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Home My WebLink About2015 BALTRA PL - Building Permits FL05twr9 CITY OF COSTA MESA •" k". BUILDING DIVISION F ) z' DEVELOPMENT SERVICES DEPARTMENT RMIT NUMBER PERMIT 600-00882 4`. pORRifo�94A (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2015 BALTRA PL Status: ISSUED Suite: Applied: 06/16/2000 Vicinity: HOUSE&ATTACHED GARAGE Issued: 06/16/2000 Parcel Number: 13945302 Zoning: R1 R1 Applicant: ALCANTRA, KENNETH ISSUED BY: Address: 24781 WINTERWOOD DR Phone: (949)837-5376 LAKE FOREST, CA Zip: 92630 Owner: MILLER, KRISTINA LYNN Address 2015 BALTRA PL Phone: COSTA MESA,CA Zip: 92626 Contractor: KENNETH DEAN ALCANTRA Address: 24781 WINTERWOOD DR Phone: (949)837-5376 LAKE FOREST,CA Zip: 92630 License: 544282 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF.PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE&ATTACHED GARAGE(19 SQ).TEAR OFF EXISTING SHAKES& REPLACE WITH NEW CLASS"C"HEAVY WOOD SHAKES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,500.00 Permit: $97.25 Claim Valuation: $3,500.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 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 x f - • 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 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 et one hundred dollars($100)or less.) IV 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 ,and gr e th f I shoyld)bpcome su ject to the workers'compensation provisions of Secti 3700 of the Labor Code, I shall forthwith comply with these provis s. -tee--tee- 6^ / Applicant Signature: Date: Iv!!!/ WARNING:FAILURE TO SECURE ORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND Drx I ARE($100,000),IN ADDITION TO 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 license. ••�e;f provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business amd Professions Code,and my license is in full force and effect.Lic.# Class# 3 7 Contractors Signature: z Arnow Date: (0,/67ev 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,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 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 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---__._ ll-- cant _._.. _- -i ... it cns. or...mo. anon_ 5 Does or So the applicant or present or emen building t o from at require for the work which district the subject agency?this application Yaggermit for such construction or motlitication from the South Coast Air Quality Management District or from any other air pollution control or Yes LJ No (Section 65850.2 of the Califomia 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? ❑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 pr erty forinspectionpurposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. 77// i� �{Sig to - 6/ (Of Leg (sl /;67Date ce.(%Ci And/Or Authoriz d Applicant [ Date CODE n INSPECTION TYPE PAIS INTITIALS CODEC INSPECTION TYPE PALE INITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final ,./L 208 Final Plumbing 200 Final Re-Roof 4-2-7-aE 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 2646-46 . 