HomeMy WebLinkAbout3188 AIRPORT LOOP DR - Building Permits(714) 754-5273 • Farz (714) 754-4856 • www.ci.costa-mesa.caB.UILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 3188 AIRWAY AV
Suite: K
Vicinity: BLDG K
Parcel Number: 42719324
Zoning:
Applicant: HANSEN, DUKE
Address: 260 E ALTON AVE - . � " .
� � - Phone: (714) 557-7440 -
SANTA ANA. CA �� . � Zip: 92707
Owner: ESME PROPERTY LIMITED PARTNERSHIP
Address %STEWART, EDWARD R . � - .
� IRVWE, CA . � � Phone:
� , 5652 OAKLEY TERRACE Zip: 92612-3513 �
Contractor: ROSS"& BARROWS INC.
Address: 260 E ALTON AVE
- Phone; (714)557-7440
� SANTA ANA, CA -
Zip: . 92707 � License: 327802
Arch :
Address:
-' Eng:
- �, - � ' Address:
Phone:
ISSUED BY:
Status: ISSUED
Applied: 03/11/2004
Issued: 03n 1 /2004
Phone:
Zip: " � � License: � " License:
_ SCOPE OF PERMIT .
REMOVE EXISTING�BUILT UP ROOFING, INSTALL A NEW BUILT UP ROOF.'- �- , -
FEESUMMARY �
Plan Check: $0.00 Calc Valuation: gs,s�s.00
Permit: $18125 - - - -- - — — � Claim Valuation: Ss,s�s.00
SMIP Res: $0.00 �
SMIP Com: $2.10
Other. $0.00
Inspection; $0.00
Total: . $183.35
SETBACKS ��� - . � �
MAINSTRUCTURE�Front 0-0 � ,
�� � �
ACCESSORY �Front 0-0 '
PARKING Existin : 0 -
NOTES:
� ��. .:
_,;.
., .' -' . . . ..
PLANNING & ZONING
Rear 0- 0
Rear 0- 0
Required: 0 �
Left 0- 0
Left 0- 0
Pro osed: 0
Right 0- 0
Right 0-0�
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ortl. No. 92-28, § 1, 12•27-92)
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 Inapectlons and final approvel must be obtained. Failure to obtain inspeclions and final approval will result in ihe expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
?d4646 (fi/00)
WORKERS' COMPENSATION DECLARATION: �
I hereby aHirm under penalty of perjury one ol the tollowing declaretions: -
❑ I have and will tnalNain e certificate oi consent to selt-Insure for workers' compensation, es provided tor by section 3700 of the Lebor Code, for the pertormence of ihe
work tor which lYris pertnil Is Issuetl. �
�Myve and will mam�ai workers' compensation insurance, as required tyse�tion,3700 of the Lebor Code, for the pedortnance of the work for which this permit is issuetl.
workers' wmperi�tion Insurance caMer antl policy number are: ' `
Certier: Policy Number:
(This secfion need not be completed i/ the permit is velued et one hundred tlW/ers (8100) or leu.)
❑ I certity thet in the pertormance ol ihe work for w�lch I�is pertnit is issuetl, I shall not employ any person in eny manner so to become subject to Ihe workers'
compensetlon laws of Callfomi n gree Ihat II I shoultl become su6�ect to Ne workere' compensation provislons of Secti n 370 0l Ihe Lebor Code, I shell torihwlth
comply with the5e pmvi5ion5 f
ApplicantSignature: � —�2�/i�I�J— Date:
WARNING: FNLURE TO SECUPE WORNERS' COMPENSATION COVERAGE IS UNLAWRIL AND SHALL SUBIECT lW EMPLOVER TO CRIMINAL PENNLTIES AND pVl FlNES UP TOONE HUNDRED
TFIOUSAND DOIJ.ARE (5100,000). IN hDDff10N TO THE OOST OF COMPENSATION, DAA41GE5 AS PROVIDED FOR M SECTION 31080F THE LABOR GODE, INTEREST, AND ATTORNENS FEES.
