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HomeMy WebLinkAbout366 GRENOBLE LN - Building Permits(714) 754-5273 • Fan (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 366 GRENOBLE LN Suite: Vicinity: GARAGE ONLY Parcel Number: 43914128 Applicant: HANSEN, DUKE Address: 260 E. ALTON AVE Zoning: Phone: (714)557-7440 SANTA ANA, CA Zip: 92707 6�� � G�5 Jf�� owner: 6NG;-B EVERN'-H Address 366 GRENOBLE LN COSTA MESA, CA Contracror: ROSS 8 BARROWS INC. Address: 260 E. ALTON AVE SANTA ANA, CA Zip: 92707 Arch : Address: Phone: Zip: 92627 Phone: (714)557-7440 License: 327802 Eng: Address: Phone: Status: ISSUED Applied: O6I262001 Issued: O6/26I2001 ISSUED BY: Phone: Zip: License: License: SCOPE OF PERMIT REROOF GARAGE AREA OF EXISTING CONDOMINIUM FOR "BACKBAY GARDENS HOA" (4 SQ). TEAR OFF & INSTALL NEW BUILT-UP ROOF SYSTEM. Plan Check: $0.00 Permit: $57.05 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $57.55 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0.0 PARKING Existina: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $1,550.00 $1,550.00 NO710E: 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, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or ii work is suspended or abandoned for a period of 1 BO days. • ' INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapeetlona and final approval must be obtained. Failure lo obtain insDections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 zmaaa �aroo� WORKERS' COMPENSA710N DECLARATION: I hereDy aNirtn under penalry of perjury one of ihe following dedaretlons: ❑ I have antl wlll mainlain e certificate ot wnsent to self-Insure lor workers' compensatlon, es provitletl for by section 3700 of the Lebor Cotle, for the pertortnence of Ihe work Por which this pertnit is iuued. entl wlll n insurance, es required by sectlon 3700 of the Labor Code, for the pertortnance of the work for which Ihis pertnit Is Issued. antl pallcy number ere: �,�/(�/ �,�7�7 � Policy Numbar: � L/T.�� `� " " �� � velued et one huntlred dollers ($700) or less.) --� --' ❑ 1 cerlify t�at In ihe parformance of the work for which thfs permit is issue4 I shall nof employ any person In eny manner so as to become subject [o the workers' compensetlon lews ot Califomia, end egree that Il l should become sub�ect to tha workers' compensatlon provislons of Section 3700 of the Labor Coae, I shall forihwith �'—compry wm masa � s�+s. / ApplicantSigneWre:� .��� �� i �—�_��� Dete: _� `Z A "O/ s WARNINO: FAILURE TO SEGIFE WORKERS' Q7MPENSATION WVEWIOE IS UNIAWFUL AND SHALI SUBJECT AN EMPLOYER TO CRIMINAL PENA�TIES AND GVIL FlNES UP TOONE HUNDRED THOUSAN� DOLLAFE (S10D,000). IN ADORION TO TME COST OF COMPENSATION, DAMr1GES AS PROVIDED FOR IN SELTION 3]OB OF TME LABOR CODE, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTOAS DECLARATION: I hereby eflirm ihat I am IlGensed�under pmvisic �o«a e�d ana�i. u�. « 327 �� CONSTRUCTION LENDING AGENCY: 9(commencing wit� Section 7000) of DlWsion 3 ot t�e eusiness ❑ I hereby ettirm that there is a consiruction lending agency for the pedormence of the work for which this permit is issuetl. (Sec. 3097, Civii Catle). Lentler's Neme: Lender's Address: Signature: OWNER-BUILDER DECLN�ATONS: Date: id my licen5e is in full v I hereby flHirtn that under penalry oi perjury that I am EXEMPT FROM THE CON7FiACTORS LICENSE LAW lor the tollowing reeson (Sec. 7031.5, Business antl Pratesslons Cotla: My ciry or county whic� raquires e pertnit ta construct, elter, improve, demolish, or repair eny