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Home My WebLink About347 MONTE VISTA AVE - Building PermitsCITY OF COSTA MESA � MF BIIILDING DIVISION � i� 77 FAIR DI21VE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us : �. FOR INSPECTIONS CALL: (714) 754-5626 +�o��o � � PERMIT NUMBER: BX09-00067 PERMIT TYPE B MISC STATUS: ISSUED APN: 43914107 ~ DATE ISSUED: 04/02/2003 Zoning: , ISSUED BY: BJK JOB ADDRESS: 347 MONTE VISTA AV CM Suite/Unit: Vicinily: PATIO COV�R AT REAR SFD Primary Occ: 32 � Const Type :?? S�. FT: 270 � Valuation: $4,352.40 SCOPE OF WORK: CONSTRUCTION OF A 270 SQ FT ATTACHED PATIO COVER AT THE REAR OF AN EXISTING SFD. ELEC: 3 LIGHT FIXTURES, 3 OUTLETS, 3 SW ITCHES OWNER: MC WHERTOR, JILL E City/State: COSTA MESA, CA Phane: APPLICANT: COHEN, ADI City/State: Phone: 818-284-7787 CONTRACTOR: WORLDWIDE CONSTRUCTION INC Address: 19327 VENTURA BL City/State: TARZANA, CA Zip Code: 91356 ARCHITECT: Phone ENGINEER: Phone FEE SUMMARY Building Plan Check: Building Permit Electrical Permih SMIP Residential SMIP Commercial Bldg Std Admin Fund TOTALFEES Address:: 347 MONTE VISTA AVE Zip Code: 92627 Address: Zip Cade: License No. 891643 Unit: SUITE A Phone 888-709-2424 Cell: $72.31 $111.25 $33.40 $0.50 $0.00 $1.00 $218.46 License No. License No. Unit Unit: NOTICE: The work authonzed 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 Ihe work authonzed 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 fnal approval will result in the expiration of this permit. GOOE/. INSPEC710NTYPE OATE INTITIALS CODE1 INSGEL110NTYPE 0�7 IN71TIpL5 1616 Pixed System Final Fire Prevention 206 Final Merhaniral 1266 PoolSpa Final 208 Final Plumbing 200 Final Re-Roof 270 Final Electncal 201 Final BIacWRetaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site � 204 Pinal Demolition 250 Final BuilainyOccupancy ��f] '�� WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalty of perjury one of the (ollowing tleclarations: ❑ I have and will maintain a certificate o( consent �o self-Insure for workers' compensa[ion, as provitletl (or by sec[ion 3700 of ihe Labor Cotle, for Ihe peAormance of the work for which this pertnit is issued. ��j I have and will maintain workers' compensation insurance, as required by ��section 3700 of the Labor Code, for ihe performance of the work for which this pertnit is issued. My workers' compensation Insurance carrier and policy PoI�y:Number: �L �R — 2 �� n �i� $ � I certify that in the pedortnance of the work !or which this permit is issued, I shall not employ any person in any manner so as lo become subjecl to the workers' compensalion laws of Califomia, and agree that if I should become subject to the workers' wmpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provi ions � � Appllcanls SignaWre Date� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000�, 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 affirtn that I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pmfessions Code, and my license is in tull ttor�c�e and effecl. Lc # ��'U Class#Z — `1 Z I� Gontreqor'e Signelure � Oale .- CONSTRUCTION LENOING AGENCY: ❑ I hereby affirm that there is a constmctbn lentling agency for the peAormance o( the work fn which this permit is issued. (Sec. 3097, Civil Code�. Lentler's Name: lentler's Address: Signalure OW NER•BUILDER DECLARATIONS: I hereby affrm that under penalty of perjury thal I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a permit to constmct, alter, impmve, demolish, or repair any stmcture, prior to its issuance, also requires the applicantlor such permit to fle a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions CoUe) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 703L5 by any applicani for a permit subjects the applicaN to a civil penaliy of not more ihan five hundred tlollars ($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 otfered lor sale (Sec. 7044, Business and Pmfessions Code: The Contracrors License Law does not apply to an ovmer of property who builds or improves lhereon, and who tloes such vrork himself or herself or through his or her ovm employees, provitled that such improvements are not intended or oRered for sale. If, however, the building or improvement is sold within one year of completioq the owner-builder will have the burden of proving ihat 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 consWct the project (Sec. 7044, Business and Pmfessbns Code: The contractas License Law dces not apply to an ovmer of propeny who builtls or improves Ihereon, antl who contracis for such project vrith a contracta�s) license pursuant to Ihe Contractors License Laws.). ❑ I am evempt under sec. Business and Professions Code for this reason: J05]-46(3/0]) Owner ID veri(etl by drivei � license. ❑ Ves ❑ No Driver's License No. Expires: Venfication of Ownership by (rype of tlocument, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certiFy that no excavation Me (5) or more leet in depth into wfiich a person is required to descend, will be made in connection with work authonzetl �y this pertnit, and Ihat no building s[ructure, scaffolding, falsework, a demolition