HomeMy WebLinkAbout716 WEELO DR - Building Permits�
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CITY OF COSTA MESA � '"
�,0�'Tp�FS,p BUILDING DIVISION � - -� �-�� ---�=--�
i` � �gg 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax p14) 754-4856 • www.ci.costa-mesa.ca.us . - , !
�. ` ^� FOR INSPECTIONS CALL: (714) 754-5626 � '� - � ' �"'-"'!
'�°^�^°fi PERMIT NUMBER: BC11-00446
PERMITTYPE: B COMBO
Sub Type: RES_AlT
JOB ADDRESS: 716�WEELO'DR=CM .
APN: 42417307 � .•. ��... � Zonin9: , ,
Vicinity:
Const Type:
SQ. FT: 0
STATUS: ISSUED
DATE ISSUED: 08I26I201'I
ISSUED BY: CAC
Suite/Unit:
Primary Occ:
Valuation: 5500.00
SCOPE OF WORK: CODE ENFORCEMENT CASEBOTH GAR4GES WERE CONVERTED TO BEDROOMS. THIS PERMIT IS TO
BRING BACK THE CONVERTED AREA BACK TO GARAGES. GARAGE DOOR SHALL BE 1 HR RATED TIGHT FITTING SELF
CLOSING
LEGALIZE ONE ELECTRICAL FAN ONE REAR W INDOW COMMON WALL BETN/EEN GARAGE AND HOUSE SHALL BE 1 HR '
RATED ON THEGARAGE SIDE. � � � �
OWNER: GUDELIO AND FANNY FRIEDSTADT Address: 718 WEELO DR Unit:
i
Phone: 856-361-9600 City/State/Zip: COSTA MESA,CA
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APPLICANT: ITA ISMAJ Address: 718 WEELO DR Unit: :
Phone: 858•361-9600 City/State/zZip: COSTA MESA,CA
CON7RAC70R: OW NER-BUILDER
Phone:
Cell:
ARCHITECT:
ENGINEER:
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:
"Re(er to tee receiots fer all fe¢s oaid (er oroiect
Address: Unit:
City/State:
License No.
License No.
$0.00
$23.50
$24.60
$0.00
$0.00
$0.00
$0.00
$1.00
549.10
HOURS FOR CONSTRUCTION ACTIVITY: EF
Monday lhru Friday- 7:00 am ihru 7:00 pm. Saturdays- 9:00 am thru 8:00
License No. 000000
ZipCode
PHONE:
PHONE:
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PER CMMC Sec. 13-279 � �
_- Sundays and the following Fetleral holidays:
p Dav and Christmas Dav
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenls under Califomia 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 inspedions and final approval will result in the expiralion of this permit.
lJ
LOOEJ. INSPELTIONTYPE OFTE INTITIRLS CODEt INSPEGTIONTYPE DATE' ," INTlIALS
1616 Fiaed System Final Fire Prevention
12fi6 Pool SOa Final
200 Final Re-RooF
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
206 Final Mechaniwl
20B Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 FinalSite
250 FinalBuilding/Occupancy
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WORKERS' COMPENSATION DECLqRAT10N:
I hereby affirm under penalry o( perjury one of the following declarations:
❑ I have and vrill maintain a Certifigy[e o( con5ent to 5el(-Insure for aorkers'
compensation, as provitletl for by section 3700 of the Labor Cotle, for the
pedormance of Ihe work for whic� this permit is issued.
❑ I have and will mainlain workers' compensation insurance, as required by
sectbn 3700 of the La6or Code, for the peAortnance of the vrork !or which this
permit is issuetl. My workers' compensation Insurance carrier and policy
number are: �
Cartier.
(T�is sedion neeE irol0e mmpleletl � the iHymrt rs valued al one �untl�e0 dollars f5100) orlessJ
Policy Number:
❑ I certify that in �he performance o( Ihe work lor which this permit is
issued, I shall not employ any person in any manner so as to 6ecome subject
to Ihe vrorkers' compensa�ion laws of Cali(ornia, and agree lhat if I should
become subject to the workers' compensation provisions of Section 3700 of
ihe Labor Code. I shall forthwith comply with these provisions.
