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HomeMy WebLinkAbout3170 CHEMIN DE FER WAY - Building Permits ' CITY OF COSTA MESA i BUILDING DIVISION 0; ; �% DEVELOPMENT SERVICES DEPARTMENT PER It NUMBER 4• 11104 . PERMIT B06-01301. dF (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.c$UUILDtNG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 3170 CHEMIN DE FER WY Status: ISSUED Suite: Applied: 08/02/2006 Vicinity: DETACHED GARAGES Issued: 08/03/2006 Primary Occ: U Type of Construction: V-N Parcel Number: TPN98079 Zoning: _ • Applicant: VES PEARSON Address: P 0 BOX 3908 i56-- Phone: 562-429-7663 ISSUED BY: SEAL BEACH, CA , - - - Zip: - 90740 Owner: FRENCH QUARTERS HOA ' Address 2020 E FIRST ST%, . - .'7 SUITE.500/i* t Phone: 714-285-2626 X211- - , SANTA ANA,CAVA Zip:, - 92705' ' - A �/ <\ v , /NS A Contractor:7G'M.ROOFING COMPANY.,- , Address:;;"P O BOX 3908'-- -,, ' ' ' ( - /i Phone: 562-429-7663 / i /%��- ( '�' ,"*\,‘-'�SEAL`BEACH;.CA% '�,� :I/ License: 472566 -Zip:, 90740i',/'-6./ i i ,Arch : , ' ./7/ Eng: i- Address:- /iAddress: ; Phone: •. - ' Phone: Zip: License: . ' J- - , ' License: ,\ SCOPE OF PERMIT TEAR OFF EXISTING ROOF.INSTALL 2 LAYERS OF 15#ASTM FELT,GAF 40 YEAR,LAMINATED COMPOSITION SHINGLES AND REPAIR/REPLACE SHEATHING AS NEEDED.24 SQUARES FOR DETACHED GARAGES 3170 THRU 3176 CHEMIN DE FER WY. / : / PEE SUMMARY , Plan Check: - $0.00 ' ' 77 ; ' ' ' ,- %) ' v,Calc Valuation: $4,200:00 ' Permit: $111.25 -Claim Valuation: ' $4,200.00 SMIP Res: •- $0.50 ' SMIP Com: $0.00 ' Other $0.00 _ �7; — , Inspection: $0.00 - , Total: $111.75 PLANNING &ZONING SETBACKS - ' , MAIN STRUCTURE Front vA,0-0 Rear _.,0-0 Left 0-0 - Right 0-0, ,' ACCESSORY Front) '1:1-ON: -" Rear 0-0- " . Left 0-0 Right :"1 0.0 PARKING " Exislinq:7 0 . '-Required: 0 Proposed: 0 / N C //i / 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 2438-46(btle) DECLARATIONS 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 `�vdHi for which this permit is Issued. /LJ 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 Ls Issued. /r - V-Mcarrier y workers'compensation Insurance caer and policy number are: I _ Carrier ABPr._ IQ cPolicy Number . Oouli,1 - ZQ)(7 (1721s-section need not be completed lithe pormlt Is valued at one hundred dollars($100)or less.) c ❑ I certify that in the performance of the work for which this permit Is Issued,I shag not employ any person in any manner so as to become subject to the workers' compensation laws of California.and at that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith r__,comply with these pr ions Applicant Signature:_ - �/' I� �Date� - WARMNG:FAILURE TO SECURE W RS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOU.ARE(SI 00.000).W ADDRWN TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby affirm that I am licensed under provlsippns yf Chapter 9(commencing with Section 7000)of Division 3 of the Business and Prgfessions Code,and my license is In full force and'enect.Lk.4t, Ti 11 (O (� class p ( - S rCoMractor'sSignature:- r Date: 71) 01 - CONSTRUCTION LENDING AGENCY: 9 I hereby affirm that there Is a construction lending agony for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lenders 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(5500).): ❑ 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. 0 Yes 0 No Drivers 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 structure,scaffolding,faisework,or demolition or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ 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 Number: 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 California 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? ❑Ves ❑No (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 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 end 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 0 N (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? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application akPemit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U NO (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 8 Will any part of the facility to be constructed under this permit be wiWn 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 Califomia Health and Safety Code). 