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Home My WebLink About953 UNION ST - Building PermitsPERMIT TYPE � + CITY OF COSTA MESA � sun��N� ��v�s�oN 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754�856 • vnvw.ci.wsta-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: P07-00610 I��q�4 w- ! � ■ �` .w` "� �� I '� :c u�. , � ISSUED 12/07I2007 SOK JOB ADDRESS: 953 UNION AV CM Suite/Unit: vicinity: , SCOPE OF WORK: REPLACElREPAIR SEWER LINE ON PRIVATE PROPERTY. OWNER: ROBERT LEYVA Address: 953 UNION AV PHONE: 714-323-5820 � CitylState/Zip: COSTA MESA, CA APPLICANT: LEWA, ROBERT Address: 953 UNION PHONE: 7'14323-5620 .. � City/State/zZip: COSTA MESA, CA CONTRAC70R: O WNER-BUILDER Address: City/State: ZipCode: PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: $0.00 PERMIT FEE: $48.15 TOTAL FEES: $48.15 License No. 000000 PHONE: CELL: � � r � I 1� ��A�� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia sfatutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION; PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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 lhe expiration o( this permit. QODE�, INSPECTONmE 1618 Fixed System Final fire Prevention 1266 Pool Spa Final � 200 Final Re-Roof 201 Pinal Blcek/Retaining Wall 202 Final Factory Fire Place 203 FinalSign 204 Final Demolition DRTE INTRIRL COOEt INSPEC710NTYPE 206 Final Mechanical ZOB Final Plumbing 210 Final Elecirical 212 Final fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy � IN7ITIFLS WORKERS' COMPENSATION DECLARATION: � I hereby aHirm under penalty of perjury one of the lollowing declarations: ❑ I have and vnll maintain a certi(cate o( consent to sel!-Insure (or workers' compensalion, as provitled for by section 3700 of �he Labor Code, for Ihe peAormance o/ the vrork for which this permit is issuetl. ❑ I have and will maintain workers' compensa[ion insurance, as required by sectbn 3700 0( the Labor Code, fw Ihe peAormance of the wnrk fw which this pertni[ is issuetl. My vrorker5' compensalion Insurance carrier and policy number are: Carrier: (T�is sMqn neetl irol �e mmpletetl ilMe ce�� is valued af rne nundredWllars (Ef00) w IessJ Policy Number: ❑ I certity that in ihe peAormance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subject to the vrorkers' compensation laws of Califomia, antl agree that if I should become subject to Ihe workers' compensation provisions of Section 3700 of [he Labor Code, I shall forthwi[h comply with these pmvisions. Appliwnfs SignaWre WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 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 aKrm that I am licensed under provisions of Chapter 9(commencing wi[h Sec[ion 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lic. # Class # Contracmr's SienaWre Da�e CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm Ihat Ihere is a cons[ruction lending agency for the peAortnance of the work far which Ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: 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 antl Pro(essions Code: Any ciry or county which requires a permit to mnsWct, alter, improve, demolish, or repair any stmcture, prior to its issuance, also requires the applicant for such permit to fle a signetl statement ihal he or she is licensetl pursuant lo Ihe provisions of lhe Conlractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Pro(essions Code) or that he or she is ezempt therefrom and Ihe basis (or the alleged exemption. Any violalion of Section 7031.5 6y any applicant for a permit subjects the applicant to a civil penalty of not more than frve hundred dollars ($500).): ❑ I, as ovmer ot the property, or my employees with wages as their sole compensa[ion, WILL DO THE WORK, and the structure is noi intended or oHered for sale (Sec. 7044, Business and Pmfessions Code: The Contractors License Law does not apply to an owner of propeAy who builds or improves thereon, and who dces such vrork himsel( or herself or Ihrough his or her ovm employees, provided thal such improvements are not intended or offered for sale. I(, however, [he building or improvement is sold within one year of completion, the owner-builder will have the burtlen of proving that he or she tlid not build or improve for purpose of sale.). ❑ I, as owner of the pmperty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consWct the project (Sec. 7044, Business and Professbns Code: The contractas License Law dces not appty to an ovmer of property who builds or improves thereon, and who cont2cts for such project with a contracta(s) license pursuant tothe Contractors License Laws.). ��m�exempt under sec. Business and Professions Cotle for this reason: /�=Tp��% (-' d.J•`�•.. � SiBnalura>e-..L..MM4.tlX3':x.1wA�fa': 1±� -�.Dele.—: 3057'a6(JI07� �� Owner ID venfietl �y tlnve� ❑ Ves ❑ No�.,,.,i Ort'ver's Lic- ense N`o � F�Cpires:..' �'� 0 i'�/ �..��-�,,.n�.::-..�.....:�-.