The URL can be used to link to this page

Home My WebLink About2514 ALDER LN - Building Permits025'! 4 a�.5'� Q�5�4� »ae ioia5i�e 1.11.96 r� ' COSTA MESA BUILDINGSAfETY DEPARTMENT T182 IU/27/78 I;1'1�.96CKfD P.O. BOX 1200 WSTA MESA, CALIFORNIA 92626 �� 7792 "00004469 44 '�"' I�A "` APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink O�ily RECENEDBV D �REC�IVED DATE�S�S,UES� BUILDING r . r'Ir. n n.� //_ ri. vf.r� / A.1/ A \ �i11 i `� F � W G. Q y h .T. F C] W F i� .� < � i' .� x w a � a a z W 3 OWNER MAIL ADDflE: CITV BflANCH ADDRESS ARCHITECT OR ENGINEER 504 ADDFES�pW CONTRACTOR A.P. NO. 1 BUILDING ADDRESS TEL. TRP NO. N W AC OWNEfl TEL C��.�c5�585 SE I #fZOZ FIRE �—�--�— ZONE iJ p _ _ APPROVE ADORESS • TEL. CITV NO. STATE CITV LI0. NO. LIC. NO. SI2E NO.OF BLDGS. OF LOT NOW ON LOT USE OF EXISTING BLDG. Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED I hereby acknowletlga that I �ave reatl this appliceiion antl stata ihat the ebove info�mation is correct antl a0ree to comply wiih all laws ragulating buildin0 co�struction, and I shall not employ any person in vlolatlon of th6 workman's compensation laws ot the State ot Celifornie. I hereby cartify that I a prope�ly Ilcensed as a contractor under the State of Cali iness antl Professions Cotle, Division 3, Chapter 9, and h lic es are in full force antl eftect, or I em exempt f�o p vi o f the S t of Calitornia Business and Profession iv' i C apt SlOnature of Permittae Authorizad Agent DATE 1 U � ZONE NO.OP USE OF NEW /. �� PLANS � BUILDING �pGrv�� YAflDS APPROVED VAFDS APPROVED MAVN BUI�DING ACCESSOPY BUVIDI' (FROM C/L$.l'REET) DI5TANCE BET. MAIN BLDGS. VAR.# - FT. & u.r.� z!'/Yd /6� iu'rntJVEo/C aCJ� 'PROVED/:i/ �✓' /O,O'�_�71[ tiC4/ /� NOLD FOR SPECIA REOUIREMENT� THEAMOUNTSHOWN UNDERVALU THE PUPPOSE OF ES"fABLISHING A PERP VA�UATION � PERMIT FEE /y)//�/ PLAN CHECK $ 5�3 / V (/ TAX 5 % � TOTAL7AID $' e n m > : m� � m �� n N `(� m •) m \ 0 LL � � U CITY OF COSTA MESA �,0�'tpMFS,9 B!/ILDING DIVISION FJ�� 77 FAIR DRIVE. COSTA MESA, CA 92626 • �714) 754-5273 • Fax (714) 754-4856 • www.costamesaca.aov FOR INSPECTIONS CALL: (714) 754-5626 `a+rowrto•+" PERMIT NUMBER: BC12-00061 PERMIT TYPE: B COMBO � STATUS: ISSUED Sub Type: RES_ALT DATE ISSUED: 0210612012 ISSUED BY: CAC .los AD�REss: 2514 ALDER LN CM APN: 43917249 Zoning: , , Suite/Unit: Viciniry: Primary Occ: Const Type: SQ. FT: 0 Valuation: $6,500.00 SCOPE OF WORK: INTERIOR BATHROOM REMODEL REMOVE TUB AND INSTALL SHOWER AND TUB COMBO. 1 LIGHT 1 OUTLET 2 SW ITCHES 1- BATHTUB-SHOWER OWNER: CURTIS,PAMELAJ Phone: APPLICANT: BUCAR,VITO Phone: 714-0013855 CON7RnC70R: BUCARO CONSTRUCTION Phone: 714�01-3855 Cell: ARCHITECT: ENGINEER: �- � �- COMBINATION PERMIT FEE SUMMARY Building Plan Check: Building Fees: Electrical Fees: (4lechanical Fees: P.lumtiing Fees: SMIP Residential: SMIP Commercial: � - Bltlg Std Admin Fund TOTAL FEES: � Address: 2514 ALDER LN City/State/Zip: COSTA MESA, CA Address: 4771 PALM AV City/State/zZip: YORBA LINDA,CA License No. 242339 Address: 4771 PALM AVUnit: City/State: YORBA LINDA,CA License No. License No. $0.00 $139.25 $27.90 $0.00 $33.30 $0.00 $0.00 $1.00 $201.45 Unit Unit : 't;•i i _i.)�u±�,�^j'i ZipCode 92886 PHONE: PHONE: HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/78/2010 - PER CMMC SBc. 13-279 Nru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru e:oo pm. Prohibited all hours • Sundays and the following New Years Dav. Memorial Dav. Indeoendence Dav. La6or Dav. Thanksaivina Dav and Christmas Dav � r,_;. p„� �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: PERMIT EXPIRES 780 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 codes, and all �required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. CQpEt. INSPEGiIONTYPE � INIRIRLS G�p INSPECiIONTYPE ORI� N i1R ,1616 , Fixed System Final Fire Prevention 206 Final Mechanical !1,266 Pool Spa Final 208 Final Plumbing 300 Final Re-Roof 210 Final Elecirical 201 Final BIocWRetaining Wal� 212 Final Fire Prevention �"f� 202 Final Factory Fire Place 220 Final Planning Approval �203 Final Sign � 222 Final Site �� ---'�--V--'--� ' i i- �� 204 Final Demolition 250 Final Building/OCCupanty �� i%�na��iF: ��i � ------- --..._J ;`ll WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalry of perjury one of Ihe following declarations: ❑ I have and will maintain a certificate of consent lo self-Insure (or workers' compensation, as provided for by section 3700 of ihe LaSor Code, for the pedormance o( the work (or which this permi[ is issued. �I have and will maintain wurkers' compensation insurance, as required by sectbn 3700 of the Labor Code, for the peAormance of the vrork for which this pe is issued. My workers' compensation Insurance carrier and policy mb r are: / � i� �^� / rier 5 (-r]` i C: (!