HomeMy WebLinkAbout237 COSTA MESA ST - Building PermitsCITY OF COSTA MESA
BIIILDING DIYISION
i` � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • vnvw.ci.wsta-mesa.ca.us
`t FOR INSPECTIONS CALL: (714) 754-5626
�°"°'mfi PERMIT NUMBER P08-00073
PERMIT TYPE PLUM
APN: 42627112
JOB ADDRESS: 237 COSTA MESA ST CM
Vicinity:
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit: '
ISSUED
03/12I2008
CAC
SCOPE OF WORK: SEWER REPAIR TO UNIT C AND STUB OUT FOR FUTURE USE FOR UNITS A AND B
OWNER:
PHONE:
APPLICANT:
PHONE:
NOWOCINSKI. AL �
DAVE CLEVELAND
949.642-7531
CONTRACTOR: D C DRAINS INC �
Address: P O BOX 7116 -
City/State: NEWPORT BEACH, CA ZipCode: 92659
ARCHITECT:
ENGINEER:
Address: 9312 VELARDO �
City/State/Zip: - HUNTINGTON BEACH, CA
Address: P O BOX 1116 :
City/State/zZip: NEWPORT BEACH, CA
License No.
License No.
License No. 763925
PHONE: 949-642-7531
CELI: �
PLUMBING PERMIT FEE SUMMARY
PLAN CHECK FEE: � $0.00 .
PERMIT FEE: 597.45
TOTAL FEES:
$97.45
PHONE:
PHONE:
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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 fnal approval will result in the expiretion of this permit.
GOOEi. INSPECTIONTVPE DATE IN71TRL5 CODEM INSPECTIONTYPE DATE INTITIALS
1616 Fixetl System Fiqal Fire Prevention 206 Final Mechanical _�,
1266 Pool Spa Final , 208 Final Plumbing �2LJ ��3 0 //Y�'7�}'�
I' /I
200 Final Re-Roof 210 Final Eleclrical V
201 Final8lock/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
� .
WORKERS' COMPENSATION DECLARATION� Owner ID venfied Dy tlrivt, .. lice. .❑ Yes ❑ No �
I hereby aKrm under penalty of peryury one of the lollowing tleclarations: Dnver's License No. Expires:
❑ I have and will maintain a certifcate of consent to salf-Insure for vrorkers' Verifcation of Ownership by (type of tlocument, i.e. - property tax bill or deetl):
compensatlon, as provided Tor by section 3700 of the Labor Code, for the
pe rmance of the work for which this permit is issued.
have and will mainlain wurkers' compensation insurance, as required by
s cl'an 3700 0( the Labor Code, for the perfortnance of [he vrork for which Ihis DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My vrorkers' compensa[ion Insurance carrier and policy ❑ I hereby certi(y that no excavation five (5) or more feet in depth into wfiich a
� ., _0 �,�n person is required to descend, will be made in connection with work authorized
�'���"' "Y by this pertnit, and that no building structure, scaHolding, falsevrork, or demolition
Carri ' Q� ���'�� �'�� or dismantling thereof, will be more Ihan lhirty-six (36) feet high. (Chap. 32, Grp
(ihissectbnneetliafbemmple�etlnthepenndisvalue0aionehuntliedddlars(SfoOJo�ess.) 2 M2 Sec.341,Ttle8,CalifomiaAdminis[rativeCode).
Polic Numb � �� dd��� ��
❑ As ownervbuilder, I will not employ anyone to do work which woultl
❑ I certi(y that in the pedormance of the work for which this permi[ is require a permit from the Division o( IndusMal Safety, as notetl above, unless
issuetl, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the tlivision.
to the vrorkers' compensation lavrs of Califomia, and agree that it I should
become subjecl to the workers' compensation pmvisions of Seclion 3700 of
the L de, I shall forthwith compl � es provision . /�./ AP����^�'s Signawre oa�e
Z�/'1�� Division of Indus[rial Safery Permit Number.
� l�
. A li aWre ate
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
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 affirm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
mµ license is in full force and eRect.
