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HomeMy WebLinkAbout1776 HAWAII CIR - Building Permits CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO.494-- DATE /1-/ 7-7 LOT NO. c3'7) ADDRESS ►i _ . The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. Developer and/or auth- .'zed representative BY Lender CITY OF COSTA MESA BUILDING DIVISION PERMIT NUMBER �. '. : DEVELOPMENT SERVICES DEPARTMENT PERMIT B99-01042 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 • BUILDING PERMIT Job Address: 1776 HAWAII CI Status: ISSUED Suite: Applied: 07/07/1999 Vicinity: Issued: 07/07/1999 Parcel Nunmber: 13957213 Zoning: ISSUED BY: Applicant: DARYL EVE Address: Phone: 949-673-6063 Zip: Owner: ENRIGHT, KATHLEEN Address VICTORIA _ COSTA MESA, CA Phone: P O BOX 1380 , Zip: 92628 Contractor: SUNDANCE ROOFING CO Address: 1752 MIRAMAR DR Phone: 673-6063 BALBOA, CA Zip: 92661 License: 718369 Arch : Eng: • Address: Address: Phone: Phone: • • Zip License: Zip: License: SCOPE OF PERMIT T/OFF SHAETH AND REROOF 2200SF RESIDENCE W/COMP SHINGLES.SMOKE DETECTORS REQ PER 97UBC. FEE SUMMARY . Plan Check: $0.00 Calc Valuation: $5,300.00 Permit: $112.25 Claim Valuation: $5,300.00 SMIP Res: $0.53 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $112.78 PLANNING &ZONING SETBACKS • MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 ' Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: NOTICE: The work authorized 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: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized 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 final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 DECLARATIONS WORKERS'COMPENSATION DECLARATION: a 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. 0 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 If the permit is valued at one hundred dollars($10 )or less.) I 0 I certify that in the performance of the work for which thi- •ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of _' :mat, _•• -.•ree t -t ifrsho • •- • . ubject to the wo ars'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with fhacr•••41141/63.6.... r ^ Applicant Signature: 'S��.� � Y-�_ Date: 7 WARNING:FAILURE TO SECURE WORKERS'COMPENSATION•a'ERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OFr••MPENSATION,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• ovislons of Chapter 9 commencing with Sidon 7000)of Division 3 of the Business andProfessionsCode,and my license is In lull force and effect ia : / Class k Contractors .gnatuture: Date: e-7--"7 —57 0 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,CMI Code). Lender's Name: Lender's 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).): ❑ 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 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 her 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 properly who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers 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(38)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? 0 Yes 0 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? ❑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 end Prevention Program for acutely hazardous materials)? ❑Yes 0 N (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? 0 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 Duality Management District or from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be fumished 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 0 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(Duality 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? 