HomeMy WebLinkAbout2249 RUTGERS DR - Building Permits r 1
CITY OF COSTA MESA •
s BUILDING DIVISION
0111 )
t.41
et. Al 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www,ci.costa-mesa.ca.us
. FOR INSPECTIONS CALL:(714)754-5626
PERMIT NUMBER: BX09-00172
PERMIT TYPE B_MISC STATUS: ISSUED
APN: 41906109 DATE ISSUED: 09/11/2009
Zoning: ISSUED BY: RMD
JOB ADDRESS: 2249 RUTGERS DR CM _ Suite/Unit:
Vicinity: EXTERIOR Primary Occ: 32 Const Type :??
SQ. FT: 65 Valuation: $5,300.00
SCOPE OF WORK:
REPLACE (1)85 SF EXTERIOR WOOD STAIRCASE WITH NEW STEEL AND CONCRETE TREADS FOR AN APARTMENT
BUILDING.
STAIR CASE TO REPLAIN IN SAME LOCATION.
OWNER: NORMAN DIAS TRUST Address:: 203 SUSANNAH PL Unit
City/State: COSTA MESA CA Zip Code: 92627
Phone: 949-650-2593
APPLICANT: MORALES, NEFI Address: Unit:
City/State: Zip Code:
Phone: 310-930-2505
CONTRACTOR: ASTRO ORNAMENTAL CORP • License No. 720826
Address: 15517 ILLINOIS AVE Unit:
City/State: PARAMOUNT, CA
Zip Code: 90723 Phone 323-228-4336 Cell:
ARCHITECT: License No.
Phone
ENGINEER: CAYETANO G VEGA License No. C43117
Phone 323-236-7210
FEE SUMMARY
Building Plan Check: $81.41
Building Permit: $125.25
Electrical Permit: $0.00
SMIP Residential $0.53
SMIP Commercial $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES $208.19
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 N INSPECTION TYPE DATE INTITIALS CODE* INSPECTION TYPE DATE INOTIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
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 '1
204 Final Demolition 250 Final Building/Occupancy "1(�-/rwO9 A C ;
r •
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers license. ❑Yes ❑ No
I hereby affirm under penalty of perjury one of the following declarations: Drivers License No. Expires:
❑ 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
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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' cortNyensationI Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend, will be made in connection with work authorized
(Cardec—Z V ll..J by this permit,and that no building structure.scaffdding,falsework,cc demolition
(This section need not be completed if perm,'is valued at one hundred dollars(St00)or less.) 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).
PolicyNumber: I%`N 139c - zoo is
❑ As owner-builder, I will not employ anyone to do work which would
O I certify 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
Applicant's Signature Date
the Labor Code, sh II forthwith o 17, with(hese provisions.
'I ,.C`c) - i(,rt R Division of Industrial Safety Permit Number:
App is Signature- i J / zia. V /
L,,.�''+;� HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAIL E TO SECURE WORKERS'COMPENSATION 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? ❑Yes 0 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 hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 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
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No
Lic.-#.--_ Lb ♦ cass#�
Cl -C23 /CS/ (Section 25533 of the California Health and Safety Code, with some
C'--- • �9 // Q G exceptions, requires registration with the Costa Mesa Fire Department by
v / each business which at any one time has on hand a quantity of acutely
Darclorh'Sighature- ' Date_-.. .z hazardous materials equal to or greater than a weight of 500 pounds. or a
L--�' volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTI• LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that (here 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 Safely 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 0 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 (Section 65850.2 of the California Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 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? ❑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 to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 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
properly, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions.
❑ I, as owner of the .
LICENSED CONTRACTORS to construct the project(Sec.7044. Business and
Professions Code:The contractors License Law does not apply to an owner of Signature Dale .
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
El I 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 Code 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.
Signal of egal Ownegs Date
Signature Date .. a /'-0/
3057'46(3/07) • /! 1
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i ' ! CITY OF OSTA MESA falNc a �2s•oo
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• pfa tSS.k CALIFORNIA P.O. BOX 317 VARIA NO --
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�**a.-1 APPLICATION FOR VARIANCE to the CITY OF COSTA MESA
...1. 1 ' ' I •
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, i NOTE: y111 b•11 spaces.Attach the oath of plan*or drawings on wafer -- _,_ -
Wnere special women, taut rot. below eM ex) I
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provided. I M.Itfrall FOUNT on tack of form: A. e.r n S ' AcCd
aunaln¢l�A ./ . �^ O• . .
