HomeMy WebLinkAbout1029 SEA BREEZE DR - Building Permits H a
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f� CITY OF COSTA MESA
� BUILDING DIVISION
:r DEVELOPMENT SERVICES DEPARTMENT
r� PERMIT PERMIT NUMBER
Wbu
B98-02314
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1029 SEA BREEZE DR Status: ISSUED 1\��
Suite: Applied: 12/29/1998
Vicinity: Issued: 12/29/1998
Parcel Nunmber: • 93529009 Zoning:
Applicant: TORRE DE FUGET, MARTHA E
Address: 1029 SEA BREEZE DR#9
9 Phone:
COSTA MESA,CA Zip: 92627
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Owner: TORRE DEFUGET, MARTHA E - -
Address 1029 SEA BREEZE DR#9
Phone:
COSTA MESA,CA Zip: 92627 •
Contractor:
Address:
Phone:
Zip: License:
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Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
RAISE AN EXISTING 12'LONG,3'HIGH WALL TO 6'&CONSTRUCT 8 L.F.,6'HIGH BLOCK WALL AT BACK OF
APPLICANTS YARD WHICH IS THE SIDE PL OF THE COMMON INTEREST PROJECT
FEE SUMMARY
Plan Check: $13.65 - Calc Valuation: $400.0o
Permit: $21.00 Claim Valuation: $0.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $35.15
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:
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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
DECLARATIONS U n ')
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:
Carrier: Policy Number:
(This section need not be completed if the permit Is valued et 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 DOL ARE($106.000),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 R
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(5500).):
0 I,as owner of the property,ar 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)
lic;•• pursuant to the Contractors License Laws.).
0 1 empt I r_____ I Business and Professions Code for this reason:
Signatur: 44 .i1 AiDate`+
Owner ID verified by driver's license. 0 Ye • No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
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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 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? 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 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 apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? p Yes ❑No
(Section 65850.2 of the California Government 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? 0 Yes 0 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 0 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
corky 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
ab :scribed pro erty for'nspecaon purposes.I agr a not to occupy or allow occupancy of any building authorized by this permit until final inspection.
a, vi. stet 7-- c--"r- /07 — Ot° — 98 .
'Signature Of Legal Owner(s Date
And/Or Authorized Applicant Date
CODE I. IILAPFr:TNfN TYPF DATE 1t✓ImAl9 CODE/ INSPECTION TYPF DAM It AL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof ti- -el / ,�� 210 Final Electrical
201 Final Block/Retaining Walt ,t' r% -- 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 _
2446-46
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(51
N011 i
r, CITY OF COSTA MESA 1.--
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APPLANNINGDIV. �}�� �,;ECITOBLDG. DEPREG. `
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ADDITIONS, DELET40NS, OR CORRECTiOtiS Sli _E '
BE APPROVED BY THE PLA4d'tdli'!G DI'JJSfO;^! `� DATE,/•
‘74/4,20 winnfrta,c, ./
lot a ‘g
D.IVISIOI_ F BUIT_DINr3 SAFETY 0 — �^ a,1' vi
CiTy OF COSTA.MESA �
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(lrt/15 L . 6-VIAL- i
.ata (Z Z�j(n1�/
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This se;c:pans s a____c__z_,MUST be kw on;his
make any of etora!tora;an nsem:u+shno a•-„5 rcuataiilsrk:.,ndbiscrbukito
cndSafesy,CityofCosta Mesa c""�' ' 5��wu�anottluVeu3•
The s',runpu:y of this plan and s{ecif torw SHALL NOT be held to pe'mitorto bean approva s l5
of the violati>n o1 any prow—ts of eny Cin of Asa Mesa Ob nc and/or State law. IJ
These plans and permit shalt e,pire b ':...1110,_i,d Wayne lull and void-f the building or I
work is not ammeINed and ma itaim3 active per U3C§303(c4 wJih': 180 nys of issuance. ��I�Y
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RESIDENCE
RESIDENCE RESIDENCE
RESIDENCE
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5TREET 4
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ir TYPICAL 611 CONCRETE BLOCK FENCE
Cement Coping OptionalMk
;
Ell � •
- ' GENERAL- NOTES
• .Channel Block With 1.3/8 �'�
Horizontal Top of all 7�
FencesMORTAR; One Part Plastic Cement, and
Thee Parts Sand
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For Fences Less d GROUT: One Part Cement Three and
•
: II One Half Parts Sand
Vert.Bars 3/8"¢a[ a' -o"O.C. Id! 0 liVill
IllCOPING: One Part Cement, Three
a i I
For Fences Higher Than 5' a�9 L` F-
0t -, . Parts Sand
Ven, gars 3/8"¢ at 32" O.C. NNJ�� > CONCRETE: Weil Mixed I:2-1/2: 3-1/2
a = Max. of 7- 1/2 Gallons of
Fill Cells Solid With Grout !n� > 2 '" ' Water Per Sack of Cement •
Where Steel Occurs a — — -
Reinforcing Steel Shall I f GROUT MAY BE POURED FROM THE TOP
1 OF THE FENCE IN CELLS WHERE STEEL
Conform to Sec.A-15-39 w o - -- - -- OCCURS.
