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HomeMy WebLinkAbout203 VIRGINIA PL - Building Permits • 400 CITY OF COSTA MESA ? , 9 BUILDING DIVISION FN, t� 77 FAIR DRIVE,COSTA MESA, CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.c .us ,� FOR INSPECTIONS CALL: (714)754-5626, %300.09 PERMIT NUMBER. E07-00876 PERMIT TYPE ELEC STATUS: ISSUED DATE ISSUED: 10/25/2007 • - ISSUED BY: RMD • JOB ADDRESS: 203 VIRGINIA PL CM Suite/Unit ` • Vicinity: SIDEWALK SCOPE OF WORK: INSTALLATION'OF A NEW;100A PEDESTAL METER ON SIDEWALK Lr OWNER: CITY OF COSTA.MESA, Address: Unit - PHONE: r- City/State/Zip: 1 APPLICANT: WILLIS,JANAE M..l• s • Address - .. Unit .. , - PHONE: 909-933-9345 _ _ City/Stale/alp: - CONTRACTOR: VCI TELECOM _ License No. 765716 _ Address: 1921 W,11TH STUnit PHONE:-- 909-946-0905 - 3 . . City/State: UPLAND,CA • ZipCode 91786': • • ELECTRICAL PERMIT FEES • Electrical Plan Check Fee'',, $0:00 Electrical Permit Fee: '$54.00 Reinspection Fee $0.00 TOTAL FEES . • • • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work.must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE S. INSPECTION IPE DATE INITALS CODE t INSPECTION TYPE , DATE INI1TIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof - 210 Final Electrical j �- 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 WORKERS'COMPENSATION DECLARATION Owner ID verified by driver's e. ❑Yes 0 Ns I hereby a01rm under'penalty of perjury one of the following declarations: Driver's License No. Expires: O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill dr deed): compensation, as provided for by section 3700 of the Labor Code, for the . performance of the work for which this permit is issued. . • • AD 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: • permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: / "� person is required to descend,will be made in connection with work authorized /h f n/ p/ /J7� /h/y'C !r n�C', co- by this permit,and that no building structure,scaffdding,falsework,a demolition Cartier: (// �!, /'�—C cam( Y 7J or dismantlingthereof,will be more than thirty-six (This section need not be completed rite permit is valued at one hundre dollars($100)or less) (36)feel high.(Chap.3.2,Grp ,l C--� 2,Art 2,Sec.341,Title 8,California Administrative Code). Policy Number: /Z( .0C/iS ,Jnal OO 0 As owner-builder, I will not employ anyone to do work which would O I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should beco - subject to the workers'compensation provisions of Section 3700 of t Code, I shall forthwith comply with these provisions. Applicant's Signature Date di + 7 / 0� /��rJ7 /�D�7 Division of Industrial Safety Permit Number: Appucam's Signature Date `-( / HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? El Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. /,^ a registration form for acutely hazardous materials? ❑Yes ❑ No Lic.