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HomeMy WebLinkAbout2384 HARBOR BLVD - Building Permits Z 208 t? NOV 1s-69P"'B00 796 263.25 cnsa a iY°° COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Appl'ca r to Fill in Completely V R'CE V D BY D TE RECEIVE DATE ISSUED BUILDING .g0 I01- 10 Q !� ADDRESS Harbor Boulevard >dI a6/y P R; �6/ OWNER Fair Harbor Co. 7 A.P.NO. 141-491-4 & 5 ,4IId� 7 MAIL BUILDING 2 Harbor Blvd. /0/-/07�/ Z ADDRESS ADDRESS ;8 YJI )sty tLu ui l U CITY NO. TRA...ail LOSSa BLOCK �ps� ZZ V 4 CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI ISH ie - n LENDER am J D BRANCH J N `-/OWNER �C21/L /I- Mt? I mJ ADDRESS / •LUE IP m ARCHITECT TEL. USE 2 No- S I / .$ 4 / J OR ENGINEER NO. ��'/// Z Q FIRE i! W 2 ADDRESS ZONE TYPEr /GROUP d lL APPROVED W Z CONTRACTOR — BY DATE J U m Z J 2 ADDRESS WW TEL. Z E NO.OF USE OF NEW Z= CITY NO. ..?_e? PLANS cR BUILDING g , U STATE CITY YARDS APPROVED YARDS APPROV D wCC LIC.NO. / LIC.NO. MAIN BUILDING ACCESSORY BUILDING J O SIZE NO.OF BLDGS. (FROM C/L STREET) II z J OF LOT NOW ON LOT FRONTT 2 FT. /µea/•t�- FT. USE OF a r 4 /AO' -' EXISTING BLDG. S 51`fog H. •al..1V' _! T. FT, 1- SIZE OF 5Ui-tu X6'-U"NO.OF , (} II j� QNEW BLDG. ROOMS STORIES 2 _L.SIDE '-( FT.a lit FT. U EXTERIOR WALL ROOF � (I _ COVERING COVERING REAR 3 FT. a FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CL J-t / 8 aptc. MAIN BLDGS. ACCESS. BLDGS. Q .i VAR.* DATE O C.U.P.# ,-7` - og APPROVED/a-a ...6P I- APPROVED/// y^'� ��// / CO �.Y S ) O' DATE ‘- ,7- fly O / VI hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with 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 (6n O m z I hereby certify that I am properly licensed as a contractor under O SQ. FT. O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR g Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from the provisions of the State of California Business R VALUATION and Professions Code,Division 3,Chapter 9. ,g/ IT., a �7 Sv w ^ PERMIT FEE $ S6 D Signature of "T�•`-'C•v �/t �. _ _ y,r - (�' . ,/` m Permittee ` ✓ `� s�V'_ $ �.� PLAN CHECK $ / a •1 E o LL Authorized Agent TOTAL FEE $ 2VJ///}}' 5 OWNER FAIR HARBOR CO. DATE 9-25-69 JOB ADDRESS 2384 Harbor Blvd. Bldg. 2Q BUILDING PERMIT NO.30817 GENERAL CONTRACTOR Dalehurst-Comstock DESCRIPTION of WORK 8 Unit A t.Bldg, AP Nol41 9.1-47rx'j LOT TRACT FIRE ZONE VALUES 653660-00 th CTIONS Sig aura Date GROUP H TYPEVN ZONE R3-CP SOI.. Y141/7b SUBCONTRACTOR C PERMITS ISSUED GAS Date I Number I Signature WATER Plu ••i q n ROUGH PLUMBING / .✓��fJ pia r' !i �ayf-7Q y`�/.�• d� PROP. SWR. LINE -MOUSE CON. I /!� ,.:_. /ON- �7 7/J y'1yJs A�R✓ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND FA POWER ❑ a >U ROUGH WIRING 1-/ - Cating V nt. TRENCHES FLOOR SYSTEM FORMS y' STEEL REINF, y ��wiMirr�y fl5i �a �`- BOND BEAM U STEEL REINFORCE N ��I�/ �I, siIriti�Is�JYr,���/w ner��l� SHEATHING �fL/f_�/O© %7w' '_ li FRAME AND FLASHING ��i'13._•'�7 LATHING - IN P. OUT �lAy j''r/e PLASTER, BROWN COAT G, �1 ST-''TUBAL, FINAL ��..VV /� Elegy 115 yi�j/�' V �/c H IG, VENT., AND T FINAL y. L 7� �/LLi(4r, r",i t ei 8-7 -7 ,1/537-Y PLUMBING, FINAL AND GAS TEST Pr R 7 `y(GY' ELECTRIC, FINAL A W' 7A 7 BUILDING. FINAL '/h/- 7-9-7).. Iii' all ill ~r CITY OF COSTA MESA BUILDING DIVISION • Fty r,>- ,l1a 77 FAIR DRIVE, COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.costamesaca.goy o fl FOR INSPECTIONS CALL:(714)754-5626 • "'' PERMIT NUMBER: B12-00194 :K PERMIT TYPE B_ROOF2 STATUS: ISSUED P;PN: 14149106 DATE ISSUED: 08/0712012 • ' ISSUED BY: KJB JOB ADDRESS: 2400 2384 HARBOR BL CM Suite/Unit: 2384 Vicinity: BUILDING 2384 . Squares: 5300 • Valuation: $50,000.00 SCOPE OF WORK: 5,300 SF RE-ROOF, REMOVE 1 LAYER SHINGLES& 1 LAYER OF BUILT UP, INSTALL INSULATION BOARD ESR-1375,2 LAYERS OF 30LB FELT&GAF SHINGLES,PITCH 3:12 - NOTE:RESIDENTIAL RE-ROOF: Final approval of permit shall not be granted until access to:dwelling unit(s)is provided for verification of the installation of smoke and carbon monoxide alarms by the City Inspector. See Attachment w/Inspection Card pi, OWNER: ZMV PARTNERSHIP Address: SUITE 605 Unit: SANTA MONICA,CA ' PHONE: 310-337-5443 City/State/Zip: 501 SANTA MONICA BLVD • APPLICANT: MIKE SPINKER r Address: - Unit: : PHONE: 619-291-6340 City/State/Zip: .. CONTRACTOR: EBERHARD BENTON ROOFING License No. `731742• ' , Address: 3691 