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Home My WebLink About1036 MISSION DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 1036 MISSION DR FEE SUMMARY Status: ISSUED Suite: Calc Valuation: $12,310.00 Permit: Applied: 02/01/2005 Vicinity: ROOF SMIP Res: $1.23 Issued: 02/01/2005 Parcel Number: 14166204 Zoning: Applicant: DAVID MILLER ISSUED BY: Address: 2870 CHIOS RD Total: $224.48 Phone: (949)631-1924 PLANNING & ZONING COSTA MESA, CA Zip: 92627 Owner: BUTLER, DAVID Right 0-0 ACCESSORY Front 0-0 Address 27635 SOLTERO PARKING Existing: 0 Required: 0 Proposed: 0' Phone: MISSION VIEJO, CA Zip: 92691 Contractor: ORANGE COAST ROOFING Address: 2870 CHIOS RD Phone: (949) 631-1924 COSTA MESA, CA Zip: 92627 License:' 434674 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 1/2" COX PLYWOOD, 30 YEAR COMPOSITION SHINGLES, AND BUILT UP ROOF FOR FLAT ROOF. 48 SQUARES INCLUDES 4-PLEX AND ATTACHED GARAGES. 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 I 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. 1 FOR INSPECTIONS CALL: (714) 754-5626 2"6.46 (6100) FEE SUMMARY Plan Check: $0.00 Calc Valuation: $12,310.00 Permit: $223.25 Claim Valuation: $12,310.00 SMIP Res: $1.23 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $224.48 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0, Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 - Left 0-0 - Right 0,0 PARKING Existing: 0 Required: 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 I 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. 1 FOR INSPECTIONS CALL: (714) 754-5626 2"6.46 (6100) DECLARATIONS 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. ave and will maintain workers' compen Ion insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. rk ry' m sation urence der end policy number are: (�_ . Cerner--�' nyPolic`y NumE_k,. � Q J IsSection need not be cpmp/et i/ the pe Is valued et one hundred Bolla f 00) or less.) �Iy.,y+•—v-----��s ❑ 1 cantly that in the pertortn of the o for w ch this pe it is issue shall not employ any person in any manner so as to become subject to the workers' compensation laws of C If nla, entl a the f I shoultl b me su a to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wiN these provi o r _ny_pp6��lgnature� NGF RE TO SECUR TO ` E SATION COVERAGE IS UNIA AND SHALL SUBJECT AN EMPCOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO COST OF COMPENSATION, D GES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS LARATI N I herebya _ .tDaLLa 51"! a Tyro opt apter 9 (co encing with Section 7000) of DivisionBusine entl Proj�ss{ s Cade, entl my license Is In full f rcS�e e+n-d effecl.�Uc_t#_._ ' on�tra-c, lgi s Slgnalure:"V- CONSTRUCTION LENDING AGENCY: ❑ 1 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). Lentlers Name: Lenders Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I 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, alter, 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. It, 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.). ❑ 1, as Owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (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 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 Drivers License No. Expires: Verification 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 Industrial 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 applicant 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. ......._..................................-._........... _............ _.......................................................................................................................... ............................................................................... ......................... .............................. ....................... ........................ 4 If en RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? [:1 Yes ❑ No ....................._......._........... _.............. ......... ... ... .... ............................................... .... ................................................................. .