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Home My WebLink About127 LISA LN - Building Permits .� a CITY OF COSTA MESA 0 "tit BUILDING DIVISION ';.1 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714)754.5626 *a -,�� PERMIT NUMBER: B09-00291 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 43908114 DATE ISSUED: 11/30/2009 ISSUED BY: BJK JOB ADDRESS: 127 LISA LN CM Suite/Unit: Vicinity: 4 PLEX AND ATTACHED GARAGE Squares: 3200 Valuation: $9,800.00 SCOPE OF WORK: REROOF 4-PLEX&ATTACHED GARAGE:T/O EXISTING WOOD SHAKE ROOF, INSTALL 1/2"OSB SHTG, 1 LAYER 30#FELT,APPLY CLASS A OWENS CORNING COMP SHINGLES.3200 SF PITCH 5:12 OWNER: LAD,LATESH AND JAYSHALI Address: 127 LISA LN Unit: UNIT A PHONE: City/State/Zip: COSTA MESA,CA APPLICANT: HAMMARSTROM, HAKAN Address: 18903 SAN CARLOS ST Unit: : PHONE: 800-655-2231 City/State/Zip: FOUNTAIN VALLEY, CA CONTRACTOR: ABSOLUT ROOFING INC License No. 761118 Address: 18903 SAN CARLOS STUnit: PHONE: 800-655-2231 City/State/Zip: FOUNTAIN VALLEY,CA 92708 CELL: ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: FEE SUMMARY Reroof Plan Check: $0.00 Reroof Permit Fee: $181.25 Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES $182.25 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. CODE P. INSPECTION TYPE DATE INTIT1ALS CODE INSPECTION TYPE; DATE INTMALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final �, 208 Final Plumbing 200 Final Re-Roof 2 (c (o q t 210 Final Electrical 201 Final Block/Retaining Wail 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 111110 • WORKERS'COMPENSATION DECLARATION: Owner ID verified by driverse. 0 Yes 0 No 1 hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: O 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. rycy�p;ayyL( 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 0 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 Carriei: .5.741E-Td�V or dismantlingthereof,will be more than thirty-six 36 feet high.(Chap.3.2,Gry (This segion need not be completed the perme is valued at one hundred collars(SIM or less) ( ) 9 [� /_ 2,Aft 2,Sec.341,Title 8,California Administrative Code). Policy:Number: 14!1 155(<3 ❑ 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 Applicant's Signature Date /J1ie La•or Cod I shall f,rthwith comply with these provisions. ( /-, -`i! 1)-2-o-09 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 ❑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 0 No :1:1E.431:-"q i/,�1 d CWss W--' C39 (Section 25533 of the California Health and Safety Code, with some f// ii-s-0 -o' exceptions, requires registration with the Costa Mesa Fire Department by � b / 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)? ❑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-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 THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No 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 (Section n be850.2 furnishedothe California Government Code requiresbuilding thnt the requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information on applications for non-residential permits). 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? 0 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? ❑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 ❑ 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 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 ❑ 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 ti enter upon the above-described property for inspection puro:A•es. I agreS not • +ccupy or allow occupancy of any building au • :d b p- T u -1 in .eaten. dal Signature Date , ' /OAF ' / Dat a 091 3057-46 13/07) /((/��,;� And/or Authorized Applicant ' Date 4' VnINCR ULn1W1l) 1111d1H[W .L4Yl.. VAIC -LC^IV^IJ JOB ADDRESS 127 Lisa Lane BUILDING PERMIT NO. 37619 GENERAL CONTRACTOR Owner-B1dr. DESCRIPTION of WORK Triplex Watt-Gar. AP NO.119-040-22 LOT 4 TRACT Si. 77 FIRE ZONE VALUE E 58,450.00 INC^CCTIONS Signature Date TYPE V GROUP it & J ZONE R2 Sl S / V —73 SUBCONTRACTOR I PERMITS ISSUED GAS Date I Number Signature WATER _4 fl4 4, I-1 t _ 4 vv a, /7 Plumbing ROUGH PLUMBNd 11 L•Sr* /' /17 l 4, - 7-73 44/7,(3/ PROP. SWR. LINE n HOUSE CON. ,Dj .5��1,Jy L%�^ALC Q G 7 SPRINKLING SYSTEM - L� hi10 MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING /Ll d-'3 „ V TEMPORARY SERVICE^ OR POLE LJ UNDERGROUND POWER 0 ROUGH WIRING 5^//`�yt� Heating and Vent. • TRENCHES ❑ FORMS 0 STEEL REINF. �� ij —j- 7T . R.r, a_(-757/1)736/- FLOOR SYSTEM C —rlf. 7y """"'!!! BOND BEAM n STEEL REINFORCE n SHEATHING 'if✓_ 74-7 It FRAME AND FLASHING / C 3---'176-7C“/ LATHING — IN ®V OUT . c/ -j- (e PLASTER. BROWN COAT Q• /9-71A" STRUCTURAL. FINAL M lectriC NE.