The URL can be used to link to this page

Home My WebLink About1993 BALEARIC DR - Building Permits 1 •� ' yin MF - CITY OF COSTA MESA 4 9 BUILDING DIVISION ' '- ; DEVELOPMENT SERVICES DEPARTMENT PIER PERMIT , ••#.11.141k B 0-01228 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1992 BALEARIC DR Status: ISSUED Suite: Applied: 08/14/2000 Vicinity: HOUSE&GARAGE Issued: 08/14/2000 Parcel Number: 13944417 Zoning: R1 R1 Applicant: FRANK MANGISI ISSUED BY: Address: 15201 PIPELINE#A Phone: (714)936-5908 HUNTINGTON BEACH,CA Zip: 92649 Owner KAPKO, RICHARD MICHAEL Address 1992 BALEARIC Phone: COSTA MESA,CA Zip: 92626 Contractor CONSUMER SERVICES Address: 15201 PIPELINE LN#A Phone: (714)936-5908 HUNTINGTON BEACH,CA Zip: 92649 License: 676090 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF-T/O, INSTALL 7/16"OSB, 1 LAYER OF 30#FELT AND 40 YEAR COMPOSITION SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $6,000.00 Permit: $125.25 Claim Valuation: $6,000.00 SMIP Res: $0.60 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.85 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 NOTES: 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 isnot 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 2446-46(Nee) /DECLARATIONS 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 Avork for which this permit is issued. De 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'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I 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' compensation laws of Cali ornia,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these Drovis s. � �� Applicant Signature: Date: aD WARNING:FAILURE TO SECURE ORKERS'COMPEN ATI COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI PETIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDITION TO THE F COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under p ovislons of Chapter 9(commencing with Section 7000)of Division 3 of the Busine s and Professions Code,and my license Is In full force and effect.Lic.N Vila A b Class N C3 Contractors Signature: w:_ ) Tfj ITes Date: R N} CD /11 CONSTRUCTION LENDING AGENCY: ❑ I 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). 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.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 properly 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.). ❑ I am exempt under sec. Business and Professions Code for this reason: • Signature: Date: Owner ID verified by driver's license. 0 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: ❑ I 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,Califomia 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 0 No (Section 25505 of the Califomia 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? 0 Yes 0 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 Califomia 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 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency'? Yes Ui No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feel from the outer boundaries of a school? 0 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 Califomia Health and Safety Code Section 42303 been made? ❑Yes 0 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-descri. .d pr••erty for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ' r..ture Of • ner(s) �fI Date ��• I1I r161) And/•/ •u o'ized Applicant Date CODE f INSPECTION TYPE OAT! ItIIElALE CODE I INSPECTION TYPE RATS DALE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final �,x7�y/n�208 Final Plumbing 200 Final Re-Roof 8• -rkO 4iOi4 I I116210 Final Electrical 201 Final Block/Retaining Wall v 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 FEE RFfEIVED 19I 40MAR .. 