HomeMy WebLinkAbout251 24TH PL - Building Permits SFr CITY OF COSTA MESA
•• �, BUILDING DIVISION ��
t;t �c•/�, ' DEVELOPMENT SERVICES DEPARTMENT
SSW PERMIT / PERMIT NUMBER
'<a,,,,,, i,e'' P98-00833
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 251 24TH PL Status: ISSUED
Suite No Applied: 11/09/1998
Issued: 11/09/1998
Vicinity:
Parcel Nunmber: 43933239
Applicant: RON
Address: W/NOCK PLUMBING
Phone: 714-895-1246
Zip:
Owner: BOHN, MICHAEL M
Address
COSTA MESA,CA - Phone:
251 24TH PL Zip: 92627
Contractor: NOCK PLUMBING
Address: 11612 KNOTT ST _
Phone: 714 895-1246
GARDEN GROVE,CA _ Zip: 92841
- License: 707775
Arch l Eng:
`6
Address: •
Phone:
License:
SCOPE OF PERMIT
INSTALL NEW DISHWASHER
FEE SUMMARY
AMT QTY AMT QTY AMT QTY
ISSUE FEE $22.00 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00• 0
Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $8.75 1 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain,Floor $0.00 0 Sewer Connect - $0.00 0 Waste and Vent System $0.00 0
Drain,Rainwater $0.00 0 Sewer Private Line • $0.00 0 Water Closet(Toilet) $0.00 0
Drain, Roof $0.00 0 . Shower $0.00 0 Water Heater/vent $0.00 0
Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0
Gas(1-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $30.75
COMMENTS/SPECIAL CONDITIONS
EXPI• D
DATE . •
oD
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
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.
10.-9<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 Inssurerce carrier and policy number are: N ',,7 3 v,'i-
Cartier: €(_x �4E7/V �Lt W- im/' N- G� IPolicy Number:
(This section need not be completed If 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 California.and agree that it 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: ,J/ / Z- — �C
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVE $UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES MID CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($l00,000),IN ADDRION 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 Professjons Code,and my license is in full
force and effect.Lk.p ").7 7 7 ", Class it (i3.Q,
Contractor's Signature: Date: // 2 — C/
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 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.It,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.).
❑ I am exempt under sec. Business and Professions Code for this reason: _.
Signature: Date:
Owner ID verified by driver's license. 0 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 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:
I WIII 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 Flre 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 ppermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? ll Yes LI 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? ❑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 end 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 property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
ahy6
L` Signetu!aLegal Owner(— L to rt
And/Or Authorized Applicant Date
;ODE t INSPECTION TYPF DAff ISL$ CODE! !flint DATE INIIBAL5
1616 Fixed System Final Fire Prevention 206 Final Mechanical �
1266 Pool Spa Final 208 Final Plumbing II-Y bt) (kj
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
2446.46
CITY OF COSTA MESA
' "' r BUILDING DIVISION
AlNF 4 si 77 FAIR DRIVE.COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
--.). FOR INSPECTIONS CALL:(714)754-5626
lit4P•o•Nino d?
PERMIT NUMBER: BC07-00349
PERMIT TYPE: B_COMBO STATUS: ISSUED
Sub Type: RES_RRIP DATE ISSUED: 12/14/2007
ISSUED BY:
JOB ADDRESS: 251 24TH PL CM Suite/Unit:
APN: 43933239 Zoning: , ,
Vicinity: Primary Occ: 7
Const Type: V-N SQ. FT: 556 Valuation: $200,000.00
SCOPE OF WORK: ADD 402 S.F.TO EXISTING ONE-STORY SFD.WORK TO INCLUDE: EXPANSION EXISTING MASTER
BEDROOM, RELOCATE BEDROOM AND ADD A NEW 2ND BATHROOM. REMODEL ENTIRE SFD AND RAISE THE CEILING
KITCHEN/FAMILY ROOM.CONVERT EXISTING 3 BEDROOM, 1 BATH TO A 3 BEDROOM, 2 BATH SFD. 140SF ATTACHED
TRELLIS PATIO
OWNER: WENDELL, ELI Address: 251 24TH PL Unit:
Phone: 949-636-2430 City/State/Zip: COSTA MESA,CA - . . ,Cf 7.• 0349
APPLICANT: WENDELL, ELI Address: Unit: :
Phone: 949-636-2430 City/Slate/zZip:
CONTRACTOR: OWNER-BUILDER License No. 000000
Phone: Address: Unit: .
