The URL can be used to link to this page

Home My WebLink About308 BROADWAY - Building Permits� � `p5111 �4f a � 0 > F ._ J(� .-° q `�Nl�y�p0' (714) 754-5273 • Fax (774) 754-4856 JobAddress: 308 BROADWAY Suite: Vicinity: DUPLEX ONLY Parcel Number: 11725303 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Applicant: AMENDE, GERALD A Address: 308 BROADWAY COSTA MESA, CA owner: AMENDE, GERALD A Address 308 BROADWAY COSTA MESA,CA Contractor: OWN ER-BUI LDER Address: Zip: Arch : Address: Zip: Phone: License: BUILDING PERMIT Zoning: Phone: (909)279-5545 Zip: 92627-2343 Phone: Zip: 92627-2343 Phone: License: 0 Eng: Address: P�NUMBER . 699-01731 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 10/27/1999 Issued: 70/27/1999 Phone: License: SCOPE OF PERMIT REROOF - T/O, USING EXISTING SHTG, INSTALL 1 LAYER OF 30# FELT AND NEW ELK PRESTIQUE COMPOSITION SHINGIES. Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $D.00 Total: $97.75 SETBACKS MAW STRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING F. ZONING Left 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0-0 $a,000.00 sa,000.00 EXPIRED �� / o a s o0 ,�(o vns�ecr�a,� %s� - 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 authonzed under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetlons 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 attirtn untler penalty oi perjury one of [he following tleclarations: ❑ I have antl will maintain a certifiwte of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for Ihe pertormance of ihe work tor whith �hi5 permi� is issued. ❑ I hava and will maintain workere' compensation insurance, as requiretl by section 3700 of the Lebor Code, for the pedormance ot the work tor which this pertnit is issued. My workers' compensation Insurance carner and policy number are: Carner: Policy Number: (This secfion need nof be completetl il the permit is valuetl at one hundred dollars ($700) or /ess.) ❑ 1 certity that In �he peAormance of Ihe work for which ihis permit is issued, I shall noi employ any person in any manner so as to become subject to Ihe workers' compensation laws of Califomia, antl agree that if I should 6ecome subject to the workers' compensation provisions of Section 3700 of ihe Labor Code, I shall torihwith comply wiih these provisions. Applicant Signature: Date: WAPNING FAILURE TO SECURE WORKERS' CAMPENSATION CqVERAGE IS UNL4WFUL AND SHA�L SUBJECT AN EMPLOYER TO CFIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLAPE ($100,000), IN ADOITION TO THE COST OF COMPENSATION, OAMAGE$ A$ PROVIDED FOR IN SECTION 3]060F THE LABOR CADE, IMEFEST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirm iha! I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in tull force and ettect Lic. k Class a Coniractor'S Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 herehy attirm ihat there is a consimction lending agency for the padormance ot the work tor which this permit is issuetl. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: Signatura: Date: OWNER-BUILUER DECLARATIONS: I hereby affirm Ihat under penalry of perjury ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a pertnit to consiruct, altar, improve, demolish, or repair any s�mcture, prior to its issuanca, also requires the applicant for such permit to file e signed statement that he or she is licensetl pursuant to tha provisions of Ihe Contrectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle) or Ihat he or she is exempt therefrom and the basis for ihe alleged exemption. Any violation ot Section 7031.5 by any applicant br a permit su6jects the applicant to a civil