1963 COSTA MESA BUILDING-SAFETY DEPARTMENT J FINANCE DEPT. P.O.BOX 917 COSTA MESA,CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT ..hrs4 BUILDING BUILDING For Office Use Only ADDRESS / 99a. �@Ieanit Dr- RECEIPr NO. PEqq++ NO. COSTA MESA, CALIFORNIA / �yC /'nRECEIVED BY DATE RECE VED DATE ISSUED OWNER nee 4PTI-P r` VVCSf �M�\ Ylt lien h➢ /G. s-79-�_ MAR 2 in BUILDING MAIL All ADDRESS ADDRESS /le S 3 !'/ i M n h G >t D F' FIRE TEL.yyZONE 'TYPE GROUP iv CITY CO 5t5. PINO./II 9if) `/ APPROVED ARCHITECT TEL. BY DATE OR ENGINEER B - II'e . NO. . - 6 1 ZONING `, ADDRESS �l • •a a — in e i ZONE NO.OF SE OF NE /��+/L (B PLANS 7 BUILDING Lyr�l A - CONTRACTOR A e ..S . . • - '7- - ��11/! • ,�0/ LEGAL ADDRESS lip 5 3 /'` { )']O h C�, Or DESCRIPTION �/ I �' I/ 3 V —4 . Co ♦� A.P.NO. CITY CSpa. Me S T NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TEL q o 3 y S.- 90"TO SIDE a REAR P.L. LIC.NO. / ?7 / (o L NO. EAVES SIZE 4 I NO.OF BLOBS. 1"------ ALLOWED (U.B.C.REQUIREMENT) OF LOT 7 a J 0 NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. •- (FROM C/`L STREET) SETBACK LINE FROM / / / FRONT VS FT. FT. CENTER OP STREET $S REAR YARD l, SIDE YARD I LEFT 5' I RIGHT .5- R.SIDE 5--FT. FT. DESCRIPTION OF WORK L.SIDE /SFT. FT. _NEW _ALTERATION._ ADDITION REAR 1 FT. FT. DISTANCE BET. BET.MAIN a REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.SLOGS. BUILDING yi NO.OF VAR.# DATE SIZE e?/.Z 6 ROOMS ? STORIES � C.U.P.# ( � APPROVED C ,/l COVERING EXTERIOR WALr e COVVF ERINGhake sh i '- /e_ APPROVE II ,l, DATE 3—U "j, USE OF BUILDING AND WORK O BE PERFORMED r)P idence_ - onS1Yucf: o» h g 1. 9V784.Fr. fla I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE B AND STATE THAT THE ABOVE Is CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY OR CHB AND STATE LAWS REGULATING VALUATION al. N BUILDING CONSTRUCTION. P - ERMIT FEE $ (/X SIGNATURE OF 4y/�) ///> ,n' /�j E / _ K PERMITTEE 4.l iLi C A �Cc�c�f • $c),7 02 /.2— S Q 0 AUTHORIZED AGENT TOTAL FEE $ /02 /S� OWNER PACESEu'E'ER WEST JOINT VENTURE DATE 3-22-63 JOB ADDRESS 1992 Balearic Drive BUILDING PERMIT NO. 191110 GENERAL CONTRACTOR Andros Land. Company VALUE $ 26,262.00 AP No. LOT 56 TRACT IrR48 FIRE ZONE DESCRIPTION OF WORK re e tz INSPECTIONS Signature DATE Y. - GROUP T,5J TYPE V ZONE j21 Solt --- i/ 7.-t- ,,3 SUBCONTRACTOR PERMITS ISSUED Gas _ 4 DATE NUMBER Water t( " /J- 3 -- '��i� Rough Com. Refrig. ❑ Air Cond. 0 Rough Heating r_ 1 /^ �� f _ - .- '.5-, — Rough Plumbing J-�// V 212 ^ ....�,ee• r tiCYft f#* ``�.�1,3 :06,R Miscellaneous �� ' 'R'� Prop. Swr. Line House Con. ❑ St. Swr. ❑ ,i'-7,x-6j /✓�j/.-s_. ( rAS v-ao-/,% S .41,- 40 Sprinkling System ~'"'�� :71C: Construction Construction Pole Underground 0 Power 0 p Rough Wiring /yai 5“4'l ':,� Zeirt x4 Yiltnenerin. OC-73-1-,' . Trenches EL- Forms lr.- Steel Reinf. Q- Kik, !/-Q- Floor System Bond Beam 0 Steel Reinforce 0 Sheathing R _ _ Frame and Flashing f-17- j9 Lathing - In:ftp Out,ftp 4-9 C -5'-63 Plaster, brown coat rf--.E3 Refrig. 0 Air Con. 0 Final Heating, Final It X 63 Plumbing Fixtures, Final 47. 6 Final Gas Test a _ 9'P-$,� Electric Fixtures, Final 1"Ce.;_ let/�S 44 OCCUPANCY I }F �_ / ,--- — -I Form BU4-5M-3-63—S-B P 1