HomeMy WebLinkAbout940 JOANN ST - Building Permits�
�
y; • CITY OF COSTA MESA
�pMFsq BIIILDING DIVISION � : . � . .
>`�� 77 FAIR DRIVE. COSTA MESA, CA 92626 •(714) 754-5273 • Fax p14) 754-4856 • www.ci.costa-mesa.ca.us
� FOR INSPECTIONS CALL: (714) 754-5626
R"�'� PERMIT NUMBER. BC10-00462
PERMIT TYPE: B COMBO STATUS: ISSUED
Sub Type: RES_ALT DATE ISSUED: 11122/2010
tSSUED BY: _._
�06 nooRess: 840 JOANN ST CM
APN: 42235112 Zoning: , ,
Viciniry:
ConstType: V-B
SQ. FT: 700
Suite/Unit:
Primary Occ:
Valuation: $75,000.00
SCOPE OF WORK: 696 SQ FT ROOM ADDITION. SCOPE OF WORK TO INCLUDE: ENLARGE MASTER BEDROOM AND BATH
AND BUILD NEW WALK IN CLOSET. NEW FAMILY ROOM. INTERIOR REMODEL OF THE EXISTING DWELLING. RESIDENCE IS
CURRENTLY A THREE BEDROOM / 2 BATH. NO INCREASE IN NUMBER OF BEDROOMS OR BATHS.
1 ALT DUCT SYST�M. 2 BATHROOM VENT
15 LIGHTS 13 OUT�ETS 9 SW ITCHES 1 1 SUBPANEL UP TO 200AMP 1 ELEC. METER 2< 0.5 HP � '�
1 BATHTUB 1 SHOWER 1 WASHBASIN 1 TOILET '
OWNER: HARBS, WARREN AND DIANNA
Phone: 949-642-g064
APPLICANT: MULLIGAN, BRIAN
Phone: 714-901-5282
CONTRACTOR: BRICO BUILDERS
Phone: 714-901.5282
Cell:
ARCHITECT:
ENGINEER: RUDY L RODRIQUEZ
COMBINATION PERMIT FEE SUMMARY
Building Plan Check;
Building Fees:
Electrical Fees:
Mechanical Fees:
Plumbing Fees:
SMIP Residential:
SMIP Commercial:
Bldg Std Admin Funtl
TOTAL FEES:
Address: 940 JOANN
City/State/Zip: COSTA MESA, CA
Address:
Ciry/State/zZip:
License No. 942225
Address: 13272 SPRINGDALE STUnit:
City/State: WESTMINSTER
license No.
License No.CE28210
$532.19
$818.75
$134.70
$51.70
$62.70
$7.50
$0.00
$3.00
S1,s�o.sa
HOURS FOR CONSTRUCTION ACTIVITY: EFFECT
ihru Fritlay - 7:00 am thfu 7:00 pm. Sa[urdays- 9;00 am ihru 6:00 pm. P
New Years Day, Memorial Day, Independence Dav. Labor
Unit:
�w.i±-• .. ,l�rii�r
UniC :
ZipCode 92683�. .� , '
PHONE: ... -.. ..__,
PHONE:714-636-7705
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dt:
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:R CMMC Sec. 13-279 "��
Sundays and the following Federal holidays: �
lav and Christmas Dav ' �
. ;.::,i'3 ... '
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes_and relatetl
iegulations. (Ord. No. g2-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. "' '��-�
.INSPECTIONS: In order for lhe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and Fnal approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit.
. ,'?'_ . .
COOEt. INSVEC110NTYPE ORT� INTITIALS GO�EO INSPELlIONTYPE O�T _, ; .�i(NTI71RL5
1676 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 2ID Final Electnwl
207 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire place ' 220 Finai Planning Appmval
i. , .
