HomeMy WebLinkAbout1432 DEAUVILLE PL - Building PermitsCITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
BUILDING PERMIT
Job Address: 3168 CHEMIN DE FER WY
Suite:
Vicinity: 1430, 1432, 1434, 1436 DEAUVILLE PL
Parcel Number: TPN98079
Applicant: PEARSON, VESS
Address: P O BOX 3908
SEAL BEACH, CA
Zip: 90740
Arch :
Address:
Zoning:
Phone: 562-429-7663
Zip: 90740
Phone: 714-285-2626X211
Zip: 92705
Phone: 562-429-7663
License: 472566
Eng
Address
Phone:
PERMIT NUMBER
B04-01046
77 FAIR DRIVE, , STA MESA, CA 92626
us: ISSUED
At ad: 06/08/2004
I: ad: 06/08/2004
C
ISSUED BY:
7
Pt _.
Zip: License: Lit se:
SCOPE OF PERMIT
REROOF CONDO BLDG WITH UNITS 1430, 1432, 1434, 1436 DEAUVILLE PL ONLY: T/O EXISTING ROOF, INSTALL 4YERS 15# FELT
UNDERLAYMENT, APPLY "GAF 40 -YEAR COMP SHINGLES PER MFGR'S SPECS." 32 SQUARES
SEAL BEACH, CA
Owner:
FRENCH QUARTERS HOA
Address
2020 E FIRST ST
SUITE 500
Permit:
SANTA ANA, CA
Contractor:
G M ROOFING COMPANY
Address:
P O BOX 3908
SEAL BEACH, CA
Zip: 90740
Arch :
Address:
Zoning:
Phone: 562-429-7663
Zip: 90740
Phone: 714-285-2626X211
Zip: 92705
Phone: 562-429-7663
License: 472566
Eng
Address
Phone:
PERMIT NUMBER
B04-01046
77 FAIR DRIVE, , STA MESA, CA 92626
us: ISSUED
At ad: 06/08/2004
I: ad: 06/08/2004
C
ISSUED BY:
7
Pt _.
Zip: License: Lit se:
SCOPE OF PERMIT
REROOF CONDO BLDG WITH UNITS 1430, 1432, 1434, 1436 DEAUVILLE PL ONLY: T/O EXISTING ROOF, INSTALL 4YERS 15# FELT
UNDERLAYMENT, APPLY "GAF 40 -YEAR COMP SHINGLES PER MFGR'S SPECS." 32 SQUARES
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Gamo I 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 penned 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 -licable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the ex ,tion of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
2446-46(6Ic0)
FEE SUMMARY
Plan Check:
$0.00
Calc Valuation: $8,450.00
Permit:
$167.25
Claim Valuation: $8,450.00
SMIP Res:
$0.85
SMIP Com:
$0.00
Other:
$0.00
Inspection:
$0.00
Total:
$168.10
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE
Front 0-0
Rear 0-0 Left 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 Gamo I 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 penned 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 -licable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the ex ,tion of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
2446-46(6Ic0)
WORKERS' COMPENE
ON DECLARATIOWW _
I nereby affirm under pe
/ of perjury one of IM following declarations.
❑ I have and will ma
work lot which thi:
In a certificate of consent to sell Insulator workers' compensation. is provided for by section 3700 0l the Labor Code, for the performance of the
'roil i5 issued.
ry
N I nave and will mai
My workers' comp
1 workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
such Insurance carrier and policy number are.
Carrier:
471; . •7 Policy Number: (' i. i I I h i - ,I -I �/
(This section need not t
rmpletea it the permrr is valued at one hundred dollars (5100) or loss,)
❑ I cenify that in the
oral of the well for which this permll Is issued. I shall not emp.oy any person in any manner so as to become subject to the wcrkors'
compensation law
California, and Spore that if f shouto become subject to the workerscompensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with these
Applicant Signature _
Anions
Date:
WARNING: FAILURE TO SF.
