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Home My WebLink About370 LA PERLE PL - Building PermitsCITY OF COSTA MESA � eva��Nc o�v�s�oN 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (774) 754-4856 • wv+w.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT TYPE APN: 42531125 Zoning: , PERMIT NUMBER: ✓BX08-00001 B MISC STATUS: ISSUED DATE ISSUED: 01/02/2008 ISSUED BY: RMD JOB ADDRESS: 370 LA PERLE PL CM Suite/Unit: Vicinity: DETACHED GAR4GE Primary Occ: Const Type :?? SQ. FT: 0 Valuation: 52.000.00 SCOPE OF WORK: DEMO PERMIT IN PREP FOR FIRE DAMAGE REPAIR TO A DETACHED GARAGE. OWNER: MINER, LILLY A TR City/State: COSTA MESA, CA Phone: APPLICANT: LAVINE, ALAN City/Slate: ANAHEIM, CA Phone: 714-630-9615 CONTRACTOR: EMERCOM CONSTRUCTION Address: 2906 E CORONADO ST Unit Ciry/State: ANAHEIM, CA Zip Cade: 92806 ARCHITECT: Phone ENGINEER: Phone Building Plan Check: Building Permit: Electrical Permit: SMIP Residential SMIP Commercial $O.00TOTAL FEES Address:: 2677 SANTA ANA AVE UNIT B Zip Code: 92627-4638 Address: 2906 E CORONADO ST Zip Code: 92806 Unit Unit License No. 525903 Phone 714-630-9615 FEE SUMMARY $0.00 $69.25 50.00 50.00 $0.00 $69.25 LicenSe No. License No. Cell: NOTICE: The Work authorized by this permit shall comply with all applicable handicap access requirements under Califomia slatutes antl related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPtRAiION: PERMI7 EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: 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 fnal approval will result in the expiration of this permit. GOpE/, INSPEGTION7YpE UA INiRIAL CODE� INSPEL710NTYPE OATE IN701AL5 1818 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final . 208 Final Plumbing 200 Final Re-Roof 210 Final Electnwl 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final FactOry Fire Place 220 Final Planning ApDroval 203 FinalSign 222 FinalSite 204 Pinal �emolition �� 250 Final Builtling/OccuPancy WORKERS' COMPENSATION DECLARATION:� I hereby aftirm under penalty of perjury one of the following declarations: ❑ I hava and will maintain a certificate of consent to selhlnsure (or workere' compensation, as providetl for by section 3700 of Ihe labor Code, for the pedormance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as requiretl by section 3700 of the Labor Code, tw the perfortnance of the v.ork tor which this pemiil is issued. My vrorkers' compensation Insurance carrier and policy number are� Gcarrier. L i�"� `J �'M1 ti -1 ✓ 0 1 (Tlvs sepqn naetl nd Ee wn�pleted e(ne peim9 is valued at we nurqiMN9ars (St001 w IessJ Pol��mber: t'V L Z— � 6 � � 6v �� o � �% ❑ I certify thal in the pertormance of [he work tor which this permit is issued, I shall not employ any person in any manner so as to become subject to Ihe vrorkers' compensation laws of California, antl agree that if I should becOme subject to Ihe workers' compensa[ion provisions of Section 3700 0( the Labor Cotle I shall forthwith comply with [hese provisions. �� .�—� �� COliCanl'SSignaWm../ �Dele-- , WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINA� PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S (5100.0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND A7TORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the 8usiness antl Professions Cotle, antl my license is in full (orce and eKect. �^ n t—c Y ti Lic. #—� .�1" 1 I �=1 Class #� �J (�—� �'yi�- �� L-o'� ConlraclM'sSigndWre �Daie � �-- — � CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn that there is a consWcCron lending agency for Ihe peAortnance of ihe kork ta wliich this permit is issued (Sec. 3097, Gvil Code�. Lender's Name: LenOer's Atltlress: Signawre Date OWNER-BUILDER DECLARATIONS: I hereby aKrm Ihat under penalty of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business and Professions Code: Any cily or county which requires a permit m constmct, �alter, improve, demolish, or repair any strucWre, pnor to its issuance, also requires the applicant for such permit to file a signed sta�emeni that he or 5he is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business an0 Professions Code) or that he or she is ezempt Iherefrom and lhe basis (or [he alleged exemption. Any violation