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2386 HARBOR BLVD - Building Permits
.OWNER FAIR HARBOR CO. DATE 9-25-69 JOB ADDRESS 4386 Harbor Blvd. Bldg. 2 N,P BUILDING PERMIT NO. 30816 GFNERAL CONTRACTOR Dalehurst-Comstock DESCRIPTION of WORK 16 Unit Apt.Bldg. A L141-491-4&5 LOT TRACT FIRE ZONE . VALUES 131,760.00 INSPECTIONS SignAtws Date GROUP H TYPE VN • ZONE R3-CP SOIL rerti. Y-7.76 SUBCONTRACTOR PERMITS ISSUED GAS Date Number I Signature WATER Plum in ROUGH PLUMBING ryH/OUSE CON. y/ e {!3/_'6-7/ //{(/ y 7.2,7_z7 v. o4 '/ U LI Vo: ^ I7y+(!¢ "/ � 44_7^ fr&A7. SPRINKLING SYSTEM MISCELLANEOUS ' ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND m POWER lyto FSB-70 ROUGH WIRING 4K _/Cr / of J� satin• and Vest. _ _ TRENCHES FONMS//[�� I EL REINFy ft I/]/jL 4 /y��� ///�I ✓ipraCrla_ FLOOR SYSTEM '.--- - t/,lrrel rrINI IDIS �AWAVie/3� BOND BEAM In STEEL REINFORCE • r'rri �G�S/,�FM Warr? SHEATHING /bat, FRAME AND FLASHIN as LATHING - IN gj OUT erg ,;;;- PI tR, BROWN COAT �("' /ar Sl (URAL, FINAL /f Electg _���fff��_ HEATING, VENT., IGREF�MP. A.G., FINAL 7 1,23cr /It(L ( 2�, c ,, .� y�'�'y/ ti,<jW�iPLUMBING, FINAL AND GAS TEST �y ��/jl/y '` ✓IIIIII/ELECTRIC, FINAL rI `?� 7 .5 I BUILDING, FINAL ...OWNER FAIR HARBOR COMPANY DATE 9-25-70 JOB ADDRESS 2386 Harbor Boulevard - 2P BUILDING PERMIT NO. 30816 GFkIERAL CONTRACTOR DESCRIPTION of WORK f.. - d • -- , A S. LOT TRACT FIRE ZONE VALUE $ yI INSPECTIONS Signature Date�r GROUP TYPE ZONE SOIL f°+Y4e-- t1/9 SUBCONTRACTOR PERMITS ISSUED GAS Date Number I Signature WATER ROUGH PLUMBING / n Plumb'n'g ' /1.7/r enfr U l0/f .Y 0 • 7-76-77 5731 PROP. SWR. LINE fl HOUSE CON. 0 //• SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND E POWER 0 e�inn�gnL- /,Y-70 ROUGH WIRING r7•yf a '7 Lectin• a_• Vent. TRENCHES 0 FORMS 0 STEEL REINF. f L�. �1© -3 ?nia; 7.%�• a 1 - / -3----- FLOOR /FLOOR SYSTEM laws , i BOND BEAM n STEEL REINFORCE n gth SHEATHING �a- G 1FRAME AND FLASHING a ``l LATHING - IN 3 OUT •79 t. - Lv Pk' ,,,,SR, BROWN COAT e 7 I S'i ?.ttURAL, FINAL /// Electric HEATING, VEINA R FINAL �2 � 3 �' PLUMBING. FINAL AND GAS TEST Vly yGl/,✓ /Ff (ff/q Ar ELECTRIC, FINAL - n^1 f/ `' BUILDING, FINAL ��� 7-- • Z NSP 30316KOV 19-69PAIBOO 795* ***387.75 CNSA COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For A pli a t to Fill in Completely `v 1- I UET R C IV gj� BY D TE RE' EWE DATE ISSUED BUILDING Harbor Boulevard /2i/h - 9-Q�1�'-6, ADDRESS ro/ 7) Q - 0o PERML OWNER Fair Harbor Co. A.P. NO, 141-491-4 8t 5 .-4Ilr� BUILDING 2499Harbor Blvd. lal (o MAIL ADDRESS - ..)s1ADDRESS 0 . IZW W TEL. TRAt"n26ryRV BLOCK a U CITY NO. ZQ CONSTRUCTION NEW ADD ALTER I EPAIR 'MOVING DEMOLISH O-1- LENDER X , am J D BRANCH . el( U.1 ADDRESSJN OWNE//R-- [,, 7�/.G///4,,,s1 /f2��f/II'� CO -I J.03 03 ARCHVALUE ITECT TOL USE/1// L(2.it!.ee S j , . $ /2/f 7/D FIRE pJ (Q Z Q ZONE _ TYPE f N GROUP W( ADDRESS a.til APPROVED W Z CONTRACTOR .--&77 cL, BY DATE J O co Z J IL ADDRESS �1 ZF CITY NOL Z/.�'�-c, ( IPLANS a BUILDING EW/A D - O STATE CITY YARDS APPROVED YARDS APPROV I.11 K LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D O (FROM C/L STREET) SIZENO.OF BLDGS. OF LOT I NOW ON LOT FRONT 33 FT. .Q I ( 20 I FT. USE OF C• EXISTING BLDG. �.59�1/0 r� R.SInF a 5 FT.a. I I/ FT. I- ' SIZE OF 1111-8"XqF011✓O. OF 2 NEW BLDG. ROOMS STORIES L.SIDE as FT. I I FT. Q EXTERIOR WALL I ROOF II r OO.1 COVERING COVERING REAR Q FT.), I/ FT. J USE OF BUILDINQ AND WORK YO BE PERFORMED DISTANCE BET. BET.MAIN& 1 , ri ) 16 apts. MAIN SLOGS. p ACCESS. BLDGS. DATE O C U.P.-AE G- -LTJ APPROVED /cR - A -1,8 I— APPROVE V__BY / /� / CO Y DATE l/I -� H 9 M• 0 • UI 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 F— any person in violation of the workman's compensation laws of Co the State of California. n yy I hereby certify that I em properly licensed as a contractor under �..[/L��SO.FT. o the State of California Business and Professions Code, Division 3, YHE 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: [C am exempt from the provisions of the State of California Business VALUATION and Professions Code, Division 3, Chapter 9. �/j�q-or 3 co /) tcS`7'.-at PERMIT FEE $ L i2Or 30 Signature of /G-. _ 61 �. � !l m Permittee t "�1`T-_'.'.