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HomeMy WebLinkAbout1705 ORCAS DR - Building PermitsJll� CITY OF COSTA MESA BUILDING DIVISION i� 77 FAIR DRIVE, COSTA MESA, CA 92626 - (714) 754-5273 - Fax (714) 754-4856 - www.ci.costa-mesa.ca.us t FOR INSPECTIONS CALL: (714) 754.5626 A' PERMIT NUMBER: BX10-00136 PERMIT TYPE B_MISC STATUS: ISSUED APN: 13918206 DATE ISSUED: 09/13/2010 Zoning: R1, ISSUED BY: RMD JOB ADDRESS: 1705 ORCAS DR CM Suite/Unit: Vicinity: ROOFTOP Primary Occ: Const Type :?? SO. FT: 210 Valuation: $10,000.00 SCOPE OF WORK: INSTALLATION OF A 2.25 KW ROOF MOUNTED PHOTOVOLTAIC SYSTEM WITH 12 PANELS -210 SF. 2 DISCONNECT, 1 INVERTER, 1 MISC EL EQUIP, 1 MISC CONDUIT. OWNER: CIRILLO, STEPHEN R Address:: 1705 ORCAS DR Unit City/State: COSTA MESA, CA Zip Code: 92626-2351 Phone: 949-412-7315 APPLICANT: CIRILLO, STEPHEN R Address: 1705 ORCAS DR Unit: City/State: COSTA MESA, CA Zip Code: 92626-2351 Phone: 949-412-7315 CONTRACTOR: OWNER -BUILDER License No. 000000 Address: Unit: City/State: Zip Code: Phone Cell: ARCHITECT: License No. Phone ENGINEER: License No. Phone FEE SUMMARY Building Plan Check: $117.81 Building Permit: $181.25 Electrical Permit: $62.10 SMIP Residential $1.00 SMIP Commercial $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES $393.66 HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13.279 Monday thru Friday - 7:00 am thru 7:00 pm. Satrutlays -9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following Federal Holidays: New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day 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 r. INSPECTION TYPE DATE INTITIAL CODE r INSPECTION TYPE DATE INTITIAL 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 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: (Thu SWM need not ee oompli d Me mend u valued atone hundred donan (S 100) or test.) Policy Number: CEJ ->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 shall forthwith Comply with these provisions. App(iPirO s'S(gnature �A 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 writh Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lic. # Class # 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 fivendred 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 contractors) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: 3057-46(3107) f � Owner ID verified by drive�ense. Yes ❑ No Driver's License No. Expires:�l 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. Appiident's 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? ❑ 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 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 constfuction 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 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 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. 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 authorize _ttus- err>i ff final inspection. 4h3/�6 I fthatureof Legar Ovmer(e- Andlor Authorized Applicant City of Costa -%Iesa Ouiging Division 77 Fair Drive, Costa Mesa, CA 92626 Costa Mesa 714-754-5273 / Fax 714-754-4856 OWNER BUILDER VERIFICATION Permit # � A ID -01 t h Disclosures & Forms for Owner- Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been sub tted�yn your name listing yourself as the builder of the property improvements specified at 7()� t'�r� We are providing you with an Owner -Builder Acknowledgment arid Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. X1..1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner - Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. 1, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. ��2--�I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. -�G3. 1 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. �4.. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. -:P7 5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and -the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. tjjn6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. 7.;.t understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 3148-30 CALBO Jan 1, 2009 OB Packet template 1 of 2 �• r �8. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. 1�±-_9. 