HomeMy WebLinkAbout2969 BIMINI PL - Building Permits�
(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
2969 BIMINI pL
13922305
ELECTRICAL PERMIT
Applicanr. CAMPBELL,DAVID B - -
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Address: 2969 BIMINI PL . . � � � � �-. �
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COSTA MESA; CA "� '
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Owner.'i CAMPBELL,DAVIDB.-'�-
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Address� , 2969 BIMINI PL" -
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COSTA MESA, CA
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�Contractor. - - '
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Phone:
Zip:
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714 557-5166 ' -� � � -
92626
ISSUED BY�.
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Status: ISSUED
Applied: 07/23/2004
Issued: 07/23/2004
Phone: 714 557-5166 �'��. . ;� t` - �
Zip: 92626 � Y � ��
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,.- , - -� ; SCOPE OP PERMIT ,< ,-,�:-, v ,:� . �
� �� ' . ELECT. FOR ABOVE GROUND SPA-SWIMMING FOOL/FENCING GUIDELINE GIVEN TO OWNER.-, �.,
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� � � � '�-FEE SUMMARY �
� . , 'Quantity'-:- . _ - _. . . ' � ' . - - -
� ISSUE FEE' �, ��, ' $23.50 ` ' "' " �Temp Dist System / Lighting
'. T�emp service test. ; $0.00 Busway_/100 k
�Res. a/c package � � $0.00 � Standing Sectlon -
New-Res,(1-2units)�, `,,���,, $0.00 . 0 MiscElectrioal:Equipment
New Res (3+uniGs) )�� �� $0.00 0 y.�\Transfortners up to 1 kva/kw
p � �" \�` �- $0.00 ' 0 ��' ...up to 10 kva/kw
Pool / S�a'� - �.�, y'.-=. :
Lighting,Fix4s ` - � \ $0.00 0 ,. ��;- �! r .: .......... :::up l0 50 kva/kw
. _
Recepf Outlets �. `,`$1:10 1 .:: ,�j=� , . .... ....:..up l0'�00 kva/kw ;
. , .- .:.... r
Switches �-, ��'�. ` ,-� ��$0.00 � - ,>0 •�'.. `� ,, = .....L........ :.over 100,kvz%liw%^
Non Res Appl C ��. ^ $0.00��� , � 0 � ' � ' „ 'L'ow Voltage Equipment � `
Res Appl � �� / ! $0.00 , 0 = � �-' � <Low Volt Wiring System / CkL
Service to 200a��>� �� $0,00 �0 � �.',� ` °Misa Condmt' " � � � /
Service to t000a �� `� $0.00 `r � 0 �._ � ' " ` c, Misc>Conductor�,-�/✓✓�"�
Service over 1000a `�� � ��$0 00 � 0 � - � -�� ` C c s � e r 'd %
Quantity �'�' � _ � � `
$0.00 0 / •-� � �,; :.
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$0.00 0:'• �; . �����% ,
`$0.00 Oj�`�� �.. - l�i i
$0.00 .0�� %�� � �,,��i �,
$0.00 j0� - � �
$0.00 // �p/ . � '' % i �%��
$0.00!�� 0 _ i„ �
�,� ,, __ .�-c,.,_ir u.(9 ��a.� e)
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Motorstolhp ��\�,, $0.00 �� � A _� - -Circus�(mech�rideorlights) - --$0.00
Motors to tOhp �, � $12.30 �� �� -��.'- 1 ;?� �' - Chdstmas Tree Stand A ���� ( $0.00
Molors to SOhp �., $0.00 . .� � 0 .' � - � '� � � �Fireworks Stand =� � �'�;; � $0.00
Motors to 100hp $0.00 0' '� �' Other Electncal�.Fee .-''�$0.00
Motors over 100hp $0.00 �- - 0 _ � � = � , ,'., �-� � �`�
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Communication dmps $0.00 � 0-. -. -_.. Inves[igation Fee� i� �0.00
Subpanelto200a $0.00 0���-���=-'o���Plan:Check-Fe��='` $0.00
Pole Light Pkg $0.00 0 ------.Reinspection'Fee $0.00
Sign Circuits $o.00 0
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 9248, § 1, 12-21-92)
EXPIRATION: This permit shall automatiCally expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 780 days.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, antl all
required inspeetlons and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this pertnit.
