HomeMy WebLinkAbout2052 MEADOW VIEW LN - Building Permits . /
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, F, _ CITY OF COSTA MESA
4 BUILDING DIVISION
). 4I,H , DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
4. rilli e PERMIT 007-00716
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesaaULDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 2052 MEADOW VIEW LN Status: ISSUED
Suite: Applied: 05/23/2007
Vicinity: FRONT ENTRY Issued: 07/13/2007
Primary Occ: Y Type of Construction: V-N
Parcel Number: 42201306 Zoning:
Applicant: WEIR, AUSTIN
Address:
Phone: 949-678-6021 ISSUED BY:
. Zip:
Owner VASQUEZ, MIGUEL E - ' . , '
Address 2052 MEADOW VIEW LN -'
.- - I Phone: , .
COSTA MESA,CA Zip:' 92627-4052. -
Contractor: A.WEIR CONSTRUCTION. - -
Address: .206
Phone: 949-548-3525 . , ,
NEWPORT BEACH,CA -
Zip: 92663 . .., License: 844746 '' - -
Arch : , . Eng: NENO GRGURIC- \
Address: Address: STRUCTURES -. -
Phone: , , LAGUNA BECH,CA ' . , Phone: 949-7150775
- - 2880 SOUTH COAST HWY '
Zip:. - License: ` :. 92651 License: C59487
' • SCOPE OF PERMIT
52SF ENTRY ADDITION TO AN EXISTING 2-STORY CONDO RESIDENCE AT"SEA BLUFF CANYON VILLAGE." .\ • . - '
FEE SUMMARY
Plan Check:. $108.71 - Calc Valuation: $9,000.00,
Permit: '$167.25 - - -- Claim Valuation: $9,000.00
SMIP Res: $0.90 • ,
SMIP Com: $0.00 - .
Other: $0.00 .
Inspection: - $0.00
Total: $276.86
PLANNING & ZONING ' , .
SETBACKS, '
MAIN STRUCTURE Front,0-0. Rear `0-0?�`. > Left �'•,0=0...• Right , 0-0 ,,
ACCESSORY - Front '0-0 ,; i--:. ''Rear 0-0. Left 0-0 ;t`' - ;Right '0-0'
, PARKING Existinq:--, 0 "
, 'Required:` 0 Proposed: 0 i
- - -
i "
•
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
2446-46(6/00)
•
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation Insu ance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation I u n carrier an I umber are:
Carrier: I _ Policy Number:
(Thiss ction need not be complete if the permit i valued at one hundred dollars($100)or less.)
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
�' ` compensation laws of California,and agree that if I should become subject to the workers compensation provisions of Section 3700 of th Labor Code,I shall forthwith
comply with these provisio / i �7 '
Applicant Signature: ��oJ (�4�.. Date: I' ? O
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT Ni EMPLOYER TO CRIMINAL PE TIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLIARE(6100,000),IN ADDITION TOTME COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.# 9 Class# i
Contractor's Signature: Date: •
—
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).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty 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 penalty 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.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes 0 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,or demolition or dismantling thereof,will be more than thirty-six(38)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 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? 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 a plication akermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
8 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.
"IC4/961nakure Of Legal Owner(s) ^ (��/ Date
.`And/Or Authorized Applicant LI Date
CODE I ly$PECTIONTYPI Oa 1NTMAL6 CODEC INSPECTONTYPE, DAIS RgTTr1s
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign222 Final Site9'
204 Final Demolition 250 Final Building/Occupancy -1.0-7
... . :: 7. . ems:.; g.7 ?S :,� , ; 7 _l
WEIUENKELLER,`MARY?JANE �-,� ,r���y. ,r
From: FLYNN, CLAIRE
Sent: Wednesday, September 19, 2007 9:53 AM •
To: WEIDENKELLER, MARY JANE
Subject: RE: 607-00716/2052 Meadow View Ln
Please delete. This does not require final zoning inspection.
