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Home My WebLink About170 ADMIRAL WAY - Building PermitsRF COSTA MESA BL—DING-SAFETY DEPARTMENT APIATION FOR STRF�Jf�f [ L PERMIT 07A7 TL P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 �+I r iS 3 N RECEIs/Ejt$,1 PERMIT For Applicant to Fill in Com let y Use,Ink ,BUILDING A.P. NO. 119-061-27- ADDRESS BUILDINOWNER OR TENANT P. I. & I., Inc. ADDRESG Sor- UNIT ORMAING 3 SPACE NO. /e ADDRESS 13919 Struikman Road 443 Cerritos, CA' 90701 NEL' 926-440 710957 L 9 BLK. CITY CONSTRUCTION NEW I ADD ALTER IREPAIR IMOVINGIDEMOLISH LENDER X BRANCH OWNER P. 1. & I., Inc. a ADDRESS VALUE USE S.F. residence ARCHITECT TEL. 979-6283 OR ENGINEER Lee & Sakahara , ADDRESS 3184-A Airway, Costa Mesa 92626 ZONE TYPE= GROUP APPROVED CONTRACTOR BY DATE ADDRESS TEL. CITY NO. STATE CITY APPROVED SETBACKS LIC. NO. LIC. NO. SIZE 1.606 NO.OF BLOGS. 2 (FRO /LSTREET) OF LOT acres NOW ON LOT R USE OF S.F. residence EXISTING BLDG. Separate permits are required for L. SIDE FT electric, plumbing and heating work: REAR T. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION residential condominium unit, garage & 7 APPROVED % �ly- �Ji0 carport trellis APPROVEDBY 1 hereby acknowledge that I have read this application and state V that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ p �o any person in violation of the workman's compensation laws of the State of California. /,OSQ. FT. I hereby certify that I am properly licensed as a contractor under the State of California ass d Pr eplons Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and the s ar I force, and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: em exempt from so to of -California Business and Profession r 9! VALUATION PERMIT FEE $ PLAN CHECK $ O 3 Signature Permitt $ a�Q TAX $Al or � Authorized Agent t TOTAL PAID $ O N City of Costa Mesa Building Safety Department CERTIFICATE OF OCCUPANCY P.O. Box 1200 Costa Mesa, California The Building located at has been been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group v-:" Occupancy. Use of Building .Ltar.:.-f. (.exc. - Legal Description .;alJ•',i,l-2'J: 1:� t. .2b?CT' 1..:7 (See reverse side for Metes and Bounds) Building Permit No Electrical Permit No. ,I 'v . Plumbing Permit No. %do, ! Number of apartments —0— and/or guest rooms Il, - ISSUED TO: Building Official •L—ter--- by ~ �i 1%uiZ I?• dllr%�tl�0y�-- -';-'-cxY.'--iU --r'rcfor Cui!,in- +i Date occo;,ar. a4. :! J. 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 (e) U.B.C. Form BU 34 Rev. 11/70 CITY OF COSTA MESA Y BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT J � e PERMIT (714)754-5273 • Fax(714)754-4856 BUILDING PERMIT Job Address: 170 ADMIRAL WY Suite: Vicinity: UNITS 170-174 PERMIT NUMBER B99-01887 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 11/29/1999 Issued: 11/29/1999 Parcel Number: 43929314 Zoning: Applicant: LUKE, GARY ISSUED BY: Address: 448 S. MONTGOMERY Phone: (714)633-8798 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: Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING 3 -UNIT CONDOMINIUM - EXCLUDES GARAGE AREA (33 SO. OF PITCHED & 16 SO. OF 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. `3 -UNIT CONDOMINIUM INCLUDES UNITS 170, 172, & 174 ADMIRAL WAY. FEESUMMARY Plan Check: $0.00 Calc Valuation: $10,000.00 Permit: $181.25 Claim Valuation: $10,000.00 SMIP Res: $1.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $182.25 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 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 - DECLARATIONS 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 permil 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. My workers' compen� tion— Insurance caLand licy number are: Q Carrier: _J / c/� / '-�'+� Policy Number: (This section need not be completed if the permit /s valued atone 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, and a Irea t at If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Applicant Signature: Date:S- WARNING: FAILURE TO SECURE WORKER CO�EE1 ATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR E (5100,000), 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 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prate Ions Code, and my license is In full force and effect. Lic. M Class e �- S Contractor's Signature: Date: "5' 5, 4 `r r 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: Dale: 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. It, 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 Lew 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 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: ❑ 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 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 materiels? ❑ 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 Costs 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 compiled 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 aermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? F5 Yes a 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? ❑ 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 retred 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? ❑ Bas ❑ 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, St re Owner(s) Date � �/•o2f'- S'S A,WQs,Atithorriz pplicant Date CODE •. INSPECTION TYPE gATi INTITALS CODE( INSPECTIONTYPINTITAL� 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final� 208 Final Plumbing 200 Final Re -Roof •' `0� /tom 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 204 Final Demolition 250 Final Building/Occupancy 244646 Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. ' CITY OF COSTA MESA FPER MIT NO. TRACT NO. LOT NO. BLDG. NO. CONSTRUCTION PERMIT 41607 TYPE OF CONSTRUCTION NEW El ❑ ALTE A ION - ❑ REPAIR ❑CONVERSION DEMOLISH ❑ OTHER - � n .. AT ZONING REGULIONS I 'la ProjectAddress �+ -Owner �( 'Phone p Address ' � Arch/Eng. License o. DESCRIPTION OF WORK A.P. xh-- Address ZONE PLNG. REF. $ Contractor CV mTYPE OF PERMIT ❑ GRADING .❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING OMECHANICA BUILDING SETBACK LST. r�5IDE YARD LEF Tr'pp gg((/1I LLppINC ' VROPERTV LINE ' Address LICENSED CONTRACTOR DECLARATION - 1 hereby affirm that I am licensed under provisions of Charter 9 (corn- RIIG HTA mencing with section 70 00) of Division 3 of the Business and C3 OTHER 'Professions Code, and my license is in full force and effect. REAR YARD (TO P/L) PROJECT DESCRIPTION - License Class License No. PKG. SPACE REO. PROVIDED Date _ Signature IWORKERS'COMPENSATION SO. FT. _ STREET WIDTH PARK FEE$ DECLARATION OCCUPANCY CONSTRUCTION TYPE 1 hereby affirm that 1 have a certificate of consent to self -Insure or a VALUATIONA;�6920 ZONE ZONING APPROVED BY DATE ,certificate of Workers' Compensation Insurance, or a certified copy - `�reof (Section 3800, Lab. C.). GRADING CU. YDS. ACRES SPECIAL CONDITIONS: ' I:y No. Company' - - -' Zertified copy is hereby furnished. — - REMARKS: - ,❑ Certified copy is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION .(This section need not be completed if the permit is for one hundred _ - ($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 PLUMBING PLAN CHECK - ELECTRICAL - PLAN CHECK subject to the Workers Compensation Laws of California. - _ BATHTUBS SHOWERS Date Signature NOTICE: If after making this declaration, you should become subject TOILETS - URINALS s - GENERATOR - 0-1 KW_ 1-10 KW to the Workers' Compensation provisions of the Labor Code, you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE- 10-50 KW_50 +-KW revoked. _ .. _ KIT. SINKS DISHWASHERS MOTORS 0-1 HP -1-10 HP " CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the per- formanceSERVICE of the work for which this permit is Issued (Section FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES _3097 Civ. CJ. Lender's Name _ Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS INTERCEPTORS CLARIFIERS •PO LE LIGHTS- - OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for POOL P TRAP POLES METERED SUB . the following reason (Section 7031.5 Business and Professions Code:SWIMMING Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its 'issuance I also re- WATER SERVICE ALTERATION - PANELS MAIN - SUB quires the applicant for such permit to file a signed statement that he _ GAS SERVICE OUTLETS SERVICE AMP " is licensed pursuant to the provisions of the Contractor's License Law' (Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU -Iness and Professions Cod e) or that he is exempt therefrom and the for the the alleged exemption. Any violation of Section 7031.5 by applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTION S\(\S - - �. not more than five hundred dollars ($500). _ SOLAR TANK O - •(] 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. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. ISSUE FEE' Contractor's License Law does not apply to owner of a property ISSUE FEE � -� APPLICATION APPROVED BY DATE who builds or improves thereon, and who does such work himself or his own employees, provided that such Improvements are not MECHANICAL 8 PLAN CHECK SUMMARY OF FEES intentletl offered for sale. If, however, the building or improvement intended th ll oSol ng one year of completion, the owner will have the burden of ovino he did not b improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING Q ro rt I, as owner of the property, p exclusively contracting with licensed contractors construct the project (Section Business AND DUCTING 100,000 + BTU PERMIT $ PLAN CHECK $ SMIP $ PERMIT es not and Professions Code: The Contractor's License Law does not apply to : ISSUANCE $ owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU E PLUMBING $ tracts from such projects with a contractor(s) Ilcesnetl pursuant to tracts SYSTEM GRADING $ the Contractor's License Law). 100,000+BTU PLAN CHECK $ Cl I am exempt under Section B. & P. C. for this BOILERS BTU ELECTRICAL $ $ reason SYSTEM REPAIR, ALTERATION — EXHAUST SYSTEM MULTIPLE PLAN CHECK g MECHANICAL $ MICROFILM $ TOTAL FEE $ LESS AD. Date Owner 'I -hereby certify that 1 have read this application and state that the above information is correct. I agree to comply with all city and county PLAN CHECK $ VANCE PC $_ 'ordinances and state laws relating to construction, and herebya uthorize representatives of this city enter upon the above enti ned property for n ufp S. Signature I Dat FINAL FEE $ Drivers' Li se or SS ISSUEFEE- CMF 0865-46 While -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POOL & SPA APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Undrgrn - 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Trao. ❑ Undrqrn 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing 55- Plumbina System - Final 14. Rough Electric -Conduit 56. Electrical -Final 15. Rough Electric -Wring 57. Solar System -Final 16. Rough Heating & Air Conditioning encing & Access Approval 17. Ducts in.Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test 20. Roof Framing 21. Roof Sheathing NOTES: 22. Frame and Flashing 23. Insulation 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter -Final 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test 31. Final Plumbing 32. Water Service -Final 33. Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System ' 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date City of Costa Mesa Building Safety Department CERTIFICATE OF OCCUPANCY P.O. Box 1200 Costa Mesa, California The Building located at 1 i - has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group l Occupancy. Use of Building 'r:- n c,ri f-'-• )V¢hr•'rl'Ml na r-rt�1 Legal Description `ilL_ Tn, lr' 1l,C77 (See reverse side for Metes and Bounds) Building Permit No - 1 - Electrical Permit No. ,. Plumbing Permit No. ISSUED TO: Number of apartments - - and/or guest rooms -.r"- I. '11"21 Building Official by 'Victor C.. �.rcon r .1'=-1' Jir 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 lel U.B.C. Form BU 34 Rev. 11/70