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HomeMy WebLinkAbout3184 CHEMIN DE FER WAY - Building Permits.. M � � . ' CITY OF COSTA MESA B111LDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • ewiw.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT TYPE APN: 41814507 Zoning: , PERMIT NUMBER: V BX07-00247 B MISC STATUS: ISSUED DATE ISSUED: 11I2812007 ISSUED BY: BJK JOB ADDRESS: 3184 CHEMIN DE FER WY CM Suite/Unit: Vicinity: PATIO ENCLOSURE Primary Occ: 32 Const Type :?? SQ. FT: 182 Valuation: E7,260.00 SCOPE OF WORK: CONS7RUCTION OF 182 SQ.FT. ALUMINUM PATIO ENCLOSURE (ICBO #3190P); APPROVED BY THE FRENCH QUARTER HOA. , � ELEC: 2 LIGHT FIXTURES, 4 OUTLETS, 2 SWITCHES OWNER: MATHENY, RICHARD E - � City/State: COSTA MESA, CA Phone: APPLICANT: EVONNE MORTON City/State: � Phone: 714-544-3100 CONTRACTOR: L J HAUSNER CONSTRUCTION CO Address: 505 W FIRST ST Unit: City/State: TUSTIN, CA Zip Code: 92780 ARCHITECT: Phone ENGINEER: Phone Building Plan Check: Building Permit: Electrical Permit: . SMIP Residential � SMIP Commercial $O.00TOTAL FEES Address:: 3184 CHEMIN DE FER Zip Code: 92626 Address: Zip Code: Unit Unit: License No. 326317 Phone 600�33-0704 FEE SUMMARY $99.61 $153.25 $32.30 $0.73 $0.00 $285.89 License No. License No. Cell: ' L �r 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. Pailure to obtain inspections and final approval will result in the expiretion of this permit. CO�E! INSPECTIONTYPE p� INTITIALS COOEI INSYECTIONTYVE URi INllna�s 1616 Fixed System Final Fire Prevention 208 Final Mechaniwl 126fi Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electncal 201 Final Block/Retaining Wall 212 Final Fire Prevenlion 202 Final Faclory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site _��l��� 204 Final Demolition ' 250 Final Buiiding�Occupancy��� �Q Qg WORKERS' COMPENSATION DECLARATION: � I hereby aKrtn under penalry of perjury one of l�e following declarations: ❑ I have and vrill maintain a certificate of consent to self-Insure (or workers' compensation, as providetl for by section 3700 of the Labor Code, for the pe ormance of the work for which lhis pertnit is issuetl. I have and will maintain Norkers' Gompensation in5urant8, a5 required by ection 3700 of the Labor Code, for the pertormance of the wnrk for which this permit is issued. My workers' compensation/�Insurance carrier antl policy numberare: /��. �` /_ /�/ Cartier: J ��l'�'R (Thi55ec1unnee0iplpe�ro1mpetetldMepeim9avalue0afineh �Bars(S10plaless.) Policy Number: [ / � �' 2 �-5-2 `�� % ❑ I certiry [hat in ihe peAormance of the work for wliic� this permit is issued, I shall not employ any person in any manner so as lo become subjecl to lhe workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the L r ode, I shall forthwi[h comply � h.�hese provisions. � ���� � �� Appliwn's $ignature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE L480R CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I herehy aKrm that I am licensed under provisions of Chapter 9(commencing vnth Section 7000) o( Division 3 of the Business and Professions Cotle, antl my license is in full force and eKect. - � Lic. tt 3 �� �/i class # _��. //-1d'-� GonVaclSr'SSi n �% �ale � v CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn lhat lhere is a construction lending agency for the performance of the wurk fu vfiich ihis pertnit is issued. (Sec. 3097, Civil Code). Lentler s Name: lentler'S AOtlress: SignaWre , Date OWNER-BUILDER DECLARA710NS: .