HomeMy WebLinkAbout985 MISSION DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.cos�a-mesa.��LDING PERMIT - 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 985 MISSION DR
Suite:
Vicinity:
PrimaryOcc: R-1 Holels/Apts/Res>100cc
Parcel Number: 14166419
App�icant: TIM YUAN
Address:
Type of Construction:
Zoning:
Status: ISSUED
Applied: 08I16/2005
Issued: 08/16/2005
Phone: 714-724-4884 ISSUED BY:
Zip:
Owner: YUAN, TIMOTHY ' ' - "��
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Address 8552 NAPLES DR �' , h.',; * �� � �a ' �!�•, ,_.
�� • , �.Phone �71437&1120
HUNTINGTON��BEACH, CA .. _� Zip 92646-2109 z
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FOURPLAX W/COMP SHINGLES.
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MAINSTRUCTURE �Front 0 0"-- Rear 0-0 �� �3 1e8� 0 O1R�.q:• Right ¢ 0'0��
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ACCESSORY Front 00.0 �' ��°��Rear S 0 0 � Left��0�0� Right �,� 0-0.,
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OTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related
�gulations. (Ord. No. 92-28, § t, 72-21-92) �
<PIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
� a periotl of 180 days.
SPEC710NS: In order tor the work authonzed under this pe�mlt to be considered legal, such work must comply with all applicable codes, and all
�ulred Inspectlons end tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
R INSPECTIONS CALL: (714) 754-5626 �
Ld8 (6/00)
WORKERS'COMPENSArON DECLARAnON: .
I hereby attirm under penalry oi perjury one of the following deGaratlons: � '
❑ I have and wlll maintain a certificate ot consent to setl-Insura tor workers' compensation, as provided for 6y seqlon 3700 of the Lebor Cotle, for the pertortnenca of the
work for which Ihis permit Is i55ued.
❑ I have and will maintein workers' compensetion insurance, az requiretl by section 3700 of U�e LeDor Code, for Ihe perfortnance of Ihe work for wh1U this pertnit Is issuetl.
My warkers' compensation �nsurence carner end poliq number ere:
Cartier. Palicy Number:
(TTIs section need nat be comp/ere0 i! the perm/t is valued ef one hundred dollars ($100) or /ess.)
❑ I certity that in the peAortnanca ot the work for which ihis permil is issued, I shall not employ eny person in any manner so es to become subject to ihe workers'
wmpensation laws ot Calitomia, antl egree Ihat ii I should become subject ta Ihe workers' compensation provisions of Sectlon 3700 af Ihe Lebar Gode, I shell forthwith
Compy with these provisions.
Applicent Signetura: Date:
WMNINO: FAILURE TO SECURE WORKERS' COMPENSATION GUVEHAQE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENA�TIES AND GVIL FINES UP TOONE HUNDRED
TMOVSMlD DOl1AflE (5100.000). IN ADDITION TO THE COST OF COMPENSNTIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3�06 OF THE LABOq CODE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirtn thet I am licensetl untler provisions oi Chapter 9(commencing with Sec�ion 7000) of Divisian 3 oi Ne Business antl Professions Cotla, entl my license is in full
force end eRect. IJc. q Class q
Comrectors Signeture: Date:
CONS7RUCTION LENDING AGENCY:
❑ I hereby ettirm that there is a consiruction lending agency For iha peAormance ot the work for which ihis permit is issued. (Sec. 3097, Civil Code).
Lendefs Name: Lender'S Adtlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirtn thet under penalry of perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions
Code: Any ciry or counry which requires a permit to construcC alter, improve, demolish, or repair any structure, pdor to its issuance, also requires the epplicant for such pertnit
to Ille a signetl stetement Ihet he or she is Ilcensed pursuent ta the provislons of Ihe Contraaors License Lew (Chepter 9(commencing wtlh Section 7000) of Division 3 of Ihe
Busineu entl Protessions Code) or that he or she is eaempt therefrom and the basis for the alleged exemption. Any violetion of Section 7031.5 by eny applicent for e permit
�ects the applicant to e civil penalty of not more Ihan five hundred tlollars ($500).):
I, es owner of ihe property, or my employees with weges as iheir sole compensetion, WILL DO THE WORK, and ihe structure is not intentletl or oHeretl for sale (Sec.
