '
NOTES:
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)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
fora period of 180 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 Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. •
FOR INSPECTIONS CALL: (714)754-5626
rr
DECLARATIONS t'\-)
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is Issued.
a I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: - Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑ I certify that In the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions..
Applicant Signature: F.rine114-0, `
� t -e - T Date: �J " S— q Cl‘
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.# Class#
Contractor's Signature: 5t7 fir"+-c, tt\e ---a � - Date: �—S— QQ
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued.(Sec.3097,Civil Code).
Lenders Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)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 civil penalty of not more than five hundred dollars($500).):
O I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale,If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of properly who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application ap_Permit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No
(Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the Information given above Is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature Of Le al ner(s) Date
r kr� l e�C� r�-
S — CRCl
And/Or Authorized Applicant Date
CODE t INSPECTION TYPE • PATE INTITULE CODEt INSPECTION TYPE PATE INTRIALE
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof [OWL! 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
2446-46
PO4bCr AOOHEss: 165R BIMINI PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 062676
OWNER'S NAME:BET, ei/ EUGENE 0
• ADDRESS:T.,T, �;i MARJORIE A PERMIT NO: E 062676 PLAN CHECK NO; N GOVT: N SUPP: N
• .j7CBIMINI PL
COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE; ELE PURPOSE: ADD
p 751-0445
�'ARCMIEN EREG.NO.: JOB DESCRIPTION : 186SF PATIO ENCLOSURE ICB0#5014 6 2521 SQ FT:
ADDRESS: UNIT:
PERMITTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
GALKOS CONSTRUCTION ( 714 ) 664-4125
ADDRESS:
16151 SANTA BARBERA LN BCr*******�L*R• PKBAr****O *************** «***�E*B**x6**************************************
HUNTINGTOre BEACH CA 92649
LICENSED000)of
CONTRACTOR3 DECLARATION: hereby affirm that am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
70001 0l Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITYLIC.:043224 STATELIC.:492714 CLA B
^-i Date:-C^Z-1 - 2 Signature: __ Le MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I hay certificate of consent to self-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 RGHT; FT IN
POLICYNO.:789565-93 EXP.DATE: 01 /01 /94
cOMPANY:STATE FUND PARKING REQ• PROV: PARCEL: 13922309 ZNE; REF NO:
❑ Certified copy is hereby furnished. XJ Certified copy is filed with the city Building Di on. PLANNING NOTES>
Date: 6-0- 9-5 Applicant: %`s+- ******************************************************it************************
IEXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section. not be not mpletee dy emit is for one hundred so as o) . DEVELOPMENT S E_-R V I C E S REQUIREMENTS
certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become
subject to ihe workers'Compensation Laws of California. ZONING APPROVED BY " DATE:
Date. Signature:
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : - DATE;
Code,you must lonhwith 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
which this permit is issued(section 3097,civ.c). APPLICATION ISSUED BY• �— DATE• 21,1 91
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N
OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM IP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish.or PERMIT 8 25
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'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 5 0% SMIP/NON—RES
and Prolesslons Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 1500
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----> 8 . 25 15 • 00 0 . 00 23 • 25 23 . 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
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 23 . 25 OVER/SHORT• ,00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 23 . 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 ContractorsState License Law).l am aware .)f*.*-, *.*.*.**,**.x.*.*.*,*****.*******.*.*.*.•N.**********.**.*.**-***-*,***.*.**.**.********.*********.**34*
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
o I am exempt under Section: O.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner' ELE 3 FIXTURES LIGHTING 1 ST 20 EA. , 75 2 , 25
Ido hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 6 RECEP T/OUTLET 1 ST 2 0 EA, 7 5 4 . 50
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 Ouahty Management District.Residential construction applications are exempt from ELE 2 RECEPT/SWITCH 1 ST 20 EA. . 75 - 1 . 50
these provisions. END OF FEES
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above'mentioned
property for inspection purposes
01 00141319-00141319 TOT 23.25
Date. Gp`L1 -� I signature DATE: 06/21/93 TIME: 13:15
Driver's License or Social Security n:
1641,46 White—Building,Green—Code Enforcement Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTPUCTION AND PLANNING
Y APPROVALS Permit.#
r
Date
Inspector
POO.'& SPA
APPROVALS Permit#
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
2. 3 Pipe-Undrgrnd.