slrucWre, pnor to iis Issuance, also reduires the applicant tor such pertni� to file a signetl statement t�et he or she Is Iicensed pursuent ro ihe pmvisions of the Contradors License Law (Chepter 9(commencing wit� SecUon 7000) of DlNsion 3 of the Business end Professions Cotle) ar t�at he or she is e:empt therelrom entl the �asis for Ihe ellegetl ezemption. Any violation at Sedion 7031.5 by any applicenl for e permll sublects Ihe applicant to e civil penalry oi not more then live hundred dollars (5500).): ❑ I, as owner ol Iha property, or my employees with wages es their sole compensation, WILI DO7HE WOAK, antl t�a structure is not intendetl or otteretl for sele (Sec. 7044, Business and P�ofessions Code: Tha Contractors License Law Coes not apply to an owner of property who builds or improves thereon, and who tloes such work himselt or hersetl or �hrough his or her own employees, Providetl that such Improvements are not Intendetl or oflerad for sale. I(, however, iha building or improvement is soltl within one year oi completion, Ihe owner-builder will have the burden of proving Ihat �e or she did not bulld or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Pwtesslons Cade: The conirecto�s Ucense Lew tloes not epply to an owner of property who bullds or Impwves Ihereon, and who contwcis for such projecf wil� a contrector(s) license pursuent to Ihe Contractors License Lews.). ❑ I am e:empt under sec. eusiness and Professions Code for this reeson: Signature: Date: Owner ID verified by drivers license. ❑ Ves ❑ No DriveYs Licensa No. Expires: Vedlication ot Ownership by (rype of document, i.e. - pmperty �ax bill or deed): DIYISION OF INDUSTRIA� SAFETY PERMR CERTFICATION: ❑ I hereby certity t�at qa excavation five (5) or more teet in depth into which a person is required Io tlescend, will be matle in connectio� wilh work euthodzed by this permil, and that no buil0ing slrucWre, scaHoltling, felsework, or demolilion or tlismantling ihereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlminisirative Code). ❑ A5 owner-builtler, I Will not employ enyone to do work w�ich would raquire a pertnit from �he Division ol Indusirial Se�ery, as notetl ebove, unless such person �as e pertnit to do such wo�k Irom tha division. Signature: Date: Division ot Industnal Sefery Pertnit Number: CERTIFICA7E OF COMPU�CE AND AUTTIORIZATION OF ENTRY: I certify under penalry of perjury Ihat I heve reatl ihis epplication and stata Ihat the informelion given is correct. I egree to compy with ell state laws and clry ordinances relating to builUing consiruction, antl euthotlze representatives of the Gry of Casta Mesa to enter upon Ihe above-tlescribed property tor inspection purposes. I agree not to occupy or allow occupancy of eny 6uiltling authorized by ihis permit until tinal inspeciion. GOOE t. INSVECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Finel 200 Flnel Re�Root 201 Flnal BIacWRetaining Wall 202 203 Final Fectory Fire Place Final Sign 204 Final Demolition o�re INTRIALg � ��` '— +ic--a CODE� �xsaecnoNTrve 20fi Final Mechanlcal 208 Final Plumbing 210 Final Electdcel 212 Finel Fire Prevention 220 Final Planning Approvel 222 Final Site 250 Final Builtling/Occupancy P97E 1tillUe6$ AOP���ant to fill in all spaces except those within heavy borOer lines antl sign a11 appropriate tleclarations. •GSTY OF COSTA MESA ' � P MIT NO. TRACT NO. LOT NO. BLOG. . � • CONSTRUCTION PERMIT - —. � Q � � ' Project Address � � /� � �"`� ��+ ApplicanYs Mailing Address /" C% O%C �� 3S� L• M' 41C.2� Owner's Name RP_�f.h%V iQ1^M C7LFoNA -phone'����a_`L7 Address �� � � �N� ��� �—� Arch/Eng. ' License No.' Address Cont�actor'sNam st�Phone'63�'d��y Addiesslmailin9) p� ���3SS C�t• 9zCz� City Lic>nse No. Q � ��� � 'LICENSED CONTRACTOR DECLARATION I,hereby affirm that I am litensetl untle� provi5ions of �Charter'9 (commencin9 • with_section 7000) ot Divislon 3 of the Busine5z antl Protesslons Cotle, antl my license is in full f rce nd ffect. LicenseCl s — icenseNo�i� y�339vi. Da[e'�� � Signature � � - /-�/'L"�""� . 