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HomeMy WebLinkAbout2030 FEDERAL AVE - Building Permits� (714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job qddress: 2030 FEDERAL AV Suite: Viciniry: Parcel Number: 42250114 Zoning: Applicant: CLfNE, BRIAN WALTER & VALENTA, ANN TRACI Address: 2030 FEDERAL AVE Phone: 714-412-6400 COSTA MESA, CA Zip: 92627-4132 Owner: CLINE, BRIAN WALTER & VALENTA, ANN TRACI Address 2030 FEbER.4L AVE COSTA MESA, CA Contractor: O W N E R-BU I LD ER Address: Zip: Nch : Address: Phone: Phone: 714-412-6400 Zip: 92627-4132 Phone: License: 0 Eng: Adtlress: Status: ISSUED Applied: 08123/2002 Issued: 08/23/2002 ISSUED BY: � Phone: Zip: License: License: SCOPE OF PERMIT INSTALL 25 YEAR 1 LAYER OF COMP. SHINGLESS MINIMUM CLASS C OVER EXIST. TWO LAYERS OF COMP. SHINGLES. Plan Check: $0.00 Permit: $69.25 SMIP Res: $0.50 SMIp Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $69.75 SETBACKS MAIN $TRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existino: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Righl 0- 0 s2,000.00 sz.000.00 NOTICE: The work aulhorized by this parmit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a penod of 180 days. INSPECTIONS: In order for ihe vrork authorized undar this pertnit to be considered legal, such work must eompty with all appiicable codes, and all requlred InBpeetlona anE final approval must be obtained. Failure to obtain inspections and tinal approval will 2sult in the expiretion of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 wwo �vw� WORKERS'COMPENSAnON DECLARATON: - I herehy affifm under penalry at perjury one of Ihe fouuwing tlecleretlons: ❑ 1 have and will maintain a ceNficate of conseni to self-Insure for workers' compensation, es proNtletl tor by sectlon 3700 0l the Lebor Code, for the pertortnence of Te work tor w�iCh this pertnil is iuued. ❑ I have antl will maintain workers' compensation Insurence, as requiretl by sectlon 3700 of ihe Labar Cotle, lor ihe pertwmance of the work for wtilU this pertnil is issued. My workers' compensatlon Insurance cerder end policy number are: Cartier. Pdicy Number: (This secfion need not be winple(e0 il Ne permiNs va/ued a( one huntlred tld/ars ($700) or /ess.J ❑ I certity Ihet in Iha partortnence ot �he work tor which this permll is issued, I shall not employ any Derson in eny manner so as to become subject to the warkera' compensation laws of CelHomia, and agrae ihet II I shoultl �ecome sub�ecl to the warkers' campensatlon pmWsions oi Sectlon 3700 of the Labor Cotle, I shell torthwith compty wiU �hese D�aNsions. Applicant SignaNre: Date: WMNINQ: FAILURE TO SEWRE WORKERS' WMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU61EQ AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED TFIOUSAND DOLLARE (5100,000), IN FDOITION TO THE COST OF COMPENS�TION, OAMAGES AS PROVIDED WR IN SECTION 3]OB OF THE LABOR COOE. INTEREST, AND ATTORNENS FEES. LICENSED CONTRACTORS DECLARA710N: I hereby eXirtn that I em licensed under proNslons ot Ghepter 9(commencing with Section 7000) of Divislon 3 ot the Business end Profeulons Code, end my license is in tull force entl efled. Lia x Class p Contractors Signeture: Dete: CONSTRUCTION LENDING AGENCY: ❑ I hereby atfirtn Ihat there is e construction lentling egency for ihe pertortnence of Ihe work tor w�ich t�is pertnit is issuad. (Sec. 3097, Civil Code). Lentler's Name: Lentler'S Atltl�ess: Signatura: Date: OWNER•BUILDER DECLARATIONS: 1 hereby aNirtn thet under penelty of perjury thet I am EXEMPT FROM THE CONTRACTOFS LICENSE LAW for tha follawing reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires a permit to wnsiruct, elter, Improve, demalish, or