- -
53. Steel Reinforcement
3. Electrical Conduit Ui0ity-Undrgrnd.
54. Forms
4" Electrical Conduit-Undrgrnd. -
55. Electrical Bonding
5, Steel Reinforcement
56, Rough Plumbing & Pressure Test
6. Electrical LIFER 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, Cl 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
i.
65. Electrical -Final
'•
15. Rough Electrical -Conduit
fib. Solar System -Final
•'
16. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough Wiring Sign
58. APPROVED FOR PLASTERING
18. Rough Electrical -T Bar Ceiling
69, POOL/SPA SYSTEMS PINAL
19. Rough Heating & Air Conditioning
r
FIRE DEPT. REQUIREMENT
R•
APPROVALS' ' Permit # _
20. hough Factory F.irepface
21. Ducts, in Structures
-70. Underground Hydro '
22.• Ducts, Ventilating'
"
,71. Product.Pi ing C Gas ❑Oil
23. Gas Pipe -Rough &Test
72. Underground Flush -
24. Roof Framing - ;,t
,73.u-Undergrnd:Stora5eTank PGas 00711 '
25. Roof Sheathing
_
- 74s^Overhead Hydro'.
26. T•BAr Ceiling (Structural) & Monocoat
75. Dry Chemical '
27., Frame and Flashing
76. Dry Standpipe
T
28. Lathing & Siding
-77.. FIXED 5YSfEM=F1NAL', `
29. Insulation
78: -FIRE PREY. FINAL
30. Drywall Nailing
j i
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat- --
x
!,-
r79. FINAL INSPECTION
32. Electrical Power Meter -Final
j !
80. `FOOD CERTIFICATE ISSUED
33. Final Electric -� - -
(;
�._l
! - 1
r
Notes
34,'_ Final Heating & Air Conditioning
j
^
35. 'Final Gas' Pipe -Test
36. Hood or Canopy - -
•r
-
37. -Final Factory Fireplace
38. Final Plumbing
--_--
39. Water Service -Final
40. Gas Service -Final .t -
I
I
-
'41. Solar Domestic -Final
42. Backflow Preventer -.
s j
I
43, Backflow Irrigation,_
44. Landscape Irrigation System
45. Sound Attenuation
r
x
46. Handicap Regulations - _
r
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
j
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF40CCUPANCY
- Date
.1
PROJECT ADDRESS: 1658 B IM I N I PL UNIT:
OWNER'S NAME:ITELLEUGENE O
AODR ;'BELL, MARJORIE A
,_-1658 BIMINI PL
COSTA MESA,CA 92626
ARCHIENGINEER: 751-0445 REG.NO.:
ADDRESS: UNIT:
PERMITTEE: GALKOS CONSTRUCTION (714)664-4125
ADDRESS: 16151 SANTA BARBERA LN
HUNTINGTON BEACH CA 92649
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code. and my license is in lull force and effect.
CITY UC.:O 3 2 A srarE USi714 G -
Date: _ — Signature. fp�?�7
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I (lave a rtdicals of consent I selfinsure or a certificate of Workers'
Compensation Insurance, or a certified copy thereof (Section 3800. Lab. C).
POLICY ND.:789565-93 EXP.DATE:01/01/94
COMPANY:STATE FUND
❑ Certified copy is hereby
(furnished. Certified copy is filed with the city uilding Dnivision.
Date'. G -Z(9 -L Applicant.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section t col be completed if the permit is for one hundred lStoO)or less).
I certify that in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to become
subject to the WorkersCompensation Laws of California.
Date: Signature:
NOTICE: If, alter making this declaration, you should become subject to the Workers' Compensation provisions of the Labor
Co& 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 performance of the work for
which this permit is issued (Section 3097. Civ, C).
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031 5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or
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' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
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 live hundred dollars (3500).
I, as owner of the property or my employees with wages as their sale compensation, will do the work, and the
❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law
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
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 of sale).
1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
El 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 contractors) license pursuant to the Contractors' Stale License Law),I am aware
that proof of their Worker's Compensation insurance should be provided to me.
