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Home My WebLink About2668 HARBOR BLVD - Building Permitsa (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.cg I`hWING PERMIT 77 t -AIH UMIVt, UUb IA MC3A, UA VZOZO Job Address: 2368 HARBOR BL Suite: Vicinity: ROOF Parcel Number: 14149106 Applicant: STEVE SCHNIERER Address: 2057 MANDARIN DR , COSTA MESA, CA Owner: ZMV PARTNERSHIP Address SUITE 605 Issued: SANTA MONICA, CA SMIP Com: 501 SANTA MONICA BLVD Contractor: DAVID ALLEN MONTROSS Address: 1521 CALLE VALLE SAN CLEMENTE, CA Zip: 92672 Arch : Address: Zoning: Phone: 714-719-1689 Zip: 92626 Status: ISSUED Applied: 12/05/2003 Issued: 12/05/2003 90410 i '' I• I •'I ( I/ 7hone: 949-369-2495 License: 499050 Eng: Address: i Phone: - Phone: ,Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 20,YEAR COMPOSITION SHINGLES, G.A.F. FOR MULTI -FAMILY DWELLING. 'MEDITERRANEAN VILLAGE" 60 SQUARES. Plan Check: $0.00 Permit: $237.25 SMTP Res: $1.35 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $238.60 SETBACKS MAIN STRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existing: 0 FEE SUMMARY Calc Valuation: $13,485.00 Claim Valuation: $13,485.00 PLANNING & ZONING Rear 0-0 Left 0-0 Right , 0- 0 Rear 0-0 Left 0-0 Right 0-0 Required: 0 Proposed: 0 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 ?"646(sm) DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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, es required by section 3700 of the Labor Code, for the performance of the work for which this peit is Issued. work �p cop satlon surence carrier end policy number era: �, �-.� j m CartieMyr. Policy Number: t4J4Z_0s 1 (This section need not be completed i/ the permit is valued at one hundred dollars ($100) or less.) ❑ 1 certify, that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation law fornla, IealhaL�`should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these ovi e Applicant Signature AA,1rL Date: I Z JSI D 3 WARNING: FAILURE SECURE V19(ERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLAR ($IOO,OD3), INXDDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION WOO OF THE LABORCOOE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed und�erprovislons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In lull force and effect. Uc. a 419 9Q�U Class N C3 01 Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirrrl that there is a construction lending agency for the performance of the work for which this permit is Issued. (Sec. 3097, Civil Cade). Lender's Name: Lender's Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I em EYEMPT 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 co struc6 alter, Improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for such permit to lite a signed statemen6hat,he or she Ps'lice`nsed.puFsuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions COCe)or:that he onsite exempt empt 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 mole tlian five hundred dollars ($500).): ❑ I, as owner of the property, or my employeeswith wages as their sole compensation, WILL DO THE WORK, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Obde: 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. IL 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 Cade: 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.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Drivers 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 strucidre, scaffolding, lalsework, or demolition or dismantling thereof, will be more than thirty-six (36) teal high. (Chap. 3.2, Grp 2, An 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 certity a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ 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 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? ❑ 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 theappplicant 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 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, hes Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑ No __..................._......................_........._..._....._____'_.___..........-'u-i.............._...........r'e"'q............__...................__...............thesub..........................................................__.-......................_................_.__........._._...._... 