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Home My WebLink About269 BRENTWOOD PL - Building PermitsWADDELL a,rv� ASSOCIATES CONSTRUCTION CONSULTING, ENGINEERS and ARCHITECTS December 7, 2005 Structural Observation Report Project: 269 Brentwood Place, Costa Mesa, CA (permit No. B05-02109) Description of' VVork: Pacific Western Contractors installed a pipe pile foundation underpinning & re-leveling system as indicated on the approved plans. Additionally, cracked portions of the slab-on- grade were removed and replaced in accordance with the approved plans. Observation: Through the period of November 21 and November 29, sixteen pipe piles were installed to the bearing strata per the soils memo dated Nov. 29, 2005 by Alan Jessup, P.E.. The location & installation of the pipe piles were inspected by observer and were considered acceptable. The foundation was lifted so that there was less than 1 inch of deflection throughout the slab-on-grade. Once the foundation was lifted grouting beneath the lifted foundation and slab-on-grade areas were implemented in order to re contact the footings and slab areas with the existing soils. Cracked portions of the interior slab on grade were removed and replaced � perthe approved plans. In general, the work proceeded correctly and in accordance with the approved plans & specifications. Observer: Ian R. Waddell, P.E. 579-10TH STREET HUNTINGTON BEACH CALIFORNIA92648 � P/F:714-960-2774 QaOFESs/p � Nq�� Q 3�P.L�/� � z � �,t: 4 219 � � exH3� i7/ BAYVIEW PLACE SUITE 503-1521 GEORGE STREk7 WHITE ROCK, BRITISH COLUMBIA, CANADA V4B 4A4 JobAddress: 269 BRENTWOOD PL Suite: Vicinity: FOUNDATION Primary Occ: R-3 Dwellings/ Cong Res <70 7ype of Construction: V-N Parcel Number: 43933224 Zoning: npplicant: MOLINARD, MIKE Address: 3100 AIRWAY AVE STE 127 COSTA MESA, CA Phone: 714-241-7099 2ip: 92626 ISSUED BY: Status: ISSUED Applied: 11/22/2005 Issued: 11/222005 owner. ALEXANDER, MELINDAJ � Address 269 BRENTWOOD ST � � - ' - . . Phone: , COSTA MESA, CA , - Zip: 92627 Contrector: PACIFIC WESTERN CONTRACTORS Address: 3100 AIRWAY AVE � - � .. STE 127 , Phone: 714-247-7099 , COSTA MESA, CA Zip: 92626 License: 283195 Arch : eng: IAN R WADDELL Address: � ; Address: 18226 MC DURMOTT Phone: UNIT E Phone: 949•263-9070 � � � ' - IRVWE, CA Zip: , License: 92617 License: C041219 SCOPE OF PERMIT FOUNDATION RELEVELING AND SLAB REPAIR AT AN EXISTING SINGLE-STORY SFD. Plan Check: $163.31 Permit: $251.25 SMIP Res: $0.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $414.56 SETBACKS' MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existin : 0 Rear ` 0• 0 Rear 0- 0 FEE SUMMARY Calc valuation: Claim Valuation: PLANNING & ZONING �- ��Left� 0-0 �" Right 0-�0 , � . .. . �. -- . ' Left �' 0- 0 Right 0- 0 �Reauired: 0 Pr000sed: 0- ' a ' A s�s,000.00 $15,000;00 NOTiCE: The work authorized by this permit shall comply with all applicable handicap access requirements undar Calilornia 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 tor a period of 180 days. INSPEC710NS: In order for the work authorized under ihis permit to be considered legal, such work must comply with ell applicable codea, and all required Inspeetlona and flnal approval must be obtained. Failura to obtain inspections and final approval will result in the expiration of this permlt. FOR INSPECTIONS CALL: (714) 7545826 zaeees �s�ao� WORKERS'COMPENSAnONDECLARAnON: � . I hereby effirtn under penalry of perjury one of the �a�lowing declarations: � I have end will maintain a c»nlficate ai consent to selt-Insure tor workers' compensation, as pmvided tor by sectlon 3700 ot t�e Lebor Code, lor the peAormance of Ihe work for whiCh this permii 15Issu8O. �J have flrW will maintain woAcers' compensetlwi �nsurance, es requiretl by section 3700 of the Lebor Code, tor the pertortnence oi Ne work br which lhis pertnil is issue0. ��M ,y workers' compansation Insurance carrier end poliq numher are: , S q�"GP '1�v J '__.