repeir any siructure, prior ta its issuance, also requires Ihe applicant for such Oermit to file e signed statement that he or she is Ilcensetl pursuent lo the pmWsions oi Ihe Contrectors Lkense Lew (Chepter 9(commendng with Section 7000) of Didsion 3 ot t�e Business end Proteulons Cotle) or that he or she is axempt therelrom end the �asis far the ellegetl exemption. Any violation o1 Section 7031.5 by eny applicant tor e pertnit sublects the applicant to e civil penalry of not more than live hundretl dollars ($500).): ❑ I, es owner of the property, or my employees with wages es t�elr sole compensatlon, WILL DO TT1E WORK, entl ihe structure is not Intendad or oHered for sale (Sec. 7044, Busineu end Protessions Code: The Contreciors License Lew tloes no� apply to en owner o� propeny who builtls or Improves thereon, and who tloes such work himself or hersell or ihrough his or her own employees, provitletl iha� such ImO�ovements are not intendad or oHeretl for sele. It, however, the building or improvement is sold within one year of completion, lhe owner-builtler will have Ne burtlen ol proving that he or she did not 6uiltl or improve for Durpose ol sale.). ❑ 1, es owner of the propetly, am EXCLUSIVELV ONTRACTING WI7H LICENSED CONTRACTORS to consiruct the pro�ect (Sec. 7044, eusiness and Pmfessions CoOe: TTe contrectors lJcensa.�aw tloes not e(�pTy �o en owner of propatly who builtls or Improves t�ereon, entl who conlrecis for such pmjec� wit� e contrector(s) Business entl Prolessions Code for �his reason: dnvefslicense. QVes ❑ No Veritication of Ownership Dy (type ol Document, i.e. - property tez 6111 or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 heraby cenily Ihet no excavetian tive (5) or more laet in depth into which e person Is requiretl to tlescentl, wlll be mede In connection with work euthorized by ihis pertnit, end ihat no building stmcture, scettolding, lelsework, or demolition ar dismantling thereol, will Ge more ihen ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Calitomle Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom the Divislon ol Intlusirial Safety, as notetl ebove, unless such person has e pertnit to tlo such work irom ihe tlivision. SignaWre: Date: Division of Industrial Sefey Pertnit Number: COOE 1. INSPECTIONTYPE 1616 Fixed System Finel Fira Prevention 1266 Pool Spa Finel 200 Final RB-Roof 201 Final8locWRetaining Well 202 Final Factory Fire Place 203 FinalSign 204 Final Demolition PAIE 1t�E15 l0— �'� Z —� COQE I INSPECTION TYPE 206 Final Mec�anical 208 Final Plumbing 210 Finel Electrical 212 Final Fire Preventlan 220 Final Planning Apprwal 222 Final Site 250 Final Building/Occupency PAg IIiiID�LS a r �� °� �� %�� b'u��i�us y ��c�idi4c� OWNER-BUILDER VERI�ICATION A ciry or county, which is reyuired 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 return of, an owner-builder verification. A[[en[ion Property Owner. An bwner-builder' building permit has been applied for in your name and bearing your signature. Please complete and remm this infortnation in the envelope provided at your earliest opportunity [o avoid unnecessary delay in processing and issuing your building permit. No buildingpertnit will be issued until this verification is received. I. I personally plan to provide the major labor and materials for construction of the proposed proper 'mprovement� Yes ❑ No noq _ work. signed an application (or a building permit for I have contracted with the following person (firm) to provide the proposed conswc[ion: Name Address Phone ( Ciry — Contractor's Lic. No. 4. 