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Home My WebLink About1095 SEA BLUFF DR - Building Permits / : L is CITihOF COSTA MESA r 4 04 OBUILDING DIVISION I• i• rs/ DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER It � 4 11.141 PERMIT StwPortria``t V05-01936 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ccUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1095 SEA BLUFF DR Status: ISSUED Suite: Applied: 10/27/2005 Vicinity: Issued: 10/27/2005 Primary Occ: R3 Type of Construction: V-N Parcel Number: 42201203 Zoning: Applicant: GELLER-WRIGHT, HANNA Address: 1095 SEA BLUFF DRIVE , Phone 949-515-4706 ISSUED BY: COSTA MESA,CA - Zip -"9262711, Owner GELLER-WRIGHT,-HANNA Address 1095 SEA BLUFF DRIVE °-:fr - Phone -949-5154706 COSTA MESA,CA %Zip: 92627. ,, , ` Contractor' OWNER-BUILDER ; " - Address: - - ,- - " Phone: Mie • Zip:,-- License: 000000 Zip: "Arch : `" Eng: Address:. - ' - Address: • -;- - . Phone. Phone: ,, • ice.. 5 - - ` _ :2 Licennse: '" os License: Ztp:` s. SCOPE OF PERMIT . REPLACE 6 WINDOWS WITH,THE:SAME-SIZE AND SAME LOCATION NO CHANGE IN SIZE OR-LOCATION.3 WINDOWS DOS ON THE 1ST FLOOR '' AND 3.ON THE SECOND FLOOR:WINDOWS IN THE BEDROOMS SHALL COMPLY WITH UBC.SEC"310:4 as '_,.; - r« : ";t Plan Check" $0.00 - - - n :7 Calc Valuation. $3;000 00 Vit,Permit s $83.25- Claim Valuation ,, .,4,$3,000.00 SMIP"Res =x, • $0.50 SNIIP Other: "x$0.00 +' ' "Inspection: $0"00 a Total $83 75 PLANNING &ZONING - SETBACKS .n MAIN STRUCTURE Front - 0 0 Rear 0 0 Left 0-0,, Right ,C,‘0 • ACCESSORY-` Front ` 070 = Rear 0'0, ,, '°Left 0-0 _.Right 0-0 PARKING Existing:.., 0 4Required 0t,),...,, ,::x-Proposed 0 , ,. 1RR P • . . . . _ _ 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) 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 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: Cartier: 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 work 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 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 Signature: _ - - Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,OD0),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.# 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).): ❑ 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.). -•exam• - c Business and Professions Code for this reason: --• - e: ��/J "—w _i - Daate:4Wars ail 1 D�entied•y d %er's license.Air . Yes ❑No t Dri` ansa No. �� V •-- —/- ad Verification of Ownership by(type of document,i.e.-properly 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: 1 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 Safely 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? 0 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 an RMPP is presently required,has Section 25534 of the California Health end 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 a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Ul Yes U No (Section 65850.2 of the Californ.GovemmejtlCode req esitJ at the requested Information be furnished on applications for non-residential building permits). 6 Will any part of the facility to.be constructed tii(der this rgnft be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No •.rt--c.,.-. w. ;le"yes",the facility must meet the,requiremenPot Sectionsi25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast/Air QualitX 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 prescnbed 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 state 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 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-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. • ® dor u : Of Legal Date ,lifiimmirNOLAu , VMplican Date CODE I INSPECTION TYPE, DATE INTmALS . CODE( INSPECTION TYPE DALE Mal 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 r 203 Final Sign 222 Final Site . 204 Final Demolition - 250 ' Final Building/Occupancy ' lyff 7 C1--" CITY OF COE Jr MESA REQUEST FOR OCCUPANCY TRACT NO. 21 (COI 8 DATE 60.