19158 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT MAB 2 1953 P.O.BOX 317 COSTA MESA.CALIFORNIA% FINANCE DEPT. yr,,,,,! EK 'JSTA MESA For Applicant to Fill In Completely APPLICATION F R PERMIT TYPE OR PRINT r 79 BUILDING For Office Use Only BUILDING a0i5 '73 / tr CZ P1 ADDRESS RECEIPT NO. P5 R T N (� COSTA MESA, CALIFORNIA ! r/ lQ RECEIVED BY DATE RECEIVED DATE ISSUED OWNER Pe.e'e S ire_v- est' .1oint Yrntura. /,,-- 23-(9-6, MAR 2 2 Irian BUILDING MAIL �n t� FIRE ESS ADDRESS I Is O 3 J 1 L n U M h C O. r. TEL.. ZONE TYPE !/ GROUPhL' s CITY Cash 'P1 es", NO.KI 90311 APPROVED ARCHITECT TEL. BY DATE OR ENGINEER Ka I to n barb NO. ria-33 'r L/' ZONING ADDRESS 4177.a. 1 \ntP lla - Anaheim ZONE NO.OF USE or 14 l I PLANE; �BUILWN CONTRACTOR A-n rl C Q g 1-end \R D. .-\ LEGAL •/f 2 / /J � p //3 Kct DESCRIPTION Lj /� MJF ADDRESS / (o ] 3 Minorca. D . I� A.P.NO. r CITY Cost 1 less ' ff NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC. NO. I g7 / I. In NO.ATE TEL. I1j g03gs 90.TO SIDE 8REAR P.L. SIZE I NO.OF BLDG'S. AVES S. E �_ ALLOW EO (U.B.C.REQUIREMENT) OF LOT 7 D X L C O NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF � MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. 9. (FROM C/L STREET) SETBACK LINE FROM / / /( FRONT,}� FT. FT. CENTER OF STREET 'S�/ REAR YARD 36 6 SIDE YARD I LEFT 9 ( RIGHT 9 1 R.SIDE / FT. FT. DESCRIPTION OF WORK L.SIDE FT. FT. 3 6,NEW V ALTERATION ADDITION REAR FT. (/ FT. DISTANCE BET. BET. MAIN @ REPAIR M,OyVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDING NO.OF VAR.# DATE SIZE e? 4JO83 ROOMS 7 STORIES 2 C.U.P.. • APPROVED }� EXTERIOR WALL I ROOF if`Y C k r APPR(QVlD1. 4. —'/.� COVERING SY'4PC O COVERING 5 h n k e BY - !,_1 ' 1 DATE USE OF BUILDING AND WOK TO BgF1ORMED — �hl� tZe J'PS1nIPhCP ons FUCI-iDn • . S 66 I HEREBY ACKNOWLEDGEATI HAVEREAD THIS APPLICATION THE AMOUNTS OWN VAUATION IS1 B FOR THE AND STATE THAT THE AB• - IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. E O PLY WITH ALL CITY ORD FLAN ES AND STATE WS REGULATING VALUATION BUILDING CONSTRUCT N SIGNATURE OF a PERMIT FEE $ 02 D / .P, PERM ITTE I. - . - I I/ e(�T( / / e $ 2 Sri _].l c. a W— o AUTHORIZED AGENT (J' A \ TOTAL FEE $ /DO OWNER PACESETTER WEST JOINT VENTURE DATE 3-22-63 JOB ADDRESS 2015 Baltra Place BUILDING PERMIT NO. 19158 GENERAL CONTRACTOR Andros Land Company VALUE $22,592.00 AP No. LOT 74 TRACT 4348 FIRE ZONE DESCRIPTION OF WORK res att gar INSPECTIONS Signatur DATE GROUP I&J TYPE V ZONE R1 soil &K _ PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER Water pi"- /- y...41 Rough Com. Refrig. :❑ Air Cond. 0 �/ �-- Rough Heating . / . 0-Q? 7 s- r « c , ,c.t. - -/'�-/5/ "'/ Rough Plumbing /- it — 7 - , in/. . • x/-,21..3 &f ,Miscellaneous � / / )1,.( Prop. Swr. Line IB'House Con. 0 St. Swr. ❑ ,1•9. 7-/7.L3 � ,-/ - . 4-G,?-g - . Jig /,r' Sprinkling System �I"�Il� Construction Pole f _ Underground p Power 0 Rough Wiring 7/Y-t 3 lG-w-.c..--, v ,-,-„,-., JUL 1 0 loss J-2-9G — Trenches j Forms! Steel Reinf. fB - .11-74-43 Floor System aro .1.--;' -‘.3 Bond Beam 0 Steel Reinforce 0 Sheathing 7.114 Frame and Flas 'eg - - -1 `g Lathing- In G Out 20,1frie jr.., J - Plaster, brown coat 'r..I_ Q—zV Refrig. 0 Air Con. 0 Final Heating, Final C_ / /Q-N-I) Plumbing Fixtures,_ Final ,/ i /0.4 j Final Gas Test/S /? ,-Q/, /9-011r- .? Electric Fixtures, Final '174 /W-3227 Building, Final ^7 4 ,-zx-4 t OCCUPANCY .0' , Form BU4-5M-3-63—S-n P