'YORKERS' COMPENSATION DECLARATION iereby affirm tnai 1 nave a certiticate of mnsent to selt-insure or a certifiwte i Workers' Compensatlon Insurance, or a certifietl copy [hereot (Section 3800, Lab. C.) � Policy No. Company �Certitietl copy is hereby fuenishetl. � Certified copy is filetl with [he city Builtling Divisian. Date APplicant E%EMPTION FROM WORKERS' COMPENSATION DECLARATION -� (This sectiOn neetl not be completetl if the permit I5 for one huntlretl (5300) or Rss)" 1 certi�y thatljn the pe�to�mance of thC work fo�'which this pe�m�t is i55uetl, I shall not employ any person in any ma ner so as to become subject to the . Workers' C m e t'on l.aws of Califo a. Date 5 �Si9nature f � �'� NOTICE: f; after makin9 �his tleclaration, you shoultl become subject to the Workers' Compensation provi5ion5 of the Labo� Cotle, y0u must forthwlt❑ comply with such provisions or this permit'shall be tleemeE revoketl. CONSTf3UCTION LENDING AGENCV ' I hereby affirm that there is a construction lentling agency for the performance ot the work tor which this permit is issuetl (Section��309] Civ. C.) Lentler's Name LPntlef's Htltlre55 OWNER BUILDER DECLARATION ' � �I hereby af(irm that I am ezempt trom the G6nVactor's License Law for fhe lollowing reason (Section 703L5 Business antl Pwfesstonal Cotle: Any city or � county whicM1 �equires a pe�mit to conStruCt, alter, Imp�ove, tlemolish o� repdir . 'any structure, prior to its issuance, also requires ihe appiicant for such permit [o tile a signetl statement that heJshe is licensetl pursuant f0 the p�ovisions ot -`--,Contracior's License Law (Chapter 9(commencing with Section 7000) oi ;,�,"J`Sion 3 of the Busine55 antl Protessions Cotle) or that he/she is exempt ,i�%,'�?from antl the ba5i5 for the alle9etl exemption. Any'vlolation ot SectiOn :'.&i1.5 by, any applicant tor a permit� subjects the applicant to 'a civil ���nalty of not more than five hundretl tlollars ($500). LJ I, as.owner of the oroperry or my employees with wages as meir sole . mmpensation, will tlo che work, antl the'structure is mt intentletl or oifered ', Jor sale (Section �044, Business antl Professional Code: The Contrac[or's License Law tloes not apply to an,owner of a property� who builtls or improves �thereon, antl who does such work himself/he�self or through his or her ow� �employees, provitletl [hat such improvements are not inYentletl or ofteretl f0/ �sale. It, however, the builtlin9 or improvement is sold within one year of com- ,pletion, the owne� will'have the burtlan ot proving he/she tlitl nOt builtl or irn- .