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Home My WebLink About958 CARNATION AVE - Building PermitsCITY OF COSTA MESA � � ""'�= B!/ILDING DIVISION i�� 77 FAIR DRIVE. COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 •�wnv.ci.costa-mesa.ca.us ��o4n�Ro� FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: BC09-00278 PERMIT TYPE: B COMBO Sub Type: RES_qLT Joe a,00RESS: 958 CARNATION AV CM APN: a1217407 Zoning:R1, , Vicinity: REAR OF HOUS� Const Type: V-B SQ. FT: 400 STATUS: ISSUED DATE ISSUED: 08/3112009 ISSUED BY: BE Suite/Unit: Primary Occ: R-3 Valuation: $36,960.00 SCOPE OF WORK: 400 SF qDDITION TO A 1-STORY SFD. WORK TO INCLUDE THE CONSTRUCTION OF A NEW GUEST ROOM, A NEW WALK-IN C�OSET AND RETREAT/OFFICE FOR THE (E) MASTER BEDROOM WITH 1 ALTER/REPAIR COOLING/HEAT, 4 LIGHT FIXTS, 15 OUTLETS AND 4 SWITCHES. OWNER: DEETZ, RANDALL ELDE Phone: 714-436-0982 APPIICANT: HACK, JEFF Phone: 714-231-7733 � CON7RACTOR: JEFF F HACK Phone: 714-754-0151 Cell: 714-231-7733 ARCHITECT: ENGINEER: COMBINATION PERMIT FEE SUMMARY Building Plan Check: Building Fees: Electrical Fees: Mechanical Fees: Plumbing Fees: SMIP Residential: SMIP Commercial: Bldg Std Admin Fund TOTAL FEES: ^Refer ro fee receipts for all fees paid for projec[ Address: 958 CARNATION AVE City/State/Zip: COSTA MESA, CA Address: City/State/zZip: License No. 536548 Address: P O BOX 26038Unit: � City/State: SANTA ANA, CA License No. License No. $83.36 $512.95 . $48.80 $37.20 $0.00 $3.70 $0.00 $2.00 $688.01 Unit: Unit: : ZipCode 92799 PHONE: PHONE: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenls under Califomia statutes and relaled regulations. (Ord. No. 92-28, § 1, 12-21-g2) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OP ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must wmply with all applicable wdes, 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. COOE%. INSPECiIONTYPE OATE INTITIALS GOOEf INSPEGTIONME �RTE IN7171AL5 1616 Fixed System Finai Fire Prevention 206 Final Mechanical �r1��o � 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 270 Final Electrical ^'i 201 Final BIocWRetaining 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 BuiltlinglOccupancy /G n� ��"� WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty o/ perjury one of Ihe following declarations: ❑ 1 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 pedormance of the work for which Ihis permit is issued. ❑ I have and will maintain wnrkers' compensation insurance, as required by section 3700 of ihe Labor Code, for [he peAormance of the work for which [his pertnit is issued. My workers' compensation Insurance cartier and policy number are: C ier:� �� r �� (This section neetl not be cnmpletM Alhe perm� is valuetl at one hundred tlWlars (5100) w less � Policy:Number:� �a�a��v ❑ I certify [ha[ in the performance of the work for which Ihis permit is issued, I shall not employ any person in any manner so as to become subject ro ihe workers' compensation laws of California, and agree lha[ it I shoultl become subject to the workers' compensation pmvisions of Section 3700 of the Labor Code, shall f rth 'th comply with ihese provisio s. 83�� 9 A e� Date WARNING: PAIWRE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAI PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLlARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aRrm thal I am licensed under provisions of Chap[er 9(commencing with Section 7000) o( Division 3 of the Business and Pmfessions Code, and my license is in full force and e((ect c� tid u�-#- � G 5 �1 �55�# v �-•- -_g -3G ,09, Gon acto s � Dat �'. _" CONSTRUCTION LENDING AGENCY: � ❑ I hereby aKrtn tha[ (here is a cons[ruction lending agency for the peAortnance of the v.urk fa which Ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lendei s Address: OWNER-BUILDER DECLARATIONS: I hefeby afflfm Iha[ under penal[y Of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for lhe f011owing rea5on (Sec. 7031.5, Business and Professions Code: Any city or county whic� requires a permit to construct, alter, improve, demolish, or repair any slrucNre, prior to its issuance, also requires Ihe applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Con[ractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or iha[ he or she is exempt iherefrom and Ihe 6asis for the alleged exemplion. Any violation of Section 7031.5 by any applicant for a permit su6jects the applicant [o a civil penalry of not more than frve hundred tlollars ($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 Pmfessions Code: The Contractors License Law does not appty to an ovmer of property who builds or improves thereon, and who does such work himself or herselt or ihrough his or her own employees, provided that such improvements are not intended or oHered tor sale. If, however, the building or improvement is sold within one year of completion, the ovmer-buiider will have the burtlen o( proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner ot the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro construct the pmject (Sec. 7044, Business and Professbns Code: The conhactors License Law does not apply to an ovmer of pmperty 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 Pro(essions Code for Ihis reason: Owner ID verified by tlriver's license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property taz bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certi(y [hat no excavation frve (5) or more feet in depth into wfiich a person is required to descend, will be made in connection vnth work authorized by �his pertni[, and lha� no building shucWre, scaffdding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) fee[ high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Cali(omia Administrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noled above, unless such person has a permit to do such vrork from the division. Appbcanl's SignaWre Division of Industrial Safety Permit Number _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or iWure building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 0( the California Health and Safety Cotle requires, with some exceptions, tha[ a Business Plan be fled vrith the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazartlous ma[erials equal to or greater than a weight of 500 pounds, or a volume ot 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 ro file a registration form for acutely hazartlous materials? ❑ Yes � No (Section 25533 0( [he California Heal[h and Sa(ety Code, with some exceptions, requires registra6on with ihe 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 o( 55 gallons, or 200 cubic feet of compressed gas at slandartl Iemperalure and pressure). 3. Does or will the applicaN or present or future builtling occupant neetl to prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Heallh and Safery Code provides that the Costa Mesa Pire Department may require Ihe prepara[ion, certification and �ling with the Fire Department of an RMPP by businesses which are required [o register acWely hazardous materials with Ihe Fire Departmen[. 4. If an RMPP is presently required, has Section 25534 of ihe California Health and Safery Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or preseM or future building occupant require for the work which is the subject of this application a permit for such constmction or modifica[ion from Ihe South Coast Air Quality Management District or from any other air pollution control disMct or agency? ❑ Ves � No (Section 658502 0( ihe Califomia Govemment Code requires that �he requested informa[ion be fumished on applications for nomresidential building permits). 6. Will any part o� lhe (acility to be constructetl under this permit be within 1000 feet from the ou[er boundaries of a school? ❑ Ves ❑ No Q('yes", the facility must meet the requiremen[ of Sections 25534 antl 42303 of ine California Heallh and Safery Cotle). 7. If a permit from the South Coast Air Quality Management District or other air polWtion control district or agency is required foi 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 certifcate of compliance from the appropriate air polWtion control oKcer�. CERTIFICATE OF COMPLIANCE: I certify ihat 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. Sgnawre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalty of perjury that I have read this application and state that the information given is correcL I agree to comply with all state laws and city ordinances relating to building constmction, and authorize representatives of the Ciry of Costa Mesa ro enter upon [he above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by Ihis permi� until fnal inspection. Si nawre of Le9a Owner(s) _/ Oal= Siqnawre Dale � /'�/'��'�:p_� 305]-46(3/W) ��'�� ' ) � , mhonz Applmam � te Job Address CITY OF COSTA MESA, BUILDING DIVISivN SPECIAL INSPECTOR REGISTRATION Permit# �1�U'� - !)�l i % K Inspector's Name ►�o 1 V Yl ��! a v� ResidenceAddress �J'�'!