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Home My WebLink About804 CONGRESS ST - Building PermitsCITY OF COSTA MESA . BI/ILDING DIVISION > 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 •� Fax (714) 754-4856 • www.ci.wsla-mesa.ca.us �� , �, FOR INSPECTIONS CALL: (714) 754-5626 � 4�� PERMIT NUMBER. P08-00169 PERMIT TYPE PLUM � STATUS: ISSUED APN: 42243119 DATE ISSUED: 07/14/2008 ISSUED BY: RMD JOB ADDRESS: 804 CONGRESS ST CM -"'Suite/Unit ;.,, ,. Vicinity: � - . � SCOPE OF WORK: INSTALLATION OF A SEWER CLEAN OUT FOR A SFD. OWNER: COURVOISIER;�WESLEYA:��` 'Address: ;804CONGRESSST'-�� PHONE: -�' � � - .City/State/Zip: �: COSTA MESA CA ; . APPLICANT: AVILA, CEASAR " � �� Address:. � . - . PHONE: 714 900-1373 - � � City/State/zZip :. �� CONTRACTOR: POWERPROPLU�MBING`�.,_�,��- LicenseNo.;'�:�7662�54"�� Address: PO BOX 6970 � � - � -- - � - � ; �� PHONE: �' ,(310) 3243661 �'��,' City/State: TORRANCE CA��'�� -ZipCode: 90504 . � . - . - CEIL:'-�, , - .. � ARCHITECT: - : License No. - PHONE , �` ENGINEER: �,�`- -�-' . � �-� . - LicenseNo. �.:. � �-. � . � �..:�::. PHONE:'�.r . . . . - PLUMBING PERMIT.=FEE.$UMMARY PLAN CHECK EEE: _ $0.00 PERMIT.FEE: �$48:15 ': ' TOTAL FEES: ' $48.15 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) , . EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. � INSPECTIONS: In order for the work authonzed 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 oblain inspections and final approval will result in the expiralion of this permit. , CODEN. INSPECTIONTVPE DATE INTITIALS CO�EC INSPECTIONTYYE DA . INTI71AL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical , 1268 Pool Spa Final 208 Final Plumbing �� 200 Final Re-Roo( 210 Final EleCtriral � 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 212 220 Final Fire Prevention Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy WORKERS' COMPENSATION DECLARATION: , I hereby affirm untler penalty ot peryury one of the lollovnng tleclarations: ❑ I have and vnll maintain a certifcate of consent to self-Insure for vrorkers' compensation, as provided for by section 3700 of the Labor Code, for tha pertormance of the vrork for which ihis permit is issued. ❑ I have and will maintain workers' compensation insurance, as required�by section 3700 of the Labor Cotle, for [he perfoYmance o� the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: �1 �Carner �Yl tiJ ('� /1 � �� (Thrs seIXion need no! be mmplefed il the peimil u value� af�etl tlollars (5100) orless J Policy Number: �✓ � N �� 3 1"1 S3 J/ ❑ I certify that in the performance o( th2 work for which [his permit is issued, I shall not employ any person in any manner so as to become su6ject to the workers' compensation laws o/ Cali(ornia, and agree that it I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall (orthwith comply wilh ll�ese pmvisions. p � � . 1 � � ��"(�V _-ApPhranfs5ignaW�e � _Date WARNING FAILURE TO SEWRE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SU&IECT AN EMP�OYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF GOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE U+BOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed untler provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Code, antl my license is in full force and effect. -ue. u '1 v(0 2 S y ci 5 u C—'3 (a �r � \ � ^ t "i -i� K --Contrac�ar's5ignature - �ate CONSTRUCTION LENDWG AGENCY: ❑ I hereby affrtn that there is a constNction lending agency (or the peAormance of the work fa wfiich this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: OW NER-BUILDER DECLARATIONS: I hereby aKrm that under penalty of pery'ury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 703'I.S, Business and Professions Code: Any city or county which requires a permit to constmct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires [he applicant for such {�ermit lo fle a signed statement that he or she is licensed pursuaN to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle) or that he tlr she is exempt Iherefrom antl the basis for the alleged exemption. Any violation o� 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 properry, or my employees with vuages as their sole compensation, WILL DO THE WORK, and ihe stmcWre is not intended or oHered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of pmperty who builds or improves thereon, and who does such work himself or herself or [hrough his or her own employees, provided that such improvements are not intended or oKered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the bUrden of pmving 