HomeMy WebLinkAbout1034 CORONADO DR - Building PermitsCITY OF COSTA MESA
goBUILDING DIVISION
77 FAIR DRIVE. COSTA MESA. CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: BC08-00552
PERMIT TYPE: B COMBO STATUS: ISSUED
Sub Type: SFD—NEW DATE ISSUED: 10/12/2009
ISSUED BY: RMD
JOB ADDRESS: 1034-CORONADO-DR CM
APN: TPNO08039 Zoning:
Vicinity:
Const Type: V -B
SO. FT: 2894
Suite/Unit:
Primary Occ: R-3
Valuation: $240,488.92
SCOPE OF WORK: PLAN 2 (2B) MODEL
CONSTRUCTION OF A 2,383 SF 2 -STORY SFD WITH A 56 SF PORCH AND A 455 SF ATTACHED GARAGE WITH 1 FAU < 100 K
BTU, 1 REFRIG SYST < 100 K BTU WITH NEW DUCTING, 1 FIRE PLACE, 3 VENT FANS, 1 HOOD W/MECH DUCTING, EL FOR
RES A/C PKG, ELECTRICAL FOR A NEW 2,383 SF SFD, 2 LIGHT FIXTS, 4 OUTLETS AND 1 SWITCH
FOR GARAGE, 2 BATH TUBS, 1 DISHWASHER, GAS OUTLETS (1-4), 1 GAS SERVICE, 1 LANDSCAPE IRRIGATION, 1
LAUNDRY/TUB WASHER, 2 SHOWERS, 1 KITCHEN SINK, 5 WAHS BASINS, 3 WATER CLOSETS, 1 WATER HEATER, 1 WATER
SERVICE.
FIRST FLOOR: 1,072 SF, SECOND FLOOR: 1,311 SF
REF: PA -05-29, T61917 4 BEDROOM/3 BATHROOM SFD.
OWNER:
OXBOW 101 LLC
Phone:
949-719-4975
APPLICANT:
EMERSHAW, KIRSTEN
Phone:
949-274-2015
CONTRACTOR: T R CO
Phone:
949-719,4975
Cell:
ARCHITECT:
ENGINEER: RICHARD A MOORE
COMBINATION PERMIT FEE SUMMARY
Address: 160 NEWPORT CENTER DR
City/State/Zip: NEWPORT BEACH, CA
Address:
City/State/zZip:
License No. 832198
Address: 160 NEWPORT CENTER DRIVEUnit:
City/State: NEWPORT BEACH, CA
License No.
License No.C23971
Building Plan Check:
$289.80
Building Fees:
$1,783.35
Electrical Fees:
$228.68
Mechanical Fees:
$110.05
Plumbing Fees:
$220.85
SMIP Residential:
$24.05
SMIP Commercial:
$0.00
Bldg Std Admin Fund
??
TOTAL FEES:
$2,666.78
"Refer to fee receipts for all fees paid for project
Unit: SUITE 240
Unit:
STE 240
ZipCode 92660
PHONE:
PHONE:949-542-7220
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 final approval will result in the expiration of this permit.
CODE 1, INSPECTION TYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re -Roof
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
DATE INTITIAL CODE INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212
Final Fire Prevention
220
Final Planning Approval
222
Final Site
250
Final Building/Occupancy
� 1DA 7a0 pvtn1 -
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I 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
performance of the work 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' compensation Insurance carrier and policy
number are: �
jj Carri��er.�- .��Gl'kk COW.-QeV�S(�l oto F1A1n�
1�fflier'sedtbn nerdrpf 0'e toomdeletld N1e'ce is✓aluM at anageuntliM Ootlars (5f00)nlets.)
Policy.Number: l — �'1I1 ` eyp 10
❑ 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 should
become subject to the workers' compensation provisions of Section 3700 of
the Labo Co I shall forthwith co ly with these provisions.
/� /0
_ pJlraatYSlgnawre ". '$�.
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, INTEREST. 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
my license is in full force and effect.
Lic 8 �3 2l jaa3s t B
Contractor's Signature nate, -
CONSTRUCTION LENDING AGENCY:
❑ 1 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:
Lenders Address:
Signature
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 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 Professions Code: The Contractors
License Law does not apply to an owner of property who builds or 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
completion, the owner -builder will have the burden of proving that he a 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 an owner of
property who builds or improves thereon, and who contracts for such project with
a contractor(s) license pursuant to the Contractors Ucense Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
nate
3057-46(]107)
Owner ID verified by drivers license. ❑ Yes ❑ No
Driver's License No.
Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 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. falsework, a demolition
or dismantling thereof, will be more than thirty-six (36) feel high. (Chap. 3.2, Grp
2. Art 2, Sec. 341, The 8, California Administrative Code).
❑ As owner -builder, I volt 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.
Applicant's Signature
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? ❑ Yes ❑ No
(Section 25505 of the California Health and.Safely Code requires, with some
exceptions, that a Business Plan be fled 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 and pressure).
2. Does or will the applicant or present or future building occupant need to fife
a registration form for acutely hazardous materials? ❑ Yes ❑ 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 ❑ No
(Section 25534 of the California Health and Safely 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? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the work which is the subject of this application a permit for such construction
or modification from the South Coast Air Quality Management District or from
any other air pollution control district or agency? ❑ Yes ❑ 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? ❑ Yes ❑ 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 all of the disclosures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If 'yes", attach certificate of compliance from the appropriate air pollution
control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penally of perjury the
information given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
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 permit until final inspection.
Signature i Legal ct n Is) Date
ti�� e �ai,zioy
a4b�(_ga1-a
dN ROBIN B. HAMERS & ASSOC., INC.
RCIVIL ENGINEERS • PLANNERS • SURVEYORS
... since 1981
September 22, 2009
City of Costa Mesa
Building Dept.
77 Fair Drive
Costa Mesa, CA 92626
Attention: Grading Inspector
Subject: Civil Engineer's Rough Grading Certification
Reference Project Address: 1034 Coronado Drive, BC08-00552.
Lot 24. Amended Tract No. 16917
234 E. 17TH ST., SUITE 205
COSTA MESA, CA 92627
Phone 949/548-1192
Fax 949/548-6516
I hereby approve the rough grading for the referenced project in accordance with my
responsibilities under the Orange County Grading and Excavation Code. Rough grading
of the building pad has been completed substantially in conformance with the approved
Grading Plan as determined on September 22, 2009.
Sin r e
Rob n B. Hamers
Registered Civil Engineer
RCE 31720
c RCE31720
EXP 12131/2010
C Al
0
April 5, 2010
ROBIN B. HAMERS & ASSOC., INC.
CIVIL ENGINEERS' PLANNERS' SURVEYORS
... since 1981
City of Costa Mesa
Building Dept.
77 Fair Drive
Costa Mesa, CA 92626
Attention: Grading Inspector
Subject: Civil Engineer's Final Grading Certification
tDKor� WFb-CR+
Reference Project Address: 034-PeeEte fey; R. 08--0
Lot 24 Amended Tract No. 16917
234 E. 17TH ST., SUITE 205
COSTA MESA, CA 92627
Phone 949/548-1192
Fax 949/548-6516
I hereby approve the final grading for the referenced project in accordance with my responsibilities under
the Orange County Grading and Excavation Code. Grading and drainage improvements have been
completed substantially in conformance with the approved Grading Plan as determined on April 2, 2010.
Sin erely,
Ro in Hamers
Registered Civil Engineer
RCE 31720
RCE31720
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