HomeMy WebLinkAbout3057 WARREN LN - Building PermitsVicinity:
Primary Occ:
Parcel Number:
BATH 1 AND 2
R-3 Dwellings/ Cong Res <10 Type of Construction: V -N
14116430 Zoning: R1
Issued: 12/13/2006
Applicant: STEVEN JANOSIK
Address: CDL D6923436
Phone: 714.349.2182 ISSUED BY:
Zip:
Owner: KEEFER, STEPHANIE
Address 3057 WARREN LN
Phone: 714-432-8569
COSTA MESA, CA Zip: 92626-2740
Contractor: DIAL ONE WINDOW REPLACEMENT SPECIALISTS '��e
Address: 1621 EST ANDREW PL t \ , r'
Phone: 714-259-5120
SANTA ANA, CA {,i
Zip: 92705 License: -b23043 -
Arch Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
RETROFIT 2 WINDOWS WITH ANDERSON RENEWAL WINDOWS. WINDOWS ARE IN BATH 1 AND BATH 2.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $900.00
Permit: $35.70 Claim Valuation: $900.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $36.20
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear ;0-0. Left 0-0 Right 0-0
ACCESSORY Front 0-0 - Rear 0-0 Left 0-0 ;Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTICE: The work authorized rby this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, §; ; )2-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced_ within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
���a rawi
WORKERS' COMPENSATION DECLARATION:
I hereby afflrn under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the
work for which this permit Is Issued.
*My
and will maintain workers' compensation insurance, as required by section 3700 Of the Labor Code, for the performance of me work for which this permit is issued.
My workers' compensation Insurance carrier and policy number are: D p /
-cariler:rS F$( CSF}�i P6rcy'Numtiwer" f� R WOOBOlo
`(This section need not be compietad if the permit is valued at one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall fonhwith
comply with these pr
Applicant Signature:AV-4-P 01 r�Datee' k,
WARNING FAILURE TO SECURE WORKE ENSATION COVERAGE IS UNLAWFUL AND SHALL SUMECT AN EM OPL YER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOII-ARE ($100,000), IN ADDITIONZOTHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under pro 'sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full
force'and eHect'Lic.'P 2D r Class Q
ICantraapre Signature: Date: -N- `a- (4 -0 ra
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirn that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Cade: Any city or county which requires a permit to construct, alter, improve, demolish. or repair any structure, prior to Its Issuance, also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he Or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure Is not intended or offered for sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or Improvement is
sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or Improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ 1 am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a person Is required to descend, will be made in connection with work authorized by this
permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title 8, California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has e
permit to do such work from the division.
Signature: Data:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
...........................................................................................................................................................................................................................................................................................................................................................................................
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gasat standard temperature and pressure).
..................................................................................................................................................................................................................................................................................................................................................................
3 Does or will theappplicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?
❑ Yes ❑ Nc
(Section 25534 of the California Health and Safety Code provides that the Costa Mese Fire Department may require the preparation, certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
.......__ ..............._................... ................. __.._....._...._................. .......................................__.....................__...................._.................._.........................................................._........................._...........__.................__....._......._.
4 II en RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No
............. ............................................ _._..........................._............................___...................__..................._..................._.._......................................................._................... __................ _.................. _._............
_
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this a plication a6armit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
.......................................................................................................................................................................................................................................................................................................................................................................................
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(If yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
............................................................................................................................................................................................................................................................................................................................................................................................
7 If a permit tram the South Coast Air Quality Management District or other air pollution control district or agency is reqquired for the work which is the subject of this
application, have all of the disclosures prescnbed by California Health and Safety Code Section 42303 been made? ❑Vas ❑ No
...................................................................................................................................................................................................................................................................................................... .....................................................................................
B (If yes", attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. 1 agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes. I agree not to Occupy or allow occupancy of any building authorized by this permit until final inspection.
1 atur Of IOwner(s) `\ ate C
3Z
) An rAu o e plicant - t., Pate—,
CODE 0 INSPECTION TYPE gal( INTITALS CODE INSPECTIONTYPE 2&U ILS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing ,
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Well 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 W: A)b 0 .3 3 z
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations
CITY OF COSTA M% CO �}T�%�.1C ION P RMIT ""' " a "^"' "" ' UNI I NU. A P # Zone
Project Address (�,v r _ -
TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR S Main Building: Accessory Building:
Applicant's Mai in pptl re E Z
A I ❑CONVERSION ❑DEMOLISH ❑OTHER T Front O
Owner's N e hone DESCRIPTION OF WORK/USE OF BLDG. I B Rear N
Address A I
C Right N
Arch/Eng. License No. TYPE OF PERMIT DGRADING EIFOUNDAT LISTRUCTURAL
El TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL S Left R
Contra
Address I El OTHER Contractor'sNa ��0000 Ping. Ref. # Perking Req./Provided Q
baylIl`/-� PROJECT DESCRIPTION SO. FT. OCCUPANCY Planning N1
Address (mailing) s09 1.-t-u-�— CONSTRUCTION TYPE VALUATION $ g Notes: T
City License No. ZONE GRADING CU.YDS. ACRES S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed Under provisions of Charter 9 (commencing Remarks:
with section 700 df vfslon 3 Of the Business an Processions Code, a d
my license is in III Igr< n ifecL ELECTRICAL FEES
Dean _ ns N Automatic Washer Transformer ❑ 15.50 KW
Date Signature PLUMBING FEES
WORKERS' COMPENSA TIO NDECL RATIO Construction Pole Sub. ❑50+KW
I hereby affirm That I have a certificate of conse t t0 sell -Insure or a certificate Bar Sink Showers
of Workers' C ponsation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps
3800, Lab. (� I ^ (' Backflow Preventer Service Sink
tic No. v �+' Compan �-+ p Dover 100 amps
Y y Backflow Irrigation Sewer (:a Dishwasher Meter
Cerh ietl copy 1 roby furnished.