FOR INSPECTIONS CALL: (714) 7545626
2446-46 (NW)
!
WORKERS' COMPENSA710N DECLARATION: � . -- �
I �ereby aHirm untler penelry ot perjury one oi the tollowing tleclaratlons: . �
❑ I heve end will meintain a cenificete ot consent to self-Insura for workers' compensatlon, es provitletl for by sectlon 3700 of the Lebor Cotle, for the perfortnanca ot ihe
work tor which this pertnit is issued. .
❑ I heve antl wlll maintain workers' compensation insurance, as required by section 3700 of the Lebor Code, for the peAortnance of the work for which this perrnil is iseuetl.
My workers' compensetion Insurence certle� end policy number ere:
Carrier. Policy Number:
(lhis sectlon need not be completed ll the permit Is valued et one hundred dollers ($100) or less.)
❑ I ceniy Ihat in Ihe pertormenca o� the work for which this permit is issued, I shall not employ any person in any manner so es to become subject to the workere'
compensatlon laws of Celtlornia, antl agrae Ihet if I shoultl becoma sub�ect to the workers' compensatlon provisions oi Sectlon 3700 of the Lebor Cotle, I shell forihwith
comply with these provisions.
Applicant Signature: Date:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIqJ COVERAOE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
T1KKISAND DOLURE ($100,000), IN ADDRIIXJ TO THE WST OF COMPENSAiION, OAMAGES AS PFOVIDED FOR IN SECTION 3]O60F THE LABOR CODE, IMEREST, AND ATTORNE`fS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eRirm Ihat I am licensed untler provisions ot Chapter 9(commencing with Section 7000) of �ivision 3 of Ihe Business and Pmfessions Code, and my license is in iWl
torce end eflect. lic. a Class #
Contrector's Signeture: Date:
CONS7RUC710N LENDING AGENCV:
❑ I herehy effirtn that there is a construction lentling agency for the performance oi Ihe work for which Ihis pertnit is issued. (Sec. 3097, Civil Code).
Lenders Neme: Lenders Address:
Signature: Date:
OWNER•BUILDER DECLARATIONS:
I hereby eNirm thal under penelry ot perjury thet I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Profeulons
Cotle: Any ciry or county which requires e Dermit to consiruct, alter, Improve, demolish, or repair any siruclure, prior to its issuance, elso requires the aDGlicant tor such pertnit
to ille e signetl stetement thet he or she is Ilcensetl pursuen� to the provisions of the Contractors license Lew (Chapter 9(commencing with Sedlon 7000) ot Dlvision 3 of ihe
Business end Professions Code) or thet he or sha is exempt iherefrom and the basis for the allege0 exemption. Any violation of Section 7031.5 by any epplicant for e pertnit
sy�b�cts the applicant to e�ciJil penaly oi nat more than tive hundred dollers ($500).):
�t• iti,:,
�� I, as owner ot ihe pmperty,;or� my employees with weges es their sole compensation, WILL DO THE WORK, and the siructure Is not Intended or oHered tor sele (Sec.
7044, Business and Protessions Code: The Gontractors License Law tloes not apply to en owner oF p�operry who builds or improves Ihereon, and who tloes such work
himsetl or herselt or through his or her own employees, provided Ihet such improvemenis ere not Intendetl or oNered for sele. If, however, the builtling or improvement is
sold within one year oi.completion, ihe owner-builder will have the burden of proving that he or she did not build or improve for purpose oi sele.). '
<.
❑ I, es owner ot the properry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prolact (Sec. 7044, Busineu and Professions
Code: The comractors License Lew does not apply to an owner of property who builds or Improves Ihereon, and who contrac�s tor such pro�ect with a coniracbr(s)
. license pureuaPt to the Contrectors License Laws.).
sec.
ID venfied by drivers license.
Vedfiwtlon oi Ownership by (type ot
Business and Professions Code for this reason:
� ❑ No
i.e. - property tax bill or
DIVISION OF INDUS7RIAL SIIFE7Y PERMIT CER7IFICATION:
No.
❑ I hereby certity Ihat no ezcavation tive (5) or more teet in depih into which a parson is requiretl to descend, will be made in connection wi�h work authonzed by this
pertnit, and ihat no building structura, scaHolding, talsework, or demolition or dismantling thereof, will be more than ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Celifomia Atlministrative Code).
