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Home My WebLink About2860 LA SALLE AVE - Building Permits ,2 • .. 0 r . op MF CITY OF COSTA MESA 4 BUILDING DIVISION °'� DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER t.' O .I PERMIT B07-00375 Rano (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.usBUILDING-PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2860 LA SALLE AV Status: ISSUED Suite: Applied: 03/28/2007 Vicinity: TRASH ENCLOSURE .. Issued: 03/28/2007 Primary Occ: Type of Construction: \Yl Parcel Number: 14166226 Zoning: Applicant: RODRIGUEZ, JENNIFER D$'1t Address: 67 CARSON __:/ /ac„., _ _ P_hone: 949-887-1236 IRVINE,CA . - Zip: 92620 . ISSUED BY: Owner RODRIGUEZT,RUST'- --- -; • ) '( - - Address 984 MISSION:DR<- -'(._1 ‘ _. -.„2.---- A. '� Phone: '+ "/ • - .. - COSTA'MESA,CAS k- _ _ Zip 92626 - �!< < \ c�- Contractor HOWNER-BUILDER'' � '_ �� r rA� \ / Address:, /� \,_,77-.4-;;;: --.1-:* �. - //1' (` //;,/,/;;;,</0-/` Phone: . v`, ,, �� Zip: / � License: 000000 \,lA\`�% /Arch :/ ' '.` /27' Eng .Address dam/ r • -Address: - //(1 / 7 , ,fes-- - ---- Phone Phone: / , Zip:, r r'0 / License - ✓�.. • J /J License: //r _ ._ r.. - I '/, Y' rV.�: ._::_:.-...;:,;,:/ . . , : (i: (jal t / �S` SCOPE OF PERMIT - ; .,•�� CONSTRUCTA 40SF WOOD TRASH ENCLOSURE(PAINTED TO MATCH THE BUILDING)AT AN EXISTING APT COMPLEX ' I ��( �\\ lli; N/ \/r c \, A\ hl- i ' % _ '/ j �_ _ - FEE SUMMARY_ v' Plan Check, -, $0.00 > / ;'r.- ,i— ' -r Calc Valuation: $500.00 �' ., r G, + v �' Permit:' ', $23.50 ---1`- .: `.1 L Claim Valuation. ' $400.00 '\i 'SMIPRes:(`:( - $0.50 C__ - , . __ . .- - - _-=�- -_- - , SMIP Com $0.00 Other $0.00 _. '"'‘'',,,c=1-N. ;: -- ,• 1` Inspection . $0.00; • (._-Total A�\' $24.00 .;l /i; \, A1 v , i �-„ .__ ��/. PLANNING &ZONING SETBACKS ' ' '\ _ �� r"�4 Yt -` T'ti t -�// - it MAIN-STRUCTURE Front 0 0 Rear 0-0 - Left >0 0 Right 0 0/ /, 1,, \w\ t "� - �:' ACCESSORY - Front 0-'0 •, I N .Rear 0 0 ;, Left 0:0' ` Right 0 0 ' PARKING` Existinq a vReq fired 0 (Proposed �0e /' / �'/ \� <-/ -� �A �• v 0 *--„ -i d--0(.:.*-',' /ice z,0 / v �‘..1 J ) ! , f • 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) ti DECLARATIONS ' ) l J w• WORKERS'COMPENSATION DECLARATION:✓ 1.--- I 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. ❑ 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 workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if 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 California,and agree tha ' I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provi Applicant Signature: < 4—\\ ?r— Date: A n WARNING:FAILURE TO SECURE WORKERS'COMPENSATION ERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES uP TO ONE HUNDRED THOUSAND E11 I ARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# - - Class# Contractors Signature: Date: 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: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county 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 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)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 not more than five hundred dollars(5500).): ❑ 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 Cale: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-bullder 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 u er s Business and Professions Code for this reason: Signature: V‘u `-'�� • �� xpires: �'r'O"l 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 nas 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 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 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 future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the Califomia 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 Safety Code been fully complied with? 0 Yes 0 No 5 6009 Or will the applicant or present