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Home My WebLink About1584 SAN BERNARDINO PL - Building Permits • • 50144. - ;9 CITY OF COSTA MESA 4w BUILDING DIVISION nyrr} „� ;-�I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER im 4. PIA PERMIT BOO-01648 .00 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.c3,us ILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1584 SAN BERNARDINO PLC Status: ISSUED Suite: Applied: 10/12/2000 Vicinity: Issued: 10/12/2000 Parcel Number: 42532133 Zoning: Applicant: BURR, STEVE / ISSUED BY: Address: Phone: 949-548-2965 Zip: Owner: RIEM, LAURETTA Address 1584 SAN BERNARDINO PL Phone: COSTA MESA, CA Zip: 92627 Contractor: STEVE BURR Address: 711 WEELO DR Phone: (714)548-2965 • COSTA MESA, CA Zip: 92626 License: 635586 Arch : Eng: Address: Address: • Phone: Phone: Zip: License: - License: SCOPE OF PERMIT TEAR OFF/RE-ROOF WITH 1-25#BASE,MOP 2 LAYERS OF#11,MOP 1 72#CAP SHET. NEW METAL AND NEW ROOF JACKS. • FEE SUMMARY • Plan Check: $0.00 . _ Calc Valuation: - • $3,500.60 Permit: $97.25 Claim Valuation: $3,500.00 SMIP Res: $0.50 SMIP Corn: $0.00 • - Other: $0.00 Inspection: $0.00 • Total: $97.75 PLANNING & ZONING SETBACKS MAIN STRUCTURE,Front 0-0 Rear 0-0 Left 0-0 Right 0-0, ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: 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) DECLARPZ;DNS WORKERS'COMPENSATION DECLARATION: 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 insur ce,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 carder and icy mber are: u Carrier: (J r~ Policy Number: (This section need not be completed if the permit I vet ed at one hundred dollars($100)or less.) ❑ I certify that in the performance of the wo f hich this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and a t if I should become subject to the workers'compensation provisions of Section 370 of the Labor Code,I shall forthwith comply with these pro • to s. 9/ ( _ApplicanfSignaturei 1 ,(w.. Date: /0 a C 'WARNING FAICDRETO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFULAND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND VIet L FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,0001,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 and effect.Lic.4 Class# �-I� "ContractorsSlgnaturr . 4 _ Date: !� / (L T 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: 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).): ❑ 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.). ❑ 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.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes 0 No Driver's 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: 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? 0 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 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? ❑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 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. 4 If en 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 akPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California Govamment 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 ❑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 ❑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 slate 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 a.ree to comply . - . ate laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the a.• •-...cnbe..6..erty for iL to '.n purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. / ignatureirr: gal Owner(s) /C1 / L And/Or .uthorized Applicant 3 ate CODE INSPECTION TYPE PA]I INIITIAL$ CODE F INSPECTION TYPE QATE INTMAL4 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 206 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 204 Final Demolition 250 Final Building/Occupancy I u OWNER RIEM, Martin J. OCT 2 8 195$ . DATE 3-12-58 _ JOB ADDRESS 1584 San Bernardino Pl. . BUILDING PERMIT NO. 6501 GENERAL CONTRACTOR Owner—Bui ld r VALUE $ 1,056.00 llk.c(?.—12 LOT 12 TRACT1267 FIRE ZONE DESCRIPTION OF WORK Garage GROUP J TYPE V ZONE R4 PLAN NO. PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Trenches Forms Steel £rt- Z -74--.0 ' Floor System Steel Reinforce Chimney Re-Rod ' , Bond Beam �Y/�/ 6 —T//4 A-7 F Ltjz- -n 77 Frame and Flashing T—ZYtjY / l Lathing, In Out •7 ` 'iT Plaster, brown coat - a/�* 8 "it/r:)ce Underground soil W/G Pipe Test Top Out \ Furnace - '`...