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 [o cons[ruc[ [he projec[ (Sec. 7044, Business and Professions Cotle: The contractors License Law tloes not applyto an ovmer of property who builds or improves thereon, and wl�o coniracts for such project with a cont2ctw(s) license pursuant to [he Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: aos�-as�aio�� Owner_ID verified by drive� ., ncense. ❑ Yes ❑ No .,Dnver's License No. Expires: � Verifcation o( Ownership by (type of document, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: - �� ❑ I hereby cetlify Ihat no excavation five (5) or more feet in depth into wfiich a person is required to descend, will be made in connection with work authonzed by this permit, and tha[ no building sWcture, scaffdding, falsework, a demolition or dismantling [hereof, will be more than thiAy-six (36) feet high. (Chap. 3.2, Grp 2. Art 2, Sec. 341, Title 8, Califomia Atlminist2tive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permil from the Division of Industrial Safery, as noted above, unless such person has a permit to do such work from Ihe division. ApphwnCs SignaWre Division of Industrial Sa(ety Permit Number HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuNre builtling occupanl need [o fle and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25W5 of the California Health and Safery Cotle requires, with some exceptions, that a Business Plan be fled with the Costa Mesa Fire Department by every business vfiich has at any one time during a reported year a quan[ity 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 a[ standard temperature and pressure). 2. Does or will the applicant or present or future building occupant need io fle a regishation form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safety Code, with some exceptions, requires registra�ion with [he Costa Mesa Fire Department by each business which at any one time has on hand a quan[ity of acutely hazartlous materials equal [o or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic fee[ o( compressed gas at standard temperature and pressure). 3. Does or will the applican[ or presen[ or future builtling occupant need �o prepare an RMPP (Risk Management and Prevention Program (or awtely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Cali(ornia Heal[h antl Sa(ery Code provides that [he Cos[a Mesa Fire Department may require the preparalion, certification and filing with the Fire Department of an RMPP by businesses which are required to regis[er acutely hazardous materials with [he Fire Department. 4. If an RMPP is presently requiretl, has Section 25534 of the Califomia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for lhe work which is [he subject of this application a permit for such constmction or modification from the South Coast Air �ualiry Management District or fmm any other air polWtion control district or agency? � Yes ❑ No (Sectbn 658W2 of the Cali(omia Govemment Code requires that Ihe requestetl infortnation be fumishetl on applications for non-residential Duiltling permits). 6. Will any part of [he facility to be constructed untler this permit be within 1000 feet trom the outer boundaries of a school? ❑ Yes ❑ No Qf'yes", ihe laciliry must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7. If a permi[ from the South Coast Air Quality Management District or other air pollution contml distric[ 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. Qf "yes", attach certificate of compliance from the appropriate air polWtion conVol officer). - � - � � . . �CERTIFICATE OF COMPLIANCE: I certify lhat under.penalty o6perjury the information given above is correct. I agree to comply with all s[ate laws and city ordinances regarding Hazardous Materials;and Emissions. � �'� SignaWre � Oate � CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penally of perjury that I have read this application and state that Ihe information given is correcL I agree to comply with all s[a[e laws and city ortlinances relating to building construction, and authorize representatives ot the Ciry of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building au[horized by this permit until fnal inspection. . Si�naW re oi Legal Owner(s) oa�e • .�.°Antl/orAulhonzedApolicant -- oate � -- l �1--6b' .