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Home My WebLink About835 PRESIDIO DR - Building PermitsCITY OF COSTA MESA BI/ILDING DIVISION i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us � FOR INSPECTIONS CALL: (714) 754-5626 �e.�� °.• . PERMIT NUMBER: P08-00285 PERMIT TYPE PLUM STATUS: ISSUED APN: 14132608 DATE ISSUED: 12/09/2008 ISSUED BY: RMD ' ' K. � . ; � .: .. ' , '. ,�. JOB ADDR�SS: 835 PRESIDIO�DR.CM � � Suite/Umt Vicinity: 7HROUGH OUT HOUSE ' ^ ` � �, .., SCOPE OF WORK: PL OWNER: SALAPSKI, PMONE: 774-545-38 APPLICANT: pEPANYAI PHONE: 818-566-13 CONTRACTOR: NUM Address: 400 N City/State: BURE ARCHITECT: ENGINEER: -",�" "; 3MUNT;' •},•''': , � ' �A \NK; CA :.,�:'' ..ZipC , 2 A�COPPER REPIPE FOR A SFD. `"'.,, `"�"' t':-' �Address: 18111 BENETA WAY -. �� -,.City/StaEe/Zip: i TUSTIN;CA� � �� 'Address:�. � �� 400 N GLENOAKS BLVD�� . - :.;.:. . _�� ` �� City/State/zZip: -�'-BURBANK,CA G; - — ABING INC License No.,��.818637 �t.! ,�; .�-..,.-.:. ... _...... � PHONE:� 6185661390 ;' ode' 91502 : - - CELL: �� - �� i ;- � License. No. - ' . � � � �PHONE. �� .�LicenseNo.�-�°�� . � _ � PHONE:'��'� „ . _ _ , . . ,. .. . , 't .. - � .._ . .., _ . '�. . �..". � �. y.. � . . : . . .. : . . . . . � . M': - PLUMBING P.ERMIT FEESUMMARY �PLAN CHECK FEE:-' � _ � $0.00 " -, :�� PERMIT FEE , �3 30 ' _ TOTALFEES • n �� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California slatutes and related regulations. (Ord. No. 92-28. § 1. 12-21-92) . EXVIRATION: 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 considered legal, such work must comply with all'applicable wdes, and all required inspections and final approval musl be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. COOE i. INSPECnON TPE 1618 Fized SyStem Final Fire Prevention 1266 Pool Spa Final 200 Final Re.Roof 201 Final BIo�WRetainingWall . 202 Final Faatory Fire Place 203 Final Sig� 20< Final �emolition D� IN7ITIR�S ��E� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 FinalElecMcal 212 220 Final Fire Prevention Final Planning Approval 222 FinalSite 250 Final Building/OccuOancy oa�r ixTlilpLS WORKERS' COMPENSATION DECLARA710N: . - I hereby aHirm under panalry of peryury one of the following deGarations: ❑ I have antl will maintain a ceAifcate of wnsent to self-Insure for workers' compensation, as providetl for by section 3700 of the Labor Cotle, for Ihe peRormance of the work tor which this permit is issuetl. ❑ I have and will maintain v,nrkers' compensation insurence, as required by sectbn 3700 of the Labor Code, fa the performance of the v+�rk (or which this permit is issued. My vrorkers' compensation Insurance carrier and policy number �a—re�: / Canier //�rw /'�f �f-h S'r �X C.7G7 d E' (ThisiettiwrneetlrwtEemmde��fhepermRisvalu fonehuntlretldoqars(31Ctl)wleuJ �— „�igs� 539.t� Bolicy�Number. ❑ I certify that in [he pertonnance of Ihe work for which Ihis permit is issued, I shall nol employ any pe�son in any manner so as to become subject ro the workers' compensation laws of Calitomia, and agree thal i( I should become subject to the vrorkers' �mpensation provisions of Section 3700 of the Labor Code, I shall forthwith Gomply with these provisions. �i / /� � <I-(2� fi� I'� H3nfs �gnaiur ` ale—� L�� WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVII FINES UP TO ONE HUNDRED hIOUSAND DOLLARS ($100,000), IN ADOITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IIJTEREST, AND ATfORNEY'S FEES. UCENSED CONTRACTORS DECLARATION: I hereby aKrtn that I am licensed untler provisions of Chapter 9(commencing with Section 7000) o( Division 3 of the Business and Professions Code, antl my license is in full force and effect. ��..