I am exempt under Section'. 8. 8 P. C.
for this reason:
Date: Owner:
I do hereby sanity 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/will not (circle one) need to comply with said state codes and the requirements for a
permit for construction or modification tram the Air Cathy Management District. Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county
ortlinances ono stale Uws relating to building construction antl hereby authorize re esentatives of this city to enter upon the above mentioned
property far inspection purposes.
Date: G^L ("• 1-% Signature'. 7
Driver's License or Social Security a:
164146 Wmfe—Building: Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 062675
PERMIT NO: B 062675 PLAN CHECK NO: 02187-93 S GOVT: N SUPP; N
CONSTRUCTION TYPE; PERMIT TYPE; SIR PURPOSE; ADD
JOB DESCRIPTION ; 186SF PATIO ENCLOSURE ICBO#5014 6 2521 SQ FT: 186
CLAIM VALUE: 2,500.00 CALC—VALUE: 6,882,00 GROUP OCC: R-3 /
COMMENTS; PATIO COVER ENCLOSURE
x iE iE BE iE iE iE iE iE iE iE f8 iL iE M dEiE BF BE iE iF * BP iE iE iE iE i8 iE 9E iF iU iE iP iP iE iR 9E 9E dE dE BF iB BE iE iF iE iE if -i! is iE3E-lf iB iF iBiE if iF BEiE iEiE iF iFiEBF iF BE iB lE iF K iE 9E * dB iE
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------
FRNT; FT IN REAR; 20 FT IN FRNT: FT IN REAR; FT IN
LEFT; 45 FT IN RIGHT: 20 FT IN LEFT; FT IN RGHT: FT IN
PARKING REQQ• 2 PROV: 2 PARCEL; 13922309 ZNE; R1 REF NO;
PLANNING NOTES> 186 SQ. FT. ENCLOSED PATIO ADDITION AT REAR OF EX, SF RES,
> (PRIMARILY WINDOWED ADDITION ON 3 SIDES) )/
k BF iPiE iE*iE*it*it BF iE it**iEit BE iE**kBE iE iE*it iE**iEit k iEit iE iEiE*iEiEiEiE iEit iE it 9E 8F 1F iE iEiEiE iE it aEk*iE iP *iE lE iE kiE fE**iE iE iE iE 168E ik it
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E NS
ZONING APPROVED BY DATE: z.Ilq�
BUILDING APPROVED BY DATE:
APPLICATION ISSUED BY; DATE: 1A41 if 1I �**
BE it*BEk i6 Bt*iFklE*BliElEiEiEiE***iE3FiF3FiFiFiF�'�"9FiFiFiFiFiF"iF7F FiFiF'iF3Fif'iFiF3FiEBtkiEiEBEBtiEitlE
iE iE iE 3E iE * BE Bt iE * iE iE iE iE iE iE * iE BE * * iE it iE B6 BP Bt iE iE iP it TP it iE iE iE iE * BE iE BE iF iE BE iE BE BE k * BE iE iE iE it �EiF * iF iE 9E iE * iE iE BE 8E iF iE iB itBF iE k BE * iE iF iE iE
LEGALIZATION;N F E E S U M M—$ R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES,. GRADING
PERMIT 90,00 69
SMIP/NON—'RES
PLAN 58.50
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 90,69 0,00 58.50 149,19 149.19 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 149,19 OVER/SHORT:00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
90.00 ( .69 58.50
iF 8E BE it TE iE RE iE aE iE iE it if iE * rt iE * it Tt it it * iE * it * ik it k TE if iE iE iE if 96 * iE i6 BE * B! iE * iE iE i6 iF fE iE ik i6iE iE iE iE iE BE i6 k BE i6 it iE RE it * it BE if IE ik iF iE iE BE * if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 186 RES—PATIO COVER—ENCLOSED PATIO
END OF FEES
37,00 6,882,00
01 00141320-00141322 TOT 149.19
DATE: 06/21/93 TIME: 13:16
I
CONSTRUCTI(JN AND PLANNING
APPRt; VALS Permit #
Date
Inspector
POI- & SPA
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
•
2, .Sell Pjpe-Undrgrrid.
52. Pool & Equipment Location
53. Steel Reinforcement
3. -Electrical Conduit Utility-Uncirgrnd.
