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Home My WebLink About2350 HARBOR BLVD - Building Permits ' CITY OF COSTA MESA •moi ►° BUILDING DIVISION \/ • r�'t�.. ' DEVELOPMENT SERVICES DEPARTMENT \` �V` PERMIT NUMBER 4 PERMIT 602-00934 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us - 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2350 HARBOR BL Status: ISSUED Suite: Applied: 06/25/2002 Vicinity: ROOFIssued: 06/25/2002 1111.11. Parcel Number: 14149106 Zoning: Applicant: LIM, HAROLD ISSUED BY: Address: 3065 VEROUGO RD Phone: (323)257-93 LOS ANGELES,CA Zip: 90042 Owner ZMV PARTNERSHIP - Address .SUITE 605* - ' _ - C- - SANTA MONICA,CA - - Phone: ' I� 501-SANTA MONICA BLVD - Zip: 90410 - �'�' '1.1 �' Contractor: `REY CREST ROOFING/WATERPROOFING Address: 3065 VERDUGO RD - N Phone: (323)257-9329 LOS ANGELES,CA Zip: 90042. - License: 334758 Arch : - - Eng: Address: Address: • Phone: - _ Phone:• - Zip: License: License: SCOPE OF PERMIT REMOVE EXISTING ROOF. INSTALL NEW. SHEATHING, 1/2"OSB NAILBOARD,AND NEW COMPOSITION SHINGLES FOR 9,500 S.F. RESIDENTIAL DWELLING ONLY. FEE SUMMARY - Plan Check: $0.00 • - - - - Calc Valuation: $40,000.00 Permit: $543.25 Claim Valuation: $40,000.00 SMIP Res: $4.00 SMIP Corn: $0.00 • Other: $0.00 Inspection: $0.00 • • Total: $547.25, i;_ PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 ' Required: 0 Proposed: 0 NOTES: - . - • • 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: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codas, 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. FOR INSPECTIONS CALL: (714)754-5626 244646(600) • DECLARATIONS WORKERS'COMPENSATION DECLARATION: . - - • I hereby affirm under penalty of perjury one of the following declarations: a ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. 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 permit is issued. My workers'compensation nIInsurance carver art policy number are: a.Cartier.? g Te . V(l` {J P�p1'Icy-Nuntber..7.- 159y 5-me 1. 777fis section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these�prgV ions.. • ApplrSlgnature:_ / " 4Dete: ' 4ZSR 0 Z 'WARNING:FAILURE TO SECURE WORKERS' PENS/010N COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMP NSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: j I herebyaHirri:that)em,licensed un r rolio ept&9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full ` amend effect.Lk.It I CCt ss.p3 C-39 :Contractors"""Signature`i .:-- =i Oct- d 2 5--C2- CONSTRUCTION —C2CONSTRUCTION LENDING AGENCY: / • ❑ I hereby affirm that there is a construction lending agency for theperformance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I heresy offimT'that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Cede:Anyrdty,orjcdunty which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to fila signed'statement thatlt,p�p o,lhe Is licensed pursuant t0 the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Codo)ker thehhe or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subj4ct6`applicant to a civil pen l of not more than five hundred dollars($500).): ❑ I,as owiTr of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business epd Protest'((ons 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 througlthis or her own employees,provided 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 of proving 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 contractors License Law does not apply to an owner of property who builds or improves thereon,end who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I em exempt under sec. Business and Professions Code for this reason: Signature: Date: — Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i,e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No • - (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with 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 than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? - ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the 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. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application kaermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility t0 be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this appl cation,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree t0 comply with all state laws and city ordinances relating to building construction,and authorize 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 final inspection. (f _ nature OI Legal Owner(s) Date ZS—OZ rArld/Or/Auitwrized"AppPcant _ ••41e.� CODE' INSPECTIONTYPE PdT& EMIRS CODE' jNSPECDON TYPE PATE !Meg 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final n�� 208 Final Plumbing 200 Final Re-Roof TrL./�' 10 Final Electrical 201 Final Block/Retaining Wall K4 2 Final Fire Prevention 202 Final Factory Fire Place (��A 20 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition ' 250 Final Building/Occupancy 48 31132.5_ • PAID MN 18-6903SAO0 805* ***1170.25 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely CtiS a BUILDING Mann Rn(f,Q g(,(/ l�I �t1G RECEIVED BY D TE RECEIVE Dy,TE ISSUED ADDRESS SF Se.,}aa.� aej-ao4 05104----72-7 ?- Y-a?S—S OWNER Fair Harbor Co. A.P.No. 141-491-4 &51 lQ/^l PE P'J&225 MAIL BUILDING IVd. e, ;7 Z ADDRESS ADDRESS �]z �j Vy,ipn ep rL, eel 3 o t WEU TEL. JJ �� /fr'Ir' (�'f` CITY NO. TR >�Ni(� L A- BLOCK CONSTRUCTION NEW [ADD ALTER I EPAIR MOVING DEMOLISH p Ft l- LENDER X - 7 BRANCH , J N OWNER 1(2l,✓ (+ Q W A ODA ESS VALUE`y�� CO-CO ARCHITECT TEL. USE /V// Ga14-/L /O/ 3? -I < OR ENGINEER NO.ri-La Q(O ••r/// FIRE ./�/y/y-' // d �+ W K ADDRESS ZONE *Br TYPfij=fV GROUP Hr r-/ o. LI? �/j�� (� � /.,, APPROVED W Z CONTRACTOR �+"r-s�-C. /_ _[�EF�ry(�yOQ'tj6 BY DATE -I O mz JCC ADDRESS y W IL TEL. ZONE NO.OF USE OF NEW/6 HPr S. ZI- CITY NO. 3-�? Pte' BUILDINClA. e h7'��owr O STATE CITY YARDS APPROVED YARDS APPRbVED La• CC LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING 7 0 (FROM C/L STREET) L u•/. SIZE OF LOT I NOW ON LOT NO.OF - FRONT a�cii F.T. FS OF FT. USE OF EXISTING BLDG. Rt V�7„_./�r/0" R.SIOE &.t4LA s& J FT. H SIZE OF 2021-}CtIX3B+vv0.OF 2 L.SIDE 11 FT �7ir Z NEW BLDG. ROOMS STORIES FT. U EXTERIOR WALL ROOF Q COVERING COVERING REAR ol, FT. A rr ea,, FT. J USE OF BUILDING ND WORK TQ BE PERFORMED DISTANCE BET.TBET.MAIN& 7 r 1z 0. 1r, 16 opts. w/Carports below MAIN BLDGS. ACCESS.BLDG9R� "ea, O C.V.P.# G- 7 -JJ$,L APPROVED /a -02-X0 I- _BV ROVED// ,If tit-DATE (?"/9' 9 0 LA 0 I hereby acknowledge that I have read this application and state ✓ that the above information is correct and agree to comply with cc all laws regulating building construction, and I shall not employ H any person In violation of the workman's compensation laws of CO the State of California. �1�A .1- �/ co Z I herebycertifythat I em /C9#90 SQ. FT. J 9,0. 4- (-4t oar 2 properly licensed as a contractor under the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR s Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: n EC am exempt from the provisions of the State of California Business VALUATION ` and Professions Code,Division 3,Chapter 9. t_ �ji� JD n q PERMIT FEE $ r J Signature of /2...[..,_-� gin'-‘-$1-n-..-C1 _ vu ;r �� al Permittee R V'- 0 gi '-� -$1-r SCJ $Y PLAN CHECK $ /a./5 E Authorized Agent ` A Iva TOTAL FEE $ ¢/0/2 S n