Loading...
HomeMy WebLinkAbout2850 ROYAL PALM DR - Building Permits • v CITY OF COSTA MESA / _ . 4 BUILDING DIVISION %l" �' DEVELOPMENT SERVICES DEPARTMENT PERMIT NUM R 1".- . ' PERMIT 41%.0a "°' B04- 54 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2850 ROYAL PALM DR Status: ISSUED Suite: Applied: 10/12/2004 Vicinity: APT BLDG&ATTACHED GARAGE Issued: 10/12/2004 Parcel Number: 13930101 Zoning: R3 R3 Applicant: HURLEY, RICK _ ISSUED BY: - Address: 23251 PERALTA DR - - • - - - .7/ _ UNIT R - - ' - - •Phone: 714.951-6724 - .. LAGUNA HILLS - Zip: 92653 ' r Owner: RANDLE;KEITH B &,ROBYN H - Address 2850,ROYAL PALM DR. - .' A r c, Phone ' /i .COSTA MESA,CA Zip' 92626 -. ����. Contractor: HURLEY ENTERPRISES Address: 23251 PERA'LTA DR Phone: 714.951-6724 -. • I 'r/ - LAGUNA-HILLS '"'I V' •�� Zip: 92653 License: 314183 " —. Eng: . . •- , •. Address: . '1 - . , - - - - Address: - ' r Phone:— -_ ,' • ' ' Phone'. • — .' 1 J. t y ' _---, 1V' 1 'Zip: - , License: - - -'License: ' H I - 'SCOPE OF PERMIT - ' - ' REROOF 3-UNIT APT BLDG WITH ATTACHED GARAGES:T/O TARPAPER/GRAVEL GARAGE ROOF AND APT 2:12 PITCH TAR PAPER/GRAVELrROOF;'REPAIR/REPLACE SHTGAS NEEDED. "" — '" "" " "` " 1- - i :REROOF GARAGE WITH 3 PLY CAP SHEET AND PITCHED APT ROOF(2:12 PITCH)WITH 2 LAYER 15#ATMS FELT,!APPLY'20-YEAR CLASS , ,A 3 TAB COMP SHINGLES. _ _ ,t • 3100 S0 FT - ' - .. —FEE SUMMARY 7 - ' ' t Plan Check : `,`?'' $0.00 • Calc Valuation: „!,'/ ( ':-- $6,700.00 -, ,.- Permit:V ':$139.25 Claim,Valuation:12' _$6,700.po vSMTP-ReS7 , '\10.67 . ; $0.00 3 ' SO?? CO: ,,, �'- 'Other $0.00. "y„ / y $0.00\�� rti ” . .3 ' ' 7:'/ L, , Inspection. /• � .;' Total:.v 039.92 � \''', ,, `� , p'' ` '' _ .. .::-.-5';..."-- ,'% v C% 1, / "\ ' / 7: .P- '8,&ZONING ' ,( A `' SETBACKS x ;-. �. �% � - - _ 1 ;%} MAIN STRUCTURE Front.' .020 ' ` Rear ' -0=0-- `, . -.Left =-(;FiS - ` Right lG 0' N ACCESSORY Front 0-0�" "Rear 0-0 • Left 010 - rj-Right "0-0 cr, , 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(6/00) • DECLARATIONS •t` t.J I�. i WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O 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 worker con7pti9n Insurance carrier and policy number are: _ carrier: 1u tt carrier: Y A - Policy Number: 0 Ley 6 ` 12- - 5 7 (This section need not be completed if 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 'ornia,and awe that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these rovi O/) Applicant Signature: Date: D -i WARNING:FAILURE TO SECURE ORKERS'COM SATION 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 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 licei of provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.x d') Class 0 C--7 S (1 Contractors Signature: �` - c— Date: iO/)24(2 I/ 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).): ❑ I,as owner of the properly,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 contractor(s) license pursuant to the Contractors License Laws.). O I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes 0 No Drivers 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? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be tiled 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? 0 yes 0 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 Califomia 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? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 yes 0 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 0 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? 