LICENSEU CONTRACTORS DECLARATION:
I hereby aHirm that I em Iicensed untler provislons of ChaOter 9(commencing with Seclion 7000) of Oivision 3 of the Business and Profeulons Code, and my Iicense is in full
torce antl eNecL Lic. a � .. _. _. _. __ Class a �
Gontrectors Signature:
Date:
CONS7FiUC710N LENDING AGENCY:
❑ I hereby attlrm ��et there is e conswction lending egency lor ihe peAormance ot Ihe work for which ihis pertnll is issued. (Sec. 3097, Civil Code).
Lenders Name: Lender's Address:
Signeture:
Date:
OWNER•BUILDER DECLARA710N5:
I here6y attirm that under penelty ot perjury Ihet I em EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business entl Professions
Code: Any ciry or counry whic� requlres e permit to constmct, alter, improva, demolish, or repair eny stmcWre, prior to its Issuance, elso requlres ihe epplicant for suc� permit
to Ille a signed stetement that he or she Is Ilcansed pursuant to Ihe provisions ot tha Contradors lJcensa Law (C�apter 8(commencing wlth SecNon 7000) ot Dlvisian 3 ai Ihe
Business an0 Proleuions Code) or ihet he or she Is eaempl therefrom end the besis for the elleged exemption. Any violetlon af Sectian 7031.5 hy any applicant for e permit
sub�ects the epplicent lo e civil penally at not more then five hundred dallers ($500).):
❑ I, es owner ol the property, or my employees wlih wages as ihelr sole compensation, WILL DO 7FIE WORK, end Ihe siructura Is not Intentled or oXered lor sele (Sec.
7044, Business end Professlons Code: The Contrectors License Law does not apply to an awner of property who builds or improves Ihereon, en0 who tloes such work
himseN or herself or ihrough his or her own employees, provided Ihat such improvements are not intended or oflered tor sale. If, however, Ihe building or improvement is
sold within one year of completion, Ihe owner-builder will have ihe burden of proving that he or she did not build or imDrove for purpose ot sele.). '
❑ I, es owner ol the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Business entl Prolesslons
Code: The cantractors License Lew does not apply to an owner of propeny w�o builds or Improves ihereon, antl who contracts lor such pro�ect wtlh a contrector(s)
license pursuent to tha Contractore License Lews.).
❑ I am exempt under sec. Business end Protessions Code tor this reason:
SlgnaNre: Date:
Owner ID veniied by Onver'S license. ❑ Ves ❑ No Drivef5 LiCense No. E:pires:
Verilicetion of Ownership by pype ol tlocumem, I.e. - property tex bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON:
❑ I hereby cenity Ihat no eacavation flve (5) or more teet in tlepth into which a pereon is raquired to descend, will be made in connectlon wit� work eut�odzetl by this
pertni�, and Ihet no builtling structure, scaHoltling, talsework, or demolition or dismantling Ihereof, will be more than thirty-siz (36) teet �igh. (Chap. 3.2, Grp 2, Ar12, Sec.
341, Title 8, Calllamia Adminisirative Code).
❑ As owner-6uilder, I will not employ anyone to do work which would require e permit trom tha Division af Indusiriel Sefery, es noted ebove, unless such person has e
permit to Co suc� work irom tha tlivisian.
Signature: Data:
Division oi Industrial Sefery Pertnit Number:
CERTFICATE OF COMPIJANCE AND Al7iHORVA710N OF ENTRY: I certify under penalry ot perjury that I have read this application entl state lhat the intortnetion given is
correct I agree Io wmply with all sleta laws entl ciry orAlnences relating ro building consWction, end euthonze representatives of iha Clly ol Costa Mesa to enter upon the
ebove-descnbed property tor inspection puryoses. I egree not to occupy or allow occupancy of eny building authonzed by this permit until finel inspection.
�� Sign�re Ot Lega�
l
A NOr Authonzed Applicant
COOE t. INSPECTION TYPE
1616 FixeO System Final Fire Preventlon
1266 Pool Spa Finel
200 Final Re-Rool
201 Finel BIocWRetelning Well
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolltion
�. I .1111.
