HomeMy WebLinkAbout1791 Placentia Ave - Building PermitsS i
CITY OF COSTA MESA
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BUILDING DIVISION
77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
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CI. EPA FOR INSPECTIONS CALL: (714)754-5626
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PERMIT NUMBER B08-00255
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 42406105 DATE ISSUED: 09/09/2008
ISSUED BY: RMD
JOB ADDRESS: 1791 PLACENTIA AV CM Suite/Unit:
Vicinity: ROOF
Squares:0 Valuation: $23,700.00
SCOPE OF WORK: TEAR OFF(E)ROOF MATERIALS, INSTALL BUR ON AN INDUSTRIAL BUIDLING"PICK WICK",APPROX 110
SQUARES.20 SQUARES OVER OFFICE SHALL COMPLY WITH T-24 COOL ROOF STANDARDS FOR COMMERCIAL
BUILDINGS.
OWNER: BOYD,WILLIS BLAIR SR TR Address: 1946E EDINGER AVE Unit:
PHONE: City/State/Zip: SANTA ANA,CA
APPLICANT: HANSEN, DUKE Address: N6646636 Unit: :
PHONE:City/State/Zip:
CONTRACTOR: ROSS AND BARROWS INC License No. 327802
Address: 260 E ALTON AVEUnit:PHONE: 714-557-7440
City/State/Zip: SANTA ANA,CA 92707 CELL:
ARCHITECT: License No.PHONE:
ENGINEER: License No.PHONE:
FEE SUMMARY
Retool Plan Check: 0.00
Reroof Permit Fee: 377.25
Reinspection Fee: 0.00
TOTAL FEES 377.25
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.
CODEL DIMOON WM PAU INTlALS CODE INSPECTION TYPE, pAg INTMAL
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1288 Pool Spa Final 208 Final Plumbing
7 p
200 Final Re-Roof 210 Final Electrical 17 2&OC /9L`K
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
Q
204 Final Demolition 250 Final Building/Occupancy q'22-o
WORKERS'COMPENSATION DECLARATION:Owner ID verified by driv . scene. 0 Yes No
I hereby affirm under penalty of perjury one of the following declarations: Driver's 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' compensation Insurance carrier and policy 0 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
Carrier: J
C7r zzlefi-f.0 by this permit,and that no building structure,scaffdding,falsework,or demolition
or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grphusectionrectonotbecompleted/
ythe
permit is valued at one hundred OMars($100)rx kn.)
2,Alt Sec.341 Title 8,California Administrative Code).
Policy Number: n ?—> .S 5-7 z 0 Der
0 As owner-builder, I will not employ anyone to do work which would
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
he Labor Code,I s II forthwith comply with these provision
a 9 71/4 ®Division of Industrial Safety Permit Number:
Applicant'sreture Date
v
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE 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? 0 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.
Cy
a registration form for acutely hazardous materials? 0 Yes 0 No
Lic Z 2 570 Z Class-d Section 25533 of the California Health and Safety Code, with some
l/
exceptions, requires registration with the Costa Mesa Fire Departmentbyq ' each business which at any one time has on hand a quantity of acutely
Contractor's Signature Dai 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 fa 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
Lender's Address:
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.
Signature Date
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 therequestedthatheorsheislicensedpursuanttotheprovisionsoftheContractorsinformationbefumishedonapplicationsfornon-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 Califomia Health and Safety Code).
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 airpollutionemployees, provided that such improvements are not intended or offered for controlofficersale. If, however, the building or improvement is sold within one year of
completion, the owner-builder will have the burden of proving that he orsheCERTIFICATE'OF COMPLIANCE: I certify'Ihat under penalty of perjury the
did not build or improve for purpose of sale.). information givenabove is correct. I agree to•comply with all state laws and
I, as owner of the property. am'EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions.
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 contracta(s)license pursuant to the Contractors License Laws.).
certify under penalty of perjury that I have read this application and state that
0 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
authorizedbythis permit until final inspection.