IE WORKERS' COMPe.14SATION COVERAGE IS UNLAWFUL AND SHALL iUILECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSAND DOLIARF 1410
n, IN ADDITION TO THE: OST' OF COMPENSATIJN, DAMAGES AS PROVIDE J FOR IN SECTION]]06OF THE LABOR CODE, INTEREST, AND ATTORNE"S FEES.
(Section 25534 of t
:ahlorma Healln and Salary Cafe provides that the Costa Mesa Fire Department may require the preparation, certification and tiling wild the Fire
LICENSED CONTRACT
S DECLARATION:
I hereby affirm that I am
spice and effect. Lic. Al _
nand Under provisions of Chapter 9 (commencing with Section 7JC01 at Division 3 of the Business and Professions Code, and my license is in full
_
y L — - r �(-1Class n L'
-
Contractor's Signature:
Iy r� Date: _ �• -, J=�
d�
CONSTRUCTION LENT
; AGENCY:
❑ 1 hempi, affirm Ina
:re is a consuuctinn fending agency for the performance of the work for which this oemut is issued. (Sec. 3097, Civil Code).
Lender's Name:._
Lender's Address:
Signature:
Date:
_..... .. ............ .. _..
7 II a permit from it,.
_.... .. ........ _.. . ............ .. ..........._ _.. _. _,........ .........._... ..... .._.... ..........._....
nfth Coast Air OuDlily Management District or ether air pollution control district or agency is required for the work which is the suhjecl of this
application, have a1
he disclosures pf,ea-dbeo by California Health and Safely Code Se mon 42303 been made? (] Yes ❑ No
OWNER -BUILDER DE(
RATIONS:
I he-eby affirm mat dndc
realty 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 count%
to file a signed stafemur
left requires a permit to construct. alter, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for Such permit
at he or she is licensed pursuant to the provisions of the Contraclo's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professio
subjects Ilio applicant to
:ode) or that he or she is exempt therefrom and be basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
ivil penally of not more than five hundred oollaro (5500), I:
❑ L as owner of the
any. or my employaps with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or Offered for safe (Sec.
7044, Business at
rotessions Code: Tpo Contractors License Law does not apply to an owner of propedy who builds or improves thereon, and who does such work
himself or herself r
cough his or her fast, employees, provided that seen improvements ale not intended or offered for sale. It, however, The building or improvement is
.sold within one ye.
' completion, the owner-lboilder will have The burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the
ieny, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The rontrac
License Law does riot apply to an owner of UdDeny who builds or Improves thereon. and who contracts for such project with a cnniractol(s)
license pursuant h
I Contractors UcenSu Laws.).
❑ 1 am exempt undo
Business and Professions Coca for this reason:
Signature:
Dale:
Ownor ID verified by oil,
: license. ❑ Ver. ❑ No Driver'; Ucensa No. Expires:
Verification of Ownershi
(type of document, i e. - property tax bill or deed):
200 Final Re -Roof
- 210 Electrical
DIVISION OF INDUSTF
SAFETY PERMIT CERTIFICATION:
❑ I hereby oddity the
excavation live (5) or mere feet in depth into which a person is req Tired to descend, will be made in connection with work authorized by this
permit. and that or
ilding structure, scaholdirg, talsework. or demolition or dismantling thereof, will be more than shiny -six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec,
341, Tule 6, Califo
Administrative'Codef.
❑ As owner builder.
11 not employ anyorld 10 do work which would regular a permit fron the Division of Industrial Safety, as noted above, unless sued person has a
permit to do such •
c from the division:.
Signature;
Dale:
Division of Industrial Sat
Permit Number:
1 Will the applicant o
saint or future huudirlp occupant neer. to trip and cenify a Bus:neq:. Plan for emergency response to release or threatened release of a hazardous
malarial? ❑ Yes
❑ No
(Section 25505 of t
3aldomia Health and Safely Code requires. with some oxcemions Thal a Slislness Plan be filed with the Costa Mesa Fire Department Dy every
business which ha:
any one lime during a reponed year a quantity of hazardous ntafdnals equal to of greater than a weight of 500 pounds, or a volume of 55 gallons,
or 200 cubic feel of
ipressed gas at standard temperature and pressure)
................ _......
