HomeMy WebLinkAbout949 JUNIPERO DR - Building Permits0
�a F CITY OF COSTA MESA
; . � BIIILDING DIVISION
} 77 FAIR ORIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Faz (714) 754-4856 • www.costamesaca aov
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��qro��: FOR INSPECTIONS CALL: (714) 754-5626
PERMIT TYPE B_MISC
APN: 14132302
Zoning: R1,
PERMIT NUMBER: BX13-00026
STATUS: ISSUED
DATE ISSUED: 0112912013
ISSUED BY: CAC
JOB ADDRESS: 949 JUNIPERO DR CM Suife/Unit:
Viciniry: - � Primary Occ: Const Type: ??
SQ. FT: 0 � Valuation: $7;71D.00
SCOPE OF WORK:INSTALL 650 SF HADRY SIDING AT FRONT OF HOME AND LEFT SIDE OF GARAGE OVER EXSITIBG
PLYWOOD. ICC N0. ESR 1844
' � ',
OWNER: HAYWARD, JULIA S
City/State: COSTA MESA, CA
Phone: 774-283-8803 - �
APPLICANT: GARRETT MOTLEY •
City/State� ORANGE, CA .
Ph�ne: 714-283-8803
•, � Address:: . 949 Jl
Zip Code:92626-5824
Address: 1938 N BATAVIA STQUnit:
Zip Code: 92865
CONTRACTOR: SPECIALTYSIDING - _. .LicenseNo.795833
Address: 1938 N BATAVIA STQUnit:SUITE F- � - � .
City/State: ORANGE, CA - '
Zip Code: 92865 - Phone 7ta-283-8803
ARCHITECT: License No.
Phone • �
ENGINEER: _� ' , , �� ���� -�� � � , License.No. -
Phone
FEE SUMMARY
Building Plan Check: '`
Building Permit:
Electrical Permi�:
SMIP Residential
SMIP Commercial
Bldg S[d Admin Fund
$0.00
� 153.25
$O.DO
$0:00
$0.00
$1.00
SUITE F
Cell:
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 73-279
Monday thru Friday - 7:00 am lhru 7:00 pm. Saturdays -9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following Federal Holidays:
New Years Day, Memorial Day, Independence Dav, Labor Dav, Thanksoivinq Dav antl Christmas Dav
NOTICE: Tbe work authorized by this permit shall comply with all applicable handicap access requirements under Califomia sfatutes antl related
regulations. (Ord. No. 92-28, § 1, 12_21-gy)
EXPIRATION: PERMIT EXPIRE$ 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this pertnit to be considered fegal, such work must comply with all applicable codes, and all
required inspectlons and final approval must be obtained. Failure to obtain inspections artd final approval will resulf in the expiration of this permit.
COOE M. INSPECTIONTYPE p� p�
1616 Fixed System Final Fire Preve�tion �— C oE IxSVEtnpq� pp� 1—�
206 Final Mechanipl
1266 Pool Spa Final
208 Final Plumbing
200 Final Re-RooF
210 Final ElecUipl
201 Final Block/Retaining Wal)
212 Final Fire Prevention
202 Final Factory Fire Place
220 Final Planning qpproval
203 Final Sign
222 Final Site �
204 Final Dertroiition y /k•�o/3
250 Final Builtling/Occupancy
WORKERS'COMPENSAnON DECLARAnC
I here6y aKrrn under penalty of perjury one of tna (ollovring deUarations:
❑ I have and will maintain a certifinte of wnsent to self-Insure for workers'
compensation, as O�o�ded (or by section 3700 of the Labor Code, (or the
pertormance of the work for which this permit is issued.