From: WEIDENKELLER, MARY JANE
Sent: Wednesday, September 19, 2007 9:40 AM
To: FLYNN, CLAIRE .
Subject: 607-00716/ 2052 Meadow View Ln
This has a requirement on the inspection screen for a Final Planning Approval. Can this be
signed off or deleted?
Thanks,
Mary Jane Weidenkeller
Office Specialist II
2006 Building(Department of the Year
City of Costa Mesa
77 Fair Drive,Costa Mesa 92628
Ph(714)754-4871 Fax(714)754-4856
m we I d e n ke I l e r(&c i.cost a-mesa.ca.u s
<< OLE Object: Picture (Metafile) >>
CITY OF COSTA MESA , ,
sem.' Q BUILDING DIVISION .
F y ‘.$ 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 NUMBER
� E07-00671
PERMIT TYPE ELEC • STATUS: ISSUED
DATE ISSUED: 07/13/2007
^ -ISSUED BY: KJB -
1'
W
JOB ADDRESS: 2052 MEADOVIEW LN•CM I - Suite/ Unit ,
Vicinity: r r'... a` . -
•
r 11 i:•''. 5.:
SCOPE OF WORK: REF: B07-OO716 FRONT ENTRY WAY EXTENSION. MISC MECHANICAL AND ELECTRICAL WORK. ELEC TO INCLUDE:
2 LIGHT FIXTURES,2 OUTLETS'AND 2 SWITCHES. .
•
OWNER: VASQUEZ,MIGUEL'E :'•Address: 2052"MEADOW VIEW LN Unit:
PHONE: e r City/State/Zip: . COSTA MESA CA '
APPLICANT: WEIR,AUSTIN :is] - Address: 206A 43RD STREET. Unit:
PHONE: 949-548-3525 . City/State/zZip: NEWPORT BEACH CA; :
CONTRACTOR: A WEIR CONSTRUCTION ;" - ' License No.', 844746,' . ;.
Address: 206A43RDSTREETUmt .,': .. - ' '.;'' PHONE:• . 949=548.3525 „Ci
A . Zi Ce 9266& :-•. •,, _ .'_ CELL ,i -,..1.
City/State: NEWPORT BEACHC
od
p ,.-. C
.; 3
ELECTRICAL PERMIT-FEES
Electrical Plan Check Fee "!'.:-.;::217'.$0,00
Electrical Permit Fee: .$30 10,
•
Reinspection Fee , $0 00
TOTAL FEES `'' .//1; ‘$30:10;-:AY
,, ,:
r;: iz
NOTICE: -The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. '
INSPECTIONS: In.order.for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE/ INSPECTION TYPE DATE INTTAL$ CODE INSPECTION TYPE - DA1 IN1nIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
•
1266 Pool Spa Final - • - 208 Final Plumbing •
200 Final Re-Roof 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 ,ia"
. 204 Final Demolition 250 Final Building/Occupancy ar
f'
WORKERS'COMPENSATION DECLARATION: •
Owner ID verified by drive Ise. 0 Yes 0 No
I hereby affirm under penalty of perjury one of the foavwing declarations Driver's License No. Expires:
O I have and will maintain a certificate of consent to self-Insure for workers' Venfidation of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: • . 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
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section need not be completed A the pe Ris valued at one hundred dollars(SI 00)w less.)
2,Art 2,Sec.341,Title B,California Administrative Code).
Policyumber: •
0 As owner-builder, I will not employ anyone to do work which would
LJI�' I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
d, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
Applicant's Signature Dale
the b shall orthwith comply with these provisions.
"l r(gaO/ Division of Industrial Safety Permit Number:
Applicants Signature HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No
Lic.# 6 Class# (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
Contractor's Signature Date 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
O I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
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 (Section 65850.2 of the California Government Code requires that the requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications fa non-residential building permits).
Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the Califomia Health and Safety Code).
