HomeMy WebLinkAbout2362 HARBOR BLVD - Building Permits OWNER FAIR HARBOR CO. DATE 9-25-69
JOB ADDRESS 2362 Harbor Blvd. Bldg. 3E BUILDING PERMIT NO.10822
GF"FRAL CONTRACTOR Dalehurst-Comstock DESCRIPTION of WORK 8 Unit Apt.Bldg.
A. ,141-491-4&5 LOT TRACT FIRE ZONE . VALUE $ 82,800.00
INSPECTIONS Signature Date GROUP H TYPE Ini ZONE R3-CP
SOIL ji-6 SUBCONTRACTOR PERMITS ISSUED
GAS Date 1 Number I Signature
WATER Plum n
ROUGH PLUMBING la
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PROP. SWR. LINE HOUSE CON. U VI•4 '
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SPRINKLING SYSTEM jj
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING N/ -
TEMPORARY SERVICEFOR POLE 4.15 �r'+70
UNDERGROUND 14! POWER ❑ 0Z%� 167O
ROUGH WIRING �jr� it-7{J eating a d Vent.
TRENCHES FORMS STEEL REINF. r1[1(� 1 7 7 0/ , / ',k, . 4Q-V3. '/1Q�i' i�
FLOOR SYSTEM /Y� 2. 7d' eft" / l i/ • Q aI 9-7� 7�jJ .�'
BOND BEAM n STEEL REINFORCE n / IFS,. /A sir
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SHEATHING @ ��� �,
FRAME AND FLASHING./ / / �C / /b/7 0
LATHING - IN I y� OUT a_C /.21/77 P' ER, BROWN COAT C. .J
S1. _,TURAL, FINAL E •Gtr'
HEATING, VENT.,AEfWB:-ortIT FINAL ' �7j A' e7" /. j' - • �/`/3ZQ
PLUMBING, FINAL AND GAS TEST fa / 4- • • , A / e ni, sv-jn , �(J/
ELECTRIC, FINAL
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BUILDING. FINAL _ . �r /...m.1/
31. 30822
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
q APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely 4,� N/-/d t[ RE EI BY D TE RECEIV
/ l I �t9S5-6r DATE ISSUED
ADILDINGDRESS ^ t/ arbor Boulevard I -IC �n 9—a.1,5---69
ADDRESS 2,36k-f4913-Harbor
OWNER Fair Harbor Co. A.P. No. PERMIT 141-491-4 & 5 X1)±22
BUILDING .2.344344444;44141.4yfffvi tvt�-
MAIL .P. NO. •
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WZ CONTRACTOR �--£< BY DATE
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J Q ADDRESS
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W-0 STATE CITY YARDS APPROVED YARDS APVVPRO ED
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7O SIZE ANO.OF SLOGS. (FROM C/L STEE ) 3' J! C-
OF LOT I NOW ON LOT FRONT am v-- IF!' FT.
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I- SIZE OF 101 t-/9 'XJV"-VNO.OFAft
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Q EXTERIOR WALL ROOF /I �t/I
U COVERING COVERING REAR �J.) FT.O' ✓ e FT.
J USE OF BUILDINGANDWORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1 8 t apts. MAIN BLDGS. ACCESS. BLOCS.
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UI hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of
CO the State of California. �/ /.� m
Z ////rb ® 2
I hereby certify that I am properly licensed as a contractor under SQ. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR •
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m
am exempt from the provisions of the State of California Business VALUATION
and Professions Code Division 3,Chapter 9. 4B�S' n
- ry1, PERMIT FEE $ ♦J[) ]
Signature of �',s _ _ s • _� �.-0 /J} m
Permittee 5 - `-1Y"- $�- ,I PLAN CHECK $ 7 G!/./AJC E
Authorized Agent 9� BO TOTAL FEE $ 271(J L
•
`5� -• CITY OF COSTA MESA
<
o,j .. BUILDING DIVISION •
1. 1 ar DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
��/f PERMIT
4. - RIro�ffinsa B02-00935
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 2362 HARBOR BL Status: ISSUED
Suite: Applied: 06/25/2002
Vicinity: ROOF Issued: 06/25/2002
Parcel Number: 14149106 Zoning: .
Applicant: LIM, HAROLD ISSUED SY:
Address: 3065 VERDUGO RD - -
Phone: (323)257-9329"
LOS ANGELES,CA ' • Zip: 90042 - .