# 57// (-.Q- Class# s- 6' TIC (Section 25533 of the Califomia 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 Con actors SignatureDa 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work fa which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑ No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No 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 (Section 65850.2 of the California Government Code requires that the requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the infformation be furnished on applications fa non-residential building permits). Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree'to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. - ' LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date , property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that DI I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described' property for • inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature of Legal Owner(s) e Signature Dale /X(!- , /0(02(1/07 3057-46(3/07) • And/or Authonzed Applicant ie • CITY OF COSTA MESA CALIFORNIA P.O. BOX 317 From the Office of the Planning Department August 7; 1962 W. Harry Estus 2220 Orange Ave. Costa Mesa, California Dear Sir:; ' The City of Costa Mesa wishes to advise you that in revising street addresses, the numbers listed below were changed: Old Address New Address Al* See Below 203 Virginia 21. (Unit #1) 2220 Orange Ave. 203 Virginia Pla. (Unit #2): For your convenience we are listing the agencies below that we will notify of this change. In addition to those listed, you may desire to notify your correspondents of the change. Your cooperation in this matter is appreciated. Very truly yours, W. L. Dunn, Director of Planning By: Dave Leighton, DL:rlb Planning Technician cc: Southern California Edison Company Southern Counties Gas Company. Costa Mesa County Water District 4 Pacific Telephone Company U. S. Post Office County Clerk (4) • Public Works Department Engineering Department Building Safety File Street u 2220 Orange Ave., will remain the same, but the change will be the 2 units to the rear. , , . -- ;- _ f . . .- COUNTY OF DEPT, �� ` /_Q BUILDING DEPT. • Permit No J ( 636 No- Broadway • Application for Building Permit Santa Ana, California Phone: KI 2-6211 AND FOR A • • • Certificate of Use and Occupancy '+-' Date 1. Beacon. 1. OWNER'S NAME Roy_W- _Rouen _ . . PHONE- 52.75.-M MAILING ADDRESS 2220 Orange_Ave ,, c CITY.__-Cos-ta._Mesa Name None 1A Name 4 Owner •.1 • • (Architect or Engineer�•e•.1- •©ice ' . •' 1 L.: . \ (Contractor) • Address `� r Address ~ - 1 i>, I . City _ City • i t State r 1 , State Ic,e • Lic. No. _ Phone 07 Lic.: No. Phone PROPOSED USE: Garage , d pV t)0 4 y , ,. 2. JOB LOCATION 11 y .-Co&,la •Mesa :,,;:c - - - -- - 4, _- 4orange Aye. , _-,_,'__, (House No.) (Name of Street) _1 V (Town or School District).r • 3. LEGAL DESCRIPTION: Lot see attached SftLt - • Tract (Metes and Bouhds Description—Use reserse side of form) l I ' % -moi • 4. CORNER LOT ( ) INTERIOR COT ( i,k" ) THROUGH LOT ( ) SLOPE OFiLOT ( Leyel 5. SIZE OF BLDG.: 20 X 20 AREA•4 400 it --.SIZE1OF LOT: 135 X 137- AREA: 18 ,495 6. HEIGHT OF BLDG.: - • - 101 CEILING HEIGHT: J 1 Q�y- - NO. OA STORIES One 7. NO. FAMILIES Size of Smallest Bedroom:'i? izt 1a Size of Kitchen:' �"jvti ASC• ) ', u 8. EXTERIOR WALL CONSTRUCTION-I Stuecd: INTERIOR WALL COVERING none ' F '(Frame, Stucco, Etc.) ` t r