HomeMy WebLinkAbout2960 BIMINI PL - Building Permits�• APo�icant to fill in all svaces except those within neavy �ortler lines ana si9n all aoV�aPriate aeclarations.
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CI7YOFcoS7a�mESA � ONSTRUCTIONP RMIT • , PE ITNO.
� , � ;TRACT NO. �. , LOT NO. . �UN1T NOl � � l � , � � �
, G/h� . ��/S!! � � ' � � � ; � ; ` ; i �'eo . Ti:
ProjectAddress 2-({�S,L M( fJ� � ' i , ; '9219 � _ � 26• �1
AppliCanYs Mailing Address i 7i��i�M��C� �Z.- TVPE OF CONSTRUCTION NEW ',ADD ALTERATION REPAIR ' '
: y� ' ' '
' r'_J�- � �( ,� A 1 �`_ � - � } � �CONVERSION' ❑,DEMOLISH O OTHER A p # � , � ' � ' ' - + 2one � �
, Owner's Name, A �lkfLR Jrr�r�t �.9m . _ . . _ ._ .. .. _ _. _. .' ' .' "� _ '
C � VFJbat Phone ' DESCRIPTION OF, WORK/USE OF BLDG.'
� Address Z 1 60 ��M� AL l � �L� � ' � • ' I. � ' S Main Buildmg. ` ' � � Accessory Building� �
Arch/Enq: � ' License�No. ' � TVPE OF PERMIT GRADING ❑ FOUNDATION ' STRUGTURAL T Fronf � -� ' � ; � � p
Addre55 � ' � ' 1 ' � O TENANT� ❑ ELECTRICAL PLUMBING ❑ MECHANICAL � �g . : . � ( , � - N
Ln�[ � � Rear � � � , �
Contractor'SNam `�'� � ' Phon2�c���3Z' 1 I ' �-" OTHER � � �Al { , A _y . _ __ _ : _ �
� PROJECT DESCRIPTION � 5q. F7. ' oCCVanrvCv �C Right�'� �� �' I N�
Address (mailing) � � . p—� 'K - , . � , ` . G
� , , ' /� - �CONSTRUCTIONTYPE � ' • ' VAWATIONS_�C��D g Left � , • . . ;
City License Na. �-��R X � 1 � ' � . ' R
o � ZONE GRADING CU. VDS. ' ACRES . I
LICENSED CONTRACTOR DECLARATiON � � ' ' Ping. Ref. # '- Patking Req./Provided � i E
� I hereby atti�m lttat I am licensetl �untle� provisions ot Charter 9 (commen<ing Remarks: � - � � , ' , � - ' Planning Notes: � � � � • � n
WIIh.52CL100 ��QO) Of �IVISIOII 3 O} IM12 BUSIO¢55 30d P!O(C551005 COdC� dOC �� M
my Iicense is in full ce an effect. - ' � • � ' , � ' �
T
License qass � nse No.y�sqy� � � - � .- ?
' pate 7�1�' S'g t �� ' � � 1PLUMBING ' ' �FEES � .� � . ' ' - -� • � �
IORKERS'COMPENSATION�DECIARATION ' BarSink � ' ' " � ShOWers � ,ELECTRICAL - � ' � . FEES
hereby affirm [hatil have a certifitate of consent to Selt-in5ure o� a certiticate � ' � - � '
ot Workers' Compensation Insurance, or a certifietl copy' thereot (Section � gackflow Preventer, : Service Sink '�� � -' � � '. �
3800, �ati, c.) ' . � Automatic Washer ,. � Transformer ❑ 15-50 KW `
Policy No. ' company Backflow Irrigation : ' . SewerCa � "' � � � ' ' � I . � ' ❑ 50+ KW
eCertifietl copy Is hereby furnished. � � ' , P Construction Pole Sub. � ' + „ ' -
Certifietl topy is (iletl wlth the city Builtlioq Division. BdthtUbs Sewer Connection � Cooking�Unit � Meter Oup to 100 amps , -
pate Applicant � � � i. , ' ' - ' '
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION' � ' C12�ifiCfs : , . , 5013� C0112Ct0�5 . ' Dishwashe� ' � . M¢ffif ❑OVE� 100amps �
(This section neetl not be completetl it the permit i5 tor one huntlretl ($100) o� . . --' � - '-
less). ' � Dishwasher•. � - �- Solar Piping ' ' Dryers ��Gas '❑Electric . Sub Panel � ' '
I certify that in Ihe pertormance of the w �k to� [his�perm�t is issuetl I - . . � -� '• '' -
shall not employ any person'in an i s s to ecome subject to the Dfinking Fountains , � Solar Tank � � � Fan � ' � �
Work Co e ion �awsbf 'tor , � , - _ Motors �0�1 HP 01'/a,- 8
Date• • 5iqnah.P - Floor Drams ' ' � � , Swimmmg'Pool w/Spa ' � � ' F.A.U.'`� ' ' � �
_N071 E:If,after.making this.tleclaration, you shoultl bewme subject to the. InLSolar �9-15 HP��16-75+� ,
Workers' Compensation p�ovisions ot Yhe Labor Cotle, you mu5t for[hwith FIOOY$i�ks • . U�iOdl Fixtu�25 �� �
<omply with such-, provisions or this permit shall be tleemetl revoketl. � �
Microwave
CONSTRUCTION LENDING AGENCV � � Ga55CrviC¢ Outlets � WaterCloset' � � DeviceBoxes � � � �
I hereby affirm that there' is a canstruction lentling agency for the pertormance � Pole Light � � .
