HomeMy WebLinkAbout1661 BIMINI PL - Building Permits - it
041111 ib 4. CITY OF COSTA MESA
4 BUILDING DIVISION
). :
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 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
r—work for which this permit is issued.
0 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:
Garrierc.--✓1 uc 1-No v4- sm ls. Ca. C.Policy Number:litC3O$36`)7$
C (This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work f• hich this permit is Issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Calif :,an•�.�_ j A If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisi•
ApplicanfSlgdaWre:> `t.(�� rDate:---$=2 "00
-WARNING:FAILURE O SECU' O' ERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINALPENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,.••),I aDITION 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.LICA— t �Qless.A--Ci'3
Contractor's Siguatur*. :or.. Date:
CONSTRUCTION LENDING •GENCY:
❑ 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).
Lender's 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).):
❑ 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 property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ l am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes 0 No Driver's 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,Califomia 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 apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? D Yes D No
(Section 65850.2 of the California Government 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 Califomia 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? In 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. /y
Signature: (l f Cc-77(j) I?F 7T:nc-- 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 cdnstruction,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.
Am.- �'•g,•-• Of Legal Owner(s) Date
- - 4534-2(-6D
And/Or.Authorized'Applicant-L—L.
CODE t INSPECTION TYPE PAIS INTRIALS CODE! INSPECTION TYPE PAM I)ITIMLS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing -.
200 Final Re-Roof 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
,OaRESSOP num 1661 BIMINI PL wit CITY OF COSTA MESA - BUILDING PERMIT .i
OV.TvvEr NAMWIMM: MUNTEAN, IOAN PERM NO: B 08337,
f, ' ADDRESS: MUNTEAN, STELUTA A
::661 BIMINI PL PERMIT NO: B 083377 PLAN CHECK NO: 02407-97 L GOVT: N SUPP: N
COSTA ;'1ESA,CA 92626714-850-1128
APPL.MMUNOADORES& CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD
ARCHITECT ORENaNEER: Lit HO.: JOB DESCRIPTION : 192 LIN FT BLOCK WALL TO CITY STANDARD SQ FT: 192
ARCH.OR ENG.'S ADDRESS: UNT:
CLAIM VALUE: 3, 840 . 00 CALC-VALUE: 3, 840 , 00 GROUP OCC: R-3 /
CONTRACTOR'S NAME :
• CONTRACTOR'SMMIwD • COMMENTS : BLOCK WALL ALONG MESA VERDE DR
ADDRESS UC.NO.: ZONING R E U I R E M E N T S
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penely of perjury Nof et I am licensed under provisionsChapter 9 SETBQA C K S
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full Nice and effect.
CITY LIC.NO.: LIC.CRASS: LIC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN
Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT : FT IN
following BUreason(Section
7031.5N:I Businessand Role®°n°by atfirm under Code Anycof *yaccuuthat nty which mam pquiliresIhe me ppemiit tooccoonnstwud.'e alterr..imlprove PARKING REQ: PROV: PARCEL : 13922311 ZNE: R1 REF NO:
demolish.or repair any structure,prior toes issuance.also requires the applicant f«such permit tofite a signed statement Mai he or the PLANNING NOTES> 4 'HI BLCK WALL EXTEND 22 LIN, FT ON S P/L . 4 'HI BLCK WALL EXT
S licensed pursuant to the provisions of tNerConlrad«s License Law(Chapter 9(commencing with Section 7003)of Division 3 d the
Business and Professions Code'«that heor she is exempt therefrom and the basis for the alleged exemption.Airy violation o Section > 64 LIN F T,ON S P/L , 6 'H I BLCK WL L EXT. 10 6 L I N FT, ON, S P/L
031.5 by any applicant fore permit subjects the applicant to a civil penalty of not more than five hundred dollen 1550oI). ?f*******************************************************************:*'3fdf**3E*****
o I.as owner o the property or my empluyees wlh wages as thek sae compensation,will do the work and the structure Is not intended D E V E L O P M E N T SERVICES R EQU IR E M E 'N l,.P .S
or offered for sale(Section 7044.Business and Professions Code:The Conlractors License Law does not applyto an ismer of properly �� r'
who builds or improves thereon,and who does such work Nmeelf or herself or through his or her own employees,provided that such D G I /n r Q—97
improvements we not intended or offered for sale.If,however.the building or improvement is sold within one year ofcompleten.the ZONING APPROVED BY : I . CAMP r>€LL DATE : [ (' •