203 FinalSign 222 final Site `f /�
�204 FinalDemolition 250 FinalBuilding/Occupancy /� S'.--'��ZL�����- ���`/
�.! i
_ � ddi.fLvi uo�lici.�}.;. �
WORKERS' COMPENSATION DECLARATION�
I hereby affirm under penalty of perjury one o! the following declarations:
❑ I have antl will maintain a certificate of consent to self-Insure for workers'
compensation, as pmvided for by section 3700 of the Labor Cotle, for the
pe or ance of the work (or which Ihis permil is issued.
1 have and will mainlain workers' compensatan insurance, as requiretl by
s tion 3700 0! the Labor Code, fw fhe pedortnance of Ihe work for which �his
pertnit is issued. My workers' compensation InSurance carrier and policy
nu re: �
amer i�I L (;J S%/0�� �
nas un eed�pe�eCltlrepeimauvaWcbaf ienuntlrtdtloBars(S100)wless.)
Po� yNumb . ��Gl�
❑ I certify that in t�e pedortnance of the work for which this pertnit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation law of California, and agree ihat if I should
become su6ject to Ihe workers' c mpens tion provisions of Section 3700 of
the r Co I shall fort l c mply these pmvisions.
— a'
p Sign —
WARNING: FAILURE TO SECURE W KERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUB CT AN EMPLOYER TO CRIMINAL
PENAITIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADOITION 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 aKrm that I am licensetl un0er provisions of Chapter 9(commencing
with Section 7000) o! Division 3 0( the Business antl Professions Code, antl
my license is in full force and eHect.
�� . �ya �� B-/
I%-�-/D
ac ��
CONSTRUCTION LENDING A NCY:
❑ I hereby affum that Ihere is a consWctbn lentlinq agency for Ihe
peAortnance o( the Hork fa wfiich Ihis permit is issued. (Sec 3097, Civil Code).
Lentler's Name:
Lender's Adtlress:
SignaWm Date
OWNER-BUILDER DECLARATIONS:
I hereby affirm that untler penalry of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for t�e follovnng reason (Sec. 703L5,
Business antl Professions Code: Any city or county which requires a permit ro
conslmct, alter, improve, demolisn, or repair any strucNre, prior to its
issuance, also requires the applicant for such permit to file a signed statement
lhat he or she is licensetl pursuanl lo the provisions o( the Contractors
License Law (Chapter 9(commencing wi�h Section 7000) of Division 3 0( �he
Business and Pmfessions Code) or that he or she is exempt therelrom and
the basis for Ihe allegetl ezemption. Any violation o( Section 703L5 by any
applicant !or a permil subjects the applicant to a civil penalry of not more lhan
(ve hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as lheir sole
compensation, WILL DO 7HE WORK, and the structure is nol intended or
offered for sale (Sec. 7044, 8usiness and Pro(essions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, antl who does such work himself or herself or through his or her own
employees. provided that such improvements are not intended or offeretl for
sale. If, however, the building or impmvement is sold vrithin one year of
completioq lhe ovmerbuilder will have the burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as ovmer of the property, am EXCLUSIVELY CON7RACTING WITH
UCENSED CONTRACTORS to constmct the prqect (Sec. 7044, Business and
Pro(essbns Code: The conlraCtps LicenSe law does not apply to an owner o(
property who builds or improves thereon, and who contracts tw such projecl with
a cont2Ga(s) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Cotle for this reason:
SIB^��ure . Da�e
905]a6 (9I0]�
Ovmer ID verified 6y tlriv�se. ❑ Yes ❑ No
Driver's License No. Expires: � . �
Verifcation o! Ownership by (rype of document, i.e. - propeny tax bill or tleea):
DIVISION OF INDUSTRIAL SAFETV PERMI7 CERTIFICATION:
❑ I hereby certdy that no excavation frve (5) or more feet in tlepth into wfiich a
person is required to descenQ will be matle in connectbn wilh wnrk autMrized
by �his permit, and that no building structure, scaFfdding, falsework, or tlemolition
or dismantling thereot, will be more ihan Ihirty-six (36) feet high. (Chap. 3.2, Grp
2, M 2, Sec. 341, TiOe 8, California AdminisiraWe Code).
