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Home My WebLink About2453 IRVINE AVE - Building Permits oatr., n CITY OF COSTA MESA _ • BDILDING.-DIY.ISION :� st .,a DEVELOPMENT SERVICES DEPARTMENT PER�R NUMBER pt is I' PERMIT V/ cv- B05-00945 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2453 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 ORANGECA' '", ; " Zip: 92867 , Owner: TOTH,ELIZABETH Y ' - Address 1731 LA LOMA , - - - . _ - ' f_ • Phone: _ - -' SANTA ANA,CA' Zip: 92705-3056- ; " Contractor: DAVIS ROOFING CO Address: 978 N ELM ST , Phone: (714)628-9525 - - ORANGE,CA - " Zip: 92867 License: 509824 - Arch _ ' -Eng:, Address: - ^ / - Address: . • -, Phone: - Phone: Zip: License: . \ License: -_ . - - SCOPE OF PERMIT : • : ' TEAR OFF EXISTING ROOF AND REROOF WITH 30YR COMP SHINGLES.REPAIR AND REPLACE SHEATHING AS NEEDED. FEE SUMMARY ;= " Plan Check: $0.00 - - ' - Calc Valuation: $6,500.00 Permit: $139.25 • - _ - - Claim Valuation: $6,500.00 SMIP Res: $0.65 i� SMIP Corn: , $0.00 , Other: . , $0.00 - ' Inspection: $0.00 Total: '$139:90 . PLANNING &ZONING SETBACKS N "/ - MAIN STRUCTURE-Front-' 0-0 , .\ -Rear -0>0 - .Left, .0-0 � -- - Right 0-0 - � �_A ` � , _ - - _ , r /' , ACCESSORY Front N0-0 'N Rear' 0-0 Left 0-0 -' Right 00.0 PARKING Existino: - 0 - Requlred: i 0 Proposed: 0. - . NOTES: I ' - • • 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(8/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: t + r % ❑ 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. '1'h ve 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. L y workers'co pensatl nsure carrier and policy number are: Carne" be- ) Poliuy,Number. 00k1' - 2-our f(ildstildlon need not be completed if the permit is valued et one hundred dollars 0100)or less.) a ❑ 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 pr•!,! i�.1 � 6/09/of • I icant signatuCiddA _�� DDa,a7aatp�a,�;yy_,,�� N./Ari..- A.FAILURE TO' CURE WO- ERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPinlIO'CRIMIIt AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed urder provisions•f Cha• '-•mmencing with Section 7000)of DMslon 3 of the Business and Professions��siCode,and my license is in full e m fprcdeffar ..- aS :- s - CCiasJp� r 4-TyitL icon misserag.acio'a.sgretvre7 22 !I/ C —_-y Vt/4,pr 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: Lenders 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: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 and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My 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 properly,or my employees with wages as their sole compensation,WILL DO THE WORK,end 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 properly who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property 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 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? ❑Yes in 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). ruff_—__.._..future...__.. pre tutu. ..._3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management end 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? DI Yes f.I No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 8 WIII any part 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 yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). turf 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 end 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 atu• or allow occupancy of any building authorized by this permit until final inspection. Si. elute• .!:!�Owner(�� `/OD@ /oc- D L�6/ CODE I. INSPECTION TYPE PATE IDLs PODEE INSPECTION TYPE PATE INMJALII 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final �, 208 Final Plumbing r 200 Final Re-Roof i� N7/ &C4 U 210 Final Electrical 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 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • CITY-00F COSTA MES CONSTRUCTION PERMIT PE T TRACT NO. •LOT NO. UNIT NO. . f' ect Address a�53 uiN.c /oV y'3 7 rq/ • St -r TYPE OF CONSTRUCTION U NEW H ADD H ALTERATION LJ REPAIR APplicanre•Mailing Address L3ol Beejri Cm S6 A ' C'' c ❑ CONVERSION ❑ DEMOLISH ❑ 0TH A.P.# Zone Owner's Name ,��f rJ _ Phone ?/a�0 y I Ai �•ieez�iJ' 4 /Mf. Y Lk D • CR, I� OF WORK/ SEO BLDG. 0 Cts 'J SS S Main Building: Accessory Building: ApHress RI-05w G t6/` /�Syt q Y •Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front 0 Address '+""'- • ' El TENANT ❑ �ELECTRICAL III PLUMBING CI MECHANICAL B Rear - N Contractor's Name -3—P4/430/41S /1(0611,1Phone 07/94// ❑ OTHER ltG •*1S of C Right N - Address(mailing/ 230/ 2CRd _rtiz dac PROJECT DESCRIPTION Sq. FT. li-> OCCUPANCY K CONSTRUCTION TYPE VALUATION$ 2..200 Left G City License No. 7 frye' y $ R ZONE GRADING CU.YDS. ACRES Ping. Ref. # Parking Req./Provided • E , LICENSED CONTRACTOR DECLARATION :A. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M .. with section 7000) of Division)? cif,the Business and Professions Code,and my license is in full fo e and effect:-' �� s—/ • - T License CI ss e— '" + �' 'cele No. )1 S Date Signatur `+' PLUMBING FEES. 4 WORKERS'COMPENSATIONIDECLARA I N Bar Sink Showers 'ELECTRICAL FEES ereby affirm that I have a certificate of consent to self-insure or a certificate - - , Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink -00, Lab. C.) r r2:3 '" 7� Automatic Washer _ Transformer 0 15-50 KW - Policy No. 