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HomeMy WebLinkAbout100 ASPEN LN - Building Permitsapo 4-16 2 046�5�3 COSTA MESA BUILDING SAFETY DEPARTMENT P 0 BOX 1200 COSTA MESA CALIFORNIA 92626 For Apean� TJfto Fill] in Completely — Use Ink Only BWLDIWG 7796 10/27/78 111.96 -TL 777r7gq9��6 1pp0aa/2pp7pp/7�8�gg ��qq 1 1 106CKTO N FOR7S'C-CtURBR IOPM417 1 A ^ RECEIVED BY fJ/,TyFjFLEIVED DATE ISSUED /� 9 if�T/le LTi `1.Z]C OWNER-Muffte Vista Townhomes. Inc j AP No MAIL rr�� µ BUILDING ADDRES-001 Dove St #225 ADDRESS CITY Newport Beach N%152-5071 TRF CONSTRUCTION N W AC BRANCH ADDRESS ARCHITECT ADDRESSvcw CONTRACTOR OWN 21). ADDRESS ZONE NO OF USE OF NEW TEL CITY NO PLANS 2- BUILDING STATE CITY YARDS APPROVED YARDS APPROVED LIC NO LIC NO MAIN BUILDING ACCESSORY BUILDING SIZE NO OF BLOGS (FROM C/L STq EET) ry OF LOT NOW ON LOT FROM FT FT USE OF THE AMOUNT SHOWN EXISTING BLDG IDE 7 FT FT THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY m Separate permits are required for L SIDE /V FT FT &f electric plumbing and heating work REAR FT FT USE OFBUILDING AND WORK TO BE PERFORMED DISTANCE BET BET MAIN & New Tonwnhomes Project V MAIN BLDGS ACCESS SLOGS 07i n I /A w . VAR # — DATE U / i�Vri If/ /_ %iL/Dfi_� APPROVED/,;.P �� I _.__ /Ii 7 i %0I I hereby acknowledge that I have read this application and state that the above Information Is correct and agree to comply with II laws regulating b ilding construction and I shall not employ any person In violation of the workman s compensation laws of the St t of Californi 1 hereby certify that I am properly licensed as a contractor under the State of Califor la Business and Professions Code Division 3 Chapte 9 h I n.,re in full for a and eff t or I am exempt r provisions of t a State of Californi Business nd Profess da Ion 3 C er 9 S gnat Permittee Authorized Agent in m m SQ FT J� `� ry THE AMOUNT SHOWN UNDER VALUATION IS FOR mU / THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY m VALUATION PERMIT FEE $ v M-1 &f o PLAN CHECK $ $ LL � TAX $(tj V TOTAL PAID $ (714) 754 5273 Fax (714) 754 4856 www ci costa mesa BUILDING PERMIT 77 FAIR DRIVE COSTA MESA CA 92626 Job Address 100 ASPEN LN Suite 13 Vicinity BLDG 13 Parcel Number 43917202 Zoning Applicant MCPHILLIPS EARL _ - Address 23261 DEL LAGO -� C STE 5 Phone (949) 583 1858 LAGUNA HILLS CA Zip 92653 1330 � ) i Owner IV LG -u I r �1 N°A r� Address 100 ASPEN LN - COSTA MESA CA Phone Zip 92626 ISSUED BY Status ISSUED Applied 06/08/2001 Issued 06/08/2001 Contractor i1 PRO TECH WEATHERPROOFING _ FEE SUMMARY - _ -= f _' Valuation � 1 +� $340000 / Address 23261 DEL LAGO - — — �� _Calc Claim Valuation „Jf r 400 00 SMTP Res k STE 5 Phone (949) 583 1858 n$3 `lJ SMIP Com LAGUNA HILLS CA Zip 92653 1330 License 620476 ri' " + . Arch Eng Address Address -, r t� Total Phone �}' Phone i Zip License License SCOPE OF PERMIT t TEAR OFF INSTALL 1 LAYER OF_15LBS FELT AND 30 YR COMP SHINGLES BLDG13100 102 ASPEN I(/+ 1 Plan Check f $0 00 " = _ FEE SUMMARY - _ -= f _' Valuation � 1 +� $340000 / �t Permit t $9725 _ - — — �� _Calc Claim Valuation „Jf r 400 00 SMTP Res k $0 50 ) n$3 `lJ SMIP Com $000 Other $000 1 ri' " Inspections r $0 00 ~ r t� Total $9776, PLANNING'S, ZONING 1 SETBACKS,�c��V\ MAIN STRUCTURE Front 0 /0 l Rear 0 0 ` Left 0 0 ='.-- Right p Owl<� ACCESSORY Front 0 0 _'� { ear 0 0 Left -0-0 t A Right t�0 Ole PARKING Existing 0 Required �0 * Proposed tt -0 NOTES �� ^� - �� h ` ✓ % r 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 244646 (6/00) C C WORKERS COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations ❑ I 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 I 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 My workers _Ip nation n In's�ur�nce c r�B@ rgnd po/Iicy number are _ _� ^ _ r,., 2� Cerner �. iL� Policy Number `•� C.•H ..J (This section need not be completed if the permit is valued at one hundred dollars ($100) or less) ❑ 1 certify that in the performance 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 com ws of Califor and agr e t Id become subject to the workers compensation provisions of Section 3700 of the Labor Cade I shall forthwith with ase provisio ant SI ure e e 62 W FAILURE TO SECURE WORKERS COMPENSATION VERAGE IS UNLAWFUL AND $HALL SUBJECT EMPL TO CRIMINAL P NALTIES ANO CIVIL FINES UP TO ONE HUNDRED USAND OOLLARE ($100000) IN ADDITION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR ION 37080E THE IABOR CODE INTEREST AND ATTORNEYS FEES LICENSED RACTOO�B E ARATION I here affirm that I IIcan a under provisions of Ch ter (co enc ng with Section 7000) of Division 3 of the Business and Profession Cade and my license Is in full for end effect #� Cla G onirectors S re ate O O ( -CIJNSTRTION LENDING AGENCY ❑ I her by affirm that there Is a construction lending agency for the performance of the wor or which this permit Is Issued (Sec 3097 Civil Code) Lender's Name Lender s 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 70315 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 70315 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 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 driver's 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 1 HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION 1 WIII 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 dunng 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 appplicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous matenals)n 1:3Yes ❑ 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 an RMPP Is presently required has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5 Does or will the applicant or present or future budding occupant require for the work which is the subject of this a plication a permit 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 LJ No (Section 65850 2 of the California Government Code requires that the requested Information be furnished on applications for non residential building permits) 6 WIII any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If 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 made9 ❑ Yes ❑ No 8 (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 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 I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection Lege wner(s)lo �/ Date A r u ant I— Date CODE . INSPECTIONWIRE PACE INTRIALS CODE N INSPECTIONTYPE i INITALS 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 Well 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