HomeMy WebLinkAbout3095 MACE AVE - Building Permits •
yTp f CITY OF COSTA MESA
4 BUILDING DIVISION
:l,,,, E-4iDEVELOPMENT SERVICES DEPARTMENT PER NUMBER
-n""7" PERMIT
1.14 • B03-02128
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.usNG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDIJob Address: 3095 MACE AV Status: ISSUED
Suite: Applied: 12/12/2003
Vicinity: DUPLEX Issued: 12/12/2003
Parcel Number: 13956405 Zoning: R2 R2
Applicant: MC FEGGAN, BILL ISSUED BY:
Address: 1007 W GROVE AV
Phone: (714)997-9449
ORANGE,CA Zip: 92865
Owner: RADPARVAR, DARIUSH
Address P 0 BOX 92
Phone:
SYOSSET,NY Zip: 11791
Contractor: FAIRWEATHER ROOFING INC
Address: 1007 W GROVE AV
Phone: (714)997-9449
ORANGE,CA
Zip: 92865 License: 770565
Arch : Eng:
•
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF DUPLEX:T/O EXISTING ROCK ROOF,REPAIR/REPLACE SHTG, 1 30#FELT,APPLY"30-YEAR GAF TIMBERLINE SHINGLES.PITCH
412;52 SQUARES
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $9,733.00
Permit: $181.25 Claim Valuation: $9,733.00
SMIP Res: $0.97
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $182.22
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(aroo)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
O 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 work compensation Insurance carrier and o/ollcy number are:
Carrier: -r�r r� SltcK, /,v ,A S _ CO_ Policy Number: DOf_(7(907/' "f
(This section need not be completed it thg'permit/s valued et one hundred dollars($100)or less.)
o I certify that in the performance of the work for which this permit is issued,I shall not employ any person In any manner so as to become subject to the workers'
compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pp vi
Applicant Signature: / .4t2" v Date: /Z/Z 0
WARNING:FAILURE TO SECURE WORKS PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(S100UW1.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 lice rpf s IIo
}sed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Pns Code,and my license Is In full
force and effect.Lie.rt 1 -70 —GCC Class a, C.-35a'
Contractors Signature: 777---ri Date: /2--/2-0 3
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 end 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 end 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 t0 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 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.).
O I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes ❑No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-properly tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feel 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? ❑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 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? ❑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 apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agoncy? I0 Yes IJ 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 pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If eyes",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 California 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 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.
�� Signature Of Legal Owner(s) Date
-
/And/Or Authorized Applicant Date
;ODE L INSPECTION TYPE PATE !EMU CODE! INSPECTIONTYPE 261E IN1111ALI
1618 Fixed System Final Fire Prevention 206 Final Mechanical _
1266 Pool Spa Final a 1C'�?y /���y 208 Final Plumbing -
200 Final Re-Roof /L"iO &" 210 Final Electrical -
201 Final Block/Retaining Wall 212 Final Fire Prevention _
202 Final Factory Fire Place 220 Final Planning Approval
203 Anal Sign 222 Final Site -
204 Final Demolition 250 Final Building/Occupancy
PROJECT ADDRESS: 3095 MACE AV UNIT` CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 050870
OWNER'S NAME: LOWE, DONNA D
ADDRESS: LOWE, KEITH G TR PERMIT NO: P 050870 PLAN CHECK NO: N GOVT: N SUPP: N
3095 MACE AVE APT A
COSTA MESA CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
714 979-0453
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : ADD WASHER & DRYER IN GARAGE SQ FT:
ADDRESS: UNIT:
PERMITTEE: CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 /
CF BUILDERS ( 714 ) 631-6089
ADDRESS: 1733 MONROVIA Q COMMENTS: ADD WASHER & DRYER IN GARAGE W/SUMP PUMP
COSTA MESA CA 92627 ********4*+ ********a6*******ar*+r****+ESE***at***a6>E**** ESE*****>E*********st*******a1.****
LICENSED CONTRACTD DECI�RAi t♦_ I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON I NG R EQU I R EMEN TS
7C00)of Division 3 0 {{{777��7 tSE/yolessions Code.and license is in Tuft Tome and `eet. / SETBACKS
CITY LIC.: AT uc./:4T�' 4 S 10 cuss B ,/ p /
Date: �/ Cr( Sgna -5 _ _ at✓( )/ J MAIN BUILDING ACCESSORY BUILDING
WORKERS'COM LIC.-t7-
67.
