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Home My WebLink About543 VICTORIA ST - Building Permits (4)Ciry ot Costa Mesa Develo�ment Services Departmeni Building Satety Division P. O. Box 1200 Costa Mesa, Califomia CERTIFICATE OF OCCUPANCY No. CQL��Z The euilding locaced ac 54� '/i cYor. :a Stceet. Blamldina tt3. Gnits N.O, P, O has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group Occupancy Use of Building aPacC!n2nt5 Legal Description 422-0[1—G7 (See reveru side for Metes and Bounds) Building Permit No B 32067 Electrical Permit NoE 3z339 Plumbing Permit No. �3[lEi4i P32t321 Mechanical Permit No. M�4309 � h 32360 Number of apartments a and/or guest rooms ISSUED TO: C1 •..�,P.o._.�^,-iAaS, I:1C Z';7; �usiness Cenc�c Dr. #160 T ^�t: �c r� Building Official by "r7i11ian ^. 4oward _ Dace Januav 10, 1989 This Certificate of Occupancy SHAIL BE posted in a conspicuous place o� the premises and SHALL NOT BE removed except by ihe Building Official of the CitV of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-a6 rev. 1/B3 White - Owner, Canary � Numerical File; Pink - BIAg. Permit File ,. , _Applicant to till in all spaces ezce0t those within heavy Coreer lines antl sign all aooropriate tleclarations. CI7Y oP Co§TAiMESA. �.CONS'TRUCTION�PERMIFT y s j PE MIT NO. TRACT NO. LOT NO. UNIT NU. � �j3ZO�o 3`iS POR I� N�o�P�Q �..ProlectAddress ��'� �`I�� •' ��'�s� �-1 ��d 6✓S-��G�>G2 (�(L �'( n��YPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR � ApplicanYs Mailing�Address ' Owner's Name {��+�Et�l��l��'�ic'S '�^Phone�3spj Address �'-��L� � Arch/Eng. � � ' License No. ' Address � �—��Cf3j � �, Contractor'sNam= f�j-� �'�` �-�-�'^«� Phone'�(�—';�a�? Address Imailing) 9A� �-` CitY License No. � ��3 � . , LIGENSED CONTRACTOR DECLHRATION I hereby afiirm tnat 1 am licensed untler provisions of Charter 9(commencing '� wlth section ]ODO) of Division 3 0� the Busine55 antl Professions Cotle, antl'i my license is in lull torce and effect ' License Clau �L�cense Jo. � Date 'Z --I —�% Si9nature WORKERS' COMPENSHTION DEG ARATIO � ' 1 hereby a(firm that I have a certi(icate ot consent to self-insure or a^certlticate }1 Worke�s' Compensafion Insurance, or a certltietl copy thereot(Section 380q �ab. C.) C ,/n� � Policy No. Company p��t ��/' V V-� ` Certifietl moY is hereby fumishetl. ertifietl c py is tlletl with the city 8 i 9 tG sion. .��".. '� Date �%-�� — � APPIi<ant� EXEMPTION FROM WORKERS' COM ENSATION E RAT N" (Thissection neetl not be completetl if the permlt i5 for one huntlretl ($300) oi„" less). %r' -' _�, I certity that in [he periormance of the wotk fo� wM1i[M1 this pe�m�tvis iSSuetl, I* shall not employ any person in any manner so a5 to become subjeGt to the'`-� Workers' Compensation Lzws ot California. F- , Dale Si9nature - NOTICE: If, after making this tlecla�ation, You shoultl become subjeGt [o Ihe Workers' Compensation provisions of tM1e Labor Cotle, You mu5t (or[hwlth mmply with .such Orovisions or Ihis permit SM1all be tleemetl revoketl. CONSTRUCTION�'LENDING AGENCY I hereby afflrm that tnere is a conitruction lentling agency fo� the pertormanCe ot the work for wfiicn this permit is issuetl (Section 3097 Civ. C.) Lentler's Name _.r-.. . -_ .�_.._ZA.. __... . . _ _. OWNER BUILpER C�ECLARATION 1 hereby atfirm.that�l.am exempt from the Contractor's License Law lor the tollowing reason'(Section 7031.5 6usiness antl Professional Cotle: Any city or county which �equires a permit lo construct, alteq improve, tlemolislt�o� repair any structure, prib��to Its issuance, also requires the appli<ant tor such permit to file a signed s[atement that he/she is licen5etl pursuant to the pwvisions of _ine Gontractor's Cicense Law (Chapter 9(commencing with Section ]000) of � Oivision 3 of' lbe Business antl Professions GOGe) or that he/she is exempt j ,herefrom ana tne basis for the alle9etl exemption. Any violation of Section 9031.5 by�any applicant for a permlt subjects the applicant lo a civil penalty;of not more than five huntlretl tlollars (5500�. ❑ i, a{ owner ot Ihe pvoperty or my employees with waqes as their sole compensation, will tlo the work, antl ine sVucture is not intentletl or offeretl for sale (Section 7044, Business antl Professional Cotle: The Contractor's License Law tloes not apply to an owner of a property who builtls or improves thereon, antl who tloes SucM1 work himselt/M1erself or [hrough tlis or her own employees, ptovitletl that wch improvements a�e not intentletl o� offeretl for . sale. If, however, the builtlinq or improvemenS is soltl wilhin one year of com- ' pletlon, the owner will have the burtlen of proving he/she tlitl not builtl or im- p�ove fot [be purpose�ot sale). ❑ I, as owner of the property, am exclusively contracting with licensetl con- tractors to construct the project (Section 7044, Business antl Protessions Cotle: The ConVactor's License Law tloes not apply to an owner of property who builtls or improves lhereon. antl who contracts for such projects with a rom tracmr(s) i¢ense pursuani to the Contractor's �icense Law). 