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Home My WebLink About191 ADMIRAL WAY - Building PermitsCity of Costa Mesa Building Safety Department P.O. Box 1200 Costa Mesa, California CERTIFICATIE��F OCCUPANCY The Building located at 1a1 Ariniral has been inspected and found to comply for a Group Y-3 & M-1_ Occupancy Use of Building 112 3574 ,provisions of all City of Costa Mesa Ordinances applicable thereto Legal Description A.P.4119-061-27. Lot 3. TRACT 10957 , (See reverse side for Metes and Bounds) Building Permit No 49838 Electrical Permit No. _48425, Plumbing Permit No. 78675 Number of apartments —0— and/or guest rooms —0— ISSUED TO: Building Official"" I. & I., INCORPOPATED Victor C. Newton-Directoi Building Division, Date October 23. 1961 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 c: COSTA MESA 372n 3/19/Hn 107.67 GIL r LING -SAFETY DEPARTMENT AP. ATION FOR STRUCTURAL PERMIT UU BRANCH tAPPROVED ADDRESS PiQ ARCHITECT TEL.OR ENGINEERLee & Sakahara N 979-ADORESs3184-B Airway Ave.,Costa Mesa9CONTRACTOR ADDRESS TEL. CITY NO. STATE CITY APPROVED SETBACKS LIC. NO. LIC. NO. SIZE NO.OF SLOGS. (FROM C/L STREET) OF LOT 1.606 acres NOW ON LOT 2 FRON71 F USE OF s� EXISTING BLDG. S.F. residence Separate permits are required for electric, plumbing and heating work. 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 Ii need as a contractor under the State of California Business an rofessions Code, Division 3, Chapter 9, and that such licen are I orca and effect, or I am exempt from the t e of California Business and Professions C Signature Permit, or /� n Authorized Agent D to !f PLANNING ACTION _5J)-17 I DATE ((ff APPROVED 1 BILK. / l e 4 U SQ. FT. 151� THE AMOUNT SHOWN UNDER VALUATION 0.EC By PERMIT VALUATION For Applicant to Fil i c mple ly Use Ink O 445>7 S1,0S I TAX A.P. NO. -O61-ZJ Z8 TOTAL PAID ADDRESS 246,3-' ae BUILD ING OWNER OR TENANT P. T. & 1., Inc. ADDRESS - MAILING UNIT OR NO. ADDRESS 13919 Struikman Road SPACE TR.NO. LOT CITY Cerritos CA 90701 NOL- 926-440 10957 3 NEW ADD ALTER IREPAIR MOVI CONSTRUCTION LENDER X BRANCH tAPPROVED ADDRESS PiQ ARCHITECT TEL.OR ENGINEERLee & Sakahara N 979-ADORESs3184-B Airway Ave.,Costa Mesa9CONTRACTOR ADDRESS TEL. CITY NO. STATE CITY APPROVED SETBACKS LIC. NO. LIC. NO. SIZE NO.OF SLOGS. (FROM C/L STREET) OF LOT 1.606 acres NOW ON LOT 2 FRON71 F USE OF s� EXISTING BLDG. S.F. residence Separate permits are required for electric, plumbing and heating work. 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 Ii need as a contractor under the State of California Business an rofessions Code, Division 3, Chapter 9, and that such licen are I orca and effect, or I am exempt from the t e of California Business and Professions C Signature Permit, or /� n Authorized Agent D to !f PLANNING ACTION _5J)-17 I DATE ((ff APPROVED 1 BILK. / l e 4 U SQ. FT. 151� THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALUATION PERMIT FEE $ PLAN CHECK S1,0S $j�Q TAX $X 17 / TOTAL PAID $ In 7 / �% CITY OF COSTA MESA d BUILDING DIVISION FERMI UMBER DEVELOPMENT SERVICES DEPARTMENT �• PERMIT a`O+•o,mm�a 900 9-01891 (714) 754-5273 Fax (714) 754-4856 BUILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 191 ADMIRAL WY Status: ISSUED Suite: Applied: 11/29/1999 Vicinity: UNITS 191 THRU 195 Issued: 11/29/1999 Parcel Number: 43929314 Zoning: Applicant: LUKE, GARY Address: 448 S. MONTGOMERY ISSUED BY: Phone: (714)633-8798 ORANGE, CA Zip: 92667 owner: VILLAGE IN COSTA MESA Address P O BOX 579 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 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 (30 SQ OF PITCHED & 18 SQ 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 191, 193, & 195 ADMIRAL WAY. FEE SUMMARY 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 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 which this permit is issued. My workers' cpm ens Ion surance c r and policy number are: Carrier: f Policy Number: (This section need not be completed if the permit is valued atone hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and gree f I should become subject to the workers' compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with these provisions. / C Applicant Signature: i Date: WARNING: FAILURE TO SECURE WORI(� MPENS 'N COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOU ARE (5100,000), IN AD ION TO TF ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37060FTHE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby affirm that I am licensed Ver provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business �id Professions Code, and my license is in full force and effect. Lic. N Class N 2-P'9 Contractor's Signature: i Date: 5' 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). Lenders Name: Lenders 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).): ❑ 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 he or she did not build or improve for purpose of sale.). ❑ 1, 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 drivels 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 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. .--........ ... ----- .... .... .......... --- .-- .... . 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied 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 a ertnit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). y---t...._.._._..............._...-......._..t,h-is..__"------------it-..-.._..-....feet_........._..._....uter.boundaries...._....._.00l?_._-----'-'--'--_.—__.--.-._----"---.--._ -T-will any pan 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 California Health and Safety Code Section 42303 been made? ❑ Yes ❑ 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. Signa f- e1�Wher(s) D /` at �l —2i—� And/ prized Icant Date COPE Y, INSPECTION TYPE DATE IWRIAL CODE. INSPECTION TYPE Q9j): INTMALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Root U OQ �, 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