�Date (714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT .lobAddress: 804 CONGRESSST Suite: Vicinity: RESIDENCE,GARAGE, PATIO Parcel Mumber: 42243119 Applicant: BYER, TOM Address: Owner: COURVOISIER, WESLEY A Address 804 CONGRESS ST COSTA MESA, CA Contractor: TOM BYER ROOFING Address: 17662 METZLER LN Arch : Address: HUNTINGTON BEACH, CA Zip: 92647 Phone: Zoning: ISSUED BY: Phone: 714-847-9332 Zip: Phone: 949-641-1832 Zip: 92627 Phone: (714) 847-9332 License: 575002 Eng: Address: Status: ISSUED Applied: 09/23/2002 Issued: 09123/2002 Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF, APPLY FELT AND 30 YEAR COMP SHINGLES. ROOF PATION WITH CLASS A BUILT•UP. RE-ROOF INCLUDES ATTACHED GARAGE. Plan Check: $0.00 Permit: $111.25 SMIP Res: $0.50 SMIP Com: 30.00 Other: $0.00 inspection: $0.00 Total: $111.75 SETBACKS MAIN STRUCTURE Front 0. 0 ACCESSORY Front 0-0 PARKING Existin : 0 Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING �eft 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 54,360.00 54,360.00 NOTICE: The work authorized by this permit Shall compty with all applicable handicap access requiremenis under Ca�ifomla statutes and related regulations. (Ord. No. 9248, § 7, 12-2t-92) EXPIRATION: This permit shall automatically expire and become voitl if work is not commenced wlthin 1B0 days, or If work Is suspended or abarWoned tor a period of 180 days. INSPECTIONS: In order tor ihe work euthorized under this permit to be considered legal, such work must comply with all eppliceble codes, arW all requlred Inepeetiona end final epproval must be obtained. Failure to obtain inspections and final approval will result in the exp(ration of ihis permit. FOR INSPECTIONS CALL: (714) 7545628 2ea8�8(6V0) WORKERS'COMPENSAnON DECLARAnON: � I hereby attirm under penalty of perjury one of t�e tollowing declarations: �1 have antl will meimaln e cenifiwte of consent to self-Insure for workars' campensaflon, es provided lor by section 3700 of ihe Lebor Code, lor the peAormence ot the work ror wnicn Nis permit Is issued. lq I heve entl will maintain workeB' compensation insurance, es requlretl by SecUon 370qpf the Lebor Code, for tho pertortnance ol tho work for whlch Nis pertnit Is IssueO. My workers' compenSaUon Insurence carrier end pdicy number ere: � Cartier: ', � Policy Number: (This section need nat be compleretl i! the permit is valued ef one hundred dollars ($100) or Iess.J ❑ I certify ihal in the pertortnence ol Ihe wwk for which this pertnit is issuetl, I shall not employ eny person In eny menner so es to become subject lo t�e workers' compensation laws ot Celif la, an flpree that tl I should become sub�ect to Ihe workers' compensetlon provi5ions ol Secti 3 00 0l the Ley� r Codg, I shell torthwlth CAmply wlth these pro % �j, // � % AppllcanlSigneWre: �� Date: � !i'/L �� WARNING FAILURE TO SECU WOHKEfi$' OOMPENSATION CDVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER i0 CRIAUNAI PENALTIES AND CML FlNES UP TO ONE HUNDRED THOUSAND DIX.LARE (5100,000). IN ADDRION TO THE COST OF COMPENSA?ION, OAAMGES AS PPOVIOED WR IN SECTION 3]08 OF THE IABOR CADE, INTEREST, AND ATTORNE'/'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aMirtn Ihat 1 em Iicensed under provisions ol Chapter 9(commendng wit� Sectlon 7000) ol DlNsion 3 0l the Buslness entl Professions Code, entl my Iicense is In full fOfCe fi0d BXBCI. LIC. M CI039 k Contrectofs Slgneture: f- Date: �% 2 / 1 CONSTRUCTON LENDINC AGENCY: ❑ I hereby aHirtn that there is e construction lending eganry tor the paAortnance ot t�e work tor which thls purmit Is Issued. (Sac. 3097, Civil Cotle). Lentlers Name: Lentler'8 AOtlre59: Signature: OWNER-BUILDER DECLARATIONS: Date: I hareby aHirtn thet under penalry of perjury Ihat I em EXEMPT FROM 7HE CON7RAC70RS LICENSE LAW tor Ihe lollowlnp reason (Sec. 7031.5, Buslness entl Prolesslons Code: My ciry or counry wNch requires e permit to consWct, alter, improve, demWish, or repeir eny swcwre, prior to its issuance, elso repuires the epplicant tor such pefmit b tile e signetl statemeN t�at he or s�e Is Iicensetl pursuaN to Ne D��slons of the Contrectore Ucense Lew (Chapter 8(commencing wit� SecUon 7000) ot Dlvision 3 of Ne Busineu entl Professions Code) ar thet he or s�e is ezempt thereirom end the besis tor the ellegetl evemption. Any Nolatlon of Sectlan 7031.5 by any epplicant for e permit subjects the epplicent to e chril penalry o1 noi more than iNa hundred ddlars ($500).): ❑ I, as owner of ihe properry, or my employees with wages as t�eir sole compensation, WILL DO 7HE WORK, end the s�ructure Is not Intended ar oHeretl for sele (Sec. 7044, Business and Professions Cada: The Contractors License Lew does not apply to en owner of property who builtls or Improves theraon, end who tloes suU work himself or herself or throug� his ar her own employees, provided that such improvemenis ere not intendetl