HomeMy WebLinkAbout351 WESTBROOK PL - Building Permits� CITY OF COSTA MESA i' ' �
`oSTpMFs9 �.: �a:i::r:th.:C�i�e;�s
sv��n►N� n�v�s�oN �����;:�.._, � � ;_ 1
it� 0 7f'rAIR D'kIVE, C(jSTA MELA, CA 92626 • p14) 754-5273 • Fax (714) 754-4856 • vnwv.costamesaca.aov •.
t ' p " _
� � g FOR INSPECTIONS CALL: (714) 754-5626 '
y2.,�o fi
� �lCD PROJECT PERMIT NUMBER: BC12-00171
PERMIT TYPE: B COMBO
Sub Type: RES_ALT
Jos nooREs5: 351iWESTBROOK PL CM
APN: 14138504 Zoning: , ,
Vicinity:
Const Type:
SQ. FT: 0
STATUS: ISSUED
DATE ISSUED: 03H612012
ISSUED BY:
Suite/Unit:
Primary Occ:
Valuation: � $350.00
SCOPE OF WORK: HOUSING PROJECT. REPLACE WATER HEATER, REPLACE GARBAGE DISPOSAL, REPLACE FACIA � �
BOARD .,.,;,, „ . f
OWNER: SAGER, CAROL JEAN TR Address: 351 WESTBROOK PL Unit:
--- - --�
Phone: 714-545-6028 City/State/Zip: COSTA MESA, CA ��
APPLICANT: BOBBY DEATON
Phone: 800-610-7212
CONTRACTOR: OCC CONSTRUCTION INC
Phone: 80tl-610-7212
Cetl:
ARCHITECT:
ENGINEER:
�COMBINATION PERMIT FEE SUMMARY
Building Plan Check:
Building Fees:
Electrical Fees:
Mechanical Fees:
Rlumbing Fees:
SMIP Residenti�l:
SMIP Commercial:
Bldg Std Admin Fund
�TOTAL FEES:
Address:
City/State/zZip:
License No. 962822
Address: 13210 HARBOR BLVDUnit:
City/State: GARDEN GROVE
License No.
License No.
$0.00
$23.50
$24.60
$0.00
$33.30
$0.50
$0.00
$1.00
$82.90
Refer to fee receip�s (or all fees paid for project
_'_ ' HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE
Montlay thru Friday • 7:00 am thru 7:00 pm. Saturdays- 9:00 am thru B:00 pm. Prohi
New Years Day, Memorial DaY. Independence Dav. Labor Dav
UniL :
'C•'! 2-�0'E 7'i
SUITE 182
ZipCode 92843
PHONE:
PHONE:
.r ..rCc Ff,.:;lA :
-.. _,: �
�
,I�; � � � - - • - •
PER CMMC Sec. 13-279 •
s-Sundays and the following F�
4�
£+': fi4 3
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 9248, § 1. 12-27-92) �'
' EXPIRATION: PERMIT EXPIRES 780 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 inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
�ooc�. ixsvEcnoxr(PE Pnl, mJna4S S4o�,t ixsrecnoxTrvE p� .ixnnnis
a : - � ni_ i. "'IA �
t616 Fixed System Final Fire Preven�on T06 Final Methanical �j �
1266 Pool Spa Final 208 Final Plumbing J'a�! lI �.rn�
200 Final Re-Roo� 210 Final Electrical �'� ��:� U'1 ��
201 Final BlocklRe�aining Wall 212 Final Fire Prevention
, 202 Final FactorY Fire Place 220 Final Planning Approval ---- -- --- -- ---i
'
� 203 Final Si9n 222 Final Si�e �-, � �;�
204 Final Demoiition 250 Final Building/Occupancy � ��:�`U����
r,
WORKERS' COMPENSATION DECLARA710N:
I hereby aKrm under penalty of perjury one of the follovring declarations:
❑ I have and will maintain a certifcate of consent ro selbinsure for workers'
compensation. as provided !or by section 3700 of the Labor Code. tor the
p�eA/orw ance of the work for which this permit is issued.
lg I have and will maintain workers' compensation insurance, as required by
section 3700 of the Labor Code, for the peAormance of the work for which ihis
permit is issued. My workers' compensation Insurance carrier and policy
number are:�
Carrier: �/1��� �-Lri✓G
(inis stttim neeEmtGe rompetetl A tne peimG ic valvetl al me Iruntlietl ddlars (Sl W) a le.ss.i
Policy Number:
� I certify that in the performance of the work (or which Ihis permi[ is
issued, I shall not employ any person in any manner so as lo become subject
to the workers' compensation laws of Califomia, and a9ree that if I should
become subject to the workers' compensation provisions of Seclion 3700 0(
the Labor e, I shall forth � comply vnlh these provisions.
A pIIC2n1' ignaWre � ale2
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS
($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEV'S FEES.