1 am aware that oroot of their Worker's Compensatlon Insurance shoultl,be provitletl.to me. ❑ I am exempt unaer Section B. & P. C. for Shis reason Date •Owner 1 hereby certlty Iha[ I have reatl this application antl state that the above information'is corr ct. I agree to wmply with ati city antl munty ordinances antl state laws re ing to builtling const�uction, antl hereby authorixe �epre- sentatives of t city lo e e� upon lhe abo e-mentionetl property for inspection purp es, Signature �� C .Date�— �I:Pi Drivers' Lice se or 55 � �( � � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER .. q,p. # l.f DESCRIPTION OF WORK/USE OF BLDG. 'S Main Buildi E TVPEOFPERMIT GRApING � FOVNDATION STRVCTuaAL .T Front � TENANT ❑ ELECTRICAL ❑ PLUM8ING ❑ MECHANICAL B Rear ^� ❑ OTHER � % ,PROJECT DESCRIPTION SQ. FT. OCCUPANGV C Riqht K CONSTRUCTION TVPE �%�� VALUATION $ Z�r_` [T7C g Left ZONE GRADINGCU.VDS. ACRES Ping.�Ref.# �:Remarks: ,� � '� 2Co � �j � A Plannin9 Notes: Preventer Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service :!- O Interceptors Kitchen Sink Lavamries „ , .- Roof Drains '.. , Reinspection Fee $f10WEf5 Service Sink $ewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal WaterCloset WaterHeater ' Water Service .�.,,� Auto-Wash Laundcy-Trays . S15 Issue Fae Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Pact. Blt. ICBO # Heating System & Ducting ❑ ai oo,000 sTu O i o0 00o eT -' I ReinsPection Fee I $75 Hood or Typel ❑ Canopy Type 11 ❑ Refrigeration Sys[em ❑0-t00,0006TU ❑t00,0006T System Repair/Alteration Fire Dampers , Registers � Iuue'Fee FEES 2�.-02 ig: 37•S� /7•S� 9' �d � 4 3 h it,.�i.�.:� Automatic Washer Construction Pole Sub. Cooking Unii Dishwasher Dryers ❑Gas ❑Electric �, �-- ��;, . _ . . ., _ ti ., •; ��: `,�i _ I 2one Accessory Building: / Parking Feq./Provided ELECTRICAL Tmnstormer ❑ 15-50 KW ❑ 50+KW Merer ❑up to 700 amps Meter ❑over 100 amps Fan F.A.U. Fixtures DCVIC2 BOXQS Outlets -• Switches Garbage Disposal Generamr �0-5 KW �5�15 KW $�� Reinspection Fee {:g15 FEES �DEVELOPMENT SERVICES REQUIR Zoning Approved By ' " Building Approved By Aaoliration luued Bv� $ 3 Sub Panel Motors �0-1 HP � 1%- 6 Inc.Solar �9-15 HP �16-15+ Microwave Pole Light Range Sign Stand ing Sections Trash Compacmr ISSIIP FC2 SUMMARYg� FEES BUILDING PERMIT $ _�� SMIP - PLAN CHECK $ � � PERMIT PWMBING $ ISSUANCE PLAN CHECK 25% $ ENERGY P.C. ELECTRICAL $ GRADING PLAN CHECK 50% $ MICROPILM MECHANICAL S TOTALFEE PLAN CHECK 25% $ FEES $.3 $ � -� 22 Z O N I N G R E Q M T 5 � CONSTRUCTION AND PL�ANNING� �. POOL & SPA ^; � �� d4 Date Inspector qppROVALS Permit # � Date Inspector ' ^,4PPROVALS :Permit# '� •r- i 1.-'Temporary Electric``�I�-Service orPole � 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd" '� " � 53. Steel Reinforcement � . I i � 3. Electrical Conduit Utility-Undrgmd. 54. Forms � •' � 4. Electrical Conduit-Undrgmd. 55. Electrical Bonding � - 5. Steel Reinforcement,,,._ � -56. Rough Plumbing & Pressure�Test 6. Electrical UFER Gnitl! � . 57. APPROVAL TO COVER-GUNITE r •�. � i 7. Footings �-� �= ___---. . � �58. Electrical Condui;-Undrgrnd. � 8. Foundation� �.1- ,. -� � - 59. Gas Pipe, O�Undrgrnd., Tes[ . � 9. Water Pipe-Undrgrndr�� - � 60. Backwash�Lines, P-7rap.d Undrgrnd. .�� , 10. Structural Floor System s'L,Q6 �' (�'.�✓ 61. APPROVAL TO DECK �, . . 11. Properry Sewer Line & House Connection 62. Backwash & ReceptorFinal , , '' �� 12. Sewer Cap 63. Heater & Vent-Final ' " , � �13. Roof Drains � 64. Plumbing System - Final 14.- Rough�Plumbing � � �- 65. Electrical-Final �15. Rough Eleciricaf-Conduit � 66. Solar System-Final . �16. Rou9h Elecvic Wiring = 67. Fencing & Access Approval � � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �� j 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL � 19. Rouyh Heating & Air Conditioning FIRE DEPT. REQUIREMENT '� -�-' '� 20. Rough Factory FirePlace ' � APPROVALS Permit # � �- 27. Ducts, in SVucture 'r � . , 70. Underground Hyilro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil � '� 23. Gas Pipe-Rough & Test _ 72. Underground Flush ' 24. Roof Framing' � � 73. Undergrnd.StorageTank OGas ❑Oil C:; 25. Roof Sheathing �� bi e� 74.