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Home My WebLink About977 VALENCIA ST - Building PermitsJ � CITY OF COSTA MESA � BUILDING DIVISION -= " 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • ww�v.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754•5626 PERMIT TYPE: Sub Type: JOB ADDRESS APN: 14166521 � PERMIT NUMBER: BC08-00309 RESOALBO x�� b�� Df�ESSSUED: 6S OE 008 � � �� ISSUED BY: Dg'SE 977 VALENCIA ST CM Suite/Unit: Zoning: , , Vicinity: Primary Occ: R-2 \ Const Type: V-A SQ. FT: 0 Valuation: $6,000.00 SCOPE OF WORK: REPLACE SIDING AND 6 GARAGE DOORS, REPLACE 1 FAU, 5 SUBPANELS AND 4 WATER HEATERS OWNER: HALL,ROBERTI. Phone: APPLICANT: FLOYD RUBIN Phone: 562-673�8g3 Address: 977 VALENCIA ST Ciry/S�ate/Zip: COSTA MESA, CA Address: Ciry/State/zZip: CON7RAC70R: APpROVED BUILDING AND REMODELING License No. 894907 Phone: 562-673d883 Address: 4401 ATLANTIC AVUnit: Cell: CirylState: LONG BEACH, CA ARCHITECT: ENGINEER: License No. License No. COMBINTATION PERMIT FEE SUMMARY Building Plan Check: $0.00 Building Fees: $125.25 Electrical Fees: $152.50 Mechanical Fees: $15.00 Plumbing Fees: $39.20 SMIP Residential: 50.60 SMIP Commercial: $0.00 TOTAL FEES: $332.55 "Refer to fee mcalpts for a11 tees pafd for project Unit: Unit: : ZipCode 90807 PHONE: PHONE: NOTICE: The work authorized by this permit shall comply with all applicable handirap access requirements under Califomia sUtutes and related regulations. (Ord. No. 92•28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the vrork authorized under this permit to be considered legal, such work must comply with all appliwble codes, and all required inspections and final approval must be obtained. Failure to obfain inspections and final approval will result in the expiration of this permit. CODE/, iNsrccnoxTrre ogr� �NTI71AL5 yyp� ixse�cnoNrreE � I�3 1616 Fixed System Final Fire Prevention ZO6 Final Mechanical 12fi6 Pool Spa Final 208 Final Plumbing 2(10 Final Re-Roof 210 Final Electriwl 201 Final BIOCWRetaining Wall 212 Final Pire Prevention 202 Final Faciory Fire V7ace 220 Final Planning ApProval 203 Final Sign 222 Final Site 204 Final Damolition 250 Final 8uildinglOccupancy WORKERS' COMPENSATION DECLARATIO� , ' Umer ID ven(ed by Anve icense. ❑ Yes ❑ No I hereby affirm untler penalry of perjury one of the following Aeclaralions: Driver's.License No. Expires: ❑ I have and will maintain a ceRificate of wnsent to self-Insure for workers' � Venfcalion o( Ownership by (rype of document, i.e. - property tax bill or deea): compensation, as provided for by section 3700 of the Labor Cotle, for the peAormance of t�e work for which this permit is issued. � ❑ I have an0 will maintain vqrkers' compensal'an insurance, as requiretl 6y DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: - sectbn 3700 of the Labor Cade, la the peAortnance o( the �wrk fa which this , pertnit is issuetl. My workers' compensation Insurance wrrier and policy ❑ � hereby cetlAy that no eacavation frve (5) or mwe teet m depth inio wfiich a number are: 7� �x �,� I person is required to descentl, will be made in connection with v.nrk author¢etl J'�/ `' �.(�,NP,U'/(��WIV � S,//��t�[ �-�'p f,�h�his permit, an0 Ihal no building slructure, scaHdOing, false�wrk, a tlemolition �� Cartier. WIV Ul�- J�r_ rT�Yy or dismantling Ihereol, will be more Ihan thitly-sa (36) feet high. (Chap. 3.2, Grp (rns sea�on neao na ee om�pned �mexnm s.ae�ea ai a.K me�mee mrars �siaol d�ss.l �� 2. Sec. 311. Ttle 8, Califomia AUministrative Code). Policy Number. �`?� � 7 � ❑ As owner-builder, I will not employ anyone to tlo work which woultl ❑ I certify Ihat in the peAormance of the work for which this permit is require a permit from the Division o! Industnal Safety, as noted above, unless issuetl, I shall not employ any person in any manner so as to bewme subject such person has a permit lo tlo such work from t�e division. lo ihe vrorkers' compensation laws o! Califomia, and agree that if I shoultl hecome subject �o Ihe workers' compensation provisions of Seclion 3700 of Apd��'sSipnaWre oa�e the Labor Code, I shall forthvrith comply with these provisions. �_ �^ _�� -ion ol Industrial Safely Permit Number. �_L� i nr ipnaWre ��8 H/1ZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNIM � IURE TO SECURE WORKERS' COMPENSATION COVERAGE �� `/��II the