KOLL KENid.;TH H. n-, moi:I_� ems/
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•• Atldrt Iicwport B_l vd., Newport Beach, Calif. Poll ! :. 1 ;
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••. Telephone No. 3_ ?_.- _ _. . .a.:e ,. .,:.� :IL.
Drainage
Amended: 4451 rat yard setback from .f'ePrr'Ci er/cif'" '^! ^Fc rare: )
centerline of street ied `ls 8 Right of Way wALP An-en? 4t) ' .j.•• :
cent ting Variance For:, ° ) foot rear yard set- 8
_.. _ .... , street, d,A• •• sa-//- s ysv i
back on each of the 20 lots in Tract 2788. @@- .. j.'. .
Location: Lots 1 thra 20 of Tract. 2788 which is k sewers C r - ?a'// S-/2/S�
•: ..,-, '- ,_ L rfraWf )uiff5L•Avocado and between Col:age cSand Fnirvl cw, a Uulluet '
Lots 1 thru 20 of Tract No. 2788 a r' tee°•' r`"'
! (East 100' of Lots 9 and 28, all of lots 8 and 29 and .4 Planning 7 �n7�'�
• the West 35' of Lots 7 and 30, Tract No. 51• ,,,,` Uy..3**
9, 206 — `2 2_ y7 iQ UtGEQS DM • Water 2Nrt[ceei
Zone A2 ...•.` '
-t'•. APPIICANrs MOAT FI L OUT COMPLETELY, ..n...o.
,
(1) What exceptional or extraordinary circumstances or conditions apply to this property! _
•. In the development of patio type units on these lots, the aide yardsfbr these units actually •
„" . j' : become the front andbear yards, and the rear yard becomes the side yard. •' " �'
....��- (2) Why Is this variance necessary for the preservation and enjoyment of substantial property rights! -
✓/ It is necessary to ask for the rear yard encroachment in order to develop these lots to their
most advantageous usage.
. =.� (3) The granting of this variance will not be materially detrimental to the public welfare or Wurious to property
in the same zoning district because: ' . , . .
This area Is already zoned 82, Multiple Residential.
(4) The granting of this variance will not be contrary to the objectives of the Master Plan because:
../.'.
This is not contrary to the present zoning and only e rear yard encroachment is requested.
�i
., . Signature_ _ . _ _ _. _._ ._.. . . _ The Planning Department acknowledges that .•
. ' •:. "^'°'"• t application
th duly examined and
. '. ` Signature_ ______._ _—_. - .. .- _ _ . - w//f�
� 1 � ��g
2826 Newport Blvd., Newport Beach, Calif. ,Jleuyiy 4y Secor�ended
. r Plannatg Cbtftrfif�lon: 29t_
._> ...et. ' - --amtv"- approval in accordance with the amended -
request.
Signature _------ __--. _ .. _..-- - - - APPROVED nae reootantended. • '
a'"e' City CourMit _ ,
. 7/21/58 .
Address
.. ..ails. .neer CT
Telephone No�.— - -' _ _. -
VARIANCE Is NOr TRANSFER..DLs .VARIANCE is Nou.ARD VOID tl NOT Vs= wrnaazr ONE!Coit _
y>lU Ws Ir.? CITY OF COSTA MESA -
9 BUILDING DIVISION "•
> remi
y„„ �. DEVELOPMENT SERVICES DEPARTMENT PERMIT NU BER
(.1 IF!Rays
PERMIT
J P05 0084
`%ro ,t
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 2249 RUTGERS DR Status: ISSUED
Suite No Applied: 02/07/2005
Issued: 02/07/2005
Vicinity: FRONT YARD rriy,Parcel Nunmber: 41906109 ISSUED BY:
Applicant: DIAS, NORM
•
Address: 203 SUSANNAH PL
Phone: 949-650-2593
COSTA MESA CA Zip: 92627
Owner: NORMAN DIAS TRUST
Address 203 SUSANNAH PL
Phone: 949-650-2593
COSTA MESA CA Zip: 92627
Contractor: OWNER-BUILDER
Address:
Phone:
Zip:
License: 000000
SCOPE OF PERMIT '
REPLACE 3 GAS LINES.
