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Home My WebLink About420 COSTA MESA ST - Building PermitsPERMIT TYPE � CITY OF COSTA MESA � BYILD�NG D/V/SION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-0856 • w�vw.ci.wsta-mesa.w.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: BX07-00064 . B MISC STATUS: ISSUED DATE ISSUED: 08/07/2007 ISSUED BY: SOK JOB ADDRESS: 420 COSTA MESA ST CM � Suite/Unit: Vicinity: DETACHED GARAGE Primary Occ: Const Type 90 SQ. FT: 0 Valuation: � $500.00 SCOPE OF WORK: REPLACE ILLEGAL GARAGE WALL WITH A 2 CAR GARAGE DOOR. OWNER: GRANT, JOSEPH S, Address:: 420 E COSTA MESA ST City/State: COSTA MESA, CA Zip Code: 92627 Phone: APPLICANT: GRANT,.JOSEPH S, City/State: COSTA MESA, CA Phone: 949-278-8630 CONTRACTOR: OW NER-BUILDER Address: Ciry/State: Zip Code: ARCHITECT: Phone ENGINEER: Phone Building Plan Check: Building Permit Electrical Permit: SMIP Residential SMIP Commercial 50.00TOTAL FEES Address: 420 E COSTA MESA ST Zip Code: 92627 License No. 000000 Phone License No. License No. FEE SUMMARY� �0.00 $23;50 ' $0.00 $0.00. � $0.00 $23.50 Cell: Unit Unit Unit: NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Cali(ornia 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 inspectlons and final approval vrill result in the expiration of this permit. c oe�. msv�cnoxrne o� iNnnn�s ooei INSPECTONME o� xni n��s 7616 Fixed System Final Fire Prevention 206 Final Mechanical 12fi6 Pool Spa Final 208 Final Plumhing 200 Final Re-Roof 210 Final Electrical '' 201 Final BIocWRetaining Wall 212 Final Fire P�evention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site - 204 Final Demolition 250 Final Builtling/OccuDancy "z —{i �/ WORKERS' COMpENSATION DECLARATION:� � I hereby affrm under penalty of perjury one of the following declarations: :,. ❑ I have and wi11 maintain a certificate of consent to self-Insure /or workers' compensation, as provitletl for by section 3700 of the Labor Code, for �lhe peAormance 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 pedormance of the work for which this pertnit is issued. My workers' compensation Insurance carrier and policy number are: , Carrier: (This seUion need �W p¢ �mplefed d the permrt is valuetl af one M1undred �llars (8f 00J or IessJ Policy Number. _ ❑ I certify that in �he peAormance of Ihe vrork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' cqmpensation laws of Califomia, and agree that if I should become subjecl t0 the workers' compensation provisions of Section 3700 of the Labor Code, I 5hall (orthwilh comply with ihese provisions. Applfcanfs SlgnaWre WARNING: FAILUf2E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND hIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADqITION TO THE COST OF COMPENSATION, DAMAGES AS PROVI�ED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATfORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Sec[ion 7000) of Division 3 of the Business and Professions Code, and my license is in full (orce and effect. Lic. # Class # Camra��or's SignaWre Date CONSTRUCTION LENDING AGENCY: ❑ I hereby afqrm that there is a constructbn lending agency for the peAormance of ihe work tor which this permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lender's Address: OWNER-BUILDEk DECLARATIONS: I hereby aKrm lhgt under penalry of perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for lhe following reason (Sec. 7031.5, Business and Prolessions Code: Any city or counry which requires a permit to construct, alter, improve, demolish, or repair any stmcture, prior to its issuance, also requires the applicant for such permit to fle a signed statement that he or she i; licensed pursuant to [he provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) ot Division 3 of [he Business and Pmfessions Code) or Ihat he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant (or a permit subjects the applicant to a civil penalry of not more than (ve hundred dollars ($500).): ❑ I, as owner ot the property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and