HomeMy WebLinkAbout2346 SANTA ANA AVE - Building Permits (: ,
CITY OF COSTA MESA
BUILDING DIVISION
, � PERMIT NUMBER
DEVELOPMENT SERVICES DEPARTMENT
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PERMIT
,Petroer B99-01136
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 2346 SANTA ANA AV Status: ISSUED
Suite: Applied: 07/20/1999
Vicinity: WHOLE BUILDING @ FRONT OF LOT Issued: 07/20/1999
Parcel Nunmber: 11933201 Zoning:
Applicant: MAC NEIL, TOM ISSUED BY: -1244A-
Address: 1835 WHITTIER AVE.
COSTA MESA,CA Phone: (949)645-3917
SUITE F10 Zip: 92627
Owner: NEAL, GARY
Address 2346 SANTA ANA AV.
CA Phone:
COSTA MESA Zip: 92627
Contractor: . 21ST CENTURY ROOFING
Address: 1835 WHITTIER AVE.
COSTA MESA,CA Phone: (949)645-3917
SUITE F10
Zip: 92627' License: 750385
•
Arch Eng:
Address: Address:
Phone: Phone:
Zip License: Zip: License:
•
SCOPE OF PERMIT
REROOF EXISTING 3-UNIT APT. BLDG.TEAR OFF EXISTING BUILT-UP ROOF WITH EXISTING SHEATHING TO
REMAIN. INSTALL G.5.MODIFIED BITUMEN ROOF(12 SQ.).
FEE SUMMARY
" Plan Check: $0.00 Calc Valuation: $1,200.00
Permit: $40.25 Claim Valuation: $1,200.00
SMIP Res: $0.50
'SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $40.75
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:
EXPIRED
DATE 1Ja-1 / of
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
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WORKERS'COMPENSATION DECLARATION:
' I hereby affirm under penalty of perjury one of the following declarations: • .
0 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 thLs permit is issued.
My workers' 0 eation Insurance carder and policy number are:
Carder: �P/ n1 a h cc Policy Number NWA 0 I c a061 goo
(This section need not be completed It the permit is valued at one hundred dollars($100)or less.)
O 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($100,000),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 kens"under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Prole Ions Code,and my license is In full
force and effect.tic.e --7,0 3e Class N C 31
Contractor's Signature: '_' q j� /p. Dale: 7 -;o — q g
CONSTRUCTION LENDING AGENCY:- ' `'�����...JYY�"""
❑ 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).
Lenders Name: Lenders 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 then five hundred dollars(5500).):
❑ 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 end 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.).
O I, as owner of the properly, em 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.).
O I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property 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 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
(Sectionf the Californiatyth and Safety Code,with some requires
reesnlsrmth the pMesa Fire
by
each business which t any
etime has onhand al ofacutely hazardous materials equal Po or greater than weight of 500 Pounds, oraoluDeme of 55galons. o00cfeet
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare en 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 ❑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? Yes U 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 ❑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 Calitomia 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 pada);the;information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions. \ 4t _ _: ';:>al 71,\A:11
Signature: Date:
T Tn•
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 stets 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.
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AnWOr • thT'd Applicant Date
BODE I INSPECTIONTYPE RAE IALS PDF if INSPECTIDNTYPE RAE MALS
1616 Fixed System Final Flre 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
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
2446-46
• PROJECT ADDRESS: 2346 SANTA ANA AV UNIT:_ABC CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 049067 '
OWNER'S NAME: DON ARMSTRONG
ADDRESS: 801 E BRIARDALE AV, ORANG PERMIT NO: B 049067 PLAN CHECK NO: N GOVT : N SUPP : N
• CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
974 -9449 .
ARCH/ENGINEER: REO.NO.: JOB DESCRIPTION : REROOF 1800SF APARTMENT W/FLAT ROOF SQ FT: 1 , 620 1
ADDRESS: UNIT:
CLAIM VALUE: 1 , 620 . 00 CALC-VALUE: 1 , 620 . 00 GROUP OCC : R-1 /
PERMITTEE: DON ARMSTRONG ( 714 ) 974-9449
ADDRESS: 801 E BRIARDALE AV COMMENTS : X ,,n
ORANGE CA 92665 ##################****************************************AG?{�(�OKa�i.#DE * \;dri
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS�7 v
7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect. SETBACKS ,^p
DU
CITY UC.: STATE UC.: CUSS: RE� ��C
Date: Signature: MAIN BUILDING ACCESSORY BUILDING -
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.DA
Y ''IOMPANY: PARKING REQ• PROV: PARCEL: 11933201 ZNE: REF NO:
Certified copy is hereby famished. 0 Certified copy is , ''. Ditislon. PLANNING N TES>
Date: /�!C/ Applicant: / .«S'
EAEMPDON FROM WORKERS'COMPENSATION DECLMU1110N: (This .8 the permit's lar one hunired($100)or less).