Cert ie,-�with the city B n QI 1 Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel
Date Applicant Fan
EXEMPTION FROM WORKERS' COMPS SATION ARATION Clarifiers Solar Collectors MOldr$ ❑61 HP D h -B
(Thisseclion need not be completed if the ermit is f one less). lhundred (8100) or Dishvwsher Solar Piping F.A.U. Inc. Solar 09.15 HP 016-15+
1 certify that in the performance of the work for which this permit Is Issued I
shall not employ any person in any manner so as to become subject to the lDrinking FountainsSolar Tank Fixtures Microwave
Workers' Compensation laws of California.
Boxes oxes
Date Signature Floor Drains Swimming Pool w/Spa DevicePole Light
NOTICE: Compensation after making thisrov ions f the you Should become ustf t to the
Workers' suchprprovisions Of the labor Code, you must forthwith FIOOf $Ih1(S LJri081 0Ut1¢ts Range '
Comply with such provisions or this permit Shall be tleemetl revoked.
CONSTRUCTION LENDING AG4NCV$witches Si
Gas Service Outlets Water Closet n g
I hereby affirm that mere is a is permit Issue agency for the performance
of the work for which This permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name
Lender's Address Kitchen Sink Water Service Generator 065 KW 05.15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for the Lavatories Auto -Wash
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct, alter, Improve, demolish or repair P—Trap Laundry Trays
any structure, prior to Its Issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law (Chapter 9 (commencing with Section 7000) Of
Division 3 of the Business and Professions Code) or that he/she is exempt
therefrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee $ ?
7031.5 by any applicant for a permit subjects the applicant f0 d Civil
enalty of not more than five hundred dollars ($500). - 3 DEVELOPMENT SERVICES REQUIREMENTS:
fere
I, owner of the property of my employees with wages as their sole Reinspection Fee $15 Issue Fee $ Zoning Approved ey Date
compeasnsation, will do the work, and the structure Is not intentled or ofd /[�[J/��_
for sale (Section et apply
Business And Professional Code: The Contractor's MECHANICAL FEES Building Approved By Dat —1
for sal Law does not apply to es owner of a property who builds or Improves
thereon, and who does such work himself/herself or through his or her Own Application Issued By Dat
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑
sale. If, however, the building or Improvement Is sold within one year of com- Canopy Type 11 ❑ SUMMARY OF FEES
elation, the owner will have the burden of proving he/she did not build or im- Duct - Under Ground
rove for the purpose of sale). BUILDING PERMIT $ SMIP $ �
I, as owner of the property, am exclusively contracting with licensed ton- Duct -Structural Refrigeration System PLAN CHECK $ PERMIT
t ra ct ors to cc nstr ucl the project (Section 7044, Busi n ass and Profefsl O ns Coda: Gl.
The Contractor's License Law does not apply to an owner of property who Duct - Ventilating 130.100,000 BTU 0100,00OBTU
builds or improves thereon. and who contracts for such oroiects with a con- PLUMBING $ ISSUANCE $
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation Insurance should be provided to me. - GRADING $
❑ 1 am exempt under Section B. & P. C. for this reason Firepl/Fact. Bit. ICBO -A Fire Dampers ELECTRICAL $
PLAN CHECK 50% $ MICROFILM $
Data Owner - — -- ating System & Ducting Registers MECHANICAL $OIPOTAL FEE $
1 hereby certify that I have read /his application and state that the above 00,000 BTU 0100,0008 T
Information is correct. I agree to co I wit h, all city and county ordinances PLAN CHECK 25% $
and state laws rel ling to building t nstruction, and hereby authorize repre-
sentatives of t i city t enter u on the a o mentioned property for
Inspection ur /
Signature Date
Reinspection Fee $15 Issue Fee u1=:,a_l7J'-C ,1 T'.^'
Drivers' License/r SS 4F� r •^ ^r
0865-46, rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor CRTC: r./01:72 ` i li"c= .. 6 J4
-CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
Inspector
`, POOL &SPA
APPROVALS Permit #
-
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
-
3. Electrical Conduit Utility-Undrgrnd.
54. Forms
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
-6. Electrical LIFER Grnd.