or dismanUing thereof, vrill be more than thirty-sia (36) feet high. (Chap. 32, Gry 2, M 2, Sec. 341, Title 8, Califomia AdministraMe Code�. ❑ As ovmer-builder, I will not employ anyone to tlo work which would require a permil fmm the Division ot Industrial Safety, as notetl above, unless such person has a permit to tlo such work from the division. Applirant's SgnaWre Dale Division of Intlustrial Safery Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicaM or present or tuNre building occupant neetl to fle and certify a Business Plan !or emergency response to release or Ihreatened release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, with some exceplions, Ihat a Business Plan be fled with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantiry of hazardous matenals equal lo or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at slandard temperature and pressure). 2. Does or will the appliwnt or present or (uture building occupant need to file a registra[ion lorm for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of ihe Califomia Health and Safety Code, vrith some ezceptions, requires registration with ihe Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal ro or greater Ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feel o( compressed gas at s[andard tempereWre and pressure). 3. Does or will the applicant or present or future builtling occupant neetl to prepare an RMPP (Risk Management and Prevention Program for acutely hazartlou5 malerial5�? ❑ Yes ❑ No (Section 25534 ot the California Health and Safery Code provides mat 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. I! an RMPP is presently required, has Section 25534 of the Califomia Health and Safety Code been fully complied with? ❑ Ves ❑ No 5. Does or will ihe applicanl or presenl or future builtling occupant require (or the work which is the subjecl o( this ap0lication a Dertnit for such cons[ruction or motlifcation from the South Coast Air Quality Manaqement District or from any other air polWtion control tlisMct or agency? ❑ Yes ❑ No (Seclion 65050.2 of [he Califomia Govemment Cotle requires that the requested information be lumished on applications fa nomresidential building permits). 6. Will any part of the taciliry to he constructed under this permit be within 7000 feellrom the wter boundaries of a school? ❑ Ves ❑ No Qf'yes", Ihe facility must meet the requirement of Sections 25534 and 42303 of lhe Califomia Heallh antl Safe�y Code). 7. If a permit fmm lhe South Coast Air Qualiry Management District or olher air pollution control diSMct or agency is required for the work which is the subjecl ot this application, have all of the disclosures prescribed by Califomia Health and Safery Code Section 42303 been made? ❑ Yes ❑ No 8. (If'yes", attach certificate of compliance from the appropriate air polWtion control oKcer�. CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury Ihe information given above is correcL I agree to comply vnth all state laws and ciry ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury thal I have read this applicatian and state Ihat the infortnation given is conecL I agree to comply with all state lavrs and city ortlinances relating to building construction, and authorize representatives of the Ciry of Costa Mesa to eNer upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building aulhorizetl by this permit until final inspection. SignaWreofLegalOwner(s) Date �� co��aM `I � Z�O `i AnOlorAiil�Oriz24AD01iCdnt, Dalel OWNER DOYLE & SHIELDS DEve nent Co.,Inc. DAT� �-3-63 JOB ADDRESS 447 Monte �1St8 AV2. BUILLiNG PERMIT NO. 1959 -�. JP 1!'cJ TYPE V ZONE PERMI' SUBCONTRACTOR .,,, i .. � ! s� � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BO%3f7 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT - BUILDING � A�ORESS COSTA MESA. CALIFORNIA OWNER � � ^�-% �G G�J G✓ �-' MAIL pI�. ^j� ADDRES9 �i / „LY1 C.( 1 (Y � � CITY /7F�i'1I [/�'M /�(�Q.(./tT. NO.('l�•Z�1 OR ENIGIN ER �I ' M `�- / I�%1 TEL. G NO.O � � AD�RE53 / I D O C(%L/�('� ��mOn (/,IC0.I� AOORE88 ✓ �n` P.i CITY ��-h"'� LIC.TNO.IS��SD�� NE. ^ T O O.Lt7 SIZE �.SG �/ _�J • I NO.OPBLDOB. OF LOT J � m now oN LAT � USEOF EXISTING BLDO. 6ETBACK LINE FflOM � � �� T � Q REARYARD EFT I R16HT -��' DESCRIPTION OF WORK 5�1� �X U 0 �t h,Aa�( �i 1 NEREBY ACKNOWLEO06 TH/�T 1 HAVB RBAD THI6 APPLICATION ANO 9TATE THAT THE ABOVE 19 COqqECT ANO A6qEE TO COM. PLY WITH ALL GITT Oqp�NANC88 AND 6TAT6 LAWB RHOULATINO BUILDINO CON6TRUCT�ON. p(� Y SIGNATURE OF� -• d y� ��u`� /� , A a� PERMITTEE T'��•�t �� ALw •��A�, l.0 0� U � AUTHORIZ6D A6ENT �, ��,�( FEE RECEIVED JU9 3 1963 FINANCE DEPT, APPLICATTbTN ��R�T�rMESA BUILDING For Office Use Only qHCE1PTN0. PERMITNO. Y OAT[qHC61V D D� .C-']9—�3 IIItJ ^. 14L FIRE L80AL YARDSAPPROVEO MAIN BUILDIN6 DISTANCE BET. MAIIJ BLO6g. VAR. $K TH¢ I.MOIINT 8jf01 PURPOSE Op �BB� VALUATION s �1� ��5' % ZONING � , 6HALL BE LES9 THAN f U. B. C. REOl1�REMENT7 YARDSAPPROVED AGCESSORY 6UILDING BET. MAIN Q ACCESS. BLI DATE APPROVED .,._� 5'-. �rF4 "' " 0 UNOER VALIIATION IS FOp THE F' IBHING A PERMIT FEE ONLY. � .-�� N PERMIT FEE $ S JJ � m PLAN CHECK $ � �� 0 f/i � 4