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HomeMy WebLinkAbout2451 IRVINE AVE - Building Permits CITY OF COSTA,MESA 4%►. BUILDINS•DIVISION Ft.., 1 DEVELOPMENT SERVICES DEPARTMENT PERM! NUMBER PERMIT ,'l 05-00944 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2451 IRVINE AV Status: ISSUED Suite: Applied: 06/10/2005 Vicinity: ROOF Issued: 06/10/2005 Primary Occ: MR Type of Construction: V-N Parcel Number: 43915119 Zoning: Applicant: MARCUS SANTANA GALVAN ISSUED BY: Address: 978 N ELM ST Phone: (714)628-9525 : , ORANGE,CAH - Zip: 92867 Owner: TOTH, ELIZABETH Y / Address 1731 LA LOMA Phone: • SANTA ANA,CA - Zip: 92705-3056 - Contractor: DAVIS"ROOFING CO Address: 978 N,ELMST - i Phone: (714)628-9525 ORANGE,CA , , Zip: 92867 License: 509824 Arch : 4 Eng: Address: - .Address: -- Phone: Phone: Zip: - License: License: ' SCOPE OF PERMIT TEAR OFF EXISTING ROOF AND REPLACE 30YR COMP SHIGNLES.REPAIR REPLACE SHEATHING AS NEEDED. FEE SUMMARY Ptan Check: $0.00Calc Valuation: $6,500.00 Permit: $139.25 . , Claim Valuation: . $6,500.00 SMIP Res: $0.65 SMIP Com: $0.00 _ , ' Other: $0.00 Inspection: $0.00 : Total: , '$139.90,, a. - . PLANNING &ZONING SETBACKS MAIN STRUCTURE-Front 0-0 I - Rear 0>0' _ -Left 0-0 - 4 Right 0-0 - ACCESSORY Front -:0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING .. 0 Required: 0 Proposed:' ' 0 , - - . NOTES: - 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 2448.46(spa) DECLARATIONS WORKERS' COMPENSATION DECLARATION: 4r 1 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 fpr which this permit is Issued. i and will malmaln wodcrr pensatlon insurance, as required by section 3700 of the Labor Coda, for the pertomtaxe of the work for which this permit is issued. My w.y`n'ce pence ns nce tamer and policy number are: M s`Ce 0 N� ,fi„',Pdky Numtier:-/l �7'%�- �-i)JS ".[Th� fs'''`”` need not De completed /I the permit is valued atone hundred dollars (S10G) or less.) -- -- 25, ❑ 1 certity that in the pedormenw of w rk ch is permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of o is, d r t If I Quid become subject to the workers' compensation provisions of on 00 of the Labor Code, I shall forthwith complawitRthesep / 6 8 / s' Apphwnt Sig�os� tuTey�' � ate: ////( �Q WARNING: FAILURE E RE W RS' PENSATION COVERAGE IS UNLAWFUL MID S1ULL SUBJECT AN EMPLOYER40 NA PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND IXX1AfiE ($100,000), I ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3Tw OF THE CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby {m.thabLam licensed under provlslo of Chapter 9 (commencing with Section 7000) o1 Division 3.atths.Busmess and Professions Code, and my license is in full I roe and eifedt. L 'Class Gontrector'S'S 1ppaaua> .Dale:='' CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the pedomnance 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 penury 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 appllcant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors Uwnse Lew (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 cMI penalty of not more than five hundred dollars (S500).): ❑ 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 Ucense Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Driver's Ucense No. Expires: Verification of Ownership by (type of document. i.e. - property lax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby ceN1y 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. 32, Grp 2, Art 2, Sec. 341, Title B. 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 ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mess Fire Department by every business which has at any one time during a reported year a quantity o1 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 stendartl temperature and pressure). ............___............_..........._....._...................... .............................................................. ................................ ___......................................................... ............. ............................................................................................................................... 2 Does or will the applicant or present or future building occupant need to file a registration forth for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some excetons, requires registration with the Coate Masa 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 O seosr will the applicant or present or Futuro building Occupant need to prepare an RMPP (Risk Management and Prevention Program for aately hazardous materials)? Rction 25534 of the California Health and Safety Code provides that the Costa Masa Fire Department may require the preparation, certification and filing with the Fire partment of an RMPP by businesses which are required to register acutelyhazardous 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 ❑ No ........__...._............................................................ ..._.—__...._..................__....................._._........_..._.._..__—._....._..............____.... 5 Does or will the applicant or present or future building Occupant require for the work which is the subject of this application apereit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No (Section 65850.2 of the California Goverment Code requires that the requested Information be furnished on applications for non-residential building permits). 6 Will any par of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If W. 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 ure wired 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 cerlity that under penalty of perjury the information given above is cored. 