applican� or present or fuWre building occupant need to file antl IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certity a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS �eleasa of a hazardous material? ❑ Yes ❑ No ($100,000), IN ADDITION TO THE COST OF COMPENSA710N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE L4BOR CODE, IMEREST, AND A'ITORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensetl under pmvisions of Chapter 9(commencing with Seclion 7000) of Division 3 of the Business and Prolessions Code, and my license is in full force and eflect. CONSTRbCTION LENDING AGENCY: ❑ I hereby a(fmn that there is a consWction lending agency for [he perfortnance M the xork fer which tlris pertnit's issueC. (Sec. 3097, Civil Code�. Lentler's Name: Lender's Address: $igriaWre Daie OWNER-BUILDER DECLARATIONS: I hereby aKrtn that under penally ol perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the (ollowing reason (Sec. 7031.5, Business and Professions CoOe: Any city or county which requires a pefmit lo construc�, alter, improve, demolish, or repair any structure. pnor to i�s issuance, also requires Ihe applicanl for such permit to file a signed statement lhal he or she is licensed pursuant to the provisions ol the Contractors License Law (Chapler 9(commencing with Seclion 7000) of Division 3 0l Ihe Business and Prolessions CoOe) or I�a� he or she is exempt theretrom and the basis for the alleged eaemption. Any violation of Section 7031.5 by any applicant for a permit su6jects iha applicant to a civil penally of nol more Ihan five hundred dollars ($500).): ❑ I, as ovmer ol Ihe property. or my employees with wages as their sole compensalion, WILL DO THE WORK, and the 5trutture is not intended or offered for sale (Sec. 7044, Business antl Professions Code: The Contractors License Law dces not apply to an owner of property who builds or improves thereon, and who dce5 5uth work him5ell or hersell or through his or her own employees. provitleC that such improvements are not intendetl or oflered for sale. If, however, the builtling or improvement is sold within one year of completion, Ihe ovmer-builder will have the burden of proving Nat �e or� she did nol build or improve for purpose of sale.). ❑ I, as ovmer ol t�e propeny, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo ton5trut� Uie project (Sec. 7044, Business and Protessions Code: The contractors License Law dces rmt appy to an owner of property who builds or improves thereon, and who cont2cts fa such project with a cmtractor(s) license pursuant to the Contractors License Laws.). ❑ I am eaempt unCer sec. Business antl Pro(essions CoOe lor Ihis reason: (Section 25505 0l l�e Califomia Health and Sa(ely Cotle requires, with some exceptions, that a Business Plan be filed vnth lhe Costa Mesa Fire Department by every business which has at any one time tluring a reportetl year a quanlity of hazartlous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic (eet of compressetl gas at stantlartl lemperatwe and pressure). 2. Dces or will the applicant or present or luWre building occupant need to file �.registration fortn for acutely hazardous materials? ❑ Yes ❑ No (Seclion 25533 0l the California Health and Satety Code, vrith 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 matenals equal to or greater I�an a weight of 500 pounds, or a volume of 55 gallons, or 200 cuDic feet of compressed gas at standard temperaWre and pressure). 3. Does or will Ihe applicanl or present or fuWre 6uiltling occupant need lo prepare an RMPP (Risk Management and Prevention Program for awtely hazardous materials)? ❑ Yes ❑ No (Seclion 25534 of the California Health and Safety Code provides that lhe Costa Mesa Fire Department may require the preparation, certificatian and filing with the Fire Department ol an RMPP by businesses which are required ro register acutety hazardous materials with �he Fire Department. 4. If an RMPP is presently required, �as Section 25534 of the Califomia Health and Sa(ety Cotle been fully complied with? � Yes ❑ No 5. DoeS Or will Ihe applicanl or present or future Duiltling occupant require lor the work which is t�e subjecl of this application a pertnit for such construction or modification Irom the SouN Coasl Air Quality Managemeni Distritt or from any other air pollulion coNrol dislrict or agency? ❑ Ves ❑ No (Sectbn 65850.2 of Ihe Califomia Govemment Code requires tliat ttre requeste0 information be lumished on applications lor non-resitlential building permits). 