LICENSEU CONTRACTORS DECLARATION:
I hereby aHirm [hat I am licensetl under pmvisions of Chapter 9(commencing
wi�h Section 7000) o� Division 3 of �he Business antl Professions Code, and
my license is in full force and eflect.
Lic. # �///%���� S,' `�/,.2/� Class # �
�6�h.��Gf�i��_ ��i6 �/2�
Co .r�w s6rpnawre �e
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby aKrtn that there is a consWction lentling agency for the
pedormance of the work for which this permit is issued. (Sec. 3097, Gvil Code).
Lender's Name:
Lender's Address:
Date
OWNER-BUILDER DECLARATIONS:
I hereby aKrm that untler penalty of perjury that I am EXEMP7 FROM THE
CONTRACTORS LICENSE LAW for [he following reason (Sec. 7031.5.
Business antl Professions CoOe: Any ciry or county which requires a permit to
consWcl. alter, improve, demolish, or repair any stmcNre, prior to its
issuance, also requires the applicaN for such permit to file a signed statemen�
ihat he or she is licensed pursuaM to [he provisions of Ihe Contrac[ors
License Law (Chapter 9(commencing wiM Section 7000) of Division 3 of Ihe
Business and Pro(essions Code) or [hat �e or she is exempt there(rom and
the basis (or [he alleged exemplion. Any violalion of Section 7031.5 by any
applicant for a permit subjects the applicaM to a civil penalty of not more than
fve hundretl dollars (3500).�:
� I, as owner of the pmpeny, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intendetl or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builtls or improves
ihereon, and who does such vrork himself or herself or Ihrough his or her ovm
employees, provided that such improvements are not intendetl or offered tor
sale. If, however, the builtling or improvement is sold within one year of
completion, the owner-builder will have the burden of proving Ihat he or she
did not build or improve for purpose of sale.).
❑ I, as owner of Ihe property, am EXCLUSIVELY CON7RACTING WITH
LICENSED CONTRAC70RS ro construct the project (Sec. 7044, Business antl
Professions Code: The,contractas License Law dces not appty ro an ovmer of
property who builds or impmves thereon, and who contracts for such project with
a contractor(s) license pursuant to the Contractors License Laws.�.
❑ I am exempt under sec.
Business antl Professions Code lor this reason:
309-a6(0/0])
Ovmer ID verifietl Dy tlriver's license. ❑ Yes ❑ No
Driver's License No. ��^, { xpires:
Venfcalion of Ownership by (rype ot document, i.e. - pmperty tax bill or deed):
1 . , - . , .
��DIVISION�OF.INDUSTRIAL SAFEN PERMIT CERTIFICATION:
''❑ ��6 hereby certify lhat no excavation fve (5) or more feet in deplh into which a
person is required to descend, will he made in connectbn vrith work authorizetl
by lhis pertnil, and that no building slructure, scaffdding, talsev.ork, a demolilion
or tlismaNlinq thereof, vnll be more Ihan lhirty-su (36) feei high (Chap. 3.2, Grp
2, M 2, Sec. 347. Ttle 8, Califomia Administ2Me Code).
❑ A5 ovmer-builder, I will not employ anyone [o do work which woultl
require a permit from the Division of Intlustrial Safety, as notetl above, unless
such person has a permit to do such work (rom Ihe division.
Applicant's Signalure �a�e
Division o( Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or IuWre building occupant need lo file antl
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the Califomia Health and Salety 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 reportetl
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 IemperaNre and pressure�.
2. Does or will the applicant or present or future building occupant need to file
a registra�ion (orm (or acutely hazardous materials? ❑ Ves ❑ No
(Section 25533 ot Ihe Cali(omia Health and Satery Code, with some
exceptions, requires registration with the Costa Mesa Fire Departmem by
each business which at any one time has on hantl a quantity of acutely
hazardous matenals equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet o( compressed gas at slantlartl
temperawre antl pressure).
3. Does or will the applicant or present or luNre building occupaN need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials�? ❑ Yes ❑ No
(Section 25534 of the California Health antl Sa(ely Code provitles Ihat the
Costa Mesa Fire �epartment may require Ihe preparation, cartifcation and
fling with the Fire Department of an RMPP by businesses which are required
to regisler acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the Califomia
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or vrill the applicant or present or fuWre builtling occupant require tor
lhe work which is Ihe subjec[ of Ihis application a pertnit for such construction
or motlifcation (rom the South Coast Air Qualiry Management Districl or from
any other air polWtion control tlisMct or agency? ❑ Yes ❑ No
(Sec�bn 658502 0( the Cali(omia Govemment Code requires that the requestetl
informalion be fumished on applications (or nornresidential builtling pertnits�.
6. Will any part of the facility to be constructetl under this permit be within
1000 feet from Ihe outer boundaries of a school7 ❑ Yes ❑ No
(If'yes". lhe faciliry must meet the requirement of Sec[ions 25534 and 42303
of the California Health antl Safety Code).
