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Home My WebLink About411 BERNARD ST - Building PermitsCITY OF COSTA MESA BUILDING DIVISION F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax Q14) 754-4856 • www.ci.costa-mesa.ca.us �, FOR INSPECTIONS CALL: (714) 754-5626 �^ee.mm � PERMIT NUMBER: BX08-00089 PERMIT TYPE B MISC STATUS: ISSUED APN: TPN0080o5 DATE ISSUED: 04/01/2008 Zoning: , ISSUED BY: RMD JOB ADDRESS: 411 BERNARD ST CM. • . Suite/Unit: Vicinity: PERIMETER .� ' Primary Occ: ' .�" Const Type :7? SQ.FT: 0 Valuation:'� 575,000.00�'�y"'`._:��. ,/', SCOPE OF WORK: ; ;�; ` Pii�uc}- CONSTRUCTION OF A 6' HIGH„32QL'N�FT BLO MOTORS TO 10 HP) TO BE BUILT�FER CISY ST� .��.. - : � j-L� ; w OWNER: RUTTER 1901 NEWPORT�LL'C City/State: IRVINE,CA 9261'4 ' .-; � Phone: �"' t,i-� � • ,- . � i3i ' APPUCANT: EADIE, MIKE�'�`.' ;,��y-, , - 200 ;i, -.. . n � � . City/State: IRVINE;CA�92614,',�'��`� � ��- Phone: 949-663.1298; � i %; --� . ` IlA CONTRACTOR: OWNER-BUILDER - Address ,�-r � City/Slate: �� _ Zip Code: r.�. -' :�_ �, . ARCHITECT: Phone ENGINEER: Phone :`� }; '� �� , : .� . tI � ' ' ��' � ' . CK WALL VJITH PILASTERS AND 3 ECECTRICAL ENTERANCE GATES (3 ANDARDS. '��`,' •, Addresx: 18012 COWAN'#200 �` � Unit Zip Code: ' - ��Address: 18012 COWAN '� �4 �'�� - Unit: UNIT , � � ' � .,' � . : � - ` - Zip Code , �� + " ' � Cicense No. ' 000000: � - � � �� . - � Unit: ,.< ; '- - � — - � Phone - - - � � ' Cell: � _ _ - ' -:-s ��'- = � = License No. , : • � FEE SUMMARY Building Plan Check: $532.19 . Building Permit: �� -. � - . $81875 Eledrical Permit: � ': $60.40 SMIP Residential � � -' _ � � • . ' ,$0.00 SMIP Commercial . . $15J5 ,. TOTAL FEES ' - $1;427.09 License No. = . ', ...,;�-.s, , '�. ..�r�: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28. § 1. 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the vrork authorizetl under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and Tinal approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. COpE �, INSPECTION TYfE 781fi Fiaed System Final Fire Prevention 1288 Pool Spa Final . 200 Final Re-RooF 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition � N L CQOEt �xsreenoNrne 208 Final Mechanical 208 Final Plumbing 210 Final Eladncal 212 Final Fire Prevention 220 Final Planning Approval 222 FinalSite 250 Final Builtling/Occupancy D� INi171AL5 � aZ-�r C1�� WORKERS' COMPENSATION DECLARATION: I hereby aRrm under penalty of perjury ong ot the following decla2tions: ❑ I have and will maintain a certificate o( consent to self-Insure for xqrkers' � compensation, as provided for by sectlon 3700 of the Labor Cade. tor the perfortnanGe of lhe wOdc fOf Whith Ni5 perthil i5 i55ued. ❑ I have and will maintain v.wkers' compensation insurance. as required by seclion 3700 of the Labor CoCe, fa the peHormance of the work (or vfiich thi5 � pertnit is issued. My workers' compensation Insurance carrier and policy number are: Cartier. /Tfut secfqn neaC nof �e mmNefe011ha peim! R vnWM ol ana nunEretl tl00ars (f f00) a less ) Policy NUmber: ( I certify lhat in l�e pedortnance of Ne work (or which this permil is � ssued, I s�all not employ any person in any manner so as to bewme subject to the workers' wmpensation laws of Califomia. and agree that i( I should become subjecl to ihe workers' ompensation provisions of S ction 3700 of the r Code, shall fo wil mply ' these provision . �-Appliqnl' S1 W r eO WARNING: FAILURE TO SECURE WORK�RS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON� HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CAST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF TNE IABOR CADE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn thal I am licensed under provisions ol Chapler 9(wmmencing with Section 7000) of Division 3 0( the Business and Professions Code, and my license is in full force antl eHec[. Lic. # Class # Conlreclor O Sign2Wre Dale CONSTRUCTION LENDING AGENCY: ❑ I hereby affmn lnat ihere is a construction lending agency fa the perfortnance ot the v.ork for Mfiich tFtis pertnit is issued. (Sec. 3097, Civil Code). Lender s Name: LenEers Address: SipnaNre OWNER-BUILDER DECLARATIONS: 1 hereby aKrm Ihat untler penalty of perjury lhat I am EXEMPT FROM THE CONTRACTORS UCENSE LAW for Ne tollowing reason (Sec. 7031.5, Business and Professions Cotle: Any ciy or counry which reduires a permit lo consWct, alter, impmve, demolish, or repair any SlrucNre, prior to its issuance, als0 requires lhe appliwnt for such permit �o file a signed statement that he or she is licensed pursuant to lhe provisions of ihe ConVactors License Law (Chapter 9(commencing vrith Section 7000) o( Division 3 of the Business and Professions Code) or Nat he or s�e is exempt iherefrom and Ihe basis lor the allegeO exemption. My violation of Section 7037.5 by any applicant (or a pertnit suDjecls lhe appiica�t lo a civil penalty o1 not more than five �unOred dollars ($500).): ❑ I, as ovmer of ihe property, or my employees with wages as their sole compensation, WILL DO TME WORK, and the sWcture is not intended or offered for sale (Sec. 7044, Business antl Professions Cotle: The Contractors License Law does not aOP�Y lo an ovmer of properry vAio builds or