HomeMy WebLinkAbout1430 DEAUVILLE PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.cBUILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
1430 DEAUVILLE PL
Suite:
Vicinity:
DETACHED GARAGES
Primary Occ:
U
Parcel Number:
TPN98079
Applicant:
VES PEARSON
Address:
P O BOX 3908
SEAL BEACH, CA
Owner: FRENCH
Address 2020 E FIR;
/ • j IZIp:
t
• lel l�� ,yr
TEAR OFF EXI3G,
TINROOF..INS'S'
REPAIR/REPLACE SHEATHING F
11 Plan Check Ili' $0.00
Permit,` $111.25
I SM1P-Res j 1 $0.50
SMIP Com`It� $0.00
Other $0.00
Inspection: ��j'� $0.00
Total; $111.75
Status: ISSUED
Applied: 08/02/2006
Issued: 08/03/2006
Type of Construction: V -N
Zoning:
Phone: 562-429-7663 ISSUED BY:
nn --'----Zip
—'--fZip_— 90740 `
Phone, 714-285-2626rX2111
92705`
Phone: 562-429-7663
License: 472566\` \ \�
oil Eng.
i
Address:
Phone:
/.`. I �.j • j `,
cense:"
SCOPE OF PERMIT
%YERS OF 15# ASTM FELT, GAF 40 YEAR, LAMINATED -COMPOSITION 61
ED. 24 SQUARES FOR DETACHED GARAGES FOR. -1430 THRU 1436 DEA
��1 TIT U� /J �''/�J� i 1, "7��Calc Valuation:
_-_-_._--._—-_-_---. GlainnValuation:
T-
SETBACKS j��
MAIN STRUCTURE -Front•,0 i Rear v0 0 `. o Left 0 0 „. Right 00V r✓!
ACCESS81IRYFo�> 0=0�z .Rear 0�'0� y 0� �LLeft 0 0 r Right0-0�).�
PARKING.
Existing 0 �Readved ° 0� `Proposed. 0
u
I
= PL.
Q�, / /!"
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
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DECLARATIONS
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to sell -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the
rwork for which this permit is Issued.
ave antl will maintain workers'compensation Insuranca,-as required by section 3700 of Ne Labor Coda, far Ne performance of the work for which This permit is Issued.
workers.w pensetion'Insurance carder and policy number are:cc��1�1}� my,#�{�—�jA.� �P.olicll�Nu�ber:t"r lJi��\�67-- L 00ction need nOf D9 completed if Ne permit is valued at one hundred dollars ($100) 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,7f lifomia, d agree that If I should become subject to the workers' compensation provisions o1 Section 3700 of the Labor Code, I shall forthwith
comply with these ons. �} '
AFP—Hent Signature:' lr--- Dater , 'h:l%� �!�a
e1
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARE ($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 pro Si ns f Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full
force and effect'ucra'ft- S Vien.
Cont cto`taSignatura: aD� ate:` -'t'
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 off irn 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 fore 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.).
❑ 1, 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 contractor(s)
license pursuant to the Contractors License Laws.).
❑ 1 am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivels license. ❑ Yes ❑ No Drivers 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 (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. 32, Grp 2, Art 2, Sec.
341, Title B. 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: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 WIII 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 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 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 theapplicant or present or future building Occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?
❑ Yes ❑ fdo
(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 a plication apemit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
......_....................._........__..........—.........__.............__................._..______.._......................................................................................................._.�_..._......................................................_..............._....................._............._...
8 Will any pan of [he 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 reaaired 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
__......._......_.........._......_........_......._...............__...........__._................................................................................................................__.._..........................._.........................................._.........._........_............_..........._
e (II 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 stale laws and city ordinances
regarding Hazardous 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 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.
