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Home My WebLink About1935 CHURCH ST - Building Permits % a CITY OF COSTA 1ESA o5` _ Hi i BUILDING DIVISION 9 a , 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL:(714)754-5626 <4b.4.1.0 PERMIT NUMBER: BC11-00127 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: RES ALT DATE ISSUED: 05/04/2011 ISSUED BY: RMD JOB ADDRESS: 1935 CHURCH ST CM Suite/Unit: APN: 42626110 Zoning: , , Vicinity: Primary Occ: Const Type: V-B SQ. FT: 315 Valuation: $32,106.00 SCOPE OF WORK: 320 SQ FT SINGLE STORY ADDITION. SCOPE OF WORK TO INCLUDE EXTENSION OF EXISTING BEDROOM AND LEGALIZATION OF AN EXISTING SECOND BATHROOM.ADD NEW LAUNDRY ROOM WITH 3 LIGHT FIXTS, 3 OUTLETS, 3 SWITCHES, GAS OUTLETS(1-4), 1 LAUNDRY TUB WASHER, 1 P-TRAMP,2 VENT FAN, 1 WASH BASIN, 1 WATER CLOSET, 1 SHOWER AND 1 TUB. OWNER: GUPTA, NEIL AND HILARY Address: 1935 CHURCH ST Unit: Phone: 310-435-8569 City/State/Zip: COSTA MESA,CA APPLICANT: GUPTA, HILARY Address: 1935 CHURCH ST Unit: : Phone: 310-435-8569 City/State/zZip: COSTA MESA,CA CONTRACTOR: OWNER-BUILDER License No. 000000 Phone: Address: Unit: Cell: City/State: ZipCode ARCHITECT: License No. PHONE: ENGINEER: MOR ENGINEERS License No.C72911 PHONE:714-943-2384 COMBINATION PERMIT FEE SUMMARY Building Plan Check: $307.16 Building Fees: $472.55 Electrical Fees: $38.90 Mechanical Fees: $51.70 Plumbing Fees: $88.45 SMIP Residential: $3.21 SMIP Commercial: $0.00 Bldg Std Admin Fund $2.00 TOTAL FEES: $963.97 --Refer to fee receipts for all fees paid for project HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010- PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal holidays: New Years Day,Memorial Day,Independence Day,Labor Day,Thanksgiving Day and Christmas Day NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. CODE N. INSPECTION TYPE, DATE !STRIATE CODES INSPECTION TYPE DATE INTRIAL6 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy k 7-ao -d Tpbw tl WORKERS'COMPENSATION DECLARATION a Yawner ID verified by dri,.. *cense. • Yes 9 No I hereby affirm under penalty of perjury one of the following declarations:r Driver's License No, EKpirj a [s I b'a$ I 4 ❑ I have and will maintain a certificate of consent to self-Insure for workers' Venfication 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. 0 •� ❑ 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' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure.scaffdding,falsework,or demolition Carder: (This sector need not be completed dMe permit is valued al one hundred dollars(Sroe)or less) or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Ari 2.Sec.341.Title 8,California Administrative Code). Policy Number: ❑ As owner-builder, I will not employ anyone to do work which would IED> 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 California. and agree that if I should become subject to the workers'compensation provisions of Section 3700 of Applicant's Signature Dale the La de,I shall forthwith comply with these provisions. �_ //,, II Division of Industrial Safety Permit Number: - /-' / Til Lliie Apolicant's S nature Date 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? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS (Section 25505 of the California 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 force and effect. a registration form for acutely hazardous materials? ❑Yes 0 No Lic.# Class# (Section 25533 of the California 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 Contractor'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 occupant need to performance of the work for which this permit is issued.(Sec.3097.Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? CIYes 0 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 California 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 (Sec. 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 (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). 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 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 ❑ 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). 