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HomeMy WebLinkAbout1993 CHARLE ST - Building Permits (3) CITY OF COSTA MESA 4 ° BUILDING DIVISION If , DEVELOPMENT SERVICES DEPARTMENT PERMIT UMBER • PERMIT 03-00195 �. (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.caa..UILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1993 CHARLE ST Status: ISSUED Suite: A Applied: 02/05/2003 Vicinity: Issued: 02/05/2003 Parcel Number 42210202 Zoning: Applicant: CHEZ, MICHAEL ISSUED BY: Address: 1991 CHARLE Phone: 714-448-9345 COSTA MESA,CA Zip: 92627 Owner: CHEZ, MICHAEL Address 1991 CHARLE Phone: COSTA MESA,CA Zip: 92627 Contractor: Address: • Phone: Zip: License: Arch : - Eng: • Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF, REPLACE SHEATHING AS NECESSARY,COVER WITH 30 YEAR COMP.RE-ROOF WORK INCLUDES ONE DETACHED UNIT WITH AN ATTACHED GARAGE. • FEE SUMMARY Plan Check: $0.00 Calc Valuation: $1,426.00 Permit: $54.00 Claim Valuation: $1,425.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $54.50 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 Existing: 0 Required: 0 Proposed: 0 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 244648(6/00) 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 •rk for which this permit is issued. i i I h-ve and will maintain workers'compensation insur nce,as 'aired by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. 411„1.50.y workers'compensatio In u n carrier an Ic ber are: Carrier: C Policy Number: (This s • need not be complete /t The permit is slued of 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 ecome subject to the workers' ompensah laws of agree that if should become subject to the workers'compensation provisions of Section o the Labor I shall forthwith comply with o theselavie,Califomia, Applicant Signature: / i /I� -a _ Date: WARNING:FAILURE TO'ECURE WORK"S' •MPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P Ti AND CIVI INES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,0001,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 e nd effec.Lic.# Class# a s ig ature: Date: CONSTRUCTION LENDING AGENCY: ❑ 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: 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($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 Contrac• License La;s.). 0 I am exempt under c A _ Busin: -nd Professions Code for this reason: Z ���///� Signature: ////('. W x� r - Date: /_ /p Owner ID verified byriver's ense. _I• :s 0 No Driver's License No. x ires: JJJ 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: 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 Califomia 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 0: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 tiling 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? 0 Yes 0 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? 0 Yes 0 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 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 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•1 any building authorized b this permit until final inspection. Signature Of Legal Owner(s) ws �>.te And/Or Authorized Applicant Date CODE x. INSPECTION TYPE, DAL INTITIALS CODE r INSPECTION TYPE DATE 1KTID6lS 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final - 2 / (/ 208 Final Plumbing 200 Final Re-Roof _ ' -a3 t, 'v't - 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 yopei — ©007Z ADDRESS OF BwLCOKI: 1993 CHARLERST WIT: A CITY OF COSTA MESA - BUILDING PERMIT ONNERS NAME IF ori HVf alt ARLtgST #APERM NO: P 086627 emetatCOSTA MESA, CA 92626 PERMIT NO: P 086627 PLAN CHECK NO: N GOVT: N SUPP: N a.PIPING ADDRESS; CONSTRUCTION TYPE: 5-N PERMIT TYPE: PLU PURPOSE: OTH ARCHITECT OR ENGINEER: Lt.NO.: JOB DESCRIPTION : INSTALL WATER HEATER SQ FT: ARCH.OR ENG:3 ADDRESS: WIT: CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 / commence NAME: cCNNIACTORSMMIRC COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT ADDRESS: LIC NO.: ******************************************************************************* ulT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby tam under penalty d perjury Chet I an licensed under provisions of Chapter B SETBACKS (commencing with Section 70®)of Division 3 of the Business and Professions Coda,and my license is in/d force and effect. CITY LIC.NO.: UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING Dale: ContractorFRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contractors License Law for the following araperreason! ra'o^aa mea.oda"o�arra.Prof�reCode: ohne a`�wDaaaia cam which reales a an.:one°'°d statement.Mm'h;a,°r'h; PARK ING REQ: PROV: PARCEL: 42210201 ZNE: REF NO: demis licensed pursuant to the provisions d the Contractors License Law(Chapter 9(commencing with Section 7000)d Division 3 of the PLANNING NOTES> Business and Professions Code)a that he or Me s exempt theaters and the bus for the alleged exempllon.My violation of Section > 7031.5 