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HomeMy WebLinkAbout2185 AMERICAN AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c�.�LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2185 AMERICAN AV Suite: Vicinity: REROOF Primary Occ: Type of Construction: V-N Parcel Number: 42208116 Zoning: Applicant: BELEN GUZMAN Address: 2185 AMERICAN AVE Owner: Address Contractor. Address. Zip: Phone:� 949-722-1469 COSTA MESA, CA � �` �Zip' " 92627`^ �" � ARRIAGA, EMIGDIQ 2185 AMERICAN AVE- - ' .. � � , . Phone: ,.:. . . COSTA MESA.-CA �_-. � � s' Zip: ' 92627-3922 �� � OWNER-BUILDER "" �..... .:. Phone: License: 000000 Status: ISSUED Applied: 07/29/2005 Issued: 07/29/2005 ISSUED BY: Arcli : - .. . � .. E�9. . .. .. Address: f� . � ., - . � Address: - . . . � �� Pfione . .. - � - . . �....��Phone: ' Zip: � , � License: � .. � � , �� license: � � � <, ' <. � SCOPEOF�P_ERMIT � TEAR OFF EXISTING COMP SHINGLES AND REPLACE�W/COMP SHINGLES ON ATTACHED DUPLEX AND�ATTACHED GARAGE. REPAIR AND REPLACE SHEATHING AS NEEDED � � � � � � - - . - � . � . �L+Ni f's lF:s � � , �� FEE SUMMARY -',' � Plan Check: $0.00 ��� °" Calc Valuation: `, $s,000.00 Permit: $167.25 Claim Valuation: Se,000.00 SMIP Res: $0.90 SMIP Com: Other: Inspection: Total: $0.00 $0.00 $0.00 + '�$16815 . - � ' - ` v' i , ° ��_ ��PLANN�ING �& ZONING ° - ` SETBACKS � -� � '' �. �� MAIN STRUCTURE �Fronf 0- 0- .�Rear � 0- 0 Left ;0. 0 Right � 0�0 �, - ,�`;. .,_ ' ` ACCESSORY Front 0-0 �� Rear 0-0 -�� ��Ceft 0 0 . Right �0-0� � � ,... ... - . ;+; . , PARKING Existing: 0 �^Re uired: 0`- '�P�oposed:"����0� , � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) � EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspendetl or abandoned tor a period of 180 days. INSPECTIONS: In order tor ihe 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 obteined. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 �aro�co �aw� WORKERS' COMPENSATION DECLAHATION: I hereby aHirm under penalry of perjury ona of the tollowing declarations: ❑ I have end will meintain e certificete of consent to selt-Insure for workars' compensatioq es provided for by section 3700 of Ihe Labor Code, for Ihe performence of the work fof whiCh this p is issued. • 1 ❑ I.hav�,and will mai t n workers' compensetion insurance, as requiretl by section 3700 of th Labor Code, for the pertortna ce of the work for which thls permit is issuetl. My workars' comp satlon Insurence cartler and policy num6er ere: :a c :.�.� C Mer.'w- .-�- Poliy.Num c--�+ 77hls section need nat e comp/eted i! fhe permit is velued at one hundred tlollars ($100) or less.) ❑ certih/ t�at in e pertormance of the work for which this pertnit is issued, I shall not amploy eny reon in any m ner so as to becoma subject to ihe workers' mpensatio ews of Celitomia, end agree thet If I should become subject �o lhe workers' compen tlon provislo s ot Sectlon 3700 of Ihe Lebor Cotle, I shall forihwith c ply wit� ese provisions. J SECURE WORKERS' COIAPENSATIIXJ G�7VERAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMPLOP �5100,000), IN ADDRIdJ TO THE COST OF COMPENSATION, DAMAGES AS PflOVIOED WR IN SEGTION DECLARATION: ed under pravisions of Chepter 9(commencing with Section 7000) of Division PENALTIES AND CIVIL FlNES UP TOONE HUNDRE� ORCODE,INTEREST,ANDATTORNEVSFEES. and Professions