The URL can be used to link to this page

Home My WebLink About2254 PAMELA LN - Building Permits• CITY OF COSTA MESA • BYILDING p/V/S10N 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CA�L: (774) 754-5626 PERMIT NUMBER: BX07-00278 PERMIT 7YPE B MISC STATUS: ISSUED APN: 42237216 DATE ISSUED: 12/11/2007 Zoning: , ISSUED BY: BJK JOB ADDRESS: 2254 PAMELA LN CM Suite/Unit: Vicinity: STUCCO BLDG Primary Occ: , Const Type :?? SQ. FT: 0 , Valuation: 55,000.00 SCOPE OF WORK: REPLACE SIDING WITH STUCCO (ENTIRE BLDG) FOR AN EXISTING 2-STORY 3-UNIT APT BLDG. NO OTHER WORK AUTHORIZED. OWNER: MORENO, DEMETRIO G AND IMELDA G City/S�ate: COSTA MESA, CA . Phone: �APPLICANT: MORENO, DEMETRIO City/State: COSTA MESA, CA Phone: 949-285-9674 CONTRACTOR: OWNER-BUILDER Address: Ciry/State: Zip Code: ARCHITECT: Phone ENGINEER: Phone Building Plan Gheck: Building Permit Elecirical Permit SMIP Residential SMIP Commercial $O.00TOTAL FEES UniC Address:: 709 W 20TH ST Zip Code: 92627 Address: 709 W 20TH ST Zip Code: 92627 Phone FEE SUMMARY 50.00 5111.25 $0.00 $0.00 $0.00 $111.25 Unit Unit License No. 000000 License No. License No. Y Cell: NOTICE: The work authorized by thi5 permit shall comply with all applicable handicap access req�irements under Calitomia statutes and related regulations. (Ord. No. 92-28, § t, 12-27-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be wnsidered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. FaiWre to obtain inspections and final approval will result in the expiretion of this permit. COUE �. INSPECTIONTYPE OrITE INiI71AL �E INSPECTIONTPE � INnnus 1616 Fixetl SyS�em Final Fire Prevention 208 Final Mechanical 1266 Pool Spa ��nal 208 Final PNmbing 200 Final Re-Rool 2t0 Final Elechical 201 Pinal BIoGWRetaining Wall � 272 Final Fire Preventi0n 202 Final Fac�ory Fire Place 220 Final Planning Approval 203 Final Sign 222 FinalSite 204 Final Der�olilion 250 Final Builtling/Occupancy � T�— � , WORKERS'COMPENSA710N DECLARATION • I hereby aKrm under penalry of perjury one of the following declarations: - ❑ I have an0 vrill 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 whic� this permit is issued. ❑ 1 have and will maintain workers'�compensation insurance, as requiretl by section 3700 of the Labor Code, for Ihe peAormance of the work !or which this pertnit is issued. My workers' compensation Insurance wrrier and policy number are: Carrier. (1ni5 secYion neetl ial0e m�npeled A ihe permn is valuetl at one nundretl tlMars (5100) wless.) Policy Number: I certify that in Ihe pertortnance of ihe work for which this pertnil is ss d, I shall not employ any person in any manner so as to become subject ro the workers' compensation laws of Califomia, and agree that if I should become subject lo the workers' compensation provisions o( Section 3700 of the Lab r de, I s with co p�ese Provisions. Appiicanfs Sig r � Da�e WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU8JEC7 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, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACT4R5 DECLARATION: I hereby affrm that I am licensetl under pmvisions of Chapter 9(commencing vnth Section 7000) ol Division 3 of the Business and Professions Code, and my license is in full force and eRect. Lic. # Class # Conuactor's SignaWre ��e CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn iha[ Ihere is a cons[ruction lentling agency for the pedormance of the work fqr wfiich this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Sgnawre OWNER-BUILDER DEClqRqTIONS: 1 hereby affrm that under penalty of perjury that I am EXEMPT FROM THE CONTRAC70R5 LICENSE LAW for the follovnng reason (Sec. 7037.5, Business and Professions Code: Any ciry or county which requires a permit to construct, alter, improv@, demolish, or repair any strucWre, prior to its issuance, also requires Ihe applicant tor such permit to fle a siqnetl stalement lhat he or sha is licen„ed pursuant to the provisions of tha Contractore License Law (Chapter 9(commencing vnth Section 7000) of Division 3 of Ihe Business and Professions CoOe) or that he or she is exempt therefrom and the basis for the alleged eaemDtion. Any violation o( Section 7031.5 by any applicant !or a permil suhjec[s the applicant to a civil penalry o( not more than fi e hundred dollars ($500�.