1 understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. X10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that,l am the party legally and financially responsible for proposed construction activity at the following address: �Z� 11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide'by all applicable laws and requirements that govern Owner -Builders as well as employers. 12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Sig nature.of-property'dw Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: 3148-30 CALBO Jan 1, 2009 013 Packet template 2 Of 2 (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 1705 ORCAS DR Suite No Vicinity: Parcel Nunmber. 13918206 Applicant: CIRILLO, STEPHEN R Address: 1705 ORCAS DR Phone: 714-434-0283 COSTA MESA, CA Zip: 92626-2351 Owner: CIRILLO, STEPHEN R Address 1705 ORCAS DR Phone: 714-434-0283 COSTA MESA, CA Zip: 92626-2351 Contractor: OWNER -BUILDER Address: Phone: Zip: License: 000000 ISSUED BY: Status: ISSUED Applied: 04/04/2006 Issued: 04/042006 SCOPE OF PERMIT PLUMBING PERMIT FOR ADD OF 60SF EXPANSION OF EXISTING ATTACHED GARAGE AND BATHROOM REMODEL. REF#: B05-01882 WORK TO INCLUDE: 1 BATHTUB, 1 GAS (1-4 OUTLETS), 1 GAS REPIPE, 1 LAUNDRY TUBNVASHER, 1 SHOWER, 1 KITCHEN SINK, 1 WASH BASIN, 1 WATER CLOSET, 1 WATER HEATER, 1 WATER REPIPE. QTY FEE SUMMARY AMT ISSUE FEE $23.50 Backflow irrigation $0.00 Backflow Preventer $0.00 Bathtub $9.80 Clarifier System $0.00 Connect (Ice,Soda,etc) $0.00 Dental Units $0.00 Dishwasher $0.00 Drain, Floor $0.00 Drain, Rainwater $0.00 Drain, Roof $0.00 Drinking Fountain $0.00 Expansion Tank $0.00 Gas Earthquake Valve $0.00 Gas (1-4 outlets) $6.15 Gas (Over 4 outlets) $0.00 Gas Repipe $9.80 Gas Service $0.00 Interceptors (Grease, Oil) $0.00 Interceptors (Sand Auto ) $0.00 QTY FEE SUMMARY "AMT QTY AMT QTY Laundry Tub / Washer $0.00 0 Sump Pump $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 P -Trap $0.00 0 Trap Primer $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Process Piping (per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Septic Tank $0.00 0 Wash Basin $9.80 1 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Sewer Private Line $0.00 0 Water Closet (Toilet) $9.80 1 Shower $9.80 1 Water Heater/vent $12.30 1 Sink, bar $0.00 0 Water Piping (Inst or Rep.) $0.00 0 Sink, commercial $0.00 0 Water Re -pipe $9.80 1 Sink, Floor $0.00 0 Water Service $0.00 0 Sink, kitchen $9.80 1 Water Softener $0.00 0 Sink, service/mop $0.00 0 OTHER $0.00 Spa (private) $0.00 0 VIOLATION $0.00 Spa (public) $0.00 0 PLAN CHECK $0.00 REINSPECTION $0.00 0 frnUUPKITQ / CDCrIAI rnKinlTln We TOTAL CALCULATED FEES: $110.55 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 cgHes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of IN permit. FOR INSPECTIONS CALL: (714) 754-5626 I WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. ❑ 1 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 Dart y 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' V 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 shall forthwith comply with these provisions. Applicant Signature ^ rDate:_.��. WARNINGsFALURE 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 and effect. Lic. /f Class k Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Cotle), 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. r '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.). ❑ 1, 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: Owner`ID verifie y `e. es ❑ No Drive s LIr�'cense'No., � � - -""" Expire 2�aY.15 Verification of Ownership by (type of d merit, i.e. - property tax bill or dead): 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 (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: Dale: Division of Industrial Safety Permit Number: it 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 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 a plication a ffrmit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes L -I No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). .............................................................................................................................................................................. ..................... ................................................................... ............................................................................ .... ........... I......................... 