HomeMy WebLinkAbout2652 SANTA ANA AVE - Building Permits CITY OF COSTA MESA i —
GilitriaL BUILDING DIVISION
ii y' ;4'; 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
k FOR INSPECTIONS CALL:(714)754.5626
PERMIT NUMBER B08-00169
PERMIT TYPE B ROOF2 STATUS: ISSUED
APN: 93914021 DATE ISSUED: 05/3012008
'ISSUED BY:
JOB ADDRESS: 2652 SANTA ANA AV SA Suite/Unit:
Vicinity: UNITS A-F -
Squares: 0 ' -Valuation: • ; $27,000.00
SCOPE OF WORK: REROOF UNITS A-F:TEAR OFF COMP.SHINLGES, INSTALL 2 LAYERS OF 15#FELT,REPAIR PLYWOOD AS
NEEDED&REROOF WITH 100 SQR'S OF 30 YR.OWENS CORNING COMP.SHINGLES ON 4:12PIT,CH.
OWNER: PURCELL, MARLA - : Address: . 2652 SANTA ANA'AVE#C • Unit:
PHONE: , 2.. City/State/Zip, COSTA'MESA,CA `;
APPLICANT: KORSVALL,TOM , - Address: 1346 LOGAN AVE . . ' Unit: :SUITE
A001 - . . ;:t-00 1G�
PHONE: 714.307-4001 City/State/Zip: COSTA MESA,CA
CONTRACTOR: MILES ABOVE ROOFING INC ' - - . License No. 880263
Address: 1346 LOGAN AVI_Unit: 4 SUITE A001 ' PHONE: " 714.620-5916
City/State/Zip: COSTA MESA,.CA 92626CELL:- CELL:
. - •H
ARCHITECT: License No. -. PHONE:
ENGINEER: . . License.No. . . - ' PHONE:
FEE SUMMARY , .
Reroof Plan Check: $0.00 - _ . _ . ' - - 1
Reroof Permit Fee: $411.95 \ , ' - __
Reinspection Fee: $0.00 . . .
TOTAL FEES $411.95 - . . -
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result in the expiration of this permit.
coot r INSPEC110NTYPE Oa INTIMAL$ ;ODES INSPECTION TYPE OE IN111UL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 6 if o &t44-- 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
WORKER'COMPENSATION DECLARATION:, Owner ID verified by driv me. 0 Yes El No
I hereby affirm uriddf•penalty of perjury one of the u.....eng declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' t Verification of Ownership by(type of document.i.e.-property tax Ors 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
Ls lion 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
5-Tn-r ' 1G/.N' by this permit,and that no building structure,scaffolding.falsework,a demolition
CCarrier. FlI �) CY a7f� or dismantling thereof,will be more than thirty-six(36)feel high.(Chap.3.2,Grp
(ria seaun need not completed pleeted.'the(ermis awgc one hundred dollars(frao)orreu) 2 Art 2Sec.341,Title B,California Administrative Code).
Policy_Nuniber: (261:41—7 8 i4g
0 As owner-builder, I will not employ anyone to do work which would
0 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 subje•I e workers'compensation provisions of Section 3700 of
Applicant's Signature Date
the Labor „•yfhal forth ' 'comply with these provisions.
• s{1 0 /r,{� Division of Industrial Safety Permit Number:
r 'Applicant'sgnawre / Dat 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 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).
cath 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. /� z a registration form for acutely hazardous materials? ❑Yes ❑ No
LLia` (/Zl� CIa55# C:35 (Section 25the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
y 1 '5—/—SO
each business which at any one time has on hand a quantity of acutely
��� it:O tors 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 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 Dale
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 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? 0 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 65850.2 of the California Government Code requires that the requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building 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).
El 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 ca
", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for control e
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. 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 Dale ,
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 •r mit until final inspection.
l
• St Dale •
Signature ..Date �/ 'A ,_
305746(3/07) J�6//
t___Andlar Author ed Applicant 1
SANTA ANA AVENUE 2652
7135 - 10-16-56 Pibg. NC (Gas)
74376 -FILE NO INspip.b.a. NC (W.H.)
10-31-78
ti-9835 Heating Sys.
