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Home My WebLink About1044 PALMETTO WAY - Building PermitsCITY OF COSTA MESA BUILDING DIVISION F77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 4 FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: BC09-00356 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: SFD_NEW DATE ISSUED: 10/12/2009 ISSUED BY: RMD Jos ADDRESS: 1044 PALMETTO WY CM Suite/Unit: . APN: TPNO08038 Zoning:, Vicinity: - - " ,Primary Occ: , R3U1 Const Type: V -B SQ.'FT:` 2644 - Valuation: $218,821.48 SCOPE OF WORK: PLAN 1 (1 CR) 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 FIREPLACE, 3 VENT FANS, NEW ELECTRICAL FOR A 2;165 SF SFD, ELECTRICAL FOR NEW A/C•PKG, 2 LIGHT FIXTS, 4 . 'OUTLETS AND 1 SWITCH FOR GARAGE, 2 BATH TUBS,A DISHWASHER, GAS OUTLETS (1-4), 1 GAS SERVICE, 1 LANDSCAPE IRRIGATION, 1 LAUNDTRYfTUB 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: OXBOW 101 LLC ,' - , Address:- 160 NEWPORT CENTER OR Unit: STE 240 Phone: 949-179-4975 - - City/State/Zip: NEWPORT BEACH, CA APPLICANT: EMERSHAW, KIRSTIN Address:- - _ Unit: Phone: 949-274-2015 - City/State/zZip: CONTRACTOR: T R CO_` License No. 832198 Phone: 949-719-4975 Address:. -160 NEWPORT CENTER,DRIVEUnit: STE 240 Cell: City/Staten._ NEWPORTBEACH, CA "ZipCode 92660 ARCHITECT: License No. - - .'PHONE: ENGINEER: HUAN NGUYEN License No.C64238 PHONE: COMBINATION PERMIT FEE SUMMARY: Building Plan Check: ' $269.77 " Building Fees: $1,660.15 - - • •- Electrical Fees: $215.60 .. Mechanical Fees: $23.50 Plumbing Fees: $23.50 ' SMIP Residential: $21.88 SMIP Commercial: $0.00 Bldg Std Admin Fund $9.00 TOTAL FEES: $2,232.40 "Refer to fee receipts for all fees pall for project 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 S. INSPECTIONTYPE DATE INTITIALS CODEC INSPECTION TYPE DATE INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical I o- 4—lo r1 ,1 re, 1266 Pool Spa Final 208 Final Plumbingy t'{ - IQ '�'I/t-, 200 Final Re -Root 210 Final Electrical ilb - 4-10 H rL__ 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy ilJ-`.f ro-' -, 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._.51 0Cd' CiDn-�.Q.VS OV\ FuVJ `rihis serlion need net be completed dine vallist is value0 at one hundred dollars (Six) w less.) �P y_Number 'L to LA 1 0� ❑ 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 C e,�,l �shall ,fort�h�m.fin com-pl�y1 with these provisions. A'r�\ Q 1 t7 / it 21 APpp��a..a..nvii�nmure+' DatE\—_ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. -2 (3 Class#. Ito Contra §Srgnbzl L'D� fey-. 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 contracta(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Owner ID verified by driver s license. ❑ Yes ❑ No Drivels 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: Data HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and fling with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6. Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). Z 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 penally of perjury the information given above is correct. I agree to comply with all slate laws and city ordinances regarding Hazardous Materials and Emissions. Signature Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature of Legal Dwner(s) Date Signature Date 70 Z Q 305746 (3107) Antllor'Ari -- -- - r^a'Dete,e� NEWPORT -MESA UNIFIED SCHOOL DISTRICT CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AS 1600 AND AS 181 To: (J) City of Costa Mesa ( ) City of Newport Beach ( ) County of Orange Applicant: Address: ��p b N 0 D OCT 12 2009 kjLt , S-4 a 2y o M° 6941 V'Mq District Receipt laMn A11�c Telephone Number: \ I x[01 ~�} Z"u �(�� Tract/Parcel and Lot Number(s): T?K TJ 0-3 e) Location of Project: I L^1 4 ti 1 r 1141-1 1 tr v�v 1 Number of Square Feet of: I Ci/1, I �6 � %� /� `63.0 6 3 � `� Residential Space x $1.84 Total Commercial and Industrial Space x $ .30 Total