HomeMy WebLinkAbout2952 BIMINI PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
JobAddress: 2952 BIMINI PL
Suite:
Vicinity:
Parcel Number: 13922316
Applicant: KLEPPSATTEL, PATRICIA J
Address: TR
COSTA MESA, CA -
2952 BIMINI PL � . � �
Owner. KLEPPSATTEL; PATRICIA J
Address TR , � �
COSTA MESA, CA ` , .
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i -2952 BIMINI PL � � � : � .
Convactor. �OWNER-BUILDER- �
Address: � . - �
� Zip. � � �
Zoning: R1 R1
Phone: 714-435-1924 �
Zip: 92626 .
Phone: - �- �
Zip: 92626 '.'�
Phone:
License:4 000000
ISSUED BY:
Status: ISSUED
Applied: 09/10/2004
Issued: 09/10/2004
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Zip: "� License: . , �License: . .
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� SCOPE OF PERMIT � � � � � �
, CHANGE-OUT OF �10 WINDOWS AND 2 SLIDING DOOR (LIKE-FOR=LIKE)'IN AN�EXISTING SINGLE-STORY SFD. '' � '�
� NO OTHER WORK AUTHORIZED WITH THIS FERMIT.! � , , � ; �; ,� �: ' ' � ,. . - � -
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� . FEE SUMMARY , � _
3�PIan_Check: , - �-• $0.00 � �,�-� � � � ;� =--_j;,� „ Calc Valuation ' � �� � �.$s,soo.00 �
�'' Permit': � $18L25 - - � _-`= = ` -- - %�-r��' �ClaimValuation. r:�, � -Sssoo:oo�
SMIPRes:,' "$0.99 ..._ � . -_ =- ` :
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��,'SMIP Com: ,A��,• $0.00 � il ' � � �
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� Other � ' $0.00 ' t i y , / �`� ,' ��
lnspection � �\�$0.00 � - i� > ` � �
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tTotal: $18224 � <r � �,_ ��j �;U%
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SETBACK� i i� �' '' s'y , ,. ' � , � �� �. - � i
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MAIN STRUCTURE-�Fronl 0 0,�, �Rear �. 0� 0 " Left, � 0- 0 Right �0��0,._� � i!- /
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ACCESSORY � Fronh 0- 0; -, ,' Rear 0- 0 - Left� .. 0- 0 Right� ;�0- 0 -
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PARKING Existinq:`��o_-, � R�eauired:� � 0 - � "Proposed: - o' � '
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NOTICE: The work authorized by ihis 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 permfl shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a 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
requlred Inspectlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2646-46(6/00�
WORKERS'COMPENSAnON DECLARAnON: � �
I hereby aHirm undar penalty ot perjury one of the following declaralions:
❑ I heve entl will maintain e cenificete oi consent to self-Insure for workers' compensetion, es provided for by section 3700 of tha Labor Code, for the performance ot ihe
work tor which this pertnit Is issued.
❑ I heve and will maintain workers' compensation insurence, as required Dy sectlon 3700 ot ihe Labor Code, for tha pertortnanca oi Ihe work br which Ihis Dermit is issuetl.
My workers' compensation Insurence carrier and policy number are:
Cerrier.
dollars ($100) or less.)
Policy Number.
L7 I certity that in the perfortnance of the work for which ihis pertnit is issuetl, I shall not employ any person in any manner so as to becoma suDject to the workere'
t compensetion lews of Celifomia, end egrae that ii I should become subject to the workers' compensa[ion provisions of Section 3700 of Ihe Lebor Cotle, I shall tonhwith
comply with ihesa pro isipns. �
Applicent SigneNre: � � �"P'—� Date: + �l,6/D''f
WARNING FAILURE TO SECURE WORKERS' C ENSATIO � VEMGE IS UNLAWFUL AND SHALL SUBJECT PN EMPLOVER TO CRIMINi� dENALTIES AND CIVIL FINES UP TOONE HUNDRED
TIqUSAND OOLLARE (5100,000), IN ADDITION T THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31W OF THE LABOR CODE, IMEREST, AND ATTORNE`f5 FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm that I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions CoCe, and my license is in full
force antl ettecL Lic. # Cless N
Conirectofs Signature: Date:
LONSTRUCTION LENDING AGENCV:
❑ I hereby aHirm ihat there is a consWction lending agency for Ihe pedormance of ihe work tor which this permit is issuetl. (Sec. 3097, Civil Code).
