HomeMy WebLinkAbout1089 SEA TERRACE LN - Building Permits � � F� CITY OF COSTA MESA '
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BUILDING DIVISION
F r "`'!" ' DEVELOPMENT SERVICES DEPARTMENT PERM T NUMBER
rat
; PERMIT
99-01481
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1089 SEA TERRACE LN Status: ISSUED
Suite: Applied: 09/15/1999
Vicinity: Issued: 09/15/1999
Parcel Number: 42201317 Zoning:
Applicant: KLAKOVICH, DAVE ISSUED BY: —
Address: 7045 HITES COVE
CA Phone: 209-742-5779.
MARIPOSA Zip: 95338
Owner: SEABLUFF HOMEOWNERS,
Address 1089 SEA TERRACE LN '
• Phone:
�."'COSTA MESA;CA • - Zip: 92627 - - •
Contractor: / PONDEROSA ROOFING
Address: 7045 RITES COVE
CA Phone: 209-742-5779
MARIPOSA
Zip: 95338 License: 615531
L.
Arch : • • Eng:
Address: - Address:
Phone: Phone:
Zip: '' License: License:
•
SCOPE OF PERMIT •
, REROOF EXISTING 4 UNIT RESIDENTIAL BUILDING.TEAR OFF EXISTING SHAKE WITH EXIST.SHEATHING TO STAY.
• INSTALL 1 LAYER OF 30LBS UNDERLAYMENT&REROOF WITH CLASS B WOOD SHAKE. UNITS 1081-1095. '
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $22,000.00
Permit: $349.25 Claim Valuation: $22,000.00
SMIP Res: $2.20
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00 -
Total: $35t45
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:
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
• DECLARATIONS r. 4 _
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.
Myworks ens ion Insurancean � car ri and policy number are:
Carrier: ( / ✓N Policy Number:
(This section need not be completed if the p it 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 Californi d agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
too mDly these provisio
A Ignetur.. •.-,•.-, / � : /q
- —39
WARNING FAILURE TO SECU WORKERS'COMPENSAT VERAGE 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 here. - •••• - em lice :d under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
•rce and ect.Lie.S I-_ C. a C— .9
Contractors Si. . fir _ `- --9 V
Date:
c--,..
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).
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 end 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 drivers license. ❑Yes ❑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 B,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? ❑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? In 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).
......--... w.l._..elior.present
occupant need o.pre Prevention
ac---___ardous-materals)?
3 Does or will the applicant or psor future building occupant 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.
an RMP._---presentlyas California 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 a plication aggermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ 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.
5
/ Signatur f alQwner(s) Date
/Jl/r - AY -99
And/ nae p nt --
CODE S INSPECTION TYPE PATE 1NTIALs CODES INSPECTIONTYPE DATE INTRIAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final / '�,/, 208 Final Plumbing
200 Final Re-Roof q-ZR-qq 4=441- 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
24-46-46
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. SM 121 DATE $
CI CO Of COST PIES&
PLANNING DEPT.
LOT NO. 34
ADDRESS 2042 Meadow View Lane MA? ) U IJ J
AM PM
71819110011121112131415,6
A
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement , acknowledges that (he-she-they)
(was or were) advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
aforementioned uncompleted condition. The undersigned acknowledges that this
agreement is made solely for the benefit of the city and does not inure to
the benefit of the undersigned or any of them.
BY SG , 1
rar _ ,. . /���
Purchase • -y
J . H . G 0 84#0r04,/ PM-
BY
Develope n./or authorized
represen .tive
GREAT WESTERN
BY SAVINGS & LOAN ASSOCIATION
glnt0 -. : ...,
BEVERLY HILLS, CALIF. 90211
. cc.(ttt a--
Iv .
� y1S�E p}i�SfRE[�L
Tl , I • CITY OF COSTA MESA
i f BUILDING SAFETY DEPARTMENT
I._;
POS IN CONSPICUOUS PLACE
ON THE JOB 7
DATEAIIyUIr,� _
A.P. NO. 1�,I IL !
•i• k- Y :
BLOCK
OAS i
NEW ADD ALTER REPAIR MOVING DEMOLISH
OWNER ,
USE
FIRE ZONE ZONE TYPE GROUP
�. ' I: Al
HOLD FOR SPECIAL REOU :t qv'LIN A::
SETBACKS
Front Yd 3I A" Side Yd. R 0' L22______ Rear R'2" _
•` - ' Side Yd. R L ' Rear
• BUILDING INSPECTION RECORD
• $ TO KEEP BUILDING PERMITS VALID, WORK MUST BE COM-
- MENCED WITHIN 60 DAYS WITH ROUTINE INSPECTIONS AT •
LEAST EACH 120 DAYS THEREAFTER UNTIL COMPLETED.
