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Home My WebLink About1034 PALMETTO WAY - Building PermitsPERMIT TYPE Sub 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 B_COMBO SFD_NEW FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: BC10-00543 STATUS: ISSUED DATE ISSUED: 01/04/2011 ISSUED BY: RMD JOB ADDRESS: 1034 PALMETTO VVY CM Suite/Unit: APN: TPNO08033 Zoning:, , Vicinity: Primary Occ: Const Type: V -B SQ. FT: 2644 Valuation: $216,500.00 SCOPE OF WORK: PHASE 2: PLAN 1 TYPE 1 C CONSTRUCTION OF A NEW 2,165 SF 2 -STORY SFD WITH A 54 SF PORCH AND A 425 SF ATTACHED GARAGE WITH 1 FAU < 100 K BTU, 1 REFRIG SYS < 100 K BTU WITH NEW DUCTING, 1 HOOD W/MECH EXHAUST, 1 FACTORY FIRE PLACE, 3 VENT FANS, NEW ELECTRICAL FOR A 2,165 SF SFD, ELECTRICAL FOR A/C PKG, 2 LIGHT FIXTS, 4 OUTLETS AND 1 SWITCH FOR GARAGE, 2 BATH TUBS, 1 DISHWASHER, GAS OUTLETS (1-4), 1 GAS SERVICE, 1 LANDSCAPE IRRIGATION, 1 LAUNDTRY/TUB WASHER, 1 SHOWER, 1 KITCHEN SINK, 5 WASH BASINS, 3 WATER CLOSETS, 1 WATER HEATER, 1 WATER SERVICE. FIRST FLOOR - 958 SF SECOND FLOOR - 1,207 SF REF: PA -05-29. T61917 3 BEDROOM. 1 BONUS ROOM. 2 1/2 BATHROOM SFD. OWNER: Phone: APPLICANT: EMERSHAW, KIRSTIN Phone: 949-873-2718 CONTRACTOR: T R CO Phone: 949-7194975 Cell: ARCHITECT: ENGINEER: HUAN NGUYEN COMBINATION PERMIT FEE SUMMARY Building Plan Check: Building Fees: Electrical Fees: Mechanical Fees: Plumbing Fees: SMTP Residential: SMTP Commercial: Bldg Std Admin Fund TOTAL FEES: Address: City/State/Zip: Address: City/State/zZip: License No. 832198 Address: 160 NEWPORT CENTER DRIVEUnit: City/State: NEWPORT BEACH, CA License No. License No.C64238 $267.95 $1,648.95 $215.60 $110.05 $211.05 $21.65 $0.00 $9.00 $2,484.25 Unit: Unit: STE 240 ZipCode 92660 PHONE: PHONE: 'Refer to fee receipts for all fees paid for project HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279 Monday third Friday- 7:00 am thm 7:00 pm. Saturdays. 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 0. INSPECTION TYPE DATE INTMALS CODER INSPECTION TYPE DATE INIITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical mp 1266 Pool Spa Final 208 Final Plumbing hlP 200 Final Re -Roof 210 Final Electrical x / _�7_- r 3 111-1 P 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 )/ ��•�� /z WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ksl 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: C�; STA _ rr11 Ier' n? A c, �o_ VV\G LNLLI^Cult5 (This sedan need nolbemmpete dine permit is valued at one hundred collars (5100)a less.) Policy -Number:- k 1 2(P `ktn -O 3 ❑ 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 fortf with comply with these provisions. 'Applicant's Signature Dal. 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: 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. --5 -.2-\ LA 7� LClass #T Y7 CAntra I , gnalur1'Ld2Date �- 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: Date OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the .provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractol license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: 3057.46 (3107) to Owner ID verified by driver's license. ❑ Yes ❑ No Driver's License,No. Expires: 1 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 Slgnawre 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 wAth 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 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. 