Lentlefs Name: Lender's Address:
SignaWre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eflirtn that under penelry of perjury I�ai I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions
Code: Any city or county which requires a permit to constmct, alter, improve, demolish, or repair eny siructure, prior to its issuance, also requires 1he applicant for such permi�
to file a signed statemeN that he or she is Ilcensed pursuant to the provisions ot ihe Contrectors License Law (Chapter 9(commancing with Section 7000) of Dlvision 3 of ihe
Business and Protessions Code) or thet he or she is exempt therefrom and the basis for ihe alleged axemption. Any violation of Section 7031.5 by any applicent For a pertnit
subjecis ihe applicant to e civil penalty of not more than five hundretl dollers ($500).):
❑ I, as owner of Ihe propehy, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl the structure is not intendad or otteretl for sale (Sec.
7044, Business antl Professions Code: The Conlractors License Law does not apply to an owner of property who builds or improves thereon, antl who does such work
himself or herself or Ihmugh his or her own employees, provitled ihat such impmvements are not intended or oflered for sale. If, however, ihe building or improvement Is
�soltl within one year of completion, the owner-builtler will have the burden ot proving Ihat he or she did not build or improve lor purpose ot sale.). '
I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions
Code: The coniractors License Lew tloes not apply lo an owner of property who builds or impmves Ihereon, and who contrecis for such project with e comractor(s)
license pursuent to the Con�ractors License Laws.).
❑ 1 am exempt under sec. Business end Professions Code tor ihis reason:
Siqnature: C� ���/�� c✓ ��� Date: ; O D
Owner ID verified b dnvers licenso. �Ve ❑ No DnveYs License No. Expires:
Venfication oi Ownership by (rype ol document, i.e. - property tau bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N:
❑ I hereby certify thel no excavetion tiva (5) or more feet in depih into which a person is required to descend, will be made in connection with work authorized by this
permit, and t�at no building simcture, scattolding, talsework, or demolition or dismantling thereof, will be more then ihirty-six (36) leet high. (Chap. 32, Grp 2, An 2, Sec.
341, Title 8, Celifomla Atlminisiretive Code).
❑ As owner-builder, I will not employ enyone to do work which would require a permit fmm ihe Division ol Industrial Safety, as noted ebove, unless such person hes e
pertnit to do such work from ihe division.
Signature: Oate:
Division of Indusirial Safety Permit Number:
CERTIFlCATE OP COMPLJANCE AND AUTHORIZATON OF ENTAY: I certify under penalty ot perjury that I have read this application and state that ihe information givan is
correct I agree to comply wlth ell state laws end ciry ordinances relating to building consWction, and authonze represantatives of the City ot Costa Mesa to aMer upon Ihe
ebova-described property f nspection purposes. I a ree not to occupy or allow occupancy ot any building authorized this permit until tinal inspec�ion.
�.�..,��, 4 �p.�„�d�P /o/o Y
Signature Ot I Owner( Date p
And�Or Aulhonzed AppliCent Date
GOUE I. INSPECTIONTYPE
1616 Fixetl Sys�em Final Fire Prevention
1266 Pool Spa Finel
200 Finel Re-Roof
201 Flnel Block/Retaining Wall
202 Final Factary Fire Place
203 Finel Sign
204 Finel Demolition
Q/�jF � �� INSPECTIONTYVE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Flre Preven�ion
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
PS7E
ItRIDs48
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45. Dimension on the plans 30" min.
closeL (UBC 2904)
widlh for water closel compaAmenl am ' min. clearan�e in (r�,nt of lh�
46. Wall coverings in showers or tubs with showers shall be cement plaster, tile or approved equal to 70" above drain. (.
$07.1.3)
47. Net area of shower receptor shall be not less than 1,024 sq. in. of Iloor area, and encompass a 30" rnin. diameter circle.
(UPC 410.4)
48. Provide one openable escape window or door meeting all of the following: an openable area of not less than 5.7 sq. R.,
24" min. high and 20" min. wide, and a sill height 44" max. above the floor in ��e���. (UBC 310.4)
49. Show location(s) of hard-wired smoke detectors: (UBC 310.9.1)
a. Centrally located in corridors (or areas) leading to sleeping areas, and inside each sleeping room.
b. On ceiling of upper level in close proximity to the stairway when sleeping areas are on an upper level.
C. On each floor level and in basement.
tl. In the adjacent room (or area) where the ceiling height exceeds that of the haliway by 24" or more.
