Loading...
HomeMy WebLinkAbout2020 ORANGE AVE - Building PermitsPERMIT TYPE CITY OF COSTA MESA . BUILDING DIVISION 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 JOB ADDRESS: Vicinity: PERMIT NUMBER: M07-00518 MECH EXPIRED STATUS: ISSUED DATE JO- v� 10oj ' DATE ISSUED: 10/30/2007 ISSUED BY: BJK 2020 ORANGE AV CM- Suite/Unit: ' SO. FT: 0 - - $0.00 .- 13TU :$0.00:.. SCOPE OF WORK: REPLACE/CHANGE-OUT�35,000 WT WALL FURNACE. NO OTHER WORK AUTHORIZED WITH THIS PERMIT. OWNER: LEAKE, KENNETH J� ' - -•-Address' - 2020 ORANGE AVE -Unit: • ' PHONE: .. - - - - City/State/Zip: COSTA MESA, CA. -_ APPLICANT: YENULONIS, LAURA , - Address: Unit: PHONE: 909-213-1640 City/State/zZip: - CONTRACTOR: ALLIED PLUMBING'- HEATING - AIR CONDITIONING. License•No. 610780 Address: 422 JENKS ClUnit - PHONE: 714-998-4300 - City/State: CORONA, CA ZipCode: 92880 CELL: MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: - $38.30 PLAN CHECK FEE: $0.00 INVESTIGATION FEE: :$0.00:.. REINSPECTION FEE: - $0.00. TOTAL FEES: $38.30 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 t. INSPECTION TYPE DATE INTRIAL5 CODE INSPECTION TYPE DATE INTITIALS 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 204 Final Demolition - 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: I hereby affirm under penally 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: (This section aetxlot be gimpleted tf the petm4 is valuadat me hundred itallats (15100) or less.) Policy Number: 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 e Labor Code, I shat rthwith comply with these provisions. O \p-3o-6� Applicant's Signature Date WAR NG: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UN W UL 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 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. # ��Zn Class # �� V )0-3) -0-1 Contractor's Signature Date CONSTRU ON 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 Data OWNER -BUILDER DECLARATIONS:,, - I hereby affirm that under penalty.of-perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW�.rftir 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 (Chapteri9'(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 3057-46(3107) Data a , Owner ID verified by driver's ,e. ❑ Yes ❑ 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: ❑ 1 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, a 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. Applicant's Signature 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? ❑ 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? ❑ Yes ❑ 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 fling 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? ❑ Yes ❑ 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 ❑ No (Section 65850.2 of the California 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? ❑ Yes ❑ 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 Safely Code Section 42303 been made? ❑ Yes ❑ No 8. (If "yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I.cerlify 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. A.Signatu 1 Legal Ovmegs) Data - kcz�Odi- And/or Authorized Applicant Date CITY OF COSTA MESA A �StN "' 4q BUILDING DIVISION F77 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 �"'°"°"°fi PERMIT NUMBER: P10-00091 PERMITTYPE PLUM STATUS: ISSUED APN: 42620104 DATE ISSUED: 07/07/2010 ISSUED BY: KJB JOB ADDRESS: 2020 ORANGE AV CM Suite/Unit: Vicinity: SCOPE OF WORK: REPLACE MAIN GAS LINE TO RESIDENCE. OWNER: LEAKE, KENNETH J Address: 2020 ORANGE AVE PHONE: City/State/Zip: COSTA MESA, CA APPLICANT: BRYANT, ROBERT Address: PHONE: 714 641-1545 City/State/zZip: CONTRACTOR: C AND R DRAINS INC License No. 531746 Address: 1525 MAC ARTHUR BL. PHONE: 714-641.1545 City/Stale: COSTA MESA, CA ZipCode: 92626 CELL: ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: $0.00 PERMIT FEE: $33.30 TOTAL FEES: $33.30 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 0. INSPECTION TYPE DATE INTTALS CODE p INSPECTION TYPE DATE INTPAL 1616 Fixed System Final Fire Prevention 206 Final Mechanical ev 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final Block/Retaining Wait 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: 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 /El, I have and will maintain workers' compensation insurance, as required by i 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: 1 i iiT/ l/ll (This section need not be completede tnhhe�p7ermita vaWo y anehundred dollars (SIX) orless) Policy Numbers ��i/sl' V!/2 ��� (I ❑ 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 the Labor Code, I s II f with cc with these provis ons v rA dlcay'S' t9 aWre `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 DOLLARS ($100,000), 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 of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force an effect. Cu.t: #� %'/ Class # - ,t i U _ dors D to 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: 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: Date 3057-46 (3/07( Owner ID verified by driver's license. ❑ Yes ❑ 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, a 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. Applicant's Signature Division of Industrial Safely 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? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be fled 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? ❑ Yes ❑ 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? ❑ Yes ❑ 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 ❑ No (Section 65850.2 of the Califomia Govemment 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? ❑ Yes ❑ 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? ❑ 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. 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 tt permit until final iggpection. (—And/or Authorized Appllaant ' ' Date From the Desk of ... R. L. UNGER August TO: Donald Dungan, City Attorney AUG 2 1966 Subject: Side Yard Encroachment - N pt wa M&58 Coleman Property Game ` i0d- S Oak'Z O� Confirming our verbal conversation las t - day on the Coleman property garage, here is what I think we should do - 1. Arrange to allotr the garage to split the side yard steback line (l.*') and encroach into this area 4'. 2. Tie this encroachment by Agreement into the requirement of the existing house on the Coleman property, i.e. that no substantial structural changes are to be made on either structure vrlthout permission of the City Council. 3. To allow no additional building on this property other than temporary or accessory structures such as patio roofs, fences, etc. 4. Be certain that when and if the house is moved, the garage also is moved. Matt Laborde informed me verbally this date that these conditions vrould be agreeable with bis client. I told him you wuld twite the Agreement. RLU:amR. L. Unger, City Manager cc - Building Safety v Planning RECRM, RICHARD AUG 1 01962 cuG 1 -1 Ar' ' 1 7-26-60 PTTTT.TTTWr- PPPUTT Wn AP. NOAi u—iU1—Uµ LOT TRACT FIRE ZONE DESUIUPTION OF WORK INSPECTIONS _ DATE I GROUP J TYPE V ZONE Underground Soil U.G. Water SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Underground Gas --- Overhead Water and Gas Rough Heating Rough Plumbing Miscellaneous AM Prop. Swr. Line House Con. St. Swr. T Sprinkling System Heating, Final n ,) Plumbing Fixtures I Final Gas Test Construction Pole 11--k Underground Power Rough Wiring ' Trenches!10Forms l q} Steel 7- - 6 Floor System I V Steel Reinforce Chimney Re -Rod Bond Beam Sheathing Frame and Flashing Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final Electric Fixtures, Final Building, Final p.B'lM Y OCCUPANCY Form 210-5M-11-59 S -B P HOLD FOR SPECIAL REQUIREMENTS 12608 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O• BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA.. FE�E� RECEIVED IY�T� JUL 2 L 1960 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only O`1 r' 1 RECEIPT NO. ��P�irISEI{O. OWNER f'V/il�JvIMJ MAIL RECEIVED BY DATE RECEIVBO DATE ISSUED I ADDRESS O L�- /' L —(. O 6(J NOL. BUILDING CITY _�� ADDRESS ARCHITECT TEL . COSTA SA. CALIFORNIA ER 9° -I- j2 OR ENGINENO FIRE h IC /GROVE ADDRESS Z NE E �� AP qq Y6 CONTRACTOR BY Ell' DATE' 6 P reF1ZONING 4 ADDRESS Z NO. OF (PLANS USE OP NE CITY �1--� BU 11 UN STATE TEL. LIG. NO. NO. LEGAL A DESCRIPTION V I Le SIZE NO. OF SLOGS. Z I I " O �• OF LOT NOW ON LOT A P NO OF YARDS EVES EXISTING BLDG EXI APPROVED ALLOWED SETBACK LINE FROM rl CENTER OF STREET REAR YARDFRONT FT. lid-(/ ' IN. SIDE YARD ILEFT (RIGHT R. SIDE C FT. IN. DESCRIPTION OF WORK ! Ir'� L. SIDE FT. NEW I II ADDITION I REAR FT. IN. LIVOVINlII I REPAIR DEMOLISH APPROVED 1 DATE DING NO. OF HOLD FOR SFE ZEQUI2"i.iCi..':J SIZEBUIL Q ROOMS STORIES ... EXTERIOR WALL ROOF I l /- 1-J) COVERING COVERING USE P BUILDING AND WORK TO BE PERFORM 1 HEREBY AC OWLEDGE THAT 1 HAA READ THIS APPLICATION THE AMOUNT SHOWN UNDER AND STATS AT THS ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING VALUATION IS P R TH A PERMIT FE NLY PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PERMIT FEE $ 1� BUILDING CONSTRUCT] G i�VALUATION SIGNATURE OF 0 PERMITTED0 $ L ` {{{{ PLAN CHECK $ _ AUTHORIZED AGENT I TOTAL FEE O`1 r' 1 Hold for Special Requirements: No substantial alterations or additions are to be made to existing house and garage. Instead of the 12.5' required side yard setback from the property line on Sierks Street, the owner is encroaching 6.5' into the required setback (6' from the property line) and an Agreement to this effect will be forth- coming from the City Attorney's office. OWNER ROUSR, Mr. & Mrs )OB ADDRESS 2220 Ogee g,_ G NER ,CONTRACTOR Gentosi: TE 3-27-58 BUILDING PERMIT NO. VALUE AITo.` LOT 291 TRACT }7p} q_FIRE ZONE DESCRIPTION OF WORK Residence INSPECTIONS coat Final Gas Test DATE I SUBCONTRACTOR PERMITS ISSUED