HomeMy WebLinkAbout2040 PRESIDENT PL - Building Permits0
� CITY OF COSTA MESA �
BDl1DING D/VISION
.: �
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ra.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: BC08-00570
PERMIT TYPE: B COMBO STATUS: ISSUED
Sub Type: RES_RRIP DATE ISSUED: 12/23/2008
_ . - _ _ . ISSUED BY: RMD
�os aooRess: 2040 PRESIDENT PL CM `, Suite/Unit:= .
APN: a22a9a12 . .:.Zoning: : , - , - _ �
Vicinity: �' �PrimaryOcc:- R3
ConstType: V-B ..- . SQ.��FT:'� �� 188 � . �- Valuation: $27,377.20
SCOPE OF WORK: 188 SQ.FT. 61NGLE STORY ADDITION TO SFD (MASTER BEDROOM EXTENSION WITH NEW FULL BATH)
WITH 1 VENT FAN, 7 LIGHT FIXT$, 10 OUTLETS, S SWITCHES, 1 SHOWER, 1 WASH BASIN AND 1 WATER CLOSET.
OWNER: SICILIANO,$AVERIO� � - � � Address: 2040 PRESIDENT PL � � � - � � . Unit;
Phone: 7143923866� ,� ' ` � � �,City/State/Zip:'�COSTA.MESA,CA � � . �- ��;a��� . �
t ,
APPLICANT: SICILIANO,SAVERIO =��u � - " ��Address: ' �� - .� Unih : �
Phone: 714-3923866 � � - - ...�City/State/zZip: � - _ � - . - �
CONTRACTOR: OWNER-BUILDER , �. �� --� . LicenseNo. 000000�. . . '
Phone: ' " ' ' �Address: Unit � - -
Celi: �' � . City/State: � � ZipCode '
ARCHITECT: qRHTUR�KENT � � . ' -License No.C15748- � � � �- ,- �• PHONE�71�4-969-6306
ENGINEER: '�� - � . � .� . � �icense No. � - �PNONE:', � �
CQMBINATION PERMIT FEE SUMMARY
Building Plan Check: _ • � $274.33
BuildingFees: � � � �„�,�$422:05
Eleclrical Fees: . $51:00
MeChanical Fees: � .. � $30:75
Plumbing Fees: .. .. � � $52.90
SMIp Residential: . � � .$2:74
SMIp Commercial: �.. $0:00
TOTAL FEES: $833:77
"ReFer to fee receip[s for all fees paid for project -
NOTICE: Tbe work autbonzed by fhis permit sball wmply with all applicable bandicap access requirements under Califomia statules and related
regulatlons. (Ord. No. 92-28, § 1, 12-21-92) �
EXpIRATION: PERMIT EXP�RES 780 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSpECTIONS: In order tor the work authorized under this permit lo be wnsidered legal, such work must comply with all applicable codes, and all
�equired inspections and flnal approval must be obtainetl. Failure to obtain inspections and final approval will result in the expiration ot this permit.
caoe.. inuecnoxttve gy�€ ixnnn�s
1818 Fixetl System Final Fire Prevention
1268
200
�1
202
203
zoa
Pool Spa Final
Final Re-Roof
Final BIocWRetaining Wall
Final Faclory Fire Place
FinalSign
Final Dertrolition
coo INSPEC710NTYiE
206 Final Mechanical
208 Final Plumbing
210 Final Electriwl
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
25o Final BuiMinryOcxuparicy
p� iannu
S�Z6-0 �
.
