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Home My WebLink About832 Santiago Rd - Building Permits, � �� f, w CITY OF COSTA MESA . � f BUILDING D/VISION > � 77 FAIR DRIVE, COSTA MESA, CA 92626 • p14) 7545273 • Fax p14) 754-4856 • www.ci.costa-mesa.ca.us f °.�� FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: BC09-00377 PERMIT TYPE: B COMBO STATUS: ISSUED Sub Type: RES_ALT DATE ISSUED: 09I2512009 ISSUED BY: BJK �oe aooRESS: 832 SANTIAGO RD CM APN: 14154111 Zoning: , , Vicinity: Const Type: SQ. FT: 0 Suite/Unit: Primary Occ: Valuation: $1,600.00 SCOPE OF WORK: REPAIR/REPLACEMENT OF TERMITE DAMAGED WOOD WITHIN THE WALL AT THE FIREPLACE WITH INSTALLATION OF APPROPRIATE WEATHERPROOFING. WORK ALSO INCLUDES BATHROOM PIPE REPLACEMENT. NEW INSULATION AND DRYWALL TO BE INSTALLED. DEFECTIVE HOSE BIBS W ILL BE REPLACED PER THE CODE ENFORCEMENT WRITE-UP. REF: C09-2040 PLUMBING: 1 WATER PIPING, 2 BACKFLOW PREVENTERS NOTE: THE MOLD ISSUE IS BEING HANDLED BY A PRIVATE SOURCE PER THE PROPERTY OWNER. OWNER: SHIPPS, JAMES D Phone: APPLICANT: SHIPPS, HAZEL Phone: 714-968-4965 CONiRacroR: OW NER-BUILDER Phone: Cell: ARCHITECT: ENGINEER: COMBINATIqN PERMIT FEE SUMMAR`! Building Plan Check: Building Fees: Electrical Fees: Mechanical Fees: Plumbing Fees; SMIP Residentlal: SMIP CommerCial: Bldg Std Admin Fund TOTAL FEES: "Refer to fee receipts for all fees paltl for project Address: 21607 HANAKAI LN City/State/Zip: HUNTINGTON BEACN, CA Address: 21601 HANAKAI LN City/State/zZip: HUNTWGTON BEACH, CA Address: Unit: City/State: License No. LiCenSe NO. $0.00 $57.05 $0.00 $0.00 $52.90 $0.50 $0.00 $1.00 $111.45 License No. 000000 Unit: Unit: : ZipCode PHONE: PHONE: NOTICE: The work authonzed by this permit shall wmply with all applicable handicap access requirements under California statutes and related regulalions. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply wilh all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of lhis permit, OC OE Y. INSPECTION TVPE DATE INTIna�$ CODEM INSVECTION ME UAI� IN71TA15 1616 Fize� System Final Fire Prevention 206 Final Mechanical �I��/V I-- � 1268 Pool Spa Final 208 Final Plumbing 200 Final Re-Rppf 210 Final Eleclrical 201 Final Block/Retaining W all 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 FinalSign 222 FinalSi�e }V-,-`-+'�� 204 Final Demolition 250 Final Building/Occupanty C. A �� WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty o� perjury one of Ihe following declarations: ❑ I have and will maintain a certi(cate o( consent to sel(-Insure !or workers' compensation, as provided fo� by section 3700 of Ihe La�or Code, for �he peAormance o/ Ihe work for which this permit is issuetl. ❑ I have and will maintain workers' compensation insurance, as required by sectbn 3700 of the Labor CotlB. (or the peAortnance of the work for which this pertnit is issued. My workers' compensation Insurance carner and policy number are: Carrier. (inis seUim neetl rwt be mmpelM a Me pe.ma is valuee a1 one nurrtlietl tloNars (Silq) wless ) Policy Number: ❑ I certify tha[ in the peAormance of [he work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the vrorkers' compensation laws of Cali(ornia, and agree that if I should bewme subject ro the vrorker5' compensation provisions of Section 3700 of the Labor Code, I shall forthwitq comply with these provisions. AOWicanf55ignaWrB Dale WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS OECLARATION: I hereby aKrtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Pro(essions Code, and my license is in full force and e%ect. Lic. # Class # Comraaor's SlgnaWri Da�e CONSTRUCTION LENDING AGENCV: ❑ I hereby affum that thefe is a consWctbn lending agency (or the peAortnance of [he v.9rk fa wfiich this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: SignaWre OWNER-BUILDER DECLARAYIONS: I hereby aKrtn lhat un0er penBliy of perjury that I am EXEMPT FROM THE CON7RAC70R5 LICENSE LA�N !or the following reason (Sec. 7031.5, Business and Pro(essions Code: Any city or couniy which requires a permit b construct, alter, improve, dernolish, or