1 plan to provide portions of the work, but 1 have hired [he following person ro coordinate, supervise and provide the major work: Name Address _ Phone ( ) City _ Contracror's Lic. No. ��1 will provide some of the work but I have coccraettd (hired) the following persons to provide the work indicated: Name Address t002-a6 (REV.898) .. Phone of Work (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Viciniry: Parcel Nunmber. Applicant: Address: Owner: Address 2030 FEDERAL AV 42250114 TODD, DANIEL C 775 W 17TH ST SUITE B . Phone: 949-515•9677 COSTA MESA, CA Zip: 92627 CLINE, BRIAN AND VALENTA, ANN TRACI 2030 FEDERAL AVE COSTA MESq, CP, Phone: Zip: 92627 Contractor: GUARDIAN POWER PROTECTION SERVICES Address: 775 W 17TH ST SUITE B -Phone: 949-515-9677 COSTA MESq, CA Zip: 92627 ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+uniLs) Pool / Spa Lighting Fixis Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motors to 1hp Motors to 10hp Molors to 50hp Motors to 100hp Molors over 100hp Communication tlrops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole License: 761703 SCOPE OF PERMIT SERVICE UPGRADE�TO 200 AMP POR A SINGLE FAMILY RESIDENCE. $23.50 $O.QO $O.QO 50.00 50.00 so.00 $O.QO so.00 $0.00 $o.00 $0.00 $30.50 � 50.00 $0.00 50.00 $0.00 $0.00 $0.00 $o.00 $O.UO $O.QO $O.QO 50.00 $O.QO $O.qO Quantity i :,- ' FEE SUMMARY Temp Disl System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Trans(ormers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw ...............:.up to 100 kva/kw ..................over 100 kva/kw - Low Voltage Equipment Low Volt Winng System / Ckt Misc. Conduil Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree SWnd Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 05/08/2002 Issued: OS/08/2002 ISSUED BY: Quantity $0.00 0 $0.00 0 so.00 0 30.00 0 $0.00 0 so.00 0 $0.00 0 so.00 0 $0:00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 554.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia 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 ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectlona and final approval must be obtained. Failure to obtain inspeclions and final approval will result in the ezpiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 Ifilll WORKERS'COMPENSATON DECLARAnON: � I hereby aXirtn under penelry ol perjury one ot Ihe following deGarations: � ❑ 1 heve entl will maintain a certilicate ol consent to setl-Insure br workers' compensation, es O�ovided for by section 3700 oi the Lebor Cotle, for ihe pertortnence of ihe work for which IhiS permit is issuetl. � I �ave antl will maintain workers' compensation insurance, as required by section 3700 oF Ihe Lebor Code, for the peRortnance ol tha work for which Ihis pertnit Is issued. My warkers' compensatlon Insuranca carrier end policy number ere: %��� �� Cartler:� srar� F�-,Nn �Po�� Numbec-- �._ � (This secfion need not be complered il the pelmit is valuetl af one hundred dollars (5100) or less J ❑ I cenity that in the pertormance the work for which t's permit is issued, 1 shall not employ eny person in any manner so es to become subjact to the workers' compensation laws of Ilfomi nd e ree t t if I h uld become subject to the workers' compensation provislons ol Section 3700 of the Labor Cotle, I shall forthwith comply with these pro ions. (� . �AppliceoPSignemre:� � Dat� S" X'Q� WARNING FAILURE TO SECURE WORKERS' COMPENSATIqJ COVERAGE IS UNLAWFUL ANO SMALL SUBJECT AN EMMOVER TO CRIMINAL PENALTIES AND QVIL FINES UP TO IXJE HUNDRED THOUSNND DOLLARE ($100,000), IN A�DITION TO THE COST OF CO!APENSATION, OAMFGES AS PROVIOED WR IN SECTION 3]Ofi OF THE LABOR CODE, IMEREST, AN� ATTORNEY'S FEES. LICENSEU CONTRACTORS OECLARATION: I hereby aHirm that I am lorce antl eHecL Lia-M? Conlrecior'& � Slgnature: of Chepter 9(commencing with Section 7000) of Oivision 3 of �he Business antl Professions Code, entl my license is in full Class q �. %`n�, Date: _ y".