WORKER� COMPENSATION DECLARATI �
I hereby aRrtn under penalty of perjury one of the following declarations; ,
❑ I have and will maintain a certifcate of consen[ [o sel/-Insure for workers'
compensation, as pmvidetl for by sec[ion 3700 of the Labor Code, (or Iha
peRormance o( the work for which-this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by
section 3700 of the Labor Cotle, for the peAortnance of the wnrk (w which this
permil is issued. My vrorkers' compensation Insurance carrier and policy
number are:
Carrier
(ibis section neetl nof 6e mmde���lhe permd is valvetl al one hvndretl tlollars ($100J orless )
P�o�licy Number:
C7 :I certify that in Ihe performance o( Ihe work (or which Ihis permi� is
�- issued, I shall not employ any person in any manner so as [o become subjec[
to the vrorkers' compensation laws of Califomia. and agree that if I should
become subject to [he workers' compensation provisions of Section 3700 of
the Lab�r Code, I sh� rthvnth comply with these provisions. �
��m�SigreWre Da1e O �
c,
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000�, 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 aKrtn thal I am licensed untler provisions of Chap�er 9(commencing
with Section 7000) of Division 3 of the Business and Pro(essions Code. and
my license is in full force and effect.
lic. # qass #
Comractor's SlgnaWre Date
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn thal there is a construclion lending agency for the
peAormance of the work ta which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
Signawre
OWNER-BUILDER DECLARATIONS:
I �ereby aRrm [hat untler penalry ot perjury [hat I am EXEMPT FROM THE
CON7RAC70R5 LICENSE LAW (or the following reason (Sec. 7031.5,
Business and Professions Code: Any city or counry which requires a permit to
construct, al[er, improve, demolish, or repair any struc[ure, 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 ConUactors
License Law (Chapter 9(commencing vrith Section 7000) of Division 3 of the
Business and Professions Code) or Ihal he or she is exempt theretrom and
Ihe basis for the alleged exemption. Any violalion o( Section 7031.5 by any
applicant for a permil subjecis the applicant to a civil penalry ot not more than
fve hundretl tlollars ($500).):
❑ I, as owner o( the property, or my employees wi[h wages as �heir sole
compensation, WILL DO THE WORK, antl the strucWre is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law dces not apply to an owner of property who builds or improves
thereon; and who dces suc� vrork himself or herself or through his or her ovm
employees, provided Ihat such improvements are not intentled or offered for
sale. If, however, the building or improvement is sold within one year of
completion, the owner-builder will have the burden o! proving that he or she
did not d or improve for purpose of sale.). , - , ,
" I, as'owner of the property, am EXCLUSIVELY CONTRACTING WITH
�LICENSED CONTRACTORS [o construct the project (Sec. 7044, Business and
Professions Code: The contractors License Law dces no[ appty ro an ovmer of
property v.ho builds or improves thereon, and who contracts for such project with
a cont2cta(s) license pursuant to Ihe Contraclors License Laws.�.
❑ I am exempt under sec.
Business and Professions ode for this reason:
j2 z1 Og
Signawre oa�e '
305]-Afi�3/0])
Ovmer ID verified by �ense. es ❑ No �
Driver's License No. Expires: � I� I�
Verification of Ownership by (typ�cument, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: �
❑ I hereby ceAify that no excavation frve (5) or more feet in depth into which a
person is required to descentl, will be made in conneclbn wi[h wnrk authorizetl
by Ihis pertnit, and that no building structure, scafidding, (alsev+ork, «demolition
or tlismantling thereof, will be more than thirty-six (36) fee[ high. (Chap. 3.2, Grp
2. Art 2, Sec. 341, Ttle 8, Califomia Adminisirative Code).
❑ As owner-builder, I will not employ anyone to tlo work which would
require a permit from lhe Division of Industrial Safety, as noted above, unless
such person has a permit to tlo such work from !he division.
Applicants Signature Dale
Division of Industrial Safery Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will �he applicanl or present or future builtling occupant need to file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous malerial? ❑ Yes ❑ No
(Seclion 25505 of the California Health and Safety Cotle requires, wilh some
exceptions, that a Business Plan be fled 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 �o or greater [han a weight of
500 pounds, or a volume of 55 gallons, or 200 cu6ic feet of compressed gas
at stantlartl temperature and pressure).
