HomeMy WebLinkAbout2088 MAPLE AVE - Building Permits CITY OF COSTA MESA
IAmt. BUILDING DIVISION
F'Itr�I 77 FAIR DRIVE,COSTA MESA, CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
ta. FOR INSPECTIONS CALL: (714)754-5626
%."ii°* PERMIT NUMBER: M09-00075
PERMIT TYPE MECH STATUS: ISSUED
APN: 42209241 DATE ISSUED: 08/2412009
ISSUED BY: BJK
JOB ADDRESS: 2088 MAPLE AV CM Suite/Unit:
Vicinity: ATTIC SFD
SQ. FT: 0
SCOPE OF WORK: REMOVAL OF A WALL HEATER AND INSTALL A NEW CENTRAL HEATING WITH FAU IN THE ATTIC OF AN
EXISTING SFD. 1 FAU < 100K BTU
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OWNER: TORRES,TONY Address: 2088 MAPLE AVE Unit:
PHONE: City/State/Zip: COSTA MESA,CA
APPLICANT: BEEKER,ANDREW Address: 1308 LOGAN Unit:SUITE H
PHONE: 714-979-2070 City/Slate/zZip: COSTA MESA,CA
CONTRACTOR: KLONDIKE AIR INC License No. 754456
Address: 1308 LOGANUnit: SUITE H PHONE: 714-979-2070
City/State: COSTA MESA,CA ZipCode: 92626 CELL:
MECHANICAL PERMIT FEE SUMMARY
MECH ITEM FEE: $38.30
PLAN CHECK FEE: $0.00
INVESTIGATION FEE: ' $0.00
REINSPECTION FEE: $0.00
TOTAL FEES: $38.30
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§ 1.12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE S. INSPEC110N TYPE DATE INTRIAL$ CODES INSPECTION TYPE DATE
INTRIAL
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
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WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. 0 Yes ❑ No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document.i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
.i.,- '4 I have and will maintain workers'compensation insurance,as required by
section 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
R- �V�.2� by this permit,and that no building structure,sca fdding,falsework,or demolition
art
-Cier: Yl V-`„ or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section need rid be completed Cthe pemwis valued al one hundred doWars(51X1or less.)
2,Art 2,Sec.341,Title 8,Califomia Administrative Code).
Policy Number: IL Lt,J C 00 5-6 qc
0 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become . b-ct to the r ers' ompensation provisions of Section 3700 of
Applicant's Signature Dale
the L..or Co-ie.I shall 't cimply with these provisions.
• 4 4.�r , g—ZK— O 9 Division of Industrial Safety Permit Number:
Applicant's Signature (> Date„ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full l_
forceorand effect. /' a registration form for acutely hazardous materials? 0 Yes 0 No
Lit-ifLit-ifa S�yJ (0 Clint--Clint-- -7-0 (Section 25533 of the Califomia Health and Safety Code, with some
l �_^ ,, _�9 exceptions, requires registration with the Costa Mesa Fire Department by
( i��( \ l/c'( / each business which at any one time has on hand a quantity of acutely
Contractors Signature r,Date 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 at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Sectbn 65850.2 of the Califomia Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
UCENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code:The contractors License Law does not apply to an owner of Signature Dale
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contracto(s)license pursuant to the Contractors License Laws.), certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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 b this permit until final inspection.