0 Yes 0 No 8 (It 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 end 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 inspeotion Burp se> ree not to occupy or allow occupancy of any building authorized by this permit until final inspection. rietu , Of L'e•akOwner(s) And4ulhorized Applicant D to CODE I IN$PEgDONTYPE PAIS ibEIM818 INSPFCTION TYPE PATE Its 1616 Fixed System Final Fire Prevention ���111 nnn 206 Final Mechanical 1266 Pool Spa Final �lzy,� 208 Final Plumbing 200 Final Re-Roof 7r)1i99 1/�D,/ / 2110 Final Electrical 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 2446-46 4xn��4�, s� CI .. 1 OF C®STA MESAL. (,,, ,....;'+i ., CALIFORNIA 92626 P.O. BOX 1200 C 1::./.. FROM THE OFFICE OF THE DIRECTOR OF BUILDING SAFETY 9, '���rO�iPfro May 20, 1977 Mn. r. ,..', : ".ht 776 Hawaii CiAc2e _ • costa Mesa, CA 92626 Dean. S.ih: The greenhouse atJwctune built at the recut os your pnopeAty without a peAni,t .is in v.i.otation oS Section 205, os the Un,isonm Bwieding Code. I this atn.uctute .is not removed within Save (5) days we skate neques-t the City Attorney to proceed with the S.i.ei.ng os an action against you to ensonce compliance. Siinceneky, RICHARD HANHART Bwied.i.ng Sasety Dixecton RH/avc I �� OMPLAINT INVESTIGATION COSTA MESA BUILDING SAFETY DEPARTMENT P. 0. BOX 1200 ,. COSTA MESA. CALIFORNIA 3-7-7;2 _ _ ij Received by S= ! /a,! 646-241 I }late: �o� �' - X77 eS Made by: L� //^� Address / o. Against: —�-��/ «I _ / ' Address Directions: 4 / / Naturede2 of Campl t: All_ -l- - � / -- /i/ . — / . d/. &al-WA-el/XI / - r-/_2 01 AtIK y,_._,iyity, s_bd/tr y/ frAction taken: / �[ c7:.4,7r/y//lttr/0--, / ' Complete: Yes Complainant Yes By r-. ' ara40/� 3 No Interviewed: No Date: -"31. FORM 13U41-2M-5-64-CP UWNtIt APOLLO DEVELOPMENT DATE 1-22-70 JOB ADDRESS 1776 Hawaii Circle BUILDING PERMIT NO. 31296 GENERAL CONTRACTOR Same DESCRIPTION of WORK Residence W/Attached Garage AP No. _ LOT 30 TRACT 6¢94 FIRE ZONE VALUE $31.164.00 INSPECTIONS Signa re I Date GROUP I £ .1 TYPE V ZONE R-1 SOIL / e/%C.70 SUBCONTRACTOR PERMITS ISSUED GAS // 67 �(�/ ?a Number Signature WATER t_ L�G ��Q lr� ' '(//,V. - a PI bi q Date ROUGH PLUMBING / ! 70 PROP. SWR. LINE [HOUSE CON. V 6- Ictig.'td �,/ t .eFF; C / �/ -, e-'7 c��J/J/<. SPRINKLING SYSTEM [ _ ) / ��(�/1(.-� 6e MISCELLANEOUS / 1 ROUGH HEATING AND AIR CONDITIONING / �-/° TEMPORARY SERVICE OR POLE � 666 UNDERGROUND 2' POWER fl 4 C 6'70 ROUGH WIRING ��FJ -�f 70 /�r/ Heating a d Vent...)/ ��r h /// TRENCHES FORMS - STEEL REINF. E �l /-,D-7e !' h/.E'I l%//ZI- j I o 7c S ��t FLOOR SYSTEM ^ 9�/i�• s._9 7,/ ie/Y, • Y--,3-TQ .4Sez,' BOND BEAM n STEEL REINFORCE I I SHEATHING FRAME AND FLASHING'/ fc.w+tt/+ ".44.4 a 3t- ft-to LATHING - IN l OUT El9-ax-FO PLASTER, BROWN COAT .2,-9T-7.0 STRUCTURAL,ING, FINAL // /i, p/ flee-4 �-�7& y^7ff� HEATING, VENT., REFRIG. AND A.C.^, FINAL 7� 0•,�7a •�l !-GGf/I (r c' '� PLUMBING, FINAL AND GAS TEST rick-- Of G /✓ ELECTRIC, FINAL / ' BUILDING, FINAL !�Ao/2,/'7a -E • 1296Y PAID JAN 26 737„ ***159.75 COSTA MESA BUILDING-SAFETY DEPARTMENT t /4 /3 P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant toBUILDING Fill in Completely gECEI p�V DATER EIVED ADDRESS / 776 , ,uJ-t_L :.�_2ir ..1a, / 7-1ye DATE ISSUED- 0 OWNER Apollo Development Corp. A.P.NO. PEj,�iIbF 5 MAIL BUILDING /7 / d l/y J,� Z ADDRESS 1104 E. 17th Street ADDRESS Cc U-tl_L-.6. -cue(/ o- O CITY Santa Ana nLu ui Nio`' 547-9673 TRACT 6694 I LOT 30 BLOCK I- Z Z Q CONSTRUCTION NEW ADD ALTER I REPAIR MOVING DFMO1 ISH O m LENDER U. S. National Bank J X 7 BRANCH Main Office J') OWNER Apollo Development Corp. PO J ADDRESS 190 S. Broadway, San Diego VALUE -CO ARCHITECT TEL. USE Dwelling s 17,700 J < OR ENGINEER Kermit Dorius NO. 675-1164 U to FIREr .T u12 CI ADDRESS 3111 2nd Ave., Corona Del Mar ZONE TYPE GROUP.'tv Ct.w APPROVED J O CONTRACTOR Apollo Development Corp. BY DATE 71 Ca cc ADDRESS 1104 E. 17th Street /2e---h U J w TEL. ZONF� NO.OF e>"-BUILDING OF NEirta OL7.