HomeMy WebLinkAbout1756 ORANGE AVE - Building Permits •
CITY OF COSTA MESA
•4
BUILDING DIVISION
IY • -,I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
PERMIT
B01-00078
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1756 ORANGE AV Status: ISSUED
Suite: Applied: 01/23/2001
Vicinity: REAR PROPERTY LINE Issued: 01/23/2001
Parcel Number: 42539212 Zoning:
Applicant: NEWETT, COLBY ISSUED BY:
Address: 2592 WILLO LN
Phone: (949)646-4388
COSTA MESA,CA Zip: 92627
Owner: MESA CENTER VII PROPS LLC
Address 451 VIA LIDO SOUD
UNIT C004 Phone: (949)673-3957
NEWPORT BEACH, CA Zip: 92663
Contractor: OWNER-BUILDER
• Address:
Phone:
Zip: License: 0
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
CONSTRUCT 125 LF OF 6'HIGH BLOCK WALL ALONG SOUTHERLY PROPERTY LINE.
FEE SUMMARY
Plan Check: $54.11 Calc Valuation: $2,500.00
Permit: $83.25 Claim Valuation: Woo
SMIP Res: $0.00
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $137.36
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.
0
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)
DECLARATIONS j-1 n tr
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 insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: 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 this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Califomia,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDRION 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 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.N Class If
Contractors 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).
Lenders Name: Lenders 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.).
(12- I,.atowner 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 mpt under sec. Business and Professions Code for this reason:
(
L -Signature:—y (Date:
"OwnertDverified by drivers license. ❑Yes 0 No rDrivers.t7cense (Expires:- �-
Verification of Ownership by(type of document,Le.-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,faisework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the Califomia 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 end 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 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 California Health and Safety Code provides that the Cost.'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 en RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apPermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No
(Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(if'yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code).
7 If a permit from the South Coast Air Duality 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 ❑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-•escrib•• • •,•erty for ins•ection•u •oses.I agree not to occupy or allow occupancy of any building authorized by this permit u til final inspection.
-
`Signature Of Legal Owner(s)1,
And/Or Authorized Applicant Date
CODE I INSPECTION TYPE PEE INTITIAL$ CODES INSPECTION TYPE PAIS K®61$
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 ZZ / 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
SENT BY: ROM SURVEYING; 949 8582438; ' JAN-22-01 5:38PM; i PAGE 1/1
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. SURVEYING I
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di ' ‘, RON IEOERIA 1. S. 4653 LOTS 19&20
` 23010 KE FOREST ORivE 4409 TRACT 1130
LAGUNA ILLS, CA 92853
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? ! DIVISION OF BUILDINGSAFE'i.r \ l
io CITY OF COSTA MESA \` .
APPROVED y
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(Amkti Date 1. 23 .0/ 3y � '
i1 s s;''"f plans and spections MUST be kept on this job at all times and it is unlawful i- -oy \\ I
u,..,o a: changes o.aeration on same without written permission f/ro��m the DMsion of Buildin • 9
:;.d Sa(",CIN of CETigM1eN 1L go ( COO �(,///
lia st,. ,in;of`.;5 ptacaRit ilttr en Sal NOT h c!to permit or to be anapprov: ii a 1\iiit
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7YQ s ,v lir ,of any provision: o ;''I;; _ .too Ordinance ane/or State la,: r
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�GITY(bFCCOSTA"MESA
FPOANNiNGrdiv. 6666
FSUBJEGT 701BL1�G ADEPT`REG.
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TYPICAL 611 CONCRETE BLOCK FENCE
•Cement Coping lokWith onal1-3/ $6 i� e, =H j;_j GENERAL- NOTES
Channel Block With 1-3l8
Horizontal Top of all ■■ IN MN �-
Fences
N MORTAR: One Part Plastic Cement, and
Three Parts Sand
For Fences S'or Less la GROUT. One Port Cement Three and
Vert.Bars 3/W" at 4' -0"O.C. IDI I � NM II �I'_- One Half Partsmt,and
A i - - COPING: One Part Cement, Three
For Fences Higher Than 5' !s y o I —UM �. Well Sand
Vert.Ban 3/8"0 at 32" O.C. eY'JY > w - - - CONCRETE: Weil Mixed 1:2-1/2: 3-1/2
!" a z • 11 �I-' Max of 7-1/2 Gallons en
Fill Cells Solid With Grout >
Where Steel Occurs > - - - Wafer Per Sack of Cement
Reinforcing Steel Shall I 'o GROUT MAY BE POURED FROM THE TOP
El �'. OF THE,FENCE.IN'CELlz Sin STEEL
Conform to Sec.A-1539 w o 5i ca -y
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OCCURS'.ii "' H II
A.S.T.M. ill
p '—,1 111111, CELLS.AND A FYS OF HOLCAZONTAL REIN
I w n FORCEMENT SHALI.`B.C,CI�EA CLEAN&
All Steel to be Lapped LL p•
FREE OF iQLl°tA07t1�1RTEBR S.ETC.