Sig lure p.,r(s) Date
Signature Dale i �cr— 09
3057-46(3/07)
And/or Authorized Applicant Dale -
:30j1 MIs T r An CITY OF COSTA MESA — BUILDING PERMIT
ADDRESS OF BUILDINGIUNX(hb luNx UNT: PERM NO: B 084391
ONNERS NAYEIF KNOWN: 2088 MAPLE AVE
ADDRESS: COSTA MESA,CA 92627 Q PERMIT NO: B 084393 PLAN CHECK NO: N GOVT: N SUPP: N
,.,i CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
APPL.ECT OR EDDRESS (J� JOB DESCRIPTION : TIO EXISTING ROOF INSTALL 30YR COMP SQ FT: 2, 287
ARCHITECT OR FNGNEER: LIC.NO.: CLAIM VALUE: 2 , 287 . 00 CALC—VALUE; 2, 287 . 00 GROUP OCC : R-3 /U-1
ARCH.OR ENo.s ADDRESS: AFFORDABLE ROOFING EXPERT ( 714"%%30-5903
223 KINGSLEY COMMENTS : X
CONTRACTOR'SMEE: ANAHIEM CA 674329 ****lE%-14sE1c*7fk*if**iEiEix;t*#-rE;r****It**************iE3E*********7Eif•*itiEiEiisF****1f#*,iiritiE-n;cri*:fjr
CONTRACTORSMNLNO 92806 ZONING R EQUIR EMEN TS
ADDRESS: UC NO.: SETBACKS
WIT:
LICENSED CGN yFIs�EpuRATION:Ibereb�ejnernd«penaiyof*ow/at31 - ' D e MA MAIN BUILDING ACCESSORY BUILDING
(commencing wah wn7 )dDhvlspn3dme BUNmn and Pro/esaiansC ,ane in tu7f i• '_•ane. ad. FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
CITY LIC.NO.:, LIG CLASS: LIC.NO.: do LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
1T'
Date:
y� ' Connector: .ffTfR`/.'• ' PARKING REQ: PROV: PARCEL: 42209241 ZNE: REF NO:
OWNER BUILDER DECLARATION:I hereby affirm under penally d m perjury that I eexempt from the C,CMred«s License Law for the PLANNING NOTES>
following reason(Section 7031.5 Business end Professions Code:Any city or county which requires a permit to construct alter,improve. >
'emolish,«repair any structure.prior to its'issuance.also requires the applicant for such permit to file a signed statement that he or she
licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)d DiWubn 3d the *******************************************************************************
dusinese and Professions Code(or that he or she is exempt therefrom and the basis for the alleged exemption.My violation d Sed'nn D E V E"„L O P M E N T SERVICES R V I C E S R EQ U I R E M E N -T S
7031.5 by any applicant f«a permit subjects the applied to a char penally of rpt more than free hundred dollars($00]).
❑ I,as owner of the properly or my employees wih wages as thee sole compensation,will do the work,and the structure is not intended
Of offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of propend ZONING APPROVED BY DATE:
who buids or improves thereon,and who does such work himself or hereat or through he or her own employees,provided that such --
preeltered for sale.If.however.the building or impermanent is sold within one year d completion,the
ownerov-mnts are not intended or altered the burden of proving heorshe did ndwild«improve for the p.a® d
p . sale). BUILDING APPROVED BY : /' DATE:
o I.as owner of the propend,am exdusivey contracting with licensed contractors to construe the project(Section 7044.Business end 1 w''- /1/
Professions Code:The Contractors License Law does not appy to an owner d properly who builds or improves thereon and who APPLICATION ISSUED B Y: j,I ' DATE: �J
contracts for such projects with acontnrdor(s)licensed pursuant to the Contractors License Law). *************i'***********• * ”*— •'.* **** ** - * *
❑ lam exempt under Section: B.AP.C.,fix this reason: LEGALIZATION:N F E E SUMMARY STRUCTURAE"SEGMENT: Y
Dale: Owner. /
I do hereby certifythat I an aware of and understand the requirements of CaliforniaHealth end Soley Code Sections 25505,25533,end BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES: GRADING
25534,end that I or any future building occupant will/wit not(circle one)need to comply with said state codes and the requirements far PERMIT 74 . 75 . 50
apermit 1«mruvuction Ofmodirralian from the Arouat anagement District Residential construction sodomizes WS exempt from these SMIP/NON—RES
provisions' PLAN
Date: Applicant: ISSUE FEE
WORKER'S COMPENSATION DECLARATION:I hereby affirm under Penal dperjuy one of the following deductions: BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
O theveendwiimeidairacertificate el consent loselfinsure tot waiters'comparaation,esprovidedfabySermon3700of the Labor TOTALS----> 75 . 25 0 . 00 0 . 00 75. 25 75 . 25 . 00
Code,for the performance d the work for which the permit a issued.
