HomeMy WebLinkAbout1088 SEA BLUFF DR - Building Permits I 4,
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CITY OF COSTA MESA •
r `� • BUILDING DIVISION •
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✓•• 7!: 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
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5� FOR INSPECTIONS CALL:(714)754-5626
�m� PERMIT NUMBER: B09-00186
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 42203142 DATE ISSUED: 09/04/2009
ISSUED BY: BJK
JOB ADDRESS: 1088 SEA BLUFF,DR CM Suite/Unit ° :`.
Vicinity: RESIDENCE AND ATTACHED'GARAGE p
Squares: 1890 .Valuation `x$7,000.00
r:.
SCOPE OF WORK: REROOF RESIDENCE'ANDCATTACHED GARAGE:T/O EXISTING WOOD SHAKE-ROOF,`'7/16"OSB SHTG, 1 LAYER
30#FELT,APPLY 30-YEAR DIMENSIONAL COMP SHINGLES. 1890 SQ FT PITCH 6:12
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OWNER: NILSEN,KIRSTEN L , Address: 1088 SEA BLUFF DR Unit:
PHONE: , '� -City/State/Zip: COSTA MESA,CA `
APPLICANT: NILSEN, KIRSTEN L Address: "1088 SEA.BLUFF.DR,. '? Unit: :
PHONE: 949.244-7926 - City/State/Zip: COSTA MESA,CA
CONTRACTOR. OWNER BUILDER - I License No ; 000000
Address: Unit:
City/State/Zip: ':5 - - - , CELL
ARCHITECT: - License No. .PHONE.',
ENGINEER: License No.
FEE SUMMARY
Reroof Plan Check: $0:00, � '
Reroof Permit Fee:
Reinspection Fee: •` $0.00 -
Bldg Std Admin Fund $1:00'- - - '`' •
TOTAL FEES •
$140.25
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.
CODE I. INSPECTION TYPE DATE INTITIALS CODER INSPECTION TYPE DATE IN1111ALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof L1C�IJ-Z_ / S 210 Final Electrical
201 Final Block/Retaining Wall I 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
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WORKERS'COMPENSATION DECLARATION:b. - Owner ID verified by drive, .anse.'Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No.?) Expires:"-C1))y la-
0 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 forby,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 ❑ 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
by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp
(This secm need not be completed if the permit is valued at one hundred dollars(3100)or less.) 2 Arlt Sec.341,Title 8,California Administrative Code).
Policy Number:
❑ 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
•
the Labor Code,I shall forthwith comply with these provisions. Applicant's Signature Date
Division of Industrial Safety Permit Number:
Applicant's Signature Date 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? ❑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 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? ❑Yes ❑No
Lic.# Class# (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 lime has on hand a quantity of acutely
Contractor's Signature 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 CINo
(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 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? ❑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? ❑Yes ❑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 (Section 65850.2 of the California Government Code requires that the requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building 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? ❑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
fivendred dollars($500).): of the California Health and Safety Code).
CO,I[ 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? ❑Yes 0 No
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 8. (If yes", attach certifidate of'comp llance. from'theappropriate air pollution
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 penaltytob 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.Eniissions.
❑ 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 • Signature Date '
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION'OF ENTRY:1 I
a contractors)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and-state that
❑ 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 pure ses. I agree not to occupy or allow occupancy of any building
q I�J n authorized I is-perm ntil s ection. .�f�+/
,� d�—S./I/✓ \ I/ I/Vq LA
of Legal Owners) Il:Date
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/ ((((g����natur Date
1057-46(1/07)
And/or Authorized Applicant Date
'PROJECT ADDRESS: 1058 SEA BLUFF DR UNIT: CITY OF COSTA MESA' - BUILDING PERMIT PERM NO: E 047631
OWNER'S NAME: JAMES NEIL 'ADDRESS: SAME SAME •
• PERMIT NO: E 047631 PLAN CHECK NO: N GOVT: 'N SUPP : ' N
642 9957 CONSTRUCTION TYPE: PERMIT TYPE: ELE• 1 • PURPOSE: . OTH
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HIENGINEER: - • REG.NO.: JOB DESCRIPTION : ELECT FOR ABOVE GROUND PORTABLE SPA SQ FT:
a ADDRESS: UNIT: -
CLAIM VALUE: CALL-VALUE: GROUP OCC; /
PERMITTEE: JAMES & YVETTE NEIL ( 714 ) 642-9457
ADDRESS: 1088 SEA BLUFF DR COMMENTS: ,
C .M. CA 92626 *+r*****�6 i<******* ***x**�6*�6*1********xx**�6�H***�H�E*�E*�6**�6* *+6************x********* .
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ' Z ONING R E. Q U I R E M E N T S .
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACK • S •
CITY LIC.: STATE LIC.: CUSS:
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Date: Signature: MAIN BUILDING ACCESSORY BUILDING I
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof`Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: . . FT ' IN"
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ• PROV: PARCEL: 42203142 ZNE: ' REF NO:
Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> I
>
Date: Applicant: **********************************'***'****************************************66.*
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed d the permit is for one hundred($100)or less). DF'V E L OP MEN T S -E;:.R V I C E S REQUIREMENTS
I certify that in the performance of the work for which this permit is issued,I shall not empl any person in any manner so as to became
subject to the Workers'C mpen ion La of California. NL Xp ' ZONING APPROVED BY �. DATE:
pp / ' 4
Date �� b Signature. U �� BUILDING APPROVED BY i DATE;
0 E:If,after making this declaration,you should c, e subject to Wo ers'Compensation provisions of the Labor
Code,you must forthwith comply with such provision- o this permit shall be deemed revoked. . •' ( /, (�
CONSTRUCTION LENDING AGENCY: I hereby affirm that ere is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: ; .. DATE: .
which this permit is issued(Section 3097.Civ.C)- **********************************3E******** * **************************C
****
LENDER: *******************************************************************************
ADDRESS: . . LEGALIZATION:N F .E' E S U M- M A R Y - STRUCTURAL 'SEGMENT :N •
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT • 11c0.0--
repair any structure.prior to hs issuance,also requires the applicant for such permit to file a•signed statement that he/she is licensed -' 50A ;,, ,SMIP/NON-RES I
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business . '
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN 1_ -,
any applicant tor a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE . 1.5. 0,0 ' .'