5 Does or will the applicant u present or future building occupant require for the work which Is the subject of this a plication a emit for such construction or motlification from the South Coast Air Duality Management District or from any other air pollution control district or agency! � Yes � No (Section 65850.2 of the California Government Code requires that the requested Information be fumished 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? ❑ Yes ❑ No (it'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 Oueliry 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 Cade Section 42303 been made? ❑ Yes ❑ No ............................... ............... ........................... ..-................................................................................................................................................................................. _........ ____._._........................... _.................... __................... _.._.._............... B (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. Of Legal Owners) Date IZIbI�'� --7-n-c9i Authorized Applicant Date CODE Y. INSPECTION TYPE MALS CODEN INSPECTION TYPE NX RILLS 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 Well Fa?* 212 Final Fire Prevention 202 Final Factory Fire Place " 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy ADDRESS OF BUILDING: 2668 HARBOR BL UNIT: OWNERS NAME IF KNOWN: CITY OF COSTA MESA/TRAFFI ADmIESS 77 FAIR DR 4TH FL COSTA MESA 92628 754-5180 APpit. MUM ADDRESS: ARCNIfM OR ENGINEER: UC. NO.: ARCM OR ENG'S ADDRESS: UNIT: CONfRACtwiINAME:PARKER PACIFIC WEST INC. (714)646-5359 COMACTORS MMUNO 497 ABBEY WY ADDRESS: CM CA DGNG: 609295 92627 UNIT: LICENSED CONTRACTORS DECLARATION: I Mrdry ef(rm undAm�nty penaltyury d1at I arrr lirorrw u ' ' of Chapter 9 (oynrustdrp with Section 70oo) d Dwi ion 3 d the Stool. anda,ad myl n bin ed aHsd, CrrY LIC. NO.:05 000 LIC. CUSS: C-1009 P 12/96 Dda: 0 Cont . OWNER BUILDAR OEC RATION: I hansbf dh- under penin,al I am asampr horn Phe Contrarian Lioeme Law t« the wowing reason (Section 7031.5 Business and Professions Coda: unty erhidl requires a permit to oonsnuer, Mer, Mprovs, amolbh, or repair any structure, prior 10 he beumus, alto r1outrp for such permit to file a dOnw apoemend ihd M or she u licensed pwauanl to the provisions d the Conlredwa Uwnsa a (o«nmerdng with Section 7000) d Dyislon 3 of the Butanes and Prdwiww Cade) «thea M or end b wampt there. and the beds I. Ur ai exemption. Arty vbblun of Section 71191.5 by any altPlimM for a permh wbpcts the applbw4 to a dW penalty of nor mora then (we hundred dollars P500p. ❑ I, as owner of rhe Property or my, employees wih wages as rheic sols ompensarion. will do One v rk. ad the atructura b not warded! or offered for sale (Seption 704,6, Business end PMasabne Code: The Contredon Ucenes Lew does nor appy to an ownerof property wM Mich Or knproves thereon, and tun does such work himself or herself or through his or her own arepbyes s. provided that ouch impmvemenb we not intended «dlered for ease, 0. however, the Mibirp or vnplwemeM ie sold within Oro year of oompldion, the ..n b gdsr will hes the burden d pmvhp he « she did rhe build or tmpm4e for the purpose of pial. I, sa owner d Ine propend. am acdush sly mntrsctkp with icensed opoVecMn to construct the project (Section ] Business and Professions Code: The Conlrauore License law does rwl apply to an owner of Property w builds or Improves thereon and who contracts for Lx h projects with a wmrsctor(s) licemed pursuarst to the CO3fl ors License Lew). O 1 am a empr under Section: B. d P.C.. for flus rear D.J.: Owner: I dP hereby candy tlW I em ewers of ere understand rhe reqdremeNa of California Health ad Soley Code Swkrr 85505. 25533, and x5534. end Mel I or aro M1aure buildvq 0ooRead wig i will rw1 (dmb one) read 10 oomply wilt sed dote oudas and Ina reqrdromads br Dda: Applicant WORKER'S COMPENSATION DECLARATION: I hereby aMna underperehy d par"lury orr d the ugowirq dederationa: I have end na meirueb a of the vol ser eel Ip his pwuro kt workers' comperrmbn, p provided f« by Sarson 3700 d the lab« Cods, 1«Phe pwomrnca d the wank for whirN Mb pernN is issues. I have ad wit maintain w Bowe' cdnPensalion insurance, ss re0uired by Section 3700 of the Labor Code, for the Performance of the work I« which this Pam1h is issued. My worMrs' companedion inswerue ismer and Policy numMr we: Carrier. $TATE FUND EXPIRES Polly Number: 77Q—QSrTHTTQQIA 01/01/97 (Thio ascwon need not be romPmw r fM perms b In, «r hundred dears ISM] «I w.) 0 1 certify that in the performerrc. of the work for which this pemrh b bsuw all rhe empty en perePA in�menrler as n to become evbje Ig the n orkere' c«npaneetbn bvd d CalUamie, end a Mel B bawd Mat a l ee��w to M woMreto M woMre' c«nperaatian�wb 