7 IT 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? 0 Yes 0 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: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the Information given Is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of 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. V \ / Signatu nzf Legal Owner(s) te P 11 U(..+ uthoed Applicant-_-_ L_ tea) ;ODE L INSPECTION TYPE 1AIE IMI MLI ;ODEL INSPECTION TYPE PAM MALS 1616 Fixed System Final Fire Prevention 208 Final Mechanical 1266 Pool Spa Final ./ - 208 Final Plumbing a. ir 200 Final Re-Roof 01. ./0 0� /r` 210 Final Electrical Aar 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 p CITY OF COSTA MESA a BUILDING DIVISION •-- Foy �1 ( •ia"„,.f; I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER -4. apkik • PERMIT /P05-00156 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,E,COSTA MESA,CA 92626 _. - ) \ PLUMBING PERMIT ,'\- -• ` " • Job Address: 3170 CHEMIN DE FER WY Status: ISSUED Suite No Applied: 02/25/2005 . - Issued: 02/25/2005 Vicinity: WATER HEATER - _ - \ . ISSUED BY:- Ali Parcel Nunmber: 41814501 Applicant: ELLIS, JOE Address: 3801 LENAWEE AVE Phone: (310)253-5229 CULVER CITY,CA Zip: 90232 Owner: LANKFORD, TIM Address 3170 CHEMIN DE FER WAY Phone: 714-556-9231 COSTA MESA,CA Zip: 92626 Contractor: ORANGE COUNTY SERVICES INC DBA GEORGE BRAZIL PLU Address: 3801 LENAWEE AVE Phone: (310)253-5229 CULVER CITY,CA Zip: 90232 License: 679898 SCOPE OF PERMIT WATER HEATER CHANGEOUT FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease, Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $35.80 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 2446.46(6/00) DECLARATIONS "`, WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have end 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 work for which this permit Is issued. R'W�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'compensation Insurance carder and policy number are: ,( ,.Canter:: STAT FUN() �PollcyNumber: /16/1"3 2'7`V 5 -(This section need not be completed/f the permit is valued et one hundred dollars($100)or less.) -�- ❑ 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 workers' compensation laws of Califor ' , nd agr t ome subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisio s �7 �7 y'' c rAppllcant.Signature: ( Da(e L —2- —O✓ WARNINGIFAILURE TO SECURE WORKERS' PENSATION COVE•, •E IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000).IN ADOmON TO THE COST OF COM./ NSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR 000E.INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am Ilcensedyn r - hapter 9(commencing with Section 7000)of Division 3 of the Business and Pmf asi9rts Code,and my license is in full force and effectirc,N-" (n / Clasax-• (2.• entracta's Signature: 3 �vj Date:.. t 2-S X03 CONSTRUCTION LENDING AGENCY: J ❑ I horeby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that 1 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 then live 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 Drivers 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 structure,scaffolding,falsework,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). ❑ 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 Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I 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 California 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 a future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (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 hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feel 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 acutelyhazardous 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 Safely Code been fully complied with? 0 Yes 0 No 5 Does or willo the oast Air ou present ar emen buildingso from at requirer for toe work which the subject age c this Yes aPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Ves LJ 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 part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 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 Duality 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? 