___,_. �ca'rner. : n Polity Number: ! S O O%/ 6'.�u U'� �(fhls'section need no! be completetl/l fhe permlt rs velued af one huntlretl dollars (§100) oi less.) ❑ I certily that in t�e pertormance of Ne work �or which Ihis permit Is issued, I shall not employ eny person in any manner sa as to become subjecl to ihe workers' compensetlon lews of Calll la end agree Ihel H I shoultl become subject to the workers' compensatlon provisions o1 Section 3700 01 Ihe Lebor Cotle, I shall forihwith complywicht Islons. App�t SiB�ature�= � r�ete-1 /i /�l l� �" r WMNINO: FAILURE TO SECURE WORKERS' COMPENSATIOM COVERAGE IS UNUWFUI PND SHALlSUBJECT AN EMPIOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNORE� TFIOUSAND DOLIARE (5100,OW), IN ADDITION TO TME COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3lOBOF TME LABOR CODE, IMEREST, AN� ATfORNEVS FEES. LICENSED CONTRACTORS DECLARATION: I hereby effirm thet I am Ilcensed under �r9vislons o� C�epter 9(commencing with Section 7000) of Division 3 of Iha Business end Prolessions Cade, and my license is in full force antl eHect. Lic: M �( �� lass M � boNFac6rsSfgnaWie�..-�-�_ _ _ _ — �Det �_ ii/,2.2'V C �_._ . ,,.. — . CONSTRUCTION LENDING AGENCV: ❑ I hereby ettirtn thet Ihere is e consiruction 19ntling agency tor t�e peAormance ol the work br w�ich this permit is issued. (Sec. 3097, Civil CoUe). Lentle/s Name: Lendels Adtlress: SignaNre: De�e: OWNER•BUILDER DECLARATIONS: I hereby eHirm that under penalry ot pe7ury t�at I em EXEMPT FROM THE CON7RACTORS LICENSE LAW lor ihe fallowing reeson (Sec. 7031.5, Business antl Professions Cotle: Any ciry or counry which requires e permit to construct elter, impmve, demolish, or re0air eny strucWre, O�or to its issuance, also requires the applicant for such pertnit to lile a signed statement that he or she is Ilcensed pursuant ta tha proHsions W Ihe Contractore LJcense Lew (Chepter 9(wmmendng with Section 7000) ot DMsion 3 of the Business antl Professions Cotle) or thet he or she Is exempt theretrom and the besis for the elleged ezemption. Any violetion ol Section 7031.5 by eny epplicant tor fl pertnit sub�ecis ihe epplicant to a civil penalry ot not more than five hundrad dollars (5500).): ❑ I, as owner of Ihe property, or my employees with weges es Ihelr sole compensation, WILL DO THE WORK, entl the structure Is not InterMed or oNered lor sale (Sec. 7044, Business and Professlons Code: The Contraciors License Law dces not apply to an owner of property who bulltls or improves thereon, and who does such work himselt or herself or thmugh his or har own employees, provitled ihat such improvements are not Intended or oNered for sele. If, however, the building or impmvement is sald within one year of completion, the owna��builder will have the burden of proving that he or she did not builtl or improve for purpose oi sale.