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Home My WebLink About1010 OAK ST - Building PermitsCITY OF COSTA MESA 4 BUILDING DIVISION f 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us -, �• FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBERYM08-00119 PERMIT TYPE MECH STATUS: ISSUED APN: 42247306 DATE ISSUED: 09/15/2008 200 ISSUED BY: RMD JOB ADDRESS: 1010 OAK ST CM" Suite/Untt `"' Vicinity: Final Block/Retaining Wall SQ. FT: 0 7 202 Final Factory Fire Place SCOPE OF WORK: WALL HEATER CHANGE OUT < 100K BTU FOR A SFD. 203 Final Sign - WNER: FREDERIKSEN,, HENRY �� - Address: 1010 OAK BT Unit:,'l' -' PHONE: , A -. . -,City/State/tip: C,OSTAMESA; CA' APPLICANT: ACEVEDO,°OSCAR �I t• - ,, Address, ,_ ; 6250 PARAMOUNT BLVD Unit: PHONE: 562-984-5511 :^ - City/State/zZl_ p: ?.-LONG BEACH CA i..' CONTRACTOR RELIABLE,ENERGY MANAGEMENT License No. ..70"14'-; Address: 6250 PARAMOUNTLV ,BDUmY -} ,�. <., . - -- PHONE: "" 562 984-5511 ' City/State: LONG'BEACH CA ZlpCode. 90805 CELL.- MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: '$38.30 PLAN CHECK FEE: _ -- $0.00 INVESTIGATION FEE: "' -, $0.00 REINSPECTION FEE:'�.$0.00 - TOTAL FEES: $38.30 _< NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE/. INSPECTION TYPE DST INTRIRL 206 INSPECTION TYPE JM�R /�$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical I 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Root 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 WORKERS' COMPENSATION DECLARATION: t- 1 hereby affirm under penalty of perjury one of the following declarations...�// ❑ 1 have and will maintain a certificate of consent to self -Insure for vve6rs` compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. - 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 carrier and policy number areo`_ � _ /5.- —_Cartier. Yp (�� (This section need net 6egqvmple`J@C_Flhe p�een�,rrjN s val//u��e1tlQQof me hundred [biters (3100) cries.) Policy Number: I V d J5 1kn _— (0 ,�1 I certify that in the p rformance of the work for which this permit is / Iss , shall not employ n erson in any manner so as to become subject t t rker ' compen tion laws of California, and agree that if I should e b' t to the rke ' compensation provisions of Secti 3700 of the L r e, shall rth th comply with these pro 's' ns a Apptieanrs nature Il at WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,1100), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORECLARATION: I hereby affirm That 1 am tic s d under provisions of Chapter 9 (commencing v^Section 700%of Divis n of the Business and Professions Code. and `fly ' ense is in GII orc t L Class # _ D Contractor's Date CONSTRUCTION LENDIY:❑ I hereby affirn tha 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 OWNER -BUILDER DECLARATIONS: I hereby affirm that under penally 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 penally 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 Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature W57A6 (3107) Owner ID verified by ddAnse. ❑ Yes ❑ No Driver's 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, a demolition or dismantling thereof, vvill be more than thirty -sic (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. Applicant's Signature Dale 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? ❑ 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? ❑ 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 fling 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 a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ 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 ❑ 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? ❑ Yes ❑ 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 h ve read this application and stale that the in ma on given is corecL I re [o comply with all state laws and city or nces elating to ilding co W tion, and authorize representatives of Ih City s s to ent r u on the above-described property for pact urp es a Fee not o cupy or allow occupancy of any building Ihorize y,t l mu until fin spection. - n ure eget Ovmeq) a Andfor Authorized Apaimnt _ Date- r -OWNER OT.S()N�M. A - DATE 1_26_559 JOB ADDRESS 1010 Oak Street BUILDING PERMIT NO. $�16ifi GENKI,a COD! CTOR QymerBuildpr VALUE $ 1_).JI5_QQ DESCRIPTION