repair any simcture, prior to its issuance, also requires �he appfcant for such permit to 61e a signed statement Ihat he or she is licensetl porsuant to the provisions of the Con[ractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code) or that he or she is ezempt therefrom and the basis for the allegetl exemp�ion. Any violation of Section 7031.5 by any applicant for a permit subjects ihe applicant to a civil penalry of nol more Ihan fve hundred dollars (5500).): �� I, as owner of the pmperty, or my employees with wages as their sole i compensation, WILL DO THE WORK, and the stmcture is not intendetl or � oHered for sale (Sec. 7044, Bus�ness and Prolessions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such vrork himself or herself or thmugh his or her ovm employees, provided that such improvements are not intended or offered for sale. II, however, the builtling or improvement is sold vrithin one year of completion, the ovmer-builder will have [he burtlen of proving that he or she did not build or improve for purpose of sale.). � I, as ovmer of the property. am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consWct the project (Sec. 7Q44, Business and Professbns Code: The contractOrs License Law dces not apply to an ovmer of property who builds or improves thereon, and who coniracts !or such project with a cont2ctw(s) license pursuant to the Contractas License Lavrs.). ❑ I am exempt under sec. Business and Professions Code �or this reason: �( �Q-� c��o�� R_ ZS-a9 $i{�neNre" y�_ �Date—y� 3�5]-46(3/0 ) �� r . � Ovmer ID venfietl by driver's icense. �fes ❑ No , Ddver's License No. Expires: �ZO — I Verification of Ownership Dy (type of tlocument, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIF�CA710N: ❑ I hereby certi(y that no excavation frve (5) or more (eet in tlepth into which a person is requiretl to descend, will be made in connection with work authorized by mis permit, antl that no building structure, scaffdtling, falsewurk, a demolition or tlismantlinq thereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2. Sec. 341, TM1Ie 8, Caffomia Atlminlstrative Code�. ❑ As ovmer-builtler, I vrill not employ anyone to do vrork which vrould require a permit from the Division of Industrial Safery, as noted above, unless such person has a permit to do such work (rom the division. Appliwnfs SlgnaWre Date Division of Industrial Safety Pertnit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fWure builtling occupam neetl to file antl certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health antl Salery Code requires, with some exceptions, that a Busi�ess Plan be filed vrit� the Costa Mesa Fire Depanment by every business which has at any one time during a reportetl year a quantity of hazardous matenals equal Io 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 o� present or future builtling occupani need to file a registration form !or acutely hazartlous materials? ❑ Yes � No (Section 25533 of the Califomia Health and Safery Cotle, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity o( acutely hazardous materials equal ro or grealer than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at stan0ard temperaWre antl pressure). 3. Does or will Ihe appliwnt or present or fufure building occupant neetl to prepare an RMPP (Risk Management and Prevention Pmgram for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of Ihe California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certifcation and filing with Ihe Fire Department of an RMPP by businesses which are required to register awtely hazartlous materials vnth the Fire Depariment. 4. If an RMPP is presently required, has Section 25534 0( the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or Wture builtling occupant require (or the work which is the subject o( lhis application a permit for such constmction or modification from the Soutb Coast Air Quality Management District or Irom any other air pollution control dislrict or agency? ❑ Yes ❑ No (Sectbn 658502 of the Califomia Govemment Code requires that the requestetl infortnation be fumishetl on applications for non-residential building pertnits), 6. Will any part o( Ihe facility lo be consiructed untler this permi[ be wi�hin 1000 feet from the outer boundanes of a school? ❑ Ves ❑ No Qf'yes", ihe (acili[y must meet Ihe requirement o( Sections 25534 antl 42303 of the Cali(omia Heal[h antl Safery Code). 