HANCOCK STUnit: PHONE: 619-291-6340 City/State/Zip: SAN DIEGO,CA 92110 CELL: i ARCHITECT: License No. PHONE: Is. ENGINEER: License No. PHONE: 'rt FEE SUMMARY K:eroof Plan Check: $0.00 Reroof Permit Fee: $644.25 Reinspection Fee: $0.00 • 81)8 Std Admin Fund $2.00 PTIOTAL FEES $646.25 -p; HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010 -PER CMMC Sec. 13-279 ,ii, Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibitied all hours-Sundays and the following Federal holidays New Years Day, Memorial Day, Independence Day,Labor Day,Thanksgiving Day and Christmas Day _Cr • `NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related 9,;regulations.(Ord. No.92-28,§1, 12-21-92) /iEXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. `s;INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all ;`required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. 000E N. INSPECTION TYPE PAM IN1fAL$ CODE! INSPECTION TYPE PATE IN1111AL$ F416 - Fixed System Final Fire Prevention 206 Final Mechanical '11266 Pool Spa Final 208 Final Plumbing :?i° ,.200 " Final Re-Roof 210 Final Electrical 401 Final Block/Retaining Wall 212 Final Fire Prevention 1-402 Final Factory Fire Place 220 Final Planning Approval h.A: :203 Final Sign 222 Final Site .i.o . 204 • Final Demolition • 250 Final Building/Occupancy 9221 la, • WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's ❑Yes ❑No ' I hereby affirm under penalty of perjury one of the following declarations: `�� Driver's License No. Expires: I ❑ 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 • erfor ce of the work for which this permit is issued. - ' have and will maintain workers' compensation insurance, as required by • DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: on 3700 of the Labor Code,for the performance of the work for which this permit is issued. My Workers' compensation Insurance carrier and policy IDhereby 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 // by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier: C,fia ii ft li or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need not be completed d the permit a valued at one hundred dollars($100)or less.) 2,Art 2,Sec.341,Title 8,California Administrative Code). Policy Number: LI/a .S a.0.. 71 81 0 As owner-builder, I will not employ anyone to do work which would O 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 subject to the workers'compensation provisions of Section 3700 of Applicant's Signature Date the Labor Code s'. I forthwi corn• with these provv�e5tp'ns. _, / Division of Industrial Safety Permit Number: " / ...Al 0 / App',coot's Sig ature 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 infull force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Lia# 7s3/ '4aie Class# C (Section 25533 of the California Health and Safety Code, with some � � _ l�' eachpbusin rs whic registration with the so n Meda Fire Department ly each business whish at any one time has on hand a quantity of-acutely ontracDate 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). 0 I hereby affirm that there is a construction',ending 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.30971.Civ Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: .t 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 ;+(L...,1 j filing with the Fire Department of an RMPP by businesses which are required -1. to register acutely hazardous materials with the Fire Department. Signature Date Af (, 4. If an RMPP is presently required, has Section 25534 of the Califomia 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 regelres 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 ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 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 own8. (If"yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for control officer). 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 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 O 'I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code: The contractors License Law does not apply to an owner of signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that • 0 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 by this permit until final inspection. /Legal Owns ) / //Date _ 1 / Signature Date 9,�j'J�,J ,yN/�A (-U( // 2- 305]-06(3/0]) And/or AuthorizecrXtcant Date