........ ....................... ....
2 Dees or will the ap;
....._. . -............. ... ......... ............ ................_ ..... ............... ... ........... ...-........ ............... ..........
nt or present or fuldre building occupant hoed to fila a registration farm for acutely hazandus materiels? ❑Yes ❑ No
(Section 25533 of if
:alitornia Haalih still 31fety Code, with some exceptions, requires registration wiln the Costa ,Mesa Fire Department by each business which at any
one time har, on h
a quantity of ai hazardous materials equal to or greater Tian a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feel of
compressed gas at
rapid mmaeralpm 8nd pressure).
'..,. .......... ....._.._. _...__...__ ... .......... .............
....... .. .... ......... ......
3 Does or will the apr
...._. .,. _..........._.. _. ......... .......... .. ...._.... ..,. .........
in or present or fuhiro oullding occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?
❑ Yes ❑ No
(Section 25534 of t
:ahlorma Healln and Salary Cafe provides that the Costa Mesa Fire Department may require the preparation, certification and tiling wild the Fire
Department of an P
P by businesses WoWn are required to register aculaly hazardous materials will the Fre Depadnient.
........ ..._ .... .. ......
4 If an RMPP r, press
:...... ......_. .... ... ............ . .._.... ......._.... r.. ...._.. . .......... ............... ... ...._...
required, has Section 25534 of the California Health and Safely Cr do been fully compiled with, ❑ Yes ❑ No
.............. ...
...... .. a
_ Does or will
....... ......... _ ........ ......__._.. ...... ... ___. ......_.. ._..._.... ........,.. .., ..., _._.
.. .1
al for his a plc anon a ermli for such construction or mddliLabdn
mor present or haute bLIarill
cootie Khicl: 1 ie su 1auo � �
th Carl
from the South ('oa
f four airier ell .c i cs
Ir Quality Managed ani Dsin..t or Iran any other ler pollution con t til district or agora % Na
(Section 65050.2 of
California Govmnrf,:rl Code requires that the requested intormarc If be lurnisned on aopfcanons for nom residential building permits).
........ .............._. ......
6 V+I any pan til Tho
....... .......... .___..._ ..........._ ..... .... .... .._...... ... ....._....... ............_.... ._.. ._.......... ... __ _......... _..._............ ............
:rj to L. conshucfed under this pormil be within 1000 tool from the outer boundaries of a School? ❑ Yes ❑ No
(i1 -yes', the r6celly
T nrent the rrquirrHtrI of Sections 25534 and 4230:1 c; Die Cab:ow:a Health enc Saldly Coue).
..... ............. ....... ...... __......_..........
_..... .. ............ .. _..
7 II a permit from it,.
_.... .. ........ _.. . ............ .. ..........._ _.. _. _,........ .........._... ..... .._.... ..........._....
nfth Coast Air OuDlily Management District or ether air pollution control district or agency is required for the work which is the suhjecl of this
application, have a1
he disclosures pf,ea-dbeo by California Health and Safely Code Se mon 42303 been made? (] Yes ❑ No
.._...... .......... ... rw
ff (d'ye5", itfle>h foil
....... ...._...... ........ ........,........ .._.............. _....._.., ... .. ..............
.._... ...._.... .-.........ro Pollution
IC at COmrtt:anCn VOm IhE appropriate 3i! p011pllOp :OpIf0 OkidC11.
CERTIFICATE OF
APLIANCE. I eendy ;hat under penalty of facriur✓ ln.r iaformalicn chin above is coral I agme to comply with ell sloe= laws antl riW nrdnancan
legarding ttn GaraG:
avnf.;,F end Eml&510'IS. '
Siilnal"I".
_�— Dal.'