Cell: City/State: ZipCode
ARCHITECT: License No. PHONE:
ENGINEER: CHARLES JOHNSON License No.S2537 PHONE:
COMBINTATION PERMIT FEE SUMMARY
kill . .,
Building Plan Check: $1,009.94
Building Fees: $1,553.75 -
Electrical Fees: $160.88 id)
. I
Mechanical Fees: $37.20
Plumbing Fees: $82.30
SMIP Residential: $20.00
SMIP Commercial: $0.00
TOTAL FEES: $2,864.07
—Refer to fee receipts for all fees paid for project a. 1:1349
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§ 1, 12.21.92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE I INSPECTION TYPE DATE INTI1IALS ME INSPECTION TYPE &RE ten11AL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical /O4)-c/ h j. Nm � `
1266 Pool Spa Final 208 Final Plumbing (Oil-ay /1
200 Final Re-Roof 210 Final Electrical /Ld y.-oe by 417
201 Final Block/Retaining Wall _ 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site ''''l r>
204 Final Demolition 250 Final Building/Occupancy /J aY-ad by NM L ilk)
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driv Yes ❑No '
I hereby affirm under penalty of perjury one of the following declarations: Drivers License No. �
document.i.e.-properly tax bill or deed):
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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: 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
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(mus section need na be completed tthe pemnt is valued al one hundred Mars(S100)or less)
2,Arta Sec.341.Title 8,California Administrative Code).
Policy Number:
❑ As owner-builder, I will not employ anyone to do work which would
,L1g. I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to t e wor er compensation provisions of Section 3700 of
the La
i� /de s -II f.ricomply with these prow' ions. Applicant's Signature Date
iDivision of Industrial Safety Permit Number:
Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: "-
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No
($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST.AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No
Lic.# Class# (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
Contractor's Signature Date 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Dale '•
4. If an RMPP is presently required, has Section 25534 of the Califomia
OWNER-BUILDER DECLARATIONS: - . Health and Safety Code been fully complied with? 0 Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the.following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter. improve, demolish,.or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for.such permit to file a signed statement (Section 65850.2 of the Califomia Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes ❑No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
fivhundred dollars($500).): of the California Health and Safety Code).
I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
c mpensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by Califomia
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes ❑No
thereon,and who does such work himself or herself or through his or her own 8 (If"yes".attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.), information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building . struction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa 's- I. e• er upon the above-described propertyyyfor
inspection p e . I .•r-' at to occupy or allow occupan*of Frying
, authorize y rt .erg' ' ' final inspection. (/,1�I/7
___Ia
0- Z A Signature of Legal Owner(s) Date
Signature t.te
3057-66(3/07) And/or Aulnonzed Applicant Date
a
-o 4 CITY OF COSTA MESA
;0/ 99;, P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
,00-
7f rng .
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Y nn a:
l2j
DEVELOPMENT SERVICES DEPARTMENT
U, O/
rtNpoRr TEO%9 .
New State Law:
Swimming Pool Safety Act of 2006 (Assembly Bill 2977)
• Effective January 1, 2007
California Health and Safety Code Section 115928 "(d) Whenever a building permit is issued
for the remodel or modification of a single family home with an existing swimming pool,
toddler pool, or spa, the permit shall require that the suction outlet of the existing swimming
pool, toddler pool, or spa be upgraded so as to be equipped with an anti-entrapment cover
meeting the current standards of the American Society for Testing and Materials (ASTM) or
the American Society of Mechanical Engineers (ASME)."
o2s/ 029' f% ri,f,, h ; ( 9,2‘)-
Address/Permit Number /
Permit Applicant or Contractor's Affidavit (Please check appropriate box):
There is an existing swimming pool, spa, or toddler pool on this property. I will
install an anti-entrapment device that conforms to this law, and I understand that the
•nstallation of this device is required prior to final building inspection approval.
There is no swimming pool, spa, or toddler pool on this property.
f it /1/5- fi
Name (please rint)
4,1 .
•
l� iya�
Signature/Da e
Building Division(714)754-5273 • Code Enforcement(714)754-5623 • Planning Division(714)754-5245
FAX(714)754-4856 • TDD(714)754-5244 • www.ci.costa•mesa.ca.us
•
•
November 6, 2007
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA 92628 009-C2
�� / _
Re: � — 009-C
251 24th Place, Costa Mesa, CA 92627
To Whom It May Concern:
I am the owner of the above referenced site address. The purpose of this letter is to notify
the City I am aware that the previously approved permit from 2006 has expired and that I
have not intention of ever constructing it.
Should you have any questions regarding this matter,please do not hesitate to contact me
at 949.636.2430.