❑ As owner-builder, I will not employ anyone to tlo work which would raquire a pertnit from Me Division ot Industnal Salety, es notetl above, unless such person has a
permit to do such work from the division.
SignaNre: Date:
Division of Indusinal Safery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AU7}fORIZATION OF EMAY: I certity under penalry of perjury that I have reatl this application antl state that the informetion given is
correct I a ree to comply wlih all stete laws and city ordinances releting to buiiding consWction, antl authonze representatives of the Ciry of Coste Mesa to entar upon ihe
abov– nbed prop o i pection puryoses. I egree not to occupy or allow occupancy ot any buildin authonzed by Ihis pe ' until final inspec�ion.
�: �� 7 ? 2F
Signature Of Legal Owner(s) �''�— �� Date
And/Or Authonzed Applicant
GOOE r, INSPECTIONTYPE Q(�� INfIfIRLS
1616 Fixetl Sysiem Final Fire Prevention
1268
200
201
202
203
Pool Spa Finai
Final Re-Root
Final Block/Retaining Wall
Final Factory Fire Place
Final Sign
204 Final Demolition
COOE I INSPECTION TYPE
206 Final Mechanical
208 Finel Plumbing
210 Finel Eleciricel
212 Finel Fire Preventian
220 FinalPlanning Approval
222 Finel Site
250 Final Building/Occupancy
PATE INTIfI�LS
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APPROVEll
CITY OF COSTA MESA
PLANNING DIVISION
SUB)ECT TO BLDG. DEPT. REG.
NOTE: ADDITIONS, DELETIONS,
--OR�AI�REE
APPROVED BY THE PLANNING DI'�!
BY: ����/�?�DATF.•�/��
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PHOJECT p00PE$5: Z y 6 9 B ZM INI PL
OWNEfl'SNRME: DE SHOIJG, cRANK T
aooness: SLANEY NOBiLA
2969 B'IMINI PL
COSTA MESA,CA
596-3U82
� AflCHIENCMEEB:
FOOflESS:
UNIT:
92626
PEC.NO.:
UNIT:
PEflMITTEE: S G S HF.ATING & AIP. COND ( 714 ) 837-2000
nooness: 273?q CAMINOR CAPISTRANO 157
LAGUNA NIGUEL CA 92677
LICENSEU CONTBACT�N OECL48ATION: I hereby aHirm t�at I am licensetl untler pwvisions ol Chapter 9(commencing wit� Section
7000� o� �irsion 3 o�ihe Business antl Pmfessions Code, anA my license is in fullforce antl eflec�.
ciTruc.:02775A srarEuc.:393818 1 cuss: C—�0
Daie: � L- t 4 - 4 � Signaiure: ��. ....¢, �—
WONREBS' COMPENSA710N OECIAPFTION: I hereby allirm ihat I have a certificate of consen� lo selbinsure or a cenificate of Workers'
Compensa�ion �i sr�c� plr a��a�e� r�� �qereo� (Section 3000. Lab. �1�1 / O S/ J 3
POLICY NO.: �� E%P. OATE:
COMPANY: C_NA
❑ Cetlilietl copy is �ereby Wrnishetl. � Cenilied copy is file0 w.pit.�� the city B�uiltling Division.
Dale: � �- - � - 5 L APPlicanL 'd" `^"" /� ��
E7(EMPTION FBOM WOPKEflS' COMPENSATION OECLAflATION: (This seclion neetl no� be comple�etl iI �he Dermil is Iorone hunAreO (5100) or less�.
1 certify ihat in ihe pedormance ol Ihe work lor which ihis permil is issuetl, I shall nol employ any Derson in any manner so as �o become
subiecl to ihe workers' Comoensation Laws of California.
Oate: Signamre:
NO710E: If. after making �his tleclaration, you shoultl become suble�� �o ihe Workers' ComDensalion Drovisions ol t�e Labor
Cade. you mus� forthwil� comply with suc� pmvisions or this permit shall be Oeemea revoke0.
CONSTfl11LTI0N 1EN01NG ACENCY: I hereby aliirm I�a� there is a cans�mc�ion lentling agency �or the pertormance ol Ihe work �or
whicll Ihis permii i5 i55ueU (SeClion 3097. Civ. C).