penalry of not more ihan five huntlretl tlollars ($500).): ❑ I, as owner of ihe property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the structure is not intended or oHered for sale (Sec. 7044, Business and Professions Code: The Contracrors License Law does noi appy to an owner of property who builtls or improves ihereon, and who doas such work himself or herself or through his or her own employees, provided ihat such improvements are not intended or oifared for sale. If, however, the building or improvement is sold within one year of completion, ihe owner-builder will have ihe burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner oi the propeny, am EXCLUSIVELV CONTRACTING WITH LICENSED CON7RAC70RS to constmct Ihe project (Sec. 7044, Business and Professions Code: The contrectors License Law does not appry to an owner of propetly who builds or improves thereon, antl who contracts tor such project with a contraclor(s) license pursuant to ihe Conirectors jic��e Laws.). ❑ I am eze der sec. ess antl Professions Code for ihis reason: Signaturq; i a � Owner ID verified by driver's lic ❑ Yes ❑ No Driver's License No. ��(', Verification of Ownership by (type ot document, i.e. - property taz bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N: ❑ I hereby cenity ihat no excavation five (5) or more taet in tlepih into which a person is required to descentl, will be made in conneciion with work auihorized by ihis permit, antl that no building siructure, scaflolding, falsework, or tlemolition or dismantling ihereot, wiil be more than ihirTy-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Calitomia Administrative Cotle). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit from the Division of Indusirial Safety, as notetl above, unless such person has a permit to da such work tram Ihe division. Signature: Date: Division of Intlustrial Safery Pertnit Number: CERTIFICATE OF COMPLIANCE AND AU7HORIZATiON OF ENTRY: I cetliy under penalry of perjury Ihat 1 have reatl ihis application and state that ihe information given is correct. I agree to�orn iith all state laws antl ci ces relating to building constmc�ion, antl authorize representatives ot yihe City of Costa Mesa to enter upon ihe ebove-de � e�ropert 1 r inspec �on purpo ot to occupy r allow occupancy oi any building authorized b�s pertnit nt�in �s�tion. � `i Si9naiur f ner(s) Date CODE N. INSPECTIONTYPE �Tj INT IAL 1616 Fixetl System Finel Fire Preventian 1266 Pool 5pa Final 200 Final RB-Roof 201 Finel BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Siqn 204 Final Demolition 2466-A6 COOEN INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fira Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy Date oare INTRIRLS J t_ % .\ � � �(�$ �}. � O �fp0.(�w0., K� Applicant lo fill in all spaces except those wit�in heavy Eo�Ee� lines antl sign all apPropriale tleclarations. CI`t''Y��STA M A UCT O MIT � PFRMIT Nfl TCT NO. I I(1T N(1. I �nuT nin 1 � A� Project Address ApplicanYs Ma�lin ddress ' v Owner's N e Phone 't.�� s.i � � -i7' t7 �� Address � Arch/Eng. License No. Address Contracto 's N F �j�j Phone ��S.r� Address (m��'�al._ �j ��r/ � �� `� Ciry License No. LICENSEO CONTRACTOR DECLA H'� I hereby affirm that e untler provisions of Charter 9(comm¢nUn9 flI Of D�VIS�OII 3 of tne BU5�0¢55 dOtl Protessions Cotle, antl iy icense is in full force antl ef�ect. License Class License No. Date Signature WORKERS• COMPENSATION DECLARATION I hereDy aHirm that I have a certificate of consent to self-insure or a certificate ot Workers' Compensation Insurance, Or a certifi¢tl Copy thereof (SeGtlon 3800, Lab. C.) Policy No. Company 8 Certifietl copy is hereby tumishetl. Certitietl ropy iz filetl with the city Builtlin9 Division. Date APplicant E%EMPTION FROM WORKERS' COMPENSATION DECLARATION �(This sectian neetl not be completetl if the permit i5 tor one huntlretl ($300) or less). I certi(y ihat in the performance ot the work Por which thi5 per i �S ISSuetl I Shall not employ any pevson in any man e� as to bewme � bject to e Workey� Cgmp en C n Laws ot Califor Date 7-3 D` ��Si9nature � NOTICE: Ii, atter makin9 this tleclaration, you shoultl bec e subject to the Workers' Compensa[lon provisions of the Labor Cotle, you must forthwitn comply with such orovisions or thiz permit shall be tleemeE revoketl. CONSTRUCTION LENDING AGENCV 1 hereby aifirm that there is a construction lentlin9 a9ency for the performance ot the work for wnicn this permit is I55uetl (Section 3097 Civ. C.) Lender's Name Lender's Atltlress OWNER BUILOER DECLARATION I he�eby affirm lhat I am exempt from [he Cont�actor'S License Law fo� the following reason (Section ��31.5 Businass and Protessional Cotle: Any clty or <ounty which �equir¢S a pe�mit to const�uct, alter, improve, tlemolish o� �epdir any structure, prior to its issuance, also requires the applicant for such permit �� to file a signetl 5[atement that he/sne is licensetl pu�suant to the provl5iOn5 Of �� the ConVactor'S Licenze Law (Chapter 9(commencin9 with Section 7000) o( ' Division 3 of [he Business antl Pro(essions Cotle) or lha[ he/she is exempt ' there(rom antl the basis for the allegetl exemption. Any violation of Sectlon 703L5 by any ap0licant tor a permit subjects the applicant to a civil �enalty of not more than five huntlretl tlollars (E500). I, as owner of tM1e property or my employeez with wages as thelr sole comDensation, will tlo the work, and the structure is not intentletl or offeretl for sale (Section 7044, Business antl Pro(essional Cotle: The Contractor's License Law tloes not apply to an owner of a p�ope�ty wha bulltls or imprOves tpereon, antl who tloes such wo�k himself/tterself or throuqh his or h¢r Own employees, pvovidetl tha[ such improvements are not intentletl or offeretl for sale. 1�, however, the bulltling or improvement is soltl within one yea� of com- pletion, the owner will nave the burtlen o( provin9 he/she tlitl not builtl or im- prove for the purpose of Sale). ❑ I, az owner ot the property, am ezclusively contracting with licensetl con- tractors to construct the project (Section 7044, Businesz antl Professions Cotle: The Contrac[or's License Law tloes not apply to an owner of property who builtls or imoroves tnereon. ana who contracts for such oroiects with a con- tractor(s} Lcense pursuani ro �ne Contrattor•5 License Law). I am aware tnat proo( o{ their Worker's Compensation insurance should be provitlea to me. ❑ 1 am exempt untler Section _ B. & P. C,or this reason Date i��`/'�L_ Owner 1 hereby certify that I have reatl this application antl s te that tne above information is correcL I agree to comp y wrth all city antl county ortlinances antl state laws rela 'ng to builtling c tru<tion, tl hereby authorize repre- sentatives of s i[y to nter the abo mentionetl roperty r InSPection Pur . s � � /' �j � � � � � � � � Drivers' License or 55 � TYPE OF CONSTRUCTION LJ NEW U ADD L1k'ALTERATION ❑ CONVERSION ❑ DEMOLISH ❑ OT —�-- DESGHiPTIQN OF WORK/USE OF BL4G_�w v` �1. TVPE�OF PERMIT^/ LJ GIYADING LJ FOUNDATION LJ'STRVCTURAL ❑ TENANT �HELECTRICAL ❑ PLUMBI G❑ MECHANICAL ❑�OTHER � «w Ar`�.� I� •r^—" PROJECT DESCRIPTION SQ.FT oCCUPANCV— CONSTRUCTION TVPE VALUATION $ 20NE ' GRADINGCU.VDS. ACRES— Remarks: ' A nn.is.. _ �i. ✓.