The URL can be used to link to this page

Home My WebLink About1145 DANIELLE DR - Building Permits *`p5 CITY OF COSTA MESA BUILDING DIVISION >:J .�..�,. DEVELOPMENT SERVICES DEPARTMENT PERMIT UMBER ft �._�nr • PERMIT *bow 04-00360 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,C STA MESA,CA 92626 BUILDING PERMIT Job Address: 1145 DANIELLE DR Status: ISSUED Suite: Applied: 02/13/2004 Vicinity: Issued: 02/13/2004 Parcel Number: 41207165 Zoning: R1 R1 Applicant: SANCHEZ, AL ISSUED BY: Address: Phone: 714-991-7773 Zip: Owner: POWERS, GORDON T TR Address 1145 DANIELLE DR Phone: COSTA MESA,CA Zip: 92626 Contractor: ORANGE COUNTY FENCE Address: 534 S ATCHISON ST q gaQp r •t}l4fShone: 714-991-7773 ANAHEIM,CA Zip: 90601 License: 820512 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT CONSTRUCT NEW 7 FT.HIGH BLOCK WALL OF 45 LINEAL FT.AT REAR OF PROPERTY,25 LINEAL FT.AT LEFT PROPERTY,AND 16 LINEAL FT.AT RIGHT PROPERTY(TOTAL 86 LF)PER CITY STANDARDS.SEE MM-04-06. • FEE SUMMARY Plan Check: $41.05 - - - Calc Valuation: $1,720.00 Permit: $63.15 Claim Valuation: $0.00 • SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $104.70 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 87-0 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 2446-48 19/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-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. tja_21 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 worker 'compensation Insurance carrier and polipy number are: /+ �7 0 Carrier: T.trd Q' , ..".GadurA7 Kb% I—e.t.a Cart Policy Number. I / I7j S (This section need not be completed if r e permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of th 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,ar agree t if I sh come subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: V Date: 2 'f"—Q V WARNING:FAILURE TO SECURE W E ' ENSA COVERAGE IS FUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CI IL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),I ADDITI 0 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 der 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.x - 41 Class e C/ 2 Contractor's Signature: Date: CONSTRUCTION LENDING 'GiNC 'G Y: ❑ 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 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 for a 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.). • O 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: Date: Owner ID verified by driver's license. 0 Yes 0 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: O 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.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: 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? 0 Yes 0 No (Section 25505 of the Califomia Health end 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 acutelyhazardous 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 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. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 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 akermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 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 1000 feet from the outer boundaries of a school? 0 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 required 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 0 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 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. fl e eget Owner s / ate Q P / 7Cpplica Date t CODE INSPECTION TY RAIL IKTm9L5 COOL A INSPECTION TYPE PATE MAU 1616 Fixed Systeention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 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 - S. _ / •THIS SKETCH S FOR INFORMATIONAL PURPOSES •SOLID WALLS/FENCES BETWEEN Y'6.6:6'IN HEIGHT SHALL ONLY. APPLICANTS RESPONSIBLE FOR PROVIDING BE SETBACK AT LEAST W FROM FRONT PROPERTY UNE. AN ACCURATE REPRESENTATION OF THEIR PROPERTY IN CASE THE SHAPE AND SIZE DO CORRESPOND •SOLID WALLS/FENCES SHALL NOT EXCEED 2*6•IN HEIGHT WITH THE INFORMATION PROVIDED ON THSSHIMT. WITHIN WOFTHE FRONT PROPERTY LINE(NOT CURB UNE). •VERIFY DISTANCE FROM CURB TO PROPERTY LINE DIVISION OF BUILDITA NG A E VERIFICATION THE OF