1 — SI are Ot Legal Owners) L
lAn Or Authodzed Applicant' T l; Date'
CODE I. INSPECTIONTYPE gSIF, INTITAL$ CODE INSPECTION TYPE gaTE gITTIA
1616 Fixed System Final Fire Prevention - - 206 Final Mechanical
1266 Pool Spa Final
//�� 208 Final Plumbing
200 Final Re -Roof 210 Final Electrical
201 Final Block/Retaining Well 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
2G4 Final Demolition 250 Final Building/Occupency
vnalrnc HH I KIDS, TRMA Lnia b -Py -bb
JOB ADDRESS 140 Deauville Place BUILDING PERMIT NO. 25867
GENERAL CONTRACTOR Air Vent DESCRIPTION OF WORK Sunshade Cover
AP No 141-011-35 LOT TRACT FIRE ZONE VALUE $L68.00
ECTIONS I
Signature
Date
GROUP J TYPE IV ZONE R—p
�..
SUBCONTRACTOR
I
PERMITS ISSUED
Gas
Date Number I Signature
Water
Plumbing
Rough Plumbing
Prop. Swr. Line'0 House Con. [j
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power O
Rough Wiring
Heating and Vent.
Trenchesp Forms 1] Steel Reinf. ❑
Floor System
Bond Beam ❑ Steel Reinforce ❑
Sheathing
Frame and Flashing
Lathing — In ❑ Out []
Plaster. Brown Coat
S `ural, Final
Electric
i ag, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test ❑
Electric, Final
Building, Final
,
11.»
'.H PLUMBING
'. SWR. LINE
NKLING SYSI
of
SUBCONTRACTOR
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES ❑ FORMS El STEEL REINF.
FLOOR SYSTEM
SHEATHING
FRAME AND FLASHING
LATHING — IN OUT
PLASTER, BROWN COAT
STPlICTURAL, FINAL
H
IS, VENT., REFRIG. AND A.C., FINAL
PL_...BING, FINAL AND GAS TEST
ELECTRIC, FINAL
BUILDING, FINALC.
SPECIAL REQUIREMENTS
25867
COSTA MESA BUIIDINGSAFETY DEPARTMENT
P.O. BOX 12M - COSTA MESA, CALIFORNIA 02US
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING
ADDRESS 3 O U G
COSTA MESA, CALIFORNIA
OWNER 4.-f+ • e L T
MAIL _
STATIC LC. NO. .Z C(7 C rTio' Sao-33c.�
SIZE I no. of BLDGB.
SFT / ! I RIGHT /
DESCRIPTION OF WORK
BUILDING NO. OF
SIZE ROOMS
EXTERIOR WALLRCOP
COVERING I OVER
USE OF BUILDING AND WORK TO BE
1 HEREBY ACKNOWL DGB THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE If CORRECT AND AGREE TO COM-
PLY WITH ALL CITY ORDINANCES AND STATE LAWS RSGULATING
BUILDING CONSTRUCTION.
SIGNATURE OP
PERMITTED- • ` jC
AUTHORIZEDAGENT on S.,.,'.
CITY OpFp11C65TR MESA
pJuly B19)M IM PER
For Office Use Onl
LEGAL
0
O
NO. OF _ I USK OP
OVERHANG SHALL BE LESS THAN
YARDS APPROVED YARDS APPROVED'
MAIN BUILDING ACCESSORY BUILDIING
'(PROMC/LSTREET) /7 ay- perf/
VAR. * I DATE
/
W
81
SQ. Fr.
THE AMOUNT BROWN UNDER VALUATION 18 FOR THE
PURPOSE OF ESTABLISHING A PERMIT PER ONLY.
VALUATION
00
M
III/` / �({� �
PERMIT FEE
p
IG
[ b V
TOTAL FEE $
,.. 28978
COSTA MESA BUILDING -SAFETY DEPARTMENT _
P.O. BOX 1200 - COSTA MESA, CALIFORNIA 92626
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING V, -'T ����
"U'LD'ADDRESS
COSTA MESA. CALIFORNIA
CITY 1(� U% '-)4t
LIC.TNO. -1-&70-7 NO. � /1� `F"
SETBACK LIN[ FROM
DESCRIPTION OF WORK
WALL
Z)
BE
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COM-
PLY WITH ALL CITY ORDIMAN4r AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. ..