❑ As owner-builder, I will not employ anyone to do work which vrould
require a permit from the Division ot Industrial Safery, as noted above, unless
such person has a permit to tlo such work from the tlivision.
Applican[s SignaWre Dare
Division of IndusMal Safety Permit Number
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need Io fle antl
certify a Business Plan (or emergency response to release or Nreatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of Ihe Califomia Healih and Safety Code requires, wiN some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Departmenl by every business which has al 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 o/ 55 gallons, or 200 cubic feet of compressed gas
at standard IemperaWre and p�essure).
2. Does or will the applicant or present or (uture builtling occupant need to file
a registration form for acutely hazartlous materials? ❑ Yes ❑ No
(Section 25533 0! the Calilomia Health and Safety Code, with some
exceptions, requires regislration with the Costa Mesa Fire Department by
each business which al any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a vreight of 500 pountls, or a
voWme of 55 gallons, or 200 cubic leet of compressed 9as at stantlartl
tempereWre antl pressure).
3. Does or will the applicant or present or tuture builtling occupant need ro
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Sec(ion 25534 0! the Cali(omia Health and Safety Code provides lhat Ihe
Costa Mesa Fire Department may require the preparatioq certification and
(ling 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 o( the Calitomia
Healih and Safety Code been tully complied with? ❑ Yes ❑ No
5. Does or will ihe applicaM or present or fuWre building occupant require for
the work whic� is the subjecl of Ihis application a pertnit for suth consWction
or motlifcalion (rom the South Coast Air Quality Management Dis�rict or from
any other air pollution control disMct or a9ency? ❑ Yes ❑ No
(Sectbn 658502 ot the Califomia Govemment Code requires that the requested
infortnation be lumished on applications fa nornresidential building permits).
6. Will any part of the facility to be construc�ed under this permit be within
1000 feet fmm the outer boundaries o( a school? ❑ Ves ❑ No
(If "yes", the facilily musl meet the requirement o! Sections 25534 and 42303
of the Califomia Health and Safely Code�.
7. If a permit !rom the South Coast Air �uality Managemenl DisMcl or other
air pollution control district or agency is required for the vrork vfiich is the
subject ot this application, have all of the disclosures prescribed by Califomia
Health and Safety Code Seclion 42303 heen made? ❑ Yes ❑ No
8. Qf'yes", attach certificate of compliance from the appmpriate air polWtion
contr0l oKcer�.
CERTIFICATE OF COMPLIANCE: I certity that under penatly of perjury the
information given above is correct I agree ro comply with all slate lavrs and
city ortlinances regarding Hazardous Matenals and Emissions.
SignaWre bate
CER7IFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify untler penalry of perjury that I have reatl this application and sWte that
the infortnation given is correcl. I a9ree to comply with all state laws antl ciry
ordinances relating to building construction, and authonze representatives ot
the Ciry of Cosla Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by ihis permit until fin I inspection.
.S Wre o! Le al w e(s) Date
�l-Da��a �a
/
�
NEWPORT-MESA UNIFIED SCHOOL DISTRICT
CER7IFICATE OF COMPUANCE Of DEVELOPMENT FEES
PURSUANT TO AB 7600 AND AB 181
, ...
E � ..
I¢�O�O/
To: �City of Costa Mesa Disirict Receipt No.
( ) City of Newport Beach �c�ra- a�4�2
( ) County of Orange Plan Chec o.