7044, Business and Professions Code: Tha Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
�imself or herseit or ihrough his or her own employees, provitletl that such improvemanis ere not intendetl or oNered for sale. If, however, tha building or improvement is
sold wiihin one year ol wmpletioq the owner-builder will heve the burden ot proving t�at he or she did not huild or impmve for purpose ot saleJ. '
❑ I, as owner ot the pmperry, am EXCLUSIVELV CONTRACTNG WI7M LICENSED CONTRACTORS to construct Iha pmject (Sec. 7044, Business end Professions
Code: TTe contractors License Law Eoas not appy to an owner of pmperty who builtls or Improves ihereon, end who coniracts tor such project with e coniractor(5)
license pursuant to �he Coniractors License Laws.).
❑ I am exempt under sec. Business antl Professions Code tor this reason:
SignaNre: Date: v / ( �/ o �' �
Owner ID vediied by tlriver's license. ❑ Ves ❑ No Dnvefs Licanse No. / E:piras: �° �
Veniicetion of Ownership by (rype ot document, i.e. - properry tax bill or tleetl): �—
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
❑ I hereby certity Ihat no excavation tive (5) or more feet in tlepth inio which e person is requirad to descend, will be ma0e In connection wilh work eu�horizetl by Ihis
permit, antl thet no building sWcture, swflolding, lalsework, or demolition or tlismantling thereof, will be more Ihen ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title e, Calitomia Adminisirative Code).
❑ As owner-builtler, I will not employ enyone ta do work which would require e permit from Ihe Division of Industnel Safety, es notetl above, unless such pereon hes e
pertnit to do such work From the division.
Signature: Date:
Division ol Indusirial Safery Pertnit Number:
3
ARDOUS MATERIALS AND EMISSIONS CEFTIFICA710N:
Will the appliwnt or present or tuture builAing occupam neetl to file end ceniy a Business Plan for emergency response to release or Ihreatenetl release of a he�rdous
matetlal? ❑ Yes ❑ No
(Sedion 25505 ot 1he Califomia Health and Safery Cotle requires, with some exceptions, that e Business Plen be fileC with Ihe Costa Mesa Fire Depanment by avery
business which has at any one time during a reponed year a quaNity of hazardous matenals edual to or greeter then e weight of 500 pounds, or a volume of 55 gellons,
or 200 cubic feet of compressad gas at standard temperaNre and pressure).
....................._.........._........_.........._.._..............._.................................................................................................................................................................__..._...................._......... ....................... ..................................................
Dces or will the epplicant or present or future building occupam need to file a registretion Fortn for acutely hazartlous matenals7 ❑ Ves ❑ No
(Sectlon 25533 of Ihe Califomia Health end SaFery Coae, with some e:ceptions, requires registretion with Ihe Casta Mesa Fire Depetlmenl hy each buslness whlch at any
one time has on hand a quantiry ot ecutely hazerdous meterials equal to or greater than e weight oi 500 pountls, or e volume ot 55 gellons, or 200 cublc teet of
compressed gas at stantlerA temperewre antl pressure).
._........._.........._........_ ......................................................._.............................................................................................................................._...._.._..._......_...................................................................................................................
Does or will the epplicant or present or future building occupant need to prepare an RMPP (Risk Menegement antl Prevention Program for acutely hazardous materials)9
(Section 25534 of ihe Calitomia Health and Safery Coda provides that the Costa Mesa Fire Departmant may require the preparation, certificetion and filing with the Fire
Deperiment ot an RMPP by businesses which are required to register ecutety hazardous matenals with Ihe Fire Department.
.......... _........ _.... _. _ ................................................................................................................................. _........................................ _""_................................................... . ........................ ...................................................................
If an RMPP is presently requireG, has Section 25534 ot t�e Celifomie Heelth and Safery Cotle Eeen fully complied with7 ❑ Ves ❑ No
.......................... ..........._...._.....................................................................................:....... .................... ..................;................................................_............................................................................
Does or will the applicant or present or future builtling occupent require for the work which is Ihe subject of this a plicetion a permii br such construction or modification
Irom the South Coest Air Ouality Menagemen� Dislricl or irom any othar air polWtion contrd disidct or agency7 � Ves �J No
(Section 658502 oi the Califomia Govemmen[ Code requires that the requested information be fumiSheC on epplications tor non-resitlentlel building pertnits).
Will any pan oi the faciliry to be construded under this permit �be within 1000 feet tmm ihe outer boundades ol a school7 ❑�Ves ❑ No ��������������������������������������������
Qf yes , the taciliry must meet the requirement of Sections 25534 end 42303 oi the Calitomia Health antl Safery Code).
......_......._ ................._...................._................................................................................................_.............._____..___........................................_..............._...._........................................_............................_....................._..._...