7. I( a permit from the South Coasl Air Qualiry Management DiSMct or other
air pollution control tlishict or agency is required for Ne work which is lhe
subject ol lhis application, have all of the disclosures prescribed by Califomia
Health and Safety Code Section 42303 Deen made? ❑ Yes ❑ No
8. Qf "yes", altach certifica[e of compliance (rom the appmpriate air pollution
control oHicer).
CERTIFICATE OF COMPLIANCE: I ceAify that under penalty of perjury the
information given above is correcL I agree to comply with all state law5 and
city ordinances regarding Hazardous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry of perjury that I have read this application and state that
the informalion given is correct. 1 agree to comply with all state laws and ciry
ortlinances relating to building construction, and aulhonze represenlatives of
the City o! Cos�a Mesa �o enter upon the abovedescribed property for
inspeclion purposes. I agree not ro occupy or allow occupancy of any building
authorizetl by this permit until final inspection.
Sign�w�re/ o! Le9al Owner(s) Date
Da�e �Q //�6� �
�1T
rtOalO/ OnzedAppliWnt a�e
�
SILVIA KENNERSON FAX # (714) 754-4913
. . ., i.
Namc: C. Jeanie Sa�cr
�
CITY OF COSTA MESA
Ncighborhood Improvement Program
Final Work Writc Up 02/24/12
Propcilv Address: 351 Westbrook PI
I�Iz-ov►� I
Phone: 714-545-6028
All work is to be done per City of Costa Mesa Buildin„ Plamiing and Public Works Codes. In order to establish
standards of yuality, the detailed specilications may refer to a cenain product by name and/or from a major
manufacwrer. This procedure is not to be construed as eliminating Gom competi[ion other products of equal or
bettcr qualiry by other manufacturers. 'I'he Contracror shall furnish the list of proposed desired substitutions prior to
signing [he con[ract All items listed on the work description, unless otherwise specified, shall include all pa[ching
and finish work, includin� trim, hardware, patchin� and finish painting and/or stainin�. The Contractor is
responsible Cor all permits, fees, City business licenses, plans, etc.
City of Costa Mesa Standard Rchabilitation Specifica�ions applies [o all i[ems lis[ed on work description.
Work Descri tion: Estimatc: �
I. Lead Aba[ement:
Interior of service porch and e�terior wooden walls at front porch and service
porch (see report). Use Icad safe work practices when encapsulating and/or $2,4�8
removine and replacin� walls. Assume full responsibility and liability for
com lianee rvilh all Federal, Sta[e and local re ula[ions er[ainin [o lead.
2. Waler Healer: Provide new water heater [o meet currw[ code with pressure
relief valve with discharge line, seismic strapping, and new gas line as 52;497
needed. Also include new watcr inlet lines and shu[-off valves as needed.
Provide and instull new esterior closet. Obtain rcyuired permits by the
State.
3. Smoke and Carbon MonosiJe De[ectors Provide and install a smoke
detectar for each bedroom (3) and hallway (smoke/carbon monoxide combo) $203
leadin� to bedrooms.
4. Termi[e Repair: Visual [ermite damage at rear of property and fascia board.
Provide local trea[ment (include subterranean). Remove and replace all $2,053
dama�ed stn�ctural membranes (include trim). 'I'ermite report provided.
Provideletterofcom letion.
�. Cciling: Watcr damaged cciling in family room. Rcpair all damagcd
strucmral membranes, patch cracks and paint ro match existing ceiling. $1,255
6. Security Scrccn Doors and Dcadbolts: Remove cxis[ing screen doors.
Provide and install new security screen doors (3), hardware, and deadbolL $347
Reke � to match ecistin �.
7. Kitchen: Reinove and replace garbage disposal. $270
'I'07'AL: �9,083
1 havc reviewcU the abovc work Uescnp[lon antl untlerstantl ihat any changes, atl�itions or deletions shall
have prior appruval b}' the City of Costa Mesa Neighborhood Improvement Personncl.
Owncr's Signature
Datc
Contractors Signaturc Date
CITY OF COSTA MESA
�,Ofj1pMFS,9 B!/ILDING DIVISION
4
i�„ ,� 77 FAIR DRIVE, COSTA MESA, CA 92626 • p14) 754-5273 • Fax (714) 754-4656 • w�wv.ci.costa-mesa.ca.us
� � eE
FOR INSPECTIONS CALL: (714) 754-5626
``°'•°�°'" PERMIT NUMBER: M11-00063
PERMIT TYPE MECH STATUS: ISSUED
APN: 14138504 DATE ISSUED: 05/09/2011
ISSUED BY: RMD
R-�-^�,�^
JOB ADDRESS: G3_51- ES BROOK PL�`C-M� Suite/Unit:
Vicinity: HALLWAY CLOSET
S�. FT: 0
SCOPE OF WORK: MECHANICAL PERMIT TO REMOVE AND REPLACE EVAPORATOR COIL LOCATED IN HALLWAY CLOSET.