= CELLS ANO AREAS Of HORIZONTAL REIN-
All Steel to be Lapped 11 isl n -- __ FORCE MENT SHALL BE CLEAR,CLEAN&
24"or to Code . 1 f A' —i� FREE OF ALL MORTAR DEBRIS,ETC.
NATURACGRADE
/#1, ` -COQ' o ..
TWO 3)8.R5CONTINUOUS
RS , r e
CONTINUOUS TOP • 1
& BOTTOM J ' � I..—µ'IDTH . . .• �.. - TO 16' 0 C. MAX. 5
SEE CHART '. •
HOQ12..STEEL MUST BE TIED IN BELOW e DEPTH GF E 4RTHT COI H
PLACE AT TIME OF TRENCH O. I 1 I 1/3 THE HEIGTH OF FENCE
INSPECTION. L + ICLOW BOTTOM OF FOOTING
..
I.
�� io, 2 SCALE: 1/2 I'
FOOTING REQUIREMENTS CHART
WALL HEIGHT 6 ' 5 4' 3'
WIDTH 14" 14" 12" . 12" •
THICKNESS . . . . . .10" 10" 8 ". 8 "
DEPTH OF EARTHTOOTH . . . 24" . . . .20" . 16" . . . . . 12"
SPACING OF EARTHTOOTH. . 12' . . . 14' . .
City of Costa Mesa, California
Building Department
_a �.. � _
wevnen Nov.at .
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PROJECT ADDRESS: - - UNIT: - 7 ---- ..
- - -
1027 SEA BREEZE I. CITY OF
Tri)S':A. N.ESA. BUILDING G PERP " P_•FN. NO: B 1 +'..;E
OWNEfl'S NAME: PAC'.:- iC -ERRAC. B . 0, "..
ADDRESS: 1 ii)O ADAMS AV PERMIT:NO: B 0551846 - • PLAN CHECK NO: N _ GOUT: N Sut'r: "r^
COSTA MESA, CA - 1626
1 CGN',;TRUC'FIO": TYPE: 'S N PERN.IT :TYPE STR •: ; PURPOSE CSS r ; -Ai,
ARCH/ENGINEER: - REG.NO.: JOB DESCRT}>TION' ; 'REROOF W/3-?AB ASPfiAi;T SHINGLES ' :S ' r T: ' ' 3, 000. f
ADDRESS: 1 - UNIT: : r. t n r Q. i
PERMITTEE: CLAIM VALUE: „ • 3, 000 , 00 CALC--VALUE: 3, 000, 00 ._ •
GROUP UCC: R-3 /y ,
ADDRESSEl,1. ,CL" ROOF ML..V ENi.:'iC: ( 7'_4 1 997-493E _ _ -
'4 S EAR ,i1AY COMMENTSINCLUDES OF 102° SEX BREE7E" ALSO �yr •C rye L I
ORANGE CA 92669 *********-i ****-******** ' *******x03/11—* ** ***-a.LY*4A4C*****is �'E1 'i�PL: "
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7 O N G R E Q IJ R E N E N S
717001 0'Division 3 0l the Business and Professions Code.and my license is in full force and effect. S E T B A C-K S •6-.(E( T y E''F- C'
CITY LIL STATE LIC ^3 CLASS: y n •
REQUIRED QU iR..ai 4_..