C. Battery operated smoke detector permitted in existing construction.
f. Nole on plan: detector shall sound an alarm audible in all sleeping areas.
g. Smoke detectors shall be hard-wired and equipped with battery backup.
�XITS. STAIRS AND RAILINGS
50. One exit door shall be not less than 3'-0" wide and 6'-8" high and provide 32" min. clear widlh. (UBC 1003.3.1.3)
51. Landings at doors shall have a length measured in direction ot travel of not less than 36". (UBC 1003.3.1.7)
52. Within individual unils a door may swing over landing that is not more than 1" below the threshold or B" max. i( the door
does nol swing over the landing. (UBC 1003.3.1.6)
53. Occupants on floors above the second story shall have access to two separete exits. (UBC 1004.2 32) (EXCEPTION:
occupied roof area or third tloor within an individual dwelling unil less than 500 sq. ft. may have one exiL)
54. provide section and details o( interior/exterior stairway showing:
a. 8" max. rise and 9" min. run; or, 7" and 11", respectively, where stair serves two units (UBC 1003.3.3.3)
b. 36" min. width (UBC 1003.3 32)
c. 6'-8" min. head room (UBC 1003.3.3.4)
d. Delails and notes showing (raming (stringer) sizes, bracing, connections and (ootings
e. One-hour fire-resislive construction on enclosed usable space under the stair (UBC 1003.3.3.9)
55. For winding slairs prcvi�e 6" min. tread and provitle the required run at a point 12" from the narrow side of the tread.
(UBC 1003.3.3.82)
56. Spiral stairway shall not serve as required exit (or area exceeding 400 sq. ft. (U8C 1003.3.3.8.3)
57. Provide manufacturer, model # and ICBO # for prefabricated spiral stair. Altemately, submq Consiruc�ion drawings and
structural calculations for spiral stair and supporting elements.
58. Provide spiral stairway column base connectioNfooting detail.
59. Provide connection details on plans for guardrails and/or handrails on open sides of balconies, decks, landings, and stairs
adequale to support 20 pounCs per lineal foot load applied zt a right angle to the top rail. (UBC Table 16-B)
CV.�1, H�nVir�ile �h�ll �ati¢fv iha (nllnwinn� (l IRC 1003.3.3.6 and 5091
, . _�. _
a. Provide confinuous handraif for stainvays wfth 4 or more risers (2 or more risers where sfair serves two unitsj
b. Handrail shall be 34"-38" above the nosing o( the treads
c. Openings in balusters shall be less than 4" in diameter at open side(s)
d. The handgrip portion of the handrail shall be t-1/4"-2" in cross-sectional dimension with 1-1/2" clearance lo wall
61. Provide 36" min. high guardrail for decks, porches, balconies and raised floors (more than 30" above grade or floor below)
and open side(s) of stair landings. Openings between balusters/rails shall be less than 4" in diameter. (UBC 509)
GARAGE AND CARPORT
:'SZ-a6 4
OPENABIE
AREA = 5] SO. FT.
! i
1997 UBC HANDBOOK
For SI: I foot =?OJ.B mm, I squarc foat = 0.093 m'-.
EMERGENCY ESCAPE AND RESCUE WINDOW
FIGURE 310-1
Thc requiremenl for emcrgency escape and egress opcnines
in sleeping rooms is because a fire will usually have spread be-
Pore �he occupants are aware oP the problem, and the normal exit
cNannels will most likely be blocked. The dimensions pre-
scribed in the code, and as illustrated in Figure 310- I for exierior
wall openings used (or emergency egress and rescue, are based
on exiensive tesiing by the San Diego Building and Fire Depart-
ments to determine the proper relationships of height and width
of window opening to adequa[ely serve (or both rescue and es-
cape. The minimum o( 20 inches (508 mm) for the width was
based on two criteria: the width necessary to placc a ladder with-
in Ihe window upening and, secondly, the width necessary ro ad-
mit a firefighter with full rescue equipmenL The minimum
24-inch (610 mm) height dimension was based on Ihe minimum
neressary to admit a 6rcfighter with fuli rescue equipmcnt.
It is the intent of the code Ihat the windows required for emer-
gency escape or rescue be located on the exlerior of the building
so tha[ rescue can be effected from the exterior or, alternatively,
so lha� Ihe occupanls may escape (rom Ihat window to the exteri-
or of Ihe buildin� withoul having to travel throu�h ihe building
i[self. If these windows open into an interior exit courl, the exit
court mus[ have an exit passageway, �hat provides access to the
public way.
