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HomeMy WebLinkAbout2059 MEADOW VIEW LN - Building Permits V l W � �. , CITY OF COSTA MESA Ft ,( BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENTTe. rkil PERMIT NUMBER �, PERMIT V B99-00916 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2059 MEADOW VIEW LN Status: ISSUED Suite: Applied: 06/17/1999 Vicinity: SEABLUFF CANYON Issued: 06/17/1999 Parcel Nunmber: 42201346 Zoning: Applicant: KLAKOVICH, DAVID ISSUED BY: Address: 7045 HITES COVE _ _ - Phone: 209-742-5779 . MARIPOSA, CA Zip: 95338 �1 Owner:s Sem-04 L r/6111 \ Address 2059 MEADOW VIEW LN /1 Phone: ,, "COSTA MESA,CA Zip: 92627 - Contractor: PONDEROSA ROOFING .Address: 7045 HITES COVE ' Phone: 209-742-5779 MARIPOSA,CA Zip: 95338 License: 615531 Arch : - ., Eng: ' Address: Address: Phone: Phone: ' Zip License: Zip: License: SCOPE OF PERMIT REROOF:T/O; EXISTING SHEATHING TO REMAIN; 1 LAYER OF 30#FELT&REROOF WITH NEW CLASS"B"WOOD . SHAKES.71 SQUARES. 4 UNIT BLDG: 2059 THRU 2065 MEADOW VIEW LN AT SEABLUFF CANYON. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $22,000.00 Permit: $312.25 Claim Valuation: $22,000.00 SMIP Res: $2.20 . SMTP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $314.45 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 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 DECLAR ' TIONS (', WORKERS'COMPENSATION DECLARATION: • I hereby affirm under,penalty of perjury one of the following declarations: • ❑ I have a ill 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 wo r which this permit is issued. have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. - My workers'compTnsation Insurance carrier and policy ber are: Carrier: J/.TIC UNC Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which s 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 s Id become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. /7- Applicant Signature: Date: /7 - J C S WARNING:FAILURE TO SECUR KERS' ENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($10Q000).IN ADDITION 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 affirm that I am licensed under provisions ter 9(commencing with Section 7000)of Division 3 of the Business app Pr, sslons Code,and my license is in full force and effect.Lic.# 645-J lNl ( - Class# L. Contractor's Signature: Date: c.—/7- 5.5- CONSTRUCTION SCONSTRUCTION LENDING AGENCY: O 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: 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 drivers license. ❑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 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(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 ❑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 ❑No (Section 25533 of the Califomia 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 Califomia 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 It an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? ❑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 a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes IJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). e Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 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 Califomia Health and Safety Code Section 42303 been made? ❑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 compty 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. Si lure Of Legal Owner s� gate � 6'/7-75 And/Or Authorized Applicant Date CODE II INSPECTION TYPE PAIL INTRIAIR CODE I INSPECTION TYPE PATE INTmALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof L. 210 Final Electrical • 201 Final Block/Retaining Wall If 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 2446-46 • • . �, CITY OF COSTA MESA • , , . ,r" ' BUILDING SAFETYDEPARTMENT - . • - POST IN CONSPICUOUS PLACE .• ON THE JOB • DATE ISSUED . , • . . 5-5-78 T•� PERM O. i 45964 1 .4 ; 4; BUILDING ADDRESS; , ' 2059 Meadow-View Lane • ' $, . TRACT' pp,. LOT BLOCK - r • NEW - ADD, 'ALTER REPAIR MOVING . DEMOLISH r ' X . '. . . .OWNER. n' -• , . • .. ' it:itN tnS_ vGiVttQN-{ - s a use & RPS• 1Jl'it-t. Arnge F. I .FIRE• ZONE.,' , TYPE ' GROUP ' PDR-MD V 1-Ac. J •v - itt ' ,t c'n.'' .rr''-,- ..--,----,- .i.-..-:t,t iiPla'EISTS j .i. tn_,a SP t SETBACKS - .Front Yd ' -5' Side Yd. R 'Att. L 2' Rear 5'9'' • Side Yd. R - L Rear ' � ? `.BUILDING INSPECTION RECORD g.-:-&,T0: KEEPRUILDINt- ?:RMITS VALID, .WORK MUST BE COW . - - -_ MENCED'WITHIN',60 .DAYS WITH ROUTINE INSPECTIONS AT . _ . _� -_. . ' LEAST EACH 120 DF,YS THEREAFTER UNTIL COMPLETED. STRUCT" • f?QL 11'rt��//� DATE�'�.