� have and will maintain workers' compensation insurance, as required by
section 3700 of Ihe Labor Code, for the perfortnance ot ihe work for whiU this
permit is issued. My workers' compensation Insurence carrier and policy
n re:!� /
arrier 1 � k �2G�
u irol6emripetaCi(tfrepenrHBvehretlafarehuidretltloAars(Ef001arIessJ
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❑ I certify thal in the peAormance of the work for which this pertnit is
issued, I shall not employ any person in any manner so as to bewme subject
to the workers' compensation laws of Califomia, and agree that if I should
become subject to)h�iorkers' compensation provisions of Section 3700 of
the Labor Code ,hs A�forthwith comply-with.these�provisions:
1Z9�3
fyyi nYsSi ure Da
(
W G: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS LAWFUL AND SHALL SUBJECT AN EMPLOYER 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 IABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under provisions of Chapter 9(wmmencing
with Section 7000) o� Division 3 of the Business and Protessions Code, and
my license is in (ull force and effect. �
7%S�l � e�
/L9�
nV SgnaW e
CO STRUCTIO LENDING AGENCY:
❑ I hereby aKrtn tha[ there is a consWction lending agency for Ihe
per(ortnance of Ihe work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
OWNER-BUILDER DECLARATIONS:
I hereby affirm tha[ under penalty of perjury that I am EXEMPT FROM THE
CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business antl Professions Code: Any ciry or counry which requires a permit to
construct, alrer, improve. demolish, or repair any sWclure, prior to ils
issuance, also requires the applicant for such pertnit to (le a signed statement
that he or she is licensed pursuant to the provisions of the Contractors License
Law (Chapter 9(commencing with Section 7000) o( Division 3 ot lhe Business
and Pmfessions Code) or that he o� she is exempt therefrom antl the basis for
the alleged exemption. Any violation of Saction 7031.5 by any applicant for a
pertnit subjects Ihe applicant to a civil penalty o( not more than five hundred
dollare ($500).):
❑ I, as owner of the property, or my employees with wages as their sole
wmpensation, WILL DO THE WORK, and the structure is not iniended or
offered (or sale (Sec. 7044, Business and Protessions Code: The Contraclors
License Law does not appty to an owner of propeAy who builds or improves
thereon, and who does such work himself or herself or [hrough his or her own
employees, provided that such improvements are not intended or oftered for
sale. If, however, the building or improvement is sold within one year ot
completion, ihe owner-builder will have ihe burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRAC7ING WITH
LICENSED CONTRAC70RS to wnstruc[ the project (Sec. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of
propeAy who builds or improves thereon, and who contracts for such projecl with
a coniractor(s) license pursuant to ihe Contrectors License LawsJ.
❑ I am exempt under sec.
Business antl Professions Code tor this reason:
3os�<s �aro�i
Owner ID verifed by o t license. ❑ Yes ❑ No
Drivei s License No. Expires:
Verificatlon ot Ownership by (rype ot document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certiry lhat no excavation five (5) or more feet in depth into which a
person is required to descend, will be made in connection with work authonzed
by this pertnit, and [ha[ no building structure, sraftolding, falsework, or demolition
or dismantling thereof, will be more than thiAy-six (36) feet high. (Chap. 32, Grp
2, Art 2, Sec. 341, Title B, Califomia AdminisVa6ve Code).
❑ As owner-builder, I will not employ anyone to do work which would
require a permit from Ihe Division of Industrial Safety, as noted above, unless
such person has a permit to do such work from lhe division.
Applicam's SignaWre Oate
Division of Industnal Safety Pertnit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or (uture building occupant need to fle and
certify a Business Plan for emergency response to release or threatened
release of a hazardous materiall ❑ Yes ❑ No
(Saction 25505 of the Calitomia Health and Safety Code requires, with some
exceptions, that a Business Plan be fled with the Cosla Mesa Fire Department
by every business which has at any one time during a reponed year a quantiry
of hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic (eet of wmpressed gas at standard
temperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration fortn for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Cotle, with some
3 ezceptions, requires registration with the Costa Mesa Fire Departmenl by each
business which at any one time has on hand a quantiry of acutely hazardous
matenals 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 ihe applicant or present or future builtling occupant need to
prepare an RMPP (Risk Management and Prevention Progrem for acutely
hazardous matenals)? ❑ Yes ❑ No
(Section 25534 of the Calitornia Health and Safery Code provides that the
Cosla Mesa Fire Department may require the preparalion, certifca[ion and
filing with the Fire Department of an RMPP by businesses which are required
to regis[er acutely hazardous materials with the Fire Departmenl.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Satery Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or presen[ or future building occupant require (or
Iha work which is the subject of Ihis application a pertnit for such consWclion
or modifcation (rom the South Coast Air Qualiry Management District or from
any other air pollution contml district or agency? ❑ Yes ❑ No
(Seclion 658502 of the Califomia Govemment Code requires that ihe requested
infortnation be fumished on applications for non-residential building permits).
6. Will any part of ihe facility to be wnstructed under this permit De wiNin
1000 (eet from the outer boundaries of a school? ❑ Yes ❑ No
Qf "yes", the tacility must meet ihe requirement of Sections 25534 and 42303
of the Califomia Health and Safety Code).
