The URL can be used to link to this page

Home My WebLink About284 16TH PL - Building Permits 41 CITY OF COSTA MESA a 66 BUILDING DIVISION F iDEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT - 105-00573 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.usNG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDIJob Address: 284 16TH PL Status: ISSUED Suite: Applied: 04/11/2005 Vicinity: ROOF Issued: 04/11/2005 Primary Occ: R3/U1 Type of Construction: VN Parcel Number: 42522215 Zoning: Applicant DAVILA, ELIAS ISSUED BY: Qr(Ayi Address: 19651 EDUCATION LN. ' `` Phone: (714)968-6135 HUNTINGTON BEACH,CA . Zip: 92646 Owner BEDROS, KEVORK G Address P 0 BOX 15874 Phone: NEWPORT BEACH,CA Zip: 92659 Contractor: E D ROOFING SYSTEMS CO Address: 19651 EDUCATION LN. Phone: (714)968-6135 HUNTINGTON BEACH,CA Zip: 92646 License: 672009 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF,REPLACE ANY DRY-ROTTED WOOD, INSTALL 2-LAYERS OF 30#FELT UNDERLAYMENT,REROOF WITH VILLA TILE 2000(ICBG 2656)ON PITCHED AREA(30 50),AND 3 PLY WITH CAPSHEET BUILT-UP ROOF ON FLAT GARAGE(4 SO). FEE SUMMARY Plan Check: $0.00 Calc Valuation: $10,200.00 Permit: $195.25 Claim Valuation: $10,200.00 SMIP Res: $1.02 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $196.27 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 il work is not commenced within 180 days,or II 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 244646(600) DECLARATIONS WORKERS'COMPENSATION DECLARATION: 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. nave ave 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 Insurce carder a policy number are: �- 17Certlet- �� •f�/r POIfcy'Number:+ C 7c =(This section need not bcompletedif/the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is Issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Callloml: agree that If I should becom:subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provision • /J / ,( / A�plIcant$Igpature: — ' — _ I - 1_ Cbbtet—'•'/lVt/L `- -O J _ WARNING:FAILURE TO SECURE WORN Rs'COMPEN ATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND Dot LARE(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 unde//r ,ovisions of Chapter 9(commencing with Section 7000)of Division 3 the Business and! Code,and my license is in full force and eft �'Llc•s 3 /� [O7�GOGte35 Y� S. CofglrauoFs_SignatuTe: _ �CJ 1-YY7 (/.. Dir.{7/7/ji/C -/f 45 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($500).): ❑ I.as owner of the properly,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 properly,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(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 contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under Sec. Business and Professions Code for this roason: 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,faisework,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? ❑Yes 0 No (Section 25505 of the Calitomia 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 et 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 feel 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 ❑No (Sectiontihand a 25533 on lthe ifomia Health alt and Safety Code, some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one quantity acutely 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 0 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. _ ___._ _ ___.__ _.__. _S .ty _.._ _..... .._..__...._. 4 Fan RMPP is presently required,has Section 25534 of the Calitomia Health and Safety Codo 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 modifketion from the South Coast Air Quality Management District or from any other air pollution control district or agency? IU Yes U No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). t_.__.. u..__e.__._ 6 Will anyfacilitypv_._....__ ....