� rove for the purpose of sale). I, as owner of the property, am exUusively contracting with licensetl con- � .tractors to construct the project (Seciion 7044, Business antl Professions Cotle: Tne Contractor's� License Law tloes not apply to an owner of property who builtls or iTproves thereon, antl who contracts to� such projeGts with a cOn- tracto�(s) license pursuant to the ConVactor'S License L.aw). ❑ i am exempt under Section B. & P. C. for this reason Date Owner� I hereby certify that I have reatl thls apPlication antl state tliat the above information is correct. fagree [o compty with all city antl county ortlinances and state laws relating ta builtling construction, antl hereby authorize repre- sentatives ot this city to enter upon the above-mentionetl pro erty for in5pection pu ses. � Date �� Z Si9nature TYPE OF CONSTRUCTION LI NEW • LJ ADD LI ALTERATION LJYREPAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � A.P. # � DESCRIPTIONOFWORK CA-OA-¢h L-/�.h Y��FJIGY4 �—� S Main Builc TVPE OF PERMIT ❑ GRAOING�/ FD UNDATION ❑ STRUCTURAL T Front' ❑ TENANT ❑ ELECTRICAL L7 PLUMBING ❑ MECHANICAL 6 Rear ❑ �OTHER - ' A C Right PROJECT DESCRIPTION 5p. Fr. OCCUaarvCv K CONSTRUCTIONTYPE VALUATION$ S Left 20NE GRA�INGCU.V�S. .ACRES P�ng.Ref.# ' Remarks: ' ' Parking Req./P Sink r Irrigation Drinking Fou Floor Drains Floor Sinks Gas Service Interceptors Kitchen Sink Lavatories Roof Drains Outlets Reinspection Fee $25 Boiler Duct - Under Ground , Duct - Structural Duct - Veniilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑4100,000 BTU 0700,000BT orivers''License or�55 � I I Reinspec[ian Fee I $25 CMF 0865-46 rev. 7/83 White - Bul Itling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor Use of e FEES Planning Service Sink Sewer Cap . � Sewer Connection Solar Collectors ' Solar Piping, � Solar Tank Swimmin9 Pool w/Spa Urinal 'Water Closet' ; � Water Heater ��� Water Service - � ' . Issue Fee $ 3 iANICAL ' ' FEE Hood or Type I ❑ . Canopy , Type 11 ❑ . Refrigeration System ❑aioo,000eTu ❑ioo,000aru System Repair/Alteration , � Issue Fee $ 3 9:�'. ��/�: /v.' . Zone ' Accessory Building: - ' I Park. Fees $ � . � ' _ ELECTRICAL - Automatic Washer'� � �Transformer ❑ 15-50 KW � ..'__'_.._'.__,._._:.. . ❑50+KW � 70? - T, Cooliin9 Unit " Meter LJup to 700 amps Dishwasher � y;�� � Meter �over100amps Dryers �Gas� OElectric SubPanel ' Fan Motors � 0-1 HP 01'/: - 8 F.A.U. Inc.Solar �9-15 HP �16-15+ ' Fixtures 'Microwave � . Device Boxes Pole Light Outlets . � � Range � Switches Sign � Garbage Disposal'. ' Standing�Sections Generamr �0.5 KW �5�15 KW 7rash Compactor . ' O N I N G R E � U R E N E N T I Reinspection Fee ' I$25 � luue Fee I $ 3 I PUBLIC SERVICES REQUIREMENTS: ' Zoning Approved By Date Application Approved By ' Date Appliwtion Issued By � �! � Date__!�� � SUMMARV OF FEES . BUILDING PERMIT � $ SMIP $ � PLAN CHECK �$ PERMIT � PLUMBING , � $ D � �SSUANCE $ , PLAN CHECK $ ENERGY P.C. $ ELECTRICAL $ GRADING $ � PLAN CHECK $ MICROFILM , $ � MECHANICAL $ TOTALFEE $ 7. D(� PLAN CHECK $ .. G�. CONSTRUCTION ANDPLANNING � . �' �� � - ?OC SPA ' Date, ��Inspector' • � Date� Inspector APPROVALS�' Permit#', , . �;APPROVALS Permit# - ,��1. Temporary Electrical Service�or Pole ' � � 52. Pool & Equipment Location i • � �2.� Soil�Pipe:Undrgmd�. � � � �� � � . 53..Steel Reinforcement . ' - , �� -:3.� Electrical ConduiYUtility-Undrgrnd. � ' ' • 54. Forms_ � � 4.•Electrical;Conduit-Undrgrnd. . ' 55. Electrical Bonding ,�. � 5,� Steel ReinforcemenY • � � � - ' ' 56. Rough Plumbing & Pressure Test � - � r � "6.Y�Electc;cal"UFER.Grnd. , � . . 57. �APPROVAL TO COVER-GUNITE �. 7.� Footings " �. . 58. Electrical Conduit-Undrgrnd. 8. Foundation ,_ • '_ _ 59. Gas Pipe, O Undrgmd., Test . 9. _Water Pipe-Undrgr'nd. : �-f 60. Backwash Lines, P-Trap, O Undrgrnd. ' 101 Structural Floor,System -- , ;.� 61. APPROVAL TO DECK �� . 11. Property Sewer Line & House Connection � 62.-.BackwasFi�& Receptor-Final , . 