DECLARATIONk. I hereby affirm that I have a certificate cons Jto self-insure or a cendicate of Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
Compensation I urance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 1 0 7 9 1 4 5 EXP.DATE: 06/01 /91
COMPANY: STATE FUND PARKING REQ• PROV: PARCEL: 13956405 ZNE; REF NO:
❑ Certified copy is hereby furnished. OT red copy is iled ith the city Building Division. % PLANNING NOTES>
Date: s ' ppecam: wedi f 4,. _A— .I /*******************************************************************************
_
EXEMPTION FRO WORKER COMPENSATION DECLARATION: (This : ,tun need not be completed if tyr.permit is for one hundred MP u)or less). DEVELOPMENT SERVICES REQUIREMENTS
I certify That in I e performance 0f the work for which this permit is issued.I shall not empiyjpj person in any manner so as to becomes
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE:
Dale: Signature:
NOTICE:If.atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : .• DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. F
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY
: OKAA/VA: DATE; lif
l '
which this permit is issued(Section 3097.Civ.C). *****************************************************************:*
LENDER:
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby atlirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish.or PERMIT 4 00
repair any structure.prior to its issuance.also requires the applicant for such permit to tile a signed statement that he/she is licensed rj Y SM I P/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by P LAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 3,00
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or altered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS——--> 4 .00 3 . 0 0 0 . 00 7 , 0 0 7 . 00 . 00
does not apply to an owner of a property who builds or improves thereon.and who does such work himself/hersell or through .
hr
imprrovements sols or her awn d within one yeearr oded ff completiat such on,thements ownerare not will have intended
burden of proving he/she didle.If,however
or ilmprove REVENUE DIVISION TOTALS--> COLLECTED: 7. 00 OVER/SHORT• 00
mrthe purpose olsate). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property.am exdusielv contracting with licensed contractors to construct the project(Section 7044,Business 7. 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who conbaCts far such Plaints with acontractor(s)license pursuant to the Contractors'State License Law).l am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C.
for this reason TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: PLU 1 LAUNDRY TUB OR WASHER 2 . 00 2 . 00
I do hereby certify Itrat lam aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 . 00 2 . 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from END OF FEES
these provisions.
Date: Applicant: w (� A
rd
I hereby certify that I have read this application and stale this owe information ist correct.I agree to c mply with all city and county C
ordinances and stale lawsreran;to 1-u' g construction and l mole
representatives of this dry toe ter upon the ahovo-mentioned
property for Insp coon our ses.
