HomeMy WebLinkAbout722 WEELO DR - Building Permitsa
/ CITY OF COSTA MESA J
BUILDING DIY/SION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • �wvw.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT TYPE:
Sub Type:
JOB ADDRESS
APN: 42417306
Vicinity:
Const Type: V-B
B_COMBO
RES_ALT
722 WEELO DR CM
SQ. FT:
Zoning: , ,
C]
PERMIT NUMBER: BC09-00068
STATUS: ISSUED
DATE ISSUED: 03/09I2009
ISSUED BY: RMD
Suite/Unit:
Primary Occ: R-3
Valuation: $9,500.00
SCOPE OF WORK: REMODEL INTERIOR OF RESIDENCE TO ADD 1 BATHROOM, REPLACE SHOWER IN EXISTING
BATHROOM, ADD FAU IN ATfIC, ADD A/C, INSULATION AND REPLACE WINDOWS. PLUMBING TO INCLUDE: NEW WATER
HEATER (RELOCATE TO OUTSIDE), 1 DISHWASHER, GAS REPIPE TO 4 OUTLETS, 1 LAUNDRY TUBM/ASHER, 2 SHOWERS, 1
KITCHEN SINK, 2
WASH BASINS, TWO TOILETS. ELECTRICAL TO INCLUDE: SERVICE UPGRADE TO 200 AMP, 40 LIGHT FIXTURES, 28
OUTLETS, 27 SWITCHES. MECHANICAL TO INCLUDE: 1 FAU, 1 AIC,
3 VENT FANS, MISC DUCT WORK. _
OWNER: DABIR-VAZIRI, MOHAMMAD REZA
Phone: 714-751-1234 �
APPLICANT: DABIRVAZIRI, MOHAMMADREZA
Phone: 949-702-4929
CON7RACTOR: OW NER-BUI LDER
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:
"Refer to fee receipts for all lees paitl for proJect
Address: 66 BALBOA COVES
City/State/Zip: NEWPORT BEACH, CA
Address: P O BOX 481
City/Slale/zZip: MISSION VIEJO, CA
Address: Unit:
CirylState:
License No.
License No.
$117.8t
$181.25
$145.55
$71.95
$135.70
$0.00
$0.00
$1.00
$653.26
License No. 000000
Unit:
Unit: :
ZipCode
PHONE:
PHONE:
NOTICE: The work authonzetl by this pertnit shall wmply with all applicable handicap access requirements 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 �AST INSPECTION.
INSPECTIONS: In order for lhe 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 resWt in the expiration of this permit.
sooe i. INSPEG110NTYPE
1fi76 Fixed System Final Fire Prevenlion
1266 Pool Spa Final
200 Final Re-Roof
201 , Final0lock/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
onte ixnnnis
D � INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
270 Final Electncal
212
220
Final Fire Prevention
Final Planning Approval
222 Final Site
250 FinalBuildinglOccupancy
DATE INTITIpLS
6-� �
WOFKERS' COMPENSATION DECLARA710N:
I hereby aKrtn under penalty ot perjury one of the following tleclaralions:
❑ I have antl will maintain a certificate of consen[ [o self-Insure !or vrorkers'
compensation, as providetl for by section 3700 of the Labor Code, for the
pedormance of the work (or which this permit is issued.
❑ I have antl will maintain workers' compensation insu2nce, as required by
sectbn 3700 of Ihe Labor CodO, for !he performance of the work for which Ihis
pertnit is issued. My workers' compensalion Insurance carrier and policy
number are:
Carrier:
(Thrs setton need rrot oe wmpeH'p d fne permrt rs valued at one nuntliee dWlars (E1001 a �ess )
Policy Number:
([f,. I certify tha[ in �he peAormance of the work for which this permit is
issuetl, I shall not employ any person in any manner so as to become subject
to lhe vrorkers' compensation laws of Califomia, antl agree that if I should
become subject to the workers' compensa�ion pmvisions of Seclion 3700 of
�the Labor Cotl . sh II forthvn comply with [hese provisions.
��-�. �''�� �-9-�9
,�ppliranfs SignaWre Da�e"
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affrm that I am licensed under provisions of Chapter 9(commencing
vrith Seclion 7000) of Division 3 0( the Business and Pmfessions Code, and
my license is in full force and eryect.
Lic. # Class #
ConUactor's Signawre Daie
CONSTRUCTION LENDING AGENCV:
❑ I hereby aKrtn that th@re is a consirucl'an lending agency for lhe
peAortnance of Ihe vmrk fa which �his permit is issued. (Sec. 3097. Civil Code).