0 Yes 0 No B (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: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of 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. g mire 1 -.le/1.>, �-1 —2-c Date L „S ` 1_--Anct/Or uthodzed Applicant Dater. CODE I INSPECTION TYPE '.I INTRIAL6 T,00Fit INSPECTION TYPE PAIL If�ALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 3"1�.-Qs' CC- 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 i 44 5111 M 9 CITY OF COSTA MESA BUILDING DIVISION > .j r.eirl. DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER Jr /ti • PERMIT yam!'-� B02-01175 Promo. IP (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa..ca.usNG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDIJob Address: 3170 CHEMIN DE FER WY Status: ISSUED Suite: Applied: 07/29/2002 Vicinity: ROOF Issued: 07/29/2002 Parcel Number: TPN98079 Zoning: Applicant: PEARSON, VESS ISSUED BY: Address: P O BOX 3908 Phone: 562-429-7663 SEAL BEACH,CA - " Zip: 90740 Owner: FRENCH QUARTERS HOA Address 2112E 4TH ST Phone: 714-285-2626 SANTA ANA,CA Zip: 92705 Contractor G M ROOFING Address: P 0 BOX 3908 Phone: 562-429-7663 SEAL BEACH,CA Zip: 90740 License: 472566 Arch : - Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF.INSTALL 30#ASTM FELT UNDERLAYMENT,GAF 40 YR COMPOSITION SHINGLES,AND MODIFIED TORCH DOWN CAPSHEET ROOF SYSTEM.FLAT ROOF.4 UNITS PER BLDG.3800 S.F. DOES NOT INCLUDE DETACHED GARAGES. _ FEE SUMMARY, Plan Check: $0.00 Calc Valuation: $7,500.00 Permit: $153.25 Claim Valuation: $7,500.00 SMIP Res: $0.75 SMIP Corn: $0.00 Other: $0.00 • Inspection: $0.00 Total: $154.00 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existino: 0 Required: 0 Proposed: 0 NOTES: 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 24443-46(WOO) DECLARATIONS ,:, WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and this ea is certificatessof consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. 2" 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'compensation Insurance carder and policy number are: Carrier: tiQ Policy Number: 0LiL U!r ' Oo Hb 2- (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ 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 workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these p{q(ow ons. / Applicant Signature: V.(^ .4, A.'t i Date: 9 ,1-S 1 02_ WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS(S100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. ' LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.LK.# L fl'1 A. (!01 L. Class it " el 1 Contractor's Signature: y,.. �� Date: '7 —'Lcp Th--- CONSTRUCTION LENDING AGENCY: .J ❑ 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 properly,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 properly 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. 0 Yes 0 No Driver's License No. _ Expires: Verification o1 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,end that no building structure,scaffolding,falsework,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). ❑ 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 Number: 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 ❑No (Section 25505 of the California 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 ❑No (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 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 end Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 011 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 part 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 conker 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? 