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Home My WebLink About780 WESLEYAN BAY - Building Permits� � + � CITY OF COSTA MESA � � �' � BUILDING DMSION 77 FAIR DRIVE, COSTA MESA, CA 92626 • pt4) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT TYPE ELEC APN: 93768021 PERMIT NUMBER: E08-00337 STATUS: ISSUED DATE ISSUED: 08/1812008 ISSUED BY: JOB ADDRESS: 780 WESLEYAN BAY CM Suite/Unit: vicinity: � � -� . _ . . � ' , � . , � SCOPE OF WORK: CHANGE OUT FAU AND ADD A/C UNIT. PAU TO REMAIN IN SAME LOCATION.�3 TON A/C UNIT OWNER: REULAND, DANIEL G � Address: 780 WESLEYAN BAY Unit: PHONE: , - . City/State/Zip: COSTA MESA, CA APPLICANT: TEJEDA, GEORGE - � � � PHONE: 714-708-3664 CONTRACTOR: COASTAIRE . Address: 202 E STEVENSUnit UNIT G ., City/State: SANTA ANA, CA ZipCode: 92705 ELECTRlCAL PERMlT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $35.80 Reinspection Fee $0.00 TOTAL FEES $35.80 Address: 202�E STEVENS AVE Unit:UNIT G City/State/zZip: SANTA ANA, CA License No. 355425 PHONE: 714-7083664 CELL: NDTICE: 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. INSPECTION3: In order for the work authorized under this permit to be wnsidered 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. OOEt. INSPECTIONTViE ORTE INTITIRLS �OOE� INSPECTIONTYPE � ORTE IN11ML 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool SOa Final 208 Final Plumbing 200 Final Re-Roof 270 Final Electricyl �_�•'�'!'_ � 201 Final BIp�WRetaining Wall 272 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 20q Final Demolition 250 Final Building/OCCupancy WORKERS' COMPEN9ATION DECLARATION: � I hereby aKrm untler penalty ot perjury one of the /ollowing declarations: 0 I have and will maintain a certifcate of consent to self-Insure for workers' compensation, as pmvided for by section 3700 of the Labor Code, for the pertortnance of lhe woB for which this permit is issued. ❑ I have and will maintain v.arkers' compensation insu2nce. as required by section 3700 of ihe Labor CoGe, (or [he peAormance of the �+ork tw which this pertnit is issued. My workers' compensation Insurance cartier and policy number are: cca��:—� S fy L�e . Cra,•�,�.,� (IDis sedion naetl not �e mmpleted �(he pe �alued af one huntlred dollars (S100) or Ie55J n Poticy.Numtier. _ b� �OS7 ❑ I certify that in Ihe peAormance of the work for which this permit is issued, I s�all not employ any person in any manner so as to become subject to Ihe workers' compensation laws of Califomia, antl agree Ihat if I should hecome subject l0 1he workers' compensation provisions of Section 3700 of ihe Labor Code, I shall torthwith comply with Nese provisions. = y_,�-�. g� g . o � ` plipm's Siy�alure �=al¢__. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED iHOUSAND DOLLAf2S ($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 affirtn that I am licensetl under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Cotle, antl my license is in full torce and eflect � -�J Lic-#— � S�Ui'S Ga�ss�#� �_. .�8. De �ipnature ..- . �Oate � �— CONSTRUCTION LENDING AGENCY: 0 I hereby affum that there is a construciion lentling agency (w Ihe peAortnance of Ihe aork ta which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: 9gnalure Da�e OWNER-BUILDER DECLARATIONS: I hereby aNirm Ihat under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW (or the following reason (Sec. 7031.5, Business and Pro(essions Code: Any city or county which requires a pertnit to cons[ruct, alier, impmve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pertnit to fle a signed slatement Ihat he or she is IicenseA pursuant to the pmvisions of ihe 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 therefmm 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 penalry of not more Ihan five huntlred tlollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law dces not apply to an owner of property who builds or improves thereon, and who does such vrork himself or herself or lhrough his or her ovm employees, provided that such improvements are not intendetl or offeretl for sale. If, however, the builtling or improvement is sold vnthin one year of complelion, the ovmer-builder will have Ihe burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EJ(CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consWct Ihe project (Sec. 7044, Business and Pro(essions Code: The contractors License Law dces not apply to an ovmer of property wfio builds or improves �hereon, antl who contracts for such project with a contracta(s) license pursuant to the Cont2ctors License Lavrs.