HomeMy WebLinkAbout277 KNOX PL - Building Permits CITY OF COSTA MESA
BUILDING DIVISION •
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i yx 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
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°. FOR INSPECTIONS CALL: (714)754-5626 •
PERMIT NUMBER: B09-00003
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PERMIT TYPE B_ROOF2 STATUS: FINALED
APN: 42516314 DATE ISSUED: 01/08/2009
ISSUED BY: CAC
JOB ADDRESS: 277 KNOX PL CM Suite/Unit ` 1_ •
Vicinity:
Squares: 0 Valuation = $5,500.00
SCOPE OF WORK: TEAR OFF COMP SHINGLES 2-15 LB FELT AND 30 YEAR COMP. SHINGLES ON A 3`11/2 TO SLOPE
OWNER: PHEASANT, E DALE.TR Address: 277 KNOX PL - - Unit:
PHONE: 949-6462051 •" - - 0Y, City/State/Zip: COSTA MESA,CA'
APPLICANT: DARRELL;CHAMBER& Address 414 N,SHATTUCK PL 'Unit:. :•
PHONE: 714-422-9011 City/State/Zlpi ORANGE CA
<> i1 1._
CONTRACTOR: SONRISE-ROOFING INC License No. '#880521
Address: 414 N SHATTUCK PLUnit:"'; - PHONE:' 714-422-9011 l - .
City/State/Zip: ORANGE,.CA r 92866 a - ; CELL
ARCHITECT: - . License No. :PHONE
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ENGINEER: •
•' I License No. r PHONE -:i -
FEE SUMMARY
Reroof Plan Check: $0.00 .
Reroof'Permit Fee:
Reinspection Fee: $0 00 r
Bldg Std Admin Fund $1 00 - ` - rii
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TOTAL FEES •
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
•SODE I. INSPECTION TYPE pitTh IN7111A15 CODE INSPECTION TYPE g TSF INTMAI$
1616 Fixed System Final Fire Prevention 206 Final Mechanical ,
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1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 2f(Z(7Q E 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 •
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive. ...ense. ❑Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Drivers License No. Expires:
0 I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ovinership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the .
performance of the work for which this permit is issued.
0 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: - •
permit is issued. My workers' compensation Insurance carrier and policy El I hereby certify that no excavation five(5)or more feet in depth into which a
number are: 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
Cartier: or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp
(Th¢sewn need nal be completed 4 the perm%is valued al one hundred dollars(5100)0rless.) 2,Art 2Sec.341,Title8,California Administrative Code).
Policy Number:
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
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
Division of Industrial Safety Permit Number:
Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑ No
Lic,# Class# (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
Contractors Signature Date 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 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
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-Bat...RA •NS: Health and Safety Code been fully complied with? ❑Yes 0 No
I hereby affir a (117 f�r p f that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACT S L ^6 fo t following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business an rofessi.; ♦ y city ounty which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, impro is or pair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No
issuance,also requires the applicant fo such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 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? El Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes ❑No
thereon,and who does such work himself or herself or through his or her own 8'. (If"yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer). - �
completion, the owner-builder will have the burden of proving that he or she - CERTIFICATE OF-COMPLIANCE:'I certify that under penalty'of perjury the
did not build or improve for purpose of sale.). information given above is correct. I.agree to comply with all.state laws and
0 I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions,
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code: The contractors License Law does not apply to an owner of Signature ' Date
property who builds or improves thereon,and who contracts for such project with
a contractor(s)license pursuant to the Contractors License Laws.). CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: - the City of Costa Mesa to enter upon theabove-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Signature of Legal Owner(s) Date
Signature Date •
3057-46(3/07) And/or Authonzed Applicant Date
$10.00 NON REFUNDABLE F. - CITY OF COSTA MESA COMBINE PLANNING PERMIT
. PLANNING DIVISION _ FEE AND BUSINESS TAX FEE
APPLICATION FOR HOME OCCUPATION PERMIT AND REMIT ONE CHECK.
BUSINESS NAME 7.-7t. 47/-f: - )3/ec7567e '
✓
NAME OF APPLICANT ��P67f L ���/ 'PHONE 71{5/71a4791-11
Last First Mitltlle
ADDRESS OF APPLICANT , 7/7.#9_,Y17:7/..1"1, �>/.IJ!'/"/ c ,f�a�/7 Y
No.& StrEeCity - ip
NAME OF , f
PROPERTY OWNER .. `7/41 .`—
Last - First Micelle
ADDRESS OF . . - - •
PROPERTY OWNER'
O.& Street City - Zip
DESCRIBE BUSINESS . d . /e- /" r �r i A 0 O
—
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WHAT PORTION OF THE HOME WILL BE USED i1/4—
WILL THERE BE ANY EMPLOYEES HIRED,,OTHER THAN FAMILY? ' ❑ YESI NO
DESCRIBE NATURE AND LOCATION OF ANY STORAGE yf -A / `
ANY MACHINES OR EQUIPMENT REQUIRED? ❑ YES .47<\16
IF YES, DESCRIBE
ANY NOISE ASSOCIATED WITH BUSINESS? ❑ YES • IVVNO
IF YES, DESCRIBE -
HOURS AND DAYS OF OPERATION YY Y/ O//>.
