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Home My WebLink About339 MONTE VISTA AVE - Building Permits� } � - — � CITY OF COSTA MESA � BYILDING DIVISION F � 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: P07-00512 PERMIT TYPE PLUM �� STATUS: FINALED � APN: 43914109 ,. DATE ISSUED: 09105I2007 ISSUED BY: BJK JOB ADDRESS: 339 MONTE�VISTA AV CM _ Suite/Unit: Vicinity: - ' ,. �.. - ' - . , - - - �, $COPE OF WORK: WATER HEATER�CHANGE�OUT IN AN EXISTING SFD. NO OTHER WORK AUTHORIZED WITH THIS PERMIT. . " , . � OWNER: MC GILLIONjSHEICA " � ' � � � �Address: � 339 MONTE VISTA � PHONE: � � � - - � City/Statel2ip:� � COSTA MESA, CA - ' APPLICAN7: MAC DONALD, DONNA=� ' . � Address: � - - . � CHONE: 800-727-0977 - . � City/State/zZip: � ' � � CONTRACTOR: ALL�STAR WATER HEATERS�WG. .. �� '�- Cicense No.� -��812894. ,� Address: 30300PUERTO VALCERTA � - � - . � PHONE: 800-727-0977 -; - - � � . City/State: MENIFEE,CA �. ZipCode: 92584-.,- , � . . � . ,CELL: � � ARCHITECT: • � . License No. ' ' . � PHONE: ' ENGINEER: - , License No. . PHONE: PLUMBING PERMIT FEE SUMMARY' PLAN CHECK FEE: $0.00' PERMIT FEE: $35.80 TOTAL FEES: $35.80 NOTICE: The work authorizetl by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No, 92-28, § 1, 12-21-92) � EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. tNSPECTIONS: In order for the work authorized under this permil to be wnsidered legal, such work must comply with all applicable codes, and all required inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration oF this permil. ODE/. �xu4cnoNraE p� �nn��s coDE1 �xsrecnoeTrre o�re �NTI11RL5 1676 Flxed System Final Fire Prevention 208 Final Mechanical 1266 Popl Spa Final 208 Final Plumbing 1-�3n—�'I . b �� 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Faclory Fire Place 220 Final Planning ApOroval Z03 Final Sign 222 Final Site 204 Final Demolition 250 Final BuilCing/OccUpancy � WORKERS' COMPENSATION DECLARATIO� . , I hereby affirm under penalty of perjury one of the following declarations: . ❑ I have and will maintain a cenifcate of consent to self-Insure for workers' compansation, as pmvided for by seclion 3700 of the Labor Code, for the parformance of the work for which this permit is issued. ❑ I have and will maintain vrorkers' compensation insurance, as required by sec[ion 3700 0( ihe Labor Code, fa the peAortnance of the wvrk fo� which this pertnit is issuetl. My workers' compensation Insurance carrier and policy number are: Carrier: (IDis secfion need �rof be mmde�� he pemi� is valuedat one huntlretl tlollars ($f00J a less ) Policy Numbe[ ❑ I certify that in the perfortnance o( the vrork for which this pertnit is issued, I shall not employ any person in any manner so as to become subject to ihe workers' compensation laws of California, and agree that if I shoultl become subject to the vrorkers' compensation provisions of Section 3700 of lhe Labor Code, I shall forthwith comply with these provisions. Applicants SignaWre Dale WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn [hat I am licensed under provisions of Chapter 9(commencing wi[h Section 7000) of Division 3 of the Business and Professions Code, and my license is in full /orce and eftec[. Lic. # Class # ConVactor's SignaWre Da�e CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a consiructan lending agency for the peAormance o( lhe Nork for which Ihis pertnit is issued (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Da�e OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty o/ perjury that I am EXEMPT FROM THE CONTR.4CTORS LICENSE LAW for the following reason (Sec. 703L5, Business and Protessions Code: Any city or county which requires a permit ro cons[ruct, alter, impmve, tlemolish, or repair any strucWre, prior to its issuance, also requires the applicant (or such permit lo fle a signed statemenl that he or she is licensed pursuant to the provisions o( the Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle) 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 Iheir sole compensation, WILL DO THE WORK, and the strucWre is not intended or oRered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply lo an owner of pmperty who builds or improves thereon, and who does such work himself or herself or ihrough his or her own employees, provided that such improvements are nol intended or offered for sale. I(, however, lhe building or improvement is sold within one year of completion, the ovmer-builder will have the burden of proving that he �or she . did not build or improve for purpose of sale.). ❑ I, as owner ot the pmperty, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to consirucl the project,(Sec. 7044, Business and Professbns Code: The contractas License Law dces not apply lo an ovmer of property who builds or improves thereon, antl who contracts for such project with a cont2ctor�s) license pursuant to the Contrac[ors License Laws.). ❑ I am exempt under sec. Business antl Professions Code for this reason: 005]A6 (JIO]) Owner ID verifietl by An�nse. ❑ Yes ❑� Driver's License No. Expires: Venfication of Ownership by (type o( document, i.e. • property tax�bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: � �� ❑ I hereby certdy that no excavation fve (5) or more feet in depth in[o which a pers is r uired to descend, will be made in connection with work au[trorized by thi i t ildin mcNre, scaf(dding, (alsework, or