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Home My WebLink About2478 FAIRVIEW RD - Building Permits .,.:'l4 7022. .0-1E1/79 10.50 TL/ CpSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALI FOR 926261 RECEIVED BY PERMIT ' For Applicant /toolFill inCompletely— Use Ink Only r' 17`�j fV: .BUILDINGADDRESS a,`� / `' L.A-1- a,.j.c,..f A / A.P.NO. /� — //"2 OWNER OR lam, ' I}h r n '/t ,� ( /1LC/Ll.x ADDRESS0Q 4178 � j �r TENANT ll�rs ILl/' �Lj(ir l,) G.�" UNIT OR MAILING I'i' rr 77�� y our SPACE NO. ADDRESS �pV(j ya��4�� the !ff' �T tIYY ,us TEL. 9,1 T 06222_R.NO LOT BLK. CIT V��1/' (,fit 1 7 �Zl NO. _G ea veg.) It 5 .35 ' CONSTRUCTION , �/T1 �/� NEW .ADD ALTER REPAIR MOVING DEMOLISH LENDER r/ _BRANCH OWNER r� / . shceA �,s I ADDRESS p(�p�yq- !!! VALUE /J q.r�,/) ARCHITECT f2.La RJ Ams 1( NOL37 1� USE L 0 30�(Jv✓ ADDRESSOR ENGINEERC �p�A.n at �Jn� ZONE ,3 TVPE GROUP v /`t,l ( / �p AAPPROVED DATE CONTRACTOR C( Blatt I1 I �//(J f ADDRESS f�( 4L O) - LAi r � L-{�\ L11�-'� TEL.QI CITY NO. Ew geWitSTATE CITY APPROVED SETBACKS gLIC. NO. 7l�S LIC.NO. W SIZE INO.OFBLp (FROM C/L STR EET) G. OF LOT NOW ON LOT'S V FRONT /0 FT. a USE OF /�� „`�+ EXISTING BLDG. R.SIDF Cc'nT. r.LLV'n to Separate permits are required for L.SIDE y�F/� T. J � � electric,plumbing and heating work: REAR 55 FT. ..404‘11/1. FUSE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION O 11 :4 Q . t �( 4 Rent' I LtJ fat-ba. .( L ' ,_/% � APPROVyro//yl��//3 �V APPROK/L//G ��' DATLO/ •// 77 ceW A. 1 hereby acknowledge that I have read this application and state n that the above Information Is correct and agree to comply with A. all laws regulating building construction, and I shall not employ al Z any person in violation of the workman's compensation laws of o FU the State of Califor SQ. FT. os m I hereby certify t t I a properly lice =d as a contractor under _ D the State of Calif rnia B sir) ss a d 'r• ':ssions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and t t such ick ase- s 4 I lull force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from he pro q{r s ,-t to of California Business VALUATION PERMIT FEE E N and Professions C de,Di i n Signature of V ��,I / 0,0 PLAN CHECK S /d • cr77 o O Permittee �� $ DV(_l —'TAX s y� Or (4,2 N Authorized Agent Date 4 Q 71 TOTAL PAID S • 5D V 5D kist.;„ .1h.. II 77 pp//II66��77gg COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION F6k TRUCTURA-LPERMIT-20. • • TL P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 � �R For Applicant to Fill in Completely— Use Ink Only - R� �f•'1�d70Na BUILDING /) 41 Prikan :&L t � A.P O. ADDRESS s— {(� ,� �(rF Y r.•kAJ r /� �/�/�/� TENANT N4 n ,ss fj s ADDRESSBUILIDINGp?C� 7/NR. Ozighi�/�IY Ks III ALL) UNIT OR "T'�/ MAILING y 4. 5r rA / /w SPACE NO. ADO RENS -�1' 1"71�/1`•M^ TR.NO. LOT BLK. P. • TEL.y'J, I CITY D .l. Ell NO. — NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTION /CIL LENDER / BRANCH OWNER • ADDRESS VALUE ARCHITECT TEL. USE $ OR ENGINEER NO. ADDRESS ZONE ITYPE GROUP APPROVED CONTRACTOR BY DATE ADDRESS TEL. CITY NO. F, STATECITY APPROVED SETBACKS LIC. NO. LIC.NO. SIZE INO.OF BLDGS. (FROM C/L STREET) R. OF LOT NOW ON LOT FRONT FT. USE OF c/1 EXISTING BLDG. R SIDE FL Cl) FSeparate permits are required for L.SIDE FT. L1 electric,plumbing and heating work: REAR FT. IQ USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION a 0 DATE a APPROVED APPROVED y. _ BY DATE .J I" W 40 1 hereby acknowledge that I have read this application and state N\ T(, that the above information is correct and agree to comply with I A. all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of m 14 the State of California. m I hereby certifythat I amSO. FT. N properly licensed as a contractor under the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR CO Chapter 9, and a such licenses a In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: — to am exempt fro the provision o:'he State of California Business VALUATION PERMIT FEE $ /) ^. and Profession-Code elIsI•n I' d`,-spier 9. /// re.------�_ m \ Signature of n 11 --------- 2 Permittee $ TAX $ � 2 or ti ' U Authorized Agent •ate TOTAL PAID $ sa- 0. I, iCITY OF COSTA MESA • i` i , BUILDING DIVISION : I "^--5 .1 DEVELOPMENT SERVICES DEPARTMENT • C 4.w • s PERMIT PERMI NUMBER "toourso°. E98-00854 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 2478 FAIRVIEW WY Status: ISSUED _ Suite No Applied: 08/13/1998 Vicinity: Issued: 08/13/1998 Parcel Nunmber: TPN98081 Applicant: FAIRVIEW VILLAGE HOA a Address: 2478 FAIRVIEW WAY _ _- -i".7' Phone:' 714-751-304 - COSTA MESA,CA-92626-6587- ' Zip: <% mo , - ` i V 1 ' Owner FAIRVIEW VILLAGE HOA , /- N ', w AN Address 2478 FAIRVIEW WAY v i -- - ;�- / `,S / ; // / Phone: -, /1;'' COSTA MESA;CA 92626-6587 Zip: 'C\ ' // /�` `N 7, Contractor. / " Address:- ', _ Phone: ' '� : :' Zip: �•.• . `C License: / SCOPE OF PERMIT • STATE HEALTH'AND SAFETY CODE SECTION 116049.1 PUBLIC'POOL GFCI INSPECTION, REPLACE ../ ''DEFECTIVE POOL GFCI. - ' . v ., FEE SUMMARY •- > Quantity -'_ . ,n, --.,---, : ' ^-/% ._ . Quantity' ISSUE FEE - $22.00 - -- ' - _Temp Dist System?Lighting' $0.00 0 ' Temp service test $0.00 - - -/1,,= Busway/100 ft/ $0.00 0, ' Res,a/c package $0.00 Standing Section $0.00 0', New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.000- , New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 %;0 - 7 Pool/Spa" ( . , $0.00 0 up to 10 kvalkw ", 0 - - Lighting Fixts, ' , $0.00 0 - up to 50 kva/kw $0.00/,„,/-0 •- Recept Outlets, , $1.00 1 up to 100 kva/kw $0.00 ,. / 0 Switches ' $0.00 0 „' " over 100 kva/kw $0.007 0 Non Res Appl v,v , _ $0.00, 0 1 ,- Low Voltage Equipment $0.00' 0 Res Appl $0.007-- ,- 0 -/ "."Low Volt Wiring System/Ckt - $0.00 , 0 Service to 200a - - $0.00 � 0 - . Misc.,Conduit - "$0.00 0 Service to 1000a ' . $0.00 - 0 C ;Misc.Conductor $0.00 -. '- 0 i Service over 1000a $0.00,,- -0 -- _ ' ' 'Circus(gen or ride) - . $0.00' '0 i. ,,Motors to l hp $0.00 •,, 0 - - ' --�,� ,Circus(mach ride or lights),,- / - $0.00 ' /0,,/ Motors to 10hp $0.00-. / 0 -.. Christmas Tree Stand, ' - $0.00 . - --0 Motors to 50hp $0.00 - 0 Fireworks Stand- $0.00 "0 Motors to 100hp $0:00- 0 ' , " Other Electrical Fee. $0.00- Motors over 100hp $0.00 0 - , Communication drops $0.00 0 / '. Investigation Fee $0.00 Sub panel to 200a $0.00 .. Plan Check Fee- $0.00 Pole Light Pkg .