2 Does or will the applicant or presen[ or future building occupanl need b file
a registration tortn for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of lhe California Health and Safety Cotle, with some
exceptions, requires registration with the Costa Mesa Pire Departmenl by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater [han a weight o( 500 pounds, or a
volume of 55 gallons, or 200 cubic (eet ot compressed gas at standartl
temperaWre and pressure).
3. Does or will the applicant or present or fuNre building occupan[ neetl to
prepare an RMPP (Risk Management and Preven[ion Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 0( ihe Califomia Health antl Safety Code provitles that the
Costa Mesa Fire Department may require �he preparation, certifcation and
filing with the Fire Depariment of an RMPP by businesses which are requiretl
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is preseMly required, has Seclion 25534 of the Cali(omia
Health and Safety Cotle been fully complied wilh? ❑ Yes ❑ No
5. Does or will the applicant or present or (uture building occupant require for
the work which is the subject of Ihis application a permit for such constmction
or modifcation tmm the South Coast Air Qualiry Management Districl or from
any other air polWtion control tlistrict or agency? ❑ Yes ❑ No
(Section 658502 of [he Califomia Govemment Code requires Iha� �he requestetl
infortnation be fumished on appliwtions for nomresidential building pertnits�.
6. Will any part of ihe faciliry to be consWcted under Ihis permit be within
1000 feet from ihe outer boundaries of a school? ❑ Yes ❑ No
Qf'yes", the faciliry must meel the requiremen[ o( Sections 25534 and 42303
of the California Health and Safety Cotle).
7. I( a permit from the South Coast Air Quality Management Dis[ricl or other
air polWtion coMrol district or agency is required for the work which is the
subject of ihis application, have all of the disclosures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf'yjes", a[[ach certificate of compliance from lhe appropnate air polWtion
control offcer). � ' '� � � � - ' �
CERTIFICAYE OF COMPLIANCE'I certify thal under penalry of perjury [he
information given above is correct I agree to comply with all.state laws and
-city ordinances regarding Hazardous Materials and Emissions.. � '�
� Si9^aWre . Dale
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application antl slate that
the information given is correct I agree to comply with all state lavrs and ciry
ordinances relating to building consiruction, and authorize representatives of
the Ciry of Costa Mesa to enter upon the above-described property for
inspection purposes. I agregg not to occupy or allow occupancy of any building
authorized b Ihis permi� {�rilil 6nal inspection.
� A ��'Z Z'� O a.
SignaWreollegaiOwneqs) Date
-./ .
Andlor AulM1orizeE Ap011cxn� Da�e
OWNER gpILEY, JOSEPH
JOBADDRESS 201�0 President
� n4TE i-i2-55
bJILDINGPERMITNO. SZ3
GENERALCONTRACTOR pwner—BuildPr VALUE $ "j�3QQ�00
,�or 190 e�ocK TRACT 1712 Bedroom,Dinette,R�pus Rm,Move Carpt
GROUP I TVPE V ZONE Rl FIRE DISTRICT $� �
PERMITSISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER
Footing TrenCh �/C�� �
FoundationFormsandGradetoGarage �
Rough Framing "Y� �,E �-
Plumbing, Rough to Slab
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough ��
Heating, Rough
Meating, Final �...y(.��`" — �'�
Sewer
Septic Tank or Cesspool
Lathing � Z—
Plastering �f- � �—
Plumbing, Final, Fixtures Complete !
Plumbing, Final Gas Test ��' �/; 3'
Wiring,Final (�,{��� �
OccupanCy f'�.S '
I�orm 'l10 GH IM 12-69
—c..ui
3-
.Q�Mes� Building Department APPLICATION FOR PERMIT
~\COSTA MESA? CALI OERNIA ;830 B U I L D,� N G '
FOR APPLICANT TO FII.L IN �OR OFd+'ICE USE ONLY
� Receipt No, Permft No.