Signalur eget er(s)ale/
signature pate
e057de(3/e7)Cog Authonzed Applicant Date -
OWNER PICKWICK PAPER CORP. DATE 10-16-73
JOB ADDRESS 1191 P1 an entiAvee BUILDING PERMIT NO. 37439
GENERAL CONTRACTOR Metz Sign Corp.DESCRIPTION of WORK Elec. Facia Sign
A"','., 116-160-07 LOT TRACT FIRE ZONE VALUE $ 650.00
dr a*CTIONS Signature Date GROUP J ; TYPE IV ZONE M-1
MGSOIL
SUBCONTRACTOR PERMITS ISSUED
AS Dote Number J Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER
ROUGH WIRING Heating and Vent.
TRENCHES FORMS 0 STEL REINF.
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLACTER, BROWN COAT
ST URAL, FINALElectric
HEA.,NG, VENT., REFRIG. AND A.C., FINAL 70.00- 'T,W e - io_14-73 3 .CF2- /-
PLUMBING. FINAL AND GAS TEST n J J J
ELECTRIC. FINAL 7c 1-7, (/
BUILDING, FINAL 2-7
1_p
CITY OF COSTA MESA cT 16-73cMs°OO 635.= ***:*7.50
43 !
Tag No.
Building Safety Department Type 9f Sign J,jl"i r .
E Elec. Non-Elec.
Application for permit for the fabrication of classified signs. FOR OFFICE USE ONLY
Location 2
C
Date Issued U /i -,//'' Permit Nti;
J,Building Site Address 72! , A- c-nv77e C.-
rG-
Fire Zone Y. ' /
l Group
Name of Leasee /iG wi t Pre:tG On? . Phone Q`GrApprovedby / l Da
State License No. .7in--7e 2-
Contractor
04ter z. 57// ie.- PLANNING DEPABTMENT
j' , 1 City License No. Zone / A. P. No. //6 - / g-- (-27
Address a <v ll n( v. City ` ../f ,
n
Phone _rr9—'3°I-J Bldg.Site Address 7q/ Y/acPO/T7 s ("i/P .
Architect or /)
Engineer i/JD K c State License No. /too LegalOwnerIA) I I .5 d
A
Address/2 Jft r,Q/rscy44 City it eke Phone 4 3. --`Z/ /
Address 1 5. P" CJ C//C')
City ....A0 4._ L . - VAC
er
Description: Tract Sign 0SignArea of Sign: t. in. X // ft. in. =S y [//Roof
Required Bldg. Setback to
Appurtenant and Incidental Advertising Sign Gas Tub Elec.Sign Center line of Street
Sec. 1.3 , .
Off-Site Advertising Copy Sign Location of Sign:
Behind Bldg.Setback Line
Two copies of plans and specifications shall be submitted with application for permit for each sign. Plot on plan
Between Property Lineandsheetsproposedlocationofsignandlocationsofallothersignsatsite. Minimum size sheets SHALL be 18" x 24"
Bldg. Setback Line
and non-erasable.
Front Feet
ALL APPLICATIONS MUST BE FILLED OUT'BY THE APPLICANT.ALL FOOTING, FRAMING, ELECTRICAL Right i eet
AND FINAL INSPECTIONS SH s :' CALLED.
Left AMIt eet
Signature of Permittee `s L - .s e a Projection 6 ' Feet
Authorized Agent FY` Ground Clearance Feet
D FOR SPECT•L RE. . 1•
The amount shown under Valuation is for the purpose of ` !
ap. et- hap. 'r i ion 8504 (b)
establishing a permit fee only
VALUATION Permit Fee $i/ -/
r
g ire (
Planning ...//IL_Recd. by Date !4'-"/
65.0 Signature (Dept.of Public Works)Plan Check $
Total Fee $ / Date:
Form BU-30(Rev.)