�: I, as owner of the property, or my employees with vrdges as their sole ompensation, WILL DO THE WORK, and the strucWre is not intended or oRered for sale (Sec. 7044, Business and Professions Code: The Conlractors License Law does not appty to an owner of properly who builds or improves thereon, and who does such vrork himsel( or herself or lhrough his or her own employees, provided thal such impwvements are not intended or offered for sale. If, however, the building or improvement is sold .within one year of completion, Ihe owner-builder will have the burtlen of pmving that he or she ditl nol build or improve fbr.purpose of sale.). • . TRA TING WITH Owner ID verified riv�nse. Ves ❑ No Driver's License - Ezpires:/,�(�({Z, Venfication of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ' ❑ I hereby ceAAy that no excavation frve (5) or more feet in depth into wtiich a person is required ro descend, will be matle in connectbn v+ith v+ork authorized by this pertnit, and that no building swcWre, scaffdtling, falsework, a demolition or dismantling thereof, will be more than thirty-siz (36) feet high. (Chap. 3.2, Grp 2. Art 2. Sec. 347, Ttle 8, Califomia Administ2tive Code). ❑ As owner-builder, I will nol employ anyone lo do work which would require a permit from the Division of Industnal Safety, as notetl above, unless such person has a permi[ to do such work from the division. Appliwnfs $ignaWre Date Division of Industrial Safety Permi� Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuWre building occupant need ro fle and certify a Business Plan for emergency response to release or threatened release of a hazartlous material? ❑ Yes ❑ No (Section 25505 of the California Health and Salery Code requires, with some exceplions, that a Business Plan be fled with the Costa Mesa Fire Depanment by every business which has at any one time tluring a reportetl year a quanliry of hazardous materials equal to or greater �han a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet o( compressed gas at standard temperaNre and pressure). 2. Does or will the applicant or present or luWre building occupant need to fle a registration fortn for awiely hazartlous matedals? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safety CoOe, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which a[ any one lime has on hantl a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a votume of 55 gallons, or Z00 cubic feel of compressed gas at standard temperaWre and pressure). 3. Does or will the applicant or present or fuNre building occupant neetl to prepare an RMPP (Risk Management and Prevention Program for awtely hazardous materials)? ❑ Yes ❑ No (Section 25534 ot the Califomia Health and Safety Cotle provitles that the Costa Mesa Fire Department may require the preparation, certifcation antl filing wilh the Fire DepaAment o! an RMPP by businesses which are required b register awtely hazardous materials with the Fire Department. 4. I( an RMPP is presently required, has Section 25534 of the Califomia Health antl Safety Code been fully complied vrith? ❑ Yes ❑ No 5. Does or will Ihe appliwnt or preseN or luture building occupant require tor the work which is the subject of this application a permit for such wnstruction or modifcation from Ihe South Coast Air Qualiry Managemenl Distric[ or from any other air pollution control distnct or agency'! ❑ Yes ❑ No (Sec[ion 658502 of lhe Cali(omia Govemment Cotle requires that the requested intormation be fumisheC on applications for non-residential building pertnits). 6. Will any paA of the faciliry to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Ves ❑ No Qf'yes", the faciliry mus[ meet Ihe requirement of Sections 25534 and 42303 of the Califomia Health and Satery Code). 