As stated in the rode, these windows used for emergency es-
cape or rescue must be operable windows. The intent is tha� they
be pf the usual double-hung, horizontal sliding or casement win-
dows operated by the wrn of a crank. The building official
should evaluate spccial types of windows other than those just
desCribed based on Ihe difficulty of operating or removing the
windows. If no more effurt is required than �hat required for the
three types of winduws just enumerated, they cuuld be approved
as meeting the inlcnt of [he code as long as no rools, spccial
knowledce or effort are reyuircd
JABLE
� = 57 SQ. Ff.
m
Winduw wclls in Gont of emergency escape windows also
have minimum size and escape requirements. These require-
ments were added to address those emergency escape windows
that occur bclow grade. Obviously, just providing the slandard
emergency escape window criteria to these windows will ge[
occupants throuch the window but the window well may acw-
ally trap �hem against the building without providin� for their
escape Crom thc window well or providing for firefighter
ingress.
The minimum size requirements in cross section are similar in
inten� to the emereency escape window criteria: that is, to pro-
vide a nominal size to allow for the escape of occupants or
ingress �f firefighters. The ladder or stair requirement is the
main dif�erence. .
Emergency escape windows below the fourth story are not
required to have an escape route down to grade; however, lhose
windows bclow adjacent grade are so required. When the depth
of a winJow well cxceeds 44 inches ( I I I S mm), a ladder or stair
from tha� window well is required. The �ype of ladder or stair is
not identified in these provisions. Howevcr, a pcnnanendy fixed
ladder as required by the Uniform Mecliunica( Code for access
to rooftop equipment would be acceptable ar any rype of usable
stair would suffice.
Rememher, ihese ladders or stairs are providcd For cmergency
use and nced not fully comply with the coJe.
The evervincrwsing concern for security, particularly in resi-
dential buildings, has created a fairly large demand for security
devices cuch as grilles, 6ars and steel shutters. Unless properly
designed and constructed, �hesc sccurity deviccs ovcr hedroom
windows can completely defeat the purpose of the emergency
escape and rescue winduw. Therefore, the 11BC makcs provi-
sions for security devices, provided the release mechanism has
bccn approvcd and is opuahic Gum �hc insiJe without �he use of
39
(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
JobAddress: 2952 BIMINIPL
Suite:
Vicinity;
Parcel Number: 13922316
Zoning: R1 R1
Status: ISSUED
Applied: 07/26/2004
Issued: 07/26/2004
Applicane WATSON, KRIS ,._ _ ISSUED BY:
Address: 2219 W OLNE AV - �: � . '� _ _ '" . -.� _ "
SUITE 282 . � . �, Phone: 888311-7663 � � ' � _
BURBANK, CA:� ' � _ Zip: 91506 - �
_ "�
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Owner. KLEP,PSATTEL, PATRICIA'J • � � ' ,' � �"�� � �
_ �,� '.
Address /TR � � i ; . � � ' - .. , � - �
�� COSTA-MESA, CA ' Phone: � , � , '�-�
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2952 BIMINI PC Zip: 92626 - � � �
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Contractor: `MODERN ROOFING �� � �� � " � ' �� � �
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�AdBress: 2219 W OLIVEAV '������ `
�
� ,-,- SUITE�282i Phone: 888-311-7663 ��' � ` ' � � �
' � � � . BURBANK, CA . �� ` - - . . �� `
, . � . �r'. �.
� " Zip: 91506�"� � License: 807881 ' �. - " - , , , �� �,
� ' Arch : � . . . , _ _ ' . Eng: _ � . � . - - . � � 1
a Address: � - , � , . - ., � - � _ . Address: - � � � - � �:� �
• - , ' , �'. � Phone: � . ' _ - ��'� Phone: , �.':� .
' � , . . . . _ � � ,�_ ., ._
'Zip: - - 6icense: � �License: , .
- . , � �V ' , , ,
-. -� -, SCOPE OF PERMIT -, -- � � . � °, �
, TEAR OFF EXISTING WOOD SHINGLE. INSTALL SHEATHING; FELT AND COVER WITH�30,YEAR COMP. � �� �
. , ..... .. ,_ . _, _... _ � . .._ _. _ ` �
�� � FEE SUMMARY � j
� Plan Check:` ' $0.00 Calc Valuation: S2,soo.00 ,
Permit: ' $83.25 — -- - ' � Claim Valuation: S2,eoo.00
"SMIP Res: $0.50 � _' _". `_ �
,�� i,.'
