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Home My WebLink About190 ADMIRAL WAY - Building Permits-Citybf Costa Mesa Building safety Department CERTIFICATE O`F .O'C.C,U P AN C Y ja!g 3577 P.O. Box 1200 1 CostaMew, Califoinia , The Building located at. '190 Admiral wav _ has-been inspected and found to comply with the provisions of all'City of CostaMesa Ordinances applicable thereto jor,a Group Rea F 4-1Occupancy: Oseof'.Building rnndo with dtPtached aarade k c-nnonrt- fire11i:G .Legal Description (See reverse side ,Building Permit No AQRSS Electrical Permit No. dAdd9 Plumbing Perm'if'No.'. '7R;ZQo „Number"of apartments —t)— and/or guest rooms: ISSUED Building Officiate• by P. T. & I-,. INW1U>0PATF:D V%tor C. Newton -Director Building Divisit Date October 23, 1.981 This Certificate of Occupancy'SHALL,BE posted in.a conspicuous place on the premises and SHALL NOT.BE remove&except by the Building Official of the. City of Costa Mesa under Sec., 306 lel U.B.C. Form BU 34' Re<11/70 For Applicant to BUILDING /(J ADDRESS OWNER OR TENANT P. I. & I MAILING 3705 3/19/80 112.90 TL DEPARTMENT API ATION FOR STRUCTURAL PERMIT FORNIA 92626 _._.., ' • • • �L�j/Ili/�L!/t •. n JJ1J JLL LLINIL611 i T R.NO. L SLK. L. CITY Cerritos, CA 90701 NNo. 926-4407 1OQr7 20 NEW ADD ALTER IREPAIR IMOVING DEMOLISH CONSTRUCTION LENDER X BRANCH OWNER P. I. & I. Inc. ADDRESS VALUE ARCHITECT TEL. Lea & Sakahara 979-6283 USE S.F. residence—7- OR ENGINEER N ADDRESS3184-B Airway, Costa Mesa 92626 ZONE � TYPE GRO/ / APPROVED CONTRACTOR BY DATE ADDRESS --- _�� TEL. CITY NO. STATE CITY APPROVED SETBACKS LIC. NO. LIC. NO. SIZE NO. OF SLOGS. (FROM TR ET) OF LOT 1.606 acres I NOW ON LOT 2 FRON FT. USE OF EXISTING BLDG. S.F. residence Separate permits are required for L. SIDE FT. electric, plumbing and heating work. REAR FT. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION Construction of 2 -story single famil residential condominium unit ara e - B — % DATE / APPROVED & carport trellis. APPROVED ra I hereby acknowleclge that I have read this application and state REQUIREMENTS— 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. -SQ. DS FT. Q I hereby certify that I am properly licensed as a contractor under I the State of California Business and P esslons bode, Division 3, THE AMOUNT SHOWN UNDER VALUATIA IS FOR Chapter 9, antl that c n full and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from t P the t Iif nia Business VALUATION PERMIT FEE $ antl Professions tl PLAN CHECK $ � Signature o Permltte / $ TAX $ '3 e v // Authorl d Agent Date TOTAL PAID $ •• E CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fax (714) 754-4856 BUILDING PERMIT Job Address: 190 ADMIRAL WY Suite: Vicinity: UNITS 190 THRU 196 Parcel Number: 43929314 Zoning: Applicant: LUKE, GARY Address: 448 S. MONTGOMERY SMIP Res: $1.00 Phone: (714)633-8798 SMIP Com: ORANGE, CA Zip: 92667 owner: VILLAGE IN COSTA MESA Address P 0 BOX 579 Phone: DANA POINT, CA Zip: 92629 Contractor: LUKE ROOFING Address: 448 S. MONTGOMERY Arch : Address: Phone: (714)633-8798 ORANGE,CA Zip: 92667 License: 672569 Phone: Zip: License: Eng: Address: P:99-0118,92 MIT BER 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 - EXCLUDING GARAGE AREA (39 SQ OF PITCHED & 23 SQ OF FLAT), TEAR OFF EXISTING WOOD SHAKES & INSTALL 1/2 INCH OSB PLYWOOD SHEATHING, 1 -LAYER OF 15# FELT UNDERLAYMENT, & 30 YEAR COMPOSITION SHINGLES ON PITCHED AREA. ON FLAT AREA, INSTALL 4 -PLY BUILT UP ROOFING WITH GRAVEL SURFACE. 4 -UNIT CONDOMINIUM INCLUDES UNITS 190, 192, 194, & 196 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 Existin : 0 Rear 0-0 Rear 0-0 Required: 0 FEE SUMMARY Calc Valuation: $10,000.00 Claim Valuation: $10,000.00 PLANNING & ZONING Left 0-0 Right 0-0 Left 0-0 Right 0-0 Proposed: 0 J 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 2446.46 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 C do, 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 pernit Is issued. My workers' comm nn'sati Insuran�.carrier and policy number are: Carder: U /4 1" Policy Number: CGS (This section need not be completed if the permit is valued at one hundred dollars ($100) or less.) ❑ 1 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 b come subject to the workers' compensation laws of California, antl gree that if I should become subject to the workers' compensation provisions of Section 3700 of th Labor Code, I shall forthwith comply with these provisions. Applicant Signature: Date: f FINES UP TO ONE HUNDRED WARNING: FAILURE TO SECURE WO 'OOMPENS COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND VIL THOUSAND DOLLARE ($100,000), IN DITION TO T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTER E T. AND ATTORNEY'S FEES, LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisi sof Cha ter 9 (commencing with Section 7000) of Division 3 of the Business and Professions ode, force and effect. Lic. # ��1 �6 Class # and my license is in full Contractor's Signature: 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 ode). 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 Sec on 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 y 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 intead 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or Improves there or offered for sale (Sec. n, 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 s le.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 70 , 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 sucf� 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 ❑ No Driver's License No. �xpires: Verification of Ownership by (type of document, i.e. - property talc 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 ith 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. ( hap. 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, unit ss 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 10 release or threate material? ❑ Yes ❑ No ed release of a hazardous (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mes 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). .... ___.__.�___.ppu -___.-_.....____.._...... ant needfife..__._.._.__ 2 Does or will the applicant or present or future building occupant need to fife a registration form for acutely hazardous materials? ❑Ves No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by 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 go ach business which at any Ions, 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 ac tely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certifica Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ion and filing with the Fire -....,....__.__.._._.s S_.�_..—.__.�._._.__..._.._—.--.-- 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑ No --......�..____.._...__.............. 5— _— ._..._-_.ubjec__._-__._.._......_,_._-......._...._...c 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this ,a,ppplication e6p No for such from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No instruct._... r modification c instruction or modification (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential bui ing permits). 6 Will annstru ,......._.--.---�_-_. tact _..—_-_.... _ y pan of the facility to be constructed under this permit be within 1000 feet from the outer bountlaries of a school? ❑Yes ❑ No --�------ (If yes", the facility must meal the requirement of Sections 25534 and 42303 of the California Health and Safety Code). _ _---,..—.—..............—quire__.___-....-_._..._......_bbed 7 a a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? El Yes ❑ No o_ -acct. w ich is the subject of this 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 stet 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 thit correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Cost the information given is 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 inspec ion. Si Ite gal Owner(s) Date ll 2- brized Applicant Date CODE N INSPECTION TYPE 26M INTMAL$ CODED INSPECTION TYPE pTE INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof Z� m� 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