HomeMy WebLinkAbout1640 LABRADOR DR - Building Permits CITY OF COSTA MESA
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*, BUILDING DIVISION
; ,e 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
t. Ora ® FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: BC08-00565
•
PERMIT TYPE: B_COMBO STATUS: FINALED
Sub Type: RES ALTC DATE ISSUED: 07(0812009
ISSUED BY: RMD
JOB ADDRESS: 1640 LABRADOR DR CM " 'Suite/Unit:
APN: 13918412 Zoning:R1, ,
Vicinity: - Primary Occ: R-3
Const Type: V-B - SQ. FT: 785 Valuation: $72,534.00
SCOPE OF WORK: 785 SF ADDITION TO SINGLE STORY RESIDENCE TO EXPAND MASTER BEDROOM &BEDROOM 1,ADD
RETREAT TO MASTER BEDROOM &ADD FAMILY ROOM. GAS"LINE EXTENSION, 12 FIXTURES, 20 RECEPT/OUTLETS, 5
SWITCHES, 1 SUBPANEL,4 COMMUNICATION DROPS, 1 ALTER/REPAIR DUCTING EXTENSIONS.
REVISION TO PERMIT ON 07/15/09 TO UPGRADE SERVICE PANEL TO 200A. REVISION TO PERMIT ON 08/20/09 TO INCLUDE
11 ADDITIONAL LIGHT FIXTS, 1 ADDITIONAL SWITCH.
OWNER: KOSTRUKOFF, VICTOR ' - Address: 1640 LABRADOR DR- Unit:
Phone: 949-224-0521 City/State/Zip: COSTA MESA, CA
APPLICANT: KOSTRUKOFF,VICTOR Address: 1640 LABRADOR DR Unit: :
Phone: 949-224-0521 • City/State/zZip: COSTA MESA, CA
CONTRACTOR: OWNER-BUILDER License No. 000000
Phone: Address: Unit:
Cell: City/State: ZipCode
ARCHITECT: License No. PHONE:
ENGINEER: SHUCRI YAGHI License No.C43205 PHONE:714-997-9120
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COMBINATION PERMIT FEE SUMMARY
Building Plan Check: - $523.09
Building Fees: $804.75
Electrical Fees: $141.69 •
Mechanical Fees: $37.20
Plumbing Fees: $29.65 •
SMIP Residential: $7.25
SMIP Commercial: $0.00
Bldg Std Admin Fund ??
TOTAL FEES: $1,546.63
**Refer to fee receipts for all fees paid for project
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE N. INSPECTION TYPE DATE INTITIAL$ CODE# INSPECTION TYPEDATE 1 INTITIAL$
ll
1616 Fixed System Final Fire Prevention 206 Final Mechanical 4-'' 30-/0 byfai CS'1
1266 Pool Spa Final 208 Final Plumbing J
200 Final Re-Roof 210 Final Electrical 4-3 S-yO by Nm(fraj
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 (,'4 Va Li7 Mt)411
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers license. ❑Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property 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. Myworkers' compensation Insurance carder and 0 I hereby certifythat no excavation five(5)or more feet in depth into which a
p policy p
number are: a is required to descend,will be made in connection with work authorized
1-4.4.: and that no building structure,scaffolding,falsework,a demolition
Carrier: Art t f,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section need nd be canWetedame permita valued at one hundred dollars(3100)or lessJ - .
Art ='- 1tomia Administrative Code).
Policy Number: t
0 As . @@kpy r, I not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a pens cfr 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 permtfto do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date
the Labor Code,I shall forthwith comply with these provisions.
Division 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? 0 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 ❑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 IDNo •
(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 Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 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? El 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 fa 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 0 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
five hundred 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
compensation. 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 California
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 es", attachcertificate of
employees, provided that such improvements are not intended or offered for 7' compliance from the appropriate air pollution
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
properly 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 construction, and authorize representatives of
Business and Professions Code for this reason: 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.
Signature of Legal Owner(s) Date
Signature Date
3057.46(3/07)
And/or Authonzed Applicant Dale
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OWNER Mesa Verde Estates DATE 12-31-58
JOB ADDRESS 1640 Labrador Drive BUILDING PERMIT NO. 8356
GENERAL CONTRACTOR _ L. G. Robinson VALUE $ 15,662.00
No. LOT 122 TRACT3i 7 S FIRE ZONE DESCRIPTION OF WORK Res. & Att. Gar.
t,..JUP I&J TYPE V ZONE Al PLAN NO.
INSPECTIONS DATE PERMITS ISSUED
SUBCONTRACTOR DATE NUMBER
Trenches Forms . Steel _44,L5 V-2-/s9
Floor System _
Steel Reinforce Chimney Re-Rod
Bond Beam g- _ -k !..y7-4-1
�r
Frame and Flashing c.--t--k ,4j.'- 1^A S✓
Lathing, In Out i--E-4 ./1.-/6---..17
Plaster, brown coat L--E--g C--/$ -47-9
Underground soil /4-/S WIG Pipe Tes�t�Lr/-�16-/ ."5-9
-Top Out 1-2°71`49//90,,-46,‘,/„..:4: /a-S`.51,0<, �r' ....„-ii.Q ,3"-/c, -T 9 ,.71 63,f y j.