! OOIiwnYs SignaWre Da�e
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALI SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TU ONE HUNDRED TNOUSAND DOLLARS
($100,000�, IN ADDITION TO THE CQST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND
AITORNEY'S FEES.
LICENSED CONTRACTORS DECLAR4TION:
I hereby a((irm iha[ I am licensed untler provisions of Chapter 9(commencing
witb Section 7000) of Division 3 of the Business and Professio�s Code, and
my license is in full force and eitect.
Lic. # Class #
Conlraclor4 SigwWre Date
CONSTRUCTION LENDING AGENCy:
❑ I hereby aHirtn lha� there is a conslrucibn lentling agency for the
peAortnance o( the wurk fa which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lentler's Address:
Signature Daie
OW NER•BUILDER DECLARATION$;
I hereby affirm Ihat under penalty of perjury thal I am EXEMPT FROM THE
CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any city or counry which requires a permit to
construct, alter, improve, demolish, or repair any stmcture, prior to its
issuance, also requires the applicant (or such permit to file a signed statement
�hat he or she is licensetl pursuant to the provisions ol the Contractors
License Law (Chapter 9(commencinq with Section 7000) of Division 3 of Ihe
Business and Pro(essions Cotle) or that he or she is eaempt therefrom antl
the basis for the alleged exemption, qny violation of Section 7031.5 by any
applicant (or 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
compen5a�ion, WILL DO THE WORK, and the sWCWre is not intended or
oReretl lor sale (Sec. 7044. BusinesS and Professions Code: The CoNractors
License Law does not apply to an ovmer of property who builds or improves
thereon, and who does such vrork himself or herself or through his or her own
employees, provitled 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 o( provinq that he or she
tlid not 6uild or improve for purpose o( sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRAC7ING WITH
LICENSED CONTRACTORS to construc[ the project (Sec. 7044, Business antl
Pmfessbns Code: The contractps License Law dces not apply to an owner of
property who builds or improves thereon, and who cont2cts fw such project with
a c tractor(s) license pursuant to Ihe Contractors License Lavrs.).
I am ezempt under sec.
Busi ess and Professions Cotle for Ihis reason:
.: . iqnawre
305Ja6 �J/0])
Ovm n � by driver�nse. Yes ❑ No ' ' _
river's L" se No. � pires:
Venfwlion ot Ovmership by (type o( document, i.e. - prope y tax Dill or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify �hat no excavation frve (5) or more teet in depth in�o which a
person is required to descend, will be made in connec�bn with work authonzed
by this pertnit, and that no building sWcture, scaF(dding, lalsework, a demolition
or dismantling thereof, will be more than thirty-six (36) (eet high. (Chap. 32, Gry
2. M 2. Sec. 347, Title 8, Calilomia Administrative Cotle).
❑ As owner-builtler. I will nol employ anyone to tlo work which would
require a permitlrom the Division o( Intlustrial Sa(ery, as noted above, unless
SUCh pei5on has a permit to d0 SuCh work from [he division.
Appliwnl's SignaWre D�le
Division of Industrial Safery Permit Number.
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or presenl or fu[ure builtling occupant need to file and
certify a Business Plan for emergency response to release or threatenetl
release of a hazardous material? O Yes ❑ No
(Section 25505 0( the Calilomia Health and Safery Code requires, with some
exceptions, Ihat a Business Plan be filed with the Costa Mesa Fire
Departmen� by every business which has at any one time during a reported
year a quantiry o! hazardous materials equal to or greater ihan a weight of
500 pounds, or a volume of 55 gallons. or 200 cubic feet o! compressed gas
at stantlard temperawre and pressure).
2. Does or will the applicant or present or (uNre building occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of ihe Cali(ornia Health and Safery Code, wifh some
exceptions, requires regisiration with Ihe 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 ol 500 pountls, or a
volume of 55 gallons, or 200 cubic (eet of compressetl gas at slandard
lemperaNre and pressure).
3. Does or will ihe applicant or presen� or tuture building occupant neetl to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 0( the Califomia Health and Safery Code provides Ihat the
Costa Mesa Fire Department may require the preparation, certification and
fling wi�� �he Fire Departmenl o! an RMPP by businesses which are required
to register acutety hazardous malerials wilh the Fire Department.