STRUCT RAL NNW DATE
Trenches J Forms !t `�� -U�
Floor System `r•_��►�7/ AWITI T
Steel Reinf IVI�AslIIAVL l 1J $1
• Sheathing Wye. IIMEn
n': aiu ..
Frame and Flashing ��,//��ee����
Insulation �AW.fTJ��
• - - •
Lathing //7VW/6 IIFLM
• Dry Wall Nailing 1 "a
Plaster,Brown Coat raMrYa
rli
Sound Attenuation
Handicap Regulation
—
—`
FINAL ( ie 7-Id i✓
. PLUMBING ,p r, L
soil IPA _H4. 6- /G 15 .
Underground Water • 'lt,n ft. ` r - 71-
' Rough Plumbing 4-.) -e" 7! •
Prop.Sewer Line and House Conn 0 j n-if 1
Street Sewer Conn. ., '/r "Jr
i..• , ✓✓3- 8-79
Water Service
_
Sprinkling System ��� /
Gas Test , f--is-7t
FINAL ® 4•lj y
HEATING,AIR-COND.AND REFRIGERATION
' Refr. Lines,Pressure Test --
Ducts, UndergroundY,(/� (' 7-11
Ducts,in Structure Y Y? /2-0-71
Duets,Verdi=:'ng fy t" 77
Rough Heating and Air-Cond.
} I�
FINAL j//e g -777
ELECTRICAL S_
Temporary Service or Pole --
Underground (J/0 /A •d•' p-
Power Meter 1) 'J^
e
Rough Wiring (7.7 J,Mol t _57, •
FINAL • .
4.17 f
Do not occupy this project until final inspection has
been made and occupancy has Pip:9N
Building Final /y�Nf�� e ts-7/
Special Requirements KK tt
Occupancy
•- a NOTICE
24-hr. notification required when the job is ready for inspection. You /D
• must furnish PERMIT NUMBEH and the JOB ADDRESS FOR EACH
. - RESPECTIVE INSPECTION. C.\-LL 556-5273.
APPROVED PLANS SHALL BE ON JOB AT ALL TIMES
CMF e6.e9'46 '
OWNER THE GREGORY CO. • DATE 3-3-78
JOB ADDRESS 1089 Sea Terrace BUILDING PERMIT NO. k53a9
GENERAL CONTRACTOR Same{: DESCRIPTION of WORK Res.vratt. Garage
AP No. LOT 34 TRACT 10018 FIRE ZONE VALUE f 33,600.
INSPECTIONS Signature Dot. TYPE V GROUP I & J ZONE PDR-MD
SOIL ( PERMITS ISSUED
GAS - - SUBCONTRACTOR I -Dat. Numbs I
Signature
WATER P�I)y/�E n
ROUGH PLUMBING � 1 ,tig G �'ry�7x
PROP. SWR. LINE ❑ HOUSE CON. ❑ SI, titcc/6„ ,,r'rta.n„t Q�S 3 �)y 7159.1
SPRINKLING SYSTEM U-a7-)7 2471a-
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER •
•
ROUGH WIRING (n) N.oti and Mont. y'
TRENCHES U FORMS U STEEL REINF. I ) / / '' LI—/3'_./'f! ,j� y/
FLOOR SYSTEMf� TV .t Q - �.7 513 0
BOND BEAM l 1 STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN fl OUT n
PLASTER. BROWN COAT
STRUCTURAL. FINAL FI.etrie
HEATING. VENT.. REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL '/ �r r•f
BUILDING. FINAL v i A O r /
eorriSI erniuoruruTC _ •
•
dt
S ,` _ 125389
COSTA
ESA DING-SAFETY TAM SA,CALIFORNIA
RNIIA926T
P.OO 1200 COS
4479 I/19/78 92071 TL
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only
RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING/ .e
BUDRENSair Sen
�eww2?
