HomeMy WebLinkAbout224 24TH PL - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA - - ‘ PERMIT NO. p TRACT NO. LOT NO. BLDG.NO. -
• CONSTRUCTION PERMIT '�/l ' R 6919 III/^7/ -iie;1i TI_
i ••
Project Address -SrPE OF CONSTRUCTION 0 NEW U ADD U ALTERATION U REPAIR
■s
Applitant'S Mailing�U.:tress /✓ A � ' ••❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone J
`` Owner's Name �Q i r/ Phone _ DESCRIPTION OF WORK - S Main Building: Accessory Building: Z
, Address •
- TYPE OF PERMIT U GRADING U FOUNDATION U'STRUCTURAL T Front N '
fy Arch/Eng. License No. _ 0 TENANT 0 ELECTRICAL 0 PLUMBING ❑ MECHANICAL • B
O A Rear N
Address 7T�^ ', 6 r/1 ❑ OTHER
Contractor's Name Y/>� Phone !6•'�/w/1� PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right • - G
I Address(mailing) i,9 c4B . Zz'4 a -Sr F,Az . CON ST RUCTION TYPE VALUATION$ g Left E
City License No. ZONE GRADINGDIINCU.YDS.S. . - ACRES Ping. Ref.'if. Park.Fees $ 0
g 877 O U
LICENSED CONTRACTOR DECLARATION Remarks: ^ Parking Req./Provided I
I hereby affirm that I am licensedision3 under provisions of Charter 9 (commencing R
with section 7000) of Division 3 of the Business and Professions Code, and - Use of Building: E
my tiCense is in full for and effect. 3 -r / 7/ Plannin Notes: M
license I ss , Lice se No. / PLUMBING FEES g
Date if 4, Signature --� i �- -<- i - E
WORKERS' OMPENSATiON DE //- RATION Bar Sink Showers _ T
' hereby affirm that I have a certifiAte of consen to self-insure or a certificate Backflow Preventer Service Sink •
t Workers'-Compensation Insurance,-or a certified copy thereof (Section - -- .- - - -- - S
400, Lab.�C..) 2 Backflow Irrigation Sewer Cap •' _ ELECTRICAL FEES
Policy No. vb IV RC N 741/�omp:ny r Ae. r.ea • . -
Certified copy is hereby furnished. Bathtubs • Sewer Connection Automatic Washer Transformer 0 15-50 KW
Certified copy is filed with the city B /ing Divls• . '
J Solar Collectors 1 . w Construction Pole"Sub. 0 50+KW
Da e_ Applicant Ar&.� • -i�-.��1 Clarifiers '
EXEMPTION FROM WORKERS'C.' PENSATI. DECLARA ION- -
Dish washer -'I Solar in
(This Lection need not be complete'/f the permitis for one hundred ($100) or - Pip9' Cooking Unit • - Meter Qup to 100 amps' " ' - -
-
less). -
I certify'that in the performance of the work for which thispermit is issued I Drinking Fountains Solar Tank • Clover 100 amps
shDishwasher ` Meter
ort ' employompeanyiperson any manneria. so as to become subject to the
Workers' Compensation Laws of California. Floor Drains • I Swimming Pool w/Spa I Dryers ❑Gas ❑Electric Sub Panel •
Date Signature - -
NOTICE:If,after making this declaration,you should become subject to the ' Floor Sinks ` Urinal • Fan Motors 00.1 HP 01 y,-B
Workers' Compensation provisions of the Labor Code, you must forthwith • - - - -
comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water-Closet - - F.A.U. Inc.Solar❑9-15 HP 016-15+
CONSTRUCTION LENDING AGENCY •
I hereby affirm that there Is a construction lending agency for the performance interceptors- Water Heater • Fixtures - i Microwave
of the work for which this permit is issued' (Section 3097 Civ. C.) • - • _ ,
Lender's Name Kitchen Sink Water Service - '
Lender's Address • - - Device Boxes Pole Light
OWNER BUILDER DECLARATION • 1 ' Lavatories Outlets Range '
I hereby affirm that I am exempt from the Contractor's License Law for the ' P-Trap reason (Section 7031.5 Business and Professional Code: Any city or p r Switches •
Sign
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 Roof Drains, - Garbage Dispdsal StandingSections
to file a signed statement that he/she is licensed pursuant to the provisions of
the Contractor's License Law(Chapter 9(commencing with Section 7000)of Generator 005 KW❑5-15 KW
con'
3 of the Business and Professions Code) or that he/she is exempt - Trash Compactor