® AUTHORIZED AGENT
7.3
AUG 16-681 s;A 617 +**•*«5.00
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
Y-9PrE�iCRIVEQT w
r
ZONING
FOR -'
O. O
Uzi or NEW
GO/Sr{OR
'A - 3 FSF BUILDING av
ou GIPTION TP,, �(3S1
A. P. NO. 9 30- 5 3U 37
NOTE: NO SAVE OVERHANG $HALL BE LESS THAN
YARDS APPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
(PRO C/L $TR _ l
w
FT.
IDE Ff.
FT.
iID
THE AMOUNT SHOWN UNDER VALUATION IB FOR THE
FT.
FT.
113
VALUATION
RFr.
FT.
TANCE SET.
BET. MAIN SN
SLOGS,
ACCESS. BLDGS.
VAR.#
DATE
w
SG. Fr.
THE AMOUNT SHOWN UNDER VALUATION IB FOR THE
j
PURPOSE OF [S•TABLISHING A PERMIT FEE ONLY.
113
VALUATION
7w
PERMIT FEE •
p
PLAN CHECK
TOTAL FEE
22725 .
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. SOX 3I7 COSTA MESA. CALIFORNIA
FOWNERHarbor
t to Fill In Completely
E OR PRINT D
/j L/N/LLF/LESA, CALIFORNIA
ll of Fame Homes Inc
MAIL Box 2066
CITYSanta Ana ND, KI —2202
ARCHITECT Ray Levanas� TEL.OR3-701(
O' -INEER NO.
32.92 Via ODorto. Not Bch'
Box 2066
STATE 2086SIZE676
NO'619-2204
PERMIT NOO,
x,.2795
REC81V Y
16 Y` 80
�1 SO e4 rU
No OF S 0
I•
OF LOT
ADDRESS
NOW ON LOT1
USE OF none
EXISTING BLDG.
+ /
SETBACK LINK FROM
O'1 I l1 II
CENTER OF STREET 151 '
REAR YARD O
0
DATE
0"
ISIDE
YARD LEFT
RIGHT
DESCRIPTION
OF WORK
2
USE OF BUILDING AND WORK TO BE PERFORI
Construction Of IIIII occu anc
lAth IIJII construction garage
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS RBG ULATING
BUILD] NG CONSTRUCTION.
ocoN.... =W OF h /1 A iA �'
■ AUTHORIZED
FEE RECEIVED
Lot # 37AUG 3 1964
Plan T0NAftE DEPT.
APPLICATON FOR
ITPERMR
BUILDING
For Office Use .Only
RECEIPT NO.
PERMIT NOO,
x,.2795
REC81V Y
3CH ED
�1 SO e4 rU
BUILDING
ADDRESS
i
FIRE
+ /
ZONE TYPE
V GROUP IV
APPROVED
BY
DATE
ZONINfi
ZON
NO. OF (
UBH OF NEI('
PLANE
BDILDIN /
LEGAL
- DESCRIPTION 1
•�
,,..**.�
-0
n�
A.P.NO.
l/
NOTE:NO EAVE OVERHANG SHALL BE LESS THAN
30' TO SIDE a REAR P. L.
EAVES
ALLOWED
(U. B. C. REQUIREMENT)
YARDS APPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
( FROM C/L STREET)
(j^'
FRONT ' 7 FT.
R. SIDS FT.
FT.
L.SIDE 0 FT.
FT.
REAR LvAFT.
DISTANCE BET.
BET. MAIN Q
MAIN BLDGS.
ACCESS. BLD S.
VAR.$t PC�
(((
DATE. I
C. U. P. .}C
APPROVED'/
PPROI '
B�
DATE
sQ. Fr. iX
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION -
PERMIT
FEE 5
PLANCHECK
5� SCT'
v.
`
w
TOTAL
FEE $ �. ' r