HomeMy WebLinkAbout1904 HARBOR BLVD - Building Permits •
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. CITY OF COSTA MESA
•�h�� ' p BUILDING DIVISION
i y��•'A'I 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
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"4•Ol FOR INSPECTIONS CALL:(714)754-5626
PERMIT NUMBER: BC07-00488
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PERMIT TYPE: B_COMBO STATUS: ISSUED
Sub Type: COM_ALT DATE ISSUED: 05/14/2008
ISSUED BY: RMD
JOB ADDRESS: 1904 HARBOR BL.CM ' - . Suite/Unit:-...
APN: 41920514
Vicinity: - - Primary.Occ .B-
Const Type: 7:i.,,:,.<2 •SQ.- T:..- - 0 . . .,"-Valuation: $20,000.00
;_4 •• - - *r
SCOPE OF WORK: EXTERIOR'REMODELINGTO REPLACE EXISTING CANOPY WITH'TILE CANOPY, REPLACE HVAC SYSTEM
(1) COMPRESSOR 3 TO 15,HP,•GLAZING, DEMOLISH ALL NON-LOAD BEARING INTERIOR WALLS AND RESTROOMS WITH 7
LIGHT FXTS, 3 OUTLETS, 1 MOTOR TO 10 HP, 1 COMPRESSOR UP TO 3 HP, 1 SEWEWCONNECT,1.WATER PIPING, 1
WATER SVC.
NO FLOOR AREA ADDED: r--. " - H
OWNER: SOMERS LAWRENCEORINTR • "Address: 471 OLD NEWPORT BLVD - ` 1'1 -- Unit SUITE 301
Phone: r\-! " "City/State/Zip: NEWPORT BEACH;CA `-' t • I-1i
APPLICANT: MOORE,JEFF, Address: ; -.. ' ° ' Unit :
Phone: 951-756-3918 .. • • City/State/zZip: - ' - - ' ' -'
CONTRACTOR: ROSEEN BUILDERS INC -- - License'No. 813939 -
Phone: 949-716-7900. --' - - ---- -Address: -23011 MOULTON PARKWAYUnit: - :
Cell: ,. - City/State: LAGUNA HILLS,CA '-ZipCode 92653
ARCHITECT: - - License.No. _ PHONE:
ENGINEER: - -• License No: `PHONE:
COMBINTATION PERMIT FEE SUMMARY
Building Plan Check;- - , $208.81 • -
Building Fees: . . $321:25
Electrical Fees: • -- $47.90
Mechanical Fees:
Plumbing Fees: -7.$67.75 .. I
SMIP Residential: $0:00 ;
SMIP Commercial: $4.20 - - -
TOTAL FEES: $688.11
**Refer to fee receipts for all fees paid for project
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODE I. INSPEC110N TYPE 0 INTRIALS CODES INSPECPON TYPE 2.,, INTmAIS
1616 Fixed System Final Fire Prevention 208 Final Mechanical
1266 Pool Spa Final 206 Final Plumbing
200 Final Re-Roof 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 n
204 Final Demolition - 250 final Building/Occupancy 2-n-0;q t
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WORKERS'COMPENSATION DECLARATION: Owner ID verified by driv ;t 0 Yes 0 No
I hereby affirm under penalty of perjury one of the owing declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: •
permit is issued. My workers' mpensation Insurance ca rier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: y {rte person is required to descend,will be made in connection with work authorized
At( -(---o I tAn by this permit,and that no building structure.scaffolding,falsewark,or demolition
Censer.
t� or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
frna sed*'neat not be mrr�p�ereaytnQoema alagKa/a�t menuMretl GpOars(f/0o)u-MssJ 2,An 2.Sec.341,Title 8,California Administrative Code).
Polic'Number: U�`5 3°V)
0 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of Califomia, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of
Applicant's Signature Date
the Labor Code,I shall forthwith comply with these provisions.
