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Home My WebLink About373 20TH ST - Building Permits^ / � J � CITY OF COSTA MESA . o�`" � BIIILDING DIVIS/ON ' � ; i � 77 FAIR DRIVE, COSTA MESA, CA 92626 • p14) 754-5273 • Fax p14) 754-4856 • www.ci.costa-mesa.ca.us : � FOR INSPECTIONS CALL: (714) 754-5626 �''�°""'fi PERMIT NUMBER: BC09-00449 PERMIT TYPE: B COMBO STATUS: ISSUED Sub Type: RES_ALT DATE ISSUED: Q3J08� 0 ISSUED BY: IC �os noDREss:,;-373�E 20TN"ST' RM APN: 4263040 ZO�fng: , , Viciniry: Const Type: V-B SQ. FT: 705 Suite/Unit: Primary Occ: Valuation: $74,928.44 SCOPE OF WORK: 705 SF ADDITION TO AN EXISTING 801 SF SFD. WORK WILL INCLUDE 462 SF ATTACHED GARAGE DEMOLITION AND THE CONSTRUCTION OF A NEW 282 SF ATTACHED GARAGE. 182 SQ FT PATIOITRELLIS COVER. SCOPE: A NEW MASTER BEDROOM/BATH, WALK-IN CLOSET, BEDROOM/STUDY, EXPANSION OF THE DINING ROOM. 1 FAU< 100 K BTU, HOOD W/MECH EXHAUST, 1 VENT FAN, 1 FACTORY FIREPLACE, 14 OUTLETS, 23 LIGHT FIXTS, 14 SWITHCES, NEW SERVICE/NEW LOCATION. 1 BATH TUB,,1 LAUNDRY TUB/WASHER, 1 SHOWER, 2 WASH BASINS, 3 WASTE AND VENT, 1 WATER CLOSET, 1 WATER HEATER, GAS OUTLETS (1-4). OWNER: CHANEY, MICHAEL AND LAKE, LYDIA Address: 373 E 20TH ST Phone: City/State2ip: COSTA MESA, CA APPLICANT: LAKE, LVDIA Address: Phone: 949-265-1100 City/State/zZip: CONTRACTOR: Phone: Cell: ARCHITECT: ENGINEER: CHARLES A JOHNSON JR COMBINATION PERMIT FEE SUMMARY Building Plan Check: Building Fees: Electrical Fees: Mechanical Fees: Plumbing Fees: SMIP Residential: SMIP Commercial: Bldg Std Admin Fund TOTAL FEES: Address: Unit: ciry/State: - - License No. License No.S2537 $532.19 $818.75 $127.19 $67.05 $127.65 $7.49 $0.00 $3.00 $1,683.32 License No. Unit: Unit: : ZipCode PHONE: PHONE:774-898-6780 HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13•279 Monday thru Frlday-7:o0 am thru 7:00 pm. Saturdays-9:o0 am thru e:oa pm. Prohibited all hours - Sundays and the following Federal holidays: NOTICE: The work authonzed by this permil shall comply vrilh all applicable handicap access requiremenls under Califomia statutes antl rela[ed re9ulations. (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 work authorized under this permit to be considered legal, such work must wmply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. COOE �. INSPEC710NTYPE �RjF� IN 11R1 CODEt INSPECTIONTYPE UA1F IN7171RL5 7616 Fixed System Final Fire Prevention 206 Final Mechanical �. B a3 0 b Nn1 Q�-� 1266 PoolSpaFinal 208 FinalPlumbing x 61�3►��b.h n�^ �- 200 Final Re-Roof � 210 Final Electncal )C J4� 0 by nfti � 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Faclory Pire Place rt 220 Final Planning Approval 203 Final Sign ' 222 Final Site 204 FinalDertrolition 250 FinalBuilding/Occupancy X 8 aH lo��{,�i WORKERS' COMPENSATION DECLARATION: I hereby aRrm untl�,r penal[y�f perjury one of the tollowing declarations: ❑ I have and will maintain a certificate of conseM to self-Insure for workers' compensation, as provitletl for by section 3700 of Ihe Labor Code, for the pertormance o( ihe vrork for which this permit is issued. i I have and will maintain workers' compensation insu2nce, as repuired by �s ction 3700 of the Labor Code, for the pedormance of lhe vrork for which this pertnit is issued. My vrorkers' compensa�ion Insurance wrrier and policy number are: Carrier (TNssertbnneetlirolDemmpe�ed ep � - valvetlaimeh ars(St00)aleu) Policy mber: I certify that in ihe per(ormance of ihe wo for which this permit is iss d, I shall noI employ any person in any manner so as to become subject to the workers' comp sation laws of Califomia, antl agree Ihat i( I should eco subject to th rkers' compensation provisions of Section 3700 ot t e L r C tle, I Sha Orthwith Comply wi�h the5e pr i0ns �r�'/ a ppli nfs ignaWre Oale WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS ($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: 1 hereby affrm that I am licensetl untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pmfessions Code, and my license is in (uli (orce and eflect. Lic. # Class # Contractw's Signalure Date CONSTRUCTION LENDING AGENCY: ❑ I hereby affvm [hat there is a wnstruction lendinq agency for the peAortnance of the v,urk fa wfiich this pertriit is issuetl. (Sec. 3097, Civil Code). Lender's Name: Lender's Atltlress: OWNER-BUILDER DECLARATIONS: I hereby aKrm Ihat untler penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW (or the (ollowinq rea5on (SeC. 7031.5, Business and Professions Code: Any city or coumy vmich requires a permit to cons�mct, alter, improve, demolish, or repair any StrutNre, prior to its issuance, also requires the applicant for such pertnit to file a signed statemenl that he or she is licensed pursuant to the provisions ot the Contractors License Law (Chapter 9(commencing with Seclion 7000) of Division 3 of the Business and Professions Cotle) or that he or she is exempt therefrom and Ihe basis (or the alleged exemption. Any violation o( Seclion 7037.5 by any applicant for a permit subjects Ihe apDlicant to a civil penalry of nol more lhan fve hundred dollars ($500).): ❑ I, as owner o! the property, or my employees vrith wages as their sole compensation, WILL DO THE WORK, and the sWcture is not intended or oHered !or sale (Sea 7044, Business and Professions Code: The Contracrors License Law does not apply to an ovmer of property who builds or improves thereon, and who does such vrork himself or herself or Ihrough his or her ovm employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold vrithin one year o( completioq the ovmer-builder vnll 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 CONTR,4CTORS to cons[ruct lhe project (Sec. 7044, Business and Professbns Code: The contractors License Law dces not apply to an ovmer of property who builds or improves thereon, and who contracts tor such project with a contractor(s) license pursuant tolhe Contractors License LawsJ. ❑ I am exempt under sec. Business and Pm(ession Code /or this reason: ( 3�l � Sig c e Date a6 �3I0 ) r Owner ID�verifed bydrivers license. ❑ Yes ❑ No ` � Driver's License No. Expires: Venfca�ion of Ownership by pype of document, i.e. - propehy tax bill or deed�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity Iha� no excavation frve (5) or more fee[ in depth into wfiich a person is required to descend, will be made in connection wi�h work au[honzed by this permit, and that no building slrucWre, scaffdding, (alsewnrk, or tlemolition or dismantling thereof, will be more Ihan �hirty-six (36) (eet high. (C�ap. 32, Gry 2, M 2, Sec. 341, Ttle 8, Califomia Adminisirative Code). ❑ As owner-builtler, I will not employ anyone to tlo work which vrould require a permit from the Division o( Industrial Safery, as noted above, unless such person has a permit to tlo such work from Ihe tlivision. Applicam's SgnaWm Date Divisian o! Industrial Safety Permit Number HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant neetl to file antl certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of Ihe Califomia Heal�h and Sa(ety CoOe requires, with some exceptions, that a Business Plan be (iled with the Costa Mesa Fire Departmenl by every business which has at any one time tluring a reported year a quanlily of hazardous matenals 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 fuWre builtling occupant need to file a registration form (or acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia 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 quanti�y of acutely hazardous materials equal to or greater than a vreighi of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at standard IemperaNre antl pressure). 