❑ I. as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own •
8. (If yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer). „
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
0 I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of • Signature Date
property who builds or improves thereon,and who contracts for such project.with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors Ucense Laws.)' certify under penalty of perjury that I have read this application and state that
❑ am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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.
siJ�of Leg I Owner(s) Date
Signature Date. j%� l /' O
4
005] 6I3/e]) 47�
d/o 1/"/r 'L
Authorized p 'cant Dale
CITY OF COSTA MESA
BUILDING DIVISION .
ty 1I� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.wsta-mesa.cau
• a-f. FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER. M07_00417
PERMIT TYPE MECH , STATUS: ISSUED
-. DATE ISSUED: 07/13/2007
'— - =;ISSUED BY: KJB
r
JOB ADDRESS: 2052 MEADOW VIEW LN CM ' Suite/Unit
Vicinity: 4 , ,
SO. FT: 0 'I
.
,-;-.--;•:4:,...„ ',;),. tc
SCOPE OF WORK: REF: B07100716:,FRONTENTRY WAY EXTENSION. MISC MECHANICAL ANDELECTRICAL WORK. .
ru"
OWNER: VASQUEZ,MIGUECE-b'' - = Address: i 2052 MEADOW VIEW LN .Unit:
PHONE:
APPLICANT: WEIR,AUSTIN _ Address: `-206A 43RD STREET- Unit
PHONE: " 949.548-3525• City/Stale/zZip: NEWPORT BEACH,CA. ,,;
CONTRACTOR: A WEIR CONSTRUCTION ,License No. 844746.-ry
Address: 206 A 43RD STREETUnit : PHONE: ' 949 548 3525
City/State: NEWPORT BEACH, CA 'ZipCode. 92663 ' ' 'CELL:,
41
•
_ i C
MECHANICAL PERMIT FEE,SUMMARY
MECH ITEM FEE: -`:
PLAN CHECK FEE: ( --% $0.00
INVESTIGATION FEE: ,-, '`' 1.2-,'..:,. $0.009„$0 00 .9'9,9:9::19-- I' -"
REINSPECTION FEE: 4 "=$0 00 , -;99
TOTAL FEES: $37.20 ,.� ` :;
i;,' j` ii
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 I. SINSPECTIONTYPECAM IN11rIRL5 SODEN' "INFinal
cTani DATE INTIIssIALS��//
1616 Fixed System Final Fire Prevention , 206 ' Final Mechanical 69-115—7
•
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 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: - •, . Owner ID verified by drivs ise. ❑Yes 0 No
I hereby affirm under penalty of perjury one of the fonw+ing declarations: - Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for,workers' Verification of Ownership by(type of document.i.e.-property tax bill ordeed):
compensation, as provided for by section 3700 of the Labor Code, for the -
performance of the work for which this permit is issued. '
❑ I 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
t'1 �/' ' by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier: \ ��7�J'�t ` yp or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section need not be completedd the pem:�is valued at one hundred dollars(SI00)or less.)
2,Art 2Sec 341,Title B,Califomia Administrative Code).
Polio umber:
❑ As owner-builder, I will not employ anyone to do work which would
I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
ed,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of
the Labor I s�aII forthwith comply with these provisions. Applicant's Signature Date
( r //; ;f el 1 Division of Industrial Safety Permit Number:
i�.
Applicant's Signature to HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑ No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑ No
Lic.# 7 46, Class# A (Section 25533 of the Califomia Health and Safety Code, with some
0 exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
vaela%Signature , Date 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ICI Yes ICINo
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Government Code requires that the requested
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 information be furnished on applications for non-residential building permits).
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑ No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
• thereon,and who does such work himself or herself or through his or her own •
8. (If'yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she, CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
• city ordinances regarding Hazardous Materials and Emissions.
❑ 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 Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
13 I am exempt under sec. _ - the information given is correct. I agree to comply with all state laws and city
• ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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.