OF WORK GROUP T TYPE V ZONE Rl PLAN NO. AI,AA INSPECTIONS I DATE I SUBCONTRACTOR Final Gas Test COSTA MESA BUILDING DEPARTMENT P. O. BOX 3,17 ' COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN BUILDING //j/� /�j� //'• �'�" ADDRESS ii�J l HE RE"IVED r b SiIII26I l- — FINANCE DEPT, i CITY OF COSTA' MESA APPLICATION FOR PERMIT BUILDING COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY /. /L N /'� L � OA RECEIPT NO. PERMIT NO. OWNER /l �J/` ��ryffvvv MAILfA��CE �y E IS �H ADDRESS ' C Q.S 11 TNO BUIING /�( O OR L ADDREEL. CITY Ic SS (/ ARCHITECTLIC. N OR ENGINEER NO. COSTA MESA. CALIFORNIA FIRE ADDRESS ZONE /w� ,,�/ ^/ CITY LIC. YON Poe OF TVP GRDVR CONTRACTOR ( f' 14T NO.1 TN Y BPPROVE / 1-2:t, ADDRESS O.M,U yn r DATE i LEGAL '' Lor �/// CORRECTIONS DESCRIPTION NO. BLOCK TRACT/7//2 A.P. NO S— -- D6,r �i SIZE / No. OF aLESS p4 n OF LOT E� r�oW OR LOT l' V USE OF EXISTING BLDG. •J J( ��LQ l'� �A 41Af 1 �(�'T, h � Ui,N7y SETBACK LINE FROM ( SUBJECr TO DG. DEPT. REG. CENTER OF STREET G�j�'gl. REAR YARD b SIDE YARD RIGHT LEFTS i � DESCRIPTION OF WORK PLAN TCCH NEW ALTERATION ADDITION _ REPAIR MOVING DEMOLISH BUILDING NO. OF �irfil(IR RIES 17 `^. T'R T''� SIZE ROOMS EXTERIOR WALL /gym / ROOF COVERING Vl / L' l E L• COVERING USE OF NEW A p ��117 vv ,ONGrj G t BUILDING rf2 C,,j /J�//f�L •.I r.n n1,. .S .D.^;1l �� e moun s own un er valuation Is Tor The I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND purpose o esa IS Ing a perm) fee only. ' PTE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LANNS REGULATING BUILDING CONSTRUC-- LUATI VAON TION, SIGNATURE OF V PERMIT `/ FEE- $ � PERMITTEE _ PLAN CHECK $ � ` / TOTAL FEE Z— AUTHORIZED AGENI(J/�/Lr7?� \ NER BUIL GENERAL CONTRACTOR Owner -Builder VALUE $800,CO LOT AP# 115-371-6 BLOCK TRACT Private garage GROUP i TYPE V ZONE R1 FIRE DISTRICT 1318 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench Foundation Forms and Grade to Garage " Rough Framing Plumbing, Rough to Slab Plumbing, Rough Complete Temporary Pole Wiring, Rough Heating, Rough Heating, Final Sewer, House Sewer, St. Septic Tank or Cesspool Lathing, In Out Plastering _ Plumbing, Final, Fixtures Complete Plumbing, Final Gas Test Wiring, Final `S , / !• _ Occuoanev Fnrm 210 R -H 15001-55 Costa Mesa Building it I EAST Department ) APPLICATION FOR PERMIT '�_.� COSTA MESA,ET FORNIA - 618 WILDING 04 G -X 2M 5-54 FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN Receipt No. _ - Permit No. Building O O /,� Address 1010 Oak St.,Costa Mes Costa Mesa, California Rece7ed by /I Date Recd. (Dante Issued Nearest Cross St. State St. Building Address Owner Mr. Mrs. MelLrin-A..-MsonCosta Mesa, California Mail Address 1010 Oak St. Nearest Tel. Cross St. City C osta Mesa NoS,i.81o66 No. of Type , I Group Zone/ T I Architect or Lic. Plans i j/ Engineer No. Approved by Date 'l AddressRRECTIONS City Lic. Contractor Owner builder No. Address Lal I I Description No. BlockTract/ / (Attach Metes and Bounds) , Idgs �j b No. of Bldgs Size of Lot 1 5x8lx K138 I Now on Lot 1 O Use ofNo. of No.of Existing Bldg. DwellingFamliles I Rooms Lj Setback Line from / Rear YardO Center of Street /0 , Side Yard j DESCRIPTION OF WOR New X I Alteration I Addition Repair I I Moving I Demolish Building No. of Size 20 x 20 Rooms 1 Stories 1 Exterior Wall Roof asn a Covering stucco Go ring I APPROVALS, UseNew /' Building Garage 1 -�� Foundation Location Inspector Date Forms, Materials, Under -Pinning " Frame: Fire Stops, . Bracing, Bolts I hereby acknowledge that I have read this Application Lath. Int. and state that the above is correct and agree to comply with all City Ordinances and State La. s regulating Lath. Ext. building constru on. Signatureof 6/c�/y/�/�-/ Plaster, Int. PermitteeQCYL— Plaster, Ext. Authorized gt. Masonry Reinforced ValuationPermit Fee $ a � Plan Check $ Bond Beam 3?— Q '9 0 �G'G Feeal $ �. 1A FINAL 04 G -X 2M 5-54 PLOT PLAN Show locatlon and distances from property line and between buildings. o _ PRoPoSED COSTA --- - — - Pjl..__...�56a 'h':r***7.00 C-aRa•GE .- Xouse - Street - PLOT PLAN Show locatlon and distances from property line and between buildings. COSTA --- - — - Pjl..__...�56a 'h':r***7.00 .- I 1 ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT 636 Nooadway SANTA ANA, ALIFORNIA