3. Does or will the applicant or presem or luNre building occupant need to prepare an RMPP (Risk Management antl Prevention Program tor acutely hazartlous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health antl Safety Code pmvides that the Costa Mesa Fire Depahment may require Ihe preparation, certification and filing with the Fire Department o/ an RMPP by businesses which are required to register acu�ely hazardous materials with Ihe Fire Department. 4. It an RMPP is presently required, has Section 25534 of Ihe Califomia Heallh and Safery Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or fuNre building occupant require (or Ihe work which is �he subject of this application a permit for such wnstmction or modification from the South Coast Air Quality Management District or from any other air pollulion control disVict or agency? ❑ Yes ❑ No (Sectbn 658502 0( the Califomia Govemment Cotle requires that the requestetl inlormation be fumishetl on applications (or non-residential builtling permits). 6. Will any part o! the laciliry to be constructed under this permit be within 1000 feet from the outer boundaries of a school7 � Yes ❑ No Qf yes", ihe facility must meel the requirement o( Sections 25534 and 42303 of the Califomia Health antl Sa(ery Code�. 7. If a permit from Ihe Soulh Coasl Air �uality Management Distric� or olher air polWtion control district or agency is required !or the work which is the subject of this application, have all of the disclosures prescnbetl by California Health 2nd Safety Cotle Seclion 42303 been made? ❑ Yes ❑ No 8. pf "yes", allach ceAificate of compliance from the appropriale air polWtion coNrol oKcer). CERTIFICATE OF COMPLIANCE: I certify ihat under penalty of peryury Ihe information given above is correcL I agree to compry with all state laws and city ordinances regarding Hazardous Matenals and Emissions. CERTIFICATE OF COMP�IANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have read this application and state that the information given is correcL I agree to comply with all sWte laws an0 city ordinances relating to building construction, and authonze representatives of the Ciry of osta Mesa t6) enter upon Ihe above-described pmperty (or inspe tion p r oses. I agre�elnot to occupy or allow occupancy ot any builtling autho ed y is i p(r I inspection. ^—� /� J� Sign t e o! gal Owner�s) Date And/or Aulhonzetl A001¢an� Dale . . ♦ 0 .C: ��.A•A'il..�.4;M��. .. �i: . . . � r •.�..1:`n.m �.J NEWPORT-MESA UNIFIED SCHOOL DISTItICT CER7IFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 781 To: ( X) Cily of Costa Mesa (� � ) City of Newport Beach ( ) Counly ot Orange Applicant; Address: Telephone Number: � r�+�..�z TracUPartel and Lot Number(s): ��'V� � 3 ��'— � L� Location of Project: �� C� • �"� S� Number of Square Feet of: Residential Space Commercial and IndustrialSpace CommerciaVlndustrial Project is: (Check One) _ Warehouse R&D _ Movie Theater _ Mini-storage _ Neavy IndusVial _ Regional Shops _ Light Industrial _ This project is exempt because �_x 51.84 x S .30 _ Motel Bank _ Neighborhood Shops _ RacqueVHealth _ Hotel Medical Olfice 016ce Park \ / • �Q 6961 DisUict Receipt No. �� Plan Check No: �� Total �� /, � Total _ Preschool _ Auto Repair _ Hospital _ Large Office _ Olfice Bldg. _ Restaurant _ Fast Food This certifies that the above-named Developer/Appficant has paid school faatity fees in camp6ance with Govemment Code sections 53080 anq 65995. The Building Permi� fot this square tootage in this proposed development may now be issued by your jurisdic8o�. Checks are to be made payable to Newport-Mesa Unified School Dishid. ey:_—� AWq�¢ad � The above representation as to square footege is true. Appticant agrees that ii it is later determned that such true, then Mis certficate shall automaticaly temrnate and Ne appr` 'ate City/Cou shall be notified. 3- � I 0 � � Date: -% are not