N a Permit from the South Coast Air Quelily Menegement Dis�ric� or other air pollution conirol tlis�rict or egency is raquired for the work which is the subleci at ihls
application, have ell oi the tlisclosures prescnbed by Califomia Health and Safery Code Section 42303 been matle7 ❑ Ves ❑ No
..................................._........................................... ...............................................................................................................................................................................................................................
(tl yes', attach certificate ot complience from ihe eppropnate air pollution control otticer).
CERTIFICATE OF COMPLIANCE: I certity that untler penalry oi perjury Ne inlormetion given above is correct. I agree m compty with all stete lews and ciry ortlinances
regartling Haiardous Matenals and Emissions.
SignaNre: Date:
CERTIFlCATE OF COMPLIANCE AND AIJTMORVATION OF EMAY: I certify under penally of perjury ihat I have read this application en0 siate Ihet ihe infortnation given Is
wrrect I agree to comply with all state laws end ciry ordinances relating to building consWction, and euthorize representatives of the Ciry ot Costa Mesa to enter upon the
above-descnbed D�operty for inspection puryoses. I agree not lo occupy or allow occupancy of eny,building authonzed by this Dermit until finel inspection.
� �.e„�„-+r•.,��— � � l r 6 / o � �
Signature Of Legal Owner(s) Date
AnNOr Autharized Appliwnt Date
COQE 1. INSPELRIONTYPE
7676 Fixetl System Final Fire Prevention
1266 Pod Spa Final
200 Final Re-Rooi
201 Final8lock/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolitian
Q� INLIi1RL5
i 1-�� -o�s • `,�
400EI INSPECTONTYPE
206 Finel Mechanicai
208 Final PlumDing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Sita
250 Final Building/Occupancy
peiE lr�s,
�
G''dt.�y °� G'oa,ta �2ea,a �'cu%�'dus y Dic�
OW101ER-BUILDEiZ
VERIFIC�AT10�1
�ar tiz6Z�
Address: �3 �' S S i o� Q r� ca �1 ,. h��� �-� Permit #:
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 die completion and require the retum of, an owner-
builder verification. -
Attention Property Owner:
An bwner-builder' building permit has been applied for in your name and bearing your signamre.
Please complete and retum this information in the envelope provided at your eadiest opportunity to avoid
unnecessary delay in processing and issuing your building pem�iL No buildin¢ permit wil] 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 � Yes ❑ No
2. I(have/have not) ti 0. v� signed an application for a building permit for
the proposed work.
3. I have contracted with the following person (finn) ro provide the proposed construMion:
Name
Address
Phone ( )
City _
ConVacror's Lic. No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address
Phone (
City _
Contractor's Lic. No.
5. [ will provide some of the work bat 1 have contracted (hired) the followi�g persons to
provide the work indicated:
Name
10A2�a6 (Rev.tt/04)
Address
Phone Type of Work
"1�ti -S�'6—G"145
� -,
I hereby affirm [hat I have received a copy of the information set forth in Section 19830 of the State of
Califomia Health and Safety Code and have completed the above information to the best of my personal
knowledge, in compliance with this Sta[e law.
Signed: -e—��� "�� Date: �<<�C4
Name:
(Printed or Typed)
C.D.L. # OR S.S. #
For more information call City of Costa Mesa Building Division at (714) 754-5273.
a
10A24fi (Rev.11/04)
CITY OF COSTA MESA
BUILDING DIVISION
ROOF COVERING CERTIFICATION
Permit No. f,� J�� I 3� °�
Property Address � Y, r �� s� ;.+,.. O. �ul;"'- M`�<s �� G'Z 6 2'1 _
Owner � ; � i�� w✓�
Contractor ' �^
�—
State Contractor License Number
I hereby certify that I have installed, or caused to be installed,
above address in conformance with Chapter 15, and Appendix 15 of
Building Code, and the installation instructions of the manufacturer.
��
■
Classification __ __
a minimum Class C roof covering at the
the latest adopted edition of the Uniform
I further certify that I am the owner of the properry. (Owner-Builder permittee only).
I further certify that I am:
❑ Owner of sole proprietorship company
❑ Full partner of the company
❑ Limited partner of the company
❑ Officer of the corporation
I certify that as an authorized officer or agent of the company or corporation, i am empowered to make this
certification, which shall be binding on all successors or assigns of the company or corporation.
I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Buifding
Division for acceptance.
