HomeMy WebLinkAbout1452 DEAUVILLE PL - Building Permits F t • CITY OF COSTA MESA
B114 UILDING DIVISION
F ,41-1111111a"
• DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
k PERMIT
,toepo,,,.,_ t✓B04-01048
(714)754-5273 • Fax(714)7544856 • www.ci.costa-meaa.ca.us 77 FAIR DRIVE.COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 3168 CHEMIN DE FER WY Status: ISSUED
Suite: / Applied: 0610812004
�-
Vicinity: -1856:T1452,es-1856:T1452, 1454, 1456iDEAUVILLE PL Issued: 06/08/2004
Parcel Number: TPN98079 Zoning:
Applicant: PEARSON, VESS ISSUED BY: /./
Address: P 0 BOX 3908
Phone: 562-429-7663
SEAL BEACH,CA Zip: 90740
Owner: FRENCH QUARTERS HOA
Address 2020 E FIRST ST
SUITE 500 Phone: 714-285-2626 X211
SANTA ANA,CA Zip: 92705
Contractor: G M ROOFING COMPANY
Address: P 0 BOX 3908
Phone: 562-429-7663
SEAL BEACH,CA
Zip: 90740 License: 472566
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF CONDO BLDG WITH UNITS 1050, 1452, 1454, 1456 DEAUVILLE PL ONLY:T/O EXISTING ROOF, INSTALL 2 LAYERS 15#FELT
UNDERLAYMENT,APPLY"GAF 40-YEAR COMP SHINGLES PER MFGR'S SPECS."37 SQUARES
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $8,450.00
Permit: $167.25 Claim Valuation: $8,450.00
SMIP Res: $0.85
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $168.10
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 Existing: 0 Required: 0 Proposed: 0
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: This permit shall automatically expire and become void if work is not commenced within 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
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754.5626
2446.46(6/00)
•
DECLARATIONS.-` "
WORKERS'COMPENSATION DECLARATION:
1 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 to 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'compenfation Insurance carrier and policy number are:
Carrier `5\i l Lx 17' :- . f Policy Number: f - L CL'L1•
(This section need not be completed it the permit is valued at one hundred dollars(3100)or less.)
❑ 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 ) .
Applicant Signature: \•A., ' •. 1 I, Date: D
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 DOLLARE 1E103.0001.IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECT,ON 37060F 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.p (Lk"1"L S lr C, Class e
Contractor's Signature: L L- 21 ( 4\ �„1 I et- ;' Date: L C. 1.07
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:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that tinder penally 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 reouires a permit to construct.alter,improve,demolish,or repair any structure.prior to its issuance.also requires the applicant for such permit
to filo 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(5500).):
❑ I,as owner of the properly,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 contractors)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 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:
❑ I hereby certify that no excavation five 15)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,faisework,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.
Signature: Dale:
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 Safety Code requires.with some exceptions,that a Business Plan he tiled 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 loot of compressed cos at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration term for acutely hazardous materials? 0 Yes 0 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 lime 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 plessure).
3 Dons 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 tiling with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 II an RMPP is presently required,has Section 25534 of the Calitornia Health and Safety Code been fully complied with? 0 Yes ❑No -
5 Dons or will the applicant or present or future nuilding occupant require for tae work which is the subject of this application akermit for such construction or modification
LJ
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes Di 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 11)00 feet from the outer boundaries of a school? 0 Yes 0 No
(II"yes',the facility roust meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Duality Management District or other air pollution control district or agency is required for the work which is the subject 01 this
application,have all of the disclosures proscribed 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 ane city ordinances
regarding llaznrdoi is Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and stale 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(s) pate
C: I/
And/Or Authorized Applicant Dale/
^nnF • INSPECT1OH JYEL DATE INS$ CQOE r INSPECTION TYPE DATE INTRIALE
1616 Fixed System Final Fire Prevention _ 206 Final Mechanical
1266 Pool Spa Final / _ 208 Final Plumbing
200 Final Re-Roof J�'— j.-" -( t ^�r�r 210 Final Electrical
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 (nal Demolition 250 Final Building/Occupancy
r
----R\
L- I
, F N fj CEIVED
``COSTA MESA BUILDING-SAFETY DEPARTMENT
f g n11T
P.O.BOX 917 COSTA MESA,CALIFORNIA 1YYAA
CITY OF COSTA M
For Applicant to Fill In Completely - APP ICATION FOR PE
TYPE OR PRINT BUILDING
i,licArk5-02 For Office Use Only
BUILDINGS Deauville Place
ADDRESS RECEIPT NO. 1.8844
COSTA MESA, CALIFORNIA '2GJ I i4JCYJ[ ' 4.