3edbn 3TM d 1MSeubn marc d tM labor Coda. I MeP to oanpy ra Data: 1U o f Applicant: Wenhp: F run b un, "w"a" compwretlon covorape b un , and ehw MA1K1 an employes b cdrenel p and clv/l firs M to orr hured ed daussnd "Is. (Sf,paZA M wall on a dfe rosf of rorrrpests+tbq danei as provided far In Ss,ffm 3105 of Me l or Code, InfamL and effomey'e lap. CONSTRUCTION LENDING AGENCY: I hereby dhrm under penahy of perjury that then is a consumption tiding agency for IM parf«manm of rhe work for whidr this Fermi b issued (Section 5097. Civ. C). LENDER'S NAME LENDER'S ADDRESS: I cendy that I have read Mb applic ion well state that Phe altos ido�bn b conect. I agree to comply, wvh M city and oourM ordinarrces and stab laws reusing to Mibi natruption ad hereby" In i repreenldives d this dy to enter upon the ebovs.mentionw pmoaM for inspection purpose. P KER Dora: (51514e0P) Whit.-Butdiq & Sdery: Gre Rk; Carry-Appiranl: Pink-Repnue: Oddewod-bsepw f CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 076850 PERMIT NO: E 076850 PLAN CHECK NO: N GOVT: Y SUPP: N CONSTRUCTION TYPE: II PERMIT TYPE: ELE PURPOSE: OTH SOB DESCRIPTION ; ELECTRICAL FOR BUS SHELTERS SQ FT: CLAIM VALUE: CALL—VALUE: GROUP OCC: B / COMMENTS: ELECTRICAL FOR BUS SHELTER 1E fE RE iE*iF iF iE*SE iE*iF iE iE iE dE iE df iE RE dE dE dF iF if iE iE dE lE iE iE iF dE RE iE iE dE RF iF Ric dF 3E*dE dE RF ii RE iF iE rfE IE iE iE RE *iF iE RE {E dE iE dE iE dE iE dE#ENE**#E iE**iE*-tE Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING NOTES> iEiE♦E*iESEiflEiEiEiEiE3ESF1EiE*lESE*1EiEiEiEdEdFSE*iE**iE*if BE*dEiF****IF SE REiE*!E!E*fEkEN•1ElE**SE SEiESEN-iE*dE*iESE**N-AE*N-SEN-*1E IE D E V E L O P M E N T S:E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY BUILDING APPROVED BY APPLICATION ISSUED BY: k 3E 1E 1E AE dE iE iE * 1f * * dE SE lE 1F 1E ♦E IE dE aE 1E7F7F'3FTF3F TF3F7F3F � 3F iF3F7F7F7F�FiF3F3F3F�it R3F LEGALIZATION:N F E'lE S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 11,75 50% PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS ---- > 0.00 0,00 0.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC DATE: DATE: DATE: 3�tL0 TFiF3FiE dF iE 1E N-**iE 1E iF E iE iE*1E if STRUCTURAL SEGMENT:N FIRE SMIP/RES GRADING SMIP/NON—RES 7OTAL 0.00 P.00 00AID 0 .00 OVER/SHORT: ,00 FIRE SMIP/TOT GRADING PLAN—CHECK iE iE IE 5E iE iE * iE 1E 1f iE iE 1E 9f IE SE 5E 3E 9E dE * SE 1E SF iE eE dE * fE 1E lE iE iE iE 1E iE dE SE iF dF * eE SF iE iE * 1E lE 1E SE SE SE * * 1E 1E SE * ♦E 1E iE RE 9E * 1E iE iE 1E 1E SE * * 1E SE fE IE * 3E I N D I V I D U A L F E E B R E A K D O W N TYPE QTY ELE i ELE 1 D E S C R I P T I O N FIXTURES LIGHTING I ST 20 EA. MISC CONDUIT NOT LISTED REQ PERMIT END OF FEES UNIT COST TOTAL COST .75 .75 11.00 11.00 Q1 002112131-00202631 T--uT 20 NWEG C3.''2 9,n TV:E' 12:2) CONSTRUCTION AND PLANNING - APPROVALS Permit # Date Inspector POC SPA APPROVALS Permit # Date Inspector i. Temporary Electrical Service or Pole 52. Pool & Equipment Location , 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3, Electrical Conduit Utility•Undrgrnd-., 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding , 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. ' 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 llndrg(nd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash &Receptor -Final 12. Sewer Cap �" - 63. Heater & Vent -Final 13. Roof Drains a 64. Plumbing System - Final 14. Rough Plumbing. 65. Electrical -Final 15. Rough Electrical -Conduit _ - 66. Solar System -Final i 16. Rough Electric Wiring _ 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Eledtrical-T Bar Ceiling 69, POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 'APPROVALS ,Perm it# 20. Rough Factory Fireplace - 21. Ducts; in Structure 70. Underground Hydro 22, Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing - . 73. Undergrnd. Storage Tank ❑Gas 000 25. Roof Sheithing 74.'Overhead Hydro 26. T -Bar Ceiling (Structural) & Mon_ocoat 75, Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77, FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL - 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FI AL INSPECTION ' 32. Electrical Power Meter -Final r �i �Z yr_ FOOD CERTIFICATE ISSUED 33. Final Electric .es: 34. FinalHeating& Air Conditioning - 35. Final Gas Pipe -Test - 36. Hood or Canopy r 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final , 40. Gas Service -Final _ - - dt. Solar Domestic -Final 4z. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System _ 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date