-.......................................... ..................................... ....................... .................................... .............................. ............... 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district Or agency? LJ Yes U 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 any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries Of a school? ❑Yes ❑ No (It yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ..................................... ...._........... ........... _......................................... .............. ....................... _..................................... ................................ _..................................................................... _............ ............................... __......................................... 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required 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 .........._........._...................... ............. _... _......... __....................... ....._..... _._... _.......................................... .....-..... _......................................................... ....................................... ............... .................... ........................................... ...................... B (If yes', attach certificate of compliance from 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 COMP IANCE AND AUTHORIZATT OF ENTRY: 1 certify under penalty of perjury that I have read this application and state that the information given is correct. I ogre to comp with II state laws and city dinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-descnb propert ori I action purposes.Vt e not to occupy or allow occupancy of any building authorized by this permit until final inspection. Ignature 1 Legal er(s) i No-•plicant5y !tjL.qate,,, CODE P. INSPECTION TYPE PAR LWITALs CODE r INSPECTION TYPE RATE ItlITTIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final ----,, -- 208 Final Plumbing 200 Final Re -Roof 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 2 City of Costa Mesa B Building Safety Department CERTIFICATE OF OCCUPANCY N? 1909 P. O. Box 317 Costa Mesa, California The Building located at I.W 1 mditm VAO@'9 Ag Bit C a D has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group H & a — Occupancy. Use of Building ft=-Vlels Rmddme Tfitrh attached (>h<zWo Legal Description Wt cis_ TR't 3W. - (See reverse side for Metes and Bounds) Gn Building Permit No. Electrical Permit No. 19M Plumbing Permit No. Floor Load Signs have been. installed as required under Sec. 2308 U. B. C. Room Capacity Signs have been instaled 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 raw and/or guest rooms - ISSUED TO: Building Official by c"—"e /e Date �t�>p"Ch s o 1964 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. Form sa34—tM-11-63—S-s P J ) City of Costa Mesa Building Safety Department CERTIFICATE OF OCCUPANCY N? 1909 C. P. O. Box 317 Costa Mesa, California The Building located at 1d+3R r .aa W&VORgJO a2# 6i w ai has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group O & Z Occupancy. Use of Building Legal Description got go,* ftect VW . i — (See reverse side for Metes and Bounds) Building Permit No.Electrical Permit No.,125W _ Plumbing Permit No. Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. 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 and/or guest rooms ISSUED TO: Building Official by Date Mmu ao. is 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. Farm su34--_tna-11-63_s_s r (JOB ADDRESS 1036 Mission Drive BUILDING PERMIT NO. �677p 1. 141-662-04 LOT 20 TRACT. 