-L/. o= CITY Santa Ana NO. 547-9673 IZ PLANS / BUILDING / z � LLT c) STATE 252549 CITY 1690 YARDS APPROVED YARDS PROVED to CC LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING 7 0 (FROM C/L STREET) SIZE NO.OF BLOCS. +y� / OF LOT 60 x 100 I NOW ON LOT .L. FRONT -5-0 FT. T FT. USE OF EXISTING BLDG. - - R.SLOP ID FT. FT. H SIZE OF 2100 S.F. ROOMS t 9 2 Z NEW BLDG. ye STORIES L.SIDE I L FT. FT. 0< EXTERIOR ROOF COVERING WALL YlanSI COVERING Shingle REAR jE1 FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED 0- DISTANCE T. BET.MAIN& MAIN BLOCS. ACCESS BLOCS. 0. DATE Q Construct new dwelling with CU.P.#V.)- —6 & APP ROVED S.->0-19Urye O 1... attached garage. AP—BY ROVED t/t ,, Co DATE !a J (, /6 z0 VJ �N l I ~.1 CI hereby acknowledge that I have read this application and state HOLD FOR SFECIAL REQUIREMENTS D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F- any person in violation of the workman's compensation laws of cn the State of California. ;1 m Z I hereby certify that I am properly licensed as a contractor under /O t! SQ. FT. �O o the State of California Business and Professions Code, Division 3, THE AMOUNT S OWN UNDER VALUATION IS FOR Chapter 9,and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business VALUATION ` m and Professions Cod Division 3,Chapter 9. m PERMIT FEE $ / r.5 O N Signature of _ O m DJ/ / / _ / Permittee ✓R 6f Il �LyY�.s S 3f j 4 y PLAN CHECK S ,17 30'l255 E / o Authorized Agent -'C •'5 u TOTAL FEE S /✓q / LEID N, James VAIs 11-17-13 JOB ADDRESS 1776 Hawaii Cr. BUILDING PERMIT NO. 37552 jGENERAL CONTRACTOR OWner/Hldr. DESCRIPTION of WORK Patio Cover & Fireplace Lege_ AP No. 139-572-13 LOT 30 TRACT 6694 FIRE ZONE VALUE $ 1)700.00 INSPECTIONS Signature Date TYPE GROUP ZONE H1 SSOIL SUBCONTRACTOR PEpMITS ISSUEDGAS Date I Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER 0 ROUGH WIRING Heating and Vent. • TRENCHES 0 FORMS ED STEEL REINF. U FLOOR SYSTEM BOND BEAM ID STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING — IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST In ELECTRIC, FINAL ``/////�, /VJ-ra BUILDING, FINAL /Y ' -'1 552 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill/n Completely RECEIVED BY I DAIE RECEIVED D E ISSUED ;frALID IDRENSSG•-X/776 #a Lea;,,/'' Cr ��.�(]� �rt- f_15 ,OWNER Zl L( es La*LC en A.P. NO. IY'I —Cfl /3 P E Rry11T_.11�L01._( '1 -- BUILDING S '77' NAwri\II MAIL ADDRESS l t0 Z ADDRESS TEL ���I TRACT I-2 LU U1 Z LOT o BLOCK I- a CITY NO. Z Q CONSTRUCTION NEW I ADD ACFER REPAIR MOVING i1EM01 ASH O F-- LENDER BRANCH J C ADDRESS ��'� ` J4] OWNER/let /l m J ADDRESS �y� VA E m ARCHITECT TEL. USE / �//(/I a $ J Q OR ENGINEER NO. U N FIRE WCC ADDRESS ///JJJ ZONE Y E GROUP JO �{ iw // APPROVED /� /7-6--7iW Z CONTRACTOR C/�,(/1.(�G (+( hetet._ AY DATE mZ J cc ADDRESS LL w TEL. ZOAI.B,� NO.OF USE OF NEW PAT Z= CITY NO. ' `c� PLANS 2 BUILDING C+cv , H W_O STATE CITY YARDS APPROVED YARDS APPROVED cn CC LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING D SIZE NO.OF SLOGS. (FROM C/L STREET) //�� OF LOT I NOW ON LOT FRONT FT. `[1 FT. USE OF ((,�- EXISTING BLDG. R.SIDE FT. //SET. h' SIZE OF NO.OF Z NEW BLDQ. ROOMS STORIES L.SIDE FT. FT. VEXTERIOR WALL ROOF dry COVERING I COVERING REAR FT. a± FT. 1 .�Q15E OF BUILDIyIGOTfd BF Bpi Ff38A�ED MAIN BLDGS. ACCESS.BLDGS. C- I G `/ Q (]� VAR.# DATE Q I' c 0 C©/V � ,J p 1/3/ C.U.P.# APPROVED ~ /�gG/?C�E `/G!!"� APPROVED In RY ' ' - DATE lI-��/ 0 \ cT"Tr. VI hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ • any person in violation of the workman's compensation laws of N the State of California. TAX m zI hereby certify that I am properly licensed as a contractor under SO. FT. 6 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHINGbA/PERMIT FEE Quirt, 1= am exempt from Me provisions of the State of California Business VALUATION ��V(f,Ti+r/'1�' ,Li - and Professions Cnde,Division Chapter 9. m PERMIT FEE $ rJ o i Signature 0 f n //� / •�/7q'7 X/y m Permitteeearn !�Zhe/ lef( $ / a PLAN CHECK $ 1+ E Authorized A. TOTAL FEE $ 4111 'S'rLL • • e9 SIV ©e cJ: W:3\ I q NOV 1 5 19:3 ri -