Applicant � �' ��� �n f�U�� f�F�-1
Address:
�
3
Telephone Number. 7��-/ - g� �, � Z CI Z
TracUParcel and Lat Number(s): `-f-2.2 - J S �� � Z
Location of ProjeCl: �Q ��� ✓� N N S T. C M � 2 � Z' b
Number of Square Feet ot:
Residential Space � x 51.84 Total f 2 IQO G�
Commercial and
Industrial Space
CommerciaVlnduStrial Projed is: (Check One)
Warehouse
R8D
Movie Theater
Mini-stor2ge
Neavy Intlustrial
Regional Shops
�ight Industrial
x E .30
Totai
_ Motel _
Bank
Neighborhood Shops � �
=RacqueVHealth �� 1 n\ s
_ Hotel O �� � �' u1 ; _
Medical Office
_ or��a Per� NOV 2 2 2010 c�
-/Jy
_ This project is exempt because grrY OF CO�TA MESI� -
Preschool
Auto Repair
Hospital
Large Office
Office Bldg.
Restaurant
Fast Food
This certifies that the above-named Developer/Applicant has paid school faality fees in comptiance with Government Code sec6ons
53080 and 65995. The Building Permi� for this square footage in this proposed development may now be issued by your jurisdic6on.
Checks are to be made payable to Newport-Mesa Unified School District.
B�
The above representation as to square (ootage is We. Appticant agrees that it it is later
true, then this certificate shall automatically terminate and the appropriate CitylCo�nry
Dale: �/-�O� ��
such representations are not
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa��MBING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
.lobnddress: 940 JOANN ST
Suile No
Viciniry:
Parcel Nunmber. 42235N2
ApplicanC
Address:
Owner:
HORTON,LARRY
560 LIBRARY ST
SAN FERNANDO, CA
SANCHEZ, PHILIP HERMAN
Address 940 JOANN
COSTA MESA, CA
Contrador. MASTERSERV INC
Address: 560 LIBR4RY ST
. SAN FERNANDO, CA
Phone: 800-806-7374
Zip: 91340
Phone: 949.650.0845
Zip: 92627-3323
Phone: 800-806-7374
Zip: 91340
License: 580017
SCOPE OF PERMIT
COPPER REPIPE FOR SFD.
ISSUE FEE
Backflow irrigation
Backflow Preventer
Bathtub,
Clarifier System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Root
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 ouUets)
Gas Repipe
Gas Service �
Interceptors (Grease.0il)
Inlerceptors (Sand Auto )
AMT
$23.50
50.00
50.00
$0.00
sa.00
$0.00
50.00
$0.00
50.00
50.00
$0.00
$0.00
50.00
$0.00
50.00
$0.00
50.00
$0.00
$0.00
$0.00
�
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
AMT
Laundry Tub I Washer $0.00
Landswpe Irrigation 50.00
P-Trap $0.00
Pressure Regulator 50.00
Process Pipin9 (Per 10 k) $0.00
Receptore $0.00
SepticTank $0.00
Sewer Cap for Demo 50.00
SewerConnect $0.00
Sewer Private Line 50.00
Shower $0.00
Sink, bar $0.00
Sink, wmmercial $0.00
Sink, Floor $0.00
Sink,kitchen $0.00
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) $0.00
�
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
COMMENTS I SPECIAL CONDITIONS
Status: ISSUED
Applied: 051122006
Issued: 05/122006
ISSUE
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr BkOow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toilep
Water Heater I vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Senice
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
TOTAL CALCULATED FEES:
AMT
50.00
50.00
$0.00
$0.00
50.00
so.00
50.00
$0.00
50.00
50.00
$0.00
50.00
$9.80
$0.00
50.00
E0.00
$0.00
$0.00
$0.00
E33.30
�
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void il work Is not commenced within 18p days, or if work is suspended or abandoned
fo� e period of 180 days. �
INSPECTIONS: In order for the work authorizad under this permit to be considered legel, such work must comply with all epplicable cades, end all
requlrad Inapeetione end final approvel must be obtalned. Failure to obtein inspections and final approval will result in the expirat(on ol this permit.