D E V E L O P M E N T SERVICES REQUIREMENTS
I certify that in the performance of the work(((000r which this permit t 'j• - .yany person in any manner so as to become
subject the Workers'Compensation Laof California. �
. ' � ZONING APPROVED BY .•
DATE:
Dat G Signature: - Jrak
BUILDING APPROVED BY
NOTIC :If,after rt king this declaration,you should .--.me subje the Wo * Compensation provisions of the Labor DATE:
oto
Code,you must forthwith comply with such provisions or this permit shall be dee- revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending .gency for the performance of the work for APPLICATION ISSUED BY : o DATE: 91 --- (9r ,
which this permit is issued(Section 3097.Civ.C). ********eE********#**iE-1E****i;-if-#**##****#aF******######**3E*#**#####*#**#*##et###2*rix*
UNDER: **#**********#****#*****##****#***********************************##*********#*
ADDRESS: LEGALIZATION:N F E E SUMMARY • STRUCTURAL SEGMENT:Y
•
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: Any city of county which requires a permit to construct,alter,Improve,demolish,or PERMIT 39 . 00 50
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Businessp LAN SMIP/NON-R E S
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My 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). ISSUE FEE
I, as owner a1 the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
d structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 39 . 50 0 . 00 0 . 00 39 . 50 39 . 50 % . 00
does not apply to 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 REVENUE DIVISION TOTALS--> COLLECTED: 39 . 50 OVER/SHORT: . 00
improvement
roswithincompletion,one year of the owner will nave the burden of proving he/she did not build or Improve
• forthepuposefa
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 39 . 00 • 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with acontractor(s)license pursuant toth ntramprs'State License Law).l am aware **#************************************#**********************#****************
that proof of their Worker's Campensauon insurance should be Drowded to / INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C. —_ •
•
for this reason: /TYPE QTY DESCRIPTION UNIT COST TOTAL COST
v
Date: Yr AS ; /ys0 Owner at ,; / SFR 1620 ALTER BY VALUE RESIDENTIAL NOZONE 1 , 00 .1, 620 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code'•ctions 25505,25533.and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes.nd the requirements for a
permit for construction or modification from the Au uality Management District.Residential construction applications are exempt from
these provisions.
L 6
Date' C/-i - - tG AOplicant:
I hereby certify that I have read this application and state that the a.. .- -•'•n is % I agree to comply with all city and county
ordinances and state laws relating to building cccgg9nnnstruction and he rep^,. l ...1this dry to enter upon the above-mentioned
prone�(y,�f r,inspection purposes. / � / q�n\ 01 00069939-1.00 9;7 u 0-'.''T 3y.`:'el i
Date(JC•xI it/f f ` I Signature: �\
DATE, 9i 19/ce '::;1=: 11:2?
Driver's License or Social Security At \\`
184146 White—Building:Green—Coda Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—A559eser • ///VVVggq��� •
----"A
C8NSTRUCTION AND PLANNING PO. . SPA
APPROVALS Permit# Date ilnspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole i : 52..Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms ,••
4. Electrical Conduit-Undrgrnd. I 55. Electrical Bonding -
5. Steel Reinforcement • 56. Rough Plumbing & Pressure Test , -
6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE "
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation , .• - 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 1 / 60. Backwash Lines, P-Trap, 0 Undrgrnd. -
10. Structural Floor System 1 . ' 61. APPROVAL TO DECK ' .
•
11. Property Sewer Line & House Connection 1 I 62. Backwash & Receptor-Final •
'
12. Sewer Cap
63. Heater & Vent-Final ,
13. Roof Drains I I 64. Plumbing System - Final •
•
14. Rough Plumbing i • 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
I5 20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing -
39. Water Service-Final ` -
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations / �/
47. FINAL STRUCTURE & BUILDING y0 ��7 • ��/4_ r' _
48. FINAL PLANNING _33E G t e- dem 74
49. Electric Release to Edison O
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date !