HomeMy WebLinkAbout1034 EL CAMINO DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ff13}LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 1034 EL CAMINO DR
Suite:
Vicinity: RESIDENTIAL PORTION OF 4 FLEX
Primary Occ: R-1 Hotels/Apts/Res >10 Occ Type of Construction: V -N
Parcel Number: 14166512 Zoning:
Applicant: MC CARL, TIM .
Address: 126 COMMERCIAL WY
Phone: 949-548-5569
COSTA MESA, CA Zip: 92627
Owner: PRICE, L SHAPIRO TR
Address 3140 REDHILL"#120 .- _
Phone:
COSTA'MESA, CA - _ - Zip. 92626
Contractor: ,G L RENTERPRISES -INC--DBA CRANK BROTHERS ROOFIN;
Address: 126 COMMERCIALWY
Phone: 949-548-5569
COSTA MESA, CA
Zip:, 92627 License: 828379
Andress:
Phone:
Eng:
Address:
Status: ISSUED
Applied: 02/17/2006
Issued: 02/17/2006
ISSUED BY: IAIA
Phone:
Zip: License:- License:
SCOPE OF PERMIT
REROOF 4-PLEX RESIDENCIAL PORTION ONLY: T/O WOOD SHAKE ROOF, 1/2" OSB SHTG, 1 LAYER 30# FELT, APPLY 40 -YEAR COMP
SHINGLES. 26 SQUARES •'
Plan Check:
$0.00
Permit:
$181.25
SMIP Res:
$0.96
SMIP Com:
$0.00
Other:,
$0.00 -
Inspection:
$0.00
Total-
$182.21
SETBACKS
P
MAIN STRUCTURE
Front -�0= 0 ;.; -. ,.,,Rear ' 0-0
ACCESSORY-
Front 0- 0 Rear --,0-0
PARKING'
\Ezistinc:: 01, Required: 0
\\'
i
FEE SUMMARY ,-
Calc Valuation: $9,573.00
Claim Valuation: $9,573.00
Left 0-0 _ -Right ,0--�0
Left 0-0 - Right 0-0,-
Proposed: 0
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
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DECLARAVOINS
WORKERS' COMPENSATION DECLARATION: -
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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.
1 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.
.10\ M ork rs' mpensatlon Insurance darner and policy number are:
- 1 e FlLVIdy Picd Nm M QL9q.2-�'2oc�
(This section need not be comp efed if the permit is valued at one hundred dollars ($100) or less.)
❑ 1 certify that in Ina a onnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation law f if rnia, an gree thashould become subject to the workers' compensation provisions of Section 3700 f the Labor Code, I shall forthwith
corn I with those o is b Il
�3. �I7
1,._ arlt,Signetu at t(1 e'7 2 Q 6
WARNING: FAILURE TC RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL NALTIE AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE ( ,ODO), 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 affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full
force and effect a C -147 n -L
:onractbrs i - pat 7 17 l A
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, Civil Code).
Lender's Name: Lenders Address:
Signature: Date:
OWNER -BUILDER DECLARATIONS:
1 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, allot, 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 Lew does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ 1 am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑ Yes ❑ No Driver's License No. Expires:
Vedfication of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 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 (36) 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 Indusinal 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? ❑ Yes ❑ 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 ❑ 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 spplicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?
❑ Yes ❑ No
(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.
.............._.................. _.................................... .... ....................... .......................................................................................................................................................................................................... ................................... .................... I.....................
4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑Ves ❑ No
...........................................................................................................................................................................................................................................................................................................................................................................................
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this ert
application a nit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? I_J
Yes No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
......................................................_.........................................................................................................................................................................................................................
6 Will an art of toe facility to be constructed under this ermit be within 1000 feet from the outer boundaries of a school
y p ry p ❑Yes ❑ No
(If yes', the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
.............................................. .................................................alit........ a....................................................st-r-l.............................................._.............._..........._......................._.............ub-j.act..................