� ✓Yi f' dt', �Q cl • Phone# .S G-� %` S U�� i�1 Number 8 Slreet � t,�,l� %E.ff <:�• /��'o� Ciry �, State Zip Laboratory ! � -n �� , � 'f�/ .� � n �- :�� Address / � I�' � Street Ciry Zip All licenses listed befow must be currently valid and legible copy(s) and musl be attached to this registration. DISCIPLINE L.A. COUNTY L.A. CITY ORANGE COUNTY OTHER Concrete ,t. � �.. � � � C Z Ductile Moment Resisling Frame Reinforcing Steel, Prestressing S�eel i C� Welding High Strength Bolting ' SWctural Masonry Reinforced Gypsum Concrete Insulating Concrete Fill Sprayed on Fire Proof ng Pilings, Drilled Piers, Caissons Special Grading, Excavation or Filling Special Cases Unusual Hazards I hereby certify that I am qualifed by training and experience to perform the inspections for which I hold the above listed Special Inspectors licenses, and will provide all certifications required by the City of Costa Mesa. I will inspect and certify the following procedures and locations: , / ! �� UU�n C.t.l;l� a.�.n Gnili�♦ y�L��♦ l,�i.� P.i. ,. l.i. �1'�� v I will certify not onty to the job conditions but that they are in conformance with the approved plans. If at any time, progress occurs on the above mentioned job relating to my area(s) of responsibility, without my knowledge or approval, I will stop the jobs process immedialely with notification in writing to the job superintendent and notify the Building Division of the situation. A record of my tests and/or inspections as agr�ed to above will be available upon request by the Building Division. Upon request I will submit a complete package of testing and inspection results. A letter certifying satisfactory complet� n\I be provided by me upon completion. i . J. ��i I 1�`J �,.: -.l J � A Signature � Date 7his registr ' n is accepted anQ�approved by: � i ,1 11 U (Building Offcial) tO68�e6 (rev 6N9) NRute- Bmitlmg Dmsioq Canary- Speoal Nspecror, Pink � Oeveloper CITY OF COSTA MESA, BUILDING DIVISivN SPECIAL INSPECTOR REGISTRATION n �/y� � ( 'ob Address � � � `� n � . �..J , , . � �'1 l.% C - Permit # 1 ✓[ . v �/ O� �� mspecrols Name �Jr �� t• � Y�l„r�+, � Residence Address r�.� I v Y11 L�1 r r �i �� Phone # S b �� J S J�/U �/ Number 8 Street i ��h ,� � i � �17 ' �%�(Dd ] Ciry �State Zip Laboratory r�..i�,r�er-I�,i � Ln•.J�� 1.� � Address �� -�-.r---:`� L. ��:I r,. !1 �,� � �.-1 �� : / Street � Ciry Zip All licenses listed below must be currently valid and legible copy(s) and m�st be attached to this registration. DISCIPLINE L.A. COUNTY L.A. CITY ORANGE COUNTY OTHER Concrete � r C C..i �, y c T Ductile Moment Resisting Frame Reinforcing Steel, Presiressing Steel y L L Welding High Strength Bolting Structural Masonry Reinforced Gypsum Concrete Insulating Concrete Fill ,prayed on Fire Proofing Pilings, Drilled Piers, Caissons Special Grading, Excava�ion or Filling Special Cases Unusual Hazards I hereby certiTy that I am qualifed by training and experience to perform the inspections for which I hold the above listed Special Inspectors licenses, and will provide all certifications required by the Ciry of Costa Mesa. I will inspect and certi(y the following procedures and locations: t= U n v 4=^-• �. i � I will certify not only to the job conditions but that they are in conformance with the approved plans. If at any time, progress occurs on the above mentioned job relating to my area(s) of responsibility, without my knowledge or approval, I will stop the jobs process immediately with notifcation in writing to the job superintendent and notify the Building Division of the situation. A record of my tests and/or inspections as agr�ed to above will be available upon request by the Building Division. Upon request I will submit a complete package of testing and inspection results. A letter certifying satisfactory completion will be provided by me upon completion. • r � , ; �,. ( ,� yv�-' , 1 '/ J � Siqnature ' \ Date This registration is accepted and approved by: � � �' l i � ,; , ,i � , � , , (Date) il ID68-<6 (rev 6109) Whne,BmldingDivisfon;Canary-Speoallnspecror,Pink-Developer CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT N0. 7SJ �/9 DATE L IAT N0, �O� nnbxEss 9S8' /3 -P.�re-�%a� C�.ee_ The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of,Costa Mesa. The undersigned, by executing this agreemen�, acknowiedges that e-she-they) (was or were) /,(%e.