Cotle, antl my license is in full CONSTRUCTION LENOING AGENCV: ❑ I hereby aNirm that there is a consimction lending agency tor ihe pedormance of Ihe work for which this permit is issuetl. (Sec. 3097, Civil Code). Lentlefs Name: Lender's Adtlress: Signature: Date: OWNER•BUILDER DECLARATIONS: 1 hereby aHirtn thet under penelty of perlury that 1 am EXEMPT FROM THE CON7RAC70R5 LICENSE LAW for the following reason (Sec. 7031.5, Buslness end Professions Cotle: Any city or counry which requires e permil to construct, altar, improve, demolish, or repair any siructure, prior to its issuance, also requires Iha applicant for such permit to iile a signed stetement that he or s�e Is licensed pursuant to the provisions oi the Coniractors License Lew (Ghepter 9(commencing with Section 7000) of Division 3 of Ihe Business end Professlons Code) or thet he or she is exempt therefrom and the besis for the allegatl exemption. Any violation a� Section 7031.5 by any epplicant for e pertnit subjects the eppliwnt to a civil penalry ot not more ihan ilve hundred dollers ($500).): ❑ I, as owner of Ihe property, or my employees with weges es their sole compensation, WILL DO 7HE WORK, anC Ihe siructure is not intentled or offeretl tor sele (Sec. 7044, Business end Professions Code: The Contractors License Lew does not apply to an owner of properry who builds or improves Ihereon, end who does such work himself or herself or through his or her own employees, provided that such improvements are not intentled or offered tor sele. H, however, ihe building or improvement is sold within one year of completion, the owner-builder will heve the burden ol proving that he or she did not build or improve tor purpose ot sele.). ' '0-cF,.�.s owner of ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe prolect (Sec. 7044, Business end Professions ��Code: The contrectors License Lew does not apply to an owner of pmperty who builds or improves thereon, antl who contrects for such project with e contrector(s) license pursuant to ihe Contractors License Laws.). ❑ I am exempt uprJer sec. Business and Professions Code tor this reason: by drivefs licen5e. ❑ Yes ❑ No Venfication ot Ownership by (type of document, i.e. - property tax bill or tleed): f —"oaterr����--.. 1...--�_�_:�- � �ieg _��"„o- DIVISION OF INDUSTRIAL SAFE7Y PERMI7 CERTIFICATION: ❑ I hereby certify that no eacave�ion tive (5) or more fee� in depth into which e person is required to descend, will be made In connec�ion wilh work euthodzed by ihis permit, and that no building sirudure, swHolding, falsework, or demolition or dismantling thereot, will be more than Ihirty-six (36) feet high. (Chap. 32, Gry 2, Atl 2, Sec. 341, Ttle 8, Calitornla Administrative Code). ' ❑ As owner-builtler. I will not employ anyone to do work which would require a permit trom the Division of Industnal Sefety, es noted above, unless such pereon hes a pertnit to do such work irom Ihe tlivision. Signature: Date: Division oi Industrial Satery Permit Number: CERTFlCATE OF COMPLIANCE AND AIfiHORVA710N OF ENfTiY: I certify untler penalty ot perjury ihat I have read this epplication and slate that the informalion given is correc�. I agree to comply with ell state laws end city ortlinances relating to builtling constmction, and euthonze representatives of the Ciry ot Costa Mesa to enter upon ihe ebove-described property tor ,i{n7spection purposes. I egree not to wcupy or aliow occupancy of any building eu�horized by�th7is permit until finel inspection. ._14-Xl�'.n•.