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HomeMy WebLinkAbout3205 MONTANA AVE - Building PermitsCITY OF COSTA MESA BUILDING DIV/SION i` � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (774) 754-d856 • wviw.ci.wsta-mesa w. : ".}�o fi FOR INSPECTIONS CALL: (714) 754•5626 ' PERMIT NUMBER: E07-00627 PERMIT TYPE ELEC STATUS: ISSUED __ DATE ISSUED: 06I2512007 -- - ISSUED BY: RMD ! JOB ADDRESS: 3205 MONTANA��AV�CM�, '� �� � t�� Suite%Unit:�'-���.��. Vicinity: REAR OF HOUSE ' - �_ _ -. _' � � -� SCOPE OF WORK: ELECTRICAG�PERMIT TO UPGRADEf SERVICE PANEL TO 200A,'SAME�LOCATION (REAR OF HOUSE). OWNER: LA POINT JOYCELYN DEE. PHONE: 714-2272682� � . - � APPLICANT: CAMPADONIA, VICROR PHONE: 370366.8902 . ' � Address: 3205MONTANAAVE Unit: ' - "City/State/Zip: COSTA MESA;�CA � � Address:� - 1701 W 242ND ST Unit: City/Slate/zZip: � LOMITA, CA CONTRACTOR: VICS ELECTRIC - - Address: 1701 W 242ND STUnit PHONE:� 310-530-8786 � � Ciry/State: LOMITA, CA � ZipCode: 90717 � ELECTRICAL PERMIT FEES Electrical Plan Check Fee: • $0.00 Electrical Permit Fee: ' ' $54.00 Reinspection Fee $0:00 TOTAL FEES $54.00 ,_. License No. 570018 CELL: NOTICE: The work authonzed by this permit shall comply with all applicable hantlicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-g2) . EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In ordar for the work authorized under this permit to-be considered legal, such work must comply with all applicable codes, and all required tnspections and final approval must be obtained. Failure to obWin inspections and final approval will resWt in the expiretion of this permit. OE� INSPECTONTYPE pT IN7IilALS COOE/ INSPECiIONTYPE ' �jF IN7ITIALS 7676 Fixed System Final Fire Prevemion 206 Final Mechanical 1266 Pool Spa Final ' � ' 208 Final Ptumbing �/��/����� � ��� � 200 Final Re-Roof . 270 Final Electncal � 201 Final BIocWRetainiqg Wall . � 212 Final Fire Prevention 202 Final Factory Fi�e Place 220 Finai Ptanning Approval 203 Final Slgn 222 Final Site 204 Final Demolition 250 Final Building/OccuDancy WORKERS' COMPENSATION DECLARATION: I hereby affrm under penaly of perjury one of the fouowing declarations: ❑ I have and will maintain a certificate of consent to sel(-Insure for vrorkers' compensalion, as provitled for by section 3700 of t�e Labor Code, !or the pertormance of the work (or which Ihis permit is issuetl. ❑ I have and vnll maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the peAortnance o( Ihe work for which this pertnit is issued. My workers' compensalion Insurance carrier and policy, number are: � PolicyN�uymber�� �/ �I certify th iaf`n the peAortnance ot Ihe work (or which this permit is issued, I shall not employ any person in any manner so as to become subject to Ihe vrorkers' compensation laws of Califomia, and agree that if I shoultl become subject ro ihe vrorkers' compensation provisions of Section 3700 ot the Labor Code, I shall yf� with comply with these provisions. P�.�-��-. C���� G-zs ��7 pppl� Sig . Da�e.� _ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNIAWFUT AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN AD�RION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37W OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn Iha[ I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business anE Professions Code, and my license is in full force antl eHecl. Lic. #--� ='✓�' %G'U� � Class'#���–'` � — � � C�-, C'��.,� •-� G- ZS-o 7 Canlroaor's SigreWre Dare--��� � �� CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn that there is a construction lending agency fw the peAortnance of the v.ork fa which this permit is issued. (Sec. 3097, Civil Cotle). Lender'S