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Home My WebLink About1996 BALEARIC DR - Building Permits + ar l 4`05Tp MP 9 CITY OF COSTA MESA BUILDING DIVISION F•1•' A. : DEVELOPMENT SERVICES DEPARTMENT PER NUMBER E? . PERMIT *rte # 00-01229 nces (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.rutLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1996 BALEARIC DR Status: ISSUED Suite: Applied: 08/14/2000 Vicinity: RESIDENCE&ATTACHED GARAGE Issued: 08/14/2000 Parcel Number: 13944418 Zoning: R1 R1 Applicant: MANGISI, FRANK ISSUED BY: Address: 15201 PIPELINE LN#A Phone: (714)936-5908 HUNTINGTON BEACH,CA Zip: 92649 Owner: WEBSTER, MARK B TR Address 1996 BALEARIC DR 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 30#FELT,APPLY OWENS CORNING 40 YR COMP SHINGLES. 30 SQUARES. FEE SUMMARY Plan Check: $0'O0 Calc Valuation: $6,000.00 Permit: $125.25 Claim Valuation: $6,000.00 SMIP Res: $0.60 SMIP Corn: $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 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 2446-46(6/00) DECLARATIONS ( ) 1fl :i -,s 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 5 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'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 Captornia,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 pravii i.ns. / Applicant Signature: l 11KRN.�. Date: � � 1 v V WARNING:FAILURE TO SECURE ORKERS'C/OMPENS 1' COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PE LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100600),IN ADDITION TO THE 44 OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisionsNs._ Iof Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. tR / 1��,---------- Class a I`f- Contractor's Signature: Date: Up 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 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.). ❑ l am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 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: 9 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,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: 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? 0 Yes 0 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 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 Califomia 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 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? 0 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 apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No (Section 65850.2 of the California Government 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? ❑Yes 0 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 Duality 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 Calitomia Health and Safety Code Section 42303 been made? 0 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-described properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. / 1A Of Legal Owner(s) if Date eri id I And/Or u n�Fed Applicant Date CODE I INSPECTIONTYPE pia JNTRIALS CODE/ INSPECTION TYPE PAM 1NTIMLS 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 9-17–c0 210 Final Electrical 201 Final Block/Retaining Wall 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 EEE RECEIVED 19 1 39MAR 2 2 1963 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 317 COSTA MESA,CALIFORNIA FINANCE DEPT. CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT fo TJ.r BUILDING BUILDING pp pp For Office Use Only ADDRESS / / / 4 73d1ePric br. RECEIPT NO. PERMItt NO COSTA MESA, CALIFORNIA / 79.37 �� RECEIVED SY DATE RECEIVED DATE ISSUED • OWNER. To CP SB II.µPr West Joint Yen/4Y I —�- MAR 22 19. BUILDING . MAIL ADDRESS ADDRESS Hp 3 I9Lnor•c a. lr FIRE TEL.�/ ZONE TYPE ✓ GROUP /Y ! CITY Costa_ Iles NO. K; 9D39 , APPROVED ARCHTECT TEL OR ENI INEER n / tenAa, eh NO. 772-33L1 BY DATE ZONING ADDRESS • . 1-- i _ - ahe ;er, _ a ZONgr_' NO.OP ��- 0� PLANS ...ARE 'AIS AEACONTRACTOR Apar-OG IsTnri en LEGAL /� ADDRESS n /✓ • • - IPDESCRIPTION _ is R1 3 an' (_'o s fr. l es a- A.P.NO. 4 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TEL. 30'TO SIDE a REAR P.L. LIC.NO. /17 / trio 1 ' NO. i 903gj EAVES SIZE fi1 NO.OF BLDGS..-•- ALLOWED (U.B.C.REQUIREMENT) OF LOT 70 0 0 NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF J MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L�-S�TREET) SETBACK LINE FROM / / FRQNT .!,V FT. FT. CENTER OF STREET �J rJ REAR YARD e•(4- G �� SIDE YARDI LEFT / 0� I RIGHT /0 / R.SIDE l FT. FT. DESCRIPTION OF WORK L.SIDE I OFT. FT. g ! /( NEW ALTERATION ADDITION REAR7 FT/p FT. DISTANCE BET. BET.MAIN 3: REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDING 0 NO.OP VAR.# DATE I SIZE .22 G 0 ROOMS (• STORIES of�I C.U. -.S I APPROVED ---) / EXTERIOR WALL I ROOF Shake APPROVE\ iiii 3, 7—(j -2" COVERINGCOVERING BY A Ar DATE I USE OF BUILDING AND WORK 7//'O BX PERFORMED EF) V �T el Aeslden ae. '/L0n_ u i n I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION • ,/ THE AMOUNT SHOW'�U,DER UATION IS FOR THE o AND STATE THAT THE A VE IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. S PLY WITH ALL CITY O IN NCES ANE.STATE WS REGULATING e BUILDING CONSTRU ON. VALUATION /7/1— m SIGNATURE OF ///- PERMIT FEE $ D co PERM ITTEF .