FEE SUMMARY
AMT QTY AMT QTY AMT QTY
ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0
Bathtub $0.00 0 Pressure Regulator $0.00 0 - Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0
Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0
Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00
Gas Service $29.40 3 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $52.90
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
244646(6/00)
DECLARATIONS ''
WORKERS'COMPENSATION DECLARATION: 1.-
I
`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'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
' (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 ork 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 of C ifornia 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 pr s.
Appifcan Sig�eturs l'`- tat._ 2/ �0 Sr
WAR FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMP YE T CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,0011),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 licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force end effect.Lic.# Class#
Contractor's Signature: Date:
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).
Lender's Name: Lender's 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).):
O I,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.). •
nor of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
e. a 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.).
❑ I am exempl1ender se t-11 a Business and Professions Code for this reason:
Si nature: '�/(hI/rj`' �2'-'- D4ife - 0�
Owner ID van eff'tby drivers license. ted 0 No D can Fez,No' Fv^�s_ %p[//S (_'
Verification of Ownership by(type of document,i.e.-property tax bill or deed): --� �R.�
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:
I 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 0 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 then 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 Califomla 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.
R...Ps presently
l..e..ir.d a Section
.....
4 II an RMPP is presently required,has Sc25534 of the California Health end Safety Code been fully complied with? ❑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 end 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-describe erty forjospection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final ins.:ction.
7 l 2/> 0S'
Si antOP1e0'Plr"e-TfOWner{s)� [ .- ta
And/Or Authorized Applicant Date
COPE I INSPECTION TYPE PAIL INTRIAL$ COOF it INSPECTION TYPE PATE INTDIAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing anO1
`I I -G5
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
204 Final Demolition 250 Final Building/Occupancy
ADDRESS OFBUILIDNG 2249 RUTGERS DR ME CITY OF COSTA MESA - BUILDING. PERMIT FtKD9 CIU; .. U /1 .3 /U
MEWS NAME IF KNCAM CARPENTIERI, LUIGI
•
ADDREs6: 1975 WALLACE ST PERMIT NO: B 071 370 PLAN CHECK NO: N Lauv 1 ; N bun; ry
COSTA MESA,CA 92627
444-1542 CONSTRUCTION TYPE: L' N PERMIT TYPE; STR PURPOSE: OTH
APDL.YARNS ADORES&
JOB DESCRIPTION T/OFF REROOF 41/FIBERGLASS SHINGLES SQ FT; 2, 600
iii
ARCHITECT OR ENGIN
UC.NO.:
ARCH.ORENG's ADDRESS: UMt CLAIM VALUE; 2, 600 , 00 CALC-VALUE: 2, 600 , 00 GROUP OCC ; R-3 /M-1
cfmACIomkM ALL-COAST ROOFING ( 714 ) 650-2244 COMMENTS: SMOKE DETECTORS REQUIRED PER 91UBC, REROOF 2200SF RESIDENCE
CONTRACTOWMArum 2107 WALLACE AV 4.4********444494*44**444-4.***44**Mae*49 9f-44944+ac4C4“C Te***qt.*cc 4C le,44 acts 4949 iFdF*iri:-;c*ICY1Fr44 et-49*4.4C-ar(.*
ADDRESS: COSTA MESA CA UC.NO.: 598440 ZONING REQUIREMENTS
92627 SPIT: SETBACKS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty at cajun,that I am licensed under provisions of Chapter 9 '
(commencing with Section 7000)el Division 3 of the easiness end Professions Code,and my license is in lull face and erred. MAIN BUILDING ACCESSORY BUILDING'
CITY UC.NO.;051929 uC.cuss: C 39 U No.: 59844AI EXP : 02 /95 FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN •
sbig- L/ ., LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
•
Date: Ritz, Caaeda: it
OWNER BUILDER DECLARATION:I hereby affirm underpenely of perjury that I exempt from the Contractors License Law for the PARKING REQ• PROV: PARCEL ; 41906109 ' ZNE; „ j ;������®�
',Rowing reason(`Section 7031.5 Business end Professions o permit ns Code:Any ccounty wild)requires a peit to construct.Mee.impeove, PLANNING NOTES> � K
eolish,or repair any structure.pia to Es issuance,abo requires the applicant for such permit to file a signed statement that he or she
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)Cl Hal he or she is exempt therefrom and the buil for the alleged esemplion.My violation of Section ***********4****4***4*444********4*4*4*****444*44*4*44-43+4**44** a: 1'494
7031.5 W any apparent for a perms subjects the Applicant m e dull penally d not more than live hundred soften(SSooU. D E V E L O P M E N T S E R V I C E S R E Q U I R E EMI
1 R F
❑ I,es owner of the property or my employees with wages u their sole compensation,will do the work,and the structure b not intended
of offered ler sale(Section 7044,Business end Professions Cab:The Contractors License Law does not apply than Owner 01 property •
butts bus or improves thereon,and who does math work Nmesr or herself or through his or her own employees.provided has such ZONING APPROVED BY DATE;
improvements are rd intended or offered for sale.ft howeer,the building or improvement is sold within one year of completion,the
purpose proving she not or
❑ I.in m owner of the property,aexclusively mntredngwun licensed cnn tredoto construct the project(Section 7044.Business and BUILDING APPROVED BY DATE; rG /
Professions Code: Contractors License Law does not spots to an owner of property who hoflda or improves thereon and who APPLICATION ISSUED B Y ; DATE; 3I C2 ` l 1
contracts for projects with a contractor(*)Iceraed pussy to the Contractors License Law).
