HomeMy WebLinkAbout2725 STARBIRD DR - Building Permits (� to M Sr CITY OF COSTA MESA
;w 4 BUILDING DIVISION
, "�, ' DEVELOPMENT SERVICES DEPARTMENT
�•, PERMIT PERMIT NUMBER _
-"+ro.mw 699-00071 (/
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 2725 STARBIRD DR Status: ISSUED PP
Suite: Applied: 01/13/1999
Vicinity: Issued: 01/13/1999
Parcel Nunmber; 42002108 Zoning:
Applicant: WIHONGI, JANO
Address:
Phone:
Zip:
•
Owner- GRIMM, HERBERT A TR
Address 2725 STARBIRD DR
Phone: ,
COSTA MESA,CAZip: 92626
Contractor: CONSUMER SERVICES
Address: 16702 MT BAXTER
Phone: 714-839-4549
FOUNTAIN VALLEY CA
Zip: 92708 - License:' 676090
•
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
T/0 EXISTING&REROOF WITH OC MIRA VISTA(4.3 LBS)ICBG#5406. ROOF CERT ATTACHED TO PERMIT.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $11,000.00
Permit: $174.75 - - Claim Valuation: $11,000.00
SMIP Res: $1.10
SMIP Com: $0.00
Other $0.00 -
Inspection: $0.00
Total: $175.85
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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
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PARKING Existing: 0 - • Required: 0 Proposed: 0
NOTES:
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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
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 performanc .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 certify that in the performance of the work • whic '• .:rmit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Calif. la,and agre: : if I . ould bec•me subject to the workers'compensation provisions of S ctlon 3700 of the Labor Code,I shall forthwith
comply with these provfsi`i. / Tn�
Applicant Signature: . - i �— " , it Date✓ f /jam(//�// 7
WARNING:FAILURE TO SE• R ORKERS'COMPENSATION COVERA IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI PENALTIES MJD CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLAHE($1•r,..•,IN ADDITION TO THE COST OF COMP/SATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,IId�REST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisio •1 Ch' (commencing with Section 7000)of Division 3 01 the Business and Professions Code,and my license is in full
force and effect.Lic.a I _ Class N
Contractor's Signature:
/ ") "j" Date: V y Ward
CONSTRUCTION LEI•ING 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 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 end 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. ❑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,California AdminIstratNe 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 end 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 an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If en 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 permit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? O Yes ❑No
(Section 65850.2 of the California Government Code requires that the requested information be fumished 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 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 Califomia 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 comms with all : laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-d:4 ribed pry: for.,ir purposes.I agree not to occupy or allow occupancy of any building authors d by this permit until final inspection.
is • . /7 (5-(919
Sig.,L e Of Legal Owner(s) / Date
And/Or Authorized Applicant Date
CODE# INSPEC ION TYPE DATE IKTmAL5 conF j INAPFC'ION TYPF Dill =AU
1616 Fixed System Final Fire Prevention 206 Final Mechanical
208 Final Plumbing
1266 Pool Spa Final '.-III-11 l VII , 210 Final Electrical
200 Final Re-Roof / l/ _
201 Final BIocldRetaining 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
2446.46
CITY OF COSTA MESA REQUEST FOR OCCUPANCY p
TRACT NO. ef7C� DATE 46)/- c ( 7S
LOT NO. 7
ADDRESS 2-72-C
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-sire-they)
(was-er were) L -t 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.
/ � tea ..-
BY // • /l�sair..i
Purch se
THE CO ANyN a corporation
BY
Develope and/or authorized
representative
1JN1
it G-
?/ CITY OF COSTA MESA REQUEST FOR OCCUPANCY
111 TRACT NO. ‘757"ce" DATE gexe /Le z/ O/ / 7s-
/
NO. a
ADDRESS '2;7 STA R_vt 2OR(��
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)
Agit( (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.
BY `r AL ,
Purc :se
THE B. a,11 .• I PANY; a corporation
BY IM A
Develope and/or authorized
representative
URLrW1. neLUCLL
v)JOB ADDRESS 2725 Starbird Drive BUILDING PERMIT NO. 42379
' GENERAL CONTRACTOR Owner/BJ dr. DESCRIPTION of WORK Patio Cover
[l AP No. 420-021-08 LOT TRACT FIRE ZONE VALUE $760.00
&INSPECTIONS Signature Date TYPE V GROUP J ZONE R-1
SOIL PERMITS ISSUED
�cns SUBCONTRACTOR I
Date Number Signature
TM W ATER Plumbing
1 ROUGH PLUMBING
1PROP. SWR. LINE ❑ HOUSE CON. E
p
\ SPRINKLING SYSTEM
1\MISCELLANEOUS
TVOUGH HEATING AND AIR CONDITIONING .
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0
ROUGH WIRING Heating and Vent.
TRENCHES FORMS I] STEEL REINF. ❑ PS,\(/ 7
FLOOR SYSTEM
�u
BOND BEAM STEEL REINFORCE n
SHEATHING _
FRAME AND FLASHING
LATHING — IN f] OUT (l
PLASTER. BROWN COAT
STRUCTURAL, FINAL Elertric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC. FINAL
BUILDING, FINAL /q LC. n c 4 '-.vy
SPECIAL REQUIREMENTS
42379Ail. 27-76� rt,,003226* *****8.50
") COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
P' ICA ION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely— Use Ink Only R I VED Y DATE RECEIV D
DATE ISSUEDBUILDING 4/
ADDRESS _, A. A YL 6 LJae, . -� ._ V
-I ' I� ��D2% 141 PERMIT NO.