— l4— -C LOT NO. 3 ADDRESS 1095 Seabluff Dr. The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. The undersigned acknowledges that this . agreement is made solely for the benefit of the city and does not inure to the benefit of the undersigned of any of them. • BY I: PJuh.a E . >IRY 1 0 PANY ;1 1� CP'Li �1`.p1;' A BY Developer aAi or "authorized Al representat wve Jr'Fl { • �1 'if 147J' q��gg �i111 �II, II pm GREAT WESTERN 1/.1.44NIJbli1{IL111i1314n PM BY , Y•� . ;:, &41316 L@0 YVILSHIRE BOULEVARD �} BEVERLY HILLS, CALIF. 90211 / • Cait.Lt&L ' :•• Ltn-'-f0 E PItESJGci{� CF COSTA ..-SA FEOUSST FOR ( 7-r2;CY - TRACT NO. DATE LOT NO. ADDRESS The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract rap was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigns by reason of the aforementioned uncompleted condition. BY ,V ie BY Developer and/or authorized representative BY Lender CITY OF-CQSTA \ K. 1 BUILDING SAFETY DL MENT"',,+ray�,,t`.''"; tP. i. POST IN CONSPICUOUS PLACE _ ON THE JOB $:. . 26.—'04,14± 8t 1 DATE ISSUED .I i 3- Few p. A P NO 'V.:', PERMIT:NOA2221 t.yr:3 IP !.• 115 ,360-12 45309 • f 4 BUILDING.ADDRESS 0 �gx • • 1095•Sea Bluff Drive ' `�' kif "'' ... . 4' ,TRACT s" - - LOT: 8 BLOCK + Yx. ' 10018 • 3 } NEW ADD ALTER REPAIR MOVING DEMOLISH :.••,‘ I aY` • - OWNER .. ..,. ;, p THEeGRORY COMPANY - - 1 . F1 ; USE +4 ,t^'- Rea:w/att. Garage FIRE ZONE •TYPE ' GROUP '" t t PDRJQ • V I & J [ r 3L - li :':r SPECIAL ..t.,,irii 2l.rnNTC {a - - YaFrY �y j SETBACKS t!1 ' 5 Front Yd - 20 28 Side Yd. R 0 L 0 Rear 4, i,. y ` Side,Yd. R L .Rear r a . r': •.tt'•- :.' BUILDING INSPECTION RECORD ; „Fr5 • ..y.. ' '•• TO KEEP' BUILDING PERMITS VALID, WORK MUST BE COM* '" ; -MENCED WITHIN 60 DAYS WITH ROUTINE INSPECTIONS ATT .4 ` LEAST EACH 120 DAYS THEREAFTER UNTIL COMPLETED. - ' . .j STRUCTU'AL DATE' w . • ��' ,1/ � --'• Trenches' u ' Forms ,''/�I� ! �''�`'^ • Floor System P�Srej'�"UM ,' .1 ip { ',- Steel Reinf - (tIP7�) .� N;N • Sheathing �I �( ��I�MEM '�� . . - Frame and Flashing - r--0S9.1 IMP.W2 Insulation IS • �P'��a'^/��r•Q�`•t " .. .- j- ' Lathing ; ' • .11127 -11F F IT„ # E Dry Wall Nailing1 14: ' - • �/,,''' /, ii riVeralinnra eY • • ' I Plaster,Brown Coat' ` �Llen _ _ d'i®�'S!/D/A 'r'i € Sound Attenuation : • c. ; "-----.!';:r..; tri L Handicap Regulation — _ . FINAL �, /� - IBM ' PLUMBING • • ,..moo- : �' sail ..G.�° 7 // 7'ff 4,4 It f/ / G-'S- >Q i . Underground Water - 4 I G 'ZL.�-79 %a Rough Plumbing • �,,/t.i* e�o _jPO7 •-;' . Prop.Sewer Line and House Conn 0. i ' //i�- ,/ Street Sewer Conn. %'r. 4 //4i--ze ` Water Service i r, ' • '•5 4:7/ ".'::r-oi . Sprinkling System - - ryt ,, � Gas Test see 91'o-7i ' - FINAL ' HEATING,AIR-COND.AND REFRIGERATION - - , Ref r. Lines,Pressure Test Q i_4, Ducts, Underground f• 0 /z-z-Jr Ducts,in Structure "' ✓9 -' �2-¢7f: :�'ir • r,;,, Ducts,Ventilating • • y.:' " a —i:,. `t-0-7(7. Jr., ,a rt j Rough Heating and Air-Cond. ii '.2;167:7P' 4? ' x / un.. .. 'FINAL O. ter: ;-/e.--,74" : "'114 • •3 : - .. ELECTRICALHULD FOR SYLCiAI GI-+LI II;; •••I,...j��j Temporary Service or Pole -� • ' Underground _ dial. ��b IP ti Power Meter :' ' , rr Rough Wiring v /-Lo .71 'q i ' Sr FINAL it;/� I-2- 7 q 1 Do not occupy this project until final insction has /- been made and occupancy has bbeeP'n �pproved ' Building Final / e t C-7._)--->9 : • Special Requirements • Occupancy �� r o-fl-7y • ' NOTICE - ' • 24-hr. notification required when the job is ready for inspection. You • must furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH . RESPECTIVE I NSPECTION„,c_ALL 556-5273. . I-I,P APP�OVED PLANS SHALL -E OPJ JOB AT ALL TIMES .....) 4 5 3b,u (/05/78 I 1609 TL COSTA MESA BUILDING-SAFETY DEPARTMENT . " P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely- Use Ink Only Q /� T-/� RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING ADDRESSYO7S Sc.¢ Bcu,rF 6>✓' a A.P.No. pl//� PER 1-1.?'