Lk'' ,� (Plaster-Drywall, Etc.) 9. SETBACKS: Front Yard from Center Leine-of Street 75' tp- - . - - • - - A - - o' + I NearesttiSide Yard -W` Rear Yard Distance in Feet Between Bldgs. on Same Lot 361 M I 4 10. A COMPLETE PLOT PLAN IS REQUIRED,-CSHOWINGsALUSTRUCTURES AND USE,OF, EACH. II. For (a) Footing: Width Depth,:in Ground Width of Wall 6 ._ Accessory Bldgs. and let er Similar (b) Size of Studs: __ Spacing /-17 "CC Material of Floor Structures: / ' • (c) Size of Floor Joists-.__-t/--(G� '' Spacing _-._.___/_G "CC . h C� I (d) Size of Rafters: I ` Spacing ._____07 "CC 12. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, .heating, fire sprinklers, paint- ing and sewage,disposal $ 2-S-0• ) 13. t I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN - THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. M0 s E1 Signed- 4,e,,------��-'/„ - 2 / Q t/' (Owner)✓1- ner) (? Plans Filed- " Br M (Authorized Agent) FOR DEPARTMENTAL USE ONLY FEES: /J • CH CK-ING BY Bldg. Permit j� .9-70 GROUP APPLICATIONAP: ' HE1:L Plan Check - • $ # 1O TYPE ZONING FIR Total - - - $ �' S' b MAP -4 PLANS AN Paid tot No. - Q SPEC'E ETATE I NGIN Paid to - - _ -- SHEET NO � CORRECTIONS ENGINEER Date //__/.3 L- I VERIFIED CAL PERMIT U:g �� COUNTY EU LD'NG // �. ,�;; ANOHUE iNSP__;TOR DATE ' V50 _ ..EFsviY 5M-7-50 `y^rly METES AND BOUNDS DESCRIP, ,N: - N. v'9 IR 44 Ct C9-ii • 1.0 . 210 Is RL 310 ` I 40 510 610 -■ ■■■■ ■. ■ - '� 'a= ■■S ■■ ■ ■ ■■rnM■■■■■■■■. _ . ■ ■■■■■■■°■.1■■•■ X- ILIMMO■.■°■■°■■ ■■°■■■■■.■.■■■■■■ nM 7mM Un ■■ • s�'�r]sia`im .ar! A . . msna■■■■■■.■■■ ■■■■■■ ■■■■■■ n_ In_ •ni6°77°°°�'u■IiC■11suii° XIXXi s6 66666116X66°C■ I_ C'_ : COUNTY OF ORANGE BUILDING DEPT. Permit No �� Qr r 636 No. Broadway Application for Building Permit Santa Ana, California Phone: KI 2-6211 AND FOR A Certificate of Use and Occupancy Date . I. OWNER'S NAME Roy 1,7 , Roush. PHONE: MAILING ADDRESS 2220 Orange__-Ave; CITY Cos.ta-_Me.aa___-_____._.___-__-__ Name None Name Owner ' (Architect or Engineer) (Contractor) Address - Address City _- City • State State . Lic. No. - Phone /.Lic. No.a Phone PROPOSED USE: Dwelling, One family ( ',614,caro---,-)4CLIAC ) 2. JOB LOCATION_1.212 D nOrange Ave , i Costa Mesa • (House No.) (Name of Street) / (Town'or School District) 3. LEGAL DESCRIPTION: Lot See attached shtk Tract (Metes and Bounds Description—Use reserse side of form) 4. CORNER LOT ( ) INTERIOR LOT ( X ) THROUGH LOT ( ) SLOPE OF LOT (Level 5. SIZE OF BLDG 28 X 34 AREA• 95� SIZE OF LOT• 135 X 37 AREA: 18 ,495 ❑ 6. HEIGHT OF BLDG • .1 5 t CEILING HEIGHT 8' NO. OF STORIES One 7. ,_ NO. FAMILIES One Size of Smallest Bedroom- 10 X 12 Size of Kitchen: 9' X 10' 8. EXTERIOR WALL CONSTRUCTION• Stucco INTERIOR WALL COVERING Plaster (Frame, Stucco, Etc.) (Plaster-Drywall, Etc.) 9. SETBACKS: Pront/Yard from Center Line of Street 50 t - - -- Nearest Side Yard. Mil Rear Yard_-LOO t Distance in Feet Between Bldgs. on Same Lot_25 t 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 11. For (a) Footing: Width / ti Depth in Ground _. -. Width of Wall Accessory �j x / , .Bldgs. and (b) Size of Studs: v, ` � Spacing 1 ' "CC Material of Floor _-_ Similar Structures: h ���n�,I� // • (c) Size of Floor Joists: `X .