OWNER: SAGER, CAROL JEAN TR Address:
PHONE: 714-545.6028 City/State/Zip:
APP�ICANT: ROY, LUCY Address:
PHONE: 949-702-0584 City/State/zZip:
CONTRACTOR: ALICIA AIR CONDITIONING AND HEATING INC
Address: 268Z4 VISTA TERRACEUnit
City/State: LAKE FOREST CA ZipCode: 92630
MECHANICAL PERMIT FEE SUMMARY
MECH ITEM FEE: $38.30
PLAN CHECK FEE: $0.00
INVESTIGATION FEE: $0.00
REINSPECTION FEE: $0.00
TOTAL FEES: $38.30
351 WESTBROOK PL Unit:
COSTA MESA,CA
Unit:
License No. 525314
PHONE: 949-770-2495
CELL:
NOTICE: The work aulhorized by this permit shall comply with all applicable handicap access requirements under CaGfornia 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.
INSPEC710NS: 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 fnal approval wiil resWt in the expiration of this permit.
CO�E tl. INSPECTON TYPE OATE INTITIALS LODEA INSPE�TION TYPE ��' 11 INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical ��
� 266 Pool Spa Final
200 FinalRe-Roof
201 Final BlocklRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolihon
20B Final Plumbin9
210 Final Electrical
212 Final Pire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
WORKERS' COMPENSqTION DECLARATION:
I hereby affirm under peqalty of perjury one of Ihe fo�lowing declarations:
❑ I have and will maintain a certifcate of consent to self-Insure for vrorkers'
compensation, as provitled for by section 3700 of the Labor Code, for the
pertOrmanCe Of the work (of whiCh lhis permil is i55Ued.
❑ I have and vnll maintain wurkers' compensation insurance, as required by
section 3700 of the Labor Code, for [he peAortnance of the vrork (or which this
pertnit is issued. My workers' compensation Insurance carrier and policy
numberare: � �n /C �
Camer A� \✓'P��
(Thrs secfan neetl not be �mpleted rl (he pe�mrt is valued a1 �onie hvntlred dolla/(s(S 100J o� IessJ
Policy'Number 2Z�� `' � � � / � �/
❑ I certify that in ihe performance of the work for which this permit is
issued, I shali not employ any person in any manner so as to become subject
to Ihe workers' compensalion laws of California, and agree Iha� if I shoultl
become subject to Ihe workers' compensa[ion provisions of Section 3700 of
�he Labor Co fprth�wi�h these provisions.
J
Applicanfs $ignaWre L6ale
WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL
PENALTIES AND CIVIL FMES UP TO ONE HUNDRED THOUSAND DOLIARS
(3100,000), IN A�DITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRAC70R5 DECLARATION:
1 hereby aKrm that I am licensetl under provisions oi Chapter 9(commencing
with Sec[ion 7000) o( Dlvision 3 of the Business and ProFessions Code, and
my license is in tull force and effect.
��� � sas3' ��asc- c�w
- S �
Cqntrdctor'sSlgnaWre �Oale�.
CONSTRUCTION LENOING AGENCY:
❑ I hereby affirtn that there is a construction lending agency for the
performance o! the work ta which ihis pertnit is issued. (Sec, 3097, Civil Code).
Lender's Name:
Lender's Address:
Dale
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalry of perjury thal I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the foilowing reason (Sec. 7031.5,
Business and Professions Cotle: Any city or county which requires a permit to
constmct, alter, improve, demolish, or repair any stmcNre, prior to its
issuance, also requires the applicant for such permii to fle a signed statement
ihat he or she is licensed pursuant to the provisions of the Contractors
License Law (Chap[er 9(commencing with Section 7000) of Division 3 of the
Business and Pmfessions Code) or ihat he or she is exempt Iherefrom antl
�he basis for Ihe alieged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjec[s the applicant to a civil penalry of not more Ihan
frve hundred dollars ($500).):
❑ I, as owner of ihe property, or my employees with wages as their sole
compensa�ion, WILL DO THE WORK, and the slrucWre is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not appiy to an ovmer of property who builds or improves
�hereon, and who does such work himself or herself or through his or her own
empioyees, provitletl that such improvements are not imended or ofteretl tor
sale. If, however, the building or impmvement is sold within one year of
completion, the owner-builtler will have the burden of proving that he or she
did nof build or improve tor purpose of sa1e.).
