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Home My WebLink About890 ARLINGTON DR - Building Permits2 I 9 t-�; COSTA MESA BUILDING-Siv'� �iY DEPARTMENT P. O. BOI[ 91] C09TA MlBA. CALIFORNIp For Applicant �o Fill In Completely� p�• TYPE OR PRINT 'LYk�. GOSTA MESA. CALIFORNIA . ARCHITECT _ !,3 3 ��-�: TEL �- � � EX STO N6 BLO6. �/f, �/" //� � • /� 6ETB�CN LINE FROM `� �� CENTEq OP BTNCBT REM YARD SIDE YARDI LEFT ' I RIGHT DESCRIPTION OF WORK � NO. OP ROOMB BTOF WALL -�- I ROOF �� J FEE RE(�'EfVED FINANCE DEPT.�v" CITY OF COSTA MESP. APPLICATION FOR PERMR BUILDING For Office Use Only RFCEIPTNO. � qHC81V�8D BY �i�/ BUILDIN� i ZONING I.OP UBEOPNHW�/�� AN9 �� lIIILDINO /Z Ser:•1� ` v —�yZ —o� OV ERHAN6 SNALI BE LE99 THAN YARDSAPPROVED MAIN BUILDIN6 I DISTANCE BET. MAIN BLD69. VAR. JF 1 HEREBY �CIINOWLeDOB TH�T 1 XAVB pPJ1O TXI9 �PPLICATION ANO 6TAT8 TXAT THE �BOVe IB COHPECT �NO AOqEB TO COM- PLY WITH �LL CITY OqDI C88 �ND 8TAT8 L11W 80tlUTINO Bl11LO1N0 CONBTRYRI �/ 61GNATURE OF PERMIttE AUTHORIZED A6HNT YAROSAPPROVED ACCE590RY BUILDINO OATE a 60. FT. � TXE �MOUNT 6XOWN UN�Eq V.�LUATION 19 POP THH F PUNPOSE� Op E9TABLIBXINO • PEPMIT FEE ONL�. � VALUATION cl�j — m PERMIT FEE $ / � DD�J.— � O s � � ..5 U o 4 iOTqLFEE ��.�. ��% 11' uWNER COSTA MESA ,_, JOB ADDRESS E � GENERAL COC � wr rro141-�4 J INSPECPIONS � Soil __ Gas ON R� . Com. Hc. � Hough Heating Wreck Co. DATE 4-i6-64 VALUE$ 2• FIRE 'LONE 3_ DESCRIPTION OF I GROUP J 1'YPE N SUBCONI'1tA(:TOR Water 9loQQ (714) 75a-5273 • Fax (7t4) 754-4856 • www.cl.costa-mesa.��LDING PERMIT %� FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 890 ARLINGTON DR Suile: Vicinity: MESA VERDE PARK Parcel Number: Zoning: qppiicant: STEWART, TODD A Address: 18627 BROOKFiURST ST UNIT 302 Phone: 714-903-2002 FOUNTAIN VALLEY, CA Zip: 92708 Owner: CITY OF COSTA MESA PARKS AND REC Adtlress 77 FAIR DRIVE COSTA MESA, CA Contractor: J& G INDUSTRIES INC Address: 18627 BROOKHURST ST UNIT 302 FOUNTAIN VALLEY, CA Zip: 92708 Arch : Address: Phone: Phone: 714-754-5403 2ip: 92626 Phone: License: 571859 Eng: Address: ISSUED BY: Status: ISSUED Applied: 04/22/2003 Issued: 04/22/2003 Phone: Zip: License: License: SCOPE OF PERMIT DEMOLITION OF STORAGE BUILDING AT BARK PARK. NO FEE CITY PROJECT PER DAVE ALKEMA. Plan Check: $0.00 Permit: $0.00 SMIP Res: $0.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $0.00 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Exlslinq: o NOTES: Rear 0- 0 Rear 0-0 Re uired: 0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 5i,000.00 s�,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements untler California statutes and relaled ragulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This pertnit shall automatically ezpire and become void it work is not commencetl within 180 days, or if work is suspendetl or abandoned for a period oF 180 days. INSPECTIONS: In order for the work euthorizetl under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetlone end }Inel approval must be obtained. Failure lo obtain inspections and linal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 :sa�se (tuw� WORKERS'COMPENSAnON DECLAAAnON: — I hereby eflirm under penalry of perjury e�e ol the I011owing declarations: ❑ I heve antl wlll maintein e certificete ol consent to sell-Insure for workers' compensetion, es provitletl lor by section 3700 0l the Labor Code, lor Ihe peAormance ol t�e �work for which thls permit Is Issuetl. 