HomeMy WebLinkAbout2374 HARBOR BLVD - Building Permits CITY OF COSTA MESA
(40
BUILDING DIVISIONDEVELOPMENT SERVICES DEPARTMENTPERMIT NUMBER
4. nil
PERMIT
B03-02104
(714)754-5273 • Fax(714)754-4856 • www.ci.costa•mesa.n� LDING PERMIT 77 FAIR DRIVE, OSTA MESA,CA 92626
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Job Address: 2374 HARBOR BL Status: ISSUED
Suite: Applied: 12/05/2003
Vicinity: ROOF Issued: 12/05/2003
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Parcel Number: 14149106 Zoning:
Applicant: STEVE SCHNIERER ISSUED BY:
Address: 2057 MANDARIN DR -
,Phone: 714-719-1689
COSTA MESA,CA Zip: 92626
Owner ZMV PARTNERSHIP0 ► '�S
Address SUITE 605 _ .. . • - t'ILI 'I'll
SANTA MONICA,CA Phone:'
/501 SANTA MONICA BLVD Zip: 90410 ,
Contractor: N DAVID ALLEN MONTROSS
Address: 1521 CALLE VALLE .,
Phone: 949-369-2495
SAN CLEMENTE,CA ,
Zip: 92672 License: 499050
Arch : - - Eng:
Address: Address:
• Phone: _ Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF.INSTALL 20,YEAR COMPOSITION SHINGLES,G.A:F. FOR MULTI-FAMILY DWELLING."MEDITERRANEAN
VILLAGE"40 SQUARES.
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„ FEE SUMMARY .
Plan Check: $0.00 Calc Valuation: $11,845.00
Permit: $209.25 Claim Valuation: $11,845.00
SMIP Re : $1.19 .
SMIP Com: • $0.00
Other: $0.00 .
Inspection: $0.00 - .
Total: $210.44
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 - - Rear -0-0 Left 0-0 - Right ` 60 ,
ACCESSORY Front 0-0 Rear 0=0 Left 0-0 Right 0-0 '
PARKING Existing: 0 Required: 0 Proposed: 0
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
2046-06(6/ee)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
0 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 wo rs'compensation Insurance carder and policy number are: r-
Carder: 0.4 IL R TNA Policy Number:y 4 Z n ZS'-I
(This section need not be completed it 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 o alifornie,and a ae at if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these Meier.
Applicant Signature: t Date: (7--J sib'-a,
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WARNING:FAILURE T SECURE WORK S'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED
TIk1LISANO DOLLARS($100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES ASiRROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am Ilc ry(er rr Islons of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Pjpfessions Code,and my license Is in full
force and effect.Lic.N UXJ Class# G3
Contractor's Signature: Date: 12-/Si 63
CONSTRUCTION LENDING AGENCY:
❑ 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).
Lender's Name: Lenders Address:
Signature: 4- Date:
t ve
OWNER-BUILDER DECLARATIONS:t)•-ii
I hereby affirm that under penalty of perjuryihacl am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:My city or;countjtwhich requires a plant to construct,alter,improve,demolish,or repair any structure,prior to Its issuance,also requires the applicant for such permit
to file a signed statement that Wog.she Is licensed pursuant to the provisions of the Contractors license Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)ior 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 civil penalty of not more than five hundred dollars($500).):
❑ I,as owner 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 and 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 or through his 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,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 driver's license. 0 Yes 0 No Driver's 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 Califomia 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).
present — _ _ __ _ —
2 Does or will the applicant or or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes ❑No
(Section 25533 of the California Health end 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 quantify 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 aiermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ 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 pert 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(Duality 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:
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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,end 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.
wner(s) �Z O3 Date
An f2ri�ppcant
I� Data
CODE I INSPECTION TYPE IKr_ALS CODEC INSPECTION TYPE PATE MALI
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1286 Pool Spa Final t� 208 Final Plumbing
200 Final Re-Roof / b� 210 Final Electrical
201 Final Block/Retaining Wall 6--te-c-64$1
12 Fi ire Prevention
202 Final Factory Fire Place 2� al fanning Approval
203 Final Sign 222 in Site
204 Final Demolition 250 Final Building/Occupancy
OWNER 7-FAIN IlAtjAk( UI). DATE 7 C1 U7
JOB ADDRESS 2374 Harbor Blvd. Bldg. 6E BUILDING PERMIT NO.30843
GENERAL CONTRACTOR Dalehurst-Comstock - DESCRIPTION of WORK 8 Unit Apt.Bidg.