`/e�9 of Le al Owner(s) Da
Signature Date //A// _s _ (1,3 TQ7
305746(3I091 And/or tbo ed Applicant r tel/
CITY OF COSTA MESA REQUEST FOh OCCUPANCY
TRACT NO. 10018 DATE May 3, 1979
LOT NO. 23
ADDRESS 2052 Meadow View Lane, Costa Mesa.
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that (he-she-they)
(was or were) advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
APPROVED • BY(2� ?e .�'
Purchase
CITY OF COSTA MESA
PLANNING DEPT. BY 7///
SUBJECT TO BLDG. DEPT. REO. Develop-1 and/or authorized
2- 1p representative
BY ..'!`�C...__....DATE......_ . ,
DIRECTOR OF PLANNING
BY 3 -thetja ,1
Lender Ve tified CASH buyer
Residential Escrow/Escrow Officer
•
' CIT;-OF COSTA MESA • - -
' BUILDING SAFETY DEPARTMENT-
POST IN CONSPICUOUS PLACE
ON THE 10B
i . l •
� ' DATE ISSUED -
5-5-78' i
_, • A,P, NO. PERMIT NO. I - '
45951 1:-5 - .
BUILDING ADDRESS -
4. 2052 Meadow View Lane •
TRACT .. LOT BLOCK
10018 23 x
'‘‘);,c' ;.:"..7"
• �� .;,. I NEW ADD ALTER REPAIR MOVING DEMOLISH
rr b. §`• OWNER ' •
•., "' --TfL: G ORY_COMPAiv'T
„ USE .- �
I .Res.w/att . Garage `
FIRE ZONE."- TYPE , . GROUP
PDR-MD 7 V I & J '
' '' . SETBACKS '
T ;• _1 ;µ Front Yd 8' Side Yd. R Att. L Att. -Rear - 5r6"
'�;'•�;..' , - Side Yd, R- L_ Rear •
BUILDING INSPECTION RECORD . .
'• - ., TO KEEP .BUILDING PERMITS VALID, WORK MUST BE COM-
`. MENCED WITHIN 60 DAYS WITH ROUTINE INSPECTIONS AT ' .,
LEAST EACH 120 DAYS THEREAFTER UNTIL COMPLETED. - .
• STRUCTURAL - ' p,.y��py�jj�����D�ATE jj..
Trenches C Forms r iVAM149�pJ17.V�
Floor System ' , • .��`-���yy/'4�y asr�is•• ' _ •
Steel Reinf G �AI 'r- y7 P .
. ` Sheathing Immo
• ' ; Frame and Flashing yfI�r/L�LYL o i./•�Y.P-- i .
i - - Insulation
_ �1l �
i s f - t//fiA'l�ri�65Ila t -
Dry Wall Nailing � �� _, 1
Plaster,Brown Coat "./fid"% 11
.E.: 1 -'�
Sound Attenuation
- Handicap Regulation .
`. FINAL SF'r I Jt 79•
• PLUMBING
Soil. / .;J ( i) : --L-7P
Underground Water - /y-)'!"1.c/.-,
h-4!) 4n-13".71
Rough,Plumbing /yj�,lna.Y'l" c°-Jr, %f^ _
. Prop.Sewer Line and House Conn •
1/. � �/�r -IP
CsA2� .i/-2G%/ ;
• Street Sewer Conn. ,�(�i
Water Service L6 J -�I� I
,• .'' Sprinkling System ��j �y
. . . - Gas Test N�(gf//��.r/G�`�� /6n-il i
. FINAL (1`/LO 2 S.3-'J9
HEATING, AIR-COND.AND REFRIGERATION I
Refr. Lines,Pressure Test
Ducts, Underground.. A19,7 G-d"Ja'
Ducts,in Structure �,✓J /Z-4 -71'
Ducts, Ventilating ,,/ '
Rough Heating and Air-Cond.
g p-/z '/�
. . - FINAL &,l S-b'—ii
'
ELECTRICAL
Temporary Service or Pole ��/�
r - Underground ( /0-5,-7Y '
Power Meter �,q�j '77
Rough Wiring g�R, i!-G'6�/.I '' .