SMIP.Com , $0.00 . � ' J
� �. Other . �$0.00 . � % ; � ��`
,Inspectiori:� ���$0.00 �j�� �� �
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�� .SotaL• - 583:75 `r�A � �'; f ~�' ;f �
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� , ; PLANNING & ZONING `
SETBACKS ��' ✓;�, ,- ,, � :, . � � . � � - ��Gj,i
MAIN STRUC7URE Front 0-0- � �Rear 0 0' � � "Left 0 0 _: � �jRlght! �0`0,� ��
���� . i ., _.:_, � _ , ., --- �. . �,. .��� ./
ACCESSORY ��Fiont �0 0- "���iRear� 0-0�-�- � Left 0 0 �,,,,,� RigFit�� ;0`O��r�
\ _ . �i -l� � i - � , "��. � ii �
PARKING Exishnp�� -0� Reauired.���0 �� � ��Proposetl:l"0�,'.?,� /���=!,
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NOTES: � � - � � � _� „%� ''
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,�
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NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 72-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced vnthin 180 days, or if work is suspendetl or abandoned
for a period of 180 days.
INSPECTIONS: Ih order for the work authorized under this permit to be considered legal, such work must comply with all applicabla codes, and all
requlred Inspeetlons end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of �his permit.
FOR INSPECTIONS CALL: (714) 7545626
2446-08 (8/00)
WORKERS'COMPENSAnON DECLARAnON:
I hereby eHirm under penalry of perjury one of the following declaretions: � ,
❑ I eve antl will meintain e cenificate of consent to self-Insure tor workers' compensetlon, as p�v(ded foSby section 3700 of the Lebor Cotle, for Ihe perfartnance of the
ork for w�ich ihis pertnit Is iuuetl.
I have and will meintain workers' compensatlon insurance, as required by section 3700 of the Labor Cotle, for the peAortnance of the work for which this pertnit Is issued.
My wo rs' ompensa In rance carder entl policy num6er are: /� '�y
Carrier. c � �11� PolicyNumber: OD(JLJ7PJ9�GV�%Z
(This secfion nee nof be comp/efed i! the permifls valuetl eRone hundred dollars ($ f 00) or /ess.)
❑ I certity thet in the peAormence oi tha work for which this permit is issuetl, I shall not employ any person in any manner so es to became subject to tha workere'
compensetion lews oi Celitomia, end agree ihat If I should become subject to Ihe workers' compensatlon provislons oi ection 3700 of the Lebar Catle, I shall forihwlth
comply with these provisions. /� n /'� /�
Applicent Signeture: � Date: _ I L�l/ l l�
WARNINp: FAILURE TO SECU ORKERS' WMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI PENAL ES AND CIVIL FlNES UP TOONE HUNDRED
T}IOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, �AMAGES A$ PROVIpED FOR IN SECTIIXJ 3]OG OF THE IABOR CODE, IMEREST, ANO ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eHirtn that I am licensed under provisions of Chapier 9(commancing with Section 7000) ot Division 3 oi the Business and Pmteuions Code, and my licensa is in full
force end eHect. Lic. # Class a
Contrector's Signature: Date:
CONSTRUC710N LENDING AGENCV:
❑ I here�y eMirtn that there is e consiruction lending agency for the peAormance of the work for which this pertnit is issuetl. (Sec. 3097, Civil Code).
Lendels Name: Lendels Adtlress:
SignaNre:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirtn that under penalry of perjury thet I am EXEMPT FiiOM THE CONTRAC70RS LICENSE LAW tor ihe following reason (Sec. 7031.5, Buslness and Professlons
Code: Any ciry or counry which requires a permit lo constmct, alter, improve, demolish, or repair any sWcture, prior to its issuance, also requires the epplicant for such permit
to tila e signetl stetement thet he or she is licensed pursuent to the pravlslons af the Contractors License Lew (Ghepter 9(cammencinp with Section 7000) ot �Ivision 3 af Ihe
Business antl Professions Code) or that he or she is exempt therefrom end the basis tor the elleged exemptlon. Any violation oi Section 7031.5 by any epplicant for e pertnit
sublecis the applicant lo e civil penalry ot not more Ihan five huntlred dollars ($500).):
❑ I, es owner ot the property, or my employees with weges as thair sole compensation, WILL DO 7HE WORK, antl Ihe structure Is not intentled or oHeretl for sale (Sec.