0 Yes 0 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 properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ignature Of L ga Owner(s) atg L/�� 1 0/1740 7 An-d/Or Au o e Applicant Date f CODE I INSPECTION TYPE DAIS INTRIAL$ CODE I INSPECTION TYPE DAM INTQIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final A 208 Final Plumbing 200 Final Re-Roof J/' $ o'j -4A., ` 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 OWNER KOLL, K. W. - - = - APR 6 1960 DATE 2-1-60 JOB ADDRESS 2850 Royal Balm Dr. - BUILDING PERMIT NO.' 11412- GENERAL CONTRACTOR Century Sign Co. VALUE $ 101.00 • AP.No. LOT 1 TRACTFairview FIRE ZONE. DESCRIPTION OF woRxTemp. Non-Elec. INSPECTIONS DATE I GROUP TYPE ZONE Ree Star Underground Soil U.G. Water PERMITS ISSUED nigr Underground Gas — SUBCONTRACTOR DATE NUMBER Overhead Water and Gas tfr Rough Heating / 7 Rough Plumbing , Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring Trenches/P'3},)-Forms Steel 9-C-60 Floor System Steel Reinforce /Chimney Re-Rod Bond Beam Sheathing Frame and Flashing Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final Electric Fixtures, Final Building, Final (L:1-- y- I f -"1/4° OCCUPANCY Form 210-5M-11-59 5-B P 11/.7.2 • OWNER KOLL, K. W. - - DATE 2-1-60 JOB ADDRESS 2850 Royal Palm Dr. - BUILDING PERMIT NO. 11412 - --- GENERAL CONTRACTOR Century Sign VALUE $ 101.00 AR No. LOT 1 TRACT FairyiewFIRE ZONE DESCRIPTION OF WORK Temp. Free Stan-dI INSPECTIONS DATE I GROUP TYPE ZONE R-2 Sign Underground Soil U.G. Water PERMITS ISSUED Underground Gas — — SUBCONTRACTOR DATE NUMBER Overhead Water and Gas • Rough Heating ' Rough Plumbing Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring Trenches Forms Steel Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing Frame and Flashing _ Lathing, In Out Plaster, brown coat _ Plumbing Fixtures, Final Electric Fixtures, Final Building, Final OCCUPANCY T/T 2-2-go Form 210-5M-11-59 S-B P 1JL 1f ' pplications Must Be Filled Out By Ay nit ftE RECEIV L - 11.41.2 ,/_ /-4 D. epartment of Buildings Application No._ FINANCE DEPT.APPLICATION FOR THE ERECTION OF SIGNS O,t te�ie� CI (� Sp /at,�. To the Building�� iciial`of the City of Costa Mesa, Calif.: z,., ic. r�z__ et e ;._ ,4 Application is hereby made for the erection!❑ alteration ❑f removal!❑ of an advertising structure in accordanAig(gegption herein set forth. (Check square what is to be done). 1 V r1.0t (Use Ink or Indelible Pencil). - _ aL6SIQE--R ;rLsREAR -LGATioN • _ ------ +Fi Building Address • • _ 4 4, - / -i if `-r -maEr -- I 'in IA /Zf9✓' Lot / Block C • Tract A. P. No: Zone P\ ,� Owner's Name fr' u/ OC{/d GC" 0 ner's Address/a a ,/ Ai;--7/� Contractor's Name 44.4- : - A State License No.i/ V/67 04 Contractor's Address • - / //!. . •A- , Phone Li OD7-03City License Ncli`d 7 DESCRIPTION OF SIGN (Sketch showing location of proposed sign on back side of this sheet. Plans and'other data must also be filed.) Size of Sign—Width /0 ft. Height /v / ft. Height above Grade B ' ft. Thickness in. Weight 2410 lbs. (Including Electrical Transformers, etc.) State location of other signs on building • , 1 "1 . I The undersigned hereby agrees to construct the advertising structure in strict,accordance with the provisions of Ordinance 95, Section 39, of the Electrical Ordinance of Costa Mesa, and all amend- ments thereto. ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. INSPECTION MUST BE CALLED FOR ••N COMPLETION. ` - / / Sign Here / - - � , _. 6 By ' se �" FOR DEPARTMENT USE ONLY Recvd. by VALUATION Plans Checked . .. Permit No. $ /©r— y,.,� a//GO // �v • Date Recvd. FEE �� '" Date Issued a- /_‘O $ o?/ 1-0 Plan Examiner 02 , — 6 o FORM 214 1M 1-57 (over) FILL IN ALL DI ENSIGNS SHOW ALL STRUCTURAL MEMBERS - 1i i;.i.. -:r v ' iTil1Ci;; ;I. {;W; • $ 1 L- N FOR SELF-SUPPORTING SIGNS Size and Location �1: : Y�? " Section 7 if Ordinance No. 95 • - � ,. •• y . -' - )1A3 , -:: _ii J . 51- - ] ,:O 012 J • - -- • - •,..,.