Since
Eli Wendell
Owner of 251 24th Place, Costa Mesa, Ca 92627
Cc: Bill Cope/Bill Cope Design
4`Onl MF 9 Gin(OF COSTA MESA
BUILDING DIVISION
f •r.1• ••' , DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
te PERMIT
,• B06-00261
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesaBUILDING PERMIT 77 FAIR D' VE,COSTA MESA,CA 92626
Job Address: 251 24TH PL • - • : ISSUED
Suite: Appli-•: 02/17/2006
Vicinity: REAR OF PROPERTY Issued: 4/06/2006
Primary Occ: R-3 Dwellings/Gong Res<10 Type of Construction: V-N
Parcel Number: 43933239 Zoning:
p_
Applicant: WEIR, AUSTIN
Address: 206 43RD ST
STE A Phone: 949-548-3525 ISS \B . __A:a
NEWPORT BEACH,CA Zip: 92663
Owner WENDELL, ELI
Address 251 24TH PL
Phone: 949-6N 0
COSTA MESA,CA Zip: 9262711
Contractor: A WEIR CONSTRUCTION
Address: 206 A 43RD STREET
Ph e: 949-548-3'\5
NEWPORT BEACH,CA
Zip: 92663 p 844746
Arch : E . HIEP TRAN
Address: A s: 2907 EBBTIDE RD
Phone: Phone: 949-640-1359
( CORONA DEL MAR,CA
Zip: License: 92625 License: C35581
't OPE riF PERMIT
ADD 226 S.F.TO EXISTING S.F.D.WORK TO INCL E:EXTE `;, EXIST; G BEDROOM AND ADD A NEW BATHROOM.CONVERT EXISTING BEDF
A MASTER SUITE.
CONVERT EXISTING 2 BEDROOM, 1 BATH S.F.D.TOA EDROO , BATH S.F.D.
PLANNING:
LOT SIZE=7.305 SQ.FT.
RESIDENCE+GARAGE= 1,697 SQ.FT.
DRIVEWAY=1,203 SQ.FT.
LOT COVERAGE=2,900 SQ.FT.(40
OPEN SPACE=4,405 SQ.FT.(60%)
FEE SUMMARY
Plan Check: $217.91 Calc Valuation: $20,974.80
Permit: $335.2 Claim Valuation: $20,000.00
SMIP Res: $2.10
SMIP Com: $0.00
Other $0.s0
Inspection: $0.06
Total: $555.26
PLANNING &ZONING
SETBACKS
MAIN STRUC URE Fron Rear 35-0 Left 5-0 Right 11-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
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 i pended 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)
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
wo for which this permit is issued.
e.and w' maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the p: ornance of the work for which this permit is issued.
` mss-'•'t�rr` :4;• sansurance carrier and policy number are: dd
I his section need not be completed it the permit is valued at one hundred dollars($100)or less.)
r -d 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'
U. ----compensation laws of Cali rnia,and agree that it I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provi
Applicant Signature:. / r// LLQ[sem_ Date:_ %4o o0
(WARNING:FAILURE TO S.B.URE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER R TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSAND DOLLARE(5100.000),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 em tic s dd u�!deet rgvisions of Chapter 9(commencing with Section 7000)of Division 3 of the Busines nd Professions Code,and my license is in full
force and effect.Lic.a _ �y`�J7Lp CClass
_Contrectods,Stgneture:A //.cd�.'e;� 4L.) 99/6_4)6
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: • 7 • Lender's Address:
Signature: Date:
r
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 Cede)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 en owner of property who builds or Improves thereon,end 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:
Signature: Date:
Owner ID verified by drivers license. 0 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 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 Califomia 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 appe,rmit for sech construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes U 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?'..Dyes 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 Duality 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? ❑Yes ❑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 for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Sign ure Of Legal Owner(s) Date
(And/or Authortzedapplicam
— r
CODE 0 INSPECTION TYPE DATE INTITIAI CODE• INSPECTION TYPE PATE JNTRIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final ,J i '