�, . Verfication of Ownership hy (lype ot document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into wfiich a person is required to descend, will be made in connection vrith work authorized by this pertnit, and that no building structure, scaHdding, falsework, or demolition or tlismantling thereof, will be more than thirty-six (36) (eet high. (Chap. 3.2, Gry 2, M 2, Sec. 347, Ttle 8, Califomia Administ2tive Code). ❑ As owner-builder, I will not employ anyone to do vrork which would require a permit from the Oivision of Intlustrial Sa(ery, as noted above, unless such person has a permit to do such work from the division. Applicanfs SgnaWre Date Division of Intlustrial Safety Permil Number: _ HAZAR�OUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and cerlify a Business Plan tor emergency response [o release or threatened release of a hazardous material? � Yes ❑ No (SecliOn 25505 of the CalifOmia HeaIN antl Safery Code requires, wi[h 5ome 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 quantiry of hazartlous materials equal to or greater than a weight of 500 pounds, or a volume of 55 qallons, or 200 cubic fee[ of compressed gas at standard temperature and pressure�. 2. Does or will the applicant or present or (uture building occupant need to file a registration form for awtely hazardous materials? ❑ Yes ❑ No (Sec[ion 25533 0/ Ihe Califomia Health and Safety Code, wi�h some exceptions, requires registration with Ihe Costa Mesa Fire Department by each business which at any one time has on hantl a quantity of acutely hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feel of compressed gas at stantlard tempera[ure and pressure). 3. Does or will the applicant or present or fuWre building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely �azartlous matenals)? ❑ Yes ❑ No (Section 25534 of the Califomia Health antl Safety Code provides that the Costa Mesa Fire Department may require the preparation, certifcalion and 51ing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous matenals with the Fire Department. 4. I! an RMPP is presently required, has Section 25534 0( the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will Ihe applican[ or present or future building occupanl require for Ihe work which is ihe subject of Ihis application a permit for such construclion or modifcation from the South Coast Air �uality Management DisMcl or trom any other air polWtion control disirict or agency? ❑ Yes ❑ No (Sec[ion 658502 of the Califomia Govemment Cotle requires that the requestetl information be fumished on applications for non-residential building pertnits). 6. Will any part of the faciliry to be constructed under this permi� be within 1000 (eel from lhe outer boundaries of a school? ❑ Yes ❑ No Q('yes", Ihe faciliry mus� meet Ihe requirement o( Sections 25534 antl 42303 of the California Health and Safery Code). 7. If a permil from the South Coast Air �uality Mana9ement District or other air pollution conhol tlisirict or agency is required tor the vuork which is the subject o( lhis application, have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes � No 8. Qf yes", attach certificate of compliance from the appropriate air pollution control offcer). CER7IFICATE OF COMPUANCE: I certify that under penalty ot perjury the in(ormation given above is correct. I agree lo comply with all state laws and ciry ordinances regarding Hazardous Materials and Emissions. Signature Dale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry o( perjury Ihat I have read Ihis application and s�ate �hat the information given is correcL I agree to comply with all state laws antl city ordinances relating to building construction, and au[honze representa�ives of the Cily of Costa Mesa to enter upon the above-tlescribed property for inspection purposes. agree no[ to occupy or allow occupancy of any builtling authorized by ih� �iCurl�iLNnal inspection. r7 �-- , !� "_' �" ."'_.�" ' f �-�,^� / �G!fa�„eu�.l:ege� �;er�a)a.�.Y:.li:.tY--�� :py�e-.-��' Analor Avlhonze0 Ap0licanl i (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR ORIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 953 UNION AV Suite: Vicinity: ROOF Parcel Number: 42244215 Applicant: HAN, AUSTIN Address: 1022 W ORANGETHORPE , - FULLERTON;CA' � Owner: BOUCHER, WILLIAM L TR Address 3292 GILBERT DR , " HUNTWGTON BEACH, CA � Contractor: ACE ROOFING SYSTEMS CO Address: 1022 W ORANGETHORPE FULLERTON,CA Zip: 92838 Arch : Address: Zip: Phone: License: Zoning: ISSUED BY: Phone: (714)871-9923 Zip: 92838 Phone: Zip: 92649 Phone: (714)871-9923 License: � 679543 Eng: � � Address: - i - SCOPE OF PERM TEAR OFF EXISTING ROOF. INSTALL 30# FELT, 30 YEAR, COMPOSITION SHING FEESUMMARY PIBn Check: $0.00 Permit: SMIP Res: SMIP Com: Other: Inspection: ` Total: $83.25 $0.50 $0.00 $0.00 $0.00 $83.75 SETBACKS ' MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: � Status: ISSUED Applied: 11/20/2002 Issued: 11/20/2002 Phone: License: 5�. 