,•- ' y-'/Ci_6 Division of Industrial Safety Permit Number:
`c f' �' Apl udnt's Signature
L7Da e HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No
($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the Califomia Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full fpJfe pgC yff t� a registration form for acutely hazardous materials? 0 Yes 0 No
Lic.ti--------) 'if i.JS(/I I Class tf > to (Section 25533 of the Califomia Health and Safety Code, with some
� �` exceptions, requires registration with the Costa Mesa Fire Department by
c2.2i�/'�•� -O• each business which at any one time has on hand a quantity of acutely
Gactor's Signature Date_ ___ 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building rtcrupant need to
performance of the work for which thus permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the Califomia
OWNER-BUILDER DECLARATIONS: ?- Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason ZjSec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No
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 (Section 65850.2 of the California Government Code requires that the requested
information be furnished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)cit Division 3 of the .
Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If yes".the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees wily wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes ❑ No
thereon,and who does such work himself or herself or through his or her own 8. (If yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penally of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I. as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions. .
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code:The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. • the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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.
Sig of Leg Owner(s) Date
Signature Date 5-/C(OQ
306]d6(3/07) • I Authonze Apphw [______Date Datee o
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PROJECT ADDRESS: 1904 HARBOR EL UNIT: ',, ./ CITY OF COSTA MESA - SIGN PERMIT PERM NO: SBE 047713
OWNER'S NAME: LARRY SOMERS a
• ADDRESS: 201 SHIPYARD WAY #2, N.B . PERMIT NO: SBE 047713 PLAN CHECK NO: 04414-90 S GOVT : N SUPP : N
CONSTRUCTION TYPE: PERMIT TYPE: ELE STR SIG PURPOSE: OTH
ARCHIENGINEER: 675-7207 REG.NO.: JOB DESCRIPTION : INSTALL 24SF LUMINATED SIGN SQ FT:
ADDRESS: UNIT: .
CLAIM VALUE: 600 . 00 CALC-VALUE: 600 . 00 GROUP OCC : B-2 /
PERMITTEE: CAREY SIGNS ( 714 ) 630-8414
- ADDRESS: 1211 N BARSTENS COMMENTS:
ANAHEIM CA 9 806 *******re***+r*rH**rE*erer*xer*ereHrrrreH********errr+sea***ye**+r***rr+r**+rereE****+e**rH***********+e*
UCENSED CONTRACTOR DECLARATION: I hereby affirm that I a. ce .•• under,ovision.(t C ..... ' .mmencing with Section SIGN INFORMATIO N
7000)of Division 3 of the Business and Professions Code,and ' Tice ' in ore .,.••.^n/ DISTRICT: 1 TYPE: WALL ILLUMINATION: INT CATEGORY : .NEW
CITY UC.: 024160 STATEUC.: 376085 u: 4 45 1'V DIMENSIONS : 3FT 00IN X 8FT 00IN AREA: 24 .00SQFT LETTER HT: 3 .
Date: 6,-I i' i1 V Signature: ' ter STREET FRONTAGE 1 : 50 . 00 STRE 1 : HARBOR BL
STREET FRONTAGE 2 : 0 . 00 S 2 :
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I .ve a certificate of consent to self-insure or a certificate of Workers' PARCEL : 41920514 ZONE: Cl LOCATI ONT: X REAR:
Compensation Insuranceor a certified copy thereof(Section 380.Lab.C.
