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Home My WebLink About192 TULIP LN - Building Permits • lb •• - .. CITY OF COSTA MESA BUILDING DIVISION p r • Fl 77 FAIR DRIVE, COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us r k IPQN FOR INSPECTIONS CALL: (714)754-5626 la.c9;Ponarso Pit PERMIT NUMBER: B09-00254 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 42613317 DATE ISSUED: 11/02/2009 . ISSUED BY: KJB JOB ADDRESS: 192 TULIP LN CM Suite/Unit:'.: • Vicinity: .. - Squares: 2400 ' , - .. ' - 'Valuation: . $5,600.00 - SCOPE OF WORK: TEAR OFFEXISTING COMP,SHINGLE ROOF. REPAIR/REPLACE SHEATHING IF NECESSARY. INSTALL 30 YEAR COMP SHINGLE PER CODE. ROOF PITCH IS 3:12. - OWNER: CARR,TIMOTHY W - Address: . %STRA,DA-PROPERTIES , ' • Unit: NEWPORT • BEACH,CA PHONE: - City/State/Zip: 140 NEWPORT CENTER,#140 APPLICANT: LEHMAN,JEFFREY Address: 2415 MARGARET DR • • • - r Unit - ; PHONE: 949-646-3571 City/State/Zip: NEWPORT BEACH,CA '',I'.f" tlu r_J?" CONTRACTOR: J S L ROOFING INC ' , License'No. 747706 • Address: 2415 MARGARET DRUnit: PHONE: 949.646-3571 , City/State/Zip: NEWPORT BEACH, CA 92663' CELL: - - . ARCHITECT: . License No. PHONE: • ENGINEER: License No. PHONE: •FEE SUMMARY Reroof Plan Check: $0.00` .. - . • - ,.TA;,i.30 yF;\R Reroof Permit Fee: ' $125.25 . Reinspection Fee: $0.00 ' - - . Bldg Std Admin Fund $1.00 _ Unit, NEWPORT TOTAL FEES $126.25 ' - - , 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. rpm*. INSPECTION TYPE DATE INTIIIALS CODE* INSPECTION TYPE - DATE .31, y',,,ron11ALs ;1616 Fixed System Final Fire Prevention 206 Final Mechanical -1266 Pool Spa Final t� 1n 1, /t..,,\ 208 Final Plumbing .c -t` . } •1 1200 Final Re-Roof I I-5-D9 by 131) ati 1 210 Final Electrical c201 Final Block/Retaining Wall l 212 Final Fire Prevention I 202 Final Factory Fire Place 220 Final Planning Approval ,`203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 041 i WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. ❑Yes ❑ Na I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: _ El 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. I have and will maintain workers'compensation insurance, as required by • tan 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 urance 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 fl �z by this permit,and that no building structure,scaffdding,falsework,a demolition �C�e / v h or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Gry (This sedum need not be completed if the peon is valued at one hundred dollars($700)or less) ."1 � L l2,Art 2,Sec.341,Title 8,Califomia Administrative Code). .P�1tim Nber IR C— OD J _ ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify tha in the perfor/V ce of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless issued, I shall n•(employ anyy- on in any manner so as to become subject such person has a permit to do such work from the division. to the worker /ompensati. -ws of California, and agree that if I should become s / to the wor rs' compensation provisions of Section 3700 of % Applicant's Signature Date the Lab•• •/1 I shall f•/�rr/{ th comply with these pro inions/ Q 44( t // ; 26 1 Division of Industrial Safety Permit Number: AF: .lure afe.d HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: W••/IOW I NIN,FAILURE TOrSECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS )UN / FUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENAL ES 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, MEREST,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 an/ -ffect. ^ a registration form for acutely hazardous materials? 0 Yes El No rticr#7 / , 77,- P ZCtass'#��' 7 (Section 25533 of the California Health and Safety Code, with some / ' l 1 I O exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely /p ..77"7'."