Commercial/Industrial Project is: (Check One) Warehouse Motel Preschool _ R 8 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 sections 53080 and 65995. The Building Permits for this square footage in this proposed develop nt may now be issued by your jurisdiction. Checks are to be made payable to Newport -Mesa Unified School District. By: AWarixed Re e 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: APDlicerA BN ROBIN B. HAMERS & ASSOC., INC RCIVIL ENGINEERS ' PLANNERS • SURVEYORS ... since 1981 September 22, 2009 City of Costa Mesa Building Dept. 77 Fair Drive Costa Mesa, CA 92626 Attention: Grading Inspector Subject: Civil Engineer's Rough Grading Certification Reference Project Address: 1044 Palmetto Way, BC09-00356, Lot 1. 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 rough grading for the referenced project in accordance with my responsibilities under the Orange County Grading and Excavation Code. Rough grading of the building pad has been completed substantially in conformance with the approved Grading Plan as determined on September 22, 2009. Sinc re R biiBHamersob Registered Civil Engineer RCE 31720 RCE31720 l EXP 1 213112 01 0 i CITY OF COSTA MESA COPY cam� BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 - (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: BC09-00356 PERMIT TYPE: BCOMBO STATUS: ISSUED Sub Type: SF_D_NEW DATE ISSUED: 10/12/2009 ISSUED BY: RMD JOB ADDRESS: 1044 PALMETTO WY CM . APIA: TPNO08038 Zoning:, , Vicinity: Const Type: V -B SQ. FT: 2644 Suite/Unit: Primary Occ: r Valuation: $218,821.48 SCOPE OF WORK: PLAN 1 (1 CR) - 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, i FACTORY FIREPLACE, 3 VENT FANS, NEW ELECTRICAL FOR A 2,165 SF SFD, ELECTRICAL FOR NEW A/C PKG, 2 LIGHT FIXTS, 4`,: OUTLETS AND 1 SWITCH FOR GARAGE, 2 BATH TUBS, 1 DISHWASHER, GAS OUTLETS (14), 1 GAS SERVICE, 1 LANDSCAPE IRRIGATION, 1 LAUNDTRYITUB 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 3BEDROOM, 1 BONUS ROOM, 2 1/2 BATHROOM SFD: OWNER: OXBOW 101 LLC Phone: 949-179-4975 APPLICANT: EMERSHAW, KIRSTIN Phone: 949-274.2015 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: 160 NEWPORT CENTER DR -City/State/Zip: NEWPORT BEACH, CA Address: City/State/zZip: License No. 832198 Address: 160 NEWPORT CENTER DRIVEUnit: City/State: NEWPORT BEACH, CA License No. - License No.C64238 $269.77 $1,660.15 $215.60 a$23.50 $23.50 $21.88 $0.00 $9.00 $2,232.40 Unit: STE 240 Unit: STE 240 ZipCode 92660 PHONE: PHONE: -Refer to fee receipts for all fees paid for project HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279 Monday thru Friday -7:00 am thru 7:00 pm. Saturdays- 9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following Federal holidays: New Years Day, Memorial Day, Independence Day, labor Day, Thanksgiving Day and Christmas Day NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE *. INSPECTION TYPE DATE INTMALS CODE* INSPEU014 TYPE DATE11// INTIMAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical X - N' - 10 W `- 1266 Pool Spa Final 208 Final Plumbing O qm ez—� / 200 Final Re -Root 210 Final Electrical i D - K r O tA— !/v 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 X- I(),L-I�� IV�C^� N DECLARATION: , y al�Tt r p 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 Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier: (This section need not Ix oomplefed Alhe permd is valued atone hundred dollars ($100) or less.) Policy Number: ❑ I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, 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's 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 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. # Contractor's Signature Class # CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for Witch this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: OWNER -BUILDER DECLARATIONS: I hereby aftirtn that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature 305716 (3107) Data 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 feel 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: 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 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. Of "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 properly for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Sgnature of Legal Ownens) And/Or Auuron2ad ROBIN B. HAMERS & ASSOC., INC. 234 E. 17TH ST., SUITE 205 RCIVIL ENGINEERS' PLANNERS • SURVEYORS COSTA MESA, CA 92627 ... since 1981 Phone 949/548-1192 Fax 949/548-6516 April 5, 2010 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: 1044 Palmetto Way, BC09-00356, Lot 1 Amended Tract No. 16917 1 hereby approve the final grading for the referenced project in accordance with my responsibilities under the Orange County Grading and Excavation Code. Grading and drainage improvements have been completed substantially in conformance with the approved Grading Plan as determined on April 2, 2010. Sincerely, , 7, 4I Robin B. Harriers Registered Civil Engineer RCE 31720 RCE31720 * l EXP 12131/2010 b_ �l �F a p p• 25+x,5 43. F �/ T ytq� �f � .$ \�. 2`r; 4'90 S.yFC,\ \� \\\ ISA' P6 _ n f_0'T pL PI�V' y \ . \ '1' �ti•e�,5 p F .00" u1 Z5•CAa'}4 Sl;r IL' e P /� N •1\.� \,'� t �� n o v �jg`�Q �9s1 � � vVV�, �� _ 'l It ux . _ . L' _1fF MIN 2.4 8�G .`�'8x �Yj•3456B• IA 109.72ix PI _ — t _ . �i� an S F.F.-454 FiF �\ p4h•M u �'g B.s' PAD-44.80 P 4520 \ ,y^'•pM1� \. 6 ^"b' � � u pp .� � 0 14.90 � GFF=45.30 Q. e m I ZW i „12`50 �.2 -GFF: �L 45.15 _ e K t� MINI 71V _.� •Si � 9w � N 40 Vo Lk 1 17 Cho .. \ SEE C RONADO STREET IMPROVEMENT PLAN N59'30'57'W `} U • � Q k/30/2010 12:50 FAX 9492712968 WALLDESIGN PAINT Orange Walidesign Incorporated DRYWALL * INSULATION * PAINT * PLASTER * CONTRACTOR Lot 1 Costs Mesa Street Address City Homes Inc. The Grove().Mesa Del Description of Insulation : Thickness Inches R -Value Exterior Walls Insolation Type: Batts 31/2 13 Flat Ceilings Insulation Type: Batts 10 30 Cathedral Ceilings Insulation Type: Batts Garage Ceilings Insulation Type: Batts 61/4 19 Interior Walla Insulation Type: Batts 0 lateral Ceilings Insulation Types Batts 0 Q 002 Garage Walls Insulation Type: Batts 0 Slab on Grade Insulation Type: Batts 0 Blown Ceilings Insulation Type: Cellulose 0 Blown Ceilings Insolation Type: Insulsafe 12 30 Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficient Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, wh applicable. 449739 Walldesign, Inc. Ucense Number Signature Date Insulation subcontractor Ask SHEET: ` a +„ GOUVISanginelaying JOB NO.: 61944 i mnsulnnggroup,mc DATE: 03/08/11 G CLIENT: TRCO Development IO�Iy Pa�r.��io w `7_ [coq ca03S( r'y0 N4 G C fy tic f :) -A, :`� 18x238 m REPLACEMENT ANCHORS FOR EA. MISSING ANCHOR BOLT SIMPSON TITEN HD ASTM (F568M) THREADED SIMPSON STRONG SCREW ANCHORS ROD IN HILTI-RE 500SD BOLT 1 -POUR OR i -POUR OR 2 -POUR W1 DOWEL 1 -POUR OR 2 -POUR W10 DOWEL 2 -POUR W10 DOWEL (ICC ESR#2713) (ICC ESR#2322) (ICC ESR #1771) WALL TYPE QUANTITY &SIZE Le QUANTITY &SIZE Le QUANTITY &SIZE Le 2X4 SILL (2)3/8-0 31/4' 2 3/8"0 3 1/4' N.A. N.A. EXT 3X4 SILL (3 3/8"m 31/4" (3 3/8"?O'�Oflisslo lip 0 3 1/4" N.A. N.A. 2X6 SILL (2)1/2-0 4" 1 5/8"0 5 1/4" N.A. N.A. 3X6 SILL N.A. N.A. 1 5/8"m 51/4" N.A. N.A. INT. 2X&3X SILL 2 1/2"0 4" (1)5/8-0 51/4" 2 1/2"m 41/2" EQ. EQ. 2 1. POST -INSTALLED ANCHOR 1 1 PER TABLE. SPACING BETWEEN ANCHORS AND MIN. DISTANCE FROM EXISTING A.B. TO BE 3 1/2" 2 � FOR TITEN HD AND HILTI 500 SD, - - AND 4" FOR STRONG BOLT. 2. PLATE WASHER PER FOUNDATION NOTES ON SN1 SHEETS. Liu i r� a i NOTES: IF DOWEL IS NOT INSTALLED EMBEDMENT Le IS INTO THE el e 2", 2X4 WALL FIRST POUR -f— 3 11 2", 2X6 WALL I (SPECIAL INSPECTION IS REO'D. FOR ANCHOR INSTALLATION) - IF MIN. SPACING CAN NOT BE MET CONTACT GOUVIS ENGINEERING FOR SPECIFIC FIX MISSING OR MISPLACED A.B. D5103N1