❑ lhave and wiemaintain workers'rompensatlsnins6a37lIZQuinEi:4b&kn37adthe Labor Code.lorthe^yNidinnnd&ee REVENUE DIVISION TOTALS--> COLLECTED : 75 . 25 OVER/SHORT: . 00
n
work for which this ped is issued.My workeriprr stiot3iA 11Ca ier and policy number are: 10/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
Carrier: 74 . 75 . 50
Policy Number:
(This section need not be completed i the permit is Ax one hundred dollars($100/or less.) *******************************************************************************
❑ I certify that in the pedormance of the work for which this pent is issued.I shalt not amply any person In any manner oro ea to IND I V IDUAL F E E BR EAKDOWN
become subject to the workers'compensation laws of California.and agree that i ca
I should became subject to the workers'
w
compensation prokns of Section 3700 d the Labor Code,I shall forthwith with thou I
7-Ci.- ,e2. .zr-9> Appl : ' ii���� TYPE QTY DESCRIPTION UNIT COST TOTAL COST
.1./...olnilfFailure to secure workersconpansedon coverage Is unlawful,and she Oct an employer romm/nelpenalties arca SFR 2287 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2 , 287. 00
civil Bras up to one hundred thousand dollars(AMOCO),In addition to the cwt of compensation damages as provided kr In END O F FEES
Section 3706 o1 rhe Labor Cods,Interest,and attorney'',less.
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the
performance of the work for which this permit is issued(Section 3097.Civ.C).
It r
LENDER'S NAME: vF�l s+s";;!�'1`
LENDER'S ADDRESS:
1991 �r./
I certify that I have read my.,eppljpayanreM9elatl)at{he above iformatin is coned.I agree to comply with d1 city and county ordinances ,
and state laws relating to bWdb�.odeet uNilNet{dll'aMM author?representatives of this sty to enter upon the above-mentioned property `r f eL t`r 2
for inspection purposes. CT� / c p, HV u SA
sl�Yll nt N e io — COSTA ME
/,ret Norma ` •
C pF
Siynr'•re•(ya'�'�w -nt/APplirant/Cnirad«
�r —�
(5151-46.WP) 'White-Buildiig A Safety:GroerrFle:Canary-Appicenl:Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING . • POG SPA '
APPROVALS Permit Date Inspector APPROVALS � Permit# Date Inspector
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1. Temporary Electrical Service or Pole 52. Pool & Equipment Location I
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. • 55. Electrical Bonding
5. Steel Reinforcement 56, Rough Plumbing & Pressure Test
6- Electrical UF ER Grnd. 57. APPROVAL TO COVER•GUNITE •
, 7. Footings 58. Electrical Conduit-Undrgrnd. I
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection _ 62, Backwash & Receptor-Final
12. Sewer Cap - - 63. Heater & Vent-Final
13. Roof Drains 64. Plumping System - Final •
14. Rough Plumbing -65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring - 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING • 1
18. Rough Electrical-T Bar Ceiling ' ; -69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning - -
9 • FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush •
24. Roof Framing 73, Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 'f/d7/7 S-74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding - 77. FIXED SYSTEM FINAL
29. Insulation • 78. FIRE PREY. FINAL '
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final • - 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning - I
35. Final Gas Pipe-Test
36. Hood or Canopy -
37. Final Factory Fireplace 1
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backf low Preventer
43. Backf low Irrigation
44, Landscape Irrigation System
45. Sound Attenuation ' 1 '
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 9-Takan .
48. FINAL PLANNING `.00111l .•
. .1
49. Electric Release to Edison '
50. Gas Release to Southern California Gas Co
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St CERTIFICATE OF OCCUPANCY .
No. Date