�atgrotuR C mat 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 CO/-UC 10 ENDING 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 perfomtance of the work fcr 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 ElNo (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? El Yes 0 No I hereby affirm that under penally 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 (Section 65850.2 of the Califomia Govemment 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? ❑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 ❑ 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 ha e read this application and state that 0 I am exempt under sec. the information given is correct. I agr; to comply with all state laws and city ordinances relating to •uilding con - ction, and authorize representatives of Business and Professions Code for this reason: the City of Costa rsa to enh'upon the above-described property for inspection purposes/agree n• o occupy or allow occupancy of any building authorized by this p. mit urn' f al inspection. Signature Date /fMr 3057-46 13/07) s Q/,T7trtUpon: pTicant I o ie--- OWNER HOODENPYLE, ARTHUR. L . DATE (,-28-Ai JOB ADDRESS 192 Tulip Lane, A,B,C,D & gar. BUILDING PERMIT NO. 1),721 GENERAL CONTRACTOR Shoreline Construction VALUE $ 32,,1)13.00 gar AP. No. 118-074-18 LOT TRACT FIRE ZONE DESCRIPTION OF WORK J,-Ill PIC WA]-ear det INSPECTIONS s-t ai DATE GROUP H & J TYPE V ZONE R.44 _Underground Soil 44-0-S U.G. Water/ PERMITS ISSUED ground Gas SUBCONTRACTOR DATE NUMBER i .ad Water and Gas ' Rough Heating Ch' C$l Crecct $ B (,1 _ _ V Rough Plumbing - - Ir Miscellaneous 1 ,:„... ce r' 1 z,-/.6( S Z 31f/ I�,(g /, Prop. Swr. Li }o St. Swr. //t'?/0/ (C_n.y-..,vu� 1,11-/(i/ yi i -4 - T� Sprinkling System - 1I Heating, Final OM /1•/t-rA I� /� Plumbing Fixtures e44- 1 .J J' Final Gas Test 90.-2,o--,o-t#.-x• 2-e9-41 r-,_/71 Construction Pole ,J� n Underground Power r/ ' Rough Wiring �p•��^ � gjtr �!/ � 34< �Iv I `I Ni- Trenches i- FloorenhSystem Forms Steel 1 -) {yl Q �-_ _ Q-.--g./ ar y y�V-6' i I\` Steel Reinforce Chimney Re-Rod II I �, Bond Beam // Sheathing er ,o,,. - _ rig, d-,40-- y -- Frame and Flashing , , 'lel ' / 40 - - ( ' _ L,"Ing, In Out .a-. ( 0. `t C ! r, brown coat ini /J`'/ it t 1 ging Fixtures, Final -le-/$-,/F'1/, Electric Fixtures, Final /9i'1, /./oil t Building, Final OCCUPANCY Form 210-5M-11.59 5-13 r UNITS A,B,C,D & GAR. HOLD.FOR SPECIAL REQUIREMENtS 14721 { moi _472 �_ ' FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT ^ , rr .• IUN 211 61 . P. 0. BOX 317 COSTA MESA. CALIFORNIA /'M1 FINANCE DEPT. ` III �69 CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMITNI 6 f / TYPE OR PRINT BUILDING BUILDING / � </I fp Ad O d _ ADDRESS COSTA MESA. CALIFORNIA For Office Use Only y OWNER ARTHUR L. HOODENPYLE I RECEIPT NO. / PERMIT Nt. AAIL RECEIVE BY OATy RECEIVED I, OATS ISSUED d ADDRESS 2175 ORANGE AVENUE p 11 p Ek' I TB ��/�y 6_2g_(,i TEL. CITY COSTA MESA NO.LI 8-428' BUILDING /' ADDRESS ARCHITECT TEL I COSTA MESA. CALIFORNIA OR ENGINEER S,HOREL I NE CONST. Ccno.MI 6-503 / ADDRESS 2280 NEWPORT BOULEVARD FIRE �f q ZONE TYPE GROU T- CONTRACTOR SHORELINE CONST. CO. , INC. APPROVED NN MY DATE ADDRESS 2280 NEWPORT BOULEVARD • ZONING ZONING7 �� ZONE // NO.OF USE OF NEW•1A CITY1lI PLANSI/ I BUILDING CSA, CALIfORNIA Ejfff STATE TEL. LEGAL - - I I LIC.NO. 192894 NO. MI 6-90.5 DESCRIPTION �/ /3✓ I v SIZE 11 _ ND. OF BLDGB. [l� a 7a.j • p O 'a-'T hi(Jg//.7'SI- I OF LOT 149 X 92.06 I NOW ON LOT y A.P.NO. / / $ - 15 -7 q— / p( SSu p.iPf) USE OF 1�yy he �(JadtD Q2 `.l), EVES EXISTING BLDG. _/U /I( U Lta,. APPROVED ALLOWED SETBACK LINE PROM f� 'CENTER LINE BT.) ,,/A CENTER of STREET 35 REAR YARD " FRONT o / FT. /3-4 a. IN. / SIDE YARD I LEFT 12 RIGHT R.SIDE//O(o - FT. �; �.J DESCRIPTION OF WORK �� L.SIDE J FT. ,'1L' / e/L L NEW I X II ALTERATION I II ADDITION I REAR I P FT. f4Ly.4%/ l IN.. . - \ REPAIR I I MOVING I I DEMOLISH I ABY PPROVED /. . /I ./) I O TE �a-a�/p1 BUILDING 3536 NO. OF 1� 4(J ✓�j�Jer.P{ 0 SIZE ROOMS 'i STORIES 2 , y. e - l-J'L// _a I a EXTERIOR WALL (ROOF COVERING STUCC/COVERING ROCK /. %L. I 1/1 OI USE OF BUILDING AND WORK TO BE PERFORMED '/J-f� I ��WSS a I - FOIIRPI EXES , `lS . - 1 ' 1I -CAR GARAGES ' — '- , �S - 9 0 (o A / ( U I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION N AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION U, SIGNATURE OF �/� PERMIT FEE $ 3;2- CI PERMITTEF �[J /73— -{ / $ ' 'l .- PLAN CHECK $ �. 6 AUTHORIZED AGENT SHORELINE CONST. CO. n-,7o1<.a,( �j cc FEE $ 7A 4