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Home My WebLink About2519 BACK BAY LOOP - Building Permits CITY OF COSTA MESA tie) l �... BUILDING DIVISION °r i I 44..•.^le DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER S. PC*44* PERMIT /B05-00477 (714)754-5273 • Fax(714)754-4856 • www.cl.casta-mesa.�UILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2519 BACK BAY LOOP t Status: ISSUED Suite: Applied: 03/25/2005 Vicinity: DINING AND BATHROOM WINDOWS Issued: 03/25/2005 Primary Occ: R-3 Dwellings/Gong Res<10 Type of Construction: V-N Parcel Number: 93765077 Zoning: Applicant: MONTELEONE, JOHN �'/ Address: 365 N MAGNOLIA ISSUED BY: ../1- Phone: 714-639-7394 ORANGE,CA, - ( Zip: 92866 ' Owner DAY, BEVERLY K' '• , . �/ Address 2519 BACK BAY LOOP , ' ' Phone?' , ' ' COSTA MESA':CA - - Zip: 92627-5416 - Contractor: AMERICAN CONST , .. , , Address: 3c - �` �7 Q - v !L— Phone: 7/y/43 / — / 3/ Zip: (-12.--,44 -Licen .--,44License: -366657 Arch - i - Eng: - i -- 2NAddress: Address: - - Phone: • - Phone: Zip: , License: License: ' SCOPE OF PERMIT CHANGE-OUT OF 5 LEAKY WINDOWS(LIKE FOR LIKE)IN AN EXISTING CONDO UNIT AT"BACK BAY LOOP CONDOS."WINDOWS ARE LOCATED IN THE DINING ROOM AND UPSTAIRS BATHROOM. , - ' !" - -- N , FEE SUMMARY Plan Check: $0.00 - ' . Calc Valuation: $4,200.00 Permit: $111.25 - Claim Valuation: 54,200.00 SMIP Res: $0.50 , SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 - Total: $111:75 PLANNING &ZONING. SETBACKS i MAIN STRUCTURE_Front'- 0-0 Rear' - 0-0 Left _ 0-0 _ - Right/,0-0 H N ACCESSORY Front 0-0 - Rear' 0-0 Left 0-0 -' Right; %0-0,� ' - PARKING Existino: - 0 , _ Required: 0 Proposed: 0 . 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 2446-48(6/00) DECLARATIONS i I 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 for which this permit is issued. r 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'compensatlonjlsurance carrier and •olicy number are: . "C E-U-t . P IE WD,r: /D 7Q aC6 s .R oct ?This section need of be completed if the permit is valued et one hundred doll; ($100)or :.s.) o I certify that in the•edormance oft • work for which this permit is Issued z not em.oy any person in any manner so as to become subject to the workers' compensation of Calif. Ia,a•d agr.e the:II I s •uld •:� e. ub!t to�`orker.'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with ih tot ovi j; / / _ C WARNING:FAILURE TO •URE WORNE'Lin• P N . -•T• SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TOONE HUNDRED THOUSAND DOLLARE ,0TH 00),IN ADDITIONTOECOST OF COMPENSA _ IDED FOR IN SECTION 3106 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm tha V license)under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Businesstegd Professions Code,and my license is in full force and effect.Lic.0 G& !S <J q .fforia CONSTRUCTION L'. •ING AGENCY: o 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: Lender's 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.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. "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 StructUte,scaffolding,latsework,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). o 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 Numner: 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 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? 0 Yes 0 No (Section 25533 of the Califomia 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). 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 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 presenter 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 Irom any other air pollution control district or agency? LJ Yes L]No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If yes",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 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? ❑Yes ❑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: L Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I ..ify under penalty of perjury that)have read this application and state that the information given is correct. I agree to comply with all state laws end city ordinances tiling to • . .. :. . . ,an. authorize representatives of the City of Costa Mesa to enter upon the above-descn.:. .opey for ins lection purposes..agree n• • . •.�cupancy of any building authorized by this permit until final inspection. rj II alt mr.: . : �I�r -� ♦ . Date -� T- O 3---- CODE1 IN NTYPE PAIL 7:ler -- INSPECTION TYPE RAIL ItfI111,6E9 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 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 Ii--1-10-06 5- J 204 Final Demolition 250 Final Building/Occupancy t/WA"'\ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. OG TL • PERMIT NO. • TRACT NO. LOT NO. UNIT 0900 4IO9/B5 Ba CITY OF COSTA MESA C/1ONSIRU( TIONPERMIT rn(��J�1 Project Address •I-�1 9 L)0.. !n- / U-s. /� -7 y • Applicant's Mailing Address 1/30 E• C3.,_ at...1S TYPE OF CONSTRUCTION (NEW U ADD U ALTERATION U REPAIR j / • Owner's Name 4,11.0.a-e— GUL•-.-,C�- hone?