POLICY ND.: WCP11867 UP.DATE: dl /0 /91 BUSINESS NAME: KYMCO MOTORSPORTS > LEFT: RIGHT:
ILOMPANY: SUPERIOR NATL ....-. wOTHERE R TOTALS G UND SIGN
Certified copy is hereby famished. Certified copy' fit city 0i,af r..T. . THIS ACTIVITY . 2 , 00SQFT RALL HEIGHT: OFT OIN
THIS SITE - 4 . 00SQFT • OUND CLEARANCE: OFT OIN
Date: 6, -I ,-' S O Applicant: f " V ' - ( ITEMS OF INFO : 2 PLANTER AREA: 0 . 0.0SQFT
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit i far one hundred less). ITEMS FOR ACTIVITY: 4 ' BLDG SET BACK: 53FT
I cenify 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 COPY VERBIAGE : KYMCO MOTORSPORTS : _
subject to the Workers'Compensation Laws of California. r I •
Date: Signature: PLANNING NOTES:
NOTICE:II,after malting this declaration,you should become subled to the Workers'Compensation provisions of the Labor **********************************,******** ************************************
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. DEVELOPMENT S E R V I C E S R E Q U I R E M E N ,'T/ Si
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for q% d-� // /
which this permit is issued(Section 3097,Civ.C). // ZONING APPROVED BY ' ✓ -C C.- DATE: ' b,'I2-qo
LENDER: i y __
ADDRESS: BUILDING APPROVED BY : / DATE: '
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law far the following reason APPLICATION ISSUED B Y: DATE: ' - -..-17,*— p
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or4*4**343I44**'N34*'*'****'*'*444*'34*4*'34********'*'*'* 'N'*'
* * *******************1%-* **Sr**
repair any structure,prior to Its Issuance,also requires the applicant for such permit to file a signed statement that he/she Is licensed LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT• Y
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/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). BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMI P/RES GRADING
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the - =PERMIT 17 . 00 15 . OO 24 . 00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law S 131% SM I P/NON-RES.
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through PLAN \� 11 . 05 . . 50
his or her own employees,provided that such Improvements are not intended or offered for sale.If,however the building or ISSUE FEE 15 . 00
improvement is sold within one year at completion,the owner will have the burden of proving he/she did not build ar improve
for the purpose of sale). BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL • PAID DUE
•
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business TOTALS----> 56 . 50 15 , 00 11 . 05 82 . 55 82 . 55 . 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects cith a contractor(s)license pursuant to the Contactors'State License Law).I am aware REVENUE DIVISION TOTALS--> COLLECTED : 82 . 55 OVER/SHORT: . 00
that proof of their Worker's Compensation insurance should beprovided tome. BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/TOT GRADING PLAN-CHECK
❑ I am exempt under Section: B.&P.C. 17. 00 30 , 00 24 , 00 . 50 11 . 05
for this reason: ,
Date: Owner. INDIVIDUAL F E E BREAKDOWN
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and
I. 25,534 and that I or any future building occupant wiNwOl not(drde one)need to comply with said sate codes and the requirements fora TYPE QTY DESCRIPTIO N UNIT, COST TOTAL COST
permit for construction or modification from theN'rl�uality Management District.Residential construction applications are exempt from
these provisions.
ELE 1 SIGN/ OUTLINE LIGHT SYS ON 1 BR CIRC 15 . 00 15 . 00
Date: Applicant: — END OF FEES
I hereby certify that I have read this application and state that the mf ton is Lorre ,,.,.w . .mply with all city and county
ordinances and state laws relating to building construction and he- presem-0ve 1 E"� to enter upon the above-mentioned
property for inspection purposes. ,/
•
Date: 1 ? " 70 (Signature. J )
01 00062968-00062972 Tr!T 82.55
Driver's License or Social Security 4: 81DATE: 06/12/9D TINE: 11.3;
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164146 White-Building;Green-Cade Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING • POC SPA
APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector
. 1. 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 Grnd. 57. APPROVAL TO COVER.GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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. _2
Rough Wiring Sign • 7 �•� 68. APPROVED FOR PLASTERING
187L. Rough Electrical-T Bar Ceiling _ T!J 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
4'
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts,in Structure - - 70.'Underground Hydro
r
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing . ' .73. Undergrnd.Storage Tank O Gas C 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 0. FOOD CERTIFICATE ISSUED
33. Final Electric 7-313 Notes: •
' 34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test P
p �
36. Hood or Canopy _
•
37. Final Factory Fireplace / 7
38. Final Plumbing A 7' '
439. Water Service-Final • E
- - -
(+
40. Gas Service-Final - - '
41: Solar Domestic-Final
42. Backflow Preventer •
43. Backflow Irrigation .
44. Landscape Irrigation System - • -
45: Sound Attenuation • ,
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING / ��
y -
48. FINAL PLANNING
j'i'9t, r"---2 .
