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Home My WebLink About3124 TRINITY DR - Building Permits Y. CITY OF COSTA MESA 4 BUILDING DIVISION• F • ..,,z. ,-,..ntt. ,I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER . PERMIT V• B02-01278 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 3124 TRINITY DR Status: ISSUED Suite: Applied: 08/14/2002 Vicinity: ROOF Issued: 08/14/2002 Parcel Number: 14107102 Zoning: R1 R1 Applicant: SALAZAR, NATIVIDAD ISSUED BY: Address: 479 ABBIE WY Phone: 714-957-1578 COSTA MESA,CA Zip: 92626 Owner: FRANCO, ALBINO & SALAZAR, NATIVIDAD Address 3124 TRINITY DR Phone: 714-957-1578 COSTA MESA,CA Zip: 92626 • Contractor OWNER-BUILDER . . Address: Phone: Zip: License: 0 Arch : . Eng: Address: Address: Phone: Phone: • Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL NEW SHEATHING,30 YR,COMPOSITION SHINGLES. 1506 S.F. INCLUDES ATTACHED GARAGE. , FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,000.00 Permit: $83.25 Claim Valuation: $3,000.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 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) WORKERS;'COMPENSATION DECLARATION: I hereby affirm under denalty 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: a Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) -ercertity 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 Califo ia,and agree that If I should become su t to the w rkers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith cora ly with these provisio //�� .Appfcant.Signature3 /�� 1Date:' I-11-o2- - c WARNING:FAILURE TO SECURE WORKERS'0OMPENSATION COVERAGE IS UNLAWFUL SHALL SUEUECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000).IN ADDITION TO THE COST Of COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S 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.N 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: Lenders 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 clvil penalty of not more than five hundred dollars($500).): ❑ 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 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.). lam a rapt sec. stress an PPgessions Code for this reason: Signature:, ate:, a Owner ID verified by driver's license. ❑Yes 0 No Drives License No) 140Expir- e a \t' 7-CkQ 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' Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑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�r will the applicant or present or future buildingccu opant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? 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,has Section 25534 of the Califomia Health and Safety Code been fully complied with? ❑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 a 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 I�No (Section 85850.2 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 Califomia Health and Safety Code Section 42303 been made? 0 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 p o ny,for inspection poses.I agree not to occup allow occu cy of any building authorizecOy this permit until final inspection. Signatue— -Of-Legal—Owner(s) .Oate And/Or Authorized Applicant Date ODE/ INSPECTION TYPE PATE MAL$ CODE1 INSPECTIONTYPE QATF. CUE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Root 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 204 Final Demolition 250 Final Building/Occupancy ~,p r CITY OF"COSTA MESA • LIVel =t _______ ) DEVELOPMENT BUIDING SERVICESDDEPARTMENTISION PERMIT NUMB 4. i PERMIT dittoPoptino„yo B>71278 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT • Job Address.---479---Ar Status: ISSUED Suite: A C1cin.h. - Applied: 08/14/2002 Vicinity: ROOF Issued: 08/14/2002 Parcel Number: 11737226 Zoning: Applicant: SALAZAR, NATIVIDAD ISSUED BY: Address: 479 ABBE WY Phone: 714-957-1578 COSTA MESA,CA Zip: 92626 Owner: FRANCO, ALBINO& SALAZAR, NATIVIDAD i Address 3124 TRINITY DR Phone: 714-957-1578 COSTA MESA,CA Zip: 92626 ' Contractor: OWNER-BUILDERi , Address: Phone: Zip: License: ns: 0 . Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: /7 SCOPE OF PERMIT ' TEAR OFF EXISTING ROOF. INSTALL NEW SHEATHING,30 YR,COMPOSITION SHINGLES. 