FOR INSPECTIONS CALL: (714) 7545626
2a4&68 (8N0)
WORKERS' COMPENSATON OECLAFiAnON: •
I'hereby ettirm under penalty ol per�ury one ot t0e I011owing tleclaretlons: ' . ,
❑ I heve end will maintein e certiticate of consent lo sell�lnsure tor workers' compensetlon, es providetl tor by section 3700 0l ihe Labor Coda, for ihe pertortnence oi the
work tor which Nis permil I5 issued.
'� 1 �eve eM will meintein wwkers' compensation insu2�e, es required by section 3700 0l the Lebor Code, lor the pertormance ot �he work tor wMdi Ws pertnit is iwied.
�My.warfcers' compensatl�l�nce carder tl poll number ere: , _ � I�i��
�Carrier. / .�� i>—� ` � /�/� Policy Number. ��� �
me hundred dW/ers ($100) or /ess.)
❑ I certity that in the pertortnance ol the work lor which this permit is issuaQ I s�ell not employ any person in eny manner so as to hecoma sub�ect lo Ihe workers'
compensation laws ol Celifomle, end. egr�that II I 5 ould become 6ubjact to the workers' compensetion provisions ol Section 3700 0l the Lebor Catle, I shall lorihwlih
comply with thesa provislons. � ♦ ,�j��
Ap`pl(cenYSigrieture: '. �//%� Dat` .-/ �7 � / � —�`-'�
WARNINO� FAICURE TO SECURE WIXiI(ERS' COMPENSATI(XJ CdJEMGE I$ UNLAWFLIL AND SW1LL SU&IECT AN EMPLOYER TO CR�MINAL PENALTIES AND CML FlNES UP TO ONE HUNDRED
T/IOUSAND DOIURE (5100,000),IN AOIXTION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 37080F THE UBOR CODE, INfEREST, AND �TTOHNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby atiirtn Ihat I am IicenseA untler provisia
IorceendeHecL-Lb.�q- ���%��1'
CONSTRUCTION LENOING AGENCY:
ol Chapter 8(commencing wit� Section 7000) ot DlWsion 3 of Ihe Buslness antl Prafesslons �ode, entl my license is In tull
- CI899 k�� c 3 6
O �D0I0: � �'J ^�Z—Z�-Z7
Z �._..
❑ I �oreby effirm that there is e canswction lending egenty tor the pertortnance ol �he work br w�ich this permil is issuetl. (Sec. 3097, Civil CoCe).
Lentlefs Neme: Lender's AtlAress:
Signewre:
OWNER-BUILDER DECLARATIONS:
Date:
1 hereby eNirm that untler penalry of perjury ihat I am EXEMPT FROM THE CON7RACTORS LICENSE LAW Por ihe following reason (SecJ031.5, Business antl Protesslons
Cotle: Any ciry or county which roquires e permit b cons�ruct, el�er, improve, demolish, or rnpair eny sirucwro, prior to Its issuanca, elso requires the epplicaN for such pertntl
to tile e signeC staiement thet he or she Is licensetl pursuant to the provisions of the Contwctora Lic»nse Law (Chepter B(commencing with Seclion 7000) oi Dhrision 3 ot Ne
Business antl Professions Code) or that ha or she is exempt therefrom and the besis lor the elleged e:amption. Any viol6tlon ol Section 7031.5 by eny applicant tor e partnit
subjects the epplicani ro a chril penalry ol not more than live huntlreE tlWlars ($500).):
❑ I, as owner af Iha property, or my employees with wages as cheir sole compensation. WILL 00 7HE WORK, end Ihe structure is not intendetl or ottered For ule (Sec.
70a4, Business and Pmtessions Cotle: 7Te Contrectors License Lew tloes not apply to en owner af propeny w�o Duilds or improves Ihereon, anA who daes such work
�imself or herself or through his or her own employees, provided Ihat such improvemenis ere not intendetl or aHeretl for sale. If, hawever, Ne builtling or impmvement Is
soltl within one year of complation, Ihe ownerbuilCer will heve t�e burden of proving that �e or she did not builtl or imD�a�e tor purpose of sale.). '
❑ I, es owner ot Ihe properry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conslruct the projact (Sac. 7044, Business and Professions
Code: The comrectors License Law tloes noi appty lo en owner of property who bu1105 or Improves ihereon, antl who confrecis for suc� project wlih a contractor(s)
license pursuant to ihe Contractors License Laws.l.