•••-_�-C L7'2- YYl. i,� 7- Z,Q - Cl :� {,SigneWre�Ol�Legel�Owner(s)_�_„�— rDate'"��-���-. .,� _ �-"--•=--> COOE t. INSPECTONTYPE 1616 Fized System Finel Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 Final elocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition P� INTffIALS � ` " CODE� INSPECTIONTYPE 20fi Final Mechanical 20B Finel Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuildingiOccupenCy � .. g �;i::� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. GALIFORNIA For Applicanf fo Fill In Compiefely TYPE OR PRINT BUILDING ADDRESS 2185 Am.erican 6venue COSTA MESA. CALIFORNIA ■ ARCH 1533 Balcer St. Dike & ■ 88'fBACK LINE FROM FIRE 20NE IRC• APPROVED FEE RECE111ED � � f�s2ot�t � FlNANCE dAP�sA 4PPLICATION � ��R�dR�f BUILDING Fo� Office Use Only RECEIPT N��PPtR�.{IT, N� � Am� Y BY I OATe ReC¢NCD I DATH IBSUED COSTA MESA. CALIFORNIA ZONING p 20NE NO. OF U8E OF NEW �y � R�4, I PLAN9 /� I BUILOING fi xr 9-u5i �°�� � oesca�rr�ox NO. OF BLDO Now ora LOi�one A p, NO. YARDS APPROVED —_ — —_ �' 1 fCEMCR LINe HiJ DESCRIPTION OF WORK �% �� „r�o,r.�v � II n��.r,� 7 u� 10 1 � 8. Tr. 3934 w/ att g. none EVES ALLOWED ,� FT. /lR � � ' IN. � �1 FT. IN. ,� � /� FT. IN. ' / FT. IN. `, attached ara e two livin units. Gar. lal�1 sq. ft. i HEREBY ACNNOWLEDGE TMAT � HAV6 R¢AD THIB APPLJGTION THE AMOUNT BHOWN UNOER VALUAT�ON IB POR THE AND 9TATE THAT THE ABOVE 16 CORRECT AND AGREH TO COM- pURPOBH OP EBTABLIBHINp A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANC89 AND BTAT¢ LAWB REpULATINO BUIIDINe CON9iRUCT10N.^�. �` VALUATION q 61GNATURE OF � ���'�� PERMIT FEE $ 31 �OO PERMI7TE ~ v p 5 s 17,979-00 PLAN CHECK $ 1V�" O AUTHORIZED AGENT Dike &(�i0 gTOVB� ZIIC� rr�[O TOTAL FEE » � �� ;� Aov��cant to till in all spaces excev< <hose witnin �eavY boraer lines anG zign all appro0riate Oeclarations. �._ CITV OF�COSTA MESA CONSTRUCTION PE,IRMIT ProjectAddress �;21 Fi�.s�AmPr�ti��n T�-� Applicant's Mailing Address 4�' �� Owner's N e Phone 3y�y Addreu � �! ��%� IGMCI� r 67��S-Y� ArchlEng. License No. Address Contracmr's NamP �7 � Phone Address (mailingl City License No. LICENSED CONTRACTOR �ECLARATION 1 hereby affirm that I am licensetl untler provisions ot Charter 9(mmmencing wi[h section ]000) of DiviSion 3 Of t � Busine55 antl PrOfessionz Cotle, antl my license is in /ull force antl'eife � License Class License No. Date � Siqnature � WORKERS' COMPENSATION DECLARATION �!i hereby afiirm that I have a certificate of consent to selt-Insure or a certiticate i�o! Worke�s' Compensation surdnc¢, or d certifietl cOpy the�eof (Section �3800, Lab. C.) � Policy No. D Company 8 Certifietl copy is here y furnished. Certitietl copy is filetl with Me city Builtlin9 Division. Date APplicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION t (This secfion neetl not be mmpletetl if the permit is for one 1�.pntlretl ($100) or less). I certi(y [hat in the perto�mance of Ihe w f0/ whlch is,perm�t is.'I�S5ue0 �I� shall not employ any qe�son in any m qi 50 a5 to e me subjec� ���❑e Workers' Comuensation�Laws of Califor�J. ////o. � . /,. _. //n. comply with sucn provisfons or tnls oermlt snall oe