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Home My WebLink About3136 SUMATRA PL - Building Permits CITY OF COSTA MESA �l� BUILDING DIVISION F;.�"��l��' 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 PERMIT NUMBER: BC07-00067 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: RES ALT DATE ISSUED: 12/10/2007 ISSUED-BY: JOB ADDRESS: 3136 SUMATRA PL CM APN: 13915306 Vicinity: FRONT OF HOUSE AND;GARAGE `. - - Primary Occ: 7 Const Type: V-N _:` SQ.:FT.- 826 - Valuation„ $80,085.90 SCOPE OF WORK: ADD 661ST TO A 1-STORY, CONVERT166 SF OF(E)GARAGE INTO,HABITABLE-AREA,ADD 165 SF TO EXTEND AN ATTACHED GARAGEAND;INTERIOR REMODEL TO(E) HOUSE. ELECTRICAL, MECHANICAL AND PLUMBING WORK. ALTER MECH DUCTING; 1FACTORY FIREPLACE, 1GAS.PIPING, 16FIXTURES, 160UTLETS;8SWITCHES, 1-200AMP SERVICE, 1FLOORDRAIN, 1 LAUNDRY TUB,-1 SHOWER, 1 WASH BASIN, 1 WATER CLOSET;1 WATER HEATER: - OWNER: WHITESIDE;RICHARD C 2ND • Address: 3136 SUMATRA PL Unit: Phone: 714-545-6512 - - , City/State/Zip: . COSTA MESA,CA' . APPLICANT: WHITESIDE,SANDY - - Address: 3136 SUMATRA PL - - :- Unit: : Phone: 714-545-6512 City/State/zZip,-,COSTA MESA,CA• CONTRACTOR: Phone: ` Address: Unit Cell: City/State: .; ZipCode ARCHITECT: License No., PHONE: ENGINEER: RICHARD GROW `" License No.C69889 G' PHONE:310-335-9900 COMBINTATION PERMIT FEESUMMARY - Building Plan Check: $559.49-1 Building Fees: Electrical Fees. $98 00 - 3 Mechanical Fees: $54 00 Plumbing Fees: $8 .36"' • SMIP Residential: $8.01 �. SMIP Commercial: $0.00 TOTAL FEES: $1,662.55 "Refer to fee receipts for all fees paid for project 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. CODE S. INSPECTION TYPE DATE INTRIALS CODE/ INSPECTION TYPE DATE INTIINLS 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 204 Final Demolition 250 Final Building/Occupancy I—2,71P( 2 f' 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, asrequiredby* 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: Cartier: (Th6 section need not be completed it the permR u valued at one hundred dollars (S1ooJ or less ) Policy Number: ❑ 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's 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 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. Lic. # Contractor's Signature Class # 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). Owner ID verified by drive :nse. ❑ Yes ❑ No, 1 Driver's License: No� Expires�l1✓ Verification of Ownership by (type of document, i.e. -property [ax bill or geed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ' . ❑ I hereby certify that no excavation five (5j or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this pernit, 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 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? ❑ 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 Lender's Name: hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required Signature Date to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required. has Section 25534 of the California OWNER -BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑ Yes ❑ No I hereby affirm that under penalty of perjury that 1 am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE -LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions'C8bl : Any city oivcounty which requires, apermit to or modification from the South Coast Air Quality Management District or from construct, alter, improve; demolish, or trepaiG any 'structure,�priorl to :its 7M any other air pollution control district or agency? ❑ Yes ❑ No issuance, also requires the applicant for such permit to file a signed.statement„_,i (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed' pursuant to the provisions of flier Contractors Y?�. License Law (Chapter 9 (commencing with Section 7000) of'Division 3 of the information be furnished on applications for non-residential building permits). Business and Professions Code) or that he or she is exempt therefrom and ` 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No 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:). - a 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 contracta(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature Oat/ 3057-16(3/07) (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 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 stale laws and city ordinances regarding HazardousMaterials and Emissions. 