>n-7 (� (This se[tion neetl not Oe mmpeletl Athepeim9 is valuetl at one nund.etl d�llan (St00) orlessJ P cy mber: Z�JSCJO��{bOO �Z—r—�2 ❑ I certi(y that in Ihe pertormance of the work for which this permit is issued, I shall no� employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I shoultl become subject to the vrorkers' compensation provisions of Seclion 3700 of the Labor Code, I shall forthwith compl 'Ih these provisions. l�.,r� l�� Z - - / Z Appl an�'s gnaWre --6a� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 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 aKrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 0( lhe Business and Professions Cotle, antl �cense is in tull torce antl eftect. u Z5'233� C� /3 �l�z�` %�ri�-'� Z-- 6 �- Z mracbr's Sgnalure le CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm lhat there is a construction lending agency tor the peAortnance of the v.ork fa wfiich this pertni[ is issued. (Sec. 3097, Civil Code�. Lender's Name: Lender's Address: Signawre Da�e OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalry of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a permit to construct, alter, impmve, tlemolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement thal he or she is licensed pursuant to the provisions of the Contractors License Law (Chap[er 9(commencing with Section 7000) of Division 3 of the Business and Pmfessions Code) or that he or she is exempt therefrom and the basis for the alleged exemplion. Any violation o( Section 7031.5 by any applicant for a permit subjects [he applicant [o a civil penalty o( not more Ihan fve hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl the strucWre is not intended or oftered 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 impmvements are not intendetl 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 (or purpose ot sale.). ❑ I, as ovmer of the property, am EXCLUSIVELY CONTRAC7ING WITH LICENSEU CONTRACTORS to cons[ruct the project (Sea 7044, Business and Professbns Code: The contractors License Law dces not appty to an ovmer o! property who builds or improves thereon, and who contrects for such pmject with a coniracla�s) license pursuant to Ihe Cont2ctors license Laws.). ❑ I am exempt under sec. Business and Professions Code for Ihis reason: Ovmer ID verifietl by tlriver s license. ❑ Yes ❑ No Driver's License No. Expires: Venfcation o( Ownership by (rype o! document, i.e. - property [ax bill or deed�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavalion frve (5) or more feet in tlepih into wfiich a person is required to descentl, vnll be made in connection with vrork authonzed by this pertnit, and that no building sWCWre, scaffdding, falsework, p tlemolition or dismantling�thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, M 2, Sec. 341, Ttle 8, Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit fmm ihe Division of Industnal Safery, as notetl above, unless such person has a permit to do such work (rom the division. Fpplicanfs SignaWre Da�e Division o( Industrial Satery Permit Number _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applican[ or presen[ or (uture building occupant neetl to fle and ceAify a Business Plan for emergency response to release or lhreatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safery Code requires, with some excep[ions, that a Business Plan be filed with Ihe Costa Mesa Fire Department by every business which has at any one time dunng a reported year a quanlity of hazartlous materials equal to or greater than a weight of 500 pounds, or a volume ot 55 gallons, or 200 cubic feet of compressed gas at standard tempereture and pressure). 