of the work for i which this Oermit is issuetl (Section 309] Civ. CJ Intercep{ors ' Water Heater � Outlets �
Lentler's Name � � Ran9e ' �
Lentler's,Aatlress ' � � _ KitchenSink_ ..� - ' WaterService � � � � - Switches - - - , - Sign ' ' - � ' "
OWNE0. BUILDER OECLARATION ' . �
I hereby aftirm that.6am exempt trom the Contractor's License Law for the Lavatories , Auro-Wash � ' Garba e Dis osal ' ' •
following reason (Section ]031.5 Business antl Professional Cotle: Any city,or ,
9 p Standing Sections
county which requires a permit to construct, alter, improve; tlemolish or repair ' p_Trap � �aundry Trays Generator'O0.5 KW 05-15 KW `
any structure, p�io�, to it5 issuance, also requires the applicant for such pe�mit T�dSh COTpaCtO� '
to file a signetl statement that he/she is licensetl oursuant to the provisions ot ' Roof Drains ' . ' . , , i
he Contractor'S License law (Chapter 9(commencing with Section 7000) ot � � ' 1
]ivision 3 ot'the BuSiness antl.Prote55ion5 Cotle)'or [hat he/She isexempt , � - - - -. - - -
tlte�efrom antl the basis��to� the allegetl exemption. Any violation ot Section , . ' � . ' �
]031.5 by any applicant tor a'pe�mit SUGjects the aOPlicant to a civil
penalty of not more than five huntlretl tlollare (5500). � � • . . � i • � � �
lJ I, az owner ot the' properry or my employees with wa9es as their sole Reinspectian Fee, $15 ,. � laue Fea $ 3 ' '
compensation, will tlo the work, antl the structure is not intentletl or off¢retl - Reinspection F2e $15 ISSUe Fee ' ,$ 3
(or sale (Sectlon �7044, Business �ana wotessional Cotle: Tne ConVactor's � ' . MECHANICAL � FEES
License law tloes not apply to an owner of a prope�ty who builtls Or improves
lhereon, antl who tloes such-work himself/herself or throueh his or her own , DEVELOPMENTSERVICESREQUIREMENTS: ' ''
employees, provitletl that such improvements are not intentletl or oHeretl tor Boiler , Hood or • Type I ❑ , �' -
sale. It, however, the builtlin9 or improvement is soltl within one year of com- , � Cdnopy Type II ❑ Zaning Approved By Date
pletion, [he owner will have the burtlen Ot proving he/she tlitl noi builtl or im- Duct - Und2� Ci�OUnd . � ' '
prove Por the purpose of sale). . . • -' ' Building Approved By � Date
❑ I, as owner oi the property, am exclusively coneractin9 with IicenseiJ con- Duct - Struciural , Refrigeretion System � Appliption Issued By ' � � Date �-
iractors to construct lhe project (Section ]044, Business antl Professions Cotle: . .