49. Electric Release to Edison % .
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50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Date
COSTA MESA BUILDING-SAFETY DEPARTMENT
FEE RECEIVED
e P. O. BOX 917 COSTA MESA. CALIFORNIA k NDV 241961
FI
For Applicant to Fill In Completely APPLICATI C NMPT
TYPE OR PRINT BUILDING MESA
BUILDING A / /� /• a
ADDRESS /gin/ N��-AA . ,(") /L Yi
COSTA MESA. CALIFORNIA For Office Use Only
(/, I I RECEIPT NO. I PERMIT_NC?.
OWNER/7Y�� \' r"Z c ti / 9./
MAIL / { q J/.'� , REC$JVED BY DATE RECEIVED)) DATE ISSUED ('}
ADDRESS •l (r' . / �Z`, �L.' ___ e v." I //--a I ,j -/--4j� /A /13
//A- -T� TEL. /
CITY OP-at ?hi.*Y&L/ NO. 6...i 77 _ LZ w-CI-'�J
ARCH •• COSTA MESA. CALIFORNIA
01 IoINEER M/I/. E(G ir'Q!/ NO/'(.[ 4/( 737
ADDRESS 4146 /PI-ttip0YT /3� I-Ci FIRE ZONE TYPE . !M F-'.L
//� .} `' APPROV 7J /-
CONTRACTOR 7 e.1"t o S i"� / 7/^iJ CI BY DATE�/�t l///
ADDRESS /9f c27'4 Ny n . ZONING -,�,,,,,,,I,
y ZONE �PL.OF �I USEOF NEW ,
CITY I /✓I PLANE BUILDING
STATE // ?..../C! u TEL.NO.�L 7 ti 7 ,FJ / S( LEGAL / --�^ p
LIC.NO. I 7 SIZE (,/� �L �y DESCRIPTIONS- .45� / A. g �^I7
OF LOT eJ e S/ /7 b I NOW ON LOT NO. OF S 1k,J A.P.NO. ✓/ Js—a- s?a— 0 W
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM 2�Jq/ L(� (CENTER LINE ST.I
CENTER OF STREET - � REAR YARD Il A V t FRONT /0.2.6M. /h IN.
SIDE YARD I LEFT O I RIGHT • �f R.SIDE FT. VIN.
DESCRIPTION OF WORK
L.SIDE 8 // FT. q� O IN.
NEV /I V ALTERATION I V ADDITION I REAR 7 j'FT. 'IX- g[.LU1 IN.
REPAIR I V MOVING I II DEMOLISH I APPROVED /// Lv f
BY C4�' %' 0 t DATE // easea
BUILDIN. NO. OF - / [TOLD FOR '( 7.