1'(eve end will mantafn workers' Compensalion insurance, as required by saction 3700 0l ihe Lebor Cotla, br Ihe pedortnance of the work for w�ich Ihis pemiit is Lssued. My workers' Comp9nsalion Insurdnce carrler entl policy number are: � Cerner: • Policy Number: (This section neetl nof be comp/eled i! fhe perml! is velued et one hundred dollers ($100) or IessJ ❑ I certity Ihel in 1 rmence o� work lo ¢h Ihis permit is issued, I shell not employ eny pereon in eny manner so es to become subject to t�e workers' compensetlo ws ol i nd gree t a� I I s�oultl become subiaa lo the workars' compensatlon provisions ol Sec)io 3700 of t�e Labor CaAa, I shall forthwl�h comply with ese prov i s. ��7 /,`� Applicent Signewre� _ — Da1e: ��1 �� WARNINO: FAI�URE TO SECURE WOfiKERS' COMPENSATION COVERAGE IS UNUIWFULlWD SHALL SUBJECT AN EMPIOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO pJE HUNOREO TlqU$AND DOILARE (f100,000�, IN AODITIOr1 TO THE G175T OF CAMPENSATION, OAMAGES /S PROVIDED FOR IN SEGTION I1060F THE UBOR fAOE, INTEREST, FNO ATTORNEI^S FEES- LICENSED CONTAACTORS DECLAqAnON: I here6y aHirm ihal I am � n�([m ov slons ol hapter 9(commencinq wllh Section 7000) ol Division 3 0l Ihe Bus�ness and Prof ssions Gode, and my license Is fn lull force entl eHect. Llc. x �� Class a Conirectors Slgnelure' Dete: Z CONSTRUCTON LENDING AGENCY: ❑ I �ereby etlirm that Ihere is a conslmction lending egency lor t�e pedormance of ihe work lor which Ihis pertnit Is issuetl. (Sac. 3097, Civil Code). LendeYs Neme: Lentler's Atltlress: Si9neture: Date: OWNER-BUILDER DECIARATIONS: I hereby eHirtn Ihet unAer penalry ol pe�ury ihat I nm E%EMPT FROM THE CONTRAC70HS LICENSE LAW lor lhe lollowing reason (Sec. 7031.5, Busineu antl Prolessions Cotle: Arry ciy m counry whicti requiras a permit to consiruct, aNer, improve, tlemolish, or repair any siructure, prior to its issuanco, also raquires ihe appficant tor such permil to lile e signetl statament thet he or she is licensetl pursuent lo Ihe provisions ot Ihe Convactors License Lew (Chapter 9(commencinq with Sedian 7000) of DlNslon 3 ot Ihe Business end Pmlessions Code) or tha� he or s�e Is enempt therelrom end Ihe besis lor tha allegetl exemption. Any violetion of Sedion 7031.5 by any applicant for e pertnit subjects the epplicent lo e civil penalry o� no� more than live huntlretl dollars ($500).): ❑ I, es owner of Ihe properry, or my employees with wages es Iheir sole compensalion, WILL DO TT1E WORK. and Iha structure is nol Intentletl or olleretl for sele (Sec. 7044, Business and Pmfessions Cotle: The CONractors License Lew does not apD�y to en owner of properry who builds or lmproves theraon, and who tloes such work himsell or hersell or ihrough �Is or her own employees, provitled ihat such improvements ere not Intendetl or oflared for sale. II, howaver, Ihe bullding or improvement is soltl within one yoar ol complelion, the owner-builder will have the burden ol proving ihat he or she tlid not build or improve for purposa ol sele.). ' ❑ I, es owner 01 �he proporty. am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct ihe projaci (Sec. 704d, Business antl Prolassions Cotle: The contrectors Llcense Ldw tloas not apply to an owner ol property who builds or Improves Ihereon, and who coniracls lor such projed wllh a contractor(s) license pursuent to the Contracto�s License Laws.). ❑ I am exempt under sec. Signa�ur0: Ov.•ner ID veriliad by tlnvels license. ❑ Ves ❑ No Business and Prolesslons Code Por Ihis reesort Verilicetion of Ownersnio by (type ol Ua�ument, i.e. � pmperty tax bill or tleed): OIVISION OF INDUSTRIAL SAFETY pERM1T CERTIFILATION: Oriver's license No. Date: Expires: [] I heraby cenify thai no excavalion �i�e (5) or more taet in deplh into which a person is requiretl to tlescand, will 6e made in connaMion with work su7horizatl by ihis permit, end that no building slrucNre, scaHolding, lalsework, or demolition or dismantling ihereol, will be more then ihirry-sia (36) teet