24' or to Code �N I SI -. ? ,T. ?m P—
NATURAL GRADE _" " ,II ' . r d m 0o a r'
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N E. N ,.
• Two 3rd BARTKIN tttttt2 MUM ;a ii"' 6 m n_C.,
CONTINUOUS TOP _;{ n � a �,-1<�
b BOTTOM 1-..—WIDTH NI TO 16 0 C MAX err Aller
-�,....,
SEE CHART - qry '
HOQ.LSTEEL MUST BE TIED IN BELOW :T $ - .0
p .
DC FTH Cr E'HEi GOTH -f y.�
PLACE AT TIME OF TRENCH I/! THE+-HEIGTN OfT rifiN E N nFE
INSPECTION. r
A.
Bl'LOW BOT T061_OFQV1 G ®OT-_
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1_,.._O:1 IO" - 4 O Sat'-E: Ii >I...
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FOOTING REQUIREMENTS CHART - _ c?ad rr Dk
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WALL HEIGHT 6 ' 5 4 s - tA $' • 7.
WIDTH . . . 14" . . . 14' - . . 12". `' o 0.
THICKNESS .10" 10" g " � s 9
DEPTH OF EARTHTOOTH 24" . . 20" 16" m SI' S • 6�.
SPACING OF EARTHTOOTH 12' . 14' 16' _ � dg r �-
� = wa =g•
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1. BUILDING DIVISION
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•THIS SKETCH IS FOR INFORMATIONAL PURPOSES •SOLID WALLS/FENCES BETWEEN 2.-e&6'N HECHT SHALL
ONLY. APPLICANT IS RESPONSIBLE FOR PROVIDING BE SETBACK AT LEAST 10 FROM FRONT PROPERTY LINE.
AN ACCURATE REPRESENTATION OF THEIR PROPERTY
IN CASE THE SHAPE AND SIZE DO NOT CORRESPOND •SOLID WALLS/FENCES SHALL NOT EXCEED Z 6'N HEIGHT
WITH THE INFORMATION PROVIDED ON THIS SHEET. WITHIN 10'OF THE FRONT PROPERTY LINE(NOT CURB LINE).
•VERIFY DISTANCE FROM CURB TO PROPERTY LINE
AND SHOW ON PLAN. VERIFICATION FROM THE CITY'S
ENGINEERING DIVISION IS REQUIRED. CALL(714)7545343
FOR INFORMATION.
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BLOCK WALL LAYOUT FOR BUILDING PERMIT
PLANNING DIVISION
I� fit`I
DECLARATION OF AUTHORITY Bldg. Permit#
FOR AGENTS OF PROPERTY OWNER This Permit#
TO APPLY FOR PERMITS
Street Address: 17 5 6 O Hn4 j e /A Ve. AP Number: 415-3 92 "I 2-
1. I (we), PQ.0 I IC 1 cii (e hy , declare that I am the Owner of Title of the above
referenced real property, and that I (we)hereby authorize:
Name: Et0t__-h�'t-5 �v-) .c-tzcs. Telephone Number: CV-AS a&c:
Street Address: �St C9�\'AL3 L-)S
City: Q---ct SA , •S1:-.. State: air Zip: SZCZ7
to obtain permits in my behalf,as owner/builder,for I 7-5 4 01-4 in 5 e A v e
at the above referenced property.
2. Should any person become an employee engaged in the improvement of the property, I (we) shall immediately provide Worker's
Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa
Mesa, as required by State of California laws.
3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or
corporation.
4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or
personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa.
5. I declare under the penalty of perjury thathathe
foregoing is true and correct.
2
Executed this 3�a(alday of G�l [ 200 , at 711124-q , California.
Print Name: P44.II kIC. Ie
//�
Signature: '
Date: 2._V--a„., ZOc`
Note: This authorization does not grant authorization to perform the work as owner,
it solely provides for limited power of attorney to secure this permit in any behalf.
0779-46(rev.11/00)
ti
eat L?odta liteQa Dthaf:04
' \# OWNER-BUILDER
VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and,
as a condition precedent to issuing a building permit, require the completion and require the return of, an
owner-builder verification.
Attention Property Owner:
An `owner-builder'building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement.`. Yes ❑ No
2. or ave_n_2__sdiaaAsant signed an application for a building permit for
-
propose work.
3. I have contracted with the following person(firm)to provide the proposed construction:
Name
Address City
Phone( ) Contractor's Lic. No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address City
Phone( ) Contractor's Lic. No.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
Name Address Phone Type of Work
2 5 W
04- oCy9 6ticLi3$£i
104246 (REV.9/98) //l
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State
of California Health and Safety Code and have completed the above information to the best of my personal
knowledge, in compliance with this State law.
Signed: n � Date: 23127-n 2-0O/
Name: P ✓ I Pc c h e 1/
(Printed or/typed)
C.D.L. ORS.S.#
For more information call City of Costa Mesa Building Division at(714)754-5273.
104248 (REV.9/98)