7. I! a pertnit from [he South Coast Air Quality Management DisMct or other
air polWtion control disMct or agency is required for the work which is Ihe
su6ject of this application, have all of the disclosures prescnbed by California
Health and Satety Code Section 42303 been made? ❑ Yes ❑ No
8. (If "yes', attach ceAifcate of compliance from the appropriate air pollulion
control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the
information given above is wrtecL I agree to wmply with all state laws and
city ordinances regardinq Hazardous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of peryury ihat I have read this application and state that
the information qiven is correcL I aqree to comply with all state laws and ciry
ordinances rela[ing to 6uilding construction, and authorize representatives of
tha Ciry of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authonzed by this permit until final inspection.
SigneWreolLe ver{q�— Date
� s9 i 3
�wno dicem
OWNER FERFiARA R&1 h A.
JOB ADDRG55 �1pCi'O
DATE
GENERAL CONTRACTOIZ)W[1CT HLQT. VALUE $ u�•uv
AP No. liil-�' 3-OP LOT TRACT I'IR� ZONE DESCRIPTION OF WORK
INSP�CTIONS Signature DAT� GROUP J TYPE Ij'I ZONE
Sn�� PERMI
� SUBCONTRACTOR 7�ATE
N __�r
OCCUPANCY
G
'�``� 17585 � �
C057A MESA BUILDINGSAFETY DEPARTMENT
P. O. BOX 977 COBTA MEBA. GLIFORNIA
For Appliean+ ro Fill In Complefely
TYpE OR PRINT � �
COSTA MESA
L
SiZE
OF LOT
USE OF
EXIBTING BLOG.
66TBACK LIN6 FROM
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NO: OP BlDQB.
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BUILDING NO OF
SIZE �d X � � ROOMS
EXTERIOR WALL ROOF
COVERING �r GOVERING� L
USE OF BUILDING AND WQRK TO�E PF�$FO¢
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VARD6 EVES
APPROVED ALLOWED
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L. SIDE S'�" FT. 1
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I XCREBY ACKNOWL6DGE THAT 1 HAVE R6AD TIIB A1�LIGTION' {�! AMO 6HOWN IINDER VALUAiION IB POR TH!
AND BTAT¢ THAT THE ABOVE I8 CORRECT ANO AGREE TO GOM• ' pUPP09 OR EBTABLIBHINO � pERMIT FEH ONLV.
PLY WITN ALL GIiY OROIN��B ANO BTATE lAWB PEGULI1TIMp
euiLDlNo cONe ON. VALUATION
91GNATURB OP PERMIT FEE $ � ���
PERMITTE $. //� � �.
PLAN CHECK $
AUTHORIZED AGENT ___ ___ _ `� ,_
� f .R.tS�f�.+dJ
�OiTA MESA BUILDING-SAFETY DEPARTMENT
P. O. dOX 917 C08TA MEBA. CAIiFORN{A
For Applieanf fo Fill In Complefely
TYPE OR PRINT
� MAIL
GOSTA MESA. CALIFORNIA
CI—CCO COiDOIBtlOR
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FINANCE UEPT.
�p � 33, PLFJ.UI;���d;bGdA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
NECEIPT NO. '7�/ 1 NO.
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CASTA MESA. CALIFORNIA
ZONING
NO. OP I U8E OF NEW
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USE OF YARDS
EXISTING BLOG. APPROVED
86TBACK LIN! FROM � // � ICeNT¢H LINe BTJ
�raTew OP BiA6� J— I REAR YARD FRONT
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SIDE YARD I 4EFf RIGHi S R. SIDE
DESCRIPTION OF WORK
APPROVED
EXTERIOR WALL ROOF
GOVERING SYLtt�..� COVEI
U8H OF BUILOING AND WORK TO I
HEREBY//ACKN�WLE�aB THAT I HAVE ReA� THIB APPLIGTION TNe AMOUNT BXOWN UNDE0. VALUATION �8 POp THe
AND BT�fE THAT THE A OV2 IB CORREGT AND R!8 TO COM- pUM098 OP eeTABLIeHIN6 A PepM�T p[6 ONLY.
PLY WITX ALL CITY ORp NAN AND eT L� 9 R6GULATINO
em�olNo CON�rnucno/�. �� VALUATION
81GNATURE OF /�. V �_ nQ.� , I PERMIT FEE $�i �I . O
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�AUTHORIZED AGENT