5---7-S V
•
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
•
CITKOF COSTA MESA . - ' PERMIT NO• _ TRACT NO. LOT NO. BLDG.N0. fl,5) 1 Pr^P/Q:] ,.7a,, I
CONSTRUCTION PERMIT' - -_ 44 — gS3S �
Project Address .4-u e'a �-Z V\��n(�L•(- . s�,RIC' l!�t-UV-TYPE OF CONSTRUCTION ❑ NEW LI ADD LI ALTERATION LJ REPAIR
Applicant'sMailingAddress 1J `0 lin f 3) .-Y-V✓1Gl- I C.. V Q. ❑ CONVERSION ❑ DEMOLISH 0 OTHER A,P;# - I Zone
• DESCRIPTION OF WORK •
Owner's Name /] • C� �1e� T ( n�} S Main Building:' Accessory Building: . . . Z
Address •' � un 1 I I :.31 ' �` tae L� 1VCLqZYi-l"JLI'"' TYPE OF PERMIT ❑ GRADING 0 FOUNDATION U STRUCTURAL E Front _ N
Arch/Eng. ' • License No. 0 TENANT ❑ ELECTRICAL ❑ PLUMBING %.MECHANICAL B• Rear - ,
Address - 1 ��11• • ❑ 'OTHER • - N
I'I�eIk ISN klea4' YY_ :I- 'phone PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right - G
Contractor's Name j O p 1 ' /� . - • R
Address •(mailing) 1D `O ViCA1trOr Lc nc,Qvvt.he von CONSTRUCTION TYPE VALUATIONS S Left - , E
City License No, 3S 305(e •
ZONE GRADING CU.YDS. 'ACRES Ping. Ref.# Park:'Fees $ U
6.0
LICENSED CONTRACTOR DECLARATION ' Remarks: Parking Req,/Provided • - 1
•I hereby-affirm that I am licensed under provisions of,Charter 9 (commencing s • R
I with section 7000) of Division 3 of the Business any Professions Code, and - Use of Building: • E
my license Is in full fP! a effect. - - ' - M
Licens a y - License No l 1..�"��� PLUMBING FEES Planning Notes: E
I Date 1 _ Signatures '� d C t! N
1 Bar Sink Showers
1RKERS'COMPENSATION DECLARATION T
rreby,af firm that I have a certificate of consent to self-Insure or a certificate Backflow Preventer Service Sink • ' S
-. Workers'-Compensation Insurance, or a-certified copy thereof (Section
3800, lab. G - FCeN127N Backflow Irrigation Sewer Cap f z ELECTRICAL FEES
Policy Np,V-'� '�1447)5? Company
rfl Certified copy,is hereby furnished. Bathtub's , Sewer Connection Automatic Washer Transformer 0 15-50 KW
YCl
Certified cop els,filetl with the'city Building Division- /
Date IA2-/s Applicant :-P -0',—,,14 , nG_-j&i Clarifiers Solar Collectors , Construction Pole Sub, ❑ 50+KW ,
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION • Dishwasher Solar Piping - - ' Cooking Unit • - Meter ❑up to 100 amps -
(This section need not be completed if the permit is for one hundred (6100)or _
less). DrinkingFountains
I certify that in the performance of the work for which this permit act t etl I Solar Tank Dishwasher Meter Dover 100 amps
shalt not employ any person in any manner so as to become subject to the ' - -
Workers' Compensation Laws of California., Floor Drains Swimming Pool w/Spa ` Dryers DGas ❑Electric Sub Panel '
Date • Signature • ' - -
NOTICE:If,after making this declaration, you should become subject to the • Floor Sinks Urinal Fan Motors❑0.1 HP ❑1Yz-8
Workers' Compensation provisions of,the'Labor Code, you must forthwith - - - -- - - - - -
comply with. such provisions or•this permit'shall be deemed revoked. Gas Service .Outlets Water Closet - F.A.U. - Inc.Solar•❑9-15 HP ❑16-15+
CONSTRUCTION LENDING AGENCY - - •
I hereby affirm that there is a construction lending agency for the performance • , Interce tors
pWater Heater Fixtures Microwave '
of the work for which this permit .is issued: (Section 3097 Civ. C:) ' ,
_ • ' . Device Boxes • Pole Light
Lender's' Name Kitchen Sink i . ' Water Service
Lender's Address - Lavatories
OWNER BUILDER DECLARATION - - Outlets Range
I hereby affirm that I am exempt from the'Contractor's License Law for the P-Tra ',, -
following reason (Section 7031:5,Business and Professional Code: Any city or p, , - • , • - Switches• • Sign ,
'county which requires a permit to construct,alter,improve,demolish or,repalr '
-any structure, prior to Its issuance, also requires the applicant for such permit - Roof Drains - _ . •. ' _ 'z Garbage Disposal Standing Sections
'to file a signed statement that he/she is licensed pursuant to the provisions of • •
-
he Contractor's:License Law (Chapter 9(commencing with Section 7000) of . . . •. - '
vision 3 of the Business and Professions Code) or that he/she is exempt i - r - •- : Generator ❑0.5 KW ❑5-15 KW Trash Compactor
,erefrom and the basis for:the alleged exemption. Any violation of Section , - - - - ,
/031.5 by any applicant for, a permit subjects the .applicant to a civil Reinspection Fee ' -
' enalty of not more than five hundred dollars($500). , i pe .$25. Issue Fee , - $ 3 ,a?