7. I( a permit from the South Coast Air Quality Management DisMcl or other air polWtion control disMct or agency is required for t�e vrork which is the subject o( this application, have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If "yes", attach certificate o( crompliance from the appropriate air pollution control oKcer). CERTIFICATE OF'COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws antl city ordinances regarding Hazardous Materials antl Emissions.. , ❑ I, as ovmer of Ihe property, am ExCLUSIVELY CON C LICENSED CON7RACTORS to consWct the project (Sec. 7044, Business and Professions Cotle: The con[ractors License Law dces not apply ro an ovmer of s�gnamre oa�e property who builds or improves thereon, and who contracts fw such project vrith CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s) license pur5uant to the Contractors Ucense Laws.). certify untler penalry of perjury that I have read Nis application and state that ❑ I am exempt un0er sec. � the information given is covect. I agree to comply with all sWte lavrs and city ordinances relating to building conslmction, and authonze representatives o! Business antl Professions Code for this reason: the City of Costa Mesa to enter upon the abpve-described property for inspection purposes. I agree nol to occupy or allow occupancy of any builtling � authorized by this permit until final inspection. ��l SiBn, lure ol Legal Ovmeqs) Date/ i tpre Oa�e � �l i A �. f4/ �/ l� f�� l� � 305]-A6(3/01) � � na/or A o rzee AppL�nl Dale / I I � / ' � / � � / � / OWNER-BUILDER VERIFICA7'ION #: �b � DOZ7� A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the retum of, an owner- builder verification. Attention Property Owner: An `owner-builder' building permit has been applied for in your rtame and bearing your signature. Please complete and remm this information in the envelope provided at your earliest opportuniry to avoid unnecessary delay in processing and issuing your building permit. No buildin¢ uermit will be issued until this verification is received. 1. 1 personally plan ro provid� the major labor and materials for construction of the proposed propertyimprovement,� Yes ❑ No 2. have ave not) signed an application for a building pertnit for proposed work. 3. I have contracted with the following person (firm) ro provide the proposed construction: Name Address Phone ( ) City — Contractor's Lic. No. 4. I plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work: Name Address Phone ( City _ ConVactor's Lic. No. 5. I will provide some of the work but 1 have contracted (hired) the following persons to provide the work indicated: Name 10a2-A6 (Rev.ttroa) Address Phone Type of Work CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 DEVELOPMENTSERVICES DEPARTMENT New State Law: Swimming Pool Safety Act of 2006 (Assembly Bill 2977) Effective January 1, 2007 California Health and Safety Code Section 115928 "(d) Whenever a buildin�permit is issued for the remodel or modification of a sin�le familv home with an existin� swimming pool, toddler pool, or spa, the permit shall require that the suction outlet of the existing swimming pool, toddler pool, or spa be upgraded so as to be equipped with an anti-entrapment cover meeting the current standards of the American Society for Testing and Materials (ASTM) or the American Sociery of Mechanical Engineers (ASME)." Number Permit Applicant or Contractor's Affidavit (Please check appropriate box): ❑ There is an existing swimming pool, spa, or toddler pool on this property. I will install an anti-entrapment device that conforms to this law, and I understand that the installation of this device is required prior to final building inspection approval. There is no swimming pool, spa, or toddler pool on this property. Building Division (714) 754-5273 • Code Enforcement (714) 754-5623 • Planning Divisian (714) 754-5245 FAX (714) 754-4856 • TDD (714) 754-5244 • w�vw.ci.costa-mesa.ca.us z . wW a c� Z ZQ H am J � J � Q W 4] J J m Q U N ZQ w� aW WZ J Q m Z J ¢ W W O= zF w� N Q 70 ✓�' �3503.4. PAID AUG -4-72c�iswOO 388� ***�'�Z.fi� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 . Fo�ApplicanttoFillinCompletely APPLICATIONFORBUILDINGPERMIT RE�I�D BV D� R E�VED DATE I SU ADIDRESS 2254 pamela Lane �� 0 OWNER Roy J. Ward Co. A.P. NO. ..