� r Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trep Roof Drains Reinspection Fee � $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multipl Pirepl/Fact. Blt. iC80 # Heating System & Ducting ❑6100,000 BTU 0100,000 Reinspeetion Fae � $15 0865-46, rev. 5/88 White - Builtlin9: Canary - Ap�licant; Pink - Accounting; Goltlenrotl - Asse55or Showers Service Sink Sewer Cap Sewer Conneciion Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Water Closet Water Heater Water Service A uto-W ash Issue Fee Type I fJ Type I I ❑ Refrigeration System ❑o-ioo,oaoslu ❑ioo,000 System Repair/Alteration Fire Dampers Registers laue Fee EPAIR FEES A.P. �k S Main Buildin9: E i T Front 1 ARear - C Ai9ht K i S , �eft _ Ping. Ref. # - Planning Notes: Automatic Washer Construction Pole Si Cooking Unit Dishwasher Dryers ❑Gas ❑E Fan F.A. U. Fixtures Device Boxes Outlets Switche5 Garbage Disposal Generator 00.5 KW Fee 2one Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW _ ❑ 50+KW Meter LJup to 100 amps Meter ❑over100amps lectric Suh Panel Motors00-1 HPOi%-8 Inc. Solar �9-15 HP 016-15+ Microwave Pole Light Range Standing Sections 5-15 KW Tresh Compactor $15 Issue Fee $ 3 DEVELOPMENTSERVICESREQUIREMENTS: 2oning Approved By FEES 'Building Approved By m _ � Application Issued By L�- - • $ 3 SUMMARV OF BUILDING PERMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL $ �L}. BO PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% $ FEES SMIP $ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTALFEE $ 7`�. o0 N I N G R E Q M T S. t�l t°}��LJa9itg7—[�QQ�J�uGu% :[i� i'i.d� QATE: 09J3G183 TI17c: :3:47 CONSTRUCTION AND PLAPvNING POOL & SPA a Date Ins ector APPROVALS Permit # P APPROVALS Permit # Date Inspector �� , n 1. Temporary Electrical Servicenr Pole � 52. Pool & Equipment Location V � ; l�i ? 2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement ,� K "'' � ' 3.�Flectrica�l Conduit Utility-Undrgrnd. :�� 54. Forms ' ' � � 4. Elect�ica�l Conduit-Undrgrnd. 55. Electrical Bonding ��p •.5. Steel Reinforcemgnt� ` 56. Rough Plumbing & Pressure Test � ��6.'Electric�lUFER.,Grnd. 57. APPROVALTOCOVER-GUNITE � ' i �� !•7. Footings 58. Electrical Conduit-Undrgmd. ' r � 8. Foundation � � � 59. Gas Pipe, O Undrgmd., Test j � � 9. Water Pipe-Undrgmd. -� 60. Backwash Lines, P-Trap, � Undrgrnd. '�� ' ��' r C i0. Structur2l Floor System 67. APPROVAL TO DECK � Y . .-, 11. PropertySewer Line & HouseConnection ";' 62. Backwash & Receptor-Final i� �' � 12. �Sewer,'Cap • • � 63. Heater & Vent-Final ' � C � � �, 13. Ro,of prains � . 64. Plumbing SYstem - Final �' 14. RougH Plumbimg ' � 65. Electrical-Final � 15. Rough Electrical-Conduit 66. Solar System-Final �T6. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough�Wiring Sign 68. APPROVED FOR PLASTERING i 18. Rough'Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heati;g & Air Condit�ning FIRE DEPT. REQUIREMENT 20�. Rough Factory Fireplace . r � APPROVALS Permit# 21�. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating � � �,lJ 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test " 72.` Underground Flush 24. Roof Framing �� 73. Undergrnd. Storage Tank O Gas�O Oil 25. Roof Sheathing^- - � �'� 74.-Overhead Hydro � ' � 26. T-BarCei,ling (Structural) &.Monocoat . 75. Dry Chemical 27. Frame�and Flashing -'' ' 76. Dry Standpipe i 28. Lathing�& Siding 77. FIXED SYSTEM FINAL -r• 29. Insulation ' � 78. FIRE PREV. FINAL 30. Drywall �Nailing ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coa�, ,�, 79. FINAL INSPECTION 32. Electcical Power Meter-Final• �-f�-� 80. FOOD CERTIFICATE ISSUED 33. Final Electric ,' j-�d- � Notes: ��_tf_SS �,G !"'