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 -,
56. Electrical Conduit-Undrgrnd.
' 18. Foundation . -
59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60, Backwash Lines, P -Trap, ❑ Undrgrnd.
i
10. Structural Floor System ./
61. APPROVAL TO DECK
11. Property Sewer Line & Hou'se;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
:APPROVALS Permit #
20. Rough Factory Fireplace , 't -
- '.� �,
21. Ducts, in -Structure. - -
*
70. Underground -Hydro
22. Ducts, Ventilatingi71.
ProductzPiiping QGiis ❑OII
23. Gas Pipe Rough &Test
72. Underground Flush.
24. Roof Framing
"73.lJndergrnd.Storage Tank t3 Gash Oil
25. Roof Sheathing " •1
_
_
74. Overhead Hydro
26. T.Bai Ceiling (Structural) &'Mornocoat
r
75y Dry Chemical
27. Frame and Flashm'91' ,.�.,
-
....
76. Dry Standpipe >
28. Lathing'& Siding
77. _FIXED SVSTEM FINAL -
29. Insulation
I
78 FIRE PREV. FINAL =
30. Drywall Nailing` -_
L'
- HEALTH DEPT`. REQUIREMENT
31. Plaster Brown Coat
i.
-79�"FINAL INSPECTION - •_
'.32. -Electrical Power Meter -Final '- ,..�':
-
i i�
80.. FOOD CERTIFICATE ISSUtED
.33..Final Electric, r - i.C.,
I
Notes: -
34.' Finai Heating.& Air'Conditioning>
35.Final Gad Pipe -Test
36. Hood or Canopy - -
,�
i• '
-
°37. -.Final Factory Fireplace •
{
-_.,
38: Final Plumbing _
•j
-
' 39..Wate'r Service -Final
•40. Gas Service -Final
41. Solar Domestic -Final
i
-
42. Backflow Pre -venter
43. Backflow Irrigation
44. Landscape Irrigation System - _
- '�
C •
.. _ II
:45. Sound Attenuation
-
t 46. Handicap-Regulations-
47.'rFINAL STRUCTURE & BUILDING
48.'FINAL PLANNING
49. Electric Release to Edison
1
-`
50. -Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
se st
ADDRE5SIF96LON1 1658 BIMINI PL _ UNIT.
ONNERS NAME IF IOIOWN: BELL, EUGENE O
ADDRESS: 1658 BIMINI PL
COSTA MESACA 92626 pp.
ApPL MMUNO ADDREM (714)751-0445 I p- G
ARCNRECTOR ENGINEER: UC. NO.:
ARCN.OR ENG.'S ADDRESS: UM..
CONTNACTOR'SNAME: A B C HEATING/AIR CONDITI (714)540-0972
CONDIACTORS NUIL1N0 2951 GRACE LN
Aw"Ess: COSTA MESA CA UCNG: 133298
92626 GMT'
LICENSED CONTRACTORS DECLARATION: I hereby affirm under penalty of pedury, Ilial I am Ikensed under prwefwn of Chapter 9
(commanow with Semon TOGO) of Chelan 3 Of the EMN. and PIONS&K rte Code, and my Bosse is in full lace end effect.
CITY LIC. NO, 006041/ LIC. CLAM C 20 UC.N.: 98 EXP: /97
Dela'!2—Z— �V contractor:
OWNER BUILDER DECLARATION: I hereby affirm under penalty of perjury, that I aro exempto M Contractee License Lew la Ger
Idbwnp (Section
reason 7031.5 Business and profession, iry fe cion, Code: Acity or countyhits ra
wges e a permit to conelnM. after, improve,
�' demd'•h, or repair arty, sVuctum. pia to as esu non, also nwuirea the aMicam for such pemnl to fib a sgred swmem sbar M or she
e licensed yunuanl to Me provisions of the Comrades License Lew (Chapter 9 (Mmmendrp anth Section 7o W) of Dieeion 3 of the
I Bunress and professions Cale) or that he or she is exempt therefrom and the basis far the alleged exemption. My videfon of Section
7031.5 by any applicant I. a permit subjects (M spplipam to a dW penally of rel roam than Its. hundred ddWs [5500]).
