HomeMy WebLinkAbout1042 CORONADO DR - Building Permits• CITY OF COSTA MESA --.
BUILDING DIVISION
77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • w.vw.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT TYPE: B_COMBO
Sub Type: SFD_NEW
JOB ADDRESS: 1042 CORONADO DR CM
APN: TPNO08043 Zoning:
Vicinity:
Const Type: V -B
SQ. FT: 2894
PERMIT NUMBER: BC09-00360
STATUS: ISSUED
DATE ISSUED: 10/12/2009
ISSUED BY: RMD
Suite/Unit:
Primary Occ: R-3
Valuation: $240,488.92
SCOPE OF WORK: PLAN 2 (28R)
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 FIREPLACE, 3 VENT FANS, 1 HOOD W/MECH DUCTING,
ELECTRICAL FOR A NEW 2,383 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
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
Address:
160 NEWPORT CENTER DR
Unit: STE 240
Phone:
949-719-4975
City/State/Zip:
NEWPORT BEACH, CA
$220.85
APPLICANT:
EMERSHAW, KIRSTEN
Address:
$0.00
Unit:
Phone:
949-274-2015
City/State/zZip:
—Refer to fee receipts for all fees paid for project
CONTRACTOR: TR CO
License No. 832198
Phone:
949-719-4975
Address:
160 NEWPORT CENTER DRIVEUnit:
STE 240
Cell:
City/State:
NEWPORT BEACH, CA
ZipCode 92660
ARCHITECT:
License
No.
PHONE:
ENGINEER:
RICHARD A MOORE
License
No.C23971
PHONE:949-542-7220
COMBINATION PERMIT FEE SUMMARY
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
$10.00
TOTAL FEES:
$2,676.78
—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 0. INSPECTION ME OATS INTITIALS CODE/ INSPECTION TYPE DATE IN1111AL5
1616 Fixed System Final Fire Prevention 206 Final Mechanical U
1266 Pool Spa Final 208 Final Plumbing
200 Final Re -Roof 210 Final Electrical C
201 212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
Final BloddRetaining Wall
202
Final Factory Fire Place
203
Final Sign
204
Final Demolition
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 arre-:1 L C 1 1
L/� This section need mol be completed1 l�ith�e� pe m valued atone hundred dollars (8100) or less)
Policy!Number: `-1 2i k -1 — 01
❑ 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 forthwith comply with these provisions
I Yt /�1V� n DnAaJ 10 2 0
,p0V £Sature�' le�.,x
nl'ign
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. (�
Lil n Cass#x- [�
N.. l 1011 Zl oq
Contractor's Signature rDalel.rr.
CONSTRUCTION LENDING AGENCY:
❑ I 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:
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).):
❑ 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 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 owner of
property who builds or improves thereon, and who contracts for such project with
a contmctor(s) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
Signature
3057-46 (3/07)
Owner ID verified by dr,*ves license.
Driver's License No.
❑ Yes ❑ No
Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I 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, or demolition
or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp
2, Art 2, Sec. 341, Title 8, California Administrative Code).
❑ As owner -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's Signature
Division of Industrial Safety Permit Number:
Date
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 Safety 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 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 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 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.
Signature of Legal Owner( Date
�0it 7_41 o1_
uMbdied Applicant r
BN 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
234 E. 17TH ST., SUITE 205
COSTA MESA, CA 92627
Phone 949/548-1192
Fax 949/548-6516
Reference Project Address: 1042 Coronado Drive, BC09-00360,
Lot 20, Amended "tract No. 16917
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.
Sincerely.
Rdbi 1 B. lianlers
Registered Civil Engineer
RCE 31720
RCE31720
* l EXP 12/31/2010
O
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
Reference Project Address: 1042 Coronado Way, BC09-00360,
Lot 20 Amended Tract No. 16917
234 E. 17TH ST., SUITE 205
COSTA MESA, CA 92627
Phone 949/5484192
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 c rely,
I 1z FESSIp,�
Ro in . Hamers ��Q�O 0vN S.�q�,�
Registered Civil Engineer yCD
tos
RCE 31720 RCE317M
` EXP 121318010
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CITY OF COSTA MESA
DEPARTMENT OF
BUILDING AND SAFETY
BUILDING INSPECTION
REGISTERED DEPUTY BUILDING INSPECTOR'S
CERTIFICATE OF COMPLIANCE
Address of 1011 EL CAMINO DR
Building
ONSite
Fabricator
Permit
Number BX10-00057 Year 2010
TO THE SUPERINTENDENT OF BUILDING: CITY INSPECTOR:
DATE OF THIS CERTIFICATE
5/24110
I hereby certify that the following portions of the work at the above address which required continuous inspection, and
which I was employed to inspect, were inspected by me and comply with the provisions of the Building Code applicable
thereto:
Type of inspection
®
Masonry
❑ ReBar Placement
❑ Concrete or Mixer
❑
Welding
❑ Concrete Placement
❑ Gunite
❑
Hi -Ten Bolts
❑ Tendon Placement
❑ Other
Description
and location of work completed: VERIFIED REQUIRED TORQUE FOR THE PROTO II RETAINING WALL ALONG
THE BACK OF LOT VS 2 TO 24. ALL RODS WERE TORQUED AS PER THE GENERAL NOTES USING THE TORQUE
WRENCH METHOD.
Size of Structure
No. of Stories
Conc. Mix Design No. Psi
I had sufficient time to inspect all materials used and placed.
I was not employed by the contractor, subcontractor or material vendor.
1126407-92 (ICC)
Registration No.
Employed By:
Lab.
Independent
Time Arrived 7:00 AM
Time Left Job 8:00 AM
Swimming Pool
Signature - Registered Deputy Building Inspector
DANIEL KLAIN
rint Full Name
IN.Form.07 (Rev. 6/1/2005) www.ladbs.org
03/30/2010 12:51 FAX 9492712968 WALLDESIGN PAINT
Walldesign
Incorporated
DRYWALL • INSULATION' PAINT s PLASTER' CONTRACTOR
Lot 20 Costa Mesa
Street Address City
Z005
Orange
JWJ Homes Inc.
The Groveoc Mesa Del Mar 10
County
Builder
Project Lot
Description of Insulation :
Thickness
R -Value
Exterlor Walls
Insulation Type: Batts
3 I/2
13
Flat Ceilings .
Insulation Type: Batts
10
30
Cathedral Ceilings
Insolation Type: Batts
0
Garage Ceilings
Insulation Type: Batts
6 114
19
Interior Walls
Insulation Type: Batts
0
Interm Ceilings
Insulation Type: Batts
0
Garage Walls
Insulation Type: Batts
0
Slab on Grade
Insulation Type: Batts
0
Blown Ceilings
Insulation Type: Cellulose
0
Blown Ceilings
Insulation Type: Insulsafe _
12
30
Declaration
I hereby cord fythat the above insulation was 1Mmlled in the building at the above location in conformance with
the current Energy Efficient Standards for residential buildings (Title 24, Part 6, California Code of Regulations)
as indicated on the Certificate ofComplianee, w applicable. -0
449739 C�� 3 1 Walldesian, Inc.
License Number Signature Deu Insulation
Subcontractor