LENOEH:
AODflESS:
OWNEfl BUILDEfl DECIAflRTION: I here�y a�firm �ha� I am exempt Imm the Comramars' Slate License Law br the /ollovnng reason
(Section 7031.5 Business and Professional Code: Any city of county which requiBs a permit to consimct, alter, imD�ove, demolish, or
repair any Slmcture. prior to its rs5uance, also requires Ille applicant �or such permil �o file a signetl Sla�ement �hai �e/she is licensetl
pursuam to the provisons oi Ihe Coniraqors' State License Law (C�apter 9(commencing wit� Section 7000) of Oivision 3 of the Business
antl Pmfessions Caae� or ihat he/she is exempl Iheretmm an0 Ihe basis lor �he alleged exemption. Any viola�ion oi Sec�ion 7031.5 by
any applicantfor a permit suUiects ihe apvlicanllo a civil penalty of not more ihan five huntlretl tlollars (55001.
❑ I. as owner oi ihe v�oDerty or my employees with wages as t�eir sote compensation. will do ihe work, antl the
simcture is not imentlea or ofleretl lor sale (Section 70a4, Busness and Pmfessional CoOe: The ContractoK State License Law
Ooes no� apDry �o an owner ol a property who builtls ar impmves �hereon, and who does such work himsell/Aersel� or �hmugh
� his or her own employees, Dmvide0 ��at such improvements are no� inlentletl or oilere0 for sale. I�, however Ihe builtling or
improvemenl is soltl within one year of completioq t�e owner wilt �ave the bur0en of proving he/s�e ditl not builtl or impmve
far Ihe purpose al sale).
I. as ownero� the property, am exclusively confracting wi�h licensetl coniractors to con5tmcl th¢ pmlect (Seclion 7U44, Business
❑ and Pwlessions CoOe: The Coniraclors' Siale License I aw tloes no� appty ro an owner oi pmpetly whu bwlds or impmves Ihereon
antl who conVatls �ar 5uc� Omlec�s wilh a contractor�s) license pur5uani Io Ihe Coniraclo�s' S�ate License Law�. I am aware
Ihai pmal al �heir WOBer's Compensalion insurance should he D�ovide0 �o me.
� I am e�empt untler Section: B. 8 P. C.
lor ihis reason:
Dale: Owner
I Do hereby cenify �hat I am aware oi antl untlerstantl Ne requiremen�s of Cali�amia Heal�h and Salety Code Sec�ions 25505. 25533, antl
25534 anOlha� I or any �uWre buiiding occupan� willlwill nal (circle ane) neetl to comply wilh saitl sia�e codes an4 ihe requiremen�s for a
permii for cansVuction ar moeiticalion Imm ��e Air Ouali�y Managemenl �istrict. FesiAen�ial constmction applitations are exemp� Imm
�he5e pwvisi0n5.
�ale: ApplicanC
I hereby cerlilytha� I have read Ihis aDP�ica�ion and s�ale that�he above iniarmalionis correc�. I agree to comply with all city an0 counry
ortlmances an0 51aie laws rela�ing �a builtling cons�mction ana here�y auihorize represenlalives o� Ihis ciry to en�e� upon the above�mentionetl
pmDehy lar inspeclion purposes. 1 n
oa�e: �'t - L4 - 5 � Signature: � M1�'�-^�--
Oriver's I iranse nr Snciai Scrurim a�
16ALn6 White-Builaing; Green-Cotle Enbrcemeni; Canary-Applicanp Rnk-Revenue; GaltlenroE-Assessor
CITY OF COSTA MESA — BIIILDING PERNiIT PEkM t�0: M 060993
PERMIT NO: M 050493 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTkUCTION TYPE; V—N PERN,IT TYPE; MEC ' PURPOSE: OTH
,70B DESCRIPTION : REPLACE EXISTING FURNACE S(� FT:
CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 /
COMMENTS; NO OTHER WORK AUTHORI2ED BY THIS PERMIT
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Z O N I N GS ERTEBQAUCjxRSE M E A1 T S
------------ MAIN BU.ILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR� FT IN FRNT: FT IN REAFt; �T IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGH?: FT IN
PARKING RE • PROV; PARCEL: 13922305 7.NE; REF NO;