❑ I, as owner of [he property, am�EXCLUSIVELY CONTRACTING WITH
LICENSED CON7RACTORS to consiruct the project (Sec. 7044, Business and
Professrons Code:�7,�a ntractws License Law does not apply to an owner of
�+1� �plbp��o boiltlS'Q��roves �hereon, and who contracis for such prqect with
Ya contractor(s) license pursuant to ihe Contrectors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
Signa�ure Dale
305]-46(3/0])
Owner ID verifetl by driver � ncense. ❑ Yes ❑ No
Driver'S LiCense No. Expire5:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICA710N:
❑ I hereby certify that no ezcava�ion five (5) or more (eet in tlep�h into which a
person is requiretl to descend, vrill be made in connection wi�h work authorized
by �his pertnit, and thal no building sducture, scaffdtling, (alsework, a demolition
or dismantling thereof, will be more �han ihirty-six (36) (eet high. (Chap. 32, Grp
2, M 2, Sec. 311, Ttle 8, California Adminisirative Code).
❑ As ownerbuilder, I will not employ anyone �o do work which would
require a permit from the Division of Indusirial Safety, as noted above, unless
such person has a permit to tlo such vrork (rom the division.
Applicanfs SlgnaWre Date
Division of Industrial Safety Permit Number.
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant neetl to fle and
certify a Business Plan for emergency response to release or threatenetl
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of ihe California Health antl Safety Code requires, with some
exceptions. that a Business Plan be fled wi�h Ihe Costa Mesa Fire
Department by every business which has a� any one time during a reported
year a quantiry of hazardous materials equal to or greater lhan a weight ot
500 pounds, or a volume of 55 gallons, or 200 cubic feet o( compressetl gas
at slandard temperaNre and pressure�.
2. Does or will the applicant or presen[ or f�Wre building occupant need to fle
a registretion form for acutely hazardous materials? ❑ Yes ❑ No
(Sec�ion 25533 of the Calitomia Health and Sa(ety Cotle, with some
exceptions, requires regislralion wifh lhe Costa Mesa Fire Oepartmenf by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater ihan a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic /eet of compressed gas at s�andartl
temperature and pressure).
3. Ooes or wiil the applicant or present or fuNre building occupant need to
prepare an RMPP (Risk Management antl Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Seclion 25534 0( Ihe Califomia Health and Safety Code provides that �he
Costa Mesa Fire Depahment may require ihe preparation, certifcation antl
filing wi�h lhe Fire Departmen� ot an RMPP by businesses which are requiretl
to register acutely hazardous materials with Ihe Fire Department.
4. I( an RMPP is presently required. has Section 25534 of �he Cali(ornia
Health antl Sa(ety Code been fully complietl wi[h? ❑ Yes ❑ No
5. Does or will Ihe applicanl or present or future builtling occupant require for
the work which is lhe subject of Ihis application a permi[ for such construction
or motlifcation fmm the South Coast Air Qualiry Managemen[ District or from
any other air pollulion contml dislrict or agency? ❑ Yes ❑ No
(Secfan 65850.2 of the Califomia Govemment Code requires that Ihe reques�etl
information be (umished on applica[ions for non-residential building pertnits).
6. Will any part of the (aciliry to be constructetl under Ihis permit be within
1000 feet fmm the outer boundaries of a school? ❑ Yes ❑ No
(If "yes", the facility must meet Ihe requirement of Sections 25534 and 42303
of the California Health and Safery Cotle).
7. I( a permit /rom the South Coast Air Quality Management District o� other
air pollution control dis�rict or agency is requiretl for the work which is the
subject of this application, have all of the disclosures prescribed by Califomia
Health antl Safery Code Seclion 42303 been matle? ❑ Yes ❑ No
S. (If'yes", attach certificate of compliance from lhe appropriate air pollution
coNrol oKcer).
CERTIFICATE OF COMPLIANCE: i certify that under penalty of perjury the
information given above is correcL I agree to comply with all state laws antl
city ordinances regarding Hazardous Matenals and Emissions.
CERTIFICA7E OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify untler penalry of perjury that 1 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 Ciry of Costa Mesa to enter upon the above-described property (or
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until �nal inspection.
SignaWreo(LegalOwner(s) pat
L_�5; �� � � ,-s ,-��
�And/orAul�onzetlAppli� Oa�e
/'-
- y, -��'.
; •�' ; r
�
(��a) �sa-s2�a • Fe: �»a� �sa-aess
Job Address:
Suite:
Vicinity:
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
351 WESTBROOK PL
HOUSE 8 ATTACHED GARAGE
Parcel Nunmber: 74138504
Applicant: FLANAGAN, CRAIG
Address: 77052 LESLIE LANE
HUNTINGTON BEACH, CA
UNIT 13
Ownec SAGER, CAROL JEAN TR
Address 351,WESTBROOKPL .