-•
Owner ZMV PARTNERSHIP '
Address ;•SUITE 605( '
� SANTA'MONICA CA -Phone: -;,� � � f , )
,//,561/SANTA,MONICA BLVD " Zip: 90410 / ) , 4 �"N 11 4 A
ii et
Contrah.
ctor: -REY-CREST ROOFING/WATERPROOFING A .A • ' -), C I tiV
Address: 3065 VERDUGO RD V,'\. \\e ` /ANlis S .
.- 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"OS B NAILBOARD;AND NEW COMPOSITION SHINGLES FOR
5,000 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, ,
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 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.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00)
DECLARATIONS —s
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury One of the following declarations:
❑ 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.
.r❑71 have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Cede,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
rWI41E LCMH LNRA>
3J ✓ce „--7./.149aicyyNumbei—/5 9 YS/-7
SOI
(This section need not be completed I7 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 a ree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,,I shall forthwith
comply with these provisio
Applicant sigrleturg:-- t egDete? 6-2 S—02_
ARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(S1 CO3000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGESO PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S EY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
siumemra ettecl�Lic IL 33 . ' oc ar ss s� C
jr:/7!� .i
Contractors signature_ Date: 6 —Z S 0 Z
CONSTRUCTION LENDING AGENCY: I •
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: Lender's Address:
Signature: - Date:
OWNER-BUILDER DECLARATIONS:
I hereby,affirm,tt under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or♦courgy NMch requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statentent IhBthe or she is licensed pursuant to the provisions of the Contractors License Lew(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and'PiofessionCCode) br that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a otvlhpenalZof not more than five hundred dollars($500).):
❑ IA owner of.the property!dr`my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044, uginSssjnd 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 c�Ihroughihis 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 ye8 of c2mpletlon,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 propeJy,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,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am 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.-properly tax bill or deed):
•
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more teat 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,Califomla 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:
I 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 ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes Li 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 to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 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
application,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 to 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.
Signature Of Legal Owner(s) 6 -Z - Date
O
And?Ol.Authorized!Appacant�' Date
CODE I INSPECTION TYPE 261E RITITIALS CODE( INSPECTION TYPE 2611 INTI ALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 'n •208 Final Plumbing
200 Final Re-Roof jrD f r-0) 76-70.-It r 2101 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place (s{BSc*VI Final Planning Approval
203 Final Sign __tory 227 Final Site
204 Final Demolition • 250 Final Building/Occupancy
OWNER FAIR HARBOR CO. DATE 9-25-69
JOB ADDRESS 2362 Harbor Blvd, Bldg. 3E BUILDING PERMIT NO.308y2
GF"GRAL CONTRACTOR Dalehurst-Com§tock DESCRIPTION of WORK 8 Unit Apt.Bldg.
A A41-491-4&5 LOT TRACT FIRE ZONE . VALUE $ 82,800.00
INSPECTIONS Signature Date GROUP H TYPE VN ZONE R3-CP
SOIL ;1-h#...'W SUBCONTRACTOR - PERMITS ISSUED
GAS Date Number Signature
WATER Plum•'n
ROUGH PLUMBING / / /. /"Jai
, (1�f/j it/ - 7-ow- c 'a -
PROP. SWR. LINE HOUSE CON. ' a y. , tr/1� / // • ,'D'UA' 4f-7-7(.2 S77—
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING •
TEMPORARY r1
SERVICE�r� OR POLE inb �f'49/-70
2
UNDERGROUND POWER 0 #j4 $t•1'''1C.
ROUGH WIRING _.„.. Y // //7, eating a•d Vent.
TRENCHES FORMS STEEL REINF. Me /�s 7/7 O ' .• / , • .. • ID-)fl, 7/7 ,
BONORSYSTEM B BEAM I I STEEL REINFORCE )) A.--A�a/( 7� •
��j� del re .( i afv:z0 7 1
SHEATHING /�@ / 7)n
FRAME AND FLASHING/ / C / /A 0
LATHING - IN L�7/OUT 11-'I/ /dot:-
/ 79 77 ,
P' ER, BROWN COAT CY 21/7'7
3) ,..TURAL, FINAL C� LLLL _ -atr ,
HEATING, VENT.,AC7R4B'-*RD`hvP. FINAL A/ �f :-"Fria.
/' i, ' % !. Z7y1-15 0 , _
PLUMBING, FINAL AND GAS TEST p4" - / l_e! I O'„2— . .4.5/
ELECTRIC, FINALdCC r7/
y/a
BUILDING. FINAL . 1t, 4-6✓I_7V