FLAMMABLE MATERIAL OR LIQUID STORAGE? ❑ - YES ; AZ—'Ne)
DESCRIBE ANY ALTERATIONSTO THE HOME OR PREMISES THAT MIGHT BE REQUIRED TO FACILITATE YOUR
HOME OCCUPATION /�/i
I certify that the above statements are accurate and valid to the best of my knowledge. I understand that this permit, if granted,
does not release the applicant from other State or Mu • ipal C s.
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APPLICANT'S SIGNATURE % / -4.45 DATE 2if/ 1
PROPERTY OWNER'&JSIGNATURE .417:/� �a iig DATE 77-049:-
DO NOT WRITE BELOW THIS LINE.— FOR PLANNING DIVISION USE ONLY
❑ APPROVED - - ' , •
CONDITIONS OR MODIFICATIONS: No commercial customer traffic to residence will be allowed.
ALSO:
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❑ DENIED ' • . •
BY DATE
CMF 0334-30,rev. 10/84 White-Code Enforcement;Canary-Applicant:Pink-Licensing .
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a T. ..i ;'i JL tj!,IA 011 Sec. . (44. Evaluation 'standards.
. ti ••i •:p;' The planning director shall''apply the follows '
ing standards in evaluating each application for _ _
` _ a home occupation -permit to`determine if the
anticipated home occupation may be allowed:
• (1) There shall be no employment of persons
- • - - - - -- - •"t -- other than the members of the-resident -- ;' J-. -I .1';t' I
family who permanently reside on the
premises.
(2) There shall be no direct sale of products, -
either wholesale or retail on the premises.
(3) There shall not be more thin one room-in-- - . -. --
the dwelling used for the home occupation.
— , --(4) -No -building`or, space-outside-of the-main..
building shall be used for a home occupa- -
- - • -- tion.-No garage, attached or detached,-shall -
be used for the home occupation. Storage of
-- - - -- - ---- • -- necessary supplies or equipment used in the - - -- - -- --
home occupation may be permitted in a
• - - -- garage provided said storage does not di- --- • - • —
minish the usable parking space in the ga-
- — rage., _ ._ . d _ • . ;air ,
• Irn (5),There shall be.no use of utilities,or_com-,-
munity facilities beyond that'normal to'the- - 1 -
use of the property for residential pur-
- 1 s ;-,,t.
- --- - — - - - --(6) No_useof material or mechanized equip- .
Ment not recognized as being associated
with a normal household use or hobby-Is' i "1. : t b
permitted. •
(7) In no way shall the structure or appear- _ ,.
— -- --anctof the dwelling be altered or remodeled- -- - --
outside . for home occupational purposes • - r
either by color, materials, construction,
lighting, etc.). No part of the inside of the • - s, ,• c : • r
• structure shall be remodeled other than
- --•- - --• -- - - the-inside of the room -where the home .._ _ --
occupation
occupation is being conducted.
(8) No signs shall be displayed in connection
• - - - — - - - - ----with-the-home-occupation and there shall -- - - -
,,,be no advertising using the homeaddress, . 3
with the exception of advertisingin the
• • j. , r,t LL-1;1_.,telephone directory. - ' , r: ', '_ . + ,
(9) The use shall not involve the use of corn-
mercial"vehicles for 'delivery-of-materials' - ---
_ __to or_from the premises,other_than.a ye-
- = hiclenot to exceed one ton'capacity; owned
,.,,, , ,,,, ,,,t ,, ,�,,_,.,,;�by the, operator_of,the home occupation, • ,. • ,
which shall be stored in an,'entirely.. en- - ,
closed garage. The-storage of equipment '
• (trailers, tractors, trucks in excess of one
— - - ton,- -wheeled --construction--equipment,
•
I etc.) is not permitted. .. .
-(10)- -The use'shall not-generate pedestrian or' '
1'^!veh ieular.traff ic=beyond thatlnormal to the .
" districYorneighborhood`whereit'is-locatedt - - • -
(11) The use shall not result in, or generate
• ,,,. parking or,,storing of.commercial vehicles r.
on public streets. As used'herein, commer- •
-
• cial vehicles are as defined in the California
Vehicle Code and, in addition, shall'include
• ----. - - ---- - -- construction-equipment or any other mobile - - . - _ _
paraphernalia used in connection with said ,
• use. (Ord. No. 75-37, § 2; 7-1-75)
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L
4n E RECEIU E®
COSTA MESA BUILDING-SAFETY DEPARTMENT at, 1 3 1960
P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant toFIn Completely APPLICAdiT1Btlil
- TYPE OR PRINT fk1iCiEo
lMP
SA
BUILDING
BUILDING +777I4ei xCLQADDESS . f.
