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HomeMy WebLinkAbout145 LISA LN - Building Permits CITY OF COSTA MESA ' BUILDING DIVISION ' att-,I DEVELOPMENT SERVICES DEPARTMENT P IT NUMBER / d�" PERMIT 603-01489 - (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 145 LISA LN Status: ISSUED Suite: Applied: 09/03/2003 Vicinity: Issued: 09/03/2003 Parcel Number: 43908111 Zoning: - 1 Applicant: KAISER, MIKE Address: 928 CHEYENNE ST ISSUED BY: Phone: (714)979-5314 COSTA MESA,CA Zip: 92626 Owner: WILLIAMS, BRIAN K Address PO BOX 15214 - -Phone: • - - NEWPORT BEACH,CA Zip: 92659-5214 Contractor: KAISER ROOFING Address: 928 CHEYENNE ST . Phone: (714)979-5314 COSTA MESA,CA Zip: ,92626 License: 682897 Arch : - Eng: Address: - Address: - - Phone: Phone: • -Zip: License: -License: SCOPE OF PERMIT TEAR-OFF WOOD SHAKES.INSTALL SHEATHING,FELT AND COVER WITH 30 YEAR COMP SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: • $6,900.00 Permit: $139.25 -- Claim Valuation: $6,900.00 SMIP Res: $0.69 SMIP Corn: $0.00 - Other: $0.00 Inspection: , $0.00 • Total: $139.94 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 2448-48(8/00) DECLARATIONS I 1--1 WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjur?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 the wfor which this permit is issued. 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. My workers'compensation insurance carrier and policy number are: Carrier 514/C Fund Policy Number: o0DJ6 21 - 2 003 (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that In the performance of the work for which this permit is Issued,I shell not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 700 the Labor Code,I shall forthwith comply with these provisi0lyc., /� j q©` Applicant Signature: ��'p Date: 1 ll ✓i� WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST.AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby affirm that I am liceysed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full force and effect.Lic.# 08-2 b'9 / Class# Contractors Signature: l ��99 Date: �I tb1 I05CONSTRUCTION LENDING AGENCY: (( iii ❑ 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). Lenders Name: Lenders 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:Any 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 DMslon 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 property 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 drivers license. 0 Yes 0 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,California 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? 0 Yes 0 No (Section 25505 hasat anyone timeduringa 5 of the CalifHealth andSafety de requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every reportedyear a quantity of hazardous materials equal t0 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 torn for acutely hazardous materials? El-Yes ❑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 es will t❑applicantapor present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? (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 on 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 ......................_...._.._...._..__._ _._.___ ....i_. ___ __...._______ v _ _ ... 5 Does or will me applicant or present or future building occupant require for the work which Is the subject of this application&permit for such construction or modification from the South Coast Alr Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No (Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits). ....................rt._......._.