�C7•V. � u=— CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that ihere is e construction lentling agency br ihe Derformance of Ihe work for which Ihis permi[ is issued. (Sec. 3097, Civil Code). Lendefs Neme: Lentler's Atltlress: Signawre: OWNER-BUILDER DECLARATONS: Date: I hereDy aHirm that untler penalty of perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for ihe tollowing reeson (Sec. 7031.5, Busineu flntl Pmfessions Cotle: My ciry or county which requires a pertnit to construct, alter, improve, demolish, or wpair any strucWre, pnor to Its issuence, elso requires the epplicant for such permit ta file a signed statemem thet he or she is licensetl pursuant to the provisions of ihe Contraaors License Lew (Chepter 9(commenGng with Sectlon 7000) of Division 3 of Ne Business end Profassions Code) or Ihat he or she is exempt therefrom and ihe basis for the alle9ed exemption. Any viWation of Section 7031.5 by eny applicant for e pertnit sublecis the epplicant to e civil penalry of not more ihan five hundred dollars (5500).): ❑ I, as owner ot Ihe properry, or my employees with wages as their sole compensation, WILL DO 7ME WORK, antl Ihe structure Is not intentletl or ofterad lor sala (Sec. 7044, Business and Professions Code: The Contracbrs License Law dces not apply to an owner of properry who builds or improves thereon, and who does such work himsell or herself or Ihraugh his or her own employees, pravidetl thai such improvements are noi Intended or offered lor sele. Ii, however, ihe building or improvement is sold within one year of completion, the owner-builder will heve the burden of proving that he or she did not build or improve for purpose of sele.). ❑ I, es owner of the prapeny, em EXCLUSIVELV CONTRACTING WI7H LICENSED CON7RACTORS to constmct the pm�ect (SecJ046, Business end Professions Code: The conirectors License Lew does not epply to an owner of property who builtls or Improves thereon, and who contracts for such pmject with e comracror(s) licensa pursuant to the Conirectors License Lews.). ❑ I am ezempt under sec. Business antl Professions Code lor this reason: Signature: Date: Owner ID venfied by driver's license. ❑ Yes ❑ No Driver's License No. Vedflcation of Ownership Dy (type of tlocument, i.e. - propeny tax hlll or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby cetlity Ihat no eacavetion five (5) or more Feet In depth into which a person is required to descend, will be matle In connection with work euthonzeC by ihis permit, and Ihat no building simcWre, scalloltling, falsework, or demolition or dismantling Ihereol, will he more then thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 347, lltle B, Calitomie Adminisiretive Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit irom ihe Division of Industnel Sefery, as noted ebove, unless such person has a pertnit to tlo such work from the division. Signature: Date: Division oi Industrial Sefery Permit Number: CERTFICATE OF COMPLIANCE AND AUTMORIZATION OF EMRY: I cenity under penalty of perjury that I have reatl this epplicalion and state the� ihe iniormation given is correct. I egree Io comply with all slete lews and ciry ordinances retating to building cons�ruction, and authorize representalives of the Ciry of Coste Mesa to enter upon ihe above-describetl property tor inspection puryoses. I egrea not to occupy or allow occupancy of eny building authonzed by Ihis permit until final inspection. Date � �'n � r ^ CDate� CODE �. INSVECTIONTYPE QdIE