PLANNING N TES�
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D E V E L O P M E N T S E}2,°u I C E S R E Q U I R E M E N T 5
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ZONING APPROVED HY "% DATE:
HUILDING APPROVED BY : � DATE;
APPLICATION ISSUED BY: ��} S—�' DAT'E: �Z 'Z`�l �t�-
if9fifiE7fiEjF3F3Eif�3faf�lfiEiEjFffifiFifiE3f3FlFiiiFiF3fiF3F7F#1i3F7F�f7FiF3FiF�F�F3Fif3F�F i'e�FiFiF�3F3T'£3'riFiFihiFiE?FiF3(�3fiEaF� � �£if3F
aE �E if if iE 1f if iE iF iF jb jf iE if iF iE if #� iE�E if iE if iE aE �F iE iF if iE �E iE jF iE if 3E iF iF 1F if )f 1f if 3E �f iE If i!!f iF iE jE if if it iE jF iF if 1E 1E 3F fE iF 3F if if iF jf #E if �(-+F If iE iE iE 1E iF
LEGALIZATION;N F E E S U M N, A R Y STRUCTURAL SnGNiENT;N
BLDG PN.T PLUMBING ELECTRIC MECHANIC FIRE SN,IP/RE5 GRADING
PERMIT 9252 SMIP/NO�1—RES
P I,AN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOiAL PAID DUE
TOTALS----> 9,00 1,5,00 0,00 25,00 29,00 .�0
REVENUE DIVZSION TOTAL�--> COLLECTED: 24,00 OVEk/SHORT: ,00
ELDG PMT PLUN,BTNG ELECT'RIC MECHANIC FTRE SMIP/TOT 'GRADSNG PLAN—CHECK
29.00
iF iE �f �1F ff if iF iE iE if iE ib aE?E if if # if iF jE iE iE1E 3F if if iF 1E IF IE If iF iF if ik iF 9f 1E id if 1E ik if 3F iF 3F dE �7F iEif iE aF-1f iE af df if af if �f if iE �k 3h iF N-iE 1e iE aE �k �E 3e 1'r iF k 3F 1P 1f
Z N D I V I D U A L F E E H R E A R D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
MEC 1 INST FORC—AIR/GRAV FURN t= 100 K BTII 9,00 9.00
END OF rEES r—.
n, L _ _ .,-_
CONSTEUCTION AND,PLANNING - . � ,. � POOL & SPA , - -
APPROVA4S Permit #--r �- Date Inspector qppROVALS Permit # Date inspector
1. Tempor0ry Electrical Service or Pole , - 52. �Pbol & Equipment Location • � �
2. Soil Pipe-Undrgrnd. . �' . ��53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrntl. � . 54. �Forms .
4. Electrical Conduit-Undrgmd. '' 55. Electrical Bonding
5. Steel Reinforcement .. ' ' �.� 56. Rough Plumbing & Pressure�Test
6. Electrical UFER Gmd. . - � 57. APPROVAL TO COVER-GUNITE
7. Footings � 58. E�ectricat Conduit-Undrgrnd.
8. Foundation - 59. 'Gas Pipe, Q Uodrgrnd., Test _
9. Water Pipe-Undrgrnd. - �^ • - 60. Backwash Lines, P�Trap,-C7 Undrgrnd,.
10. Svuctural Floor System ' � � 61. APPROVAL 7'O DECK .
11. Property Sewer Line &.House Connection 62. Backwash & fleceptor�Final
72. Sewer Cap ." -'7 -, 63. Heater & Vent�Final �
13. Roof Drains , ; ' 64. Plu'mbing System - Final �
14. Rough Plumbing i � � 65. Electricai�Final �
15. Rough Electrical�Conduit ' 66. Solar System-Final
i6. Rough Electric Wiring 67.-Fencing & Access Approval
17. Rough Wiring Sign - 68. APPROVED FOR PLAS7ERING
78. Rough Electrical�T Bar Ceiling �� 69. POOL/SPA SYSTEMS FINAL
t9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Pirepiace � APPROVALS Permit #
21. �uctt, in 5tructure 70. Underground Hydro
22. DuMs, Ventilating � �77. Product Piping � Gas � Oil
23. Gas Pipe�Rough & Test � 72. Underground Flush
24. Roof Framing 73. Under9rnd. Storage Tank � Gas ❑ Oil
25. Roof Sfieathing - 74.�Overhead Hydro
26. T�Bar Geilin9 {Structurafl & Monocoat � 75. Dry Chemical �
27. Frame and Flashing ' � 76. Dry Standpipe
28. Lathinq & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINA�
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brow'n Coat 79. FINAL INSPECTION
�
32. Electrical Power Meter�Finai ; 80. FOOD CERTIFICATE ISSUED
i
33. Final Electric , Notes:
34. Final Heating & Air Conditioning !rY%93 �D
35. Final Gas PiPe-Test � ,
36. Hood or Canopy �
37. Final Factory Fireplace �
38. Final Plum6ing . �
- 39. Water Service-Final '
