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Home My WebLink About3218 WASHINGTON AVE - Building Permits� CITY OF COSTA MESA 05�""�FS9 BlIILDING DIVISION >`�� 77 FAIR DRIVE, COSTA MESA, CA 92626 •(7'I4) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us � � FOR INSPECTIONS CALL: (714) 754-5626 '`"-�°'" PERMIT NUMBER: BC11-00362 PERMIT TYPE: B COMBO STATUS: ISSUED Sub Type: RES_ALT DATE ISSUED: 08/15/2011 ISSUED BY: RMD �oe nooRess:�3218'WASHWGTON=AWCM --� APN: 13909508 �� Zoning: , , Vicinity: Canst Type: V-8 SQ. FT: 334 Suite/Unit: Primary Occ: Valuation: $50,000.00 SCOPE OF WORK: ADD 334 SF TO A 1-STORY SFD. WORK TO INCLUDE THE REMOVAL OF AN EXISTING ATTACHED PATIO COVER AND ADD 344 SF FOR THE CONSTRUCTION OF A NEW FAMILY ROOM WITH ALTER/REPAIR COOLING/HEAT, 10 LIGHT FIXTS, 8 OUTLETS, 4 SWITCHES, 1 CEILING FAN, UPGRADE PANEL TO 200A, AND RELOCATE 1 HOSE BIBB. OWNER: MOLSTAD NATHAN ERIC AND AMY WILSONAddress: 3218 WASHINGTON AVE Phone: 714-957-9393 City/State/Zip: COSTA MESA, CA APPLICANT: ODICINO, CARLOS Address: Phone: 949-285-9412 City/State/zZip: cONTRAC70R: KEMEX CONSTRUCTION Phonc: 949-645-5569 Cell: ARCHITECT: ENGINEER: SHUCRI YAGHI COMBINATION PERMIT FEE SUMMARY Building Plan Check: Building Fees: Electrical Fees: Mechanical Fees: Plumbing Fees: SMIP Residential: SMIP Commercial: Bldg Std Admin Fund TOTAL FEES: License No. 640064 Address: 423 MAGNOLIA STREETUnit: City/State: COSTA MESA License No. License No.C43205 $418.76 $64425 $68.30 $37.20 � $33.30 / $5.00 $0.00 $2.00 $1,208.81 "Refer to Fee recei ts for all fees aid (or ro ect HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - P Montlay thru Friday-7:00 am thru 7:00 pm. SaWrtlays-9:00 am thru 6:00 pm. ProhibifEd ell hoUfs � New Years Dav. Memorial Dav. Indeoendence Dav. Labor Dav_ Thanks�ivina Unit: Unik : CA ' ZipCode •92626 PHONE: PHONE:714-997-9120 : Sec. 13-279 and the following Federel holidays: NOTICE: The work authorized by lhis permit shall comply with all applicable handicap access requirements under Califomia staNtes 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 wmply 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 expiralion of lhis permit. COOE1. INSPELPONTYPE �ATE INi111pL5 CODEt INSPECTIONTYPE OATE INPTIALS 7616 Fixed System Final Fire Prevention 206 Final Mechanical � in� 2 b• i I � 1266 Pool Spa Final 208 Final Plumbing xy 1n ,�h, I � rn� 200 FinalRe-Roof 210 FinalEleGncal /`��jf f I mU 201 202 203 204 final BlocklRetaining Wall Final Fac�ory Fire Place Final Sign Final Demolition 212 220 222 250 Final Fire Prevention Final Planning Approval Final Site Final Building/Occupancy 1 U �� WORKERS' COMPENSATIbN DECLARATION: I hereby affrm under penalty of perjury one of the follovring declarations: ❑ I have and will maintain a certifiwle o( Consent t0 5elhlnsure (or workers' compensation, as provitled (or by section 3700 0l the Labor Cotle, for Ihe peAormance of the work for which ihis permit is issued. � ❑ I have and will maintain vrorkers' compensation insurence, as required by section 3700 of the Labor Cpde, for the peAortnance o( ihe vrork for which this permit is issued. My workers' compensatio�surance carrier and policy numberare: �-� r, Carrier:r ��I / P �(T�i5seclunneeJ�rolbe pel��yv/al/ alme�untlretlCod�rs(E1W)aless.) Pofcy Number. � =� � 7y � 7 ❑ I certify that in the p@Aortnance of Ihe woB for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensati�n laws of Califomia, and agree that if I should become subjqecc�t ro lhe vrorkers' compensalion provisions of Section 3700 0( the �Co . I shall f h� 'th�eont�ly with these provisions. l (lstl.v➢A �%' AOPlican�'s Slgnplure Dn�e�� — —" � - WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 70 ONE HUNDRED THOUSAND DOLLARS (3100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTOR$ DECLARATION: I hereby aKrtn ihat I am licensed under provisions ol Chapter 9(commencing with Section 7000) ot Divisibn 3 of Ihe Business and Professions Code, and my license is in full force antl ef(ect. Cic. # J Class # ) J CConlraclorsSipnaWre . . �e CONSTRUCTION LENDIN6 qGENCY: ❑ I hereby aKrtn that there is a construction lentling agency fa the peAormance of Ihe wurk for wfiich Ihis pertnit is issuetl. (Sec. 30W, Civil Code�. �ender's Name: Lender's Atltlress: Date OWNER-BUILDER DECLARATIONS: I hereby affrm thal under penaly of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSH LAW (or the following reason (Sec. 703L5, Business and Professions Code: Any city or county which requires a permit �o wnsWct, alter, improve, demolish, or repair any strucNre, prior to its issuance, also requires the applicant for such permit to fle a signed statement that he or she is licensed pursuant ro Ihe provisions of the Conlractors License Law (Chapter 9(commencinq vrith Section 7000) of Division 3 of the Business antl Professions Cotle) or that he or she is exempt therefmm antl the basis /or the alleged exemption. Any violation of Sec�ion 7031.5 by any applicant for a permit subjeCls lhe applicant to a civil penalty of not more Ihan five huntlred dollars ($500�.); ❑ I, as ov+ner of the property, or my employees with wages as Iheir sole compensation, WILL DO 7HE WORK, antl the structure is not intentled or oKeretl for sale (Sec. 7044. Business and Professions Code: The ConUactors License Law tloes not apply to an owner of property who builds or improves thereon, and who does such work himselt or hersel! or through his or her ovm employees, provided that such improvemenis are not imended or ofteretl tor sale. If, however, the builtling or improvement is sold wilhin one year ot completion, the owner-builder will have the burden �of provinq that he or she ditl no! build or improve for pUrpose of sale.). ❑ I, as owner of the propehy, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS lo consiruct the proiect (Sec. 7044, Business and Professbns Cotle: The contryctws License Law tices nol appty to an owner of property who builds or improves Ihereon, and who contracts Iw such pmject vrith a contractw(s) license pursugnt tothe Contrectors License Lavrs.). ❑ 1 am exempt under seC. Business and Protessions Code for this reason: Signature Ome 3�5]-46(3/0]) Owner ID verified by tlrive� s iicense. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ovmership by (ype of document, i.e. - property Iax bill or deed�: DIVISION OF INDUSTRIAL SAFETY PERM�T CERTIFICATION: ❑ I hereby certify that no excava�ion five (5) or more feet in depth into which a person is required to tlescend, will be made in conneclion with work authorizetl by this pertnil, and that no building slrucWre, scaHdding, lalsework, a demolition or dismanlling fhereo(, wifl be more than Ihiny-six (36) feet high. (Chap. 3.2, Gry 2, M 2, Sec. 341, Trtle B, California Administ2tive Code). ❑ A5 ovmer-builtler, I vnll nol employ anyone to tlo work which woultl require a permil from the Division of Induslrial Safery, as noted above, unless such person has a permit to Oo such wnrk Irom the division. Appliranl's Signature Division of Intlustnal Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to (le antl certify a Business Plan for emergency response lo release or ihreatened release of a hazardous maierial? ❑ Yes ❑ No (Seclion 25505 0( Ihe Califomia Health and Safery Code requires, with some exceptions, that a Business Plan be fled vriN the Costa Mesa Fire Department by every business which has at any one time tluring a reporte0 year a quantity of hazardous ma�erials equal to or grealer Ihan a weight ol 500 pounds, or a volume of 55 gallons, or 200 cubic teet of compressed gas at standard IemperaNre and pressure�. 2. Does or will the applicant or present or fuNre buildinq ocCupant need ro fle a regisUa�ion form for acWely hazardous ma�erials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safery Code. with some exceptions, requires registration vrith the Costa Mesa Fire Department by each business which at any one time has on hand a quantity o! awtely 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 al standard tempereNre antl pressure). 3. Does or will [he applicant or present or fuWre building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Heaqh and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification antl (iling with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Califomia Health antl Safery Cotle been fully complied vrith? ❑ Yes ❑ No 5. Does or will lhe applicani or presenl or /uWre builtling occupan� require for the vrork which is the subjec[ of this application a permit for such consWction or modification from Ihe South Coast Air �uality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the Califomia Govemmenl Code requires that Ihe requesletl in(orma�ion be fumished on applicalions for noo-resideNial building pertnits). 6. Will any pan o! ihe facility Io 6e constructed under this permit be wi�hin 1000 feel from Ihe outer bountlaries of a school? ❑ Yes ❑ No (If'yes", the faciliry must meet the requirement of Sections 25534 and 42303 of the Calibmia Health and Safety Code). 7. If a permit (rom Ihe South Coast Air �uality Management Districl or other air pollution contml district or agency is required (or the work which is the subject of this application, have all of lhe disclosures prescnbetl by Calitomia Health and Safety Code Section 42303 been matle? ❑ Yes ❑ No 8. Qf yes", attach certi(wte of compliance (rom the appropriate air pollution control offcer�. CERTIFICATE OF COMPLIANCE: I certify tha[ under penalry of perjury the information given above is correcL I agree to compty with all state laws and ci�y ordinances regartling Hazardous Materials antl Emissions. SignaWre oate CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cetlify under penalty of perjury Ihat I have reatl this