GNEDIVISION5UISED. CALL 43 CITY APPROVED FOR INFORMATION. (� o— • This st nd specilicalIMIUSTIm kept onthis tab at all times and o is unlawful to • of at rat on sme vtlalA written permission lOmhe Q Q9 rnalceMes .SGoscrt u, GI TALL K'hld to Derrml or to b an approv IThe sis DG n and Deof Mf any provi ions of any Gily of Costa Mesa Ordinance an iii oialu to .pem d sha e*by li nitaton and become pll� t the r:lin9 scome and aired s dive per UBC§303141 w� I80 days ay of yuan "• work is tdf yy,� , AC90f16F �DIR "' m h. :a New 4'hcyh kxw tii•ti blockwgll MM-04cr. MM Oy-o'f ExsF'nq orw_ 1.4nca� MM-0-0 5 0 — r Z 64 o I d a - a � RE90EMd[ u AC90ENQ ` ' rt90D,¢ RC90EM¢ w Ii4I \' x!(45 s 4 Ilyq W 4 MPS- - )004 — 0 2;0U _ - -- _ i) APPROVED 1 e- D r f v e- MESA t STREET PLANNING DIVISION SUBJECT TO BLDG. DEPT. REG. NalgOCRICMAIELEADAYOUT FOR BUILDING PERMIT OR CORRECTIONS SHALL BE APPROVED BY THE PLANNING DIV. BY C'yJVDATE: by 3' 0/ PL-INNING DIVISION Ott_ „is(_ 0,74 __ Q S, O Co, 07 - TYPICAL 6II CONCRETE BLOCK FENCE ,,,,/ .-: 4 • 4 w a Cement Coping Options 1111111 -- =� wiw GENE R'AL-rtt NOTES , 1 Channel Block With.1::3F8.. , Horizontal Top of all�- 1 o:.i , ` ' - ' , Fences MORTAR: One Pet Plastic Cement, and r : is • INN MI • ".;,'`Three Ports-Sand" tp GROUT: v .One Port CemenN'Three and For Fences 5'or Lesi E'' Ven.Bars 3/e"¢St 4' -0"O.C. _ id RIME .. ��'- 1 :.•?.One-Half Parts. Stand i a COPING:,4o,One'Pa! Cement;:Three For Fences Higher Than,5' •• " ,i "• •POrfS.'$Ond i; ,,. Vert. Bars 3/8"�'at 32" O.C. . - > w - _ CONCRETE: Wa11�;Mil7-1/.:2-1%2: 3- o+ Fill Cells Solid With'G7out I e ✓.0mos`-.011,7- 1/•2:GCIIPns d_• :° Where Steel Occurs-' ,' rialliH „ III { �'+✓RWQ�aF Per SOI:k r)+ Cement Reinforcing Steel.Shall . 3 / /' GROUT MA Y_•BE POURED FROM THE-TOP t Conform to SeaA•15 39 1 u o OF THE FENQE IN CELL'S WHERE STEEL A.S.T.M. —, �!I FORCES. . ;T t I z ~ CELLS AND AREASOF HORIZONTAL--REIN 1 I W n FREE OF NT SHALL BE CLEAR,CLEAN IL All Steel to he Lapped - is, FREE OF ALL MORTAR DEBRIS.ETC. 24"or to Code _ � •- I�/ MI NATURAL GRADEE... , �.%lTv`�/"ice//. v • vNMI ,I� •t,� . J.YJ/..A.:(J e . TWO ]/e"0 BARS ' / CONTINUOUS TOP On V• ' ' O ' - ` 11 BOTTOM -414-1 L.-µIDTH TO 16 0 C MAX NI 4 SEE CHART ♦ . 14 H01212STEEI.MUST BE TIED IN BELOW , OE PTH (r C ARTHTCOTH PLACE AT TIME OF TRENCH [I_ IInTHE HEIGTH Or FENCE P t INSPECTION. ♦ • j s SLOW BOTTOM OF FOOTING 3 V e;_l o> 2" SCALE: I/2" = I' FOOTING REQUIREMENTS CHART WALL . HT 6 ' 5 4' 'WW . a H 14" . . 14" . 12" . 2" 1 THICKNESS . . IO" 10" 8 " 8 DEPTH OF EARTHTOOTH 24" 20" 16" 12" E SPACING OF EARTHTOOTH 12' 14' . 16' 16' l 9. , BUILDING DIVISION hr) lar) I- l 1 J TYPICAL 8" CONCRETE BLOCK FENCE 0 0 GENERAL - NOTES Cement Coping Optional illi Channel block with one 5/8 0 % I Mortar: One Part Plastic Cement. Horizontal Top of all Fences D 0 111 and Three Parts Sand For Fences 8'high t Three hfl 2 I I2 Grout: aO d Ohne Halff Part nts Sand Vert.Bars 5/8"0 all6"O.C. cAll Cells Solid Graouted d � ICoping: One Part Cement,and x Three Parts Sand Reinforcing Steel Shall QI' u o r I c Concrete: Well Mixed 1:2- 1/2:3-1/2 4 Conform to Sec.A-15-39 A.S.T.M. o Max of 7-1/2 Gallons of Water Per Sack of Cement All Steel to be Lapped liii 2r or to Code 0110 0• • 2 I 2 2 I I2• Grout maybe poured from the NATURAL GRADE 1II� I top of thfence. Cells and areas of horizontal -II- reinforcement shall be clear. A,, life / f _ clean and free of all mortar debris.etc. ‘ - Two 5/8"0 Bars _A, w�o1 I Continuous Top —►I I F- 8'O C MAX ► NOTE and Bottom Width Horlz. Steel must be tied In place See Chart 36" wall In excess of 6 feet In height at time of trench Inspection Below require discretionary review and approval process through the _ Planning DMslon and are not 3" automatically approved.Please I12" I~►I • 2"-1,I14— consultwith thePlanning Division. FOOTING REQUIREMENTS CHART Wall Height 6'TO 8' Wdth 16" Thickness 12" ' $E531/1 Depth of Earthtooth 36" Spacing of EarthTooth 8' Diameter of Earthtooth 12" BUILDING DIVISION 2705-46 MINOR MODIFICATION Reference No.: Status: APPLIED Applied Date: 02-13-2004 Approved Date: 02/13/2004 Denied Date: • MINOR MODIFICATION NO.: MM-04-06 Project Address: 1145 DANIELLE DR Suite: Parcel