� Overhead Hydro F� 26. T-Bar Ceiling (Structuraq & Monocoat . 75. Dry Chemical � �, �; �. 27. Frame and Flashing 7� � �j fJ 76. Dry Standpipe y "'� �i �i� . 28. Lathing & Siding � L-t � ��- 77. FIXED SYSTEM FINAL • ! 29. Insulation . 78. FIRE PREV. FINAL 30. Drywall Nailin9 $� d- HEALTH DEPT. REQUIREMENT 31. Plasrer 8rown Coat 8 �� 79. FINAL INSPECTION �, �' �r . �32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED . �:. y. �33. Final Electric Notes: �OLD FOR SPECIAL IZEQUII;EPiII'.NTS �' '.� i 34. Final Heating & Air Conditioning a�5 �j•a G� �, �"„�g G.•. N• r�"Y� t 35. Final Gas Pipe-7est � � �� .C�B- Q �� 1 36. Hood or Canopy . 7 -� �� 7 Y o K Ca `�u c'si-G' � O�-- . f 37. Final Factory Fireplace - �� ' � � �� 38. Final Plumbing � � /5 � ' . �39. Water Service-Final , ,;! �' 40. Gas Service-Final . d. � � `� � � i 41. Solar pomestic-Final � � ' � . � � , 42. Backflow Preventer � � ' d 43. Backflow Irrigation `� � . � � � l. - 4,4. Landscape Irrigation System - . ; ' ' � �- � ' .' �� 45. Sound_ Attenuation . . �I � � � ; E ,46. Handicap Regulations � r � � � i� 47. FINALSTRUCTURE & BUILDING ! � �i ' i �� . � 48: Special Requirements Completed � „ �,� � '�� ' � ' __� ` � 49. Elec[ric Release to Edison � r.- �; j 50. Gas Release to Southern California Gas Co � � . '� O', _51. CERTIFICATE�OF OCCUPANCY � � - � � ` � � � - � : �., } r�'�� No. Date ' �; CITY OF COSTA MESA os` F BUILDING DIVISION i`� , � 77 FAIR DRIVE, WSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • Hm�v.ci.wsta-mesa.ca.us , : �. � FOR INSPECTIONS CALL: (714) 754-5626 �' � � ' ' ' 'koq,e�o fi F10-00009 Job Address: 543 VICTORIA ST Suite: Q Vicinity: ENTRY WAY SUBTYPE: OVERHEAD Parcel Nunmber: 93411026 . Applicant COPE, JOSEPH Address: FIRE SUPRESSION PERMIT Phone: 949-542-9954 Zip: Owner: BRABANDER, THERESA Address 543 VICTORIA ST UNIT Q Phone: 949-634-5758 COSTA MESA, CA Zip: 92627 Contractor: THORPE DESIGN, INC Address: 31878 DEL OBISPO ST STE 118 SAN JUAN CAPISTRANO, CA Phone: 877-977-fIRE Zip: 92675 License: 541016 Status: APPROVED Applied: 01/14/2010 Issued: 01/14/2010 ,•,p^�:rVED � ,-,:n.,...;�) � ....i:,^_q10 0 SCOPE OF PERMIT: FIRE SUPPRESSION PERMIT TO INSTALL 2 FIRE SPRINKLER HEADS IN CONJUNCTION WITH A 137 SF LOFT INTERIOR ADDITION OVER THE FAMILY ROOM TO EXISTING CONDO UNIT Q. REF#; BC09-00428 FEE SUMMARY Add'I Inspection Fees: $0.00 TotalFees: $106.00 NOTICE: The work authorized by this permit Shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) �`"'`' EXPIRATION: PERMIT EXPIRE5180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. - '�'� INSPECTIONS: In order for the work authonzetl under this permit to be considered legal, such work must comply with all applicable'cotles � and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. LOOEt. INSPECTIONTYPE DATE IN A� COpE� INSPEC➢ONTVFE 01TE IN7IilAl 1616 Fixetl System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Elecirical - 1yr� ',1(��(�� „� �2U,1 Final Block/Retaining Wall 212 Final Fire Prevention —•V `v 1.J,�� :1t.�1A2 Final Faclory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site -' 204 Final Demolition 250 Final Building�0aupancy WORHERS' COMPENSATION DECLARATION: I hereby atfrm under penalty of perjury one of the tollowing declarations: ❑ I have and will maintain a certificate of consent to sel4lnsure for wprkers' 4ompensa�ion, as provitletl for by section 3700 ot the labor Code, for the pe rmance of the work /oi which this permit is issued. I have and will maintain workers' compensation insurance, as required 6y 700 of the Labor Cotle, fw the peAormance of the vrork !or which this permit is issued. My workers' compensation Insurance carner and policy umber re: / rtier s oY -/ .v - �o (T section ne mt Oe mmpleteC Alhe permR k val�etl a! one M1✓nOreC tloNars (S10p) d less ) Wo�ic umbe l��933/OS2S��I ❑ ertify that in the periormance of lhe work tor which this permit is issued. I shall not employ any person in any manner so as ro become subject b the vrorkers' compensation laws of California, and agree thal if I should become subject to sation provisions of Section 3700 of the Labo , 1 shal rt mply with lhese provisions. / " /D A nf ure , te WA TO SECURE WORKERS' COMPENSATION COVERAGE �S UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. IICENSED CONTRACTORS DECIARATION: � hereby aK�m that I am i'rcensed under provisions o! Chapter 9(commencing With Section 7000) of Division 3 of ihe Business and Pro(essions Code, and ic se is in full force and effect. ��.