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Home My WebLink About2010 MONROVIA AVE - Building Permits 05Tp CITY OF COSTA MESA 4 BUILDING DIVISION F /n- .�I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER J iPra PERMIT E01-00315 .arm (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 2010 MONROVIA AV Status: ISSUED Suite No Applied: 04/25/2001 Vicinity: Issued: 04/27/2001 Parcel Nunmber: 42250519 Applicant: BALDWIN, ROGER ISSUED BY: !✓L Address: - . - -, - . . - Phone: 949-647-2843 Zip: Owner: DELBROCCO, DOMINIC E &JULIA M Address 2010 MONROVIA AVE Phone: COSTA MESA,CA Zip: 92627 Contractor OWNER-BUILDER • . • . ... ' Address: - _ - Phone: _ ' • - Zip: - - License: 0 - • SCOPE OF.PERMIT;,' • • UPGRADE SERVICE TO 200 AMP FOR AN EXISITNG SINGLE-FAMILY-DWELLING. ' . _ 17/6/01: 1 SUBPANELADDED TO PERMIT' - - ----- - + ' 7/ . r . -- = FEE'SUMMARY - '' Quantity / Quantity/'• _ ' r ISSUE FEE .. • $23.50 Temp Dist"System/Lighting ,_ $0.00 Or / , , ,/ Temp service test $0.00 ' Busway/100R;r "$0 00 0 // ' Res. a/c package, $0.00 ' StandmgSection' • $0.00 /01// /! New Res(1-2.units) •- -`- $0.00 0 .. .1,-.‘Misc Electrical Equipment $0.00 /Jo ' /- C--• ' 71,.."7 New Res-(3+units) ' $0.00 0 , r " ‘ y ., -Transformers up to 1 kva/kw $0 00 ;,�0 Pool/Spa , $0.00 0 ' ``='up to.10 kva/kw $0.00'' 0 r, Lighting Fixts , - $0.00 0 , - up to.50.kva/kw • $0.00,/ 0 / Recept Outlets \ $0.00:: ,.-,t,--.0, - ‘up to•100 kva/kw.s .$0:00/ 0'- // / Switches /1- $0.00- .2 0' _ - - = over 100 kva/kw $0:00 - -�0 • Non Res Appl\ 2 / '$0 00' �`. . 0 \� �-.1---,,,,,0,1„N„1,1..15, , Low-Voltage•Equipment c---//,,<.----,$0 00 _ ,0 Res Appl $0'00, �� 0�;' ; ,71;.'.-.1-.�` Low Volt Wiring Systen'/,Ckt�'- $0:00..... 0" r� ' Service to 200a - .�•, c$30'50.> �1 �� „� ,a • Misc:Conduit „/-."--2,.../-!---' �$0 00; 0 7 Service to 1000a '2 $0.00 ./.:::."'. 0-------'_ - Misc:Conductor /n.` -$0.00/ /0-" Service over 1000a - ; $0.00' / / / /0 _ Circus:(-gen or ride)..„ \`y ,30:00 " 10," Motors to l hp -.,$0.00'2" //,0 - ;17_ , , Circus(mech-ride or lights) $0.00 1i ,/0 Motors to 10hp '.$0.00 -/ 0 Christrnas-Tree-Stand) i, $0.00 " 0 Motors to 50hp $0.06.2,-,,'.. 0- . - Fireworks Stand )\--`/ -.210$0.00 0 Motors to 100hp $0.00--<---"._ 0- '-_ -.1 . ,_Other-Electrical Fee -, j DECLARATIONS 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: Policy Number: (This section need not be completed it the permit is valued at one hundred dollars($100)or less.) ❑ 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 forthwith comply with these provisions. Applicant 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 DOLLARE($100,0001,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.# Class# Contractors Signature: Date: 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). Lenders Name: Lenders Address: Signature: 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).): ❑ 1,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 hat 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 amfeppt under sec. Business and Professions Code for this reason: Signature: Kac� Date: 7'' ^ d Owner ID verified by driver's license. 0 Yes 0 No Driver's 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. Signature: Date: 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? 