❑ I am exempt under sec. Business antl Pmtessions Code tor this reason:
SlgnaNre: Date:
Owner ID verified by drivels license. ❑ Ves 0 No Drivers License No.
Vedfication at Ownership by (type of tlocument, i.e. - properry tex bill or deetl):
Expires:
UIVISION OF INDUSTRIAL SAFEN PERMR CERTIFICATION:
❑ I hereby certify the� no excevetlon live (5) or more feel in tlepth into which e person is requlretl to tlescend, wlll be made in connection with work authodzed by this
permi6 end that no huiltling structure, scaHoltling, falsework, or demolition or tlismantling Uereot will be more than thirty-siz (36) feet high. (Chap. 3.2, Grp 2, A� 2, Sec.
341, Title 8, Calilornla Administretive Code).
❑ As owner-builder, I will not employ enyone to tlo work which would requlre e parmlt Irom the �ivision of Industriel Sefety, as noteA eDove, unless such person hes e
permit to do such work irom Ihe division.
Signature: Date:
Division ol Industrial Salary Permit Number:
CERTiFlCATE OF COMPUANCE AND AUiHOR¢ATION OF EMRY: i cenity untler penalry of perjury that I have read this application antl state t�at the infofmatlon given is
wrrect I egree to wmpty wlth ell state laws end dry ard�nances rels6ng to Duiltling conslruction, entl euthodze representatives of the Ciry ol Costa Mese to enter upon Ihe
ebova-described property lor inspection purposes. I agrea not to occupy or allow occupency ot eny building authorized by this permit until tinal inspection.
GOOE �. INSPECTIONTYPE
7678 Fixetl System Finel Fire Prevention
1268 Poal SOa Finel
200 Flnel Re-Rool
201 Finel Block/Retaining Well
202 Finel Factory Fira Place
203 FinalSign
204 FinelDemolition,
PdIE It�1,4
400E� INSPEC➢ONTYPE
206 Finel Mechenicel
20B Finel PlumGing
210 Finel Electricel
212 Finel Fire Preventlon
220 Final Planning Appro�al .
222 Final Site
250 Final Bullding�OccuOanq
PAIF Itfl��lS
J•I/�Vb �
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.G@.45LDING PERMIT �� rnin unrve, waiN mwr, �n acom
tlUl
JobAddress: 940 JOANN ST
Suite:
Vicinity:
Parcel Number: 42235112
Applicant: SANCHEZ, PHILIP & KELLY
Address: 940 JOANN ST
COSTA MESA, CA
Owner: SANCHEZ, PHILIP & KELLY
Address 940 JOANN ST
Contractor.
Address:
Zip:
Arch :
Address:
COSTA MESA, CA
Zoning:
Phone: 949.650.0845
Zip: 92627
Phone: 949.650.0845
Zip: 92627
Phone:
�icense:
Eng:
Address:
Phone:
Status: ISSUED
Applied: 09/14/2000
Issued: 09/14/2000
ISSUED BY: �
Phone:
Zip: License: License:
SCOPE OF PERMIT
CONSTRUCT A PORCH (PATIO COVER) IN FRONT OF AN EXISTING SINGLE FAMILY RESIDENCE.
i60SF OPEN TRELLIS PATIO WITH SOLID ROOF.