� ci� #syio � 6 � / �1Z1 Oaie ONSTRUCTION LENDING AGENCY: [] I hereby affrtm that there is a consWction lenaing agency for the pedormance o( the wurk fa which t�is permit is issued. (SeC. 3097. Civil Code). Lender's Name: Lender's Address: SignaWre Daie OWNER-BUILDER DECLARATIONS: I hereby af5rm that untler penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Protessions Code: Any ciry or county which requires a permit to constmct, alter, improve, demolish, or repair any slruciure, pnor to ils issuance, also requires the applicant for such permit to file a signed statemeM tha[ he or she is licensetl pursuant to the provisions of the Contracrors License Law (Chapter 9(commencing vnN Seclion 7000) of Division 3 0( lhe Business and Pro(essions Code) or that he or she is exempt there(rom and the basis (or the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicaM to a civil penally of nol more Ihan fve huntlretl dollars ($S00).�: ❑ I, as owner of the property, or my employees with wages as their sole wmpensation, WILL DO THE WORK, and the sWCNre is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does nol apply to an ovmer of properry who builtls or improves thereon, antl who does such work himself or herself or through his or her own employees, pmvided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold vnthin one year of complelion, the owner•builder will have the burtlen of proving Ihat he or she did nol builtl or improve for purpose of sale.). ❑ I, as owner of the pmperty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro construct the pmject (Sec. 7044, Business antl Professbns Code: The contractars License Law dces not apply to an owner of property who build5 or improves ihereon, and vfio contracts for such project with a contrac(a(s) license pursuani rothe Contractas License Lavrs.). ❑ I am exempt under sec. Business and Professions Code for this reason: Owner ID verifed Dy driver s'license. ❑ Yes ❑ Na Driver's license No. Expires: Venfication of Ovmership by (type o! tlocument, i.e. - propeny tax bill or tleetl): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certify that no excavation frve (5� or more feet in depth inro wfiich a pereon is requiretl to descend, will be matle in connection with vrork autMrizetl by this permi�, and that no building slrucWre, scaHdtling, (alsewnrk, a demoliCwn or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, M 2, Sea 341, Ttle 8, Califomia Atlministrative Code). ❑ As ownerbudder, 1 will not employ anyone !o do work which would require a permit (rom the Division o! Industrial Safety, as noted above, unless such person has a permil to do such work from ihe division. Mv��'s Sgnawre oate Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant neetl to file antl certify a Business Plan for emergency response to release or threatened release ot a hazartlous malerial? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Satety Cotle requires, vrith some excepGons, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time dunng a reported year a quanlity of hazardous materials equal to or greater than a weight o( 500 pounds, or a volume of 55 gallons, or 200 cuDic leet of wmpressed gas atstandard temperature an0 pressure). 2. Does or will [he applicanl or present or future 6uilding occupanl need to file a registration form for aculely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safety Code, wiM some exceptions. requires regisfra[ion with the Costa Mesa Fire Department by each business which at any one lime has on hantl a quantity of acutely hazardous ma[enals equal ro or greater [han a weight of 500 pounds, or a volume o! 55 gallons, or 200 cubic feet of compressed gas at standartl tempera�ure and pressure). 3. Does or will the applicant or present or fuWre building occupant neetl lo prepare an RMPP (Risk Management and Prevention Program (or acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Cali(ornia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certifiwtion and filing with the Fire Department of an RMPP by businesses which are required to regisier acutety hazartlous materials wiih Ne Fire Department. 4. If an RMPP is presently requiretl, has Section 25534 of the California Health antl Sa(ely Code been (ully complied with? ❑ Yes [] No 5. Does or will the applicant or present or tuture builtling occupant require for the work which is the suDject o� this applicalion a permit tor such constmction or motlification from the South Coast Air Quality Management DisMct or from any other air pollution coNrol district or agency? � Yes ❑ No (Section 658502 of the Cali(omia Govemment Code requires that the requested information be fumished on applications ta non-resbencial building pertnits). 