❑ Iam exempt under Section: B.B P.C.,for this reason: *************4**4*****• • t. • • • • * e.x **w w' +.*1e* *ro w******44**.n44***r****4
Das: Owner ***4*4*4*4****************4**4**44**4*44**44****44*4*4x3+3+***4*4*4*4*4**4**44444.
LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify oat I an)aware of ed understand the requirements of California Health end Safety Code Sections 25505,25533.and
25534.and that I or any future building occupant will I will not(circle one)need to canply wYh said state cedes and the requirements for
a pacer for construction or modfiution from the Anauakty Management Denim.Residential conatmctbn applcallonsare exempt from those BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
pra°n^• PERMIT 54 . 00 . 50
Data: Applicant: Si M I P/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penafty of perjury ate of the followingd&Meratons:iPLAN
ISSUE FEE
❑ Ihave and yell msimanatette of consent to sedinsure for workers'compenestion,as provided for by SecliOn 3700 of the Lakes BUILDING-DIV-> PERMIT ISSUE FLAN CHECK TOTAL PAIL DUE
Code,for the performance of the work for which this permit is issued.
❑ I have and witmanna workers'compewaicn ineaenen oe. required by Sedlod n 3700 of the Labor Code,for the performance the TOTALS > 54 , 50 O . OU 0 . 00 54 . 50 54 , 50 . 00
work for whits this permit is issued.My waked' swim insurance cams and policy number ere:
' CarieC TE FUND EXPIRtE C REVENUE DIVICION TOTALS-_ COLLECTED; 54 . 50 OVE /SHORT; . 00
• Policy Number liC1b113—yrs 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
„his seam need not be completed/the pare is lot one hundred dollars($1001 or test) 54 , 00 . 50
1'g I*say that rta
in the pemax:e of the work for which this penile is issued,I shall ner ern any Perim n o u any manner to
sub
become e to the wYaes'compensation laws d Cdifom and agree that ill u become subject to the workers' ****4*4***********4***********4****+9*****'3+4*****4**44** ******* *** 444*****4*
ion
corn pmeeions of Section 37x0 d the Labor Code,I steal rthweh comply wit provisions. I i`1 D I V I D U A L F E E B R E A K D O 41 N
_\ Dater ""Sb Applicant: AT. ,.`7 DWammig:HNun roscun wortw'wnkswuaR°n coverage U unlawful, nsubject an amployar to criminal peneroo end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
ig a
civil lines nono un
hundred thousand dollars(5104000),in Seddon to the t of compensation,clamors a Provided ler in
Section 3705 of Us Labor Code,Interest.and allomsYY l.ea SFR 2600 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 2, 600 . 00
CONSTRUCTION LENDING AGENCY:I hereby alarm under penalty of perjury that there is a cananwon landing agency for the END OF FEES
performance of the work for which this permit is issued(Seam 3097,Cb.Cl,
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that l have read this application and state that the above information is correct,I agree tocomply with all city and county ordinances EXPIRE
sok
and state laws relative to building construction and hereby authorize representatives of this cry to enter upon the above-mentioned moped/
for inspection purposes. t T. P"'6 /
-� —:g! ! _ i DATE O O
�� etNei° 2 �����(.., cel 0 1776?2 007776t3 Ts3ST 54.50
`j %)iar7^!�\�iri 441. Date:_[_ / DATE: 03/96/95 TIME: 14:40
natured• -.rlAgent/APPI
(5151 de,WP) White-Building&Salary:Green-RIs Canary-Appecant:Pink-Revenue:GOIdenAssessor •
CONSTRUCTION AND PLANNING PO( SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location : - !-