2. Does or will the applicant or present or future building occupant need to file a registra[ion form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Healt� and Safery Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hantl a quantily of acutely 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 al standard temperalure and pressure). 3. Does or will the applicant or present or fuWre building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Ves ❑ No (Section 25534 of the Califomia Health and Safety Code provitles that the Costa Mesa Fire Departmenl may require the preparation, certifcation antl filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4. I( an RMPP i5 presently required, has Section 25534 of �he Cali(ornia Health and Satety Code been fully complied with7 ❑ Yes ❑ No 5. Does or will Ihe applicant or present or future building occupant require for ihe work which is the subject of this application a permit for such construction or modification from the South Coast Air Quality Managemen[ DisMct or from any other air pollution con[rol district or agency? ❑ Yes ❑ No (Sectbn 658502 of the Califomia Govemmen[ Code requires tha� the requested in(ormation be fumished on applications (« rron-residential building pertnits). 6. Will any part of the facility to be constructea untler this permil be wi[hin 1000 teet from Ihe outer boundaries ot a school? ❑ Yes ❑ No Qf "yes", the facility must meet the requiremen[ of Sections 25534 and 42303 of the Califomia Heal[h and Satety Code). 7. If a permit from the South Coast Air �uality Management Disirict or other air pollution control disMct or agency is required for the work which is the subject of this application, have all of the discbsures prescnbed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. pt "yes", attach ceAi(cate of compliance from Ihe appropriate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury [he information given above is conecL I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certi(y under penalty of perjury that I have read this application and state tha[ the information given is correcL I agree to comply wilh 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. I agree not �o occupy or allow occupancy of any building authonzed by this permit unlil final inspeclion. Si nalure/o�l Legal Ovmeqs) Date SgnaWre Date //� ///�. i� �.� /�� 2J 309-a6(3/0]) �� /�'L/ f� AnObr' zetl ApPliwn� le r � ��ia� �sa-s2�a • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT Zf3 , .lob Address: 25141 ALDER LN Suite: Vicinity: BLDG 28 �t39-/7Z-Z/ Parcel Number: "r'a.r"n'-it� Zoning: Applicant: COOTER, LYLE Address: 23015 DEL LAGO LAGUNA HILLS, CA owner: STANNERS, SHERYL Address 2514 ALDER LN Phone: (949)583-1858 Zip: 92653 Phone: COSTA MESA, CA Zip: 92627 Contractor: PRO-TECH WEATHERPROOFING Address: 23015 DEL LAGO Phone: (949)583-1858 LAGUNA HILIS, CA Zip: 92653 License: 620476 Arch : Address: Eng: Address: 77 FAIR �HIVh, GO51 A MtSA, GA BZti2ti ISSUED BY: Status: ISSUED Applied: 09/01 /2000 Issued: 09/01 /2000 Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF "BLDG 28": T/O EXISTING SHAKE, INSTALL 15# FELT, APPLY GAF 30-YR COMP SHINGLES. 24SQUARES. Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existina: o NOTES: Rear 0-0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Ri9ht 0- 0 Right 0-0 $3,400.00 $3,400.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9240, § 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 approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 244646 (fi/00) WORKERS' COMPENSATION DECLARA71d� �� I he�eby attirm under penalty of perjury one of the tollowing declarations: ❑ I have and will maintain a certiticate of consent to self-Insure for workers' compensation, es provided for by section 3700 of the Labor Cotle, for ihe perfortnance of Ihe work for which this pertnit is issuetl. � I have antl will maintain workers' compensation insurance, as required by section 3700 oi Ne Labor Code, for the peAortnance ot Ihe work for xTich this pertnit is issued. My woMers' compensation Insurance carner antl policy number ara: Certier: Policy Number: (This section need not be comp/eretl il the permit is velued et one hundred dallers ($100) ar /ess J ❑ I certity that in the performance of the work For which this permit is issuetl, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Calitornia, and agree Ihat if I should become subject to the workers' compensation provisions of Section 3700 0l iha Lebor Code, I shall forthwit� comply with these provisions. (} Applicen� Signeture: !