Name: Lender's Address: Signawre Date OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penalty of perjury that I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for tha following reason (Sec. 7031.5, Business antl Pmfessions Cotle: 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 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) of Division 3 of the Business and Professions Code) or thal he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 Dy any applicant for a permit subjects the applicant to a civil penalry of not more than fve hundred dollars ($500).): 0 I, as ovmer of the property, or my employees with wages as their sole wmpensation, WILL DO 7HE WORK, antl the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: 7he Contractors License Law Cces not apply to an owner of propeny who builds or improves Ihereon, and who does such work himself or herself or through his or her ovm employees, provided Ihat such improvements are not intended or oKered for sale. If, hov+ever, the building or improvement is sold within one year of completion, Ihe ovmer-Duilder will have the burden of proving that he or she did not builtl or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CON7RAC71NG WITH UCENSED CONTRACTORS to wnsWct the project (Sec. 7044, Business and Protessions Code: Tlie conlractors License Law dces not apply to an amer of property who builds or improves lhereon, and who contracts for such projec[ vnih a contraclor(s) license pursuant lo the Cont2ctors License Laws.). ❑ I am exempt under sec. Business and Professions Cotle for ihis reason: Signature Da�e ]OS]-C6�3I0]) Owner ID verified by drivi nse. ❑ Yes ❑ No Dnver's License No. Expires: Verification of Ownership by (type of document, i.e. - pmperty tax bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: . Q�bhereby-certrfy that no ezcavation frve (5) or more feet in deplh into which a person is reQuiretl to descend, will be matle in connection with vrork authonzetl by ihis pertnit, and Ihat no builtling sWCWre, scaf(dding, falsework, a demolition or dismantling thereof, will be more than thiny-six (36) leet high. (Chap. 3.2, Gry 2. Art 2. Sec. 341, 7itle 8, Cali(omia Administ2live Code). ❑ As owner-builder, I will no[ employ anyone lo do work which would require a permit from the Division of Industrial Safery, as noted above, unless such person has a pertnit lo do such work from lhe division. ApPliranfs SignaWre Division of Industnal Sa(ety Pertnit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or (Wure building occupant neetl to file antl certify a Business Plan for emergency response lo release or threatened release o( a hazardous matenal? ❑ Ves ❑ No (Section 25505 ot Ihe Califomia Heallh and Sa(ery Code requires, with some exceptions, iha[ a Business Plan be filed v+ith Ihe Cwta Mesa Fire Department by every business which has at any one time dunng a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic teet of compressetl gas at s[andard tempera[ure and pressure). 2. Does or will the applicant or present or future building occupant need to fle a registration form for acutely hazartlous materials7 ❑ Ves ❑ No (Section 25533 of the California Health an0 Safety Cotle, 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 hazartlous materials equal to or greater than a weighl of 500 pounds, or a volume of 55 gallons, or 200 cubic teet of compressed gas al slandard lemperature antl pressure). 3. Does or will Ihe applicant or present or future building occupant neetl lo prepare an RMPP (Risk Management and Prevention Program for acutely hazardous matenals)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Sa(ety Code provides lhal the Costa Mesa Fire Department may require the preparalion, certifcation and filing with the Fire Department of an RMPP by businesses v+hich are required to register awtely hazartlous matenals wilh the Fire Department. 