o( Section 703L5 by any appliwnt for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (3500).): ❑ I, as ovmer of the property, or my employees with wages as their sole wmpensation, WILL DO THE WORK, and the structure is not intended or oHered (or sale (Sec. 7044, Business and Pro(essions Code: The Contractors License Law does not apply to an owner of property who builtls or improves thereon, and who Does such vrork himself or herself or t�rough his or her own employees, provided that such improvements are not intended or oftered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving Nat he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CON7RACTING WITH LICENSED CONTRACTORS to consWct Ihe pmject (Sec. 7044, Business and Professbns CoOe: The contractors License Law dces nol apply to an owner of property who builds or improves thereon, and v.ho contracts for such project with a cmtractor(s) license pursuant to the Contractars License Laws.). ❑ I am exempt under sec. Business antl Professions Code for this reason: Ovmer ID verifed by drive .c� .❑ Yes ❑ No � Driver's License No. Expires: Venfication of Ownership by (type of document, i.e. - property lax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certify lhat no ezcavation frve (5) or more feet in tleplh into which a person is required to descend, will be made in connection with work authonzed by this permit, and that no builtling strucwre, scaffdding, false�+ork, a demolition or dismantling thereof, will be more than Nirty-su (36) feet high. (Chap. 32. Grp 2, Art 2, Sec. 341, TM1Ie 8, Califomia Administ2tive Code). ❑ As owner-builder, I will not employ anyone to do vrork which woultl require a permit from the Division of Intlustrial Safety, as notetl above, unless such person has a permit to do such work from the division. AppliCant's $ignaWre Da1C Division of Industrial Safery Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 7. Will the applicanl or present or tuture builtling occupant neetl to fle and certify a Business Plan for emergency response to release or threatenetl release of a hazardous material? O Yes ❑ No (Section 25505 0( the Califomia Health antl Safery Code requires, wilh some ezceptions, Ihat a Business Plan be filed with the Cosla Mesa Fire Department by every business which has at any one lime tlunng a reported year a quanlity of hazardous matenals equal ro or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet ol compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or (uture building occupant need to (le a registration form foi aculely hazartlous materials? ❑ Yes ❑ No (Section 25533 0l lhe Califomia Health and Safely Code, vrith some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one [ime has on hantl a quanti[y o( acutely hazartlous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic (ee[ of compressetl gas at standard temperature and pressure). 3. Does or will the applicant or present or future building occupant neetl to prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous materials�7 ❑ Yes ❑ No (Section 25534 of the California Health and Safery Code provides that the Costa Mesa Fire Depanment may require the preparatioq ceM1ification antl filing with the Fire Department of an RMPP by businesses which are requiretl to register acutely hazar0ous materials with lhe Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Cotle been fully complied with? ❑ Yes ❑ No 5. Does or will Ihe applicant or presen[ or fuNre building occupant require for the vrork which is Ihe subject Of IhiS appliGdtion a pelmil fOf SULh con5tNC1i011 or modifcation fmm the South Coast Air Qualiry Managemenl District or from any other air pollulion coMrol disMct or agency? ❑ Ves ❑ No (Section 65850.2 of the Califomia Govemment Code requires thal the requested infortnation be fumished on applications (or non-residential building pertnits). 6. Will any part of the facili[y to be constructetl untler Ihis permit be wiihin 1000 feet from Ihe outer boundaries of a sChool? ❑ Yes ❑ No (If'yes", the facility musl meel lhe requirement of Sections 25534 and 42303 of the Calitomia Health and Safety Cotle�. 