RECEIVED BY DATE RECEIVED DATE ISSUED
• HARBOR HALL OF FAME HOEBES INC. At, .9-2 i--1 ,9-4 _4.,L
OWNER
Box-2066- • BUILDING
MAIL -� ADDRESS
city Santa Ana NO. Ki 9220 FIRE / Q�
TEL ZONE TYPE) GROUPt p Y (/ny
APPROVED
AR HITEC ER RAY LEVANAS No' ' 673701C BY - DATE
ZONING
ADDRES>a�432 -Via' Oporto .N.P. Beach ((���\\))
NO•NB - EUILOI ,,t�
Lifetime Res; Build Corp. • I.
L'•
CONTRACTOR p r11I D� r' I 1, 12-,
LESAL t`I—tIW 1/I / r�,^J
ADDRESS
2131 S. Artesia •DESCRIPTIO e / CO
Santa Ana, California A.P.No.' j
CITY Q `,
y08676 NOTE:'NO.EAVE OVERHANG SHALL BE LESS THAN T C w
LIC.TNO- NQ• 92204 SO"TO SIDE a REAR P.L. g
SIZEEAVES 1 YC f�S-�."' a
OF LOT 1881 I NOW OFOLOTS n ALLOWED (U.S.C.REQUIREMENT)
USE OF YARDS APPROVED YARDS APPROVED 01
MAIN BUILDING ACCESSORY BUILDING x
EXISTING BLDG. NOV (FROM CVSTREES1 SETBACK LINE FROM FRON' FT. 0 FT. )
CENTER OF STREET REAR YARD 2817" _^ "Q
01
SIDE YARDI LEFT 0 I RIGHT -O R.sum14J FT. D Ff.
a.
0 DESCRIPTION OF WORK - L.SIDE Fr" 0 Fr• V)
6 �l rz
NEW % ALTERATION . ADDITION REAR Fr. L'�"V FT. i
DISTANCE BET. BET..MAIN ft
MAIN BLDGS. ACCESS.BLDGS.1
REPAIR MOVING DEMOLISH - _ / -3
V
BUILDING
=1E DING NO.OP
126 ROOMS STORIES CAU. APPROVED -- IH8..6' ' ++
COVERING EXTERIOR WALL rn ROOF PIASL COVERING Rom Q API.
+� •, (INK_
�C
1 4 �.
USE OF BUILDING AND WORK TO EIRE/WORMED
RESIDENTIAL' /v�j�ja, G��i;
I/// Jcl� / 5701 "
I HEREBY ACKNOWLEDGE T T HAVE READ THIS APPLI ION THE AMOUNT SHOWN UNDER VALU 4 IS FOR THE ' 7
ANO STATE THAT THE ABO 1 CORRECT ND REE TO OM. PURPOSE OF ESTABLISHING A PE' FEE ONLY. O
BUY DING ALL TRU ORDIN NCHS AND REGU TING VALUATION m'
BUILDING CONBTRUCTI•i
SIGNATURE 0 e�/; / PERMIT FEE $ G
PERM ITTEF As .0--$i(1 ) �J
/ $/,/0iV A CHECK /� x
�JLL
AUTHORIZED AGENT TOTAL FEE 5 7.2