�. ❑ I am ezempt under sec. Business and Professions Code for this reason: SignaWm Daie ]OS)�a6�3/0]) Ovmer ID verified by Anve nse. ❑ Yes ❑/Jo .� Driver's License No. Expires: Veri(cation o( Ownership by (lype ol tlocument, i.e. - property lax Dill or tleed): OIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICA710N: � ❑ I hereby certi(y that no excavation frve (5) or more feet in depth into wfiich a person is required to tlescenQ will be made in conneclion with wnrk authonzed by this pertnit, and ihat no building sWcture, sca(idding, falsework, a demolitbn or dismanlling thereol, will be more than [hirty-six (36) (eet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, T�le B, Califomia Administra�ive Code�. ❑ As owner-builder, I will not employ anyone to do vrork which would require a permit from the Division of Industrial Safety, as notetl above, unless such person has a permit to tlo such work from the tlivision. Appli�'anfs SignaWre Date Division of Industnal Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuNre building occupant neetl to fle and certify a Business Plan for emergency response to release or threatened release of a hazardous malenal? ❑ Yes ❑ No (Section 25505 o( the Cali(ornia Health and Safe[y Code requires, with some exceptions, Ihat a Business Plan be fled with the Costa Mesa Fire Department by every business which has at any one time dunng a reported year a quantity of hazardous materials equal to or greater ihan a weighl o( 500 pounds, or a volume of 55 gallons, or 200 cu6ic feet of compressed gas at stantlartl temperature antl pressure). 2. Does or will Ihe applicant or present or fulure huilding occupant need to file a regislration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safety Code, with some eaceptions, requires registration with [he Cos[a Mesa Pire Departmen� by each business which at any one time has on hantl a quantity of acutely hazardous materials equal to or greater lhan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at stantlar0 tempera[ure and pressure). 3. Does or will ihe applicant or present or �uture building occupant neetl to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous matenals)? ❑ Yes ❑ No (Section 25534 of the California Heal[h and Safety Code provides that the Costa Mesa Fire Depahment may require Ihe preparation, certifcation antl fling with Ihe Fire Department of an RMPP by businesses which are requiretl [o register aculely hazardous matenals with the Fire Department. 4. It an RMPP is presently required, has Sec[ion 25534 of the Calitomia Health and Safety Code been fully complietl wi[h? ❑ Yes ❑ No 5. Does or will the applicant or present or future builtling occupant require for the work which is the subject of this application a permit tor such wnstruction or motlifira[ion from the Sout� Coast Air Quality Management District or (rom any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the Calitwnia Govemment Code requires tliat the requestetl infwmatbn be fumisheC on applications fa non-residential building permits). 6. Will any part of the faciliry to be consWcted under lhis permit be within 7000 (ee[ from the ouler bountlanes of a school? ❑ Yes ❑ No Qf'yes", the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health antl Safety Code). 7. If a permit fmm the South Coast Air dualiry Management Districl or other air pollution control dislrict or agency is required for the vrork which is the subject of this application, have all of the disclosures prescribed by Cali(omia Health and Safery Code Seclion 42303 been made? ❑ Yes ❑ No 8. (If yes", attach certificate of compliance from the appropriate air pollution control oKceq. � ' CERTIFICATE OF COMPLIANCE: I�certify that �under penalty o( perjury the information given above is cortecL I agree to comply with all state laws and ciry ordinances regarding,Hazardous Materials and Emissions. Signalure Date ' CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF EN7RY: I certify under penalty of perjury tha� I have read [his application and state that the information given is correct I agree ro comply with all state laws an0 cily ordinances relating to building conslruction, and authorize representatives of the City ot Cosla Mesa to enter upon Ihe above-descnbed property lor inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit unlil final inspection. �9�� L��t D �� ' � � �ntl/ar'�utnonzeE"Apqlmnt �Dil� �__— �� APPRUVED CITY OP COSTA MESA PLANNING DIVISION SURJ[CT Td BLDG. DEPT. REG. NC�"fE: ADDITIONS, DELETIONS, OR C<)I2REC'CiONS SHALL BE APPI20VED B�( THE PLANNING D1V. �C W r l � i�� T/�� 7 � 0 1,�/ey��, �� Cos� �s4 �. �� z �,�,�', G�i 4 J' �J ,\ -�`�7i 1�� ':'.;�A �.., �: L a.'''