from and the basis forthe alleged exemption. Any violation,of Section 5 by any applicant for a permit subjects the applicant to a civil Reins often Fee cy of not more than five hundred dollars($500). - Pe $25' Issue Fee,.as owner of the property or my employees with wages as their sole _ •
Reinspection Fee $25 Issue Fee $' 3
compensation, will do the work,and the structure Is not intended or offered MECHANICAL FEES •
for sale (Section 7044, Business and Professional Code: The Contractor's - -- -- - --- ----- - - PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property who builds or improves . Hood or Type I 0 •
thereon, and who does such work himself/herself or through his or her own Zoning Approved By nate
employees, provided that such improvements are not intended or offered forCanopy Type II ❑
sale. If, however, the building or Improvement Is sold within one year of com- Duct-Under Ground Application Approved By • nate
Plotkin, the owner will have the burden of proving he/she did not build or Im- Lry�Q .p
i�rove for the purpose of sale). •
Duct-Structural Refrigeration System • Application Issued By 7/z 6 nate 70 7'0 3
alU I, as owner of the property, am exclusively contracting with licensed con-
Duct-Ventilating00-100,000 BTU ❑100,000 BTU ,
tractors to construct the project'Section 70aa,Business and Professions Code: SUMMARY OF FEES
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- Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ t SMTP $
tractor(s) license pursuant to the Contractor's License Law). CAT C T PLAN CHECK $ PERMIT
0 I am exempt under Section B. & P.C.for this reason Firepl/Fact.BIL ICBG# 5' �E(O v7 TG A./UCTS S — PLUMBING $ ` ISSUANCE $
Q Date ' Owner. Heating System& Ducting PLAN CHECK $ ENERGY P.C. $
�1 I hereby certify that I have real this applica Ion and state that the above 00100,000 BTU 0100,000 BTL— • ELECTRICAL $ GRADING $
�C information is corre I agr comply wit II city and county ordinances
and State laws rely ' to u Id g construct' n,and hereby authorize repro- MICROFILM
)I1 sentatives of this y to'ent r upo th above-mentioned prop y _o(- PLAN CHECK $ �y $ [y
Inspection purpos V 7 — _^ MECHANICAL $ 11 '- 8
11. Signature ol*-y Date /037 000�a TOTAL FEE ' $
Drivers' ucen • r SS yf ' , Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK $
•
'CMF 0865-4 ev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
,CONSTRUCTION AND PLANNIN - t - - - - POO PA _
Date' . Inspector -a = Date Inspector
APPROVALS' Permit# - _ _APPROVALS Pet.,#
1. Temporary Electrical Service or Pole- ' . _ _ . .52. Pool & Equipment Location
• 2. Soil Pipe-Undrgrnd. ,, I - 53-Steel Reinforcement - '
34 Electrical Conduit Utility-Undrgrnd. , 54. Forms. -
4: Electrical Conduit-Undrgrnd.` 55. Electrical Bonding -
5! Steel Reinforcement - 56. Rough Plumbing & Pressure Test .
6. Electrical'UFER Grnd. . 57. APPROVAL TO COVER-GUNITE
•
7. Footings • - - 58.-Electrical Conduit-Undrgrnd.
8. Foundation ' ' - 59. Gas Pipe, D Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, D 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.E 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 D Gas 0 Oil
23. Gas Pipe-Rough& Test • ' • 72. Underground Flush
24. Roof Framing r , ' . 73. -Undergrnd.Storage Tank 0 Gas 0 Oil ' -
25. Roof Sheathing ' I 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. Insulation78. FIRE PREV. FINAL
30. Drywall Nailing I . . , HEALTH DEPT. REQUIREMENT -
31. Plaster Brown Coat ' ' 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final ElectricNotes:
34. Final Heating & Air Conditioning ' I
f/93�83 (°
35. Final Gas Pipe-Test - - i' .
36. Hood or Canopy • . - '
37. Final Factory Fireplace - -
38. Final Plumbing , . , . . I '
39. Water Service-Final , ' ' , . . •
j
40. Gas Service-Final ' I , t ' , •
41. Solar Domestic-Final _ _ - - ; - -
•
42. Backflow Preventer
43. Backflow Irrigation '_ ; ' t .
I , ,, •
44. Landscape Irrigation System ,
45. Sound Attenuation ' -
•
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING - ) . - '
