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Home My WebLink About390 BAY ST - Building Permits" CITY OF COSTA MESA BUILDING D/V/SION F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.w ta-mesa.ca.us �•�� FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: BX07-00068 PERMIT TYPE B MISC STATUS: ISSUED DATE ISSUED: 08/09/2007 ISSUED BY: "- ` JOB ADDRESS: 390 W BAY ST CM •- ." - . Suite/Unit: Vicinity: FRONT UNIT - Primary Occ:; �. , Const Type ;?? :i .Y� . : SQ. FT: 0 :_ Valuation'. $0.00 - - �;. - , . SCOPE OF WORK: CONDO•CONVERSION INSPECTION FOR 1 UNIT ONLY (FRONT UNIT). OWNER: OSTERCAMP;IPAULINE T Address: 390 W BAY ST Unit City/State: COSTA MESA, CA Zip Code: '92627-2041 ., Phone: - - � , . APPLICANT: BECKEMEYER, LENi .-, .. Address: _ Unit City/State: Zip Code: Phone: 714-662-5952 - CONTRACTOR: . License No. Address: _ Unit: City/State: - . - - - , Zip Code: . u Phone '' ';' Cell: ARCHITECT: ` - - License No. Phone � . " ' • ENGINEER: " " License'No. Phone - FEE'SUMMARY; . ` . - . . - ,. _ . Building Plan Check:.;_, ` : . _�;,- , , $0.00 _ � Building Permit: - . ' $0.00 ` Electrical Permit: " $0.00 SMIP Residential _ $0.00 - " SMIP Commercial $0.00 $O.00TOTAL FEES $100:00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenls under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such vrork must comply with all applicable codes, and all required inspections and final approval musl be obtained. Failure to obtain inspections and final approval will resull in the expiration of this permit. CODE/, INSPEC710NTYPE DRTE IN1f11AL5 CQO� LNSPEClIONTYVE � IN1111AL 1818 Fixetl System Final Fire Prevention 206 Final Mechanical 1288 Pool Spa Final 208 Final Plum�ing 200 Final ReRoof 210 Final Electncal 201 Final BIocWRetaining Wall 212 Final Fire Preven�ion 202 Final Factory Fire Placa 220 Final Planning Approval ' 203 FinalSign 222 Final Site 204 Final Demolition 250 Final BuilOing/Occupancy CON� CONUEA$ioN 8—a3' U`7 gN I N3PcCYtani WORKERS' COMPENSATION DECLARATION: . � I hereby affrm under penalty of perjury one of Ihe following declarations: ❑ I have antl will maintain a certifcate ol consenl lo self-Insure for workers' compensation, as provided for by section 3700 0( the Labor Cotle, for the peAormance o( Ihe work for which Ihis permit is issuetl. ❑ I have and will maintain wvrkers' compensation insurance, as required by section 3700 of lhe Labor Code, for the peAormance oF ihe work for which ihis permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier: (i�is setSun neetl rrol0e cwnplete0 Alhe pertnR is valuetl at ona huntlre00ollars (E100) w IessJ Policy Num6er: ❑ I certify ihat in the peAormance of the work for which this permit is igsued, I shall not employ any person in any manner so as to become subject t0 the vrorkers' compensation laws of California, antl agree that if I shoWa become suhject lo [he vrorkers' compensatio� provisions of SectiOn 3700 of the Labor Code, I shall forlhwilh comply vnth these provisions. AOO�iwnfs SignaWre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLP.WFUL 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 LABOR CODE, It�fTEREST, AND ATTORNEY'S FEES. 410ENSED CONTRACTORS DECLARATION: � hereby aKrm that 1 am licensed under provisions o! C�apter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Code, antl my license is in full torce antl eftect. Lic. # Class # Comractor's Signamre Da�e CONSTRUCTION LENDING AGENCY: ❑ I hereby a((um that there is a consWction lentling agency for the performance of the v.ork fa wfiich this pertnit's issued. (Sec. 3097. Civil Cotle). lender's Name: lenders Address: SignaWre Date OWNER-BUILDER DECLARATIONS: I hereby affrtn [hal untler penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE lAW for the (ollowing reason (Sec. 7031.5, 9usiness and Professions Code: Any city or wunty which requires a permit to ConsWct, alter, improve, tlemolish, or repair any simcNre, prior lo its issuance, also requires Ne applicant for such permit to file a siqneC statement that he or she is licensed pursuant [o the provisions of the Contractors License Law (Chapter 9(wmmencing with Seclion 7000) of Division 3 of lhe Business and Pro(essions Code) or that he or she is exempt therefrom antl �he basis for the alleged eaemption. Any violation of Section 7031.5 by any applicant for a permil subjects the applicant to a civil panalty