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Home My WebLink About2168 RURAL LN - Building Permits CITY OF COSTA MESA 4111‘44%: ,O5jp"#FS9 BUILDING DIVISION FI91• �1 a 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us v FOR INSPECTIONS CALL: (714)754-5626 °stroma^^` PERMIT NUMBER: M11-00088 PERMIT TYPE MECH STATUS: ISSUED • APN: 42612202 DATE ISSUED: 08/25/2011 ' ISSUED BY: CAC JOB ADDRESS:( 2468 RURAL LN CM_. Suite/Unit: Vicinity: t�.,-•'ti• s..*f` `>"'r^+a"PY',Jn - SQ. FT: 0 - SCOPE OF WORK: REMOVE AND REPLACE WALL FURNACE LOCATED IN THE HALWAY OWNER: ESPARZA,DAVID Address: 2168 RURAL LN Unit: PHONE: City/State/Zip: COSTA MESA,CA APPLICANT: ROBERT ACEZEDO Address: 7201 ROSECRANS AVE Unit: PHONE: 562-984-5511 City/State/zZip: PARAMOUNT,CA CONTRACTOR: RELIABLE ENERGY MANAGEMENT License No. 704414 - Y d tl -00038 Address: 7201 ROSECRANS AVEUnit: PHONE: 562-984-5511 • City/State: PARAMOUNT,CA ZipCode: 90723 CELL: - MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: $38.30 PLAN CHECK FEE: $0.00 INVESTIGATION FEE: $0.00 REINSPECTION FEE: $0.00 TOTAL FEES: $38.30 . 11 ,.,<,r. 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: 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 the expiration of this permit. CODE I. INSPECTION TYPE DATE INTITIALS CODE If INSPECTION TYPE DATE INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical X9'7"a-0 I( 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 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 f` • 204 Einar Demolition . - - . . 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers license. ❑Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the pe ormance of the work for which this permit is issued. pe have and will maintain workers'compensation insurance,as required by ction 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: It is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a . ef are:.,1 C r) p t F person is required to descend,will be made in connection with work authorized 'far 0,11 4 p D `1, `' 1St' C by this permit,and that no.building structure,scaffolding,falsework,or demolition (Thi - tion need not be mmpteteddtne herrn'is valued at one hundred dollars(5100)or fess) or dismantling thereof,will be more than thirty-six(36)feet high. (Chap. 3.2,Gm W U23100'711 c 2,Art 2,Sec. 341,Title 8,California Administrative Code). Poeber: 0 As owner-builder, will not employ anyone to do work which would ❑ ify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant's Signature Date aI Af I(( Division of Industrial Safety Permit Number: A nature [J HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILSECURE WORKERS'CO COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑No ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereb affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). wi • on 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file is in full force and effect. fI a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# 14y .14 C-4D (Section 25533 of the California Health and Safety Code, with some _tag �00[S I�) exceptions. requires registration with the Costa Mesa Fire Department by Ceach business which at any one time has on hand a quantity of acutely Contract�gnature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued. (Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Dale 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, Or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No 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 (Section65850.2nfu i the onCnlifornia Government Code requiresbuilding thnt the requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished applications for non-residential permits). Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). O I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply 10 an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however. the building or improvement is sold within one year of control officer), completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. ❑ I, as owner of the properly, 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 Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction. and authorize representatives of Business and Professions Cody for this reason: 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. Signature of Legal Owner(s) 81 Date Signature Dale (S I f' 305746(3le7) And/or Auth• zed A-plicant Date COUNTY OF ORANGE . ' BUILDING DEPT. Permit No 636 No. Broadway - Application for Building Permit - Santa Ana, California Phone: KI 2,6211 AND FOR A Certificate of Use and Occupancy Date...gad 131-1-- i f'Sr2 I. OWNER'S NAME liesa_ilomes.,._.Inc,. PHONE:a:IX...1.22.3.zni MAILING ADDRESS Box 333 CITY Corona Del Mar Orange County Drafting Ser. Mesa Homes, Inc. Name Name (Architect or Engineer) (Contractor) Address Coast-away Address 332 Evening_Canyon_Rd. City_____.........NemPart_PPACh City Corona Del Mar. State S Lic. No. Phone Har 1223-J Lic.tate No. Phone H ar 1223-J Single Residence 6 /444 Gap PROPOSED USE: 1 2. JOB LOCATION__2_..i.. 68 CKwtroi,____ ta.,_. Costa Mesa. (House No.) (Name of Street) (Town or School District) 3. LEGAL DESCRIPTION: Lotczzi._...5 Block Tract 1462 (Metes and Bounds Description—Use reserse side of form) 4. CORNER LOT ( ) INTERIOR LOT ( //) THROUGH LOT ( ) SLOPE OF LOT R. 10•4 fo 5. SIZE OF BLDG.• ..S 5.X 3 1 AREAS C. .3 Si SIZE OF LOT•CC2 -"Y 87 LCAREA: 7200 C'euktin IQ 3 14' 8'1" 6. HEIGHT OF BLDG.: CEILING HEIGHT- NO. OF STORIES 7. NO. FAMILIES / Size of Smallest Bedroom: .6..in Size of Kitchen: 7..(3 8. EXTERIOR WALL CONSTRUCTION• Frame INTERIOR WALL COVERING_ Drywall (Frame, Stucco, Etc.) (Plaster-Drywall, Etc.) 9. SETBACKS: Front Yard from Center Line of Street 50' Nearest Side Yard 55 Rear Yard 26' Distance in Feet Between Bldgs. on Same Lot 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 11. For (a) Footing: Width 1 4 Depth in Ground 1 2- Width of Wall 6 Accessory Bldgs. and (b) Size of Studs: 2x4 Spacing 16 "CC Material of Floor Similar Structures: 2x6 16 (c) Size of Floor Joists: Spacing "CC 2x6 16 • . (d) Size of Rafters: Spacing "CC 12. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, paint- ing and sewage disposal $...k&CrerEt- 7.574O, ots ... 13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. Mesa Homes Inc. Signed• (Owner) Plans Filed: j Russ Boorey, Pres. Elo By (Authorized Agent) FOR DEPARTMENTAL USE ONLY FEES: -ECKING BY Bldg. Permit - $ /6 0-0 GROUPzi"4 __......__... APPLICATI ...... HEALTH Plan Check - $ 3 ' al' TYPE.________.... - FIRE Total - - - $ "ry, CO DIST. 7/ MARSHAL MAP Receipt No. - PLANStN rd.I SPEC'S STATE Paid to - - SHEET NO c----- CORREn ENGINEER Date..... ; a- 17r7c,-43 u.4.ra•:Nit_. / / " ii • I PERMIT IS'Lint —a DATE._ 127/84 • de ......--............-- ,-.....,---‘• 4" 3M-7-50 C.) METES AND BOUNDS DESCRIP I ION: 110 21,0 6 !. 5!0 610 11IMEPPMEMESERIAINIPMI ilitinourrirti " _ . i , II . I