�u�-I '� C P MIRN6 MA I L BUILDING ADDRESS 1707 `�:Pestcliff Drive ADDRESS CITV Newport Beach �,T,o`646-0228 TRACT �I Fb�oT 3i BLOCK CONSTRUCTION P IENDER \/ /� BRANCH /' OWNER� Q . ��R.��—�[i ADDRESS ARCHITECT TE � V , U$ � ORENGINEEF RO K�LEEI N S� � ADDRESS 211 Walnut St, Newpott Beach ZONE TVPE r GFOUP� APPROVED CONTRACTOR BV DATE ADDFESS TEL. Z�N Z� PLAPiS � BUILDING EW '� cirv No. -1'Ri ('i•�cx STATE CITV �'ARDSAPPROVED YARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE G NO.OF BLOGS. (FROM C/L STREET) OF LOT 63�V1 X 1�8.0�/96�1 NOWONLOT O R ry7 � FT. FT. use oF None ^ EXI5TING BLDG. J� FT. SIZE OF NO.OF NEWBLOG. ROOMS STORIES L.SIDE S FT. FT. EMERIOR WALL WOO R�OF COVERING COVER�NG REAR J FT. FT. USE O�ii Ij.eING AN WORK T B�PERFORMED DISTANCE BET. gEf. MAIN & � MAIN BLOGS. ACCE55. BLOGS. �e CURP.3WG\"%�= `i(. APPE -5�%� � .z APPROVED s � I heraby acknowletlpe tHat I have reetl Shis appltcation antl state L thet tha ebova informetion is corract antl aBrea to comply with all lews regulatin8 builtli�8 �onsttuction, antl I shell not employ �{QL�� any Oermn in vlolation of ihe workman's compensation laws ot th¢ Stata of California. � � I �ereby certify that I am Propa�ly Iicensatl as a conbactor untle� $Q. FT. the Ste[e of Calitornie Businezs enA Proteszions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chap[er 9, antl [h¢t Such Iic0nse5 are in tull force antl et7«t, or I lliE PUfiPO6E OF ESTABL6HING A PERMIT FEE ONLY: am exempt from�e ro��s sqf the State of Calitornle Business VALUATION and Pro4essfons o e i� � � Chapter 9. � pERMiT FEE $ Sipnature ot �j/, �jJa � � � Permittee ' , "' $� �J(/(/ PLAN CHECK $ Authorizetl AOent / �� TOTAL FEE 4 � Z . aU H Z ZQ O v~i am J� J N 0] J m J Q U N Za w � aw WZ �'O mZ J � W w � ZH W � N � �O 3So3� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 nr.r � �-��hs°00 Bes ��-= 139.00 APPLICATION FOR BUILDING PERMIT For Applicanf to Fill in Completely RECEIVED BV DATE RpECEIVED DATE I/$]$ UE''D7 BUILDING � `l ` L/ �J jO�� 1 —� �O— ��( ` / ADDRESS L ! G ..�h`T PERMIT NO. OWNER O `�!c � D (�! A.P. NO. � — V MAIL ADDRIESS rL�L� /�'(�Li/ �^ AODRESS TEL. TFACT LO 3 BLOCK CITV NO. CONSiRUCTION W P LENDER BRANCH ,(�/� OWNER < /J7'�� ADDRESS r � UA�US ARCHITECT TEL $ � �� — OR ENGINEER N FIRE ADDRESS ZONE TVPE GROUP APPROVED O ^'�—.i Z CONTPACTOR BV DATE ( ADDRESS TEL. �ONE NO.OF� BUILDINGE��C CIT V NO. P�NS STATE CITY �'ARDSAPPROVED YARDSAPPROVED LIC. NO. LIC. NO. MAIN BVILDING ACCESSORV BUILDING SIZE NO.OF BLOCS. IFROM C/LSTREET) OF LOT NOW ON LOT ROM' � FT. � L FT. VSE OF EXISfING BLOG. / � FT FT. SIZE OF NO. OF NEWBLOG. ROOMS STOflIES L.SIDE FT. FT. EXTERIOR WAIL ROOF !� COVERING COVERING REAR lJ FT. FT. USE OF BUILDING AND WO(iK TO BE PERFOFiMEO DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCfSS. BLDGS. '� � C URP. r�Z � �C,�,p APP OVED G/S/J� APPROVED U �� .2— I heraby acknowletlge t�ot I have reatl ihis applitation antl s[ate ��L ryrQ thet [he ebov¢ intormatiOn is cOrract antl aBree to comply with H all laws reguluting builtling construction, antl I shell no[ amploy any person in viototion o( the workman's compensation laws oi t�e Stere of Cnlifornlo. ./� 11� I heteby certify Ihat I om properly licensetl as a contractor untler �J` SQ. FT. tha S[ate of Californie B�einess antl Pro(euions Cotle, Divlsicn 3, THE AMOUNT SHOWN UNDEP VALUATION IS FOR Chepter 9, entl [ha[ suc� litanws nre In tull forto ontl effoct, ar I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am axampt irom e p �s�iP n of [he S[ata of Calitomia Business VALVATION I�[} antl Professiona tl Ivi jo 3 Chapter 9. PERMIT FEE 5 �� D O � Sipnat�re o� Permittee S / PLAN CHECK $ Authorizetl ABant � � �r O � TOTAL FEE $