19755 FEE RECEIVED
t 3
MESA BUIL
MESA.CALIFORNIAORNFINANCE DEPT.P.O.BOX COSTA LIIA
CITY OF COSTA MESA
For Applicant to Fill In Completely APPI.ICATION FOR PERMIT
TYPE OR PRINT I BUILDING
BUILDING /r/ o ft Abe
RECEIPT NO. PE IT NO.
COSTA MESA, CALIFORNIA 77753
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BUILDING 77 f,...,MAIL
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ADDRESS
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CITY LebL- f /MAIC /] -5 NO.
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BY Y7 DATE 6/442/6" 3
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ADDRESS
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CITY
A.P.NO. Ni '— /aa — 0
STATE 46 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
TEL. SO'TO SIDE 3 REAR P.L.
LIC.NO. e 1 9 NO.
EAVES
SIZE
OF LOT 3o ax & 3 a I No.of BLDG/. A/NOW ON LOT 7
ALLOWED U.S.C.REQUIREMENT)__
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
FROM C STREET
r/ ASETBACKLINKPROMq7(7 FRONT OFT. P'Jcs.• AAFT "K'
CENTER OP STREET O REAR YARD /
SIDE YARD I LEFT 9(5
I
I RIGHT in 5' R.SIDE
2 J`
FT.
rrirFT.DESCRIPTIONrOF WORK L.SIDE 1 6'ec+L
V REAR l
3 A -t FT.
N ALTERATION ADDITION
DISTANCE BET./4-5 7JBET.MAIN H '
REPAIR MOVING DEMOLISH
MAIN BLDGS. A ACCESS.BLDGS.
BUILDING/6 B6 0 NO.OF
VAR.7t DATE
SIZE vv ROOMS STORIES
n/
C.U.P.# APPROVED
EXTERIOR ALL 5 NC. COVERING '
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BY
APPROVED A
DATE /3/6COVERING (
aieUSEOFBUILDINGANDWORKTOBEPERFORMED
0,y-to SO.FT.a
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRE AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.. O
PLY WITH ALL CITY ORDINANCES_AH TE LAWS REGULATI VALUATION yrpBUILDINGNSTRUCTIO
PERMIT FEE $ //S "' n
SIGNATURE OF
A /
IStoPERMITTEE
y0greo -
i
PLAN CHECK $ eLLAUOZYTHORIZEDAGENT
TOTAL FEE $473‘i
City of Costa Mesa
Building Safety Department CERTIFICATE OF OCCUPANCY N? 1737 C
P. 0. Box 317
Costa Mesa, California
The Building located at J77 / PLg r F//Tr.g /it/Fr
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group -2 Occupancy.
Use of Building LIT i' P)F . 1•1'Lb 7,
Legal Description 1/ 4 - /10/ - 7
See reverse side for Metes and Bounds)
Building Permit No. /7 71---‘ Electrical Permit No. "b n Y Permit No.7— 71 q
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C.
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency.
b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
Number of apartments and/or guest rooms
ISSUED TO:Building Official f
Air ? n AL; :r/S R /dr . by .
i f/
r
Date -7) r:-' 2"- lL _7
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. For,,, su34—IM_1143—S-B P
City of Costa Mesa
Building Safety Department CERTIFICATE OF OCCUPANCY N? 1737
P. 0. Box 317
Costa Mesa, California
The Building located at 17 `1 / ?LAC E -' /,q 4t/r -
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group 2 Occupancy.
Use of Building_LLg-L% P1F7, IILD 7.
Legal Description .0 / - /l o - O 7
See reverse sidefor Metes and Bounds)
Building Permit No. /? 7Crr Electrical Permit No
2E7 /o Plumbing Permit No.31'b 9'
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec, 2308 U. B. C. required under Sec. 3301 (1) U. B. C.
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency.
b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
Number of apartments— and/or guest rooms
ISSUED TO:Building„Official
AsterW02` 4 , by 0 A Vcy i
r'
DateTrr . /2. /'f 43
tris Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
t by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Form BU34-1M-11-63—S-B e