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HomeMy WebLinkAbout2512 SANTA ANA AVE - Building Permits CITY OF COSTA MESA . ; BU►LDI fG•DIVISION > / DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER 11101141 PERMIT B06-02082 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.iBIMLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2512 SANTA ANA AV Status: ISSUED Suite: ,1Applied: 12/12/2006 Vicinity: UNIT J DECK ti, 5) y Issued: 12/13/2006 Primary Occ: R3 Type of Construct : V-N Parcel Number: 43912128 V \.Zoning: 14 t Applicant: HILLMAN, KAREN ' / Address: 20 BRENA Phone: 714-815-5486 ISSUED BY: 41. a IRVINE,CA Zip: 92720 Owner: HILLMAN, KAREN Address Phone: 714-815-5486 Zip: Contractor: OWNER-BUILDER Address: Phone: Zip: License: 000000 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REPAIR AND REPLACEMENT OF TWO 2-STORY DECKS LIKE FOR LIKE DUE TO DRY ROUGHT DAMAGE.REPLACE DECKING BOARDS W/TREX MATERIAL. NO OTHER WORK AUTHORIZED UNDER THIS PERMIT. FEE SUMMARY Plan Check: $90.51 Calc Valuation: $6,500.00 Permit: $139.25 Claim Valuation: $6,500.00 SMIP Res: $0.65 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $230.41 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 • • 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 clays. 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 2446-46(6/00) DECLARATIONS] • WORKERS'COMPENSATION DECLARATION: A - 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 at one hundred dollars($100)or less.) I certity,that In the performance of the work for which P s permit is Issued,I shall not employ any person In any manner so as to become subject to the workers' I ._compensation laws of C omia,and agre that If I •. Idb-come subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pr, ApphcantiSlgnature: tI r Date: / * / r�{p WARNINGrRAILURE TO SECUR WORKERS'WMPENSATI• COVERAGE IS UNLAWFUL AND SHALL SUSIECT AN 0YER'TO CRIMINAL PE TIES O CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($1U0,000,IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEYS 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.Lie.N Class a 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 en 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.). ar-r-L'as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions ir=— Coda: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 pursu:• to the Contractors License Laws.). ❑ I am exam; .. ac. / Business and Professions Code for this reason: or - 4 .t - T�7� ' Explies:"r Verification of Ownership by(type of doc me ,i.e.-property tax bill or dee r 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 wit 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: I 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 en 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 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? U 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 Of'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 COMPU CE 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 'Ith all state laws and city o.inances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described pr..e.•for inspection pu%oses., :. ee upy or allow occupancy of any building authorized by this peMil final inspection. Signature Of LegalOw-:r(s) e And/Or Authorized Applicant Date CODE A INSPECTION TYPE PATE INTiALS CODE A INSPECTION TYPE PAIL INTIRAL$ 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1286 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 • /2.'21 'e'& tue o 1 Z o Villa 2512 Santa Ana Ave Costa Mesa, CA 92627 December 12, 2006 To: The City of Costa Mesa Planning Department Re: Balcony Reconstruction-Unit J Please be advised that the owners of unit J, Karen Hillman & Kelly Hillman, have the consent of The Blue Horizon Villas Home Owner Association, (HOA), to commence with the requested balcony remodel. The remodel will consist of replacing old wood from the original balconies and replacing it with a combination of new wood and Treks, a composite material. This new material has been approved by a majority of HOA voters. In addition it is the expectation of The Blue Horizon Villas HOA that the completed remodel will meet the current standards set forth by the City of Costa Mesa Code Enforcement Department. Sincerely, r Dennis Walker President Blue Horizon Villas-HOA TAa° [ 0�azV iigj 2512 Santa Ana Ave Costa Mesa, CA 92627 December 12, 2006 To: The City of Costa Mesa Planning Department Re: Verification of HOA President Please be advised that The Blue Horizon Villas Home Owner Association, (HOA), is a small private organization. The HOA board and members are comprised completely of individuals who own the ten individual units. As such board members are voted into position by a simple majority of HOA voters as positions become vacated. With this being the case we do not have a formal document listing the names and titles of each board member. Therefore please accept this letter and the following signatures as proof of the fact that, I Dennis Walker am in deed the current President of The Blue Horizon Villas HOA. Sincerely,. i- •ennis Walk ritU ei I . >4 Zac ary - Unit B- Thiana/Ph' erver � CN ea nit C- Mi nie Ruiz Unit D- Unit E- Christina/Joel McClurg Unit F- Mary Crane Unit G-Kyle/Dennis Walker Unit H-Starla/Bill Gierer Unit J- .1-Ily/Kare• Hillman Unit K- Erin/Perry Zachary ®p It W CITY OF COSTA MESA .