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Home My WebLink About1036 CORONADO DR - Building PermitsCITY OF COSTA MESA ' O5�p MFS,p BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us F ` FOR INSPECTIONS CALL: (714) 754.5626 PERMIT NUMBER: BC09-00359 PERMIT TYPE: B_COMBO Sub Type: SFD_NEW JOB ADDRESS: 1036 CORONADODR.CM APN: TPNO08040 Zoning:, , Vicinity: Const Type: V -B SQ. FT: 2644 STATUS: ISSUED DATE ISSUED: 10/12/2009 ISSUED BY: RMD Suite/Unit: Primary Occ: R-31_11 Valuation: $218,821.48 SCOPE OF WORK: PLAN 1 (1 B) CONSTRUCTION OF A NEW 2,165 SF 2 -STORY SFD WITH A 54 SF PORCH AND A 425 SF ATTACHED GARAGE WITH 1 FAU < 100 K BTU, 1 REFRIG SYS < 100 K BTU WITH NEW DUCTING, 1 HOOD W/MECH EXHAUST, 1 FACTORY FIREPLACE, 3 VENT FANS, NEW ELECTRICAL FOR A 2,165 SF SFD, ELECTRICAL FOR NEW A/C PKG, 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 LAUNDTRYlrUB WASHER, 1 SHOWER, 1 KITCHEN SINK, 5 WASH BASINS, 3 WATER CLOSETS, 1 WATER HEATER, 1 WATER SERVICE. FIRST FLOOR - 958 SF SECOND FLOOR - 1,207 SF REF: PA -05-29, T61917 3 BEDROOM, 1 BONUS ROOM, 2 1/2 BATHROOM SFD. OWNER: OXBOW 101 LLC Address: 160 NEWPORT CENTER DR Unit: STE 240 Phone: 949-719-4975 City/State/Zip: NEWPORT BEACH, CA $23.50 APPLICANT: EMERSHAW, KIRSTIN Address: Unit: Phone: 949-274-2015 City/State/zZip: $9.00 CONTRACTOR: T R CO License No. 832198 "Refer to fee receipts for all fees paid for project Phone: 949-7194975 Address: 160 NEWPORT CENTER DRIVEUnit: STE 240 Cell: City/State: NEWPORT BEACH, CA ZipCode 92660 ARCHITECT: License No. PHONE: ENGINEER: HUAN NGUYEN License No.C64238 PHONE: COMBINATION PERMIT FEE SUMMARY Building Plan Check: $269.77 Building Fees: $1,660.15 Electrical Fees: $215.60 Mechanical Fees: $23.50 Plumbing Fees: $23.50 SMIP Residential: $21.88 SMIP Commercial: $0.00 Bldg Std Admin Fund $9.00 TOTAL FEES: $2,232.40 "Refer to fee receipts for all fees paid for project 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/ INSPECTION TYPE PAN INTITIAL CODEC INSPECTION TYPE DATE INTITIALS /` 1616 Fixed System Final Fire Prevention 206 Final Mechanical X I o 11-5- � )0 I+ IV or 1266 Pool Spa Final 208 Final Plumbing X / S' 11�. 200 Final Re -Roof 210 Final Electrical X t d` if S Ito I n„tm IVIOL- 201 Final Block/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 I O 1 /I'D t"m- a._� 00 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: r / (Cairler SA -A_ S `—O CORMolG f uvt �{ (This seuion neee rot 0e�mmplelea Alne cermq - ✓uluetl of ana hundred dealors fb100) or less ) P�icy.Number. 1 -1 1 Z 1,2 IL, -1 — C1 ❑ 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 Labor Code. I shall lorthwit comply with these provisio71'-2,1,01 � l0 2 0 tb Signature Date— 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. 7 Lic-#.%'S 2 l C\ Qi (--Class #- . I O- --Z O GUEnlracmr's S,9.ture �-Oeta 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: Lender's Address: Signature Date 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).): ❑ 1, 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 ovmer-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 CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an ovmer of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: 9gnaWre 3057 46 (Y07) 111M Owner ID verified by drivere. ❑ 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, wilt be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, voll be more than thirty-sa (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec. 341, Title 8, California Administrative Code). ❑ As ovmer-builder, I will 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 5 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 matedal? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed 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 feel of compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or future building occupant need to file 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 Safety 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 fumished 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 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. 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. �igga)Vre of Legal Owners) Data AnebrAuMurlied.ApphpM*�ti Date BN ROBIN B. HAMERS & ASSOC., INC. RI, CIVIL 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: 1036 Coronado Drive, BC09-00359, Lot 23, 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. Si,cerely, Ao InB. Flamers Registered Civil Engineer c� ° RCE31720 RCE 31720 s . * ` EXP 12/31/2010 \ t}