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 oemity, under penalty of perjury that I have read this applicator and state that the Information given Is cored. I agree to comply with all state laws and city ordlnances mistingto building sa tling construction, and authorize representatives of the City of COsta Meto enter upon the above-descdDed property for Inspection purywes. 1 agree t to acap lbw ocoupa cy of any building authorized by this permit until final inspection. Slg re Oi al er(s // CODE I INSPECTIONfrPE INTITIA,$ CODE j INSPECTION TYPE gJ,¢. iISTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pod Spa Final 208 Final Plumbing 200 Final Re -Roof �to 210 Final Electrical 201 Final Mock/Retalning Well 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Bullding*ccupancy Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CCTV OF COSTA MEA CO STR.UCTION PERMIT �Proieyt Address QU rJ (f A�blicant's MailingAIIddres j -'3 Owner's No — S -rot, Phone 3 Address /`a4(y SRII";.1 Arch/Eng. License No, Address — - - Contractor's Nam nn p /' .7 A hone Address (mailing) 'L3pl NCQIJ �Lr rfa,.ANt City License No. 3 ` G y 3V LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under prdvlsions Of Charter 9 (commencing with section 7000) of Division 3 of the %51ness and Professions Code, and my license is In full f and effect. tb " License 41 ass C— '06Cr "cense No. y' 0 x-C.� 0 r> Date / Sig t e "PR KERS' COMPENSATION DECLAR T N- ereby affirm that I have a certificate of COgSent to self4nsure or a certificate Workers' Compensation Insurance, or a!certified copy thereof (Section 3800, Lab. C.) c �y / 1-Z T -:> " - ` ,� Policy No. 22"rlt0 /) .Company' 5/ATf 6 ❑ Certifletl copy is hereby furnished. Ceriifi d co Is filed with the city B Ing Dlv Date r Applicant EXEMPTI N FROM WORKERS' COMPEN TI N DECLARATION (This section need not be completed if.the permit is for one hundred ($100) or less). Ch I certify that in the performance of the work for which this permit is Issued, I shall not employ any parsI in any manner so as to become subject to the Workers' Compensation Lay33-Df California. rieJ Date Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or caumv which reauires a Permit to construct. alter. Improve, demolish Or repair nprefrom 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 Cnalty of not more than five hundred dollars ($500). 1, as owner of the property or my employees with wages as their sole CPmoensalion- will do the work. and the structure is not intended or offered License Law tloesnot apply to an owner of a property who ou ias or Improves thereon, and who does such work himself/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 com- plotlon, the owner will have the burden of proving he/she did not bulla or im. Erove for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed con- tractors to constr4ct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a con. tractor( I license pursuant to the Contractor's License Law). I am aware that Proof o their Worker'S Compensation insurance Should be provided to me. ❑ 1 am exempt under Section B. 8 P. C. for this reason Date 1 hereby certify t Information Is Cori and slate laws rel; sentatives of this Inspection purpo -'Signature I Drivers' License or Owner tat I have read this application act. 1 agree to comply with all c ting to building construction, aI city to One, upon the above above nances repre- tv for TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION L -T REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _f Dr�S71PPTION OF WORK/U OF LOG. ' ,, W ITT ,1O y1D'r UJ` i ,r�� 6,4 A TYPE OF PERMI GRADING U FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECT ICAL ❑ PLUMBING 11 MECHANICAL ❑ OTHER RUd 7-I0 PROJECT DESCRIPTION SQ. FT. o&3W OCCUPANCY CONSTRUCTION TYPE VALUATIONS '.I ZONE GRADINGCU.YDS. ACRES Remarks: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee 1 $15 Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBO + Heating System & Ducting ❑ 0.100,000 BTU ❑ 100,000 BT Reinspection Fee 1 $15 CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto -Wash Laundry Trays Issue Fee Hood or Type ❑ Canopy Type II ❑ Refrigeration System ❑0-100,000BTU ❑100,000BT System Repair/Alteration Fire Dampers Registers Issue Fee FEES A.P. 5W S Main Building: TFront B Rear A C Right S Left Ping. Ref. # Planning Notes: Accessory Req./Provided ELECTRICAL Automatic WasherTransformer 1115-50 KW Construction Pole Su b. ❑ 50+KW Cooking Unit Meter ❑up to 100 amps Dishwasher Meter Clover 100 amps Dryers ❑Gas ❑Electric Sub Panel Fan Motors ❑& 1 HP ❑ I K - 8 F.A.U. Inc. Solar 119-15 HP ❑ 16-15+ Fixtures Microwave Device Boxes Pole Light Outlets Switches Garbage Disposal Generator 110.5 KW 05-15 KW Zone Sign Standing Sections Trash Compactor Z O N I N G R E 0 M T S $ 3 Reinspection Fee $15 Issue Fee $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved BY Building APIss Application Issuedued Byy — Date Dat Dat BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMM $ _��-�_� $ $ $ $ $ $ $ Vj OFEES T SMIP $ ' r✓ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTAL FEE $ $ 3 CONSTRUCTION AND PLANNING APPROVALS Permit,# i Date Inspector POOL & SPA APPROVALS Permit Date Inspector 1r Temporary Electrical- Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grn'd: 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. POO USPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank CGas 00il 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 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT ? 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 1 34. Final Heating & Air Conditioning - 17 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation E X P I R E D Incom Ie e inspectiolls 44. Landscape Irrigation System Date)$ ,.r 45. Sound Attenuation 46. Handicap Regulations '. 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed i 49. Electric Release to Edison �- 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - Ci'