OWNER the gregory company A.P.NO. is-3(00-1z,, 45389
MAIL BUILDING
ADDRESS 3187-g airway ave ADDRESS/089 7
CITY Costa mesa N0.791-38504
TRACT iorJAI LOT 3u, BLOCK
CONSTRUCTION NEW ADD ALTER RFPAIR MOVINn nFMOI LSH
LENDER X
BRANCH
ADDRESS OWNER the gregory company
VALUE
ARCHITECTy,HR�arris(.4e1orenzini TEL. 751-385 LSlSE‘...4,014 -2/W ate para eE 33f0�.�6
OR ENGINEENO. r
FIRE
ADDRESS 3187-g airway ave ZONE TYPE V GROUP I&J
APPROVED
CONTRACTOR gregory construction co BY DATE
ADDRESS 3187-g airway ave
rr�r NO.OF USE OF NEW
CITY costa mesa NOLf51-3840 P!Y — PLAN57_ BUILDIF .W_.�� u&*
IvoF' STATE 427'x992 t CITY 0 YARDS APPROVED YARDS APPROVED J
gLIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
627 SIZE NO.OF BLDGS. (FROM CIL STREET I f
O• OF LOT NOW ON LOT FRONT 3 FT. FT.
Q USE OF /�
CA EXISTING BLDG. R.SIDE b FT. FT,
h
FSeparate permits are required for L.SIDE ✓ FT. FT.
C electric,plumbing and heating work. REAR FT. Z`^ FT.
I.., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Q1 MAIN BLDGS. ACCESS.BLDGS.
s� - VAR.�f'� DAI `
a �'•C c.U.P.* 1J APP 1
attached garage RYR [p Pn fATE . /h /7 G�
a HOLD FOR SPEC! L REOUIP.EM NTS
0 I hereby acknowledge that I have read this application and state
W that the above information is correct and agree to comply with
p+ all laws regulating building construction, and I shall not employ I
Z any person in violation of the workman's compensation laws of o
yW" the State of California. 11 11
X I hereby certify that I am properly licensed as . ..ntractor under 1249 SQ. FT. 431 garage a
the State of California Business and Profession ••de, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m N
Chapter 9, and t :t such licenses a in Ie and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m
am exempt •m th. provisions he///• . •: .•California Business a
and Profes-ons Code DI n 39 h./.
VALUATION PERMIT FEE $ n 0 "6
/ n
Ge PLAN CHECK $ 70 3S no
Signature o • o
Permittee saw��
$3,34,00 ., .TAX ' 7J SE
U
Author z • 'gent
2 TOTAL PAID $ II. 70
COSTA MESA BUILDING-SAF TY DEPARTMENT 7274 3/13/78 • 139.00 TI.
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 7274 3/13/78 139.000KTO
APPLICATION FORLSTI&OTURALARMIT I A
For Applicant to Fill in Completely— Use Ink Only
RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING /
ADDRESS /D� / .i i
/ PERMIT PERMIT NO.
OWNER af _ Art - _G sea A.P.NO. //J/
/ / ADDRESS
lad f•�/�Ei �
MAIL VVte
ADDRESS
TEL. TRACT LOT BLOCK
CITY NO.
CONSTRUCTION NEW 1 ADD I ALTER REPAIR MOVING DFMOI ISH
LENDER
BRANCH / ////�
OWNER l / /,./ / [e�
ADDRESSt///J qV„ UE
/..------../..------..ARCHITECT TEL. USE/1 L�_ 1/.� j ,
OR ENGINEER NO.
FIRE
ADDRESS ZONE TVP GROUP
CONTRACTOR idinei
APPROVEDBY DATE
ADDRESS
TEL. ZONE INO.OF USE OF NEW
PLANS BUILDING
CITY NO.
F STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
1.1/ SIZE NO.OF BLDGS. (FROM VI_STREET)
a OF LOT NOW ON LOT FRONT FT. FT.
Q USE OF
41 EXISTING BLDG. R.SIDE FT. FT.
rn
PE I—,
Separate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work.
W _REAR FT. FT.
I.., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
AMAIN BLDGS. ACCESS. BLDGS.
��r , t,.j �� /�. VAR.$- DATE
`� P. `//�,`7F/+ ea • C.U.P.9W APPROVED
7
APPROVED
›i BY DATE
C4
ILI
0 I hereby acknowledge that I have read this application and state n
a that the above information is correct and agree to comply with
00
0w all laws regulating building construction, and I shall not employ
Z any person In violation of the workman's compensation laws of u
t, the State of California. m
I hereby certify that I am properly licensed as a contractor under Sc . FT. ra
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses ore In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business �D
VALUATION PERMIT FEE $ / / ro
and Professions Code,Division 3,Chapter 9.
PLAN CHECK $ in
Signature of a
Permittee $ TAX $ U.2
f
U
Authorized Agent
TOTAL PAID $ /37.0 Se