�T�/�„- 34. Final Heating & Air Conditioning vi•� '�� 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing � 39. Water Service-Final ;5 40. Gas Service-Final � J 41. Solar pomesticFinal - .--" 42. Backflow Preventer .�J,� �• •;,i � � �� 43. Backflow Irrigation � • � 44. Landscape Irrigation System � ` 45. Sound Attenuation � � 46.'Handicap Regulations � 47. FINALSTRUCTURE&BUILDING � 48. Special Requirements Completed 49. Electric Release to Edison � i 50.GasReleasetoSouthernCaliforniaGasCo• t"' �• -; ., 51. CERTIFICATE OF OCCUPANCY ;, , • ' No. Date � ' : � ' . -' ' .:� _ ,,._ .._ , � .,. :a TRACT I LOT CITY OF COSTA MESA BUILDING SAFETY DIVISION GAS OR EIECTRICAL UTILITV RELEASE FORM ADDRESS ,� GFiS ELEC. I UN�ITS INOUTL TS I ROE EASEDS Z � THESE INSPECTIONS ARE A RESULT OF: (CHECK ONE) /� ❑ NEW CONSTfiUCTION J�1 REWIRING ❑ OTHER (EXPLAIN) �7� -F �� C/ J�!J /, a / Mp %j�� S -�P�`��"S`ZZ �/ /� � /',.-.`�� %�i z`�i ,:.� : J J`"_ Relegsed / -// � 0771-46 � / ' i -9 -�9 F � W C. Q .�. � 2 F A W a G � Q > a x � o. � a a z W x 3 42°R7 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 For Applicant to Fill in Comple[ely — Use Ink Only BUILDING_�� I _�/O� rj�A�uIA� ADORF_SS v- /l tv n OWNEF /.,'y0!//1 L[� �rn ti a✓T MAII � � ADDRESS CITV / •/K/LI ✓�/iP�� BRANCH ADORESS ARCHITECT TEL. ADDftESS CONTRACTOR ��J �e� �j ADDRE55 TEL. CITV NO. STA"fE CiTY LIQ NO. IIC. NO. SIZE NO.OF BLDGS. OF LOT NOW ON LOT USE OF EXISTING BLDG. Separate perrtilts are required for electric, plumbing and heating work. VSE OF BUIIDIf�G �j�KSO BE PERFORMED � � I� r ,��, 1 �Yat'��{� i � 5,5f °_?� �,,- K5 r ;:,::.•r:;: � AP I AT N FOR STRUCTURAL PERMIT REC DATE RECEIVED TE IS E O ' � - � � PERMIT NO. A.P. NO. ' BUIIDING ��r�j Q � �� ^� A ADDRESS ✓\ �i G([/QVWr TRACT �U LO BLOCK NEW ADD ALT R P � OWNER ' VALUE S E �� $ FIRE ZONE VPE /OUP APPROV D � '"_(h_ IQ�7/ NEy� NO.OF � � PLANS YAROS APPROV E MAIN BUILDINC 90M GL STREET) USE OF N BUILDING y''�/ OII 1 FT V FT. L. SIDE FT. � FT. �� / REAR FT. C%FT. DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. VAR. # DATE C.U.P.� APPROVED APPFOVEY "%i %/M Iri—/r/J��I I hereby ecknowledge that I have reetl this applicetion and staie that the above intormation is correct and agree to comply with all laws regulating builtlin8 �onsvuction, antl I shell not employ any pe�son in vlolaiion of She workman's compenseNon laws of She Siate of Celifornle. � I heraby certify ffiat I am properly Ilcensetl as a contrector untler . FT. She Stata of California Business and Protessions Code, Division 3, TH AMOUNT SHOWN UNDER VALUAT Chapter 9, and that such licb�ses are in full force and effect, or I THE PURP�E OF ESTABLISHING A PERMR am exempt from th provisiP�s of the State of Calitornia Business antl Professions , Divisio 3, Ch ter 9. VALUATION PERMIT FEE $ � PLAN CHECK $ SiBnatura of , /' ,�p_�, Permlttee A� $ �VU TAX $ Authorizetl Agant TOTAL PAID 5 n m 'm m FOR m 7 V: � n M rn 0 LL f U OWNER AMENDE, Gerald DATE 10-19-76 JOB ADDRESS _ 310 Broadwav BUILDING PERMIT N0. 42R97 LOT TRACT FIRE ZONE VALU G�5 W ATER ROUGH PLUMBING PROP. SWR. LINE � MOUSE CON. � SPRINKLING SYSTEM MISCELLANEOUS ROUGN NEaTING AND FIR CONOITIONING TEMPORr1RY SEAVICE OA PO�E UNDENGROUND � POWEF � ROU6H WIRING TRENCMES FORMS STEEL PEINF. FLOOR SVSTEM BONO BEAM � STEEI. pEINFORCE ❑ SHERTNING FN�ME ANO FLRSMING LATHING - IN n OUT n PL�STER. BROWN COAT STRUCTUA4L, FIN�L ME�TING. VENT., REFPIG, AND A.C., FINAL PIUMBING. FINAL AN� GA�S TEST ❑ ELECTRIC, FINPL ^/� ' � /� BUILDING, FINRL �.wy('� SUBCONTRACTOR