-��'�' . , - Trenches- ' .Forms u III�G7+� � , - floes • ''Ll (, } Floor System C7LLIMill • a_t, i- ., Steel Reinf • t, ` Sheathing t ' :Frame and Flashing - • ' •a�� Insulation t_l�roill -- 4r.:'• �; r Lashing 7^/�`I-- -J �c-7"i • Dry Wall Nailing ' k, .a,: Plaster,Brown Coat •rPZ.St/, 11'� • '0.1/2..7' ' Sound Attenuation • t'i' Handicap Regulation- --. -� r'. - FINALir._ , x." •i. ' PLUMBING im r Soil .,V21?'". ) G-9-7d' l � f ' - `7� _ • 'o' ' Underground Water ' S . Rough Plumbing ,( )VC.t)_ .C.?:IC -)-c .. w A4.j /-.f7-47 • n Prop:Sewer Line and House Conn. J/ft l '9 �'--y • ' � -' Street Sewer Conn. I,�,1 ,..�y') ' �' Water Service Y ':"-"' -tK-_rte. , • t —L Sprinkling System ^-' _ ,�,�, ((y,�' ' Gas Test • r +"SGr /G/✓T/ • • ' . . • FINAL e � 15;6:79 • .#''''_ , :• HEATING,Al"-^OND. AND REFRIGERATION ' . it:. Refrr Lines,Pressure Test ' •---r- --= ' •- Ducts, Underground l�l'' C-Z-7// ' ' .Ducts, in Structure s -.. /Z%'�721 • Ducts,V'entiiating --- . /, C .4 0"77 : Rough Heating crd Air-C,nd. L%' ? 2 /✓ y'�- . ' FINAL 1 . ' ' �%'� / �' . ELECTRICAL • . Temporary Service or Pole , .�ma�yy-�-�- ----- I • Underground - - " hero,'6-a- - . Power Meter Rough Wiring, - - �(���//T��//r�r I</rlLt�lf'I FINAL ' i(hrK.t/, LC/>�-4-/,P =Do.rot-occupy this project until final inspection has• ' been.raade and occupancy,has be��e�n�l'opsoved, . Building Final' -- II,/-l/w etc 7, Special Requirements . - ' Occupancy NOTICE ' ' Of • -'24-hr.'notification required when the job is ready for inspection..You thud furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH RESPECTIVE INSPECTION. CALL 556-5273., APPROVED PLANS SHAL'.BE ON JOB AT ALL TIMES CMF 0559-47C CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. SM 121 DATE RECEIVED 6hr OF Loom mEbI LOT NO. 68 • PLANNING DEPT. ADDRESS 2059 Meadow View Lane MAY ) 3 IJ(J AM - PM 7181900111112111213141.516 A 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 acceptedby 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. The undersigned acknowledges that this agreement is made solely for the benefit of the city and does not inure to the benefit of the undersigned oz any of them. BY Purchaser • .. - J . . 'R. 0/440 CO.I7ANY BY _ 1/.(9 Develope /or authorized representative _ GREAT WESTERN . BY SAVINGS & LOAN ASSOCIATION n L v• BEVERLY HILLS, CALIF. 90211 P tett.,606 yrs,pRLSIDENI 1 CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. DATE LOT NO. ADDRESS 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. OA*BY I/ ' i �`� (,,ti . Purchaser BY Developer and/or authorized representative BY Lender N - 45964 COSTA MESA BUILDING-SAFETY DEPARTMENT ' P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ��-�94 6%30%79 23467 TU APPLICATION foie 4R hyo .r IT23I- 7CKTD For Applicant to Fill in Completely —Use Ink Only ' 174it t nig r I> � RECEIVED BY � rE.R'ECEIVED DATE ISSUED BUILDING ^^ // goo • ADDRESS OW L�,..-.•1. 6 / - . i / / iJa�-•/ PERMIT NO. OWNER the gregory company A.P.NO. L MAIL 3 gairway BUILDING 4' ,/ ouo ADDRESS 187- ave ADDRES �/�LsliJ^.'s. CITY costa mesa TNO.(51-3850 TRACT l00 R LOT 16B BLOCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI ISH LENDER X BRANCH OWNER the gregory company ADDRESS ARCHITECTharrison/1orenziniEL751-3853 condo w/att gar` D$ 3'nape• • • USE OR ENGINEER NO. 187-g airway ave FIRE V I&J ADDRESS ZONE TYPE GROUP APPROVED CONTRACTOR gregory construction co BY DATE ADDRESS 3187—g airway ave costa mesa TEL. 751_3844N PLANS USE ONNEW CITY NO. ✓� PLANS '� BUILDING Fa STATE p CITY p r� YARDS APPROVED , YARDS APPROVED W LIC.NO. 285981 LIC.NO. 008179 MAIN BUILDING ACCESSORY BUILDING w SIZE 'NO.OF BLDGS. (FROM C/L STREET) 6• OF LOT 4271 X792t ' NOW ON LOT 0 FRONT 65T. FT. a USE OF i—iEXISTING BLDG. R.SIDE FT. V) F Separate permits are required for L,SIDE 2 FT. FT. electric,plumbing and heating work. q C1- - REAR SFT. ,FT. [-. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& QCI MAIN BLDGS. ACCESS.BLDGS. .7.I new condominium units with C VRP qW DATE APPROVED attached garage _APROVE�j )&�� DATES--44-7J a CSG/ 04 HOLD FOR SPECT• REQUIRE:AL:N't w Q I hereby acknowledge that I have read this application and state N ce that the above Information Is correct and agree to comply with m n• all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws ofill w the State of California.1 .1111 O - S I hereby certify that I am properly licensed a a contractor under 1219 SO. FT.W 58 garage a the State of California Business and Profe s Code, Division3, D AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, an• : such license r orce and effect,or I • THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exemp ram the provisio : e of California Business �j/y y and Proh.slons Cod Divisi• =r 9. VALUATION PERMIT FEE $ l_�`7 ap _ ^j co PLAN CHECK $ /17—j//�- r Permine - ��. St O/ t/[a 3� o Permittee �r�" $ //U �- TAX $ ���1 L Authori-=• •..:,.,MIS • 000"' 2 U TOTAL PAID $ RI e.