application antl state Ihat �he information given is correct. I agree to comply with all state lavrs and city ordinances relatinq to building construction, antl aulhorize representatives o( the City of Costa Mesa ro enter upon the above-described pmperty for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this pe�mit until fnal inspection. Sign< re 1 Legal e• `� Da�e �Q� �� AnGIw.PNhonse0Ap0��Cant � Da � � -� ��5� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX S17 W6TA MEBA. CALIFORNIA Fo� Applieont fo Ffll In Completely TYPE OR PRINT BUILDING 3218 Washin ton Avenue ADDRESS �" COSTA MESA. GALIFORNIA OWNER Trojan Land Co. MAIL 1$33 Baker St. nnnwcec `��" `i TEL. � Pti.ddlebrook No. Garden Grove� Calif. Dike & Col.e�rove, Inc. BUILDING FIRE A�DRESS 1533 Baker St. C�.�.� Costa Mesa� C�u• LONE �;�TNo. 167293 Na: KI. 9-1151 LEOAL [ DEBCRII nv E nr UO % lQ� I NowOtfv � nT�one ._„ USE OF EXISTING BLDG. B6TBACK LINE FROM �/� �F <eNTeROPBiAEeT �Jvl REARYARD LG' SIDE YARO I LEFT S� I RIGHT S� DESCRIPTION OF WORK vr.0 I p. II e�rceer�nm I II enn�r�nu I SIZE DING 1S5'1 3(i.ft'i ROOMS V STORIES � EXTERIOR WA4L ROOF COVERING SLi1CCO COVERING �TOOCL SY1121�. USE OF BUILDING AND WORK TP BE PERFORMEO Single £amily residence with attached garage. Pl� Lt1BR. I HER¢BY ACKNOWLEOGE THAT I H/Ve RE�� T1118 MPLIGTiON AND BTATE THAT THE ABOV¢ 18 COPREGT ANU AGRE6 T COM- PLY WITH ALL CI� OIpANCE6 A;D�TE LAW9^ O'TIN� B111LDIN0 CONBTIiU M; 81GNATURE OF �/}. FE�SRE��E� �FlNPNCE DEPT. &�Y Of fASTA I�ESA APPLICATI FOR PERMIT BUILDING For O#iee Use Only HECEIPT NO. PPRMIL tl0. BY I OATE RECEIVED I DATE I68UED COSTA MESA.�CALIFORNIA ZONING NO. OF I USE OF N PLAN9 � BUILDINO fCENTHR LINe BTJ none THE AMOUNT BHOWN UNUER VALUAT�ON �8 FOR THC PIIRP08E OF EeTABLI8HIN0 A aERMIT FEE ONLY. VALUATION PERMIT FEE $ ��• i6 oi4.6o 18' S ) PLAN CHECK $ 'AUTHORIZED AGENT Dike �O��rove. TI1C• ' I J�• I� TOTAL FEE $ y w • - • 25660 ' COSTA MESA BUILDINCrSAFETY DEPARTMENT V.O. BO% 7200 COSTA MESA, CALIFORNIA 92626 For ApplJmnt ro FIII In Completoly TYPE OR PRINT a��Na 3 8 �.,�yH�ti�7�N �I�F ADDR869 `�� COSTA MESA, CALIFORNIA owneR i%/FG� �s�I�C� MAIL � a� �- ./G�iSN�y�ra.v �uF_ ADDR89D ein P[i $7/f /j�iy6� No'SH -�P OREN101 BRCF(�Now�'t�N NO.EY�3� ADDREBS �v�db �/NGo�N S• %1• ..,..Re....,._ d,,�i� �, A��. c o eiTr G a � �r �i�r ��Tg a � �-; � LIC. NO. I size i OF LOT � USH OF EXISI'IN06LO0. Du%�/'J'� YGTlACK LIX[ IRON r, DESCRIPTION OP WORK WALL ,' /$ OF /JlUF1L! 1 NEP6BY ACRNOWL6D06 TXAT � I�HD BTAT6 TXAT TN6 1180V[ 1� PLY WITN ALL CITY O{� pANCtl HUILDINO CON6TRUGTIdN. / � AVTHORIZiDAOiNT ! C6TY flF C �� IES�► I MAY 4 1966 Iffke Ute Only n�cairt no. ID IHO.OP UY[O'H[W �(//�,(/JfQ� •un� � � ou o "°"� I.� — �"� 3 R 7r ouea�mon A. P. NO. /�J /` C� / U �l , HOTl: NOGV60V[PMAN08HALLEELHBBTMAN 80' TO BIDH a RBAR P. L 8AVE8 ALLOWiD fU.B.C..REGUIRBMENT. YAROHMPROVHD VAROSAPPROVHD MAIN BUILDING AGGE680RY BUILDINO l n owTe PO�/RM�D I � / � a yl�� %G � m / ��7 k/U � l�� ec.Rr. � 0 TMIB APPLIGT�ON T116 /.MOUMT OXOWN UNDBR VALYATON 16 POR THB j 10 AORB{ TO COM. PUPPOBB OP [lTADLIBXIHO A PHPM�T P88 ONLY. 3 LAWY RIOYL�INO VALUATIOf'1 � CJd � / � o � PERMIT FEE p s 3s-° � ` w �O TOTA� FEE �•.•.L•�. rtvuv�n � i�u JOB ADDRESS 3218 S GENERAL CONTRACTOR SUBCONTk.ACTOR