or future building occupant require for the work which is the subject of this application app,ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 will any part of Die 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 Califomia Health and Safety Code Section 42303 been made? ❑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: 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 propert inspectionoses.I agree not to occupy or allow occupancy of any building authorized by this permit unci final ins action. ci Signature Of al Owners Date 01 And/Or Authorized Applicant Date CODE f INSPECTION TYPE 26Th INTMALS CODE INSPECTION TYPE Mk INTITIAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site L,' I'` //__ 204 ,Final Demolition 250 Final Building/Occupancy S-Ir-O9 41 bJ tk) An (2* La Salle pex vvu: 2860 La Salle✓ VAN Li • (• 944 • APPROVED ey CITY OF COSTA MESA • PLANNING DIVISION SUBJECT TO BLDG. DEPT. REG. NOTE: ADDITIONS, DELETIONS. OR CORRECTIONS SHALL BE APPROVED BY THE PLANNING DIV. i. BY: C DAIE:-5-2s1O1 City of Costa Mesa - Building Safety Department CERTIFICATE OF OCCUPANCY N? 1847 C. P. 0. Box 317 Costa Mesa, California The Building located at 28C0 La Calla Avarmap A D has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group jj ^ j Occupancy. Use of Building Fotrplc: Rcci_dcx:c Jith G* w^ ri✓a 2 Legal Description— Lot; 1.E Tract 5011 (See reverse side for Metes and Bounds) Building Permit No. 1519!10 Electrical Permit No. £011151 _ Plumbing Permit No. 396119 Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments— )S and/or guest rooms ISSUED TO: Building Official }tyf.aCrrm =MonPro IPC by if AIVAIr Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Form Bv34-1M-11-63-5-B P t9840 FEE RECEIVED 'COSTA MESA BUILDING-SAFETY. DEPARTMENT JUN 1 0 1963 P.O.BOX 917 COSTA MESA,CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely CIT4PWC6USVA IVENERAAIT TYPE OR pP/RINT BUILDING BUILDING L r. ii6u is Salle Ave. For Office Use Only ADDRESS Lot 16, Tract 5011 RECEIPT NO. PERMIT NO. COSTA MESA. CALIFORNIA I QAil RECEIV DerD&'.-/ 3JUgATE l B IP OWNER Hycroft Terrace Inc. rY+ yDJ BUILDING MAIL . ADDRESS ADDRESS 250 N. 17th St. Suite. G FIRE -It d TEL. ZONE - TYPE -Vt GROUP / LT CITY CnstB Mora A. - NO. A46-9347 APPROVED ARCHITECT Charles Hiller NO. FR5-2007 TEL. BY DATE OR ENGINEER Euclid ZONING ��I i ADDRESS 925 N. Euclid Ave.,_Anaheim ZOtiyE� (I NO.OF USE OP NEW CL�{f,dLJ c� t t1 FLANS BUILDING `/�"t�Vb( A CONTRACTOR Seine ' I` --r/��!��CCC`-��^^ / (� ��t LDESCRITON k j(, .c.---0 n // ADDRESS Same /� CITY Same • A.P.NO. NOTE: NO EAVE OVERHANG-SHALL BE LESS THAN STLIC.TNO. 82360 NO. Same 90"TO SIDE a REAR P.L. EAVES SIZE MNOW ON LOTH _ALLOWED — (U.B.C.REQUIREMENT) OF LOT 701 x 971 - YARDS APPROVED YARDS APPROVED USE OF ' MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG.' (FROM C'' 1OFT. SETBACK LINE FROM 1 1 FRONT FT. FT. CENTER OF STREET /,O REAR YARD Li SIDE YARDI LEFT 101 I RIGHT • 51 R.SIDE ,SBFT. FT. DESCRIPTION OF WORK - L.SIDE /D FT. FT. NEW X ALTERATION _ ADDITION REAR N FT. FT.' N DISTANCE BET. BET.MAIN& 4- • REPAIR MOVING • DEMOLISH MAIN BLDGS. ACCESS.BLDGS. W - BUILDING NO.OF VAR.# DATE G SIZE 55' x 73' ROOMS STORIES 2 C.V.P.# APPROVED C / �. EXTERIOR WALL ROOF APPROVE C 0 COVERING stANDW I COVERING RMED EY j` tAA. IA DATE /( USE OF BUILDING AND WORK TO BE ParED \ (U Apt. (L. plex)ni a e. H r HTHEf��N O.OW�/��ION 18 FOR THE o• Lil ▪ D. THEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 2 (n AND STATE THAT THE ABOVE I8 CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. D PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION �/� _/� T re BUILDING CONSTRUCTION. PERMIT FEE $ J212✓(6 at p0 ., SIGNATURE OF HYCROFT TERRACE, INC? Y,/ ,/ 6 a PERMITTER � � s A// FJ� PLAN CHECK $ S/O/ �l o 0 AUTHORIZED AGENT Ill) 4/ JOGIEfl " TOTAL FEE s!�O! 7j