demolition or dis Ilin� I n Ihirty-six (36) fee[ high. (Chap. 32, Grp 2, M c. II mia inistrative Code). ❑ As owner-b tle, �II� ploy anyone to do work which would require a permit fmm the Division of IntlusMal Safety, as noted above, unless such person has a permit to do such work (mm the division. Applicanfs SignaWre Date Division ot Industrial Safety Pertnit Number HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or presen� or future building occupan[ need �o file and certi(y a Business Plan for emerqency response to release or Ihreatened release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 of �he California Heal�h and Safety Code requires, with some exceptions, that a Business Plan be filetl with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantiry of hazaraous materials equal to or greater Ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperaWre and pressure). 2. Does or will Me applicant or present or (uture building occupanl need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Satery Cotle, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quanlity of acu[ely hazardous materials equal lo or greater [han a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperaWre and pressure). 3. Does or will the applicant or present or future building occupan[ need [o prepare an RMPP (Risk Management and Prevention Pmgram for acutely hazardous matenals)? ❑ Yes ❑ No (Sec[ion 25534 of ihe Cali(ornia Health and Safely Code provides that ihe Costa Mesa Fire Department may require the preparation, certifcation and filing wilh Ihe Fire Department of an RMPP by businesses which are required to register acutely hazardous matenals wiN the Fire DepartmeN. 4. If an RMPP is presently requiretl, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Dces or will Ihe applicant or present or fuNre building occupant require for Ihe work which is the subject of this application a permit for such construction or modifica[ion fmm Ihe South Coast Air Quality Management Disirict or from any other air pollution control tlisirict or agency? ❑ Yes ❑ No (Sec[ion 658502 0� the Califomia Govemmen[ Code requires that ihe requested infortnation be fumished on applications for non-residen[ial building permits). 6. Will any part of the facili�y to be consirucled untler [his permil be within 1000 feet from the outer boundaries of a school? ❑ Ves ❑ No (If'yes", the facility must mee[ the requiremeM of Sections 25534 and 42303 o( the California Health and Safe[y Cotle). 7. If a permit (rom Ihe South Coasl Air Quality Management Districl or other air polWtion conhol district or agency is required for the vrork which is the subject o� this application, have all of the disclosures prescribed by Califomia Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach certifcate of compliance from the appropnate air pollution control oKcer). " � - � CERTIFICATE OF COMPCIANCE: I certity �that under penalry of perjury the information given above is cortect I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. SignaWre Dale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty o� perjury that I have read ihis applica[ion and state [hat the information given is conect I agree to comply with all state laws and city ordinances relating to building construction, and authonze representatives of the City of Costa Mesa to enter upon the above-descnbed property for inspection purposes. I agree not to occupy or allow occupancy o( any builtling aWhorized by this permit until fnal inspection. , SignaWreo(LeBalOwner(s) Date Antllor AolM1orixe4 AppLwnl DOYLE & SHIELDS De �pment Co.,Inc. DATI -3-63 339 Monte V16G8 etYE. BUILDtNG PERMIT NO. GENERAL CONTRACTOR llOyle � Shield6 Dev.Co.,Inc. vai.uE � 19�540.00 AP No. LOT 9 TRACT 3�F�FIRE ZONE DESCAIPTION OF WORK INSPECTIONS ' SignaWre D� GftOUP I&.T TYPE V ZON Soil � ^1 S 3 SUBCONTttACTOR ...PE� Forms — In . Rg�qa . COSTA MESA BUILDING•SAFE7Y DEPARTMENT P.O.BOJ[]1] COHTA MESA.CAIIFORNIA Por Applicant to Fill In Completaly TYPE OR PRINT COSTA MESA, CqLIFORNIA . / � i^� 1 i / % ..j� .5 a. %i�F.h / � hr:/t� i � ARCHITECT A�DRE53 `�`/ 0 O (,(/e� /- (,p p, i., o� Gt, l' CONTRACTOR � CL N" e-- AODRE58 ��'� ��' cirr J ��"` '� /� LIC.NO�S� �'��"��I Np, r^ /OQ.Z.0 OF LOT �� / � �J • � , I noW oN LOT " USE OF EXISTING BLD(3. BBTGACK LINi FROM � // �� cENTEn oF cTnEei �� 0 REAR YARD � 81D6YARDI LfiFT "�� I RIOHT �—� DESCRIPTION OF WORK BUILDIN6 � � NO.OR /J SIZE 33 ycS3.�"� ROOMB / STORIBS �' EXTERIOR WALL/�� I ROOp /1_ COVERING ✓/"4'�i� COV�RIN6 �-��'` USE OF BUILOING AND WORK TO @E PERFORMfiD � G,{/(�fh[L � ALF�G �4r` li'ro�lc� `/�- � 1 HEREBY ACKNOWL¢OOe TX�T 1 XAVH READ TH�B APPL�CM1TION AND STATE iHAT TH6 ABOVt 19 COqqECT AND AOREH TO COM� PLT WITH ALL CITY ORDIN�NC88 AND 8TAT8 {.AWe ReOULATINO BOILDINO CONSTPl1RION. � _ FIRE e zoNe FEE RECEIVED Jith s 19E3 FINANCE OEPT. � CITY OF CUSTA MESA APPLICATION FOR PERMR BUILDING For Office Use Only �� ZONING . NO.OP 11860PNE � PLAN9 � lU�LOIN�� YARO9 APPROV ED MAIN BUILDINO (FROM C/L8TRfiHT) FRONT � FT. R.81DE � FT. L.SIDE O FT. REAR O �, DISTANCE BET. MAIN BLD69. VAR. # �3 � so THE AMOUNT PURPOSE OP PERMITTE - f^ . y � • . ` aI ` • $ I9, `� / � � AUTHORIZEDA66IJT Yl� � I M�.. AI.. ' IB9UeD ,3 6 6HALL BE LESS TMAN YARDSAPPROVED ACCESSORYBUILDINQ DATE .17-G 'a " � " 0 VALUATION �9 FOR TX8 F A PEHMIT FE8 ONLY. � f7 FEE $ �+i�� ] 0 CHECK $ �� _ ¢ /� LL . FEE $ � 7! S