Lender's Name:
Lender's Atldress:
Date
OWNER-BUILDER DECLARATIONS:
I hereby aHirm tha� under penalry of perjury that I am E%EMPT FROM 7HE
CONTRACTORS LICENSE LAW for the following reason (Sec. 70J7.5,
Business and Professions Cotle: Any city or county which requires a pertnit to
consWct, alter, improve, demolish, or repair any structure, pnor to i[5
issuance, also requires t0e applicant for such permit to file a signed statement
that he or she is licensetl pursuant lo fhe O�ovisions of the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 0( the
Business and Professions Cotle) or Ihat he or she is exempt therefrom antl
the basis for the alleged exemplion. Any violation o( Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalry of not more than
fve hundred dollars ($500).):
❑ I, as ovmer of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intended or
oHeretl 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 ovm
employees, provided that such improvements are nol intentled or offereA for
sale. If, however, the building or impmvement is sold within one year ot
completion, the ownerbuilder will have the burden of proving that he or she
ditl 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 Cotle: The contraCtors License Law does not apply to an owner o!
property who builds or improves thereon, and who contracls for such project with
a contractor(s) license pursuant to lhe Contractors License Laws.).
❑ I am exempt under sec.
Business and Protessions Cotle for Ihis reason:
�-f�� �i 3 -J-o
Sipqe�ure Da�
]OS)�a6(Jro]) ����}� 1'' '
/ ,
Ovmer ID verified by.tl/rrvt� ,. �icense. H 1'es ❑ No O C_O � 1��
Onve` f_S lJcense E+�pires: l
Verification of Ownership by (type of document, i.e. propeAy'tax bill or deed�:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereDy certi(y thal no excavation frve (5) or more feel in depth inlo which a
person is requiretl to descend, will be matle in connection with vrork authonzed
by this permit, antl that no building strucWre, scaFfdding, falsevrork, or demolition
or dismantling ihereo(, will be more Ihan Ihirty-six (36) feet high. (Chap. 32, Grp
2, M 2, Sec. 347, Title 8. Califomia Adminisirative Code).
❑ As ovmer-builder, I will not employ anyone to do work which vrould
require a permit trom Ihe Division of Intlushial Safety, as notetl above, unless
such person has a permit to tlo such vrork from Ihe division.
Appli�'anl's Sign�Wre Dale
Division of Intlustrial Safely Permit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
7. Will the applicant or present or future building occupant need to file and
certify a Business Plan tor emergency response to release or threatened
release o( a hazardous material? ❑ Yes ❑ No
(Section 25505 of Ihe Califomia Health and Sa(ety Code requires, with some
exceptions, thal a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time during a repoAed
year a quantity of hazardous materials equal to or greater than a weight o(
500 pounds, or a volume of 55 gallons, or 200 cubic feet ot compressed gas
at standard temperaNre antl pressure).
2. Does or will the applicant or present or future 6uilding occupant neetl to fle
a registration fortn for acutely hazar0ous ma[erials? ❑ Ves ❑ No
(Section 25533 of Ihe Califomia Health and Safety Code, with some
exceptions, requires regislration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantiry of awtely
hazardous materials equal to or greater than a weight of 500 pountls, or a
volume o( 55 gallons, or 200 cubic fee[ o( compressed gas at standard
temperature antl pressure).
3. Does or will the applicant or preseN or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous matenals)? ❑ Yes ❑ No
(Section 25534 of the Califomia Health and Safety Code provides that the
Costa Mesa Fire Departmem may require the preparetion, certi(calion and
filing with the Fire Departmenl 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 0( the Cali(ornia
Health and Satety Cotle been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future Duiltling occu0ant require for
Ne work which is the subject of Ihis application a permil for such wnsWction
or motlifiwtion Gom the Soulh Coast Air Qualiry Management Dislrict or from
any other air pollulion control district or agency? � Yes ❑ No
(Section 658502 of Ihe Califomia Govemment Code requires that Ihe requesfed
in(ortnation be fumishetl on applications fa nornresitlential building permits).
6. Will any part of lhe faciliry to be constmctetl under this permit be within
1000 feet fmm the outer boundaries of a school? ❑ Ves ❑ No
Q( "yes", the lacility must meet the requirement of Sections 25534 and 42303
of the Cali(omia Health and Safely Code).
7. If a permit from the South Coast Air �uality Management Dislrict or other
air polNtion control district or agency is required tor the work which is the
subject of this application, have all of the disclosures prescribed by Califomia
Health and Safery Code Section 42303 been made? ❑ Yes ❑ No
B. Qf yes", aflach certificate of compliance from the appropriate air pollution
control offcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
intormation given above is correcL I agree to comply with all state laws and
city ortlinances regarding Hazardous Materials and Emissions.
Signawre Da�e
CERTIFICATE OF COMPLIANCE AND AU7HORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
Ihe information given is correcL I agree to compy wilh all state laws and ciry
ortlinances relating to building consWction, and authonze 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 fnal inspection. �
3 9-0
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