o I, as owner of the property or my employees with wages as their solo MECHANICAL Reinspection Fee $25 Issue Fee I $ 3
compensation, will do the work, and the structure is not intended or offered . ' FEES •
for sale (Section 7044, Business and Professional Cotler: The Contractor's •
- PUBLIC SERVICES REQUIREMENTS: '
License Law does not apply to an owner of a property who.builds or improves Boiler Hood or' Type I 0 , - K ,
thereon, and who does such work himself/herself or through his or her own Zoning Approved By nate
employees, provided that such Improvements are not intended or offered for Canopy Type If ❑ f ,
sale. If, however, the building or Improvement is sold within one year of com- Duct-Under Ground Application Approved By Date/��/
pletion, the owner will have the burden of proving he/she did not build or Im- - -
Drrove for the purpose of sale). Duct-Structural Refrigeration System ;s Application Issued By •ir, / Date
gra
LJ I,as owner of the property,am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU
•
tractors to construct the project (Section 7044,Business and Professions Code: ' Duct-Ventilating SUMMARY OF FEES
The Contractor's License Law does not apply to an owner of property who .- • •
builds or improves thereon,and who contracts for such projects with a con- ' Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
tractors) license pursuant to the Contractor's License Law). • PLAN CHECK $ PERMIT
0'Pam exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# at/
$ ISSUANCE $ 'Si-Cr:.
Date owner • lH�,e{ating System& Ducting oZY' b� PLAN CHECK $ •
ENERGY P.C. $
I hereby certify that I have read this application and state that the above • Le $0.100,000 BTU ❑100,000BTLELECTRICAL $ GRADING $
information is correct:I agree to comply with all city and county ordinances
and state laws relating to building construction,and hereby authorize repro- - - PLAN CHECK $ MICROFILM $
sentatives of this city, to enter upon the above-mentioned pro arty for }�•
inspection purposes. MECHANICAL $ a`/1'00 TOTAL FEE $ �7 OD
Signature .X. ..( 4_.
Accounting;Goldenrod -Assessor - - - - -- ..
'- CONSTRUCTION AND PLANNING _ - .' POt .SPA
. Date Inspector - - Date Inspector
APPROVALS,- Permit # .' • - • "APPROVALS• Permit# '
1- Temporary Electrical Service or Pole . 52. Pool & Equipment Location
•
• 2. Soil Pipe.Undrgrnd. - - •53. Steel Reinforcement •
3.,Electrical Conduit Utility-Undrgrnd. . - - 54. Forms
4. Electrical Conduit,Undrgrnd. - 55. Electrical Bonding. - -
15: Steel Reinforcement - •- , 56. Rough Plumbing & Pressure Test ,
6; Electrical UFER Grnd. , _ - • •, __ - 57. APPROVAL TO COVER-GUNITE
7. Footings ' 58. Electrical Conduit-Undrgrnd. •
8. Foundation 59. Gas Pipe, ❑ Undrgrnd.,Test •
9. Water,Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. •
10:,Structural Floor System " 61. APPROVAL TO DECK
11.1 Property.Sewer Line & House Connection 62. Backwash & Receptor-Final _
12. Sewer-Cap - 63. Heater &Vent-Final
_
13. Roof Drains , 64. Plumbing•System - Final _
14. Rough Plumbing 65. Electrical-Final
15, Rough Electrical-Conduit- - •
- 66. Solar System-Final - •
• - 16. Rough Electric Wiring , I° : _ - , - 67: Fencing & Access Approval - -
17. Rough Wiring Sign - - - '68. APPROVED-FOR PLASTERING
18. Rough Electrical-T Bar Ceiling • ' - • 69.'POOL/SPA SYSTEMS FINAL
'19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT
• 20: Rough Factory Fireplace APPROVALS Permit#
. 21. Ducts, in Structure ' 70. Underground Hydro ,
22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil
23. Gas Pipe-Rough & Test' , I 72. Underground Flush
74. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat. 75. Dry•Chemical
27. Frame end•Flashing76. Dry'Standpipe •
i 28. Lathing & Siding - • 77. FIXED SYSTEM FINAL
' 29. Insulation - 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat • ' ,• - 79. FINAL INSPECTION
... 32. Electrical Power Meter-Final I • • , 80. FOOD CERTIFICATE ISSUED
' 33. Final Electric Notes: c."• `f- 5#'. .r 1/1( 4.1444 X,ncce
34. Final Heating & Air Conditioning g'7/qfe c/ A Y _ t'
d C
35. Final Gas Pipe-Test //�l A bu •
36. Hood or Canopy • - '
37. Final Factory Fireplace ' I I
38. Final Plumbing i ' - , , , ' •
39. Water Service-Final
40. Gas Service-Final - •
41. Solar Domestic-Final , , . i . , _ _.
42. Backflow Preventer ' '
43. Backflow Irrigation - ' •• -, • •
44. .Landscape Irrigation System - ' . .
•45. Sound Attenuation ,
46. Handicap Regulations •
47. FINAL STRUCTURE & BUILDING ' ' ' '
48. Special Requirements Completed t i ; -
49. Electric Release to Edison .. . - - • . - . '
50. Gas Release to•Southern California'Gas Co
51. CERTIFICATE OF OCCUPANCY . - " •. - _
No. Date ' - '