The URL can be used to link to this page

Home My WebLink About629 DANUBE DR - Building PermitsCITY OF COSTA MESA � � B!/ILDING DIYISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • ewiw.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMITTYpE PLUM APN: 93405087 JOB ADDRESS: 629 DANUBE`UR CM Vicinily: . - SCOPE OF WORK: REPLACE WATER HEATER IN UTILITY CLOSET. , , � OWNER: MOGILICKI, SCOTT T ' .. PHONE: APPLICANT: MOGILICKI;�CARI- . PHONE: 714668-0331 ,� CONTRACTOR: �� Address: City/State: � � ' � ARCHITECT: , � � , ENGINEER: �' � . '�r.. ', .' m ZipCode: � � e PERMIT NUMBER: POS-00271 STATUS: DATE ISSUED: ISSUED BY SuitelUnit: 'Address: � City/State/Zip: Address: � - City/State/zZip: ISSUED 1112112008 YH -, 629 DANUBE WAY COSTA MESA, CA 629 DANUBE WAY : ' COSTA MESA, CA ' License No. . � , PHONE: CELL• License No. . PHONE: License No. - , PHONEi PLUMBING PERMIT FEE SUMMAR � PLAN CHECK FEE: _ $0.00 � PERMIT FEE: . $35.80 TOTAL FEES: $35.80 � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Cali(omia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: PERMIT EXPiRES 180 DAYS FROM DA7E OF ISSUE OR DA7E OF LAST INSPEC710N. 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 INSPECTIONTYPE OpTg INTI11RL5 COUEt INSPECTIONTYPE RT IN71ML 1818 Fixed System Final Fire Prevention 206 Final Mechanical �� 7266 Pool Spa Final . 208 Final Plumbing 200 Final Re�Roof 210 Final Eleclnwl 201 Pinal BIaWRe�aining Wall 212 Final Pire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition � 250 Final Building/Occupanq WORKERS' COMPENSATION DECLARPT�ON: � I hereby affirm under pe�alty of perjury on8 of the followinq tleclarations: ❑ I have and will maintain a certifcate tlf consent to self-Insure for vrorkers' wmpensation, as provided tor by section 3700 of Ihe Labor CoCe. for the pBRormance of ihe vrork for which Ihis permit is issued. ❑ I have and will maintain Hwkers compensatbn insurence, as required by section 3700 0l the Labor Code, fa the peAamanca of tfre wurk fa which this permit is issued. My workers' compensation Insurence wrrier and policy number are: Cartier: (TNx taUion nestl nd Ee wrriplefe011Mperm! it vaRrttl af ine hurMretl cbWrs (f f 001 a ku7 Policy Number; ❑ I certify that in the peAormance of the work for which this permit is issuetl, I ehall nol employ any person in any manner so as to become subject to the workere' compensation laws of Calitomia, antl agree lhat it I should bewme aubjett to the workera' compensatlon provisions of Section 3700 of ihe Labor Code, I shall forthwith comply with these provisions. APplicenfs SIBnaWre 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, IMEREST, AND ATTORNEI^S FEES. IICENSEO CONTRACTORS DECLARATION: I hereby aKrm lhat I am licensed under pro�isions o! Chapter 9(commencing wiN Section 7000) of Division 3 of the Business anA Professions Code, antl my liwnse is in full force and eHect. Lic. # Class # Contratlor's SipnaWre Date CONSTRUCTION LENDING AGENCY: ❑ I hereby af(um that there is a consWctbn lentling agency fw the performance M ttia �nork fa which this permil is issuetl. (Sec. 3097, Civil Code). Lender's Name: - � Lender's Address: � oa�e OWNER-BUILDER DECLARATIONS: I hereby affirtn that under penalty of perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW (or the following reason (Sac. 7031.5. Business and Pmfessions Code: Any ciry tlr county which requires a pertnit to consWct, aller, improve, demolish, or lepair any slructure, prior to its issuance. also requires the applicant for suG+ Permit to file a si9ned statement that he or she is licensed pursuant to Ne provisions of lhe Contractors License Law (Chapter 9(commencing with Sectlon 7000) of Division 3 of tha Business and Piofessions Code) or that he or she is exempl therefrom anC the basis for the alleqetl exemplion. My violation of Section 7031.5 by any applicant for a permit subjects the appliwnt to a civil penalry of not more than five huntlred dollars ($500).