6. Will any part of the facility lo be wnsWcted untler this permil be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No Q( "yes", the faciliry must meet Ihe requirement of Sections 25534 and 42303 of the California Health and Safery Cotle). 7. If a permit (rom the South Coast Air Qualily Management District or other air pollution control district or agency is requiretl for the work which is the subject of this application, have all ot the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (It'yes", attach certi(cate ot compliance from the appropriate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I cerlify thal under penalry of peryury the information given above is correcL I aqree to comply with all state laws and city ordinances regard'�ng Hazardous Materials and Emissions. SignaWre Dyle CERTIFICATE OF COMPLIANCE AND AU7HORIZATION OF ENTRY: I certify under penalry of perjury that I have read this application and state lhal the information given is correcL I agree to comply with all state laws and city ordinanCes relating to building constr�ction, and authonze representatives of the City of Costa Mesa to enter upon the above-described pmperty for inspection puryoses. I agree not ro occupy or a71ow occupancy o! any Ouilding authorized by Ihis permit until final inspection. /SignaWre ol Dat Sgnawre Da�e � � JOS]i6�]ttl]� �'S �� — Appli�nl r CITY OP COSTA MESA ��pMFsq BUILDING D/VISION iY�� 77 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us � FOR INSPECTIONS CALL: (774) 754•5626 �"""""� PERMIT NUMBER: BC09-00428 PERMIT TYPE: B COMBO Sub Type: RES_ALT �oe,nooRess: 543 Q VICTORIA ST CM APN: 93411026 Vicinity: CONDO LOFT Const Type: V-B Zoning: , , S�. FT: 137 STATUS: ISSUED DATE ISSUED: 11/18I2009 ISSUED BY: RMD Suite/Unit: Gl Primary Occ: Valuation: $12,658.80 SCOPE OF WORK: 137 SF LOFT INTERIOR ADDITION OVER THE FAMILY ROOM TO EXISTING CONDO UNIT Q. ELEC: 1 LIGHT FIXTURE, 4 OUTLETS, 1 SWITCH OWNER: BRABANDER, THERESA Phone: APPLICANT: DELUNA, BOB Phone: 714-813-5900 CON7ftACTOR: DEL WEST BUILDERS Phone: 714-813-5900 Cell: ARCHITECT: KENNETH G BROWN AND CO ENGINEER: Address: 543 VICTORIA ST City/State/Zip: COSTA MESA, CA Address: City/State/zZip: License No. 376430 Address: PO BOX 31Unit: City/State: TRA8UC0 CANYON, CA License No.C13410 License No. COMBINATION pERMIT FEE SUMMARY Building Plan Check: $145.11 Building Fees: $223.25 Electrical Fees: $30.10 Mechanical Fees: $0.00 Plumbing Fees: $0.00 SMIP Residential: $�,27 SMIP Commercial: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES: $400.73 "Refer to fee receipb for all fees Oaitl for project Unit: UNIT Q Unit: : ZipCode 92678 PHONE:949-770-8550 PHONE: NOTICE: The work authorized by this permil shall comply with all applicable handicap access requiremeNs under Califomia sWtutes antl related regulations. (Ord. No, 92-28. § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 780 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 vrith all applicable codes, and all required inspections and frnal approval must be obtained. Failure to obtain inspections and final approval wiA result rn the expiration ot this pertnit. GOOE1. INSPEC➢ONttPE DpiE INTI� 400E1 INSPECTIONTVPE �ATE INTITIRLS 1616 Fixetl System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing �/_�/��/��A� 200 Final Re-Roof 210 Final Electrical �LLD l W � 207 Final Block/Re�7ining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Finai Site ��,(,��, 204 Final Demolition 250 FinalBuildinglOCLupanCy q� rCo� WORKERS' COMPENSATION DECLARATION: I hereby aflirm under penalty ot perjury one of the following declarations: ❑ I have and will maintain a certificate oi consent to sel(-Insure tor workers' compensation, as provided for by section 3700 ot the Labor Cotle. for the peAormance of the vrork (or which this pertnit is issued. ❑ I have and will maintain workers' compensation insu2nce, as required by sectbn 3700 of the Labor Cotle, fa the peAortnance o( the �+ork lor which this pertnit is issued. My workers' compensation Insurance cartier and policy number are: �Carrier. (T�rs setlibn need iwt ee completeC � t�e pe�ma a vaWed at me nuMred tlMars (Si00) a less ) Policy Number: �I certify lhat in the performance o! the work for which this permil is issued, I shall not employ any person in any manner so as ro become subject to the workers' compensation laws of California, an0 agree thal if I should ome subjec1 �to the workers' compensation provisions of Section 3700 of ihe Lab od fd I�hal � omply with these provisions. � <J 1 c ^ 1 dr'—.