SIZE B X .rL� ROOMS STORIES SPE `^-•n
LGA
EXTERIOR W c ROOF / . (i a _ ` -t-_._ (
COVERING V J, U V4. I COVERING /Vj/� //L� J
USE F BUILLIDINGr�Od.Q SE PER F�QRAED'�
sc/r °I:- .7DOC I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION
VALUATION ,7
SIGNATURE OF It f C I J-( PERMIT FEE $ J. P
$PERMITTEE
PLAN CHECK, $ 2' i' S`>i yy
rkAUTHORIZED AGENT a, 7 TOTAL FEE $ irt 0
n
•
• 25066 MESA
COSTA MESA BUILDING-SAFETY DEPARTMENT I LiTY CF ;��v IA MESA
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill In Completely APBLANTIL)N VISSPERMIT
TYPE OR PRINT BUILDING
I`- ,,, Only
BUILDING 1, ADDRESS /{ A „
COSTA MESA, CALIFORNIA L4�4J�•1
' (� i y� nes [q Sr / SR�YI / OIITs�{Ru_
OWNER HP/ Ve_y 5` / 0 ty, `Q tz s ,�� /f�,////A1191211
��� /
MAIL /9/ 3 llfl bo 4 ING
ADDRESS O'� t`r�?FZBO'�
ADDRESS/' ``77 p� yyy��I dFIRE
CITY / �'I5*J�r /yJ�s/j` NO. ZONETEL. ��^ TO GROUP`Z
CHITECT /', TEL
APPROVED CI� !C//////DATE//he-
✓ /4�
INCH NEER NO. <
�1 ZONING
ADDRESS
Q ROHR, NO.OF USE OP NEW...---/L-0-71---
C....-
EW. --
CONTRACTOR / T/.4 NTO a ) $� a g. �_ PUNS -eu�)LNDIn ` . „
ADDRESS / ✓ en (}.� /�I N(JC` . DESCR //.y- ,—, —JT 4 C/ �0 Lia—e..8
/1 G n LIGIAL TON //CI.'t
CITY C _A j 77-,9 /,`.P <Al' A.P.NO. J� //St- a2 ;2 - r
NOTE: NO[AVE OVERHANG SHALL BE LESS THAN
STATE /'t 9/4.4-4 ) / may-49e'4 30'TO SIDE a REAR P.L.
SIC.IC.NO. 7 NEI IL. TT
EAVES
SIZE I NO.OP ELMS. ALLOWED -(U.B.C.REQUIREMENT/
OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET)
SETBACK LINK FROM FRONT PT, PT.
CENTER OF STREET REAR YARD
SIDE YARD/ LEFT I RIGHT R.SIDE FT/ PT.
DESCRIPTION OF WORK L.SIDE /PT. FT.
TERATI N ✓ ADDITION
REAR PT. FT.
DISTANCE BET. BET.MAIN a
MAIN BLD ACCESS.BLOCS.
REPAIR MOVING DEMOLISH
BUILDING NO.OF VM. DATE
SIZE ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALLROOF APPRO �/ 6... / /
COVERING I COVERING BY 1�(/, (' DATE /5 �, G
USE OF BUILDING'AND q KTOE PERFORMED a.
flAeGt /y. /' n iv W
b-2 /9 i N & .0�.o Kuri otV / 12 sE,'EA' ♦ o., 1
1>V/� �� . �s�Dey Pt r,Wy s ams 1
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COW PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. [JS.
PLY WITH ALL CITY CRDINAN AND STATE LAWS REGULATING VALUATION CDC" m0
BUILDING CONSTRUCTION. /�
SIGNATURE OF n n I PERMIT FEE $ I
PERMITTEE a'6f�G0'� k
$ 00 PLAN CHECK $
AUTHORIZED AGENT
0"� 3 00
7
TOTAL FEE $
25104 CITY OF C, f A MESA
COSTA MESA BUILDING-SAFETY DEPARTMENT JAN 13 966 -�J
P.O. BOX 1400 COSTA MESA, CALIFORNIA 92626 �"
For Applicant to Fill In Completely rIC TI PE R •
TYPE OR PRINT, /
•
BU / 0 / l/L 6 !
For' co se On
BUILDING COSTA MESA. CALIFORNIA
RECEIPT NO.
L,'it4
DATE ISSUED
OWNER AP �.6 .I O i (Ne L Co. C -
BUILDING
; MAIL n ADDRESS` D %L` /a - L e r
ADDRESS IF a 4 ' A /
Re 1
ZONE TYPED A GROUP
CHITECF TEL BY
APPROVED ��yej Z DATE//3-b6
ENGINEER NO.
ZONING
ADDRess IONS �' I NO.OP I USEOFN
C (J PLANS -4�I1 GUILD W
, CONTRACTOR el I-0 ' LEGAL,
ADDRESS DESCRIPTION _ ' ,/
CITY ....
/ A.P.NO. 7/ S — � Z — 4 L
_ NOTE: NO[AVE OVERHANG SHALL BE LESS THAN
STATE TEL. 80•TO SIDE&REAR P.L.
LIC.NO. NO.