ol not more Ihan frve huntlretl dollars (5500�.): ❑ I, as owner of the property, or my employees with wages as iheir sole Compensation, WILL DO THE WORK, antl Ihe structure is not intendetl or OHered for sale (Sec. 7p44, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builtls or improves thereon, and who does such xrork himself or herself or fhrough his or her own employees, provided that such improvements are not intentletl or oKered for Sale. If, however, the building or improvement is sold within one year of completion, ihe owner-builder will have the burden of proving that he or she tlitl not builtl or improve for purpose of sale.). .. ❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH UCENSED CONTRACTORS to consWct Ihe prqecl (Sec. 7044, Business and Professbns Code: The contractors License Law dces not apply to an ovmer of properiy who buiWs or improves thereon, arrd who corttracts for such project with a contractor�s) license pureuant to ihe Contractors Ucense Laws.). ❑ I am exempt under sec. � Business and Protessions Code for this reason: SignaWre Dale 3059-46(]IO]) Ovmer ID venfie0 by drive� ,ise. ❑ Yes ❑ No Driver's License No. Expires: ' � Verifcation o( Ownership by (lype o! documenl, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certRy that no excavation frve (5) or more feet in depth into wtiich a person is required to descend, will be made in conneclbn vnth wvrk authorized by Ihis permit, and �hat no builtling sWCWre, scaFfdding, (alsewark, or demolition or dismanlling thereo(, will be more lhan lhirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sea 341, Title 8, Califomia Administrative Code). � As ovmer-builder, I will not employ anyone to do vrork which would require a permit from the Division of Industnal Safery, as notetl above, unless such person has a permit to do such vrork from the division. Appfit'anl's $ignature Date Division of Industrial Safety Pertnit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuNre building occupanl neetl to file and certify a Business Plan for emergency response to release or threatened release of a hazartlous material? ❑ Yes ❑ No (Seclion 25505 0( the Calitomia Health and Safery Code requires, vrith some exceptions, that a Business Plan be filed with the Costa Mesa Fire Depanment by every business which has at any one time tlunng a reported year a quantity of hazardous materials equal ro or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cu6ic (eet of compressed gas at stantlard tempe2fure and pressure�. 2. Does or will the appliwnt or present or fuWre building occupant need to file a registration form (or acutely haiardous ma�erials? ❑ Yes ❑ No (Section 25533 0( the Cali(omia Health and Safety Cotle, with some exceptions, requires registration vnth the Costa Mesa Fire Department by each business which at any one lime has on hand a quantiry of acUtely hazartlous materials equal to or greater than a vreight of 500 pountls, or a volume of 55 gallons, or 200 cubic teet of compressed gas at stantlard temperature and pressure). 3. Does or will the appliwnt or presenl or future builtling occupant need to prepare an RMPP (Risk Managemenl and Prevention Progrem for acutely hazardous matenals)7 ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safery Code provitles that the Costa Mesa Fire Department may require ihe preparation, cenification and filing with the Fire Department of an RMPP by businesses which are required to regisler awtely hazardous materials wi[h the Fire Departmenl. 4. If an RMPP is presently requiretl, has Section 25534 ot the Califomia Health and Safely Code been fully complied wilh7 ❑ Yes ❑ No 5. Does or will Ne applicant or present or (uture huiltling occupant require (or the vrork which is the suDjecl of this application a pertnil for such construction or motlificalion trom tbe South Coast Air Oualiry Management Distncl or lrom any other air pollution control distnct or agency? ❑ Yes ❑ No (Section 658502 of lhe Calitwnia Govemment Code requires that the requested infortnation be lumished on applications for nomresidential builtling pertnits). 6. Witl any pan of the facility to be consWcted under this permif be withtn 1000 (eel from [he outer bounaaries of a school? ❑ Yes ❑ No Qf'yes", the faciliry must meet Ihe requirement of Sections 25534 and 42303 o( the Califomia Health and Sa(ety Code). 