. COSTA MESA, CA
Contracror: PACIFIC ROOFSCAPES
.�Address: 17052 LESLIE LANE
� . , � HUNTINGTON BEACH, CA
• UNIT 13
Zip: 92649
Arch :
Address:
Phone:
BUILDING PERMIT
Zoning:
Phone: (949)454-8077
Zip: 92649
Phone:
Zip: 92626
Phone:. (949)454-8077
License: 748986
Eng:
Address:
PERMIT NUMBER
Y699-01203
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: OB/03/1999
Issued: 08/03/1999
Phona:
• �� Zip " , License: Zip: License:
' SCOPE OF PERMIT
, � REROOF SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (20 SQ). TEAR OFF EXISTING ROCK ROOFING - EXISTING
SHEATHING TO REMAIN. INSTALL 1-LAYER OF 3QN ASTM FELT�UNDERLAYMENT & REROOF WITH 25 YR. COMPOSITION
� SHINGLES.
� Plan Check: ' $0.00
Permit: $87.25
' SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $87.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0.0
PARKING Existinq: 0
NOTES:
Rear 0-0
Rear 0-0
Requiretl: 0
FEE SUMMARY � '
, Calc Valuation: Ss,aoo.00
Claim Valuation: ss,eoo:oo
PLANNING & ZONING
Left 0- 0 Right
Lek 0- 0 Right
Proposed: 0
0- 0
0- 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related
regulations. (Orcl. No. 9248, § 1, 12-21-92)
EXPIRA710N: This permit shell automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days. .
, INSPECTIONS: In order for the work authorized under this permit to be considerad legal, such work must comply with all applicable codes, and ell
� required inapeetlons and final epprovel must be obteined. Failure to obtain inspections end final approval will result in the expira�ion of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS'CtlMPENSAnON DECLARAnON:
I hereDy ettirm Under penalry of perjury one oi the following tleclaretions:
❑ I �ave end �'ill maimain a cenllicate ol consen[ to self-Insure tor workers' compensetion, es Omvitled for by section 3700 oi the Labor Cotle, for [he peRormance of the
work for which this permlt Is issued.
�I have end will mainiain workers' compensation insurance, as required by section 3700 of Iha labor Cade, tor the peAortnance of the work for which this permit Is iuued.
. My warkels' compense�lon Insurance carder end pollcy number are:
Cerrior. Ll"T� �l%�c/(7 PolicyNumher,'f� ��'.fi/')/'�r�)
(Thls sectl�ne'ed nof be compleled 1/ fhe permit is valued et one hundred dollars ($f00) or less.)
❑ I cerlity that in the perlormance ot the work for which this permit is issued, I shell not employ any pereon in eny manner so as lo become subject to the workers'
compensalion laws ot Caltlomla, end egree that if I shoultl becrome subiect to the workers' compenselion pmvisions ot Section 3700 of lhe Labor Code, I shall forthwith
comply wiCh Ihese p visions.
ApplicaNSi9neWre: ��� ,(LGLLCG( Date: �-zi- "�! �
WARNING:FAILUpET05 WRE �W(ERS' PENSATION ERAGEISUNLAWFULANDSWILLSUBJEGTANEMPLOYERTOCWMINALPENALTIESANDCIVILFlNESUPTOONEHUNDREO
THOUSANDOOl1ARE(5100,0OO�,INADDfTI OiHECO$TC MPENSATION,OAMAGESASPROVIDEDFORINSECfIIXJ31060FTHElABORCODE,INTERESi,ANDATTORNEI"SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm tpat I am
force entl eNect. Lic. a_
Comrectofs SignaWre:
CONSTRUCTION LENUING AGENCV:
of Chapter 9(commencing with Section 7000) of Divislon 3 of the Business antl Professions Code, and my license is In full
'/'''' Class # (��, T
y�C�v — D2IB: ii - =i-� 1n
❑ I hereby aK� lhat Ihera is e cronsWc�ion lending agency for the partormanca of the work tor which this permit is issued. (Sec. 3097, Civil Coda).
LendePs Neme: Lenders Atltlress:
Signature:
Date:
OWNER-BUILDER DECLARA710NS:
I hereby aHirm ihat under penalry of perjury ihat I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for ihe following ieason (Sec. 7031.5, Business and Protessions
Code: Any ciry of counry which requires e pe�it to consirucf, alter, Improve, demolish, or repair any structure, prior m its issuence, elso requires Ihe applicant for such permit
to lile e signed statement ihet he or she is licensed pursuent to the provisions ot the Coniractors License Lew (Chaptar 9(wmmencing wlth Section 7000) of Dlvision 3 of Ihe
Busineu end Profeuions Cotle) or thet he or she is exempt t�ereiram en0 the basis tor t�e alleged exemptlon. Any violation af Section 7031.5 by any epplicant for a permit
sub�ects the applicant to a ciWl penalry af not more Ihan five huntlretl dollers (5500).):
❑ 1, as ownet oi the pmpeny, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, antl the sirucNre is not intentletl or oNered for sale (Sec.