!�� � �� C - 3 � �
�-Lycr� �3�7 Z 5 qass #
.{ Z
C nt Wre
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn that Ihere is a cons[ruction lending agency for Ihe
pedortnance of the v.ork for v.fiich this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
SignaWre
OW NER-BUILDER DECLARATIONS:
I hereby affrm that under penalty of perjury that I am ExEMPT FROM THE
CONTRACTORS LICENSE U1W for the following reason (Sec. 703t5,
Business antl Pro(essions Code: Any city or county which requires a permil to
consiruct, alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the applicant (or such permil to fle a signed statement
that he or she is licensed pursuant to the provisions of Ihe Contrectors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Code) or �hat he or she is exempl therefrom and
the basis for Ihe alleged exemption. Any violation of Seclion 7031.5 by any
applicant for a pertnit subjects the applicanl [o a civil penalty of nol more lhan
fve hundred dollars ($500).):
❑ I, as owner of the property, or my employees with vrages as Iheir 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 oi improves
thereon, and 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
complelion, 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 CON7RACTING WITH
LICENSED CON7RACTORS to constmct the pmject (Sec. 7044, Business antl
Pm(essbns Code: The contracta-s License Law dces nol apply lo an owner of
property vfio builds or improves thereon, and who coniracts for such project with
a contracta(s) license pursuant tothe Coniractas License Laws.�.
❑ I am exempt under sec.
Business antl Professions Code for this reason:
SlgnaWre Date
305�-G6�JI0])
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
t. Will lhe applicant or present or fuWre building occupant need [o fle and
certify a Business Plan for emergency response to release or threatened
release of a hazardous matenal? ❑ Ves ❑ No
(Section 25505 of the Califomia Health and Safety Code requires, with some
exceptions, that a Business Plan be fled with [he Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal [o or grea[er than a weighl of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas
at standard tempereWre and pressure).
2. Does or will the applicant or present or Nture builtling occupant need to fle
a regis[ration form for awtely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia 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 quantiry of acutely
hazardous materials equal to or greater ihan a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standartl
temperature antl pressure).
3. Does or will the apPlicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program (or awtely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Sate[y Cotle provides that the
Costa Mesa Fire Department may require the preparation, certifca[ion and
fling with the Fire Departmenl of an RMPP by businesses which are required
to register acutely hazartlous materials wi[h the Fire Department.
4. If an RMPP is presenlly required, has Sec[ion 25534 of [he California
Health and Satety Code been tully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require For
the work which is the subject of [his application a permil (or such consiruction
or motlification from [he Soulh Coast Air Quality Management Dis�rict or fmm
any other air pollution control district or agency? � Yes ❑ No
(Secibn 658502 ot the Califomia Govemmen[ Code requires that the requestetl
information be fumished on applications fa rwn-residential building pertnits�.
6. Will any part of the facility to be cons[ructetl under this permit be within
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(If'yes", the faciliry must meet Ihe requirement of Sections 25534 and 42303
of lhe Califomia Health and Safety Code).
7. If a permit from the South Coast Air �uality Management Disfict or other
air pollution convol district or agency is required for ihe work which is the
subject ot this applicalion, have all of the disclosures prescrihed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf'yes", attach certificate of compliance from ihe appropriate air pollution
control oKcer).
CERTIFICATE OF COMPLIANCE: I certi/y tha[ under penal[y of perjury lhe
information given above is correct. I agree to comply with all state laws and
city ordinances regartling Hazardous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury Ihat I have read this application and state that
lhe information given is correcL I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
the Ciry of Costa Mesa to enter upon the above-described propeAy for
inspection purposes. I agree not to occupy or allow occupancy of any building
au[honzed b his permi[ until final in5pection.
-%Z -D�
a ur wner�s)
Antllor Au�honzetl Appl¢ant
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��iqLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 237 COSTA MESA ST
Suile:
Vicinity: ROOF
Primary Occ: MR Type of Construction: V-N
Parcel Number: 42627112 Zoning:
npp�icam: MATT MILLER
Address: 905 S CALICO CL
ANAHEIM,CA
Owner: NOWOCINSKI, AL
Address 9312 VELARDO�� -
HUN7INGTON �BEACH, CA
Contractor. 'ALL'PROROOFING'
Addre4s:�� ���905 S CALICO CL. '����
ANAHEIM,CA
� Zip: 92804 -
Arch :
Address:
. Phone: 714-226-0747
. ��..Zip: 92804 _
Bhone:
Zip: 92646
Phone: 714-226-0747
License: 768511
Eng:
Address:
Status: ISSUED
Applied: 09/23/2005
Issued: 09/232005
ISSUED BY: V `�r J
, � Phone: � : - - Phone:
� Zip: � � License: License:
SCOPE OF PERMIT
n. ��T/O EXISTING COMP SHMGLES ROOF TO SHEATHING. INSTALL 1 LAYER 30# ASTM AND 40 YEAR COMP SHINGIES ON TRIPLEX AND
� ATTACHED GARAGE, APPROX 3700 SF:'�REPAIR AND REPLACE SHEATING AS NEEDED. - -
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $s,aso.00
Permit: - $139.25 Claim Valuation:' "' $s,aeo.00
SMIP Res: $0.69 �
SMIP Com: $O.DO
Other. $0.00 � � � � � �
Inspection:, $0.00
Totai: $139.94
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0- 0 Rear 0- 0 Lek 0- 0 Right 0- 0 �
ACCESSORY Front 0- 0� - Rear 0- 0 Left 0- 0 Right 0- 0
PARKING Existina: 0 Reauired: 0 Pr000sed: 0 '
NOTICE: The work aufhorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-g2)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced wi�hin 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
requlred Inspeetiona end final approVal must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 754�5626
2ad6�a61N00)
WORKERS'COMPENSAnONDECLARATON: � �
I hereby eftirtn under penelry of perjury one of the following tleclarations:
❑ I hava antl wlll malntein e certificete of consent ro seli-Insure tor workers' compensation, es provided for by section 3700 of the Lebor Code, for the peAortnance ot the
/work for which ihis pertni� is issued.
