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