�`Y � AOPIICAnfsSignaWre Dale WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL 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, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(wmmencing with Section 7000) of Division 3 of ihe Business and Professions Code, and my license is in full force antl eHect. (� Licr#—• ^' �o Class # �1�� Vu � �-�-18--`J`j CaMracbYs'SI9�ti7re` '" - � W�e�.. L_j<"" 6- ' CONSTRUCTION LENDING AGENCY: ❑ I �ereby aRrm ihat there is a constructbn lending agency (or Ne peAortnance of the wurk for v.hich this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Sipnalure Oa�e OWNER-BUILDER DECLARATIONS: I hereby aK�m that untler penalty of perjury that I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Pmtessions Code: Any city or counry which requires a permit to construc�, alter, impmve, demolish, or repair any sWCNre, Orior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to �he provisions o( Ihe Contractors License Law (Chapter 9(commencing with Seclion 7000) of Division 3 0( Ihe Business and Pmfessions Code) or that he or she is exempl therefmm antl 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 lhan five huntlretl dollars ($500�.�: ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl the sWCNre is not intended or offered for sale (Sec. 7044, Business and Professions Code: The CoMrectors License Law does not apply to an owner of propeAy who builtls or improves thereon, and who does such vrork himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, hovrever, the buildinq or improvemem is sold within one year of completion, the ovmer-builtler will have Ihe burden of pmving 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 cont2clors License Law dces not apply to an ovmer ot pmperty who builtls or improves thereon, and who contracislw such prqect vrith a con[racta(s) license pursuant to the Contractors License Laws.). ❑ I am exempt untler sec. Business and Pro(essions Code for [his reason: aos�-as �aro�� Owner ID verified by driver s license. ❑ Yes ❑ No Driver's License No. Expires: Verifcation of Ownership by (rype of document, i.e. - property tax bill or tleed): DiVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavation frve (5) or more (eet in tlepth into which a person is requiretl to descentl, vnll be made in conneclion with work autMrized by this permit, antl that no building s[ructure, scatfdding, false�+ork, a tlemolitbn or tlismanlling thereof, will De more than thirty-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, T�le 8, Cali(omia Administralive Cotle). ❑ As owner-builtler. I will not employ anyone to do work which vroultl require a permit from ihe Division of Industrial Sa(ely, as notetl above. unless such person has a permit to tlo such vrork trom the division. ApPlicanfs SignaWre Dale Division of Induslrial Safe�y Permi� Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuNre building occupant need to file antl certify a Business Plan for emerqency response to release or threatened release of a hazardous material? ❑ Ye5 ❑ No (SeCtion 25505 of Ihe CalifOrnia Heallh antl Safey Cotle require5, vnlh some exceptions, that a Business Plan be (led with the Cos[a 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 than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic leet of compressed gas at standard temperaWre and pressure). 2. Does or will Ihe applicant or present or future building occupant need to fle a registration form for awtely hazardous materials7 ❑ Yes ❑ No (SeCtion 25533 of the Califomia Health and Safery Code, wilh 5ome ezceptions, requires registration wiM 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 Ihan a weigh[ of 500 pounds, or a volume of 55 gallons, or 200 cubic feet o( compressed gas at standard temperature and pressure). 