7044, Business and Professions Code: The Contractors License Lew does not apply to en owner ol properry who builds or improves thereon, and who tloes such work
himself or nerself or through his or her own employees, provitled Ihat such impmvements aw not intended or oHeretl for sale. II, however, the builtling or improvemem is
sold within one year of completion, Ihe owner-builtler will heve Ihe Gurden of proving Ihat he or she did not build or improva tor purpose oF sale.).
❑ I, as owne� of ihe property, am E%CWSNELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business antl Protesslons
Cotle: The contradors License Lew does not apD�Y �a en owner oi property who builtls or improves thereon, and who contrects for such project with a contractor(s)
license pursuant to the Coniredors License LawsJ.
❑ I am exempt under sec. Busines5 and Professions Code lor this reason:
SignaWre: Date:
Owner ID verified by drivers license. ❑ Ves ❑ No Dnvefs License No. Eapires:
Veritication ot OWnership by (rype ol document, i.e. � property tax bill or deetl):
DIVISION OF INPUS7RIAL SAFETV PERMIT CER7IFICA710N:
❑ I hereby cenity that no eacavetion five (5) or more feet In depth Into which a person is requiretl to descend will be made in wnnection with work euthorizetl by [his
permit, antl ihat no Duiltling slrucWre, scaHoltling, Falsework, or demolition or dismantling thereof, wlll be more than thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, TUe 8, Califomia Administretive Code).
❑ As owner-builder, I will not employ anyone to do work wNch would �equire a pertnit imm ihe Division of Industrial Safety, as noted ebove, unless such person has a
permit to do such work from the tlivision.
SlgnaWre: Date:
Division ol Intlustdal Safery Pertnit Number.
CERTFlCATE OF COMPLIANCE AND AU7}10RIZA710N OF EN7HY: I cenify untler penalty of per�ury that I have read this application antl state that the information given is
correct I egree to �omply with ell stete lews antl ciry ordinances reletlng to builtling constructlon, and eu�honze represantative5 of the Ciry ot Costa Mese to enter upon Ihe
ebove-descnbed property for inspection purposes. I a9ree not to occupy or ellow occupancy of eny bullding authorizetl by this permit uNll final inspection.
cooe i, ui,sPESn4NTYGE
1676
1266
Fi:etl System Finel Fire Preventlon
Pool Sp0 Final
200 Final Ra•Roof
201 Flnel BIo�WReteining Well
202 Final FaG�ory Fire Placa
203 Final Sign
204 Final Demolition
244&as
2AiE U+�� s
.. l-�t 9' �"!f
0 Date
a- 3 ``�%
� Data
CO�E I INSPECTION TYPE
208 Final Mechanical
20B Finel Plumbing
210 Finel Electdcal
272 Finel Fire Prevenilon
220 Final Planning Appmval
222 Final Site
250 Final Building/Occupency
PAiE Il�AL6
CITY OF COSTA MESA
BUILDING DIVISION
ROOF COVERING CERTIFICATION
Permit No. Ci�� � � ���
Property Address �� (,(/C<� h!'L9c'� k' � �
Owner �E' RM e � � P r-
Contractor F�QI j�; C��SCGi ��
State Contractor License Number �7 `� Q3 y'9� Classification C�i 39
I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the
above address in conformance wiih Chapter 32, and Section 1704 of the latest adopted edition of the llniform
Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of
thg manufacturer.
❑ I further certify that I am the owner of the property. (Owner-Builder permittee only).
� I further certify that I am;
� Owner of sole proprietorship company
❑ Full partner of the company
❑ Limited partner of the company
❑ Officer of the corporation
I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this
cettification, which shail be binding on all successors or assigns of the company or corporation.
I shall deliver a copy of this CeRification to the above listed owner, after submittal of form to the Building
Divisionfor acceptance.
Received by Building Division
By:
� g�3���
nitial Da�e
0990-�gMW9/9] WNte-Builtling�Iv.:Canery-Co�ttec�or;Plnk-Owner
OWNEH COLLEGE �PARK � - oare u' -Z%-56
JOBADDRESS 3s1 idestbrook Place BUILDINGPERMITNO. #�2%
GENERAL CONTRACTORH3T'bOT CORBt. CO� VALUE $ u�'ZOO.00
i 38 e�ocK TRACT 2726 Res, w/det. �ar.
GROUP I Bc �I TVPE V 20NE RI! FIRE DISTRICT L�].%1
PERMITSISSUED
INSPECTIONS 1 DATE SUBCONTRACTOR DATE I NUMBER
Foundation Forms and Grade to Garag6
Rough Framing %�% 5
Plum6ing,RoughtoSlab Wt& ry,�5
Plumbing Rough Complete �V�(! 5 3-��
Temporary Pole
�n
Wiring,Rough 2 8 195j ,
Heating, Rough ei 3-2��5)
Heating, Final {fs �-� - -
v5ewer, House � Sewer, SL �l? �s •13 �"r7
Septic Tan or Cesspool
L^"�ng, In Out -�i
F ering �r 3_S%
Piumbing, Final, Fixtures Complete S �-ZSr',j �
Plumbing, Fin,al GasTest/�' /{'Jf/-S '-� �7
Wiring, Final �.jF� _ lri7
Occupancy ��Z 7_Zz_��
FONM 210 9M 10-•v3
�. •,
'���a Mesa Bailding Departmest, . :�PPLICATION FOR PER �
� � P.O.Boz3�� a�.'�g BUILDING
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FIIJ� IN Receipt No. Permit No.