�,L advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City. assumes no liability for the enforcement of the conditions necessary.for approval other;than those conditions protected by surety bond. The undersigned agzees to'indemnify and hold the City hazmless from any claim resulting in damage or pereonal injury to che undersigned by reason of the aforementioned uncompleted condi �//��/��%%��1C;'n!'�;.._....._' ...._. � . . � . l i�� /. � ,�.EC'E�tFf�D . �, erc„� oF, cn,T;� i�E,.e � . .'' � <;'.`,�••', ' � 'i.,. �i;'l..• �� . �' . �-�;�� l..j�7�::.:, .. i, ; ,.: M, ',,,.V� PM 7a8 �9'il0illjilil'�2,�'3;4�5 i 6 . ' �`' , , .. ��: �. ��j � .�'i: ' . • sY ��a /�. �Q�-�� Developer and/or authorized representacive BY ' /�u-�CL'v �er�oy�• Lender , ', �.; ..�z �-�-�.- a i `/ CITY OF COSTA MESA REQUEST FOR OCCUPANCX TRACT N0. / � DATE IAT N0. I/ l r �D�SS 9 sR �.��. G%�c The developer of the above entitled tract desires to aell the above set forth lot prior to the time that the tract has been completed and its streete accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that �(i�wke-they)_�/��s�er; were)_��i/�'�, advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approvaS which were imposed by the City at the time the final tract map was approved. The City ass�es no Iiability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The understgned agrees to'indemni£y and hold the City harmless from any claim resulting in damage or persona2 injury [o the undersigned by reason of the aforementioned uncompleted condition. BY r _ `.�'1'" Pu chaser � ' , ' �, . _ R.,. ,` ..., ; :-,: :�:,, E C.. �,� , ': �� . � c�n oF �� Q ' Bx .�' a�/f 12�--��1` Cc1&T� IdESq';, Developer and/or authorized P` ��'NI�;G.:Dc;f?i::..:.:1'.;; .:: . �: zepresentative �� i r�7� ;: � � �: _ qM ,; ,, : .,., .�:.. BY i�ueCCsr /,cL'-G ow , ;:� ', � :'; PAf�,'°;�� i � Lender �'i8i9it0iI1�12i1j2j3i4iSig�.:'' , .... `•;, . . . ... :.�,; � • " , . , urvncK LAKw1N JOB ADDRESS 9 GENERAL CONTRA( AP No. INSPECTIONS SOIL GAS WATER ROUGH PLUMBING PROP. $WR. LINE HC SPRINKLING SVSTEM LOT CON. UNOERGROUN� U POWER U ROUGH WIRING TRENCHES � FORMS � STEEL REINF. FLOOR SYSTEM BOND BEAM � STEEL REINFORCE � SHEATHING FRAME AND FLASHIN LATHING — IN PLASTER, BROWN CO STRUCTURAL, FINAL HEATING, VENT., REF PLUMBING, FINAL AN ELECTRIC, FINAL BUILOING, FINAL u � 1 ri '�'• utSC TRACT 771 FIRE uait oiin r SUBCONTRACTOR w z . d U Z Z� O v� am J7 J �7 Q W d] J j m Q U Q z� W d W WZ J Q m z J � W w � _ z� w� N � �O 35��0 r C vn �001209". K .°� 12G C� iFJi 2C�-73�.,�.� COSTA MESA BUILDING-SAFETY DEPARTMENT � 'zQ� B P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT ForApplicant to Fill in Completely RECE v o�j TE FECEIVE DATE ISSUED BUILDING 958 Carnation Avenue l��7� //�,7-73 ADDRE55 PERMIT NO. OWNER Lanyin $o. Calif. A.P.NO. 'JCO��n BUIIDING "' v � � v aooaess 16255 Ventura Bivd. a.00Ress ,�� fl-�J �', TEL. TRACT 77�� LOT IJ5 BLOCK CITV N0.9 9 CAN5TRUCTION W ADD ALT PA LENDER Larwin SO. CQI1�� BiiANCH 16255 Ventura Bivd. OWNER � - ADDRESS Encino CA �� yy ALUE ��q ORENGINE R Qryyln N�L.n73 AACA USE [/L4'(�' � $ (IL1 l L �'hY0'F ADDRESS 9100 Wilshire Blvd�� Bev. Hills ZONE TVPE GROUP �' APPROVED coNrancroa Laryri n$o. Ca�if, sv DATE aooaess 16255 Ventura Blvd. Z NO.OF use oF TEL. PIANS `Z BUILDING� cirv En in N� 986-8890 STATE 14�3�� LICVNO. B�� YARDSAPPROVED VARDSAPPROVED �IC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLDGS. (FROM GL STREET) OF LOT 62 X � OO NOW ON LOT O FRONT SFT. FT. USE OF EXISTING BLDG. 51 E FT. FT. NEWBLDG. ��36 flOOMS STORIES � L.SIDE FT. FT. COVEERINGALL S�'�JCCO COVERING WOOd Shlll I@ REAR Z FT. FT. USE OF BUILDING AND WOFlK TO BE PERFORMED DI5TANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. VAR.# DATE Construction Sin le Famil Residen/ce c.u.P.� APPROVED . / APPROVED // D. J, ra HOLD FOR SPECIA RE IR I hereby acknowledg@ that I have reatl ffiis application antl state � that the above information is correct and agree to comply with all laws regulating bu{�ding conshuction, and I shall not employ any person in violati0n ot the workman's compensation laws of the State of Califomig, % ,ry^ � �j I hereby certity that I am properly licensetl as a contractor under / �l SQ. FT. a� the State of Calitornig Business antl Professions Code, Divisicn 3, THE�AMOUNT SHOWN UNDEF VALUATION IS FOFl Chapter 9, and that sUch licenses are in full torce and effact, or I THE PURP�E OF ESTABLISHING A PERMIT FEE ONLV: am exempt from the p�ovisions ot the State of Calitornia Business VA�UATION and Professions Cotle, Division 3, Chapter 9. PERMIT FEE $ Signature yI��r��9� ///�� L Permittee(/� �D• Downs $�� / p�qN CHECK $ �� •50 Authorized Agent � �U TOTAL FEE $