• •. I FINAL 0j7fft 6—..d_7_
Do not occupy this project,until final inspection has
• been made and occupancy has beon approved •
Building Final . - j'7 ' Cr St
Special Requirements
Occupancy -
:• . : ,,.. . , NOTICE
•
' ' ' " - 24-hr, notification required when the job is ready for inspection, You
', . ' . - . . I must furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH '
-, ' - '14i'. ! RESPECTIVE INSPECTION- CALL 556-5273.
. APPROVED PLANS SHALL BE ON JOB AT ALL TIMES
CMF 0559-46
if-
4 5 9 5 1 ' LI 1 0 5%30/78 pp33lI.tt iiLL
COSTA MESA BUILDING-SAFETY DEPARTMENT `'%t 45Qrdti 5/30/78 '23_f.T�ngK ll
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 fri'sfi�'f�0 OOOd44596I IA•
A APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only
RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING ljl�52 maz0€'
ADDRESS(�C�/ -
IS 3 S APERMIT NO.
— rJV -
owNERThB Gregory Company A.P.NO. IZ
MAILUILDING / `
ADDRaa87-G Airway Ave.A &y. ADDRESScGJ`"Z (�OP/�/Me,
CITY Costa Mesa TN751-3850' TRACT 10018 I. LOT 23 BLOCK
NDER
CONSTRUCTION _ NEW I ADD!ALTER I REPAIR (MOVING DEMOI ISH
•
BRANCH
. OWNER The Gregory company ..
ADDRESS _
ARCHITECT Harrison/Lorenzii i. 751-3833USE-condo w/att garn ,¢rE.
OR ENGINEER NO.
FIRE
ADDRESS 3187-G Airway Ave. ZONE TYPE V GROUP(&J
APPROVED
CONTRACTOR Gregory Construction Co. BY DATE
ADDRESS 3187-G Airway Ave.
-
.nA NO.OF USE OF NE
CITY Costa Mesa NNol751-38h0 rtIOIPu� Z BUILDING
F1 STATE CITYYARDS APPROVED YARDS
APPROVED
ING
LIC. NO. .285981 LIC. NO.0081 79
MAIN BUILDING ACCESSORYBUILD
r4 SIZE
LOT �7f ' NO.OF BLDGSO (FROM C/L$•TjREET)
X992 NOW ON LOT FRONT a ler FT. FT.
Q USE OF
F EXISTING BLDG. R.SIDE Clere.,istij FT.
0
E Separate permits are required for L.SIDE O FT.
electric,plumbing and heating work. //
W ,REAR ..57T. 1p FT.
E.., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Q< MAIN BLDGS. ACCESS. BLDGS.
•
VA
a new condominium units with CURP. # DATE
APPROVED
APPROVE �
a attached garage �$-Y �>. °> nATrS—`'t'(�
y�8
IX .
W HOLD FOR SPECIAL REQUIREMENTS
-
Q I hereby acknowledge that I have read this application and state -
co
R! that the above information is correct and agree to comply with N
m
A. all laws regulating building construction, and I shall not employ i
Z{z� any person In violation of the workman's compensation laws of 2
S the State of California. 11 11
3I hereby certify that I am properl . Icensed 'a contractor under 1249 SO. FT. 431 garage 7
the State of California Business J•tl Profe j. ns Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, .•• tha such Iicen-1 Tor/n if I force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
ID
am exam• from th pray( off e ' ate of California Business VALUATION PERMIT FEE $ 1✓ oo ro
and Prof ssions Cod-, Divi 3, . .6 ter 9. ,
//�.ss /I/p PLAN CHECK $ Q IJ/' o
Signatur .1alb $/s�' /oOWj-1 TAX $ ` �J�✓'7 o
Permittee `/ 4oc V
Authorize.m /
-�.•w��— TOTAL PAID Scat. 7/