___ _ .. __— 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Ves ❑No (if yes',the facility must meet the requirement of Sections 25534 and 42303 of the California 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 prasr dbed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No 6 (II 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 above-described property for Inspection purposes.1 agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. /J�,/ A�r_ / Signature Of Legal Owner(s) (- (And/Or Authorized Applicant u Date ODE I, IMPE0110N TYPE DATE aa CODE( INSPECRON TYPE 1281E HEW 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1268 Pool Spa Final _ -. O 208 Final Plumbing 200 Final Re-Roof 7-ID-0 5 4W1,1 210 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 38612 " _a-71i_ On 105'1. ,**—:.57.5? COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely REC 1 V D BY AT CEIV DATE ISSUED BUILDING `/ 4 / ��-' 1.rf' i / 7 ADDRESS /Ff�r>/ (Q /IJ /�J4 1/7'Oi'& a PERM7T'..d1L). OWNER Richard Sewell A.P. NO. 7`/��/OC/� 1�,.... MAIL BUILDING 16; Jf/�t/''r // ADDRESS 135 Rochester Ave ADDRESS r-p{ry l[,�((/ { L. aU CITY Costa Mesa, Ca. No. 642-140 TRACT 92j/ I LOT/4O BLOCK Z CONSTRUCTION NEW IADD ALTER REPAIR MOVING DFMfI ISH Om LENDER Provident Federal S & L J• N BRANCH Riverside — J OWNER a W ADDRESS 3756 Central, Riverside • . mm /YPOWWIrrVA UE /y�� g J Q ARCHITECT TEL. US $ OR ENGINEER NO. Z cc FIRE K ADDRESS ZONE TYPE - GROUP NIT d W APPROVED J• O CONTRACTOR Flintridge Landscape Co. By DATE 03 7J ft ADDRESS 2973 Randolph Ave — LP W ZONE WOOF „UBE OF NEW ZZ CITY Costa Mesa Ca TE TD46-0791 PLANS CI BUILDING sr"— r WO STATE 276919 CITY 6024 YA DS APPROVED YARDS APPROVED V)a LIC. NO. LIC. NO. MA BUILDING ACCESSORY BUILDING D O (FROM C STREET) SIZE INO.OF BLDGS. OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. _R.SIDE F _ FT, h' SI-CE OF NO.OF 2NEW BLDG. ROOMS STORIES L.SIDE FT. FT. EXTERIOR WALL ROOF (2 COVERING I COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET, N& 0- MAIN BLOCS, ACC LDGS. Q VAR.# DATE p Landscaping & Sprinklers C.U.P.# APPROVED I^ APPROVED Cl) --fly 2 O N. VI hereby acknowledge that I have reed this application and state STATE n that the above information is correct and agree to comply with a all laws regulating building construction, and I shall not employ •'J Y��.��•qs tJ F" any person In violation of the workman's compensation laws of fn the State of California. m I hereby certify that I am properly licensed as a contractor under SD. FT. TAX o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATIO IS FOR 5 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: • am exempt from the provisions of the State of California Business I _ _t and Professions Division 3,Chapter 9. CC VALUATION e,,11. 1,--e '� Cry fra PERMIT FEE $ n Signature of /1C sal yyyyyy / S E Permittee ear 1 Y�`^' s lr— $ ' /�Q.A �—PLAN CHECK $ / • - o U / �/ v (� Authorized Agent 04 LLTOTAL FEE $ .t-/ r • PAIb X76 nv ?8-73,—<,O(liosa� ;A ,:86.59 COSTA MESA BUILDING-SAFETY DEPARTMENT �0+ ' P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 A LJ CATION FOR BUILDING PERMIT For Applicant to Fill in Completely lLfl' a /' ,` R V BY DATE�JRECEIVED DA'JTE ISSUED BUILDING ill- L\SA L&sL. ft- P-73 /A -77e_7) ADDRESS ®J') `/ T /t ///C dP✓Y�v rakeV/- ; C A.P. NO.tkR-Ok)-2& PERMIT NO. OWNER ^` MAIL J / ADDRESS BUILDING 145 L-tSN L&A Z ADDRESS /may C ILi; /P0 fes/`^[ eS7tn� /`/ 7 q�.� a U CITY CP/ g" ! 