7044, Business antl Professions Code: The Contractors License Law dces not apply to an owner of properry who builds or improves thereon, and who does such work
himself or herself or through his or her own employees, provided ihat such improvemants are not intended or oflered for sale. It, however, ihe building or improvement is
sold within one year oi complation, tha owner-builder will heve ihe burden of proving that he or she did not build or improve tor purpose ot sale.). •
❑ I, as owner of the pmpeny, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consimct the pmject (Sec. 7044, Business antl Protessions
Code: The contrectors License Law does not apply to an owner ot property who builds or improves thereon, and who contracis for such pro�ect with a contrector(s)
. license pursuam to the Coniractors License Lews.).
❑ I am exempt untler sec. Business and Professions Code for this raason:
Signature: Date:
Owner ID verified by drivers Ilcense. ❑ Ves ❑ No Drivefs License No. Expires:
Venficatlon of Ownership by (type ot daument, I.e. - proDerty tax blll or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify thet no exwvaUon tive (5) or more feet in depth into which a person is requiretl to tlescend, will be made in connection with work eu�honzetl by Ihis
permit, entl Ihat no building sWCWre, sceHolding, telsework, or demolition or dismantling ihereoi, wili be more ihan thirty-six (36) teet hiqh. (Ghap. 32, Gry 2, Art 2, Sac.
341, Title e, Califomia Adminislrative Code).
❑ As owner-builder, I will not employ enyone to do work which would require a pertnit from the Division of Indusirial Sefety, as noted ebove, unless such person has a
pertnit to do such work irom the tlivision.
Signature: Date:
Divislon of Industnal Satety Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORVJ1710N OF ENTRY: I certify under penalty ot perjury ihat I have read Ihis epplication and state that the information given is
correct. I egree to comply wi�h ell stete laws end ciry ortlinances relating �o building construction, and authorize representatives of Ihe Ciry ol Costa Mesa to enter upon the
ebove-described property for inspection puryoses. I egree not to occupy or allow occupancy ot any building euthorized by ihis permit until finai inspection.
� Oi Legal Owner(s) Date
And/OrAuthorized Applicent Date
CO�E I. INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
1268 Pool Spa Finel
200 Finel Re-Roo1
201 Finel BIocWRetaining Wall
202
203
Final Factory Fire Place
Finel Sign
206 Finel Demolition
Q� IMRIALS
AI� � ...��
COOE 1 INSPECTION TYPE
206 Final Mechanical
20B Final Plumbing
210 Pinel Electdcal
212 Final Fire Pravention
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupency
�RTE IIf�A45
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2952 BIMINI PL
Suite No
Vicinity:
Parcel Number: 13922316
Applicant: COOTER, LYLE
Address: 27324 CAMINO CAPISTRANO
LAGUNA NIGUEL, CA
MECHANICAL PERMIT
- Phone:.(949)766-9500
Zip:. .92677 ,
Owner. KLEPPSATTEL, PATRICIA J
Address:.. �TR . � � � � �
COSTA MESA, CA � �
� 2952 BIMINI PL � �
Phone:
Zip: 92626
Contractor: PREFERRED AIR CONDITIONING SERVICE CO.
. .
Address: 27324 CAMINO CAPISTRANO
� � , Phone::.(949)766-9500
LAGUNA NIGUEL, CA � 2ip: � 92677
' � � ' � .'� License:750418
SCOPE OF PERMIT
MECHANICAL TO INCLUDE: 1 INST FAU<100 K BTU
ISSUE FEE
Inst FAU�700 k BTU �
Inst FAU >100 k BTU -.
Repair/Alt Cooling/Heat �-
Inst / Rep. Recess Wall Htr
Refrig Sys <100 k BTU
Refrig Sys >100 k BTU
Gas Piping �
Factory Fireplace � �
Hood w/Mech-Exhausl �
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 �
Quantiry ,
523.50 � - � �
$14.80 1
$0.00 0
$0.00 0
$0.00 0. _ _- .
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
„ $0.00 0
�� -�$0.00 0 .
" $0.00-�t: p.. ,,, �. � -,
�$0.00 0
� . $0.00�'�^0 �-
, �.30.00���0',`:.` .
, . .50.00 0 � � '
. ��$0.00�� 0 -
ISSUED BY:
e
FEE SUMMARY .