57. APPROVAL TO COVER-GUNITE
_
7. Footings
58. Electrical Conduit-Undrgrnd.
8. Foundation
59. Gas Pipe, [] Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, [] 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 Drains
64. Plumbing System - Final
14. Rough Plumbing
65. Electrical -Final
15. Rough Electrical -Conduit
66. Solar System -Final
l6. 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
APPROVALS Permit #
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping []Gas ❑Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank []Gas ❑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
29. Insulation
78. FIRE PREV. FINAL
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT ,
31. Plaster Brown Coat
79. FINAL INSPECTION
32. Electrical Power Meter -Final
80. FOOD CERTIFICATE ISSUED
-
33. Final Electric
Notes:
34. Final Heating & Air Conditioning
3 117 Aq
LA
35. Final Gas Pipe -Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service -Final
40. Gas Service -Final
41. Solar Domestic -Final
42. Backflow Preventer
j
43. Backflow Irrigation
44. Landscape Irrigation Systems
45. Sound Attenuation
•r'
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
v.
51. CERTIFICATE OF OCCUPANCY
No. Date
'•
OWNER College Mesa CO. • DATE 9-15-55
JOBADDRESS 3057 Warren Way BUILDING PERMIT NO. 1801
GENERAL CONTRACTOR The Hale CO. VALUE s 8,000.00
LOT 62 BLOCK TRACT 2311 Single dwelling _
GROUP 1
TYPE V ZONE R4 FIRE DISTRICT #1817
INSPECTIONS
DATE
SUBCONTRACTOR
PERMITS ISSUED
DATE
NUMBER
Footing Trench
t
Foundation Forms and Grade to Garage
Rough Framing
Plumbing, Rough to Slab
Plumbing, Rough Complete
>-
Temporary Pole
Wiring, Rough /i
/3- Ys—
y .fie ��
��ii.a.-., <_/-�ci'
/J-/-.��
/ %/ ez
Heating, Rough
Heating, Final
rl%
%71— 7—S�s
0 /i
Sewer, House % iwer, St.
4j,
//_ .?-3
Septic Tank or Cesspool'
_
Lathing, In y _ Out
Plastering
Plumbing, Final, Fixtures Corpplet
Plumbing, Final Gas Test
Wiring, Final
Onm,nanrtvJIrlo
�-
.�/
Uosta Mesa Building Department PLICATION FOR PERHIT
-EAST 20th STREET 81 1 BUILDING
COSTA MESA, CALIFORNIA v
FOR APPLICANT TO FILL IN
FOR OFFICE USE ONLY
Receipt No.
I Permit No.
de /
Building
Address 3057 Warren Way
Costa Mesa, California
Received y
Date Recd.
-/3 -131
Date Issued
SEP 151955
Nearest
Cross St. Watson Avenue
Building
Address
Costa Mesa, California
Owner Coil ge Mrag CoMany
Mail
Address 8002 Central Avenue
Nearest
Cross St.
Tel.
city Garden Grove No. LG 9-2158
one
No. of
I Plans
Typ Group
I �
Architector Lia.
Engineer Davis & Quigley No. C-1790
Approved
Gy Date
Address43 Mal aea Cove P1aza.Palos Verdes
CORRECTIONS
City Llc.
Contractor The Hale Co No. 3422
Address 8002 Central Avenue Garden Grov
Legal1 Lot
Description I No. 62 1
I
Block I Tract 2341
(Attach Metes and Bounds)
No. of Bldgs
Size of Lot 7581 Now on Lot None
O
Use of I No. ofI
Existing Bldg. Families
No. of
Rooms
71
Z
Setback Line from Rear Yard 55'
Center of Street 50 Side Yard rl
y
r
DESCRIPTION OF WORK
New I X I Alteration I I Addition
Repair I I -Moving I I Demolish
Building No. of
Size 1181 Rooms 5 Stories 1
Exterior Wali
Covering Stucco
I Roof
Covering Shake
APPROVALS
UseNew
Building Single fami d14e171ri with
Foundation Location
Forms, Materials,
Under -Pinning
Inspector
i
Date
garage-
Frame: Fire Stops,
Bracing, Bolts
w
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply
with all City Ordinances and State Laws regulating
building construction.
Signature of
Permittee ' HALr C
Authorized Agt.
Lath. Int.
o
Lath. Ext.
Plaster, int.
rv}
Plaster, Ext
PR
S LVIA LARD
Valuation
Plan Check $ 3
$ Total ?
Fee ZJ
Masonry Reinforced
o
Bond Beam
ry
FINAL
w
204 S -BP 2M 6-55
PLOT PLAN
Show location and distances from
property line and between buildings.
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Street
PLOT PLAN
Show location and distances from
property line and between buildings.
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