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 ........_.................................................. ._........................................................................................................ ... ..............................................__.......................... ........__.._............... ........... _........ -.................. _............... _................................ 6 (II 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 pr a for inspBCtlon purposes. 1 agree not to occupy W allow, occupancy of any building authorized by this permit until final inspection. `gnature Of Legal.Owner(s),.,,r" (�— Date And/Or Authorized Applicant Date CODE A. INSPECTION TYPE 2AM INTITIAL CODE INSPECTION TYPE OATH INTRIALs 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbingf 200 Final Re -Roof 210 Final Electrical 201 Final Block/Retaming 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 Structural Obseryation G•^rr^ A California Corporation 2249 Avalon Street Costa Mesa, CA 92627 24 -Hour Pager (949) 227-8668$ :ree Fax (866) 732-6429 We Just Do A Better Job! Observation Report and Observation Agreement Job Address i [. OaJ '/xr c„p/rI '/� r-�t�, n' t': rbc (}/i.— - Rermb Number C� n 7 � y n 6 4 Job Name C A I` 1 `l. 1 J Architect - Material Description Engineer n L) -, L /� n Deputy's NativeL T! L - t/ ii, /4 Contractor ©L. Samples:X Quantity= sw"o"ba`r°rSo(tiL- Ml,,;yAy Description of Work Observed: _777 DATE:7- Z 3-0 L VCt? I -1 `t7 i2 Qum CP✓i�,N� OF- !,I D D T7_ Lt _L. .w . Pnt-t' LA ALL Ve&i i, T-JA-Quy-'- / or- 5 r, r-. rs amcnlno In ane mama sift Of con omeN em Repan. By the a4nmae In the Cbwrramn Repos, eflm to No howd N,.111enm and WndNpy on the lNwae aft IS IN. CNMreton RgnM1 - Approved by: �--"Pmlect Superintendent We hereby mddy the, m the hna Of the impMion. we here ahswead er d the 6hese rep hol won, etyma dhenrae meed. To the Nat d as inhaled" and failed,wa hew wnd this work to Me,* wah the amrewE dam, epmaiWiare, and appkmde sedan (a) d Me unAvm Butdkq Cade, as appmable to the Shea" where Mn Woo is IocoStl. That Nino cannot M wmbued S ft a recommrgdico Of yeah d any rehire to ft pedoetned. The tiedaaema of Our rbeeneim sanies a e,Ejep to Ift W. and conditions as deacMed on the mane title of Me Obsenamn Ration. The Owner a a aux sea In Interest emA holl harems Sendad Chae n eon Orap Ina.11an any and an Seal pomeden, Of any net. ahatea-er, that a .4ded to the edMBn e. fBnnM Welled. Ti i- �Signature of Registered Deputy Specialty No. Agency WHITE -OFFICE COPY, CANARY -ACCOUNTING COPY, PINK -DEPUTY'S COPY, GOLDENROD-JOBSITE COPY TERMS AND CONDITIONS L FEE FOR SERVICES 1. The minimum fee for observation,services provided by Structural Observation Group, Inc. ("SOG"), shall be based upon a fee for a minimum of Four (4) hours. 2. If the number of hours of observation services exceeds Four (4) hours, but less than Eight (8) hours, the fee shall be based upon Eight (8) hours. 3. Any observation extending past 12:00 noon shall be subject to a minimum fee based upon Eight (8) hours. If. OWNER'S DUTIES 1. BUILDING PERMTTS: The Owner and /or the Contractor is obligated and responsible to apply for, obtain, and pay for all necessary building permits, including local, municipal, and/or state approval, unless otherwise specified in this Agreement. 2. CODE VIOLATIONS: SOG is not responsible for any presently existing building code violations in the areas of building, electrical, plumbing, zoning, or other municipal or government codes, ordinances, and/or regulations. Corrections of Agreement should they exist, shall be the responsibility of the Owner, unless specifically provided in this Agreement. SOG is not responsible to determine or advise the Owner of such violations. 3. OWNER'S OBLIGATION WITH NOTICE OF SALE: If the Owner sells any par or all of the job site and/or the construction project, the full amount remaining unpaid under this Observation Agreement to SOG Observer will immediately become due and payable. The owner will provide SOG a written notice of sale within Twenty-four (24) hours upon entering into an agreement for sale of the job site and /or construction project. III. ARBITRATION, NOTICE, VENUE, GOVERNING LAW 1, ARBITRATION OF DISPUTES: In the event that any disputes arise between the Owner and SOO related to this Observation Agreement, that is not resolved by mutual agreement, the dispute shall be submitted to binding arbitration in accordance with the commercial arbitration mles of the JAMS OR ENDISPUTE. 