4. I( an RMPP is presently requiretl, has Section 25534 of the California Heal[h and Satety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future 6uilding occupant require for the work which is ihe subject of ihis applicalion a permit (or such construction or motlification (mm Ihe South Coast Air Qualiry Management Dislrict o� irom any other air pollution control distnct or agency? ❑ Yes ❑ No (Section 65850.2 0( the Califomia GovemmeM Code requires ihat Ihe requested information be fumished on applications for non-residential building parmits). 6. Will any part ot the faciliry to be constructetl untler Nis permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No Qf'yes", the faciliry must meet the requirement ot Sections 25534 and 42303 of [he Califomia Healih and Safety Code). 7. I( a pertnit from the Soulh Coast Air QUality Management Districl or ofhef air polWtion control district or agency is required for the work which is the subject of this application, have all of Ihe disclosures prescribed by Califomia Health and Safety Cotle Section 42303 been made'! ❑ Ves ❑ No. 8. (If 'yes", anach certificate of compliance from the appropnate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty o( perjury the information given above is cortect I agree to wmply with all state laws and city ordinances regarding Hazardous Matenals and Emissions. SignaWre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty o( perjury that I have read this application and state that the information given is correct I aqree lo comply vnth all 5tate laws and cily ordinances relating to building conswction, and authorize represenWtives of the Ciry o( Cos[a Mesa to enter upon the above-descnbed property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. . Signature of legai Owner(s) Date �.�_vi„_�.�_.��__-��.. � " AnGlorAu�honzeCAOWi�m Date --�--' C.�— _"" _ _ � � PNOJECT POOflESS: j,�,0 5 MONTANA AV OWNEH'SNAME: O'HRIEN KEVIN S nooaess: 19'LO LAFIAI DR COSTA MESA,CA 549-5756 AHCH/ENGINEEB: ROOflESS: UNIT: 92626 NEG.NO.: UNIT: PEflMITTEE: $ 6 J ROOFING ( 714 ) 637-5609 aooaess: 2040 N SACRAMENTO ORANGE CA 92667 LICENSED LONTBRCTOfl OECIANATION: I �ereby allirm Ihat I am IicenseU wAer pwvisian5 of Chap�er 9(commencinp wit� Seclion 7W0) of �ivsion 3 0l tAe Business antl Professions �4 my littnse is in lull fotte anU ellecl. cirruc. 03�871��21 STATELIC.:3B �956 s'-3�� FYP•-00/00 oaie:.�_�—Y ` 4 Y sianamre. _ WOflNEBS' COMPENSRTION OECIANATION: I here0y ailirm ��ai I �ave a Cehili � Co I Ia 5¢I n5ure or a tetliliCaie 0� Worker5' Compensation Insurance. or a rertifieA copy Ihereol ISection 3800. Lao. C). POLICY NO.: E%P. DRTE: COMPANY: �I CeN�i¢tl COpY �5 �ereDy �UmiSheG. ❑ Cenifietl copy is filea with t�e city Builainq Division. Date: PpDlicani: E%EMPTION Ffl�M WOflNEflS' COMVENSATION UECLAflp : n ne¢O not Ue [ompleletl i� l�e w's lo� e ntlreG (5100) or lew�. I t¢tlity Ihai in Ihe petlOrmance a� I�e wOrk br whiC� 1�5 permi� is i55ue , 5 II na� emy(oy any erson i an man er 5o as lo Oetome su��ecllo the Workers' ComOensation Laws ol Calibrn � oa�e:���ltr-4 �� Signaiurt: NOTILE: If. ailer making ��is 4eUaraiian, you shoNa Oewme subietl to I�e Nl61 s nsation rwisions ol IAe Lahor Code. you musl lort�wit� camDty vnlh suc� pmvisions or �his permii 50a11 Ue 4eeme0 revakeU. CONSTPUCTION LEN�ING RGENCY: I hetehy aliirm Itwi Ihete is a tonSlmCiion IenAinp agenty for I�¢ Dedormante ol Ihe work �Or w�ich this permil is issued (Section 