__._}sfSpaeing .._..-/4..S._r,_.._-...___"CC (d) Size of Rafters: _2l--' /.Spacing �!r "CC • 12. VALUATION OF PROPOSED WORK: I clud�g all labor, plumbing, electrical wiring, heating, fire sprinklers, paint- ' ing and sewage disposal $ / ; --or 13. I HEREBY, CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALLAH LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA� � APPLICABLE THERETO. al �O Signed:--------{v'b't/""` u-'t`'=""V`i ' (Owner) Plans Filed• CI By• • (Authorized Agent) -. FOR DEPARTMENTAL USE ONLY . - • FEES: CHECKING BY 'U GROUP__. APPLICATIO 9 HEALTH Bldg. Permit - $ /� Plan Check $ /1 D C) TYPE ZONING MARSHAL______._-__-___ J Total - $ j re) DIST. ?— y PLANS A• ii Receipt No. - - nig/_ MAP • SPEC'S STATE Paid to SHEET NO CORRECTIONS ENGINEER • Date J7 I.3`_ VERIFIED CAL _ . t .( _ • LD)NC1 PER T,,AA''S 't &HIJL, ' _^__•TOR • DATE StEitliti t�- .EPuty 5M-7.50 p w/� METES AND BOUNDS DFSCR� . .. . e, IO 1,0 yN.m. 30 90 50 610 -II pnimmpugappmmiT - .. ollmmudamill pm m mamma . 111111101 1 m Emmy mg m_ _Miliniumati 111111111101 411111111111111111 I o -11111111111111111111111111 .1 1110111111111111111111111-' ' --NI il Iiiiiiiiiiiii4140111111111110 Ilia IBM 1111111111111111111101111111111111111111111111111111 - 11114111iiiiiiii 11111.4-�11111 pll aggimmainaczwammummmomaimmo momml 1 IllImmmumm� illillillillilliplilli - IIAi iliiiiiiiiiiiiiiiii IIIIIiiiiiiiiiiiiiiiiiiiiiiiiill - 1 _. / UtJ` t 11L � . 6531 Q2/.GD ok, _ /'. COSTA MESA BUILDING DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA FOR APPLICANT TO FILL IN • APPLICATION FOR PERMIT BUILDING �• acre_ �'.wt BUILDING ADDRESS K.?t-.2 C (0."-tet .,�y-c. 44.il COSTA MESA. CALIFORNIA / FOR OFFICE USE ONLY �I..� /// RECEIPT NO. PERMIT NO- OWNER /VH 1_)2f��.. , �A1E�, /IGGV�� ^F`'�•, RECEIVED BY DATE RECEIVED yDATE�I SSSUED ADDRESS •.L a .. ♦ 0 , VL 3 - , J - aa�7-,s. /�- 77404_7,0 TEL. BUILDING 22•'LV 4ElfIA./l)�' A✓(,. CITY l'Y' L• a�Q, NO. ADDRESS l) ARC 'T LIC. ORF .ER C. COSTA MESA. CALIFORNIA FIRE 5 ADDRESS ZONE xory 4 IPNO i TYP�/ spy__ LIC. CONTRACTORa'l�W^ � WYNO. ADDRESS i4916 TEL. J .DNO.,1„,..X. �w0 ... BARO/V�� IaDATE gri0 LEGAL 71egi” eet CORRECTIONS DESCRIPTION LNoOr %y BLOCK T RACT flair A.P.NO. //d •••••-• /q -•••• IJ SIZE - OF LOT /67x / No.OF BLOT e ($P ROVED 7�R qq T Now ON Loi /� D USE OF 1 v EXISTING BLDG. 4 µ( C°TY COSTA MESA SETBACK LINE FROM CENTER OF STREET SJJ�� REAR YARD 9-j (� f'L,4 'IN(, DEPT.(/ / Su BIcW k LLu. UtI'I. NEI,. / SIDE YARD RIGHT LEFT .3"--)• DESCRIPTION OF WORK • IIY gir DATF1 Pi PLAN T.CH. NEW ALTERATION I ADDITION • REPAIR MOVING f DEMOLISH BUISIZE DING.2a `, /2� 6 ROOMS STORIES 2 `7 EXTERIOR WALL E^T/��-,�'��- ROOF ,• ' • COVERING 6 COVERING Cti.. 1C]C. 'zq_ USE OF BUILDING NEW 4t e «.[} /,// _ L/ y U� • SY. 5% 7s I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND P STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITE ORDINANCES AND ST•TE LAWS REGULATING BUILDING CONSTRUC- TION. V ATION r/' SIGNATURE OF �� • //L i. ,i7t 5'2,__ PERMIT FEE S /7 PERMITTEE -.� I/O c'�f r• Z� gy'ig� PLAN CHECK $ 7 AUTHORIZED AGENT �/. '� TOTAL FEES 2/ Nods