�. ' ❑ I, es owner af the pmperty, am EXCLUSIVELY LOMRAC7ING WITH LICENSED CON7RACTORS to construct the pwjad (Sec. 7044, 8usines5 and Pmfessions Code: The conireqors Llcense Lew does n0� epply to an owner of property who builds or improves thereon, and who wntrects tor such pro�ect with a contractor(s) license purouent to the Conirectors License �-ews.). ❑ I am exempt under sac. Business and Professions Code for this reason: Signamre: Date: Owner ID venfied 6y driver's license. Yes ❑ No Driver's License No. Expires: Verllication oi Ownership Dy (type of doamenl, i e. - propeny tax bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CENTIFICATION: ❑ I here6y certify Ihat no excavation five (5) o! more teet in dep�h into which a person is requiretl to tlescend, will be made in connection with work authorized by this permil, and that no building stmcture, sceHo�ding, talsework, or demolition or dismantling thereoi, will be more then thirty-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Title 8, Celifornia Administretive Code). ❑ A5 owner-builder, I will not emplpy enyone �a tlo work which would require a permit from the Division of Industrial Selety, as notetl ebove, unless such person has a permit to da such work from the division. Signature: Date: Division ai Industrial Safery Pertnit Number: CER7IFICATE OF COMPLIANCE AND AIITHORI7A710N OF ENTHY: I certity under penelty of perjury thet I heve reed this epplication entl state Ihat �he iniormation given is correct. I agree to comply with ell stete laws and ciry ordinances relating to builtling constructlon, an0 euthodze representatives of ihe Ciry ol Costa Mesa to enter upon the above-described property tor inspedion puryoses. I agree not to occupy or allow occupancy oi eny building euthorized by this permit until finel inspection. COOE t. INSPECTIONTYPE 1616 Fixetl System Finel Fire Prevention 1266 Pool Spa Finel 200 Final Re-Rooi 201 Final BIocWRetelning Well 202 Final Fectory Fire Place 203 Final Sign 204 Flnal Demolition t Q� I RL �QQf,j INSPECTIONTYPE 206 Finel Mechanical 200 Finel Plumbing 270 Finel Elecincal 212 Finel Flre Prevention 220 Final Planning Approvel 222 Final Site 250 Finel Building/OccuOency P9IE � ` . ; -= I 7277 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MEBA. CALIFORNIA For Applieanf to Fill In Complefely TYPE OR PRINT 6UILDING `� 6 9 �LC�'�'!i"� ADDRE6S COSTA MESA. CALIFORNIA / „wu�e l� ��, �,,,� �, ,. l'� _ Alo�a�a°: Q � x �� i �.j I uew�nuelDoTe. /i L' B6T9ACK LJNB PROM J (� �.n��.......� n�.....m .J rT CFAG VGOfI � DESCRIPTION OF WORK i EXTERIOR WALL ROOF COVERING COVERING �� USE OP BUILDING AND WORK TO BE PERFORMED ,M, n, � . ��, . � I HER6BY ACNNPWLBDOH VXAT 1 HAVB RBAD THIB MFLIGTION AND BTATH TNA'� TNH ABOVE IB LORIiHCT AND AOREB TO COM- PLY WITH ALL WTV OPOIN�NC89 ANO @TAT6 LAWB fi¢6ULATING BOILpINO CON6iMUCT1 81GNATURE OP �n/iM� II�A�t1wM. AUTHORIZED J—� 3 ': ,�,.�, i o � . �/"�R `,/ JUN 1 4196� t fIPl�Ii�!CE �.:;'�1. CITY OF COsit; �.i�SA APPLICATION FOR PERMIT BUILDING For Office Use Only HBCHIPT NO. IP�� ecerv ar n re ae erveo o�re iaeueo � I �—_ 5,� - ��I- ,,,ti , A ,4� ) COSTA MESA. CALIFORNIA APPROVED ZONING ZONE NO.OF U8E OP NEW S//�' � � I I PL�N9 �Z� BOLLDING (UI�' � LHOAL �-.3 � y � z y DESCRIPTION e e v� � (CENT6R LINB BT.) �j FRONT � o R. SIDE I� L.SIDE � REAR / 3 IN. � �`�zi /�� ,� -�337 � � - �/6P�, THB AMOUM � OWN UNDBR VALUATIpN 18 PON THC PURPOB¢ OF EBT�BLI9HIN6 � PBRMIT FB8 ONLY. VALUATION ' /A '/ f-� PERMIT FEE S %�O�/ $ //J ��" / PLAN CHECK $ �/ � TOTAL FEfi � �