1,500 S.F: INCLUDES ATTACHED GARAGE. , PLANNING & ZONING Calc Valuation: g2,a&o.00 Claim Valuation: gz,aso.00 � Rear 0- 0 Left 0- 0 �, Right 0- 0 Rear 0- 0 Left 0- 0 . Right 0- 0 - Re uired: 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 tor 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 requlred inspeetions 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) 7545626 ansrs �s�oo� WORKERS' C(l�NPENS:.:ION DECLARATION: �� I hereby attirm under penaNy oi perjury one ot ihe following declarations: ❑ I have and will maintain a ceniticate of consent to self-Insure for workers' compensation, es providetl br by section 3700 of the Labor Cotle, for ihe pertormance of the work for which this permit is issuetl. ,�j I have antl will maintainy/orkq�s' compensation insurance, es requiretl by section 3700 of the Labor Code, for the perfortnance of the work for which this pertnit is issuetl. �`My workers' compe`n�efiann �;urence c' r and licy number ere: �-,p,,}- � Carner. {� 6 r PolicyNumber. 6r�7 �--�L9J � (This section need no mplefed il th rmi\'s v lued at one hundred dollers ($100) or IessJ —�r' ❑ I certiTy Ihat in Ihe pertormance o� the for which Ihis permit is issuetl, I shall not employ any person in any manner so as to become sublect to ihe workers' compensation laws of Califomla, end re� �h t it I should become subject to the workers' compensation provisions of Section 700 of t Labor Cotla, I shell forthwith compty with lhese provisions. _ / /� .� � Z Appliceni 5igneture: Date: C� � C�� WAPNING FAILURE TO SECURE WORKERS' CO E I CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMIN PENALTIES D CIVIL FINES UP TOONE HUNORED THOUSAND DOLLAFE ($100,000), IN ADDITI TO CAST OF CAMPENSATION, OAMAGES AS PPOVIDED FOR IN SECTION 3]O60F THE LABOR CODE, IFIrEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aFfirm that I em licensed under pr visio of Chapter (commencin w' Section 7000) of Division 3 of ihe Business and Professions tle, and my license is in tNl force and ettect. Lic. N Cless q ContrectoYs SignaWre: Date: O CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirm ihat there is a constmction lending agency for the peAormance of ihe work for which �his permi� is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Lender's Atltlress: SignaNre: Date: OWNER-BUILDER DECLARA710NS: I hereby aHirtn that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the toilowing reason (Sec. 7031.5, Business and Professions Code: Any city or county which raquires a permit to constmct, alter, improve, tlemolish, or repair any stmcture, prior to its issuance, also requires the applicant for such pertnit to file a signed statament thet he or she is Iicensed pursuant to ihe provisions of iha Contrectors License Law (Chapter 9(commencinq with Section 7000) of Division 3 oi Ihe Business antl Protessions Code) or ihat he or she is exempt Iherefrom and the basis for tha alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjecis ihe applicant to a civil penalry of not mora than five hundretl dollare ($500).): ❑ I, as owner of ihe property, or my employees with wages as iheir sole compensation, WILL DO TME WORK, end ihe siructure is not intendetl or oHered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not apply to an owner of property who builds or improves ihereon, and who tloes such work himself or herseN or ihrough his or her own employees, providad ihat such improvements are not intendetl or oNered for sale. It, however, iha building or improvement is sold within one year of compietion, ihe owner-builtler 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 E7(CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contrectors License Law does not apply to an owner of property who builds or improves ihereon, and who contracis tor such project with a contractor(s) license pursuant to the Coniractors License Laws.). ❑ I am exempt under sec. BuSiness and Protessions Code for this reason: Signature: Data: Owner ID verified by dnver's license. ❑ Ves ❑ NO Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tac bill or deed): ___ DIVISION OF INDUSTRIAL SAFETY PERMI7 CER7IFICATION: ❑ I hereby certity Ihat no excavation tive (5) or more faet in tlepth Into which a person is required �o descentl, will be mede in connection with work authonzetl by Ihis permit, and ihat no building structure, scaHolding, felsework, or demolition or dismantling thereot, will be more than thiny-six (36) fee� high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle 8, Califomia Adminisirative Cotle). ❑ As ownervbuilder, I will not employ anyone to tlo work which would require e parmit from the Division of Intlustrial Safery, as noted above, unless such person hes e permit ta do such work from ihe division. SignaWre: Date: Division of Industnal Safery Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CER7IFICA710N: 1 Will ihe applicant or present or tuNre builtling occupam neetl m file antl ceniry a Business Plan for emergency response to release or threatenatl release of e hazardous meteriel? ❑ Yes ❑ No (Section 25505 of ihe Califomia Healih and Setety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Depariment by avery business which has at any one time during a reported year a quantiry of hazardous materials equal to or greatar than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic teet oi compressed gas at standard temperature and pressure�. ........................................................................................................................................................................................................................................................................................................................................................................................ 