4. I( an RMPP is presently required, has Section 25534 of the Califomia
Health antl Safety Code been fully complied with? ❑ Ves ❑ No
5. Does or will the applican� or presen� or fu[ure building occupan� require for
the vrork which is the subject of this application a permit for such construaion
or motlilication fmm the Soulh Coast Air �ualiry Management District or fmm
any other air pollution conUol tlislrict or agency? ❑ Yes ❑ No
(Sectbn 65850.2 0( the Califomia Govemment Code requires Itiat t�e requestetl
infortna�ion be fumi5hed on applications (or non-residential builtling permits).
6. Will any part o( the facilily lo be constructed under this permit be within
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(If'yes". the faciliry must meet the requirement of Sections 25534 and 42303
of the California Health and Sa(ery Code).
7. If a permit from ihe South Coasl Air Quality Management Disirict or other
air polWtion control distric� or agency is required for the work which is the
subject o! this application, have all of the disclosures prescnbetl by Califomia
Health an0 Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf "yes", attach certi(cate of compliance (rom the appropriate air polNtion
control offcer�.
CERTIFICATE OF COMPLIANCE: I certify that under penalty o( perjury the
iniormation given above is correcL I agree to comply with all slate laws and
ciry ordinances regarding Hazartlous Materials and Emissions.
SiB�awre
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penaly of perjury lhat I have read this appliwtion and sWte that
the infortnation given is correcL I agree to comply with all state laws and city
ordinances relating to building construction, antl authorize representatives of
the Ciry o� Costa Mesa to enter upon the above-describetl property for
inspection purposes. I agree not to occu y or allow occupan���yyy of any building
authorize is q rmit un,�il. •fna_l in E ion. ��
6� �
5� e �_9�lOw r Date
An�lor Aot�orize� ApPI¢dnt
g��'78 �
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 317 COSTA MESA. CALIFORNIA
FOR APP[/CANT TO f/L[ /N COMP[ETE[Y
TYPE OR PRINT
BUILDING ,�c � G���
ADDRE55
_ COSTA MESA. CALIFORNIA
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ADDRE55 ��!Y / /
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LEGAL LOT
DESCNIPTION NO. ip �
A.P. NO. �% �
SIZE �4 �1 `!
OF LOT d ��
USE OF �
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SETBACK LINE FROM _..
TEL.
NO.
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FINANGE D�PY.
APPLICATION FOR,PERMIT
BUILDING
fOR Off/CE USE ONLY
I RECEIPT NO. I Op11lf
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APPROVED
COSTA MESA, CALIFORNIA
TVPF Y _ GR(111P�
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BY .U- .)�� D�A�TE I C�
� NO.OF BLDGS. ` ypROS � � EV' ES �
C Irvow ontor J REQUIRED ALLOWED
�CENTER LINE BTJ �
FRONT �� L,FT.
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N OF WORK
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REPAIR I 11 MOVING I II �EMOLISH 1
BUILDING � NO.OF �
SIZE � � ROOMS STORIES
EXTERIOR WALL:T, IROOF n_ �f J
COVERING �O/UCCC COVERING L:q.-Y�
USE OF BUILDING AND WORK TO B� PERFORMED'
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I HEREBY ACKNOWLEOGE THqT 1 HRVE FEAO THIS APPLICATION TH RMOUNT 6MOWN UNDER VALUATION IS FOR THE
ANO STATE THAT THE FBOVE IS CORRECT AND PGREE TO COM-
pLY WITH FLL CITY OPOINRNCES I�NO STATE LpWS REGULATING q PURPOBE OF E6TABLISHING q PERMIT FEE ONLY.
Bf11LOING CONSTRUCTION, y UA�9N'�S -/ �_
SIGNATURE OFn �' �� /' / �. PERMIT FEE $�
PERMITTEE � � "-^' �--" � r yL / �r
� $ v�� PLANCHECK $ l�/ J
f" � �)
AUTHORIZED AGENT Y�� �� ( D
�= � TOTAL FEE SS O � ��