-'NG, VENT., REFRIG. AND A.C., FINAL /'Lj 37 + C(/�� ,c1/jr, b� 67-a7-7, 37 ocPb� Pl NG. FINAL AND GAS TEST � 7 �/ p Si7 �/.1•(� fey/ di ELELIRIC, FINAL ` % �l(/ BUILDING. FINAL 1' --.2r f cocriel ornuiorUPurc I H '7_L. 'MV 2R-73P"`OO1091R,;,y***86.59 37619 40-1- "/ COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ft TION FOR BUILDING PERMIT For Applicant to Fill in Completely ryrypp BUILDING ^ I p REV D//A,T(JE Rj�E'�IVE TE I$S UDADDRESS f L5.� L&Cc //16 73 -Ar---73 ,./ ,y,/ 7''' -CAC) PERMIT NO OWNER �!eerrG'r l�crC!/e //,l L/ L A.P. NO. Ifl OA )-�-� 37619 �Y� BUILDING 1 MAILD /3 / �p�r /CJ -L` (r .tt ADDRESS IVi �ISAr `fk�.1� Z ADDRESS b l G/ r ULif TEL./// ) y 4-Lla OT 0 CITY r� /6 /'<sc, NO.t '.1 Was ��A'RACT 4-LOT BLOCK - Z NEW ADD ALTER REPAIR MOVING DEMOLISH Z Q CONSTRUCTION 7,,- LI /_/n LENDER CC !1 J D BRANCH l LIQ �r�/�� JV) OWNER IG�/T/�ii V)Lr Eland- /NC, m J LB ADDRESS /�y�J/` VALUE ��yyt m ARCHITECT TEL. USE SACK. / C;r4'/CH�ti $Ju 4<i7Q J Q OR ENGINEER CP Ll Cv NO _ to FIRE /t, J1J r�' WU Q ZONE YPE ..IV GROUP !T �/ ADDRESS d W APPROVEDte4(_. V,/) _/8 �/�7WZCONTRACTOR OLC/ft « BY-10 DAT % // 03z JCC ADDRESS W W TEL. ZONE NO.OF USE OF NEW-rqt(p(V, ZF CITY - NO: Z PLANS 2 BUILDING LJ/ 4 C Q.k-t W O STATE n p, CITY YARDS APPROVED YARDS APPROVED to¢ LIC. NO. 9/ cC p �Gy e LIC. NO. MAIN BUILDING ACCESSORY BUILDING 00SIZE INO.OF BLOGS. (FROM C/L� STREET) OF LOT INOW ON LOT Q FRONT 4'7 FT. FT. USE OF Qt rt EXISTING BLDG. R.SIDE I - ta. FT. FT. I- SIZE OF NO.OF Z NEW BLDG. - ROOMS STORIES L.SIDE 6' FT. FT. Q EXTERIOR WALL _O COVERING I ROOF COVERING _REAR 10 FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& d 0.. MAIN BLDGS. ACCESS.BLDGS. Q /�,• VAR.# DATE O 1 /'/' PX C G4-1Vretry.,r, C.U.P.#tE- )3'(g APPROVED g-)`-)3 (/-r APPROVED ci N R A�l-13 Pi DATE L TF I Z MOLD OR SPECIAL REQ -F r NQS UI hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with , CC all laws regulating building construction, and I shall not employ Vat H any person in violation of the workman's compensation laws of // CO the State of California. ''�7J _(j /m/f e ��/ to Z I hereby certify that I am properly licensed as a contractor under "'/� SO. FT.�-PG� T,/5�'/JLG'K/Y/ �o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATfON IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a am exempt from the provisions of the State of California Business VALUATION and Professions Code,Division 3,Chapter 9. Nce PERMIT FEE $ �) Signature of '/ ` D t� O "' in Permittee .4-k-7r i_ /P ar $ 31, 7 Z) PLAN CHECK $ CY E '„'YL` 1 o LL Authorized nt TOTAL FEE $ CFC 18-73 000 666 dr :*165 CO • 37679 forty COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APP C ION FOR BUILDING PERMIT For Applicant to Fill in Completely R C D V DATE RECEIVED BUILDING �/� ? / l /// DATE (SSU D ADDRESS x-21 /� / /�(SeS 44 Ls e / /4A8 zi /0.9 OWNER A.P. NO. Pj /!� BUILDING / MAIL ADDRESS /2? X(S4 1.0j„ r Z ADDRESS 0-W TEL. 0- U CITY NO. TRACT I LOT BLOCK Z Q CONSTRUCTION NEW ADD R REPAIR MOVING DFMOI ISH Q N LENDER LAN / T J Ln BRANCH C/ .(,'p &C(/LH C OWNER /P/ r �C/t' m J ADDRESS A VALUE -CO - Q ARCHITECT TEL. USE 3p/C/✓t 41 4 I/`Yir $ to OR ENGINEER NO 3r O a FIRE 'I'%''' ,/ W K ADDRESS ZONE T�PE I GROUP LY Ct. il?Z APPROVED (/ /// 1� J CONTRACTOR BY DATE/�� m Z / J cc ADDRESS W W TEL. ZONE NO.OF USE OF NEW 0= CITY NO.EPLANS BUILDING ZI— — _ W O STATE CITY YARDS APPROVED YARDS APPROVED LOX LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING DO SIZE NO.OF SLOGS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R.SIDE FT. FT. I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. UEXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. .J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& a a MAIN BLDGS. ACCESS,BLDGS. Q VAR.# DATE 0 C.U.P.# APPROVED _ I— APPROVED 2 ABY DATE ZU F _ 4o U I hereby acknowledge that I have read this application and state , D that the above information is correct and agree to comply with_ CC all laws regulating building construction, and I shall not employ F any person In violation of the workman's compensation laws of TA rho State of California. CO zI hereby certify that I am properly licensed as a contractor under- SO. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR i Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0 am exempt from tl a provisions of the State of California Business Cs- m VALUATION and Professions Cone, Division 3,Chapter 9. PERMIT FEE $ /6%.-CN m . D Signature ofm Permittee $ PLAN CHECK $ E Authorized Agent ..C.0„..- o LL TOTAL FEE $ /