3. Does or will the applicant or present or (uture building occupant need to prepare an RMPP (Risk Management and Prevention Program (or acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Sa(ery Code provitles [hat the Costa Mesa Fire Department may require the preparation, certifcation and filing with the Pire Deparimenl of an RMPP by businesses which are required to register acutely hazardous materials vrith the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safery Code been fully complietl with? ❑ Yes ❑ No 5. Does or will Ihe applicant or present or fuWre building occupant require (or Ihe vrork which is the subject of this applicalion a pertnit for such constmction or modification from Ihe South Coasl Air �uality Management District or from any other air polNtion contml district or agency? ❑ Yes ❑ No (Sectbn 65850.2 of lhe Califomia Govemment Code requires that the requestetl in(ormation be furnishetl on applications for non-residential building pertnits). 6. Will any pan of ihe faciliy to be consVucted under this permit be within 1000 teet from the ouler boundaries of a school? ❑ Yes ❑ No Qf "yes", the facility must meet the requirement of Sections 25534 antl 42303 o( Ihe Calilornia Health and Sa(ery Code). 7. If a permit from the Swth Coast Air Quality Management Districl or other air pollution conirol distnct or agency is required for ihe work which is the subject of this application, have all of the disclosures prescribetl by Califomia Health and Safery Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach cetlifcate of compliance trom the appropriate air polWtion control o(fcer�. CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the information given above is correct I agree to comply with all state lavrs and city ortlinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certity untler penalry o( perjury ihat I have read this application and state ihat the information given is correcL I agree to comply with all state laws and city ordinances relating to building construction, and authonze representatives of the City o( Cos�a Mesa to enter upon the aboveEescribed pmperty for inspection purposes. I agree not to occupy or allow occupancy of any builtling authorizetl by this pertnit until final inspection. SignaWr Legal wner Dale 1 � ^1'8 —f�3 r[mmw,A�m«mednoW��.. . L.^^�Date' ��ia»sa-sz�s • Fau (��a� �sa-aess • www.ci.costa-mesa.ca.us PLUMBING PERMIT JobAddr¢ss: 543 VICTORIAST Suite No Q Vicinity: Parcel Nunmber: 93411026 Applicant: Address: Owner: Address Comractor. Address: BRABANDER,THERESA 543 VICTORIA ST UNIT Q COSTA MESA, CA BRABANDER,THERESA 543 VICTORIA ST UNIT Q COSTA MESA, CA OWNER-BUILDER REPL4CE WATER HEATER ISSUE FEE Backflow irrigation Backflow Preventer Ba�htub' Claritier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over a outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Santl Auto ) AMT 523.50 $0.00 50.00 $0.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 30.00 50.00 50.00 gTM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 � hone: Zip: 92627 Phone: 2ip: 92627 Phone: Zip: License: 000000 SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer 50.00 Landswpe Irrigation 50.00 P-Trap 50.00 Pressure Regulator 50.00 Process Piping (per 10 fl) 50.00 Recepiors 50.00 Septic Tank 50.00 Sewer Cap for Demo 50.00 Sewer Connect 50.00 Sewer Private Line 50.00 Shower 50.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kiichen 50.00 Sink, service/mop 50.00 Spa (private) $0.00 Spa (public) $0.00 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: � • , J . �� ► / � 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS 1 SPECIAL CONDITIONS Status: ISSUED Applied: 0928/2006 Issued: 09f28/Z006 Sump Pump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr BkFlow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Cbset (foileq W ater Heater l vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Sokener OTHER VIOLATION PLAN CHECK REINSPECTION AMT 30.00 30.00 $0.00 so.00 $0.00 50.00 50.00 50.00 50.00 50.00 572.30 50.00 50.00 50.00 50.00 50.00 50.00 50.00 $0.00 TOTAL CALCULATED FEES: 535.80 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authorizad by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 1241•92) EXPIRATION: This permlt shall automatically expire and become voitl il work Is not commenced withln 180 days, or if work is suspended or abandoned for a period of 1 BO 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 inepeetlona end finel epproval must be obtalned. Failure to obtain Inspectlons and Ilnal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 246&48(6�W) WORKERS' COMPENSATION OECLAFiA71pN: � � �� I hereby amrtn under penelry ol per(ury one of the following OeUaratlons: ❑ I heve end wlll mainteln e cenificate of tonsent to self-Insure tor workere' compensatlon, es provided lor hy section 3700 at the Labor Code, Iw Ihe perfarmance oi Ihe work for which Ihis permlt Is Issued. ❑ I have anC will maintein workere' compensation insurance, as requiretl by sectlon 3700 of the