R4IDSL5 1616 Fixed System Final Fire Preveniion 1266 Pool Spa Final 200 Final Re-Rool 201 Fina181ocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition GOOE I INSGECTION TYPE 206 Final Mechanicel 208 Final Plumbinq 210 Final Electrical 212 Final Fire Preventlon 220 Final Planning Apprmal 222 Final Site 250 Final Builtling/Omipency PAIF L�13 � '. ORAN ,E CQUNTY BUILDING D'EPARTMENT � f �� --63b Noreh Broodway �� SANTA ANA, CALIFORNIA FOR APPLICANT TO FILL IN AODRE55 2030 Federal Ave SGHOOL DIST. OR TOWN NEAREST cRoss sr. -Victoria Ave. OWNER ALEUT HOMES� INC. MAIL � ADDRE55 g�E)3 M/ILSHIRE BLVD. TEL. ��T� BEVERLY HILLS r+o. CR. S�{�G� ARCHITECT R TEL. 1, ENCINEEn AIN R� MCKERRACXER �o. SY. 64Sq� nooRess 2��0 E. WAINUT $T.� PASADENA v7Ancion NEMPORT V�STA CQao� �R, rj�1�6� ..00Ress 6 WIISHIRE B�VD. BEV.HIlL3 LEGAL �f/ BLOCK �1�2 DESGRIPTION LOT NO. GO (ATTACH METES @ BOUND51 SIZE OF l0T O� X I I V I NOW ON lOT V USE OF NO. OF NO. OF EXISTING BL�G. I F�MiLiES ROOMS DESCRIPTION OF WORK NEW I%� I ALTERAT�ON I I AD�IT�ON REPAIR I I MOVING I I DEmOL�Sii BUILDIN NO, OF SIZE ! � ROOi 5 � STORIES � WALL ROOF COMPO COVERING STUCCO COVERINGSNIIJ(]IF' BUEL� NGEW RES IDENCE `r Q� �/L('�t,b APPLICATION POR PERMIT � � __ BUILDING -. FOR OFFICE USE ONLY RECEIPT NO. PERMIT NO. l�y � 6 . .�f �'3 'z� ;. PECEIVEO BY OATE OF APPL. OATE ISSUED ��?3'Sj G -�5�-5� BUILDING �i ..��� b �I/�/„ - _ /) ADDRE55 VCl � �v���-•C SCHOOL �IST. /]� � � OR TOWN �GC- /(�(/�-� NEAREST � CRO55 ST. Z/� � I�PLANS I TVPV I (�� /i/ i�4 SETBACK LIN��RO}p�C. NTSIDE VARD 1}, •-1 / � 6�� REAR,YARD 1 APPROVED BY � DATE CORRECTIONS I HEREBY ACKNOWLE'JG� THAT I HAVE READ THIS APPLICATION ANO STATE THqT THE ABOVE IS CORREGT AND AGREE TO COMPLY WITH ALL COUNTV ORDINANCES FR AND STATE LAWS REGULATING BUILDING CONSTRUCTION. — LA SIGNATUREOF NEMPORT VISTA O. �A' PERMITTE PL AUTHONIZED AG s 4830.00 ,M VAWATION APPROVALS C. S L MHSONRY REINFORCEO 1�� S �/ BOND BEAM _ j i ~ FINAL onre —td'.5 SI _ 1-g•s �s . ..��� . �� *�_ . �-.� ' ._.:i �.... ,..., . . .� �:.�, r. _ ,.�, . - _ r. -_..,.. .. - - �:_ . . . �., : ... . � .. _rt_ r. : ,. ., .��� -.. ,�_, . .. .._ ,._��• : � -_, '. . rr � - rr::�� r �' : r� _ .:�, . _ 7.I• 7 JC.;.'. ~ � '� � � � . ' "_' "_ r• ` � ' . �,... j J . � A'i � l �: � - � ".13 �� � - � `� � ���Qa � COSTA MESA BUILDING DEPARTMENT P. o. BOX 3I� COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN BUILDING /'�D�Q ' � '�`� AODRE55 ��.( COSTA MESA. CALIFORNIA OWNER MAIL ADDRE55 � CITV �(ti ARCHITECT OR ENC,INEER ADDh � LEGAL OESCRIPiION A.P. NO. OF LOT �j � �� USE OF E%ISTING BLDG TEL. NO. CITY LIC. NO. NO.OF BLDGS. SETBTCK IINE FPOM��� � Q I c[�vi[rt oF siA[ci � REAR VARD SIDE YARD RIGHT J y, LEFT j� � �— DESCRIPTION OF WORK NEW ALTERATION x ADDITION REPAIfi " I MOVING DEMOLISH 9UtLOING � � NO.OF SIZE � D ROOMS STORIES EXTERIOR WALL ROOF COVERING ,Y� �rp/+M COVERING ��jfj,� ! USE OF NEW �. . b % i V %LS �U1:7�%�� v .,....J . . Cv�� NO n cosirt 56a +�**�re2:�0 � �'I���� �TY 9i Q�.'?�� C� ,�> APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. ^PEFM1�JT�[IO. wta e� j �J �'•il ECEIVE� BY nATE RECEIVE� pATE ISSVEO � _ � /1. / ��� /�li /i i/w � BUILDING ADDRE55 COSTA MESA, CALIFORNIA APPROVEO BY E3Y A t :. DATE �� � TIONS D'cPT. _� .� ���i � 0 ',R' ".��-�� ;!'p?✓V�D. I NEFEBY ACKNOWLEOGE TXAT I NAVE PEA� THIS APPLICATION ANO --� STPTE TMAT THE FBOVE IS COPRECT nND l�GIiEE TO COMP�V WITH wLL CITY OROINFNCE$ TNO STATE L/�W$ REGIIIPTING BIIILOING CONSTFUC� iiON. /J �// /� �% �� VALUATION SIGNATURE OF �j�J /./ Y�_ �l� /T. " 'g PERMiT FEE $ PERMITTEE / / / / {O 'yl�� rrr111 //�� / `�-- , ` ��S I PLAN CHECK rD 5 J AUTHOR�ZED AGENT TOTAL FEE $ � e,dr