48. Special Requirements Completed - ' '
_
49. Electric Release to Edison I ,-- - - . - - - ; -
50. Gas Release to'Southern California Gas Co '' . .
51. CERTIFICATE OF OCCUPANCY ' - - -
No. - - Date -
?� CITY OF COSTA MESA
4 . - BUILDING DIVISION
-:•� •,,,,. DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
4t O * . PERMIT /
•Sb J B01-00396
(714)754-5273' x • Fax(714)754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
•
Job Address: 244 24TH PL Status: ISSUED
Suite: Applied: 03/27/2001
Vicinity: FRONT,SIDE 8 REAR OF PROPERTY Issued: 03/27/2001
Parcel Number: 43933101 Zoning: � -
Applicant: SNOOK, BROCK - - - ISSUED BY:
Address: 17608 FREMONT ST = !'7<- - - ; - -
��//%, ._Phone: 714-348-9908 ,-'1-.�C-,
FOUNTAIN VALLEY;CA--) ( i Zip: ' 92708 , / /i'---::-L-„,: ��
� /
�/�. `./ i �, IR // r��
Owner: HERNANDEZ, FRANK v - �i�C ��� / N�
Address 244'24)TH PLSA �/ - - �� � (�
A/ N — \ ‘,,\,,�
/' / � —. ' Phone: �� „ \
C� COSTA MESA,.CA� Zip: 92627 ����� �i' \�
Contractor: PREFERRED:GARDENING & LANDSCAPE SERVICE /
Address? 17608 FREMONT ST `-
)� /��/ Phone:C(800)399-8330 ���\ //\
�� FOUNTAIN VALLEY,CA - - --_
\\*\
wA �j
�,k!/ Zip: 92708 _
..License: �519363�=
' ,'Arch �l r� l r" j - t - "-Eng:,‘, 1 l;\ v�yV ) ���
(Address: / f�� �� -, i ,e_ 2 • -Address:: „.- L /,.' t��i ` �N
% ,� I!j//! , C Phone: _ - _ - "/,,,/ vVPhone:` ,� t
I
y : vZip; ;/ c �Libense:
\, License: ,
,i ri - - - l ( .._� ISA
�1 / i / T;-„--:,: SCOPE OF PERMIT',i . ,
t L.F. - '! l- /1-1,\/ i� �� -. 1,' I `-— l
162 FOF6�HIGH BLOCK WALL-ALONG LEFT-AND REAR PROPERTYLINE;AND RETURNED TO THE MAIN '! i \___J I
STRUCTURE ON LEFT SIDEIYARD PER CITY STANDARD.. - __ -__ - - -
STRUC ,r1 , -
I
1 !i__, % 01 ,n
\ A') �1 I� \1 ' 'i `'m_'FEE SUMMARY—/moi �!/ �_ 1 I
Plan-Check ,$63.21 ; __,�- -, i _ Caic Valuation: i $3,240.00
�Permtt:\� $97.25 j�� Claim Valuation: �� so:oor
VASMIP"Res: $0.50 �� f iii/
SMTP Com: $0.00
In p ction-2 $0.00 • ti,-..:::..-. // CC lig
Inspection $0:00 - p, ` `� �. i �� /�
Total- `v-$16/0�.96 ` i.r+r'---^s"t_ :o 't,, 'so „ o ice"7:-- --',-..;:", o%i
./ I V v� a'� .cpLANNIG B ZO ING ✓ ) �0
SETBACK\\vV7j�-- ')/9N _- �����C/ �/
�_o o �O
MAIN STRUCTURE`Front 0=0� Rear 0-0. Left-Th-20- Right 0-0
ACCESSORY Front 0=.0� Rear 40n1 ' [_��L'eft,i�0-0 la ht 0.��
L _. g �
PARKING Existing: o q.Requlred: o—J lj�1 LProplsed: 0
.
NOTES: occ,00�
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 expirationof this permit.
FOR INSPECTIONS CALL: (714)754-5626
244646(WOO)
- s �.
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 issued.
My workers'compensation Insurance carrier and policy number are:
Cantor: Policy Number:
(This section need not be completed if the permit Is valued et one hundred dollars($100)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,an•agree .- should bete• e subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pr• u.
Applicant Signature: �f 41'�r Date: 029—o/
WARNING:FAILURE TO S RS'COMP • GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TOONE HUNDRED
THOUSAND DOLLARE(SlO3,000), MON TO THE•a. 'ENSITION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provi ions of Chapter 9(comma Ing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Llc.a � Class p
Contractors Signature: Date: 3- 9.1--0/
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: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penally 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.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 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.).
❑ 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 live(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 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 e
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 Califomia 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 et any ono time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,ore volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
__. t.
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 end 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 Califomia 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 apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
8 Will 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 Califomia 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 penally 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 occupy or allow occupancy of any building authorized by this permit until final inspection.
Signetur L:•- • ner(s) Date
Cie
An Or Authod-'•Applicant Date
BODE A. INSPECT10NTYPE Or ' Rfi1054S PK! INSPECTIQNTYPE gAIE ItlTTUAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof ! �T 210 Final Electrical
-47-01201 Final Block/Retalning Wall qp 212 Final Flre Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Bullding/Occupancy