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Home My WebLink About1038 PALMETTO WAY - Building PermitsCITY OF COSTA M'SA A gl'1N s'FSqp BUILDING DIVISION > 5 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 - www.ci.costa-mesa.ca.us ` g FOR INSPECTIONS CALL: (714) 754-5626 ``"°'°^^�°'` PERMIT NUMBER: BC10-00545 PERMIT TYPE: B_COMBO Sub Type: SFD_NEW JOB ADDRESS: 1038 PALMETTO WY CM APN: TPNO08035 Zoning: Vicinity: Const Type: V -B SQ. FT: 2644 STATUS: ISSUED DATE ISSUED: 01/04/2011 ISSUED BY: RMD Suite/Unit: Primary Occ: Valuation: $216,500.00 SCOPE OF WORK: PHASE 2: PLAN 1 TYPE 1A 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: SMIP Residential: SMIP Commercial: Bldg Std Admin Fund TOTAL FEES: Address: City/State/Zip: Address: City/State/zzip: License No. 832198 Address: 160 NEWPORT CENTER DRIVE Unit: 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 311812010 - PER CMMC Sec. 13-279 Monday thru Friday -7:00 am thru 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 INTITIALS CODE INSPECnON TYPE DATE INTI 1616 Fixed System Final Fire Prevention 206 Final Mechanical 14 -1 a 1266 Pool Spa Final 208 Final Plumbing 14 -1 ISP 200 Final Re -Roof 210 Final Electrical 1`t - VLP 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 /C a ' 114 - 12- _Y WORKERS' COMPENSATION DECLARATION: -� I hereby affirm under penalty of perjury one of the following claralitlhs: X71 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: ` /� Cartier 0."1 2 WYv�-R21n5r , 1pvv ..AM SW0.inC¢, T� (This sedan neednot be mmdetetl thepenad is valuedal onehundred"ars(SINI or less) Policy;Number: j 2 b N 1 l— 06 ❑ 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 Cade, I shall forthwith comply with these provisions. A%2tApVLwnt's Signature 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 with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ueau. g 3 Zk A CILass.# P� y AA -D ak w> , ILA l l) Condor's Signature Daate CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the pedomtance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature Date OWNER -BUILDER DECLARATIONS: 1 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 contractors) license pursuant to the Contractors License taws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature 3057-46(3/07) Date w Owner ID verified by driver's license. ❑ Yes ❑ No or Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, 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. Applicant's Signature Division of Industrial Safety Permit Number: Date 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 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 ran -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. Signature of Legal Ovmens) Date �;iontllofAUNorized'Appl�t VDale' To: 1 NEWPORT -MESA UNIFIED SEHO L DISTRICT N° 6999 CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AS 1600 AND AS 181 ( .1 City of Costa Mesa P,7LI District Receipt No. ( ) City of Newport Beach I D• ( ) County of Orange 4 �Q\\ PI n heck No. l I Applicant: Address: Telephone Number: R`iq ^t )R'Q_ q q-15, Tract/Parcel and Lot Number(s): -T9 4 000 0 3 Location of Project: Number of Square Feet of: Residential Space Commercial and Industrial Space Commercial/Industrial Project is: (Check One) Warehouse R&D Movie Theater Mini -storage Heavy Industrial Regional Shops Light Industrial This project is exempt because —P1N,✓1 I S x $1.84 Total 3 x $ .30 Total _ Motel Preschool Bank Auto Repair Neighborhood Shops Hospital _ Racquet/Health Large Office Hotel Office Bldg. Medical Office Restaurant Office Park Fast Food 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 develop)mnt 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 agreei 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: t (`f (tl Avt+Waru .. SHEET: GOUVIS�HB�999��9f�� JOB NO,: 61944 ® ransninuggmnp, ma DATE: 03/08/11 CLIENT: TRCO Development `�-5O �TiI,ME�� ) `T ( cto OUSqS ' REPLACEMENT ANCHORS FOR - - - - - EA: MISSING ANCHOR BOUT- - SIMPSONTITEN HD ASTM (F568M)THREADED ' SIMPSON STRONG . SCREW ANCHORS ROD.IN HILTI-RE 500SD BOLT 1 -POUR OR 1 -POUR OR 2 -POUR W/ DOWEL 1 -POUR OR 2 -POUR W/0 DOWEL 2 -POUR W/0 DOWEL .. -'(ICCESR#2713) '(ICC ESR#2322) (ICC ESR #1771) . WALL TYPE 'QUANTITY.B'SIZE Le '• �QUANTITY &SIZE - Le QUANTITY &SIZE„Le - 2X4 SICU 2 3/8"m 3 1/4" 2 3/8"(P3 1/4” N.A. N.A. EXT. 3X4 SILL (3) 3/8"m 3 1/4" 3 3/8"(P3 1/4" N.A: N.A. 2X6 SILL (2)1/2"(P 4" 1 5I8"m 5 1/4" N.A. N.A. 3X6 SILL NA. N.A. 5 1/4" N.A. N.A. INT. 2X & 3k SILL 2 1/2"(D4" 1 5/8"m 5 114" 2 1/2" (P; 4 1/2" EO. EO: 1. POST -INSTALLED ANCHOR 2 1 1 PER TABLE. SPACING BETWEEN ANCHORS AND MIN, DISTANCE FROM EXISTING A.B. TO BE 3 112" 2 � J FOR TITEN HD AND HILTI 500 SD, AND 4" FOR STRONG BOLT. 2. PLATE WASHER PER FOUNDATION - NOTES ON SNt SHEETS. . I 9-1 NOTES: IF DOWEL IS NOTINSTALLED - EMBEDMENT Le IS INTO THE 2", 2X4 WALL FIRST POUR 31/2", 2X6 WALL SPECIAL INSPECTION IS REO'D. ' OR ANCHOR INSTALLATION) - IF MIN. SPACING CAN NOT BE MET CONTACT GOUVIS ENGINEERING FOR SPECIFIC FIX MISSING OR MISPLACED A.B. D510 %EDF c" tz NG( /'t! B42642M mA X 30/(1 cc E>s T 3N, 0) C:7> 5�S d ROBIN B. HAMERS & ASSOC., INC. CIVIL ENGINEERS ' PLANNERS • SURVEYORS ... since 1981 June 3, 2011 City of Costa Mesa Building Dept. 77 Fair Drive Costa Mesa, CA 92626 Attention: Grading Inspector Subject: Civil Engineer's Final Grading Certification Reference Project Address: 1038 Palmetto Way Lot 4, Amended Tract No. 16917 234 E. 17TH ST., SUITE 205 COSTA MESA, CA 92627 Phone 949/548-1192 Fax 949/548-6516 I hereby approve the final grading for the referenced project in accordance with my responsibilities under the Orange County Grading and Excavation Code. Final grading and drainage of the lot has been completed substantially in conformance with the approved Grading Plan as determined on May 31, 2011. Sincerely, h R b n B. Hamers � Registered Civil Engineer s RCE 31720 i