12, Sewe�'Cap � � . � . � � � 63.��Heater & Vent-Final � 13. Roof Drains � , "' , 64. Plumbing System - Final - � Y� 14. Rough Plumbing " 65. �Electrical-Final � � 15: RougFi Electrical�Conduit� "�� ' 66. Solar System-Final " • ' � : 16. Rough Electric Wiring ' � -' � � � 67. �Fencing & Access Approval 17. Rough Wi�ing Sign � � � 68. APPROVED FOR PLASTERING � '18. Rough Electrical-T Bar Ceiling , ' � 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning �. . � FIRE DEPT. REQUIREMENT � 20. Rough Factory Fireplace ' APPROVALS Permit # 21. Ducts, in Structure ' � � � �' 70. Underground Hydro 22. Ducts, Ventilating _ � ' 71. Product Piping O Gas •� Oil .. 23, Gas��Pi,pe-Rough & Test ' , 72..Underg'round Flush � 24. Roof: Framing ' '. " � � 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing �.- � � 74.-Overhead Hydro � - � 26. T-Bar�Ceiling (Structural) & Monocoat � . - 75. Dry Chertiical 27. Frame and Flashing � ' � , 76.-Dry Standpipe ', 28. Lathing&Siding� � ' � 77..-FIXED.SYSTEMFINAL � 29: Insulation - � � 78. FIREPREV. FINAL 30. Drywall Nailing � ' HEALTH DEPT. REQUIREMENT ' 31. Plaster Brown Coat � �� . 79. FINAL'INSPECTION � � 32. Elect�ical Power Meter-Finai . � ' 80. FOOD CERTIFICATE ISSUED 33. Final Electric , � , . ' � � ' � Notes: � 34. Fina( Heating & Air Conditioning � _ 35. Final Gas Pipe-Test , _ � , � 36. Hood or Canopy ' ' - � ' . � 37. Final Factory Fireplace � ' 38. F.inal Plumbing' ' � , � . w�9�� L�. � . � � 39. Water Service-Final � ' . 40. Gas Service-Final ' � �, � 41. SolarpomesticFinal . _ • ,� ' . ,. , � 42. Backflow Preventer • � 43. Backflow Irrigation � - _ . , 44. .Landscape Irrigation System ' � . . 45. Sound Attenuation ' , � ,� , ' � � 46. Handicap Regulations � . � . � � � ' � � � ' ' . � 47. FINALSTRUCTURE&BUILDING , 48. Special Requirements;Completed � , ' � � , � � 49. Electric Release to Edison '-� -'� - ' � 50. Gas Release to Southern California Gas Co ' � , ' � � � , ' • 51. CERTIFICATE OF OCCUPANCY � _ ' . No. � ' Date ' ' � . , � , • . DOYLE & SHIELDS C :RAL CONTRACTOR /)a ���_ Com. Co..Inc. �VV• BUILDING PEAMIT NO. VnLUE S 19. 17.69 suacoNTfuc�rox s.� i.:�'atrocwwr-.,..... . e���� COSTA•MESA BUILDING-SAFEfY DEPARTMENT . P.O. BOX 9f7 COBTq MHHA. CALIFORNIA For Applicdnt fo Fi11 In Completely TYPE OR PRINT BUILDING �% � 'Qj��` ADDRESS b tJ COSTA MESA, CALIFORNIA crrr Y1 w e . �r, �, ARCHITECT • /� OR �^�GINEER 0..�1 l� � e. �a !�/ o u l.v¢s1` �,T� S �,.. �. �� No./� �-as�-'�3-I No'PR Y�oao OIF LOT 33 � s3..i 0� �„ew;„ �rs�- USE OF —�� EXISTING BLOG. 6ETBACK 4NH FROM � CENTER OF STREET •� � REAR YARD —J SIDE YARDI LEFT �� RIOHT �'� DESCRIPTION OF WORK � e n c a W 7 aG[� c c( o �e 5�� 1 HEREBY �CKNOWLE�Ge TXAT 1 X�VE PEAD THIe APPLIC�TION ANU 6TATE THAT THE ABOVE I8 CORFHCT ANO AORE6 TO COM- PLY W�TH ALL CITY ORDINANCH9 AND YTAT[ L�Wi HHOt1L�TINO BUILDIN6CON8TRUCTION. _ , AUTHORIZ6DA6HNT /�r,� , FE�F RECEIVED 3 1963 • fII�A�VCE DEPT. APPLICATRSFI F�� ��� MESA BUILDING For ONice Use Only I - c. BU IN6 r'�(/ / AD E53 oi to (E• FIRE q� ZONE T' LEOAL � Di8CP1I�lON A. P. NO. _� NOTE: NO EAYE OV ER 90^ TO SIDE 8 REAR F EAVES � ALLOWED YARDSAPPROVED MAIN BIIILOING ( FROM C/L STREET) FRONT O FT. R. SIDE O FT. L. SIOE O FT. R6AR I O �, DISTANCE BET. MAIN BLOGS. •� VAR.ij � THE AMOUNT BffE PVpPOSE OP iYs' VALUATION s�J,�l�� ZONING IU6E OR BUILDII 63 .cQ �/'a� 35�3: SHALL BE LE55 TMAN (U.B.C.REQUIREMENT YARDSAPPROYED ACCESSORY BUILOING BET. MAIfJ Q ACCESS. BLI OATE n UNOEp VAIU�TiON 19 FOH THE ISXINO A PERMIT FEE ONLY. �`7(!D