by any applicant for a permit subjects the applicant to a cid penalty 01031 more than five hundred dollars 135000. *************************ISM**************************************************** the ' n'wner 01 the wooer a�ernekentes dwages e"hee sole epensation.will e ®�� o`ture apr DEVELOPMENT V E L O P M E N T S E R V I C E S REQUIREMENTS Q U I R E M E N T Saereotsate( 7044.BanProl Code:TheCp,, License dnappvlylanew�„ properly who brads or inptoves thereon.and who does such work Fames a haste or though his other own employees.provided that such unprnvemera are rot itendeda°feed la nate.B.howew.the"Sing orinaovemere is scat within aayear of("Witham the ZONING APPROVED BY DATE: owner-builder all have the burden of proving he or she did not bold or improve la the purpose dub). ElI.as owner of the property.am exclusively contracting with foamed contranae to construct the project(Section 7044.Business and Pmenions Code:The Contractors License Lew dose red empty to an owner property who beds a improves thereon and who BUILDING APPROVED BY : DATE: contacts for such projects with a contractor(,)themed pursuant to the Contractors License law). O tan exempt under B.B P.C..for Ois mason: / e APPLICATION ISSUED BY: DATE: OK: (� ********************************************* ************************* *** Dale:41 •—• � LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N I do hereby certiy that I am aware d and u aterd the requirements of Camille Health and Safety Code Section 25505.25533.and 25534.and that l or any Mum building occupant will lwit nor(circle os)need to comply wish said sate codes and the npdernentsb BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a penny faamstaction or modificationfom t e Ai Quaky Management District.Residential construction applications ore exempt lam w Ne provision.. PERMIT 11 . 00 Date: Applicant: 25% SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm der pentey Of ors of the loaodecimalisesdecimalisesdea: PLAN o ISSUE FEE 22 . 00 Q Chocforthicmaiwita'war".foer%Mic awtaws* mmpe'm°^•a'aom°d'aMe°aa 3'°°d""Leta BUILDING DIV-> PERMIT ISSUE PLAN CHECK TOTAL PAID DUE Colic for IMpedon edthewoklawfichdtpernni"ssswd. o Ihave and witmaintain eodwrramp«mtionomurmic. .re,d,edbysaian3703dmeLab«wde.ath.wdormanxedthe TOTALS > 11 . 00 22 . 00 0 . 00 33 .00 33 . 00 . 00 work for wtich this mime is issued.My workers'sarperaLLcn insurance crier ad POEM norther me: Career: REVENUE DIVISION TOTALS--> COLLECTED : 33 . 00 OVER/SHORT: . 00 Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed(Ore perm!is for one hundred dollars 151001 or St) 33 . 00 ❑ I coney that in the performance of the work for which this permit is issued,I shag not employ any perms in any manner c an to become sulked to the workers'compeumicn laws d CefdaNt. ed agree Drat a I shadd becone srbjed to the wakas' ******************************************************************************* compensation of m d ion provisioSen Sythe Labor Code.I cog lathwh candy with those provision. INDIVIDUAL F E E BREAKDOWN Date: Applicant: Warning:Failure to secure workers'compensation coverage Is unlawful,and shell melee an enplane to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST cleft fines tp to one hundred thousand dollars(5100,00A In ad ifon to Use cut of conpensetlory damages as provided for In Section 3706 of Me Labor Code,Interest,end adomeysfaea PLU 1 WATER HEATER AND/OR VENT 11 . 00 11 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penaby of perjury that thea is a carmnwlon lending agency for the END OF FEES performance of the work for which this parva is issued(Section 3097.Cy.C). LENDER'S NAME I LENDER'S ADDRESS: /� y I aJ {. IDI certify that I have read this application and stale that is above Wom n:in is correct.I agree to comply with al ay end county ordinances sLl 1 ln�,,,e and state laws relating to brrildkg construction and hereby authorize representatives of this coy to enter upon the above-mentioned property for inspection prpose`MICHAEL CHEZ DAT!. j..o(v`I (CV \T 1 81-16-1998/84:26 PM/$33.88 Rs" " P� wit �e% RCPT#:018818381 ( 1e .1 ®� Dme: I/ PERMIT:086627 deAtEdgaWAppkat/Catlrma (5151.46.WP) White-BuiIdlg A Safety:Green-Fele:Cawy-AppicN:Pink-Reveoa:Gddavod-Assesax CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole , 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POO USPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning, FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test • 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation' 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION / 32. Electrical Power Meter•Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy • 37. Final Factory Fireplace • 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation M ry 46. Handicap Regulations 2 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING :7 "er 49. Electric Release to Edison /0 ... r3 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No. Date