/
� I �ave antl will maintain workers' compensation insurance, as required by section 3700 of ihe Lebor Cotle, for Ihe perfortnance of ihe work tor which this permit is issuetl.
My workers�' o/r��penIs_ation Insurance car'er antl policy num�er are: !p /(�`
Carrier-:' � eeHlf c'am� /� ^Pol� ber�oTl}" ��J. LI �
(Th/s section n ot be plete il the per�nit /s velued ef one hundred tlollars ($100J or Iess.J
❑ I certity ihat in the pedormance of iha work tor which ihis Oermit is issued, I shall not employ any person in any manner so as to become subject to ihe workers'
compensetlon laws of Calitomia, antl egree that If I should become subject ro the workers' compensation provisions of Section 3700 oi �he Labor Code, 1 shell fotlhwith
comply with these pr ions. 1
Applicam�Signeture: �� �.�1 �� Data: — 9 � 7,� %�'
, �
WARNING�FAILUPE TO SECORE WORKERS' �MPENSATION COVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOVER TO CPIMIN4L PENALTIES PND pVIL FlNES UP TOONE HUNORED
TFIOUSAND DOLLARE (E100,000), IN ADDITION TO THE fAST OF COMPENSATION, DAhL1GES AS PROVI�ED FOR IN SECTION 3]O6 OF THE LABOR CODE, INTEREST, AND ATTORNEI^5 FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm that I em licen�uryde�r� iq
force�end�aflecL Lic. # '�-�e "y �
CONS7RUCTION LENDING AGENCV:
Chapter 9(commencing with Section 7000) of Division 3 ot the Bu
�C�iass N _
�IT_] � )1 l=.LiB _'
Code, and my license Is in tull
❑ I hereby aHirtn that there is a construction lending agency for �he peAormance of ihe work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lentlefs Name: LenOer's Atldress:
SignaWre:
OWNER-BUILDER DECLARATIONS:
Da�e:
I hereby aflirtn that under penelry of perjury that I em EXEMP7 FROM 7HE CONTRACTORS LICENSE I,AW for ihe following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or wunty which requires e permit to constmct, alter, improve, demolish, or repair any simcture, prior to its issuance, also requires ihe epplicant for such permit
b tile a signed statement ihat he or she Is licensed pursuant to the provisions ot the Conirectors License Law (Chepter 9(commencing with Section 7W0) oi Divislon 3 of the
Business end Professions Code) or that he or she is e:empt therefrom and the basis tor the alleged e:emption. Any violation of Section 7031.5 by any applicant tor a permit
subjects the applicant m a civil panelry oi not more than five huntlretl tlollars ($500).):
❑ I, es owner of ihe property, or my employaes with wages as iheir sole compensation, WILL DO THE WORK, end Ihe structure is not intended or o%ered for sale (Sec.
7044, Business and Professions Code: The Coniractors License Law Ooes noi apply to an owner of property who builds or improves ihereon, antl who does such work
himself or herself or ihrough his or her own employees, provitled Ihat such improvements are no� intended or oHered tor sale. If, however, ihe building or improvement is
sold within one year of completion, Ihe owner-builtler will have ihe burden of proving that he or she did not build or improve for purpose oi sale.). '
❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Protessions
Coae: Tlie contractore Licanse Lew does not apply to en owner of propeny who bullds or Improves ihereon, and who comracts for such project with a comractor(s)
licensa pursuant to ihe Contractors License Laws.).
❑ I em exempt under sec.
Signature:
Owner ID verified by driver's license. ❑ Yes ❑ No
Business and Professions Code for this reeson:
Verifiwtion oi Ownership by (type of document, i.e. - property tax bill or daed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Driver's License No.