6. Will any part of the faciliry �o be constructe0 untler Nis pertnit be within 10001ee1 (rom the outer bountlaries ol a school? ❑ Yes ❑ No (II'yes", the facility must meet the requirement of Sections 25534 and 42303 of lhe Califomia Heallh and Salery Code). 7. II a permit from Ihe Sou�h Coast Air Qualily Management DisMcl or other air pollution control district or agency is requiretl for the vrork which is the suhjecl of this applicatioq have all of the disclosures prescribed by Califomia Health and Safely Code Section 42303 been made? ❑ Yes ❑ No 8. (If yes", attach certificate of wmpliance from the appropriate air pollution conUol officer). � � • CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is wrrect. I agree to comply wiN all state laws and ciry orainances regartling Hazartlous Materials and Emissions.� ' � ' Signalure ' Oate CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury Ihat I have read this application and sute that Ihe infortnation given is cortect. I agree to wmply wiN all 5[ate laws and City ortlinances relating lo building consWction, and authorize representaGves o( the Ciry of Costa Mesa to enter upon t�e above-describetl property tor inspection purposes. I agree not to occupy or allow occupancy of any building authorized Dy this pertnit until final inspection. � Si aWreollegaiOwner(s) Date SipnaWre Date �l 309�d6(10l) • AnNorA ��onzMAp0liram / pate v� _ CITY OF COSTA MESA . SERVICE REQUEST & PUBLIC ASSISTANCE FORM Date �.�� Time 9� . l9866 COSTA MESA BUILDINGSAFEfI' DEPARTMENT P. O. BO% 917 COSTA M@9A. CALIFORNIA For Applicanf fo Flll In Complately TYPE OR PRINT ILDING a encia . DRE53 I+Ot. 42, Tract 5011 COSTA MESA, CALIFORNIA 250 E. 17th St., Suite G Cost�. Mes� ,T,��6 s�� .. m i USE OP EXISTINO BLDO. SCTOACK LINB PXON � CENTEP OF BTRER O REAR SIOE YARD I LEFT S� I RIGHT DESCRIPTION OF WORK BUIL�IN6 sae 5' EXTERIOR WALI � NO OP ROOMS ROOF '.O COVEI WORK TO BI shi 10' t � 2 I HEREBY ACKXOWLeOOi TMAT 1 N�V[ qBAD iNl9 APPLIGTION ANO BTAT! THAT TX[ �BOV[ 16 CORHGR AND AOREt TO COM. PLY WITH w�L CITY ORDINANC6G �N� YTATB L�WB qtOUI.ATING BUILOINO CONBTRURION. 61GNATUREOP HYCROFT TERRACE, INC. PERMIITE /� �! Al1THORIZED AGENT j'! . �% • (.�C��S• , FEE RECEIVED dUN 1 0 �gg�m FINANCE DEPT. CI o,`�aQE,�Ob1SdA Fdd�SAers�rr BUILDING for Offlce USB Only �Y JL ZONING , I � , .. , ,I i� I . 6MALL BE LE83THAN .._'_"'_ ._-_-_-____..._.._.__. V YARDSAPPROVED VARDSAPPROVED (.. MAIN BUILDIN6 ACCESSORY BUILDIN6 z ( PROM GL STREET) w PRONT C FT. FT. W ) � R. SIDH L�FT. Ff• j C d L.BIDH �PI'. FT. W � RBAR PT. FT. . ••i iQ D16TANCH BHT. BET. MAIN Q _, ' V MAIN BLDOS. AGGESS. BLOO9. w VAR.�C DATE a N C.U.P APPROVED B PROV \/��, DATB � I � O � C � � Y y p, � � 60.FT. m 6 AMOUM 9HOWN YNDHP VALUM1TION 19 POR THC =' PUHP08H OI UTABLIBHIMO A VEpMIT P!H ONLY. � S I�/ y� � I PLAN GHEGK S 100/ /-✓ I p 1 r w � City of Costa Mesa Building Safety Deparlment P. O. Box 317 Coefa Mam, California CERTIFICATE OF OCCUPANCY N� �884 C The euilding located at � Vnl@IIMn E3txeeti�� Ba C ta D has been inspected and found io comply with fhe provisions of all City of Costa Meso Ordinances applicable thereto for a Group ��— Occupancy. Use of Building F��leR ReRiflenet� i�rith attaehed (`,ne�,re Legal Description �'t �2. '�'i'FSCL $011 (Soo rovorse side for Moro� and Bau�ds) Building Permii No. l�� Electrical Permii No. 21165 Plvmbing Permit No. �� Floor Load Signs have been insralled 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 operptor has been issued a valid certificate of occ�pancy by the enforcement agency. (b) A new certificate of «cupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number o4 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 Adminisirative Code, Title B, Chapter 9, Article 8. Number of apartments N'o�' and/or guesf rooms ISSUED TO: Building Official 1�cmft TerruC@s IncorAorated by��/ =x�> �i / � //� Date— ieb1olt1Tv 2°7� 29�1— This Certificate of Occupancy SHALL BE posTed in a conspicuous place on fhe premises and SHALL NOT BE removed axcept by the Building Official of the City of Gosta M¢sa under Sec. 306 (e) U.B.C. For,,, auaa—�nx_��a__,S.a r