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. `pnatureortLegal OLa1J 1 /NDate 44 An; %d orA.M.1ded I Apolh;art Dat! e^+_ NEWPORT -MESA UNIFIED SCHOOL DISTRICT N2 6997 CERTIFICATE OF COMPLIANCEDEVtG1 SEES PURSUANT TO AS 16000 /�Q A A 1 D To: (,e') City of Costa Mesa Di�" �ct Receipt No. ( ) City of Newport Beach JPN 10 -OD 5-- ( ) County of Orange Gwox Plan Check No. 13 Applicant: oXbow lot , L,LC Address: I Io o Telephone Number: eAyc\ - 11 q��ttY iy A(t5 /9 Tract/Parcel and Lot Number(s): 000 - 0. 5 Location of Project: 10 �)Li d'U Number of Square Feet of: Residential Space Commercial and Industrial Space Commercial/Industrial Project is: (Check One) x $1.84 x $ .30 /71 Total 3.10 3. (P b Total Warehouse Motel Preschool R 8 D Bank Auto Repair Movie Theater Neighborhood Shops Hospital _ Mini -storage RacquetlHeaQh Large Office Heavy Industrial Hotel Office Bldg. Regional Shops Medical Office Restaurant Light Industrial Office Park Fast Food This project is exempt because This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code sections 53080 and 65995. The Building Permits for this square footage in this proposed development may now be issued by your jurisdiction. Checks are to be made payable to Newport -Mesa Unified School District. By: The above representation as to square footage is true. Applicant agrees that if it is later determined that such representations are not true, then this certificate shall automatically terminate and the appropriate City/County shall be notified. Date: 1.14 1 [ ( AppYeaM SHEET: - -O GOLMSIns-o "ming JOB NO.: 61944 ronsultinggmup, inc DATE: 03/08/11 CLIENT: TRCO Development l osy Pac rieT-110 Y QLIC7 ooS -l3 MISSING OR MISPLACED A.B. EQ. - - REPLACEMENT ANCHORS FOR " ---.- -.- ---.- - - EA: MISSING ANCHOR BOLT" - 1. POST -INSTALLED ANCHOR ' .4.".1 SIMPSON TITENHD .'SCREW ANCHORS -POUR OR 2=POUR WI DOWEL (ICC ESR#2713) ASTM (F568M)THREADED " ROD IN HILTI-RE 500SD " 1 -POUR OR 2 -POUR W/O DOWEL ( ICOESR#2322) SIMPSON STRONG '. :BOLT 1 -POUR OR " 2 -POUR W/O DOWEL (ICC ESR#1771 ') WALL TYPE QUANTITY &SIZE Le "QUANTITY & SIZE Le QUANTITY & SIZE - Le ". 2X4 SILL (2)3/8"$ 31/4" 2 3/8"m 31/4" N.A. N.A. 3X4 SILL (3) 3/8"m 31/4" (3) 3/8"$ 3 1/4" N.A. N.A. EXT. 2X6 SILL 2 1/2"T 4" 1 5/8"T 51/4" N.A. N.A. 3X6 SILL ..N.A. N.A. 1)5/8"m 51/4" N.A. - N.A. AND 4" FOR STRONG BOLT. INT. 2X&3X SILL 2 1/2"m 4" 1 5/8"m 51/4" 41/2" MISSING OR MISPLACED A.B. EQ. EQ. 1. POST -INSTALLED ANCHOR 1 1 4 PER TABLE. SPACING BETWEEN ANCHORS AND MIN. DISTANCE FROM EXISTING A.B. TO BE 3 1/2" 2 J FOR TITEN HD AND HILTI 500 SD, '�' AND 4" FOR STRONG BOLT. 2. PLATE WASHER PER FOUNDATION NOTES ON SN1 SHEETS. iI ILINOTES: c'' IF DOWEL IS NOT INSTALLED EMBEDMENT Le IS INTO THE 2", 2X4 WALL RST POUR SPECIAL a 31/2", 2X6 WALL (INSPECTION IS REO'D. FOR ANCHOR INSTALLATION) IF MIN. SPACING CAN NOT BE MISSING OR MISPLACED A.B.