7. If a pertnit from the South Coast Air �ualiry Management Dis[rict o� olher air pollution control district or agency is required for the work which is the suDject of this application, have all of the disclosures prescnbed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If "yes", attach certi�cate of compliance (rom the appropriate air pollution control oHicer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the intortnation given above is cortect I agree to wmply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signamre Date CERTIFICATE OF COMPLIANCE AND AUTHOR{ZATION OF ENTRV: I certify under penalty of perjury that I have read this application and state that lhe informa[ion given is correcL I agree to comply with all state laws antl city ordinances relating to building conSWc[ion, and authodze representatives ol �he Ciry of Costa Mesa to enter upon �he above-describetl property for inspection purposes. I agree not ro occupy or allow occupancy o/ any builtling auth rizetl by thi pe it un � frtal inspection. �,� i�'__ ..�,.�, 9-zs-�q Sign IuieNLegalOwneq �a[e--) AnGlorqulhonzeU APd��nl Date Ci!Y OF COSTA MESA CALIFORNIA 92826 P.O. BOX 1200 FR�M THE OFFICE OF THE PLANNING. DEPARTMENT January 21. 1977 The City of Costa Mesa wishes to advise you that in revising street addresses, the following addresses have been changed: OLD ADDRESS 834 5aatiago Road 838 Sautiago Road NEW ADDRESS 832 3antiago Rond 836 Santiago Road A.P. N0. 141-541-11 iai-sai-ia For your convenience we are listing the agencies below that we have notified of the change. In addition to those listed, you are advised to notify your correspondents of the change in order to avoid any possible interruption of mail service. Your cooperation in this matter is appreciated. Very truly yours, (.+rQ/LCLa� �/. %1a�Gl�C�a� Charles W. Roberts Director of Planning cc: Board of Equalization Bond Department Building Safety Department ✓ Communications Costa Mesa County Water District County Clerk Engineering Department Fire Administration Fire Prevention License Department Orange County Tax Assessor Pacific Telephone Police Department Public Services Department Registrar of Voters Southern California Edison Company Southern California Gas Company Street Department United States Post Office, Costa Mesa File _ ��e�l COSTA MESA BUILDINGSAFETY DEPARTMENT P. O. BOX 917 C08TA MHBA. CALIRORNIA For Applieani fo Fill In Complefely 834 Santiago Road COSTA MESA. GALIFORNIA Mesa Del Mar Development Co. 3800 E. Coast Highway Corona del Mar No:OR 34 -o Macco Corn ;,E„`' OR 34 CONTRACI'OR �CCO Corp AOORE6S 3800 E. Coast Highway .. �,n Corona del Mar, California. uc Ho. 98808 SB-1 No: OR 34220 61ZE xo. or a�oo�one oF �or 6500 SF� I NOW ON LOT uae oa None exier�Ne e oc 68T0ACR LIHB FRON 49' -4" 3b+ ceMeM aP STReeT REAR YARD 61DE YARD I LEFf S� I ftIGFi7 S� DESCRIPTION OF WORK ..�.., I x II .. _��._._.. I Ii ..._._._.. I NO. OF 1 � -L�� ROOMS J ST�RIES 1 attached � xeaeer �CKNOWLHDOa THAT � x�ve nuo rx�e ,vruunoN AND 8TAT6 THAT TH8 AlOVC 16 GORqEGT AND AGHlE TO COM- PLY WITH �LL CIiY ORGINMlCE! AND HTATB LAWB REOULATIN6 BUILDINO CONBTRUCT�oN. sicNaruRe or�,gp DEL MP.R DEVELOPMENT C0. IA THORIZHD FEE RECEIVED - � JUL 121901 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For O#iee Use Only R¢CEIPT NO. PERMR NO. �9 cA Sd�.^�. -A ReCHIVED BY I DA'IE RECEIVED I ..DAT2 198UHD COSTA MESA, CALIFORNIA - I f� FIRE ZONING ZONE / NO.OF UBE OF NEW r - O � I PLANB � I BUILDIN6 L�� T , / �Ga�e�o.�....�� Y � � C .--0 � � � (CHMtN uHe ar.� 7 -// -6 Living Area - 1361 SF Garage Area - 410 SF Cmr Dnrrh - 1 (� SF THE AMOIIM BHOWN UNDER VALUAiION IB FOR TH6 PURP08E OF E9TABYBHIN6 A PERMIT FEE ONLY. VALUATION '/ � PERMIT FEE $�/� /J er $ L�i,446.00 PLAN CHECK $ �/ // �