•s2"I Li& ' ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - ,q P yl6 - Zone Address /0-7-Z-- S CS � X202 DESCRIPTION OF WORK/USE OF BLDG. S Main Building: Accessory Building: . Arch/Eng. License No. TYPE OF PERMIT 'UL GRADING 0 FOUNDATION I T OJ STRUCTURALL Front Address // �� // • / -,�/ -,.,. ❑ TENANT ❑ ELECTRICAL ❑ ?LL-UNABINGG, 1 MECHANICAL • B Rear • - - N Contractor's Name �CX�LL'-GtiGI� tia2C� Phone_b l /A ❑ 'OTHER "43 C Right :' . N ' Address(mailing)�(t3 0 r a fa-r. •O"67i_+Q PROJECT DESCRIPTION SQ. FT. V OCCUPANCY K - p CONSTRUCTION TYPE VALUATIONS S Left f G City License No. - n I Q `39 ZONE • GRADING CU.YDS. ACRESR LICENSED CONTRACTOR DECLARATION - Ping. Ref.# Parking Req./Provided E Q I hereby affirm that I am Iicensed'under provisions of Charter 9 (commencing I Remarks: Planning Notes: M with section 7000) of-Division 3 of the Business and Professions Code,and • T my license is in full force and effect. 3452-e, - $ License Class�a•1]S -Zo / SIyQ IL._ PLUMBING FEES Date 33 Signature . WORKERS'COMPENSATION DECLARATION Bar Sink Showers • ELECTRICAL 'FEES ' hereby affirm that I have a certificate of consent to self-insure or a certificate - Workers' Compensation Insurance, or a certified copy�ther of (Section - .oB, Lab. C.) y�[j/r� - • Backflow Preventer Service Sink Automatic Washer - - Transformer ❑'15150 KW Policy No. r Tb Company Backf low Irrigation Sewer Cap0 50.+KW ]-Certifietl copy _ Construction Pole Sub. �j�'Ce is hereby furnished. rti'1eq�p is filed with the city Buiill�tlin Dl vizi'4n/,/l Bathtubs • Sewer Connection Cooking Unit Meter Dun to 100 amps. Date `+ qtr—A 5- Applicant `' -vis},n ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers ' Solar Collectors Dishwasher _ Meter Dover 100 amps _ _ __ (This section need not be completed if the permit Is for one hundred ($100)or less). Dishwasher Solar Piping Dryers OGas DElectric Sub Panel • 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 Drinking Fountains Solar Tank Fan Motors❑O-1 HP 01%-8 Workers' Compensation Laws of California. . . Date Signature Floor Drains • Swimming Pool w/Spa • F.A.U. Inc.Solar 09-15 HP 016-154 ' ''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 - ' - - Fixtures - Microwave . comply with,such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance _ Pole Light of the work for which this permit is 'issued (Section 3097 Civ. C.) • Interceptors - Water Heater • Outlets Ran , Lenders Name 9e Lender's Address. Kitchen Sink Water Service . Switches Sign ' f OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash , following reason (Section 7031.5 Business and Professional Code: Any city or t Garbage Disposal ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays ' r - Generator ❑0-5 KW ❑5-15 KW any structure, prior to its Issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions ofRoof .Drains s_ the Contractor's License Law(Chapter 9(commencing with Section 7000) of. . Division 3 of the Business and Professions Code) or that he/she is exempt ' • - , herefrom and the basis for the alleged exemption. Any violation'of Section . , ' . • 031.5 by any applicant for a permit subjects the.applicant to a civil _ ' enalty of not more than five hundred dollars($500). • I,-as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 ' compensation, will do the work,and the structure is not intended or offered - 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 properly 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 cold- Canopy Type II 0 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 rove for the purpose of sale). o I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date y 1 G- ' 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 ❑O-100,000 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 that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under Section B.& P.C.for this reason ' Firepl/Fact.Bit. 'CBG. Fire Dampers PLUMBING $ ISSUANCE $ Date Owner i Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ - - I hereby certify.that.] have read this application and state that the above I '$10-100,000 BTU 0100,000 BTL - - - 00 ELECTRICAL $ • - GRADING •$ •' Information is correct. I agree to comply with all city and county ordinances ppp n A ,{ and state laws relating to building construction, and hereby authorize repre- //„ - // /! PLAN CHECK 50% $ MICROFILM $ ' sentatives of this city to e er upon the above-mentioned property for ` inspection puregqg�ez ,, (n� t�ry/j//,_,-- �pp b '� _00 /�/'1 Signature P��(lXIX ""' Date3`Z-�r-O S- MECHANICAL $ TOTAL FEE $ S•`-^� Drivers' License or SS# Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ 11oc)• CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOH _ 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 Grrid. 57. APPROVAL TO COVER-GUNITE :7. Footings • ,t • 58. Electrical Conduit-Undrgrnd. 8...;-Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9.y Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10: Structural Floor System • 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 4, 62. Backwash & Receptor-Final 12. Sewer Cap 0-, 63. Heater & Vent-Final 13. 'Roof.Drains J 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. bucts, 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 C 33. Final Electric Notes: 34; Final Heating & Air Conditioning /A/J/JSP CLD 35. Final Gas Pipe-Test l'i I 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. Backf low Irrigation 44. .Landscape Irrigation System 45. Sound. Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING . 48. Special Requirements Completed 49. Electric Release to Edison - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY . . _ No., Date