HomeMy WebLinkAbout293 Avocado St - Building Permits•
CITY OF COSTA MESA
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(q pMFsqrA BUILDING DIVISION
77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
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PERMIT NUMBER: BC09-00459
PERMIT TYPE: B COMBO STATUS: ISSUED
Sub Type: RES—ALT DATE ISSUED: 11/06/2009
ISSUED BY: BJK
JOB ADDRESS: 293 AVOCADO ST CM Suite/Unit:
APN: 41907118 Zoning: , ,
Vicinity: GARAGE
Const Type: V -B
SQ. FT: 450
Primary Occ:
Valuation: $13,500.00
SCOPE OF WORK: RE -BUILD 629 SF PORTION OF THE FIRE DAMAGED 2 -CAR GARAGE AND STORAGE AREA & REROOF
WITH HOT MOP. REPLACEMENT OF 169 SF COVER WALKWAY WITH ROOF FRAMING INCLUDING REPLACING TILE
OVERHANG, REPLACE SUPPORT BEAM, RAFTERS, ROOF SHTG & CLAY TILE ROOF ON OVERHANG, NOTE STEEL COLUMNS
TO REMAIN. REF:
BC09-00400,BX09.00187
ELEC: 5 LIGHT FIXTURES, 7 OUTLETS, 4 SWITCHES
OWNER: CURTIS P GRIEDER TR
Phone:
APPLICANT: ZAVAIL, DANIEL
Phone: 949-510-7033
Address: P O BOX 32625
City/State/Zip: LONG BEACH, CA
Address:
City/State/zZip:
CONTRACTOR: CUSTOM CONSTRUCTION SERVICES License No. 790466
Phone: 949-510-7033 Address: 23015 BELQUEST DRUnit:
Cell: City/State: LAKE FOREST, CA
ARCHITECT:
ENGINEER: SHUCRI YAGHI
COMBINATION PERMIT FEE SUMMARY
License No.
License No.43205
Building Plan Check:
$154.21
Building Fees:
$237.25
Electrical Fees:
$41.10
Mechanical Fees:
$0.00
Plumbing Fees:
$0.00
SMTP Residential:
$1.35
SMIP Commercial:
$0.00
Bldg Std Admin Fund
$1.00
TOTAL FEES:
$434.91
"Refer to fee receipts for all fees paid for project
Unit:
Unit:
ZipCode 92630
PHONE:
PHONE:714-997-9120
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.
CODER. INSPECTION TYPE DATE INTITIALS CODER INSPECTION TYPE DATE INTIDALS
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
203 Final Sign 222 Final Site 1
204 Final Demolition 250 Final Building/Occupancy /�
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WORKERS' COMPENSATION DECLARATION:
1 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:
(This sedon need not 6e completed d the permit is valued at one hundred dollars (5100) or less)
Policy Number:
I certify that in the performance of the work for which this permit is
Iss ed, 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 Cod all torthwi i these provisio s.
y�r� / O
Signature
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 DOLLARS
($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 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.
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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
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 ($501
❑ 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.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
3057-46(3/07)
Owner ID verified by driPlfii ❑ Yes ❑ No
Driver's License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 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, a 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.
Applicant's Signature
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? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some
exceptions, that a Business Plan be fled 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? ❑ Yes ❑ 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? ❑ 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 permit for such construction
or modification from the South Coast Air Quality Management District or from
any other air pollution control district or agency? ❑ 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? ❑ 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 California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If "yes", attach certifcate 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.
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.
Sign (Le I-w/ner D�/
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And/or Authorized -Applicant Dat
BMING AND SAFETY DS (�� D I ��
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FIRE DAMAGE INSPECTION REPORT
(Required Prior To Permit Issuance)
Address: ' I\ J a` C_C,_,�_O S Unit:
Owner: Er -c_ /\ C JI -,t` (a C t P r� 2.(
Owner's Address (if different from above):
Street
❑ Structural permit required.
❑ Repair or replace as necessary.
❑ Plans required.
City
Comments; � c vM t 4' 2 mo
State
9 Electrical permit required.
1K Repair or replace as necessary.
Comments:riC) G n c\\
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n Ice Grua
Q Plumbing permit required.
❑ Repair or replace as necessary. r;
Comments: (`Oy �, S c, Y 3s r exS, k- tYlel
❑ Mechanical permit required.
❑ Repair or replace s necessary.
Comments: IV
Inspector Date Phone
IM/ TdPI'Cale_ Original -Owner: Velldw-0ontralDr Pink -Building Division
OWNER SWARTOTIT WARWICK DATE 1U-10-07
JOB ADDRESS 293 Avocado Street BUILDING PERMIT NO. 24813
GENERAL CONTRACTOR Owner -Builder DESCRIPTION OF WORK Demolish Res, & 4 sheds
AP No. 115-191-34 LOT TRACT FIRE ZONE VALUE $ 200.00
I" BCTIONS
Signature
Date
GROUP I & J TYPE V 'LONE R-4
So—PERMITS
SUBCONTRACTOR
ISSUED
Gas
I Date Number I Signature
Water
Plumbing
Rough Plumbing
Prop. Swr. Line ❑ House Con. ❑
Sprinkling System
Miscellaneous
_
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground p Power .p
Rough Wiring
Heating and Vent.
Trenches ❑ Forms ❑ Steel Reinf. ;p
Floor System
Bond Beam ❑ Steel Reinforce ❑
Sheathing
Frame and Flashing
Lathing — In 0 Out �E)
Plaster, Brown Coat
S " 'ural, Final
Electric
1. 4, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test ❑
Electric, Final
Building, Final
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