SIZE S?) X / � 0 • I NO.OPSLOT AALLOW[D
NOW ONLO (U.B.C.REQUIREMENT). _ _
OFL
USE OF /) n__ .
YARDS BUILDING
CESSYARDAPPROVEDBUILDING
- EXISTING BLDG. I_j�/'fQi -Cel MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET)
SBSS ,,// - FRONT FT.CENTERETACK oPLINE STREFROM ET / S J
REAR YARD82 W
r SIDE YARD I LIFT U I RIGHT o ' R.SIDE I FT.
z: DESCRIPTION OF WORK 4 SID 11 PT.
ill ALTERATION ADDITION RT.
DISTANCE BET.MAIN B
y • MAIN BLD c ACCESS.BLDGS.
REPAIR MOVING 11 DEMOLISH
BUILDINQ, p G NO.OP +� VAR.$ DATE
SIZE 'r.,'-` (/'/�j)(LKy�� ( /�7ROOMS +� STORIU C.U.P.# / �/'�J� APPROVED
•, EXTERIOR WALdya/// _ {! I -ROOF h qa APPROVEI I�y V444," /f
i COVERING ZJ/A"t4L-• COVERING /Cf L/�L/ BY /.(/ 7 •ATE �i Vet l a
f USE OF BUILDING AND WORK TO BE PERFORMED
Pit
fik ,D s . 0 2 S ) d
SQ.RT. / 8
I HEREBY ACKNOWLEDGE T I HAI • THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
° AND STATE THAT THE A IS ORE[TO CON. PURPOSE OF ESTASLISHINO A PERMIT PEE ONLY. [1b
PLY WITH ALL CITY Or CES LA - REGULATING
BUILDING CONS VALUATION El
SIGNATTED � M PERMIT FEE $ p
....AI �r G
/�Jr W
,' S�/ �D PLAN CHECK S
AUTHORIZE• AGENT j
..c.. : TOTAL FEE ✓
•
PROJECT ADDRESS: 1904 HARBOR BL • UNIT: N/A CITY OF COSTA MESA - BUILDING PERMITPERM NO: B045831
OWNER'S NAME: JIM SOMMERS• - B .
ADDRFss: 1601 DOVE ST ..i "*` ,PERMIT NO: 'B 045831 • PLAN CHECK NO: • N GOVT: N. SUPP: N
SUITE 130 • - - • --
• NEWPORT BEACH, CA 92663 CONSTRUCTION TYPE: 5 . PERMIT TYPE: STH .PURPOSE: ALT
'ARCH/ENGINEER: ( 714 ) 675-7,207 RE0.NO.: '
ADDRESS: - UNIT: JOB DESCRIPTION RE-ROOF COMMERCIAL BLDG(HOT MOP) ' SQ .FT: • 5, 000
• PE •
RMRTFE: CLAIM VALUE: 5, 000 . 00 CALC-VALUE: • 5, 000 . 00 GROUP OCC : D=2 ,/
ADDRESS: LINNFRT ROOFING, INC. , ( 714 ) 639-7040
1065 N. BATAVIA COMMENTS:
- ORANGE - CA 92667 *eE+e*sr*tt*4*,E*sr****ar**yr**Mit**aE* -******+r*:**er***iE******yr+e*******sr****+e+eer+E** •ar***yE** •
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section I ZONING R E Q U I R E' M E N T S
7000)of Division 3 of the Business and Professions Code,and my license is in tuff force and effect. - • S E K $
gin uC.:0 3 3 8 8 3 STATE ug.:4 3112 7 p cLA� C-3 9 '
Date: + -Zy- `40 Signature: -�ro •--- MAIN BUILDING ACCESSORY BUILDING -
-"KERS'COMPENSATION DECLARATION: thereby-affirm that I have a certificate ofconsent se -i re or a certificate of Workers' FRNT•: FT IN REAR: • F IN FRNTc FT IN REAR: FT IN
enation Insurance,or a certified cepYthb LEFT: FT IN RGHT: FT IN- T: •FT IN RGFIT: FT IN : -
I ,crNo.: 699521-89 EAP.DATE: 05/01/90
COMPANY: STATE FUND PARKING REQ: PROV: P : 41920514 ZNE: REF NO:
O Certified copy is hereby furnished. Fd Certified copy is file wih the city Building Division. PLANNING NOTES>
Date: I —24 —90 e •L• ********************************* ************** *******************************
EAEMPnON FROM WORKERS'COMPENSATION DECLARATION: (Pis section need not be competed l the permit is for me hagred(5100)or less). D EV E L O. P M E N T S R VIC ES R -E Q U I R E M E N T S •
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 -
subjecttotheWorkers'Compensation Laws of California. •
t ZONING APPROVED BY - • DATE:
Date: • Signature: - -
NOTICE:If,after maldng this eecaratlon,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE: '
Code,you must forthwith comply with such provisions or this permit stall be deemed revoked. J. ��� — /,
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: •4►�_ w �� - - DATE: '/3� '�FiF