• COSTA MESA. CALIFORNIA s For Office Use Only
.-F� �cw-, _ RECEIPT NO. PE, MIT N/O
OWNER P. LE. ?H c �) S rq
•
MAIL RECEIIV.F.D Sy. D�ATTE/dECEIV D DATE ISSUE
' ADDRESS C I 'DATE/
4, A /(y /`' `a 1'
CITY NO. ADDRESS S�TEL. BUILDING -/ -/ �' ✓✓.' �,F° Lx 7//Y���1/��'
COSTA MESA. CAL ORNIA
• ENGINEER ADD_ • FIRE {�
ZONE TYP A GROnUP
CONTRACTOR t%otEL-HOLE `.et- ,Traa Co. I .
APPROVED • ( ,p�}/) DATE //1 a . Ij
ADDRESS ylfs(O 1.AEWPOQ.T' ec..vp. ZOINING
ZONE • •NO.OF USE OF NEW ' ;
CITY deS'TP {PIES _ - /a I PLANS . . LOIN � / .
STATE ``(� ('j /( -. .TEL. ` . LEGAL /4J� �/ .I /C1S�!
LIC.NO. 1 1 b �T NO. pr' V DESCRIPTwry/3' LA-4" )
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SIZE - •,I NO. OF BLOGE. O /7 ^ / r 2`y/'/ �•
OF LOT A Now ON Loi A P NO I
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM -' I (CENTER LINE ST.)
CENTER OF STREET 2 REAR YRI®•5 FRONT --1-7/7‹: IN.
Q I •
SIDE YARD I LEFT J . I RIGHT:10-1•-� ' cc
R.SIDE -"/ Oi�,JFT. IN.
DESCRIPTION OF WORK L.SIDE SFT. IN.
NEW ' I!X II ALTERATION I I ADDITION REAR ? FT. IN.
REPAIR II MOVING I II DEMOLISH I APPROVED //� •/_7 ,,"DATE 7'-/ '-(Ci��
BUILDING ., D I NO. OF I `(f 0---91< ��
SIZE- 12. ROOMS • STORIES gin.41 .4 9/.a .W- / ' /
EXTERIOR WALI,�. ROVE :.�� L -COM .j,
COVERING 7 1 "�-�0 I COVERING*-'F-A"�F^
USE OF BUILDING AND WORK TO BE PERFORMED .
gr / , I
gr
W/a!/ r7j2, .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THESHOWN
• AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE ESTABLISHING PERMIT
PLY WITH ALL CITY ORDIN CES AND STATE LAWS REGULATING
BUILDING CONSTRUCTIO 1VALUATION , c 1,9,
SIGNATURE 0
PERMITTEF �- _ , n
AUTHORIZED AGENT ii
TOTAL FEE 1 y
OWNER PHEASANT, DALE DATE 7-19-60
JOB ADDRESS277 Knox Place BUILDING PERMIT NO. 1251t0
GENERAL CONTRACTOR Shoreline Uonst. Co.,Inc. VALUE $ 15,615.00
Al'.No.117-1d2-16 LOT TRACT _ FIRE ZONE DESCRIPTION OF WORK Res.w/att.Gar.
INSPECTIONS cr-i2-La DATE r GROUP I & J TYPE V ZONE R1t
T -ground Soil /y4c U.G. Water A/irl' �_„ , „ PERMITS ISSUED
t rground Gas / i�- r �— SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating i/1 ... .. ! - — + - -
Rough Plumbing i v °' ►l+`-WW. ' f -
Miscellaneous way -
Prop. Swr. - • Ho , fon. St. Swr. wvo 5 WIC"
Sprinkling System �- glr c°
Heating, Final {• _ yr l
Plumbing Fixtures -, M=IMIIMMilir
Final Gas Test nalWAIL �^
Construction Pole —
Underground Power =MEWRough Wiring :!Sli�t '..�.�- _ -60 /Z -SSU -i
Trenches Forms Steel iji�� 1c7frArer_ •
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing /MAIM
Fr'+ne and Flashing / AI a-E- °
.' ig, In I'on Out Rf id-
I.
iI. ..er, brown coat + - J,_Oi .-.O
Plumbing Fixtures, Final 75_ rarkirSa
Electric Fixtures, Final . 'Awl ,(3g
Building, Final -t
OCCUPANCY rI'-
Form 210-5M-11-59 S-B P 125Lt0