3097. Civ. C�. LENOEB: pDOflE55: OWNEH BUILOEfl UELLABATION: I �e�eGy aifirm �ha� I am e�¢m0� ��om Ihe Contrattor5' Stale Licenu Law lo� ll�e lallowing rea5on (Section 703t.5 Business anA Pmfessional CoOe: Any ciiy ol county w�ich rtquires a Dermil to COnsimct, alter, improve, Uemalis�, or repan any SVuclure. prior to its issuance, also repuir¢5 ��e applicani lor such p¢rmii to lile a sipneC 5tatemeni Ihai hpJshe i51icen5e0 pursuanl lo Ihe pmvisions o� Ihe Conlrat�ors' Slale License Law (Chap�er 9(commencing wilh Section 7000) of Division 3 0l Ne Business an� Pm�essions CoOe) or Ihal he/she is erempl ��ere�mm antl Ihe Oasis lor I�e allegeA eremp�ion Any violation ol $ection 7031.5 by any applicanifor a Dermi�sublects I�e aOVlitan� Io a Civil Denaliy of noi more t�an live hUntlreE Jollars (5500�. I. as owner ot ihe pmpehy or my employees with waAes as ineir sole compensalion. wiil Oo ine work, and ihe � � 9mcWre is not intenOeA or olferetl lor 5ale (Section 704a: Business an0 Pmfessional Coae: TAe Contractors' State Licenu law does not apply to an ownerof a D�openy wlb builds or�mproves Itlereon, and who Goes suctl work himself/�erself ortAmugh his or her own employees. O�OviAed I�at 5uc� impmvemenis ar¢ n0i intenaeA at allereC lor SaIE. Ii, �owever f�0 GuilAinA o! impmvement is sola wi�hin one year ol completion, Ihe owner will have Ih¢ hurAen oi Dmvinp he/She ditl not bui10 or impmve �or Ihe Ourpose o� sale�. I, as owner oi Ihe property, am exclusively contracting wilh licensed coniractors to constmct �he pmle�� (Seclion 704A, Business ❑ antl Professions CoOe: T�e Contractors' State License Law tloes not apply to an owner ol pmpefry who �wlUs or impmves ihereon and who conlract5 for such pmlecis with a con�racior�s�license pursuantto I�e ConVactors' 3tate License Law),I am aware Ihai pmol ol Iheir Warker's ComDenSaiion insurance s�ould be O�a�itlEd to me. � I am eKemO� under Section'. B. 8 P. C. �ar I�is ieason'. Dale' Owner. I tla hereby cenify Ihai I am aware of ana untlerslantl Ihe requiremenis ol Cahlomia Healih and Salety Code Sec�ions 25505, 25533, antl 2553a antl thal I or any tulure builaing occupanl willlwill not (circle one) need to comply wilh said slale cotles antl ine requiremenis for a permit lor conslmction or motlAicaiion Irom I�e Air Oualily Management Oi5lrici. ReSiUential conslmclion applicalions are e�empl Imm IhCS¢ OrOvi5fOn5. Dale: /lpplicanl'. I hereby cetlily Ihai I �ave read Ihis application an ��e a6ove inlormation is rW , aAre lo comply wi�h all city antl coun�y ortlinances and s1alel.�wsrelalingio huiltling consl clian antl he � xPiorieer res a�ive olihis cil lo en�eruponihe above�menlioned pmpetl/y'lor in/5pf¢�ti�mn purpases. DaletY /� / ��___ Signal / oriver's �icense or Socia� Securiiy q: i6ai�d6 Whpe—Builtling; Green—Cotlo EntorcemenL Canary—Appllcanl; Pmk—Revenvo; GolaenraE—Fssessor CITY OF COSTA MESA - BUILDING PERMIT PERM PIO: B 067/39 PERMIT NO: B 067739 PLAN CHECK NO; N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION ; T/OFF 6 REROOF W/COMF SIiINGLES SQ FT: 3,432 CLAIM VALUE; 3,932.00 CALC-VALDE: 3,432.00 GROUP OCC: R-3 /R-1 COMMENTS: REROOF 2588SF RESIDENCE W/COMP SHINGLES, SMOKE DETECTORS AEQ�UIRED if'IE'k'If?%iFiEXiE')f'N'if9EiPiEifiEiE'MiFiE'%iE1EiI'ifiEifiEih'�IEiF'N-'N�'IEif�iElf+f'IE?liE1fY'N"M'SE�Fifififi4'N'iF1Fif'M'k'#Y.+fiLiGY-YY�Y.0 �.�. . . ,. ZONING REQU IREMEN"�SMOKEDETECfiOFi S E T B A C K S L'r ------------ A1AIN HUILDING ----- ---- ACCESSORY �'C��`�d�t `�D FRNT; FT IN RnAR• FT IN FRNT: FT IN REAR:� ' FT Ii7 LEFT; FT IN RGHT: FT IN LEFT: FT IN AGHT: FT IA1 PARHING REQ: PROV: PARCEL: 13909302 ZNE: REF NO: PLANNING NOTES> i *�+����***�*#*****�*�**�**�r�*��r#*��**���**�##***��****.