nal Elumi
200 Final Roos _ ___/ � / 1 Final EI cal
201 Fina Bloc•'etaini •Wall / 2 Fina ire re ention '
202 Fine acto ' : Place 220 Final Planning Approv.
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
J
WEIDENKELLER, MARY JANE
Subject: Send 10 Day Notice
Start: Tue 09/19/2006 7:00 AM
End: Tue 09/19/2006 7:30 AM
Recurrence: (none)
251 24TH ST-B06-00261
1
01 S 9 CITY OF COSTA MESA
4 BUILDING DIVISION
F •,;,k ,I DEVELOPMENT SERVICES DEPARTMENT ERMIT NUMBER
/ PERMIT )B03-00646 s
ts
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.t3U�LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 251 24TH PL Status: ISSUED
Suite: Applied: 04/18/2003
Vicinity: Issued: 04/18/2003
Parcel Number: 43933239 Zoning:
Applicant: BOHN, MICHAEL M ISSUED BY:
Address: 251 24TH PL VVVV
Phone: 949-650-0238
COSTA MESA,CA Zip: 92627
Owner: BOHN, MICHAEL M
Address 251 24TH PL
Phone: 949-650-0238
COSTA MESA,CA Zip: 92627
Contractor: OWNER-BUILDER
Address:
Phone:
Zip: License: 000000
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF COMP.SHINGLES MIN. REQUIREMENT"INSTALL 2-15LB FELT IF SLOPE IS BETWEEN 2:12 AND 4:12.INSTALL 1-15LB FELT IF
SLOPE EXCEEDS 4:12.INCLUDED IS THE DETACHED GARAGE AND INSTALL 30 YEAR COMP.SHINGLES.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $3,800.00
Permit: $97.25 Claim Valuation: $3,800.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
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
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(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.
❑ 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'comper)sation Insurance carrier and policy number are:
Cartier: Policy Number:
(This section need not be completed if the permit is valued et 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 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 DOLIARE($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.B Class N
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 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.).
cpy 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.).
_ examg�under se . y Business and Professions Code for this reason:
: \hX—cos \ 15e1e: ) `f I f B 1 D3
Owner ID verified by drivels license. tern_ ❑No s Kansa o. 'rPr if
b I OS
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,Gm 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? 0 Yes ❑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 et 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 appliCar7d or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? (Li Yes u No
(Section 65850.2 of the California Govemment 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? ❑Yes 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 II 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? El Yes ❑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 ate aws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above- escrib roperty for insp tin •u •• es.I a•ree not to occupy or allow occupancy of any building authorized by this permit until final inspe•ion.
a. I 0
Si.'; re Of Le.: - ,r s) ' S I
And/Or Authorized Applicant Date
CODE 0 INSPECTION TYPE MI 1NTITIALS CODE INSPECTION TYPE • PATE j4TmAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final / 208 Final Plumbing
/
200 Final Re-Roof 1 —€141 7 iC ev,t_.. 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
rORANGE COUNTY BUILDING DEPARTMENT I APPLICATION FOR PERMIT
636 North FORy BUILDING
SANTA ANAA,, CALIFORNIALI
t
LIC ; T IL N FOR OFFICE USE ONLY
FOR APP 'T� `_ RECEIPT NO. PERMIT NO.
BUILDING - _ / v I ��
ADDRESS ' "� (/O.
SCHOOL DIST. /) -/ /q ��
OR TOWN L.--as lily /�/P{Q LING
IVED BY DATE RECD. DATEISSUUEEED
NEARESTTL 2.CROSS ST. P /,�n rn DF/ •_ty ` �,
OWNER ."7:42S..0 , .0,0, -S/+a1 ADDRESS ,�a.m.m2 /�j.�,,:�i,"i��.�:
MAIL
ADDRESS 3 £47 Z�}y" PL., SCHOOL OR TOWN IST L.O-det.„ '/ "✓o"'\/
�n TEL. 1/4.7.440e
CITY C 03T 4 '/ VE,SA NO. NEAREST
CROSS ST. �
ENGINEERARCHT OR` LICPa f O NO. Z� (. I PLOSF I Tr, GZP
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APPROVALS
FOUNDATION: LO' TION INSPECTOR DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MAT: -IALS, RN/.0 cr-f.yrs
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER.PINNI`G
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STO= '7 li _ •-s 3
BRACING, BOTS ^w/ I 33
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. sk
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ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT a
636 North Broadway BUILDING
SANTA ANA, CALIFORNIA
FOR PLI N7�//S ir� FORb FFICE"USE ONLY
BUILDING �� Cr �`` RV>9
ECCEEIIPPT/�/jNO. • PERMIT ND..
ADDRESS f�, C"ClC/ePfr•r' _ 1^f, T - / 1/ �`(i�'
SCHOOL DIST. /j . _/Q /Q._ S Q, RECEIVED BY • DATE RECD. DATE ISSUED
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DESCRIPTION I NO.LEGAL 3 I BLOCK I TRACTIQ0'4 , , Mf
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AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME:BRACING. BOLT$ IN ��/® p —ft -sc.?
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