or ottered for sale. II, however, the building or improvement Is soltl within ane year oi campletian, Ne owner-builtler will heve the burden of proving that he or she tlitl noI builtl or Improve lor purpose af sale.). ❑ I, as owner ot the property, em EXCLUSIVELV CONTRACTNG WIiH LICENSED CONTAAGTORS to construa tha proJect (Sec. 7044, Business end Professlons Code: 7Te coniractors License Lew does not appty ro an owner ot propeny w�o huilds or improves ihereon, and who conireas lor such project wlih a contractor(s) license pursuant to ihe Contractors License Lews.). ❑ I em exempt untler sec. Businass en0 Profeuions Cotle tor thls reason: Signalure: Dete: Ownar ID veritied by drivers license. ❑ Ves ❑ No Drivets License No. Ezpires: Vediication ot Ownership 6y (rype ol 0aumeM, i.e. - properry tax WII or AeeE): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I �ereby cenity that no excavation tNa (5) or more teet In depth into which e person Is required lo descend, wlll be mede In connection wlth work euthoAzeC Dy ihis pertnit, and that no building siructure, scaHdding, falsework, or tlemWition or tlismantlinp thereoi, wlll bo more Ihen thirry-six (38) leet high. (Chep. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Calitomia Administrelive Cotle). ❑ As owner-bulltler, I wlll no� employ enyone to do work which woultl require e permit trom the Dlvision of Industrlal Sefery, es notetl ebove, unless such person hes e permii �o tlo such work tmm Ihe diWsbn. Signature: Deta: Division ot Industriel Safery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF EMRY: I certify under penalry ol perjury t�et I have read Ihis eppliwtlon antl state thet ihe Information given is correct. I agree to comply wlth ell state lews and ciry ordinences relating to bullding constructlon, entl authorize representetives oi the City ol Coste Mese to enier upon Ihe ebove�descnbed propeRy for inspection purposes. I egree not to occupy or ellmv occupency ol any building euthonzed by �his permit un�il tinal inspection. COOE�, INSPECTONTYVE 1616 Fixed System Final Fire Preventlon 1268 Pool Spa Finel 200 Final Re-Rool 201 FIneI8locWReteining Well 202 Final Factory Flre Place 203 Finel Sign 204 Final Demolilion QAg 1t�EL5 o , -6+L � �� COUE� INSPECTIONTYPE 208 Finel Mechanicel 20B Finel Plumbing 210 Pinel Eleddcel 212 Finel Firo Prevenllon 220 Finel Planning ApOroval 222 Final Site 250 Finel Bullding�Occupanq � It� OWNER CH I PPEWA HOMES i NC .� / �� , DATE �,4/5.4 JOBADDRESS $O4 CONGRESS ST, BUILDINGPERMITNO. Z9� GENERALCONTRACTOR�LBOA VISTa COMPANY VALUE$SrOOO,OO LOT 130 BLOCK TRACT f� $72 ' GROUP I TVPE INSPECTIONS Footing Trench Foundation Forms and Grade to Garage Rough Framing Plumbing, Rough to Slab Plumbing, Rough Complete � Temporary Pole Wirinp, Rough Heating, Rough Heating, Final Sewer /�(q�(/ Septic Tank or Cesspool Lathing Plastering Plumbing, Final, Fixtures Complete Plumbing, Final Gas Tes��t��z_� � r Wiring, Final �l��_ Occupancy Porm 210 GH lDi 1Y-68 R4 F� SUBCONTRACTOR �ICT .328 PERMITS ISSUED • I NUMBER � "� Costa Mesa Building Department APPI.ICATION I�OR PERMIT �^ . „ 111 EAST 20th STREET �Q� ��' L D_�I, N_G____ ___�. � COSTA MESA, CALIFORNIA � ' FOR OF&'ICE USE ONLY FOR APPLICANT TO FILL IN ; �— Receipt rvo. Permjt:No. � I Building . ' � ; �� ; � - ��" � Address Anl� r ................. a+ . Owner Mail Address Balboa Vista Deserfption � No. 13Q ( Block (Attach Metes and Bounds) No. of SizeotlOt '7� g 1Qrj Nowo Use ai I No. of Existing Bldg. F,amili Setback Line from Rear Centerof Street (1% � Ej Side DESCRIPTION OF W New ! ..I Alteretion I I No. Addition I , � �. � �IUtd'4 ;t954 Building j . � . Address ! • � Costa Mesa, Cali#ornia PIanS Dafe I . _ � � � i _' _ _ _ _ ' _. _' _ . p � t i: : 70 _ � . .___."'_'�"."_ '__.. _ .._.. — Z ' ' ' . ..� x .. r' Size� n�l. ,.,. �Rooms � Stories } ExteriorWal�l —��r ' I Ruor T�ompo Covering StuCc[� Covering Shingle APPROVA7C Use of New Building aPQiddnce-att,Carport FoundationLocation Inspeeto Forms, Materials, Under-Pinning Frame: Fire Stops, _ Bracing, Bolts Lath.lnt. I hernby acknowledye that I have rcad this Application and state that the above is coTTect and agree to comply Lath. Ext. with all City Ordinances and State Iaws regulaTing building conchvction. Plaster, Int. SignatureoT galboa Vista Co Permittee Plaster, Ext. Authorized A . Masonry Reintorced Valwation ;�4 3 I Permit Fee $ ��• i Plan Check $ Bond Beam $ A Total Fee $ FINAL a� �. 8treet ` PLOT PLAN ' $how loCatlon and distances from � property line and between buildings. -. t - . . � . � .. i - ' . . e