�� Dete: % / .7 � WAPNING FAILURE TO SECURE WORKERS' WmPENSATION CAVEMGE IS UNLAWFUL AND SHALL SUBIECT AN EMPIOVER TO CRIMINAL PENALTIES M1D CIVIL FWES UP TOONE MUNDRED TIqUSAND OOLLARE �5100,000�, IN ADOITION TO THE COST OF CAMGENSATIqJ, DANAGES AS PROVIDED WR IN SEC�ION 3]OB OF THE LABOR CADE, IMEREST, AN� ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATON: I hereby ettirtn [ha[ I am licensed undar provisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Profeuions Code, and my license Is In full force and ettett Lic. # CIe55 N Coniractor's SignaNre: Date: %� ii O �__ r CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm ihat Ihere is a construction lentling agency br ihe pertormance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lentler's AAdress: Signe�ure: OWNER-BUILDER DECLARATIONS: Date: I hareby aflirm that under penalty of perjury ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Businass and Professlons Code: Any ciry or county which reQuires a permit to construct, elter, improve, demolish, or repair any stmcture, prior to its issuance, also requires ihe applicam for such permit to file a signed stalament that he or she is licensed pursuent to ihe provisions of ihe Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 oi the Business antl Profassions Code) or that he or she is exempt therefrom antl the Casis for tha allaqed e:emption. Any violetion of Section 7031.5 Dy any applicant for a pertnit subjects the applicant to a civil penalty of not more than five hundrad dollars ($500).): ❑ I, es owner of the properry, or my employees with wages es their sole compensation, WILL DO THE WORK, and the strudure is not inientletl or oftered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, and who does such work himseN or herself or through his or her own employees, provided that such improvemenis are not intentletl or otteretl for sale. If, however, ihe building or improvement is sold within one year ot completion, the owner-builder will have ihe burden of proving that he or she ditl not build or improve tor purpose of seie.). ❑ I, as owner of the pro0erty, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS Io construcl the project (Sec. 7044, eusiness and Professions Code: The contrectors License Law tloes not apply to en owner ot pmperty who bullds or Impmves ihereon, and who conVacis tor such projeci with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for ihis reason: Signature: Date: Owner ID verified by tlnver's license. ❑ Ves ❑ No Driver's License No. Expires: Venfication of Ownership by (rype of tlocument, i.e. - proparty taz bill or daetl): DIVISION OF INDUSTRIAL SAFETV PEHMIT CERTFICATION: ❑ I hereby certify ihat no ezcavetion five (5) or more feet in depih into which e person Is required to tlescenq will be made in connection with work authonzed by Ihis permit, and that no building simcture, scaflolding, falsework, or demolition or dismantling Ihereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Calitornie Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require e pertnit from ihe Division of Indusirial Safery, as noted above, unless such person hes e permit to tlo such work irom ihe tlivision. . SignaNre: Date: Division of Indusinal Safety Permit Num6er. CERTIFICATE OF COMPLIANCE AND AUTHORVA710N OF EN7AY: I certi(y under penalry of perjury that I have reatl Ihis applica�ion and sta�e ihat the informa�ion given is correct I agree �o comply with all state laws and city ordinances relating to builtling conswction, end authorize representatives ot the Ciry of Costa Mesa to enter upon Iha above-descri6ed property tor inspection puryoses. I agree not to occupy or allow occupency of any building authonzed by this parmit until finel inspection. Signature Of Legal Owner(s) Date � � � � �An Authorized Applicant Date COOE t. INSPEC710NTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final RaRaof 201 Fina181ocWRetaining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Finel Demolition QdiE INTIf1AL5 CODE� INSPELTIONTYVE 206 Final Mechanical 20B Final Plumbing 2W Pinal Elecincal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuilAincyOccupancy PSIE 1[1�L5