Building
Addresa I �VESTBROOK PLACE I��
Costa. Mesa, California Received hy Date Rec'd./ Date lesued
Nearest �YV�'1��1. / - %�"�b �o�-o"J7�S—�
CrossSt. HARBOR BLVD. Building
Address
Owner O O L L E G E P A R K N O 2 Costa Mesa, Cia�01111&
Mail
.aron�cecc or
Engfneer
Addresa
(AtWch Metes and Bounds)
Stze of Lot Ei�. X I I 0 I
lJse of I
Existing Bldg.
Setback Line Trom
Center oi Street �j�
DESCRIPTION 1
New I X I Alteration
Repair I I Moving
Buildin No. of
Size � 379 Room�
�terior Wall � Ri
Lic.
No. of Bldgs
Now on Lot
No.of � No.oT
Addition
Demolish
Stories
I hereby acknowledge that I have read Uus Applicat3on
and s[ate that the abwe is correct and agree to compiy
wlth all City Ordinances and State Laws regulating
bullding rnnstruction.
Signatura of
Permittee HARBOR CONSTRUCTI_ON_C0.
Valuation Permit Fee $ c4 S—
Plan Check $ %'y —"'
g I I �2Q0. Total �1
Fee $ T �
conm xo� io.ee o. r. e s.
C�
(/r y I P�ans
roved
APPROVALS
Foundation Location Inspeeto
Forms, Materials,
Under-Pinning
Frame: Ffre Stops,
B�dClflp. 601t.4
I nt
Ext
O
A
�
2
D
r
�
n
�
�
PIAT PLAN
Show loeatlon and distancea Trom
property Iine and between buildinga
G
N ,
c=i
0
tn
o >
..,
ti ,
�
-0WNER C.4I�4PBEI,L.
DATE
]OB ADDRESS 351 (•deStbTOOk ' BUILDING PERMIT NO. 551']
GENERAL CONTRACTOR Heet Bros. Redorood Lumber C0. VALIiE $ 575.0�
AP. No. LOT �A TRACTR'1 N, F[RE ZONE DESCRIPTION OF WORK Granestake Fenr.e
TYPE ZONE PLAN NO.
Ii.oPECTIONS I DATE I SUBCONTRACTOR I DATE NUMBER
brown coat
Gas Test
•��� .
'T I I
COSTA MESA �UILDIiVG DEPARTMENT
P. 0. BOX 317 �
COSTA MESA CALIFORNIA
C•L. OF STREET
' _��PROP. LINE
� _ _ — _ _ T — _
' 10 FT. FOR 60 FT. STREET
�
�
�
�
�
F-
W
W
K
�
F T. I ST.
PROP LINE
� 1
C.L. OF STREE
EY pR PROP, LIN
�
�
2I
_ -J�
al
0
¢
a�
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES—
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES -�
�
40
FT
H
w
w
�
f
N
LL
0
J
U
�
iO F ,R �. r z�� \
�� ��� P � �r�P
►' F GO', O`�,�.
� y
G��y.:.N'[�<� 1 ,(7•1,.,
I 5544 I �
FOR APPLICANT TO FTLL IN
BUILDING ADDRESS 3-S� W���'�a��
Owner �//v!. C/%�/�"/d11n��-`
Mail Address ��.5"� �I.�S�,Q/COO ✓�
City i� .0 :C T� �'6--SiS�. Ph. No. ��'� �
Contractor �-/ Q��S �����/IF�Ii • No �`'✓�-s -O �l
City Lic._No. ___ y��/ State Lic. No._�,�-5 ���
Size of Lot AP No. � 3� ���� 3�6 �
i� /i
Setbacks: C/L Street E�_ Rear x/�S'.
Side Yard - Right/� ��� Left y��
Type of Fence C'�'�.��!A/�A������ra,o� �:��/y'6�
; i C2.1-i .) .�.; ��.v ' _
I hereby acknowledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws�regulating building construction.
of
VALUATION
FOR OFf'ICE USE ONLY
S � '�
�" �-J� .�-?-
Permit Fee $ '�'- ' '—
J �J � I Plan Check $
TOTAL FEE $ • ( �
U.SE REVERSE SIDE FOR DETAILS
I
:. � �. ��xr
I ' � ..
t / r
i
�
. �
`.:1 . - �