3922 FIRE ZONE . VALUES 19.000.00 Il. :CTIONS Si notuie I Date IGROUIP H TYPE ZONE 'soli SUBCONTRACTOR PERMITS ISS ED GAS Date Number I Si nature WATER Plumbi ROUGH PLUMBING - �7 ' PROP. SWR. LINE ❑ HOUSE CON. Q, SPRINKLING SYSTEM - MISCELLANEOUS i ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND E:j POWER E] ROUGH WIRING I /I Heat' and Vem. TRENCHES ❑ FORMS STEEL REINF. FLOOR SYSTEM _ BOND BEAM STEEL REINFORCE SHEATHING FRA ME AN D FLASHING ,�'^ 'vim -� LATHING — IN X1 OUT PI —TER, BROWN COAT 'URAL, FINAL Electric H. .NG, VENT., REFRIG. AND A.C., FINAL 6� PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL RIIII nluf. CINGI Z a U Z Z_Q ON am J � J N Q W m J J m _ Q U N ZQ W Q d W W J 0 M J W W Z_ H WO (n W DO I_ Z Q U J CL CL Q 0 H h Z 0 0 U r N z 36772 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 RN 1 1-73P`nsn1000 g01 '�107.83 c APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely R EC EI.OE}"8y TE EI D TE 1 BUILDING ADDRESS p �� S%O�l/ /z' T��tt OWNER 7 OF OUNeT%q.IN.S'G�tI A.P. NO ' Z— PERM .s MAIL 9,r,4 e 914 ADORESS�333 ��'� // BUILDING /a� ADDRESSCITY NOLST/�✓r TRACT �,� LOT D BCONSTRUCTION EW ADD A R ...... DEMOLISHLENDER j7V LOWNER JI f OF ObAIL BRANCH ✓ /`! ADDRESS VALUEARCHITECTTEL. SE $ OR ENGINEER N FIRE ADDRESS ZONE T P GROUP CONTRACTORBV APPROVED DATE LLL ADDRESS //�g.Z (�//ITR e .S7• TEL. CITY C S'% CS -4 NOIj -e1S" ZO NO. OF PLANS USE OF NEW BUILDING E"�.(t1�j STATE CITY LIC. NO. /x �,QQ y LIC. NO.A(f-413 YARDS APPROVED MAIN BUILDING YARDS APPROVED ACCESSORY BUILDING SIZE NO. OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT FROM FT. FT. USE OF / EXISTING BLDG. R. SIDET. a FT. SIZE OF NO. OF NEW BLDG. ROOMS STORIES t✓0 L. SIDE 114, V FT. EXTERIOR WAL COVERING UCCO ROOF N COVERING rS6ai/eS REAR FT. FT. USE OF BUILDING AND �j O BE PERFORMED DISTANCE BET. BET. MAIN & !nq�T MAIN BLDGS. ACCESS. BLDGS. (R VAR.. C.U.P# DATE APPROVED ., APPROVE �73 I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under SO. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Divisicn 3, Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from tt:e provisions of the State of California Business VALUATION and Professions Cr.oe, Division 3, Chapter 9. PERMIT FEE $ r " C Signature Perm itte( m PLAN CHECK $ c/, •�I!�% Authorized Agent TOTAL FEE $ OWNER DTLIMAN-Bf M4EL bTF=BTSES DATE MAR 1 L 1963 JOB ADDRESS 1036 Mission Dr. A thru D BUILDING PERMIT NO. 18989 GENERAL CONTRACTOR Dillman-Brunmlell Enterprises VALUE $ lIS2 .00 AP No. LOT 20 TRACT .3922 FIRE ZONE DESCRIPTION OF WORK -p� W att.ep I" 'ECTIONS Signature DATE GROUP H&J TYPE V ZONE R-1+ S - - SUBCONTRACTOR PERMITS ISSUED G� �7r6T DATE NUMBER Water Y L7 Rough Co.. Refrig. ❑ Air Cond. ❑ Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line ❑ House Con. ❑ St. Swr. ❑�6? Sprinkling System Construction Pole qqpp Underground Power p Rough Wiring TrenchesForms Lj SteelRemf. 3_za -2- C-3Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing Frame and Flashing - Lathing — In ❑ Out ❑ _ _ �_ �y Pj--ter, brown coat I ,. ❑ Air Cond. ❑ Fina 1-i.,..Ling, Final _Z - Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final Building, Final OCCUPANCY -�Q- runm uuv . am — 1.01 1 1 kmRn 1894 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT _ COSTA MESA, CALIFORNIA RECEIV D OWNER Dillman-Brummell Enterprises MAIL BUILDING AD RES$ 12081 Buaro ADDRESS FIRE CITY Garden Grove TE030-1160 ZONE ARCHITECT TE APPROVED ORENGINEER Walters & Son NDIOR 3-6%00 e�aa 436 Heliotrope, Corona del Mar F EI GE ED APPLIr&%R 4ERMIY aqu(jpIlydSTA MESA For ffice Use Only RECei Pf NO. PERMIT NO. IRgR4 BY DAIr.REyS1Vg3 MAR 1 2D 1963 ZONING NO. OPS UBE PLANE Lam' BUIL A i -2 i) CITY NOTE: NO SAVE OVERHANG SHALL BE LESS THAN 90' TO SIDE a REAR P. L. EAVES ' ALLOWED • (U. S. C. REQUIREMENT) - STATE TEL. LIC. NO. NO. -- SIZEOF LOT 721X111.131 No. OFBLOGB.D NOW ON LOT USE OF EXISTING BLDG. YARDS APPROV ED MAIN BUILDING YARDS APPROVED ACCESSORY BUILDING E FROM 1 S 1 TREET REAR YARD61 (FROM C/LSTREET) FRONT FT. FT. R. SIDE 'FT. FT. LEFT 2 I I RIGHTDESCRIPTION L. SIDE c�FT. FT. OF WORK PPAIR X ALTERATION ADDITION REAR 'FT.✓ FT. MOVING DEMOLISH DISTANCE BET. MAIN BLDGS. BET. MAIN Q ACCESS. BLDGS. NO. OF 41X781 ROOMS 24 6'ORIES 2 R. CAU. P.#'`(�APPROVEDAL- DATE ___ I ROOF m._.__'_ APPROVEI]Q (l\If. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABO]$ 18 CORRECT AND AGREE TO COM- PLY WITH ALL CITY OR A ES D y1W8 REGULATING BVILOfNG CONBTRUCT�N. SIGNATURE OF !!!!!! PERMITTE AUTHORIZED AGENT I 3 0 THE AMOUNT SHOWN UNDER ,VALUATION 18 FOR THE _ F PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O VALUATION m PERMIT FEE $ 1,5.9^— PLAN HECK S0 4 TOTAL FEE,, �� i