7. If a permit from the South Coast Air Quality Management District or other air pollution conirol district or agency is required for the wnrk which is the subjecl of this application, have all ot the tlisclosures prescdbetl by Califomia Health and Safely Code Section 42303 been ma0e? ❑ Yes ❑ No 8. 0�'Yes", attach certificate of wmpliance from the appropriate air pollution coMml ofTicer�. CERTIFICATE OF COMPLIANCE: I certify that under �penalty of perjury the information given above is rorrect. I agree lo comply with all state laws and city ortlinances regarding Hazardous Materials and Emissions, . CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certi(y under penalty of perjury that I have read this application and state that the information given is correcL I agree to comply with all sta[e laws antl city ordinances relating to building construction, and authonze representatives of the Ciry of Costa Mesa to enfer upon the above-described property (or inspection purposes. I agree not ro occupy or allow occupancy of any builtling authorized by Ihis permil until fnal inspection. SlgwWre Le IOwneqs te /�.-� �..�—w- ��Q-Z-- � (,AnO!OrANhonzetlAppllrant ---y �O e,J Applican� to fill in all spaces except those within heavy Uortler Iines antl si9n dll aDP�opriate tleclaralions. . CiTv oF cOSTA p/� CO`�N�STRIJ�TION PERMIT Prolect Address � lJ ��. ^ � Applicant'sMailingAddress �a� • Owner's Name F , '` � Phone.S�p—sg3� Address , � � vv - '��0 YY\l . a . Arch/Eng. � � License No. Addren �� TMM�^,,,,�L /�p�"/ y� Convacror's Name-!� 9d�t_��`Phone �.a=na. V / Address (mailing) a��pp�(��- � � 1 0.� Ciry License No. �� T�6 � UCENSED CONTRACTOft OECLARATION I hereby�atfirm that I 8rn licensetl untler provisions of Charter 9 �mmmencing wi[n section ]000) of Division 3 oi the Businezs antl Professions Cotle, antl my license'is in full ilorce ap�1 e ect. LicenSf� Cl,a.,ss� ,,,� y�� L� Licen _I�P�� Date��.b _Yi`� Siqn�re � y� WORKERS'COMPENSATION DECLA HTION ' I hereGy aftirm that I have a certificate of tonsent to self-insure o� a c¢rtiticate ` of Workers' Compensifion Insurance, or a certifietl cppy thereot (Settlon ' \\ ' 3800, Lab. C.) �^q ' Policy No. � x_1 � Company � Certifietl capy I5 he�eby fumishetl. �( 7 e�p tie 5opy ii f�il�tl with t �e�,city Builtli�'9 vi5ion, � / Date �'1��1v�A�Y APPyi@nt /.�^�.il�_�'��, EXEMGTION FROM WORKET25�OMPE ATION DQ�LARATION (This section neetl not be completetl if the permit is for one huntlretl ($100) or - less). � I certify that in Ihe pe�formance of [he wo�k fo� whlch [Itis permR is isSueQ I shall not employ any person in any manner so.as to become subject to the ' Workers' Compensalio0` �ws ot Califomia. Date Signature NOTICE: If, a/te� maki�g this tleClaration, you shoultl become subject to the Workers' Comp¢nsatiory provisions of the Labor Cotle, you must (orthwith mmply with such ,p�ovisions o� this pe�mit � shall be � deemetl revoketl. • CONSTRUCTION�LENDING'AGENCV • ' I hereby atfirm that the�e is a const�uction�lentling agency tor the performance' of ihe work for which this permit is issued (Section .309] Civ. C.) Lentler's, Name Lentler's�Atltlress ' ' OWNER BUILDER D@CLARATION� � � I hereby afiirm that I am exemo< from the Cantractor's License Law for the following reason (Sectjon 7031.5' Business antl Professional Cotle: Any city or county which requi�es a pe�init to const�uct, alteq improve, tlemolish o� repair any structure, prior to its issuance, also'requires the applicant for such permit to file a signetl Statem¢nt that he/she is Iicensetl pu�sudn[ to Ihe provislons ot fh¢ Contractor'S Liceng¢ �y�y (Chapter'9 (commencing wi[h Section 7000) ot Division 3 ot the. Bus�ness antl Profesvons Cotle) or that he/sM1e is exempt , ,[herefrom antl the ba4is for the alle9etl exemption. Any violation of Section , ' 7031.5 by any applitant for a pe�mit SubjeCtS tM1e applicant �to a civil , �enalty of not more [han five huntlretl tlollars ($500). � LJ I, as owner o� th@ property or my employees witn wages as thelr sole compensation, will tlo the work, antl tne sbucture is not intendetl or offeretl fo� sale ($ection 704y� Business antl Professional COtle: The Cont�acto�'S License Law tloes not App1y to un owner ot a properTy wno builds or improves thereon, antl who tloes such work nimself/herself ar througn his or her own employees, provitletl [hat such improv¢ments are not intentletl ar