�� �'� I hereby aKrm that under penalty of perjury that I am�E%EMPT FROM THE CONTRACTORS LICENSE LAW for lhe�following�reason (Sec. 7031.5, Business and Pmfessions Code: Any city or couuty which requires a permi� to wnstruct, alter, improve, demolish, or � rep@in any structure, prior to its issuance, also requires the applicant /or such permit to file a signetl statement that he or she is licensed�,pursuanf to the provisions o( the Contractors License Law (Chapter 9(wmmencing with Section 7000) of Division 3 of the Business anC Professions Code)pr that he or she is exempt therefrom and Ihe basis for Ihe alleged exemplion. Any violation of Section 7031.5 by any applicant for a pertnit subjects Ihe applicant to a civil penalry of not more than five huntlred�dollars ($500).): ❑ I, as ownerbf the property, or my employees with wages as their sole wmpensation, WILL DO 7HE WORK, and the sWCNre is not intentletl or oflered for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner of property who builds or improves [hereon, and who does such work himself or herself or through �is or her own employees, provided that such improvements are not intended or oKered for sale. If, however, the builtling or improvement is sold within one year of complelion, the ovmer-huilder will have the burtlen ol proving thal 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 consWct the project (Sec. 7044, Business antl Professbns Code: The cont2ctors License Law dces not apply to an ovmer of property who builds or improves thereon, and who contracts fw such prqect vrith a contractor(s) license pursuant to the Contractors license Lav.s.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signawre ' Dale ]OS]-0fi (3I01) � i. Ovmer ID venfied by drive .❑ Yes ❑ No Dnver's License No. Expires: Verification of Ownership by (rype of dxument, i.e. - property Ux bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I herehy certify [hat no excavation frve (5) or more (eet in tlepth into wfiich a person is required to descend, vnll be made in conneclbn with wnrk au[horized by this pertnit, and that no building struc[ure, scaffdding, falsev.ork, a demolilion or tlismantling thereof, will be more than thiAy-su (36) feel high. (Chap. 32, Grp 2, !vt 2, Sec. 341, Title 8, Califomia Administ2tive CoOe). ❑ As ovmer-builtler, I will not employ anyone lo do vrork which would require a pertnit from lhe Division of Industrial Satery, as notetl above, unless such person Ilas a permil to do such work (rom ihe tlivision. AOPlicanfs Signature Dale Division Of Indus[nal Safe[y Permit Number HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Wiu the applicant or present or future building occupant need to file and certify a Business Plan for emergency response lo release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Heallh and Sa(ety Code requires, with some exceptions, that a Business Plan be fled vrith the Cosla Mesa Fire Depahment by every business which has at any one lime during a reported year a quantity of hazardous materials equal to or greater than a weight o! 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at stantlartl temperature and pressure). 2. Does or vrill ihe applicant or present or fuNre building occupant need to fle a registration fortn for aculely hazardous matenals? ❑ Ves ❑ No (Section 25533 of the Califomia Health and Satery Code, wim some exceptions, requires registration with the Cosla Mesa Fire Department by each business which at any one time has on hantl a quanlity of acu[ely hazartlous malenals equal lo or greater Ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl 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�? ❑ Ves ❑ No (Seclion 25534 0( the Calibmia Health and Safery Cotle provides lha[ the Costa Mesa Fire Oepartmenl may require the preparation, certifiwtion antl fling with the Fire Department of an RMPP by 6usinesses which are requiretl to register acutely hazartlous matenals with the Fire Department. 