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Home My WebLink About229 WAKE FOREST RD - Building Permits .44• 44#11i. `, ��9 CITY OF COSTA MESA BUILDING DIVISION > ry a DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER tA PERMIT o o A,,: c,7" 4 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 229 WAKE FOREST RD Status: APPLIED Suite: Applied: 02/02/2001 Vicinity: Issued: Parcel Number: 14146309 Zoning: Applicant: LEE ROOFING OF COSTA MESA ISSUED BY: Address: 1653 SUPERIOR AV Phone: (949)642-7222 COSTA MESA,CA Zip: 92627 Owner: SPENCER, JOHN A TR Address 229 WAKE FOREST RD Phone: COSTA MESA,CA Zip: 92626 Contractor: LEE ROOFING OF COSTA MESA Address: 1653 SUPERIOR AV Phone: (949)642-7222 COSTA MESA,CA Zip: 92627 License: 349686 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REMOVE EXISTING ROCK ROOF INSTALL#15LB FELT UNDRLAYMENT AND 25 COMP.SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $6,000.00 Permit: $125.25 Claim Valuation: $6,000.00 SMIP Res: $0.60 SMIP Corn: $0.00 Other: $0.00 • Inspection: $0.00 • Total: $125.85 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 2446-46(6/00) DECLARATIONS ( l 'C J We KERS'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 thin 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. y5,4„.ys,'compensy�Ol�In ance carrier and policy number are: Carrier: /?-/-2 Y Policy Number: (This section need not be completed if the permit is valued al one hundred dollars($100)or less.) ❑ I certify that' :..-:--' •f 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) alifomia, nd Aagree that if I should become subject to the workers'compensation provisions of Se tion 3700 of the Labor Code,I shall forthwith '•• these• !Isions. 1/�/hl•C//�GAeV4.-- f//q- e: . o /q ••.1- INC:FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMP CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(s100,OW),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 the - :d under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Busin,- and Professions Code,and my license is in full • ce and effect.LIC. - .9 & - Contractor's Signature: 1a • _rte Date: WSW • 'DING AGENCY: 70 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:My 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 properly 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. ❑Yes ❑No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-properly 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? 9 Yes ❑No (Section 25505 of the Califomia 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 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 he will the Coast or present a future building occupant at require for the work which the subject This application a ertnit for such construction or modification from the South Coast Air QualityManagement District or from anyother air pollution control district oragency? Yes 0 No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries ole school? 0 Yes 0 No (If Tres",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia 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 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 abov= --• for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. MiallialTh F /'j•.- re Of Leg- •. er(s) Date And/Or •• orized Applicant- — s-te yODE I j$SPECTION TYPE RATE (EMU CODE( INSPECTION TYPE DACE I[ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final208 Final Plumbing , 200 Final Re-Roof Z -20-40( /Ir'Lp1- 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 OWNER PRINCETON. INC. DATE 1-20-58 JOB ADDRESS 229 Wake-Forest-Road- BUILDING PERMIT NO. 6311 GENERAL CONTRACTOR Dtke & Colegrove VALUE $ . 11],]116.00 AP. No. LOT 36 TRACT2955 FIRE ZONE DESCRIPTION OF WORK Single res. Watt. gar. GROUP I & J TYPE V ZONE R1 PLAN NO. 6311 ECTIONS DATE SUBCONTRACTOR PERMITS ISSUED �} DATE NUMBER Trenches ', Forms Steel t�J/t- ry Floor Sy m v Steel Reinforce Chimney Re-Rod Bond Beam Frame and ashingwaaxS� Lathing, In cf7)4-Ou`t � r• WO r t Plaster, brown-` oat , t M J y/jajri- - Underground soile W/G Pipe Thii/s f/st _ Top Outs Furnace M fLS 3_2s-ss, _did_ht_iff r t IS 2 0 1958 12600 Gas Vents Rough Plumbing MNfS 3-vi-rt tdc._. : 1 9 • 7 A .24 Cesspool Septic Tank • 7 Prop. Swr. Line House Confrjf-SSt. Swr. 2-/7 -s-Y /9„6.,.+. -a-• 2-/3-r_2- /.9.230 I� Sprinkling System titC Heating Final AW /Z 5e .• 1.i Plumbing Fixtures, Final M/R a-/y-srF" Gas Test /C /bail' 6 /1- -2.action Polert Underground Power fjz 3 - �P_ a 620 Rough Wiring /t7fy 3 1. fL4_tir t.�L•' e '� 1 1 i�SE i),C.'l lt62 6.2. Fixtures, Final r/�1 •OCCUPANCY C /y Form 210-5M-1-57 / • 6311 YL��av; : — a0 —s% JL,` COSTA MESA BUILDING DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA. CALIFORNIA CIIY OF SOS r; 11.1=SA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING 229. Wake Forest Road BUILDING COSTA MESA..CALIFORNIA - FOR OFFICE USE ONLY . RECEIPT NO. PEGSI a OWNER Princeton, Inc. vv(( 1 t RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS 419 E. 17tMAIL h St. /- G -a JAN 2 0 1950 TEL. BUILDING CITY Costa Mesa NO.Li 8-1159 ADDRESS ARCH 'ECT Carlson and LIC. OR ' ,JEER Mi den chronk NO. COSTA MESA. CALIFORNIA ADDRESS ' Garden Grove FIRE ZONE • Dike 8: Colegrove, IncS 7333 ' ZONE pI rv0.GP TYPE / GROUP , / CONTRACTOR ITV LIC. n PLArvs ' c.( A'bt V v ADDRESS 419 E. 17th St., C.M.No: Li 8-1159 APPROVED DATE LEGAL LOT DESCRIPTION NO. 36 BLOCK TRACT 2955 CORRECTIONS A.P.NO. SIZELOT 70 X 100 • NO. OF SLOGS.NOW ON LOT none OF USE OF none ^� EXISTING BLDG. , LINE FROM cam. � ( •b� CENTER KOF STREET y{s � REAR YARD F SIDE YARD RIGHT 5' LEFT 51 DESCRIPTION'OF WORK NEW X ALTERATION I ADDITION REPAIR MOVING DEMOLISH 1 5 ZIE DING 1658 sq. ftNO.OF . ROOMS 7 STORIES 1 EXTERIOR WALLS ROOF • COVERING tuce. COVERING CoMO. USE OF NEW BUILDING Single family residence and %rage. Plan 760A 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATEITYTHAT NCE ABOVE COR ECT AND AGREE COMPLY WITH ALL TION.ORDINANCES AND STAT 5 REGULATING BUILDING CONSTRUC. VALUATION SIGNATURE OF PERMIT FEE $ 34.00 PERMITTEE 'I ' rv� INC. $ 14,146.00 PLAN CHECK $ 17./00T0 AUTHORIZED AGENT D.I'f & COLEGROVE, NTOTAL FEE $ 51.00 ydMT