The Contractor's License 1..aw tloes not apply to an owner oi property who , Duct - Ventilating ❑0-100,000 BTU ❑700;000 BTU � , t SU MARV Oc FEES � � � ' "
builtls o�,improves Ihereon, antl who contracts for sucb p�ojects wi[b a con- - - - - ,�rTne� �
trattor(s) ucense pursuant to the Contractor's.License.Law). I am aware that Exhaust System ❑ MWtiple ❑ System Repair/Alteration . BUILDING PERMIT $ ' SMIP -.$
proof o( their Worker's Compensation insurance shoultl be providetl to me. _ PLAN CHECK $' PERMIT
❑ I am exempt under Section �_ B. & P. Q tor this reason Firepl/FacL Blt.-ICBO # � Fire Dampers ' - � pLUMBING '$_ �
� . ' ISSUANCE $
� Date • � ' owner - � . Heating System & Ducting Registers. . . � - � ' • ENERGV P.C. $, ' 1 -
� . PLAN CHECK 25%� $'
I hereby certify�'that I have reatl this application antl state that'the above. ❑0-t00,0006TU O100,0008T ` i ELECTRICAL�� ' GRADING �$� '
information is correct. I agree to comply with all city antl county ortlinances' ' ' $' - �� , „
antl state laws�relatin �to ing construction, antl hereby authorize repre- . � '. � � ' PLAN CHECK'�'50% $„ ' MICFOFILM' '$ � -'
Senta[ives of th� c t ent r upon the above-mentionetl p�operty;fo� • �' � . ' . ... � ' � �
inspect � 7 I� �6 � ' ' MECHANICAL $ TOTAL FEE . �$
Signature - � oate � - . � ' • � .. . . ,
i
�rivers' License or 5� ���' > � ' � Reinspeition Fee �� ''$�5 � � Issue Fea f �$• 3� PLAN CHECK 25% $
CMF OB65-46, rev. 10/84 White - Builtling; Canary - Applicanh, Pink - Accountln9; Goltlenrod - Assessor �
`�
��
- CONSTRUCTION AND PLANNING � . POOL & SPA - - � o'
APPROVALS Permit# Date ' Inspector � AppROVALS Permit# Date Inspeitor
. :� oi
1. �Temporary Electrical Service or Pole . 52. Pool & Equipment Location • �
2. Soil Pipe-Undrgrnd. �. 53. Steel Reinforcement . � '
3. Electrical Conduit Utility-Undrgmd. 54. Forms � - � � �,
� 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding . � �
5. Steel' Reinforcement � �� � , 56. Rough Plumbing & Pressure Test '�
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ��
� 7. Footings � ` - . 58. Electrical ConduiYUndrgrnd. . � . �.�
8. Foundation ' � • - � , 59. Gas Pipe, � Undrgmd., Test � � � �
��
9. Water Pipe-Und�grnd. 60. Backwash Lines; P,-Trap, O Undrgrnd. �
10. Structural Floor System 61. APPROVAL TO DECK . -
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � '
12. Sewer Cap � 63. Heater & Vent:Final ��
�
13. Roof Dreins- 64. Plumbing System - Fina� '
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 � -
Y�
20. Rough Factory Fireplace APPROVALS Permit # � �- '
27. Ducts, in Structure � 70. Underground Hydro � �
22: Ducts, Ventilating , . 71. Product Piping O Gas ❑ Oil � ,
23. Gas Pipe-Rough Fi, Test 72. Underground Flush
24. Roof Framing'- � ' � 73. Undergrnd.StorageTank OGas ❑Oil -
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �
27. Frame and Flashing � ' 76. Dry Standpipe �� ,;, �
28. Lathing & Siding � 77. FIXED SYSTEM FINAL ' �� -
i
29. Insulation � - 78, FIRE PREV. FINAL -
30. Drywall Nailing � � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' ' 79. FINAL INSPECTION '
32. Electrical PowerMeter-Final 80.. FOOD CERTIFICATE ISSUED - �
33. Final Electric Notes: � . � ' - `
34. Final Heating & Air Conditioning � . � ' � � � 'U- � ' ,
35. Final Gas Pipe-Test . . � '
36. Hood or Canopy
37: Final Factory Fireplace - .
-. -
38. Final Plumbing � . � ; ' �
a
39.'Water Service-Final � ��
40. Gas Service-Final � - '
41. Solar pomestic-Final - � �
i .
42. Backflow Preventer � � �.�• i" , � � . , ,
`
�43. Backflow Irrigation �� ``"; . � " � - � � - _
d.
•44.' .Landscape Irrigation System , � � �� ' � +., . , �
`45. Sound Attenuation . " � - ' ' ��
46� Hendicap Regulations � � � - �� � � '�'� -' Y
� .-r
^.� '.
47,FINALSTRUCTURE&BUILDING� ' (f,�7� �� � � ���t�� . � � _
48.*Special Requirements Completed _ ' - ' � ' . �'
�.�
49. Electric Release to Edison . � - i..
50.'Gas�Release to Southern California Gas Co „�, �
51. CERTIFICATE OF OCCUPANCY - ,
No. Date
,
OWNER BELL, R M. DATE 11-27-78 _. _
JOB ADDRESS 2964 Bimini PLace BUILDING PERMIT N0. 47�102''•�-
kPNo.��a_���i/iq LOT
INSPEC710N5
SOIL
GAS
W NTER
ROUGH PLUMBING
PROP. SWA. LINE �._�•HOUSE CON.