4 /!rr4 NO.TEtl 7.Z 99Or �ZTRACT %--1+ I I 'LOT lEA BLOCK ZQ CONSTRUCTION NEW ADD ALTER I REPAIR MOVING OFMOI ISH ON LENDER l/Gdyoc..y J 0 BRANCH ,� JN OWNER /ClcNia_h S�WEL.L INc, c W ADDRESS ^,t P ]I/, p _ m m ARCHITECT TEL. USE J - W�7 GA�%�f+Ea Jr O y-5� Q OR ENGINEER ®Q/67 Cr NO. Z tri FIRE ^� Z M ADDRESS ZONE (TYPE GROUP N J a. W APPROV // W Z CONTRACTOR O cci/4cr BY (TYPE DATV217- 3 Jp /lil Z J 2 ADDRESS W W ZON NO.OF USE OF NEW �'R„I� O= CITY NOL -L2 PUNS 2 BUILDING G,r 4 C G Z F N 0 APPROVED YARDS al 2 L IC. O.STATE R I p. /g /O LIC.NO.a CITY YARDS MA N BUILDING ACCESSORY BUILDING 7O SIZE NO.OF BLDGS. (FROM/Cl/LS/TREET) OF LOT (NOW ON LOT O FRONT 41-1-OFT. FT. USE OF EXISTING BLDG. R.SIDE S" FT. FT. I— SIZE OF ,< a) p- NO.OF ZQ NEW BLDG. L/137'�O Cr0 ROOMS STORIES , L.SIDE lC1 FT. FT. U EXTERIOR WALL I ROOF — L� _ _ COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& C a MAIN BLDGS. ACCESS.BLDGS. // O �—�I 1'�L ]k v. / 4 cA a (j�/W C.U.P. CC —t r ey APPROiVED es( U) -61773 zo ROVED] 31 u DATE\� aY f 6177 3 MOLD FOR SPhCIAL REQUIR NTSK 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 r any person in violation of the workman's compensation laws of 9 T�y/ N the State of California. 313 7 k I Ptw a 3 3/ a !! b Z I hereby certify that I am properly licensed as a contractor under SO. FT. G'�/J/J o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 2ai am exempt from the provisions of the State of California Business VALUATION and Professions Code, Division 3.Chapter 9. ail 04 PERMIT FEE. $ c' Signature of 0_ - {��/�' C ...-••"' 3-0 m .....--- Permittee /C'L-C.Ct ^ �,J� PLAN CHECK $ �� E • I 66G o LL A uthoriz Agent ` TOTAL FEE $ ^EC 18-73c,<<°00 663 0*** 165.00 'C .37 /‘ COSTA MESA BUILDING-SAFETY DEPARTMENT �+ / P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 P C TION FOR BUILDING PERMIT For Applicant to Fill in Comp telt' RE DATE RECEIVED DATE ISSUED BUILDING / �I ADDRESS 1 l SAL ,q-NC /p-12-73 OWNER A.P.NO. P fin/ MAIL BUILDING / A�� l/�n 4/1_�J/Y Z . ADDRESS ADDRESS f/� {{{��� r7 ,4j(/ W W TEL. I o-0 CITY NO. TRACT LOT BLOCK Z Z Q CONSTRUCTION NEW„„,,,A DO ALTER REPAIR MOVING DEMOI ISH O cn LENDER (X JD BRANCH OWNER [C.W o&OEM- eC.' QWADDRESS CO J VALUE •m ARCHITECT TEL. use. fl-8� a $ ---- J Q OR ENGINEER NO. - o to FIRE W K ADDRESS ZONE TYPE GROUP a W APPROVED W Z CONTRACTOR BY DATE Jp m2 J m ADDRESS W W ZONE INO.OF USE OF NEW o= CITY NOL PLANS BUILDING Z W O STATE CITY YARDS APPROVED YARDS APPROVED to CC LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING D O (FROM C/L STREET) SIZE i NO.OF BLDGS. OF LOT LNOW 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. VEXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& C a MAIN BLDGS. ACCESS.BLDGS. Q VAR.# DATE 0 C.U.P,# APPROVED I— APPROVED (/) —ELY DATE OZ // I hereby acknowledge that have read this application and state ���/a D that the above information is correct and agree to comply with 1.4 L✓I/, CC all laws regulating building construction, and I shall not employ' F any person in violation of the workman's compensation laws of Cr) the State of California. m Zm SO. FTI hereby certify that I am properly licensed as a contractor underz . 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; m am exempt from the provisions of the State of California Business VALUATION _per} m and Professions Cnu �. e,Division 3,Chapter 9. / t1lm PERMIT FEE $/(l N D Signature of m Permittee $ PLAN CHECK $ //� E ° o Authorized Agent S' a ` TOTAL FEE $ U c. UnryCT AL1Vtr4441 IUUt3attL !JAIL 11 JOB ADDRESS 1145 Lisa Lane BUILDING PERMIT NO.38612 ' >GENERAL CONTRACTOR Flintridge Landscape Co. DESCRIPTION of WORK Landscaping & Sprinklers APNo119-040-22 LOT TRACT FIRE ZONE VALUE $ 7,500.00 INSPECTIONS Signature Date TYPE 1/ GROUP & J ZONE sr PERMITS ISSUED GA. SUBCONTRACTOR Date I Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE [j HHO��U.SSE CON. n /y/ SPRINKLING SYSTEM ���.. 7( 7i L G � �y/1 MISCELLANEOUS !!!"' ROUGH HEATING AND AIN CONDITIONING . TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER 0 ROUGH WIRING Heating and Vent. TRENCHES 0 FORMS U STEEL REINF. FLOOR SYSTEM BOND BEAM n STEEL REINFORCE fl SHEATHING FRAME AND FLASHING� FT LATHING - IN I T OUT PLASTER, BROWN COAT STRUCTURAL. FINAL Elertric HEATING, VENT., REFRIG. AND A.C., FINAL PI NG, FINAL AND GAS TEST n ELL_,RIC. FINAL • BUILDING, FINAL