the strucWre 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 vrork himself or herselt or thmugh his or her own employees, provitled that such improvements are not intended or offered for sale. If, however, the building or improvement is sold ynlhin one year.of completion, the owner-builder will have the burden' o( proving that he or she did not build or improve for purpose of sale.). . [] 1, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRqCTORS to construct lhe project (Sec. 7044, Business and Pro(essions Code: The contractors License Law dces not apply to an owner of property who builds or improves Ihereon, and who contracts for such project with a contractor(s) license pursuaN to the Contractors License Laws.). ( I.am exempt under sea - Bu ness and Professions Code for this reason: _ �_�_�_ � ( Signature� Date,_ _ 5]-4 (3/O])"`— - - Owner ID verifed by driv�nse. Yes ❑ No � Dnvo,r's Lice_se No. Expires:_ IV Z� �� Verifcation o( Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: � ❑ I hereby cert'rfy that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connectbn vrith work authonzed by Ihis pertnit, and that no building strucWre, sca(tolding, falsework, a demoli�ion or dismanlling lhereof, will be more than thiAy-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Trtle 8, Califomia Atlministra[ive Code). ❑ As owner-builder, I will not employ anyone to tlo work which woultl require a permit from the Division of Intlustrial Safery, as noted above, unless such person has a permit to do such vrork from the division. ApP��u3nYs Signalure Oale Division ot Industrial Safety Permi[ Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certi(y a Business Plan for emergency response to release or threatened release of a hazartlous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safery Cotle requires, wilh some exceptions, [hat a Business Plan be filetl 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 ro or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic (eet of compressed gas at standard temperature antl pressure). 2. Does or will the applicant or present or future building occupant need to file a registration fortn for acutely hazardous matenals? ❑ Yes ❑ No (Section 25533 of lhe California Health and Safety Code, with some eaceptions, requires registration with the Cosla Mesa Fire Department by each business which at any one lime has on hand a quantity of acutely hazardous materials equalto 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 fulure building occupant need to prepare an RMPP (Risk Managemeni antl Prevention Program for acu[ely hazartlous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safery CoOe provitles thal the Costa Mesa Fire DepaAment may require lhe preparation, certification antl 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 Cali(ornia Health and Safety Cotle been fully complied with? ❑ Yes ❑ No 5. Does or vnll the applicant or present or future building occupaM require for the work which is the subject of this applica[ion a permil (or such consiruction or modifcation from �he South Coas� Air Qualily Management Distric[ or from any other air polWtion control tlistrict or agency7 ❑ Yes ❑ No (Sectbn 658502 of the Califomia Govemment Code requires lhat the requested information be fumished on applications for non-residential building pertnits). 6. Will any part o! lhe faciliry to 6e constructed under Ihis permit be within 1000 feet from the outer boundanes of a school? ❑ Yes ❑ No Qt "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Heal[h and Safety Code). 