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Home My WebLink About2000 BALEARIC DR - Building Permits , __ CITY OF COSTA MESA • y 4 BUILDING DIVISION :�t. _ DEVELOPMENT SERVICES DEPARTMENT C--7F- PERMIT PERMIT NUMBER • 898-01594 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2000 BALEARIC DR Status: ISSUED Suite: Applied: 09/0211998 Vicinity: Issued: 09/02/1998 Parcel Nunmber: 13944419 Zoning: R1 R1 Applicant: TAYLOR, ROBERT Address: Phone: 714-646-7884 Zip: Owner DE WITT, JACK W Address 2000 BALEARIC DR Phone: • COSTA MESA,CA - Zip: 92626 . . Contractor: CLAYTON ROOFING • Address: 00833 W 17TH ST Phone: COSTA MESA CA Zip: 92627 License' - 601226 Arch/Eng : -- Address: , Phone: Zip: , License: , • SCOPE OF PERMIT T/O EXIST AND INST CAP SHEET SEVEN SQUARES. FEE SUMMARY , Plan Check: $0.00 ' . .' Calc Valuation: $1,800.00 Permit: $56.75 Claim Valuation: $1,800.00 SMIP Res: $0.50 - / . SMIP Com: $0.00 Other: $0.00 - Inspection: $0.00 Total: $57.25 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 Existinq: 0 Required: 0 Proposed: 0 NOTES: • 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)7545626 WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ti ❑ 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. _-1'11ave 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'c�enseJjan Insurance carrier and policy number ere: �J /' ,�v1 Cartier: r/- Policy Number:(.E6 c97vq 110 3a-� (This section need not be completed/f the permit/s 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 California,and agr e that If I should become subject to the workers'compensation provisions of Section 3 of the Labor Code,I shall forthwith c ly with these"Apr �_ r plicant SI re: / - ��jjJJ'' Date: WARNING:FAILURE TO SECURE WORKERS'CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(slo3,000),IN ADDITION/O 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 affirm that I am licen unf�er pr visions f Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code/and my license Is in full force ct.Lic.« U` ( it, Claes« c) 9,-4 gLi oniractor's re: �/ Date: ti / 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.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Driver's 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,end that no building structure,scaffolding,falsewark,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 tile a registration form for acutely hazardous materials? ❑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 greeter 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 en 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? 0 Yes ❑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 feet from the outer boundaries of a school? 0 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 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 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 property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. • c Sig tura Of Legal Owner(s) pate — mol/� iT�I�J • HOr Authorized •••' ant Date CODE IL INSPFCTION TYPE DALE =LS LOUf INSPECTION TYPF DALE INI=ALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof q u_41 6s-- 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 2446-46 • Asia EEE 7ECEIVED J y MAR 2 2 1963 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 917 COSTA MESA,CALIFORNIA FINANCE DEPT. CITY OF COSTA MESI. For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT /e r1/45f BUILDING For Office Use Only BUILDING ADDRESS ,ZOO O [3a/ea I`i C. Dr. RECEIPT NO. Y/ PELT 31i COSTA MESA, CALIFORNIA (/ .�> 1 �/' RECEIV'C BY DATE RECEIVED DATE ISSUED OWNER /T/• eSVT-PI- West dr);nt Yell 11A-V`E 2 3 MAR2 2 • MAIL \ BUILDING ADDRESS i to ] 3 J�I n 01-C a. `/Ir ADDRESS //�� 1 FIRE CITY `OS 1 d Pie S NO. L ' • 0 • 1 ZONE TYPE Y GROUP ;I APPROVED ARCHITECT T . OR ENGINEERtt0l I to n ITL a NNO 77.1-3361 BY DATE ZONING ADDRESS a e 3 — -fa • e I . ••moi l ZO E NO.OF USE OF NEW ft CONTRACTOR /- hcT F-O S i.. In l'( 00 I� PLANS BUILDIN Q ILL . LEGAL 5' �� q /f cT DESCRIPTION `r `t ADDRESS - 3 ' •O C i A.P.NO. C a CITY (post-a Iles_ NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TEL TO SIDE a REAR P.L. LIC.NO. t f'7K) 6 4 NO. 1 G b$ v j SIZE I NO.OF SLOGS. EAVES OF LOT 7 O X /00 NOW ON LOT '� ALLOWED <U.B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USE OFMAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. ' (FROM C//L'3 L STREET) SETBACK LINE FROM / �// I/ FRONT 5FT. FT. CENTER OF STREET S 3 REAR YARD 3T G SIDE YARD LEFT 9 / I RIGHT 9 / R.SIDE 9 FT. FT. DESCRIPTION OF WORK . L.SIDE 7' FT. Fr. NEW / ALTERATION _ ADDITION REAR 3 7 FT. ifFT. DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDING 9L NO.OF VAR.# DATE SIZE .20 '2 ROOMS 7c STORIES A C.U.P.# APPROVED EXTERIOR WALL I ROOF RG k •- APPRO �+' 3-7-V/` COVERING St" (•e o COVERING Si,a/c P BY t_ikaaalh DATE • USE OF BUILDING AND WORK TO BE PERFORMED T1e CI riP n(' e LA C TI L, 0 �7, re V/D2dSQ.PT. fSDGo' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SH• 'N UNDER VALUATION IS FOR THE AND STATE THAT THE A.-VE IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEZ ONLY. O PLY WITH ALL CITY 0--IN NCES AND STATE WS REGULATING VALUATION / N BUILDING CONSTRU •N. / M/PERMIT FEE $ / SIGNATURE OFB PERMITTEE �• --e�« y02_ "l / ✓ / J Y O u. AUTHORIZED AGENT / - TOTAL FEE $ ail- OWNER PACESETTER JOINT VENTURE DATE 3-22-63 JOB ADDRESS 2000 Balearic Drive BUILDING PERMIT NO. 19138 GENERAL CONTRACTOR Andros Land Company VALUE $22=592.00 AP No. LOT 54 TRACT 4348 FIRE ZONE DESCRIPTION OF WORK res att gar INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE Ri Soil hi.- PERMITS ISSUED Gas �� -�1,2!%�'� SUBCONTRACTOR DATE NUMBER Water ' / -/.S '� y /- /-f JY-.z 3 Rough Corn. Refrig. 0 Air Cond. 0 Rough IIeating I- j i , S /ce-G,3 /7a — Rough Plumbing r � 1//tcA.,dp1t4/,?-63 Miro O - Miscellaneous / / /' / / ' Prop. Swr. LineA House Con. ❑ St. Swr. ❑ eel, 1-21-6.'i „I/Ars, . -, ' r/. _ y-moo -6.9 _ CS 1 Sprinkling System 116:5 Construction Pole Underground 0 Power Rough Wiring �' ,-,iii C7 Z .si i . . . 3-,A3-4, -W_ — Trenches.' Forms;fd-- Steel Reinf. .Fr e/"��7� (!—C'.-L.; Floor System Bond Beam 0 Steel Reinforce 0 `� Sheathing in/`/ r-/5-6j Frame and Flashing WI gff-24-C? g.---Lathing - In Out:p- +�'! C r A. Plaster, brown coat !7- , Refrig. .0 Air Con. 0 Final _ Heating, Final 7 gi. L-2/A/e Plumbing Fixtures, Final !.j_G.! 7- 9-or Final Gas Test ' _ %-'6%7 ¢3 Electric Fixtures, Final el 2 Fr,fg♦ Building, Final d)`-41 OCCUPANCY NrWI L 1 dd i • Form BU4-5M-3-63—S-B P