- � g 3 � ��,� q�C ..3��r -- - -� _/O� �� %�6 � Comrodoh ignz(yj �ate ' ( �_,� Vi� CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn lhat there is a consiructbn lending agency for the perfwmance W ihe work for which this permit is issued. (Sec. 3097, Civil Cade�. Lender s Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I hereby a(nrm mat untler penalry o� Oerjury [hat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the (ollowing reason�(Sec. 7o3t5, Business and Professions Code: Any ciry or county which requires a permit to wnsWct, alter, improve, demolish, or repair any 5[ructure,�pnor to iIs issuance, also require5 the appliGan[ fOr Such permit to file a signed statement Ihat he or she is licensetl pur5uant lo [he provisions of [he Contracbrs License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or ihat he or she is exempt therefrom antl the basis for lhe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalry of not more than five hundred dollars ($500).): ❑ I, as owner o( the property, or my employees with wages as [heir sole compensation, WILL DO THE WORK, antl the structure is not intended or offeretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law tices nol apply to an owner of property who builds or improves thereon,�and who does such work himself or herself or through his or her ovm employees, provided that such improvements are not intendetl or oRered for sale. If, however, the building or improvement is sold within one year of completion, the ovmer-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 constmct the project (Sec. 7044, Business and Professions Code: The cont2ctors License Law dces not apply to an ovmer oi property who builds or improves I�ereon, and who contracis for such project with a contracta(s) license pursuant to the Contractws license Laws.). ❑ I am exempt under sec. Business and Protessions Code for lhis reason: Signalure Dale 3051-46 (3'0]) Owner ID venfied by Ariver n.,..ense. ❑ Yes ❑ No �Drivers License No. Expires: Verification o( Ownership Dy (type of document, i.e. - prOpeNy taz bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: � ❑ I hereby certify that no excavation (ve (5) or more fee� in depth into wfiich a person is required to descenQ will be made in connection vrith work authorized by Ihis pertnit, and that no building s[rucNre, scaf(dding, falsev.ork, a demolilion or dismanHing �hereof, will be more than Ihirty-six (36) feet high. (Chap. 32, Grp 2. M 2, Sec. 341, Ttle 8, Califomia Administrative Code). ❑ As owner-buiider, I will nol employ anyone lo do work which woultl require a permit from the Division of Induslrial Safery, as notetl above, unless such person has a pertnit to do such work fmm [he division. Appliranl's SlgnaWre Dale Division of Industrial Safe�y Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant neetl lo file and certify a Business Plan (or emergency response to release or ihreatened release of a hazardous malenal? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safery Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire DepartmeM by every business which has at any one time tluring a reportetl year a quantity o( hazaftlous matenal5 equal lo or grea�er than a weighl Of 500 pounds, or a vofume ot 55 gallons, or 200 cubic feel ot compressetl gas al slandard temperaWre and pressure). 2. Dces or will Ihe applicant or presenl or fu[ure building occupant need to fle a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of lhe Califomia Health antl Safety Cotle, with some exceptions, requires registra[ion with the- Cosla Mesa Fire Department by each husiness which al any one time has on hand a quantity of acu[ely hazartlous materials equal to or greater than a weight of 500 pounds, or a volume o( 55 gallons, or 200 cubic feet of compressed gas at stantlard temperature and pressure). 3. Does or will the applicant or present or fuwre builtling occupant neetl lo prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 0( the Califomia Health antl Sa(ety Code provides that Ihe Costa Mesa Fire Departmen[ may requi�e ihe preparetion, certifcation and filing with �he Fire Department of an RMPP 6y businesses which are required ro regisler awtely hazardous materials with the Fire Depa�ment. 4. If an RMPP is presently required, has Sec[ion 25534 of the Califomia Health and Sale[y Cotle been fully complied with? ❑ Yes ❑ No 5. Does or will �he applicant or present or (uture builtling occupant require for the work which is Ihe subject of �his application a permit for such constmction Or modifcalion (rom Ihe South Coasl Air Quality Management District or (rom any other air polWtion coMml district or agency? ❑ Yes ❑ No (Sectbn 658502 of the Califomia Govemment Code requires Ihat the requestetl infortnation be fumished on applications for noo-resitlentiai building permits). 6. Will any part of lhe facili[y to be constructed untler this pertnit be within 1000 feet from ihe outer bountlaries o� a school? ❑ Yes ❑ No (If'yes", �he facility must meet [he requirement of Sections 25534 and 42303 of the Calitomia Health and Safety Code�. 7. If a permit from the Sou[h Coast Air �uality Management DisMc1 or olher air polWlion conlrol district or agency is required !or the vrork which is the subject of this application, have all of the discbsures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf yes", attach certifcate of compliance from the appmpriate air pollution cOntrol oKcer). � � � CERTIFICATE OF COMPLIANCE: I'certi(y thal under penalty o( perjury the intormation given above is correct I;agree to comply with all state laws.and city ordinances regarding Hazardous Matenals and Emissions. SignaWre CERTIFICATE OF COMPLIANCE AND AU7HORIZA710N OF ENTRV: 1 certify under penalty o( perjury that I have read this application and.state Ihat [he information given is correcL I agree lo comply with all state laws and ciry ordinances relating to building construction, and authorize representatives o( [he City ot Costa Mesa to enler upon the above-describetl property (or inspection