7. If a permit from Ihe South Coast Air Qualiiy Management Dislrict or other air pollu[ion control disMct or agency is required for the work which is the su6ject of ihis application, have all of the disclosures prescribed by Cali(ornia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach certificate of compliance from Ihe appropriate air pollution control oKcer). � CERTIFlCATE OF COMPLIANCE: I certify that under penalry of perjury the iMormation given above is correcL I agree to comply with all state laws and ciry ordinances regarding Hazardous Materials and Emissions. . CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalry of perjury Ihat I have read this application and state that the information given is correct. I agree to comply with all state laws an0 city ordinances relating to building construction, and authorize represeMatives of Ihe City of Costa Mesa to enter upon the above-described property for inspechon purposes. I gree not to occupy or allow occupancy of any building aulhorize y this per t unlil fnal ins tion. Cg � � - L _i9oalureolLegalOwnerc) �_ ate Antlbr AulM1onzetl Applican� Da�e . .: COUNTY OF ORANGE ' " ' r BUILDING DEPT. ' ,�_1S J�-� 636 No. Broadway 1 Permi[ i�o..___ _-. Santa Ana� California , ApPIICC� I IOiI �Qr Building Permit � Phone: KI 2-6211 AND FOR A Certif�cate of Use and Occupancy Date-----'l�� .�-,/�'__' _--------'---------'---- / OWNER'S NAME---------COAgT_OAA:iS�E_A�%�3E�----------------------------------------------- PHONE:H@�9917_��- MAILING ADDRESS----268_ E._ �%�1--BL2`9@'Z-- - ----- ---- ----- - -. CITY ---- O08�id_ H180fL--------------- i I�a�ne . WOi��jO t'I• �'10].$�iA�il 8C �i8 ----------------------------------- II Name.---------- .._-- Address City ___ Stace Lic. No. (Archicecc or Engineer) Phone PROPOSED USE: ____R8E3LQOri08______.___. (Contraaor) Address._ �•a� _ �'''� - ��"'�1 _ Si'+1'�@O�i Co�t� T-3ega c[cy --�--------------�------ ------ ---------------------_---- Stace 7 ` Lie N��B"�_---.---$,'--------PhoneBe�aon_.8297--_ z. Jos LocnTioN----'`'��o--E CosT•4----�i,�s�P- �'Z_ ------S7Qe��_IiQ�a- ----------------- (House No.) `�� (Name of Snee�) (Town or School Dis¢icc) . 3. LEGAL DESCRIPTION: Loc -----7`V.�-------------------Block --------- -------- --------.---Tract ._I.t`�.,Q�r----------- - ---- - -- - (Metes and Bounds Description—Use reserse side of form) 4. CORIVER LOT ( ) IIVTERIOR LOT (�) THROUGH LOT ( ) SLOFE OF LOT ( ) 5. SIZE OF BLDG.:.�L_�c_-2t�.-AREA:_--_�GL------------.SIZE OF LOT:..r1_.'f��../_�-,rAREA:._7'�/GV-------------- 6. HEIGHT OF BLDG.:-_-a89___--_-_-..------_CEILING HEIGHT:_-.-__89----._-___---_--.--NO.OF STORIES--_-_g-------_---- 7. NO. rAMILIES _._______�__________________________Size of Smallest Bedroom:.__9 6_y.�rj___. Size of Kitchen: _�„►�..__/'�`___._ 8. EXTERIOR WALL CONSTRUCTIO�O.__S�CQa_..___.INTERIOR WALL COVERING_____P�.p�$�1'__.__._____. (Frame, Scucco, Etc.) / � """ """"' '(Plasrer�Drywalf, Etc.) 9. SETBACKS: Front Yard £rom Cencer Liae of Street___ J.�_.__ _________.:_________ ._ __._.____ __ I � i Nearest Side Yard._.____.�____._...Rear Yard._.__��/__�_.__.__..Disfance in Feet Between Bldgs. on Same Lot ___��_._. .__._.__ 10. A COMPLETE PLOT PLAIV IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 11. For (a) Footing: Wid[h .----l�p----_----_.----__ Depch in Ground.-_---_�.ua__-_--_-- \x/idth of Wall __-_'�p __ ._--_ Accessory � Sunglarand �6) Size of Stud's: --_ht---�!-_�---__----_Spacing_�.�M__-_-._..___--_"CC Ma[erial of Floor �.---ep�(L` . Strucmres: ' (c) Size of Floor Joists:.�_-.--.-_-------_Spacing _.-�----_-_--__.._-_ CC ( ) '_------- -spa�;�g -2`�-"- d Size of Rafrers: __'-.-._- g----..--_ ----_____----___"CC 12. VALUATION OF PROPOSED WORK: IncLuding all labor, plumbing, electrical wiring, heating, fire sprinklers, paint• ing and sewagc disposal �._.��_��_. � _ __________. , � ______ _ 1>. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LA\WS OF THE rOUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. q Signed:.__.___ �._.-Cft_`___ __ _ _�-�Q+s�.___________ /Q — o/ ' \!d `� Owner) Plans Filed: --------------------------------------- ------ gY: --------� - - - � - - - - - � --- - -------'------------------------ "�'-"" (Auohorized Ageno) FOR DEPARTMENTAL USE ONLY FEES: Bldg. Peri„It _ � _ /o.o _ __ . (0- _ ..�__ Plan Checz - — � �— � - ---� y9 -- Tocal - - - ��_----_�.- � ------ � S Rcceipt No. - ' _--_-��---�-�_-w_-_�. Paid ro - - ------`Ltl�/`�- - ---- Date_.....__________'__.