2. COSTS AND ATTORNEY'S FEES: In the event that a dispute arises between the parties related to this Observation Agreement, the prevailing party to such dispute shall be entitled to recover from the non -prevailing party all costs incurred in connection with resolving such dispute including reasonable attomey's fees. 3. NOTICE: Any notice required or permitted under this Agreement shall be by certified mail to the addresses contained in this Agreement. If either party changes his or her address, that party shall provide written notice to the other of the new address. 4. VENUE: In the event that a dispute arises between the Parties related to this Agreement, the proper place of venue shall be Orange County, California. 5. GOVERNING LAW: The Agreement shall be construed, interpreted and enforced according to the laws of the State of California. IV. MISCELLANEOUS 1. INTEGRATION: 'this Agreement embodies the entire agreement of the paries. No understanding or agreement, verbal or otherwise, exists between the parties, except as expressly set forth in this Agreement. 2. SEVERABILITY: In the event that any provision of this Agreement is held to be invalid, the same shall not affect in any respect whatsoever the validity of the remainder of this Agreement. 3. SUBSTANTIAL COMPLIANCE: the Owner will make all payvuents upon receipt of invoice, and will not withhold any payment after arrival at the job site. 4. CANCELLATION BY OWNER: This Observation Agreement involves personal services of the employees of SOG. As such, this Observation Agreement cannot be cancelled by the Owner for any reason, upon arrival of the SOG employees at the job site. 5. SOG'S RIGHTS UPON BREACH: If the Owner breaches any provisions of this Observation Agreement related to payment of observation services, in addition to all other remedies available, SOG has the right to a mechanic's lien. If at any time, payment owed to SOG by the Owner is in default for a period of five (5) days or more, the Owner shall pay interest to SOG at Ute rate of 1.5% of the unpaid amount owed for each month such amount remains unpaid. 6. NON -ASSIGNABILITY: SOG or the Owner may not assign this Observation Agreement. either voluntarily or by operation of law. Any attempted assignment shall be null and void. 7. CONSEQUENTIAL DAMAGES: SOG shall not be liable for any consequential damages, incidental or otherwise. SOG's liability to the Owner, connected with this Observation Agreement, including, without limitation, for breach of this agreement shall in no event exceed the aggregate amount of all payments received by SOG from the Owner, minus costs incurred by SOG. 8. MODIFICATION: No modifications, variations or changes to this Agreement shall be binding upon SOG or the Owner unless mutually agreed to in writing. (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 1705 ORCAS DR Status: ISSUED Suite: $54.11 Applied: 07/15/2002 Vicinity: REAR AND SIDE OF PROPERTY Issued: 07/15/2002 Parcel Number: 13918206 Zoning: R1 R1 Applicant: CIRILLO, STEPHEN ISSUED BY: Address: Phone: 714-434-0283 Zip: Owner: CIRILLO, STEPHEN Address 1705 ORCAS DR Phone: COSTA MESA, CA Zip: 92627 Contractor: OWNER -BUILDER Address: Phone: Zip: License: 0 Arch : - Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT _ CONSTRUCT BLOCK WALLS. 8'HIGH, 70 L.F. SOLID BLOCK AT REAR AND 6' HIGH, 80 L.F. PILASTER WALL ON SIDE PROPERTY. REF.: B02-00101 FOR CALCS. 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 !44646 (6/00) FEE SUMMARY Plan Check: $54.11 Calc Valuation: $3,000.00 Permit: $83.25 Claim Valuation: $0.00 SMIP Res: $0.