improves ihereon, and who Coes such work himsell or herself or lhrough his or her own employees. provi0ed lhat such improvements are not intended or offeretl tor sale. If, however, lha OuilOing or improvement is sold vrithin one year of completion, ihe ovmer•Guilder vrill have Ihe burden of proving Ihat he or she ditl not.build or improve far purpose of saie.). �l�— I, as ovmer of the property. am EXGLUSIVELY CONTRACTING WITH IJCENSEO CONTRACTORS to conSWct lFre project (Sec. 7044, Business and Professions Coda: TTe contractors Licensa Law dces �wt apply lo an owner of properry who Duilds or improves thereon, and who contracts fw suU project wilh a cont2cta(s) license pursuant to the Contractors License Lav+s.). � I am exempt unaer sec. Business and Professions Code for this reason: ��il/�i e i Owner ID verified by dnver s licen J Y65 � No - �Driver'S License No. � (�% �� F�pires. Verification of Ovmers� document, i.e. - properry fax bill o tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certAy that no ezwvation frve (5) a more feet m depth into wfiich�a pareon is required ro descentl, vrill be made in connection with xork authorized by this pertnit, antl that no building structure, scaffdtling, false.wrk, pr demoliti0n or dismantling thereof, will be more than Ihirty-siz (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, Title 8. Califomia Adminisirative Code). ❑ As ovmer-builder, I vnll not employ anyone to do xork which would require a permil from the Division of Intlustrial Safery, as noted above, unless such person has a permit to do such wurk from the tlivision. nppliwnl's Sie^aWre Odte Division of Industnal Safety Pertnil Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicam or present or NWre building xcupant need to fle anA ceAify a Business Plan for emergency response to release or threatene0 release ot a hazardous material? ❑ Yes ❑ No (Seclion 25505 of the Calilornia Health and Safery Cade requires, with some exceptions, lhat a Business Plan be filetl vrith the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantiry of hazardous materials equal to or greater than a v.eighl of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of tompressed gas at stan0artl temperaWre and pressure). 2. Dces or will the applicant or present or future building occupant neetl to file a registration form for acu[ety hazartlous materials? ❑ Yes ❑ No (Section 25533 of Me Califomia Health and Safery Code, with some ezceptions, requires registration wilh the Costa Mesa Fire Department Dy each business which at any one time has on hand a quanlity of acutely hazartlous materials equal to or greater than a weight ot 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at sWndard temperature and pressure). 3. Does or will the applicant or present or future buiiding occupant need to prepare an RMPP (Risk Management anA PrevenUon Prog2m for acutety hazartlous materials)? ❑ Yes ❑ No (Section 25534 of ihe Calitomia Healih antl Safery Code provides Nat the Costa Mesa Fire Department may require the prepa2tion, certification and filing with lhe Fire Department o( an RMPP by bu5inesses which are required b register acutey hazardous materials with the Fire Depariment. 4. I( an RMPP is presently required, has Seclion 25534 0( ihe Cali(omia Health antl Safety Code been (ully complietl vrith? ❑ Yes ❑ No 5. Dces or will the applicant or present or luWre building occupant require for �he v.ork which is the subject of this application a permit for such wnsWclion Or moCification from the South Coast Air Dualiry Management Disirict or (rom any olher air pollulion control disirict or agency? ❑ Yes ❑ No (Section 65850.2 of the Calitomia Govemment Cotle requires that the requested infortnation be fumished on applicatbns ta nonresitlential builtlirg permits�. 6. Will any part ol 1he facility to be wnswcted under this permit be within t0001eet (rom lhe outer bountlaries of a school? ❑ Yes ❑ No Qf yes", the (aciliry must meet lhe requiremen[ of SecUons 25534 and 42303 ol the Califomia Health and Salety Code�. 7. I( a permit (rom ihe Sout� Coasl Air Ouality Management District or other air pollution coMrol dis[rict or agency is required (or the work which is the subject ol lhis application, have all of the tlisclosures prescribetl by Califomia Health and Safety Code Section 42303 been made? ❑ Ves ❑ No 8. (If 'yes", attach cehificate of wmpliance from ihe appropriate air pollutlon control oKcer). CERTIFICATE OF COMPLIANCE: I certily that untler penalry of perjury the infortnation given above is wrrecl. I agree to comply with all state laws and ciry orAinances regarcling Hazardous Materials and Emissions. . � CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury t�at I have read this applicalion and slare t�at the informalion given is correcL I agree to comply with all slate laws and tity ortlinances relating to building construction, and authonze represenWtives ol the City of Cwta Mesa to emer upon the aboveEescnbed property for inspecq n purposes. 1 agree not to occupy or allow occupancy f any building au fi by thi ermi '� nal in5pe n. �, �gn ,u e � Legal O� nls) : � j Q�T� I S 01 V�✓fQ2T� L�.0 MNar numonzee ApqiCam Date