(.� t+W1 $ PLAN CHECK $ /29, 2'6 E Authorized Agent .___/9/' 740 TOTAL FEE $ g57, ✓ u. 0511.446 CITY OF COSTA MESA BUILDING DIVISION '41- �� F • �,_r .,I DEVELOPMENT SERVICES DEPARTMENT MIT NUMBE' PERMIT *t 11101e' B02-00936 . • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIV L COSTA MESA,CA • 626 BUILDING PERMIT Job Address: 2386 HARBOR BL Status: ISSUED Suite: Applied: 06/25/2002 Vicinity: ROOF Issued: 06/25/2002 Parcel Number: 14149106 - Zoning: , Applicant: LIM, HAROLD - ISSUED BY: • Address: 3065 VERDUGO RD Phone: (323)257-9329 LOS ANGELES,CA ' Zip: 90042 Owner: ZMV PARTNERSHIP • Address -SUITE 605" - _ _ - SANTA MONICA,CA _ - Phone: 1 501 SANTA MONICA BLVD_ • Zip: 90410 � � � Contractor: ,'REY CREST.ROOFING/WATERPROOFING -'T : '• 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 8,000 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 Com: $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 WORKER 'COMPENSATION DECLARATION: • ,.y 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. _.1 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'` m-pTe'I�nsatlon Insurance carrier and policy number are: G�7 G Carrier,=r U�� FL)nj\ Pellcy'Numtiac. /; ]7�5 7c5O/ iThis 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 of C Mamie,and agree that if 1 should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shell forthwith comply with these p to • AppIV6l�ura:= /�L+"`- c., spa` 6 -2S'-0Z WARNING:FAILURE TO ECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TOONE HUNDRED KN THOUSAND DCLLARE(5100,000),IN ADDITION TO THE COST OF CCMPENSAT .DAMAGES'eDi SHPROVIDED FOR IN SECTION 7706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: -4I. I hereby affirm that I am licensed under revisions of Chaff}er 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full forceand'affact ac=e%a�� _ /r Cgasa_«-.. C—.39--5 Contractor's Slgnaturee-- a Dater, 4-ZS-O Z 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: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: „thereby affiftndfiat under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions •Code:Almy city or,caunty,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 file a signed statement that he or she js licensed pursuant to the provisions of the Contractors License Law(Chapter 8(commencing with Section 7000)of Division 3 of the kS Business and Profession Code),or 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 subjebts the applicant to a'civil penalty 6f not more than five hundred dollars($500).): ri ❑ I,es owner of the property-, rtmy.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 Cede: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 hts 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 completio the owner-builder will have the burden of proving that he Of she did not build or improve for purpose of sale.). ❑ I,es 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. ❑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 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 Thoes or afire applicant or present or future building occupant need to file a registration form for acutely hazardous materials?-0-Yes in 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 th applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes INo (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 Califomia 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 appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 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 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 Safely Code Section 42303 been made? 0 Yes ❑No t_.._ — ____.___...--_. 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. at,wifr hi e Oneture Of Legal Owner(s) • Dale d b - 5 5---19 Z. �AndiOrAuthodZedAppncant--- c--Date— . ODE F INSPEGBOtf nil BRIE IMIALI POOFt INSPECTION TYPE PATE EMMA 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1268 Pool Spa Final / ,n 208 Final Plumbing i 200 Final Re-Roof 4' S -00 Pc, 210 Final Electrical 201 Final Block/Retaining Wall /\/� 212 Final Fire Prevention 202 Final Sign Fire Place ✓ /�2A t�nal Planning Approval 203 Final Sign {( cella/ mal Site 204 Final Demolition 250 Final Building/Occupancy