. 1.. ,
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrl4d. 54. Forms • 4
1
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding •,
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test '1
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, 0 Undigrnd.,Test
9. Water Pipe-Undrgrnd. f,- - 60. Backwas s Trap, DkUndrgrnd.
10. Structural Floor System ' 61. APPRO T DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final :
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains ) 64. Plumbing System - Find �I
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final -' •
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank OGas 0Oil
25. Roof Sheathing
,44( ,v r 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical '-�'•
27. Frame and Flashing 76. Dry Standpipe .f
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL hi
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD C�ERTIFICA/TE ISSUED ,// =�/
33. Final Electric Notes: '3/74. t' ,jo,j Co'IC/'i�2'
34. Final Heating& Air Conditioning /
35. Final Gas Pipe-Test role%
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Finale
41. Solar Domestic-Final
42. Backf low Preventer
3ti 43. Backflow Irrigation
44. Landscape Irrigation System h;,r'
45. Sound Attenuation
46. Handicap Regulations / I
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY 1t •
` \
No Date
e1 I, -
. . , -' . 8060
v'EE RECEIVED
COSTA MESA BUILDING DEPARTMENT /j/arl�S`4
P.O. BOX 317 fli�I NC DEPT,
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN - ' APP�LICTV ATIO N FOR PERMIT
BUILDING
ADDRESS 2249 Rutgers Drive A, B, 0 BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. IS, T
OWNER Towne Estates, Inc.
MAIL RECEIVED BY DATE RECEIVE O E IS .r
ADDRESS 1555 Placentia ,--nr /i-y/---1, // 2y S—OY
TEL. BUILDING 1
CITY Newport Beach, Cal. No.MI 6-3227 ADDRESS 22 y9 �V/�!+/aS,
ARCHITECT fpm COSTA MESA. CALIFORNIA
OR HIGTINECTER Owner LIC.O.
FIRE
ADDRESS ZONE
air eT 0ll Const. Co. ND 8534 ZONE /. NO.OF 'TYPEzit GROUP '
CITY LIC. ,'L//'PL4 N5
TEL. APPROVE 9
ADDRESS Same NO, Same BY Mile , DATE 9.941/ S
LEGAL LOT CORRECTIONS
DESCRIPTION NO. 1 BLOCK TRACT 2788
A.P.NO. �Jj/./ (l'1 Zyyl,y )��xy `]�� I{ �'
SIZE 60 x 100 NO.OF FLOGS. 0 Y !. AL-4‘
�J l+,
OF LOT NOW ON LOT g
TjUSE OF ,' . i,' R P v Y3,EXISTING BLDG. ' iL/, Y.. • 1. s X
SETBACK LINE FROM
CENTER OP STREET 45 REAR YARD 10
SIDE YARD �f RIGHT io LEFT 10 •!!SM IAT^ '
DESCRIPTION OF WORK VAR. 1,1 APPROVED MSI. _
ilk
NEW X ALTERATION I ADDITION
REPAIR MOVING I DEMOLISH r
BUILDING NO.OF 2480 sq ft ROOMS 12
SIZE STORIES 2
EXTERIOR WALL ROOF �J ((/
COVERING stucco COVERING hot mop ) 7jJ — ce...--,.
USE OF NEW O 2-S V. ,
BUILDING Apts. Triplex and attached / h/
3 car garage le 3 0 — 'e->a' A/
rr' __ rI HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND /O _,
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY'WITN ALL
CITY ORDINANCES • STATE LAWS REGULATING BUILDING CONSTRUC-
TION. VALUATION / 0'V
q/ PERMIT FEE $ 4//
SIGNATURE OF �CIR��C�S _
PERMITTEE ,l( I
$ A/ li��__ PLAN CHECK $ 02 C.S jv,
AUTHORIZED.• ENT r TOTAL FEE 5 5 (9 ,P('
---. : .
• :1
r $' • 4. : • • II .fit
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