'0. 141-491-4&5 LOT TRACT FIRE ZONE VALUE $ 87,200,00
Ib...-ECTIONS Si nature Date I GROUP H TYPE VPI ZONE -OP
SOIL eft— f -" '- ' ' SUBCONTRACTOR PERMITS ISSUED
GAS Date Number Signature
WATER ^ Plum:'n- �/�� C( cc A
ROUGH PLUMBING i l ll+ L+1O .( t ( {i//{�(• ',- -7D N7.97�"
PROP. SWR. LINE HOUSE CON. IR 4 t% / / ? 1 i --Cri.c&. 42-7-7.0 ,�J._S 9 r"----
SPRINKLING
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SPRINKLING SYSTEM ���-y C'�(/�`�.J4'4lf-��J�i[ / iso-
MISCELLANEOUS jV14I�/7 /v0 %7 (q4._ (L77(
ROUGH HEATING AND AIR CONDITIONING /4t_pt' `/_')/
TEMPORARY SERVICE OR POLE ,�/f�
UNDERGROUND POWER ❑ 'v' r/32V
ROUGH WIRING II;ating an V'nt.
TRENCHES FORMS STEEL REINF. I�, 'A' pC7 .� ` ��Ojd ( 7�'./� 5/
FLOOR SYSTEM^ Q 3�/���/eO/�I �1 / '-� �J/ �4 //'
ar
SONO BEAM I I STEEL REINFORCE [� /sy 7
SHEATHING Q... /, �( ''
FRAME AND FLASHING (+
LATHING — IN OUT A I
PL^'TER, BROWN COAT M. ��
HS TURAL, FINAL ��/// /���� ^ lett C o� –/-� .�/���
HEAPING, VENT. S ..LL.,1/FINAL /�'� .0
PLUMBING, FINAL AND GAS TEST PP
ELECTRIC, FINAL _ ,/q • �r47
BUILDING, FINAL , f , //C1- .0.-/A, 7/
a 30843
NOV 18-69PA1DCMSA00 823* ***312.75
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicantto Fill in Completely
,(01/ RECEI DATE RECEIVED DA ISSUED
BUILDING �� /vf � 9 (r ��L
ADDRESS Harbor Boulevard
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Fair Harbor Co. PER -yl�rvp�
OWNER A.P.No. 141-491- 4 8t 5 ,, )1'�Q�
MAIL BUILDING ,Harbor Blvd• /0/ -/e L/
ADDRESS ADDRESS ' 39// ?e/ � ./
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W O STATE CITY YARDS APPROVED YARDS APPROV D
sn CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D O SIZE i NO.OF BLOCS.
(FROM C/L STREET)
OF LOT NOW ON LOT FRONT 130 FT. .Ri. / �' V' FT.
USE OF ��a,(/ r w (I ( 1 ? !topbk
EXISTING BLDG. ry -(a/Oco� _R.SIDE [�.�FT.
I- SIZE OFIUIr�RXYV NO.OFr� II id
Z NEW BLDG. ROOMS STORIES 2 L.SIDE P• FT. ce FT.
VEXTERIOR WALL ROOF ��tt •
_ COVERING COVERING REAR rfI�FT.� if. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
a- .-• i 8 apts MAIN BLOGS. ACCESS. BLOCS.
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ZRY �1 �.p1 Fz"' DATE C -i / C' 9
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f~.) I hereby acknowledge that I have read this application and state
n that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
the State of California. �r/ CO
H (1IYY to
z I herebycertifythat I em O SO. FT, o
properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR i
' Chapter 9, and that such licenses era In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
CC
am exempt from the provisions of the State of California Business
VALUATION �'' m
and Professions Code, Division 3, Chapter 9. `- PERMIT FEE $ 2p �J(� °'
Signature of A JC ,i,„ J m
Permittee IIII $ PLAN CHECK $ ole E
oLL
Authorized Agent ` 87.)00 TOTAL FEE $ , /�/ %'