HomeMy WebLinkAbout121 LISA LN - Building Permits - CITY OF COSTA MESA •
-i:'u=- BUILDING DIVISION
r_ �� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
TA. �✓a - FOR INSPECTIONS CALL:(714)754-5626
PERMIT NUMBER: B08-00309
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 43908115 DATE ISSUED: 11/03/2008
ISSUED BY: BJK
JOB ADDRESS: 121 LISA LN CM Suite/Unit:
Vicinity: -. -
Squares: 3000 - - ,Valuation: • $8,000.00 '
SCOPE OF WORK: REROOF TRIPLEX WITH ATTACHED GARAGES:I/O EXISTING WOOD SHAKE ROOF,7/16"OSB SHTG, 1 LAYER
30#ASTM FELT, INSTALL"GAF30-YEAR COMP SHINGLES."CLASS A ROOF INCLUDING ASSEMBLY.PITCH
4:12 3000 SF
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OWNER: INDYMAC BK FSB,. ' - . Address: 121 LISA LN Unit: •
PHONE: " _ • City/State/Zip: COSTA MESA,CA
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APPLICANT: LA RUE,CHERYL .- Address: 113 S MINNIE ST Unit: :
PHONE: 714-731-3425 City/State/Zip: SANTA ANA,CA ,
CONTRACTOR: WEATHERLINE ROOFING INC - License No. 729560
Address: 113 S MINNIE STUnit: PHONE: 714-731-3425
City/State/Zip: SANTA ANA,CA 92701 - CELL:
ARCHITECT: License No. . PHONE: '
ENGINEER: • • License No. ' PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00
Reroof Permit Fee: $153.25 • _ •
Reinspection Fee: $0.00' .. . . .
R.
•
. I.G . _,E. .
TOTAL FEES $153.25 ,`,.�y
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1. 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
400E t INSPECTION TYPE QM IN1111AL$ CODES INSPECTION IME BB ' INW1AL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final p � 206 Final Plumbing
L
200 Final Re-Roof ( (F-BO &.t L 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
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WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive. ._ense. ❑Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
0 I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership 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. -
•
,-- 4 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 CII hereby certify that no excavation five(5)or more feet in depth into which a
number are:51(/vJ...C. I person is required to descend,will be made in connection with work authorized
T`-r. ,r i.i by this permit,and that no building structure,scaffolding,falsework,or demolition
-Carrie?: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section need not be completeddthe permit is valued at one hundred cbears(S100)or less) 2,Art 2.Sec.341,Title 8,California Administrative Code).
Policy Number: a 38- to 3'4 9
❑ 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 fgrthwiQmply with these provisions Applicant's Signature Date
A
Q 11\3
0g' Division of Industrial Safety Permit Number:
A irants Signature• - Die ' 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? 0 Yes ❑ 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? 0 Yes 0 No
Lic.# �p."1 S�QQ Class#r '3-1 cetio 25533 of the CaliforniaiHealthheand SafetysaCode, with somet b
ic:#,A.1- 1Q•Ii(o_ •�JI0._•lf�/Y-AL a exceptions, requires registration with the Costa Mesa Fire Department by
1 • . each business which at any one time has on hand a quantity of acutely
contractors Signature Dae 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)? ❑Yes CINo
(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-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following real (S� 70 5, e work which is the subject of this application a permit for such construction
Business and Professions Code:Any cit r oun„ty which r q ires a;permlt r modification from the South Coast Air Quality Management District or from
construct, alter, improv derpr jsh err- eany�st`iuc poor to its any other air pollution control district or agency? ❑Yes 0 No
issuance.als quires th.a,,ddapp i int forsuc 'pemlit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or he b licens d pursuant' to ttie�(provisions of"the Contractors
a,d. information be furnished on applications far non-residential building permits).
License La Chapter 9(commencing wlth:S'ection 7000)of Division 3 of the
Business and PfofessionstCode)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 forJthe•elleged 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 (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? ❑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
city ordinances regarding Hazardous Materials and Emissions.
0 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 Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). 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 the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection. .
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Signature of ��1ry/�.eq�s)r� Da�1IIe
OSignature Dale And/ _Authorized Ap1�XAX - l I� Egi
vn INLIN LJurWSw 11iViutaw -4t '. UAIt -1-‘--a-"1-1-)
JOB ADDRESS121 Lisa Lane BUILDING PERMIT NO. jf6U
GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK 'pH pl PX wlntt.Gnr.