___ Gas Vents / Rough Plumbing I t; Cesspool Septic Tank K 1J Prop. Swr. Line House Con. St. Swr. , A 1 a/ Sprinkling System - t"/ Heating Final / Plumbing Fixtures, Final / Final Gas Test • Construction Pole Underground Power Rough Wiring Fixtures, Final -OCCUPANCY L—&—E j[3-a Form 210-5M-1-57 6503 I • 111* ' • • 6503• C (�C(� �f ° COSTA MESA BUILDING DEPARTMENT FEE RECEI • ED P.O. BOX 317 3 _/3 _ 51 V0-- . COSTA MESA. CALIFORNIA Q� APPLICA¢TIO�N�FOR PERMIT FOR APP CANT TO FILL IN GIP( lit I IN u9L BUILDING 5`$ p11 • BUILDING . / Yom, COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PERMIT NO. OWNER L(J( iyu /\ 65-08 MAIL 9_ gee:), / /�' RECEIVED BY DATE RECEIVED�] DATE ISSVED ADDRESS / M+a //P �jC .--7VEOB�1 �'--/)+G -JO ,7.-/2-- 4 QTY �/D j /�Q/�Qr UILDING NO.TEL.,/�b FQ,li ADDRESS Y ARCHITECT /// NLIO. COSTA MESA. CALIFORNIA OR ENGINEER NO. FIRE • ADDRESS ZONE 3 ZONE '/ NO.OF TYPE GROVf( CITY LIC. �J /J PLANS / �,1 \ CONTRACTOR -ra.h�,. NO. /1��_/// s/ TEL, APPROVED ADDRESS NO. BY DATE LEGAL 'JJ 6 CORRECTIONS DESCRIPTION NO. / Yl ^� '^B'JLOCCKK TRA(1T� / A P. NO. j/ / ��- /'. T .•.• _. /`aL �JµT�{}�J� /gyp yQ�� SIZEOF LOT C •�/\ /�0 11 HOOF BLDGS. / APPROVED ti k•�?y. '_y. T NOW ON LOT I {{{�Allllll 8 V, IIsi!! USE OF •� CITY OF •STA MESA EXISTING BLDG. f DT SETBACK LINE FROM �` �+".I�.t I'l� DEPT. I. CENTER OF STREET G ,4/.. REAR1`` YARD -, Al SUBJECT TO DG. DEPT. REG. SIDE YARD RIGHT � ' DESCRIPTION OF WORK 6Y DATE � "`/2 S" . • PLA TcCH -- NEW V 0 ALTERATION ADDITION REPAIR PI MOVING DEMOLISH BUILDING y/ /1/ N NO.OF / SIZE / // / ROOMS ' STORIES ' / EXTERIOR WALL ROOF ' • COVERING ,COVERING USE OF NEW . BUILDING • I HEREBY ACKNOWLE&jcRUA I HAVE READ T. - APPLICATION AND STATE THAT THE ABORECT AN GRE TO OMPLY WITH ALL �ry TL' BV LDING CONSTRUC• TION.OROINar.r�n/a� VALUATION O SIGNATURE OE/ PERMIT FEE S a PERMITTEE PLAN CHECK S AUTHORIZED AGENT TOTAL FEE S /a -- NS OWNER RIEI.1, Nf4RTIN J. DATE 9-12-60 JOB ADDRESS 1581.1 San Bernardino P1. BUILDING PERMIT NO.12814 GENERAL CONTRACTOR Owner-Bldr. VALUE $ 3,792.00 AP. No.117-221-12 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Add to Res. INSPECTIONS DATE I GROUP I TYPE V ZONE R4 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 1I Heating, Final ., Plumbing Fixtures Final Gas Test Construction Pole ✓ 2,' 1'. _ Underground Power 'J' i6[,�` Rough Wiring �0 aM. ( el-t�-rL4 r� /—4- 6/ / 3 2247.// Trenche Form Stec I'`C • /V 18—'Cs O Floor Sys em Steel Reinforce Chimney Re-Rod Bond Beam Fhaathingd Frame and Flashing a `.2.(1 'ba Lathing, In Out �2s. ( �.(o( Plaster, brown coat 9.�E 3 --,- -s/ IN n At PA -5----9- If Plumbing Fixtures, Final Electric Fixtures, Final ‘7,3e)-67Building, Final (ea �Cl�✓ OCCUPANCY Form 210-5M-11-59 5-B P 128114 12814 FEE RECEIVED SEP b `l COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA. INANCE DEPT. • For Applicant fo Fill In Completely APPLIICATIION OF OFSOR TA PERMIT TYPE/� OR PRINT PRINT BUILDING BUILDING ( �.A/ /jRORP)/ O Pi. ADDRESS i U/f COSTA MESA.lCALIFORNIA For Office Use Only - .• OWNERAJRp//4/ e r PfF/Y( I RECEIPT NO. I 1P I 104 ADDRESS IS 0 ey C/./AN PFR/IAHAnN/n��+�k/! RECEFIfViyyy/•��X�Q((�p/{1 (/('y(�A(y�'/�1 iE/ryCE1VE00 (ATE�V CITY Q o S/4 /,/ES� TELNO (72434 C7(V�{F ADDRESS /t) O 7 •�(�(.}d/G 06.1.4.114.440 '( ARCHITECT ..- —>- TEL. OR ENGINEER NO. ., COSTA MESA. CALIFORNIA ADDRESS FIRE n ZONE ��TYPE GROUPA/ �/(/' CONTRACTOR Q �sR R7J1 L �.L T APPROVED �7 DATE/� /V� ADDRESS �"`�Th ` / NING 1 '�.TC•Y1._ / I PLANS ^ I BUI OF NEW ��1/✓ CITY \ fr l/� PLANE Y BUILDING Y STATE TEL. ��- LEGAL Lo / I / /� /2 / �/ LIC.NO. NO. ., DESCRIPTION i- I9 6 / SIZE /) / �y I NO. OP BUMS. — OF LOT y k, St Now ON LOT f A.P.NO. 11.7 —anyi )– USE OF YARDS EVES / EXISTING BLDG. APPROVED yALIGOWED S / SETBACK LINE FROM (''� (CENTER LINE ST.) !IAA //�/1-F`✓ ' CENTER OF STREET J O REAR YARD FRONT (gip �FT`.l IfI�/I IN. SIDE YARD I LEFT I RIGHT R.SIDE 6' FT. IN. DESCRIPTION OF WORK / • L.SIDE L / FT. IN. NEW I II ALTERATION I I ADDITICI REAR [[[[(3 FT. O/�- IN. REPAIR I II MOVING I I DEMOLISH APPROVED T O /' iL BY UA--' �� g –/� 6e) BUILDING ,b • yI NO. S T SIZE ,IF l/'' .0 ROOMS STORIES EXTERIOR WALIf1 (=RING COVERING JJ/ �C J COVE USE F BUILDING A WORK TO BE PERFORMED 7 Aif/NG 7014)?r=r?d' —� 95 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AN AGREE TO COM. UR PAMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CI• -•MANGER AN4TAEGULAT1NG BUILDING CONS • VALUATION .�JJ PERMIT FEE $/fr rte SIGNATURE • ...t �I I`_ R PERMITTEE (/�� 5:71 ` PLAN CHECK $ AUTHORIZED AGENT 94n• to •.! B TOTAL FEE • O a