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HomeMy WebLinkAbout1854 NEWPORT BLVD - Building Permits ' CITY OF COSTA MESA 4 ` BUILDING DIVISION o r �, > • f- . DEVELOPMENT SERVICES DEPARTMENT PE MIT NUMBER F1 �s I PERMIT v; ; B04-00141 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.c �sILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1854 NEWPORT BL Status: ISSUED Suite: Applied: 01/12/2004 Vicinity: • Issued: 01/12/2004 Parcel Number: 42545201 Zoning: Applicant: BRESLIN,BILL ISSUED BY: Address: 1835 WHITTIER AV UNIT F12 Phone: 800-784-8787 COSTA MESA,CA Zip: 92627 Owner: CHOU, TEK SING Address 1854 NEWPORT BLVD Phone: COSTA MESA,CA Zip: 92627 Contractor: 21ST CENTURY ROOFING INC Address: 1835 WHITTIER AV UNIT F12 Phone: 800-784-8787 COSTA MESA,CA Zip: 92627 License: 807430 Arch : Eng: Address: • Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR BUR INSTALL MODIFIED BITUMEN FALT ROOF CLASS A FEE SUMMARY Plan Check: $0.00 Calc Valuation: $5,590.00 Permit: $125.25 Claim Valuation: $5,590.00 SMIP Res: $0.56 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.81 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 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(WOO) • DECLARATIONS WORKERS'COMPENSATION DECLARATION: •' • I hereby Simi 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. ye d will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for ormance of the work for which this permititis issued. My work rs'compensation Insurance carrier and policy number are: / 17 6 Y o px O c1J Carrier: a not be coot'-pSt /— U N A Policy Number. 7 coon need not be Com/laletl if the permit is eluetl of 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 ecome subject to the workers' co • - 'on laws of Ceti ia,and agree t if I shou become subject to the workers'compens- '. • .,r ions of Section 00 of the bor Code,I shall forthwith •ly with en provi s. c 4 I 1/z (! / icant Sign: e: Date 6 AI�URE TO SECU WORKERS'COMP NSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN - • • 'TO CRIMINAL PE TIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOUARE($1C0,000).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 h: -:• : Irm 1 at I am licensed under provisions of Chapter 9(commencing with Section 7 ) Business a d Professions Code,and my license Is In full o.A l' 4 • 0 O ss x i C • C. Date. Ir 0 • ON-' : • e •G-AGENCY: ❑ ere.y 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 em 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($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.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Driver's 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 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 AdministralNe 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: I 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 end 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 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 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? IYes 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 Califomia 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: CERTFICATE 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. � Inp� err(6) L • And/Or Auth•.• " plicant .a CODE I INSPECTION TYPE _ PATE IMO CODE! INSPECTION TYPE BATE IBES 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final rJ 208 Final Plumbing 200 Final Re-Roof 1_Z'��� [ 4� 210 Final Electrical 201 Final Block/Retaining Well 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 SUBJECT PROPERTY INFORMATION -J 1) Property: 1854 NEWPORT BL, COSTA MESA CA 92627-2727 C041 APN: 425-452-01 Use: STORE FRANCHISE County: ORANGE, CA Tax Rate Area: 15054 Total Value: $625,000 Census: 633.00 Prop Tax: $6,601.90 Land Value: $396,900 Map Pg: 31-D2 Delinq Tax Yr Impry Value: $228,100 New Pg: 888-J3 Exemptions: Assd Yr: 1997 Phone: % Improved: 36% Owner CHOU TEK SING Mail: 1854 NEWPORT BLVD; COSTA MESA CA 92627-2727 SALES INFORMATION IMPROVEMENTS LAST SALE PRIOR SALE Bldg/Liv Area: 2,250 Transfer Date: 06/03/94 03/07/85 #Units: Sale Price/Type: $625,000 FULL # Bldgs: 1 Document#: 378733 79297 #Stories: 1 Document Type: GRANT DEED $/SF: $277.78 1st TD/Type: $325,000 SELLER FIN Yrblt/Eff: 70 75 Finance: Total Rms: Junior TD's: Bedrms: Lender: Baths(F/H): Seller: ABRAMS NEIL Fireplace: Pool: Title Company: Bsmt Area: Transfer Info: Construct: FRAME SITE INFORMATION Flooring: Air Cond: CENTRAL Improve Type: Lot Size: A0.26 Heat Type: CENTRAL Zoning: Lot Area: 11,340 Quality: AVERAGE County Use: 161 Parking: PAVED Condition: GOOD Bldg Class: D Park Spaces: 12 Style: Flood Panel: 06059C-0054E Site Influence: CORNER LOT Other Rooms: Phys Chars: CONCRETE FOUNDATION;WOOD FRAME;ROLL COMPOSITION ROOF COVER;FLAT ROOF TYPE;STUCCO EXTERIOR; Legal: L1 BB/HARPER SELY 126 FT NWLY 140 FT-EX Comments: TOPO-LEVEL;BYR/USR;PREVIOUS TNT;DBA DIPPITY DONUT(714)548-4 Copyright© 1996-97 Experian Page: 1 of 1