Date: '9( a Signature: �Fe\ < --- DI/ DATE: 02/01/9107T6rE: 1 :42 '•30
Driver's Lense or ial Security n:
1641-46 While—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
I '
3. Electrical Conduit Utili(ytUndrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
-7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection • 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace ' • APPROVALS Permit #_ '
21. Ducts, in Structure t .. , • 70. Underground Hydro
22. Ducts, Ventilating• 71. Product Piping 0 Gas 0 Oil
23.'Gai Pipe-Rough & Test •
t, 72. Underground Flush
24. Roof Framing• - 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical '
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding • I • • 77. FIXED SYSTEM FINAL
29. Insulation I- 78. FIRE PREV. FINAL
• 30. Drywall Nailing i I I' - • HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 4 i 79. FINAL INSPECTION
32. Electrical Power Meter-Final I 1 . 80. FOOD CERTIFICATE ISSUED
33. Final Electric I I I, ; Notes:
34., Final Heating& Air Conditioning I
35. Final Gas Pipe-Test ' I h
36. Hood or Canopy . - I
37. Final Factory Fireplace /I
38. Final Plumbing _ .r�TPi"! ',
39. Water Service-Final s , I
40. Gas Service-Final
41. Solar Domestic-Final • I I •
42. Backf low PreventerI I'
I I
43. Backf low Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations '
47. FINAL STRUCTURE & BUILDING I ! I
48. FINAL PLANNING i I
49. Electric Release to Edison I
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
0 31856 —I ""Y 7—-e S°001133% ***20!:.75
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEI D V DATER EIVED DA E ISSU D
BUILDING n// 5;ir--`70 -70
ADDRESS 3Q95 Mace Ave. ���>"fff000
P.€Rhe
OWNER Harbor Mesa Corn. A.P. NO. .'� IJ
BUILDING dJMDIL ADDRESS (1,--
MAIL ( —t '
ADDRESS r a s - 2 • • 1.91 Z
/
0 CITY Sherman Oaks,Cal 91403 NOL 986-5077 TRACT is G/ LOT (p BLOCK
Za CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOI ISH
O1- LENDER
am
J D BRANCH
JO OWNER
CO J ADDRESS .z13) VALUE /� S/s
J CO ARCHITECT EL. // S $ /
QOR ENGINEER TiArnpnrT. NO. 966-5077
U N FIRE
C
W K ADDRESS 146 N. Robertson Blvd. ZONE TYPE GROUPItT
aLu
pacific Co gi yme, Inc. APPROVED
J Z CONTRACTOR BY DATE
m2
JCC ADDRESS 15:n7 Ventura Blvd, /Q[JJJ� �J n OF �`/, �_4�
0 r TEL Zn
C Y PLANS BUILDING NEW
L(//�C 9�[/
Z m CITY Sherman Oaks,Cal 91403 NO 986-507? r A ¢��7 �
WO STATE I.3 CITY YARDS APPROVED YARDS DROVE�D"
to Ir LIC. NO. 88991 LIC. NO. MAIN BUILDING ACCESSORY BUILDING
_0 SIZE NO.OF SLOGS. (FROM CIL STREET)
OF LOT 60 X 116 NOW ON LOT None FRONT S3 FT.•17// FT.
USE OF
EXISTING BLDG. None _R.SIDE SFT. / FT.
I—Z SIZENEW OBL / I4 X 87 ROOMS NO.OF 9 STORIES 1 L.SIDE /�FT. � FT.
Z NEW BLDG. 44
UEXTERIOR WALL ROOF //
COVERING SLAC 'c COVERING Rock REAR SFT. c3 FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
CL 1 MAIN BLDGS. ACCESS. BLDGS.
DATE
Q .Residence C VRP < /P _z. �. APPROVED/0— IBJ 'tv'9
C/3 Darle�t 1 2 - 2 Ai aY �9X t-O-�19 Z_DArE J�—/ S 70
D HOLD FOR CPCgIAL RCQulx~MENTS
U I hereby acknowledge that I have read this application and state S
D that the above Information Is correct and agree to comply with _
all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
CO the State of California. 7/.�( [Y23‘
w
I hereby certify that I am properly licensed as a contractor under 2SO. FT—T.— ��O 23 Pr[ �'
the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a
am exempt from the provisions of the St: : ,f California Business tc
VALUATION
and Professions C e,Division 3,Chapt . .,+ az
PERMIT FEE $ ./J �Q
Signature of /Xd, 1/ m
Permute .� . _ $ 92 S7S-`°t PLAN CHECK S V"" �" E
r tc.f.1`� / .
Authorized Ag- t \r/__ {' u
TOTAL FEE S 26 ,z•+