Building „ � 2 �y3
Addresa 7
Costa Mesa, �i3��OT1118� R/ecelve y Y Rec' �,jI` Date Issued
Nearest �v ' y`�/`, •� � J�
Cross St. �� qddreu � 6 �� /?Qjeg j�
o.Hner _ Co5ta, Mesa� California
� cross
Architect 0�
Engineer
Address
Contracto�
Addreu
Lot
No. of Bldgs.
Size of LOY Now on Lot
Ex st ng Bidg. �✓/N� I Familiq4 I Roa
Sethack Line from ��� Rear Vard �j �
Center of Strcet Side Vard
DESCR ON OF WORH
New I I Alteretion I I Addition
Repair I I Moving I I Demolish
Build(ng No. oT
Size Rooms � Stories
r
Use oT NeW %
_Building � � /' - Foundatlon Loeation
o Farms, Materials�
� � �e O A/ %a.ive%r rtUnL .�,5 Under-Pinning
� O/4lS — � _ ' Lp Frame: Fire Stops,
/� Bracing, Bolta
A �.0 ff � A 7AQ Ib � �
I hereby acknowledge that I have read this Appli tion •�ath. Int.
and state tihat the above is rnrrect and agree to comply Lath. Ext.
with all City Ordi ances and State Iaws regulating
building construct[�.
SignatureofC / Plaster,lnt.
Permittee
Plaster, Ext.
Authorize Agt.
— Masonry Reiniorced
Valwation Permtt Fee , O D
$�9, }� O^O Plan Check S � Bond Beam
Y • �/
��� ` Fee' $ ��'G. ♦ D d PINAL
cnou nna n_t1 2M 3-F6 �
pAi C
Inspector
Date
��
�.
. . . � '. - . , . . - _ .-�: -
. .. :r . -
_ � r:� . � . . .
, ' - y
�. � �
c \ y , '
, J i � � . . _. .
� ..11n ",m, . J � . -. �.. . � . .. . ..
� J �'
O
.. . , . _ a
--- a _ r � _ .
A�'� ' '
�
- R\� ,. .
- I � . '. _ • -
`� -� • .
, d � . -��-- - - �------ � -- - —
' \� . � i\ ' � � " _ ". ` ' . . ,.:�
�!� .. •tl,� ' .
� \ _ " ' ' lV'1^� ' _ ,
1 11 ,I � � . . . .
� — ' ` " '
, � � Street ; . . " � . - „ . . .
V�. .�, � �.,
� � <.
� , • - . ---' - — - "
. . PLOT PLAN _ . ; . . : -. _ :. "
� Show lawtlon and distances irom � . ., � . . ,'. S". ' ''
' property line and between bulldings , ,� ,. .; . ,,.Q-,; - . �
• t._ _ �'. ' c' . . �
'' .""'_"__ ' ' _ ' " '" ' _, ' . - ��:;r.. . . �
� • � '" �� �_ " �}bll 11�r`. '1 J � , � ..
, ....� I. '�.�.�.��^..,.f:/ ,��r�rli��itf:}liU{i1 J�ilL `_. � � -. �
�� "" �:�� � ��;. `: �,a n . . .
_ :t�a^ c o � ., .,� � .. � -
;z_'rt n' �� �,qr,•� o� the Stat� �
.l1 ,:.R� ^C �' a t.� ' - :'3 � : V4^� emPloYe� ' � : . .. . ,. -
• .l�o:^ Codo',;:. ;.,. .__ iiitY'fox; . .. ' . • �
u bo �;z:,�rrec� ��.t�i:z��: ..ap � � , • '. ' .
� � cc-, ^'ieatio�'. , �
' ,tlS'1519..R � �� . ' . .
3igROd: �. - ._
� - � �
� .
COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT
636 .North &oodwoy ' • . , ' � � � � � I � �y �
.� � SANTA ANA, CALIFORNIA ('J
�
STREET
PLOT PLAN
Show locotion and distances from
property line and between buildings.
. � � .. . �
..�
. ,