1506 S.F.INCLUDES ATTACHED GARAGE. 1/ - - FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,000.00 Permit: $83.25 Claim Valuation: $3,000.00 SMIP Res: $0.50 SMIP Com: $0.00 . Other: $0.00, Inspection: $0..00e Total: $83?75 f ' 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 51 Existing: 0 Required: 0 Proposed: 0 r NOTES: ,1� i M I- NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related I I regulations.(Ord.No.92-28,§1, 12-21-92) I 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(WOO) I • e- WORKERS'COMPENSATION DECLARATION: + I hereby affirm under Oenalty 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) Sei-7 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 that if I should become subj t to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. / / Applicam59 rre f1�/.J/tyr-./�p/ .yam Date:- E3-14-02. (WARNING(FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL D SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,004 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.N Class It Contractor's 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 10 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($500).): ❑ 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 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.). _Lam,ezempt.untlecs_� n Business and Professions Code for this reason: 'Signature? 4.1 aX �, 5 12--06 Verification of Ownership by(type of doc men,'.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 B,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 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 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 California 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 pplication apermit 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 O 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 Safety Code Section 42303 been made? 0 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 a �cri ed property f r insp tion purpQserz.I agr t to occupy or allow occupancy of any building authorizeQpy this',riffntil finna�specgn. tSlgnatbre Of Legcaal wner(s)J'' 1 S Date f And/Or Authorized Applicant Date • CODE! RISPECTIONTYPE PATE UIIIDALS ' CODE! INSPECTION TYPE PAIL IIRIIIALS 1616 Fixed System Final Fire Prevention / 206 Final Mechanical 1266 Pool Spa Final �J— ii 208 Final Plumbing 200 Final Re-Roof qr Fj if - 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 204 Final Demolition 250 Final Building/Occupancy 13612 FE RECEIVED • JAN 101331 • COSTA MESA BUILDING-SAFETY DEPARTMENT /FINANCE DEPT. P.O.BOX 317 COSTA MESA.CALIFORNIA CITY OF COSTA MESA I FOR APPLICANT TO FILO IN COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS 3124 TRINITY DRIVE COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY I RECEIPT NO. Ma! n,E�r�Ip NO. OWNER KWK CONSTRUCTION CO., INC. Iw`�' a! MAIL RECEI(/ED BY DATE REC IVEDDATE ISSUED ADDRESS 1555 PLA CENT I A AVENUE 7-C. 7 -6( YY,/ JAN11 1961 CITY NEWPORENEWPORTBEA CH CAL I F, TNO.. BUILDINGADDRESS ARCHITECT . LIC. COSTA MESA, CALIFORNIA OR ENGINEER ! NO. • FIRE ADDRESS 1 ZONE TYPE 1/ GROUP V STATE/ APPROVED CONTRACTOR K.W. KOLL LVg61195 BY DATE ADDRESS 1555 PLACENTIA NEWPORT SEA CH ZONING LEGAL I LOT' 5 140 1 ZONE I NO.OF I USE OF NEW sings ran. DESCRIPTION NO. 4 BLOCK TRACT R-1 PLANS^ BUILDING W/ ntt gsr A.P.NO.. APPROVED t"t C 1.1. BY ,LD .i. DATE ��• SIZE •00 ' . YARDS U (EVES ' OF LOT ' NOW ON LOT REQUIRED ALLOWED , USE OF (CENTER LINE ST.) EXISTING BLDG. FRONT T, 0 FT. IN. t REAR YARD lG� R.SIDE / FT. IN. SIDE YARD I LEFT 5' 1RIGHT 51 • L.SIDE 5'FT. IN. DESCRIPTION OF WORK REAR ) FT. IN. STORIES 1 Of ^ UX USE OF BUILDING AND WORK TO BE PERFORMED ial'L. SINGLE FAMILY RESIDENCE AND ATTACUED GARAGE PLAN No . 3-AR 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT • AGREE TO COM. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY CRISMAN ES AND STA /LAWS RE • ATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. ' BUILDING CONSTRUCT'••N. VALUATION SIGNATURE OF /�'4�L .``/ PERMIT FEE S -�Jg��- PERMITTEE .../// ..0" S 4526-e....--. PLAN CHECK $ /7,_St" • AUTHORIZED AGENT \ - I•i�( (s fi`Jn TOTAL FEE $ 6r}