�-, See. 6 of Ordinance No. 95 , . . '.;'. - . i • • O. - ' ' \\ Width of.Lot _ •, ._ _ . • NM/AIX .J' I CVt•C Sign Arca ._axnr 'WWI Mn Cyed ricti \ from C/L of lot a",41111•••4. r., 'C/L of Lot `off d` - _Property Edam/� _ Line rt t- F it Curb I 3 ...a C.U v j tet. STREET OR HIGHWAY _ • "2- ' ' • / i vAR. No. APPROVED - - -. - -- - — 0/i_ 11200 - • COSTA MESA BUILDING-SAFETY DEPARTMENT G --t. lit i G.tI ‘,1 L-L' P.O.BOX 317 COSTA MESA. CALIFORNIA /,� 7–i FOR APPLICANT TO FILL IN COMPLETELY APPLICATION. FOR 'PERMIT TYPE OR PRINT nr rr\ PAFS�'i GITiBUILDING- ADoESS 2850 Royal Palm Drive p ONLY MESA, CALIFORNIA FOR OFFICE USE RECEIPT NO. f�[NITry��^ OWNER Kenkol Investment Co_ //''aa//:: ��iJJep =I-HESS 1555 Placentia RECEIVED BY DATE RECEIV O It DATE ISSUED ADDRESS TEL. Midway �J {/ jI *". 'IC ar-Is/J);//9QNN CITY Newport Beach NO. Fi-399' Ul DING ADD ESS ,fit Q 5C •6' •' o c t'; all, ARCHITECT LIC. I OR ENGINEER - NO. COSTA MESA, ALIFORNIA • ADDRESS FIRE `'- ZONE TYPE Alii GROU/P/// CONTRACTOR K.��� Koll LIC.O. 61195 APPROVED (r DATE // C� ADDRESS 1555 Placentia .{ �ONING E } am-6_Sr V iet/ZONE NO.OF /� USE OF NEW C.-CW.- ' LEGAL DESCRIPTION I NO. 1 .. !BLOCK I TRACT `� PLANS / I BUILDING �yht ' APPROVED/// /, .0/� DATE .4 ` 1 U A.P.NO. - BY <_>' SIZE 1. No.of BLDGS. J. YARDS L✓EVES OF.LOT '50 X 1k3 Now ory Loi REQUIRED ALLOWED USE OF ' Tripleg (CENTER LINE ST.)�� +y�-� O !7� EXISTING BLDG. FRONT 71.2t7�C�, F- LL_I,L'.�IT N. SETBACK LINE FROM REAR YARD / ' CENTER OF STREET eR iJs 15' R.SIDE //) FT. IN. SIDE YARD I LEFT 14' RIGHT 0 t r L.SIDE /4/ FT. IN. DESCRIPTION OF • REAR /S-FT. IIS IN. NEW 1 ALTERATION ADDITION II — REPAIR I IIMOVING II DEMOLISH `/CO 706 SBNO.OF IZIE LDING 520 sQ ft ROOMS a STORIES T EXTERIOR WA IROOF COVERING IZCCO COVERING Rock USE OF BUILDING AND WORK TO BE PERFORMED Attached •Prate -- Add to Permit No, 11 30 . I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. THE AMOUNT SHOWN UNDER VALUATION is FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING' PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDINGRUCTION. VALUATION SIGNATU E O ON. /L p PERMIT FEE $ PERMITTE590.00 4.00 $ PLAN CHECK $ AUTHOR] ED AGENT 4.1JU TOTAL FEE $ 11130 EEE RECEIVED OOSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE I', ( I , (DEPT. `I aL� P.O.BOX 317 COSTA MESA. CALIFORNIA 1 I11YIVl/L DE T- CITY OF COSTA MESA FOR APPLICANT TO FILL IN COMPLETELY A Iv/APPLICATION FOR PERMIT TYPE OR PRINT n l" BUILDING BUILDING !] 0L'O no yAL f1a m (0^ ll- a ADDRESS G.�/�..1 W i Y ni all- - 'COSTA MESA, CALIFORNIA fOR OFFICE USE ONLY Kenkol Investment Co, I RECEIPT NO. I PERMIT NO. - OWNER ae, ADD1555 RECEIVED BY DATE RECEIVED I DATE ISSUED ADDRESS Placentia ten---- /1a-/y-s � „///07 Newport Beach Imo. 6-3227 BUILDING CITY NO. ADDRESS ' ARCHITECT LIC. COSTA MESA, CALIFORNIA OR ENGINEER NO. FIRE *Ype r/ group/ / 9ADDRESS ZONE t CONTRACTOR K.' W. Koll LCTNO4i136 APPROVED BY DATE 1555 Placentia ADDRESS ZONING .. LEGAL LOT 1 hirview i ZONE NO.OFUSE OF NEW - DESCRIPTION NO. BLOCK !TRACT /Q ...- PLANS I BUILDING - cr APPROVED /ee ,,/ A.P.NO. ''' / �'O , BY t DATE /,%., S SIZE 50 x 143 • I NO.OF BLDGBn One YARDS EVES K OF LOT NOW ON.LOT S REQUIRED ALLOWED ' USE OF4 1 (CENTER LINE ST.) EXISTING BLDG. / FRONT .,,213,1 /�FT. {-"' IN. SETBACK LINE FROM �j f CENTER OF STREET REAR YARD. R.SIDE /! FT. IN. I I SIDE YARD LEFT ' RIGHT ' L.SIDE . /y FT. IN. DESCRIPTION OF WORK './l REAR 5 FT. IN. NEW I I ALTERATION II ADDITION I I REPAIR II MOVINGOV + / II DEMOLISH +"I J SIZE DING�J pal Fit NO.OF ROOMS / . STORIES Zoo EXTERIOR W7ALL�'TU/-// ROOF Qj • •y� ✓ COVERING +1 de c ri COVERING 7C. OGK USE OF BUILDING AND WORK TO BE PERFORMED 4\ i X stAA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES'AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION /�/ ' SIGNATURE OF PERMIT FEE $ .9 — PERMITTF 95 i PLAN CHECK $ ...a3 • .` AUTHOR! AGENT TOTAL FEE $ N 6�—