Plan Check: $54.11
Permit: $8325
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $137.86
SETBACKS
MAIN STRUCTURE Front 35- 0
ACCESSORY Front 0- 0
PARKING existinq: o
NOTES:
Rear 0-0
Rear 0-0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 7- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Ri9ht 0- 0
$2,57920
so.00
NOTICE: The work authorized by Ihis 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 periotl of 180 days. �
INSPECTIONS: In order for the work authorized under this permit to be consideied legal, such work must comply with all applicable codes, and all
required Inspectlons 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) 7545626
244fidfi (6100) ':�
WORKERS' EOMPENSATION DECLARATION:
I hereby aftirm under penalry oi perjury one of the following tleclarations:
❑ I have antl will meintain e certificate oi consent to self-Insure tor workers' compensation, as provided for by section 3700 of the Labor Code, for the pedortnance of ihe
work for which this pertnit Is issued.
❑ I have antl will meintain workers' compensation insuranca, as requireC by section 3700 of ihe Lsbor Code, tor Ihe peAortnance of ��e work for which this pertnit is issued.
My workers' compensation Insurance carner entl policy number ere:
Cerrier: Policy Number:
(This secfion need not be completed it the permit is veluetl at one hundred dollars (5100) or less.)
❑ I certity that in Ihe perfortnance of the work for which this pertnit is issued, I shall not employ any person in eny manner so as to become subiect ro the workers'
compensation laws oi Celifomia, end egree that it I should becoma sublect to the workers' compensation provisions of Saction 3700 of the Labor Code, I shall torthwith
Comply with Ihese provisions.
Applicant Signature: Date:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
THOUSAND OOLLARE (E100,OW), IN AODITION TO THE COST Of COMPENSATION, DPMqGES FS PFOVIDED FOfi IN SECTION 3]Ofi OF THE IABOR CADE, INTEFEST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 ot I�e Business antl Pmfessions Code, and my license is in full
force and eflect. Lic. H Class #
Contractor's Signawre: Date:
CONS7RUCTION LENDING AGENCV:
❑ I hereby aNirm tha� there is a constmction lending agency for the pedormance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lender's Adtlress:
Signature:
OWNER-BUILOER OECLARATIONS:
Date:
I hereby aHirm that under penalty of perjury thet I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Protesslons
Code: Any city or county which requires a permit to consimct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit
to tile a signetl statement that he or she is Ilcensed pursuant to ihe provisions of the Conireqors License Law (Chapter 9(commencing with Section 7000) ot Division 3 of ihe
Business antl Professions Cotle) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any appliwnt for e pertnit
subjects the applicant to a civil penalty of not more than five �undretl dollars ($500).):
❑ I, as owner of Ihe property, or my employees with wages as their sole compensation, WILL DO 7ME WORK, and ihe strucWre is not intended or ofleretl tor sale (Sec.
7044, Business and Professions Code: The Comracmrs License Law dces not apply to an owner of properry who builds or improves �hereon, and who does such work
himself or herseif or Ihrough his or har own employees, provitled ihat such impmvemems are not intentled or ottered br sale. If, however, ihe building or improvement is
sold within one year of completion, the owner-builtler will have ihe burtlen oi proving ihat ha or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVEIV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Cotle: The contrectors License Law does not epply to an owner of property who builtls or improves Nereon, and who coniracts tor such pmjecl with a contractor(s)
licensa pursuant to ihe Contrectors License Laws.).
�p�l am eaempt
Signature: _�
Owner ID venfietl
Business and Professions Coda tor this reason:
❑ No Drive/s'.Cicanse�No.
Verification ot Ownership by (type of document, i.e. - propetly tex bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certity that no excavation tive (5) or more teet in depih into which a person is requiretl to tlescend, will be made in connection with work authorized by ihis
permit, antl �hat no builtling structure, scafloltling, talsework, or demolition or dismantling ihereot, will be more than t�irry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sac.
341, Title 8, Calitomia Atlministrative Cotle).
❑ As ownerbuilder, I will not employ anyone to do work which would raquire e permit from the Division of IndusMal Sefery, es noted above, unleu such person has e
pertnit to do such wark trom the division.