0 Yes 0 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: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of 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. Signet Of Legal Owner(s) Dote Uti-- A111..'1 ( b%. And/ r Authorized Applicant Date ;ODE I INSPECTION TYPE PATE ?MALI ;ODES INSPECTION TYPE PATE ItQIDAIS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final208 Final Plumbing 200 Final Re-Roof fl--, " 2 = 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 i I S � T /�(� f -, . atop oioi I ��� f i►. n •yam L [ L e@„ =Ut �kr,_.) . . t� _ 14' _ D , 2' •. COSTA MESA BUILDING-SAFETY DEPARTMENT fly; P.O.BOX 917 COSTA MESA,CALIFORNIA eft�yl A'CNC�Ip�1T8�f�0i. For Applicant to Fill In Completely APPLICAT PER`PERMITMESA PEI OR PRINT BUILDING BUILDING`}t i Cat-IC Min; �C CSL l For Office Use Only ADDRESS 3209-North-Harbor-Blva. RECEIPT NO. _stry o COSTA MESA. CALIFORNIA G'/ P/(O RECK YE Y Dca DATE VICIIV DATE ISSUED OWNER Harbor Hall of Fame Homes, Inc. /5 A AUG 1 8 1994 MAIL n PBUILD! O ADDRESS P. O. Box 2066 ADDRESS TEL. FIRE `�1 I// CITY Santa Ana NO. 549-2204 ZONE TYPE GROUP // I� p,,�� L,. APPROVED OR ENGINEERI Ray 'Levanas t11673-7010 BY DATE ADDRESS 3432 Via Oporto ZONING ZON NO.OP OP W r[ l� PLANS?j 15%9E1LDINi I Irr L./ CONTRACTOR Lifetime Res. Bldg. Corp. t LEGAL HI-on-30 ADDRESS P. O. Box 2066 ' DEeDRI ION Santa Ana DT / r� � S-l/ CITY A.P. O. I( ATE208676 n NOTE: NO EAVE OVERHANG SHALL BE LESS T AN LIG.NO. NO. 549-2205 90'70 SIDES REAR P.L. 20X80 EAVES SIZE NO.OP BLOCS. O ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF Gibe None MAIN BUILDING ACCESSORY BUILDING 1 EXISTING BLDG. SETBACK LINE FROM (FROM C/Ib�BTREET) II) I CENTER OF STREET 15 I REAR YARD 25110 FRONT (� FT. PT. 2 SIDE YARD I LEFT 0 I RIGHT - 0 R.SIDE D PT. 6 Fr. ��- III LL DESCRIPTION OF WORK L.SIDE 0 PT. C Fr. Ili C 4� 0 a X NEW ALTERATION ADDITION REAR FT. . Fr. DISTANCE BET. BET.MAIN B U.I z MAIN BLDGS. ACCESS.BLDGS. REPAIR MOVING DEMOLISH BUILDING NO.OFVAR•# i DATE //�/� l L Z SIZE 11001 ROOMS 8 STORIES 2 c.u.P.# /7 / APPROVED! C, EXTERIOR WALL ROOP APPROV��p/J�l G W COVERING StUCCOI COVERING rock _ qr 1\c}i f�4/1"11 DATE /I -/ �_f/� 14 USE OF BUILDING AND WORK TO BE PERFORMED 111��� ((,1 / / construction of I occupancy dwellings / te o LL. with J construction garages JJ C / ad SQ.FT. .(I// &' 3 ' "c I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SNOW' UNDER VALUATION IB FOR THE i'= AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON. PURPOSE OF ESTABLISHING A PERMIT FEZ ONLY. D PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION �T 0 BUILDING CONSTRUCTION. �( �. p SIGNATURE OF y PERMIT FEE j PERMITTEP $ /2 3_ . , C. - a `— G �///y//�) III /w�/{�l !!!///��� PPP/ / i AUTHORIZED AGE: :ateem / 2 �l TOTAL FEE $ f — _ v 45658 s ^3I COSTA MESA BUILDING-SAFETY DEPARTMENT • P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 I • ' P C TION FOFor Applicant to Fill in Completely —Use Ink Only��((// JRsUaULpl S ED /JY U D DI SS 3117 D CIMAINv phF. (f^ R Y,lA �"/� 'l A( __ 7� O/t `II"r/� CS �J�IO /! /' o/�;�3 PERMIT NO. OWNER A.P. NO. MAIL BUILDING 3 /� ,,.1. �n ADDRESS s� m f: ADDRESS /�//� G /�1,� CITY G' n, J rA nii c A NOLSy®9is TRACT (-3-rY LOT / BLOCK CONSTRUCTION NEW ADD ALTER REPAIR (MOVING DFMOI ISH LENDER BRANCH /�J II ADDRESS OWNER O�I/i4G �. $/f�o� ARCHITECT TEL. OR ENGINES' NO USE /'i0 sem � �--0 �K tarpltté r/// FIRE ZONE PE y/ GROUP ADDRESS ! UP yyy��� APPROVED YcONTRACTOR © w /v r/c BY DATE 7 ADDRESSTEr - ZON NO.OF USE OF N CITY NO PLANS BUILDING�� F STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OFBLDGS. (FROMC ,/ 4 11171T)OF LOT (NOW ON LOT FRONT xSJ, ' FT. G USE OF ``�e EXISTING BLDG. I R.SIQF ✓ FT. FT. cncn E Separate permits are required for L.SIDE ,r FT. FT. F. electric,plumbing and heating work. / �- / P7 - REAR �� ra-+r� lj 1e �1 'J11 i-. USE OF BUILDING AND.WORK TO BE PERFORMJD--- DISTANCE BET. BET.MAIN& Q ,-]y/� ((��./' 0 MAIN BLDGS. ACCESS.BLDGS. / Plan� C ' V 1/L CARP. DATE y Q PC.U.P.# APPROVED 7 >▪I I C> (0 _HY 'IN .ATE �/'/ �, C4 w O 1 hereby acknowledge that 1 have read this application and state n CL that the above Information is correct and agree to comply with m L all laws regulating building construction, and I shall not employ Z any person in violation of the workmen's compensation laws of E m Zthe State of California. /.