40. Gas Service-Final . �
41. Solar pomesticFinal -
42. Backflow Preventer � � r
43. Backflow Irrigation
44. Landscape Irriqation System - � .
, 45'. Sound Attenuation - � � .
46; Handicap Regulations � -
47: FINALS7RUCTURE&BUILDING
48. fINALPLANNING �
� 49; Elearic Release to Edison � '
50�. Gas Release to Southern Calitorn�ia Gas Co �� '
51'. CERTIFICATE OF OCCUPANCY _
No. Date
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�291,0.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTq MESA. CALIFORNIA 92626
P�'� s�.oc
APR-1-71cnsa�0 006# ***�
. APPLICATION FOR BUILDING PERMIT
' Fo� Applicant to Fill in Completely
RECEIVED B D TE RECEIVED DA E ISSUED
BUIIDING� Q/'(� , / ^ J �/ �'
ADDRESS• / (`J / y� �
J3 � )�� O�i PERMIT NO:
OWNER IJG (,� A.P. NO ul /�
ADDRE55 � ��J' � %/3ij'y P � AD'DRE S � % (p ✓�i
CITY L� •7-,a /��Q /+� NOL7��333� TRACT `1(�7 LOT�/�t� BLOCK
CONSTRUCTION ' EW AD A R P
IENDEfi
BRANCH
OWNER
ADDRESS ' ' - VALUE /f�+M' /'✓
ARCHITECT TEL. ' S . $ /`� "•
OR ENGINEEF N . Fj �
ADDRESS ZOWE TVPE� GROUP l
�APPROVED J i� � /
CONTRACTOR � / " BV ATE / % /
ADDRESS'� /� '/h � / - P� Z NO.OF � USE OF
CITY �pj� �i7y � NpL���3��� '�/ PLAf�S� BUILDI
STATE - CITV �'ARDSAPPROVED VARDS APPROVEO
LIC.NO. � LIC.NO. MAIN BUILDING ACCESSORV BUILDING
512E /� NO.OF BIDGS. ST
OF LOT (/ Q� NOW ON LOT FT.
USE OF
EXI5TING BIDG. � S FT.
SIZE OF 2p' � za NO.OF
NEW BLDG. ROOMS STORIES l.. SIDE FT. FT.
EXTERIOR WALL ROOF
COVERING COVERING� ' C/� flEAR FT. FT.
USE OF BUILDING AND WQqK TO BE PERFORMED DI5TANCE BET. BET. MAIN &
MAIN BLDCS. ACCESS. BLOGS.
�/-. m�L � GD� C VRP � APPROVED
APPROVED
I hereby acknowletlBe that I have reatl thiz application and state
that 2he above information is correct and agree to comply with
all laws regulating builtling consttuction, antl I shall not employ -
any person in violation of the workman's compensation laws of
the Stete ot Calitornia. . � � /� '
I hereby certify that I am prOperly licensetl as a contractor untler ` SQ. FT.
the State of California BusinBss antl Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapier 9, antl that such licenses are.i tull force antl effect, or I ' THE PUR�OSE OF ESTABLISHING A PERMIT FEE ONLV:
am enempt from th provisions of th tate of California Business VALUATION
and Professions Co Division 3, C pier 9. $�� �`
/ PERMIT FEE
Signature of , � ,/ . � /'^�
Permittee tti`��T� �-^�1 $ PLAN CHECK $/ � �^
Authorizetl Agent � �SGD� �
TOTAL FEE $ S��
OWNER INGRAM Don DATE 4_1-71
JOB ADDRESS 29 9 Bimini Place _ BUI�DING PERMIT_N
VCKHL I.VIV I RNI.I VR VW13Gl�D1LL1 • VCJI.RIr I IVIY u
No.139—`223-05 LOT � TRACT FIRE ZONE . VALUE
)UP l, TYPE
SUBCONTRACTOR
GAS
WATER
ROUGH PLUMBING
PROP. SWR.,,LINE Q HOUSE CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNOERGROUND � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL RE
FLOOR SYSTEM
BOND BEAM STEEL FEINFO E
SHEATHING L �
FRAME AN� FLASHIN �
LATHING - IN ❑T iJ�l
�� ��'9���m
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA. CALIFORNIA
FOR APPUCANT TO f/LL /N COMPLETELY
TYPE OR PRINT
BUILDING 2969 Bimini Place
ADDRE55
COSTA MESA, CALIFORNIA
OWNER Glernerde Homes;Inc. �
MAIL yvX 65
ennwwcc
� ARCH ITECT
ADDRESS
Macco CorporatioriSTATE988o8
CONTRACTOR IC.NO.