Signature: Date:
Division of Indusinal Sa(ery Permit Number:
CER7IFlCATE OF COMPLIANCE AND AU7TIORIZA710N OF ENTTiY: I certify untler penalty of perjury that I have read this application and state that the information given is
correcL 1 agree to comply with all slate laws and ciry ordinances relating to builaing construction, and authorize representatives of Ihe Ciry of Costa Mesa to enter upon Iha
above-descnb�perij�fh pe� pu/ %� ag� t m occupy or allow xcupancy of eny building authorized by this pe��nt��njg/l �in.�sp,e�c�.n.
% // � � C,
Si re Oi.Le wner(s) `� Date
Yqnd/Or Authorized AppliCant Date
CODE �. INSGECTONTYPE
1616 Fixetl System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final8locWRetaining Wall
202 Final Fadory Fire Place
203 Final Sign
204 Final Demolition
Q� � �Qpj� INSPECTIONTYGE
206 Final Mechanical
20B Finel Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupency
UpTE �^
�
OW NER Br15t01 EStBtES ' � DATE 4-18-56
JOBADDHESS 91�0 Joann Street BUILDINGPERMITNO. 2872
GENERAL CONTRACTOR $.V.H�saker VALUE $�8��56.��
lOT �.76 BLOCK TRACT 2873 Single Res. W�H'tt Q8T
� �p I& J TYPE V. ZONE Ril FIRE DISTRICT 2898
I / PERMITS ISSUED
INSPECTIONS \ � �iA/// SUBCONTRACTOR DATE I NUMBER
Trench ��
ion Forms and Grade to
Plumhinq.RoughComplete /Gt-r/�Q—/8.tlli/i�f"�f;f'�u�J L� //��S�b <LX�`J.(— �—
wi
Heatinq, Final
k or Ces'€aool L:///lf�,_.,/ I-• -% '�'�'I ii -.; n U I i—�r --.� % I c"7 �.i✓ �
In — Out
P iing, Final, Fixtures Complete /�L,:
Pl��nbing, Fin,al GasTest /J�y �' Q-s
Wiring,Final � 9
Occupancy
FOFM 310 3M 10-55
ia Mesa Building Department APPLICATION FOR PERMIT
_ P.O.Box3�� 289� BUILDING �
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Reeeipt No. Permit No
aaare� �!�-b JoA-IJN S 1 • a8%,.
Costa Mesa, California Receive Date pRec'd. CDLat�e/Iscsue�
Nearest fl.l�C�A11 I/� (i�. . � /(J'�� T�/O'•
Cross St. Y"t Building -
. Address
Owner /J�' L �' -c�
Mail Q / ., �• �j Costa Mesa, California
Address /G1...(� �� L.�`1� I(li„/%}$ (/,Q. Nearest .
Architect o1'
Engineer
Address
. _ractor�l.(�i
Address �Jl�;
Legal I Lot
Descriotion No.
x No.ofBldga �
Size of Lot � ( d � Now on Lot
llseof I No.of I No.of
Existing Bldg. Families Rooma
Setback Line from r� ♦ Rear Vard'Z��y
Center of Strcet J�' Side Vard C P. I
Plans I �
CORRECTIONS
Addition � � �V.
ttepair I I moVing I I Demoiish �
Building �7 No. of /
Size ���/ Rooms �Stories
E �ior Wall Roof
C ing UG'Cp Coveriny 6CIC APPROVALS
Use of New� _./Q �T�i /—`��E� Foundation Loeation Inspector
Buildin� �1/� �F�
Forms, Materials�
Under-Pinning
� Frame: Fire Stops,
�`�t Brecing, Bolts
I hemby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. Int.
with all City Ordinances and State Iaws regulating
building construCti � Lath. Ext.
Signatureof '
Permittee Plaster, Int
Authorized Agt, plaster, Ext
Valuatlon Pe�mit Fee $ �� e9 Masonry Reinforced
Plan Check $ � O'0 eond Beam
$���� � Total .
Fee $ e� FINAL
flM 204 10�55 D. P. fl 5.
O
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PLOT PLAN
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