A�/Y J O
Furnace S i Lt-"4 , _ . A 1 .2 -72-09 '1 .2 -79'
Gas Vents t _
Rough Plumbing /1400 2-•2G-b-c k'cdc,at £+-.-L _L,7-.16-.3`1f /6 g 1 r/ /U
Cesspool Septic Tank j
Prop. Swr. Line-- Ho on. St. Swr. & G in /
n2 3/ N /Yt l .,L-.�,fr en.�- 1-ll �s-c-3 Z /.
'inkling System ^I
sting Final NHS fi-$/n-,Sym �-I
Plumbing Fixtures, Final /44K {+-S4- V
Final Gas Test /S /*fl L-2.6-S'1_ ni /
Construction Pole I% p
Underground Power L , / 7'
Rough Wiring `T"x7 W 2-NC ±t -O -,4 - e'e S•a3- r? ,f'S-��
Fixtures, Final !r l ii0-1,6-1 f /
--OCCUPANCY A4-/C I 6-24-S9 /
Form 210-5M-1-57 /
4 • c /d c• o rr�
•
8;35 JAN @VS,
COSTA MESA BUILDING DEPARTMENTti . ,
P•O.BOX 317 _
COSTA MESA. CALIFORNIA -P'
• FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ABUILDING
DDRESS 1640 Labrador Dr. BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY.(J�AMIµ �
RECEIPT NO. I{G1l6
OWNER Mesa Verde Flstates ��
MAIL RECEIVED BY DATE RECEIVED 0A;E 1551.1E
ADDRESS 1701 Gisler St. -Ly0., ,,,,z -3i- J-g' 0th I; 195
BUILDING
CITY Costa Mesa rEL.NO.gi 5-1751 ADDRESS
ARCHITECTJCOSTA MESA. CALIFORNIA LIO.
OR ENGINEER J. R. Shelley NO. C-2170
FIRE
ADDRESS Jong Beach Ge 9-0908 ZONE
CITY LIC. ZON NO.OF TYPE GROUP�J
CONTRACTOR L.G.Robinson NO. 1123 Q V �.(V--
_ADDRESS 1701 Gisler TNO. Ki 5-1751 APPROVEDEL. DATE '
LEGALLOT CORRECTIONS
DESCRIPTION NO. 122 BLOCK TRACT 311J C
A.P.NO. ` ' _. I>_._ T'1 t
1
^%
SIZE NOW BLDT V t q%),�
OF LOT 70 yi 100 Now ON LOT none J .• 1.4 :L .S+I ��� �✓ �' I
USE OF I•D STY `rl ' �j j{ 'i :'-: •
EXISTING BLDG. 1 I,! } L`.Y9y P ;!i. i
SETBACK LINE FROM "6. I"A \-Ai 1 Ad L- S
CENTER OF STREET 50'plus REAR YARD 208plus � �/'/�
SIDE YARD RIGHTcIp1uS LEFT 5tpl us },> f�4 _^c:L�;:e=, -"
DESCRIPTION OF WORKL__./
:A.T:.
X VAR. Mc. --� LAI-PROVED /"S'J7.
NEW ALTERATION II ADDITION
REPAIR
M MOVING IlOjII DEMOLISH y,p+,Y !� R
D
BUILDING
DING NO.OF
1578 Sq.Ft• ROOMS 7 STORIES 1 '�! T• •�
EXTERIOR WAL ROOF CITY OF CvS i A IV.G1,
COVERING bturn() COVERING Anphal t; &i Rnrk GI_ .•• NPP'r i RI'"I .
USE
Residence & Attached Garage suejEc'I 10 BLDG. DEPT. REG.
1 By ( • 9 DAT: f -6.-7
•
PLAN TLCH`r
I HEREBY ACKNOWLEDGE THAT I HAVE(R ,O,+IPPLICATION AND
STATE THAT THE ABOVIEMAD1y MPLY WITH ALL
CITY ORDINANCES AN T R LAT DING CONSTRIIC-
rloN, $46 SOUTH MAD 11 VALUATION
SIGNATURE ........-
PERMITTEE OF PASADSY 5.7ALIFORNIA / PERMIT FEE $ L��r/�,
yyyppp / /�� / �� •
p�C PLAN CHECK $ �J -vy�
AUTHORIZED AGENF Y--t/--/� 1j A-t_ (C TOTAL FEE S ��a, Yr) `,M•
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S • Requests a plot pl C attache Yard.8es appl as ion anon • ,� 1 x�traY �� n n
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'1 t Thesetparcele are of aogula- configurations mitts,make complieacs•with aaaaal require `s �� ;Ij`¢
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• • t Why Is this variance necessary for the presenatlon and enluyment of substantial property,rightsP e ` " �, ,
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Into,aranling o[ this variance will•not la7 mnler•lolly detrimental to (ho public veUare•OrInjurious to,properly. , , {�<
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I >�•T]lo granting atlih�a vnrlanee will not Iw conttaly to.illew-".- ll's�of tat' Ma• a -,--•. 3' ' ' 3t„.;N', �itj'�n 'tie"'
' I This request is.for rear ward encroachments which will notisffeottthebresen}'tsoning
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