2 Does or will the applicant or present or future building occupant need to file a registretion form for acutely hazardous materials? ❑ Ves ❑ No (Section 25533 of the Calitomia Healih antl Safery Code, with some exceptions, requires registration wiSh ihe Costa Mesa Fire Depatlment by each business which at any one tima has on hand a quantity of ecutely hazardous materials equel ro or greater than e weight of 500 pountls, or e volume of 55 qallons, or 200 cubic feet of compressed gas at stendard tamperature antl pressure). ........................................................................................................................................................................................................................................................................................................................................................................................ 3 Does or wiil the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? (Section 25534 of the California Health antl Satery Cotle provides that tha CosL Depertment of en RMPP �y businesses which are required to register acutely ha ............. ............................................................................... 4 If an RMPP is presently required, has Section 25534 of Ihe Califomia Heelth and ........................................................................................................................................................................................ 5 Does or will the applicant or present or future building occupant require for the � Fire Depariment may require ihe � materials with ihe Fire Depahme Code been tuliv comolied with7 irom iha Sauth Coest Air �uality Manegement Disirict or from any other eir pollution control distdcl or agency (Section 658502 of [he Califomia Government Code requires that the requested intormation be furnished on e any part or me racniry ro oe co �es", ihe tacilitv must meet the heve ell of Ihe tlisClosUres cetlification and filing with the Fire Yes ❑ No ...................................................................... 3 Permit for such cons�ruction or �J No noo-residentiel building permits). �er tnis permrt oe wimin iuuu taet irom tne outer oounaanes ot a scnoor! U ves L of Sections 25534 and 42303 of ihe California Health and Safety Code). .......................................................... .................................................................. Nanegement District or other eir pollution control district or egency is required for ihe � 3tl Dv Calitomia Health and SafeN Code Section 42303 baen matle? ❑ Ves ❑ No CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury ihe information given above is correct I agree to comply with all state laws and ci�y ortlinances regartling Hazardous Malenals antl Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE correct. I agree to comply with all above-described properry for i s�ii COOE �. INSGECTIONTYPE 1616 Fixetl System Final Fire Prevention 7266 Pool Spa Finel 200 Final Re-Roof 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition OF EMRY: I cetlify under penalty of perjury ihat I have read this application and state that ihe information given is i�aaces relating to building constmdion, antl authorize representatives of the City ot Costa Mesa to eMer upon the not upy or allow occupancy ot any building authorized by Ihis permit uyiiil final i '_ � OATE CODEN INSPECTIONTYPE 206 Fina� Mechanical 208 270 212 220 222 250 Final Plum6ing Final Electrical Final Fire Prevention Final Planning Approval Final Site Pinal Building/Occupancy IL'YYYIF.14'� Property. Profile \ Page 1 of 1 ) Property Profile ' ' ' m 2003 DataQuick Informa�ion Sys[ems 'I�his inl'ormation is compiled f'rom public documents and is not guaranteed. Property Characteristics Bedrooms:3 Ba[hrooms: 1.0 TotalRooms:6 Zoning: Heating/Cooling: Sale & Loan Information Transfer Da[e: 04-11-1983 Transfer Value: First Loan Amt Loan Type: Primary Owner: BOUCHER,WILLIAM L TR Secondary Owner: Mail Address: 3292 GILBERT DR HUNTINGTON BEACH, CA 92649 Site Address: 953 UNION AVE COSTA MESA, CA 92627 Telephone Number: APN: 422-442-15 Reference APN: Census Tract: 636.011 Housing Tract Number: 1872 Lot Number: 182 Page Grid Old: 31-B1 Page Grid New: 888-G2 Legal Description: N TR 1872 LOT 182 Subdivision: Year Built 1954 Garage: Fireplace: PooWiew: Seller. CosdSq Feet $0.00 Lender. [nterest Rate Type: Assessed & Tar Informatio�r Assessed Value: $36,901 Percen[ Improvement: 47.33 Land Value: $19,436 Tax Amount: $695 Improvemen[ Value: $17,465 Tax Status: carren[ Square Feet 1,034 Lot Size: 7,930 sq ft/ 0.18 acres Numbe� of [Jnits: 1 Use Code: Single Family Residence Document 0000151345 Title Co.: Last Trans W/O$: Las[ Trans W/O$ Doc: Homeowner Exemption: Tax Rate Area: 15006 [ Repor[_Menu ] [ Sele_ct_New Ta;get Property ] http://www. gotitle.com/egi-bin/profi le. asp?rmt=TOPS&graphic=%2Faccounts%2FT07378%2Fcompan... 04/ 14/2003