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $137.36 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 21-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 21- 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 !44646 (6/00) DECLORATIONS 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 lhispermit is issued. ❑ 1 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 carder and policy number are: c Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars ($100) or less.) LW__,J 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' v 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 shall forthwith comply with these provi ns. _ Applicant Sig s �— Data: �% �� 7 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUDIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($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. Lie. # Class # 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: 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 00 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 contractors) .license pursuant to the Contractors License Laws.). 0-1 am exempt un r sec. Business and Professions Code for this reason: -Signatures C Date: �i- JS -OZ er `OwnID verified by drivers license. Yes ❑ No Drivers' Lcense iNo: LExpires_ Verification of Ownership by (type of doe an 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, 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, 1 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? ❑ 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 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 HMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? [:j Yes No ..................................................................................................................... ildi........................................................................................................................................................................................................................................... difi................ 5 Does or will the applicant or present or future building occupant require for she work which is she subject c this a plication aLJ Not for such construction or modification from the South Coast Air Quality Management Distad or from any other air pollution control district or agency? � Ves LJ 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 pert of the facilityto be constructed under this panni[ 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 a a permit from the South Coast Air Quality Management District or other air pollution control district agency is required for the work which Is the subject of this application, have 911 of the disclosures prescribed .. California Health and Safety Code Section 42303 beenn made? C1 Yes [I 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 ins a tion purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. y —Z -5--d Signature Of Legal Owners) - Date (�And/Or Authorized Applicant ( Date CODE r. INSPECTION TYPE 2ZTE INTmALS CODE# INSPECTION TYPE OAT INiR1AL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 200 Final Plumbing 200 Final Re-Roof/� 210 Final Electrical eG 201 Final Block/Retaining Wall Z" � U_. , 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 �� a� C?aata 7Zleda �ui�'duuy Dcuidia� 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. 6Yes ❑ No 2. 1 (havelhave not) +}JtK+ L LIX— signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone ( ) Contractor's Lic. No. 4. 1 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. 1 will provide some of the work but 1 have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work 1042-46 (REV. MR) 0 FOL"?Ep- pcct doJ- , L L -(r hcccr'- DIVISION OF It 7TY UMANG SAM CIV OF (,,()sTA MESA APPROVRD 0 jjcMGonco V,UST Do 9*P RAY aJ'rqes 0i U W, 4X7A "r Tn e et am i a., ri S, t&� 4 f?, Sol TI�MS, �fl-ETI :z, ADDI e)LOCK lALppfTl t !L�J10V'T;D[' l;' , CITY OF COSTA NIESA PLANNING DIV. 3J�T ,JO BLDG. DEPT. REG. BY DATE P�_-o 1-70s CACA-S F)oO7 ;n • THIS SKETCH IS FOR INFORMATIONAL PURPOSES • SOLID WALLS/FENCES BETWEEN 2'-e k VIN HEIGHT SHALL ONLY. APPLICANT IS RESPONSIBLE FOR PROVIDING BE SETBACK AT LEAST 10' FROM FRONT PROPERTY LINE. AN ACCURATE REPRESEN'TA73ON OF THEIR P'ROP'ERTY IN CASE THE SHAPE AND SIZE DO NOT CORRESPOND • SOLID WALLS/FENCES SHALL NOT EXCEED D Z 6- IN HEIGHT WITH THE INFORMATION PROVIDED ON THIS SHEET. WITHIN 10' OF THE FRONT PROPERTY LINE (NOT CURB LINE). t �E RESIDENCE • VERIFY DISTANCE FROM CURB TO PROPERTY LINE AND SHOW ON PLAN. VERIFICATION FROM THE CITY'S ENGINffitING DIVISION IS REQUIRED. CALL (714) 750W FOR INFORMATION. RESIDENCE A dw -- -- )ARC I I � RESIDENCE 6RCAs RESIDENCE RESIDENCE , BLOCK WALL