4. If an RMPP is presentty repuired, has Sec[ion 25534 of the Cali(omia Health and Safety Code been fully complied wilh? ❑ Yes ❑ No 5. Does or will Ihe applicant or preseN or fuWre buildinq occupant require for the v.ork which is the subject of Ihis application a permil !or such construction or modification from the South Coast Air Quality Management District or from any olher air pollution wntrol district or agency? ❑ Yes ❑ No (Section 65850.2 of the Califwnia Govemment Code requires that the requestetl infwmation be (umished on applications (a ran-residential buildirg pertnits). 6. Will any part of the faciliry to be constructed under this pertnit be within 1000 feet from the outer boundanes of a school? ❑ Yes ❑ No (If yes", the faciliry must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safely Code). 7. II a pertnit from the South Coast Air Qualily Management Dislnct or other air polNlion con�ml tlisMct or agency is required (or lhe work which is the subject of this appliwtion, have all of the disclosures prescnbed by Calitomia Heallh and Safery Code Section 42303 been made? ❑ Yes ❑ No 8. Qf'yes", altach cenifcate of compliance trom [he appropriate air pollution conirol oKcer). CER7IFICATE 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 Hazartlous Matenals and Emissions. SignaWre Wte CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I certify under penalty of perjury lhat I have read this application and state Ihat lhe in(ortnation given is correcl I agree lo wmply with all slate laws and ciTy ordinances relating to building consWclion, and authorize representatives of Ihe City of Costa Mesa to enter upon.the above-tlescribed pmperry for inspection purposes. I agree not to occupy or allow occupancy of any building authonzetl by lhi�s permit until final inspection. Si ature L al Own r(s� Date %l_l�lii�l�ti �.u� /r��-� MOIa I�onxe Ap Ircanl Oale � • 2�sQ� COSTA MESA BUILDING-SAFEfY DEPARTMEM P.O. BO% ]t7 C09TA M6BA. CALIFOpN1A For Applictin} to Fill In Completely rYPE OR PRINT / COSTA MESA, CALIFORNIA OWNER Harbor Hall of Fame Homes, Inc. MAIL P. Q'. �X 2066 � � ADDRE89 CITY 52I1t3 � NO�. 5'7��L�LOU� ARCHITECT Ray Levanas TEL673-7OZO ORENGINEER NO. AooREgs 3432 Via Oporto, Newport Beach CONTRACTOR �f�time I�,��.;ltgla�?1 ��p� ADDRHiB P' Q• &%x 2066 � c�TY Santa Ana STATE ....ni..i TEL. rl.n nnnC No: oP aLOae. 0 'USEOF None E%ISTING BLDG. , BCTBACK,LeIQNEFcRcOM�K� newev�eB�J��/in DESCRIPTION OF WORK X II .� r�o.rv...l II �nn 8 ZE�,N�'2� ROOMS � 6TORIH3 2 EXTERIOR WALI.StUCCO p��F 1- COVERING COVERINO - �C6 U8E OF BUI If10 AryD W RK TO BE P6RPORM6O construc ion o£ � accupancy dwellin, with J construction garages 1 HBflHBY ACKNOWL8D08 THAT 1 M�Ve R8A0 TMIB APPLICATION •NO BTATE TXAT TH8 ABOVB 10 COflH6CT /�ND AOPHH TO COM. PLY WITH ALL CITY Oqp�NANCBB AND 8TAi8 LAWB RHOYU11N0 BUILDINa CONeTflUCTIpry, I 81GNATURE OP PERMITTE AUTHORIZfiD AOH � � FEE R�CEIVED AUG 3 1964 t,ot No. 7. P��qA(�f',{ $Tg�T. APPL7CATR7N'POR �eRM�I' BUILDING for OfflCe USB Only R[c61PT NO. ZONING ZO NO. OP U66 OR N8 / PLANO pWLDI! �eo�� i_ .n� �'Y .�-�ti i I . -� 1 �/ �J/1� ""c� � EAV E OV ERHAN 6 SHALL BE LE88 THAN YARDB MPROVED YARDSAPPROVED MAIN BUILDING AGCESSORY BUILOINa IOM G SfREETI )nT FT. � FT. " ,.,� 0 � n � L.SIDE PT. U Fr. � REAR L �. � �• Z i DISfANCE BFT. BET. MAIN C 5 MAIN BLOGB. ACCE9S. BL�69. �� VAR.1Z �l ^� `—� OAT6 ll,l fj �I� �= G. U. P. �j ����% APPROVED � � d � MPROVH� �, �� (.� BT I DATE d � ¢ u u� a ��'�G6a.�. � �/1v,3 �' o �, TN8 AMOUNT BMONM UNOEq VALUATION 18 FOR TNH q O PUNP09H OP 89TABLI9HIN0 A PBflMIT P88 ONLY. 0� VALUAiION ��� _ N Q � PERMIT FEH $ m O s �-�j �7,3— ,� J, ' _ 0