O?y9fit 46', �9.`Y . -
Date: �1-1 Pj- y ( Signature:s [t aaf ' AIN BUILDING ACCES:DRY, BUILDING ' -
WORKERS'COMPENSATION DECLARATION: I hereby aku. that have a certificate of consent to self-insure or a certificate of Workers' I'P.NT: FT_ IN REAR : FT 1N FRNT; FT IN REAR : 'z In •
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). ,.,„F? : FT IN R GHT : _• _ .i NL-.t 1'; FT IN R(>H! !N
1 POLICYND.: 5j71785 EXP.DATE: 07/O /9
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'' COMPANY: S A I'r FUND PARKING REQ: PROV: PARCEL : 93529006 ZNE0 REF NO: • '
.: Cenified copy is hereby furnished. yu Cenified copy is filed with the city Building Division. 7 PLANNING NN I NG NOTE'> •• ,
Li-�9-4 Applicant: If 3��N •
Date f i/ *ift ),R....„...„.%***ji**418 3E-wi**********a Rif*i(**#a(*ii.A:►a Y4,*S*Y'Y**********a(*4.k****
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: issection need not be completed i1 the permit is for one hundred($100)or less(. DE .' EL OPMEN . SERVICES R E Q ). R. E N E N :,
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. ZONING APPROVED. BY DATE: '
Date: Signature: _ ' . _ . -. - • --- • - -----
NOTICE:II.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING PPPROVED BY . • • / DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. ..
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for P T B s T E - / /'/ q,/-f F*i
• ' which this permit is i=sued(Section 3097,Civ.C). A• P:,i CA. ON (,tD N Y: OA : „67 • -_ DATE:
��JT/Fd� /'
ii**iii***i****i****.***.* .< ***'.}k****>
LENDER •
"DUPi.,EX” STRUCTURE _ _ _ **Ni:-******N******i'i***iE*r*x********#.**** ®--**ii-***iso*W7**i'iF.**i** * ***7* * *ri
• ADORERS' f1Di;PLEX.” STRUCTURE Lr'GALIZA! IGN;N FEE • S U . M P. R Y STRUCTURAL SEGMEC:Y -
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/RES
GRF _ilNl=
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or ye T"' °'L -
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PER,.- 1 J . O O - 5 O
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business - , SN.P/NON-RES f
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN ) -
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). • ISCUE FEE
I. as owner of the property or my employees with wages as their sole compensation, win do the work, and the BUILDING-DIV-.> . :PERM? 1 ISSUE .PLAN—Ciir..(.r. 'TOTAL PAID Dirt
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law OTALS----- > ' 54 . 50 0 , 00 0 , 00 `,4 , 50 54 , 50 , 00
• /;' does not apply la an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale. If,however the building or t- I
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE I)I V I E I ON TOTALS > COLLECTED: 54 , 50 OVER/SHORT: • , 00 I
for the purpose of sale). BLDG PN.; PLUMPING ELECTRIC MECHANIC FIRE SNIP/TO: GRADING PLAN-CnECG:
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 . 00
• 0
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
contracts State License Law).l am aware ********* k****w*+**s*-*.*.'********.************-:****;;i******;i(***'-Y.A'{:is Y.*.*:e*i�**4 e4:. 0,*
that proof of their Worker's Compensation insurance should be provided to me. _ _ V ._ •D U A - i
❑ I am exempt under Section: B.8 P.C.
N P _ F _ E B R E A K D O W N
for this reason: TYPE. QTY DESCRIPTIO• N UNIT COST ' TOT A2.. COST
Date: Owner: co: ,
•••
_-- ,
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and •`n 3000 R E:?OOr B YVALUE R'r.P,1 ')GN 17'.L , N'G L CN(G 1 :00 3 , DOL', , O O
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25534 and that I or any future building occupant wiltwill not(circle one)need to comply with said state codes and the requirements for a -- - .. E Nll G r a ES i
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
mese provisions
Date: Applicant:
•
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county /
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes.
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Oate4..- -LI— 411 Signature:'r2/7/ � /I , 0!, D0DE6075-00086071 TCTi : 15G,0 t1
C',?E: 04/30/91 TiIIE: 1`°:;0
Driver's License or Social Security 4:
1641-45 White-Building:Green-Code Enforcement:Canary-Applicant;Pink-Revenue:Goldenrod-Assessor - - - - _ ' . - - - . - . . - - - - ---—`- --'—"
i .'