LAYOUT FOR BUILDING PERMIT PLANNING DIVISION TYPICAL 611 CONCRETE BLOCK FENCE Cement Coping Optional Channel Block With 1.3/80 Horizontal Top of all Fences For Fences S' or Less 14" Ven. Bars 3/8"¢ at 4' 0" O.C. 0 12" IX z For Fences Higher Than 5' y u Ven. Ban 3/8-0 at 32" O.C. Q w DEPTH OF EARTHTOOTH z Fill Cells Solid With Grout > z Where Steel Occurs > — 12' a Reinforcing Steel Shall 16' Conform to Sec.A-15.39 w 0 A.S.T.M. Z All Steel to be Lapped i9 24" or to Code NATURALGRAVE .nn oj TWO 7/8"0 BARS - n CONTINUOUS TOP 6 BOTTOM WIOTH o SEE CHn 140MMSTEEL MUST BE TIED IN I BELOW PLACE AT TIME OF TRENCH INSPECTION. o FOOTING REQUIREMENTS CHART GENERAL- NOTES MORTAR: One Part Plastic Cement, and Three Parts Sand GROUT: One Part Cement Three and One Half Parts Band COPING: One Part Cement, Three Parts Sand CONCRETE: well Mixed 1:2-1/2:3-1/2 Max of 7-1/2 Gallons of Water Per Sack of Cement GROUT MAY BE POURED FROM THE TOP OF THE FENCE IN CELLS WHERE STEEL OCCURS. CELLS AND AREAS OF HORIZONTAL REIN FORCEMENT SHALL BE CLEAR, CLEAN 6 FREE OF ALL MORTAR DEBRIS, ETC. II CF EARTHTCOTH V! 11(f HEIGTH OF FENCE IT -LOW BOTTOM OF FOOTING SCALE'. 1/2"= I' WIDTH . . . 14" . .14" 12". 12" THICKNESS .10" .10" 8" g" DEPTH OF EARTHTOOTH 24' 20" . . 16" 12" SPACING OF EARTHTOOTH. 12' 14' 16' 16' BUILDING DIVISION t-rr) cid I-� nrViSIONO,- 3i CI;LOrc.SAFETY TY OF COSTA fAFSA ALPPROVED to ',,.andspeciicaGui .MUST he..o- Cate % es e O'er sa;t>,..If.adepts•;,nfhis y�a'all time$and Auunlawful to eie- f- st r; an n: i• pnhcmt fr'OivsgnolSul cuy O'i(t•'yl^.1:11:7 r,'f a:: '_�''"••Itf$iiln:i iJliTknheld 8.nt• Cit 0; r'G$:a r Permdo: i be 10 +s are pe.", 4 asa Ordinance an aPMval ..::,crr•:r;':aa'"vire b Gmiralicr. ar. State law. r,_may§e;na,,,,..`�ra L" "e nal; and void H the buld� or uut•_ , 1 �Mhin .9r1 dabs or issuenco. 1x6 Cf-DvR (S" ZLcy—K w/vtt, tel" l -I 16?1 `.STucco c uEl? UJAGC, C.91z'Tr11Lx�TY1 C ENSE i2Ep 4 � L4 REMf- u GP -T- Z a u RE -B(42 hail z 10Ito Ile (S" ZLcy—K w/vtt, tel" l -I 16?1 `.STucco c uEl? UJAGC, C.91z'Tr11Lx�TY1 C ENSE i2Ep 4 � L4 REMf- u GP -T- Z a u RE -B(42 hail z F Qis v GM RF -0 13Klce CHP CITY OF �-NSTA MESA PROPERTY DETAIL' DEPORT Owner: Cirillo Stephen R Carlyn N Resident: Unknown Site Address: 1705 Orcas Or City/Zip: Costa Mesa / 92626-2351 Parcel Id: 139-182-06 Location: Costa Mesa City Neighborhood: Unknown Wealth Code: 6.0 Legal Desc.: N Tr 3115 Lot 60 Zoning: Unknown Subdivision: Unknown Usage: 122: Single Family Residential -Style: Unknown Construction: Unknown Year Built: 1958 Stories: 1 Bdrms: 3 Baths: 2 Full Heating: Unknown Cooling: Unknown Irr. Lot: Unknown Terrain: Unknown Water: Unknown Sewer: Unknown Sqft 1 st: Sqft 2nd: Sqft Bsmt: Sqft Total: 1476 Market Value: $118,374 Assessed Land: $77,261 Assessed Bldg: $41,113 Assessed Total: $118,374 Percent Improved: 35% Delinquent Taxes: Sale Date: Jul -12-2001 Sale Amt.: Deed Type: Survivorship Deed Volume & Page: Seller: Professional Sales Group Inc Title Company: Multi -Parcel: No 1705 Orcas Dr Costa Mesa, CA 92626-2351 Ttl. Rooms: Bsmt. Type: Bsmt. Fin.: Gar. Type: Gar. - Cars: Gar. Sqft: Roof Mater. Roof Style: Attic Type: Condition: Lot Dim: Lot Size: Lot Sqft: Phone: No Phone: Unk. Tax Address: 1705 Orcas Dr City/Zip: Costa Mesa / 92626-2351 Own.Occ.: Yes School District: Newport -Mesa Unified Census Tract: 063806 Year Listed: Unk. 6 Unknown Unknown Attached Garage Unknown Unknown Unknown Unknown .162 acres 7056.72 sq. feet Gross Tax Semi Ann.: HB920 Credit Semi.: RB Credit Semi Ann.: RBA Credit Semi.: Homestead Exemption: Spec. Assmt. Semi.: Tax Semi Ann.: Mortgage Date: Mortgage Amt.: Mortgage Type: Volume & Page: Lender: Mortgage Term: Mortgage Rate: Blktop Paving: Unk Concrt Paving: Unk Carport: No Deck: Unk. Patio: Unk. Pole Barn: Unk. Pool: No Fireplace: 1 Gas: Unk. Electric: Unk. Units: $752.70 $752.70 Jul -12-2001 $268,000 Conventional Washington Mutual Bank Fa 2031 Unk. / Fixed The information is deemed reliable but is not guaranteed. 