- , Repair/AltAbsorbtionUnit
� '� Repair / Alt Refrigeration Unit
Ventillation System
, Evaporative Cooler
_ :- - Commercial Incinerator
_ Domeslic Incinerator
Compressors / Absorption Svstems
Upto3hp/100kBTU
3Tot5hp/SOOkBTU
15 To 30 hp / 1,000 k BTU
- 30 To 50 hp / 1,750 k BTU
� � Over 50 hp / Over �,750 BTU
-, , Boilers ,
Upto3hp
� � - � 3To15hp - ��
. " 15to30hp
- ' - 30 to 50 hp -
� , Over 50 hp
. . Other Mechanical Fee
�- Investigation Fee ` '
Plan Check Fee �
, Relnspection Fee �
Status: ISSUED
Applied: 11/07/2002
Issued: 11/07/2002
�
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0-
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
50.00
TOTAL CALCULATED FEES $38.30
NO710E: The work authorized by ihis permit shall comply with all applicablo handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § i, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days. '
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
2446-a8(6/00)
WORKERS' COMPENSATION DECLARATION: — .
I hereby eflirm under penelry of perjury one of the foilowinq tleclaretions: ,
❑ I have end will maintain e canificete of consent to sell�lnsure tor workers' compensetion, es provided br by section 3700 of the Lebor Code, for ihe partormance of the
work for whiCh this permit i5 issued.
�'}jl have and wlll malnlain workere' compensation insurence, es required hy section 3700 of t�e Lebor Code, for the peAortnance of the work for which I�is permit is issuetl.
My workers' com ensation Insurance carner and policy number are: � Z
Certie,�r: 7 f���� BoGcy.Numbert wc�r � ��
(This section n tl nof be completed il fhe permif is velued ef one hundred dollars ($f 00) or less.)
❑ I cenify Ihat in t�e peAormance of Ihe work for which this permit is issued, I shall not employ any person In any manner so as to 6ecome subject to the workers'
compensation laws of Calitornia, end egree that If I shouid become subject to Ihe workers' compensation provisions of Section 3700 oi the Lebor Code, I shall forihwith
comply with Ihese pmvisions.
Applicant'Slgnature:� Da�e � �f 7 �� Z
WAqNINOt FAILURE TO $EC 5' COMPENSATION COVEPAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIAAINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
TIKKISAND Dd1ARE (5100,00 . IN ADDITIIXJ TO THE COST OF COMPENSATION, DAMAGES AS PiiOVIDED FOR IN SECTION 3]OB OF THE LABOR CODE, IMEFEST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby atfirm Ihat I am licensed under provisic
ContractoYs'Signature:
of Chapter 9(commencing with Seaion 7000) ot Division 3 of ihe Business antl Professions Code, end my license Is in full
�� G� ess it� !'i f� �-Hr�
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm tha� �here is e consiruction lending agency for the pedormance of ihe work tor which �his permit is issued. (Sec. 3097, Civil Code).
Lenaer's Name:
Signeture: _
OWNER-BUILDER DECLARATIONS:
Lenders Adtlress:
Date:
I hereby ettirtn Ihet under penalry of perjury Iha� I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business anG Proteuions
Code: Any city or county which requires a permit to constmct, elter, improva, demolish, or repair any structure, prior ro its issuance, also requires the epplicant for such pertnit
to tile a signetl stetement thet he or she is licensed pursuant to Ihe provisions of ihe Comradors License Law (Chapter 9(commencing with Section 7000) of Dlvislon 3 of the
Business end Professions Code) or thei he or she is e:empt therefrom end the basis tor Ihe elleged exemption. Any violation of Sectlon 7031.5 by eny epplicent for e parmit
subjects Ihe applicant to e civil penalry of not more t�an five hundred dollars ($500).):
❑ I, es owner oi the properry, or my employees wlih wages es iheir sole compensation, WILL DO THE WORK, end Ihe sWcture Is not Intended or oHeretl tor sale (Sac.
7044, Business antl Protessions Code: The Contractors License Law does not apply to en owner of property who builds or improves thereon, antl who does such work
himself or herself or Ihmugh his or her own emplayees, providetl tha� such improvemenis are not Intended or oNered for sele. tl, however, the building or Improvement Is
soltl within one yeer ot completion, iha owner-builder will have the burden of p�oving ihat he or she diC not build or improve for purpose of sale.).
❑ I, es owner oi the properry, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consWct the project (Sea 7044, Business entl Profeulons
Cotle: The coMreclors License Lew does not apply to an owner oi property who builtls or improves thereon, and who comracts tor such project with e contractor(s)
license pursuant to Ihe Contractors License Laws.).
❑ I em exempt under sac.
