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Home My WebLink About177 ADMIRAL WAY - Building PermitsCity of Costa Mesa Building Safety Department P.O. Box 1200 Costa Mesa, California The Building located at has been inspected and fou i CERTIFICATE OF OCCUPANCY �L to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group Occupancy. Use of Building , -,.:.n! -..:,, ,. -,., Legal Description X111 -'1 -1 -J, Tr 1'1- r, -I, Iflt (See reverse side for Metes and Bounds) Building Permit No. Electrical Permit No. C44-= 6 Plumbing Permit No. Number of apartments -fl- and/or guest rooms ISSUED TO: Building Official by Date . i This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 (a) U.B.C. Form BU 34 Rev. 11/70 1525 10/22/80 217.00 Th' - COSTA MESA EIQr I NG -SAFETY DEPARTMENT APPS"•~TION FOR STRUCTURAL PERMIT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 C. RECEIVE Y PERMIT /' ,sr (� s— NI % (J For Applicant to Fill in Completely — Use Ink Only BUILDING�– -IV A.P. NO. ADDRESS , _lq-xBUILDING OWNER OR �j` TENANT 1/V,C- ADDRESS y- MAILING [� T OR --�T--��jj�� 3 /� q Q ` `, ADDRESS I J ' 1 J'I )XCI c,I AA -L IC�• SPACE NO. �(.f� -• /7 CITY ri L"a. O 0I NEL. I TR,NOO.LOT O BLK. _ /'7"`�S D NEW ADDLTER REPAIR MOVING DEMOLISH CONSTRUCTION LENDER BRANCH OWNER J-' Z, �M ADDRESS /y J VALUE USE Si�. rc $1'+L'MCL $ ARCHITECT/ TEL L aka%�r�/ OR ENGINEER 1j -((J 8`f 92626 ZONE TYPEN,/' 'V J ADDRESS IJ C, GROUP APPROVED CONTRACTOR BY DATE ADDRESS TEL. CITY NO. STATE CITY APPROVED SETBACKS LIC. NO. LIC. NO. SIZENO.OF BLDGS.Z 60 -GS (FROM C/L STREET) OF LOT U GCC% NOW ON LOT FRONT FT. USE OF r V CG EXISTING BLDG. S' F' /GSI/✓L R. SIDE F T. Separate permits are required for L. SIDE FT. electric, plumbing and heating work. REAR FT. U E OF BUILDINq AND WORK TO BE PE RFORM,AtFFD PLANNING ACTION �1 �G& DATE 2 f I LL C'O APPROVED OarG�// APPROVED I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person In violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ and Professions Code, Division 3, Chapter 9. Signature of`�(y-/^/� PLAN CHECK $ Permittee $ TAX $ or Authorized Agent Date V TOTAL PAID $ 2r7 - (714)754-5273 • Fax(714)754-4856 Job Address: 177 ADMIRAL WY Suite: Vicinity: UNITS 177 THRU 183 CITY -OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT Parcel Number: 43929314 Zoning: Applicant: LUKE, GARY $1.00 Address: 448 S. MONTGOMERY Other: $0.00 Inspection: Phone: (714) 633-8798 Total: ORANGE, CA Zip: 92667 Owner: VILLAGE IN COSTA MESA Address P O BOX 579 Phone: DANA POINT, CA Zip: 92629 Contractor: LUKE ROOFING Address: 448 S. MONTGOMERY Phone: (714) 633-8798 ORANGE, CA Zip: 92667 License: 672569 Arch : _ Eng: Address: - Address: Phone: Zip: License: 4`. PERMIT NUMBER / B99-01889 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 11/29/1999 Issued: 11/29/1999 Phone: License: SCOPE OF PERMIT REROOF EXISTING 4 -UNIT CONDOMINIUM - EXCLUDES GARAGE AREA (39 SO. PITCHED & 23 SQ. FLAT). TEAR OFF EXISTING WOOD SHAKES, & INSTALL 1/2 INCH OSB PLYWOOD SHEATHING, 1 -LAYER OF 15# FELT UNDERLAYMENT, & 30 YEAR CLASS -A- COMPOSITION SHINGLES ON PITCHED AREA, ON FLAT AREA, INSTALL 4 -PLY BUILT UP ROOFING WITH GRAVEL SURFACE. '4 -UNIT CONDOMINIUM INCLUDES UNITS 177, 179, 181, & 183 ADMIRAL WAY. Plan Check: $0.00 Permit: $181.25 SMIP Res: $1.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $182.25 SETBACKS MAIN STRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existing: 0 FEE SUMMARY Calc Valuation: $10,000.00 Claim Valuation: $10,000.00 PLANNING & ZONING Rear 0-0 Left 0-0 Right 0-0 Rear 0-0 Left 0-0 Right 0-0 Required: 0 Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulalions. (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 r iCIARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of penury 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 Cade, 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 which this permit is issued. M workers' come alio Insuranc der an policy number are: Y P .@9ar P cY Carder. e- C5 .14,; Policy Number: Q CY9 (This section need not be completed it 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 as to become subject to the workers' compensation laws of California, agd agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. ' /lam Applicant Signature: Date: ss7 WARNING: FAILURE TO SECURE WO COMPE ON COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed gDder provisio s of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and vProf ssigns Code, and my license is In full - `j 1 force and effect. Lic. # �o Class # `-' Contractors Signature: Date: /l• � S .-Ij' 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. 3091, Civil ode). Lenders Name: Lender's Address: Signature: - Date: I 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 7031.511 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 contractors) 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 drivers license. ❑ Yes ❑ No Drivers License No. Expires: Vedfication of Ownership by (type of document, i.e. - property tax bill or deed): I 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, 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, u such person has a (less 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). 1 _ -- _i_Dmor will the applicant or present or future building occupant need to File a registration form for acutely hazardous materials? ❑ Yes I [INo (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). I 3 Does or will the applicant or present or future building occupant need to are 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. ... FW....._ ....._--- -----------_ .... .._—.-_..._._._..... _._._ ._ .. _ _ ._.... .-__...... _...._...__ T.If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ Nod ._.. 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application agermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Ll Yes LJ 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 part of the 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 required for the work which is the subject of this application, have all of the disclosures Prescribed by Celifomia Health and Safety Code Section 42303 been made? []Yes ❑ No B (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. 1 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 insp action. SI r1 egal Owners) Date ATTOr eorized Applicant Date CODE #, gATf, INTRIALS CODED INSPECTIONTYPE 2&7E IN AL 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Root —� 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 244646