�/{�/ C I hereby certify that I am properly licensed as a contractor under J `•� SQ. FT. a the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9. and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE : am exempt from the provisions of the State of California Business VALUATIONo and Professions Code, Division 3,Chapter 9. PERMIT FEE $ n \ y (\ `l6 PLAN CHECK ^I Signatu 7�P�11\ILo Permlttee� $ V LL TAX $ ' V 2 U TOTAL PAID E ✓r Authorized Agent CsJ (!O X8391 3/03/81 5.50 TL ` COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATIONIFOR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 REC IVE Y 'PERMIT N° 5 1 3 2 1 \ For Applicant to Fill in Completely�+ —';Ai Ink Only n J/� ` BUILDING SS ✓ 170 t I1FMiIV / j� 1 F'll A.P. NO. �1 V11 �L�� OWNER OR ADDRESS taI"7r:01-E44/0• ()c. F O TENANT AVAL.. L. R LS tie VI MAILING UNIT OR SPACE NO. ADDRESS TR. LOT BLK. / TEL. �/-p}�I' 4 CITY COSTA ME1A NO. NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTION RCiION i LENDER v BRANCH l-^��/. /. SiS�e OWNER l'/7fr"/ ADDRESSITE USE r�/` 1"9-c-- \ `._ LRE$ ARCHITECT TEL. t— OR ENGINEER NO. `fir\� ADDRESS ZONE (TYPE GROUP moi` _ APPROVED \� h� CONTRACTOR / - ----MI . ./�} Or -Irks•• ��' BY DATE \\� ADDRESS it' gs .`} ` 100171 1/::Cy�E�1Il�V r�G /� CITY o A'aM; loG77 �TrAs o... 501 _ \\' STATE CI V / APPROVED SETBACKS LIC.NO. LIC.NO. IV SIZE NN 00 OF BLDGS (FROM C/L STREET) O. OF LO NOW ONB LOT FRONT FT. Q •SE •F N. E " INC BLDG. p01Y. • SOI 71' NFAr R.SIDE FT. (-• Separate permits are required for L.SIDE FT. C electric,plumbing and heating work. REAR FT. Ir] F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION a Q 'IC Lp-g � APPROVED DATE >• ��_ ^^^iii"'ii�// R APPROVED It >. _BY DATE .•1 C W - 0 I hereby acknowledge that I have read this application and state n a, that the above information is correct and agree to comply with $1• all laws regulating building construction, and I shall not employ i Z any person In violation of the workman's compensation laws of Tthe State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. N D the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR B Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from the provisions of the State of California Business V VALUATION PERMIT FEE $ and Professions C••e, •ivision 3,Chapte 9 r n PLAN CHECK $ �— �^ Signature of / ©O c Permittee S TAX $ • U" f Or U Authorized Agent Date /AMW TOTAL PAID $ t [�`� �J( V OWNER ORVAL L. BISHOP DATE 3/3/81 JOB ADDRESS 3170 Chemin De Fer BUILDING PERMIT NO. 51321 GENERAL CONTRACTOR James N. Stratton DESCRIPTION of WORK Solar Rack AP No. 141-011-35 LOT 1 TRACT 4354 FIRE ZONE VALUE $ 500.00 INSPECTIONS Signature_ Date TYPE GROUP ZONE - SOIL SUBCONTRACTOR PERMITS ISSUED GAS Date I Number I Signatu. WATER _ Plumbing ROUGH PLUMBING _ _ Janes Stratton 3/3/81 79106 PROP. SWR. LINE E HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING _ TEMPORARY SERVICE OR POLE - UNDERGROUND 0 POWER 0 [1 ROUGH WIRING Heating and Vent. E xP I R E C TRENCHES ❑ FORMS u STEEL REINF. ❑ y e.n I,SCLiUn^ oe mFLOOR SYSTEM InCoII epic1 bBOND BEAM n STEEL REINFORCE F twice rr��SHEATNING I �_ ryjig n FRAME AND FLASHING _ OUtC' O LATHING — IN ❑ OUT u ItI PLASTER, BROWN COAT a STRUCTURAL, FINAL - Electric HEATING, VENT., REFRIG. AND A.C., FINAL _ , Janes Stratton 3/3/81 48828 / PLUMBING. FINAL AND GAS TEST n ELECTRIC, FINAL BUILDING, FINAL , WNER BISHOP, ORVAL*L. . DATE 3-13-70 3.1%1B ADDRES3170 Chemin de Fer Way BUILDING PERMIT NO. 45650 GENERAL CONTRACTOR Owner-Etldro DESCRIPTION of WORK Patio Cover P No. lb1-011-35 LOT 1 TRACT 4354 FIRE ZONE VALUES 300• NSPECTIONS Signature Date TYPE V GROUP J ZONE R-2 OIL SUBCONTRACTOR PE$MITS ISSL ED G^B _ Date I Number Sienatur. L. ♦TER Plumbing ROUGH PLUMBING REl PROP. SWR. LINE HOUSE CON, ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING , TEMPORARY SERVICE OR POLE UNDERGROUND 7 POWER ❑ ROUGH WIRING •Heatin• and Vent. TRENCHES Li FORMS STEEL REINF. eingiiisisok%ii• FLOOR SYSTEM BOND BEAM 11 STEEL REINFORCE fI SHEATHING FRAME AND FLASHING LATHING — IN 1-1 OUT n PLASTER. BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND AC.. FINAL PLUMBING, FINAL AND GAS TEST El t r ELECTRIC, FINAL _/ BUILDING, FINAL A \711 TL` Y,9