HomeMy WebLinkAbout2980 ROYAL PALM DR - Building Permits b .. ---------_ ..
+Fire Incident# 07 r9 7 ) C 'A MESA FIRE DEPARTMENT
Police Incident# . `7 P.O. BOX 1200
_ COSTA MESA, CA 92628-1200
(714)754-5106 -
RELEASE OF PROPERTY AFTER EMERGENCY INCIDENT /
The Costa Mesa Fire Department, in the interest o�pj th Xshty and�elfare 9f the a unity att`77/ 9 (time) '� e `'�7(date),
assumed control of the property located at "-1➢ ��7(Y 6) 6 71e ell/ e _en`) '/t' .
The necessity for assuming control of the property was because ofV� 5: ev!"%G% 5 Fi/4 t
Pursuant to the conditions contained herein, as of 40%3!' (time) 7- 6-J 7 (date),the subject property is released to,
and is to be under the control and the responsibility of 7 e,P.,1/c �.�4.r... e (name), who
is the owner( ),owner's representative( ), tenant(,,t,. ')
t
9
YOU ARE HEREBY PLACED ON NOTICE OF THE FOLLOWING CONDITIONS(Check applicable conditions
A rekindle or an additional fire from a hot spot is possible. The Fire Department recommends that a fire watch, with`a 9'' ?,
means to extinguish hot spots, should be posted for 24 hours. %0 i%
( ) The following utilities: electricity( ),gas( ), water( ),serving the`property have been shut off. It is advisable to 7\4' 0
contact the appropriate utility company before restoring the service. C9 'tc,
The structure may have been weakened by the incident.Until a structural survey can be made, it is advisable to keep c--"' 9
�
�� unnecessary people out of and away from the building. .:
a
iC). Buildings that cannot be locked or secured by normal means must be secured by alternative means.Barricades and/or `,
fencing are required to prevent unauthorized entry. It may benecessary to provide a security guard.
,(+‹ Rebuilding and/or repairing the damage will require permits(e.g.,building, electrical, etc.) from the City of Costa Mesa's
It
Development Services Department, Building Safety Division. They may be contacted Monday through Friday between
the ho'irrs of 8:00 a.m. and 5:00 p.m.by calling(714)754-5273.
r( /The Costa Mesa Fire Department and the Costa Mesa Police Department retain the right to re-enter the property at
easonable hours,should their investigation of this incident require such re-entry.
( ) Other precautions/conditions(specify): I
7
The conditions listed above are not all inclusive. They are intended as guidelines for the City's Fire Department in exercising their
discretion in providing emergency assistance advice.
r 7,
Information concerning a copy of the report for this incident can be obtained by calling the Fire Depar[ment„Business Office at(714)
754-5106,Monday through Friday,between the hours of 8:00 a.m. and 5:00 p.m.
You may be entitled to a reassessment and subsequent reduction of your property tax as a result of this incident. For further
information contact the Orange County Assessor's Office at(714) 834-2727, Monday through Fri-day,between the hours of 8:00 a.m.
and 4:45 p.m.
The OWNER, OWNER'S REPRESENTATIVE, and/or TENANT shall protect, defend, indemnify and hold harmless CITY and its,
elected and appointed boards, officers, and employees from any an all claims, liabilities, expenses, or damages of any nature, P�
including attorney fees, for injury to or death of any'person, and for injury,to any property, including consequential damages of any,.
nature resulting therefrom, arising out of or in any way connected with the negligent performance of this Release by act or omission, `)
by or on behalf of OWNER, OWNER'S REPRESENTATIVE, and/or TENANT, or resulting from any violation by OWNER,
OWNER'S REPRESENTATIVE-:Ad/or TENANT of any statute, law,regulation, or other legal requirement.
a �Signdf i s( . Date: / �"� 7 Time: nU
Owner( ) Owner sRepresentative( ) Tenant(.,L)
Costa Mesa Fire Depattmen
J ., �` 6 y
Signed: I Assignment:
t Officer in Charge
I
"s....,
291344 While-Fire Adnymslration,Yellow-Owner/Owner's Representative/Tenant.Pink-Development Services/Budding Safety
.10625 EE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT OL/ • /,�
P.O.BOX 317 COSTA MESA. CALIFORNIA / etee /40•-eLY2.. " 39
FIN(-NCE DEPT.
IT
FOR APPLICANT TO MI IN COMPLETELY APPLICATION iRORI�PERM
TYPE OR PRINT '� BUILDING
BUILDING
ADDRESS 2980 Royal Palm Drive A r p
COSTA MESA, CALIFORNIA FOR OFF/CE•USE ONLY •
OWNER Dike & Colegrove, Inc. I RECEIPT NO. I � PERMIT NO.
St, ..Ce-htr
MAIL 1.19 E. 17th St RECEIV BY DATE RECEIVED ATE ISSUED)
ADDRESS LI'iJ • • I coral---7I OCT 97 torr
CITY Costa Mesa TNO. ofl59 BIN
G
UDRE
ARCHITECT Carlson & LIC. COSTA MESA, CALIFORNIA
OR ENGINEER NO.
?;idflebl.,.ek
ADDRESS Garden Grove ` FIRE
/� _ (�
_. _ 7 '/ ZONE TYPE JV GROUP `V
Dike & Colegrove, Inc.STATE 167293 APPROVED �,/i
CONTRACTOR LIC.NO. BY DATE
ADDRESS 419 E. 17th St., Costa Mesa ZONING
LEGAL 2822 ZONE NO.OF USE OF NEW •
DESCRIPTION I NO. 30 I BLOCK I TRACT R �I PLANS -YI BUILDING 21._(4,9�Y la I�/-/
APPROVED /� /J �J(��/',yl (gi ` •f- f/1
A.P.NO. BY W ////"EYI /E l6 ~�"I �\ I
SIZE 70 X 105NO.OF 131.055. YARDS
OF LOT NOW ON LOT none REQUIRED ALLOWED
USE OF (CENTER LINE ST.)
EXISTING BLDG. FRONT 57-0 FT. IN.
SETBACK LINE FROM 501 191
CENTER OF STREET • REAR YARD R.SIDE / O1 FT. IN.
D
SIDE YARD I LEFT 101 I RIGHT 101 L.SIDE / FT. IN.
DESCRIPTION OF WORK •
REAR g C/ Fr,�/�e C�.f/�.lCllj�1.
NEW I X (ALTERATION II ADDITION I ( I /
REPAIR I MOVING I DEMOLISH I -' "✓//
SIZEIDING 3516 \ROOMS STORIES 2 •
EXTERIOR WALLRO•' rock
COVERING Stucco ICOVERI .. -
USE OF BUILDING AND WORK TO BE PERF•- • D • -
Mpl • • - _N' •. 9AF.
•attached gara e. (Four units) • `73o a
Plan 4DR •
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.
BUILDING CONSTRUCTION.��I����� yy�� VALUATION
SIGNATURE OF ...."2 ` PERMIT FEE $ 50400
PERMITTEE V
$ 3D,97e•°Y PLAN CHECK $ 25.00
AUTHORIZED AGENT Dike & olegrove, Inc �1� TOTAL FEE $ 75800