0--I, as owner of the property, or my employees with 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? ❑Yes 0 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 penalty 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 CI 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 17._.,—/—C- / ��J authoriz is permit until final inspection. JS/y ( f( eof Le Owners) -Dale Sittig gnacute__jjj"' rDate _ 3057-46(3/071 \� And/or Authorized Applicant Date OWNER LAGAN, THETA DATE SEP 6 1963 JOB ADDRESS 1935 Church St. BUILDING PERMIT NO.20511 - - - GENERAL CONTRACTOR Owner-Builder VALUE $ 100.00 AP No118-011-09 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Rea1.Wind.with INSPECTIONS Signature DATE GROUP /F2 TYPE V ZONE C2 door Soil PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER Water Rough Corn. Refrig. 0 Air Cond. 0 Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line 0 House Con. 0 St. Swr. 0 Sprinkling System Construction Pole Underground :0 Power 0 Rough Wiring Trenches 0 Forms 0 Steel Reinf. p Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing— In 0 Out 0 Plaster, brown coat . Refrig. 0 Air Con. ,p Final Heating, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final - _ Building, Final ar., _ • tir OCCUPANCY Form BU4-5M-3-63—S-B P Pricl 1 • MAR 2 2 1562 OWNER FIXES, CLEO �Y 1 DATE 6-5-61 - JOB ADDRESS 1 55OChti Rh PA BUILDING PERMIT NO. 101635 GENERAL CONTRACTOR Owner VALUE S 2,073.00 AP.No. 118-011-10 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Add bedrm to re: INSPECTIONS DATE GROUP I TYPE V ZONE C-2 Underground Soil U.G. Water — SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing _ Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final - Plumbing Fixtures Final Gas Test _ I Construction Pole Underground Power �-ybr Rough Wiring /� nf-'G/ OWNAr "7- 97---C-F-1 71 i/1 ll� ✓ Trenches Forms Steel !� I Floor System a— - Steel Reinforce Chimney Re-Rod Bond Beam Sheathing /7/ C 7 — ..� — e I Frame and Flashin 153 , ,. 7 a ,S C Lathing, In Out %-t: C: �y - 2. _ /n Plaster, brown coat .I JN, -dJ . Plumbing Fixtures, Final Electric Fixtures, Final r7ato, '/J CZ • , Building, Final OCCUPANCY I Form 210-3M-4-59 14635 fir` 14635 FEE RECEIVED . COSYA MESA BUILDING-SAFETY DEPARTMENT JUN 5 Sat P. O. BOX 317 COSTA MESA. CALIFORNIA • FINANCE DEPT. MESA For Applicant fo Fill In Completely APPLICATION FORTA PERMIITT ////'' TYP/E OR PRINTBUILDBUILDING ADDRESNG S /7; �� `-•'NvRcH - . /�!!!!!!COSTA MEESA`CALIFORNIArFor Office Use Only OWNER ( i `C, / i/1 {.. I RECEIPT NO. PftJ Os_ MAIL R8 EEO BY .ATE RECEIV--D pJ/D`AATE ISSUED ADDRESS G• U 1 C ted'�) i — i -- —6 / RESi CITY re574 /nfS'A NO.A//I 66Tj ADDS / 94 L5r ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER NO. ADDRESS FIRE ZONE r' ,/� ZONE TYPEV :--rt..---GROUP. a./ ` . CONTRACTOR W /✓ �R APPROVED c5 I 1- DATE t A / ADDRESS q / ZONING ZONE NO.OF USE OP NEW r V CITY 0.... )4PLANS �I BUILDING. C i STATE TEL. LEGAL -.4 C f fl . /O p. LIC.NO. NO. DESCRIPTION 1 I\ 5l O, SIZE f,/n NO. OP SLOGS. / / Q /� /� OF LOT coP� / / /`' NOW ON LOT • A.P.NO. ( / (� I/ // - / `� EXISTING BLDG, dome AAM Bairn SAP YARDS APPROVED EVES ALLOWED SETBACK LINE PROM I / •• 74 / (CENTER B Z ..�, ' -/ CENTER or STREET REAR YARD FRONT LINEYC7• Fn'.(1 y� ' IN. SIDE YARD I LEFT //T / /RIGHT R.SIDE 5FT. IN. DESCRIPTION OF WORK II / //7 FI-1--7' , IN. � L.SIDE �j NEW I II ALTERATION I A ADDITION I^ REAR FT. / IN. REPAIR I I MOVING I DEMOLISH I APPROVED `1) O DATE (� `L�C SB Z LDING/(7 • / '7 ROOMS NO. OF / STORIES / C EXTERIOR WALL EI` ROOF COVERING Sty C(O COVERING Came ,(/Je,- • USE OF BUILDING AND WORK TO BE PERFORMED 4 /a12/Z7 Qco #tc/1? nfl. O�/_�y� I HEREBY ACKNOWLEPDE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION 15 FOR THE AND STATE THAT THE( ABOVE IS CORRECT AND AGREE TO CON. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCYION. VALUATION f/� SIGNATURE OF f 4 Ec -ft PERMIT FEE $ 0 ea-GIPERMITTEE a, qn {, �� o e $� 0 7 -f.W PLAN CHECK $ �J zAUTHORIZED AGENT (re • ,A,,Mir J C7 / TOTAL FEE $/CS y -LI 20511 CJtSTA MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVED P.O.BOX 317 COSTA MESA.CALIFORNIA SEP 6 1963 For Applicant to Fill In Completely ARNA ithNIif. PERMIT TYPE OR PRINT III, ADDRESS ' G) s g HOP y / I C t-, RECEIPT NO. PERMIT NO. COSTA MESA, CALIFORNIA •. epy�rE R/�cEIV TE I DED OWNER )L O Q /�•-n, e iY —�3 63 MAILn J C,,,(_ BUILDING Q t ADDRESS J 3 S C'ti urs e 6 J l I FIRE ADDRESS /�IJI - j• //yy ,.y �7 TEL ZONE GROUP �/E• • CITY C O S / 4" / l e .0 A NQ. APG• ARCHITECT TEL �- BY DATE DATE / ��63 OR ENGINEER -' NO. _—, ZONING ADDRESS (9-1',,..a..,..) ZONEE� /NO.OF USE OF NEW IZ�, CONTRACTOR - WJ�V ( 7..../ ' PUNS �I SUI J,�/r _��, �O LEGAL y--y/ / ADDRESS 4 A�'T�T G /6�/-7-� `A-` DESCRIPTION (`� / (� . j s�C. CITY -".----- A.P.NO. // [S -III / 9 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE -------- TEL. .�� SO"TO SIDE Et REAR F.L LIC.NO. NO. EAVES SIZE /" I NO.OF SLOGS. / ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT USE OF € YARDS APPROVED YARDS APPROVED EXISTING BLDG. Re S / Q/ me p- MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SETBACK LINE FROM Lp..�( .,(_ S•.-1-- FRONT FT.(� FT. CENTER OF STREET [�� T• REAR YARD 7 SIDE YAR LEFT I RIGHT R.SIDE FT. FT. DESCRIPTION OF WORK L.SIDE PT. � "--- FT. NEW ALTERATION x ADDITION REAR FT. ✓ FT. DISTANCE BET. BET.MAIN @ REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDING NO.OP '� / VAR.3F DATE SIZE ROOMS 6 STORIES J _ C.U. PP..jj,�,t./p 1n APPROVED / //� /� EXTERIOR WALL,�QGCO ROOF OVVERING (DS,v1 p• Nix,/T 0 DATE / -//J -((J`iy COVERING y�� USE OF BUILDING AND WORK TO BE PERFORMED I%/// /i✓ rf*« F1r.oR jy p ,Lgec ref WriVdow N SQ.FT. G I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATIONm BUILDING CONSTRUCTION SIGNATURE OF eel. PERMIT FEE $ S PERMITTED .a_. 1 M / $/O O CK S AUTHORIZED AGENT T�J �' /�� / — • TOTAL FEE $ • 22928 FEE RECEIVED _ C ,STA MESA BUILDING-SAFETY DEPARTMENTP 10 964 1964 P.O.BOX SIT COSTA MESA.CALIFORNIA FINANCE 1 For Applicant to Fill In Completely COPLQfAtteffi lIEVRMIT TYPE OR PRINT BUILDING For Office Use Only BUILDING '//� in ADDRESS 3 s C/, I� Y �- ,• RECEIPT NO. PER Wee COSTA MESA, CALIFORNIA XZYZ o G /� / Y `fpf.TB RECEIV yy�UB ISSUED/ OWNER 7// E-7-4 it O 6- /� I�/ lee I /O / /'✓/D�/� MAIL /il3 / /' h u r C /_ ADDRESS y Chad rr1144YYGG[G.CS ADDRESS ? ` /� t'Z T FIRE /J NO. 9 ZONE E rI�-�IstiGRO P QQ CITY ( : , • NO. z 3 G • / n �l.JC OR ENIGINEER NO. co M 4, APPROVE BO DATE Lt 9 m3 5.... l /i Y c h ZONING ADDRESS II ..`` g L 0 /ryg' NO.OF USE CONTRACTOR OW N a IZ Y . zOl 'Y PUNS r BUILDING LEGAL + U t' ) O 36 ADDRESS s R n C_ DESCRIPTION ( -1 9 .\ t/ l7 CITY SA it( C A.P.NO. ' r �l^11 !(' I 0 //''JJ// NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE O. CO / L, TNO EL 41 ,.34 3 6 90'TO SIDE a REAR P.L. EAVES OFLOT AJ Ij / 1 I I NNOW oNLOTS. 2 ALLOWED fU.B.C.REQUIREMENT) USE OF /� h y A YARDS APPROVED YARDS APPROVED EXISTING BLDG.pyreN/J F// 0197 (Ale MAIN BUILDING ACCESSORY BUILDING )�/ y� -• (FROM C/L STREET) SETBACK LINE FROM / / et Chia 1 ORE N CENTER OP STREET 3 a (p REAR YARD - FRONT FT. FT. SIDE YARD I LEPT RIGHT R.SIDE FT. DESCRIPTION OF WORK L.SIDE FT. FT. r NEW ALTERATION A ADDITION I REAR FT. FT. DISTANCE BET. BET.MAIN e REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDING NO.OP Y /3/41 el VAR.# DATE SIZE ROOMS STORIES C.U.P.# APPROVED EXTERIOR WALL I ROOF .�r- 1. APPROVED / , Al -6 V COVERING W CCO COVERING 1 -fro A BY - A / ' IP;� US OFB DING AND WORK TOAE HR ORMfiD / if I C �-/ o I- /-4 LTethtrvl h rDA y C/A R r -}-e r t X /}L N-1/ eel 0,./.• PL/4.7r1 Ate C 2 •r Sc.FT. "m 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 AG E TO COM. PURPOSE OP ESTABLISHING A PERMIT PEE ONLY. p PLY WITH ALL CITY ORDIIN,-- AND STATE LAW GULATINO VALUATION � 0° q BUILDING CONST- ' PERMIT FEE $ I 'Y' SIGNATURE •F / l A�I(Q/` J O� _ -, -UJB m PERMITTEE /Z DO ✓ E $ 0 /4 AUTHORIZED AGENT • TOTAL FEE