Date:
Expires:
❑ I hareby certity that no excavation five (5) or mora feet in depth Into which e person is requiretl to descend, will be made in connection with work euthorized by Ihis
pertnit, and ihat no building simcture, scaftolding, lalsework, or demolition or dismantling �hereof, will 6a more than Uirty-six (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec.
347, Title B, Celitomia Adminlsirative Code).
❑ As owner-builder, I will not employ enyone to do work which would require a permit from the Division of Intlustriel Sefety, as noted above, unless such person has a
permit to do such work from �he tlivision.
Signature: Date:
Division of Industnal Safery Pertnit Number:
CERTIFICATE OF COMPLIANCE AND AU7}tORIZATION OF ENTRY: I certity under penalry of perjury that I have read t�is application antl s�ate that Ihe informetion given is
correct. I agree Io comply with ell state laws end city ordinences relating m 6uilding construction, end authonze representatives of lhe City of Costa Mesa to enter upon the
above-described proparty tor inspection purposes. I agree noI to occupy or ellow occupancy ot any building authorized by Ihis permit until final inspection.
CODE t. INSVECTIONTYPE
1616
1266
200
Fixetl System Flnal Fire Preveniion
Pool Spa Final
Final Re-Rooi
P9IF �NTRIALS
SrO�E 1 INSPECTION TYVE
206 Final Mechanical
20B Final Plumbing
210 Final Electrical
n
201 Final 81wWRetaining 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
p9IE INTRULg
Costa Mesa Building Department
111 EAST 20th STREET
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FII.L IN
Iding
Iress 7 GaSTAH��a �r�CE
Costa Mesa, California
sc.
APPLICATION FOR PERMIT , , .
236 - - -- B � � � �-� N G - -- ���� , �.
� i FOR OFFICE iJSE ONLY 'y''f
c�o� sc.
zone t7
or
No.
Size of Lot (�T ( � p
V6G OT
Exlsting Bidg. �
Setback L�ne from
re..�....� n�....� �_ �
Na.
�D�j/_�-
No. of Bldgs.
Now on Lot �ONE
No.oi No.of
Families Rooms
Rear Yard ). �� �'
Slde Vard �/i� � •
Repair � � Moving � � Demotish
Building �_ � , � No. of �
/3 � � 23 �:� '
�e c'd. � Date Is�ued �
� � :5=/I—.5� �
7— CO $�R �R`S4.
, Mesa, CaGfornia
CORRECTIONS
'�p/,1A1 ��.�
s•� �h . .r . �. = .
�a;;" ` .
r
.�,�
_���9�_GGU � Covering GOM/�o APPROVALS
Use of New Foundation Lxation Inspecto
Building ��SivEn/T/9�G //✓GOM��_ Forms, Materlals,
^ Under-Pinning
Frame: Fire Stopa,
Bracing, Bolts
Lath.lnt.
I hereby acknowledge that I have read this Application
nnd state that the above is correct and agree to rnmply Lath. Ezt.
witk all Cih• Ordinances and State Laws regulatin�
build'tng construMion.
'Signatureot �� T Plaster,lnt
Permittee _�L. _ �/i . � �r�i
�'��`� Plaster, Ext
AuthorizeA Agt. Masonry Reinforced
Valuation Permit Fee $
Plan Check 3�,�_ Bond Beam
a /6 Ot76 Total FINAL
� Fee S�
_..., nn� r._ iRi izsa
O
9
iil
z
D
r
, .
,
-. :
� �: :
; ..
PLOT PLAN
Show location and distances irom
property line and between buildings,
. r -
.
'',. '
,
- ._ . . `
OWNER BUTTS� DOSl3� S� � DATE ��'�
JOBADDRE83 Z3% C09Y.8 M898 .S`Y.� BUILDINGPERMITNO. '23�_
GENERAL CONTRACTOR B3$� CO218t.TI1C'fi�011 CO• VALUE $ 16�000�00
� AP# 118-091�� BLOCK TRACT �iplex
GROUP �
INSPECTIONS
Footing Trench�
Foundation Forma and Gr de to
� Mough Framfng �
, Plumbing, Rough to Slab �
P!umbing, Rough Complete �
Temporary Pole
Wiring, Rough
Septic Tank or Cesspool 1
�Y-'�g /iV �
P, ring
Plumbing. Final, Fixtures
Plumbing, Final GasTest
Wirina. Final 6
Rorm 2I0 G-H IM17 1'468
� ZONE R�y
DAT = SUBCONTRACTOR
_/-,
PERMITS ISSUED
I NUMBER