;BUILDING-DIV-> PERMIT ISSUE PLAN,CHECK' /;- TOTAL PAID DUE
I, as owner of the property or my employees with wades as their sole compensation, will do the work, and the r.
® structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 11 . 0 0 15 . 00 " 'O . O Qi ' / 26 . 00 26 . 00 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through • n ..,
his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE- DIVISION TOTALS--> COLLECTED • .d. 26 . 00 OVER/SHORT• . 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC , FIRE SMIP/TOT GRADING PLAN-CHECK '
• I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 26 00 ' •j '
❑ ,�and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon "' .. I
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware **************************************i6.***,*t*************************'1E****il'*****
that proof of their Worker's Compensation insurance should be provided to me.
I N D I V I' D U A L(. ' q)F E E BREAKDOWN
TOTAL COST❑ I am exempt under Section: : B.8 P.C. h
I
for this reason: Will. / ( TYPE QTY DESCRIPTIO. NPC' UNIT COST
Date: u^P b
°`16p ` OwnerIn=
vv \\ ELE 1 MISC APPARATUS NOT -LISTED REQ PERMIT 11 .00 11 . 00
I do hereby c that I am aware of and understand the requirements of C. mia Health and Safety Code Sections 2550 ,��_CC 5533,and -.END-'=-.OF FEES '
25534 and that I or any future building occupant will/will not(circle one)neer •comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from I'. I '
these provisions. s.; ,., • •
ii ,;
Date: Applicant: • /// - . ' If / . •
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I hereby certify that I have read this application and state that the above information'.correct.I agree to comply with all cityynd county '' - Ly' J 1990
ordinances and state laws relating to building construction and h•reby aut r se atives o this city to enter upon the abov mentioned I 1 6 '
property for inspection purposes. ` . A ��
Date: Signature: I .�. .
Drive Ase or Social Security x:
Applicant;Pink—Revenue;Goldenrod—Assessor
CONST Tl AND PLANNING POO ;PA •
APPROV LS Permit # - Date Inspector APPROVALS . Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd... 1 53. Steel Reinforcement - '
- 3.,Electrical Conduit Utility-Undrgrnd. 54. Forms. , ,
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding - - .
t 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test .
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE -
7. Footings •-_ • 58. Electrical Conduit-Undrgrnd.
-
- 8. Foundation59. Gas.Pipe, 0 Undrgrnd.,Test
-: 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. ' '
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10. Structural Floor System • • 61. APPROVAL-TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap „ 63. Heater & Vent-Final ,
13. Roof Drains _ -. 64. Plumbing System • Final- - •
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-, Perrnit # ' '
21. Ducts, in'Structure- •' - X70. Underground:Hydro '
22. Ducts, Ventilating, . 11'' _I -, L 71. Product-Piping 0 Gas D_Oil
23.-Gas-Pipe-Rough & Test - c " :•'-" • .72. Underground Flush: '
24. Roof Framing --73- Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing _ 741-Overhead Hydro_ _
26. T-Bar Ceiling (Structural) &Nlondcoat , ) J;' , 75;Dry Chemical - _ - IT
27.. Frame and Flashing. ,. _ -' :" 76. Dry Standpipe
28. Lathing,& Siding " 2 r' - , . 77.1 FIXED SYSTEM'FINAL` t
29. Insulation t •• 78:-FIRE PREV. FINAL + - -
30. Drywall Nailing 4 HEALTH'DEPT. REQUIREMENT
;31. Plaster Brown Coat r' • .-1r-•• '•79."FINAL INSPECTION-• •-
' 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED11•33..FinalElectric r: 4I/ Ze 'Nots: q.l)?0j34. Final Heating & Air Conditioning 44
-
4 -, -
35. Final Gal Pipe-Test; 1 •• -• - -, •
36. Hood or Canopy I- .
137. Final Factory Fireplace . 1% ,/ . .
-_38. Final Plumbing }'' - _ _
:-39. Water Service-Final' _. . - - -
-.40. Gas Service-Final • 1/41-r • - '
41. Solar Domestic-Final -L _ - -
-
42. Backflow Preventer. - -
-
.14#--.....;:r;44,1--44,
43. Backflow Irrigation. r - k - l -:�.._ ..i - . -
44. Landscape Irrigation System-' J - -' `
45. Sound Attenuation • • •t - . _ r." 1,( -' j r)
_ _ - - - _ ;.t I c-
'46. Handicap Regulations -. - _ ` •' :I._ 1 - t„ -" i
47. FINAL STRUCTURE & BUILDING o- 1 w f
48.:FINAL PLANNING - 1. ' '£ ` 4•
9:•Electric Release to Edison
4 _ +'
:50. Gas.Release to Southern California Gas Co
j . -• _
51. CERTIFICATE OF OCCUPANCY - - -
No. -Date