�: ❑ I, as owner of the propeAy, or my employees with wages as Iheir sole compensation, WILL DO 7HE WORK, and the strucWre is not intended or oHered tor sale (Sec. 7044, Business and Professions Code: The Contrectors License Law does not apply to an ovmer Of properry who builds or improves thereon, and who does such vrork himself or herself or through his or her own employoes, providetl that such improvements are not intended or offered for sale. If, however, the builCing or improvement is sold within one year of wmpletion, the owner-builder will have th0 burden of proving that he or she did not builtl or improve for purpose o( sale,). ;��I, as owner of the proDerty, am EXCLUSIVELY CONTRACTING WITH CENSED CONTRACTORS to consWct tlie project (Sec. 7044, Business and Professions Code: The coniractors license Law dces not apply to an owner o( pfoperry vfio builas or improves [hereon, and who contracts for such project with a contractor(s) license pursuant to lhe Contractors License Lavrs.). ❑ 1 am exempt under sec. Business and Professions Co r Ihis reason: // �� ' Sign e ' ate r JOSPG6�3/0]) �" Ovmer ID veri(ed by Orive. m_ ��Y85 ❑ No . Dnver'S License No. Expires: �2�� "�D Verifwlion of Ownership by (rype of tlocument, i.e. - property lax bill or deed�: OIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify lhat no excavatbn frve (5) or mora feet in depth into which a person is required to descend, will be maCe in connectbn with wwk authorized by lhis pertnit, arW that no building structure, scaffdding, false�wrk, or tlemolition or tlismantlinq thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Administ2tive Cotle). ❑ As owner-builder, I vrill not employ anyone to tlo wOrk which woultl require a pertnit from the Division of Intlustrial Safety, as noteC above, unless such person has a permit to do such work from lhe division. NppliWnl'S SignaWre pale Division of Intlustrial Safety Pertnit NumDer: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicant or present or future building occupant need to file and certify a Business Plan tor emergency response to release or t�reatened release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 of the Califomia Health antl Safety Code requires, with some exceptions, thal a Business Plan be filed vrith lhe Cosla Mesa Fire Department by every business which has at any one time during a reporleA year a quantily of hazardous malerials equal lo or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of Compressed gas at stantlarU temperalure and pressure). 2. Does or will Ihe applicant or present or (uture 6uilding occupant need b file a registralion fortn for acutely hazardous materials7 ❑ Yes ❑ No (Section 25533 of the Calitomia Health and Safery Code, with some exteptions, requires regislralion with lhe Cosla Mesa Fire Department by each business which at any one time has on hand a quantiry of acutely hazartlous matenals equal to or greater ihan 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 appliwnt or present or fuNre building occupant need ro prepare an RMPP (Risk Management and Prevention Program tor acutely hazardous matenals)? ❑ Yes ❑ No (Section 25534 of [he Cali(ornia Heal[h and Salety Code provides that [he Costa Mesa Fire Department may require the preparation, certifcation an0 filing with the Fire Department of an RMPP by businesses which are requireC lo register acutely hazardous materials with the Fire DepanmeN. 