aeemea revoueo. CONSTRUCTION LENDING AGENCV � ' I hereby atfitm that there is a[onstruction Ien0ing agency for the performanc¢ ot the wo�k tar whiCh Ihis pe�mit is issuetl (Section 3097 Civ. C.) L.entler's Name LentleYs AtltlreSs � � OWNER BUILpER UECLARATION �� ' I h¢reby affl�m that I am exempt f�om the Conttactor'S License Law fo� the following reaion (Seclion ]031.5 Busine55 antl P�ofe551onal Code: Any ci[y or county which �equires a Oe�mit to Const�uct, alter, imp�ove, tlemoli5h or �epai� any structure, priar to Its issuance, �also �equires [he applicant tor such pe�mit to file a signetl statement that ne/she i5licensetl pu�5uant fo tlte p�ovisions of '[he Contractor's LicenSe Law (Chapter 9.(commencinq with Section7000) of �ivision 3 of the BuSiness antl Pro(essions Cotle) or [hat he/she is exempt �ref�om antl the basis fo� the allegetl exemption. Any violation of Section 31.5 by any applicant for a Oermit subjects tha aOP���ant to a civil enalty o( not more than tive huntlred tlollars ($500). I, as owner of the property or my employees with wages as their sole c pensation, will tlo the work, anG the structure is not intentletl o� offeretl fo sale (Section 7044, Busine5s antl Professional Cotle: The Confractor's License Law Aoes no[ apply to an owner of a p�ope�ty who builtls o� improves thereon, antl who Ooes SucM1 work himself/he�self or through his o� her awn ' . employees, providetl [hat such improvements are not intentletl Or otferetl for '� sale. If, howeveq Ihe builtlinq or Improvement Is soltl wlthin one year of com- � pletion, the owner will ihave tM1e bu�tlen ot proving he/She tlitl not builtl or im- �rove forthe pur0ose of sale). I, as owne� of the property, am excluzively mnt�acting with Iicensetl con- tractors to construct the project (Section 7044, Business antl P�o/e55ions Cotle: ' The ConVactor's License law does not apply to an owner of property who builtls or improves tnereon, antl wM10 contracts tor such projecls with a mn- Iractor(s) license pursuan[ �to-the Contractor'S Licenre �aw). I am aware tnat ' D�oot oi Iheir Worker's Compensation insurance shoultl be provlGetl to me. ❑ I am ezempt untler Section B. & P. C. fo� [his �eason Date owner I hereby cerfify that I have rea this application antl intormation is mrrect. 1 agree c mply wlth all city � antl state IawS rel ting [o b' tling onstructlon, antl h� Sentatives of fni city to n[er' pon the abOve-me inspection pur,(� Sp ////, , �,n //,, i i Drivers' License or 55 � _ above TVPE OFCONSTRUCTION LJ NEW U ApD I_IALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � DESCRIPTION OF WORK/USE OF BLDG. " TVPEOFPERMIT GRADING FOUNDATION STRUCTURAI. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ.Fr. occuPANCv CONSTRUCTIONTVPE ' VALUATION$ ZONE GRADINGCU.VDS. ACRES Remarks: ��„_ ,/� � � / . _ , � / Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Orinking FOuntains Floor Drains Floor Sinks - Gas Service Outlets Interceptors Kitchen Sink Roof Drains Rainspec[ion Fee � $15 Duct-UnderGround Duct - Sttuctural uct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0.100,000 BTU � 100,0006T Reinspection Fee � $15 CMF 0865-46, r¢v. 10/84 White - Builtling; Canary - AppliCanQ Pink - Accounting; Goltlenrotl - Asse550r Showers Servite Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal W3L2f