❑ I. as owner of lM property or my employees whir wapos as thea sole oompnmMn, will do the eels, and the structure is est imendnd
a ollernd fw eeb (Section 7we, Buorem end Proteseiore Coda: TMContrectae License Lawdoea M appyto w owrwrd popery
wM bolds a tnpovea thereon, end wfio does such eels IimaeM a Mme! o Ihragh hu a her own empkryees, provided that such
oarse,emwb ere M the W Ie dlarnd arming
e. U, however, tM Wikinp a knp a Me pit ie sok within oma year d oompbtion, tM
owrerbeiku will have the Wdw d pmvinp M or and dint M Wik a improve la Me Plnmame of rob).
' ❑ I, n omwr d Me "perry. am exduw* oontrartntt nM Ikam asst commouse to conmuct Om Inject (Seaton 7 ' Business and
Profemions Cade: The Cwtredms license Lew does M wd apply to an oner property who Wilds or irm oyes thereon and who
cont= bre molt projects with a oesractons) licensed pumuant to the Canrectws Lioeree Law).
'❑ I am essopt undo Section: B. 8 P.C., for this reason:
Data Cerner:
I do hereby oenlly that I em «were of and Instantiated Rat nuluimma ss of California H.Mh and Relay Coda Sessions 25505. Y5533. end
25530, end that I or airy Mum Wikinp omnpant will / Ml not (duce ore) rend to campy with sale "a codes end the mgerirremras for
.w.net.veme,nrrimrrmMMnnim lm�llr.: �w�N w—rwnwmwnitMarira FwNanrid mmm� Yfir..nr3nn,'vrx.�.:.'n tmn,lw
Darer x Applicant:
WORKER'S COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of Me follovrinp dedarmnre:
❑ I hale end wit erl a of s d comm�l to a is tote re W i waken' compensation, n pnwidnd Iw by Sedan 370D d the Labor
Code, lathe pdomwco d tM work la which Ihls perm« N lssued.
® I have and will mdroan workers' mnpenmtion irreunnce, as negdmd by Section 37M of the Labor Code, for the pafmnuiw of the
A� wok fa whits thio prem« is imued. MY woken' compenmtion awrartce cerrwr end pd'wy numf»r ere:
Carrier: CAI IF CAMP EXPIRES
Policy Number. 01/01/97
This ssc ion need not be oomGlahad l the pant Is for one hu and RIDDI a I as.)
❑ I cantly that in the performance of Me work hr which this permit ls samcl. I shell M employ Any parses in M manner w as to
beaane object to the woMus' compensation Were of California, and attract Raw U I =1d become abed t M e
vseloo '
K
n pmaeam Sed' 3700 of IM Labor Cada, I i o 'th those proNsam.
Date � � AppliunL
ttr
Warning: FINum m swan workers' cempsesatlon coverage /s unlearAd, end shell ubfect a player m cdMnl par skills Any
cly/l ff. up he aro hundrW r musard dollen 01MOD9f, M seaside. b Me cost of pumpardadon, denbgss as proylai Its, In
Swdw 37M of Me Labor Cools, Interest, and ertomay's fess.
CONSTRUCTION LENDING AGENCY: I hereby effrm under penally d perjury That them is e Mntndion lenditq aperay for der
pdormance of Me wand for Whiff the "moll ls esund (Section 3097. Civ. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I ceniy that I have read this applaation and use Ihet the above idomudm is tuned. I agree to empty •eh eo city and poorly ordinances,
red We lame nlatap m beading pwurudan end Mmby to thuce mpresentuivea of this cry to emu upon the shwa-manlioned propend
for in adorn purposes.