4. If an RMPP is presently requiretl, has Section 25534 of [he Califomia Healih and Safety Code been fully complied with? ❑ Yes ❑ No 5. Dces or will the applicant or present or future builEing occupant require for the work which is the subject ot this application a permit for such wnsiruction or modifcation from the Soulh Coasl Air Qualiry Management Distnct or trom any other air pollutlon wnVol tlistrict or agency? ❑ Yes � No (Section 65850.2 of the CalHomia Govemment Code requires that the requesteC infortnation be fumished on applications ta non-residential DuiWing pertnils). 6. Will any part of the facility to be conslructeA under Ihis pertnit De within 7000 feet from the outer bountlaries of a school? ❑ Yes ❑ No (If 'yes', the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safery Code). 7. If a pertnit from the Soulh Coast Air Oualiry Manaqement District or other air pollution control district or agency is required for Ihe work which is ihe subject of this appliwtioq have all of the tlisclosures prescribetl by Califomia Heallh and Safety Code Section 42303 been matle? ❑ Yes ❑ No 8. Qf'yes", attach certi(cate of compliance from the appropnate air polWtion control oKcer�. . CERTIFICATE OF COMPLIANCE: I certify ihat under penalty of perjury the infortnation qiven above is correct. I aqree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. '. SignaWre Oa�e CERTIFICATE OF COMPLIANCE AND AUTMORIZATION OF ENTRY: I certify under penaRy of perjury lhat I have reatl this application and state Ihat the intortna6on given is cortecl I agree to comply with all slate laws antl ciry ordinances relaling to builtling wns�ruction, and authorize representatives of Ihe City of CosW Mesa to enter upon t�e above-0escribed property for inspection purposes. I agree not lo occupy or allow occupancy of any building authorized by this permit until final inspection. ture oi Legai �/ ie �� . An0/ar u mzeE A itan� . ��t,Drn.ay' i#zl '�_ `�8_�� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 BUILDI pWNER HELTZER ENTERPRISES-BROC MAII ADDRESS 740 N. La Brea Avenue TEl ciTv Los Angeles, CA 90038 No. CONSiRUCTION �� , , ,� � , ,. , � Main Branch ADDRE55 6UU 5. Spr3ne St.. L.A. AFCHITECT �. _ . _ ,.._ TE nooaess 113 N. San Vicente, Beverly CONTRACTOR GeorQe J. Heltzer ADDRE55 740 N. La Brea Avenue TEL. cir� Los Angeles, CA 90038 No. 937- ITG. No. 3144 LICYNO. SIZE NO.OF B�OGS. OF LOT I NOW ON LOT USk OF EXINING BLDG. 512E OF NO.OF _ NEW BLDG. FOOMS STORIE: EMEFIOR WAL�laster COV�ERIfJG WOOCL COVERING VSE OF BUILOING AND WORK TO BE PERFORMED Residential , G 1 - .- _ „ -, . .... !;i;.l' . � . . APPLICATION FOR BUILDING PERMIT i. EiVEDBV f�jATE�EC�V6D DATEISSUED / i( / / ADDRESSS� TFACT FIRE 20NE APPROVED fVE NO.OF ��j�_C� a�nNs � VARDS APPROVED MAIN BUILDING S 1� LOT I BIOCK USE OF NEWG C�,y:iL�� BUI�DING ,F �-�� YARDSAPPROVEO ACCESSORV BUILDING & C VRP.� ?C �3 ��I APPROVED a��t(�—` 3 APPROVED i �_� I hereby acknowledga that I have read this application antl state that �he above intormation is correct antl agree to comply with all laws regulating building constt�ction, anC I shall noi amploy any person in violation of the workman's compensation laws of ihe State of California. I hereby certify chat I am Properly licensetl as a caMractar ontler '�� ' O SQ. FT t�e State of Califomia Business antl Professions Cotla, DivisiGn 3, THE AMOUNT 5 Cnaptar 9, and chat such licenses are in full farce entl affact, ar I THE PURPOSE OF am Oxempt from [he provi ons ot theState of California Business VALUATION antl P�otessions Cotla, Divi �n 3, Chapncer 9. Sipnature ot �i. l J --� $ I j L.J G��1 Perr.dttea i ,✓✓ `� � L 4/ Authorizea Ayervc — m 2730 �.�t 2 "; �WN UNDER VALUATION IS FOR STABLISHING A PERMIT FEE ONLY: m �� E LL