Signature:
Owner ID verifiad by drivers license. ❑ Ves ❑ No
Bu5in855 end Protessions Cotle tor this reason:
Vedtication ot Ownership by (rype of documen�, i.e. - proDerty tax bill or dead):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICA710N:
Dnvefs License No.
Date:
Expires:
❑ I hereDy certity ihat no excevatlon Five (5) or more feet in depih into which e person is required to descend, will be made in connection with work authorizeC by this
permi�, end tha� no building s�ructure, scallolding, falsework, or demolition or tlismantling Ihereof, will be more then ihirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, 7tle B, California Atlministretive Code).
❑ As owner-builder, I will nat employ anyone ta tlo work which woultl require e permit from ihe Division of Industriel Satery, es noted above, unless such person hes e
permit ro Oo such work from the tlivision. �
Signawre: Dafe:
Division of Indusirial Safery Permit Number:
CERTIFICATE OF COMPLIANCE IW� AUTHORIZATON OF ENTTiY: I certiy under penalty of perjury lhat I have reatl this application antl state that the inlortnation given is
co�rect. I agree to comply with all state lews and ciry ordinances relating to building consiruction, and authorize representalives oi ihe Clty of Costa Mesa to enter upon the
ebove-described property for inspection purposes. I egree not to acupy or allow occupency of eny building authorized by this pertnit unlil final inspection.
Signature Of Legal Owner(s)
COpE �. INSPECTIONTYPE QdjE 7y��
1616 Fixed System Final Fire Prevention
1266
200
201
202
203
Pool Spa Final
Final Re-Roof
Final BIocWRetalning W all
Final Factory Fire Place
Final Sign
CODE � INSiECTION TYVE
206 Final Mechanical
20B Final PlumDing
210 Final Elec�ricel
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Finel BuilCing/Occupancy
Paff. �LS
rl-/s-cR.. �
, � Y J_��U'O
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO% 31] COSTA MESA. CALIFORNIA
fOR APPL/CANT TO F/LL. /N COMPLETELY
TYPE OR PRINT
nooa°Es"s° 2952 Bimini Place
COSTA MESA. CALIFORNIA
OWNER Glenverde Homes�Inc.
MAIL [
ADDRESS BOX U �
CITYBa.lUVa Island;Caif• TN�r 3-1t22�
ARCHITECT • LIC.
OR ENGINEER NO.
r^-_. `.���,,,...�, �
�• �- �/ L C �._.� �v ,._ d �i L :.J
� �.�(.�-ci i/•-.a-�7%3%
,::;�,7;�C -.,-
t i/�ur�i,uL iJCi'�.
�.'!l�! �� �rVdr; �('l�'
+ . :CJI�
APPLICATION FOR PERMIT
BUILDING
fOR OFf/Cf USE ONLY
D�iF�EiEIYEO_ I DATE
� i�J � JM/ r.
COSTA MESA, CALIFORNIA
FIRE /J
ZONE TYPE GROUP�—X
CONTRACTOR �CCO COT�F7• LIC. NO. 98808 ByPROVED DAT
ADDRE55 � BOX 6S��lboa Island�Calif. ZONING
oescAivi�Orv I NOT 155 I BLOCK I TRACT�^� • ZONE �/ I P AN8 '� _ I BUELO�1
7000 �� u�nw'ou `m= o
USE OF
EXISTING BLDG.
SETeqCN LINE FROM C �1L
CENiEn oc StReEt 7O REAR YARD «�
SIOE YARO ILEFT � IRIGHT �
DESCRIPTION OF WORK
___ . � X �� --------- I �� ------ �
QI S Z'E �ING�L 1, /� � L ROOMS J STORIES 1
VLLU LLLLV
C/
� `��U
1 HENEBY ACKNOWLEDGE THqT 1 HqVE REAO THIS APPLICATION
AN� STATE THAT THE �1BOVE IS COHRECT ANO AGFEE TO COM�
PLY WITH ALL CITY OROINANCES ANO STATE LAW9 REGULATING
BLIILDING CONSTflUCTION.
e�eNATUR �yEI�E HOMES�INC•
`
BY
ICENTER LINE ST.)
THE AMOUNT 6HOWN LINDER VALUFTION I6 iOR THE
PIIRP09E OF ESTABL�SHING A PERMIT FEE ONLY.
VALUATION �j
PERMIT FEE S �J� �'
/�l �/ � PLAN CHECK $ �Q �
� `
TOTAL FEE $ �_�7 