' OWNER ` � / f -/� Q KA.W_.• A.P. NO. ylry♦;/
•
ADDRESS 21 5 MAIL S-riara- 61%t6 - " ••• -✓`a i /i . G ll AL_
TEL ]] �]
CITY 4 . /1 €5A . NO.S`101 V'4-3 / LOT 1 BLOCK
CONSTRUCTION NEW - •• ALTER REPAIR MOVING OFMOI ISH
LENDER /
BRANCH .
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OWNER G it
` ? C72i/73/12
ADDRESS I VA UE ]
• ARCHITECT TEL. SE •.V./ $
OR ENGINEER NO.
FIRE
ADDRESS ZONE // -•
APPROVED
CONTRACTOR 1$ .� 14
BY ,� ••
ADDRESS a"1 'L SSrPc h- g112.OTENO.OF USE OF NEW
CITY 7 J - NOL C O�`y ). • PLANS BUILDING "•• Q
a.
F - STATE CITY YARDS APPROVED YARDS APPROVED
• • LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
Iatj SIZE (FROM C/L STREET)
NO.OF BLDGS.
MO OF LOT I NOW ON LOT - RONT eklilLS-a-i/ FT.
et '
USE OF1
• EXISTING BLDG. : S •E AJC11 FT.�• FT.
2 Separate permits are required for Z L.SIDE FT.t ,r FT.
G fa; electric,plumbing and heating work. REAR Z. -/SFT. (yr, FT.
IQ
E..., USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET. BET.MAIN&
Q _ I; MAIN BLOCS. ACCESS.BLDGS.
0 f VAR.# DATE
..1 O,q' LQ - ( - C.U.P.# APPROVED
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.
0 I hereby acknowledge that I have read this application and state in
ce . that the above information is correct and agree to comply with , h
l ' all laws regulating building construction, and I shell not employ m
Z ', any person in violation of the workman's compensation laws of -
W , the State of California. i ) p/[�
3 ' I hereby certify that I am properly licensed as a contractor under &�.z SO. FT. 7 % N
• : the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FE �I :
n am exempt from the provisions of the State of California Business . VALUATION s7.� o
^ W
PERMIT FEE $
and Professions Code,Division 3,Chapter 9.
Iel
PLAN CHECK $ M
Signature of 14....1.44.4.4 i/ / I
Permittee M- $ 740 TAX $ -e LL
V F
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Authorized Agent '-I TOTAL PAID $ di'.50
,... , Lot /
Plan 1C
PRIG
'—.lk 400 I 7 !SmY 22-75--00 924••n ***366.87
I) COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 •
For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
RECFyItV BV DATE RECEIVED TEMSUED
SUED
BUILDING ��(�— a's -7
ADDRESS 2725 Starbird Drive '�Cd� '7
PER ul IV•.
OWNER The Buccola Company A.P. Po ..i.9_,45-2-0,5--
MAIL 4501 Birch Street BUILDINGDRES2725 Starbird Drive
Z ADDRESS
a U CITY Newport Beach Lu ui TEL
TRACT 8798 LOT 7 BLOCK
ZZ
CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOI ISH '
o I- LENDER United California Bank
am
_ID BRANCH Newport Center
_1 in OWNER The Buccola Comsan
m J ADDRESS 630 Ne •ort Cntr. Dr. N.B. VALUE . '
I
CO ARCHITECT TEL /,, •// . Lu_ • $6 j bt
-I Q OR ENGINEER Raymond Levanas NO.673-7010
Z¢ 3t27a rto N.B. FIRE T
W ADDRESS ��Ififi IDS ZONE TYPE GROU' .•
aUri
APPROVED
mO CONTRACTOR The Buccola Compan BY DATE
2
:¢ ADDRESS 4501 Birch STreet
W W TEL. ZON NO. USE OF NEW
Z N PLANS— BUILDING
CITY New•ort Beach NO. 540-8833 A.:a. r
W O STATE CITY CITYYARDS APPROVED
YARDS APPROVED Of
(ACC LIC.NO, 146432 LIC.NO6432 BUILDINGMAIN • -
C/L STREET/
SIZE NO.OF BLDGS. M Y BUILDING
• r
OF LOT 6000 SF Min. INOW ON LOT 0 - _ [q
USE OF �
EXISTING BLDG. -- R.SIDE J5 T. FT
I— SIZE OF NO.OF
2 NEW BLDG. 3(136 SF ROOMS 12 STORIES 2 L.SIDE FT.
Q EXTERIOR WALL ROOF
CC.) COVERING Stucco I COVERINGS`hi�,e REAR r9/�FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET.
1
O.
MAIN BLOW. BLDGS.
aTE
O Construct New Single Family C VR :,P.IA ACCESS.--.
4C,2L •
y Residence.�� , • VED
1— APPROVED _
O Aglaiftk
I— I hereby acknowledge that I have read this application and state
D that the above information Is correct and agree to comply with
EC all laws regulating building construction, and I shall not employ
I— any person In violation of the workman's compensation laws of /�/I qr•
CO the State of California. 50ph 'p' �D ° co
• I hereby certify that I am properly licensed as a contractor under SQ. FT. u'• O
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Z
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: S
am exempt from the provisions of the State of California Business VALUATION
and Professions Code,Divisio Chapter 9.
W
•
P T FEES$ s N
Signature of azi 1O•gi O
Permittee
m
$ �V PLANCHECK $ Jilt % E
Authorized Agent HOLD FOR SPECIAL RE(LUi• bd / " / � 1
o`
LL
L E $.; _,;.,..,.•