— P
Deb:-'�
Sgreture dOwneNApenVAp' nUConlretla
�n-F• 7 ar k-gewnw;• as"(3aldanrod-Ramat«
(5151JS.WP) Whaeuild'vp SSalery:Gmerie: ornery-AppicaM: Fm
CITY OF COSTA MESA - BUILDING PERMIT
PERM NO: M 079719
PERMIT NO: M 079719 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V -N PERMIT TYPE: MEC PURPOSE: OTH
JOB DESCRIPTION : REPLACE FORCED AIR UNIT SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /U-1
COMMENTS: REPLACEMENT OF FORCED AIR UNIT ONLY
1E iE iE dE**9E 9E 9E dE SE SE IE**iE**9E iE 9E dE dE*!E**rt*dE*9E iE 1E iE df 1E 9E*9E 9E SE 1E dE 1E dE dE iE �F iE 9E iE*lE SE 1F iE*9E**iE**dE fE*1E*IE lE***dE iE 9E dE 9E
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------;- --------- ACCESSORY BUILDING---------
FRNT: FT IN REAR: FT IN. FRNT: FT IN REAR: FT IN
LEFT: FT ,,IN RGHT: FT IN'LEFT: FT IN RIGHT: FT IN
PARKING REQ: PROV: PARCEL: 13922309 ZNE: REF NO:
PLANNING NOTES>
>
1E iE IE dE*dE 1E iE 1E SE dE 1E iE iE 9E iE iE dE 9E dE iE4iE**9E iE*dF**9E 1F iE iE dE iE 9E*iE*iE iE iE lE iE iE Sf 9E 9E*iE 1E iE 1E*9E***iF iE iE iE IE iF*iE iE 9E iE*9E 9E iE SE 1F IE*
D E V E L O P M E N T S E R�'V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY r' DATE:
BUILDING APPROVED BY 4 4DATE:
APPLICATION ISSUED BY: l DATE:
9E iF fE 1E 9E 9E 9E dF*1E IE 9E 9E 9E*9F SE 9E iE 1E*9E iE iE 9E dE*iE 1E*kdf E dE*
LEGALIZATION:N F S U M M R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 13.25
PLAN 25% SMIP/NON—RES
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 13.25 22:00 —0 0.00 35.25 35.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 35.25 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
35.25
iE**9F 9F*dF 9E*1E 1F*iElE**1E dE 9f 9E 9E 1E 9f 9F 1F if iE*9E iE dF***9E.SE iE 9E 9E 9E dE 9E*dE SE♦E*iF tE±E1ElE iE iE 9F 9F iE*SE SE 9E*iE iEkiF iE dE *dE dEif 1E IE 9E 9E*9E fE
I N D I V I D U A'I: F E E B R E A K D O W N
TYPE QTY D E S C R I P T Ir0 N UNIT COST TOTAL COST
MEC 1 INST FORC—AIR/GRAV'FURN <= 100 K BTU 13.25 13.25
END OF FEES
fr3
CONSTRUCTION AND PLANNING
POC .SPA
-
- APPROVALS, Permit #
-Date
Inspector
APPRQVALS-�� Permit # -
Date
InspPlctoc: "
1. Temporary Electrical Service or Pdle
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. -
53. Steel Reinforcement
.i
3.- Electrical Conduit Utility-Und`grnd.-
54. Forms -
- .4.;Electrical Conduif-Undrgrnd. _l
-
55. Electrical Bonding
c"
57Steel Reinforcement
'56. Rough Plumbing & Pressure Test
_ ,6 Electrical UFER''G'rnd.
57. APPROVAL TO COVER-GUNITE
_ .7, Footings -
58. Electrical Conduit-Undrgrnd.
r
Foundation
59. Gas Pipe, Undrgmd:, Test
..8.
9. Water Pipe-Undrgrnd. c
60. Backwash Lines,,P-Trap, ❑'dndrgrnd.
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 Approy3l'
,
Rough Wiring Sign
68. APPROVED FQR-.PLASTERING
,Rough Electrical -T Bar Ceiling -
-
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
'
-APPROVALS= .:Per #
20, Rough Factory Fireplace t -
-
-
c
21. Ducts,,in Struciurt -
-
- -
70. Underground Hydro 1~
22. Ducts]Ve`ritilaTingr''
.-71. Product'P-iping0Gas 0Oil
23. Gas Pipe -Rough & Test
_
,;
72. Underground Flush
24. Roof -Framing •;-. '�-.
73: Undergrdtl. Storegz'Tan k,❑Gas 00iI
25. Roof -Sheathing -
'-•
- !' �.