SPRINKLING SVSTEM
ROUGH NEPTING ANO PIR LONOITIONING
TErotPORARY SERVICE OR POLE
UN�ERGROUNO [] POWER �
ROUGM wIRING
TRENCNES Ili FORMS STEEL REINF.
FLOOR SYSTEM
BON� BE4nn [� STEEL AEINFORCE n
SNEaTHiuG
FRAME ANO FLASHING
LPTHING — IN '�� f
PLASTER.BaOWN COFi
HEATiNG, VENT., REFP
PLUMBING. F�NFL ANO
ELECTRIC. FINAI
RN� A.C.. FINRL
SUBCONTRACTOR
� �_�r��;�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] COSTA MESA. CALIFORNIA
fOR APPUCANT TO F/LL /N COMPLfTELY
TYPE OR PRINT
ADDRESS 2 60 Bimini Place
COSTA MESA, CALIFORNIA
OWNER Glenverde Homes�Inc.
MAIL BOX V7
ADDRE55
r-i-,- -j�..�..._.,� � _
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G� 6� � C ��'v ..e u/ 6_ !,.'i
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C�.. � �', CUU: �;- k;;::�ll
APPLICATION FOR PERMIT
BUILDING
�oR offic� usF oNcy
I NECEIPT NO. I PE
CITY �1b0a IS1and�C3lif. TN�r3-1�220 , B�;,oD1«
Macco Corp. ��",�0 98808
AD�LEGAL
NO.OF BLOGS.
� SETBACK LINE FROM
COSTA MESA, CALIFORNIA
APPROVED
ZONING
NO. OF USE OF
PLANS •G BWLDII
APPROVED
(CENTER LINE ST.1
I LEFT � I R�GHT � L. SIC
DESCRIPTION OF WORK
REAR
' I X II ALTERATION I II ADDITION I .
BUILDIN` � 0 ROOMS
SIZE .L
EXTERIOR WALy. IROOF
COVERING 9Tr11CC0 COVERING
� �%;� ��� �
I HEREBY qCKNOWLEOGE THqT I HAVE READ TNIS APP4CRTION
qrvn sTwTE THwT THE PBOVE i5 CORflECT ANU AGREE TO COM-
PLY WITH ALL CITY OFDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRIICTION.
NO.
u.e
THE AMOUNT BHOWN UNDEN VALUATION IS FOH THE
PURPOSE OF E9TN9LISHING A PERMIT FEE ONLT.
VALUATION
PERMIT FEE $ 3,� ^
�
$
/J/ ��/ PLAN CHECK $ �� �d
TOTAL FEE S S ar S �
S
., . __,, �
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 977 COBTA MEBA. CALIFORNIA
For Applicanf fo Fill In Complefely
TYPE OR PRINT
BUILDING � � �
ADDRESS� —'
_ COSTA MESA. CALIFORNIA
r mai�
■ SIZE
� 6EiBI�CK LINE FROM
TEL.
NO. OF BLDGB.
DESCRIPTIOPI OF WORK
NO. OF
WALL
�E� ��������
�r ��''-[7�U-�9-ta�
' Y ��Y�iY� ��f 9�.
APPLICATION��R�PERt�j�'fp� ���
BUILDING
For Offiee Use Only
ADDRESS � (p9 ,�-.�, � � /�
COSTA MESA. CALIFORNIA
FIRE
ZONE
LEOAL
NO. OF � I UB¢ OF N¢W h'lil
PLFN9 BUILDING �
� / S� ¢- / .5 3
�.. �
YARDS ' EVES
APPROVED ALLO
(CHNT2R LINE 8TJ __ „�
S� FT_�OO�
OI'
C/J
I HEREBV �CKNOWLEDGE THAT I XAVE RGAD TX�B APPL�GTION THE AMOUNT 6HOWN UNOER VALUATION 16 POR TXE
AND 9TATE THAT TH6 MBOVE 19 CORRECT AND AGREH TO COM- p{�qp09E OF, E6TABLIBHIN6 A PERMIT FEE ONLY.
PLY WITH ALL CITY ORUINANCEB AND 9TAT I.�W REOULATINO
BUILo1No CONe'�A17 on. � C' V LUATION � ��
�A17
� �
SIGNATURE OF �` ��� _� ��, PERMIT FEE N
PERMI7TE ,\ ��� �`� p
U �� S I� �.� t,/� PLAN CHECK $
AUTHORIZED AGENT �� � � z
TOTAL FEE �
LL