7. If a permit from the South Coast Air Quality Management DisMcl or other air polWtion control district or agency is required tor the work which is [he su6ject of this application. have all of the disclosures prescribetl by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf'yes", attach cenifcate of compliance from the appropnate air polWtion control oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the information given above is correcL I agree lo comply wilh all state laws antl city ordinances regarding Hazardous Matenals and Emissions. Sgnalure Dale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and staee that the information given is correct I agree ro comply with all state laws and city ordinances relating to building wnstruction, and authonze representatives of the City o( Costa Mesa to enter upon the above-descnbed property for inspection purposes. I aqree not to occupy or allow occupancy of any builtling authorized by this pertnit until final inspection. SipnatureolLeBalOvmer(s� Date SignaWre Da�e ' � —Ui � JOS)�a6 pl0]) � .Auinonzeo Appbcant . r_ Da�e . , E'' C;�'rtb Ih�=��.- ; . � t�+ BUl IING AND SAFETY DiVtS(� 1 �� FIRE DAMAGE INSPECTION REPORT (Required Prior To Permit Issuance) Address: 7 �� L L _ � / I -- f � �' / Unit: �� / � f ( "— , � � � I .I :'i �i � �•� . - �I f � Owner. � • � / 7 r : ) i } - � � • � f � (/ / � J' Owner's Address ( f different from above): ��', • . • r . r ��'% i F l � s-' — � � ! '% ..' � j .. - ., .' . Street Ciry State � Structural permit required. , � Repair or replace as necessary. ❑ Plans required. Comments: I,�'i�� . - .- ��- ;�r :�,� . ! �r� �,.'-%, ; _ �, � � , , C' i'l �� . i�( '� i. i i f t'i . {(j .�Yi ! l o r/I � ! ��( ��!- i -+/( i' / , F I �!/ If�� 1�..� :L. � 1 T �r ii r i/" ./"'r' %'✓ /'•l ;�'� '`l' �, � ) „ � � � • , � �/' ci �i''� /' � l"f t.-t, .'�: � / . :, i! / i 7" � Electrical permit required. � Repair or replace as necessary. Comments: � '' �{� r.;7� : � �./- // � „ , i „r r. � �� Plumbing permit required. 0 Repair or replace as necessary. Comments: !n '' 1•1 si /� ��:/,' ��. .:/' Y - /�`L (- �( . ��' , �`, � Mechanical permit required. ❑ Repair or replace as necessary. Comments: ' �/ ' •': �,- i ' � ! , •-r l. � ( , 1'-%; "� ��L J= ' i i'. Inspector Date IBT2�16 ➢�pLca�e: OrginaLpwner: Yelbw-ConUalw; pmt-Bur�Ourg Dnqwn I -'i�, ' 'f: -- .,' f% " ,,,_, _ i ` %�� !! ' '.'r Phone .. :�., 2 i COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 12� COSTA MESA, CALIFORNIA 92626 For Applicant ta Fi!l in Completely NhR 21-69PAI�00 535* **�*34.50 CMSA APPLICATION FOR BUILDING PERMIT ,E/ )/✓ DA�Ero7�(�% D.iE'7/I OWNEF ��(i A A.P. NO. I �(�' MA I L � BUILDING 2 . p �p ADORESS O 4 ��G�C� ADDRESS aU CITY a-� NOL��O'SJ/ TRACT � Z Z Q CONSTRUCTION /{�O VJ 'e� W A O N LENDER �`� am J � BRANCH ' � J� OWNER � �fl m J ADDRE55 J QARCHITECT ��./J �/'� TEL. S y OR ENGINEER �� V Q FIRE w d' ADDRE55 ZONE TV/F a w � APPROVE� .�i J O CONTRACTOR B�' :� m Z J � ADDRESS � w TEL. ZONE PLANS Z= CITV NO. — L H W � STATE CITV VARDS APPfiOVED (n � LIC. NO. LIC. NO. MAIN BUILOING � O (FROM C/LSTREETI SIZE NO.OF BLDGS. OF LOT NOW ON LOT ONT FT. USE OF EXISTING BLDG. Y� SIZE OF NO. OF Z NEWBLDG. � ROOMS STORIES L S E FT. U EXTEflIOF WAL �y COVOERING ' REAR FT. COVERING J USE OF BVILDING Af�D WO O BE PEfiF FMED DISTANCE BET. a c� /G�'�i'YZ MAIN BLDGS. a Q V AR. vW O C.U.P. �p F APPROVED N Z � VI heraby ecknowlBtlpa that I have read thia appllcation antl stata � that the ebove in}ormetlon is correct antl apree to comply with � all taws rapulatinB builtlinp conftr�ction, entl I shell not employ F any perwn In violatlon of the workmen's eompenaetion laws of y the Stata of Calittlrnia. ? I hereby certity tMat I am properly licensetl as a contractor untler SQ. FT. tha State of Californla Businaas entl Professions Cotla, Divisicn 3, TME AMOUNT SHOV Chepmr 9, antl [hBt mch Iicanaaa ere in full forca entl effect, or I TNE PURPOSE OF ESl am exempt from tho provlsion� of tha Steta of Callfornle Businasa VALUATION entl PrOfassions CotlB, Division 3, Chapter 9. SIO�ature of 'S/'/ _ . � // � Permittae �_/.(�'u�/ �j�� 5� f / Authorized Apent LOT 7 / I BLOCK VALUE N g O' VARDS APPROVED 0.4TE � � O V UNDER VALUATION IS FOR ' �BLISHING A PERMIT FEE ONLV: Q � �,oG � 'ERMR FEE $ ] 'LAN CHECK $ I / � .Sa E `o 'OTAL FEE S 3 y sa LL