Number: 41207165 Project Applicant: POWERS, GORDON T TR PROPOSED MINOR MODIFICATION: NEW 7' HIGH BLOCK WALL OF 45 LINEAL FT. AT THE REAR, 25 LINEAL FT. AT THE LEFT PROPERTY LINE, AND 16 LINEAL FT. AT RIGHT PROPERTY LINE TO TIE INTO EXISTING WALL OF ADJACENT PROPERTY. REQUIRED FINDINGS:Y The improvement will not be materially detrimental to the health, safety and general welfare of persons residing or working within the immediate vicinity of the project or to property and improvements within the neighborhood. Y The improvement is compatible and enhances the architecture and design of the existing and anticipated development in the vicinity. This includes the site planning, land coverage, landscaping, appearance, scale of structures, open space and any other applicable features relative to a compatible and attractive development. PROJECT PLANNER: NOTES: •�y L CITY OF COSTA MESA , o, _ BUILDING DIVISION ;I I DEVELOPMENT SERVICES DEPARTMENT PERMIT PERMIT NUM R Ac B98-01527 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT , , - Job Address: 1145 DANIELLE DR Status: ISSUED I Suite: Applied: 08/24/1998 . Vicinity: Issued: 08/24/1998 ParcelNunmber: 41207165 Zoning: R1 R1 - Applicant: JONES, CRISTAL i Address: Phone: 909-734-5647 -• - Zip: - ' Owner POWERS;-GORDON T TR . • Address 1145 DANIELLE DR _ - / _ N /COSTA MESA,CA - - Zip: 92626 Contractor., CAL-PAC ROOFING Address: 4091 E.LA PALMA ANAHEIM,CA- Phone: 714-978-9274 - " . 'UNIT D . Zip: "..92807 ' License 719716 , Arch/Eng: - _ , , - ,l. i - Address: - -i ,J�h 1 I t• N -Phone:,.: �. r ` - I Zip: - / License: -7 , ' SCOPE OF PERMIT N ,RE-F%,OOF ONE FLAT SECTION AND TEAR OFF EXISTING ROOF:RE-ROOF WITH DECRA SHAKE. / OF Cause C1-CT 'Ori R'IP: FEE SUMMARY i Plan Check: , $0.00 _ - ' ------ . / 'll?..‘ /7 i , Calc Valuation: $15,455.00 Permit: • $237.25 - ,/,F. Claim Valuation: $15,455.00 SMIP Res: , $1.55 _ - . SMIP Corn: $0.00 .4 ,/ Other: $0.00 • Inspection: $0.00 Total: $238.80 - -PLANNING &ZONING ' SETBACKS _ MAIN STRUCTURE Front 0-,0 - Rear 0-0` ' - Left - .0-.6 Right 0-o' ' ' ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0' - PARKING Existing: 0 - ' Required: 0 • Proposed: 0 NOTES: • - 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. I 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 DECLAfRATI ANS •� a . WORKERS'COMPENSATION DECLARATION: • I 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 for 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 whi this permit is issued. My workers'compensation Insurance carrier and policy number are: /� _ Cartier: - Policy Number. Q v ' (7h section need not be completed if the 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 s to beco subject to the 'orkers' I compensation la of California,an gree t if I should become subject to the workers'compensation provisions of Section 00 of the bort e I sh forthwith comply with then costo y-� (� ��/III,I�y/ pplicant Signature: /� %�'`\ \Y-J-» Date: ✓ 1 q WARNING:FAILURE TO SECURE WORKERS'COMPENSATI AitiVERAGE IS UNLAWFUL AND SHALL SUBJECT A14 EMPLOYER TO CRIMINAL PENAL ES AND CI L FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST O • PENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. 1 LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensedl yl er�ori 'o . of Chapter 9(commenci •wi Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.F ` "�(( �' _ L M�$�.•• I \ Class x 7ontractor's Signature: 1� 7 �R��at/. f J Date: i 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: 1 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 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 for a 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.). ❑ 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: . Date: Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bit 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.3.2,Grp 2,Art 2,Sec. 341,Ttle 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: Date: 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 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 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 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. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California GOvemment 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 1000 feet from the outer boundaries of a school? 0 Yes 0 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 Duality 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 Code Section 42303 been made? 0 Yes 0 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 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. L J I,Lwortworonzed •pplicant / •:te LODE t INSPECTION TYPF v DATE =ALE GOOF f INSPECTION TYPF DATE =ALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final p /� ,p ,','A,� 208 Final Plumbing 200 Final Re-Roof [ -7 . 4�" 'fr 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 • _ 2446-46 AUt3-21 -98 1S : 31 FROM :VILLAGEb.. ., MANAGE . 10 : 9992S09erd9 ' ' 'SAGE I/1 ::.. 1• iir iJ!I e 1. illn alW c Il :i1,`' ►ft•�\. !'fir r `f -7 ` Wimbledon'Villa 8e August 21, 1998 Gordon Powers 1 (45 Danielle • Costa Mesa, CA 92626 RE; WIMBLEDON VILLAGE ASSOCIATION Request for Architectural Change Approval Dated July 27, 1998 Dear Mr. Powers: • As management agent for the Wimbledon Village Association, I have been instructed by the Architectural Committee to contact you regarding the approval of your architectural application dated July 27, 1998, 1998 for the repainting and re-roofing of the home. Please be advised that the Architectural Committee has approved the application as submitted. If you have any questions, or if I can be of assistance to you in any other matter, please do not hesitate to contact the undersigned at(949) 553-1876, extension 202. Thank you. Sincerely, VILLAGEWAY MANAGEMENT, INC. Debbie Finn Property Manager At the Direction of the Board of Directors DRF/khc Enclosure C . Cal Pacific Roofing - Via Fax 347-1310 P.O BOX 4708, IRVINE, CALIFORNIA 92616 (714) 553-1876 C:USSDOA1lONS\WImbltdonlA cMecwral&CCR14ch Cortesla donco i 145 oanielle.aoc 0 A t-//SL 8790 2/2.1/79 342• I IL COSTA MESA BUILDING-SAFETY DEPARTMENT 0790 2/21179. 342 ICKtu P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 { 790 0000'4474 91 t_ APPLICATION R STRUCTURAL PERMIT For Applicant to Fill in Completely— Use Ink Only R - IV_• t DATE RECEIVED DATE ISSUED d BUILDING ''-'' /I ADDRESS Tract 10277 Lot 43 - - . PERMIT NO. OWNER McLain Development Co. A.P. NO. 1112 -07/- 0 ///�� MAIL BUILDING //�� ,/� ADDRESS 1470 Jamboree Road ADDRESS /N�/ TEL. TRACT 10277 L LOT43 BLOCK CITY Newport Beach NO. 640-6800 CONSTRUCTION NEW ADD ALTER I REPAIR (MOVING DEMOIISH LENDER BRANCH ,{II�' a ' OWNER/ a A . f 1 ADDRESS VAo LVE f 71,7);- ARCHITECT TEL. 25) E OR ENGINEER Corb in/Yamafitji NO, 759-5567 FIRE ADDRESS 3661 Spruce St. , Newport Beach ZONE TYPE GROUP APPROVED CONTRACTOR McLain Development Co. BY DATE ADDRESS 1470 Jamboree Road TEL. ZONE NO.OF USE OF NEW CITY Newport Beach NO. 640-6800 PDQ-mD PLANS BUILDING ferns f^` STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. 273875 LIC. NO. MAIN BUILDING ACCESSORY BUILDING IX (FROM C/L STREET) SIZE NO.OF BU . a. OF LOT 45 X 112 NOW ON LOT FRONT Z S FT. O FT. Q USE OF rn EXISTING BLDG. R.SIDE c_FT, 0 FT. to F Separate permits are required for L.SIDE C FT. 0 FT. electric,plumbing and heating work. REAR pc 6 FT. O FT. 61 USE OF BUILDING AND WORK TO BE PERFORMED F DISTANCE BET. BET.MAIN& QMAIN BLOCS. ACCESS. BLOCS. Single family residence, VAR.# '/ DATEC.U.P.#2 E 7l-3r APPROVED .2.47/7: New House APPROVEDr/II�/ DATE 121/! 79r —AV l CL w MOLD FOR SPECIAL REQUIREMENTS O I hereby acknowledge that I have read this application and state n n $4 that the above information Is correct and agree to comply with co-.,, IS all laws regulating building construction, and I shall not employ . Z any person in violation of the workman's compensation laws of House 2190 ee S the State of California. Garage 5853 I hereby certify that I am properly licensed as a contractor under SQ. FT. a the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are In full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business AD VALUATION PERMIT FEEo and Professions Code,Division 3,Chapter $ a2 . N n Signature of //� r_ /��/(/J r^ PLAN CHECK $ /1•2 / - - ' o Permittee a PA.0 en V ` AL�� $ 68, A' �/ LL W TAX E OtND Authorized Ag T TOTAL PAID $ a ? 3 ®+®