Lebor CoOe, for Ihe pertortnance of t�e work for which this pertnit is issued. My workers' compensatlon Insurence cerner entl policy number ere: Certier: Policy Number. (TAfs secflon neetl naf be oompletea i! Me pemti� (s veluetl et me huntlred doflers (S 100) or IessJ ❑ I certity ��et in the peAortnance ol Ihe work lor which t�is pertnit i5lssueA, I shall not employ eny person In eny mannar so es to become subject lo Ihe workers' compensatlon laws ol Celifomia, enE agrea that if I should becwne subject to the workars' compense�ion proNslons ot Section 3700 ot the LeDor Code, I shell torthwlth comply with these provisians. Appllcanl Signeture: Date: WARNINO: FAILURE TO SECURE WIXiKERS' COfl�pEN5AT10N COVERAGE IS UMAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES M!D dVIL FlNES UP TOONE MUNDRED THOUSAND DOLLARE (5100,000), IN ADIXIION T07ryE CQST OF COMPENS�TION, DMMGES AS PHOVIUED FOR IN SECfION 3N8 OF THE UBOR CODE, IMEREST, AND ATTORNEYS FEES. . LICENSED CONTRACTORS DECLARATON: ! I hereby efllrm that I em Iicensed under provisions ol Chapter 9(commencing with Section 7000) at DiWsion 3 oi Ihe Buslness antl Profeuions Code, antl my Iicense is In full �Iforca entl eMect. Lic. x Class a , Conirectors Signeture: Date: CONS7RUCTION LENDING AGENCY: ❑ I hereby aflirm that there Is e construction lendinp e8ency lor the peAarmence o� lhe work tor which this parmit Is issuetl. (Sec. 3097, Civil Coda). Lentler's Neme: Signa�uro: _ Lentler's Atltlress: Date: OWNER-BUILDERDECLARATIONS: . " ,. � I hereby ettirtn thet under penalry ol perjury that I em E%EMPT FROM THE CONTRAC70RS IICENSE LAW tor Ihe following reason (Sec. 7037.5, Business entl Pratesslons COGe: Any ciry or county whic� requires a pertnit to consWct, eNer, improve, demolis�, ar repair any swcture, prior to its issuance, elso requires t�e epplicant for such pertnit to file e slgned statement thet ha or she is licensed pursuant to t�e prwLsions at the Canirectors License Lew (Chapter 9(commenGng with Section 7000) of Division 3 of the Business end Professions Code) or ihet he Or she is exempt therefram and Ihe basis for Ihe elleged exemption. Any violetlon of Section 7031.5 by eny epplicant for e pertnit �s�ub�'e-d-s� the applicant to a civil penelry M not more then five hundretl dollars ($500).): �, I;,as owner of the properry, or my emplbyees wlth we9es as their sWe compensetion, WILL DO 7HE WORK, end the strucWre is not intended or aHeretl for sale (Sec. "�J044, Business antl Professions Code: The Coniractors License Lew does not apply to an owner of property who bullds or improves thereon, end who does such work �imself or herseli or Ihrough his or her own employees, provitled Ihat such improvements are no� intended or oHered for sale. Il, however, tha building or improvemant is sold within one year of completion, the ownerbuiltler will hava the burden at proving that he or she did not build or Imprwe br purpose of sale.�. ❑ �, es owner of the pmperty, am E%CLUSIVELY COMRACTING WITH UCENSED CONTRACTORS ro construct the prqecl (Sec. 70d4, Business antl Pmfessions Cotle: TTie cont�a crors LJcensa Lew tlaqs not appty to an owner ol p:operty who builas or Improves thereon, antl who contracis br such projact with e conirecior(5) licensa oursuarA to tha6ewtraaors Licpr� Laws.h antl Prolessians Code for this reason: ID v6Atied'tiy dnvefs Iicense. ❑ Yes ❑ No Verificatlon ol Ownership by (type oi tlocument, i.e. - property ta: blll DIVISION OF INDUSTRIAL SAFETY PERM�7 CERTIFICATON: ❑ I hareby certity thet no e:cevetion tNe (5) or more leet in tlepth into which a person is required to descend, wlll be metle In connection wIU wwk euthodzed by this permit, entl that no buildinp sWcture, scaHoltling, felsework, or demolition or tllsman�ling Ihereol, will De more then Ihirry-sia (36) feat high. (Chap. 32, Gfp 2, Art 2, Sec. 341, 71t1e B, Califomla ACmlNsiretive Coda). ❑ As owner-builtler, I will not emplay enyane to do wark which would require e permit trom Ihe Division ol Indusirinl Salery, es noted ebove, unless such pereon hes e permit to du wch work Irwn tAe division. SlgneWre: Date: Dlvision of Industrial Satery Permit Number: CQOE 1. INSPECTIONTYFE QdjE 7��$ 1678 Fixod Sysiem Finel Flre Prevention 1268 200 201 202 203 204 Pool Spa Final Finel Re-Rool Finel BIocWReteining Well Finel Feciory Flra Place Final Sign Final Demolitian COOE� INSPECTIONTYPE 206 Finel Mechenicel 208 Finel Plumbing 210 Final Electdcal 212 Finel Flre Preventlan 220 Final Planning Approval 222 Final Site 250 FinalBulltling/Occupency QAg II�L@