2001-2002 Tax Year Copyright 2003 Haines Printed Jul -02-03 SOUTH ORANGE CA (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 1705 ORCAS DR FEE SUMMARY Status: ISSUED Suite: Calc Valuation: $800.00 Permit: Applied: 01/22/2002 Vicinity: RIGHT PROP LINE SMIP Res: $0.50 Issued: 01/22/2002 Parcel Number: 13918206 Zoning: R1 R1 Applicant: CIRILLO, STEVE ISSUED BY: Address: Total: $54.37 Phone: 714-434-0283 PLANNING & ZONING SETBACKS Zip: Owner: CIRILLO, STEPHEN Right 0-0 ACCESSORY Front 23-0 Address 1705 ORCAS DR PARKING Existing: 0 Required: 0 Proposed: 0 Phone: COSTA MESA, CA Zip: 92627 Contractor: OWNER -BUILDER Address: Phone: Zip: License: 0 , Arch Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT 80 L.F. OF 6' HIGH BLOCK WALL ALONG THE RIGHT SIDE OF THE PROPERTY. PERMIT IS ONLY FOR 8 SIX-FOOT HIGH PILASTERS PER CITY STANDARDS. 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) 7545626 2aae-4s (6=) FEE SUMMARY Plan Check: $21.22 Calc Valuation: $800.00 Permit: $32.65 Claim Valuation: $800.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $54.37 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left '0_0 Right 0-0 ACCESSORY Front 23-0 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) 7545626 2aae-4s (6=) DECLAWATIONS 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by section 3700 of the Labor Code, for the performance of the work far which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carder: Policy Number: (This section need not be completed if the permit Is valued at one hundred dollars ($100) or less.) ❑ 1 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 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 (4100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, LICENSED CONTRACTORS DECLARATION: 1 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. a Class 4 Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 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 pem4' subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): Ip 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 d es o Driver's License No. Expires: 01 (—,R _cg 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 (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, 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: Data: 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 tone 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 apartment 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 California Health and Safety Code been fully complied with? ❑ Yes ❑ No ............................................................................................... .............................................................. ........................................................................................................................................................ .............. .................. ........................ I.............. 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication aEEe rmit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Ves U No (Section 65650.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ........................................................................................................................................................................................................................................................................................ ....................................................................................._... 6 W III any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Ves ❑ No (it '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 [I No ......I.... 6 (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 r action purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. I-22 Signature Of Legal Owners) Date And/Or Authorized Applicant Date CODES. INSPECTION TYPE gd¢, INTITALS gggg,E iNSPECRON TYPE PATE INITTIALS 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/Retaming Wally 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 ' THIS SKETCH IS FOR INFORMATIONAL PURPOSES ONLY. APPLICANT 15 RESPONSIBLE FOR PROVIDING AN ACCURATE REPRESENTATION OF THEIR PROPERTY IN GSE THE SHAPE AND SITE DO NOT CORRESPOND WITH THE INFORMATION PROVIDED ON THIS SHEET. .E���l O V' E"D CITY OF COSTA MESA PLANNING DIV. SUBJECT TO BLDG. DEPT. REG. RESIDENCE ........... • SOLID WALLS/FENCES BETWEEN X.6' k & IN HEC.HTSHALL BE SETBACK AT LEAST 1(Y FROM FRONT PROPERTY LINE • SOLID WALLS/FFNC6SHALL NOT EXCEED X 6' IN HEIGHT WITHIN 10 OF THE FRONT PROPERTY LINE p0T CURB LINE). R VERIFY DISTANCE FROM CURB TO PROPERTY LINE AND SHOW ON PIAN. VERIFICATION FROM THE am ENGINEERING DIMON E REQUIRED. CALL (714) 750W NOT H6ii PS, DELETIO .