X owner-builder will have the burden of proving he or she did not build or improve 1«the purpose of sale). LOSE.❑ I.as owner o the properly.am exclusiveycontradxip-with licensed contractors to construct!he project 7044, W
(Sadiron 7O
,Business and BUILDING APPROVED BY : SE. DATE : _ -
/�
Professions Code:The Contractors- not License Law does apply to an owner of properly who builds or improves thereon and who `0 y/�
contracts for such projects with a cordraaor(s)licensed pursuant to the • tractors License Law). • ,
0 Iamexempuncles Section: B.AP.C:,:l. >•�: - APPLICATION ISSUED BY: DATE:Tfa (5 97
���'. /S� /��� **********************************************. **x* *********** ***Ot **********
°m " LEGALIZATION: N F E E SUMMARY STRUCTURAlL SEGMENT: Y
I do hereby certify That I am aware of Ma
and ust- •the recite- -n. .•Calfm
o ', ., • .n.. Code Sections 25505,25533,and i''- ( A
25534,and that)o any future buikingocapanl will/w . • . . • n:..tocomply with said stale codes and therequimmente for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RE'S GRADING
a permit for construction oreodimionfromtheAd Duality Management District.Residential construction sanitation,are exempt from(hese
provisions. PERMIT 87 , 25 . . 50
SMIP/NON-RES
Da Applicant PLAN 56 . 71
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of penjury one of the following declaration: ISSUE FEE
o Ihave and will maintain acenirr:aleaconsent Losell-insure for workers'compenaton.asprovidedfobySed«m3TOGathe Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.I«!he pen«nmaneaNewwkf« a
w lentnapm is issued.
TOTALS----> 87. 75 0 . 00 56 , 71 144 . 46 144 . 46 . 00
❑ I have and wire maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the
work ter which ibis permit eooworkers' mand policy number are:
Carrier REVENUE DIVISION TOTALS--> COLLECTED : 144 . 46 OVER/SHORT: . 00
Paley Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
,(This section need not be completed y the panni is for one hundred dollars IstOol or leas./ 87, 25 . 50 56 . 71
1g I certify that in the performance of the work for which this permit u issued.I shell nal employ any person in any manner so as to
become subject lolheendues'compensation AWS o
� a^aCalifornia. •. agree that': I should become.subject to the wakens' *********************** *********************************j:****
****************
compensation provisions a sad7oo a the Labor Code, '. % rs comply � IND IV IDUAL F E E BR EAKD OWN\ Data /. I� % y/ /I ,. /Art.
, - --
A
►ir,
/ TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST FAuns to secure workers'compensation coverage I. yay to adman: Pewees and
civil fines up to one hundred thousand dollars(6104000A M addition to the cost of compensation,damagea.provided rovided for in
Section3706ofteLaborCode,Interest,andattorney'stees. SFR 192 RES-CONCRETE BLOCK WALL / FT. 20 , 00 3, 840 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a ccndnwion lending egeray for the END OF FEES
performance of the work 1«which the permit is issued(Section 3097.CN.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have reed this application and state that the above information is coned.I agree to comply with all city and county ordinances
and state laws relating to building consultation and hereby authorize representatives of the city to enter upon the above-menikned property
for purposes, IOAN MUNTEAN •
86-18-1997/81:11 MM144.46
\ / RCPTI:81-8887978
i' t . -y./ � NI�� Date: PERMIT:083377
- f gs1... - • • - AgenuAPp�ntuContrador _ _ — _ —
(5151d5.WP) White-Building A Safety:Green-Ale:Caney-Appicant:Pink-Revenue:Goldenrod-Assessor - --_ --- ��--J— -_
.
.. -
CONSTRUCTION AND PLANNING POOL & SPA
4' APPROVALS "Permit# Date Inspector - APPROVALS Permit # - . Date Inspector'
1. jemporary Electrical Service or Pale - . ' 52. Pool & Equipment Location L t
2. Sdil •Pipe.Undrgrnd. - . '53. Steel Reinforcement . ' '
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. ' 55. Electrical Bonding •
5. Steel Reinforcement e -24:1117 6-41 .56. Rough Plumbing & Pressure Test ,
•
6. Electrical LIFER Grnd. 57. APPROVAL TO COVER.GUNITE
7, Footings • b� q,Z &"li- 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 i :• .
12. Sewer Cap - en
:63. Boatel &Vt•Ffnl _
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 - I 67. Fencing& Access Approval r .
17. Rough Wiring Sign • ;68: APPROVED FOR PLASTERING: "
18. Rough Electrical-I Bar Ceiling - - ' 69. POOL/SPA SYSTEMS FINAL ` i `
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 OGas ❑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 I
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!
