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Home My WebLink About2404 HARBOR BLVD - Building Permits • 21.., M 3081 NOV i s 69 dm 794* ***387.7`_ COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely R C��E//jjV BY DATE RECEIVED D TE ISSUED arprig BUILDING ' I-ta ,�](y� h 9— 5-69 ADDRESS Harbor Boulevard o \ a�-(o9 Fair Harbor Co. 7q /-a00 A.P. D. 141-491-4&5 PERT C'S OWNER J MAIL— BUILDING Harbor Blvd. lot-l0°0 ADDRESS ADDRESS (wog .x r 344 Z . 0.0 CITY NO.ku TRAC A 41)09. BLOCK CONSTRUCTION NEW IADD ALTER r AIR !MOVING DFMOI ISH Ola- LENDER X. am J D BRANCH •JN OWNER tS/I[A ge//,,,AeI/ J m ARCHESS /6 La = ALUE$ /S/ter a ARCHITECT TEL. USE 1 / • $ OR ENGINEER NO r ZQ FIRE 7 , w 2 ADDRESS ZONE .�L{� TVP GROUP APPROVED CONTRACTOR /�Q / / ( /(�-/�_�On BY DATEJO mZ JCC ADDRESS w W TEL. ZO NO.OF USE OF NEW ...}} Z= CITY NO. ir s�(`�� t'fa PLANS BUILDING /A �,r,/ LL O STATE CITY YARDS APPROVED YARDS APPROV D rn CC LIC.NO. LIC.NO. MAIN BUILDING r ACCESSORY BUILDING D SIZE NO.OF BLDGS. (FROM C/LSTREET)/S i OF LOT !NOW ON LOT FRONT al ri.�- FT. USE OF / ^ LI EXISTING BLDG. R.SIDE t 5 FT. J. joy FT. I- SIZE OF 1111-8x651-0''No.OF !( ZQ NEW BLDG. ROOMS STORIES 2 L.SIDE FT.�• Ai FT. , V EXTERIOR WALL ROOF COVERING ICOVERING REAR FT. a LI `oi FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 16 : 16 apt$. MAIN BLDGS. .. ACCESS BLDGS. DATE O C.U.P.46 - 4 cr APPROVED /a- A-42 APPROVED z —_RV Cm 0 N �I/' DATE ‘-- IgA1/ 9 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. /2 2�O m I hereby certify that I am properly licensed as a contractor under , SO. 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: 2 am exempt from the provisions of the State of California Business VALUATION and Professions Code,Division 3,Chapter 9. , C m n� /0 c, -- 0 PERMIT FEE $ 2 -Po DN PeSignature of� o15aPLAN CHECK $ 4.2V,2 6 E O �j/ Authorized Agent /7/y 740 TOTAL FEE $ 3877 u. F CITY OF COSTA MESA 4 BUILDING DIVISION - Y •4-•,,,•. ..s DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER •� . his PERMIT 44 - d� 602-00937 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2404 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: - - 'ti I r ' " - 501 SANTA MONICA BLVD Zip: 90410 1 I / Contractor: REY CRESTROOFING/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 :. 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 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 Right0-0 • PARKING Existinq: 0 .Required: 0 Proposed: 0 NOTES: U 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 24464e(WOO) ` \J DECLARATIONS _ WORMERS'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 ✓✓✓...,,,.../// n work for which this permit is issued. . cty�I have and w 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'cort�pens,atir�tion Insurance carrier and policy number are: G p r Cardar� y"CTT� V U RTh cP✓SOcy Numhe ) J 7 q*) 7 5 0 (This section need not be completed if the permit is valued at one hundred dollars($100)or lass.) ❑ I certify that in the performance of the work for which this permit Ls Issued,I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California,and agree mat If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provi ons. r Ap rSlgnature: r, , 6 2S-D2 WARNING:FAILURE TO SE RE WORKERS'COMPENSATION COVERAGE IS NB/LAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES MID ova.FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S100.000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,MID ATTORNEYS FEES. O. f LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of ChapterQ(itmmencing with Section 7000)of Division 3 of the and Professions Code,and my license Is in full _force ndeffectrtIcr#� 5 2S ClesapL c— 34 Contractor's signature: ' Date:. b -Z S-0 Z • CONSTRUCTION LENDING AGENCY: ,� • ❑ 1 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: Lenders Address: Signature: Date: • OWNER-BUILDER DECLARATIONS: I hereby affirm that under ppnaftyof per(tiy that I pm EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or cough/which rlquires a permit lb 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 is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professitinitode)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 subjects the applicant to a civil penalty of.hot more than five hundred dollars(5500).): ❑ I,as owner of fire propert9 or my employes 4th wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Ptofessions 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 sea 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: ❑ 1 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,end that no building structure,scaffolding,faisework,or demolition or dismantling thereof,will be more then 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: 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? ❑Yea ❑No (Section 25505 of the Celifomia 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 greeter than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet Of compressed gas at standard temperature and pressure). acutely ........_.._._ .— __ 2 Does or will the applicant or present or future building occupant need to file a registration form for achazardous meferiels7 LI-Yes.— ❑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 futurebuilding 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 II an RMPP is presently required,has Section 25534 of the California Health and-gaiety Cotle been fully complied with? ❑Ves ❑No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this a plication appermit 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 Govemment Code requires that the requested information be furnished on applications for non-residential buildingermits)_ .__.._._..... p of In .r_ _ 6 Will any part a facility to 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 application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes ❑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. 444504/ S slurs Of Legal Owner(s) Date en_�`� tiriAfithodzed Appllcant.n' —7 gen I. 1NSPECTIONTYPL PAff. LEMBS gQOFf INSPECTION TYPE PAIL QlIm*ts 1616 Fixed System Final Fire Prevention 208 Final Mechanical 1266 Pool Spa Final _ 208 Final Plumbing 200 Final Re-Roof J (OgiEA 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Flre Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Bullding/Occupancy