_...s: :� � ^'' r. '� > >.� v9 r ' J�� _ �+'. �� y n . ' ^�i ( �o� � . r �1 � � •�w'cL .� ' !�'+�V, . r�' r�. j�� •�� 4�,5� `;p 3',i .�-' 3� r� . , T�fi'`'-`,��.y-„ :3 Y - / � +A.�U �-� r � S � - .1 .�� . ,�.,�YI -1 e' - . . �. � o o . l ��6' �� Y i�1�� V ` . ��' .� ��;: �; t�_�e a_ '� :.<, �w � a .. 1 � .V �' ♦ � r— � - �J�-'� a , �, —r � r-: �� o . � : — . � _ 'rri7 . - .. . , , � � �,F �. ._.,� -" ' - ` 'ier �-�.�._. I .� _ + . � J .-•►T• J-. . f�,: -�� - - _ _� ��y<� . .yiy'�'. .- -�..—r.. . u � ..2., i ' _ _ . �' . � '� _-�=-..` . _ 1'; ='ti__ i' " � w i s" F � W a a y h S F �- ..1 � W � C a Z W S 3 —. , , �L�'iiR� B.►� a�-'�xt a z o5 CnSTA MESA Bl'� `ING- AFETY DEPART�EN P.O. BOX 1200 A MESA, CALIFORNIA 92626 Fpr Applicant to Fill in Completely - Use Ink Only BUILDING AD�AE55 Tracr 10626: ,l3//ii.r9�)L � Z- OWNER OR TENANT M.D. Janes Co.. Inc. MAI4�NG nooREss 2950 Airwav Ave., D-9 TEL. CITV Costa Mesa no. 979-� BRANCH N�A ADDPE55 p�p ARCHITECT _ _ _ TEI. ADDRESS 3848 Camnus Dr. N.B. CON7RACTOR OWIIEi ADDPESS e TEL. � CITV e NO. STATE CITV LIC. NO. 8 LIC. NO. e 51 Z E NO. OF BLOGS. OFLOT js�� X 334� NOWONLOT VSE OF Separate permits are required for electric, plumbing and heating work. USE.OFBVIL'DING AND WORK TO BE PERFORMED oy�o6�� o`� � ! /� ONF9R�1'Rl�f��LPERMIT��5.97 �T�l ��Bv P��7/vd N° 4� A. . NO. I�I—OR I�_I i 1�� '-} TZ �Z) L BU�LDING �P s I� ADDf3E55 UNIT Oft SPACE NO. TR.f`�O� 1.� / LOT � 10L{J NEW ADD LTER 1 hereby acknowlatlpa thet I heve reetl this epplicatian entl state t�at the ebove information iz corract and apree to comply wiM all laws regulatinp builtlinB consttueNon, and 1 shall not employ any person in violation of the workman's compensation laws o/ tha Stete o( Califomta. I herebY tertify [hat I am prOparly licensetl es e contrac[or untler tne Stata af Californla Business and Professiona Cotle, Division 3, CM1apter 9, antl that cuc� licenses ere In tull torce and eifeci, o: 1 em e�empt from th9 provisions of the Stete of California Business antl Prof¢ssiona Cotl . Div's"ropi 3, Cneoter 9. $i9�atur0 01 / q ` / --' Permi[tee '� or �- AuthorizetlAg ��Da� R��%�7Q USE v APPROVED VALUE S DATE APVROVEDSETBACKS PLqNNING ACTION '�' G�' DATE ^� �� ( PPPROVEO �—L� �R�vs�,,,, P. ' /� _ � �/_ Y3 r � m � � � > � � �o(dJ � m S�. FT. � � THE AMOUNT SHOWN UN�ER VALUATION IS FOR m THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � �`J� a �'L VALUATION PERMIT FEE E ,� n PLANCHECK b G��._�� ^ / 0 5[G�f3 �trD,d7i rnx a � f C.�, V TOTALPAI� 3'�:�/f� � r F � W a Q y y f' G i� 4 Q ..7 Q � r a z w a � 0�. 4 z W x � z� � :�,�;,:�. � .-.. ,�. COSTA MESA B�`_��'"iINGSAFETY DEPARTME � APPL...�T[ON FOR STRUCTURAL PERMIT �....ov� ��w �.w�..�.�w..,....� ..r.�.�nomco REGEIVEDBY PERMIT For Applicant to Fill in Completely — Use Ink Only � BUILDINi"'� 7 A.P. NO. ADORE55 L� BUILDtNG OWNE0. OR ' I ADORE55 TENANT MA�LIN UNIT OR ADDRE SPACE NO. TR.NO. LOT BLK. TEL. GTV NO. COf�LST ON nEW ADO LTER REPAIR MOVING DEMOlISH LENDE BRANCH OWNER ADDRESS VALUE ApCHITECT TEL. VSE 3 OR ENGINEER ADDRESS ZON TVPE GROUP CONTRACTOF BVP DATE Z�/ T / ADDRESS TEL. GIYV NO. STATE CITY APPROVEDSETB.4CK5 LIC. NO. LIC. NO. 512E NO.OF BLOGS (FROM C/L STREET) OF LOT NOW ON LOT R Ni FT. USE Of EXISTING BLDG. � Separate pertnits are required for L SIDE Fr. electric, plumbing and heating work. REAR FT. USE Oi BUILDING AND WORK TO BE PERFOFMED PIJ�NNING ACTION DATE APPROVED APPROVED I �ereby acknowletlpa that 1 have roatl this application antl rtate °i � Mat the ebove information is correct antl aB�ee to comply with all lawz re9ulattng Cuiltli�g <ortstruction, n�tl 1 shall not employ � any perwn in violatian of �he wo�kman's compensallon laws ot � Me State of Calitornia. m I �¢teby cartHy thet I aT p�operly licansetl af a contro[tor unEer SQ' FT' � tne Staie of Calitar ia e�sinezs entl Professions Cotla, Division 3, THE AMOUNT SHOWN UNDER VAlUAT10N IS FOR m C�BPter 9, and th such litenses are in full fOrce end Bffa<t, or I TNE PURPOSE OF ESTABLISHING A PERMIT FEE ONLv: � em ezempt irom e prov' ons ot t�e State oT California Business VALUATION PERMIT FEE E 6,00 P antl Professions ' ' n 3, Chapter 9. � � ${gneture O PLAN CHECK E m 0 Permittee 5 TAX S LL or Z u AuthorizeE nt Date TOTALPAIO S/6 ��