�,,= TIORS SHALL BE APPROVED BY THE PLAiINING DIVISION tJ9 RE90CNCE RESIDENCE R®ENCE C RESMCE RESMCE I I I i ............................ ................. I '7S'TREET BLOCK WALL LAYOUT FOR BUILDING PERMIT LEX-)67m eo g Pic-as�Rs PLANNING DIVISION TYPICAL 611 CONCRETE BLOCK FENCE Cement Coping Optional Channel Block With 1.3/895'' Horizontal Top of all Fences For Fences 5' or Less Vert. Bars 3/8" 0 at 4' -0" O.C. For Fences Higher Than 5' Vert. Ban 3/8-0 at 32" O.C. Fill Cells Solid With Grout Where Steel Occurs Rcmfmcing Steel Shall Conform to Sec.A 1539 A.S. T.M. All Steel to he Lapped 24" or to Code NATURALGRAOE TWO 3/0"O BARS - D^ CONTINUOUS TOP GENERAL- NOTES MORTAR: One Part Plastic Cement, and Three Parts Sand GROUT: One Part Cement Three and One Half Parts Sand COPING: One Port Cement, Three Parts Sand CONCRETE: Well Mixed 1:2-1/2:3-1/2 Max of 7-1/2 Gallons of Water Per Sock of Cement GROUT MAY BE POURED FROMTHE TOP OF THE FENCE IN CELLS WHERE STEEL OCCURS. CELLS AND AREASOF HORIZONTAL REIN FORCEMENT SHALL BE CLEAR, CLEAN 6 FREE OF ALL MORTAR DEBRIS, ETC. tL BOTTOM WIOTH 1 TO 16' O C MA%I SEE CHART s e HOQIZSTEEL MUST BE TIED INL BELOW s DOTH (F CARTHTCOTH PLACE AT TIME OF TRENCH I '4. INSPECTION. I T THE HEIGTH Or FENCE P s L l L I IT -LOW BOTTOM OF FOOTING SCALE: 1/2"s Ir FOOTING REQUIREMENTS CHART WALL HEIGHT 6' 51 4' 31 WIDTH 14 14 12". 12" THICKNESS 10 10" 8 8e DEPTH OF EARTHTOOTH 24 20" 16 12" SPACING OF EARTHTOOTH 12' 14' 16' W BUILDING DIVISION FRcPMry IRS C)W-AS TOTAL LFI H eO' qtr Q LorTN Ti Lo ue� 647Fs far 5TR> r S Ir — S67XC0 �l F -%t S1'1 17OR oRcAs j P IL gs-TERS 12x 1Z C3Cock G' H 16 ?4 D U DIVIMON Oi' LU-.LD!i:ur SAFL TI 2' 1-1161-1 w4C. R FTWi-c-Q P lC.Rtal3i4 N CITY OF COSTA MESA APPROVED WITH u-)oo, 9=t� li-�&fnT NBy � This aet at tows and epowfa ft MU8 be kept on Mle *a end b b evat��{"""Ye{'�if�lbll {HIf11ii10 � ,'lrrdrli�l ! 1 SHALL NUT tl� rft 101oro en tithe vlMa+.Ion of any nto%9r 'r:e : + ee OMinam andlor State low. � � 1 fi'�g9� plane an!� (ian1F Il�ell 9�;�Y I i � ii i ., � .tnl1 MA wlkl it the buiklin(1 a i -?flt' ftUl Gar' (It�dat lrld nWb'':idil6ki dkirVu pa, Voir )JGi pij Nll(ri VJy9 o+ri9w i%''e. — S67XC0 �l F -%t S1'1 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 provtd the major labor and materials for construction of the proposed property improvement. Z Yes ❑ No 2. 1 (have/have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone ( ) Contractor's Lie. No. 4. 1 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 Lie. No. 5_ 1 will provide some of the work but 1 have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work 1N2-48 (REV.9/98) BUILDING PERMIT NO. GENERAL CONTRACTOR L. G. Robinson VALUE$ 11.319.00 AP. No. LOT 60 TRACT 3115 FIRE ZONE DESCRIPTION OF WORK Res & Att/gar GROUP � ¢ ° TYPE ZONE ai PLAN NO. INSPECTIONS I DATE I SUBCONTRACTOR coat Final Gas PERMITS i 8195 COSTA MESA BUILDING DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN — (i' BUILeDING 17C5 Or=AnA Dr. fY 'LL' 9 1958 w / FII!",INCE DEPT. Cl I Y CI C�:T.A f.1EM APPLICATION FOR PERMIT BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO, PERMIT NO, OWNER MAIL RECEIVED BY DATE RECEIVED DATE ISBUEO ADDRESS 1701 Gisler St. TEL. CITY a M NO.KI -1] 1 BUILDING ADDRESS ARCHITECT LIC. OR ENGINEER J.R.Shel le NO. C-2170 COSTA MESA. CALIFORNIA FIRE ADDRESS ZONE CITY LIC ZONE NO. LANS OF P TY� GROVP .� . CONTRACTOR L.G.Robinson NO. 1123 1 1] 1 Gisler St. TNO. Ki -1751 APPROVED DATE _ADDRESS LEGALLOT 60 3115 CORRECTIONS ossc RlPTION NO. BLOCK TRACT A.P. NO. SIZE ]O y 100 BLOT NOW OF LOT /� Now Dry LOT none USE OF EXISTING BLDG. SETBACK LINE FROM 501. '209+Li CENTER OF STREET REAR YARD 5*+ 5*+ SIDE YARD RIGHT LEFT DESCRIPTION OF WORK NEW X ALTERATION ADDITION ` REPAIR MOVING DEMOLISH OINGI NO. OF SIZE 433 5 .Ft. ROOMS 6 STORIES I EXTERIOR WALL, ROOF COVERING J}ACCO COVERING AS halt 6 Rock USE OF NEW Residence 6 Garage BUILDING attached 1 HEREBY ACKNOWLEDGE THAT1 VE READ TMIB'APP CATION AND STATE THAT THE ABOVE IS CORR T NO AGREE TO CO LV WITH ALL CITY ORDINANCES AND BTATE WE REGULATING BVI INC CONSTRUC- TION. e7 VALUATION PERMIT FEE 5 SIGNATURE OF LL.µ PERMITTEE (rO PLAN CHECK S AUTHORIZED AGENT TOTAL FEE S