@ BUILDING DIVISION F •" ,I a DEVELOPMENT SERVICES DEPARTMENT PE MIT NUMBER ri • PERMIT 06-02083 Stbn'ORMm tit (714)754-5273 • Fax(714)754-4856 • www.cl.costa-mesa.Bl<MLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2512 SANTA ANA AV Status: ISSUED Suite: J Applied: 12/12/2006 Vicinity: UNIT J DECK Issued: 12/13/2006 Primary Occ: R3 Type of Construction: V-N Parcel Number: 43912128 Zoning: Applicant: HILLMAN, KAREN Q 'J Address: 20 BRENA • Phone: 714-815-548 /SSU ED-BY:' 1. IRVINE,CA Zip: 92720 Owner BLUE HORIZON VILLAS • Address Phone: Zip: Contractor: OWNER-BUILDER Address: Phone: Zip: License: 000000 Arch : Eng: Address: Address: Phone: Phone: Zip: License: - License: SCOPE OF PERMIT REPAIR AND REPLACEMENT OF TWO 2-STORY DECKS LIKE FOR LIKE DUE TO DRY ROUGHT DAMAGE.REPLACE DECKING BOARDS W/TREX MATERIAL. NO OTHER WORK AUTHORIZED UNDER THIS PERMIT. FEE SUMMARY Plan Check: $90.51 Calc Valuation: $6,500.00 • Permit: $139.25 Claim Valuation: $6,500.00 SMIP Res: $0.65 SMIP Corn: $0.00 Other $0.00 Inspection: $0.00 Total: $230.41 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 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 2446.46(6/00) DECLARATIONS 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 at one hundred dollars($100)or less.) certify that in the perfo ance of the work fo which this permit is issued,I shell not employ any person in any manner so as to become subject to the workers' compensation laws o alifomle,a ¢agree at i I ., ouid become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with the /r•.•I'sions. Applicant Signature 0� '< < f�� /.. .i Date: "'7/��//y/' WARNING:FAJLUR Ts SEr. RE WORKERS'•e' -ENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO Cam PENPCiIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLAR-(5100,000).IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE.INTEREST,AND ATTORNEYS 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.N 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: 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 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.). ' .f71 I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The con actors License Law does not apply to en owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursu, t to the Contractors License Laws.). ❑ I am exe • under sec. - 1.i Business and Professions Code for this reason: Signature: €td... &fl. i ' Expires: 5' 15,47 OP Verification of Ownership by(type of(locu e 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 onectime hasnion 25533 f hand aCalifornia quantity of acutely hazardous mwith to a ssome e exceptions, to or requires sthansaation wei weightwith ofthe 500 yoCosta Mesa Fire Department by each,business00which at any fy q greater9 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). esentior.fu _..build _._ _ 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 0 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 Califomia 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? 0 Yes 0 No (Section 65850.2 of the Califomia 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 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health end 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 prescnbed by California Health and Safety Code Section 42303 been made? ❑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 0=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 agre; o comply with all tate laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-da�,ed perry or ins. cti0n rposes.I agree not to occupy or allow occupancy of any building authorized by this pore un the. insction. / S r / 6 (,yam(/') erase 01 Legal Owner(s) Da And/Or Authorized Applicant Date CODE I INSPECTION TYPE PAIS iN1111A1.S con t INSPECTION TYPE DEL MANS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1286 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 G 2-22--06 m® MoDaEoCID bo fl fM,@, 2512 Santa Ana Ave Costa Mesa, CA 92627 December 12, 2006 To: The City of Costa Mesa Planning Department Re: Balcony Reconstruction-Unit J Please be advised that the owners of unit J. Karen Hillman & Kelly Hillman, have the consent of The Blue Horizon Villas Home Owner Association, (HOA), to commence with the requested balcony remodel. The remodel will consist of replacing old wood from the original balconies and replacing it with a combination of new wood and Treks. a composite material. This new material has been approved by a majority of HOA voters. In addition it is the expectation of The Blue Horizon Villas HOA that the completed remodel will meet the current standards set forth by the City of Costa Mesa Code Enforcement Department. Sincerely, Dennis Walker President Blue Horizon Villas-HOA \\a@ [ oMI0 CDIE Mo0O, ,, 2512 Santa Ana Ave Costa Mesa, CA 92627 December 12, 2006 To: The City of Costa Mesa Planning Department Re: Verification of HOA President Please be advised that The Blue Horizon Villas Home Owner Association, (HOA), is a small private organization. The HOA board and members are comprised completely of individuals who own the ten individual units. As such board members are • voted into position by a simple majority of HOA voters as positions become vacated. With this being the case we do not have a formal document listing the names and titles of each board member. Therefore please accept this letter and the following signatures as proof of the fact that, I Dennis Walker am in deed the current President of The Blue Horizon Villas HOA. Sincerely, enn'nis Walker -it A 'y1r a •. Zachary Unit B- Thiana/Ph'J Server Unit C- Mei nie Ruiz Unit D- Unit E- Christina/Joel McClurg Unit F- Mary Crane i{1u. i./ `/ (. c t< ,_-- Unit G-Kyle/Dennis Walker Unit H-Starla/Bill Gierer - --\; j� Unit J- Illy/Kane Hillman N ) UnittKK-- Erin/Perry Zachary