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 properly for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature of Leg ( w sl al And/6F Authorized Applicant ate NEWPORT -MESA UNIFIED SCHOOL DISTRICT CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 181 To: (1,) City of Costa Mesa ( ) City of Newport Beach ( ) County of Orange Applicant: SA-&jT) tt' k ti i,+ 'Ls<, DLS Address: 31"it, Sumct'�4 P1• Telephone Number: -114 - 574 �_ — &;'12- Tract/Parcel ;'1Z Tract/Parcel and Lot Number(s): Location of Project: -721 a[v C(A ryu 't'm Number of Square Feet of: Residential Space Commercial and Industrial Space CommerciaiAndustrial Project is: (Check One) 6It, I x$1.84 x $ .30 001-00160675 N2 6811 District Receipt No. Plan Check No.l C -ooh,--( Total L 2 Total Warehouse Motel Preschool _ R & D Bank Auto Repair _ Movie Theater Neighborhood Shops Hospital _ Mini -storage Racquet/Health Large Office Heavy Industrial Hotel Office Bldg. Regional Shops Medical Office Restaurant _ Light Industrial Office Park Fast Food This project is exempt because This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code sections 53080 and 65995. The Building Permits for this square footage in this proposed development may now be issued by your jurisdiction. Checks are to be made payable to Newport -Mesa Unified School District. Aulhoraed The above representation as to square footage is true. Applicant agrees that if it is later deterrNned that such representations are not true, thenthis certificate shall automatically temrnate and the a opriato City/County ysshall be notified. / Date: ` L / o Applicant OWNER Sjjj,�.9vT1ND_UN1) C6. DATE 2-28-57 JOB ADDRESS �.-1661 „ Imatrn Place BUILDING PERMIT NO. {4456 GENERAL CONTRACTOR Owner 131dr. VALUE $ 10,686,00 LOT 84 BLOCK TRACT 2353 Single res, w/att, gar, GROUP I & i TYPEy ZONE FIRE DISTRICT 4509 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench f" .%4i � ,,� 4 -J - 9 Foundation Forms and Grade to Garage Rough Framing Plumbing, Rough to Slab %� S J S-7 Sr'YL_yL ' i'S % 8 7- 37 ✓ Plumbing, Rough Complete 1%7L°5 „s%7.267 9 1957 VC 4 Z13 -s7 Temporary Pole MAY ` Wiring, Rough Heating, Rough % C, S 1957VCB 5-Z3 s2 - x/7.35 ✓ S=� s _z 9 6"6 9 Heating, Final - �er, House Sewer, St. jyj µS L-25'57 ' . -S - S] of W Septic Tank or Cesspool <3/ Lathing, In Out ,✓ `j`�„f Plastering Plumbing, Final, Fixtures Complete MCC- Plumbing, Final Gas Test �Ij �� -I A R ,. .. w .. f/ Z .� Wiring, Final__ Occuoancv FORM 210 3M 10.05 4, 4599 COSTA MESA BUILDING DEPARTMENT P. O. BOX 317 COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN BUILDING 313 COSTA MESA, CALIFORNIA I OWNER FEE RECEIVED FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. PI RECEIVED � B�Y/T OATS RECEIVED) tbE ISSUED ADDRESS j 711 Cn. SiG T/P t,� AT //ci%/ .��.��C/ / F 2 8 195 TEI�re CITY npeles al if NO. ARCHITECT LIC. OR ENGINEER Amp NO. BUILDING COSTA MESA. CALIFORNIA Naur F?RE ADDRESS i t r V- Q B ZONE Suumerland LandclTv LC. ZONE PLANS PE )/ GRou CONTRACTOR NO.85 V r/ 112 So. Beverly TELr S Z W APPROVED ADDRESS C AY1CP C I A fO. �f BY DATE LEGAL LOTp 81 CORRECTIONS DESCRIPTION NO. BLOCK TRACT 2353 A.P. NO. SIZE NO, OF BLOGS. OF LOT NOW ON LOT r USE OF EXISTING BLDG. SETBACK LINE FROM OF TREET 01 REAR YARD 1 -CENTER SIDE YARD RIGHT61 LEFT 1 DESCRIPTION OF WORK NEW X ALTERATION ADDITION REPAIR MOVING DEMOLISH BUILDING NO. OF SIZE 22h1 ROOMS STORIES EXTERIORWALL ROOF OCorg silesn COVERING 0 COVERING n ' USE OF NEW BUILDING SinFl P Panily Dwel I ing I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCE AND STATE LAWS REGULATING BUILDING CONSTRUE TION.VALUATION SIGNATURE OF PERMIT FEE $ 26.00 CHECK $ 11. 00 PERMITTEE PLAN o� /y//�� AUTHORIZED AGENT r% 1 (j/ TOTAL FEE $ 39.00 Naur