Received by Building Division
By:
�---- � i +6 ( o -/
Initial Dete
093Pa6 MW 5/pp While- Boilding Div.. Canary � Cmvxt«; Pink � Owner
or Corporete Nema
Address
`j V\,y�'`"�� �µK�
-� Printed or Typad Name
y/[61�s�
. I98��
COSTA MESq BUILDING-SAFETY DEPARTMENT
P.O. BO%8Tf C08TA MlBA, CALIRORNIA
Fo� AppJj�ont to Fill In Completely
TYPE OR PRINT
� COS7A MESA, CALIFORNIA
OWNER CROFT TERRACE INC.
ADDRES8 250 E.�1.7th St�• Suite G�
LIG. NO. C>216 NO. Sr1T11?
SIZE ' � t NO.OPHLDOH.
OF LOT 1 X 'rvOW Orv �Oi
USE OF
EXISTINO BLO6.
6ETBAGK L�N6 FROM I. 'I
CENTER OF 6TRE8T � 4O � R6AR YARD �LO �
SI�HYARDI Lfi �J� ' " 'I'RIQHT 1:1�
D@SCRIPTION OF WORK
SZIEDIN6C�� x ���
l
EXTERIOR WALL
COYERING ��/�
USE OF BU ILDINB ANo 41
TO BE
2
I HEREBY ACKIIOWLEO6i THAT 1 HAVB HGAD TXIB APPL�CAT�ON
i{1wi Tryg wBOV¢ !Y CORRECY ANO AORE6 TO COM.
PLV WITN ALL CITY OH�INANCBY ANO BiAT[ LAWB HGQULATINQ
BUILOINO CONBTFUR�ON. �
S��N^T°RE oF . HYCROFT TERRACE INC.
PERMITTE /'7
AUTHORIZED A64NT��//� . V � �
FEE RECEIVED
��'s! 1 a 1983,?;
F��ION-�mR PERMR
CITY OF C�9i��fdA
For Office Use Only
�Y � %�e -�%l,.l � '91�N 1 �8 15�63
APPROVHD
BY
ZONING
0
SHALL BE LE55 THAN
EAVES
AiLOWE� f U. B. Q REQUIREMENi:
YARDSAPPROVED YARDSAPPROVED
MAIN BUILDING ACCESSORY BUILDING
(FROM ClLSTREET) � - �
R. e1D8 I FT. Ff. � � I
`r
L. 81DE /- Ff. FT. ,yj
— �
REAR � FT. Ff. �Fi
�
DISTANGE BET. � BET. MAIN B
MAIN BLDG3. ACGESS. BLDG9. G
VAR. �j OATE LLI
C.U.P. APPROVED � a
\ ¢ 1
AYPROV DATE .J 0�'I �.� Q
U
{I�
a
�n
a
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�ii ��/�-�saFr. (�%/�2.p m u.
�lNE �MOUNT SHOWN UN�EH VALUAT�ON �8 FOP THE 0
PUflPOSE OP BSTAB�IBMINO /1 PCRMIT FEE ONtx. � p
VALUATION � /7 (D n ._
� //� PERMIT FEE $ �/�v� " j
$ �� �/ � A C K , I ' . o
a el !y i� LL
City of Costa Mesa
8uilding SafsTy Department
P. O. Boz 317
Costa Mesa. Californio
CERTIFICATE OF OCCUPANCY N° 1852 B
The Building located at 7"� �Bi� �iV@y ���
has been inspected and found to comply with the provisions of all CiTy of Costa Mesa Ordinances applicabl= thereto
for a Group _ g� a Occupancy.
Use of Building �'".^��� �g ''�'Q T�%%}l &�`rtQL'bE'F1 eP3:'C�3 --
Legal Description �" �+ �t �
� ($ee reversa side for Metes and Boundf)
Building Permit No. • rysrt�— Electrical Permit No. ���;Q ' Plumbing Permit No._��
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required �nder Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. —
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the ownsr or operator has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartmenis or guest rooms . �
3) Ownership
If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Adminisirative Code, TiNe 8, Chapfer 9, Article S. ,
Number of apartments_�%— and/or guest rooms
ISSUED TO: Building Official
BYCAf�'P '�, 1�. yy��i�"
Dafe $pj��y � 1�1�
This Cerlificafe of Occupancy SHALL BE posted in a conspicuous place on fhe premises and SHALL NOT BE removed
excepf by the Building Official of fhe CiTy of Costa Mesc under Sec. 306 (e) U.B.C. Fo,,,, suaa-aM—i�-sa—s-a r
i