HomeMy WebLinkAbout1446 DEAUVILLE PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 3168 CHEMIN DE FER WY
Suite:
Vicinity: 1440, 1442, 1444, 1446 DEAUVILLE PL
Parcel Number: TPN98079
Applicant: PEARSON, VESS
Address: P O BOX 3908
SEALBEACH,CA
Owner:
FRENCH QUARTERS HOA
Address
2020 E FIRST ST
Plan Check:
SUITE 500
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:
ISSUED BY:
Status: ISSUED
Applied: 06/08/2004
Issued: 06/08/2004
Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF CONDO BLDG WITH UNITS 1440, 1442, 1444, 1446 DEAUVILLE PL ONLY: T/O EXISTING ROOF, INSTALL 2 LAYERS 15# FELT
UNDERLAYMENT, APPLY -GAF 40 -YEAR COMP SHINGLES PER MFGR-S SPECS.- 29 SQUARES
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 it 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
o.b-an taw)
FEE SUMMARY
Plan Check:
$0.00
Calc Valuation: $8,450.00
Permit:
$167.25
Claim Valuation: $6,450.00
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 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 it 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
o.b-an taw)
WORKERS- COMPENSATION DECLARATI
I hereby affirm underpenalty, 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
work for which this permit is issued.
-Q 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' compensation Insurance carrier and policy number are:
Carder: 5Vyit _ Yi Policy Number:
(This section need not be completed it the permit is valued at one hundred dollars ($106) or less.)
❑ 1 canny Inst In the penormanze of the work for which Ihls 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 IheS provisions. .
Applicant Signature: z, w r r :��.- Date:
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 DOUL RE (S1D0.oe0), 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 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bustnesg and Professions Code, and my license is in lull
force and effect. Lic. a -L e, L- ` Class a l_— Ci
Contractor's Signature: �V_6 _ Z; --Z- IF Date:
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 affirm 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 lila 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 ($500).):
❑ 1, 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 ne or she did not build or improve for purpose DI 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 contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Dale:
Owner ID verified by driver's license. ❑ 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:
❑ 1 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. 3.2, Grp 2, Art 2, Sec.
341, Title B. California Administrative Code).
❑ As owner -builder. I will not employ anyone to do work which would reauire 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 cenify 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 lime during a reposed year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons,
or 2DO cubic feet of compressed gas at standard temperature and pressure).
_...' ....r .................. .._...^....................til_............_. _....'..... ............._....................__...
2 Does or will the applicant or present or future building Occupant oetl to e 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 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 filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
..... ....................................... .............................................. ..........._.................-................__..................................................,........................................................_................,..........................................
.p . sen
4 II an RMPP is presently required, has Section 25534 of the California He... and Safely Code been fully complied with? ❑Ves ❑ No
5 Does he will the applicant u present or future building it occupant require for the work which is the subject c this a plication a ppermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? � Yes J No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential .builtling permits).
_................................. ........... ............... .........................._............-...........
.__...
___............. .____....................................._............_.............. ........................ ....
6 Will any pan of the facility to be constructed under this permit he within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(It "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safely Code),
..... .. .. ............ ...... ............ .. ........ ............. .....I ......,.,,, ........ ..,........................................... . ....... .... ....
7
ti.,
f a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this
application, have all of the disclosures prescribed by California Health and Safety Cade Section 42303 been made? ❑ Yes ❑ No
........._.........................................I.......................................... .... _.......__...._........... -............... ..._................ ..... .... .._.._........... ... ............ .... _........__....
B (II'yes", attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIA14CE: I cenify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Dale:
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 Coda 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.
nature Of Legal Owner(s) Date
��,t . �.l 0�o
And/Or Authorized Applicant Date
y-QDE If, INSPECTION TYPE pSLENTj—RhLS £OOEI INSPECTION TYPE DATE INTJiIALs
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final�— 208 Final Plumbing
200 Final Re -Roof L 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 Final Demolition 250 Final Building/Occupancy
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 317 COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING
ADDRESS 7 Deauville Place
COSTA MESA. CALIFORNIA
OWNER HARBOR HALL OF FAME HOMES INC.
MAIL py$ 2066 -
-
ADDRESS
DESCRIPTION. OF WORK
Santa Ana,
TEL Ki 9220
CITY
O.
ARCHITECT -RAY LEVANAS
TEL 6737010
OR ENGINEER
NO. 1
3432 -Via -Oporto,
N.P. Beach
ADDRESS
2
$TORI
CONTRACTORLife time Res. Build. Copp,
2131 S. Artesia
O��PERMIT
ADDRESS
Santa Ana, California -
CITY
STATE 208676' TEL.
Ki 92204
'LIC. NO. NO.
SIZE OF LOT 1503
No. of BLOT O -
NOW ON LOT
USE OF
EXISTING BLDG. NONE
SETBACK LINE FROM ...
CENTER OF STREET
REAR YARC
SIDE YARD) LEFT O
I -RIGHT 0
DESCRIPTION. OF WORK
NEW
A
ALTERATION
ADDITION
REPAIR
MOVING
DEM LIST
BUILDING 1008 NO. OF
SIZE ROOMS
2
$TORI
EXTERIOR WALL PLAST ROOF__'
_'ROCK.
N USE OF
7
FEE RE JLD
fE8 2's 1%6
(�'�rTFyINnnAFFNC��E�.�TDppE IPM�T�..Cp
APPOTA `FOR'PEI> *
BUILDING
For Office Use Only
RECEIPT NO. 1 :7118a
BY D B RECElp-
DGL DATEISSUED
ZONING
NO. OFUSE OP N
PLANE BUILDING AE
LEGAL
YARDS APPROVED
MAIN BUILDING
VAR. n
SHALL)/BEE1LESSTHAN
7R 43s'y��
(U..S. C: REQUIREMENT)
YARDS APPROVED
ACCESSORY BUILDING
r•i
O EAT. PLAN Te N
G
I XEREBT ACKNOWLEDGE 1 HAVE READ TN1fll
8AMOUNTBROWNUNDERVALUATIONI8FOPTHEANDSTATETHATTHEABI8CORRECTANDRPOSEOPESTABLISHINGAPERMITFEEONLY.PLYWITHALLCITYOACEBAN8ATION��,//��BUILDINGCONBTRUN.L•�SIGNATURE
O��PERMIT
FEEPERMITTE97�'DI/E10
AUTHORIZED AGENT
E
f`+ �yE Sro
TOTAL FEE $
srl !!