o(fe�etl for Sale. If, however, the 4uiltling or improvement is soltl witM1in one year o( com- pletion, the owner wiq have the bu�0en of proving he/she tlitl not builtl o� im- �rov¢ to� the purpose p( sale). I, as owner ot [he property, am ezUusivery contmcting with licensetl con- tractors to construct th¢ project (Section 7044, Business antl Professions cotle: The Contractor's License Law tloes not apply to an owner of property who builtls or improves th@reon, antl who mntracts fo� suCh projects with a con- t�aclor(51 Iicense pu�spant-to-the�COM�acto�'s License Law). I am aware Ihat proof of their Worker�s Compensation in5uranc¢ sbopltl be provitl¢tl to me. ❑ 1 am exem0� untler 5¢�tion B. 6 P. C. for fhis rea5on TYPE OF CONSTRUCTION . LJ NEW LJ ADD U ALTERATION LJ REPAIR Q CONVERSION ❑ DEMOLISH ❑ OTH R DESCRIPTION OF WORK/USE OP LDG. �F �� t,r. `p 0 f w7 ' ty( � ' TYPE OF PERMIT ❑ GRADIN FOUNDATIO ❑ STRUCTURAL � ❑ TENANT �ELECTRICAL ❑ PLUMBING �MECHANICAL � Q -0THER PROJEC7 DESCRIPTION 5Q. Fr. ocCUPANCv CONSTRUCTIONTVPE � � VALUATION$ ZONE GRADINGCU.VDS. �ACRES Remarks: - � � P Bar $ink 8ackflow Preventer 6ackflow Irrigation Bathtubs . Clarifiers ` Dishovasher Drinking Fountains Floor Drains floorSinks ' GasService Outlets Interceptors Ki[chen Sink Lavatories P—Trap ' Roof Drains . Reinspection Fee � $15 Duct - Under Ground Duct - Strucmral Duct- Ventilating ' ExhaustSystem� Multiple Firepl/Fact.81L ICBO # Date Owner Heating System & Ducting I hereby certify that I have reatl tM1is application antl state that the above ❑0100;000 BTU �100,000 intormation is mrrecL I agree to comoly with all city antl county ortlinances antl state laws rel tin to buil ing constru<tion, antl h¢reby authorize repre- sentatives of. tM1i ci to en er u n the bove-mentionetl property tor ' � Inspection pu�po 5. -y Signature � Date :4to'� Drivers' License or 55 ?c " � _ � Reinspec[ion Fee CMF 0865-46, rev. 4/84 yyM1ite - Bul Itling; Canary - APolicanh, Pink - Acmunting; Goltlenrotl - Assessor $15 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 ' Solar Tank Swimming Pool w/Spa Urinal � Water Closet Water Heater Water Service , Issue Fee Hood or Type I ❑ Canopy Typell ❑ Fefrigeration System � ' ❑o-roo,000eTu ❑iaa,00aoTu System Repair/Alteration Issue Fee FEES A.P. # S Main Building E T Front B Rear A C, Right g- Left � Ping. Ref. # Automatic Washer Construction Pole Cooking Unit DisHwasher 9329 10/02/84 ,� Zone Accessory Building: ' Parking Req./Provided � ' I ELECTRICAL � � � � � Trensformer ❑ 15-50 KW ❑ SO+KW Fan F,A,U. Fiztures � �_._ . Device Boxes . Outlets Switches Garbage Disposal Generator OO-5 KW 05-15 KW Meter LJup to 100�amps Meter ❑over100amps' Sub Panel Motors � 0.1 HP � 1 X- 8 Inc.Solar �9-15 HP �16-75+ Microwave � . Pole Light Range Standing Sections Trash Compactor $ ? I _ �-- Reinspectian Fee $15 Issue Fee FEES - DEVELOPMENTSEFVICESREQUIREMENTS: Zonin9 APProved BY . Building qpproved By APPlicatiOn IaUed BV $ 3 I�.00 TL 2 O N 1_ N - G R E Q M ,• T S. FEES $ 3 � SUMMARV OF FEES BUILDINGPERMIT, $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ �SSUANCE $ PLAN CHECK 25% $ LI ENERGY P.C. $ ELECTRICAL $ ' 7 -OO GRADING $ P,LANCHECK 50h $ MICROFILM $ MECHANICAL $ � OO TOTALFEE $ ��- d� PLAN CHECK 25% $ r CONSTRUCTION AND PLANNING ' POOL & SPA APPROVALS Permit # Date Inspector qPPROVALS 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-Undrgmd. 55. Electrical Bonding � � � 5. Steel.Reinforcement � 56. Rough Plumbing & Pressure Test • -', 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footirigs - i � ' 58. Electrical Conduit-Undrgrnd. B:,,Foun�dation 1 '�,t'� 59.GasPipe,�Undrgrnd.,Test � . T.�, • 9"Water Pipe-Undrgrnd. � . '� � 60. Backwash Lines, P-Trap, � Undrgmd. 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 Ba� Ceiling 69. POOL/SPA 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 O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush � 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ 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 MeterFinal 80. FOOD CERTIFICATE ISSUED � � 33. Final Electric Notes: � 34. � ea ing � ing �� y 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 pomestic-Final 42. Backflow Preventer . 43. Backflow Irrigation , .. . . . 44. .Landscape Irrigation System . � 45. Sound Attenuation ' 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No. Date �