__. part of the faClli to be constructed under this ermit be within 1000 feel from the outer boundaries of a school? ❑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 allot the disclosures prescribed by California 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: Dale: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and stale 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. Ig`ature OIL Ownegs) _ Date ��„And/Or Auth ad Applicant C9alo _ coot P INSPECTION TYPE PALE ! MrMAU CODE Itl5PECTION TYPE PAIL IfDIDAL@ 1616 Fixed System Final Fire Prevention 208 Final Mechanical 1266 Pool Spa Final ,{ 208 Final Plumbing 200 Final Re-Roof -7 S'� a ` _ 210 Final Electrical 201 Final Block/Retaining Well 212 Final Flre Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site • 204 Final Demolition 250 Final Building/Occupancy CITY OF COSTA MESA 4BUILDING DIVISION O r :f DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT %%moose • B01-01553 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 284 16TH PL Status: ISSUED Suite: Applied: 10/01/2001 Vicinity: PATIO @ FRONT OF EXISTING SFR Issued: 10/01/2001 Parcel Number: 42522215 Zoning: Applicant: BEDROS, KEVORK G ISSUE BY: • Address: 284 16TH PL • Phone: (949)644-7870 COSTA MESA,CA Zip: 92647 Owner: BEDROS, KEVORK G Address P O BOX 15874 Phone: (949)644-7870 NEWPORT BEACH,CA Zip: 92659 Contractor: OWNER-BUILDER Address: Phone: Zip: License: 0 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT • CONSTRUCT 300 SQUARE FOOT PATIO COVER AT THE FRONT OF AN•EXISTING RESIDENCE SETBACK 20 FEET FROM FRONT PROPERTY LINE. - - FEE SUMMARY Plan Check: $72.31 -- Calc Valuation: $4,836.00 Permit: $111.25 Claim Valuation: $0.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $184.06 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 20-0 Rear'. 0-0 Left 6-0 Right 5-0 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 244646(WOO) DECLARATIONS • • WORKERS'COMPENSATION DECLARATION: 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 it the permit is valued at one hundred dollars($100)or less.) O 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 that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT 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.# 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). Lenders 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 perry' subjects the applicant to a civil penalty of not more than five hundred dollars($500).): 1I,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.). O 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 under sec Business and Professions Code for this reason: r Signature: ale: Crj — /— 0 / Owner ID ve tiedovers license. 0 Yes 0 No Drivers'License No. Expires: /9 _ / 17_01 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). O 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? ❑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 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...... ... ..i.... 4 It enn 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? 0 Yes U 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 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 property fo Jnapedtion purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. tt / - —/—c1 / above-described Of Legal Owner(s) Date And/Or Authorized Applicant Date CODE I INSPECTION TYPE OATS 1NTMAL$ CODE INSPECTION TYPE RETE IDLs 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 204 Final Demolition 250 Final Building/Occupancy i c;.— '4Y 21 tsn COSTA MESA. BUILDING DEPARTMENT FINANCE DEPT. P.O. BOX 317 C.. . NWT CU). `c A COSTA MESA. CALIFORNIA . .__ FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING 284 - 16th Place, A, B, C BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY Homes, NO. PERMIT NO. OWNER Santa' Ana Patio Homes, Inc. 9,3ti MAIL 1555 Placentia RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS � /-S 5 '52 7 CITY Ne%mort Beach, Cal. TNO.TAI 6-3227 ADDRESS ARCHITECT same LIC. OR ENGINEER NO. COSTA MESA. CALIFORNIA • FIRE ADD. . same ZONE K I K GITY LIC. 1217 7 ZONE NO.OF TYPE GROUP CONtRALtOHOl1 Const. Co. NO. 21 pPLANS TEL. APPROV 9 ADDRESS same NO. same BY it ATE 4/ '< LEGAL LOT2996 hCORRECTJIONS, >� DESCRIPTION NO 13 BLOCK TRACT B 1LI' y�. uI in tt lb' A.P.NO. V' B k. lit 11 A l Y.W O/ IS.1 I SIZE NO.OF DLDGS. m, OF LOT 50 Ig 125 NOW ON LOT 0 I'<: LI rat, 11Fp i•a fl USE OF a J �L/ '1 311 Fa..� 5 EXISTING BLDG. .. SETBACK OFLSTREETNE FROM 581811 REAR YARD 15 to C/L _ __ .J •� r CENTER SIDE YARD RIGHT 5 LEFT 71-69 1 VAR. No./ D APPROVED C=1/-A DESCRIPTION OF WORK NEW X ALTERATION ADDITION • REPA. MOVING I DEMOLISH SIZE BUILDING 3123 ROOMS 16 STORIES 2 EXTERIOR WALL ROOF COVERING stucccCOVERING hot-mop USE OF NEW BUILDING Trinlex residence and att. Raral?e/ Plan 4-XER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES A STATE LAWS REGULATING BUILDING CONSTRUC. TION. ,�T � VALUATION ,37 PERMIT FEE s 6.00 SIGNATURE OF //("/,/\)G/ SERMITTEE $ z6,378.00 PLAN CHECK S 23.00 — AUTHORIZED AGENT TOTAL FEE S 69.00 MIF