(-( /i( �.Et �� S VY //5 C E O/ y 9 0 AUTHORIZED AGENT TOTAL FEE 11 /// Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. , -s . CITY OF• COSTA MESA CONSTRUCTION PERMIT PER N�j (gyp TRACT NO. LOT NO. UNIT NO. Project Address /994, 84C ear^ic Dt. �` &3 Y • 7411 i1/I8/86 31 .50 TL Applicartt's Mailing Address • r20 5/c) 44 SAcf4nl ev?O or TYPE OF CONSTRUCTION H NEW Li ADD H ALTERATION H REPAIR a' n ^ /5(r ❑ CONVERSION ❑ DEMOLISH ❑ on-AR A.P.�,! _ Zone Owner's Name /'� u/e6s 7e PhonpS� D SCRn`PTION OF/WORK/USE OF B to a"°"C X1 Sr 3A *'-ke ' Address /99Q' d4Ce 14r r-C 0 e . p Kea T 4,s/O( ?r✓S74C( c S S e S 4.rke sec Cc S Main Building: Accessory Building: Arch/Eng. License No.3 /2/ TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front ZO Address ' E? .Coi� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N Contractor's Name D 4..T- aloe CPhone(P.?7V5`a0 (q ❑ OTHER A I �7,,., O N, •S �4'fled-Jo Q(' PA PROJECT DESCRIPTION SQ. FT. 3/00 OCCUPANCY C Right N Address(mailing) l�y ArA-9, c K G 9 3?-/ CONSTRUCTION TYPE VALUATION$ .2 c -- $ Left R City License No. ZONE GRADING CU.YDS. ACRES • LICENSED CONTRACTOR DECLARA ION .. - Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and my license is in frtNhforce .n• effect. sPs�S� T LicenseR lass ``'' a ��/n o `f' Date /I .1--a Signature �il`�1� �•—.� PLUMBING FEES - . i I 4 WORKERS' COMPENSATION DECLARATIO I hereby affirm that 1 have a certificate of conse t to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) - Automatic Washer Transformer-❑ 15.50 KW Policy No. Company Backflow Irrigation Sewer Cap Construction.Pole Sub. 0 50+KW U Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps Date Applicant _ EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit Is for one hundred ($100) or ' less). . Dishwasher Solar Piping - Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance o ork for whit is mit is Issued, I - - - • shall not employ any person in .1 {u o ` tygglhh�bW@¢gR�c subject to the Drinking Fountains Solar Tank Fan WorkerViSt p�+5atjyyLaws of C.t'�J'ts�. ��j Motors ❑0-1 HP ❑1'/z-S Date (/ after makingSwimming this declaration, you/Out bet C subject to the P F.A.U. Inc.Solar ❑9.15 HP 016-15+ I Workers' Compensation provisions of the Lab.r Code, you must forthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. • CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes i hereby affirm that there is a construction lending agency for the performance Pole Light of the work for _which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name Range Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal following reason (Sedtion 7031.5 Business and Professional Code: Any city or 9 P Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW any structure, prior to Its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9 (commencing with Section 7000) of _ _ _ __ , Division 3 of the-Business and Professions Code) or that he/she is exempt — _ - herefrom and the basis for the alleged exemption. Any violation of Section 031.5 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 Reinspection Fee I $15 Issue Fee $ 3 • compensation, will do the work,and the structure is not intended or offered - Reinspection Fee ! $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her ownDEVELOPMENT SERVICES REQUIREMENTS: ' employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or Improvement Is sold within one year of com- - - - Canopy Type 11 ❑ - Zoning Approved By - nate pe the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date I- prove t for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System • Application Issued By Dat tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating •� ❑0-100,000 BTU ❑100,000 BTU SU V FEES builds or improves thereon, and who contracts for such projects with a con- _ p/p C • tractor(sl license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT '$ /LOU SMTP $ v J proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers • • PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducting Registers ENERGY P.C. $ ' • PLAN CHECK 25% $ - _ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50°� $ MICROFILM $ ' sentative is city o er u-. the above-mentioned property for - .�(_� inspecti. . .�/ 7�_ 78 p� MECHANICAL $ TOTAL FEE $ 09'1 Signature C' _— — ••- Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ • CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 1 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ,_ 20. Rough Factory Fireplace APPROVALS Permit# _ . . 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough&Test 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 Notes: ij fsv S2. 4.&- sat.-1 34. Final Heating & Air Conditioning 11.A.11.A. ! - 35. Final Gas Pipe-Test 36. Hood or Canopy " 37. Final Factory Fireplace • - 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final . - 41. Solar Domestic-Final - . ' . 42. Backflow Preventer 43. Backflow Irrigation • , 44. Landscape Irrigation System ` , '45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING WGI� !'I4 Y• 48. Special Requirements Completed '{i - 49. Electric Release to Edison . 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY ice' • No. Date