C1052S Water Heater ' Water Service � Auto-Wash Isue Fee , Hood or Typel ❑ Canopy Typell ❑ ' Refrigeration SVstem ❑4700,OOOBTU ❑100,000 System Repair/Alteretion Fire Dampers Registers laue Fee FE $ 3 $ 3 A.P. # S Main Building: E T Front g Rear A C Right K S Left Ping. Ref. �k Planning Notes: . _ �� Zone Accessory Building: Z � O N I N G R Parking Req./Provided E Q M T S ELECTRICAL Automa[ic Washer Transformer ❑ 15-50 KW � Construction Pole Sub. � ❑ 50 + KW Cooking Unit Meter ❑up ro 100 amps Dishwasher Meter ❑over100amps Dryers ❑Gas� �Electric • �SubPanel ' Fan Motors �0-1 HP � i X� 8 F.A.U. Inc.Solar 09-15 HP �i6-75+ Fixtures ' Microwave - Device Boxes Pole Light Outlets Switches Garbage Dispoul Generaror 065 KW �5-15 KW Sign ; Standing Sections Trash Compacmr FEES � Reinspectian Fee �$15 ' � Ixue Fee I $ 3' DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved 8y Date Applintion Issued By i Dat� SUMMARV OF FEES ' BUILDING PERMIT $ SMIP - $ ' , PLAN CHECK $ PEFMIT - PLUMBING $ ISSUANCE $ PLAN CHECK 2596 $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ �— MICROFILM $ MECHANICAL $ �'� � TOTALFEE $ P�AN CHECK 25% $ CONSTRUCTION AND PLANNING ' �� � P�� '°A' � APPROVALS Permit# Date Inspector AppROVALS Permit# Date Insper,tnr 1. Temporary Electrical Service or Pole . 52. �Pool & Equipment Location � . �, `, 2.� Soil Pipe-Undrgrnd. . � - 53. �Steel Reinforcement � . 3. �Electrical Conduit Utility�Undrgmd. - , 54. Forms .4. Electrical Conduit-Undrgmd. � ,� 55. Electrical Bonding - - 5. Steel Reinforcement � 56. Rough_Plumbing & Pressure Test � � `_�6. Electrical UFER Grnd. � 57. APPROVAL TO COVER'-GUNITE ' 7. Footings � ' 58. Electrical Conduit-Undrgrnd. ' 8. Foundation 59. Gas Pipe, � Undrgrnd., Test � 9. Water Pipe-Undrgrnd. � ' 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System � �- 61. APPROVAL TO DECK � 11. Property�Sewer Line & House Connection 62. Backwash & Receptor-Final � � 12. Sewer Cap - 63. Heater & Vent-Final . 73. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing - � "65. Electrical-Final � 15.'RoughElectric2l-Conduit �� � 66. SolarSystem-Final - �16. Rough Electric Wiring �67. Fencing & Access Approval " 17. Rough Wiring Sign 6S. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL - 19. Rough Heaiing & Air Conditioning . FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure � � 70. Underground Hydro 22. �Ducts, Ventilating �Y Q 71.- Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test i ; � 72. Underground Flush 24.'Roof Framing ' ' 73. Undergrnd. Storege Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding . � � 77. FIXED SYSTEM FINAL 29. Insulation �. 78. FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric Nntes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-7est � � _ 36. Hood or CanopY - 37. Final Factory Fireplace� . 38. Final Plumbing 39. Water Service-Final' � • 40. Gas Service-Final 47. Solar pomestic-Final _. . . . � 42. Backflow Pre'venter ' � � 43. Backflow Irrigaxion ; � , 44. Landscape Irrigation System . 45. Sound Attenuation � � - � � � � 46. Handicap Regulations � � 47. FINALSTRUCTURE&BUILDING . Q8. Special Requirements Completed � � . � 49. Electric Release to Edison - , , - � � � � 50. Gas Release to 5outhern California Gas Co . ' 51. CERTIFICATEOF_OCCUPANCY � _ . _• � �n. Date ' . . .