7 If a permit from the South Coast Air Quality Management District or other air pollution control district n agency is requiretl 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? ❑Yes ❑ No
...............................'att..........-..................................................................................................................................................................................................................._..........................................................._.........................................................
e (If yes', ahach certificate of compliance tram 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 and 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 inspection purposes. 1 agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
natur Legal O or(s)
'Ah Or Authonzed'Applicant - Da
t o.._ _ :Ra
CODE 1, INSPECTION TYPi PATE INTITAUS CODE If INSPECTIONTYPE PATE ISS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final -}���� 208 Final Plumbing
200 Final Re -Root 210 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
!so14
E RECEIVED
STA MESA BUILDING-SAFETY DEPARTMENT MAO & ma
P. O. BOX 917 COSTA MESA, CALIFORNIA FINANCE DEPT,
CITY OF' COSTA MESA
For Ap licant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
[CONTRACTOR
ILDING 3y6 amino ive For Office Use Only
ADDRESS C r RECEIPT No. P[R y1jTJi0.
COSTA MESA, CALIFORNIA Y!.
RE<EIVB BY TER tIVBD DATE 188UED
NER Dillman_grummell Enterprises— 6� i�1AR t 2 1
IL BUILDING
DRESS 12081 Buaro ADDRESS
LL� FIRE
arden Grove TEDD6,30-1160
ZONE TYPE GROUP Y
CHITECT TE APPROVED
^ 1NEER Walters & Son NDbR 3-6700 BY DATE
ZONING
43A Helintrnpp, Corona 1,-.l
Z NO. OF UBE OP NEW
PLANS BUILDING
Self
. LEGAL
ADDRESS p O '1L
DESCRIPTION l+
CITY
NOTE: NOEAVE OVERHANG SHALL BE LESS THAN
S1D
STATE TEL 90' TO SIE 8 REAR P. L.
LIC. NO. `-'- NO.
EAVES
SIZE-
'NG• DP BLDGS. ALLOWED (U. B. C. REQUIREMENT] 1
OF LOT 1 NOW ON LOT
%YARDS APPROVED YARDS APPROVED
USE OF. -MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L Ell
A^. /1�1
SETBACK LINE FROM 01 11 REAR YAR FR ON FTlam. FT.
CENTER OF STREET r
SIDE YARD I LEFT 101 RIGHT 1 R. SIDE J FT. FT.
DESCRIPTION OF WORK L. BIDE FT. IFr.
ALOVERAGTION DEMOL gH REAR FT.ION
FT.
DISTANCE BET. BET. MAIN @
REPAIR MAIN BLDGS. ACCESS. BLDGS.
BUILDING
SIZE 41+1x57.51 R OMS 28 STORIES 2 CAU. P. # APPROVED
EXTERIOR WALL StROOF ROOF Shake - APPROVED •.�.-g'-G
COVERING COVERING' BY DATE U
USE OF BUILDING AND WORK TO BE PERFORMED
4 unit dwelling with att. s
A-
1;2)1sD. Pr. o
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE F
ArvO STATE THAT THE ABOVE IB CORRECT AND AGREE TO COM PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
0
PLY WITH ALL CITY ORDINANCES AND STATE WS TING
BUILDING CONSTRUCTION. VALUATION
$ /✓��� n
SIGNATURE OF PERMIT FEE
,
PERMITTE G
;.z
AUTHORIZED AG NT TOTAL FEE 93-;�
City of Costa Mesa _
Building Safety Department CERTIFICATE OF OCCUPANCY N° 1974 C
P. 0. Boz 317
Costa Mesa, California
The Building located at 1034 Hi Coggno Drivex Units A. B, C. amd D
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group 1*xT — Occupancy.
Use of Building Yoitl-n2w: residenm with attliewd g Ta�
Legal Description :Lot 51; Tra.rt 3M
(See reverse side for Metes and Bounds)
Building Permit No. TM Electrical Permit No. 10,960 Plumbing Permit No. 42)-61
Floor Load Signs have.been installed as
required under Sec. 2308 U. B. C.
Room Capacity Signs have been instated as
required under Sec. 3301 (1) U. B. C
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
Number of apartments 4 and/or guest rooms
ISSUED TO: Building Of ial oa '
Dj3.i -Mr�zm11 Thterp rigna by
x3V/ucGf2�/
Date I
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Berm BU34-1M-11-63—S-B r