____.______.�________�±____ DATE --- ---- ------------ — 9M-f-50 GROUP � TYPE----------------� - DIST. MAP.------ �-- ------ SHEET NO.----�---------- CH��NG BY �JiS APPLICATIONQ"�_.. HEALTH_______,_.____:__.__. �� FIRE ZONING----------- -- MARSHAL---------------- - PLANS AND SPECS ---- — ------ -- - STATE -- - - - — -- - --- CORRECTIONS ENGINEER PERMIT ISSUED BY: �, ��. DONOHUE, `°"NS C �RING CEPUTY Ge �_, ! /��v COUNTY OF ORANGE BUILDING DEPT. 636 No. Broadway Santa Ana� California Phone: KI 2-6211 • Application for Building Permit AND FOR A Certificate of Use and Occupancy Permit No.--_ J-� .�_�A____ Iiate___-._--'._ 3— �a -- Q- -----------`---------------- 1. OWNER'S NAME___-_��m _OR�Y1G-E- AQFI�,H_-_----__ -_-,-_- PHONE:BD$4DA-E�',��-- --- --- --- --- -- --- -- - - MAILING ADDRESS-------�G�I F.__�.'i$II ��2t�4-�-------------------------------CITY._COBfiF3-Z'104lA------ Name� Address Ciry _- State Lic. N (Archicect or Engineer) Phone .__. PROPOSED USE: ____ ��F' Name.Cs�QYi(�'jO--'.-I.=-�to]:t��o4t�--f�--5as�fl • . co„«a«o� Address 1GG Eo_ _�.��__�tE!QQ�i__...-_ City --�%4[i�9--Si�D,1---------- State Lic No.�.1.��`�.�Q__---L�-..`------- Co�ta I�eo� --- ---- --- ---- z. JoB LocATiocv. -- --`�.? o_ �` _o,s'��1---�'2fS-A- -��' -------------- -------- ----- --- - ------- (House No.) (Name oE Screet) . (Town or Schoo( Discricc) 3. LEGAL DESCRIPTION: Lot ---'��- - ---------------'----Block --------�------'------------..Txact --.9.`�$�---------- - - - (Meres and Bounds Description—Use reserse side of Eorm) 4. CORNER LOT ( ) INTERIOR LOT (�) THROUGH LOT ( ) SLOPE OF LOT ( ) 5. SIZE OF BLDG.: _�,_X__�_ _ AREA:__'38p___�� g�.__SIZE OF LOT:_��X_ f�_�AREA: .Z��.�__----_ 0 . 6. HEIGHT OF BLDG.:..._�'�.________ _____CEILING HEIGHT: NO. OF STORIES.__�..______.___... 7_ NO. FAMILIES _______ Size of Smallest Bec�room: ...______._________- Size of Kitchen: 8. EXTERIOR WALL CONSTRUCTIOIV:_�'LimO__�P�L100Q____INTERIOR WALL COVERING ...__ (Frame, Scucco, Etc.) (PlasrenDrywall, Etc.) 9. SETBACKS: Front Yxrd £rom Center Liae of Street____....___________________________._... ____________.___ � � y / Nearest Side Yard.___�_____________Rear Yacc�__.__________.Distance in Feet Between Bldgs. on Same Lot ._d-'��-_.._...___.. ._ ___.... IG. A COMPLETF PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. tt ___.__. Width of Wall _. n___ _____..... 11. For (a) Footing: Width __l'�__..________.__-_ Depth in Ground _�..�_...-_- _ 6 Accessory ,�, Bldgs. and b Size of Studs: ._.__� k�.____.__.S atin �� "CC Material of Floor Similar ( � - p g- - - ---- -- �G±11�Z��.iti8 -- $tructures: ' (c) Size of Floor Joists: -------'------------.Spacing .---------------------.._"CC (d) Size of Rafters: -_--- -- u-_$-_�_.-.----_.__-----.Spacing _.-_-_i�,,�M. ."CC 12. VALUATION OF PRpPOSED WORK: Induding all labor, plumbing, electrical wiring, heating, fire sprinklers, paine ing and sewage disposat $____. . � %.2{}__��_____ _.'_.___ _______ 1>. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL �ONFORM TO ALL LAWS OF THE COLJIVTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. Signed:-------- -- --'--•�j�f''--�a��_` '_'----��--'---�.�----------- l�� _'�Owner) Plans Filed:___..`Q_-._� �- �a -- ------ ---------- --- - --- -- By:. - -' - - - -- --- - --- -- --- -- - -- ------------- ------- (Au[horized Agent) FOR DEPARTMEIVTAL USE ONLY FEES: � Bldg. Pennit - � _ � -----� -p.p ------- Plan Check - $... — "--- Tota1 - - �� ----- - -7s � - - ' -- Receipc No. - - - ______� __ Paid to - - .---- ��------- �.� 5M-'1-50 GROUP------�------- TYPE.- --- C ------- --r-- DIST. MAP -------- ---/-�-- -- - SHEET IVO.- - _�_ C�[VG BY APPLICATION.__�._` .. _� HEALTH___________._..__.. �'�'�`f/ FIRE ZONIIVG.---------------- - MARSHAL------------.-- PLANS AhID SPEC'S ----- ------ ---- ----- STATE --- ---- --- - - -- - CORRECTIONS ENGINEER VERIFIED .. -- CAL. - - -- - -- ------- ------ PERMIT ISSUED BY: ( C. W. DONOHUE C�UNry QU!LDING _'__� __.__...._____:_______._�! ______ INSPc�TO.F?________ _________ .,. C EPUTY Ci�-<ci