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'