purposes. I agree not lo occupy or allow occupancy of any builtling authorized by this permit unlil (nal in5peclion. Si9nature of �egai Owneqs) / Oa�e �X� ��. / � �� CMdbr�lhaiz laanl__` `Oale \ '_ "1J � Hr' No. i4i-326-08 LOT 1 T GAS WATER ROUGH PLUMBING PROP. SWR. LINE � HOlISE CON. SPRINKLING SYSTEM ROUGH HEATING AN� AiR COP TEMPORARY SERVICE OR POL UNDERGFOUND n POWER ROUGH WI(iING iRENCHES ❑ FORMS � STEEL FLOOR SVSTEM BON� BEAM � STEEL REINFORCE SHEAiHING FRAME AND FLASHING LATHING - IN n PLASTER.BROWN COA' HEATING, VENT., REFRI( PLUMBING, FINAL ANO G ELECTRIC, FINAL BUILOING, FINAL SPECIAL REOIIIREMENTS F INAI DATE SCRIPTION of WORF'a �""eltio Cover - SUBCONTRACTOR �� 29012 C�JSTA MESA BUILDING-SAFEfY DEPARTMENT' P.O. BO%Ht] C08TA M6HA. CALIFORNIA For Applicanf fo. Fill /n Complately � TYPE OR PRINT. au��omo �3� �,7Et/D/0 ��'F wooacss COSTA MESA. CALIFORNIA OWNER zy""UNT S/j/L/'(PJ/�l I MAIL S3S �RE'S/DIO �s�/l�� ADDR689 c�rr C OSTA� /�'!6-S//- rTio Sf/S=.T� �e �".!� u� n.� n ive, r�n ; ��. ,�- LINE AUG 23-6�Sp00.1068 �*�*�*3.00 APPLICATION FOR PERMIT � � ' BUIIDING For Oifice Uae Only qBCH�rT NO, i M-� • Q O sr te xee¢�veo o� ieauEo . _ �=aa-�,P �-�a -� f' „ O E� ZONING ZON NO. OF q UDH OP NI -t-� / ' PLAX6 _ / BUILOINO - ,�i�i id6,e . � �x . teoe� �-,0 . / `% . TEL. NO. OF B1008. HFT ' �I R16HT DESCRIPTION OF WORK � EXTERIOR WALL BE PEF A.P NO �L'/� 70(�'� X ' NOTE: NO EAVE OVERHAN6 SHALL BE LESS THAN 30" TO SIDH @ REAR P. L. ' EAVES ALLOWED " (U.B.Q REQUIREMENT] YAR�SAPPROVE� YARDSAPPROVED MAIN BUILDIN6 ACCESSORY BUILo1NG ( FROM GL 6Tjj�T ) VAR. iF BET. MAIN access.e DATE . . " v SQ. Ff. m � HEREBY ACKNOWL8D0H THAT 1 X�VB REAO TX18 APP�ICATION THE �MOUNT BHOWry UNOER VALU�TION IH FON THE F AND 6TAT8 THAT-THe ABOVB 19 CORRECT AND AOFEfi TO COM. PUflP098 OP H6TABLIBXINO A PERMIT FEE ONLY. Q PLY WITH PLL CITY OROINANCiY AND BT�Te LAWB R80ULATINY , ypLUAT1ON m BUILOING CONBTR ION. � � PERMITFEE $ V • �/'� � r �5,�, s m , ' $ PLANCHECK $ � ¢ AGENT 2 ��] 4 TOT.LL FEE �/ � (l (f � � `�. = �..�� COSTA MESA BUILDINGSAFETY DEPARTMENi P. O. 00X 917 COBTA MEBA. CALIFORNIA For Applieanf io Fill In Compleiely TYPE OR PRINT � SIZE COSTA MESA. CALIFORNIA 7 TEL. NO. OR rra�.�.v �r.......�.... 3800 E. Coast Highway - no. o�NB�.cTe. O NOW �� cEiv�� DEC 9 196t1 INANCE DEPT. Lo t 1•, PLHN ��T.`C(i�COSTA MESA APPLICATION FOR PERMIT BUILDIIdG For Office Use Only qECE1PT NO. PERMIT NO. �NECE�VED BY I U%�R�CEIVEoOI LG�E,��Uu1M�i8 l 7 � /" BUILDING _ _ _ _ _ _ _ _ FIRE ZONE LEGAL COSTA MESA. CALIFORNIA TYPE ✓ GROUP' DATE ZONING � INO.OF ��I USE OF NEWI`2": PLANB BUILOING.� }( USH OP YARDS EVES EXISTING 6LDG. APPROVED ALLOWED $ETBACR LINE PROM � � ICENT6R LIN! 8TJ � � (/ ,� ceNfsx On e'rneer S REAR YARD FRONT SFT. �"� `-p` i SIDE YARD ILEFT / IRIGHT .S R.SIDE FT. DESCRIPTIOId OF WORK i e�, ING . . NO. OF ROOMS IOR WALL IROOF APPROVED G � 1 HEREBY ACKNOWLEDpH THAT 1 HAV6 REAO THI9 APPLIWTION �}XE AMOUM 6HOWN IINDER VALUATION IB FOR THE ANO BTATE THAT THE ABOVE I6 CORREGT AND AaNE6 TO COM� PUHPOBE OP ¢BTABLIBHING A- PERMIT FEE ONLY. PLY WITH ALL CIiY' INANCEH AND 9TATE LA�/B NE6ULATIN6 awaniwa coxerwu/ ION. //`�J // . VALUATION ' h BIGNATURE OF / w D. , i.// .. i,L _ . I PERMIT FEE $,�(� D C $I'-/,J3o.od f C 0