'Z2•"r -g?' I :' Companycr4 L nr"d Backflow Irrigation Sewer Cap — ❑ 50+ KW 9 Construction Pole Sub. ❑ Certified copy is hereby the cit Ce rtifie1l c �wgs filed with the city Buil ng Div' Io Bathtubs • Sewer Connection Cooking Unit Meter ❑up to 100 amps • Date 11/I/ 0 Applicant tl�`.,`''7L EXEMPTION FROM WORKERS'COMPENSAT N DECLARATION Clarifiers Solar Collectors _ Dishwasher • Meter ❑over 100 amps • (This section need not bet completed if the permit is for one hundred ($100)or less). r; Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel I certify that in the performance of the work for which this permit is issued, I . shall not eme�t1ppyy��,�any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%-B Workers' Compi€n'sation Laws of California. L___ - - __ Date Signature Floor Drains Swimming Pool w/Spa F.A.U. - Inc.Solar ❑9-15 HP 016-15+NOTICE:If,after making this declaration, you should become subject to the — - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal FixturesMicrowave ' comply with such provisions or' this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device BoxesPole Light 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.) Interceptors Water Heater RangeOutlets Lender's Name Lender's Address - Kitchen Sink Water Service - Switches - • - Sign . OWNER BUILDER DECLARATION ' I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections . following reason (Section 7031.5 BuSIness and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap • LaundryT any structure, prior to its issuance, also requires the applicant for such permit ray5 Generator DO-5 KW❑5-15 KW Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9 (commencing with Section 7000) of • •ivision 3 of the Business and Professions Code) or that he/she is exempt erefrom and the basis for the alleged exemption. Any violation of Section ' • • 131.5 by any applicant for a permit subjects the applicant to a civil . •enalty of not more than five hundred dollars($500). I $ 3 - • . ■ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee • - I compensation, will do the work,and the structure isnot intended or offered 1 - Reinspection Fee I $15 Issue Fee . $ 3 .. ` • for •sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES • License Law does not apply to an owner of a property who builds or improves - thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: , employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 _ sale._If, however,the building or improvement is sold within one year of corm - Canopy Type II ❑ Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im, Duct-Under Ground '- - - - - Building Approved By - Date prove for the purpose of Sale). - / U I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 0 Date 74 fir tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00100,000 BTU,0100,000 BTU SUMMARY OF FEES _ builds or improves thereon, and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT_ '$ 5 . DO SMIP $ e S-0 proof of their Worker's Compensation insurance should be provided to me. Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK $ .PERMIT ❑ I am exempt under Section B.& P.C.for this reason - Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date owner Heating System&Ducting RegistersPLAN CHECK '25% $. ENERGY P.C. $ I hereby certify that I have read this application and state that the above Do-i 00,000 BTU 0100,000 BTELECTRICAL • $ GRADING $ ' information is correct. I agree to comply with all city and county ordinances' $ • and state laws relating to building construction, and hereby authorize repre- - PLAN CHECK 50% $ MICROFILM sentatives of this city to a ter upon the above-mentioned propery for inspection purp., es. , • _ MECHANICAL $ TOTAL FEE $ girt' Signature �/, - �M/ Date Drivers' License or S Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ va vvvvu, T, VUV L,VJTJ 5 V f JT.J'J CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor Ca r ` CONSTRUCTION AND•PLANNING POOL&SPA APPROVALS 'Permit# Date Inspector APPROVALS Permit# Date�� Inspector 1.,�Temporary Elect`rical.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 Reinforcement56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings rr�_ \c�l 58. Electrical Conduit-Undrgrnd. 8. Foundation �= 59. Gas Pipe, 0 Undrgrnd.,Test ri 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 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 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 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 ' v 33. Final Electric Notes: i 34. Final Heating & Air Conditioning r ,l 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 t. r 44. Landscape Irrigation System EXP ' fZ E n , 45: Sound Attenuation ecti0 S ' , Incomplete Insp 46. Handicap Regulations - S_ '47. FINAL STRUCTURE & BUILDING bate ��' 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 4-' 51. CERTIFICATE OF OCCUPANCY ' No. Date /;'yr.