which this Permit is issued(Section 3097,Civ.C). • , ***.*********,****.********* . *,****,*** # **
LENDER: ********************************************* /I ******!**************************
ADDRESS:
1 LEGALIZATION: N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
,OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT - PLUMBING ELECTRIC MECHANIC FIRE SMIP/.RES GRADING •
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,atter,improve,demolish,or PERMIT7 2 . 0 0
!impair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/ICON'-R E S •
and Professions Code)or that he/she is exempt therefrom and the basis tor the alleged exemption.My violation of Section 7031.5 by PLAN - L 7 5
• applicant for a permit subjects the applicant to a civil penalty 01 not more than five hundred donars(S500). ISSUE FEE . - .. 1
•
I, as owner of the property or my employees with wages as their sole compensation. wit.do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK . TOTAL PAID • :r DUE
structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors State License Law ' TOTALS----> 72 . 75 0 , 00 - 0 . 00 7 2 . 7 5 7 2 . 7.5• - '•, . 00 •
, does not apply to an owner of a property who builds or improves thereon,and who does such work hinselfmhersell 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 will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS ,> COLLECTED : 72 . 75 OVER/SHORT:•• 1•!t - i . 00
for the purpose of sate). BLDG PMT PLUMBING. ELECTRIC MECHANIC FIRE SMIP/TOT GRADIG.,.1:4
PLAN-CHECK
•I.as owner at the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 72 . 00 .J - 7.5 •'
❑ and Professions Code: The Contractors State License Law does not apply to an owner of properly who builds or Improves thereon ,• 4 - '
and solo contracts for such projects with a contractors)license pursuant to to Contractors'State License Law).lam aware **************************************************.***************as:**.***********
that proof of their Worker's Compensation Insurance should be provided to me. ^
I N D I V -I D U A L F E E D R E A K D O W N t
❑ I am exempt under Section: B.A P.C. _ . •
for reason: •
TYPE QTY DESCRIPTIO Ny• . UNIT COST TOTAL COST
Data: • owns SFC 5000- REROOF BY VALUE COMMERCIAL NOZONE 1 . 00 .t
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533;and - f•'• 5, 000 . 00
25534 and that I or any future building occupant wiNwill not(circle one)need to comply with said state codes and the requirements for a - END OF FEES _
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from . . I .
these provisions. / • ;%T
Date: Applicant- j. • - -:' ''%'•
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county , •
ordinances and state laws reeling to building construction and hereby authorize representatives of this city to enter upon the above-mentioned I. I .
propend for inspection purposes.fAt
Date: —2�—'L� Signatua: \1 ` t
Driver's License or Social Security w: &?- - - a.\ • 01 00052577-00052578 TOT 72.75,
� '1641.46 White-Bunting;Green—Code Enforcement;Canary-Applicant;Pink—Revenue;Goldenrod—Assessor - - DATE: 01/24/90 TINE: 16:28
' - CONSTRUCTION AND PLANN. _ 101 ,PA
APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector•
1.-Temporary Electrical Service or Pole:,. 52. Pool & Equipment Location
2._Soil,Pipe-Undrgrnd.-• - .. a 53. Steel Reinforcement
' 3.CElecirical CondiiitUtility-Undrgrndr r, . • 54. Forms -.
