The URL can be used to link to this page

Home My WebLink About1040 PALMETTO WAY - Building Permitsi CITY OF COSTA MESA `oytpMF4q BUILDING DIVISION A f�.., 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 www.ci.Wsta-mesa.ca.us °. FOR INSPECTIONS CALL: (714) 754-5626 `°"°°�"°"� PERMIT NUMBER: BC10-00546 PERMIT TYPE: BCOMBO Sub Type: SF_D_NEW JOBADDRESS: 1040 PALMETTO WY CM APN: TPNO08036 - Zoning: Vicinity: Const Type: V -B SQ. FT: 2894 STATUS: ISSUED DATE ISSUED: 01/04/2011 ISSUED BY: RMD Suite/Unit: Primary Occ: Valuation: $238,300.00 SCOPE OF WORK: PHASE 2: PLAN 2 TYPE 2BR CONSTRUCTION OF A 2,383 SF 2 -STORY SFD WITH A 56 SF PORCH AND A 455 SF ATTACHED GARAGE WITH 1 FAU < 100 K BTU, 1 REFRIG SYST < 100 K BTU WITH NEW DUCTING, 1 FIRE PLACE, 3 VENT FANS, 1 HOOD W/MECH DUCTING, EL FOR RES A/C PKG, ELECTRICAL FOR,A NEW 2,383 SF SFD, 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 LAUNDRY/TUB WASHER, 2 SHOWERS, 1 KITCHEN SINK, 5 WAHS BASINS, 3 WATER CLOSETS, 1 WATER HEATER, 1 WATER SERVICE. FIRST FLOOR: 1,072 SF, SECOND FLOOR: 1,311 SF REF: PA -05-29, T61917 4 BEDROOM/3 BATHROOM SFD. OWNER: Phone: APPLICANT: EMERSHAW, KIRSTIN Phone: 949-873-2718 CONTRACTOR: T R CO Phone: 949-719-4975 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 DRIVEUnit: City/State: NEWPORT BEACH, CA License No. License No.C64238 $287.98 $1,772.15 $228.68 $110.05 $220.85 $23.83 $0.00 $10.00 $2,653.54 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 thr. 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. Thanksaivina Dav and Christmas Dav NOTICE: The work authorized by this permit shall comply with an 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 k. INSPECTION TYPE DATE INf111ALS CODE If INSPEC7I0N TYPE DATE INS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition WORKERS' COMPENSATION DECLARATION: - ,r Owner ID verified by driver's license. ❑ Yes ❑ No II hereby affirm under penalty of perjury one of the lfollowing declarations: Driver's License No. Expires: �rI,have and will maintain a certificate of consent to self -Insure for workers' Verification of Ownership by (type of document, i.e. - property tax bill or deed): 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: peril is issued. My workers' compensation Insurance carder and policy ❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a number are: person is required to descend, will be made in connection with work authorized \ \ F that no building structure, scaffolding, falsework, or demolition by this peril and Carrier.:S'TA'YQ- VInQ¢tn S old �vx S w'r0.h �� (�-- or dismantling thereof, will be more than thirty-six (36) feel high. (Chap. 3.2, Grp ,ho,sedon need iihe mmpefed the permrta waluedal one hundred ddlars (3100)wless) 2 Art 2, Sec 341 Title B, California AdmlDlSlmtlVe QOde). cy,Numtier: \ 1 2 io y it '1 — O$ ❑ 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 forth w.tth comply with these provisions. A pl s�Slgnature f M, , Dam 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. —1- ti`E cIC ass.# . J0 contractor's Signature Da ee CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this peril is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature 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, poor 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 (5500).): ❑ 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 commctcr(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: 3057-06 (3/077 ❑ 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: Dale 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 non-residential building permits). 6. Will any part of the facility to be constructed under this permit be within 1000 feel 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 authorized by this peril until final inspection_ Signature of Legal Owners) Date App Any/OCA�M1OgzM APW�Wn!-moi Jr �� r qD r NEWPORT -MESA UNIFIED SCHOOL DISTRICT N° 7000 CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AN"B A811<' To: (City of Costa Mesa O J�� —o�4 Z�Q11 District Receipt o. ( ) City of Newport Beach JAN $UC)_CmLi ( ) County of Orange Plan Check No. cm o� oosTAc�E� Applicant: O Y 6 W k O 1 t Address: U00 K eW o cN-+ by, SA _29 ,2w e01A 'k3 eA C,� C a q 2,6 6 Z-) Telephone Number: '�L{ OA Q 1, Tract/Parcel and Lot Number(s): TSN ooib - rw Location of Project: Number of Square Feet of: Residential Space 3 `3 3 $1.84 Phfl� Total q 13'�u• 1 Z Commercial and Industrial Space x $ .30 Total CommerciaVlndustrial Project is: (Check One) Warehouse Motel Preschool R & D Bank Auto Repair Movie Theater Neighborhood Shops Hospital Mini -storage Racquet/Health 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 sectio 53080 and 65995. The Building Permits for this square footage in this proposed development may now be issued by your jurisdicti Checks are to be made payable to Newport -Mesa Unified School District. Aulhoraed The above representation as to square footage is true. Applicant agrees that if it is later determined that such representations al true, then this certificate shall automatically terminate and the appropriate City/County shall be notified. Date: 1Ig I11 :(OqC P-F..tneico U-3 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: 1040 Palmetto Way Lot 3, Amended Tract No. 16917 234 E. 17TH ST., SUITE 205 COSTA MESA, CA 92627 Phone 949/548-1192 Fax 949/548-6516 1 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, Hamers le istered Civil Engineer RCE 31720