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Home My WebLink About2438 SANTA ANA AVE - Building Permits • • Ci►J' CITY OF COSTA MESA BUILDING DIVISION F• -r ,r' �I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT Bos-000ss , 'eriamo`44. (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.BJLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2438 SANTA ANA AV Status: ISSUED Suite: Applied: 01/19/2006 Vicinity: Issued: 01/19/2006 Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N Parcel Number: 43913204 Zoning: Applicant: GORINA, JOSE Address: 10395 SLUSHER DR Phone: 800-807-9889 ISSUED BY: ,%/A dor SANTA FE SPRINGS,CA Zip: 90670 Owner: MASTERS, MILES Address 2438 SANTA ANA AVE Phone: COSTA MESA,CA Zip: 92627-1442 Contractor SEARS HOME IMPROVEMENT PRODUCTS INC FjX • • E,Ik Address: 10395 SLUSHER DR Phone: 800-807-9889 DAA r�� , SANTA FE SPRINGS,CA Zip: 90670 License: 721379 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT CHANGE-OUT OF A DOOR TO A FRECH DOUBLE DOOR(SAME SIZE)IN AN EXISTING SINGLE-STORY SFD. NO OTHER WORK AUTHORIZED WITH THIS PERMIT. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $2,500.00 Permit: $83.25 Claim Valuation: $2,500.00 SMIP Res: $0.50 SMIP Com: $0.00 Other $0.00 Inspection: $0.00 Total: $83.75 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 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 0 2446-46(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. jMy workers'compensation Insurance carrier and policy number are: Carrier. 'Gs-- PoliCy,Nu=berg I4)WWG41 'en 0°,5 (Thissecflermnaed not be completed it 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. `App cant'Sign tore: A O1 Al cliirer13 i f ict'O{e WARNINGCFAILURE TO SE 4 RE WOR.:S'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(Memo,IN AD.r ON 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;um a 7217'7q Class:aft B Contractor's Signature:—_y Date: if rq f O G I ib`l f' 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 tile 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.). ❑ 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 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: ❑ 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,Califomia 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 ❑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 or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yeo (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 ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this Replication 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 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 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? ❑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 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. ignatur:Of Legal Owner(s) Date ♦ S. h. 1IIg19(��\ And/Or • opzed Applicant u Date Qat INSPECTION TYPE ' DAIS INTITIAL$ CODE k INSPECTION TYPE DAX INTITIALS 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 'P �// 204 Final Demolition 250 Final Building/Occupancy `W -VT e OWNER WOODS, GEORGE C. DATE 12-1-77 • JOB ADDRESS 2414_2458 Santa Atm Avenue BUILDING PERMIT NO. 45145 GENERAL CONTRACTOR Valdez Construction Co. DESCRIPTION of WORK Bloc$ Wall AP No.h39_1S1-11, LOT TRACT FIRE ZONE VALUE $ 2,400.00 INSPECTIONS 12,13 Signature Date TYPE III GROUP J ZONE R-2 SOIL PERMITS ISSUED GAS SUBCONTRACTOR I DateNumber Signature WATER Plumbing ROUGH PLUMBING POP, SWR. LINE n HOUSE CON. S `J SPRINKLING SYSTEM NMISC EL LANE OUS ROUGH HEATING AND AIR CONDITIONING v`%TEMPORARY SEFVICE OR POLE UNDERGROUND I—I POWER 5 `\ROUGH WIRING Heating and Vent. • TRENCHES 5 FORMS C STEEL REINF. L «QII/C�--- FLOOR SYSTEM BOND BEAM II STEEL REINFORCE 7 SHEATHING . FRAME AND FLASHING • LATHING — IN iT OUT E1 , PLASTER, BROWN COAT STRUCTURAL, FINAL •Electric HEATING. VENT.. REFRIG. AND P.C., FINAL I PLUMBING. FINAL AND GAS TEST I ELECTRIC, FINAL • i G-A" �..r BUILDING. FINAL . - J .7 45175 BLDG * 2i. . - _77 • �7 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 RECEIVED BY DATE RECEIVED DAT ISSUED BUILDING „/Or. e. ADDRESS ,, [ - a . ea 0 _ Kt I, ` Mariners Savings & Loan ASSOCa A.P. N0.013/1/q/.3/`tete J. P Y a. a di OWNER [� �,// '/<� /' //(y�� MAIL r ADDRES& [3y /L/ �(41t 7-rt Wt V ' - ADDRESS 1515 Westcliff Dr. - TEL TRACT 10148 LOT BLOCK CITY Newport Beach NO.642-4000 CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOLEH LENDER Same as Above BRANCH • s 2Ewitet44I /i / ..rif /. ADDRESS d/I ARCHITECT TEL. .&a ./ / { ".-1 S / 4,1 �"' OR ENGINEER Rn . - . 0 5- '-4002 FIRE , ADDRESS 17931 Sky Par Circle, IrSuite H ZONE TV 9'� GROUP APPROVED /y CONTRACTOR Wnodtree Deo. CO. BY / DATE "510 ' e ADDRESS 1665 Placentia Ave, �(�. TEL. ZON�kj2_ IvaO.OF 7 USE OFNEW4[�1(/S CITY Costa Mesa No.646-1164 ZONA L/Af5 BUILDING F+ STATE CITY YARDS APPROVED YARDS APPROVED S, LIC.NO.336725 LIC.NO. 14664 MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OFBLDGS, (FROM C/L,�//STREET) 0. OF LOT Various INOW ON LOT FRONT 92 FT. GL FT. a USE OF n,, en EXISTING BLDG. 1__R.SIDE 20 FT. Fes' tirdVll FT. H F Separate permits are required for L.SIDE /0 FT. FT. W electric,plumbing and heating work. 0REAR FT. FT. (—, USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& G Total units — 4 MAIN BLDGS. ACCESS.BLOCS. A 4 Total = 4918 sq. ft. cV.u.PR..##�-�77/S� DATE APPROVED a� — 11 aental Gar. = 2252 s . ft. $Y ROV /� AO. DATL .. /0' 7$ w _r. l — pr I hereby cknowledge t at I have rea his applic ion and state r J - in b a that the above information is correct and agree to comply with m 0n all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of m Sthe State of California. 3 I hereby certify that I am properly licensed as a contractor under SO. FT. ry the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and t ch licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: N am exempt fr the ovislon oe the State of Ce ornia Business VALUATION PERMIT FEE f Y and Professio Co vision (ChApter 9. n n qi P P i 'PLAN CHECK S ` a. Signature of `•N IY. E/� / �� .. LL VV- Perm(ttee s • V� t/r/ TAX f a u to Authorized Agent TOTAL PAID S ��_2 "J