0 Yes 0 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 0 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 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application aPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes LI No (Section 65850.2 of the California Govemment 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 (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 permit until final inspection. zc�s Si nature f Legal Owner(s) 6 ^D7te V nd/Or Authorized Applicant Date PORE A INSPECTION TYPE PAL INTRIAL$ CODE INSPECTION TYPE QdLE INTITIALE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical RLC 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 DECLARATION OF AUTHORITY Bldg. Permit# �- FOR AGENTS OF PROPERTY OWNER This Permit# Cal-to3i3 TO APPLY FOR PERMITS Street Address: One-0O f 0 One-0 l)l &. 1 V 5 b. AP Number: ` - -f 9 1. I (we), [VA--I 1n- 1 i • 'DEA YOC2-d , declare that I am the Owner of Title of the above referenced real property, and that I (we)hereby authorize: Name: CZ:50de ho( CL I JzeY .. Telephone Number: Cr q4 - to 4 2- LE-71 Street Address: 2‘111. o MO nr o U% 0. Pkvt, City: (. 6 Stvi r O-9-S G State: _ C m- Zip: /2-(c. to obtain permits in my behalf,as owner/builder,for Q/1^. ft e. C.JACIt C -+" {� at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I (we) shall immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I declare under the penalty of perjury that�the foregoing is true and correct. ///7`�a Executed this 2 / day of 20 0 I , at (�p _-(/y�/L-e+- ,California. Print Name: A- On • Signature. / I' ' alt /2 • Date: 7 ' 2 4 ' 200 i Note: This authorization does not grant authorization to perform the work as owner, it solely provides for limited power of attorney to secure this permit in any behalf. • 0779-46(rev.11100) JANp-1957— OWNER MC MAR. ARTHUR 1/: � DATE 11-11-56 Akr JOB ADDRESS 2010 Monrovia Ave. BUILDING PERMIT NO. 2595 GENERAL CONTRACTOR Owner—builder VALUE $ ' 330.00 ((Enclose carport for L- - 519 BLOCK TRACT 1712 Pvt. garage(&add 5'x22' I GROUP J TYPE V ZONE In FIRE DISTRICT 2622 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench .01111.Pir ' -,/G.-.::6 Foundation Forms and Grade to Garageger/ Rough Framing _ & Cels 3-( -Se Plumbing,Rough to Slab _ Plumbing,Rough Complete Temporary Pole y /� Wiring, Rough 4/6 5�.T f[ ¢'.-,A-2 Lp Xe../ 5%4' 2,3 j 6 Heating,Rough Heating, Final Sewer, House Sewer,St. S' '•Tank or Cesspool 4- TT ,/, Plastering Lialln 7-2.IC Plumbing,Final,Fixtures Complete Plumbing,Final Gas Test • Wiring, Final JAN 1 6 1957 VCB Occupancy FORM 210 3M 10'95 - 2595 Costa Mesa Building Department APPLICATION FOR PERMIT P. O. Box3!7 2622 BUILDING 1 COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN Receipt No. Permit No. Buildingi Address,()/(,) Mon r p vi i aAve . ,94-7,r— Costa S yl Costa Mesa, California Received by Date Rec'd. �D/ate Issued Nearest 1/ -Cto- to /. _//-4-6 Cross St. nth S+y-p,F -I- Building Address Owner H r +h Li r l? IV) aA/ra h Mail Costa Mesa, California Address -O /C /u)0 h r p it/ a A OF Nearest �/� Tel. Cross St. City Cr, St4 1 '/es0 No.Lj. QjlCJe( Zone oNo.of I Type / Group cr Architect or Lic. /` / I Plans Engineer No. Approved by Date • Address CORRECTIONS City Lic. ntractorJEtfraMbior-TLt-lc No. Address Legal I Lot Description No. 5�9 Block I Tract/7/.7 _ (Attach Metes and Bounds) Ila F ��No.of Bidgs. +IMt, Size of Lot 71.;.. V//e I Now on Lot I A O Use of I No.of No.of z . Existing Bldg. 1/V;VI() Families Rooms �2 1 1 1.4 1;� O Setback Line from o Rear Yard 1� Z Center of Street J Side Yard .4-° - - - D • DESCRIPTION OF WORK r New I Alteration I I Addition I ✓ CITY OF COSTA MESA Repair I I Moving I I Demolish I Building No.of Size' _�-' k' ho Rooms I Stories I ,rior Wall , • Roof — _ ering S U CC Q I Covering ps besf pc APPROVALS Use of New/pi ��J/ Foundation Location Inspector Date Building ° r q (. ` �jjg,(5�-c.p2/ Forms,Materials, & w 4faw�,' � cc- 06l 'Z Under-Pinning v'� �aa`�� Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int with all City Orfl{na es and State Law y/r/gulating building cofstrycti. / 2 �� Lath.Ext. signature of Permittee Plaster,Int. Authorized Agt. Plaster,Ext. Valuation Permit Fee $ Or. G O Masonry Reinforced 3 3 0 ^ Plan Check$ Bond Beam $ Total O Fee $ of FINAL / FORM 204 10.55 0.P.&S. Y u • c u -J pp COSTA p A?R 11 -55I fl 171 a tr,*t;z.n( a Street PLOT PLAN . Show location and distances from property line and between buildings. ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT .. - - 636 North Broadway SANTA ANA, CALIFORNIA - .-.. BU • .D. N-G • - FOR APPLICANT TO FILL IN - FOR OFFICE USE ONLY RECEIPT NO. PERM IT-NO. BUILDING _ ADDRESS 201-0 Mnn Tsovta h SCHOOL DIST. 0 �� OR TOWN Costa Mesa / RECEI ED-BY/ may"DATE RECD.�j� DATE ISSUED NEAREST Q —__ �a./ /• CJ �l C� � �_ 0��' CROSS ST. 2Oth-Street d /� ��/y// OWNER Apache Homes Inc. •;, BADDRESS ' 9 0 /D t ' MAIL ADDRESS 9363 Wi Wilshire Blvd. SCHOOL DIST. ' - I+ 1J . `�^ OR TOWN EARE T CITY Reverlv Hills • N°'CR• 54361 -; CROSSST., -.4-4'...--ARCHITECT OR LIC. ZONE NO. OF TYPE GROUP ENGINEER Cal r & McK a rracher r' /furl PLANS I . , — •7. ADDRESS 211f1 W Wale ut_P as ade na APPROVE EI •NTRACTOR Newport Vista 135882 -� BY I{ DATE No. CORRECTIONS ADDRESS 9363 Wilshire-Beverly Hill_: LEGALLOT n 1 DESCRIPTION I NO. 9 I BLOCK I TRACI712 I. . • (ATTACH METES @ BOUNDS) • NO.OF SIZE OF LOT 67 x 110 I NOW ON LOTS• 0 USE OF I NO. OF I NO. OF EXISTING BLDG. FAMILIES RO(1¢1.5I - - CENTER OACK F STREETNE 5O Pt. SIDE YARD OREAR YARD IGG 4_I_0 I DESCRIPTION OF WORK o NEW I g I ALTERATION I I ADDITION I Z REPAIR I I MOVING I I DEMOLISH I ,_ • D qfNJ� n p r SIZE }-V34 sq_ft. ROOMS 5 STORIES 1 EXTERIOR WA ROOF Om o • - DVERING `stucco I COVERING gm ngl P OF NEW L ILDING Re side ne c-At t ch.Carport • • . APPROVALS FOUNDATION: LOCATION I � P INSPECTOR DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS, MATERIALS, //TTLE,JJ(( APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES t FRAME: FIRE STOPS, L-2-414:13. AH ,qXg BRACING, BOLTS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. -- LATH. INT. 72 1, , A O s t-3, YJ: ` y ,�.' -:_i7+,SIGNATURE OF LATH. EXT. i- PERMITTE 1 - .•• • I'• Z • - r {��) '� S /- 1‘, - PLASTER, INT. /y/� ��j AUTHORIZED AG6 "' -i��l 1 .\ PLASTER, EXT. ,/W/� J/L-23c .i ' PERMIT FEE 5/ MASONRY REINFORCED VALUATIONyR• 4830.00 PLAN CHECK 8,�, BOND BEAM /} /� _ J �/ �- ra TOTAL !/Gf/r/.� 1 ^Y./1 FEE $ FINAL (/fpm_[-JV V i V SM 9-90.99 • - - _ _ ZWW J Z J ¢ 0 - . C. . _ 'J c l‘ .,�. . • r • r _ - \ �._L , `. ,` * - r . - - • _ - • • - .- STRE ET- • PLOT PLAN - Show location and distances from property line and between buildings._ r • • • • - '.1. 1•t.. .