I
32. Electrical Power Meter•Final 80. FOOD CERTIFICATE ISSUED i
33. Final Electric Notes:
34. Final Heating& Air Conditioning i
35. Final Gas Pipe-Test k
--4
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final I
41. Solar Domestic-Final
42, Backflow Preventer
43. Backf low Irrigation I
44. Landscape Irrigation System
45. Sound Attenuationq I
c
46. Handicap RegulationsirCyl� I47. FINAL STRUCTURE & BUILDING E�397 �' r'
48. FINAL PLANNING T n
49; Electric Release to Edison - Z:210
50. Gas Release to Southern California Gas Cos .71.5:16) I
_ .pry
51:. CERTIFICATE OF OCCUPANCY . . m;'at
No. Date
,.
i. ir
6"
DIVISION OF BUILDING SAFETY
CITY OF COSTA MESA
APPROVED
By I Aare 6- 18.-97
This set of plans and specifications MUST be kept on this lob at all ant
and It is unlawful to make any changes or alteration on same without wtSbn
permission from the Division of Building and Safety,City of Costa Mess.
i
The stamping of this plan andt�ss1 liotiti SHALL NOT be Md to panic
r or to be an approval of the wi6Y�ABn *'anf provisions of any City of Costa
IlAg=yOr jnyprp andrn,CIMn' w
These pons and permit shall expire by limitation and become null am VS5
the building or work is not commenced 2nd maintained ave pe
Id)within 180 days of issuance.
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APPROVED
CITY OF COSTA MESA E} t _
SUF� PLAi'vBlNC:, DIV. o`22k,1,1/�AQa,Q
CT TO BLDG. DEPT. REG. / \:
4 ,1.04...."A DATE .
4 VA5,izazikNuocip . .t. 22 (-W -#.rs►ti5Pic_,
4 ;. w -Paye.. loci aim. At a& 5 ?/- .
`er UaU int 1 IO ,Ok_ % p i
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COSTA MESA BUILDING-SAFETY DEPARTMENT ,,I,,,In(� [_ /
P.O.BOX 317 COSTA MESA. CALIFORNIA V Illr•I,CE DEPT,
fOR APPLICANT TO f/LL'/N COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING 1661 Bimini Place r
ADDRESS .
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
OWNER Glenverde Homes,Inc. I RECEIPT NO. 11 pERMI
MAIL Box 65 RECEI ,BY DATF7/ EI D DATEISSUED
ADDRESS �lM'i �� Cf 4 ov n 7 •,,--
CITY Balboa Island,Calif. TEL0r3-4220 BUILDING (JJJ
ADDRESS
ARCHITECT LIC. COSTA MESA, CALIFORNIA
OR ENGINEER NO. /
� u^ (W
ADDRESS tnZONE TYPE GROUP K � '
v
CONTRACTOR MaCCO Corp.
LIC.
STATE
98808 APPROVED
BY DATE
ADDRESS Box 65,Balboa Island,Calif. ZONING ,OQQ�
LEGAL . LOT Q ❑p ZONgp NO.OF D„.---
_• USE OF-,w, y_ )
DESCRIPTION NO. 160 BLOCK ITRACTJ4 1 A- (PLANS ,r I"BUILDIN ).--V--A
p �/
A.P.NO.�/ APPROVED � � DATE 1 I— Vr•
SIZEOF LOT IOOO NO.OF SLOGS. YARDS �EOE�
NOW ON LOT O REQUIRED ALLOWED
USE OF (CENTER LINE ST.)
EXISTING BLDG. FRONT FT.
SETBACK LINE FROM 70 25 / 11 ` OA
CENTER OF STREET REAR YARD R.SIDE C �FT. , V
' "�6
SIDE YARD LEFT 5 RIGHT ii L.SIDE CET. IN..
DESCRIPTION OF WORK 9-j)
REAR / FT. IN.
NEW IX I ALTERATION I II ADDITION
REPAIR I II MOVING I Oo II DEMOLISH I
BUILDING
ZIEDING1501000 ROOMS tl STORIES 1 .
EXTERIOR WALL stucco ROOF rock
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED '
residence
re •
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 COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
SIGNAT - FDOBE HOMES/INC. PERMIT FEE $ 3 j
PERT �- eft-0/ 7
- �f �'" U`—PLAN CHECK $ 12 J O
AUTH•"vt` $
TOTAL FEE $ Jr�..S Li
C/