CERTIFICATE OF COMI
WCE AND AUTHORIZATION OF ENTRY: I codify under oenalty of perjury that I have read this application and stale That all, information given is
correct. I agree to comf
in all slate laws ant city ordinances relating in building construct -on, and authorize representatives of the City of Costa Mesa to enter upon the
above-described prepon
r inspection pure eles. I agree hot to r•ccupy or allow occupancy of any building authorized by This permit Until final inspection.
x\I�
Signature Of , o%al J'enogsf Data
!'
AndrOr Au� ih,prd �Opl cans Dala
CODE1, IN$eECTIO_N TYPE.
DATE aITI11JAL '__ _nDEx INSPj�11014 TYPE TF INTITIAj,$
1616 Fixed System F
Fire Prevention _ __ 206 Fhr4 Mechanical
1266 Pool Spa Final
208 Final Plumbing
Final
200 Final Re -Roof
- 210 Electrical
201 Final Block/Ret
Tg Wall 212 Final Fire Prevention
202 Final Factory F
'lace 220 Final Planning Approval
203 Final Sion
222 Final Site
204 Final Deri
2.50 Final Building,Occupancy
22726EE RECEIVED
Lot 38 AUG 3 1964
COSTA `MESA BUILDING -SAFETY DEPARTMENT plan # 3 f
P. O. BOX 317 COSTA MESA, CALIFORNIA 1nANCrrEn(�CQ7D��EP��T..
For Applicant to Fill In Completely APPLICX91&�FFOR'PERMI•I`$A
•, ` TYPE OR PRINT' BUILDING
BUILDING ��%3Z �.+/1 d For Office Use Only
ADDRESS L./T" v/LC�` L
RECEIPT NO. Ir
COSTA MESA, CALIFORNIA '
RECE !Y DATE ECRI D DATEISSUED
OWNER Harbor Hall of Fame Homes Inc' AUG 1 8 IS
MAIL BOX 2066 ADDRESS
ADDRESSFIRE
%/
TEL. ZONE TYPE �"' GROUP
CITY Santa Ana'' NO. 220 -
ARCHITECT Ra Levanas� APPROVED
OR ENGINEER Y NO. OR3-701 BY DATE
A' 'S 3432 Via Oporto, N t Bch zo No. of ZONING OF HE 1
Lifetime' Residential Bldg Co PtANB BDILDIry 10yj
CL. .ACTOR /
rye "GAL
ADDRESS BOX 2066 DESCRIPTION (`�• /
Santa Ana A. P. NO.
CITY
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
STATE208676 No • %19-2204 30" TO SIDE a REAR P. L..LIC. No. - -
20 X 80 EAVES
SIZE V rvo. OR BLOGB. Q ALLOWED fU. B. C. REQUIREMENT)
OF LOT NOW ON LOT
YARDS APPROVED YARDSAPPROVED
USEOFnone MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/ STREET)
SETBACK LINE FROM 2 110" FRONT �\� FT. FT,
CENTER OF STREET I REAR YARD G.1 qq
b
SIDE YARDI LEFT 0 RIGHT O R. BIDE FT. FT,
DESCRIPTION OF WORK L. SIDE FT. Q FT.
pLLrIX(7�z{ FT. z
NEW - ALTERATION .ADDITION REAR / FT. Ill
DISTANCE BET. - BET. MAIN 8
RT MOVING DEMOL SH MAIN SLOGS. ACCESS. BLDGS. It7
VAR11 DATE
11^ p .(`ls I z
SIZE dG 1240 ROOMS . O STORIES 2 C. U. P. 7j. APPROVED
EXTERIOR WALL ROOF APPROVED\((p�� / d
COVERING O COVERING RockY\P `ICN�1""'1 DATE a+
USE OF BUILDING AND WORK TO BE PERFORMED
i n o "It' ocquoancybld
with "J" construction garage w
- L"_/ VSO. FT. 3
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 2 Q
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O 0
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION . -/��_— a _ 0'
BUILDING CONSTRUCTION. /p
SIGNATURE OF - PERMIT FEE $ m „]
PERMITTE r� /'I ��'S1
r.(� , ,^� S / lj; � A ECK �a Q =
AUTHORIZED AGE _ E
TOTAL FEE