high. (Chap. 3.2, Grp 2, An 2, Sec. 341, Ttle B, Celilomia AtlmlNsire�ive Code). ❑ As owner-builtler, I will not employ enyone 10 do work which woultl requlre e permit Iwm the Division of Intluslnal Salery, es noted above, unless such person hes a permit to ao such work Irom the division. SignaWre: Date: Division ol Intlusvial Salety Permit Numbar. CERTIFlCATE OF COMVLIANCE AND AUTHORVAiION OF EN7AY: I certity under penalry ol perjury that I Oave read this application and state that the inlortnation given is correcl. I agree b comply wllh ell stete laws end ciry ortlfnances relating to builtling constructipn, antl authodze re0resentalrve5 0l ihe Ciry ol Costa Mesa to enter upon the ebove�tlescnbed propert lor ins ection p oses. I a ree not to occupy or ellow occupency of eny bulltling aulhonzed by �his permit unlil linal inspection. n Wr egal Dat z7 /c1 � ntl/Or AU�horized ApDlicant Date COOE 1, INSPECTIONTYPE GAIF 1618 Fixetl SySiem Final Fire Prevention 1266 Pool Spe Finel 200 Final Re-Rool 201 Final BIocWRetaining Wall 202 Final Faclory Fire Place 203 Flnal Sign 206 Finel Demoli�ion ��d I R � CODE I INSPECTION TYPE 206 Final Mechanical 20B Finel Plumhing 210 Final EleclnCal 212 Final Fire Prevention 220 222 250 Final Planning Approval Final Site Final Builtling/Occupancy PAIE �xrm��s SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT NOTIFICATION OF DEMOLITION OR AS6eSTGS RE[;OVAL �MIL FORM AND FEE TO SCAQfAD, ASBESTOS NOTIFICATIONS, FILE # 5564 i', LOS Ai43ELES CA 900145641 ' A�MD USE ONLY SCREEN BY RECEIVED POSThIARK ENTERE� BY NOTIFICATION p COMPLETE� BY Terne Danahue COMPANY J3G Irdustnzs, Inc. PHOPIE 714 903-20G2 DA7E C��07:03 CHECKro851 F_=i37o1 PROJECT;1649 NOYIFICATION TYPE ORIGINAL Revu�cri D>r_� R� nsion OrnEa (highllghq C; r:ce�uno,ti PRtlJECT TYPE e:,curicr: O.�c�: _�� DE:��cu� c;� ,4e;:o:�„ric, (removel) E;�=_.c�r:�r Re^.icv,;� ?�ar:r;=o Rer+o(annual� SITE INFOR:'�1ATION SI7E `1?.`Ac Stor2ge 5!�ilcing Certc!i;ien SITE AD�R�SS 890 Arlington Avenue (Bark Park) CROSS STREET CITY Ccsta :'esa STATE CA ZIP92628 COUNr'! Orange DESCRIfiE `NORK AND LOCATION �emolish Storag= Boilding Demoliticn BUILDIi1G JIZE ($O FTj 1647 NU :f��R Or' rL00nS 1 BUILDING AGE (YEARS� 20� NUMBER OF DWELLING UNITS BLDGPRIORIPRESENTUSE Ce��,r.�eaau Hcs�iTa� Irio�r�,a�, Other OFFICE Puauca�oc. HOUSE Scr;oo� SH��.a UNivrCouece SITE OSV;_R The Ciry of Costa �fesa AC�DRcSS 77 Fair Dnve CITY Costal.fesa STATE GA 92048 CONTACT Project Manager�David Alkema PHONE 714 754-5304 REOUIRED BUILDING ASBESTOS NO ASBESTGS YES ASBESTOS Y�S BUILDING TO BE YES INFORMATION PRESENT? SURb'EY? ' REMOVED? DE�IOUSHED? PROJECTDATES STARi04/07103 ENO05/12I03 WORKSHIFT(day)7:00-3:30 ASBESTOS AMOUNT TO BE FRIABLE CLASS I CLASS II TOTAL AMOUNT (add row) REMOVED (in square feet) ASBEST�S REMOVAL FR�M SURFACES PIPES COhtPONENTS AMOUNT OF EACH TYPE OF ACOUSTIC CEILING LINOLEUM i�SU�4710N FIRE PROOFING DUCTING STUCCO MASTIC ASBESTOS (insquarefeel) FLOOR TILE$ (VAn GRY WALL PLASTER TR;��JSI i E ROGFii`JG OTHER (describe) CONTRACTOR INFORMATION CSLB LICENSE � 571859 OSHA REG � N/A AOMO ID x g7708 NAME J3G In�us�nes, Inc. ADDRESS 18627 Brookhurst Slreet, R302 CITY Fourtaln Valley STATE CA ZIP 927C8 SITE SUPVR Todd Slewart PHONE 949 289-7280 WASTE TRANSPORTER q1 ToWI Environmental LANDFILL laPaz County tandfill ADDRE55 11C-0 Rose Avenue ADDRESS 26999 High�.vay 95 CITY ror.;;ra STATE CA ZIP 92335 I CITY Parker SiATE CA ZIP 85344 Forms. in;:o �c!ions, and Rule 14�3 can he ohtzined frcm �+�e6 sita hitp.!'r:r;ra_aqmd.gov ' AsEestes surveys are required prior to Demoli(ion and RenovaGon Forms, ins'JucGons, and Ihe Rule 1403 can be obtained (rom AQ6ID vieb si!e http:llwww.aqmd.gov Form REV 200610