.> OWNER The Gregory Company -�ZR MAIL BUILDING MALD3187-G Airway Ave. ADDRESsj9s p 01 .c!(.<< z1e, CITY Costa Mesa NP51-3850 TRACT 100181- LOT 3 BLOCK CONSTRUCTION NEW I 1 ADD IALTFR I REPAIR I MOVING DFMOLISH LENDER BRANCH OWNE The Gregory Company ADDRESS VALUE ARCHITECT OR ENGINEER HarrlSOn/Lorenzir> 751-385. FIRE - USE ��attara�e $ 50° ADDRESS 3187-G Airway Ave, C.M. ZONE TYPE V GROUP 1 & S re O APPROVED Gregory g ry onstruction Co. BY DATE ADDRESS 3187-G Airway Ave. °�'�Qr� NO.O USE OF N W CITY Costa Mesa NO. 51-384c Y'` V LANS�BUILDINCr� 4 U 1-1 STATE CITY YARDS APPROVED YARDS APP VE LIC.NO. 285981 LIC.NO. 008179 MAIN BUILDING ACCESSORY BUILDING NO.OF BLDGS. (FROM CIL SST/REET) a OF LOT 427al SIZE 'X992' NOW ON LOT V FRONT Z p FT. FT. a USE O • F En EXISTING BLDG. R.SIDE O FT FT. VI Separate permits are required for L.SIDE FT. FT. C - electric,plumbing and heating work. REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& QMAIN BLOCS. //�� ACCESS.BLDGS. • �J^/ ..,:c __ C URP,qfe �/J APPROV'jE'jtp6 j ✓ attached garage APPROVED��j�r(] AO- • Ry DATE v+��6///� ES ix HOLD FOR SPECIAL REOUTREMFNTF w Q I hereby acknowledge that I have read this application and state in r. W that the above Information is correct and agree to comply with m a all laws regulating building construction, and I shall not employ Z •any person In violation of the workman's compensation laws of (T'I the State of California. - 5 1690 SD. FT. 512 garageco I hereby certify that I am properly ensed : - contractor under CY the State at California Business a P` a-- s Cotla, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, an• t such license er/ force and effect,or I THE PURPCBE OF ESTABLISHING A PERMIT FEE ONLY: - am exemp rom •e provision f p+ - ate of California Business VALUATION PERMIT FEE $ I e and Prof -cions Co•e • •n "It er 9. d. r PLAN CHECK E //3 75' 'e Signet - • . . , � s ` 1 LL o Permittee $4‘59010----- TAX $ .9 e g, U. Author ed Ag: t , TOTAL PAID $ //4, 17k, ____r__-.7 • __ D` 72e, 3/13/76 175.00 TL COSTA MESA BUILDING-SAFETY DEPARTMENT 7229 3/ 13/78 175.000KT0_ P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 7229 00004453 09 IA a i APPLICATION FOR STRUCTURAL PERMIT IS For Applicant to Fill in Completely —Use Ink Only . �_�. RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING ' ADDRESS I _' Ivy' l�j PERMIT NO, il OWNERkla `a, • `•,A.P.NO. I. BUILDING / AMAIL DDRESS • / / [ ADDRESS `075 /K/ -� ,- / )9 • TEL. t TRACT I- LOT '/�OCK ICITY NO. I CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER F BRANCH / OWNER _� iiii ADDRESS ARCHITECT TEL. ,/ , J/i A'Aiririliii OR ENGINEER NO. / FIRE ADDRESS I ZONE TV GROUP APPROVED CONTRACTOR ,�r BY DATE ADDRESS r ZONE INO.OF USE OFNEW TEL PLANS BUILDING CITY NO. •• - STATE CIT YARDS APPROVED YARDS APPROVED LIC.lig i NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING iii IQ if SIZE NO.OF BLDG&. (FROM C/L STREET) A. ° OF LOT NOW ON LOT 1 FRONT FT. FT. d' h iv USE OF (, EXISTING BLDG. ii p SI♦E FT FT V) a i FI Separate permits are requited for `g L.SIDE FT. FT. electric,plumbing and heating work. M WY R REAR FT. FT. • 4 ,i USE OF BUILDING AND WORK TO BE PERFORMED J DISTANCE BET. BET.MAIN& k I: MAIN BLOCS. ACCESS.BLOCS. - D- ' • i7' /)�- I, VAR.# DATE /[�(ap (�(j/// (U//j C.U.P, APPROVED R APPROVED • ' I hereby acknowledge that I have read this application and state ;i' in ce !. that the above Information is correct and agree to comply with LLbuildingconstruction, and I shall not employK m p alln laws person in fZ1$ any in violation of the workman's compensation laws of ': > 1 the State of California..3 Z SQ. FT. PI I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I § THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business 'a and Professions Code, Division 3,Chapter 9. VALUATION PERMIT FEE $ e e ;+ PLAN CHECK $ w rj Signature of .y Permittee >451./.... ti. TAX $ U U I?, Authorized Agent - TOTAL PAID $