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w
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CODE� IXSFECTIONTYPE
206 Finel Mechanlcal
2�8
zio
212
220
Final Plumbing
Final Electdcal
Final Fire Prevenllon
Final Planning Approval
222 Final Site
250 Final BuiltlingiOccupency
PdIE U�E64
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. COSTA MESA BUILDtNG-SAFETY DEPARTMENT
, P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APVLICATION FOR BUILDING PERMIT
For Applicanf to Fill in ComR�etely
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U1 hareby acknowletl8e thet I have reetl this apP���ation antl s[ate
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� all lewz regulatinp builtling construction, antl I shell not amploy
F eny perso� in violation of Me workman's compensallon lewa of
y Ma State of California.
? I �areby cortify that I em properly licenzetl es e conirectOr untler SQ. FT
[he State of Californle Businass antl Protevlo�s Cotle, DWlsicn 3, THE AMOUNT 5
Chapter 9, entl thet such licanws ere In tull forca entl affact, or I THE PUfiPO6E Of
am exempi from the provisions of the State ot Celifornle Business VALUATION
antl Profosslona Cotla, O�i 1sion 3, C�aptar 9.' �
SIB�atura ot �L�if%// )))
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. COSTA MESA BUILDING•SAFETV DEPARTMENT
• P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
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OWNER F(OL�TTn7TNF? ('F!ATf'F!R
MAIL '
ADDRESS 3190 A Aisport Loop Drive
c�rv Costa Mesa No`929-9205
CON57RUCTION I��e (�rnn��ry
1 FNfIFR "���Y
BRANCH
AODRE55
AFCHITEI
CONTRACTOR
ADDRESS 1�
CITV NE�
STATE
LIC. NO. e
SIZE
OF LOT
USE OF
EXI5TING BIDG.
Si2E OF 4
NEW BLDG.
EXTERIOR WALI
CdllfOrn i a
L2dSOI1
TEL.
Beach No.833-3030
CITY
¢ uc. No. 1484
NO.OF BLOGS
NOW ON LOT O
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411^_Z-74[n:•�n 20u? ircc::��u{.�9
FOR BUILDING PERMIT
�T RECEIVED DATE IS UI
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A.P. NO.
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BUIIDING p�• �/
ADDRESS ��pp //�.QMi!%
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OWNER /�OLG .L/�U/��
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VARDSAPPROVED
MAIN BUILDING
(FROM GL STREET)
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VSE OF NEW
BUILDING
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ROOMS 3 STORIES 1 L.SIDE �SFT. � /�
ROOF n/ JL � 1
COVERING � REAR O'-f7FT. /�Tc!/A/
K TO BE PERFORMED DSTANCE BET. BET. MAIN
MAIN BLDGS. ACCESS. BL
C.V.P.3W ZF �%���.LI APPROVEO
1 haroby neknowlatlga ihat I have raetl this appilcation antl atata
that the above informalion is corraci antl eprea to comply wit�
oll laws regulatln0 builtlinB constructlon, antl I ahnll not employ
ony persOn In violatlon of [ha workman'a cOmp9nfa[IOn law� Ot
Me Stero of Celifornie.
I heroby cartity chet I nm proporly Ilcensetl us a convector unOer SQ. FT.
tho State ot CalHornie Businosa entl Profassion� Cotle, Dlvisicn 3, THE AMOUNT SI
Chapter 9, anE ihat �uch Iicenus ere In full tarea enG affxt, or I THE PURPOSE OF
am axampt irom iha prq viaions of ina ata 1 CelHarnla Busineu
antl Professlonf Code, Tvislon 3, � ep 9 VALVATION
SIO�oture of ' � 0� �
Parmittoe $ 3
Auihorizetl Apent
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R V�UATION IS FOR � �(�
3 A PERMIT FEE ON�V: Q V
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SS 31.t7o K airwqY xve.
VALUE
fI.'F'7'lY;IL.T.Fi
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SUBCOHTRACTOR
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ROIIGH WIRING
Y�L'IR,'���-9����
BONO BERM U STEEL REINFORCE
SHEATHING
NING - IN
MEATING, VENT., REFRIG. AND A.C.
PWM6ING, FINRL AN� Gr15 TEST �
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