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HomeMy WebLinkAbout1604 CARAWAY DR - Building Permits CITY OF COSTA MESA 4 a. BUILDING DIVISION • > •j..,,,.' • DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER a�C/sem PERMIT , B06-02050 (714)7'54-05227733 • Fax(714)754-4856 • www.ci.costa-mesaxERRLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1604 CARAWAY DR Status: ISSUED Suite: Applied: 12/07/2006 Vicinity: Issued: 12/07/2006 Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N Parcel Number: 13949228 Zoning: R3 Applicant: DE PINHO, NELSON /////FFFF'�nn Address: iL Phone: ISSUED BY: Zip: Owner: LEWIS, MARK E TR Address 2911 CLUBHOUSE RD Phone: COSTA MESA,CA Zip: 92626 Contractor DEPINHO ROOFING Address: 2832 N OLIVE AVE Phone: 714-632- ORANGE,CA Zip: 92665 Licens_. �uyr, 4 .• w Arch : E •: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING COMP OVER ROCK,COVER WITH 40 YEAR COMP SHINGLE.NO NEW SHEATHING PROPOSED.REPAIR/REPLACE ONLY IF NECESSARY.INCLUDES RESIDENCE AND ATTACHED GARAGE.APPROX 3500 SQ FT. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $10,000.00 Permit: $181.25 Claim Valuation: $10,000.00 SMIP Res: $1.00 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $182.25 PLANNING R 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 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 I I WORKERS'COMPENSATION D4CL4RATI9N: I hereby affirm under penalty of perjury one of the following declarations: Cl Iave 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 ork 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'compen ation Insu an puler argQpolicy number are: workers; C/A�,� ` cu-GE L Cartier. N�T r � ,-/�`� G- Policy Number. (`�" (This section need not be completed if the pe 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 California,and agree that if I .. - .. . : ..ject to the workers'compensation provisions of Section y700 0)the Labor Code,I shall forthwith comply with these provisions. I n L 1 Section ) O� Applicant Signature: .Al Date: 1/ WARNING:FAILURE T= ECUR WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($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 em licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.q Class a (3 ? Contractor's Signature: .� .. 1.._. Date: Z h 1 bC CONSTRUCTION LENDING AGENCY: [ V' ❑ 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 properly,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,end 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 en owner of property who builds or Improves thereon,end 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 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: ❑ 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,faisework,or demolition or dismantling thereof,will be more than thirty-six(38)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 Safely Code requires,with some exceptions,theta 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 end 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 0 N (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 aermit 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 0 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 at of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 es 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 e until final inspection. /..1/ - ure Of Legal Owner(s) ��f/,//p1//pLg10` And/Or Authorized ed Applicant I / 'DaUtef`fn' CODE 1 fNSPECTION TYPE Oa INTITIALS C000 INSPECTION TYPE DAIS INIIDAL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final // 208 Final Plumbing 200 Final Re-Roof /'Z 6 f11 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 4. ;.y. 26312 OCT 31-66 001305* ***210.75 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 02020 For Applicant to Fill In Completely /L�-' APPLICATION FOR PERMIT TYPE OR PRINT ,�,//e BUILDING BUILDING lei. For Office Use Only BUILDING ADDRESS 1604 Caraway Dr. i RECEIPT NO. t')6111.93". COSTA MESA. CALIFORNIA ETEC ED yr DAT RICEy�D DATE ISSUED OWNER Kal- South Devel. Corp. E� �� ��' �X'�� �0��J6�� BUILDING / /9Ykt ,E ,�/y42 MAIL ADDRESS (�J(l LC-. ADDRESS 1 442 S Euclid _-. CITY Fullerton TEOL871-823. FIRENL� TYPE GROUP /-y'(y,: APPROVED�,/� 4 G_ ARCHITECT TEL BY. %!/ DATE - " OR ENGINEER NQ. ZO LNG 'A ADDRESS q ZOjJ[ NO.OI uE[OI NEW �.IJ CONTRACTOR Ma eyd Constr. Inc. (l Iuru �I Su1LDIx Affil ADDRESS 1442 S . Euclid DESCRIPTION t9hi . 6a69, Xa-x(44.-1�N�GG/A// CITY Fullerton A.P.NO. STATE B102641 TEL 871-8233 NOTTOa DAVE OVERHANGEAR SHALL BE LESS THAN LIC.NO. NO. EAVES SIZENO.OI SLOGS. ALLOWED (U.B.C.REQUIREMENT) OF LOT 73 x 109.6 NOW ON LOT 0 YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) SETBACK LINE FROM 50 ,ceC /O 6 .Jp � FRONT VIPFT. PT. CENTER OP STREET REAR YARD SIDE YARDI LEFT 1 81 I RIGHT 91 R.'sIDR 9 PT. PT. DESCRIPTION OF WORK L SDE .1 FT. PT. NEW ALTERATION ADDITION REAR /0 FT. 6- FT. • IIr DISTANCE BET. BET.MAIN a REPAIR MOVING I DEMOLISH MAIN SLOGS. ACCESS.BLOCS. BUILDING NO.OF SIZE ROOMSm 46 x 82 13 stoma 9 CAR.U.p.# APPROVED EXTERIORWALI%+tnCCOI ROOF APPROVED/917 p (� // COVERING ��11 COVERING Rock IIT APPROVED/ /T✓✓✓ DATE �L'07O -CYJ USE OF BUILDING AND WORK TO BE PERFORMED M W • 4 unit residence ��pp plus 5 car Garage �L .,/ ,...c., V 944/ M `t Y so.FT. n �S ClL!/71 /�Q 2 I HERESY ACKNOWL[DO[THAT.1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE JR CORRECT AND AGREE COM. PURPOSE OF ESTABLISHING/ A PERMIT FEE WO /O/ANLY. PLY WITH ALL CITY ORDI AND STATE L11W[ G/ LATINO VALUATION PERMIT FEE /9 •�D Q BUILDING CONRRYRI PSIGNATUR ERMITTEE OF /J } 7�/0.1/ 9 T PJ/I4 ✓ i y/ 7/ PLAN CHECK S / ab WG AUTHORIZED AGENT ( ,///y111/l 7�^✓ tr•' a . .. TOTAL PEE si O. !v City of Costa Mesa Building Safety Department CERTIFICATE O F OCCUPANCY N? 2451 C. P.0. Box 317 Costa Mesa, California The Building located at 1604 Jkir '. ®,eD has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group 8 Occupancy. Use of Building L Unit ApartmettUm with at . %mot 6239 Legal Description , tat 13 (See reverse side for Metes and Bounds) M�,� Building Permit No. 26Electrical Permit No. Plumbing Permit No. 49CM Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C. _. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments_ 4 and/or guest rooms ISSUED TO: Building Official mresami PEVELOPIEN COs. by K ' .Ieri/j—of -� — Date Bra9, 2967 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed -I except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Form su34-1M-11-e3—S-13 r