$0.00 0 - Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $23.00 Intermed Pole $0.00 0 COMMENTS/SPECIAL CONDITIONS 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. ❑ 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 lcelled. My workers'compensation Insurance carrier and policy number are: Cartier. Policy Number. (This section need not be completed/f 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 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 LS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES MD CML FINES UP TO ONE HUNDRED THOUSAND DOI-LARE(S100,000),W ADDIRON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. UCENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of DMslon 3 of the Business and Professions Code,and my license is in full force and effect.tic.# - Class# 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,CMI 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:My 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 properly 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 'pimone 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.). , as owner of the property,am EXCLUSIVELY CONTRACTING WITH UCENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of properly who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuan to the Contractors License Laws.). ❑ m exe Business and Professions Code for this reason: n— (� ignat i��I////../ /:..��'L� ' /Date: C"( f TJ nor ID verified by drivers license. 0 Yes • 'o Drivers License No. Ex es: Verification of Ownership by(type of document,I.e.-• •perry 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 ❑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 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 appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? a Yes ❑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 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? 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 comply with all state laws and city o dinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-de operty for inspection rposes.I e�t:e to occupy or allow occupancy of any building authorized b this J�ittuuntil fine s ion.t /1 .�I iii �. �) Signature Of Le. Owner( Date And/Or Authorized Applicant Date CODE 1, INSPECTION TYPF Oa MIALS gggfj INSPECTON TPE DATE MODALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing �// e 200 Final Re-Roof 210 Final Electrical 8-1-7-98 (/� /5) LJ`b 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 244648 OWNER Fairview Associates DATE 8-16=99 1 JOB ADDRESS 2478 Fairview Way BUILDING PERMIT NO. 47886 GENERAL CONTRACTOR C. W. HowP, Inc. DESCRIPTION of WORK Pool & Patio Bldq. -- AP H'o. 141-711_24 LOT 35 TRACT 30522 FIRE ZONE VALUES 2,000.00 It CTIONS Si nature Date TYPE V GROUP J ZONE R3 SOIL r C-n'a SUBCONTRACTOR PERMITS ISSUJD GAS - Date Number Signature WATER Plumbin ROUGH PLUMBING `1 �" PROP. SWR. LINE El HOUSE CON. ❑ ( = SPRINKLING SYSTEM 4 7_ 1'rl4. s.* . �// C ,-./6-,A0 MISCELLANEOUS / , • ROUGH HEATING AND AIR CONDITIONING • TEMPORARY SERVICE OR POLE(q /t UNDERGROUND 5 POWER Y"� C. C. 9- /0-9D ROUGH WIRING C._,. . 7-2$ 5 Heating and Vent. I TRENCHES DORMS STEEL REINF. c".)S to.J'.. oj FLOOR SYSTEM D5 6-30-Tv I BOND BEAM [7 STEEL REINFORCE In SHEATHING l? 5 '7. )t43' FRAME AND FLASH! � 3 ..p' 1, per LATHING — IN OUT _�y_ PLASTER. BROWN COAT ' Q' cc H. -TUBAL, FINAL D3 I-2• n 1 � 'citric 78�H. NG. VENT., REFRIG. ANO A.C., FINAL p ` F7-2/1543L`' ' PLUMBING. FINAL AND GAS TEST n ,-7C....1 /yJ,l/./)��/ . / r 8f ELECTRIC. FINAL . `,_ f-5-; s5) / null nlur. FiwAI t 1_7-41 C