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HomeMy WebLinkAbout1550 ORANGE AVE - Building Permits CITY OF COSTA MESA 4 - BUILDING DIVISION ori Y .. • DEVELOPMENY SERVICES DEPARTMENT PE NUMBER ;ie. r OKA PERMIT kP44 B05-01065 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1550 ORANGE AV Status: ISSUED Suite: A Applied: 06/28/2005 Vicinity: A AND B Issued: 06/28/2005 Primary Occ: Type of Construction: V-N Parcel Number: 42533301 Zoning: /' Applicant: RAMIREZ, ANGEL ISSUED BY: GA4 Address: 200 16TH PL SUITE C Phone: 949-548-6654 COSTA MESA;CA Zip: 92627 " Owner: STONEMAN, JAMES E TR Address,/400 ANGELITA DR _• - - _ • � A-C Phone: • • . CORONA DEL MAR,CA Zip: 92625 - '•is t1► ' Contractor: A J R ROOFING COMPANY Address: 200 16TH PL' SUITE C Phone: 949-548-6654 COSTA MESA,CA Zip: 92627 - License: 588479 Arch : Eng: Address: - Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT INSTALL 1 LAYER OF 30 YEAR COMP.OVEREXIST. 1-AYER OF COMP.SHINGLES. 1 BUILDING WITH DETACHED GARAGE.UNITS A AND B FEE SUMMARY Plan Check: $0.00 Calc Valuation: $2,100.00 Permit: $83.25 Claim Valuation: , $2,100.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: . $0.00 Inspection: $0.00 • • 'Total: $83.75 - • , PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-9 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 • NOTES: • 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 2448-46(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-Insure for workers'compensation,a's provided for by section 3700 of the Labor Code,for the performance of the Tc-7-worfc for which this permit is issued. I hail-ffi`ave 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 are: C lCanier: Pr.olic`v Number (This section need not be completed if the permit is valued et one hundred dollars($100)or less.) certify that in the performance of the work for . J s permit is issued,I shall not employ any person in any manner so as to become subject to the workers' Y �ompensatlon laws of California, _•• '• ee ould become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply withhth—v�lons. a/2 /C c_ �AppG` 4 i ga qI� Ua�e � Gi WARNING:FAILURE TO SECUR• •'I ERS'•,' COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,O30 •AO• •' O THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3106OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: thereby affimi,tbat I am licensed u der•rovislons of Chapter 9(commencing with Section 7000)of Division Set the Business and Professions Code,and my license is in full Gdreei6nd s act.uc.a S icit/ `-GYass-w-) — I ;..4° : . ••. era— Data--� — 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). Lenders Name: Lenders Address: Signature: Date: 1 OWNER-BUILDER DECLARATIONS: M' I hereby affirm that underpenalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any cityor_bounty 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 sheds 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 Thal 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,nkatotmore than five hundred dollars($500).): ❑ I,as owner of the properly,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.). o I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O I hereby certify that no excavation live(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 0 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? 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 filing with the Flre 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 agrnit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? e 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 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 of any building authorized by this permit until final inspection. (7....2 Slgnatur f Legal Owner(s) G /Gc,I6,S r_ i _d/OrA -Alcan f !!/ (Date -------‘900E S. IIfSPE'CTON TYPE PATE IMAIP coot INSPECTION TYPE PATE i{IffaL$ 1616"--Fixed System Final Fire Prevention 206 Final Mechanical 1268 Pool Spa Final . 208 Final Plumbing - 200 Final Re-Roof _1ClI//I. F< 210 Final Electrical - fil 201 Final Block/Retaining Wall ? _ra .� •%' .r� , 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 - O`'Tp MFS CITY OF COSTA MESA 'p L y o'; CALIFORNIA 92628-1200 P.O.BOX 1200 DEVELOPMENT SERVICES DEPARTMENT a • ' Pri P0,,mct �9. December 19, 1989 To: Building Safety Division Pacific Bell (2) Code Enforcement Police Dept. - Ping. & Research Communications Santa Ana Heights Water Company Copley-Colony of Costa Mesa Sanitary District Engineer County Administration Office Southern California Edison Co. County Clerk/Bd. of Supervisors Southern California Gas Co. County Registrar of Voters State Board of Equalization County Tax Assessor Street Division Engineering Division (2) U.S. Post Office - AIS Fire Administration U.S. Post Office, Adams Avenue Fire Prevention U.S. Post Office, Santa Ana Manager, MIS Zip 4 - Santa Ana Mesa Consolidated Water Dist. File (2) Newport-Mesa Un. School Dist. (2) The City of Costa Mesa wishes to advise you that the following addresses have been changed or added: OLD ADDRESS 7TEW ADDRESS A. P. NO. 1550 Orange Avenue 1550 Orange Avenue "A" 425-333-01 1552 Orange Avenue 1550 Orange Avenue "B" " 1550 Orange Avenue (rear) 1550 Orange Avenue "C" • 1554 Orange Avenue 1554 Orange Avenue "A" 425-333-02 1556 Orange Avenue 1554 Orange Avenue "B" " 1554 Orange Avenue (rear) 1554 Orange Avenue "C" " For your convenience we are listing the agencies above that we have notified of the change. In addition to those listed, you are advised to notify your correspondents of the change in order to avoid any possible interruption of mail service. 77 FAIR DRIVE Building Division(714)754-5026 • Code Enforcement/Business License(714)754-5234 • Planning Division(714)754-5245 d 1550 & 1554 ORANGE AVENUE LOT B^ LOTH 7.- 1554-4 155 {-G O C • 1550 - C Orpme _ V it I I KNOX 5T. � I 1554-8 Prove r - > I < ` - r • 1550-6 aratiGiC 1554A aterrte • I < • 1550-A Orad _ I 1554 '1550 ORAN6 E AVE. A 2