- 74.•Overhead'Hydro` �- t
26. T-Bar.Ceiling (Structural) & Monocoat
'
�� -_• �"
757 Dry Chemical < •'+ --
27. Frame and Flashing _
{
76 Dry Standpipe =' C
.,
c'
_ 28. Cathing &Siding L ,t - =-
r
77. FIXED SYSTEM FINAL' tr
' 29. Insulation: `" -
- -
t" "„�
78 FIRE PREV. FINAL
- 30. Drywall Nailing -' -
s
'� "•
iHEALTHvDEPT. REQUIREMENT
- 37. Plaster Brrown Coat',
'
•'
79. -FINAL INSPECTION -
- _
_32. Electrical=Power Meter -Final
%'
.,80; -FOOD CERTIFICATE ISSUED '^
-33.FinalElectric ,T;• y
!,'•
' _
"Notes:goALO
;-x�
ti34. FinalFHeating&Air- Co6clition g -
- - -u c.
•:.a.
►0 :1_9 6
i N.
35. Final-GasrPipe-Test-
_
36. Hood;pr Ca'nopy
37. Final -Factory Fire ace -
;j
-
. 38. Final -Plumbing ` 4 ^� -• -
-
_ - - --
-.-39. Water Service -Final
e.-
, 40. Gas Service -Final , s,__
y:*
r41, Solar Domestic -Final -
-
- 42. Backflow Preventer
43. Backflow Irrigation
44. Landscape, Irrigation'System T
_z
t. - - -
45. Sound Attenuation -- .-
.- r
-
46. Handicap ;Regulations
47. FINALSTRUCTURE&BUILDING
"=
48. FINAL PLANNING'
49. Electric Release to Edison
i
a-
_
50. Gas Release to Southern California_GasCo
_ _ -• `-.
51. CERTIFICATE OF OCCUPANCY
,
No. Date
� I
10:9S3i
CQSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA. CALIFORNIA
fOR APPLICANT TO f/LL /N COMPLETELY
TYPE OR PRINT
BUILDING 1658 Bimini Place
COSTA MESA. CALIFORNIA
.L# fid'_.;:16a1:LO
6 i;f :CC
DEPT.1 „
APPLICATION FOR PERMIT
BUILDING
FOR Off/CE USE ONLY
Glenverde Homes, Inc.
RECEIPT NO.
FEqpRMM(IT.NO.
iV�A�3.
OWNER
MAIL Box 65
RECEIVEDBY
DATE RECEIVED
DATE ISSUED.
ADDRESS
wr
)
TEL.
BUILDING
I a No.Or3-:1220
ADDRESS
CT LIC.
COSTA MESA. CALIFORNIA
EER NO.
FIRE
ZONE TYPE GROUP
r
"'a"o Corp.
rCONTRACTOR
APPROVEDBY
TOR L C NO.98808
DATE
BOX ,Balboa Island,Calif.
ZONINGLOT
162
I1R
IO
NO. OF
YI
USE OF NE
ON
NO.
BLOCK TRACT3W
PLpNO
!/
BUILDING
APPROVE
(✓l'
BY
DATE U
SI
%GGO
NO.OF BLDGS. G
YARDS
E
OF LOT
rvow ON LOT
REQUIRED
LLOWED
USE OF -
(CENTER LINE ST.)
EXISTING BLDG.
FRONT
FT. IN.
SETBACK LINE FROM [ R
28
CENTER OF STREET JO REAR YARD
R. SIDE
FT. IN.
ILEFT 5 (RIGHT 7
SIDE YARD
L. SIDE
FT. IN.
DESCRIPTION OF WORK
REAR
FT. IN.
NEW I X II ALTERATION I II ADDITION
REPAIR I II MOVING II DEMOLISH
S ZIE DING 1504/430 8 1
ROOMS STORIES
EXTERIOR WALL
ROOF rock
ICOVERING
COVERING Stucco
USE OF BUILDING AND WORK TO BE PERFORMED
residence and attache gara-
INEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
THE AME
THE AMOUNT SHOWN UNDER VALUATION IS FOR T HE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
OF ESTABLISHING
p PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION.
VALUATION
SI ATURE OFWE
11
PERMIT FEE S
P MITTE
Cid' •
6v
y7O
$ /1/�
PLAN CHECK
AUTHOR AGENT
�a
TOTAL FEE $