` ,4.`Electpr iical ConduirUndrgrnd. - 55. Electrical Bonding -
- S.:Steel Reinforcement 56. Rough Plumbing& Pressure Test '
6.-tElectrical UFER Grnd. 7 57. APPROVAL TO COVER-GUNITE
- - 7.`Footings -I Conduit-Undrgrnd.58. .Electrical Cduit-Undnd. ,
8. Foundation -ti. 59. Gas Pipe, CI 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 - 1 •_ 63. Heater & Vent-Final
131Roof Drains _ ' 64. Plumbing System - Final
14. Rough Plumbing 65. Eledtrical•Final
15. Rough Electrical-Conduit 66. Solar System-Final • •
• H6. Rough Electric Wiring 67. Fencing & AccessApproval
-17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating &Air Conditioning i, `• _ -_FIRE DEPT. REQUIREMENT .
20:E.Rough Factory Fireplace _ T4 �, "7"--1 4: APPROVAL.S;�.L Permit# K -
21.4Ducts,iri'Structu7eJ - 4. -70. Underground'Hydro
i22.-Ducts, Ventilating, r i• - • '- r s
c71. ProductPiping OGas ❑-Oil
_
23. Gas-Pipe-Rough & Test : * " 7" < G 4. =72. Underground_FILih - $ `"
24:`Roof Framing " - . .. :,i: .t. -73:-_Undergrnd Storage Tank 0 Gas 0 Oil
25. Roof Sheathing _ c`; r.* * 741:Overhead Hydro _
26`T-Bar Ceiling (Structural) &Monocoat - . T. 75k-Dry Chemical - - 1
27.Frame and Flashing:- - > a. <. 76. Dry Standpipe ri :.
Y s _. <
4_28. Lathing.& Siding .. .. x. 77r FIXED SYSTEM FINAL: - .
29. Insulation t - _ -�:' P 78�FIRE PREY. FINAL _
`-'30. Drywall.Nailing ,_, v i. HEALTH DEPT: REQUIREMENT
_•31. Plaster Brown Coat+ •1
= '- I" ' -79. FINAL INSPECTION -
t-32 Electrical Power Meter-F.in \ .1,,. ' . '80.- FOOD CERTIFICATE ISSUED, •
..... final E• lectric r .• f �,� . "I Notes: _ --
' 34 Final Heating-& Air'Conditioning it x "/0 -- - g / ///�
35.` Final Gas Pipe-Test: q i• A : _ - (( ( 6 er /.
-
:436 Hood orCanopy I - _ -- :J: _- , �;lc. Y x4
37. Final Factory Fireplace: - I4.
;38. Final Plumbing _ ru -' f ---_.
4'39. Water Service-Final', -- i .,, v_ „ - .
'40. Gas Service-Final - - -' g .- Li-T. i -
- - 4: .
Kr
41. Solar Domestic-Final' �� •' - + ; ,ti - Cr
42.-Backflow Preventers - ' x
t . . 1c I-: '- ', - 4 -
43. Backflow Irrigation;- " - c „ ' . ;.
4:44. Landscape I7rigation System'-1'' S r 'r C - i ' -
45.`--Sound Attenuation -- �I -r - t: - 4 _ 1'
Ailr
C46.•Handicap Regulations --- _ '��% '� _P.'.t"- �% ia
47`FINALSTRUCTUFIE & BUILDING^ 5j4,7q/ r' �* '_:
48_FINAL PLANNING- -• a '. .2 '- ' r - 7 •
c'49:.EleciriccRelease to Edison " i..
50.'Gas^Release to Southern California Gas Co - - - - • •
-
- « . --
-51. CERTIFICATE OF'OCCUPANCY * * r c - - -
No Date