**�***�r**�*#�+�u*�#�*�*��� D E C' E L O P M E N T S E R V I C E S R E Q U I R E M E N•T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: S�- DATE: r �2- �P ���� ifafifiFifdE�ifdFiFiEifi:iF?E3FiEaE-K?EiEiEiE�tiFiF3FiFit�f �F�t3FiF�t;tiFiF�fFifiF3F{f3fiF w'iF�±F7FiFii�ii�iFiFi4i�icifihifafififafi�'i$�F'j�S���riFif iE iF±F iE if ?' iF ir-jF i�- iF iF �Y iF?E ii 1F iF iF jF i:- iE ii it� if iE iF iF 3F aF iE iF �IE i: �If jf # iF # i(� x. iF if jf iF jM1 ic i(� iE iF %#� iF Yi il� # t!� iM1 if� af if #F # if 1E iF �?E if #+c i[� #'� if ic if it K�+f M LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 63.00 SO SMZP/NON-RE5 PLAN ISSUE FEE BUILDING-DIV-> PERMIT ZSSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 63.50 0.00 0.00 63.50 63.50 .00 REVENUE DIVISION TnT�LS---� C�?LLECTEP: 63. `�0 CZC'=�t,r';�H.i:t:: , 00 PLL�63I'Op NLIIWIPZ}'#G ELE�TAIs" h9ECHAr?I� FIRB SMIP/TS�T C�P,RPIPIG PLAi�-CHECH if- if it k iE i5'i 1E if iE iF ik iE iF it 1E iE fE iF if iE � 1f iE ik it if iE �IE �1E iE iF iF �)E 4 it if iE if # if iE ft if iE ih iF if iE # iF if # iF iF dE �lf if �)E iF if� iF if �f 1E �lf iE # if�+t�?f �R if- IF 3F iF i! �It # I N D I V I D U A L F E E B R E A K D 0 W N TYPE SFR QTY 3432 D E S C R I P T I O N REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES UNIT COST TOTAL COST 1.00 3,432.00 ot oo162s64-00162S6S T CtT tij,SQ OAiE: Q6/24/94 TII1E: :1:51 _"„� -. . .. _ . ` CdNSTRUCTION AND PLANNING POOL oq APPROVAIS Permit# Date �nspector APPROVALS Permit� Date In�ector 1. Temporary Electricai Service or Pole 52. Pool & Equipment Location _ 2. $pil Pipe�Undrgrnd. . 53. Steel Reinforcement � 3. Electrical Conduit Utility-Undrgmd. 54. Forms � 4. Electrical Conduit�Undrgrnd ^_ 55. Electrical Bonding 5. Sieel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings � •� 58. ElectricalConduibUndrgmd. ,•y � B. Foundation , , 59. Gas Pipe, O Undrgmd., Tesc '�� 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P�Trap, � Undrgmd. �,�, � 10. Strucwral Floor Syscem 61. APPROVAL TO DECK • 11. ProPerty Sewer Line & House Cdnnection � 62. Backwash & Receptor-F(nal �. 12. Sewer Cap 63. Heater & Vent�Final -� 73. Roof Drains � 64. Plumb�ng System � Finai '• ! 14. Fiough Plumbing .�` � 65. Electrical�Final 15. Rough Electrical�Condu�t ' ' �) 66. Solar System-Final i i 6. ROugh Electric Wiring 67. Fencing & Access Approval 77. Rough Wiring Siyn 68. APPROVED FOR PLASTERING 18. Rough Electricai•T Bar Ceiling 69, POOI{SPA SYSTEb1S FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structu�e 70. Underground Nvdro 22. Ducts, Ventilating 77. Product PiPing � Ges G Od 23. Gas Pipe�Rough & Tesc 72. Underground Fiush 24. Roof Praming 73. Underyrnd. Storage Tank �7 Gas ❑ Oil 25. Roof Sheathin9 �%���(( � 74. Overhead Hydro 26. T�dar Ceiiing (Svuctural) & Monocoat 75. Dry Chemical 2J. Frame and Flashing 76. Dry StandPipe 28. Lathing & Siding 77. FIXED SYSTEM PINAL 29. Iniulation 78. FIRE PREV. FINAI. 30. DrYtvall Nailing HEALTN DEPT. REQUIREI4IENT 37. Plaster 8rown Coat 79. FINAL INSPECTION 32. Electrical Power MeterFinal 80. FOOD CERTIFICATE l5SUED 33. Fina7 Elec�ric Notes: 34. Final Hea2ing & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace • 38. Final Plumbin9 39. Water Service�Final • 40. Gas Service-Final 47, Solar �omestic-Final 42, Backflow Preventer �'. -, 43. Backflow Irrigation � `.--., 44. Landscape Irriqation.ayscett� 45. Sound Aitenuation �'r'y � , 46. Handicap Regulation� � i 47. FINAL STRUC7UR �& 6111LDING r//�L,S/�y S, D e�� I.L � I 48. FINAL PLANNING , i j� ' 49. Electric Release to E i.�n`--� �, 50. Gas Reiease to Souttie��ry California Gas Co _. 51. CERTIFICATE OF fCUPANCY No. Date