AP •'-:,2119-040-22 LOT 5 TRACT fr A77 FIRE ZONE VALUE $ 58,450.00
It. CTIONS Si nature Date TYPE V GROUP 11 & J ZONE R2
SOIL ,� S i4 SUBCONTRACTOR F PERMITS ISSUED
GAS I
Date Number Signature
WATER Plumbing
ROUGH PLUMBING(.( V - - tz 4- :t 6 d/f7 artM1111MINIIIR;y_73 7
PROP. SWR. LINE❑ OUSE CON. EZ • 'flint' SnaartiraW Ling irgarilr'fl
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING A4C3-- -04/
TEMPORARY SERVICE OR POLE
UNDERGROUND fl POWER E
ROUGH WIRING ��'I J/'//�//`hj/1/ 3/x-7 Heati p and Vent. •
TRENCHES 0 FORMS La STEEL REINF. Cg� Q _? • v[Q r�/1.0"ye , ej -6-??/p73 f✓
FLOOR SYSTEM^ `4{C /Cf- f
BOND BEAM 1 1 STEEL REINFORCE n ((
SHEATHING /-5...-ril5Gr^.2-��j-[��'
FRAME AND FLASHING ,�yyr�������G'' `/
LATHING - IN a OUT �� V.til��-
PLASTER, BROWN COAT % ^,•
5T" 'URAL, FINAL p� ,,/� "pacific
HE .5, VENT., REFRIG. AND A.C., FINAL /Y{ 5 1 -2 _If - l.., &.Y" e7-.J7-7y 37a8a
PLUMBING. FINAL AND GAS TESTa$0,,re•_(ft . Jj)p f�/
ELECTRIC. FINAL
BUILDING, FINAL 0--
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in CompletelyTION FOR BUILDING PERMIT
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V D TE RECEIVED DATE ISSUED
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fn .BY APEROVEDL L _DA E )2.- I r/ 3
zo HOLD FOR SPECIAL RE1UIl T'
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t.1 I hereby acknowledge that I have read this application and state AX
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
the State of Calif ornla. 3�3 !/G /J ♦ �3// of
77'itdO 777" /��".4
I hereby certify that I am properly licensed as a contractor under SQ. FT. 1J/� O
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9. and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
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am exempt from the provisions of the State of California Business
VALUATION
and Professions Code, Division 3,Chapter 9. m
PERMIT FEE $ N
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Signature of m
Permittee /Jn./eQ 4C-'E' $ 5� PLAN CHECK $ 52 E
Authorize / o
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TOTAL FEE $
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5762_o VC ie 7sEMSP—i°•00 66:40 SAA*
165.0(
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
CATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RE 'I V DY DATE RECEIVED
DATE ISSUED
BUILDING 12( /1/9 / n/e /Z/?73
ADDRESS r /�7 6 PERMIT NO.
OWNER A,P.NO. / �j 3767—€)
• BUILDING
MAIL ADDRESS / S e+f54 41/g
Z ADDRESS
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W- O STATE CITY YARDS APPROVED YARDS APPROVED
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SIZENO.OF BLDGS.
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UI hereby he atone foon I have readtthis applicationee o and state /) /,
that the above information is correct and agree to comply with, / Y/[T!/'A-� /vim^/P/
CC all laws regulating building construction, and I shall not employ'
any person in violation of the workman's compensation laws of
C/3 the State of California. m
m
ZI hereby certify that I am properly licensed as a contractor under: SQ. FT, 6
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 FEE ONLY: it
am exempt from tl a provisions of the State of California Business
VALUATION
and Professions Cnpe, Division 3,Chapter 9. �/�5 m
PERMIT FEE $ D
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Signature of m
Permittee $ PLAN CHECK $ E
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Authorized Agent ['' LL
TOTAL FEE $ OBJ
OLIN 7i) 7/51 /.uu ��
NISTA MESA BUILDING—SAFETY DEPARTMENT
P. O. BOX 1200
Costa Mesa, California
PERMIT NO.
PLUMBING PERMIT APPLICATION TRACT NO. RECD. BY_ 7D_ 98
CONTRACT°. f t,QE(S I k • it _, i LOT NO. DATE ISSUED
11u Li
/L O T BUILDING USE I 7 -7-
_7 ?i
Address / /M1� Mll// /
CityrA �(�tf l I -'I Zip Code's WI /in/ Li s La t-1 r
Building
Address'
State License No.c91745'klass. CC Owner . /)OU�/, -77-. 04-/e....
ut City License No.S� 6 Tel. No'7� 34k7C Address 9,0d 4LE-x9i A
1-
Q NUMBER TYPE OF FIXTURE OR ITEM FEE P 1 �\ )Tel.Nb54 /OO9
CI Bathtub City A ll ;v
J Laundry Tub or Tray I hereby acknowledge, that I'have read this application and
state that the above is coWWect and agree to comply with all
Automatic Washing Machine City Ordinances alid State Laws regulating plumbing.
Shower I certify�tha[i possess the above valid State of California classi-
Sink, Bar ficatio`nrorjl am the legal owner of the residential property de-
CC Sink, Kitchen scribed above.
til Wash Basin(Lavatory) ,r0\\ I certify that I have obtained a permit from the State Division of
a. Industrial Safety for excavations,other than swimming pools,five
C) Water Closet(Toilet) 6\ \\ •• feet deep or deeper and into whi a person is required to descend.
CC Drinking Fountains V 11-c Signature of
Floor Drains _1( . \jam ' 1• - .
a. t Permittee .10 L _��;it/
Z Interceptors -\\./ ,.''
= Receptors .. r ', INSPECTION RECORD
Sinks,Commerciaorilnddstrial
Sinks, Floor .eli \\ l.N ir �,JV 1°'C4‘b.3
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Sinks,Servide \r 11 a" tr
ED
Swimm\ni{JPool' r�"ct n
w _ Urin•als)IX
Cr^ 91 t1`
tl NV Distiwasher R'(fe
CC _ 9- Garage Disposal Q
D Water Softener
O i Water Heater and Vent D
T Gas System...Outlets...
APPROVALS
Roof Drains
Water Piping Alteration INSPECTOR DATE
°' U/G Soil
Backflow Prey enter
I Lawn Sprinklers(Res or Non-Res) • U/G Water
Property Sewer... Feet Services—Water 0 Gas 0
Solar Piping -- - Rough Plumbing
Cesspool,Septic Tank Sprinkler System
Sewer Cap Gas
Miscellaneous Property Sewer
Pool Receptor
''11 Filter System
Sub-Total O V Pool Heater
Reinspection FeeQ \ Miscellaneous
Processing Fee •s,..5
Final Gas
TOTAL FEE I I Plumbing Final
Utility Co. Notified
-F 0450-46 BLDG. PERMIT NO. A/Li