ADORE55 Box 65,Balboa Island�Calif.
LEGAL ILOT I I �
DESCRIPTION No. 166 gLOCK TRACT
7000 I NOW ON LOTS O
USE OF
EXISTING BLDG.
SETaqCN 4NE FFOM O
CENTER OF STHEET O REAR YARD �
SIOE YARO ILEFT � IRIGHT S
ON OF WORK'
� NEW I x
15IZ'EDING 1525/41�o ROOMS U STORIES
s USE OF BUILDING AND
1 HEREBY pCKNOWLEGGE THRT I HAVE FEAO THIS APPLICATION
AND STATE THAT THE ABOVE IS COFRECT ANO RGREE TO COM-
pLY WITH ALL CITY OROINANCES AND STATE LAWS flEGULqTING
BUILOING CONSTfl�U(C�TIOy+N�.�iy �/j7'���`
51 ATURE F/ ",••••Y'�"'"�'�' HOI� S� INC•
�
r,—y!� rr.,aT �:—.�;, 1
b �w �•��r�bY / Yla.'
C �,G� i�- d 7—j�
F�i«�r:CE GEwi.
Icy n�' �; ,
L:, l: �v;.. �.^ �51
APPLICATION FOR PERMIT
BUILDING
Fo,e offreF usE oa�y
I RECEIPT NO. I AHE
�
COSTA MESA. CALIFORNIA
FIRE
ZONE
APPROVED
BY
ZONING
ZONE —. I NO. OF I USE OF
PLANS BUILOII
APPROVED! . � h
LINE
n.�
na
THE AMOUNT SHOWN UNOER VALVATION 19 FOR THE
Pl1FPO5E OF ESTRBLI6HING A PEFMIT FEE ONLY.
VALUATION y
/, PERMITFEE $ -�J .�
$ /`�J � " / � PLAN CHEGK S /� ��
TOTAL FEE $ ./ 02 �
CITY OF COSTA MESA PLANNING DEPARTMENT
A. P. No. 14 _ 9_05
Bldg. Permit No. y�� /�_
�
`�::i��t�...*'�r
�� .
NPR-1-7i��5�O0 007 �**�*25.06
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 2969 BIMINI PLACE� COSTA MESA, CALIF.
Owner's Name Don Ingram
Bachelor or 1- Bedroom Units
2 - Bedroom Units
3 - Bedroom Units
4 - Bedroom Units
5 - or more Units
Total ninnber of Dwelling Units
@ Szs.oO = $25.00
@ $40.00 =
@ $55.00 =
@ $70.00 =
@ $75.00 =
Total Fee
Planning Department Approval Date __ P�rk Area No. �Z
/ /
By W.L.D. dVg �Applicant's Signature �( i,..-_/�
i�
$25.00
CITY OF COSTA MESA PLANNING DEPARTMENT
A. P. No. �?n_.?23-�Ei
Bldg. Permit No. L�i J�'j�
`T
PARK AND RECREATIONAL FEES -
rnrn �*,r��
APR -1-71cnsa0O oo7R� 25.00
Apartment Developments
Fee Payment Receipt
Project Address 2969 BIFtINI PLACE. COSTA idESA, CALIf.
Owner's Name Don Ynql'am
Bachelor or 1- Bedroom Units � @$25.00 =,°�;!'j,ti�
2 - Bedroom Units @ $40.00 =
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
5 - or more Units @ $75.00 =
Total Fee
Total number of Dwelling Units i
Planning Department Approval Date 4-�-�� E rk Area No. )2
/ / , �
By ti.�.C. dV9 Applicant's Signature li �„
;'S.QO